Miracle-dz/UniFAR-FTUs huggingface dataset:
Physician Decision-Making About Surveillance in Older Adults With Prior Adenomas: Results From a National Survey

INTRODUCTION: There is no clear guidance on when surveillance colonoscopies should stop in older adults with prior adenomas. We aimed to examine physicians' decision-making regarding surveillance colonoscopies in older adults. METHODS: In a national mailed survey of 1,800 primary care physicians (PCP) and 600 gastroenterologists, we asked whether physicians would recommend surveillance colonoscopy in vignettes where we varied patient age (75 and 85 years), health (good, medium, and poor), and prior adenoma risk (low and high). We examined the association between surveillance recommendations and patient and physician characteristics using logistic regression. We also assessed decisional uncertainty, need for decision support, and decision-making roles. RESULTS: Of 1,040 respondents (response rate 54.8%), 874 were eligible and included. Recommendation for surveillance colonoscopies was lower if patient was older (adjusted proportions 20.6% vs 49.8% if younger), in poor health (adjusted proportions 7.1% vs 28.8% moderate health, 67.7% good health), and prior adenoma was of low risk (adjusted proportions 29.7% vs 41.6% if high risk). Family medicine physicians were most likely and gastroenterologists were least likely to recommend surveillance (adjusted proportions 40.0% vs 30.9%). Approximately 52.3% of PCP and 35.4% of gastroenterologists reported uncertainty regarding the benefit/harm balance of surveillance in older adults. Most (85.9% PCP and 77.0% gastroenterologists) would find a decision support tool helpful. Approximately 32.8% of PCP vs 71.5% of gastroenterologists perceived it as the gastroenterologist's role to decide about surveillance colonoscopies. DISCUSSION: Studies to better evaluate the benefits/harms of surveillance colonoscopy in older adults and decisional support tools that help physicians and patients incorporate such data are needed.
What Affects Vocational Teachers’ Acceptance and Use of ICT in Teaching? A Large-Scale Survey of Higher Vocational College Teachers in China

This study aimed to explore what factors affect teachers’ acceptance and instructional use of ICT in Chinese higher vocational colleges. Grounded in the modified UTAUT model, the current study investigated the direct and indirect effects of teachers’ performance expectancy, effort expectancy, external conditions, and behavioral intentions on using ICT in teaching. A total of 6087 teachers from 219 vocational colleges in 28 provinces in China participated in a large-scale survey. Structural equation modeling revealed that the teachers’ psychological perceptions (including performance expectancy, effort expectancy, and intention to use ICT technology) and the external support conditions (including professional development support, infrastructures, the climate of organizational reform and innovation, and teacher performance assessment mechanisms) significantly directly affect the use of ICT in Chinese higher vocational college teachers’ teaching practice. Moreover, this study confirmed the mediating role of teachers’ intention to use ICT in teaching in the relationship between teachers’ psychological perceptions and ICT instructional usage behavior. However, there were differences in the significance of these variables in the chain effect of teachers’ intention to use ICT. These findings expand our understanding of the factors influencing ICT use in teaching among VET teachers in China, thus providing practical implications for higher vocational college managers to promote teachers’ ICT teaching behaviors.
Effect of High-Intensity vs. Moderate-Intensity Resistance Training on Strength, Power, and Muscle Soreness in Male Academy Soccer Players

