jimnoneill/paper-to-field-training huggingface dataset:
Abstract 235: Post-shock Asystole And Inappropriate Shocks In Patients Dying Out-of-hospital While Wearing A Defibrillator

Field: Medicine (Health Sciences)

Background: The LifeVest wearable defibrillator (LWD) is prescribed for patients who are at risk for sudden cardiac death. However, it does not provide backup pacing for post-shock asystole (PS-A) or post-shock bradyarrhythmia (PS-B;<50 bpm). We sought to determine if this limitation may have impacted outcomes in patients treated with the LWD who died out-of-hospital (OOH). Also, we assessed the incidence and clinical consequences of inappropriate shocks (IAS) in these patients. Methods: The U.S. Food and Drug Administration's Manufacturers and User Facility Device Experience (MAUDE) database was queried for the manufacturer's descriptions of events and stored ECG findings of patients who died OOH while wearing the LifeVest. Excluded were LWD patients who did not receive a LWD shock during the terminal event. Results: From January 2017-March 2022, 543 patients died OOH and received at least one LWD shock (avg 3.9±4.5SD; range 1-34). Of these, 120 (22.1%) had PS-A alone, 26 (4.8%) had PS-B alone, and 85 (15.5%) had both PS-A and PS-B. PS-A first occurred after shock #1 (n=127; 62.0%); shock #2 (n=29; 14.1%); shock #3 (n=18; 8.8%), and shocks #4 to #18 (n=31;15.1%). For the 205 (37.8%) patients who had PS-A with or without PS-B, the rhythms appropriately shocked were ventricular fibrillation (VF; n=121; 59.0%) and ventricular tachycardia (VT; n=63; 30.7%). Of the 184 patients whose initial rhythm was VF/VT, 118 (64.1%) died in asystole after the first and only shock, 40 (21.7%) died in asystole after the second (n=23) or third shock (n=17), and 26 (14.1%) died in asystole after the fourth to eighteenth shock. Twenty-one patients died when asystole occurred after they received IAS for atrial fibrillation (n= 3), supraventricular tachycardia (n= 4), and sinus (n=4) or idioventricular rhythm (n=10). Overall, 70.3% (382/543) of patients received one or more IAS (avg 2.7±2.8SD; range 1-26). Conclusion: Post-shock asystole and post-shock bradycardia are common in patients who die after receiving appropriate LWD shocks. Most patients received one or more IAS, and some were lethal. Whether back-up pacing and better rhythm and noise discrimination could improve outcomes warrants investigation.
How material objects becomeurban things?

Field: Social Sciences (Social Sciences)

The purpose of this paper is to outline the qualities that objects must have to be suitable for urban theory; that is, for enabling urban theorists to better understand urban practices as socio-material entanglements. In doing so, I stress the importance of normative visions of the city that call for the critical import of assemblage and new materialism into a field that is constitutively concerned with values and differences. Objects are characterised as material relational entities and a series of concrete examples offer cues regarding ‘urban’ objects, enabling us to better understand urban practices as socio-material entanglements. The main claim is that urban theorists need to distinguish among objects in order to maintain their normative grip over the real world. They must resist radical ontological flatness and distinguish between objects that are capable of raising broader political concerns and others that are not.
Probability and Sensitivity Analysis of Machine Foundation and Soil Interaction

Field: Engineering (Physical Sciences)

This paper deals with the possibility of the sensitivity and probabilistic analysis of the reliability of the machine foundation depending on variability of the soil stiffness, structure geometry and compressor operation. The requirements to design of the foundation under rotating machines increased due to development of calculation method and computer tools. During the structural design process, an engineer has to consider problems of the soil-foundation and foundation-machine interaction from the safety, reliability and durability of structure point of view. The advantages and disadvantages of the deterministic and probabilistic analysis of the machine foundation resistance are discussed. The sensitivity of the machine foundation to the uncertainties of the soil properties due to longtime rotating movement of machine is not negligible for design engineers. On the example of compressor foundation and turbine fy. SIEMENS AG the affectivity of the probabilistic design methodology was presented. The Latin Hypercube Sampling (LHS) simulation method for the analysis of the compressor foundation reliability was used on program ANSYS. The 200 simulations for five load cases were calculated in the real time on PC. The probabilistic analysis gives us more complex information about the soil-foundation-machine interaction as the deterministic analysis.
Late appearance of umbilical artery end‐diastolic flow in selective intrauterine growth restriction complicating monochorionic diamniotic twin pregnancy

