Miracle-dz/UniFAR-FTUs huggingface dataset:
Self-reported documentation of goals and outcomes of nutrition care - A cross-sectional survey study of Scandinavian dietitians.

BACKGROUND The documentation of goals and outcomes of nutrition care in Electronic Health Records is insufficient making further exploration of this of particular interest. Identifying common features in documentation practice among Scandinavian dietitians might provide information that can support improvement in this area. AIMS To explore the associations between clinical dietitians' self-reported documentation of patients' goals and outcomes and demographic factors, self-reported implementation of the systematic framework the Nutrition Care Process 4th step (NCP) and its associated terminology, and factors associated with the workplace. METHODS Data from a cross-sectional study based on a previously tested web-based survey (INIS) disseminated in 2017 to dietitians in Scandinavia (n = 494) was used. Respondents were recruited through e-mail lists, e-newsletters and social media groups for dietitians. Associations between countries regarding the reported documentation of goals and outcomes, implementation levels of the NCP 4th step, demographic information and factors associated with the workplace were measured through Chi-square test. Associations between dependent- and independent variables were measured through logistic regression analysis. RESULTS Clinically practicing dietitians (n = 347) working in Scandinavia, Sweden (n = 249), Norway (n = 60), Denmark (n = 38), who had completed dietetic education participated. The reported documentation of goals and outcomes from nutrition intervention was highly associated with the reported implementation of NCP 4th step terminology (OR = 5.26; p = 0.009, OR = 3.56; p = 0.003), support from the workplace (OR = 4.0, p < 0.001, OR = 8.89, p < 0.001) and area of practice (OR = 2.02, p = 0.017). Years since completed dietetic training and educational level did not have any significant associations with documentation practice regarding goals and outcomes. CONCLUSION Findings highlight strong associations between the implementation of the NCP 4th step terminology and the documentation of goals and outcomes. Strategies to support dietitians in using standardized terminology and the development of tools for comprehensive documentation of evaluation of goals and outcome are required.
ALMA Observations of the Massive Molecular Outflow G331.512-0.103. II. Physical Properties, Kinematics, and Geometry Modeling

We present observations and analysis of the massive molecular outflow G331.512-0.103, obtained with Atacama Large Millimeter/submillimeter Array band 7, continuing the work from Merello et al. Several lines were identified in the observed bandwidth, consisting of two groups: lines with narrow profiles, tracing the emission from the core ambient medium; and lines with broad velocity wings, tracing the outflow and shocked gas emission. The physical and chemical conditions, such as density, temperature, and fractional abundances are calculated. The ambient medium, or core, has a mean density of cm−3 and a temperature of ∼70 K. The SiO and SO2 emission trace the very dense and hot part of the shocked outflow, with values of cm−3 and T ∼ 160–200 K. The interpretation of the molecular emission suggests an expanding cavity geometry powered by stellar winds from a newborn UCHII region, alongside a massive and high-velocity molecular outflow. This scenario, along with the estimated physical conditions, is modeled using the 3D geometry radiative transfer code MOLLIE for the SiO(J = 8 − 7) molecular line. The main features of the outflow and the expanding shell are reproduced by the model.
Prospective associations of emotion reactivity and risk behaviors with suicide attempts in US Army soldiers

Abstract Background Emotion reactivity and risk behaviors (ERRB) are transdiagnostic dimensions associated with suicide attempt (SA). ERRB patterns may identify individuals at increased risk of future SAs. Methods A representative sample of US Army soldiers entering basic combat training (n = 21 772) was surveyed and followed via administrative records for their first 48 months of service. Latent profile analysis of baseline survey items assessing ERRB dimensions, including emotion reactivity, impulsivity, and risk-taking behaviors, identified distinct response patterns (classes). SAs were identified using administrative medical records. A discrete-time survival framework was used to examine associations of ERRB classes with subsequent SA during the first 48 months of service, adjusting for time in service, socio-demographic and service-related variables, and mental health diagnosis (MH-Dx). We examined whether associations of ERRB classes with SA differed by year of service and for soldiers with and without a MH-Dx. Results Of 21 772 respondents (86.2% male, 61.8% White non-Hispanic), 253 made a SA. Four ERRB classes were identified: ‘Indirect Harming’ (8.9% of soldiers), ‘Impulsive’ (19.3%), ‘Risk-Taking’ (16.3%), and ‘Low ERRB’ (55.6%). Compared to Low ERRB, Impulsive [OR 1.8 (95% CI 1.3–2.4)] and Risk-Taking [OR 1.6 (95% CI 1.1–2.2)] had higher odds of SA after adjusting for covariates. The ERRB class and MH-Dx interaction was non-significant. Within each class, SA risk varied across service time. Conclusions SA risk within the four identified ERRB classes varied across service time. Impulsive and Risk-Taking soldiers had increased risk of future SA. MH-Dx did not modify these associations, which may therefore help identify risk in those not yet receiving mental healthcare.
Large-scale brain functional network abnormalities in social anxiety disorder

