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We are showing a significant enhancement in the temporal contrast by reducing the coherent noise of the 10 PW laser system at the Extreme Light Infrastructure - Nuclear Physics facility. The temporal contrast was improved by four orders of magnitude at 10 picoseconds and by more than one order of magnitude at 50 picoseconds before the main peak. This improvement of the picosecond contrast is critical for the experiments using thin solid targets.
Traditional approaches for evaluating the impact of scientific research – mainly scholarship (i.e., publications, presentations) and grant funding – fail to capture the full extent of contributions that come from larger scientific initiatives. The Translational Science Benefits Model (TSBM) was developed to support more comprehensive evaluations of scientific endeavors, especially research designed to translate scientific discoveries into innovations in clinical or public health practice and policy-level changes. Here, we present the domains of the TSBM, including how it was expanded by researchers within the Implementation Science Centers in Cancer Control (ISC3) program supported by the National Cancer Institute. Next, we describe five studies supported by the Penn ISC3, each focused on testing implementation strategies informed by behavioral economics to reduce key practice gaps in the context of cancer care and identify how each study yields broader impacts consistent with TSBM domains. These indicators include Capacity Building, Methods Development (within the Implementation Field) and Rapid Cycle Approaches, implementing Software Technologies, and improving Health Care Delivery and Health Care Accessibility. The examples highlighted here can help guide other similar scientific initiatives to conceive and measure broader scientific impact to fully articulate the translation and effects of their work at the population level.
A clinical tool to estimate the risk of treatment-resistant schizophrenia (TRS) in people with first-episode psychosis (FEP) would inform early detection of TRS and overcome the delay of up to 5 years in starting TRS medication.
Aims
To develop and evaluate a model that could predict the risk of TRS in routine clinical practice.
Method
We used data from two UK-based FEP cohorts (GAP and AESOP-10) to develop and internally validate a prognostic model that supports identification of patients at high-risk of TRS soon after FEP diagnosis. Using sociodemographic and clinical predictors, a model for predicting risk of TRS was developed based on penalised logistic regression, with missing data handled using multiple imputation. Internal validation was undertaken via bootstrapping, obtaining optimism-adjusted estimates of the model's performance. Interviews and focus groups with clinicians were conducted to establish clinically relevant risk thresholds and understand the acceptability and perceived utility of the model.
Results
We included seven factors in the prediction model that are predominantly assessed in clinical practice in patients with FEP. The model predicted treatment resistance among the 1081 patients with reasonable accuracy; the model's C-statistic was 0.727 (95% CI 0.723–0.732) prior to shrinkage and 0.687 after adjustment for optimism. Calibration was good (expected/observed ratio: 0.999; calibration-in-the-large: 0.000584) after adjustment for optimism.
Conclusions
We developed and internally validated a prediction model with reasonably good predictive metrics. Clinicians, patients and carers were involved in the development process. External validation of the tool is needed followed by co-design methodology to support implementation in early intervention services.
In spoken conversations, speakers and their addressees constantly seek and provide different forms of audiovisual feedback, also known as backchannels, which include nodding, vocalizations and facial expressions. It has previously been shown that addressees backchannel at specific points during an interaction, namely after a speaker provided a cue to elicit feedback from the addressee. However, addressees may differ in the frequency and type of feedback that they provide, and likewise, speakers may vary the type of cues they generate to signal the backchannel opportunity points (BOPs). Research on the extent to which backchanneling is idiosyncratic is scant. In this article, we quantify and analyze the variability in feedback behavior of 14 addressees who all interacted with the same speaker stimulus. We conducted this research by means of a previously developed experimental paradigm that generates spontaneous interactions in a controlled manner. Our results show that (1) backchanneling behavior varies between listeners (some addressees are more active than others) and (2) backchanneling behavior varies between BOPs (some points trigger more responses than others). We discuss the relevance of these results for models of human–human and human–machine interactions.
This chapter uses digital humanities approaches to discover the computational signature of the idea of government in the British eighteenth century. Data mining techniques are applied to the large dataset Eighteenth Century Collections Online in order to ascertain the precise composition of the idea of government and to track its evolution over the entire century. The connections between government and despotism are explored in the concluding argument.
This chapter uses methods in text mining in order to trace the history of the idea of liberty between 1600 and 1800. It seeks to investigate the standard account of this idea developed most rigorously by Quentin Skinner over many years. Using quantitative methods and the tools created by the Cambridge Concept Lab, it discovers a slightly different history from the standard accounts that complements and augments that history.
This chapter outlines a novel method for discerning the structure and history of concepts and their aggregation as ideas. Based on the analysis of co-ocurrence data in large data sets, the method creates a measure of ‘binding’ that allows one to inspect the larger constellations of words and concepts that comprise ideas which can be tracked diachronically. The chapter also describes the method used for ascertaining the ‘binding’ between concepts, and for modelling ‘ideas’. A detailed account of how the ‘shared lexis tool’ was built is also included.
