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Artificial intelligence (AI) has the potential to enhance clinical decision-making, including in infectious diseases. By improving antimicrobial resistance prediction and optimizing antibiotic prescriptions, these technologies may support treatment strategies and address critical gaps in healthcare. This study evaluates the effectiveness of AI in guiding appropriate antibiotic prescriptions for infectious diseases through a systematic literature review.
Methods:
We conducted a systematic review of studies evaluating AI (machine learning or large language models) used for guidance on prescribing appropriate antibiotics in infectious disease cases. Searches were performed in PubMed, CINAHL, Embase, Scopus, Web of Science, and Google Scholar for articles published up to October 25, 2024. Inclusion criteria focused on studies assessing the performance of AI in clinical practice, with outcomes related to antimicrobial management and decision-making.
Results:
Seventeen studies used machine learning as part of clinical decision support systems (CDSS). They improved prediction of antimicrobial resistance and optimized antimicrobial use. Six studies focused on large language models to guide antimicrobial therapy; they had higher prescribing error rates, patient safety risks, and needed precise prompts to ensure accurate responses.
Conclusions:
AI, particularly machine learning integrated into CDSS, holds promise in enhancing clinical decision-making and improving antimicrobial management. However, large language models currently lack the reliability required for complex clinical applications. The indispensable role of infectious disease specialists remains critical for ensuring accurate, personalized, and safe treatment strategies. Rigorous validation and regular updates are essential before the successful integration of AI into clinical practice.
The pellet ablation mechanism is an interesting subject for plasma fuelling in fusion plasmas. In GAMMA 10/PDX, pellet injection experiments for higher density plasma production are planned to conduct detached plasma experiments in the higher density plasma condition. We measured the pellet ablation cloud by using the two-directional simultaneous photography system in GAMMA 10/PDX. The tomography reconstruction technique was used for considering the pellet trajectory in the plasma and pellet ablation. The three-dimensional pellet trajectory and pellet ablation images in the plasma were clearly obtained for the first time, to the best of our knowledge.
We have developed the bispectral electroencephalography (BSEEG) method for detection of delirium and prediction of poor outcomes.
Aims
To improve the BSEEG method by introducing a new EEG device.
Method
In a prospective cohort study, EEG data were obtained and BSEEG scores were calculated. BSEEG scores were filtered on the basis of standard deviation (s.d.) values to exclude signals with high noise. Both non-filtered and s.d.-filtered BSEEG scores were analysed. BSEEG scores were compared with the results of three delirium screening scales: the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), the Delirium Rating Scale-Revised-98 (DRS) and the Delirium Observation Screening Scale (DOSS). Additionally, the 365-day mortalities and the length of stay (LOS) in the hospital were analysed.
Results
We enrolled 279 elderly participants and obtained 620 BSEEG recordings; 142 participants were categorised as BSEEG-positive, reflecting slower EEG activity. BSEEG scores were higher in the CAM-ICU-positive group than in the CAM-ICU-negative group. There were significant correlations between BSEEG scores and scores on the DRS and the DOSS. The mortality rate of the BSEEG-positive group was significantly higher than that of the BSEEG-negative group. The LOS of the BSEEG-positive group was longer compared with that of the BSEEG-negative group. BSEEG scores after s.d. filtering showed stronger correlations with delirium screening scores and more significant prediction of mortality.
Conclusions
We confirmed the usefulness of the BSEEG method for detection of delirium and of delirium severity, and prediction of patient outcomes with a new EEG device.
