LLukas22/scidocs huggingface dataset:
Dogs that bite.

OBJECTIVE
To study the circumstances of dog bites and identify risk factors.


DESIGN
Postal questionnaire survey and case note review of victims of dog bites referred between 1982 and 1989.


SETTING
One referral based regional plastic surgery unit.


PATIENTS
146 consecutive patients referred for primary treatment of dog bites, for whom current addresses were available for 133, 107 (81%) of whom returned the questionnaire.


RESULTS
The male to female ratio was 74:72; 79 (54%) patients were aged below 15 years. The commonest dogs producing bites were Staffordshire bull terriers (15 cases), Jack Russell terriers (13), medium sized mongrels (10), and Alsatians (nine). 82 of 96 (85%) dogs were male. 29 of 47 (62%) adults were bitten at home and 45 of 60 (75%) children at a friend's, neighbour's, or relative's house. 91 of 107 (85%) bites occurred in the dog's home. Bites occurred during playing with 13 (12%), petting 14 (13%), or waking 16 (15%) dogs. 45 (42%) bites were judged as unprovoked. 32 bites were identified as severe and 11 attacks as sustained.


CONCLUSIONS
Most victims are bitten by male dogs which they either own or have had frequent contact with, and the bite occurs in the dog's home.
Countertransference Bias: Self-Examination, Not Cross-Examination

ABSTRACT In reply to T. Tippins (2007, this issue), we take issue with his claim that recognition of the biasing impact of custody evaluators' countertransference opens the door to “evidentially legitimate” fishing expeditions through evaluators' private lives on cross-examination. We clarify the distinction between self-examination for counter-transference bias as a heuristic for improving the sensitivity and objectivity of expert testimony and its use as substantive evidence. We argue that countertransference bias is a highly personal, emotionally charged kind of bias, unlike the cognitive biases more frequently discussed in the child custody literature. We conclude that recognition of the insidious emotional influences that threaten our objectivity in working with families in high conflict divorce is an important ethical responsibility.
A generative methodology for the design of abstract machines

Abstract In this paper we demonstrate how to use a semantics-directed generator to systematically design abstract machines. The main novelty of the generator is that it generates compilers and abstract machines. The generator is fully automated and its core transformations are proved correct. In this paper we propose a design methodology based on our generator and as an example we design a functional abstract machine which turns out to be very similar to the categorial abstract machine.
Feature Selection for Classification

Feature selection has been the focus of interest for quite some time and much work has been done. With the creation of huge databases and the consequent requirements for good machine learning techniques, new problems arise and novel approaches to feature selection are in demand. This survey is a comprehensive overview of many existing methods from the 1970’s to the present. It identifies four steps of a typical feature selection method, and categorizes the different existing methods in terms of generation procedures and evaluation functions, and reveals hitherto unattempted combinations of generation procedures and evaluation functions. Representative methods are chosen from each category for detailed explanation and discussion via example. Benchmark datasets with different characteristics are used for comparative study. The strengths and weaknesses of different methods are explained. Guidelines for applying feature selection methods are given based on data types and domain characteristics. This survey identifies the future research areas in feature selection, introduces newcomers to this field, and paves the way for practitioners who search for suitable methods for solving domain-specific real-world applications. (Intelligent Data Analysis, Vol. I, no. 3, http:llwwwelsevier.co&ocate/ida)
Middle to late Jurassic felsic and mafic magmatism in southern Hunan province, southeast China: Implications for a continental arc to rifting

