LLukas22/scidocs huggingface dataset:
Cooperative agent systems: artificial agents play the ultimatum game

We explore computational approaches for artificial agents to play the ultimatum game. We compare our agents’ behavior with that predicted by classical game theory, as well as behavior found in experimental (or behavioral) economics investigations. In particular, we study the following questions: How do artificial agents perform in playing the ultimatum game against fixed rules, dynamic rules, and rotating rules? How do coevolving artificial agents perform? Will learning software agents do better? What is the value of intelligence? What will happen when smart learning agents play against dumb (no-learning) agents? What will be the impact of agent memory size on performance? This exploratory study provides experimental results pertaining to these questions.
Rational Abandonment from Tele-Queues: Nonlinear Waiting Costs with Heterogeneous Preferences

We consider the modeling of abandonment from a queueing system by impatient customers. Within the proposed model, customers act rationally to maximize a utility function that weights service utility against expected waiting cost. Customers are heterogeneous, in the sense that their utility function parameters may vary across the customer population. The queue is assumed invisible to waiting customers, who do not obtain any information regarding their standing in the queue during their waiting period. Such circumstances apply, for example, in telephone centers or other remote service facilities, to which we refer as tele-queues. We analyze this decision model within a multi-server queue with impatient customers, and seek to characterize the Nash equilibria of this system. These equilibria may be viewed as stable operating points of the system, and determine the customer abandonment profile along with other system-wide performance measures. We provide conditions for the existence and uniqueness of the equilibrium, and suggest procedures for its computation. We also suggest a notion of an equilibrium based on sub-optimal decisions, the myopic equilibrium, which enjoys favorable analytical properties. Some concrete examples are provided to illustrate the modeling approach and analysis. The present paper supplements previous ones which were restricted to linear waiting costs or heterogeneous customer population.
Self-reported depression and use of antidepressants after stroke: a national survey.

BACKGROUND AND PURPOSE
Depression after stroke is often described as underdiagnosed and undertreated. However, there are few data on self-reported depression and use of antidepressants in stroke patients at large.


MATERIALS AND METHODS
In the Swedish national quality assessment register, Riks-Stroke, 15 747 stroke survivors are recorded. They were asked about depressive mood and antidepressant treatment 3 months after stroke. Age-specific prevalence of antidepressant use after stroke was calculated.


RESULTS
At 3 months after stroke, 12.4% of male and 16.4% of female stroke survivors reported that they always or often felt depressed. In a multiple logistic regression model, female sex, age younger than 65 years, living alone, having had a recurrent stroke, being dependent on others, and institutional living 3 months after stroke were independent predictors of self-reported depression. Antidepressant medication was used by 22.5% of men and 28.1% of women who had had a stroke. Of patients using antidepressant drugs, 67.5% did not report depressive mood. However, 8.4% of the entire cohort reported depressive mood but no treatment with antidepressants. When compared with the general population, approximately twice as many of the stroke patients were using antidepressant treatment.


CONCLUSIONS
In this national survey, 1 in 7 patients reported that they felt depressed and the use of antidepressant drugs after stroke was common. The widespread use of antidepressants challenges the contention that antidepressants are generally underused after stroke. However, the substantial proportion reporting depressive mood but not using treatment with antidepressants suggests that patient selection for treatment should be more precise.
Development of a Single Phase SPWM Microcontroller-Based Inverter

This paper presents the development of single phase sinusoidal pulse width modulation (SPWM) microcontroller-based inverter. The attractiveness of this configuration is the used of a microcontroller to generate sinusoidal pulse width modulation (SPWM) pulses. Microcontroller is able to store the required commands to generate the necessary waveforms to control the frequency of the inverter through proper design of switching pulses. The SPWM technique was used to produce pure sinusoidal wave of voltage and current output. This inverter is designed to be either for stand-alone or for grid connected from a direct supply of photovoltaic (PV) cells. In this paper SPWM switching technique is first reviewed. Subsequently control circuit and power circuit for inverter are discussed. Finally the experimental results are discussed. The 200 W designed prototype of the inverter was tested with the resistive load and found that total harmonic distortion (THD) is less than 4% for voltage and 8% for current.
Lithostratigraphy, petrography and facies analysis of the Late Cenozoic sediments in the foreland basin of the West Kunlun