We present an overview of the Middle Ages Galaxy Properties with Integral Field Spectroscopy (MAGPI) survey, a Large Program on the European Southern Observatory Very Large Telescope. MAGPI is designed to study the physical drivers of galaxy transformation at a lookback time of 3–4 Gyr, during which the dynamical, morphological, and chemical properties of galaxies are predicted to evolve significantly. The survey uses new medium-deep adaptive optics aided Multi-Unit Spectroscopic Explorer (MUSE) observations of fields selected from the Galaxy and Mass Assembly (GAMA) survey, providing a wealth of publicly available ancillary multi-wavelength data. With these data, MAGPI will map the kinematic and chemical properties of stars and ionised gas for a sample of 60 massive (${>}7 \times 10^{10} {\mathrm{M}}_\odot$) central galaxies at $0.25 < z <0.35$ in a representative range of environments (isolated, groups and clusters). The spatial resolution delivered by MUSE with Ground Layer Adaptive Optics ($0.6-0.8$ arcsec FWHM) will facilitate a direct comparison with Integral Field Spectroscopy surveys of the nearby Universe, such as SAMI and MaNGA, and at higher redshifts using adaptive optics, for example, SINS. In addition to the primary (central) galaxy sample, MAGPI will deliver resolved and unresolved spectra for as many as 150 satellite galaxies at $0.25 < z <0.35$, as well as hundreds of emission-line sources at $z < 6$. This paper outlines the science goals, survey design, and observing strategy of MAGPI. We also present a first look at the MAGPI data, and the theoretical framework to which MAGPI data will be compared using the current generation of cosmological hydrodynamical simulations including EAGLE, Magneticum, HORIZON-AGN, and Illustris-TNG. Our results show that cosmological hydrodynamical simulations make discrepant predictions in the spatially resolved properties of galaxies at $z\approx 0.3$. MAGPI observations will place new constraints and allow for tangible improvements in galaxy formation theory.
There are currently no guidelines for central-line insertion site evaluation. Our study revealed an association between insertion site inflammation (ISI) and the development of central-line–associated bloodstream infections (CLABSIs). Automated surveillance for ISI is feasible and could help prevent CLABSI.
This study aims to create controlled fine space by electrospinning, and to develop the electrode materials for high-performance energy devices. With the popularization of mobile devices, household appliances, hybrid vehicles, electric vehicles, and the like, the use of power storage devices is expanding, and further performance improvements are required. In this study, a novel electrode material was developed by compositing Si with carbon nanofibers derived from polyacrylonitrile (PAN) by electrospinning and heat treatment. The texture and structure of the nanofibers were observed and analyzed by scanning electron microscopy (SEM), energy dispersive X-ray spectrometry (EDX) and transmission electron microscopy (TEM) combined with image processing. Nano spaces were created in the CNFs and Si particles were able to be contained in the CNFs. In the second and subsequent cycles of the charge/discharge experiments of lithium ion battery (LIB) electrode made from the materials, the capacity was more than twice the theoretical capacity using graphite, and good cycle performance was obtained.
In recent years, the discovery of massive quasars at $z\sim7$ has provided a striking challenge to our understanding of the origin and growth of supermassive black holes in the early Universe. Mounting observational and theoretical evidence indicates the viability of massive seeds, formed by the collapse of supermassive stars, as a progenitor model for such early, massive accreting black holes. Although considerable progress has been made in our theoretical understanding, many questions remain regarding how (and how often) such objects may form, how they live and die, and how next generation observatories may yield new insight into the origin of these primordial titans. This review focusses on our present understanding of this remarkable formation scenario, based on the discussions held at the Monash Prato Centre from November 20 to 24, 2017, during the workshop ‘Titans of the Early Universe: The Origin of the First Supermassive Black Holes’.
The search for life in the Universe is a fundamental problem of astrobiology and modern science. The current progress in the detection of terrestrial-type exoplanets has opened a new avenue in the characterization of exoplanetary atmospheres and in the search for biosignatures of life with the upcoming ground-based and space missions. To specify the conditions favourable for the origin, development and sustainment of life as we know it in other worlds, we need to understand the nature of global (astrospheric), and local (atmospheric and surface) environments of exoplanets in the habitable zones (HZs) around G-K-M dwarf stars including our young Sun. Global environment is formed by propagated disturbances from the planet-hosting stars in the form of stellar flares, coronal mass ejections, energetic particles and winds collectively known as astrospheric space weather. Its characterization will help in understanding how an exoplanetary ecosystem interacts with its host star, as well as in the specification of the physical, chemical and biochemical conditions that can create favourable and/or detrimental conditions for planetary climate and habitability along with evolution of planetary internal dynamics over geological timescales. A key linkage of (astro)physical, chemical and geological processes can only be understood in the framework of interdisciplinary studies with the incorporation of progress in heliophysics, astrophysics, planetary and Earth sciences. The assessment of the impacts of host stars on the climate and habitability of terrestrial (exo)planets will significantly expand the current definition of the HZ to the biogenic zone and provide new observational strategies for searching for signatures of life. The major goal of this paper is to describe and discuss the current status and recent progress in this interdisciplinary field in light of presentations and discussions during the NASA Nexus for Exoplanetary System Science funded workshop ‘Exoplanetary Space Weather, Climate and Habitability’ and to provide a new roadmap for the future development of the emerging field of exoplanetary science and astrobiology.
