Miracle-dz/UniFAR-FTUs huggingface dataset:
Comparing performance of 30‐day readmission risk classifiers among hospitalized primary care patients

RATIONALE, AIMS AND OBJECTIVES Hospital readmission within 30 days of discharge occurs in almost 20% of US Medicare patients and may be a marker of poor quality inpatient care, ineffective hospital to home transitions, or disease severity. Within a patient centered medical home, care transition interventions may only be practical from cost and staffing perspectives if targeted at patients with the greatest risk of readmission. Various scoring algorithms attempt to predict patients at risk for 30-day readmission, but head-to-head comparison of performance is lacking. Compare published scoring algorithms which use generally available electronic medical record data on the same set of hospitalized primary care patients. METHODS The LACE index, the LACE+ index, the HOSPITAL score, and the readmission risk score were computed on a consecutive cohort of 26,278 hospital admissions. Classifier performance was assessed by plotting receiver operating characteristic curves comparing the computed score with the actual outcome of death or readmission within 30 days. Statistical significance of differences in performance was assessed using bootstrapping techniques. RESULTS Correct readmission classification on this cohort was moderate with the following c-statistics: Readmission risk score 0.666; LACE 0.680; LACE+ 0.662; and HOSPITAL 0.675. There was no statistically significant difference in performance between classifiers. CONCLUSIONS Logistic regression based classifiers yield only moderate performance when utilized to predict 30-day readmissions. The task is difficult due to the variety of underlying causes for readmission, nonlinearity, and the arbitrary time period of concern. More sophisticated classification techniques may be necessary to increase performance and allow patient centered medical homes to effectively focus efforts to reduce readmissions.
Apremilast, an oral phosphodiesterase 4 inhibitor, in patients with psoriatic arthritis and current skin involvement: a phase III, randomised, controlled trial (PALACE 3)

Objective To evaluate apremilast treatment in patients with active psoriatic arthritis, including current skin involvement, despite prior therapy with conventional disease-modifying antirheumatic drugs and/or biologic agents. Methods Patients (N=505) were randomised (1:1:1) to placebo, apremilast 20 mg twice daily, or apremilast 30 mg twice daily. Rescue therapy with apremilast was designated at week 16 for placebo patients not achieving 20% improvement in swollen and tender joint counts. At week 24, the remaining placebo patients were then randomised to apremilast 20 mg twice daily or 30 mg twice daily. The efficacy and safety of apremilast were assessed over 52 weeks. Results At week 16, significantly more patients receiving apremilast 20 mg twice daily (28%) and 30 mg twice daily (41%) achieved 20% improvement in American College of Rheumatology response criteria versus placebo (18%; p=0.0295 and p<0.0001, respectively), and mean decrease in the Health Assessment Questionnaire-Disability Index score was significantly greater with apremilast 30 mg twice daily (−0.20) versus placebo (−0.07; p=0.0073). In patients with baseline psoriasis body surface area involvement ≥3%, significantly more apremilast 30 mg twice daily patients achieved 50% reduction from baseline Psoriasis Area and Severity Index score (41%) versus placebo (24%; p=0.0098) at week 16. At week 52, observed improvements in these measures demonstrated sustained response with continued apremilast treatment. Most adverse events were mild to moderate in severity; the most common were diarrhoea, nausea, headache and upper respiratory tract infection. Conclusions Apremilast demonstrated clinically meaningful improvements in psoriatic arthritis and psoriasis at week 16; sustained improvements were seen with continued treatment through 52 weeks. Apremilast was generally well tolerated and demonstrated an acceptable safety profile. Trial registration number NCT01212770.
Disease-associated mutations in human BICD2 hyperactivate motility of dynein–dynactin