Abstract McQuilliam, SJ, Clark, DR, Erskine, RM, and Brownlee, TE. The effect of high vs. moderate-intensity resistance training on strength, power and muscle soreness in male academy soccer players. J Strength Cond Res 37(6): 1250–1258, 2023—The aims of this study were to investigate the impact of high-intensity, low-volume (HRT) vs. moderate-intensity, and high-volume resistance training (MRT) vs. soccer training only (control group [CON]) on changes in strength, power, and speed and to compare delayed onset muscle soreness (DOMS) between groups in male academy soccer players (ASP). Twenty-two ASP (age: 18 ± 1 years) were assigned to HRT (n = 8), MRT (n = 7), or CON (n = 7). High-intensity resistance training completed 2 sets of 4 repetitions parallel back squat (PBS) repetitions at 90% 1 repetition maximum (1RM), while MRT performed 3 sets of 8 repetitions PBS repetitions at 80% 1RM, both once a week for 6 weeks in-season, alongside regular soccer training. All groups completed the following pretraining and posttraining assessments: 3RM PBS, bilateral vertical and horizontal countermovement jumps (CMJ), squat jump (SJ), and 30-m sprint. Delayed onset muscle soreness was assessed using a visual analog scale throughout training. High-intensity resistance training and MRT experienced similar increases compared with CON in absolute PBS 3RM (p < 0.001), SJ height (p = 0.001), and CMJ height (p = 0.008) after training. There was a greater increase in PBS 3RM relative to body mass after HRT than MRT and CON (p = 0.001) and horizontal CMJ distance improved in HRT but not in MRT or CON (p = 0.011). There was no change in 10-m, 20-m, or 30-m sprint performance in any group. High-intensity resistance training volume was 58 ± 15% lower than that of MRT (p < 0.001), and DOMS measured throughout training did not differ between groups (p = 0.487). These findings suggest that 1 HRT session a week may be an efficient method for improving strength and power in ASP in-season with minimal DOMS.
A review of cognitive and behavioral outcomes of Brivaracetam

Anti‐seizure medications (ASMs) can cause cognitive or behavioral adverse drug reactions, which is an important consideration when selecting an appropriate ASM. Brivaracetam (BRV) is a newer synaptic vesicle protein 2A ligand, which is expected to result in fewer neuropsychiatric adverse effects due to its mechanism of action. To understand the impact of BRV on cognition and behavior compared with other ASMs, we conducted a review of the literature using the Cochrane Library, PubMed/MEDLINE, and Embase. After the screening process, a total of two animal studies, one randomized controlled trial, one pooled analysis of clinical trials, one controlled study, and nine observational studies were included. The animal studies showed that BRV did not worsen cognitive or behavioral performance in rodents. The human studies showed that BRV was associated with fewer cognitive adverse events compared with other second‐ or third‐generation ASMs. In addition, BRV was less associated with behavioral disturbance than levetiracetam. In summary, this review revealed that BRV has a limited impact on cognition and behavior. For patients who are intolerant to levetiracetam and have levetiracetam‐related behavioral side effects, switching to BRV could be beneficial. However, heterogeneity between studies resulted in low‐quality of evidence, and further trials are needed to confirm the findings.
Orienteering experts report more proficient spatial processing and memory across adulthood

The closest surrogate to hunter-gather activity is the sport of orienteering, which naturally and simultaneously combines high-intensity interval exercise with navigation. Although human cognition can be improved across the lifespan through exercise and cognitive training, interventions like orienteering may be especially effective because they resemble activities engaged in by prehistoric humans during evolution. The present study tested whether orienteering experts have better hippocampal-dependent cognitive function than active, non-orienteering controls. One-hundred and fifty-eight healthy adults between the ages of 18 and 87 years old with varying experience in orienteering (none, intermediate, advanced, elite) reported on their spatial processing, spatial memory and episodic memory using the Navigational Strategy Questionnaire and the Survey of Autobiographical Memory. Orienteering experts reported greater use of allocentric and egocentric spatial processing and better spatial memory than controls. In contrast, episodic memory was not associated with orienteering expertise. Notably, the significant effects of orienteering on spatial cognition remained even after controlling for age, sex, and physical activity, suggesting that orienteering may be an effective intervention to prevent age-related cognitive decline in spatial navigation and memory.
Characteristics, risk factors, and outcomes of bloodstream Candida infections in the intensive care unit: a retrospective cohort study

