Miracle-dz/UniFAR-FTUs huggingface dataset:
Urea synthesis and degradation in sheep given pelleted-grass diets containing flaked barley

1. Three sheep fitted with rumen and oesophageal cannulas were given hourly the following diets in successive experiments: 1000 g pelleted-grass cubes/d (diet A) and 700 g pelleted-grass cubes plus 300 g flaked barley/d (diet B). 2.During the final week of each 4-week dietary regimen, a balance trial was conducted and on separate days each sheep was continuously infused with [14C]urea and NaH14CO3 intravenously and NaH14CO3 intraruminaily. C transfer rates between blood urea, blood bicarbonate and rumen bicarbonate pools were calculated from the specific radioactivity of urea and bicarbonate sampled and isotope infusion rate during each experimental period. In the same period, an oral infusion of 51Cr-EDTA was maintained and salivary flow rate and composition determined from samples collected from the oesophageal fistula. 3. The inclusion of flaked barley in the pelleted-grass diet significantly (P < 0·01) increased the apparent digestibility of organic matter (0·069), apparently digestible organic matter intake and nitrogen balance, and increased the efficiency cf dietary N utilization from 0·059 (diet A) to 0·290 (diet B). Increased N balance was the result of a significant (P) < 0·01 reduction in urinary urea excretion. 4. The rumen fluid of sheep given diet A had higher pH and bicarbonate concentrations but lower butyric acid concentrations than that of sheep given diet B. There was no significant effect of diet on total volatile fatty-acid or ammonia concentrations in rumen fluid, or on osmolaiity and rumen fluid dilution rate. The irreversible loss of bicarbonate from rumen fluid was markedly increased when flaked barley was included in the diet, with most of the loss occurring directly from rumen fluid. 5. Sheep given diet A had higher salivary secretion rates (18·8 l/d) than those given diet B (12·7 l/d), and with the exception of urea, there was no effect of diet on the concentrations of total N, protein N, alpha;-amino-N, uric acid-N or bicarbonate in saliva. Urea concentrations in saliva were significantly correlated (r20·64) with blood urea concentrations, but not with salivary flow rate. Salivary secretions contributed 2·2 and 1·4 gN/d to the rumen of sheep given diets A and B respectively, with urea forming only 45–33% of the total N secreted. 6. When flaked barley was included in the pelleted-grass diet, there was a significant (P < 0·01) decrease in urea synthesis rate (diet A 20·0 g N/d, diet B 9·7 g N/d), a significant increase in amount (diet A 2·3 g N/d. diet B 3·0 g N/d) and proportion (diet A 0·024, diet B 0·57) of recycled urea degraded in the rumen. The permeability of the rumen wall to urea was also significantly increased in sheep given the flaked barley diet (diet A 1·35 g N/d, diet B 2·45 g N/d). 7. A model of urea metabolism in sheep given each diet is described, and the mechanisms by which flaked barley inclusion increased urea recycling to the rumen and the efficiency of dietary N utilization are discussed.
Predictors of Delayed Postoperative Respiratory Depression Assessed from Naloxone Administration