Bicaudal D2 (BICD2) joins dynein with dynactin into a ternary complex (termed DDB) capable of processive movement. Point mutations in the BICD2 gene have been identified in patients with a dominant form of spinal muscular atrophy, but how these mutations cause disease is unknown. To investigate this question, we have developed in vitro motility assays with purified DDB and BICD2’s membrane vesicle partner, the GTPase Rab6a. Rab6a-GTP, either in solution or bound to artificial liposomes, released BICD2 from an autoinhibited state and promoted robust dynein-dynactin transport. In these assays, BICD2 mutants showed an enhanced ability to form motile DDB complexes. Increased retrograde transport by BICD2 mutants also was observed in cells using an inducible organelle transport assay. When overexpressed in rat hippocampal neurons, the hyperactive BICD2 mutants decreased neurite growth. Our results reveal that dominant mutations in BICD2 hyperactivate DDB motility and suggest that an imbalance of minus- versus plus-end-directed microtubule motility in neurons may underlie spinal muscular atrophy.
Scale-Space SIFT flow

The state-of-the-art SIFT flow has been widely adopted for the general image matching task, especially in dealing with image pairs from similar scenes but with different object configurations. However, the way in which the dense SIFT features are computed at a fixed scale in the SIFT flow method limits its capability of dealing with scenes of large scale changes. In this paper, we propose a simple, intuitive, and very effective approach, Scale-Space SIFT flow, to deal with the large scale differences in different image locations. We introduce a scale field to the SIFT flow function to automatically explore the scale deformations. Our approach achieves similar performance as the SIFT flow method on general natural scenes but obtains significant improvement on the images with large scale differences. Compared with a recent method that addresses the similar problem, our approach shows its clear advantage being more effective, and significantly less demanding in memory and time requirement.
Conformational dynamics of a neurotransmitter:sodium symporter in a lipid bilayer

Significance Most studies of neurotransmitter:sodium symporter (NSS) function and dynamics have been carried out in detergent even though the activity of these integral membrane proteins is heavily modulated by surrounding lipids. Here, we reconstituted the prokaryotic homolog LeuT into nanodiscs and subjected the preparation to hydrogen–deuterium exchange mass spectrometry to reveal a global view of the hallmarks of the transporter in two disparate conformations. The data were interpreted with the aid of molecular dynamics simulations, allowing unprecedented atomic-level insights into the dynamics of an unmodified, unlabeled NSS in a native-like lipid bilayer environment. Neurotransmitter:sodium symporters (NSSs) are integral membrane proteins responsible for the sodium-dependent reuptake of small-molecule neurotransmitters from the synaptic cleft. The symporters for the biogenic amines serotonin (SERT), dopamine (DAT), and norepinephrine (NET) are targets of multiple psychoactive agents, and their dysfunction has been implicated in numerous neuropsychiatric ailments. LeuT, a thermostable eubacterial NSS homolog, has been exploited as a model protein for NSS members to canvass the conformational mechanism of transport with a combination of X-ray crystallography, cysteine accessibility, and solution spectroscopy. Despite yielding remarkable insights, these studies have primarily been conducted with protein in the detergent-solubilized state rather than embedded in a membrane mimic. In addition, solution spectroscopy has required site-specific labeling of nonnative cysteines, a labor-intensive process occasionally resulting in diminished transport and/or binding activity. Here, we overcome these limitations by reconstituting unlabeled LeuT in phospholipid bilayer nanodiscs, subjecting them to hydrogen–deuterium exchange coupled with mass spectrometry (HDX-MS), and facilitating interpretation of the data with molecular dynamics simulations. The data point to changes of accessibility and dynamics of structural elements previously implicated in the transport mechanism, in particular transmembrane helices (TMs) 1a and 7 as well as extracellular loops (ELs) 2 and 4. The results therefore illuminate the value of this strategy for interrogating the conformational mechanism of the more clinically significant mammalian membrane proteins including SERT and DAT, neither of which tolerates complete removal of endogenous cysteines, and whose activity is heavily influenced by neighboring lipids.
Adhesion and fatigue resistance of Ta-doped MoS2 composite coatings deposited with pulsed-DC magnetron sputtering

