Miracle-dz/UniFAR-FTUs huggingface dataset:
Dual antiplatelet use in the management of COVID-19 associated acute ischemic stroke reocclusion

Intro SARS-CoV-2 (COVID-19) infection is associated with acute ischemic stroke (AIS), which may be due to a prothrombotic state. Early reports have suggested high rates of reocclusion following mechanical thrombectomy (MT) with poor radiographic and clinical outcomes. We report our early experience using intra-procedural antithrombotics to address SARS-CoV-2 reocclusion. Methods We identified 6 patients that experienced early reocclusion after MT for COVID-19-associated AIS through retrospective chart review abstracting their basic demographics, COVID-19 status, and stroke management. All these patients were treated after reocclusion with aspirin and cangrelor intra-procedurally, the latter of which was converted to ticagrelor post-procedurally. Some patients additionally received argatroban infusion intraprocedurally. Results Mean age was 54. There were 3 post-procedural and 3 intra-procedural re-occlusions. After repeat thrombectomy and treatment with aspirin and cangrelor, those with post-procedure reocclusion did not show further reocclusion, while those with intra-procedural reocclusion showed radiographic improvement with intraprocedural cangrelor administration. Outcomes for these patients were poor, with a median mRS of 4. Two patients developed petechial hemorrhage of their stroke which was managed conservatively, and one developed a retroperitoneal hemorrhage from femoral access requiring transfusion. There were no patients who developed new parenchymal hematomas. Conclusion COVID-19 AIS may be associated with a hypercoagulable state which risks malignant reocclusion complicating MT. We found antithrombotic treatment periprocedural cangrelor with or without argatroban transitioned to oral aspirin with ticagrelor to be a viable method for management of these patients.
The importance of the positional probability of word final (but not word initial) characters for word segmentation and identification in children and adults' natural Chinese reading.

Word spacing is important in guiding eye movements during spaced alphabetic reading. Chinese is unspaced and it remains unclear as to how Chinese readers segment and identify words in reading. We conducted two parallel experiments to investigate whether the positional probabilities of the initial and the final characters of a multicharacter word affected word segmentation and identification in Chinese reading. Two-character words were selected as targets. In Experiment 1, the initial character's positional probability was manipulated as being either high or low, and the final character was kept identical across the two conditions. In Experiment 2, an analogous manipulation was made for the final character of the target word. We recorded adults' and children's eye movements when they read sentences containing these words. In Experiment 1, reading times on targets did not differ in the two conditions for both children and adults, providing no evidence that a word initial character's positional probability contributes to word segmentation. In Experiment 2, adults had shorter reading times and made fewer refixations on targets that comprised final characters with high relative to low positional probabilities; a similar effect was observed in children, but this effect had a slower time course. The results demonstrate that the positional probability of the final (but not the initial) character of a word influences segmentation commitments in reading. It suggests that Chinese readers identify where a currently fixated word ends, and via this commitment, by default, they identify where the subsequent word begins. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Association of nutrients, specific dietary patterns, and probiotics with age-related macular degeneration.

Age-related macular degeneration (AMD) is a complex disease that mainly affects those over 50 years old. Even though management of the vascularisation associated with the ''wet'' form of AMD is effective using anti-VEGF drugs, there is currently no treatment for the ''dry'' form of AMD. Given this, it is imperative to develop methods for disease prevention and treatment. For this review, we searched scientific articles via PubMed and Google Scholar, and considered the impact of nutrients, specific dietary patterns, and probiotics on the incidence and progression of AMD. Many studies revealed that regular consumption of foods that contain ω-3 fatty acids is associated with a lower risk for late AMD. Particular dietary patterns - such as the Mediterranean diet that contains ω-3 FAs-rich foods (nuts, olive oil and fish) - seem to be protective against AMD progression compared to Western diets that are rich in fats and carbohydrates. Furthermore, randomized controlled trials that investigated the role of nutrient supplementation in AMD have showed that treatment with antioxidants such as lutein/zeaxanthin, zinc, and carotenoids may be effective against AMD progression. More recent studies have investigated the association of the antioxidant properties of gut bacteria such as Bacteroides and Eysipelotrichi, with lower AMD risk in individuals whose microbiota is enriched with them. These are promising fields of research that may yield the capacity to improve quality of life for millions of people, allowing them to live with clear vision for longer and avoiding the high cost of vision-saving surgery.
Integrating traffic safety data with area deprivation index: A method to better understand the causes of pediatric pedestrian versus automobile collisions