Field: Medicine (Health Sciences)

We read with interest the recent article by Rustico et al.1 describing the natural history and neonatal outcome in 140 monochorionic diamniotic (MCDA) twin pregnancies complicated by selective intrauterine growth restriction (sIUGR) presenting before 26 weeks' gestation and defined as an estimated fetal weight in the smaller twin < 10th percentile or an intertwin weight difference ≥ 25%, in the absence of twin-to-twin transfusion syndrome (TTTS) and twin anemia–polycythemia sequence (TAPS). Of these, 47 sIUGR fetuses presented with absent end-diastolic flow (AEDF) in the umbilical artery (UA): 18/47 remained stable and 24/47 showed progressive deterioration of the fetal condition with subsequent appearance of persistent reversed end-diastolic flow in the UA. There was no case of sIUGR with UA-AEDF which showed improvement of the fetal condition with persistent appearance of positive end-diastolic flow later in gestation. We reviewed retrospectively all cases of sIUGR in MCDA pregnancies referred to our center from September 2011 to July 2016. sIUGR was defined as an abdominal circumference < 10th percentile in one twin between 16 and 26 weeks, with an abdominal circumference > 10th percentile in the cotwin, in the absence of TTTS or TAPS. Among 53 pregnancies, we found three (5.7%; 95% CI, 1.2–15.7%) cases of sIUGR in which UA flow improved from AEDF at presentation to a pattern showing persistently positive UA end-diastolic flow (Table 1). None of the cases showed an abnormal ductus venosus (DV) flow pattern at any stage during gestation. Our observations suggest that, although rare, improvement in the pattern of UA diastolic flow can occur in MCDA pregnancies complicated by sIUGR. This seems to apply to cases in which AEDF is diagnosed early in gestation (16–18 weeks) in fetuses without DV flow abnormalities. Spontaneous improvement of AEDF has been described between the first and the second trimesters in singleton pregnancy, and is likely to reflect the physiological decrease in UA resistance2; a similar mechanism may explain spontaneous disappearance of AEDF in monochorionic twins. In two of our three cases there was a modest intertwin difference in birth weight, despite the early identification of sIUGR. Since invasive treatment with umbilical cord coagulation or endoscopic placental laser coagulation may be considered in sIUGR cases with AEDF1, 3-5, our findings suggest that aggressive intervention should be offered with caution or postponed in cases of sIUGR without reversed UA flow or DV abnormalities at gestational ages before 20 weeks. A. Tangi, B. Negri, A. Fichera, N. Fratelli and F. Prefumo* Department of Obstetrics and Gynaecology, University of Brescia, Piazzale Spedali Civili, 1, 25123 Brescia, Italy *Correspondence. (e-mail: federico.prefumo@gmail.com)
Clinical competency evaluation of Brazilian chiropractic interns

Field: Health Professions (Health Sciences)

Objective This study compares the results of an objective structured clinical examination (OSCE) between 2 groups of students before an internship and after 6 months of clinical practice in an internship. Methods Seventy-two students participated, with 36 students in each cohort. The OSCEs were performed in the simulation laboratory before the participants' clinical practice internship and after 6 months of the internship. Students were tested in 9 stations for clinical skills and knowledge. The same procedures were repeated for both cohorts. The t test was used for unpaired parametric samples and Fisher's exact test was used for comparison of proportions. Results There was no difference in the mean final score between the 2 groups (p = .34 for test 1; p = .08 for test 2). The performance of the students in group 1 was not significantly different when performed before and after 6 months of clinical practice, but in group 2 there was a significant decrease in the average score after 6 months of clinical practice. Conclusions There was no difference in the cumulative average score for the 2 groups before and after 6 months of clinical practice in the internship. There were differences within the cohorts, however, with a significant decrease in the average score in group 2. Issues pertaining to test standardization and student motivation for test 2 may have influenced the scores.
Oligothienyl-BODIPYs: Red and Near-Infrared Emitters

Field: Chemistry (Physical Sciences)

The synthesis of unsymmetrical 3,5-dioligothienyl-BODIPY derivatives and their optical and redox properties are reported. The key step is the monobromination of the 2,6-dimethyl-3,5-dithienyl-BODIPY at the α position of the thiophene moiety. The additional thiophene modules are attached by palladium-catalyzed cross-coupling reactions. Increasing the number of modules on each side of the BODIPY core progressively shifts the absorption to 677 nm and the emission to 769 nm.
Karyotype analysis and physical mapping using two rRNA genes in dioecidous plant, Humulus japonicus sieboid &amp; zucc.

