Miracle-dz/UniFAR-FTUs huggingface dataset:
Does Public Health Insurance Expansion Influence Medical Liability Insurance Prices? The Case of the ACA’s Optional Medicaid Expansion

Medical liability insurance covers physicians’ liability, and its price could affect physicians’ practice. In this article, we use a unique county-level dataset to study how medical liability insurance prices of three specialties, internal medicine, general surgery, and obstetrics–gynecology (OB-GYN), changed after the Affordable Care Act (ACA) elective Medicaid expansion provision. The Medicaid expansion has largely increased the demand for health care services and potentially exposed physicians to higher medical liability risks. With higher expected losses, insurers could react by increasing medical malpractice insurance prices. We first study all counties in states that elected to expand Medicaid and compare them to counties in nonexpansion states. Then we narrow our analysis to consider differential effects in bordering counties with different Medicaid expansion statuses over the period 2010–2018. In both samples, we find significantly higher medical liability insurance prices 2 years after the expansion (on average) in expansion states in comparison to nonexpansion states, and the difference is larger for physicians practicing internal medicine (6–8% at 2 years after expansion) and general surgery (12–16% at 2 years after expansion) but less so for OB-GYN. Our OB-GYN results are likely because significant numbers of births were already covered under Medicaid and were not affected by the expansion. Our finding suggests that the expansion of health insurance increases liability costs to medical practitioners.
Mutation in the STXBP1 Gene Associated with Early Onset West Syndrome: A Case Report and Literature Review

Syntaxin-binding protein1 (STXBP1) is a member of the Sec1/Munc18-1 protein family, which comprises important regulators of the secretory and synaptic vesicle fusion machinery underlying hormonal and neuronal transmission, respectively. STXBP1 pathogenic variants are associated with multiple neurological disorders. Herein, we present the case of a Japanese girl with a mutation in the STXBP1 gene, who was born at 40 weeks without neonatal asphyxia. At 15 days old, she developed epilepsy and generalized seizures. Around 88 days old, she presented with a series of nodding spasms, with the seizure frequency gradually increasing. Interictal EEG indicated hypsarrhythmia and she presented with developmental regression. At 1.5 years old, genetic testing was performed and mutational analysis revealed an STXBP1 gene mutation (c.875G > A: p.Arg292His). Accordingly, she was diagnosed with developmental and epileptic encephalopathy, presenting West syndrome’s clinical characteristics caused by the STXBP1 gene mutation. Although drug treatment has reduced the frequency of epileptic seizures, her development has remained regressive. The relationship between the location and type of genetic abnormality and the phenotype remains unclear. Future studies should investigate the genotype–phenotype correlation and the underlying pathophysiology to elucidate the causal relationships among the multiple phenotype-determining factors.
Resonant ultrasonic spectroscopy of KTa1-xNbxO3 ferroelectric relaxor crystals

The influence of the development of a ferroelectric state on the elastic properties of KTa1-xNbxO3 relaxor crystals is explored. The high sensitivity of all elements of the elastic stiffness tensor to the polar distortions and their reorientational dynamics is, however, individual for each particular element: c11 and c44 are pimarily influenced by the reorientational motion of these distortions between neighboring (111) directions; the c12 mostly depends on the reorientations between cubic face diagonal (111) directions. Consequently, the temperature behavior of c12 demonstrates different dependence on the Nb concentration than that of c11 and c44. While in the 1.2% Nb crystal all three elastic constants clearly show their softening with the appearance of the dynamic polar distortions; in the 16% crystal this effect is strong for c11 and c44, but negligible for c12. The curves of slowness and Young's modulus within (100) crystallographic plane are presented. The linear compressibility modulus is estimated. The value of the Debye temperature is estimated to be approximately 592 K.
Metolachlor Poisoning with Lactic Acidosis Improved by Thiamine Administration: A Case Report