Abstract MoS2–Ta composite coatings were deposited using the pulsed-DC magnetron sputtering technique. X-ray diffraction (XRD), scanning electron microscopy, energy dispersive spectroscopy, and atomic force microscopy were used to determine the structural properties of the MoS2–Ta composite coatings. The hardness values and adhesion and fatigue features of the coatings were determined using a microindentation hardness test and a scratch test, respectively. The scratch tests were evaluated using two modes: a standard mode (under a progressive load) and a multimode (sliding-fatigue with a constant sub-critical load within the same scratch track). Failure mechanisms of the scratch tracks were determined by examining the resulting micrographs. The MoS2–Ta coatings have a dense columnar microstructure. XRD patterns of the coatings revealed MoS2 (0 0 2), MoS2 (1 0 0), MoS2 (1 0 3), and α-Ta (1 1 0) reflections. The thickness, roughness, hardness, and elemental ratio values of the coatings were significantly affected by the target currents. The adhesion of the coatings dramatically increased with an increase in the thickness, hardness, and Ta/Mo ratio and with decreases in the roughness. The MoS2–Ta composite coatings with a high load-bearing capacity exhibited excellent fatigue resistance.
Unemployed individuals' work values and job flexibility: An explanation from expectancy-value theory and self-determination theory

Changes in the contemporary labour market have resulted in an increasing demand for flexibility in the work context. The present research examines the associations between unemployed individuals’ work values and their attitudes towards job flexibility. Consistent with Expectancy-Value Theory, results showed that the general concept of employment value was positively related to all measured types of flexibility, that is, training flexibility, pay flexibility, the flexibility to accept an undemanding job, and the flexibility to accept a job for which one is over-qualified. In line with Self-Determination Theory, holding an intrinsic work value orientation related positively to training and pay flexibility, whereas extrinsic work value orientation was negatively related to these two types of flexibility. Overall, these results indicate that not only the degree of employment value but also the content of unemployed individuals’ work value orientations matter in understanding their job flexibility. apps_391 296.317
A longitudinal twin and sibling study of the hopelessness theory of depression in adolescence and young adulthood

Background Maladaptive cognitive biases such as negative attributional style and hopelessness have been implicated in the development and maintenance of depression. According to the hopelessness theory of depression, hopelessness mediates the association between attributional style and depression. The aetiological processes underpinning this influential theory remain unknown. The current study investigated genetic and environmental influences on hopelessness and its concurrent and longitudinal associations with attributional style and depression across adolescence and emerging adulthood. Furthermore, given high co-morbidity between depression and anxiety, the study investigated whether these maladaptive cognitions constitute transdiagnostic cognitive content common to both internalizing symptoms. Method A total of 2619 twins/siblings reported attributional style (mean age 15 and 17 years), hopelessness (mean age 17 years), and depression and anxiety symptoms (mean age 17 and 20 years). Results Partial correlations revealed that attributional style and hopelessness were uniquely associated with depression but not anxiety symptoms. Hopelessness partially mediated the relationship between attributional style and depression. Hopelessness was moderately heritable (A = 0.37, 95% confidence interval 0.28–0.47), with remaining variance accounted for by non-shared environmental influences. Independent pathway models indicated that a set of common genetic influences largely accounted for the association between attributional style, hopelessness and depression symptoms, both concurrently and across development. Conclusions The results provide novel evidence that associations between attributional style, hopelessness and depression symptoms are largely due to shared genetic liability, suggesting developmentally stable biological pathways underpinning the hopelessness theory of depression. Both attributional style and hopelessness constituted unique cognitive content in depression. The results inform molecular genetics research and cognitive treatment approaches.
Obesity and Life Expectancy with and without Diabetes in Adults Aged 55 Years and Older in the Netherlands: A Prospective Cohort Study

