Miracle-dz/UniFAR-FTUs huggingface dataset:
Poor Consumer Comprehension and Plan Selection Inconsistencies Under the 2016 HealthCare.gov Choice Architecture

Background: Many health policy experts have endorsed insurance competition as a way to reduce the cost and improve the quality of medical care. In line with this approach, health insurance exchanges, such as HealthCare.gov, allow consumers to compare insurance plans online. Since the 2013 rollout of HealthCare.gov, administrators have added features intended to help consumers better understand and compare insurance plans. Although well-intentioned, changes to exchange websites affect the context in which consumers view plans, or choice architecture, which may impede their ability to choose plans that best fit their needs at the lowest cost. Methods: By simulating the 2016 HealthCare.gov enrollment experience in an online sample of 374 American adults, we examined comprehension and choice of HealthCare.gov plans under its choice architecture. Results: We found room for improvement in plan comprehension, with higher rates of misunderstanding among participants with poor math skills (P < 0.05). We observed substantial variations in plan choice when identical plan sets were displayed in different orders (P < 0.001). However, regardless of order in which they viewed the plans, participants cited the same factors as most important to their choices (P > 0.9). Limitations: Participants were drawn from a general population sample. The study does not assess for all possible plan choice influencers, such as provider networks, brand recognition, or help from others. Conclusions: Our findings suggest two areas of improvement for exchanges: first, the remaining gap in consumer plan comprehension and, second, the apparent influence of sorting order—and likely other choice architecture elements—on plan choice. Our findings inform strategies for exchange administrators to help consumers understand and select plans that better fit their needs.
An eHealth Program for Patients Undergoing a Total Hip Arthroplasty: Protocol for a Randomized Controlled Trial

Background Total hip arthroplasty is an effective surgical procedure commonly used worldwide for patients suffering the disabling effects of osteoarthritis when medical therapy is unsuccessful. Traditionally pre- and postoperative information for patients undergoing a hip arthroplasty has been provided by paper-based methods. Electronic health (eHealth) programs to support individualized patient education on preoperative preparation, in-patient care, and home rehabilitation have the potential to increase patient engagement, enhance patient recovery, and reduce potential postoperative complications. Objective The aim of this study is to compare the addition of an eHealth program versus standard care for pre- and postoperative education on patient outcomes for primary total hip arthroplasty. Methods One hundred patients undergoing a primary elective total hip arthroplasty will be recruited from a metropolitan hospital in Western Australia to participate in a 6-month parallel randomized control trial. Participants will be randomized to either the standard care group (n=50) and will be given the education booklet and enrolled to attend a 1-hour education session, or the intervention group (n=50), and will receive the same as the standard care plus access to an eHealth program titled “My Hip Journey. ” The eHealth program encourages the patient to log in daily, from 2 weeks prior to surgery to 30 days postsurgery. The information on the platform will be aligned with the patient's individual surgical journey and will include exercises to be completed each day for the duration of the program. The primary outcome measure is the Hip Dysfunction and Osteoarthritis Outcome Score, version LK 2.0. Secondary outcome measures include the EuroQoL EQ-5D-5L, a 5-level 5-dimension quality of life measure, and the Self-Efficacy for Managing Chronic Disease Scale. Data will be collected at pre-admission (presurgery) and at 6 weeks, 3 months, and 6 months postsurgery. A patient satisfaction survey will be completed 6 weeks postsurgery and Web-based analytics will be collected 6 months postsurgery. A cost-effectiveness analysis, using the intention-to-treat principle, will be conducted from the hospital’s perspective. Results Enrollment in the study commenced in January 2018 with recruitment due for completion towards the end of the year. The first results are expected to be submitted for publication in 2019. Conclusions The outcomes and cost of using an eHealth program to support a patient’s recovery from a hip arthroplasty will be compared with standard care in this study. If the eHealth program is found to be effective, further implementation across clinical practice could lead to improvement in patient outcomes and other surgical areas could be incorporated. Trial Registration Australian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12617001433392; https://www.anzctr. org.au/Trial/Registration/TrialReview.aspx? id=373657&isReview=true (Archived by WebCite at http://www.webcitation.org/6yzoTuggx). Registered Report Identifier RR1-10.2196/9654
Artemether-lumefantrine dosing for malaria treatment in young children and pregnant women: A pharmacokinetic-pharmacodynamic meta-analysis

