Miracle-dz/UniFAR-FTUs huggingface dataset:
Echocardiographic predictors of exercise intolerance in patients with heart failure with severely reduced ejection fraction

Abstract Decreased exercise capacity (EC) is an established predictor of cardiac and all-cause mortality in patients with chronic heart failure (HF). No correlation has been found between EC and left ventricular (LV) ejection fraction. Moreover, data about the effect of right ventricular (RV) function on EC in HF with severe LV dysfunction are limited and contradictory. In this study, we aimed to investigate the relationship between EC and myocardial mechanics in patients with HF with reduced ejection fraction. Consecutive patients with symptomatic HF and LV ejection fraction ⩽35% were prospectively assessed. All patients were evaluated with enhanced echocardiography. A symptom-limited treadmill cardiopulmonary exercise test (CPX) was performed within 24-hour interval. Patients were stratified into 4 groups according to their EC defined by Weber's classification. Prognosis of EC, expressed as oxygen uptake at peak exercise (peak VO2), was evaluated in multivariate linear regression analysis model. Sixty-seven patients with New York Heart Association classes II to III and a mean LV ejection fraction of 26 ± 7% were enrolled. A wide range of peak VO2 was observed in CPX with patient exercise performance distributed to all classes according to Weber's classification. Significant differences were found in RV systolic and diastolic functions between groups with different classes of EC: RV peak systolic myocardial velocity (S′) (P < .001), tricuspid annular plane systolic excursion (TAPSE) (P = .003), RV E’ (P = .003). In patients with functional decline, systolic pulmonary artery pressure (PASP) was higher (P = .029) and TAPSE/PASP ratio was lower (P = .006). No significant differences were found in LV diameter, systolic and diastolic function, and degree of mitral regurgitation. Thirty three patients with RV systolic dysfunction showed lower peak VO2 and oxygen uptake at anaerobic threshold (P = .008, P = .006, respectively), shorter exercise time (P = .003), and lower systolic blood pressure (P = .01) than in patients with normal RV systolic function. Logistic multivariate linear regression analysis with stepwise inclusion and exclusion revealed that gender, RV S′, and RV free wall strain were independent predictors of peak VO2. RV function, assessed as S′ and free wall strain, was independently related to EC, measured using CPX, in patients with HF and severe LV systolic dysfunction.
An Indoor Positioning System Based on Static Objects in Large Indoor Scenes by Using Smartphone Cameras

The demand for location-based services (LBS) in large indoor spaces, such as airports, shopping malls, museums and libraries, has been increasing in recent years. However, there is still no fully applicable solution for indoor positioning and navigation like Global Navigation Satellite System (GNSS) solutions in outdoor environments. Positioning in indoor scenes by using smartphone cameras has its own advantages: no additional needed infrastructure, low cost and a large potential market due to the popularity of smartphones, etc. However, existing methods or systems based on smartphone cameras and visual algorithms have their own limitations when implemented in relatively large indoor spaces. To deal with this problem, we designed an indoor positioning system to locate users in large indoor scenes. The system uses common static objects as references, e.g., doors and windows, to locate users. By using smartphone cameras, our proposed system is able to detect static objects in large indoor spaces and then calculate the smartphones’ position to locate users. The system integrates algorithms of deep learning and computer vision. Its cost is low because it does not require additional infrastructure. Experiments in an art museum with a complicated visual environment suggest that this method is able to achieve positioning accuracy within 1 m.
Co3Fe7/nitrogen-doped graphene nanoribbons as bi-functional electrocatalyst for oxygen reduction and oxygen evolution

In this work, we report a one-pot solvothermal strategy to synthesize Co3Fe7 incorporated graphene nanoribbons (Co3Fe7). An improved bi-functional electrocatalytic activity over the traditional electrocatalysts is exhibited by the Co3Fe7/nitrogen-doped graphene nanoribbon (NGNR) composite. For instance, this composite Co3Fe7/NGNRs depicted a lower overpotential of 350 mV than NGNRs (380 mV) and IrO2 (450 mV) to sustain 10 mA cm−2 for an oxygen evolution reaction in 1.0 M KOH. Furthermore, during an oxygen reduction reaction, the catalyst exhibited a four-electron pathway and it is interesting to note that its electrocatalytic behavior is on a par with commercial Pt/C. The enhancement in the electrochemical performance can be attributed to the synergistic effect that stems from the electrocatalytically active nitrogen atoms and metal alloy nanoparticles distributed uniformly over the graphene matrix. This unique composition of electrocatalyst is extremely beneficial for practical applications in fuel cells and metal–air batteries due to its high stability and sustained electrochemical activity.
Transoral and endoscope-assisted transoral approaches to resecting benign tumours of the parapharyngeal space located in the medial portion of the carotid sheaths and extending toward the skull base: our experience.