"Integrating Traffic Safety Data with Area Deprivation Index(ADI)" is a study of pediatric trauma pts who sustained pedestrian vs auto collisions(P-AC). ADI can be used identify at traffic and pt factors at-risk for P-AC which can be used to improve targeted prevention programs. BACKGROUND The purpose of this study was to identify clinical and traffic factors that influence pediatric pedestrian versus automobile collisions (P-ACs) with an emphasis on health care disparities. METHODS A retrospective review was performed of pediatric (18 years or younger) P-ACs treated at a Level I pediatric trauma center from 2008 to 2018. Demographic, clinical, and traffic scene data were analyzed. Area deprivation index (ADI) was used to measure neighborhood socioeconomic disadvantage (NSD) based on home addresses. Traffic scene data from the California Statewide Integrated Traffic Records System were matched to clinical records. Traffic safety was assessed by the streetlight coverage, the proximity of the collision to home addresses, and sidewalk coverage. Descriptive statistics and univariate analysis for key variables and outcomes were calculated using Kruskal-Wallis, Wilcoxon, χ2, or Fisher's exact tests. Statistical significance was attributed to p values of <0.05. RESULTS Among 770 patients, the majority were male (65%) and Hispanic (54%), with a median age of 8 years (interquartile range, 4–12 years). Hispanic patients were more likely to live in more disadvantaged neighborhoods than non-Hispanic patients (67% vs. 45%, p < 0.01). There were no differences in clinical characteristics or outcomes across ADI quintiles. Using the Statewide Integrated Traffic Records System (n = 272), patients with more NSD were more likely injured during dark streetlight conditions (15% vs. 4% least disadvantaged; p = 0.04) and within 0.5 miles from home (p < 0.01). Pedestrian violations were common (65%). During after-school hours, 25% were pedestrian violations, compared with 12% driver violations (p = 0.02). CONCLUSION A larger proportion of Hispanic children injured in P-ACs lived in neighborhoods with more socioeconomic disadvantage. Hispanic ethnicity and NSD are each independently associated with P-ACs. Poor streetlight conditions and close proximity to home were associated with the most socioeconomically disadvantaged neighborhoods. This research may support targeted prevention programs to improve pedestrian safety in children. LEVEL OF EVIDENCE Prognostic/Epidemiological; Level IV.
Apoyo social y obesidad: el papel de los síntomas depresivos y la alimentación emocional en un modelo estratificado por sexo