Background The fixed dose combination of artemether-lumefantrine (AL) is the most widely used treatment for uncomplicated Plasmodium falciparum malaria. Relatively lower cure rates and lumefantrine levels have been reported in young children and in pregnant women during their second and third trimester. The aim of this study was to investigate the pharmacokinetic and pharmacodynamic properties of lumefantrine and the pharmacokinetic properties of its metabolite, desbutyl-lumefantrine, in order to inform optimal dosing regimens in all patient populations. Methods and findings A search in PubMed, Embase, ClinicalTrials.gov, Google Scholar, conference proceedings, and the WorldWide Antimalarial Resistance Network (WWARN) pharmacology database identified 31 relevant clinical studies published between 1 January 1990 and 31 December 2012, with 4,546 patients in whom lumefantrine concentrations were measured. Under the auspices of WWARN, relevant individual concentration-time data, clinical covariates, and outcome data from 4,122 patients were made available and pooled for the meta-analysis. The developed lumefantrine population pharmacokinetic model was used for dose optimisation through in silico simulations. Venous plasma lumefantrine concentrations 7 days after starting standard AL treatment were 24.2% and 13.4% lower in children weighing <15 kg and 15–25 kg, respectively, and 20.2% lower in pregnant women compared with non-pregnant adults. Lumefantrine exposure decreased with increasing pre-treatment parasitaemia, and the dose limitation on absorption of lumefantrine was substantial. Simulations using the lumefantrine pharmacokinetic model suggest that, in young children and pregnant women beyond the first trimester, lengthening the dose regimen (twice daily for 5 days) and, to a lesser extent, intensifying the frequency of dosing (3 times daily for 3 days) would be more efficacious than using higher individual doses in the current standard treatment regimen (twice daily for 3 days). The model was developed using venous plasma data from patients receiving intact tablets with fat, and evaluations of alternative dosing regimens were consequently only representative for venous plasma after administration of intact tablets with fat. The absence of artemether-dihydroartemisinin data limited the prediction of parasite killing rates and recrudescent infections. Thus, the suggested optimised dosing schedule was based on the pharmacokinetic endpoint of lumefantrine plasma exposure at day 7. Conclusions Our findings suggest that revised AL dosing regimens for young children and pregnant women would improve drug exposure but would require longer or more complex schedules. These dosing regimens should be evaluated in prospective clinical studies to determine whether they would improve cure rates, demonstrate adequate safety, and thereby prolong the useful therapeutic life of this valuable antimalarial treatment.
Using RT-qPCR, Proteomics, and Microscopy to Unravel the Spatio-Temporal Expression and Subcellular Localization of Hordoindolines Across Development in Barley Endosperm

Hordeum vulgare (barley) hordoindolines (HINs), HINa, HINb1, and HINb2, are orthologous proteins of wheat puroindolines (PINs) that are small, basic, cysteine-rich seed-specific proteins and responsible for grain hardness. Grain hardness is, next to its protein content, a major quality trait. In barley, HINb is most highly expressed in the mid-stage developed endosperm and is associated with both major endosperm texture and grain hardness. However, data required to understand the spatio-temporal dynamics of HIN transcripts and HIN protein regulation during grain filling processes are missing. Using reverse transcription quantitative PCR (RT-qPCR) and proteomics, we analyzed HIN transcript and HIN protein abundance from whole seeds (WSs) at four [6 days after pollination (dap), 10, 12, and ≥20 dap] as well as from aleurone, subaleurone, and starchy endosperm at two (12 and ≥20 dap) developmental stages. At the WS level, results from RT-qPCR, proteomics, and western blot showed a continuous increase of HIN transcript and HIN protein abundance across these four developmental stages. Miroscopic studies revealed HIN localization mainly at the vacuolar membrane in the aleurone, at protein bodies (PBs) in subaleurone and at the periphery of starch granules in the starchy endosperm. Laser microdissetion (LMD) proteomic analyses identified HINb2 as the most prominent HIN protein in starchy endosperm at ≥20 dap. Additionally, our quantification data revealed a poor correlation between transcript and protein levels of HINs in subaleurone during development. Here, we correlated data achieved by RT-qPCR, proteomics, and microscopy that reveal different expression and localization pattern of HINs in each layer during barley endosperm development. This indicates a contribution of each tissue to the regulation of HINs during grain filling. The effect of the high protein abundance of HINs in the starchy endosperm and their localization at the periphery of starch granules at late development stages at the cereal-based end-product quality is discussed. Understanding the spatio-temporal regulated HINs is essential to improve barley quality traits for high end-product quality, as hard texture of the barley grain is regulated by the ratio between HINb/HINa.
Efficient Compression and Encryption for Digital Data Transmission