OBJECTIVE Various surgical approaches have been described to remove tumours in the parapharyngeal space. This study investigated the feasibility of a transoral approach in the surgical management of parapharyngeal space benign tumours located in the medial portion of the carotid sheaths and extending toward the skull base. METHODS Thirty-two patients were selected and underwent a transoral or an endoscope-assisted transoral approach in the surgical management of parapharyngeal space benign tumours located in the medial portion of the carotid sheaths. Medical photographs were used. RESULTS All patients underwent complete resection of their lesions via a transoral or endoscope-assisted transoral approach. None of the patients demonstrated residual or recurrent neoplasms, either clinically or radiographically, during their follow up. CONCLUSION Based on our studies, we assert that transoral and endoscope-assisted transoral approaches are suitable in managing parapharyngeal space benign tumours located in the medial portion of the carotid sheaths and extending toward the skull base.
Treponema denticola enolase contributes to the production of antibodies against ENO1 but not to the progression of periodontitis

ABSTRACT Autoantibodies against alpha-enolase (ENO1) are often detected in various infectious and autoimmune diseases. Anti-ENO1 antibody titers were reported to be associated with the severity of periodontitis in patients with rheumatoid arthritis. Because the enolase of the periodontal pathogen Treponema denticola (TdEno) has the highest homology with ENO1 among the enolases of human-associated bacteria, we hypothesized that anti-ENO1 autoantibodies produced during the immune response to TdEno may contribute to the progression of periodontitis and tested it in human and mouse systems. In human subjects with healthy periodontium or chronic periodontitis, a strong positive correlation between the levels of anti-TdEno and anti-ENO1 antibodies was observed. In addition, the purified anti-TdEno antibodies recognized ENO1 as well as TdEno in a dot blot, confirming the cross-reactivity between TdEno and ENO1. However, anti-ENO1 antibody titers were not associated with the severity of periodontitis. To further investigate the role of TdEno in the production of anti-ENO1 antibodies and the progression of periodontitis, mice received an oral gavage of P. gingivalis alone, subcutaneous immunization with TdEno alone, or both P. gingivalis oral gavage and TdEno immunization. Immunization with TdEno induced not only anti-TdEno but also anti-mouse Eno1 (mEno1) antibodies and increased the expression of TNFα in the gingival tissues. However, alveolar bone loss was not increased by TdEno immunization. In conclusion, autoreactive anti-ENO1/mEno1 antibodies that are produced as byproducts during the antibody response to TdEno play a minimal role in the progression of periodontitis in the absence of rheumatoid arthritis.
Rituximab as a front-line therapy for adult-onset minimal change disease with nephrotic syndrome

Minimal change disease (MCD) accounts for 15% of adult nephrotic syndrome (NS) cases. Adult-MCD patients may have more severe clinical features than pediatric patients. In children, Rituximab (RTX) has been used since 2006 to treat frequently relapsing NS. In adults, data about the efficacy of RTX for MCD are limited. We report our experience on the use of RTX in adult biopsy-proven MCD. Our series includes 6 adult patients (2 males and 4 females), age 45–73 years, treated with RTX (4 weekly doses of 375 mg/m2). Proteinuria decreased from 11,2 (23–4.8) g/24 hours to 0.6 (0–2) g/24 hours after 6 months, and to 0.4 (0–1, 4) g/24 h in the 4 pts with the longer follow-up. Creatinine decreased from 1.95 (0.5–5) mg/dl to 0.88 (0.6–1.3) mg/l. Five patients achieved a complete renal remission, while in 1 pt proteinuria decreased by 75%. RTX successfully depleted CD19 lymphocytes in 100% of pts for at least 6 months. No clinically relevant adverse events have been observed. This case series shows a remarkable efficacy of RTX in treatment of MCD. RTX can be an attractive alternative both in recurrent forms and in induction-therapy of MCD. RTX may be preferentially used in patients at a high risk of development of the adverse effects of corticosteroids and should be considered as an alternative option in patients with recurrent NS. Additional data are needed to inform clinical practice on how best to use RTX in this patient population, so that definitive randomized trials can be planned.
EphA2 chimeric antigen receptor-modified T cells for the immunotherapy of esophageal squamous cell carcinoma.

