Miracle-dz/UniFAR-FTUs huggingface dataset:
RFARN: Retinal vessel segmentation based on reverse fusion attention residual network

Accurate segmentation of retinal vessels is critical to the mechanism, diagnosis, and treatment of many ocular pathologies. Due to the poor contrast and inhomogeneous background of fundus imaging and the complex structure of retinal fundus images, this makes accurate segmentation of blood vessels from retinal images still challenging. In this paper, we propose an effective framework for retinal vascular segmentation, which is innovative mainly in the retinal image pre-processing stage and segmentation stage. First, we perform image enhancement on three publicly available fundus datasets based on the multiscale retinex with color restoration (MSRCR) method, which effectively suppresses noise and highlights the vessel structure creating a good basis for the segmentation phase. The processed fundus images are then fed into an effective Reverse Fusion Attention Residual Network (RFARN) for training to achieve more accurate retinal vessel segmentation. In the RFARN, we use Reverse Channel Attention Module (RCAM) and Reverse Spatial Attention Module (RSAM) to highlight the shallow details of the channel and spatial dimensions. And RCAM and RSAM are used to achieve effective fusion of deep local features with shallow global features to ensure the continuity and integrity of the segmented vessels. In the experimental results for the DRIVE, STARE and CHASE datasets, the evaluation metrics were 0.9712, 0.9822 and 0.9780 for accuracy (Acc), 0.8788, 0.8874 and 0.8352 for sensitivity (Se), 0.9803, 0.9891 and 0.9890 for specificity (Sp), area under the ROC curve(AUC) was 0.9910, 0.9952 and 0.9904, and the F1-Score was 0.8453, 0.8707 and 0.8185. In comparison with existing retinal image segmentation methods, e.g. UNet, R2UNet, DUNet, HAnet, Sine-Net, FANet, etc., our method in three fundus datasets achieved better vessel segmentation performance and results.
Effects of harmonicity and musical training on the loudness of two-tone complexes

The effects of harmonicity and musical training on the perception of loudness for two-tone complexes was studied by performing human auditory experiments. These experiments included two-interval and four-interval experiments that were performed by six subjects, with three of these subjects designated as musical subjects, and the other three as nonmusical subjects. The results of these experiments suggested that harmonicity does not play a major role in loudness perception, but more study is needed before a definitive conclusion is reached. Musical subjects seemed to perceive consonant intervals a little softer than non-musicians for shorter stimuli, but, since the magnitude of this effect was not highly pronounced, more experiments are needed to support this further. The results yielded no other significant differences between musical and non-musical subjects. Thesis Supervisor: Louis D. Braida Title: Henry Ellis Warren Professor Of Electrical Engineering
An assessment of introducers used for airway management

Different introducers are available to assist with tracheal intubation. Subtle differences in the design of introducers can have a marked effect on safety and performance. The Difficult Airway Society’s Airway Device Evaluation Project Team proposal states that devices should only be purchased for which there is at least a case–control study on patients assessing airway devices. However, resources are not currently available to carry out a case–control study on all introducers available on the market. This study comprised a laboratory and manikin‐based investigation to identify introducers that could be suitable for clinical investigation. We included six different introducers in laboratory‐based assessments (design characteristics) and manikin‐based assessments involving the participation of 30 anaesthetists. Each anaesthetist attempted placement in the manikin’s trachea with each of the six introducers in a random order. Outcomes included first‐time insertion success rate; insertion success rate; number of attempts; time to placement; and distance placed. Each anaesthetist also completed a questionnaire. First‐time insertion success rate depended significantly on the introducer used (p = 0.0016) and varied from 47% (Armstrong and P3) to 77% (Intersurgical and Frova). Median time to placement (including oesophageal placement) varied from 10 s (Eschmann and Frova) to 20 s (P3) (p = 0.0025). Median time to successful placement in the trachea varied from 9 s (Frova) to 22 s (Armstrong) (p = 0.037). We found that the Armstrong and P3 devices were not as acceptable as other introducers and, without significant improvements to their design and characteristics, the use of these devices in studies on patients is questionable. The study protocol is suitable for differentiating between different introducers and could be used as a basis for assessing other types of devices.
Oxidative damage of canine erythrocytes after treatment with non-steroidal anti-inflammatory drugs