We live in a digital era in which communication is largely based on the exchange of digital information on data networks. Communication is often pictured as a sender that transmits a digital file to a receiver. This file travels from a source to a destination and, to have a quick and immediate communication, we need an encoding strategy that should be efficient and easy yet secure. This communication could be based on a layout articulated in two operations that are heterogeneous and in some case conflicting but that are needed to be applied to the original file to have efficiency and security. These two operations are data compression and encryption. The aim of this work is to study the combination of compression and encryption techniques in digital documents. In this paper we will test the combinations of some of the state-of-the-art compression and cryptography techniques in various kinds of digital data.
Cytoskeleton in the Parasitic Plant Cuscuta During Germination and Prehaustorium Formation

Although cytoskeleton is a driving force for cell division and growth in higher plants, there is little evidence about its components in parasitic angiosperms. Microtubules and actin filaments in cells of shoot apical meristem and root-like structure of stem holoparasites European (C. europaea L.) and Eastern (C. monogyna Vahl.) dodders, as well as in prehaustorium, the specific organ adapted to parasitism, were visualized for the first time by immunolabeling and fluorescence microscopy. The significance of cytoskeletal elements during germination and prehaustorium formation was addressed by treatments with taxol, oryzalin, latrunculin B, cytochalasin B/D, jasplakinolide, and 2,3-butanedione monoxime. In shoot apical meristem many dividing cells were observed, in contrast to root-like structure, devoid of cell divisions. Cortical microtubules were oriented transversely and/or obliquely, while actin filaments were randomly distributed in cells of both organs. Furthermore, longitudinal cortical microtubules were present in digitate cells of prehaustorium, and transverse arrays were found in its file cells. Long and short random actin filaments were also observed in prehaustorium cells. Thus, it was shown that the cytoskeleton in dodder shoot cells is organized in a similar way to non-parasitic dicots, while cytoskeletal organization has some peculiarities in quickly senescing root-like structure and prehaustorium.
Tissue-specific DNA methylation loss during ageing and carcinogenesis is linked to chromosome structure, replication timing and cell division rates

Abstract DNA methylation is an epigenetic mechanism known to affect gene expression and aberrant DNA methylation patterns have been described in cancer. However, only a small fraction of differential methylation events target genes with a defined role in cancer, raising the question of how aberrant DNA methylation contributes to carcinogenesis. As recently a link has been suggested between methylation patterns arising in ageing and those arising in cancer, we asked which aberrations are unique to cancer and which are the product of normal ageing processes. We therefore compared the methylation patterns between ageing and cancer in multiple tissues. We observed that hypermethylation preferentially occurs in regulatory elements, while hypomethylation is associated with structural features of the chromatin. Specifically, we observed consistent hypomethylation of late-replicating, lamina-associated domains. The extent of hypomethylation was stronger in cancer, but in both ageing and cancer it was proportional to the replication timing of the region and the cell division rate of the tissue. Moreover, cancer patients who displayed more hypomethylation in late-replicating, lamina-associated domains had higher expression of cell division genes. These findings suggest that different cell division rates contribute to tissue- and cancer type-specific DNA methylation profiles.
CALSPEC: Wide Field Camera 3 Infrared Grism Spectrophotometry