Introducción: la obesidad es un problema de salud pública a nivel mundial, cuya prevalencia ha aumentado sostenidamente en Latinoamerica. En Chile, el 75% de la población tiene sobrepeso u obesidad, siendo esta última más prevalente en mujeres (38%) que en hombres (30%). Si bien la percepción de apoyo social ha sido identificada como un factor protector para el desarrollo de la obesidad, el papel de la sintomatología depresiva y la alimentación emocional como mecanismos mediadores ha sido menos estudiado. Objetivo: determinar si el vínculo entre la percepción de apoyo social y el perímetro de cintura está mediado por la sintomatología depresiva y la alimentación emocional en una muestra de adultos chilenos estratificada por sexo. Métodos: trescientos veinticinco (n = 325) adultos chilenos de una región del sur de Chile fueron seleccionados mediante un muestreo no probabilístico intencional (55% mujeres, Medad mujeres = 57.21, Medad hombres = 58.34). Se midió el perímetro de cintura como indicador de obesidad y se utilizaron instrumentos de autorreporte para evaluar variables psicológicas, conductuales y sociodemográficas. Resultados: la alimentación emocional medió totalmente el vínculo entre sintomatología depresiva y perímetro de cintura tanto en hombres (β = 0.089, p = 0.042), como en mujeres (β = 0.086, p = 0.013). La percepción de apoyo social se vinculó indirecta y negativamente con el perímetro de cintura a través de una secuencia de mediación que incluyó sintomatología depresiva y alimentación emocional solo en mujeres (β = −0.043, p = 0.015). Conclusiones: la alimentación emocional es una variable a través de la cual la sintomatología depresiva se vincula con obesidad tanto en hombres como mujeres. Los hallazgos avalan el papel protector de la percepción de apoyo social en obesidad en mujeres, lo que puede orientar el desarrollo de estrategias para disminuir las altas tasas de obesidad en población chilena adulta.
Staying Ahead of Head Lice: Pediculosis Treatment Updates

Pediculosis (head lice) infections are one of the more sensitive issues that may involve the school nurse. In the 3- to 11-year-old age group in the United States, head lice infections are common and can elicit anxiety in students, parents, and school personnel. Head lice do not transmit any communicable diseases and therefore exclusion from school and “no nit” policies are not warranted. Treatment and management for head lice include a range of over-the-counter products and prescription topical and oral medications. Nonpharmacologic and alternative treatments do exist; however, many do not have established efficacy studies, and some can be costly. The school nurse plays an integral role in providing education related to treatment and environmental recommendations for families affected by head lice. Through this education, the nurse can also reduce the stigma and anxiety many feel around the subject of head lice infections.
Associations between low parental education, childhood adversities and sickness absence in midlife public sector employees

Aims: Parental education and childhood adversities are associated with long-term work disability but their contribution to sickness absence is largely unknown. We aimed to examine the associations between parental education, childhood adversities and self-certified and medically-certified sickness absence among midlife employees. Methods: The Helsinki Health Study baseline survey data (2000–2002) of 40-to-60-year-old municipal employees were linked with sickness absence data from the employer’s register. Self-certified (1–3 days) and medically-certified (>3 days) sickness absence spells were followed from 2003 until the end of 2008. The study included 5728 employees. The analyses were made by Poisson regression and the results are presented as rate ratios (RRs) and their 95% confidence intervals (CIs). Results: Low maternal education was associated with self-certified sickness absence (RR 1.32, 95% CI 1.13–1.55) among women only whereas both low maternal (1.49, 1.26–1.77) and low paternal education (1.48, 1.32–1.67) were associated with medically-certified sickness absence. Adjustment for own occupational class mainly abolished these associations. Having experienced any childhood adversity was associated with self-certified (1.18, 1.12–1.25) and medically-certified (1.22, 1.15–1.30) sickness absence. In addition, childhood economic difficulties, childhood illness, parental divorce, parental mental illness, parental alcohol problems and bullying were each associated both with self-certified and with medically-certified sickness absence. The associations mainly remained after adjustments for occupational class, marital status, working condition, body mass index and health behaviours. Conclusions: Low parental education and childhood adversities contributed to midlife sickness absence. Promoting well-being of families with children might help sustain adult work ability and prevent sickness absence still in midlife.
Electrophilicity index revisited

This review aims to be a comprehensive, authoritative, critical, and accessible review of general interest to the chemistry community; because the electrophilicity index is a very useful global reactivity descriptor defined within a conceptual density functional theory framework. Our group has also introduced electrophilicity based new global and local reactivity descriptors and also new associated electronic structure principles, which are important indicators of structure, stability, bonding, reactivity, interactions, and dynamics in a wide variety of physico‐chemical systems and processes. This index along with its local counterpart augmented by the associated electronic structure principles could properly explain molecular vibrations, internal rotations and various types of chemical reactions. The concept of the electrophilicity index has been extended to dynamical processes, excited states, confined environment, spin‐dependent and temperature‐dependent situations, biological activity, site selectivity, aromaticity, charge removal and acceptance, presence of external perturbation through solvents, external electric and magnetic fields, and so forth. Although electrophilicity and its local variant can adequately interpret the behavior of a wide variety of systems and different physico‐chemical processes involving them, their predictive potential remains to be explored. An exhaustive review on all these aspects will set the tone of the future research in that direction.
Career Paths for Programmers: Skills in Senior Software Roles