Abstract Objective To investigate oxidative erythrocyte damage in dogs treated with different non-steroidal anti-inflammatory drugs. Material and methods Case-controlled prospective observational study using blood obtained from dogs presenting for lameness examinations or standard surgical procedures to a private referral clinic. Sampling was performed from April 2018 to July 2019. Groups comprised dogs receiving either metamizole (dipyrone) (22 dogs), carprofen (20 dogs) or meloxicam (20 dogs) for a minimum of 10 days. Dogs with gastrointestinal hemorrhage were excluded from the study. A complete hematological, as well as a basic biochemical profile were performed in every dog. Pappenheim stained blood smears were evaluated for eccentrocytes and brilliant cresyl blue stained smears for Heinz bodies. EDTA blood was frozen at –80°C immediately after sampling for measurement of superoxide dismutase and gluthathione peroxidase activity at an external laboratory. Hemoglobin concentration, superoxide dismutase and gluthathione peroxidase activities, reticulocyte count, eccentrocyte and Heinz body numbers were determined prospectively as key parameters for further statistical assessment with Kruskal-Wallis test and Dunn’s multiple comparisons test. Results Dogs receiving metamizole showed a significant increase in eccentrocyte (median 14.5/500 cells vs. 0/500 cells in the other groups, p < 0.0001) and reticulocyte number (median 191.4 × 109/l vs. 31.6–37.9 × 109/l, p < 0.0001) and a significant decrease in hemoglobin concentration (median 8.4 mmol/l vs. 10.1–10.5 mmol/l, p < 0.0003). No significant difference in superoxide dismutase and gluthathione peroxidase activities was observed between dogs receiving metamizole and the other groups. Heinz bodies were not found in any of the dogs. Conclusion Treatment with metamizole for 10 or more days resulted in decreased hemoglobin concentration, eccentrocytosis and reticulocytosis in dogs in this study. This might be a sign of increased oxidative damage caused by this drug. Clinical significance Prolonged metamizole therapy should be evaluated critically in patients already affected by severe illness or underlying anaemia.
Weight‐based cefuroxime dosing provides comparable orthopedic target tissue concentrations between weight groups – a microdialysis porcine study

Antibiotic prophylaxis is a key element in prevention of surgical site infections. For the majority of orthopedic procedures, antibiotic administration follows fixed dosing regimens irrespective of weight. However, this may result in insufficient antibiotic target tissue concentrations and higher risk of surgical site infections in obese individuals. The aim of this study was to investigate the effect of weight‐based cefuroxime dosing on plasma and target tissue concentrations. Eighteen female pigs were allocated into three groups differentiated by weight: 53–57 kg, 73–77 kg, and 93–97 kg. Microdialysis catheters were placed for continuous sampling in bone, muscle, and subcutaneous tissue during an 8h sampling interval. Blood samples were collected as reference. Cefuroxime was administered intravenously as a bolus according to weight (20 mg/kg). The primary endpoint was the time above the cefuroxime minimal inhibitory concentration for Staphylococcus aureus (T > MIC (4 μg/mL)). Comparable target tissue T > MICs (4 μg/mL) were found between weight groups. Mean T > MIC ranged between 116–137 min for plasma, 118–154 min for bone, 109–146 min for the skeletal muscle, and 117–165 min for subcutaneous tissue across the groups. Weight‐based cefuroxime (20 mg/kg) dosing approach provides comparable perioperative plasma and target tissue T > MIC (4 μg/mL) in animals between 50–100 kg body weight, and thus a comparable prophylaxis of surgical site infections.
IMPACT OF FACTS CONTROLLERS ON SYSTEM LOADABILITY IN PRESENCE OF BILATERAL CONTRACTS IN A COMPETITIVE ENVIRONMENT

