julilili42/papers huggingface dataset:
Data Completeness and Concordance in the FeverApp Registry: Comparative Study
2022-11-02

Background The FeverApp registry uses ecological momentary assessment (EMA) to collect parental data on pediatric fever for scientific research. The mobile app FeverApp educates parents on safe fever management and serves as a fever diary. Objective The focus of this study was to evaluate the completeness and concordance of the EMA-based FeverApp registry with regard to its data quality from a multilevel perspective. Methods Structured descriptions of fever episodes by health care professionals from an office were used as reference. The number of children, their sociodemographic data, and agreement of fever episodes, with maximum temperature, intake of antipyretics and antibiotics, and physician visits, were compared with the entries in the corresponding physician’s reference records. The data quality indicators for completeness, meaning the extent to which the necessary data for the registry has actually been submitted, and concordance, which is the correspondence of the value of a data element with a reference source, were chosen to analyze whether EMA may be a suitable method for this kind of registry. Results In both data sources, 1012 children were available for comparison over 16 months. The completeness of gender (1012/1012, 100%) and date of birth (1004/1012, 99.2%) information was high, and the mismatches were 0.69% (7/1012) and 1.19% (12/1012), respectively, between the sources. Of these 1012 children, 668 (66%) registered fever episodes in FeverApp. They relate to 534 families with 953 fever episodes in the reference records and 1452 episodes in the FeverApp registry. Of the 534 families, 183 (34.3%) refrained from visiting the office during fever episodes but nevertheless documented them in FeverApp. Largest part (766/1452, 52.75%) episodes were recorded exclusively in the FeverApp registry by 371 (371/534, 69.5%) families. The remaining 686 (47.2%) episodes of 391 (58.5%) children from 351 (65.7%) families were comparable with the reference data source in terms of physician visits, medication, and temperature. The completeness ranged, depending on the kind of variable, from 11.5% to 65% in the registry and from 7.6% to 42.6% in the office. The 953 fever episodes reported by the reference office consisted of 681 (71.5%) acute and 272 (28.5%) past episodes. In FeverApp, most past (262/272, 96.3%) but less acute (424/681, 62.3%) episodes have been entered. The concordance rates were varied: 90.2% for antibiotic use, 66.6% for antipyretic use, 61.7% for physician visits, and 16% for the highest temperature during the fever episode. Conclusions Both sources delivered only partial data, and the rates of completeness and concordance depended on the kind of variable. However, the FeverApp registry showed higher documentation and precision rates than professional records for all considered variables. Therefore, EMA may play a unique supplement for research in ambulatory care. FeverApp could support pediatric offices, especially during the pandemic.
Resilience in Lower Grade Glioma Patients
2022-11-02

Current data show that resilience is an important factor in cancer patients’ well-being. We aim to explore the resilience of patients with lower grade glioma (LGG) and the potentially influencing factors. We performed a cross-sectional assessment of adult patients with LGG who were enrolled in the LoG-Glio registry. By phone interview, we administered the following measures: Resilience Scale (RS-13), distress thermometer, Montreal Cognitive Assessment Test for visually impaired patients (MoCA-Blind), internalized stigmatization by brain tumor (ISBI), Eastern Cooperative Oncological Group performance status (ECOG), patients’ perspective questionnaire (PPQ) and typical clinical parameters. We calculated correlations and multivariate regression models. Of 74 patients who were assessed, 38% of those showed a low level of resilience. Our results revealed significant correlations of resilience with distress (p &lt; 0.001, −0.49), MOCA (p = 0.003, 0.342), ECOG (p &lt; 0.001, −0.602), stigmatization (p &lt; 0.001, −0.558), pain (p &lt; 0.001, −0.524), and occupation (p = 0.007, 0.329). In multivariate analyses, resilience was negatively associated with elevated ECOG (p = 0.020, β = −0.383) and stigmatization levels (p = 0.008, β = −0.350). Occupation showed a tendency towards a significant association with resilience (p = 0.088, β = −0.254). Overall, low resilience affected more than one third of our cohort. Low functional status is a specific risk factor for low resilience. The relevant influence of stigmatization on resilience is a novel finding for patients suffering from a glioma and should be routinely identified and targeted in clinical routine.
Early MOnitoring of REsponse (MORE) to Golimumab Therapy: Results of a Multicentre, Prospective Observational Trial
2022-11-02