Background It is urgent to explore an effective potential therapeutic strategy for ESCC. In recent years, cell-based cancer immunotherapy has become a potentially close for carcinoma therapy. Chimeric antigen receptor (CAR) T cell technology is a kind of adoptive cell therapy technique which has been developed rapidly. We sought to obtain EphA2.CAR-T cell and revealed the ability of EphA2.CAR-T cells to kill esophageal squamous cell carcinoma (ESCC) cells in vitro. Methods Firstly, the expression and location of EphA2 in ESCC tissues and cells was tested by immunohistochemistry staining and Western blot. Secondly, the second generation of EphA2.CAR was constructed via molecular biology technology, and transduced into T cells to obtain the EphA2.CAR-T cell. The transduction efficacies were assessed using flow cytometry (FCM). Thirdly, the effect of cell killing of EphA2.CAR-T cell on ESCC cells in vitro was detected by co-culture experiments. The productions of cytokines (TNF-α and IFN-γ) by EphA2.CAR-T cell after co-culture with ESCC cells were analyzed by ELISA assay. Results The expression of EphA2 was significantly upregulated in ESCC tissues and cells (P<0.05). EphA2 was expressed on the membrane of ESCC cells, so it could be served as tumor-associated surface antigens (TAA) of CAR for ESCC treatment. The EphA2.CAR-T cell was obtained successfully, and its' transduction efficacies was 61.4% by FCM. The ability of cell killing of EphA2.CAR-T cell was better than that of T cells (P<0.01), and demonstrated a dose-dependent cell killing. The results of ELISA assay showed that the levels of TNF-α and IFN-γ in EphA2.CAR-T cells were notably raised compared with T cells (P<0.05). Conclusions We firstly constructed the second generation of EphA2.CAR and established EphA2.CAR-T cells. The EphA2.CAR-T cells showed a dose-dependent cell killing of ESCC cells, and promoted the production of cytokines in vitro. These findings open a new way for treatment of ESCC by immunotherapy in the future.
Hypomagnesaemia and pregnancy

Hypomagnesaemia is common in pregnancy, particularly in developing countries and low-income communities. Despite the frequent therapeutic use of magnesium in pregnancy, and the evidence regarding the association of hypomagnesaemia with adverse pregnancy outcomes in animal studies, it remains unclear whether hypomagnesaemia is associated with complications in human pregnancy. Three case reports of pregnancies complicated by moderate–severe hypomagnesaemia are presented and magnesium physiology in pregnancy is discussed. The evidence as to whether hypomagnesaemia may represent a direct cause, a consequence of other disease processes or an epiphenomenon in adverse pregnancies outcomes is reviewed.
An efficient algorithm for estimating brain covariance networks

Often derived from partial correlations or many pairwise analyses, covariance networks represent the inter-relationships among regions and can reveal important topological structures in brain measures from healthy and pathological subjects. However both approaches are not consistent network estimators and are sensitive to the value of the tuning parameters. Here, we propose a consistent covariance network estimator by maximising the network likelihood (MNL) which is robust to the tuning parameter. We validate the consistency of our algorithm theoretically and via a simulation study, and contrast these results against two well-known approaches: the graphical LASSO (gLASSO) and Pearson pairwise correlations (PPC) over a range of tuning parameters. The MNL algorithm had a specificity equal to and greater than 0.94 for all sample sizes in the simulation study, and the sensitivity was shown to increase as the sample size increased. The gLASSO and PPC demonstrated a specificity-sensitivity trade-off over a range of values of tuning parameters highlighting the discrepancy in the results for misspecified values. Application of the MNL algorithm to the case study data showed a loss of connections between healthy and impaired groups, and improved ability to identify between lobe connectivity in contrast to gLASSO networks. In this work, we propose the MNL algorithm as an effective approach to find covariance brain networks, which can inform the organisational features in brain-wide analyses, particularly for large sample sizes.
Prevention of the progressive biochemical cartilage destruction under methotrexate therapy in early rheumatoid arthritis.