Under a deregulated environment, electricity consumers and suppliers are permitted to establish various bilateral contracts. The transmission company, however, has only to honor and execute these bilateral contracts as far as the system design and operating conditions permit. A fundamental question is then to what extent these contracts could affect the system loadability and what kinds of sys- tem reinforcements will be required to meet the future contracts needs. This paper describes a series of studies modeling bilateral contracts by means of further con- straints added to an OPF model representing the Maxi- mum Load Increase (MLI). Numerical experiments are then presented to illustrate how the use of FACTS devices installed in the transmission network allows improving the system loadability, conversely eventually limited by the presence of bilateral contracts.
The Dynamics of a Thin Piezoelectric Cylinder Gyroscope

The paper considers the theory of a new type of vibratory rate gyroscope. The design considered is based upon a thin cylindrical shell of radially polarized lead zirconate titanate on which are deposited drive and pick-off electrodes. The equations of motion of the cylindrical shell are derived and the response of the gyroscope to constant and harmonic rates of turn is determined.
DSP‐based implementation of an improved control algorithm of a three‐phase active filter for compensation of unbalanced non‐linear loads

This paper deals with an implementation of a new control algorithm/or a three-phase active filter (AF) to eliminate harmonics, compensate reactive power and to balance unbalanced non-linear loads. An insulated-gate-bipolar transistor (IGBT)-based current-controlled pulse-width modulated (PWM) voltage-source inverter (VSI) with a DC-bus capacitor is used as an AF. The reference supply currents are derived in phase with supply voltages using a sliding mode controller (SMC) over DC-bus voltage of the AF.A digital signal processor (DSP) is used to implement the control algorithm of the AF. An indirect PWM current control over the reference and sensed supply currents is implemented for generating the gate signals for IGBT of the AF. Test results of the proposed AF are given to demonstrate the harmonic elimination, reactive power compensation and load-balancing capabilities of the AF.
Recessive Genome-wide Meta-analysis Illuminates Genetic Architecture of Type 2 Diabetes.

Most genome-wide association studies (GWAS) of complex traits are performed using models with additive allelic effects. Hundreds of loci associated with type 2 diabetes have been identified using this approach. Additive models, however, can miss loci with recessive effects, thereby leaving potentially important genes undiscovered. We conducted the largest GWAS meta-analysis using a recessive model for type 2 diabetes. Our discovery sample included 33,139 cases and 279,507 controls from seven European-ancestry cohorts including the UK Biobank. We identified 51 loci associated with type 2 diabetes, including five variants undetected by prior additive analyses. Two of the five had minor allele frequency less than 5% and were each associated with more than doubled risk in homozygous carriers. Using two additional cohorts, FinnGen and a Danish cohort, we replicated three of the variants, including one of the low-frequency variants, rs115018790, which had an odds ratio in homozygous carriers of 2.56 (95% CI 2.05-3.19, P=1×10-16) and a stronger effect in men than in women (interaction P=7×10-7). The signal was associated with multiple diabetes-related traits, with homozygous carriers showing a 10% decrease in LDL and a 20% increase in triglycerides, and colocalization analysis linked this signal to reduced expression of the nearby PELO gene. These results demonstrate that recessive models, when compared to GWAS using the additive approach, can identify novel loci, including large-effect variants with pathophysiological consequences relevant to type 2 diabetes.
Kikuchi Disease in Children