Background Overweight and obesity are associated with increased risk of type 2 diabetes. Limited evidence exists regarding the effect of excess weight on years lived with and without diabetes. We aimed to determine the association of overweight and obesity with the number of years lived with and without diabetes in a middle-aged and elderly population. Methods and Findings The study included 6,499 individuals (3,656 women) aged 55 y and older from the population-based Rotterdam Study. We developed a multistate life table to calculate life expectancy for individuals who were normal weight, overweight, and obese and the difference in years lived with and without diabetes. For life table calculations, we used prevalence, incidence rate, and hazard ratios (HRs) for three transitions (healthy to diabetes, healthy to death, and diabetes to death), stratifying by body mass index (BMI) at baseline and adjusting for confounders. During a median follow-up of 11.1 y, we observed 697 incident diabetes events and 2,192 overall deaths. Obesity was associated with an increased risk of developing diabetes (HR: 2.13 [p < 0.001] for men and 3.54 [p < 0.001] for women). Overweight and obesity were not associated with mortality in men and women with or without diabetes. Total life expectancy remained unaffected by overweight and obesity. Nevertheless, men with obesity aged 55 y and older lived 2.8 (95% CI −6.1 to −0.1) fewer y without diabetes than normal weight individuals, whereas, for women, the difference between obese and normal weight counterparts was 4.7 (95% CI −9.0 to −0.6) y. Men and women with obesity lived 2.8 (95% CI 0.6 to 6.2) and 5.3 (95% CI 1.6 to 9.3) y longer with diabetes, respectively, compared to their normal weight counterparts. Since the implications of these findings could be limited to middle-aged and older white European populations, our results need confirmation in other populations. Conclusions Obesity in the middle aged and elderly is associated with a reduction in the number of years lived free of diabetes and an increase in the number of years lived with diabetes. Those extra years lived with morbidity might place a high toll on individuals and health care systems.
The role of curing period on the engineering characteristics of a cement-stabilized soil

Abstract Very often, pavements constructed in an economical manner or matching surface elevations of adjacent lanes cannot be designed for the soil conditions of the existing subgrade. Therefore, there is a need to stabilize the soil with an appropriate chemical substance in order to increase its strength to a satisfactory level. For the enhancement of subgrade soil strength characteristics, lime and cement are the most commonly used stabilizers. An experimental program was directed to the evaluation of a clayey soil and its mixtures with different cement contents performing tests on the index properties, the moisture-density relation, the unconfined compressive strength, and linear shrinkage. There is a definite improvement in strength. The time interval used to cure the prepared specimens affected positively both strength and plasticity features of the mixtures. A comparison with mixtures of the same soil with lime has been made, because of the wide use of lime in clay soil stabilization projects.
A Survey on Multiview Clustering

Clustering is a machine learning paradigm of dividing sample subjects into a number of groups such that subjects in the same groups are more similar to those in other groups. With advances in information acquisition technologies, samples can frequently be viewed from different angles or in different modalities, generating multiview data. Multiview clustering (MVC), that clusters subjects into subgroups using multiview data, has attracted more and more attentions. Although MVC methods have been developed rapidly, there has not been enough survey to summarize and analyze the current progress. Therefore, we propose a novel taxonomy of the MVC approaches. Similar to other machine learning methods, we categorize them into generative and discriminative classes. In the discriminative class, based on the way of view integration, we split it further into five groups—common eigenvector matrix, common coefficient matrix, common indicator matrix, direct combination, and combination after projection. Furthermore, we relate MVC to other topics: multiview representation, ensemble clustering, multitask clustering, multiview supervised, and semisupervised learning. Several representative real-world applications are elaborated for practitioners. Some benchmark multiview datasets are introduced and representative MVC algorithms from each group are empirically evaluated to analyze how they perform on benchmark datasets. To promote future development of MVC approaches, we point out several open problems that may require further investigation and thorough examination. Impact Statement—Multiview clustering has gained the success in a variety of applications in the past decade. In order to obtain a comprehensive picture of the MVC development, we provide a new categorization of existing MVC methods and introduce the representative algorithms in each category. At last, we point out open problems that are worth investigating to advance the MVC study. More promising MVC methods to solve these open problems may appear following this review paper from which a large number of applications can benefit.
Associations of the lipid genetic variants Thr54 (FABP2) and -493T (MTTP) with total cholesterol and low-density lipoprotein cholesterol levels in Mexican subjects