Abstract The Yecheng profile, lying in the southwest Tarim Basin at the northern foot of the West Kunlun Mountains, comprises 4.5 km of conformable Miocene to Pliocene strata. The lower part of the section, the Wuqia Group, is composed of interbedded red mudstone and pale-coloured fine sandstone with a thickness of 1700 m. The Artux Formation is 800 m thick and composed of mudstone, sandstone with thin gravel and conglomerate beds. The upper part of the section, known as the Xiyu Formation, consists of 2000 m of cobble and boulder conglomerate intercalated with massive siltstone lenses. Compositional study of the sandstones in the Wuqia Group and Artux Formation indicates that they were sourced from low relief areas of the Kunlun region and probably further south from Tibet. The provenance of the conglomerate in the Xiyu Formation is the West Kunlun Mountains. Compositional trends within the conglomerate indicate that Upper Palaeozoic marine, and Mesozoic to Tertiary terrestrial silicic rocks were eroded first, along with the Proterozoic to Lower Palaeozoic Proto-Tethys metasedimentary rocks. Erosion into deeper levels of the Kunlun Mountains provided igneous and high-grade metamorphic sediment, which first appears 640 m above the base of the Xiyu Formation. Lithofacies change from fine-grained mudstone and sandstone to coarse clasts coincides with the onset of aeolian sedimentation, indicating major shift of regional palaeoclimatic regime. Although climatic changes may have played an important role in controlling the sedimentary regime worldwide, our study of the lithostratigraphy and petrography of the Yecheng section suggests that the lithofacies change recorded the progressive unroofing history of the source rocks in the West Kunlun Mountains.
Association of vaccine-related attitudes and beliefs between parents and health care providers.

OBJECTIVES
Health care providers influence parental vaccination decisions. Over 90% of parents report receiving vaccine information from their child's health care provider. The majority of parents of vaccinated children and children exempt from school immunization requirements report their child's primary provider is a good source for vaccine information. The role of health care providers in influencing parents who refuse vaccines has not been fully explored. The objective of the study was to determine the association between vaccine-related attitudes and beliefs of health care providers and parents.


METHODS
We surveyed parents and primary care providers of vaccinated and unvaccinated school age children in four states in 2002-2003 and 2005. We measured key immunization beliefs including perceived risks and benefits of vaccination. Odds ratios for associations between parental and provider responses were calculated using logistic regression.


RESULTS
Surveys were completed by 1367 parents (56.1% response rate) and 551 providers (84.3% response rate). Parents with high confidence in vaccine safety were more likely to have providers with similar beliefs, however viewpoints regarding disease susceptibility and severity and vaccine efficacy were not associated. Parents whose providers believed that children get more immunizations than are good for them had 4.6 higher odds of holding that same belief compared to parents whose providers did not have that belief.


CONCLUSIONS
The beliefs of children's health care providers and parents, including those regarding vaccine safety, are similar. Provider beliefs may contribute to parental decisions to accept, delay or forgo vaccinations. Parents may selectively choose providers who have similar beliefs to their own.
Growth and neurodevelopmental outcomes after early low-dose hydrocortisone treatment in extremely low birth weight infants.

BACKGROUND
Low cortisol concentrations in premature infants have been correlated with increased severity of illness, hypotension, mortality, and development of bronchopulmonary dysplasia. A total of 360 mechanically ventilated infants with a birth weight of 500 to 999 g were enrolled in a randomized, multicenter trial of prophylaxis of early adrenal insufficiency to prevent bronchopulmonary dysplasia. Mortality and bronchopulmonary dysplasia were decreased in the hydrocortisone-treated patients exposed to chorioamnionitis. We now report outcomes at 18 to 22 months' corrected age.


PATIENTS AND METHODS
Surviving infants were evaluated with standardized neurologic examination and Bayley Scales of Infant Development-II. Neurodevelopmental impairment was defined as a Mental Developmental Index or Psychomotor Developmental Index of <70, cerebral palsy, blindness or deafness.