Background: Kikuchi disease (KD) is a rare and generally benign condition of uncertain etiology that presents with nonspecific symptoms including fever and cervical lymphadenopathy. Clinical presentations can vary. Here, we present an atypical case of KD in a 10-year-old girl, as well as an updated literature review of the clinical presentation, laboratory features and management of KD in children. Methods: Studies (published up until February 2020) were identified through searches of PubMed using the following search items: Kikuchi-Fujimoto disease or histiocytic necrotizing lymphadenitis or Kikuchi disease. Our primary search resulted in 1117 publications. A total of 34 publications with a total of 670 patients were included in the final analysis. Results: All children present with lymphadenopathy. Almost all (96.3%) have cervical lymphadenopathy. Fever is recorded in the majority of children (77.1%). Analysis of laboratory features found that the majority of children have leukopenia (56.0%) and a raised erythrocyte sedimentation rate (56.0%). Over 30% have a raised C-reactive protein and anemia. Other features such as leukocytosis, thrombocytopenia and antinuclear antibodies positivity are less common. KD is mostly self-limiting, but steroids, hydroxychloroquine and intravenous immunoglobulin are used in protracted courses. Their efficacy has yet to be established in clinical trials. Conclusions: The presentation of KD is variable, and there is no specific set of symptoms or laboratory features that reliably establishes the diagnosis. Thus, histopathology is crucial. Definitive evaluation and establishment of effective treatments will require future prospective research studies for a more comprehensive description of the clinical course and effects of treatment. Given the rarity of the disease, this will have to be performed in collaborative consortia.
Defining and quantifying the core microbiome: Challenges and prospects

The term “core microbiome” has become widely used in microbial ecology over the last decade. Broadly, the core microbiome refers to any set of microbial taxa, or the genomic and functional attributes associated with those taxa, that are characteristic of a host or environment of interest. Most commonly, core microbiomes are measured as the microbial taxa shared among two or more samples from a particular host or environment. Despite the popularity of this term and its growing use, there is little consensus about how a core microbiome should be quantified in practice. Here, we present a brief history of the core microbiome concept and use a representative sample of the literature to review the different metrics commonly used for quantifying the core. Empirical analyses have used a wide range of metrics for quantifying the core microbiome, including arbitrary occurrence and abundance cutoff values, with the focal taxonomic level of the core ranging from phyla to amplicon sequence variants. However, many of these metrics are susceptible to sampling and other biases. Developing a standardized set of metrics for quantifying the core that accounts for such biases is necessary for testing specific hypotheses about the functional and ecological roles of core microbiomes.
Electronic Modulated Beam-Steerable Silicon Waveguide Array Antenna

The design and experimental findings for a low-cost easily fabricated millimeter-wave line scanner is described. This antenna consists of a 1-mm x 1-mm silicon dielectric rod with a metal grating (periodic structure) on the upper surface and p-i-n diodes mounted on the sidewall. A narrow 8/spl deg/ beam is radiated from the grated (perturbed) surface at an angle dependent on the guide and perturbation spacing. The beam angle is switched over a 10/spl deg/ angle by application of a dc forward current through the p-i-n diode modulators.
Astrogliosis and compensatory neurogenesis after the very first ethanol binge drinking-like exposures in adolescent rat.

BACKGROUND Multiple ethanol binge drinking-like exposures during adolescence in rat induce neuroinflammation, neurogenesis loss and cognitive deficits at adulthood. Interestingly, the very first ethanol binge drinking-like exposures during adolescence also induce cognitive and synaptic plasticity impairments in the hippocampus at short term while the cellular mechanisms of these effects remain unclear. Here, we sought to determine which of the cellular effects of ethanol might play a role in cognitive and synaptic plasticity disturbances observed in adolescent male rat after only two binge-like ethanol exposures. METHODS Using immunochemistry, we determined neurogenesis, neuronal loss, astrogliosis, neuroinflammation and synaptogenesis in the hippocampus of adolescent rat 48h after two binge-like ethanol exposures (3 g/kg, i.p, 9 hours apart). Flow cytometry was used to analyze activated microglia and to identify the TLR4 expressing cell types. RESULTS Increased DCX immunoreactivity was detected in the subgranular zone (SGZ) of the dentate gyrus (DG) together with astrogliosis in the SGZ and a lower number of mature neurons in the DG and in CA3, suggesting compensatory neurogenesis. Synaptic density decreased in the stratum oriens of CA1 revealing structural plasticity. There was no change in microglial TLR4 expression nor in the number of activated microglia, suggesting a lack of neuroinflammatory processes although neuronal TLR4 was decreased in CA1 and DG. CONCLUSIONS Our findings demonstrate that the cognitive deficits associated with hippocampal synaptic plasticity alterations that we previously characterized 48h after the very first binge-like exposures are associated with hippocampal structural plasticity, astrogliosis and decreased neuronal TLR4 expression, but not with microglia reactivity.
The Grief and Bereavement Experiences of Informal Caregivers: A Scoping Review of the North American Literature