BACKGROUND:The aim of this study was to identify patient and procedural characteristics associated with postoperative respiratory depression or sedation requiring naloxone intervention. METHODS:We identified patients who received naloxone to reverse opioid-induced respiratory depression or sedation within 48 hours after discharge from anesthetic care (transfer from the postanesthesia care unit or transfer from the operating room to postoperative areas) between July 1, 2008, and June 30, 2010. Patients were matched to 2 control subjects based on age, sex, and exact type of procedure performed during the same year. A chart review was performed to identify patient, anesthetic, and surgical factors that may be associated with risk for intervention requiring naloxone. In addition, we identified all patients who developed adverse respiratory events (hypoventilation, apnea, oxyhemoglobin desaturation, pain/sedation mismatch) during phase 1 anesthesia recovery. We performed conditional logistic regression taking into account the 1:2 matched set case–control study design to assess patient and procedural characteristics associated with naloxone use. RESULTS:We identified 134 naloxone administrations, 58% within 12 hours of discharge from anesthesia care, with an incidence of 1.6 per 1000 (95% confidence interval [CI], 1.3–1.9) anesthetics. The presence of obstructive sleep apnea (odds ratio [OR] = 2.45; 95% CI, 1.27–4.66; P = 0.008) and diagnosis of an adverse respiratory event in the postanesthesia recovery room (OR = 5.11; 95% CI, 2.32–11.27; P < 0.001) were associated with an increased risk for requiring naloxone to treat respiratory depression or sedation after discharge from anesthesia care. After discharge from anesthesia care, patients administered naloxone used a greater median dose of opioids (10 [interquartile range, 0–47.1] vs 5 [0–24.8] IV morphine equivalents, P = 0.020) and more medications with sedating side effects (n = 41 [31%] vs 24 [9%]; P < 0.001). CONCLUSIONS:Obstructive sleep apnea and adverse respiratory events in the recovery room are harbingers of increased risk for respiratory depression or sedation requiring naloxone after discharge from anesthesia care. Also, patients administered naloxone received more opioids and other sedating medications after discharge from anesthetic care. Our findings suggest that these patients may benefit from more careful monitoring after being discharged from anesthesia care.
An Ethics of Nicotine: Writing a Subjectivity of Process in ITALO SVEVO'S LA COSCIENZA DI ZENO

In La coscienza di Zeno (1923), Italo Svevo's protagonist, Zeno, engage in a determined battle with nicotine, smoking a repeated “last cigrette” that tastes, time and time again, of victory. I contend that the documentation of Zeno's addiction suggests an indictment of canonical literary Tuscan, tacitly invoked as an illusory regime of health. Countering the rigidity of linguistic form, the erratic force of Svevo's infamous “scrivere male” together with the incessant stop and start of Zeno's attempts to renounce nicotine emerge as an alternative regime founded on a principle of potentiality. Reiterating the central concern of “L'uomo e la teoria darwiniana,” an essay in which Svevo suggests that humanity's greatest strength lies in the fact that man remains a being devoid of formal finality, Zeno's decision to hober between the resolution and the renunciation, between the reality of sickness and the promise of health, constitutes the only ethics of subjectivity equipped to incarnate the infinite promise of potentiality.
Detectable Changes in Physical Performance Measures in Elderly African Americans

Background African American older adults have higher rates of self-reported disability and lower physical performance scores compared with white older adults. Measures of physical performance are used to predict future morbidity and to determine the effect of exercise. Characteristics of performance measures are not known for African American older adults. Objective The purpose of this study was to estimate the standard error of measurement (SEM) and minimal detectable change (MDC) for the Short Physical Performance Battery (SPPB), Timed “Up & Go” Test (TUG) time, free gait speed, fast gait speed, and Six-Minute Walk Test (6MWT) distance in frail African American adults. Design This observational measurement study used a test-retest design. Methods Individuals were tested 2 times over a 1-week period. Demographic data collected included height, weight, number of medications, assistive device use, and Mini-Mental Status Examination (MMSE) scores. Participants then completed the 5 physical performance tests. Results Fifty-two participants (mean age=78 years) completed the study. The average MMSE score was 25 points, and the average body mass index was 29.4 kg/m2. On average, participants took 7 medications, and the majority used assistive devices. Intraclass correlation coefficients (ICC [2,1]) were greater than . 90, except for the SPPB score (ICC=.81). The SEMs were 1.2 points for the SPPB, 1.7 seconds for the TUG, 0.08 m/s for free gait speed, 0.09 m/s for fast gait speed, and 28 m for 6MWT distance. The MDC values were 2.9 points for the SPPB, 4 seconds for the TUG, 0.19 m/s for free gait speed, 0.21 m/s for fast gait speed, and 65 m for 6MWT distance. Limitations The entire sample was from an urban area. Conclusions The SEMs were similar to previously reported values and can be used when working with African American and white older adults. Estimates of MDC were calculated to assist in clinical interpretation.
Comparative analysis of the intracellular localization of c-Myc, c-Fos, and replicative proteins during cell cycle progression