OBJECTIVES The aim of the study was to investigate biochemical cartilage composition under methotrexate (MTX) therapy and to intra-individually assess the impact of inflammation severity on cartilage composition by using dGEMRIC MRI in patients with early rheumatoid arthritis (eRA). METHODS dGEMRIC of MCP joints of the index and middle finger of 28 patients from the AthroMark cohort were examined prior to MTX-therapy as well as after 3 and 6 month. OMERACT RA MRI score and clinical parameters (CRP and DAS28) were registered at any time point. Each patient's second and third MCP joints were dichotomised into the joint with more severe synovitis versus the joint with less severe synovitis according to the RAMRIS synovitis subscore. RESULTS MCP joints with more severe synovitis ('bad joints') demonstrated significantly lower dGEMRIC values compared to MCP joints with less severe synovitis ('good joints') at time-points 0 and 3 months (p=0.002; p=0.019, respectively). After 6 months of MTX therapy no significant difference of dGEMRIC index was found between good and bad joint (p=0.086). CONCLUSIONS Under MTX therapy, biochemical cartilage integrity remains stable; no further cartilage destruction occurred if patients were treated early in the course of the disease. In addition, six months of MTX therapy triggered an alignment of dGEMRIC index of MCP joints with initially severe synovitis and less severe synovitis in an intra-individual assessment. This underlines the importance of an early treatment in eRA to reduce further cartilage damage of the inflamed joints.
The noisy basis of morphogenesis: Mechanisms and mechanics of cell sheet folding inferred from developmental variability

Variability is emerging as an integral part of development. It is therefore imperative to ask how to access the information contained in this variability. Yet most studies of development average their observations and, discarding the variability, seek to derive models, biological or physical, that explain these average observations. Here, we analyse this variability in a study of cell sheet folding in the green alga Volvox, whose spherical embryos turn themselves inside out in a process sharing invagination, expansion, involution, and peeling of a cell sheet with animal models of morphogenesis. We generalise our earlier, qualitative model of the initial stages of inversion by combining ideas from morphoelasticity and shell theory. Together with three-dimensional visualisations of inversion using light sheet microscopy, this yields a detailed, quantitative model of the entire inversion process. With this model, we show how the variability of inversion reveals that two separate, temporally uncoupled processes drive the initial invagination and subsequent expansion of the cell sheet. This implies a prototypical transition towards higher developmental complexity in the volvocine algae and provides proof of principle of analysing morphogenesis based on its variability.
The Strength of the Causal Evidence Against Physical Punishment of Children and Its Implications for Parents, Psychologists, and Policymakers

The question of whether physical punishment is helpful or harmful to the development of children has been subject to hundreds of research studies over the past several decades. Yet whether causal conclusions can be drawn from this largely nonexperimental research and whether the conclusions generalize across contexts are issues that remain unresolved. In this article, the authors summarize the extent to which the empirical research on physical punishment meets accepted criteria for causal inference. They then review research demonstrating that physical punishment is linked with the same harms to children as is physical abuse and summarize the extant research that finds links between physical punishment and detrimental outcomes for children are consistent across cultural, family, and neighborhood contexts. The strength and consistency of the links between physical punishment and detrimental child outcomes lead the authors to recommend that parents should avoid physical punishment, psychologists should advise and advocate against it, and policymakers should develop means of educating the public about the harms of and alternatives to physical punishment.
Constructing a Novel Three-Dimensional Biomimetic Corneal Endothelium Graft by Culturing Corneal Endothelium Cells on Compressed Collagen Gels