Objective Mexico has one of the world’s highest rates of obesity, which is influenced by lipid-genetic and lifestyle factors. This study aimed to determine whether FABP2 (Ala54Thr) and MTTP (-493 G/T) genetic polymorphisms are associated with metabolic disorders in Mexican subjects. Methods A total of 523 subjects participated in a cross-sectional study. Genotyping for FABP2 and MTTP was performed using real-time RT-PCR. Biochemical and anthropometric data were evaluated. Results The genetically at-risk group (Thr54/-493T) was associated with significantly higher total and low-density lipoprotein cholesterol levels (difference between genetically at-risk group and wild-type group: 10.6 mg/dL and 8.94 mg/dL, respectively). Carriers within the genetically at-risk group had a significantly higher prevalence rate of hypercholesterolaemia (42.5% vs. 32.0%) and higher LDL-C levels (37.6% vs. 26.4%) than did non-carriers. Conclusions Subjects who are genetically at risk (Thr54/-493T) have higher total cholesterol levels, low-density lipoprotein cholesterol levels, and prevalence rate of hypercholesterolaemia. These findings highlight the importance of basing nutritional intervention strategies for preventing and treating chronic diseases on individual genetic characteristics.
Two Cases of Neisseria meningitidis Proctitis in HIV-Positive Men Who Have Sex with Men

We report 2 cases from Spain of infectious proctitis caused by Neisseria meningitidis in HIV-positive men who have sex with men. Genetic characterization of the isolates showed that they are unusual strains not found in other more frequent meningococcal locations. This finding suggests an association between specific strains and anogenital tract colonization.
Media Description for the Internet Key Exchange Protocol (IKE) in the Session Description Protocol (SDP)

This document extends the protocol identifier of SDP so that it could negotiate the use of IKE for media session in SDP offer/answer model. And it also specifies the method to boot up IKE and generate IPsec SA using self-signed certificate under the mechanism of comedia-tls. This document extends RFC 4572. In addition, it defines a new attribute "udp-setup", which is similar to "setup" attribute defined in RFC 4145, to enable endpoints to negotiate their roles in the IKE session.
Clingcon: The next generation*

Abstract We present the third generation of the constraint answer set system clingcon, combining Answer Set Programming (ASP) with finite domain constraint processing (CP). While its predecessors rely on a black-box approach to hybrid solving by integrating the CP solver gecode, the new clingcon system pursues a lazy approach using dedicated constraint propagators to extend propagation in the underlying ASP solver clasp. No extension is needed for parsing and grounding clingcon's hybrid modeling language since both can be accommodated by the new generic theory handling capabilities of the ASP grounder gringo. As a whole, clingcon 3 is thus an extension of the ASP system clingo 5, which itself relies on the grounder gringo and the solver clasp. The new approach of clingcon offers a seamless integration of CP propagation into ASP solving that benefits from the whole spectrum of clasp's reasoning modes, including, for instance, multi-shot solving and advanced optimization techniques. This is accomplished by a lazy approach that unfolds the representation of constraints and adds it to that of the logic program only when needed. Although the unfolding is usually dictated by the constraint propagators during solving, it can already be partially (or even totally) done during preprocessing. Moreover, clingcon's constraint preprocessing and propagation incorporate several well-established CP techniques that greatly improve its performance. We demonstrate this via an extensive empirical evaluation contrasting, first, the various techniques in the context of CSP solving and, second, the new clingcon system with other hybrid ASP systems.