Peripherally inserted central catheters (PICCs) are increasingly used for vascular access in inpatient settings. Compared to multilumen PICCs, single-lumen PICCs carry a lower rate of complications, including central-line–associated bloodstream infection and thrombosis. Despite this, multilumen PICCs are still overused.
Methods:
This quality improvement initiative was implemented across 11 hospitals at New York City Health + Hospitals safety net system. The electronic health record (EHR) interventional radiology or vascular access team consultation orders were modified to allow for lumen choice, with default selection to a single-lumen PICC.
Results:
Average single-lumen PICC utilization increased by 25.5%, from 44.4% to 69.9% (P < .001). CLABSI rates had a nonsignificant reduction by 26.7% from 2.44 to 1.79 infections per month (P = .255). Among provider types in the postintervention period, single-lumen PICC utilization ranged from 67.7% for advanced practice providers to 82.4%–94.6% for physicians. Among provider specialties, utilization ranged from 31.8% for neurology to 97.7% for orthopedics. Additionally, there was large variation in pre- and postintervention differences in utilization by hospital.
Conclusions:
We successfully increased single-lumen PICC utilization across all 11 safety net hospitals. This expands on previous work on improving single-lumen PICC use and use of default nudges in large, resource-limited settings. Further study is needed to examine variation among provider types, specialties, and hospitals.
Epilepsy is a family of neurological disorders in which patients experience unprovoked spontaneous seizures. Unfortunately, there is currently no cure for epilepsy, and seizure management is the target of most therapies. The first-line treatment of epilepsy is usually antiepileptic drugs. However, depending on the subtype of epilepsy and the individual, drug treatments fail to control the seizures in around one-third of patients. One challenge in the treatment of epilepsy is its heterogeneity. In each patient, seizures are thought to be generated by different mechanisms, processes, and parameters, and treatment outcomes will also depend on these.
What are the electoral consequences of urban riots? We argue that riots highlight the economic and social problems suffered by those who participate, inducing potential electoral allies to mobilize. These allies can then punish local incumbents at the ballot box. We test this hypothesis with fine-grained geographic data that capture how exposure to the 2011 London riots changed vote choices in the subsequent 2012 mayoral election. We find that physical proximity to both riot locations and the homes of rioters raised turnout and reduced the vote for the incumbent Conservative mayor. These results are partly driven by a change in the turnout and vote choices of white residents. This provides support for the view that riots can help shift votes against incumbents who oppose the implied policy goals of rioters.
Determination of sample size (the number of replications) is a key step in the design of an observational study or randomized experiment. Statistical procedures for this purpose are readily available. Their treatment in textbooks is often somewhat marginal, however, and frequently the focus is on just one particular method of inference (significance test, confidence interval). Here, we provide a unified review of approaches and explain their close interrelationships, emphasizing that all approaches rely on the standard error of the quantity of interest, most often a pairwise difference of two means. The focus is on methods that are easy to compute, even without a computer. Our main recommendation based on standard errors is summarized as what we call the 1-2-3 rule for a difference of two treatment means.
Antarctic krill are the dominant metazoan in the Southern Ocean in terms of biomass; however, their wide and patchy distribution means that estimates of their biomass are still uncertain. Most currently employed methods do not sample the upper surface layers, yet historical records indicate that large surface swarms can change the water colour. Ocean colour satellites are able to measure the surface ocean synoptically and should theoretically provide a means for detecting and measuring surface krill swarms. Before we can assess the feasibility of remote detection, more must be known about the reflectance spectra of krill. Here, we measure the reflectance spectral signature of Antarctic krill collected in situ from the Scotia Sea and compare it to that of in situ water. Using a spectroradiometer, we measure a strong absorption feature between 500 and 550 nm, which corresponds to the pigment astaxanthin, and high reflectance in the 600–700 nm range due to the krill's red colouration. We find that the spectra of seawater containing krill is significantly different from seawater only. We conclude that it is tractable to detect high-density swarms of krill remotely using platforms such as optical satellites and unmanned aerial vehicles, and further steps to carry out ground-truthing campaigns are now warranted.
Psychiatry is facing major challenges during the current coronavirus disease 2019 (COVID)-19 pandemic. These challenges involve its actual and perceived role within the medical system, in particular how psychiatric hospitals can maintain their core mission of attending to people with mental illness while at the same time providing relief to overstretched general medicine services. Although psychiatric disorders comprise the leading cause of the global burden of disease, mental healthcare has been deemphasised in the wake of the onslaught of the pandemic: to make room for emergency care, psychiatric wards have been downsized, clinics closed, psychiatric support systems discontinued and so on. To deal with this pressing issue, we developed a pandemic contingency plan with the aim to contain, decelerate and, preferably, avoid transmission of COVID-19 and to enable and maintain medical healthcare for patients with mental disorders.
Aims
To describe our plan as an example of how a psychiatric hospital can share in providing acute care in a healthcare system facing an acute and highly infectious pandemic like COVID-19 and at the same time provide support for people with mental illness, with or without a COVID-19 infection.