Surface radiocarbon (Δ14C) in the North Pacific has been monitored using a commercial volunteer observation ship since the early 2000s. Here we report the temporal and spatial variations in Δ14C in the summer surface water when the surface ocean is vertically stratified over a 13-yr period, 2004–2016. The long-term Δ14C decreasing trend after the late 1970s in the subtropical region has continued to the present and the rate of decrease of the Kuroshio and Kuroshio Extension, North Pacific and California current areas is calculated to be –3.3, –5.2 and –3.3 ‰/yr, respectively. After 2012 the Δ14C of the Kuroshio and Kuroshio Extension area, however, has remained at an approximately constant value of around 50‰. The result may indicate that subtropical surface Δ14C in the western North Pacific has reached an equilibrium with atmospheric Δ14CO2. The Δ14C in the subarctic region is markedly lower than values in the subtropical region and it seems that the decreasing tendency of surface Δ14C has changed to an increasing tendency after 2010. The results may indicate that bomb-produced 14C, which has accumulated below the mixed layer in the past few decades, has been entrained into the surface layer by deep convection.
This study focused on parotid gland tumours diagnosed as benign by fine-needle aspiration cytology and investigated the necessity of frozen section biopsy.
Methods
There were 104 cases of parotid gland tumour where fine-needle aspiration cytology was benign and frozen section biopsy was subsequently performed, between April 2006 and June 2016. In this retrospective study, the results of frozen section biopsy were analysed and compared with the final histological diagnosis.
Results
Among the 104 cases diagnosed as benign by fine-needle aspiration cytology, 102 cases and 2 cases were diagnosed as benign and malignant, respectively, by frozen section biopsy. The final histological diagnoses showed that 98 cases were benign and 6 cases were malignant. The sensitivity and specificity values of frozen section biopsy in detecting malignant tumours were 33 per cent and 100 per cent, respectively.
Conclusion
The necessity of frozen section biopsy in cases with benign fine-needle aspiration cytology may be low in parotid gland surgery.
In order to evaluate the long-term behaviour of the engineered barriers in geological disposal sites for transuranic element-bearing (TRU) waste, an evaluation by numerical analysis is required. Although chemical and hydraulic/mechanical analyses have been conducted independently until now, essentially both type of phenomena occur simultaneously and produce synergistic effects. Therefore, we focused attention on the buffer (bentonite) engineered barrier and conducted a study of which involved incorporating hydraulic/mechanical phenomena into the chemical analysis of bentonite alteration. The simulations employed weakly-coupled chemical and hydraulic/mechanical effects to study the behaviour in one dimension.
The results showed that the dissolution of the montmorillonite is suppressed in the buffer section nearest the cement material. Moreover, in order to achieve a fully coupled analysis in future, the present study also identifies issues that need to be resolved.
Parasibirskite, with the ideal formula Ca2B2O5·H2O, is a new mineral species found at Fuka, Okayama Prefecture, Japan. It is a polymorph of sibirskite, CaHBO3, and occurs as subparallel aggregates of tabular crystals up to 40 × 20 × 3 µm in size. Associated minerals are takedaite, olshanskyite, sibirskite, frolovite and calcite. The mineral is white, and has a weak pearly luster. Optically, the mineral is biaxial positive, α 1.556(2), β 1.593(2), γ 1.663(2) (λ 589 nm). The Vickers microhardness of aggregates is 121 kg mm−2. The mineral is monoclinic with space group of P21/m, a 6.722(4), b 5.437(2), c 3.555(2) Å, β 93.00(5)°, V 129.8(2), Å3. The strongest lines in the X-ray powder pattern [d in Å (I)(hkl)] are 2.237(100)(300), 6.73(70)(100), 2.975(60)(011), 3.354(30)(200), 2.855(20)(210) and 1.776(20) (002). Wet chemical analysis, electron-microprobe analysis and ICP emission spectrometry give the values CaO 56.06 %, B2O3 34.10 %, H2O 9.97 % and total 100.13%. The empirical formula calculated on the basis of O = 6 is Ca1.985B1.945O4.901·1.099H2O, for Z = 1, Dcalc 2.54 and Dmeas 2.50(1) g cm−3. Parasibirskite is formed by hydrothermal alteration of takedaite.