Background: The therapeutic goal of clinical remission in patients with moderate to severe ulcerative colitis (UC) is achieved after biological therapy only in 16–39%. Individualization of therapeutic intervention would benefit from prediction of early response. Study Objective: The primary objective of our study was to assess golimumab (GLM) trough serum level of ≥2.5 μg/mL in combination with a reduction of faecal calprotectin (FC) of ≥50% at week 6 compared to baseline to predict clinical response at week 26 after regular GLM intake. Methods: Patients with moderate to severe active UC and planned GLM treatment were recruited for a prospective, multicentre, observational study in Germany. Prediction of clinical response was assessed by FC and GLM trough level. Missing data were imputed as therapy failure according to the last observation carried forward method. Results: Fifty nine patients have been enrolled. 54% of patients were anti-TNF naïve. Clinical response at week 6 was a significant predictor for achieving clinical response at week 26 (odds ratio [OR] 10.97, confidence interval [CI], 2.96–40.68; p &lt; 0.001). Moreover, patients with a GLM trough level of ≥2.5 μg/mL and a ≥50% reduction of FC at week 6 had an OR of 5.33 (95% CI, 0.59–47.84) to achieve clinical response at week 26. Conclusion: Clinical response at week 6 is the best predictive marker for achieving clinical response at week 26. Consideration of significant reduction of FC and trough GLM serum levels could improve prediction of response.
Divided Berlin and Divided Germany in Young Adult Literature: Crossing Borders from the East to the West and Vice Versa
2022-11-02

In postwar Germany, inner-German borders were much disputed. While Germans widely deplored the division of their country and capital city, strong political forces in the East and the West struggled for their spheres of influence. Hence, moving from the East to the West or from the West to the East is the subject of many narratives. Typically, a conflict arises between personal motives (to visit relatives, to live with a beloved partner) and ideological persuasions (the belief in socialism or liberal democracy). This article discusses six young adult novels published in East and West Germany in the period from 1958 to 2004 by focusing on economic and ideological attractions as well as the depiction of the German division as a political and social disaster.
Polarized x-rays constrain the disk-jet geometry in the black hole x-ray binary Cygnus X-1
2022-11-03

A black hole x-ray binary (XRB) system forms when gas is stripped from a normal star and accretes onto a black hole, which heats the gas sufficiently to emit x-rays. We report a polarimetric observation of the XRB Cygnus X-1 using the Imaging X-ray Polarimetry Explorer. The electric field position angle aligns with the outflowing jet, indicating that the jet is launched from the inner x-ray–emitting region. The polarization degree is 4.01 ± 0.20% at 2 to 8 kiloelectronvolts, implying that the accretion disk is viewed closer to edge-on than the binary orbit. These observations reveal that hot x-ray–emitting plasma is spatially extended in a plane perpendicular to, not parallel to, the jet axis.
Exome-wide association study to identify rare variants influencing COVID-19 outcomes: Results from the Host Genetics Initiative
2022-11-03

Host genetics is a key determinant of COVID-19 outcomes. Previously, the COVID-19 Host Genetics Initiative genome-wide association study used common variants to identify multiple loci associated with COVID-19 outcomes. However, variants with the largest impact on COVID-19 outcomes are expected to be rare in the population. Hence, studying rare variants may provide additional insights into disease susceptibility and pathogenesis, thereby informing therapeutics development. Here, we combined whole-exome and whole-genome sequencing from 21 cohorts across 12 countries and performed rare variant exome-wide burden analyses for COVID-19 outcomes. In an analysis of 5,085 severe disease cases and 571,737 controls, we observed that carrying a rare deleterious variant in the SARS-CoV-2 sensor toll-like receptor TLR7 (on chromosome X) was associated with a 5.3-fold increase in severe disease (95% CI: 2.75–10.05, p = 5.41x10 -7 ). This association was consistent across sexes. These results further support TLR7 as a genetic determinant of severe disease and suggest that larger studies on rare variants influencing COVID-19 outcomes could provide additional insights.
Polarized x-rays from a magnetar
2022-11-03

