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Some constructs in motivation science are certainly underdeveloped and some motivation researchers may work with underspecified constructs, as suggested by Murayama and Jach (M&J). However, this is not indicative of a general problem in motivation science. Many motivation theories focus on specific mechanisms underlying motivated behavior and thus have already adopted the computational process perspective that M&J call for.
While laboratory and field experiments are the major items in the toolbox of behavioral economists, household panel studies can complement them and expand their research potential. We introduce the German Socio-Economic Panel’s Innovation Sample (SOEP-IS), which offers researchers detailed panel data and the possibility to collect personalized experimental and survey data for free. We discuss what SOEP-IS can offer to behavioral economists and illustrate a set of design ideas with examples. Although we build our discussion on SOEP-IS, our purpose is to provide a guide that can be generalized to other household panel studies as well.
This paper reports on the process used to embark on one of the core strategies of Abu Dhabi’s Department of Health, which was to develop a roadmap for HTA implementation and institutionalization, based on the aspirations and needs of local stakeholders and making use of the evidence-informed deliberative processes framework. The paper also highlights the main features of the road map that may be expected to address some of the current challenges.
Methods
A series of activities were undertaken that informed the subsequent development of the roadmap. They comprised a situation analysis using a combination of desk research and semistructured (group) interviews with 45 stakeholders. The findings were discussed in two workshops; face-to-face with nonindustry stakeholders from Abu Dhabi, and online with industry representatives.
Results
Guided by the EDP framework, the roadmap provides instructions how to organize stakeholder involvement, how to identify and operationalize decision criteria, and how to ensure that the decision-making process is transparent. Specific guidance is given on establishing an HTA structure with an appropriate policy framework, the formulation of an HTA program, a communication strategy, as well as building and leveraging HTA expertise.
Conclusion
Broad stakeholder consultation has been instrumental toward the establishment of a comprehensive HTA framework in Abu Dhabi, and the development of a road map. The interest raised during stakeholder consultations and the commitments made hold promise for the adoption and establishment of EDP principles to support HTA in Abu Dhabi that have potential to contribute to a sustainable high-quality healthcare system.
The Personalized Advantage Index (PAI) shows promise as a method for identifying the most effective treatment for individual patients. Previous studies have demonstrated its utility in retrospective evaluations across various settings. In this study, we explored the effect of different methodological choices in predictive modelling underlying the PAI.
Methods
Our approach involved a two-step procedure. First, we conducted a review of prior studies utilizing the PAI, evaluating each study using the Prediction model study Risk Of Bias Assessment Tool (PROBAST). We specifically assessed whether the studies adhered to two standards of predictive modeling: refraining from using leave-one-out cross-validation (LOO CV) and preventing data leakage. Second, we examined the impact of deviating from these methodological standards in real data. We employed both a traditional approach violating these standards and an advanced approach implementing them in two large-scale datasets, PANIC-net (n = 261) and Protect-AD (n = 614).
Results
The PROBAST-rating revealed a substantial risk of bias across studies, primarily due to inappropriate methodological choices. Most studies did not adhere to the examined prediction modeling standards, employing LOO CV and allowing data leakage. The comparison between the traditional and advanced approach revealed that ignoring these standards could systematically overestimate the utility of the PAI.
Conclusion
Our study cautions that violating standards in predictive modeling may strongly influence the evaluation of the PAI's utility, possibly leading to false positive results. To support an unbiased evaluation, crucial for potential clinical application, we provide a low-bias, openly accessible, and meticulously annotated script implementing the PAI.
The Magellanic Stream (MS), a tail of diffuse gas formed from tidal and ram pressure interactions between the Small and Large Magellanic Clouds (SMC and LMC) and the Halo of the Milky Way, is primarily composed of neutral atomic hydrogen (HI). The deficiency of dust and the diffuse nature of the present gas make molecular formation rare and difficult, but if present, could lead to regions potentially suitable for star formation, thereby allowing us to probe conditions of star formation similar to those at high redshifts. We search for $\text{HCO}^{+}$, HCN, HNC, and C$_2$H using the highest sensitivity observations of molecular absorption data from the Atacama Large Millimeter Array (ALMA) to trace these regions, comparing with HI archival data from the Galactic Arecibo L-Band Feed Array (GALFA) HI Survey and the Galactic All Sky Survey (GASS) to compare these environments in the MS to the HI column density threshold for molecular formation in the Milky Way. We also compare the line of sight locations with confirmed locations of stars, molecular hydrogen, and OI detections, though at higher sensitivities than the observations presented here.