Shimazakiite occurs as greyish white aggregates up to 3 mm in diameter. Two polytypes, shimazakiite-4M and shimazakiite-4O, have been identified, the former in nanometre-sized twin lamellae and the latter in micrometre-sized lamellae. Shimazakiite was discovered in anirregular vein in crystalline limestone near gehlenite-spurrite skarns at Fuka mine, Okayama Prefecture, Japan. Associated minerals include takedaite, sibirskite, olshanskyite, parasibirskite, nifontovite, calcite and an uncharacterized hydrous calcium borate. The mineral is biaxial (–), withthe following refractive indices (at 589 nm): α = 1.586(2), β = 1.650(2), γ = 1.667(2) and 2Vcalc = 53º [shimazakiite-4M]; and α = 1.584(2), β = 1.648(2), γ = 1.670(2) and 2Vcalc = 54.88º [shimazakiite-4O]. Quantitative electronmicroprobe analyses(means of 28 and 25 determinations) gave the empirical formulae Ca2B1.92O4.76(OH)0.24 and Ca2B1.92O4.76(OH)0.24 for shimazakiite-4M and shimazakiite-4O, respectively. The crystal structurerefinements: P21/c, a = 3.5485(12), b = 6.352(2), c = 19.254(6) Å , β = 92.393(13)°, V = 433.6(3) Å3 [for shimazakiite-4M]; and P212121, a = 3.55645(8), b= 6.35194(15), c = 19.2534(5) Å , V = 434.941(18) Å3[for shimazakiite-4O], converged into R1 indices of 0.1273 and 0.0142, respectively. The crystal structure of shimazakiite consists of a layer containing B2O5units (two near-coplanar triangular corner-sharing BO3 groups) and 6- and 7-coordinate Ca atoms. Different sequences in the c direction of four layers are observed in the polytypes. The five strongest lines in the powder-diffraction pattern [listed as d in Å(I)(hkl)] are: 3.02(84)(022); 2.92(100)(10) 2.81(56)(104); 2.76(32)(113); 1.880(32)(11,12,126,118) [for shimazakiite-4M]; and 3.84(33)(014); 3.02(42)(022); 2.86(100)(104); 2.79(29)(113); 1.903(44)(126,118) [for shimazakiite-4O].
Takedaite, Ca3B2O6, has been found in crystalline limestone near gehlenite−spurrite skarns at Fuka, Okayama Prefecture. It occurs as aggregates of granular crystals up to 0.8 mm long and 0.3 mm wide. The mineral is associated with nifontovite, olshanskyite, pentahydroborite, frolovite, sibirskite, calcite and an unidentified mineral, is white or pale gray, and has a vitreous luster. Takedaite is trigonal with space group of Rc, a = 8.638(1), c = 11.850(2)Å, Z = 6. The strongest lines in the X-ray powder pattern [d in A(I)(hkl)] are 2.915(100)(113), 1.895(75)(223), 2.756(61)(104), 2.493(44)(300), 2.044(21) (214,131), 2.160(19)(220), 1.976(18)(006), 1.549(12)(306). The Vickers microhardness is 478 kg mm−2 and the Mohs hardness 4.5. The density is 3.10(2) g cm−3 (meas.) and 3.11 g cm−3 (calc.). Wet chemical analyses give the values CaO 71.13%, B2O3 28.41%, ig. loss 0.14%, and total 99.68%. The empirical formula calculated on the basis of O = 6 is Ca3.053B1.965O6, with the simplified formula of Ca3B2O6.
Between July of 2012 and December of 2014, 39 patients were enrolled prospectively to investigate the prevalence of glucose transporter 1 (GLUT1) deficiency in a ketogenic diet clinic. None of them had GLUT1 deficiency. All patients seen in the same clinic within the same period were reviewed retrospectively. A total of 18 of these 85 patients had a genetic diagnosis, including GLUT1 deficiency, pathogenic copy number variants, congenital disorder of glycosylation, neuronal ceroid lipofuscinosis type II, mitochondrial disorders, tuberous sclerosis, lissencephaly, and SCN1A-, SCN8A-, and STXBP1-associated epileptic encephalopathies. The prevalence of genetic diagnoses was 21% and prevalence of GLUT1 deficiency was 2.4% in our retrospective cohort study.