Abstract Background Although aberrant brain regional responses are reported in social anxiety disorder (SAD), little is known about resting-state functional connectivity at the macroscale network level. This study aims to identify functional network abnormalities using a multivariate data-driven method in a relatively large and homogenous sample of SAD patients, and assess their potential diagnostic value. Methods Forty-six SAD patients and 52 demographically-matched healthy controls (HC) were recruited to undergo clinical evaluation and resting-state functional MRI scanning. We used group independent component analysis to characterize the functional architecture of brain resting-state networks (RSNs) and investigate between-group differences in intra-/inter-network functional network connectivity (FNC). Furtherly, we explored the associations of FNC abnormalities with clinical characteristics, and assessed their ability to discriminate SAD from HC using support vector machine analyses. Results SAD patients showed widespread intra-network FNC abnormalities in the default mode network, the subcortical network and the perceptual system (i.e. sensorimotor, auditory and visual networks), and large-scale inter-network FNC abnormalities among those high-order and primary RSNs. Some aberrant FNC signatures were correlated to disease severity and duration, suggesting pathophysiological relevance. Furthermore, intrinsic FNC anomalies allowed individual classification of SAD v. HC with significant accuracy, indicating potential diagnostic efficacy. Conclusions SAD patients show distinct patterns of functional synchronization abnormalities both within and across large-scale RSNs, reflecting or causing a network imbalance of bottom-up response and top-down regulation in cognitive, emotional and sensory domains. Therefore, this could offer insights into the neurofunctional substrates of SAD.
Genetic predisposition to adverse events in Chinese children aged 3-24 months after diphtheria, tetanus, acellular pertussis and haemophilus influenzae type b combined vaccination

ABSTRACT Background Post-vaccination safety is a major public health concern. The genetic predisposition on immune response has not been clearly identified. Clarifying whether individual genetic predisposition plays a role on adverse events (AEs) is critical for the prevention of AEs. Methods From July 2019 to June 2020, we performed a case-control study among children aged 3–24 months in seven Chinese provinces. Each child received a combination vaccination against diphtheria, tetanus, acellular pertussis, and Haemophilus influenzae type b (DTaP-Hib). Through daily telephone follow-up, we collected AEs within seven days. Oral swab samples were collected to investigate the effects of single nucleotide polymorphisms (SNPs) on the risk of AEs. Results 304 participants were included in the study. In univariate analysis, we discovered three protective SNPs (rs452204, OR = 0.67, P = 0.0352; rs9282763 and rs839, OR = 0.64, P = 0.0256) and one risk SNP (rs9610, OR = 2.20, P = 0.0397). In multivariate analysis, the effects of rs452204 and rs839 were found to be stable. The interaction between rs452204 and rs9610 was observed (OR = 7.25, 95% CI: 1.44–36.58, P = 0.0165). Conclusion Genetic predisposition was associated with the risk of AEs after DTaP-Hib vaccination, emphasizing the potential application in the prevention of AEs.
Optimizing collective fieldtaxis of swarming agents through reinforcement learning