We find no detections to a 3$\sigma$ significance, despite four sightlines having column densities surpassing the threshold for molecular formation in the diffuse regions of the Milky Way. Here we present our calculations for the upper limits of the column densities of each of these molecular absorption lines, ranging from $3 \times 10^{10}$ to $1 \times 10^{13}$ cm$^{-2}$. The non-detection of $\text{HCO}^{+}$ suggests that at least one of the following is true: (i) $X_{\text{HCO}^{+}{}, \mathrm{MS}}$ is significantly lower than the Milky Way value; (ii) that the widespread diffuse molecular gas observed by Rybarczyk (2022b, ApJ, 928, 79) in the Milky Way’s diffuse interstellar medium (ISM) does not have a direct analogue in the MS; (iii) the HI-to-$\text{H}_{2}$ transition occurs in the MS at a higher surface density in the MS than in the LMC or SMC; or (iv) molecular gas exists in the MS, but only in small, dense clumps.
This chapter discusses an extract from the Iranian legal textbook Mukhtaṣar-i Huqūq-i Khānivādih (‘A Concise Summary of Family Law’) of the Iranian legal scholars Sayyid Ḥusayn Ṣafāyī and Asad Allāh Imāmī. The 42nd revised edition of this text, published in Tehran in 2015, gives an overview of Iranian family law and is aimed specifically at students of law. The 472 pages of the book cover marriage, divorce, parentage, and filiation. This chapter focuses on temporary marriage (commonly known as sīgheh in Persian), which is characterised by the exact determination of the duration of the marriage when contracted. This form of marriage is permitted in Twelver Shī’ī (Imāmī) law, while being strictly rejected in all schools of Sunnī law.
Experimental studies on the sloshing of fluid layers are usually performed in rectangular tanks with fixed boundaries. In contrast, the present study uses a 4.76-m-long circular channel, a geometry with open periodic boundaries. Surface waves are excited by means of a submerged hill that, together with the tank, performs a harmonic oscillation. Laboratory measurements are made using 18 ultrasonic probes, evenly distributed over the channel to track the wave propagation. It is shown that a two-dimensional long-wave numerical model derived via the Kármán–Pohlhausen approach reproduces the experimental data as long as the forcing is monochromatic. The sloshing experiments imply a highly complex surface wave field. Different wave types such as solitary waves, undular bores and antisolitary waves are observed. For order one $\delta _{hill} = h_{hill}/h_0$, where $h_0$ is the mean water level and $h_{hill}$ the obstacle's height, the resonant reflections of solitary waves by the submerged obstacle give rise to an amplitude spectrum for which the main resonance peaks can be explained by linear theory. For smaller $\delta _{hill}$, wave transmissions lead to major differences with respect to the more common cases of sloshing with closed ducts having fully reflective ends for which wave transmission through the end walls is not possible. This ultimately results in more complex resonance diagrams and a pattern formation that changes rather abruptly with the frequency. The experiments are of interest not only for engineering applications but also for tidal flows over bottom topography.
We introduce non-associative skew Laurent polynomial rings and characterize when they are simple. Thereby, we generalize results by Jordan, Voskoglou, and Nystedt and Öinert.
A vast amount of clinical data are still stored in unstructured text. Automatic extraction of medical information from these data poses several challenges: high costs of clinical expertise, restricted computational resources, strict privacy regulations, and limited interpretability of model predictions. Recent domain adaptation and prompting methods using lightweight masked language models showed promising results with minimal training data and allow for application of well-established interpretability methods. We are first to present a systematic evaluation of advanced domain-adaptation and prompting methods in a lower-resource medical domain task, performing multi-class section classification on German doctor’s letters. We evaluate a variety of models, model sizes (further-pre)training and task settings, and conduct extensive class-wise evaluations supported by Shapley values to validate the quality of small-scale training data and to ensure interpretability of model predictions. We show that in few-shot learning scenarios, a lightweight, domain-adapted pretrained language model, prompted with just 20 shots per section class, outperforms a traditional classification model, by increasing accuracy from $48.6\%$ to $79.1\%$. By using Shapley values for model selection and training data optimization, we could further increase accuracy up to $84.3\%$. Our analyses reveal that pretraining of masked language models on general-language data is important to support successful domain-transfer to medical language, so that further-pretraining of general-language models on domain-specific documents can outperform models pretrained on domain-specific data only. Our evaluations show that applying prompting based on general-language pretrained masked language models combined with further-pretraining on medical-domain data achieves significant improvements in accuracy beyond traditional models with minimal training data. Further performance improvements and interpretability of results can be achieved, using interpretability methods such as Shapley values. Our findings highlight the feasibility of deploying powerful machine learning methods in clinical settings and can serve as a process-oriented guideline for lower-resource languages and domains such as clinical information extraction projects.