Magnetars are neutron stars with ultrastrong magnetic fields, which can be observed in x-rays. Polarization measurements could provide information on their magnetic fields and surface properties. We observed polarized x-rays from the magnetar 4U 0142+61 using the Imaging X-ray Polarimetry Explorer and found a linear polarization degree of 13.5 ± 0.8% averaged over the 2– to 8–kilo–electron volt band. The polarization changes with energy: The degree is 15.0 ± 1.0% at 2 to 4 kilo–electron volts, drops below the instrumental sensitivity ~4 to 5 kilo–electron volts, and rises to 35.2 ± 7.1% at 5.5 to 8 kilo–electron volts. The polarization angle also changes by 90° at ~4 to 5 kilo–electron volts. These results are consistent with a model in which thermal radiation from the magnetar surface is reprocessed by scattering off charged particles in the magnetosphere.
In-depth characterisation of a cohort of individuals with missense and loss-of-function variants disrupting FOXP2
2022-11-03

Background Heterozygous disruptions of FOXP2 were the first identified molecular cause for severe speech disorder: childhood apraxia of speech (CAS), and yet few cases have been reported, limiting knowledge of the condition. Methods Here we phenotyped 28 individuals from 17 families with pathogenic FOXP2 -only variants (12 loss-of-function, five missense variants; 14 males; aged 2 to 62 years). Health and development (cognitive, motor, social domains) were examined, including speech and language outcomes with the first cross-linguistic analysis of English and German. Results Speech disorders were prevalent (23/25, 92%) and CAS was most common (22/25, 88%), with similar speech presentations across English and German. Speech was still impaired in adulthood, and some speech sounds (eg, ‘th’, ‘r’, ‘ch’, ‘j’) were never acquired. Language impairments (21/25, 84%) ranged from mild to severe. Comorbidities included feeding difficulties in infancy (10/26, 38%), fine (13/26, 50%) and gross (13/26, 50%) motor impairment, anxiety (5/27, 19%), depression (6/27, 22%) and sleep disturbance (10/24, 42%). Physical features were common (22/27, 81%) but with no consistent pattern. Cognition ranged from average to mildly impaired and was incongruent with language ability; for example, seven participants with severe language disorder had average non-verbal cognition. Conclusions Although we identify an increased prevalence of conditions like anxiety, depression and sleep disturbance, we confirm that the consequences of FOXP2 dysfunction remain relatively specific to speech disorder, as compared with other recently identified monogenic conditions associated with CAS. Thus, our findings reinforce that FOXP2 provides a valuable entry point for examining the neurobiological bases of speech disorder.
Automated Artificial Intelligence-Based Assessment of Lower Limb Alignment Validated on Weight-Bearing Pre- and Postoperative Full-Leg Radiographs
2022-11-03

The assessment of the knee alignment using standing weight-bearing full-leg radiographs (FLR) is a standardized method. Determining the load-bearing axis of the leg requires time-consuming manual measurements. The aim of this study is to develop and validate a novel algorithm based on artificial intelligence (AI) for the automated assessment of lower limb alignment. In the first stage, a customized mask-RCNN model was trained to automatically detect and segment anatomical structures and implants in FLR. In the second stage, four region-specific neural network models (adaptations of UNet) were trained to automatically place anatomical landmarks. In the final stage, this information was used to automatically determine five key lower limb alignment angles. For the validation dataset, weight-bearing, antero-posterior FLR were captured preoperatively and 3 months postoperatively. Preoperative images were measured by the operating orthopedic surgeon and an independent physician. Postoperative images were measured by the second rater only. The final validation dataset consisted of 95 preoperative and 105 postoperative FLR. The detection rate for the different angles ranged between 92.4% and 98.9%. Human vs. human inter-(ICCs: 0.85–0.99) and intra-rater (ICCs: 0.95–1.0) reliability analysis achieved significant agreement. The ICC-values of human vs. AI inter-rater reliability analysis ranged between 0.8 and 1.0 preoperatively and between 0.83 and 0.99 postoperatively (all p &lt; 0.001). An independent and external validation of the proposed algorithm on pre- and postoperative FLR, with excellent reliability for human measurements, could be demonstrated. Hence, the algorithm might allow for the objective and time saving analysis of large datasets and support physicians in daily routine.
Salient syllabi: Examining design characteristics of science online courses in higher education
2022-11-03