Background: Endothelium allotransplantation is the primary treatment for corneal decompensation. The worldwide shortage of donor corneal tissue has led to increasing pressure to seek an alternative for surgical restoration of corneal endothelium. Compressed collagen (CC) gels have excellent biocompatibility, simple preparation course and easy to be manipulated. This study aimed to form a new biomimetic endothelium graft by CC. Methods: We expanded bovine corneal endothelial cells (B-CECs) on laminin-coated CC to form a biomimetic endothelium graft. Scanning electron microscope was used for ultrastructural analysis and tight junction protein ZO-1 expression was tested by immunohistochemistry. Results: The biomimetic endothelium graft, we conducted had normal cell morphology, ultrastructure and higher cell density (3612.2 ± 43.4 cells/mm2). ZO-1 localization at B-CECs membrane indicated the bioengineered graft possess the basic endothelium function. Conclusions: A biomimetic endothelium graft with B-CECs expanded on CC sheet was constructed, which possessed cells' morphology similar to that of in vivo endothelial cells and specific basic function of endothelium layer. This method provided the possibility of using one donor's cornea to form multiple uniformed endothelium grafts so as to overcome the shortage of cadaveric cornea tissue.
Synthesis and Surface-Enhanced Raman Scattering of Ultrathin SnSe2 Nanoflakes by Chemical Vapor Deposition

As a new atomically layered, two-dimensional material, tin (IV) diselenide (SnSe2) has attracted extensive attention due to its compelling application in electronics and optoelectronics. However, the great challenge of impurities and the preparation of high-quality ultrathin SnSe2 nanoflakes has hindered far-reaching research and SnSe2 practical applications so far. Therefore, a facile chemical vapor deposition (CVD) method is employed to synthesize large-scale ultrathin SnSe2 flakes on mica substrates using SnSe and Se powder as precursors. The structural characteristics and crystalline quality of the product were investigated. Moreover, Raman characterizations indicate that the intensity of A1g peak and Eg peak, and the Raman shift of Eg are associated with the thickness of the SnSe2 nanoflakes. The ultrathin SnSe2 nanoflakes show a strong surface-enhanced Raman spectroscopy (SERS) activity for Rhodamine 6G (R6G) molecules. Theoretical explanations for the enhancement principle based on the chemical enhancement mechanism and charge transfer diagram between R6G and SnSe2 are provided. The results demonstrate that the ultrathin SnSe2 flakes are high-quality single crystal and can be exploited for microanalysis detection and optoelectronic application.
A SEMG-Force Estimation Framework Based on a Fast Orthogonal Search Method Coupled with Factorization Algorithms

A novel framework based on the fast orthogonal search (FOS) method coupled with factorization algorithms was proposed and implemented to realize high-accuracy muscle force estimation via surface electromyogram (SEMG). During static isometric elbow flexion, high-density SEMG (HD-SEMG) signals were recorded from upper arm muscles, and the generated elbow force was measured at the wrist. HD-SEMG signals were decomposed into time-invariant activation patterns and time-varying activation curves using three typical factorization algorithms including principal component analysis (PCA), independent component analysis (ICA), and nonnegative matrix factorization (NMF). The activation signal of the target muscle was obtained by summing the activation curves, and the FOS algorithm was used to create basis functions with activation signals and establish the force estimation model. Static isometric elbow flexion experiments at three target levels were performed on seven male subjects, and the force estimation performances were compared among three typical factorization algorithms as well as a conventional method for extracting the average signal envelope of all HD-SEMG channels (AVG-ENVLP method). The overall root mean square difference (RMSD) values between the measured forces and the estimated forces obtained by different methods were 11.79 ± 4.29% for AVG-ENVLP, 9.74 ± 3.77% for PCA, 9.59 ± 3.81% for ICA, and 9.51 ± 4.82% for NMF. The results demonstrated that, compared to the conventional AVG-ENVLP method, factorization algorithms could substantially improve the performance of force estimation. The FOS method coupled with factorization algorithms provides an effective way to estimate the combined force of multiple muscles and has potential value in the fields of sports biomechanics, gait analysis, prosthesis control strategy, and exoskeleton devices for assisted rehabilitation.
HER2 as a prospective novel biomarker in squamous cell carcinomas of the head and neck

For example, in some studies, HER2 has been shown to correlate with other clinicopathological parameters, such as disease‐free survival. [5,6] This may represent a different biologic behavior displayed by HNSCC’s with HER2 overexpression. Such different biologic behavior is supported by other observations, for example, that HER2‐positive clones tend to be selected – and sometimes enriched – in metastases. [7]