Up to 30% of people infected with SARS-CoV-2 report disabling symptoms 2 years after the infection. Over 100 persistent symptoms have been associated with Post-Acute COVID-19 Symptoms (PACS) and/or long-COVID, showing a significant clinical heterogeneity. To develop effective, patient-targeted treatment, a better understanding of underlying mechanisms is needed. Epigenetics has helped elucidating the pathophysiology of several health conditions and it might help unravelling inter-individual differences in patients with PACS and long-COVID. As accumulating research is exploring epigenetic mechanisms in PACS and long-COVID, we systematically summarized the available literature on the topic.
Methods
We interrogated five databases (Medline, Embase, Web of Science, Scopus and medXriv/bioXriv) and followed PRISMA and SWiM guidelines to report our results.
Results
Eight studies were included in our review. Six studies explored DNA methylation in PACS and/or long-COVID, while two studies explored miRNA expression in long-COVID associated with lung complications. Sample sizes were mostly small and study quality was low or fair. The main limitation of the included studies was a poor characterization of the patient population that made a homogeneous synthesis of the literature challenging. However, studies on DNA methylation showed that mechanisms related to the immune and the autonomic nervous system, and cell metabolism might be implicated in the pathophysiology of PACS and long-COVID.
Conclusion
Epigenetic changes might help elucidating PACS and long-COVID underlying mechanisms, aid subgrouping, and point towards tailored treatments. Preliminary evidence is promising but scarce. Biological and epigenetic research on long-COVID will benefit millions of people suffering from long-COVID and has the potential to be transferable and benefit other conditions as well, such as Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). We urge future research to employ longitudinal designs and provide a better characterization of included patients.
We provide the first evidence that firms, not just voters, are gerrymandered. We compare allocations of firms in enacted redistricting plans to counterfactual distributions constructed using simulation methods. We find that firms are over-allocated to districts held by the mapmakers’ party when partisans control the redistricting process; maps drawn by courts and independent commissions allocate firms more proportionately. Our results hold when we account for the gerrymandering of seats: fixing the number of seats the mapmakers’ party wins, they obtain more firms than expected in their districts. Our research reveals that partisan mapmakers target more than just voters, shedding new light on the link between corporate and political power in the United States and opening new pathways for studying how mapmakers actually draw district boundaries.
Home enteral nutrition (HEN) is a long-term, life-sustaining nutrition therapy for patients unable to consume sufficient food orally. Patients rely on a prescribed, manufactured product to provide their full nutrient requirements, although some patients may have supplementary oral intake. Prescribed enteral nutrition is used as a treatment for malnutrition, but may, in the long-term, cause poor nutrition status. This study aimed to investigate the nutrition status (energy, protein, vitamin D, and selenium) and malnutrition incidence in long-term HEN patients in the Counties Manukau region. In this cross-sectional study, 42 adults on HEN for 4+ weeks under the care of Te Whatu Ora Health New Zealand were analysed. Participants’ enteral and oral feeding regimes were tracked using patient records and five non-consecutive 24-hour recalls. Biochemical markers, body mass index (BMI), body composition (BIA), and nutrition focussed physical findings were evaluated using reference standards and the Global Leadership Initiative on Malnutrition (GLIM) malnutrition criteria(1). Independent t-tests and Mann-Whitney tests compared participants based on their enteral and supplementary oral intakes and adherence to their enteral prescription. Dependent t-tests and Wilcoxon tests evaluated nutrients contributions from various feeding methods and sources. Over half (54.7%, n = 23) relied exclusively on enteral nutrition, but 60% did not achieve their full energy prescription. Compared to requirements based on the Oxford equation and 1g/kg of body weight, energy and protein intake was low in 20% of all participants, mean intake of these participants was 1,242 ± 183 kcal and 57.5 ± 13.5 g respectively. Participants with full enteral intake had a significantly higher vitamin D intake (14.9 µg, P<0.05) than those with supplementary oral intake (11.2 µg, P<0.05). However, those with oral intake had significantly higher intake of selenium, energy, and all the macronutrients than those with sole enteral intake. Vitamin D and selenium intakes were significantly greater in participants obtaining their full prescription than those that did not. No participants had low vitamin D or selenium blood concentrations, however 40% and 38.1% respectively were high. There was a significant relationship between meeting their energy prescription and high plasma selenium. Low BMI, mid arm muscle circumference, and fat free mass index were observed in 47.5%, 40.5%, and 44.8% of participants respectively. This was not statistically significant between groups. Fat mass and waist circumference were significantly higher in participants on full enteral nutrition. According to the GLIM malnutrition criteria, 62.5% (n = 25) of all participants were malnourished. In conclusion, while HEN patients maintain good vitamin D and selenium status, energy and protein malnutrition are evident. The types of food consumed by those with oral intake may be responsible for the differences in nutritional status. Further attention to prescription adherence and nutritional balance from HEN and oral intake is necessary for this vulnerable group.