RESULTS
A total of 252 (87%) of 291 survivors were evaluated. Cerebral palsy was diagnosed in 13% of hydrocortisone-treated versus 14% of placebo-treated infants. Fewer hydrocortisone-treated infants had a Mental Development Index <70, and more of the hydrocortisone-treated infants showed evidence of awareness of object permanence. Incidence of neurodevelopmental impairment was not different (39% [hydrocortisone] vs 44% [placebo]). There were no differences in physical growth measures. Chorioamnionitis-exposed infants treated with hydrocortisone were shorter and weighed less than controls but had no evidence of neurodevelopmental impairment. Among infants not exposed to chorioamnionitis, hydrocortisone-treated patients were less likely to have a Mental Development Index of <70 or to be receiving glucocorticoids at follow-up.


CONCLUSIONS
Early, low-dose hydrocortisone treatment was not associated with increased cerebral palsy. Treated infants had indicators of improved developmental outcome. Together with the short-term benefit previously reported, these data support additional studies of hydrocortisone treatment of adrenal insufficiency in extremely premature infants.
Multi-channel Communication in Free-Space Optical Networks for the Last-mile

Free-Space Optical communication technology is a potential solution to the last mile or broadband access problem. Conventional free-space optical (FSO) communication is over a single link between two nodes. We explore multi-channel FSO communication system using compact (a maximum of a Sq.Ft) 2-dimensional antennas with multiple communication links between them to achieve very high aggregate bandwidths (100's of Gbps). But, close packaging of optical channels on the arrays causes inter-channel interference, reducing per channel capacity. We model the error due to inter-channel interference for such arrays and estimate the channel capacity. We address the multi-channel interference issue by both array design and by employing optical orthogonal codes (OOCs) for free-space optical communications and show that we can achieve multi Gbps bandwidths using such arrays. Possible applications for such multi-channel FSO systems can be in multi-hop broadband access networks or mesh networks and in back haul, connecting wireless base stations.
Sex differences in mortality following acute coronary syndromes.

CONTEXT
Conflicting information exists about whether sex differences modulate short-term mortality following acute coronary syndromes (ACS).


OBJECTIVES
To investigate the relationship between sex and 30-day mortality in ACS, and to determine whether this relationship was modified by clinical syndrome or coronary anatomy using a large database across the spectrum of ACS and adjusting for potentially confounding clinical covariates.


DESIGN, SETTING, AND PARTICIPANTS
A convenience sample of patients pooled from 11 independent, international, randomized ACS clinical trials between 1993 and 2006 whose databases are maintained at the Duke Clinical Research Institute, Durham, North Carolina. Of 136 247 patients, 38 048 (28%) were women; 102 004 (26% women) with ST-segment elevation myocardial infarction (STEMI), 14 466 (29% women) with non-STEMI (NSTEMI), and 19 777 (40% women) with unstable angina.


MAIN OUTCOME MEASURE
Thirty-day mortality following ACS.


RESULTS
Thirty-day mortality was 9.6% in women and 5.3% in men (odds ratio [OR], 1.91; 95% confidence interval [CI], 1.83-2.00). After multivariable adjustment, mortality was not significantly different between women and men (adjusted OR, 1.06; 95% CI, 0.99-1.15). A significant sex by type of ACS interaction was demonstrated (P < .001). In STEMI, 30-day mortality was higher among women (adjusted OR, 1.15; 95% CI, 1.06-1.24), whereas in NSTEMI (adjusted OR, 0.77; 95% CI, 0.63-0.95) and unstable angina, mortality was lower among women (adjusted OR, 0.55; 95% CI, 0.43-0.70). In a cohort of 35 128 patients with angiographic data, women more often had nonobstructive (15% vs 8%) and less often had 2-vessel (25% vs 28%) and 3-vessel (23% vs 26%) coronary disease, regardless of ACS type. After additional adjustment for angiographic disease severity, 30-day mortality among women was not significantly different than men, regardless of ACS type. The relationship between sex and 30-day mortality was similar across the levels of angiographic disease severity (P for interaction = .70).