Abstract Extensive middle to late Jurassic felsic and mafic magmatism occurred in the southern Hunan province, southeast China. SHRIMP zircon U–Pb dating, mineral chemical, element geochemical and Sr–Nd–Hf isotopic data have been determined for these rocks. The results indicate that the middle Jurassic (178–170 Ma) Changchengling and Ningyuan basaltic rocks belong to tholeiitic series and alkaline series, respectively, and were formed by fractional crystallization of the parent magmas that were derived from partial melting of asthenospheric mantle triggered by the slab-released fluids of the subducted Paleo-Pacific plate. The late Jurassic (152–146 Ma) Daoxian basalts and Guiyang lamprophyre dikes are low-Ti, high-Mg potassic rocks. They were derived directly by partial melting of shallower (60–100 km) lithospheric mantle composed of amphibole- and phlogopite-bearing lherzolite in response to thermal perturbations associated with the rifting of continental arc. The middle Jurassic (164 Ma) Tongshanling granitic rocks belong to calc-alkaline series and are strongly peraluminous. They were formed by partial melting of Palaeoproterozoic metasedimentary basement in the lower-crust plus additional input from coeval basaltic magma. The late Jurassic (156 Ma) Jinjiling and Xishan granitic rocks show A 2 subtype affinity. They were generated by partial melting of granulitized Palaeoproterozoic metamorphic basement in the lower crust in response to injection of coeval low-Ti, high-Mg potassic magmas. A moderate degree (56–58%) of fractionation of these pure crustal melts could account for more felsic end-member of granitic rocks. Detailed petrologic and geochemical data for the middle to late Jurassic felsic and mafic rocks from the southern Hunan imply that during the middle Jurassic time SE China on the southeast of the Shi-Hang zone was a continental arc coupled with the subduction of the Palaeo-Pacific plate and since the beginning of late Jurassic time an intra-arc rift has been formed along the Shi-Hang zone as a consequence of slab roll-back.
Mice deficient in Six5 develop cataracts: implications for myotonic dystrophy

Expansion of a CTG trinucleotide repeat in the 3′ UTR of the gene DMPK at the DM1 locus on chromosome 19 causes myotonic dystrophy, a dominantly inherited disease characterized by skeletal muscle dystrophy and myotonia, cataracts and cardiac conduction defects. Targeted deletion of Dm15, the mouse orthologue of human DMPK, produced mice with a mild myopathy and cardiac conduction abnormalities, but without other features of myotonic dystrophy, such as myotonia and cataracts. We, and others, have demonstrated that repeat expansion decreases expression of the adjacent gene SIX5 (refs 7,8), which encodes a homeodomain transcription factor. To determine whether SIX5 deficiency contributes to the myotonic dystrophy phenotype, we disrupted mouse Six5 by replacing the first exon with a β-galactosidase reporter. Six5-mutant mice showed reporter expression in multiple tissues, including the developing lens. Homozygous mutant mice had no apparent abnormalities of skeletal muscle function, but developed lenticular opacities at a higher rate than controls. Our results suggest that SIX5 deficiency contributes to the cataract phenotype in myotonic dystrophy, and that myotonic dystrophy represents a multigenic disorder.
Early Hepatic Dysfunction Is Associated with a Worse Outcome in Patients Presenting with Acute Respiratory Distress Syndrome: A Post-Hoc Analysis of the ACURASYS and PROSEVA Studies

INTRODUCTION
Bilirubin is well-recognized marker of hepatic dysfunction in intensive care unit (ICU) patients. Multiple organ failure often complicates acute respiratory distress syndrome (ARDS) evolution and is associated with high mortality. The effect of early hepatic dysfunction on ARDS mortality has been poorly investigated. We evaluated the incidence and the prognostic significance of increased serum bilirubin levels in the initial phase of ARDS.


METHODS
The data of 805 patients with ARDS were retrospectively analysed. This population was extracted from two recent multicenter, prospective and randomised trials. Patients presenting with ARDS with a ratio of the partial pressure of arterial oxygen to the fraction of inspired oxygen < 150 mmHg measured with a PEEP ≥ 5 cm of water were included. The total serum bilirubin was measured at inclusion and at days 2, 4, 7 and 14. The primary objective was to analyse the bilirubin at inclusion according to the 90-day mortality rate.


RESULTS
The 90-day mortality rate was 33.8% (n = 272). The non-survivors were older, had higher Sepsis-related Organ Failure Assessment (SOFA) score and were more likely to have a medical diagnosis on admission than the survivors. At inclusion, the SOFA score without the liver score (10.3±2.9 vs. 9.0±3.0, p<0.0001) and the serum bilirubin levels (36.1±57.0 vs. 20.5±31.5 μmol/L, p<0.0001) were significantly higher in the non-survivors than in the survivors. Age, the hepatic SOFA score, the coagulation SOFA score, the arterial pH level, and the plateau pressure were independently associated with 90-day mortality in patients with ARDS.