Like other European countries, Austria introduced employment restrictions for foreigners after World War I. Access to the labor market was to be reserved primarily for Austrian citizens. These new regulations related exclusively to dependent employees and allowed exceptions in view of family reunification, among other things. They were based on official labor market categories and reflected widely accepted imaginations of gender-specific abilities and responsibilities. However, many foreigners earned their living in a household context and their activities hardly matched the official categories of work and family. Since decision-making on employment permits required unambiguous categorization, this situation posed a dilemma for the authorities in charge. Given the vast variety of work arrangements and relations, they struggled to clearly draw the line between “employed” and “not employed” workers. Using the example of domestic help and Bulgarian gardeners, this article investigates administrative authorities' attempts to make such distinctions and it examines migrants' efforts to occupy labor market niches. While migrants un/intentionally circumvented regulations and made their living in Austria, the ongoing disputes paradoxically contributed to an enforcement of restrictions. Administrative authorities gradually increased their endeavor to locate unauthorized foreign workers even within households and they sharpened the criteria for their categorization.
OBJECTIVES/GOALS: Women and healthcare providers from underserved rural and urban communities participated in Community Engagement (CE) studios to offer perspectives for increasing research participation of women from diverse backgrounds prior to initiating recruitment for a randomized-controlled trial comparing treatments for urgency urinary incontinence. METHODS/STUDY POPULATION: CE studios are listening sessions to gather patient or community input on specific study areas of interest before implementation. Ten CE studios were held via Zoom at five study sites (Rhode Island, Washington DC, Alabama, New Mexico, and Southern California). Each site held two studios: 1) women living with urgency urinary incontinence, 2) clinicians providing care in their areas. Participants gave recommendations on ways to increase study participation of women from diverse racial and ethnic backgrounds with a focus on recruitment and retention, identification of barriers to participation, and suggested approaches to overcome those barriers. Summaries were compiled from each CE studio to identify similar and contrasting recommendations across sites. RESULTS/ANTICIPATED RESULTS: A total of 80 participants (47 community women experiencing urgency urinary incontinence, and 33 healthcare professionals) participated across all sites. Studio participants discussed anticipated barriers for participant recruitment and retention with a focus on solutions to those barriers. Based on these suggestions, we created recruitment materials using pictures, videos, and simple terminology. We created educational content to help providers with current best practices for urinary urgency incontinence. We have allowed most study visits to be conducted virtually, identified affiliated clinics in various locations to improve proximity to undeserved communities, and have earmarked additional funds to help offset travel costs including gas, public transportation, and childcare. DISCUSSION/SIGNIFICANCE: CE studios have provided pragmatic patient- and provider-centered recommendations that have been incorporated into functional strategies to improve research participation and diversity. CTSA CE core expertise can support successful CE studio planning and implementation.
Like other historiographical fields, that of German history has been defined through most of its existence by the things historians argued about. We could go back well over a hundred years to the Methodenstreit over Karl Lamprecht's efforts to write multidisciplinary history, follow the line through the work of Eckart Kehr, Fritz Fischer, Hans Ulrich Wehler, and the Sonderweg debate, and continue on through the Historikerstreit and the Historikerinnenstreit of the 1980s, and the Goldhagen and Wehrmacht exhibit fights in the mid-1990s, to recent debates over the relative weight of colonial and Holocaust memory.
Elizabeth Anscombe has called the part of the Tractatus dealing with the relation between the will and the world “obviously wrong.” To understand and assess this view, I look at what Wittgenstein, Schopenhauer, and Anscombe say about the will. She is right to reject the view of the will that she calls wrong, but it is possible that Wittgenstein intends his readers to reject it too. Recent work by Anne-Marie Søndergaard Christensen, Eli Friedlander, Modesto Gómez-Alonso, and Michael Kremer helps us to see this, and to understand Wittgenstein’s views on ethics as well. The will, conceived as something distinct from our actions in the world, is indeed a chimaera, as Anscombe argues. Will belongs to what we do. And it is not, as such, something that we can or should reject. If we are to reject anything in this neighbourhood, it is idle wishing that the world would change.