Background: Informal caregivers are a significant part of the hospice and palliative care landscape as members of the interdisciplinary care team. Despite this, little is known about the impact this responsibility has on informal caregivers’ experiences of grief and bereavement. Objective: To address this, a scoping review of the literature was conducted to explore the current state of knowledge toward grief and bereavement of informal caregivers of adult/geriatric patients in the hospice and palliative/end-of-life care realm within North America. Methods: Using Arksey and O’Malley's 5-step framework, key electronic health care and social sciences databases (eg, CINAHL, MEDLINE, ProQuest Sociological Abstracts, PsycINFO) alongside gray literature sources were searched and screened against inclusion and exclusion criteria. A thematic content analysis was used to identify key themes. Results: 29 articles met the final inclusion criteria with 3 central themes emerging: (1) mediators of grief, (2) grief experiences, and (3) types of grief. Discussion: Informal caregivers encounter unique grief and bereavement experiences: The range of psychosocial outcomes, both negative and positive, can be affected by various mediators such as caregiver burden, demographics, disease type of the patient being cared for, etc. Bereavement interventions must be designed with the mediators of grief in mind. Conclusions: Understanding the nuances of informal caregivers’ experiences with grief and bereavement will inform and advance practice, policy, and research. Practitioners/clinicians should be further educated on how to properly acknowledge the complexity of grief and bereavement for informal caregivers, specifically paying attention to mediators. Further research needs to consider the role of culture.
Hydroxycinnamic acid modified xylan side chains and their cross-linking products in rice cell walls are reduced in the Xylosyl arabinosyl substitution of xylan 1 mutant.

The intricate architecture of cell walls and the complex cross-linking of their components hinders some industrial and agricultural applications of plant biomass. Xylan is a key structural element of grass cell walls, closely interacting with other cell wall components such as cellulose and lignin. The main branching points of grass xylan, 3-linked L-arabinosyl substitutions, can be modified by ferulic acid (a hydroxycinnamic acid), which cross-links xylan to other xylan chains and lignin. XAX1 (Xylosyl arabinosyl substitution of xylan 1), a rice member of the glycosyltransferase family GT61, has been described to add xylosyl residues to arabinosyl substitutions modified by ferulic acid. In this study, we characterize hydroxycinnamic acid decorated arabinosyl substitutions present on rice xylan and their cross-linking, in order to decipher the role of XAX1 in xylan synthesis. Our results show a general reduction of hydroxycinnamic acid modified 3-linked arabinosyl substitutions in xax1 mutant rice regardless of their modification with a xylosyl residue. Moreover, structures resembling the direct cross-link between xylan and lignin (ferulated arabinosyl substitutions bound to lignin monomers and dimers), together with diferulates known to cross-link xylan, are strongly reduced in xax1. Interestingly, apart from feruloyl and p-coumaroyl modifications on arabinose, putative caffeoyl and oxalyl modifications were characterised, which were also reduced in xax1. Our results suggest an alternative function of XAX1 in the transfer of hydroxycinnamic acid modified arabinosyl substitutions to xylan, rather than xylosyl transfer to arabinosyl substitutions. Ultimately, XAX1 plays a fundamental role in cross-linking, providing a potential target for the improvement of use of grass biomass.
MicroRNA‐34a in coronary heart disease: Correlation with disease risk, blood lipid, stenosis degree, inflammatory cytokines, and cell adhesion molecules

MicroRNA‐34a (miR‐34a) plays an essential role in regulating blood lipid, inflammation, cell adhesion molecules, and atherosclerosis, the latter factors are closely involved in the etiology of coronary heart disease (CHD). However, the clinical value of miR‐34a in CHD patients' management is rarely reported. Hence, this study aimed to assess the correlation of miR‐34a with disease risk, blood lipid, coronary artery stenosis, inflammatory cytokines, and cell adhesion molecules of CHD.