Patient: Male, 61-year-old Final Diagnosis: Lactic acidosis • metolachlor poisoning Symptoms: Acidosis • disturbance of consciousness Medication: — Clinical Procedure: — Specialty: Toxicology Objective: Unusual clinical course Background: Metolachlor is a chloroacetamide herbicide that is extensively used worldwide. Ingestion of metolachlor causes acute toxicity via the generation of methemoglobin. Elevated levels of methemoglobin inhibit the transport of oxygen to tissue, causing hypoxia and lactic acidosis. A common treatment approach has been to reduce met-hemoglobin by administration of methylene blue. Herein, we present a case of metolachlor poisoning causing lactic acidosis that was treatable by thiamine administration, in which the methemoglobin level was not elevated. Case Report: A 61-year-old man was admitted to the emergency room with seizures and impaired consciousness after the ingestion of metolachlor (250 mL, 83%) with the intent to commit suicide. The patient’s methemoglobin and lactate levels on admission were 0.9% and 11.8 mmol/L, respectively. After admission, the levels of lactate decreased gradually; however, they increased 13 h after admission. There was no evidence of heavy alcohol consumption, hyponutrition, or chronic thiamine deficiency. We initially administered a thiamine bolus (100 mg), which immediately improved his consciousness, followed by continuous administration of the same substance (1500 mg/day). The patient’s consciousness improved, and was discharged from the intensive care unit on day 4. Conclusions: Metolachlor can cause metabolic dysfunction and lactic acidosis without an increase in methemoglobin. Moreover, thiamine administration may be beneficial for patients with metolachlor intoxication exhibiting symptoms of elevated lactate levels, impaired consciousness, and lack of elevated methemoglobin levels.
Sum-of-squares decompositions for a family of Clauser-Horne-Shimony-Holt-like inequalities and their application to self-testing

We introduce two families of sum-of-squares (SOS) decompositions for the Bell operators associated with the tilted Clauser-Horne-Shimony-Holt (CHSH) expressions introduced in Acin et al. [Phys. Rev. Lett. 108, 100402 (2012)]. These SOS decompositions provide tight upper bounds on the maximal quantum value of these Bell expressions. Moreover, they establish algebraic relations that are necessarily satisfied by any quantum state and observables yielding the optimal quantum value. These algebraic relations are then used to show that the tilted CHSH expressions provide robust self-tests for any partially entangled two-qubit state. This application to self-testing follows closely the approach of Yang and Navascues [Phys. Rev. A 87, 050102(R) (2013)], where we identify and correct two nontrivial flaws.
COVID-19 Presenting with Acute Ischemic Stroke: Case Report From Ethiopia

COVID-19 is reported to have a wide variety of presentations and one of those is new onset stroke. Patients are presenting with neurological deficit features and the affected areas of the brain are different. Here, we presented three cases of new onset strokes in confirmed COVID-19 patients from Ethiopia, along with their laboratory and imaging findings. These patients had separate clinical and imaging findings, which goes in line with other studies globally. This calls for further study and investigation on the topic.
A Synoptic Classification of Inflow-Generating Precipitation in the Snowy Mountains, Australia

AbstractPrecipitation falling in the Snowy Mountains region of southeastern Australia provides fuel for hydroelectric power generation and environmental flows along major river systems, as well as critical water resources for agricultural irrigation. A synoptic climatology of daily precipitation that triggers a quantifiable increase in streamflow in the headwater catchments of the Snowy Mountains region is presented for the period 1958–2012. Here, previous synoptic-meteorological studies of the region are extended by using a longer-term, year-round precipitation and reanalysis dataset combined with a novel, automated synoptic-classification technique. A three-dimensional representation of synoptic circulation is developed by effectively combining meteorological variables through the depth of the troposphere. Eleven distinct synoptic types are identified, describing key circulation features and moisture pathways that deliver precipitation to the Snowy Mountains. Synoptic types with the highest precipitatio.
TOWARDS A STATISTICAL PHYSICS OF HUMAN MOBILITY

In this paper, we extend some ideas of statistical physics to describe the properties of human mobility. From a physical point of view, we consider the statistical empirical laws of private cars mobility, taking advantage of a GPS database which contains a sampling of the individual trajectories of 2% of the whole vehicle population in an Italian region. Our aim is to discover possible "universal laws" that can be related to the dynamical cognitive features of individuals. Analyzing the empirical trip length distribution we study if the travel time can be used as universal cost function in a mesoscopic model of mobility. We discuss the implications of the elapsed times distribution between successive trips that shows an underlying Benford's law, and we study the rank distribution of the average visitation frequency to understand how people organize their daily agenda. We also propose simple stochastic models to suggest possible explanations of the empirical observations and we compare our results with analogous results on statistical properties of human mobility presented in the literature.
Is The Rights Offering Announcement Good or Bad?