The creation of computer software is traditionally associated with technically brilliant but socially inept people - the programmer character in the movie 'Jurassic Park' being a perfect example. However, the development of commercial software is a task requiring input from a multi-disciplinary team, the success of which depends not only on the team members' technical skills, but also on their ability to communicate and collaborate with each other. Based on a three-year research study, this book explores the various roles associated with software development. It explains how these roles are not clearly defined or delimited and it also highlights the extent to which practitioners have to deal with both technical and non-technical people - colleagues, managers, sales people, customers and suppliers. By focusing on senior practitioners (people in their thirties and forties), this book investigates the skills needed in these roles and shows the diverse paths practitioners take to get to their current positions. It will be of interest to all software practitioners who are concerned about the options available to them later in their careers. It also offers support to human resource personnel who might struggle to develop job descriptions for software people. Finally it offers insights to national policy makers who wish to see the Irish software industry survive in the global market.
Neural representation of phonological information during Chinese character reading

Previous studies have revealed that phonological processing of Chinese characters elicited activation in the left prefrontal cortex, bilateral parietal cortex, and occipitotemporal regions. However, it is controversial what role the left middle frontal gyrus plays in Chinese character reading, and whether the core regions (e.g., the left superior temporal gyrus and supramarginal gyrus) for phonological processing of alphabetic languages are also involved in Chinese character reading. To address these questions, the present study used both univariate and multivariate analysis (i.e., representational similarity analysis, RSA) to explore neural representations of phonological information during Chinese character reading. Participants were scanned while performing a reading aloud task. Univariate activation analysis revealed a widely distributed network for word reading, including the bilateral inferior frontal gyrus, middle frontal gyrus, lateral temporal cortex, and occipitotemporal cortex. More importantly, RSA showed that the left prefrontal (i.e., the left middle frontal gyrus and left inferior frontal gyrus) and bilateral occipitotemporal areas (i.e., the left inferior and middle temporal gyrus and bilateral fusiform gyrus) represented phonological information of Chinese characters. These results confirmed the importance of the left middle frontal gyrus and regions in ventral pathway in representing phonological information of Chinese characters.
A systematic review and meta‐analysis of intellectual, neuropsychological, and psychoeducational functioning in neurofibromatosis type 1

Neurofibromatosis Type 1 (NF1) is a common genetic disorder frequently associated with cognitive deficits. Despite cognitive deficits being a key feature of NF1, the profile of such impairments in NF1 has been shown to be heterogeneous. Thus, we sought to quantitatively synthesize the extant literature on cognitive functioning in NF1. A random‐effects meta‐analysis of cross‐sectional studies was carried out comparing cognitive functioning of patients with NF1 to typically developing or unaffected sibling comparison subjects of all ages. Analyses included 50 articles (Total NNF1 = 1,522; MAge = 15.70 years, range = 0.52–69.60), yielding 460 effect sizes. Overall moderate deficits were observed [g = −0.64, 95% CI = (−0.69, −0.60)] wherein impairments differed at the level of cognitive domain. Deficits ranged from large [general intelligence: g = −0.95, 95% CI = (−1.12, −0.79)] to small [emotion: g = −0.37, 95% CI = (−0.63, −0.11)]. Moderation analyses revealed nonsignificant contributions of age, sex, educational attainment, and parental level of education to outcomes. These results illustrate that cognitive impairments are diffuse and salient across the lifespan in NF1. Taken together, these results further demonstrate efforts should be made to evaluate and address cognitive morbidity in patients with NF1 in conjunction with existing best practices.
Role of Sclerostin in Cardiovascular Disease