The importance of online learning in higher education settings is growing, not only in wake of the Covid-19 pandemic. Therefore, metrics to evaluate and increase the quality of online instruction are crucial for improving student learning. Whereas instructional quality is traditionally evaluated with course observations or student evaluations, course syllabi offer a novel approach to predict course quality even prior to the first day of classes. This study develops an online course design characteristics rubric for science course syllabi. Utilizing content analysis, inductive coding, and deductive coding, we established four broad high-quality course design categories: course organization, course objectives and alignment, interpersonal interactions, and technology. Additionally, this study exploratively applied the rubric on 11 online course syllabi (N = 635 students) and found that these design categories explained variation in student performance.
Toward Bright Colloidal Near-Infrared Emitters: Surface Passivation of 2D PbSe Nanoplatelets by Metal Halides
2022-11-03

Colloidal 2D PbSe nanoplatelets (NPLs) are promising near- and short wave-infrared emitters for optoelectronic applications at telecommunication wavelengths. However, their photoluminescence quantum yield (PLQY) is limited by the ubiquitous presence of surface-related trap states. Here, we apply a treatment of colloidal PbSe NPLs with different metal halides (MX2, M = Zn, Cd, Pb; X = F, Cl, Br, I) to improve their emission brightness. A surface passivation of the NPLs by PbI2 leads to the best results with a strongly increased PLQY (27% for PbSe NPLs emitting at 0.98 eV (1265 nm) and up to 61% for PbSe NPLs emitting at 1.25 eV (989 nm)). Simultaneously, the full width at half-maximum of the NPL photoluminescence decreased by 10% after the treatment. X-ray photoelectron spectroscopy and complementary surface treatment of PbSe NPLs with organic halides reveal the combined passivating role of both X-type binding halides X– and Z-type binding metal halides MX2 in enhancing the optical properties of the PbSe NPLs. Our results emphasize the potential of 2D PbSe NPLs for efficient emission tailored for the application in fiber optics.
Nitrogen uptake and utilization of two maize hybrids with contrasting nitrogen use efficiencies depending on fertilization amount
2022-11-03

Splitting nitrogen (N) application is beneficial for achieving higher grain yields and N use efficiency (NUE), but the responses of N utilization efficiency of different maize cultivars to top-dressing N fertilizer rates are still unclear. This study investigated the effects of fertilization managements on N uptake and utilization derived from topdressing fertilizers of maize hybrids (Ludan981 and Denghai605) with contrasting NUEs. The N fate derived from topdressing fertilizer was determined using the 15N tracing method. Grain yields, dry matter and N accumulation of both maize hybrids were significantly increased under low N levels but decreased under high N levels. Under N-deficient and excess conditions, Denghai605 had higher NUE than Ludan981. The N rates of topdressing significantly affected N uptake and utilization, but no difference was detected between two maize hybrids, and excessive N use led to higher rates of N loss and residual in soil. The N metabolism enzyme activities did not differ between the two maize hybrids. Our findings suggest optimized N management strategies by adjusting topdressing N application rate and timing are necessary to increase NUE and to minimize environmental costs in maize cropping system.
Serum Neurofilament Light Chain and Glial Fibrillary Acidic Protein as Biomarkers in Primary Progressive Multiple Sclerosis and Hereditary Spastic Paraplegia Type 4
2022-11-03

In patients with slowly progressive spastic paraparesis, the differential diagnosis of primary progressive multiple sclerosis (PPMS) and hereditary spastic paraplegia (HSP) can be challenging. Serum neurofilament light chain (sNfL) and glial fibrillary acidic protein (sGFAP) are promising fluid biomarkers to support the diagnostic workup. Serum NfL is a marker of neuroaxonal decay sensitive to temporal changes, while elevated sGFAP levels may reflect astrocytal involvement in PPMS. We assessed sNfL and sGFAP levels in 25 patients with PPMS, 25 patients with SPG4 (the most common type of HSP) and 60 controls, using the highly sensitive single-molecule array (Simoa) platform. Patients were matched in age, sex, age at onset, disease duration and disease severity. Serum NfL levels were significantly increased in PPMS compared to SPG4 (p = 0.041, partial η2 = 0.088), and there was a trend toward relatively higher sGFAP levels in PPMS (p = 0.097). However, due to overlapping biomarker values in both groups, we did not find sNfL and sGFAP to be useful as differential biomarkers in our cohort. The temporal dynamics indicate sNfL and sGFAP levels are most markedly elevated in PPMS in earlier disease stages, supporting their investigation in this group most in need of a diagnostic biomarker.
Beta band rhythms influence reaction times
2022-11-03