CONCLUSIONS
Sex-based differences existed in 30-day mortality among patients with ACS and vary depending on clinical presentation. However, these differences appear to be largely explained by clinical differences at presentation and severity of angiographically documented disease.
Combination Therapy of Intense Pulsed Light Therapy and Meibomian Gland Expression (IPL/MGX) Can Improve Dry Eye Symptoms and Meibomian Gland Function in Patients With Refractory Dry Eye: A Retrospective Analysis.

PURPOSE
To assess the improvement in meibomian gland function and dry eye symptoms in patients with refractory dry eye treated with a combination therapy of intense pulsed light (IPL) and meibomian gland expression (MGX).


METHODS
Medical records of 81 consecutive patients with dry eye treated with serial IPL/MGX were retrospectively examined to determine the outcome. All patients had a minimum of 6 months of follow-up after the first IPL/MGX treatment. Patients typically received 1 to 4 IPL treatments spaced 4 to 6 weeks apart. Each IPL session included MGX. Thirty-five charts had complete data for inclusion in analysis. We reviewed demographics, ocular histories, Standard Patient Evaluation of Eye Dryness 2 (SPEED2) symptom survey scores, slit-lamp examinations, and meibomian gland evaluations (MGE) at baseline and at each visit before IPL/MGX treatments.


RESULTS
The paired t test showed a significant (P < 0.0001) decrease in SPEED2 with IPL/MGX therapy. Of the 35 patients, 8 (23%) had a ≥50% decrease in SPEED2, 23 (66%) had a 1% to 49% decrease in SPEED2, 1 (3%) had no change in SPEED2, and 3 (9%) had an increase in SPEED2. The Paired t test showed a significant increase in MGE in the left eye but not in the right eye (OD P = 0.163 and OS P = 0.0002). Thirteen patients (37%) had improved MGE bilaterally. Eight patients (23%) had either a decrease in MGE bilaterally or a decrease in 1 eye with no change in the other eye.


CONCLUSIONS
This retrospective analysis shows that the combination of IPL and MGX can significantly improve dry eye symptoms (in 89% of patients) and meibomian gland function (in 77% of patients in at least 1 eye).
Right anterior mini-thoracotomy direct aortic self-expanding trans-catheter aortic valve implantation: A single center experience.

OBJECTIVE
Transcatheter aortic valve implantation (TAVI) has been designed to treat elderly patients with severe aortic stenosis at high risk for surgery. These patients are also often affected by severe iliac-femoral arteriopathy, rendering the trans-femoral approach unusable. We report our experience with the direct-aortic approach to treat these patients.


METHODS
From May 2008 to November 2013 two hundred and thirty-two patients (131 female, 56%) with severe symptomatic aortic stenosis and no reasonable surgical option due to excessive risk were evaluated for TAVI at our department. Of these patients, 202 were deemed eligible for TAVI. Of this group, 50 underwent CoreValve implantation by the direct aortic approach through a right anterior mini-thoracotmy (28 female, 56%), mean age 81.2±6.9. A combined team of cardiologists, cardiac surgeons with expertise in hybrid procedures, and anesthetists performed all the procedures.


RESULTS
Twenty-eight (56%) patients were female and 11 (22%) were redo at TAVI. We used a 23-mm CoreValve Evolute in 3 patients (6%), and the most used valve size was the 29mm in 46% of patients. Mean hemodynamic trans-aortic gradient was less than 5mmHg. The paravalvular regurgitation was ≤ grade 1 in 46 patients as assessed by peri-procedural transesophageal echocardiography (TEE). Seven patients (7/43, 16%) required a permanent pacemaker implantation; 30-day mortality was 6% (3 patients). Seven patients (14.8%) died during follow-up. Actuarial survival at 2years is 84.7±5.3%.