Objective The main objective was to assess the clinical characteristics, associated factors, and outcomes of patients admitted to the ICU for candidemia. The secondary objective was to examine the relationship of candidemia with the length of stay and mortality. Methods The analysis was a retrospective single-center cohort study addressing the effect of invasive candidemia on outcomes. This study was performed in a medical-surgical ICU located in a tertiary private hospital in São Paulo, Brazil. Data was collected through the review of the hospital database. Results In total, 18,442 patients were included in our study, including 22 patients with candidemia. The median age was similar in patients with and without candidemia [67 (56–84) vs. 67 (51–80)]. Most patients were male, and the proportion of men was higher among patients with candidemia (77% vs. 55.3%). The rates of renal replacement therapy (40.9% vs. 3.3%), mechanical ventilation (63.6% vs. 29.6%), and parenteral nutrition (40.9% vs. 4.8%) were higher in patients with candidemia than in those without candidemia. The mortality rate (77.3% vs. 11.9%) and length of hospital stay [42 days (23.0–78.8) vs. 8 days (5.0–17.0)] were significantly higher in patients with candidemia. Conclusions Patients with candidemia are prone to longer hospital stay and mortality. In addition, we found associations of candidemia with the use of invasive mechanical ventilation, renal replacement therapy, and parenteral nutrition.
Quasar energy distributions. I - Soft X-ray spectra of quasars

As the initial stage of a study of quasar energy distributions (QEDs), Einstein IPC spectra of 24 quasars are presented. These are combined with previously reported IPC spectra to form a sample of 33 quasars with well-determined soft X-ray slopes. A correlation analysis shows that radio loudness, rather than redshift or luminosity, is fundamentally related to the X-ray slope. This correlation is not followed by higher energy spectra of active galaxies. Two components are required to explain both sets of results. The best-fit column densities are systematically smaller than the Galactic values. The same effect is not present in a sample of BL Lac objects, implying that the effect is intrinsic to the quasars and is caused by a low-energy turnup in the quasar spectra. 74 references.
Three‐dimensional vorticity modes in the wake of a flat plate

The three‐dimensional development of the wake behind a flat plate separating two laminar streams of equal velocity, subjected to perturbations in its initial conditions, is studied experimentally and numerically at moderate Reynolds numbers. The effect of single waves as well as subharmonic streamwise forcing is discussed. For the case of a single wave, streamwise forcing combined with a sinusoidal spanwise perturbation, the two distinct three‐dimensional vorticity modes found in an early study [J. Fluid Mech. 190, 1 (1988)], are further studied and their symmetry properties analyzed. Depending on the orientation of the spanwise perturbation, the counter‐rotating pairs of streamwise vortex tubes forming in the braids are shown to induce undulations in the cores of the Karman‐like vortices, resulting in either an in‐phase or a varicose configuration. Furthermore, when the wake is subjected to subharmonic streamwise forcing, additional modes of the topology of the vorticity field are shown to exist. The evo.
An audit of hysterectomy in a teaching hospital in India: Story of a decade

Background: The appropriateness of hysterectomy has gained an interest in scrutiny and debate. Periodic audits of the prevailing clinical practices are imperative for insight, and to formulate recommendations and guidelines. We report the temporal trends of hysterectomies, over the last 10 years in a teaching hospital. Methods: Present study involved all patients who underwent hysterectomy at a teaching hospital, from January 1, 2012 to December 31, 2021. Patients were identified by medical record tracking using International Classification of Diseases-9 codes. Case records were reviewed for demography, indication for surgery, approach, complications, hospital stay, and histopathological correlation. Results: Over the years the absolute number of hysterectomies in our hospital has ranged from 414 to 597 (mean 476), barring the coronavirus 19 pandemic year. The proportion of hysterectomy among all gynaecological admissions has ranged from 6% to 9%, except in 2020 where this proportion dropped down to 4%. The indications, age distribution, surgical approach, and complications have remained almost same. Conclusion: We report a static trend in hysterectomy over the past 10 years. This audit provides an insight for the need of shifting the abdominal to vaginal route, in carefully chosen patients. This will be beneficial for the patients, and for the trainees, where they can learn under supervision. Availability and patient education about the nonsurgical management options for benign gynecological conditions, as well as awareness about sequelae of hysterectomy, will bring down the rate in countries such as India.
Sociotechnical Factors Supporting Mobile Phone Use by Bus Drivers