The deep regolith of the southeastern United States has undergone rapid erosion in the last two centuries due to intensive agricultural practices, which has altered the landscape and its inherent fertility. Parent material, landscape position, and land use are important factors in controlling the mineral and elemental composition of soil profiles. Independent quantitative X-ray diffraction (QXRD) and whole-rock chemical analysis of eight weathering profiles agreed well and allow mineral reaction pathways to be constrained as particles are conveyed in the subsurface. QXRD analysis of saprolite, argillic, and soil A-horizons in the profiles highlights the imprint of bedrock on the regolith, which includes Neoproterozoic meta-tonalitic to meta-granodioritic and Paleozoic meta-granitic to biotite- and amphibolite-gneissic lithologies. Also, aeolian input slightly influenced A-horizon composition. The clay mineral assemblage is dominated by kaolinite, but profiles differ in the amount of interstratified clay minerals, halloysite, hematite, goethite, and gibbsite. Rare-earth element totals vary between 30 and 1048 ppm and are generally correlated positively with clay and clay mineral content. Eu and Ce anomalies reflect parent rocks and subsequent hydrolysis and redox history, with trends depending upon landscape position and clay content in the weathering profile. Weathering profiles on a high-order interfluve and those that were actively cultivated have thick argillic horizons (as defined by clay mineral abundance) and are depleted in alkali and alkaline-earth elements. Profiles proximally developed on old-field pine and never-cultivated hardwood forest land do not show large differences in mineral composition trends, whereas profiles on old-field sites with ongoing cultivation exhibit assemblages enriched in clay minerals and (oxyhydr)oxides. Old-field pine sites that were historically eroded by previous cultivation tend to have shallower and thinner argillic horizons, which may well impact critical-zone processes involving gas and water fluxes. This study highlights that mineral compositions of deep regolith, saprolite, and shallow soil horizons are dependent on local geomorphology (i.e. watershed- and hillshed-orders). Quantifying soil and regolith compositional trends across the landscape is a prerequisite for determining rates of chemical and physical erosion on human and geologic time scales.
Quantification of mineral assemblages in near-surface Earth materials is a challenge because of the often abundant and highly variable crystalline and chemical nature of discrete clay minerals. Further adding to this challenge is the occurrence of mixed-layer clay minerals, which is complicated because of the numerous possible combinations of clay layer types, as defined by their relative proportions and the ordering schemes. The problem of ensuring accurate quantification is important to understanding landscape evolution because mineral abundances have a large influence on ecosystem function. X-ray diffraction analysis of the variable cation-saturated clay fraction in soil and regolith from the Calhoun Critical Zone observatory near Clinton, South Carolina, USA, was coupled with modeling using NEWMOD2 to show that mixed-layer clays are often dominant components in the mineral assemblages. Deep samples in the profile (>6.5 m) contain mixed-layer kaolinite/smectite, kaolinite/illite-like, kaolinite-vermiculite, illite-like/biotite, and illite-like/vermiculite species (with ‘illite-like’ defined herein as Fe-oxidized 2:1 layer structure with a negative layer charge of ~0.75 per unit formula, i.e. weathered biotite). The 2:1 layers in the mixed-layer structures are proposed to serve as exchange sites for K+, which is known to cycle seasonally between plant biomass and subsurface weathering horizons. Forested landscapes have a greater number of 2:1 layer types than cultivated landscapes. Of two nearby cultivated sites, the one higher in landscape position has fewer 2:1 layer types. Bulk potassium concentrations for the forested and two cultivated sites show the greatest abundances in the surface forested site and lowest abundance in the surface upland cultivated site. These observations suggest that landscape use and landscape position are factors controlling the mixed-layer mineral assemblages in Kanhapludults typical of the S.E. United States Piedmont. These mixed-layer clays are key components of the proposed mechanism for K+ uplift concepts, whereby subsurface cation storage may occur in the interlayer sites (with increased negative 2:1 layer charge) during wetter reduced conditions of the winter season and as biomass decay releases cation nutrients. Cation release from the mixed-layer clays (by decreased 2:1 layer charge) occurs under drier oxidized conditions during the growing seasons as biota utilize cation nutrients. The types and abundances of mixed layers also reflect long-term geologic factors including dissolution/alteration of primary feldspar and biotite and the subsequent transformation and dissolution/precipitation reactions that operate within the soil horizons. Thus, the resulting mixed-layer clay mineral assemblages are often complex and heterogeneous at every depth within a profile and across landscapes. X-ray diffraction (XRD) assessment, using multiple cation saturation state and modeling, is essential for quantifying the clay mineral assemblage and pools for cation nutrients, such as potassium, in the critical zone.