Swarming of animal groups enthralls scientists in fields ranging from biology to physics to engineering. Complex swarming patterns often arise from simple interactions between individuals to the benefit of the collective whole. The existence and success of swarming, however, nontrivially depend on microscopic parameters governing the interactions. Here we show that a machine-learning technique can be employed to tune these underlying parameters and optimize the resulting performance. As a concrete example, we take an active matter model inspired by schools of golden shiners, which collectively conduct phototaxis. The problem of optimizing the phototaxis capability is then mapped to that of maximizing benefits in a continuum-armed bandit game. The latter problem accepts a simple reinforcement-learning algorithm, which can tune the continuous parameters of the model. This result suggests the utility of machine-learning methodology in swarm-robotics applications.
Lamina cribrosa curvature index: A reliable parameter to screen diabetic patients for glaucoma

Purpose To compare the translaminar pressure difference (TLPD), anterior lamina cribrosa surface depth (ALCSD), lamina cribrosa thickness (LCT), lamina cribrosa curvature index (LCCI) and peripapillary vascular density (pVD) in diabetic and healthy subjects. Methods Two hundred and eighty eyes of 140 patients (79 patients with diabetes mellitus (DM) without diabetic retinopathy (DR) and 61 healthy subjects) were enrolled in this study. Full ophthalmological examination, as well as optical coherence tomography (OCT) and OCT angiography (OCT-A) images, were analyzed. The ALCSD, LCT, LCCI were measured by enhanced depth imaging (EDI) OCT and the pVD by OCT-A. The TLPD values and relationships between TLPD and lamina cribrosa features and pVD were investigated in all subjects. Results The ALCSD and LCT were significantly shallower and thinner in diabetic patients when compared to healthy subjects (p <0.001). There was no significant difference in the LCCI in diabetics 13.717 (5.74–33.91) vs healthy subjects 13.118 (5.53–27.05) (p = 0.181). OCT-A revealed that the pVD in the diabetic group was significantly lower than in the non-diabetic group (p <0.001). TLPD was significantly lower in diabetic patients compared to healthy controls. Conclusion There are early changes in pVD and peripapillary vessel morphology in patients with DM. ALCSD and LCT were shallower and thinner in diabetic patients whereas the LCCI did not differ significantly. LCCI may be more valuable in assessing the lamina cribrosa (LC) of diabetic patients. The TLPD was found to be lower in diabetic patients compared to normal controls.
On the Origin of the Double-cell Meridional Circulation in the Solar Convection Zone

Recent advances in helioseismology, numerical simulations and mean-field theory of solar differential rotation have shown that the meridional circulation pattern may consist of two or more cells in each hemisphere of the convection zone. According to the mean-field theory the double-cell circulation pattern can result from the sign inversion of a nondiffusive part of the radial angular momentum transport (the so-called Λ-effect) in the lower part of the solar convection zone. Here, we show that this phenomenon can result from the radial inhomogeneity of the Coriolis number, which depends on the convective turnover time. We demonstrate that if this effect is taken into account then the solar-like differential rotation and the double-cell meridional circulation are both reproduced by the mean-field model. The model is consistent with the distribution of turbulent velocity correlations determined from observations by tracing motions of sunspots and large-scale magnetic fields, indicating that these tracers are rooted just below the shear layer.
Indication of a massive circumbinary planet orbiting the low-mass X-ray binary MXB 1658−298

We present an X-ray timing analysis of the transient X-ray binary MXB 1658-298, using data obtained from the RXTE and XMM-Newton observatories. We have made 27 new mid eclipse time measurements from observations made during the two outbursts of the source. These new measurements have been combined with the previously known values to study long term changes in orbital period of the binary system. We have found that the mid-eclipse timing record of MXB 1658-298 is quite unusual. The long term evolution of mid-eclipse times indicates an overall orbital period decay with a time scale of -- 6.5(7) x 10^7 year. Over and above this orbital period decay, the O-C residual curve also shows a periodic residual on shorter timescales. This sinusoidal variation has an amplitude of ~9 lt-sec and a period of ~760 d. This is indicative of presence of a third body around the compact X-ray binary. The mass and orbital radius of the third body are estimated to lie in the range, 20.5-26.9 Jupiter mass and 750-860 lt-sec, respectively. If true, then it will be the most massive circumbinary planet and also the smallest period binary known to host a planet.
Two-channel Stoner mechanism in d-electron metallic magnets