In eukaryotic cells, nucleus-cytoplasm exchanges play an important role in genomic regulation. We have analyzed the localization of four nuclear antigens in different growth conditions: two replicative proteins, DNA polymerase alpha and proliferating cell nuclear antigen (PCNA), and two oncogenic regulatory proteins, c-Myc and c-Fos. A kinetic study of subcellular localization of these proteins has been done. In cultures in which cells were sparse, these proteins were detected in the nucleus. When proliferation was stopped by the high density of culture cells or by serum starvation, these proteins left the nucleus for the cytoplasm with different kinetics. DNA polymerase alpha is the first protein to leave the nucleus, with the PCNA protein, c-Fos, and c-Myc leaving the nucleus later. In contrast, during serum stimulation c-Fos and c-Myc relocalize into the nucleus before the replicative proteins. We also noticed that in sparse cell cultures, 10% of the cells exhibit a perinuclear staining for the DNA polymerase alpha, PCNA, and c-Myc proteins but not for c-Fos. This peculiar staining was also observed as an initial step to nuclear localization after serum stimulation and in vivo in Xenopus embryos when the G1 phase is reintroduced in the embryonic cell cycle at the mid-blastula stage. We suggest that such staining could reflect specific structures involved in the initiation of the S phase.
Ironing out the Details: Exploring the Role of Iron and Heme in Blood-Sucking Arthropods

Heme and iron are essential molecules for many physiological processes and yet have the ability to cause oxidative damage such as lipid peroxidation, protein degradation, and ultimately cell death if not controlled. Blood-sucking arthropods have evolved diverse methods to protect themselves against iron/heme-related damage, as the act of bloodfeeding itself is high risk, high reward process. Protective mechanisms in medically important arthropods include the midgut peritrophic matrix in mosquitoes, heme aggregation into the crystalline structure hemozoin in kissing bugs and hemosomes in ticks. Once heme and iron pass these protective mechanisms they are presumed to enter the midgut epithelial cells via membrane-bound transporters, though relatively few iron or heme transporters have been identified in bloodsucking arthropods. Upon iron entry into midgut epithelial cells, ferritin serves as the universal storage protein and transport for dietary iron in many organisms including arthropods. In addition to its role as a nutrient, heme is also an important signaling molecule in the midgut epithelial cells for many physiological processes including vitellogenesis. This review article will summarize recent advancements in heme/iron uptake, detoxification and exportation in bloodfeeding arthropods. While initial strides have been made at ironing out the role of dietary iron and heme in arthropods, much still remains to be discovered as these molecules may serve as novel targets for the control of many arthropod pests.
Cervical carcinoma and reproductive factors: Collaborative reanalysis of individual data on 16,563 women with cervical carcinoma and 33,542 women without cervical carcinoma from 25 epidemiological studies

The International Collaboration of Epidemiological Studies of Cervical Cancer has combined individual data on 11,161 women with invasive carcinoma, 5,402 women with cervical intraepithelial neoplasia (CIN)3/carcinoma in situ and 33,542 women without cervical carcinoma from 25 epidemiological studies. Relative risks (RRs) and 95% confidence intervals (CIs) of cervical carcinoma in relation to number of full‐term pregnancies, and age at first full‐term pregnancy, were calculated conditioning by study, age, lifetime number of sexual partners and age at first sexual intercourse. Number of full‐term pregnancies was associated with a risk of invasive cervical carcinoma. After controlling for age at first full‐term pregnancy, the RR for invasive cervical carcinoma among parous women was 1.76 (95% CI: 1.53–2.02) for ≥≥7 full‐term pregnancies compared with 1–2. For CIN3/carcinoma in situ, no significant trend was found with increasing number of births after controlling for age at first full‐term pregnancy among parous women. Early age at first full‐term pregnancy was also associated with risk of both invasive cervical carcinoma and CIN3/carcinoma in situ. After controlling for number of full‐term pregnancies, the RR for first full‐term pregnancy at age <17 years compared with ≥≥25 years was 1.77 (95% CI: 1.42–2.23) for invasive cervical carcinoma, and 1.78 (95% CI: 1.26–2.51) for CIN3/carcinoma in situ. Results were similar in analyses restricted to high‐risk human papilloma virus (HPV)‐positive cases and controls. No relationship was found between cervical HPV positivity and number of full‐term pregnancies, or age at first full‐term pregnancy among controls. Differences in reproductive habits may have contributed to differences in cervical cancer incidence between developed and developing countries. © 2006 Wiley‐Liss, Inc.
Coronary capillary remodeling in non-insulin-dependent diabetic rats: amelioration by inhibition of angiotensin converting enzyme and its potential clinical implications.