This study aims to determine changes in market reactions on the rights offering based on the purpose of investment and debt repayments. This research indicator uses abnormal return and trading volume activity. The research observation period was carried out 5 days before and 5 days after the effective date with the object of research being all companies listed on the Indonesia Stock Exchange for the 2016-2019 period. The samples collected were 42 companies using the purposive sampling technique. Testing the data using the Wilcoxon Signed Rank Test and paired sample T-test. The test results show that the rights issue for investment purposes has differences in abnormal returns and trading volume activity around the effective date. Meanwhile, there were no differences in abnormal returns and trading volume activity around the effective date for restructuring purposes. From these results, investors are recommended to look at the purpose of using company funds to improve the quality of investment decision-making.
Cognitive and behavioural but not motor impairment increases brain age in amyotrophic lateral sclerosis

Abstract Age is the most important single risk factor of sporadic amyotrophic lateral sclerosis. Neuroimaging together with machine-learning algorithms allows estimating individuals’ brain age. Deviations from normal brain-ageing trajectories (so called predicted brain age difference) were reported for a number of neuropsychiatric disorders. While all of them showed increased predicted brain-age difference, there is surprisingly few data yet on it in motor neurodegenerative diseases. In this observational study, we made use of previously trained algorithms of 3377 healthy individuals and derived predicted brain age differences from volumetric MRI scans of 112 amyotrophic lateral sclerosis patients and 70 healthy controls. We correlated predicted brain age difference scores with voxel-based morphometry data and multiple different motoric disease characteristics as well as cognitive/behavioural changes categorized according to Strong and Rascovsky. Against our primary hypothesis, there was no higher predicted brain-age difference in the amyotrophic lateral sclerosis patients as a group. None of the motoric phenotypes/characteristics influenced predicted brain-age difference. However, cognitive/behavioural impairment led to significantly increased predicted brain-age difference, while slowly progressive as well as cognitive/behavioural normal amyotrophic lateral sclerosis patients had even younger brain ages than healthy controls. Of note, the cognitive/behavioural normal amyotrophic lateral sclerosis patients were identified to have increased cerebellar brain volume as potential resilience factor. Younger brain age was associated with longer survival. Our results raise the question whether younger brain age in amyotrophic lateral sclerosis with only motor impairment provides a cerebral reserve against cognitive and/or behavioural impairment and faster disease progression. This new conclusion needs to be tested in subsequent samples. In addition, it will be interesting to test whether a potential effect of cerebral reserve is specific for amyotrophic lateral sclerosis or can also be found in other neurodegenerative diseases with primary motor impairment.
The mechanism underlying the relationship between the spiritual struggles and life satisfaction of Polish codependent individuals participating in Al-Anon – pilot study

ABSTRACT Codependency is a serious mental, emotional, social, and physical problem. Little is known about the spiritual mechanism of recovery among codependent individuals participating in Al-Anon self-help groups. The aim of this study was to verify whether spiritual struggles are indirectly through spiritual growth and hope, related to life satisfaction of codependent individuals. The achieved results confirmed the indirect effect of spiritual struggles on life satisfaction through the spiritual growth and hope of codependent individuals participating in Al-Anon. The research confirmed the mechanism underlying the relationship between spiritual struggles and the life satisfaction of codependent individuals participating in Al-Anon.
Theory of mean E × B shear in a stochastic magnetic field: ambipolarity breaking and radial current

The mean E × B shear in a stochastic magnetic field is calculated, using the radial force balance relation and transport equations. This analysis is relevant to the L → H transition with resonant magnetic perturbations, and special focus is placed upon the physics of non-ambipolar transport and radial current. The key physical process is the flow of fluctuating currents along wandering magnetic fields. The increments in poloidal and toroidal rotation, density and ion pressure are calculated. The radial envelope of the magnetic perturbations inside the plasma defines a new scale ℓenv , which is the characteristic scale of the magnetic fluctuation intensity profile. The net particle outflow due to stochastic magnetic fields is calculated and is determined by the net radial current through the separatrix. Implications for the L → H transition are discussed.
Multi-model finite element scheme for static and free vibration analyses of composite laminated beams

A transition element is developed for the local global analysis of laminated composite beams. It bridges one part of the domain modelled with a higher order theory and other with a 2D mixed layerwise theory (LWT) used at critical zone of the domain. The use of developed transition element makes the analysis for interlaminar stresses possible with significant accuracy. The mixed 2D model incorporates the transverse normal and shear stresses as nodal degrees of freedom (DOF) which inherently ensures continuity of these stresses. Non critical zones are modelled with higher order equivalent single layer (ESL) theory leading to the global mesh with multiple models applied simultaneously. Use of higher order ESL in non critical zones reduces the total number of elements required to map the domain. A substantial reduction in DOF as compared to a complete 2D mixed model is obvious. This computationally economical multiple modelling scheme using the transition element is applied to static and free vibration analyses of laminated composite beams. Results obtained are in good agreement with benchmarks available in literature.
Indecomposable Modules of 2-step Solvable Lie Algebras in Arbitrary Characteristic