OCCUPATIONAL APPLICATIONS Results of a survey of drivers working for two bus companies in Norway suggest that 20% of drivers sometimes use a mobile phone while driving, even though it is not permitted. Sociotechnical analysis of the system surrounding drivers at one of the companies elicited ways in which social and technical factors combined to support mobile phone use by bus drivers. These factors were arranged under four themes: increased societal dependence on technology; developments in bus driver culture; the need for bus drivers to resolve conflicting goals; and a lack of belief in adverse consequences of using mobile phone while driving. Our findings (i) support claims that driver-centered analyses of mobile phone use or other traffic safety challenges are an insufficient basis for the development of measures and should be supplemented by sociotechnical analyses; and (ii) can inspire the design of more comprehensive measures to help reduce mobile phone use and road safety risks. TECHNICAL ABSTRACT Background: Sociotechnical measures could supplement traditional risk management measures and further reduce risks of collisions involving heavy vehicles. Such measures can be identified using methods rooted in sociotechnical systems theory, which considers that people work in systems comprising multiple social and technical elements that interact to create emergent properties and conditions that influence valued system outcomes. Purpose: To investigate the potential of sociotechnical measures in helping to reduce road risks, we identified how social and technical factors combine to influence mobile phone use by bus drivers working at a company in Norway. Method: A survey of ∼600 drivers was completed, followed by focus group interviews with managers and drivers and one-on-one or group interviews with drivers. The interviews were structured using a sociotechnical analysis framework. Results: Twenty percent of drivers reported using their phone while operating a bus, even though such use was against company guidelines. Almost all drivers took their phone with them when they drove, and 40% of those who said they never used their phone while driving could still hear incoming calls and messages. Analysis from nine interviews with 26 drivers suggested that phone use by drivers operating buses is supported by interacting sociotechnical factors due to an increased societal dependence on technology, developments in bus driver culture, a need for bus drivers to resolve conflicting goals at work, and a lack of consequences for drivers using mobile phone use while driving. Conclusions: Limited consideration of the sociotechnical ecosystems surrounding bus drivers can contribute to their mobile phone use and thereby to potential problems of attention and awareness while driving. Sociotechnical approaches should be developed using participative design to reduce phone use while driving, especially to promote openness and information sharing and support bus drivers in the field as they strive to resolve conflicting goals.
Electron wave breakdown of helium

A revision of the electrostatic gas breakdown wave apparatus used by Haberstich and Winn has been employed to generate waves for studies of wave speed, and electron temperature and density behind the wave front. The measurements were carried out in helium at applied electrode voltages from 6 to 42 kV of both polarities and over a pressure range of 0.3 to 30.0 Torr. Nuclear data‐handling techniques were adapted to the measurement of the wave speeds to increase the accuracy of the data. Good over‐all agreememt is obtained with the theory of Shelton.
Statistical Models for Earthquake Occurrences and Residual Analysis for Point Processes

Abstract This article discusses several classes of stochastic models for the origin times and magnitudes of earthquakes. The models are compared for a Japanese data set for the years 1885–1980 using likelihood methods. For the best model, a change of time scale is made to investigate the deviation of the data from the model. Conventional graphical methods associated with stationary Poisson processes can be used with the transformed time scale. For point processes, effective use of such residual analysis makes it possible to find features of the data set that are not captured in the model. Based on such analyses, the utility of seismic quiescence for the prediction of a major earthquake is investigated.
Applying Item Response Theory Analysis to the SAVRY in Justice-Involved Youth