Using Otsuka Long Evans Tokushima Fatty (OLETF) rats, a model of human non-insulin-dependent diabetes mellitus (NIDDM) that exhibits hypertension, obesity, hyperglycemia and hyperlipidemia, the role of local angiotensin II in cardiovascular complications at early stages of NIDDM was characterized. OLETF rats were given an angiotensin converting enzyme (ACE) inhibitor, cilazapril (10 mg/kg/day) or vehicle from the age of 5 weeks to 20 weeks. Arteriolar, intermediate and venular capillary proportions were determined by the double-staining method and levels of collagen and non-collagenous proteins were determined by the selective dye-binding method in heart tissues. In OLETF rats at 20 weeks of age, capillary network remodeling (i.e., an increase in arteriolar portions and a decrease in venular portions) and an increase in collagen content were detected. Cilazapril not only exerted favorable effects on markers of diabetes, but also prevented capillary network remodeling and ameliorated the increase in collagen content. These results suggest that 1) capillary network remodeling and increase in extracellular matrix protein levels precede the onset of overt NIDDM in OLETF rats, and 2) angiotensin II may be involved in the pathogenesis of cardiac complications in the early stages of NIDDM.
Unifying principles of regeneration I: Epimorphosis versus morphallaxis

Because research on regeneration has a long history, some classic definitions and concepts about regeneration which were established in earlier times have been retained without reconsideration for a long time, even though many relevant new findings have accumulated. To clarify the points on which research should be focused on for elucidating the mechanisms of regeneration, we should reconsider such classical definitions and principles of regeneration at the cellular and molecular level. Here, we consider two differing principles of regeneration which have been classically defined as ‘epimorphosis’ and ‘morphallaxis’, and propose the abandonment of these classical categories and their replacement by a new unifying principle in order to facilitate regeneration studies.
On the Self-Stigma of Mental Illness: Stages, Disclosure, and Strategies for Change

People with mental illness have long experienced prejudice and discrimination. Researchers have been able to study this phenomenon as stigma and have begun to examine ways of reducing this stigma. Public stigma is the most prominent form observed and studied, as it represents the prejudice and discrimination directed at a group by the larger population. Self-stigma occurs when people internalize these public attitudes and suffer numerous negative consequences as a result. In our article, we more fully define the concept of self-stigma and describe the negative consequences of self-stigma for people with mental illness. We also examine the advantages and disadvantages of disclosure in reducing the impact of stigma. In addition, we argue that a key to challenging self-stigma is to promote personal empowerment. Lastly, we discuss individual- and societal-level methods for reducing self-stigma, programs led by peers as well as those led by social service providers.
Nonlinear Mode Analysis and Optimization of a Triple-Push Oscillator

The triple-push oscillator architecture is an attractive application of a three element coupled oscillator array for high frequency signal generation. The desired solution to combine the power at the third harmonic and reject the first and second harmonics requires a 120 phase shift among the system elements. However, depending on the coupling strength and delay between the oscillators, the phase distribution varies, giving rise to different operating modes. Harmonic balance analysis is used to trace these multiple coexisting modes and their stability is investigated using envelope transient simulation. A design methodology is presented where optimum coupling parameters guarantee the operation of the system in the desired mode. A 13.8 GHz triple push oscillator is fabricated, and the various modes are investigated verifying the analysis.
Verticillium wilt of potato – the pathogen, disease and management