Method
This was a descriptive study.
Results
The plan was based on the German national pandemic strategy and several legal recommendations and was implemented step by step on the basis of the local COVID-19 situation. In addition, mid- and long-term plans were developed for coping with the aftermath of the pandemic.
Conclusions
The plan enabled the University Hospital to maintain medical healthcare for patients with mental disorders. It has offered the necessary flexibility to adapt its implementation to the first and second waves of the COVID-19 pandemic in Germany. The plan is designed to serve as an easily adaptable blueprint for psychiatric hospitals around the world.
The SARS-CoV-2 virus was first identified in Wuhan, China, in late December 2019, and it quickly spread to many countries. By March 2020, the virus had triggered a global pandemic (World Health Organization, 2020). In response to this crisis, governments have implemented unprecedented public health measures. The success of these policies will largely depend on the public's willingness to comply with new rules. A key factor in citizens’ willingness to comply is their understanding of the data that motivate government action. In this study, we examine how different ways of presenting these data visually can affect citizen's perceptions, attitudes and support for public policy.
Growing evidence points to synaptic pathology as a core component of the pathophysiology of schizophrenia (SZ). Significant reductions of dendritic spine density and altered expression of their structural and molecular components have been reported in several brain regions, suggesting a deficit of synaptic plasticity. Regulation of synaptic plasticity is a complex process, one that requires not only interactions between pre- and post-synaptic terminals, but also glial cells and the extracellular matrix (ECM). Together, these elements are referred to as the ‘tetrapartite synapse’, an emerging concept supported by accumulating evidence for a role of glial cells and the extracellular matrix in regulating structural and functional aspects of synaptic plasticity. In particular, chondroitin sulfate proteoglycans (CSPGs), one of the main components of the ECM, have been shown to be synthesized predominantly by glial cells, to form organized perisynaptic aggregates known as perineuronal nets (PNNs), and to modulate synaptic signaling and plasticity during postnatal development and adulthood. Notably, recent findings from our group and others have shown marked CSPG abnormalities in several brain regions of people with SZ. These abnormalities were found to affect specialized ECM structures, including PNNs, as well as glial cells expressing the corresponding CSPGs. The purpose of this review is to bring forth the hypothesis that synaptic pathology in SZ arises from a disruption of the interactions between elements of the tetrapartite synapse.
Sub-Saharan Africa has the highest natural twinning rate in the world. Unfortunately, due to lack of adequate care during pregnancy, labor and postnatally, twin mortality in Sub-Saharan Africa also remains very high. Thus, it has been estimated that one in five twins dies during the childhood years. In spite of this, surprisingly few twin studies have been conducted in the region, making additional epidemiological data much needed. In 2009, we established one of the first twin registries in Sub-Saharan Africa at the Bandim Health Project in Guinea-Bissau. The registry had two main objectives. First, we wanted to describe the twinning rate and mortality patterns among newborn twins, including mortality risk factors and hospitalization patterns. Such studies can help the local clinicians improve twin health by identifying the most vulnerable children. Second, and in light of the rapidly increasing diabetes rates in Africa, we wanted to use the registry to particularly focus on metabolic disorders. Twins are often born with low birth weight, which according to the ‘thrifty phenotype hypothesis’ could predispose them to metabolic disorders later in life. Yet, no such ‘fetal programming’ data have previously been available from African twins despite the fact that nutritional patterns and influences from other factors (e.g., infections) could be markedly different here compared to high-income settings. In this article, we summarize the findings and current status of the Guinea-Bissau twin registry.
Biologic asymmetry is present in all bilaterally symmetric organisms as a result of normal developmental instability. However, fossilized organisms, which have undergone distortion due to burial, may have additional asymmetry as a result of taphonomic processes. To investigate this issue, we evaluated the magnitude of shape variation resulting from taphonomy on vertebrate bone using a novel application of fluctuating asymmetry. We quantified the amount of total variance attributed to asymmetry in a taphonomically distorted fossil taxon and compared it with that of three extant taxa. The fossil taxon had an average of 27% higher asymmetry than the extant taxa. In spite of the high amount of taphonomic input, the major axes of shape variation were not greatly altered by removal of the asymmetric component of shape variation. This presents the possibility that either underlying biologic trends drive the principal directions of shape change irrespective of asymmetric taphonomic distortion or that the symmetric taphonomic component is large enough that removing only the asymmetric component is inadequate to restore fossil shape. Our study is the first to present quantitative data on the relative magnitude of taphonomic shape change and presents a new method to further explore how taphonomic processes impact our interpretation of the fossil record.
The Astroinformatics Program is funded by the Chilean Economy Ministry’s (FIE Grant FIE-2016-V022, CORFO Grant 16IFI6626) with the mission to identify and initiate investments to foster Chilean Digital Economy, using Astronomy data-centric tools (known as astroinformatics). Over 2017 we worked with communities across sectors identifying opportunities to achieve the program mission, the Data Observatory vision emerged from that work and will guide design activities throughout 2018.