Employing a comparative experimental design drawing on over 18,000 interviews across eleven countries on four continents, this article revisits the discussion about the economic and cultural drivers of attitudes towards immigrants in advanced democracies. Experiments manipulate the occupational status, skin tone and national origin of immigrants in short vignettes. The results are most consistent with a Sociotropic Economic Threat thesis: In all countries, higher-skilled immigrants are preferred to their lower-skilled counterparts at all levels of native socio-economic status (SES). There is little support for the Labor Market Competition hypothesis, since respondents are not more opposed to immigrants in their own SES stratum. While skin tone itself has little effect in any country, immigrants from Muslim-majority countries do elicit significantly lower levels of support, and racial animus remains a powerful force.
The purpose of this study was to clarify the association between hand, foot, and mouth disease (HFMD) epidemics and meteorological conditions. We used HFMD surveillance data of all 47 prefectures in Japan from January 2000 to December 2015. Spectral analysis was performed using the maximum entropy method (MEM) for temperature-, relative humidity-, and total rainfall-dependent incidence data. Using MEM-estimated periods, long-term oscillatory trends were calculated using the least squares fitting (LSF) method. The temperature and relative humidity thresholds of HFMD data were estimated from the LSF curves. The average temperature data indicated a lower threshold at 12 °C and a higher threshold at 30 °C for risk of HFMD infection. Maximum and minimum temperature data indicated a lower threshold at 6 °C and a higher threshold at 35 °C, suggesting a need for HFMD control measures at temperatures between 6 and 35 °C. Based on our findings, we recommend the use of maximum and minimum temperatures rather than the average temperature, to estimate the temperature threshold of HFMD infections. The results obtained might aid in the prediction of epidemics and preparation for the effect of climatic changes on HFMD epidemiology.
In 1986, a large avalanche destroyed 11 houses and killed 13 people at Maseguchi, Japan. Previous attempts to model the avalanche were based on the assumption that it was a powder avalanche consisting of snow particles suspended by air turbulence. In this paper, the avalanche is modelled as a dry flowing avalanche with a dense core of flowing material at the base. It is suggested that for a comprehensive explanation of the observed damage and the characteristics of the avalanche deposit, the assumption that the avalanche was a flowing avalanche is more appropriate. The comparison of model results from a flowing versus a powder avalanche is of general interest for avalanche zoning and design of structures in avalanche-threatened areas.
We report on the formation of shallow junctions with high activation in both n+/p and p+/n Ge junctions using ion implantation and Flash Lamp Annealing (FLA). The shallowest junction depths (Xj) formed for the n+/p and p+/n junctions were 7.6 nm and 6.1 nm with sheet resistances (Rs) of 860 ohms/sq. and 704 ohms/sq., respectively. By reducing knocked-on oxygen during ion implantation in the n+/p junctions, Rs was decreased by between 5% and 15%. The lowest Rs observed was 235 ohms/sq. with a junction depth of 21.5 nm. Hall measurements clearly revealed that knocked-on oxygen degraded phosphorus activation (carrier concentration). In the p+/n Ge junctions, we show that ion implantation damage induced high boron activation. Using this technique, Rs can be reduced from 475 ohms/sq. to 349 ohms/sq. These results indicate that the potential for forming ultra-shallow n+/p and p+/n junctions in the nanometer range in Ge devices using FLA is very high, leading to realistic monolithically-integrated Ge CMOS devices that can take us beyond Si technology.
Background: The ketogenic diet (KD) is used to treat severe childhood-onset epileptic encephalopathies, such as Infantile Spasms (IS). Unfortunately, limited resources for KD initiation result in treatment delays. We ask if earlier KD treatment of early-onset drug-resistant epilepsy results in better seizure outcomes. Methods: Children who started KD before age 4 years between 2000-present at SickKids Hospital were identified. Six-month seizure outcome was calculated as percent of pre-diet baseline seizure frequency (BSF). Results: 67 children were identified. 30 (44.8%) started KD <2 years old, 37 (55.2%) started KD 2-4 years old. Among <2 years old group, 83.3% achieved 50% reduction in BSF and 36.7% achieved 90% reduction. Among 2-4 year old group, 62.2% achieved 50% reduction in BSF and 24.3% achieved 90% reduction. 38 children had a history of IS; 17 with IS at diet initiation and 21 with past history of IS. 41.2% of the spasms cohort achieved 90% reduction in BSF, compared to 23.8% of the post-spasms cohort. Conclusions: KD was more effective when started before age 2 years than 2-4 years, and more effective in children with IS than in children with past history of IS. A rapid protocol for KD initiation in young infants and children may improve long-term outcomes