Abstract Verticillium wilt is a major disease of potato caused by either Verticillium dahliae or Verticillium albo-atrum. Both species are soilborne fungi that invade xylem elements, disrupt water transport in plants and cause vascular wilt in a variety of hosts. Despite the broad host range of V. dahliae, a degree of host adaptation occurs with some isolates exhibiting different levels of aggressiveness depending on the host species and even cultivar within a species. In addition, isolates can be separated into vegetative compatibility groups (VCGs) based on the ability to undergo hyphal anastamosis with other isolates. Distinct sub-specific groups have been recognized which contain host-adapted pathotypes that are aggressive and prevalent on particular hosts. Isolates of V. dahliae collected from potato stems, tubers and potato fields in the USA mostly belong to VCG 4A and VCG 4B, with the VCG 4A isolates being highly aggressive on potato compared with isolates of VCG 4B and other VCGs. In contrast, isolates collected from potatoes grown in Israel were predominantly VCG 2A and VCG 4B. Initial inoculum of V. dahliae is primarily soilborne microsclerotia. Verticillium dahliae can be transmitted in certified seed tubers, but tuber-borne inoculum appears to have little effect on verticillium wilt symptoms and potato yields. Vascular infection by V. dahliae of seed tubers of the moderately susceptible potato cultivar ‘Russet Burbank’ resulted in negligible effects on the development of verticillium wilt symptom, did not significantly contribute to aboveground stem infection or the formation of microsclerotia in debris, and did not significantly contribute to progeny tuber infection. An importance of tuber-borne inoculum is the potential to introduce inoculum to soils not previously used to grow potato or where a management practice such as fumigation has been applied to reduce soilborne inoculum. Management strategies should focus on reducing initial inoculum in soil and restricting vascular infection and pathogen development within the host. Tactics that may reduce initial inoculum include crop rotation, soil fumigation, green manures, soil solarization, and bio-fumigants. Cultivar resistance restricts pathogen infection and colonization of plants. Integration of several management tactics and a better understanding of soil health will be needed for lasting and economic management of the disease.
Elliptical Object Detection by a Modified RANSAC with Sampling Constraint from Boundary Curves' Clustering

This paper proposes a method for detecting ellipses from an image despite (1) multiple colors within the ellipses, (2) partially occluded ellipses' boundaries, (3) noisy, locally deformed boundaries of ellipses, (4) presence of multiple objects other than the ellipses in the image, and (5) combinations of (1) through (4). After boundary curves are obtained by edge detection, by utilizing the first-order difference curves of the edge orientation of each pixel in the boundary curves, a segment-reconnect method obtains boundary clusters. Then, a modified RANSAC detects ellipses by choosing five pixels randomly from the boundary clusters, where overlapped ellipses are merged. Experimental results using synthesized images and real images demonstrate the effectiveness of the proposed method together with comparison with the Randomized Hough Transform, a well-known conventional method.
The Intensive Care Unit, Patient Safety, and the Agency for Healthcare Research and Quality

In recent years, intensive care units (ICUs) have been getting more and more attention from those concerned about patient safety. This is not surprising. Considering the complexity and special vulnerability of ICU patients, the demanding working environment of the ICU, and the key role ICUs play in acute care medicine, this attention is certainly warranted. More than 4 million patients are admitted to ICUs each year in the United States. ICUs comprise 10% of all acute care hospital beds, and this percentage is likely to increase with the aging of the population. There are approximately 6000 ICUs in the United States, caring for about 55 000 patients each day. The estimated annual budget of American ICUs is $180 billion. Not unexpectedly, medical errors occur in ICUs with alarming frequency. Extrapolating from previous studies, one group of researchers estimates that about 85 000 medical errors occur each day in American ICUs, of which 24 650 are potentially life threatening. There is strong evidence that practically every patient admitted to an ICU will experience a potentially life-threatening medical error. In an insightful article supported by the Agency for Healthcare Research and Quality (AHRQ), Donchin and Seagull wrote about “the hostile environment of the ICU. ” They described the difficult working conditions that make errors more probable and characterized most ICUs as “ergonomic disasters. ” The high volume of patient data, ambient noise, lighting level, and scheduling were all identified as likely factors contributing to errors in ICUs. The authors noted that the ICU may be dangerous not just to critically ill patients but also to medical staff exposed to the hazardous environment. Needle sticks and other accidents are commonplace. In recent years, AHRQ has supported a number of studies of patient safety in ICUs. This investment is certainly in keeping with AHRQ’s role as the lead agency in the Department of Health and Human Services working to prevent medical errors and promote patient safety. This brief commentary will highlight some of the major issues in ICU safety and describe AHRQ-supported research and other activity in this area.