Recent discovery of the pressure-induced phase transition to an antiferromagnetic state in itinerant ferromagnet LaCrGe$_3$ has been interpreted as a genuine manifestation of ferromagnetic quantum critical effects. Here, we propose an alternative approach to a switching between ferromagnetic and antiferromagnetic groundstates in $d$-electron magnets, the Stoner-like microscopic mechanism, that relies on a very generic electronic structure properties rather than quantum criticality.
A Study of X-Ray Emission of Galaxies Hosting Molecular Outflows (MOX Sample)

We have carried out an extensive X-ray spectral analysis of a sample of galaxies exhibiting molecular outflows (MOX sample) to characterize the X-ray properties and investigate the effect of active galactic nuclei (AGNs) on the dynamical properties of the molecular outflows (MOs). We find that the X-ray bolometric correction (L2–10 keV/LAGN) of these sources ranges from ∼10−4.5 to 10−0.5, with ∼70% of the sources below 10−2, implying a weak X-ray emission relative to the AGN bolometric luminosity (LAGN). However, the upper limit on the 2–10 keV luminosity ( ) obtained from 12 μm flux, following the correlation derived by Asmus et al., is ∼0.5–3 orders of magnitude larger than the L2–10 keV values estimated using X-ray spectroscopy, implying a possibility that the MOX sources host normal AGNs (not X-ray weak), and their X-ray spectra are extremely obscured. We find that both L2–10 keV and LAGN correlate strongly with the MO velocity and the mass outflow rates ( ), implying that the central AGN plays an important role in driving these massive outflows. However, we also find statistically significant positive correlations between the starburst emission and MO mass outflow rate, versus , and L0.6–2keV versus , which implies that starbursts can generate and drive the MOs. The correlations of MO velocity and with AGN luminosities are found to be stronger compared to those with the starburst luminosities. We conclude that both starbursts and AGNs play a crucial role in driving the large-scale MO.
Possible evidence of quark matter in neutron star X-ray binaries

We study the spin evolution of X-ray neutron stars in binary systems, which are being spun up by mass transfer from accretion disks. Our investigation reveals that a quark phase transition resulting from the changing central density induced by the changing spin, can lead to a pronounced peak in the frequency distribution of X-ray neutron stars. This ﬁnding provides one of several possible explanations available in the literature, or at least a contributor to part of the observed anomalous frequency distribution of neutron stars in low-mass X-ray binaries (LMXBs), which lie in a narrow band centered at about 300 Hz, as found by the Rossi Explorer (RXTE).
Lagrangian and Impedance-Spectroscopy Treatments of Electric Force Microscopy

Scanning probe microscopy is often extended beyond topographic imaging to study electrical forces and sample properties, with the most widely used experiment being frequency-modulated Kelvin probe force microscopy. The equations commonly used to interpret this experiment, however, rely on two hidden assumptions: (1) the tip charge oscillates in phase with the cantilever motion to keep the tip voltage constant, and (2) any changes in the tip-sample interaction happen slowly. Starting from an electro-mechanical model of the cantilever-sample interaction, we use Lagrangian mechanics to derive coupled equations of motion for the cantilever position and charge. This general approach rigorously describes scanned probe experiments even in the case when the usual assumptions of fast tip charging and slowly changing samples properties are violated. We develop a Magnus-expansion approximation to illustrate how abrupt changes in the tip-sample interaction cause abrupt changes in the cantilever amplitude and phase. We show that feedback-free time-resolved electric force microscopy cannot uniquely determine sub-cycle photocapacitance dynamics. We then use first-order perturbation theory to relate cantilever frequency shift and dissipation to the sample impedance even when the tip charge oscillates out of phase with the cantilever motion. Analogous to the treatment of impedance spectroscopy in electrochemistry, we apply this approximation to determine the cantilever frequency shift and dissipation for an arbitrary sample impedance in (broadband) local dielectric spectroscopy experiments. The general approaches we develop provide a path forward for rigorously modeling the coupled motion of the cantilever position and charge in the wide range of electrical scanned probe microscopy experiments where the hidden assumptions of the conventional equations are violated or inapplicable.
The dentist-patient relationship and oral health-related quality of life among older adults: A cohort study.