CONCLUSION
Bilirubin used as a surrogate marker of hepatic dysfunction and measured early in the course of ARDS was associated with the 90-day mortality rate.
Development and piloting of an acceptability questionnaire for continuous glucose monitoring devices.

BACKGROUND
User acceptability of new health technologies is important in determining their widespread use and adoption. The aim of this current study was twofold: first, to investigate the acceptability of two continuous glucose monitoring devices for people with diabetes; and second, to develop a valid questionnaire measure to assess the acceptability of continuous glucose monitoring devices.


METHODS
Semi-structured interviews were conducted with six people with diabetes who had previously used the GlucoWatchBiographer (Animas Corp., West Chester, PA) or the CGMS continuous glucose monitoring system (Medtronic MiniMed, Northridge, CA) in order to increase understanding of the issues relating to acceptability of, and satisfaction with, the devices. Interview transcripts were analyzed qualitatively using framework analysis. These analyses, together with consultation with researchers and health professionals in the field, provided the foundation for development of a questionnaire measure that was piloted with 19 individuals.


RESULTS
Six broad themes were elicited from the framework analysis: interference with daily activities; reliability and accuracy of the devices; practicality and ease of use; improvements in glycemic control; side effects; and self-consciousness and disclosure. Piloting of the questionnaire arising from this analysis demonstrated face validity. Further psychometric testing of the questionnaire will be conducted as part of a randomized controlled trial evaluating the clinical efficacy and cost-effectiveness of the CGMS and GlucoWatch G2 Biographer.


CONCLUSIONS
Ultimately it is the user's preferences and his or her assessment of acceptability that will determine uptake and use of continuous glucose monitoring devices. It is therefore essential to consider and evaluate this alongside clinical efficacy and cost-effectiveness.
Clinical pharmacy-led disease and medicine management programme for patients with COPD.

AIM
The aim was to investigate the impact of a disease and medicine management programme, focusing on self-management in patients with chronic obstructive pulmonary disease (COPD).


METHODS
One hundred and seventy-three patients (mean age 67 years; 54% female) were recruited; 86 patients were randomly assigned to an intervention group and 87 to a usual care (control) group. Intervention patients received education on disease state, medications and breathing techniques. Patients were given booklets and a customized action plan (antibiotic and oral steroid to be initiated promptly by patients for exacerbations). Patients were followed up at 6 and 12 months during a scheduled visit. The St George's Respiratory Questionnaire (SGRQ), COPD Knowledge and Morisky adherence questionnaires were administered to all patients at baseline, 6 and 12 months. Outcome measures included hospital admissions, emergency department (ED) visits, health-related quality of life (HRQoL) and medication adherence.


RESULTS
Over the 12-month period in the intervention group, ED visits decreased by 50% (P= 0.02) and hospitalization by approximately 60% (P= 0.01). On the SGRQ, differences reached statistical significance on the symptom (-7.5; P= 0.04) and impact (-7.4; P= 0.03) subscales but not on the physical activity subscale. There was a significant difference between the intervention and usual care groups regarding knowledge scores (75.0 vs. 59.3; P= 0.001) and good adherence to medication (77.8% vs. 60.0%, P= 0.019). There was no significant difference regarding smoking between study groups.


CONCLUSIONS
The clinical pharmacy-led management programme can improve adherence, reduce the need for hospital care in patients with COPD and improve aspects of their HRQoL.
A clinical prediction rule for early discharge of patients with chest pain.

STUDY OBJECTIVE
Current risk stratification tools do not identify very-low-risk patients who can be safely discharged without prolonged emergency department (ED) observation, expensive rule-out protocols, or provocative testing. We seek to develop a clinical prediction rule applicable within 2 hours of ED arrival that would miss fewer than 2% of acute coronary syndrome patients and allow discharge within 2 to 3 hours for at least 30% of patients without acute coronary syndrome.


METHODS
This prospective, cohort study enrolled consenting eligible subjects at least 25 years old at a single site. At 30 days, investigators assigned a diagnosis of acute coronary syndrome or no acute coronary syndrome according to predefined explicit definitions. A recursive partitioning model included risk factors, pain characteristics, physical and ECG findings, and cardiac marker results.