Sclerostin is most recognized for its role in controlling bone formation but is also expressed in the heart, aorta, coronary, and peripheral arteries. This review summarizes research on sclerostin’s role in cardiovascular disease. Rodent studies have found sclerostin to be expressed at sites of arterial calcification. In contrast, aortic sclerostin was reported to be downregulated in a mouse model of abdominal aortic aneurysm, and transgenic upregulation or administration of sclerostin was found to prevent abdominal aortic aneurysm and atherosclerosis formation. Sclerostin deficiency was reported to stimulate cardiac rupture in one rodent model. In humans, 7 of 11 studies reported a significant association between high serum sclerostin and high carotid intima media thickness. Ten of 15 studies reported a significant association between high serum sclerostin and severe arterial calcification. Twelve of 14 studies reported a significant association between high serum sclerostin and high arterial stiffness or atherosclerosis severity. Four of 9 studies reported a significant association between high serum sclerostin and high risk of cardiovascular events. A meta-analysis of randomized controlled trials suggested that administration of the sclerostin blocking antibody romosozumab did not significantly increase the risk of major adverse cardiovascular events (risk ratio, 1.14 [95% CI, 0.83–1.57]; P=0.54) or cardiovascular death (risk ratio, 0.92 [95% CI, 0.53–1.59]; P=0.71). Human genetic studies reported variants predisposing to low arterial sclerostin expression were associated with a high risk of cardiovascular events. Overall, past research suggests a cardiovascular protective role of sclerostin but findings have been inconsistent, possibly due to variations in study design, the unique populations and models studied, and the heterogeneous methods used.
Cutting edge technologies expose the temporal regulation of neurogenesis in the Drosophila nervous system

ABSTRACT During the development of the central nervous system (CNS), extremely large numbers of neurons are produced in a regular fashion to form precise neural circuits. During this process, neural progenitor cells produce different neurons over time due to their intrinsic gene regulatory mechanisms as well as extrinsic mechanisms. The Drosophila CNS has played an important role in elucidating the temporal mechanisms that control neurogenesis over time. It has been shown that a series of temporal transcription factors are sequentially expressed in neural progenitor cells and regulate the temporal specification of neurons in the embryonic CNS. Additionally, similar mechanisms are found in the developing optic lobe and central brain in the larval CNS. However, it is difficult to elucidate the function of numerous molecules in many different cell types solely by molecular genetic approaches. Recently, omics analysis using single-cell RNA-seq and other methods has been used to study the Drosophila nervous system on a large scale and is making a significant contribution to the understanding of the temporal mechanisms of neurogenesis. In this article, recent findings on the temporal patterning of neurogenesis and the contributions of cutting-edge technologies will be reviewed.
On estimating the area under the ROC curve in ranked set sampling

In medical research, the receiver operating characteristic curve is widely used to evaluate accuracy of a continuous biomarker. The area under this curve is known as an index for overall performance of the biomarker. This article develops three new estimators of the area under the receiver operating characteristic curve in ranked set sampling. The first estimator is obtained under normality assumption. The two other estimators are constructed by applying a Box–Cox transformation on data, and then using either a parametric estimator or a kernel-density-based estimator. A simulation study is carried out to compare the proposed estimators with those available in the literature. It emerges that the new estimators offer some advantages in specific situations. Application of the methods is demonstrated using real data in the context of medicine.
Cannabis and Cannabinoids in the Perioperative Period

Cannabis use is increasingly common, and with a growing number of jurisdictions implementing legalization frameworks, it is likely that providers will encounter more patients who use cannabis. Therefore, it is important for providers to understand the implications of cannabis use and practical considerations for the perioperative period. Cannabis affects multiple organ systems and may influence intraoperative anesthesia, as well as postoperative pain management. The effects of cannabis and key anesthetic considerations are reviewed here.