OBJECTIVES To assess the association between aspects of the dentist-patient relationship at age 65 and Oral Impacts on Daily Performances (OIDP) at ages 65 and 70 and to examine whether dental avoidance behaviours play a role in explaining that association. BACKGROUND Information about the quality of the dentist-patient relationship is important for dental care provision and healthy ageing. METHOD Secondary data analysis of a cohort study of Norwegians born in 1942. The participation rate in 2007 (age 65) and 2012 (age 70) was, respectively, 58.0% (n = 4211) and 54.5% (n = 3733). A total of 70.0% (n = 2947) of the baseline participants responded in 2012. Dentist-patient relationship aspects were assessed in terms of communication with the dentist, satisfaction with dental care, unpleasant experiences and changes of dentist. Generalised Estimating Equations (GEEs) were used to account for repeated measurements. RESULTS Prevalence of oral impacts (OIDP) was 29.0% in 2007 and 28.4% in 2012. Participants who received communication on oral hygiene during dental visits had a higher likelihood, whereas participants who reported satisfaction with dental care, no unpleasant experience and did not change dentist had a lower likelihood of reporting oral impacts over these 5 years. Corresponding odds ratios were: 1.2 (95% CI 1.0-1.5), 0.4 (95% CI 0.3-0.5), 0.6 (95% CI 0.5-0.7) and 0.5 (95% CI 0.3-0.6). Associations between dentist-patient relationship aspects and OIDP remained unchanged after adjustment for avoidance behaviours. CONCLUSION Training dentists in relationship skills might improve social interaction with patients and the oral health-related quality of life of older people in Norway.
Mass of Schwarzschild Black Holes Is Indeed Zero And Black Hole Candidates Are Quasi Black Holes.

A Schwarzschild Black Hole (BH) is the gravitational field due to a neutral point mass, and it turns out that the gravitational mass of a neutral point mass: $M=0$ (Arnowitt, Deser, Misner, PRL 4, 375, 1960). The same result is also suggested by Janis, Newman, and Winicour (PRL 20, 878, 1968). In 1969, Bel gave an explicit proof that for a Schwarzschild BH, $M=0$ (Bel, JMP 10, 1051, 1969). The same result follows from the fact the timelike geodesic of a test particle would turn null if it would ever arrive at an event horizon (Mitra, FPL, 2000, 2002). Non-occurrrence of trapped surfaces in continued gravitational collapse too demands $M=0$ for black hole (Mitra, Pramana, 73, 615, 2009). Physically, for a point mass at $R=0$, one expects ${\it Ric} \sim M \delta (R=0)$ (Narlikar \& Padmanabhan, Found. Phys., 18, 659, 1988). But the black hole solution is obtained from ${\it Ric} =0$. Again this is the most direct proof that $M=0$ for a Schwarzschild black hole. Implication of this result is that the observed massive black hole candidates are non-singular quasi black holes or black hole mimickers which can possess strong magnetic fields as has been observed. The echoes from LIGO signals, if true, may be the direct evidence that the pertinent compact objects are BH mimickers and not true vacuum BHs.
The Effect of Distant Reiki Sessions on Holistic Well-Being

This study investigated the effect of distant Reiki sessions on the holistic well-being of people without no acute/chronic diseases. The study was conducted between February 1 and March 31, 2022. The sample consisted of 180 healthy people living in a city in Turkey. Participants attended 20-minute distant Reiki sessions (intervention) for 4 consecutive days. Pretest data were collected using a personal information form, the Holistic Well-Being Scale (HWBS), the Positive and Negative Affect Schedule (PANAS), and the Subjective Vitality Scale (SVS). Posttest data were collected 2 days (posttest I) and 1 week after the intervention (posttest II) using the HWBS, PANAS, and SVS. There was a statistically significant difference between pretest and posttest I and II HWBS subscale scores (P < .05). There was a statistically significant difference between pretest and posttest PANAS and SVS scores (P < .05). Distant Reiki sessions improved participants' holistic well-being. They also helped them develop a positive mood, experience and perceive less sadness, and develop subjective vitality and cognitive awareness.