RESULTS
Of 769 patients studied, 77 (10.0%) had acute myocardial infarction and 88 (11.4%) definite unstable angina. We derived a clinical prediction rule that was 98.8% sensitive and 32.5% specific. Patients have very low risk of acute coronary syndrome if they have a normal initial ECG, no previous ischemic chest pain, and age younger than 40 years. In addition, patients at least 40 years old and with a normal ECG result, no previous ischemic chest pain, and low-risk pain characteristics have very low risk if they have an initial creatine kinase-MB (CK-MB) less than 3.0 microg/L or an initial CK-MB greater than or equal to 3.0 microg/L but no ECG or serum-marker increase at 2 hours.


CONCLUSION
The Vancouver Chest Pain Rule for early discharge defines a group of patients who can be safely discharged after a brief evaluation in the ED. Prospective validation is needed.
Nebulized and oral thiol derivatives for pulmonary disease in cystic fibrosis.

BACKGROUND
Cystic fibrosis is an inherited condition resulting in thickened, sticky respiratory secretions. Respiratory failure, due to recurrent pulmonary infection and inflammation, is the most common cause of mortality. Muco-active therapies (e.g. dornase alfa and nebulized hypertonic saline) may decrease sputum viscosity, increase airway clearance of sputum, reduce infection and inflammation and improve lung function. Thiol derivatives, either oral or nebulized, have shown benefit in other respiratory diseases. Their mode of action is likely to differ according to the route of administration. There are several thiol derivatives, and it is unclear which of these may be beneficial in cystic fibrosis.


OBJECTIVES
To evaluate the efficacy and safety of nebulized and oral thiol derivatives in people with cystic fibrosis.


SEARCH METHODS
We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register, comprising references identified from comprehensive electronic database searches, hand searches of relevant journals, abstract books and conference proceedings.Most recent search: 13 June 2013.We also conducted a PubMed search on 26 February 2013 for relevant published articles.


SELECTION CRITERIA
Randomized and quasi-randomized controlled trials comparing nebulized or oral thiol derivatives to placebo or another thiol derivative in people with cystic fibrosis.


DATA COLLECTION AND ANALYSIS
The authors independently assessed trials for inclusion, analysed risk of bias and extracted data.


MAIN RESULTS
Searches identified 23 trials; nine trials (255 participants) are included, of these seven trials are more than 10 years old. Three trials of nebulized thiol derivatives were identified (one compared 20% N-acetylcysteine to 2% N-acetylcysteine; another compared sodium-2-mercaptoethane sulphonate to 7% hypertonic saline; and another compared glutathione to 4% hypertonic saline). Although generally well-tolerated with no significant adverse effects, there was no evidence of significant clinical benefit in our primary outcomes in participants receiving these treatments.Six trials of oral thiol derivatives were identified. Three trials compared N-acetylcysteine to placebo; one compared N-acetylcysteine, ambroxol and placebo; one compared carbocysteine to ambroxol; and one compared low and high-dose N-acetylcysteine. Oral thiol derivatives were generally well-tolerated with no significant adverse effects, however there was no evidence of significant clinical benefit in our primary outcomes in participants receiving these treatments.


AUTHORS' CONCLUSIONS
We found no evidence to recommend the use of either nebulized or oral thiol derivatives in people with cystic fibrosis. There are very few good quality trials investigating the effect of these medications in cystic fibrosis, and further research is required to investigate the potential role of these medications in improving the outcomes of people with cystic fibrosis.
Moments of the Rudin–Shapiro
Polynomials

AbstractWe develop a new approach of the Rudin–Shapiro polynomials. This enables us to
compute their moments of even order q for q ≤ 32, and to check a conjecture on the asymptotic
behavior of these moments for q even and q ≤ 52.
Clopidogrel in infants with systemic-to-pulmonary-artery shunts.

BACKGROUND
Infants with cyanotic congenital heart disease palliated with placement of a systemic-to-pulmonary-artery shunt are at risk for shunt thrombosis and death. We investigated whether the addition of clopidogrel to conventional therapy reduces mortality from any cause and morbidity related to the shunt.