Abstract Despite their involvement in many cognitive functions, beta oscillations are among the least understood brain rhythms. Reports on whether the functional role of beta is primarily inhibitory or excitatory have been contradictory. Our framework attempts to reconcile these findings and proposes that several beta rhythms co-exist at different frequencies. Beta frequency shifts and their potential influence on behavior have thus far received little attention. In this magnetoencephalography experiment, we asked whether changes in beta power or frequency in auditory cortex and motor cortex influence behavior (reaction times) during an auditory sweep discrimination task. We found that in motor cortex, increased beta power slowed down responses, while in auditory cortex, increased beta frequency slowed down responses. We further characterized beta as transient burst events with distinct spectro-temporal profiles influencing reaction times. Finally, we found that increased motor-to-auditory beta connectivity also slowed down responses. In sum, beta power, frequency, bursting properties, cortical focus, and connectivity profile all influenced behavioral outcomes. Our results imply that the study of beta oscillations requires caution as beta dynamics are multifaceted phenomena, and that several dynamics must be taken into account to reconcile mixed findings in the literature.
Using Formation Processes to Explore Low-Density Sites and Settlement Patterns: A Case Study from the Swabian Jura
2022-11-03

Abstract Paleolithic archaeologists often rely on cave and rockshelter sites with rich occupation levels to explore hominin behavior and settlement patterns. However, a closer look into regional occupation data may reveal an uneven distribution of sites and the presence of occupational hiatuses or low-density occupation horizons that often remain understudied. In contrast to this trend, this paper focuses on low-density occupation data to explore regional settlement patterns, using the rich and well-studied Paleolithic record of the Swabian Jura, Germany, as a case study. In this regard, we employ a geoarchaeological approach based on micromorphology to investigate the formation processes of two low-density occupation sites, Schafstall II and Fetzershaldenhöhle, and compare their formation history with the geogenic sequence from Lindenhöhle. We demonstrate that the investigated sites have comparable formation processes, despite their differences in chronology and context. We argue that humans used Schafstall II and Fetzershaldenhöhle for short-term activities, while the sites mostly served as carnivore activity areas, emphasizing the importance of fauna in the accumulation of thick sedimentary sequences. In addition, our findings corroborate the regional climatic record and provide novel insights into the geomorphological history of the less studied Lauchert Valley, where Schafstall II is located. By comparing our results with data from intensively occupied caves in the Swabian Jura, we provide broader implications for the settlement patterns of Upper Paleolithic hunter-gatherers. We conclude with methodological suggestions for investigating sites in hunter-gatherer contexts combining a distributional and a site-specific approach.
Identification and structural basis of C-terminal cyclic imides as natural degrons for cereblon
2022-11-04

Cereblon (CRBN) is a ubiquitously expressed E3 ligase substrate receptor and a key player in pharmaceutical targeted protein degradation. Despite substantial insight gained into its chemical ligand space that is exploited in small-molecule protein degraders, its cellular role and native mechanism of substrate recognition remained elusive so far. In this communication, we report the discovery of C-terminal aspartimide and aminoglutarimide residues as natural degron motifs that are recognized by CRBN with high specificity. These C-terminal cyclic imides are known to form in ageing proteins as a result of spontaneous chain breaks after an attack of an asparagine or glutamine side chain amide on the adjacent peptide bond, and thereby mark potentially malfunctional protein fragments. In crystal structures, we uncover that these C-terminal cyclic imides are bound in the same fashion as small-molecule CRBN modulators, and that the residues preceding the cyclic terminus contribute to the interaction with a sequence-unspecific backbone hydrogen bonding pattern with strictly conserved residues in CRBN. We postulate that C-terminal aspartimide and aminoglutarimide residues resulting from chain breaks are largely underappreciated protein damages and represent the native degrons of CRBN.