The collections of spectral energy distributions (SEDs) in the Hubble Space Telescope (HST) CALSPEC database are augmented by 19 infrared (IR) SEDs from Wide Field Camera 3 (WFC3) IR grism spectra. Together, the two IR grisms, G102 and G141, cover the 0.8–1.7 μm range with resolutions of R = 200 and 150, respectively. These new WFC3 SEDs overlap existing CALSPEC Space Telescope Imaging Spectrograph (STIS) standard star flux distributions at 0.8–1 μm with agreement to ≲1%. Some CALSPEC standards already have near-IR camera and multi-object spectrogragh (NICMOS) SEDs; but in their overlap region at 0.8–1.7 μm, the WFC3 data have better wavelength accuracy, better spectral resolution, better repeatability, and, consequently, better flux distributions of ∼1% accuracy in our CALSPEC absolute flux SEDs versus ∼2% for NICMOS. With the improved SEDs in the WFC3 range, the modeled extrapolations to 32 μm for the James Webb Space Telescope flux standards begin to lose precision longward of the 1.7 μm WFC3 limit, instead of at the 1.0-μm-long wavelength limit for STIS. For example, the extrapolated IR flux longward of 1.7 μm for 1808347 increases by ∼1% for the model fit to the data with WFC3, instead of just to the STIS SED alone.
빅데이터와 딥러닝을 활용한 동물 감염병 확산 차단

조류인플루엔자와 구제역 같은 동물감염병은 거의 매년 발생하며 국가에 막대한 경제적 사회적 손실을 일으키고 있다. 이를 예방하기 위해서 그간 방역당국은 다양한 인적, 물적 노력을 기울였지만 감염병은 지속적으로 발생해 왔다. 최근 빅데이터와 딥러닝 기술을 활용하여 감염병의 예측모델을 개발하고자 하는 시도가 시작되고 있지만, 실제로 활용가능한 모델구축 연구와 사례보고는 활발히 진행되고 있지 않은 실정이다. KT와 과학기술정보통신부는 2014년부터 국가 R&D사업의 일환으로 축산관련 차량의 이동경로를 분석하여 예측하는 빅데이터 사업을 수행하고 있다. 동물감염병 예방을 위하여 연구진은 최초에는 차량이동 데이터를 활용한 회귀분석모델을 기반으로 한 예측모델을 개발하였다. 이후에는 기계학습을 활용하여 좀 더 정확한 예측 모델을 구성하였다. 특히, 2017년 예측모델에서는 시설물에 대한 확산 위험도를 추가하였고 모델링의 하이퍼 파라미터를 다양하게 고려하여 모델의 성능을 높였다. 정오분류표와 ROC 커브를 확인한 결과, 기계 학습 모델보다 2017년 구성된 모형이 우수함을 확인 할 수 있었다. 또한 2017에는 결과에 대한 설명을 추가하여 방역당국의 의사결정을 돕고 이해관계자를 설득할 수 있는 근거를 확보하였다. 본 연구는 빅데이터를 활용하여 동물감염병예방시스템을 구축한 사례연구로 모델주요변수값, 이에따른 실제예측성능결과, 그리고 상세하게 기술된 시스템구축 프로세스는 향후 감염병예방 영역의 지속적인 빅데이터활용 및 분석 모델 개발에 기여할 수 있을 것이다. 또한 본 연구에서 구축한 시스템을 통해 보다 사전적이고 효과적인 방역을 할 수 있을 것으로 기대한다.
Cultural specialization of visual cortex

Abstract A growing body of evidence suggests culture influences how individuals perceive the world around them. This study investigates whether these cultural differences extend to a simple object viewing task and visual cortex by examining voxel pattern representations with multi-voxel pattern analysis (MVPA). During functional magnetic resonance imaging scanning, 20 East Asian and 20 American participants viewed photos of everyday items, equated for familiarity and conceptual agreement across cultures. Whole brain searchlight mapping with non-parametric statistical evaluation tested whether these stimuli evoked multi-voxel patterns that were distinct between cultural groups. We found that participants’ cultural identities were successfully predicted from stimuli representations in visual cortex Brodmann areas 18 and 19. This result demonstrates culturally specialized visual cortex during a basic perceptual task ubiquitous to everyday life.
Effect of hand postures and object properties on forearm muscle activities using surface electromyography

Introduction. The objective of this study was to measure the effect of hand postures and object properties on nine forearm muscle activities and their contribution using surface electromyography. Methods. Ten male university students participated in the experiment. The objects used were cylindrical and rectangular, with lengths and weights of 2, 4, 6 and 8 cm and 400, 800, 1400 and 1800 g. The experimenter told the participant to pick up the object using a particular hand posture, lift the object to approximately shoulder height and maintain this posture for 3 s. Results. The hand posture, object size and object weight greatly influenced the muscle activities, but the object shape did not. Pinching with two or three fingers yielded the greatest muscle activities with the 8-cm, 1800-g object. The extensor pollicis longus and flexor pollicis longus muscles exhibited the highest submaximal voluntary contraction. Conclusion. This study provides basic information about the specific activities of the forearm muscles and the effects of the hand postures and object properties on those activities.
Estimating the uncertainty of calculated out‐of‐field organ dose from a commercial treatment planning system