Field: Agricultural and Biological Sciences (Life Sciences)

Using meiosis and mitosis chromosomes, we have karyotyped and physically mapped of Humulus japonicus. The somatic metaphase chromosome numbers were 2n = 2× = 14 + XX in female, 2n = 2× = 14 + XY1Y2 in male and 2n = 3× = 21 + XXX in triploid. The 5S and 45S rDNA genes were physically mapped on the metaphase chromosomes using fluorescence in situ hybridization (FISH). One pair of 5S rDNA gene was detected on the short arm of chromosome 4 and two pairs of 45S rDNA gene were observed on the terminal regions of the short arms of chromosome 5 and 7 in both female and male plants. In addition, three pairs of two rDNAs were detected on the chromosome 4, 5 and 7 of triploid. At meiosis, a trivalent chromosome figure was clearly seen, of which Y1 and Y2 could be distinguished from X by their premature condensation and three chromosomes, Y1-X-Y2, the forms associated by terminal chiasmata.
Process performance management

Field: Business, Management and Accounting (Social Sciences)

Business processes are the means by which organizations create value. Consequently, organizations need to continuously monitor and control their processes' performance so as to provide a consistent and predictable execution quality. A number of today's organizations, however, appear to encounter difficulties with measuring and improving their processes' performance. In this paper, we set out to identify the gap between how organizations currently approach process performance management (PPM) and what they are striving to realize in the future. The systematic gap analysis results in a set of design factors that are valuable in guiding future design efforts for useful and relevant PPM solutions.
Cell-morphodynamic phenotype classification with application to cancer metastasis using cell magnetorotation and machine-learning.

Field: Computer Science (Physical Sciences)

We define cell morphodynamics as the cell's time dependent morphology. It could be called the cell's shape shifting ability. To measure it we use a biomarker free, dynamic histology method, which is based on multiplexed Cell Magneto-Rotation and Machine Learning. We note that standard studies looking at cells immobilized on microscope slides cannot reveal their shape shifting, no more than pinned butterfly collections can reveal their flight patterns. Using cell magnetorotation, with the aid of cell embedded magnetic nanoparticles, our method allows each cell to move freely in 3 dimensions, with a rapid following of cell deformations in all 3-dimensions, so as to identify and classify a cell by its dynamic morphology. Using object recognition and machine learning algorithms, we continuously measure the real-time shape dynamics of each cell, where from we successfully resolve the inherent broad heterogeneity of the morphological phenotypes found in a given cancer cell population. In three illustrative experiments we have achieved clustering, differentiation, and identification of cells from (A) two distinct cell lines, (B) cells having gone through the epithelial-to-mesenchymal transition, and (C) cells differing only by their motility. This microfluidic method may enable a fast screening and identification of invasive cells, e.g., metastatic cancer cells, even in the absence of biomarkers, thus providing a rapid diagnostics and assessment protocol for effective personalized cancer therapy.
Ground State Phases of the Doped 4-Leg t-J Ladder

Field: Physics and Astronomy (Physical Sciences)

Using density matrix renormalization group techniques, we have studied the ground state of the 4-leg t-J ladder doped near half-filling. Depending upon J/t and the hole doping x, three types of ground state phases are found: (1) a phase containing d_{x^2-y^2} pairs; (2) a striped CDW domain-wall phase, and (3) a phase separated regime. A CDW domain-wall consists of fluctuating hole pairs and this phase has significant d_{x^2-y^2} pair field correlations.
Primary Cosmic Ray Energy Spectrum Above the ‘‘Knee’’ Measured with PRISMA-32 Array

Field: Physics and Astronomy (Physical Sciences)