This study investigated item- and test-level functioning of the Structured Assessment of Violence Risk in Youth (SAVRY) and differential item functioning (DIF) across gender and race/ethnicity in justice-involved youth (JIY) using item response theory analysis. Participants were 868 JIY (23.7% female; 26.9% White, 50.9% Black, and 22.2% Hispanic) in pre-trial detention centers in Connecticut. Results obtained from the application of the graded response model showed that the SAVRY items were not equally discriminating JIY with varying levels of the latent trait, with “Poor compliance” as the most discriminating item and “History of self-harm or suicide attempts” as the least discriminating item. At the test level, the SAVRY provided precise (reliable) information about the latent trait for the majority of JIY whose latent trait between two standard deviations below and above the mean. Results of DIF revealed that six items operated inconsistently between White, Black, and Hispanic JIY, among which two items also functioned differentially across gender.
A MARKOVIAN STORAGE MODEL

We investigate a storage model where the input and the demand are additive functionals on a Markov chain J. The storage policy is to meet the largest possible portion of the demand. We rst derive resuts for the net input process embed- ded at the epochs of transitions of J, which is a Markov random walk. Our analysis is based on a Wiener-Hopf factorization for this random walk; this also gives results for the busy period of the storage process. The properties of the storage level and the unsatised demand are then derived.
Comparison of genetic testing documentation between genetic counselors and non‐genetic counselors

Implementation of genetic testing in healthcare increases, but access to, and number of, genetics providers remain scarce. This study analyzed the impact of genetic counselor (GC) involvement on frequency of documentation of pre‐ and post‐test counseling of genetic testing between GCs and genetics providers (GPs), and GCs and non‐genetics providers (NGPs). A retrospective chart review of 467 charts from patients who had genetic testing ordered between July 2016 and June 2018 at a primarily pediatric institution was conducted. GCs were involved for 223 charts (GC group), and not involved for 244 (non‐GC group). The non‐GC group was further stratified into patient charts with Genetics Providers (GP group) (n = 100) involved and those with Non‐Genetics Providers (NGP group) (n = 144) involved. Categorical, binomial, pre‐test variables (counseling, test description, results possibilities, insurance coverage, and cost) and categorical, binomial, post‐test variables (results disclosure, family testing recommendations, recurrence risk, and provided resources) were collected and compared using Fisher's exact test (p < 0.005). With the exception of test description, documentation for all variables occurred more frequently in the GC group compared to the NGP group (all p < 0.001). Documentation for the majority of variables also occurred more frequently in the GC group compared to the GP group (p < 0.005), with the exceptions of overall pre‐test counseling and family testing recommendations. GC involvement was associated with increased documentation of most pre‐ and post‐test genetic counseling variables. With increased emphasis placed on transparency, accurateness, and access for patients of the EMR, in part due to the passage of the CARES Act, documentation should reflect the content of counseling provided. The cause of the documentation discrepancy identified may have differing effects on patient care and provider education.
Acoustic Scattering by a Localized Thermal Disturbance

Direct aeroacoustic simulation, which simulates acoustic radiation associated with unsteady fluid flows, involves capturing waves in both aerodynamic and acoustic scales. The presence of a thermal field further complicates this simulation. There are few analytical thermal-acoustic problems that could serve as benchmark to validate computational aeroacoustics schemes. This paper attempts to seek a theoretical solution of a simple problem involving scattering of acoustic plane waves by a localized zero-heat-gain/loss thermal disturbance and use it as a benchmark to verify the validity and extent of a numerical gas-kinetic scheme based on the modeled Boltzmann equation for the study of aeroacoustics resulting from thermal-flow/acoustic interaction. Two limiting cases with different acoustic wavelengths are attempted. Theoretical solutions are established for both cases, with the center of an axisymmetric thermal disturbance located at the origin of the physical domain. The incident acoustic wave has a dimensionless amplitude given by 1 x 10 -4 and is propagated from left to right of the coordinate system. The simulation of the gas-kinetic scheme is carried out using the same computational setting as for the theoretical solutions. Riemann invariants are stipulated at the open boundaries. Numerical results are compared with the theoretical solutions and good agreement is obtained for the short-wavelength case only. The discrepancy for the long-wavelength case could be partially attributed to the inappropriateness of the Riemann invariants for oblique waves at the boundaries.