METHODS
In a multicenter, double-blind, event-driven trial, we randomly assigned infants 92 days of age or younger with cyanotic congenital heart disease and a systemic-to-pulmonary-artery shunt to receive clopidogrel at a dose of 0.2 mg per kilogram of body weight per day (467 infants) or placebo (439 infants), in addition to conventional therapy (including aspirin in 87.9% of infants). The primary efficacy end point was a composite of death or heart transplantation, shunt thrombosis, or performance of a cardiac procedure due to an event considered to be thrombotic in nature before 120 days of age.


RESULTS
The rate of the composite primary end point did not differ significantly between the clopidogrel group (19.1%) and the placebo group (20.5%) (absolute risk difference, 1.4 percentage points; relative risk reduction with clopidogrel, 11.1%; 95% confidence interval, -19.2 to 33.6; P=0.43), nor did the rates of the three components of the composite primary end point. There was no significant benefit of clopidogrel treatment in any subgroup, including subgroups defined by shunt type. Clopidogrel recipients and placebo recipients had similar rates of overall bleeding (18.8% and 20.2%, respectively) and severe bleeding (4.1% and 3.4%, respectively).


CONCLUSIONS
Clopidogrel therapy in infants with cyanotic congenital heart disease palliated with a systemic-to-pulmonary-artery shunt, most of whom received concomitant aspirin therapy, did not reduce either mortality from any cause or shunt-related morbidity. (Funded by Sanofi-Aventis and Bristol-Myers Squibb; ClinicalTrials.gov number, NCT00396877.).
Did past economic prosperity affect the health related quality of life predictors? A longitudinal study on a representative sample of Slovenian family medicine patients

BACKGROUND
Health related quality of life (HRQOL) as an important measure of medical outcomes has been shown to be associated with demographic factors and the most common mental and chronic somatic diseases. This study's aim was to identify factors predicting changes in HRQOL over a follow-up period in a representative sample of Slovenian family medicine patients.


METHODS
In a longitudinal multi-centred study between 2003 and 2005, data were collected from 1118 consecutive attendees from 60 family medicine practices in Slovenia on quality of life, socio-demographic factors and the presence of mental disorders, with follow-up after 6 and 24 months. Retrospective information on chronic diseases was obtained from patients` health records. In three time-sequential multiple linear regression models, data on 601 patients (53.8%) was analysed to determine factors associated with each component score of quality of life.


RESULTS
At baseline the patients were 48.58 (SE = 0.58) years of age, over half were women (386 (64.2%)) and most were Slovenian (548 (91.2%)). Quality of life was seen to improve over the two-year period. Factors significantly and consistently associated with a better mental component score of quality of life were social support, satisfactory circumstances in patients` household and absence of anxiety. Major life events in the past year and depression were shown to be risk factors for mental and physical components, while level of education, absence of long-term disability and chronic pain were identified as predictors of the physical component.


CONCLUSIONS
Detection and successful treatment of depression and anxiety has a potential to lead to improved quality of life in family medicine attendees; family physicians should be alert for the early onset of these conditions, knowing that symptoms of chronic pain, depression and anxiety often overlap in patients. Poorly educated patients and those lacking social support and/or satisfactory household circumstances should be recognised and empowered, and appropriate coping mechanisms should be introduced.
Exploiting root-mean-square time-frequency structure for multiple-image optical compression and encryption.

We report on an algorithm to compress and encrypt simultaneously multiple images (target images). This method, which is based upon a specific spectral multiplexing (fusion without overlapping) of the multiple images, aims to achieve a single encrypted image, at the output plane of our system, that contains all information needed to reconstruct the target images. For that purpose, we divide the Fourier plane of the image to transmit into two types of area, i.e., specific and common areas to each target image. A segmentation criterion taking into account the rms duration of each target image spectrum is proposed. This approach, which consists of merging the input target images together (in the Fourier plane) allows us to reduce the information to be stored and/or transmitted (compression) and induce noise on the output image (encryption). To achieve a good encryption level, a first key image (containing biometric information and providing the intellectual property of the target images) is used. A second encryption key is inserted in the Fourier plane to ensure a relevant phase distribution of the different merged spectra. We also discuss how the encoding information can be optimized by minimizing the number of bits required to encode each pixel.