PRISMA-32 (PRImary Spectrum Measurement Array) is working since 2012 in the Scientific & Educational Center NEVOD (NRNU ‘‘MEPhI’’, Moscow). Array area is $${\sim}500$$ m $${}^{2}$$ . PRISMA-32 consists of 32 specially developed electron–neutron detectors capable to measure simultaneously electronic and hadronic components of the extensive air showers with energies above $$10^{14}$$ eV. This feature is very important because hadronic component is a ‘‘skeleton’’ of the shower, and one can use measurements of hadron number along with simulations to recalculate primary energy spectrum independently or/and together with commonly used EAS size. Detailed Monte-Carlo simulation with CORSIKA and GEANT4 was performed and dependence of hadronic number on primary energy was obtained. Experimental data were processed and analyzed. Primary energy spectrum was recalculated from neutron number spectrum and it is in agreement with some other experiments at energies above $$10^{16}$$ eV. The results of the analysis are presented.
New perspectives on ancient marine reptiles

Field: Earth and Planetary Sciences (Physical Sciences)

Amniotes first invaded saline lagoons and coastal seaways towards the end of the Palaeozoic (Early Permian, ~ 280 Ma: Piñeiro et al . 2012), but by the dawn of the Mesozoic (Early–Middle Triassic, ~ 250–235 Ma: Rieppel, 2002; McGowan & Motani, 2003) they had achieved a diversity of specialized body-forms requisite for an obligate oceanic lifestyle. Such an explosive ecomorphological radiation paved the way for amniote dominance of large-bodied aquatic carnivore/omnivore niches over the next 185 Ma, with some lineages (e.g. dyrosaurid crocodylomorphs and bothremydid turtles: Gaffney, Tong & Meylan, 2006; Barbosa, Kellner & Sales Viana, 2008) even persisting on into the Palaeogene (until ~ 50 Ma), and diversifying (i.e. chelonioid sea turtles: Hirayama, 1997) alongside emergent marine mammals through the Neogene (from ~ 23 Ma) and up until today.
Regional Cooperation in the South Caucasus: The Azerbaijan Perspective

Field: Social Sciences (Social Sciences)

This paper analyses the evolution of Azerbaijan&apos;s position on regional cooperation since its independence. It argues that unresolved conflict regarding Nagorno Karabagh has been constantly defining Azerbaijan&apos;s view on regional cooperation. Facing the necessity to resolve its major security issue, while at the same time sustain its independence and build strategic alliances, Azerbaijan developed a multilayered foreign policy. Rich with natural resources, Azerbaijan has skillfully used this asset to become a key actor in shaping regional cooperation, creating alliances with the states with similar foreign policy orientations and security concerns. This cooperation was strongly securitized. As there was little progress in terms of resolution of the conflict, Azerbaijan remained devoted to the alliances and strategic direction of its integration. However, the substance of this cooperation was changing depending on security in the region, the political backgrounds of leaders and economic growth caused by the inflow of oil revenues, affecting the degree and nature of participation in regional organizations and energy policy. Geopolitical changes, which started to be observed after the Russia-Georgia war, such as Turkish-Armenia rapprochement, will have little effect on the nature of regional cooperation, if and while the major conflict preventing the states from comprehensive economic cooperation is separated from the process of reconciliation.
Effect of Pilates method and conversation circles on the health of older adults

Field: Health Professions (Health Sciences)

Abstract Introduction: Health education practices associated with oriented exercises have potential beneficial effect on health promotion and prevention of chronic diseases. Objective: This study aimed to verify the effect of an intervention protocol using Pilates and conversation circles on the functional autonomy and quality of life of older adults in the context of the primary health care of Taió, SC, Brazil. Methods: This study applied a single case experimental design (ABAB), with 24 participants aged 60 years or older who changed phases with and without interventions performed with Pilates sessions and conversation circles. At the end of each phase, anamnesis interview applied with the WHOQOL-OLD inventory and the GDLAM protocol were individually performed. Results: Interventions were associated with increased functional parameters and quality of life as well as to reduced body mass index. Participants also reported improvement in emotional conditions, body harmony and global mobility. Conclusion: The Pilates Method assured increased functionality of the volunteers, and further studies should be carried out to evaluate the subjective indicators.
Impacting future faculty diversity: The development of a model to recruit and retain a diverse doctoral student population at the University of Delaware