Let F be an algebraically closed field and consider the Lie algebra 𝔤 = ⟨ x ⟩ ⋉ 𝔞, where ad x acts diagonalizably on the abelian Lie algebra 𝔞. Refer to a 𝔤-module as admissible if [𝔤, 𝔤] acts via nilpotent operators on it, which is automatic if chr(F) = 0. In this article, we classify all indecomposable 𝔤-modules U which are admissible as well as uniserial, in the sense that U has a unique composition series.
Basel III: Finalising post-crisis reforms – Auswirkungen auf die Kreditvergabe österreichischer Genossenschaftsbanken

Im Dezember 2017 wurde eine Überarbeitung der bis dato geltenden BASEL III Richtlinien mit dem Titel „Basel III: Finalising post-crisis reforms” veröffentlicht, welche wesentliche Änderungen für die österreichischen Genossenschaftsbanken mit sich bringen. Dabei liegt der Fokus dieses Artikles speziell auf die Veränderung im Kreditrisiko Standardansatz für die Bemessung des Kreditrisikos. Anhand einer Simulation sollen mögliche Auswirkungen auf die Eigenmittelquote dargestellt und Handlungsmaßnahmen abgeleitet werden.
Doing worse, but feeling happy: Social comparison and identification in response to upward and downward targets

We investigated people’s responses to exposure to downward and upward targets. In Study 1, among 197 participants, it was predicted and found that such exposure led to a contrast effect on self-evaluation, and to an assimilation effect on affect. In Study 2, among 148 participants, it was predicted and found that the contrast effect on self-evaluation occurred in particular when participants were induced to compare themselves with the target, and that the assimilation effect on affect occurred, in particular, when participants were induced to identify themselves with the target. This study provides preliminary evidence that social comparison and identification are separate processes that influence different variables, in opposite ways.
Decapod crustacean assemblages on trawlable grounds in the northern Alboran Sea and Gulf of Vera

This study analyses the samples collected annually (2012 to 2018) on circalittoral and bathyal soft bottoms (30 to 800 m) by the MEDITS surveys in the northern Alboran Sea (including Alboran Island) and the Gulf of Vera to determine the composition, structure and distribution of decapod crustacean assemblages. A total of 94 decapod crustacean species were identified. Non-metric multidimensional scaling showed depth to be the main factor for distinguishing four main decapod assemblages: the inner shelf (30-100 m depth), outer shelf (101-200 m), upper slope (201-500 m) and middle slope (501-800 m). PERMANOVA analyses revealed further significant depth-related differences between three established geographical sectors of the study area (northern Alboran Sea, Gulf of Vera and Alboran Island). Generalized additive model analyses were used to assess the bathymetrical, geographical and environmental effects on the ecological indices of each assemblage. Results showed that depth and the geographical effect were the main drivers in all cases. Decreases in abundance and increases in species richness, Shannon-Wiener diversity and Pielou’s evenness indices with depth were detected. This study shows the primacy of depth and geographical effect on the distribution of decapod species in the study area, in alignment with findings from other parts of the Mediterranean Sea.
Mean-value theorems and some symmetric means

Abstract Some variants of the Lagrange and Cauchy mean-value theorems lead to the conclusion that means, in general, are not symmetric. They are symmetric iff they coincide (respectively) with the Lagrange and Cauchy means. Under some regularity assumptions, we determine the form of all the relevant symmetric means.
Global Implications for COVID-19 Vaccine Series Completion: Insights from Real-World Data from the United States

This retrospective cohort analysis leveraged vaccination data for BNT162b2, mRNA-1273, and Ad26.COV2. S in the United States from the Komodo Healthcare Map database, the TriNetX Dataworks USA Network, and Cerner Real-World EHR (electronic health record) Data to evaluate rates of adherence to and completion of COVID-19 vaccination series (November 2020 through June 2021). Individuals were indexed on the date they received the first dose of a COVID-19 vaccine, with an adherence follow-up window of 42 days. Adherence/completion rates were calculated in the overall cohort of each database and by month of initiation and stratified by age, race/ethnicity, and urban/rural status. Overall adherence and completion to 2-dose COVID-19 mRNA vaccine schedules ranged from 79.4% to 87.4% and 81.0% to 89.2%, respectively. In TriNetX and Cerner, mRNA-1273 recipients were generally less adherent compared with BNT162b2 across sociodemographic groups. In Komodo, rates of adherence/completion between mRNA-1273 and BNT162b2 were similar. Adherence/completion were generally lower in younger (<65 years) versus older recipients (≥65 years), particularly for mRNA-1273. No other sociodemographic-based gaps in vaccine adherence/completion were identified. These data demonstrate high but incomplete adherence to/completion of multidose COVID-19 vaccines during initial vaccine rollout in the United States. Multidose schedules may contribute to challenges associated with successful global vaccination.