Abstract Therapeutic radiation to cancer patients is accompanied by unintended radiation to organs outside the treatment field. It is known that the model‐based dose algorithm has limitation in calculating the out‐of‐field doses. This study evaluated the out‐of‐field dose calculated by the Varian Eclipse treatment planning system (v.11 with AAA algorithm) in realistic treatment plans with the goal of estimating the uncertainties of calculated organ doses. Photon beam phase‐space files for TrueBeam linear accelerator were provided by Varian. These were used as incident sources in EGSnrc Monte Carlo simulations of radiation transport through the downstream jaws and MLC. Dynamic movements of the MLC leaves were fully modeled based on treatment plans using IMRT or VMAT techniques. The Monte Carlo calculated out‐of‐field doses were then compared with those calculated by Eclipse. The dose comparisons were performed for different beam energies and treatment sites, including head‐and‐neck, lung, and pelvis. For 6 MV (FF/FFF), 10 MV (FF/FFF), and 15 MV (FF) beams, Eclipse underestimated out‐of‐field local doses by 30%–50% compared with Monte Carlo calculations when the local dose was <1% of prescribed dose. The accuracy of out‐of‐field dose calculations using Eclipse is improved when collimator jaws were set at the smallest possible aperture for MLC openings. The Eclipse system consistently underestimates out‐of‐field dose by a factor of 2 for all beam energies studied at the local dose level of less than 1% of prescribed dose. These findings are useful in providing information on the uncertainties of out‐of‐field organ doses calculated by Eclipse treatment planning system.
ISO-Standard Domain-Independent Dialogue Act Tagging for Conversational Agents

Dialogue Act (DA) tagging is crucial for spoken language understanding systems, as it provides a general representation of speakers’ intents, not bound to a particular dialogue system. Unfortunately, publicly available data sets with DA annotation are all based on different annotation schemes and thus incompatible with each other. Moreover, their schemes often do not cover all aspects necessary for open-domain human-machine interaction. In this paper, we propose a methodology to map several publicly available corpora to a subset of the ISO standard, in order to create a large task-independent training corpus for DA classification. We show the feasibility of using this corpus to train a domain-independent DA tagger testing it on out-of-domain conversational data, and argue the importance of training on multiple corpora to achieve robustness across different DA categories.
Phenylketonuria: Our Experience in Nine Years at a Tertiary-level Referral Institute

Introduction: Phenyl ketonuria is an inborn error of amino acid metabolism resulting in excessive phenyl alanine levels in blood resulting in a spectrum of neurological defects. Patients and Methods: We retrospectively went through the records of patients diagnosed as Phenyl ketonuria in the last nine years in our team and patients who’s data could be accessed were analyzed in detail. Details of laboratory tests, imaging clinical features, course were recorded. Observation: A total of 32 patients were identified in nine years of which data was available only for 15 patients. Age at diagnosis varied from 2.5 years to 7 years. 73% were males. Global developmental delay, Microcephaly. Seizures blond hair, spasticity, regression, Ocular Hypertelorism, low set ears, Seborrhea, Hypotonia, Family history of mental retardation and Consanguinity was common one patient showed a large hypo pigmented area in left arm with eczematous rash. Results of Lab Tests: Urine ferric chloride test and DNPH was positive in all cases. Tandem mass spectroscopy showed elevated phenyl alanine, normal tyrosine and elevated PHE tyrosine ratio in all cases. MRI showed symmetrical Flair hyperintensities in T2 weighted images in the parieto occipital region hypo on T1 with no diffusion restriction in 11 cases and MRS was normal. Genetic testing showed one non consanguineous family having carrier state. Follow up is from 1 year to 5 years. Seizures controlled in all. Regular fallow up shows change in hair color and gain of mile stones. There was no mortality. Conclusion: Phenyl ketonuria is a controllable metabolic disease. However there is considerable delay before diagnosis resulting in persistence of sequelae in children with PKU as well as normal children born to PKU mothers which needs attention to prevent these complications.