Field: Social Sciences (Social Sciences)

Despite overall progress for minorities in graduate education over two decades, there is cause for considerable concern. American minority African Americans, Hispanic Americans and Native Americans are still under represented in doctoral education relative to their numbers in the population. It is within this context that the administration of the University of Delaware (UD), has decided it is time to reevaluate and reassess its minority recruitment strategy for graduate students. I utilized five research methods: (1) A review of relevant works from the literature. (2) Interviews with current and past executive level administrators at the University of Delaware. (3) Interviews with university administrators responsible for minority recruitment and retention efforts at the Pennsylvania State University, Temple University and Rutgers University. (4) Interviews with the faculty coordinators for minority recruitment at the University of Delaware. (5) Interviews with faculty, and students who are involved with recruitment and retention efforts in three departments at the University of Delaware. The data were analyzed from the relevant literature, the external institutions, and the University of Delaware. The analysis was conducted by identifying minority recruitment and retention themes and commonalities. Seven recommendations have been outlined for the University of Delaware. These recommendations are: (1) develop a written statement about the university's commitment to diversity; (2) keep responsibility for recruitment of minority students with the departments; (3) provide departments with administrative support and consultation services; (4) increase the numbers of minority faculty employed at UD; (5) develop a course on the significance of diversity in higher education; (6) continue the university Presidential Fellowship and annually review the policies; (7) generate reports to monitor the recruitment and retention of minority students.
Tunneling spectroscopy by matching energy levels in the spin-rotating frame

Field: Physics and Astronomy (Physical Sciences)

Tunneling spectra of strongly hindered ${\mathrm{CH}}_{3}$ in methylmalonic acid, dimethyl sulfide, propionic acid, and hexane are reported. The Zeeman-tunneling level-matching resonances are detected at ${\ensuremath{\omega}}_{Z}=n{\ensuremath{\omega}}_{T},$ $n=\frac{1}{4},$ $\frac{1}{3},$ $\frac{1}{2},$ $\frac{2}{3},$ 1, and 2 when the level matching is maintained for 10 ms in the 54.7\ifmmode^\circ\else\textdegree\fi{} tilted proton spin-rotating frame. A ground-state manifold of two noninteracting but equivalent methyl groups accounts for these spectra. All the transitions, which bring about the population equalization whenever a matching resonance occurs, are driven by time-independent dipole-dipole interactions. The resonance peaks at ${\ensuremath{\omega}}_{Z}=\frac{2}{3}{\ensuremath{\omega}}_{T}$ and ${\ensuremath{\omega}}_{Z}=2{\ensuremath{\omega}}_{T},$ which are observed in a tilted rotating frame only, indicate that pairs of methyl groups undergo a symmetry conversion simultaneously. The calculated magnetization changes, which are the consequence of population equilibration, reproduce the observed resonance peaks intensities well.
Argentina Peanut Scientific Investigation Report

Field: Agricultural and Biological Sciences (Life Sciences)

Situated in the southeast of South America, Argentina produces 380kt peanut in an area of 240kha annually, taking the No.3 place in world peanut exporting market with yearly export of about 250kt peanut products. Argentina peanut is mainly distributed in Cordoba province, where the crop covers 97.3% of total national peanut area. Argentina grows 1～3 runner varieties with an O/L ratio of 1.4～1.5, sown by machine in the early November and harvested in the early March of coming year by machine also. Livestock manure and crushed crop remains are scattered in peanut field as fertilizer, and virtually no pesticide is sprayed, it is typical organic and healthy agricultural production system. In Argentina, peanut corporations have industrialized and streamlined the peanut production, processing and marketing through combining with farmers, peanut processing and exporting sectors, making their peanut products more competitive in the global market.
Reinforcement Learning Approach to Estimation in Linear Systems

Field: Computer Science (Physical Sciences)

This paper addresses two important estimation problems for linear systems, namely system identification and model-free state estimation. Our focus is on ARMAX models with unknown parameters. We first provide a reinforcement learning algorithm for system identification with guaranteed consistency. This algorithm is then used to provide a novel solution to model-free state estimation. These results are then applied to solving the model-free LQG control problem in the reinforcement learning setting.