CONCLUSIONS
Transcatheter aortic valve implantation with the direct aortic approach is safe and feasible, offering a new attractive option to treat selected high-risk patients with severe aortic stenosis and peripheral vasculopathy, including those requiring a re-do procedure.
Walking index for spinal cord injury (WISCI): an international multicenter validity and reliability study

Study design: Construction of an international walking scale by a modified Delphi technique. Objective: The purpose of the study was to develop a more precise walking scale for use in clinical trials of subjects with spinal cord injury (SCI) and to determine its validity and reliability. Setting: Eight SCI centers in Australia, Brazil, Canada (2), Korea, Italy, the UK and the US. Methods: Original items were constructed by experts at two SCI centers (Italy and the US) and blindly ranked in an hierarchical order (pilot data). These items were compared to the Functional Independence Measure (FIM) for concurrent validity. Subsequent independent blind rank ordering of items was completed at all eight centers (24 individuals and eight teams). Final consensus on rank ordering was reached during an international meeting (face validation). A videotape comprised of 40 clips of patients walking was forwarded to all eight centers and inter-rater reliability data collected. Results: Kendall coefficient of concordance for the pilot data was significant (W=0.843, P<0.001) indicating agreement among the experts in rank ordering of original items. FIM comparison (Spearman's rank correlation coefficient=0.765, P<0.001) showed a theoretical relationship, however a practical difference in what is measured by each scale. Kendall coefficient of concordance for the international blind hierarchical ranking showed significance (W=0.860, P<0.001) indicating agreement in rank ordering across all eight centers. Group consensus meeting resulted in a 19 item hierarchical rank ordered `Walking Index for Spinal Cord Injury (WISCI)'. Inter-rater reliability scoring of the 40 video clips showed 100% agreement. Conclusions: This is the first time a walking scale for SCI of this complexity has been developed and judged by an international group of experts. The WISCI showed good validity and reliability, but needs to be assessed in clinical settings for responsiveness.Spinal Cord (2000) 38, 234–243.
Comparison of the effects of four commercially available weight-loss programmes on lipid-based cardiovascular risk factors.

OBJECTIVE
To investigate the relative efficacy of four popular weight-loss programmes on plasma lipids and lipoproteins as measures of CVD risk.


DESIGN
A multi-centred, randomised, controlled trial of four diets - Dr Atkins' New Diet Revolution, The Slim-Fast Plan, Weight Watchers Pure Points programme and Rosemary Conley's 'Eat yourself Slim' Diet and Fitness Plan - against a control diet, in parallel for 6 months.


SETTING AND SUBJECTS
The trial was conducted at five universities across the UK (Surrey, Nottingham, Ulster (Coleraine), Bristol and Edinburgh (Queen Margaret University College)) and involved the participation of 300 overweight and obese males and females aged 21-60 years in a community setting.


RESULTS
Significant weight loss was achieved by all dieting groups (5-9 kg at 6 months) but no significant difference was observed between diets at 6 months. The Weight Watchers and Rosemary Conley (low-fat) diets were followed by significant reductions in plasma LDL cholesterol (both -12.2 % after 6 months, P < 0.01), whereas the Atkins (low-carbohydrate) and Weight Watchers diets were followed by marked reductions in plasma TAG (-38.2 % and -22.6 % at 6 months respectively, P < 0.01). These latter two diets were associated with an increase in LDL particle size, a change that has been linked to reduced CVD risk.


CONCLUSIONS
Overall, these results demonstrate the favourable effects of weight loss on lipid-mediated CVD risk factors that can be achieved through commercially available weight-loss programmes. No detrimental effects on lipid-based CVD risk factors were observed in participants consuming a low-carbohydrate diet.
Predictive risk algorithms in a population setting: an overview.

BACKGROUND
The widespread use of risk algorithms in clinical medicine is testimony to how they have helped transform clinical decision-making. Risk algorithms have a similar but underdeveloped potential to support decision-making for population health.


OBJECTIVE
To describe the role of predictive risk algorithms in a population setting.


METHODS
First, predictive risk algorithms and how clinicians use them are described. Second, the population uses of risk algorithms are described, highlighting the strengths of risk algorithms for health planning. Lastly, the way in which predictive risk algorithms are developed is discussed briefly and a guide for algorithm assessment in population health presented.


CONCLUSION
For the past 20 years, absolute and baseline risk has been a cornerstone of population health planning. The most accurate and discriminating method to generate such estimates is the use of multivariable risk algorithms. Routinely collected data can be used to develop algorithms with characteristics that are well suited to health planning and such data are increasingly available. The widespread use of risk algorithms in clinical medicine is testimony to how they have helped transform clinical decision-making. Risk algorithms have a similar but underdeveloped potential to support decision-making for population health.