Tag: nevin manimala

JCO Oncol Pract. 2023 Jun 16:OP2300068. doi: 10.1200/OP.23.00068. Online ahead of print.

ABSTRACT

PURPOSE: The COVID-19 pandemic has had deleterious effects on oncologist professional and personal well-being, the optimal delivery of quality cancer care, and the future cancer care workforce, with many departing the field. Hence, the identification of evidence-based approaches to sustain oncologists is essential to promote well-being.

MATERIALS AND METHODS: We developed a brief, oncologist-centered, virtual group peer support program and tested its feasibility, acceptability, and preliminary impact on well-being. Trained facilitators provided support to peers on the basis of burnout research in oncology with available resources to enhance oncologist resilience. Peers completed pre- and postsurvey assessment of well-being and satisfaction.

RESULTS: From April to May 2022, 11 of 15 (73%) oncologists participated in its entirety: mean age 51.1 years (range, 33-70), 55% female, 81.8% Ca, 82% medical oncologists, 63.6% trained ≥15 years, average 30.3 patients/wk (range, 5-60), and 90.9% employed in hospital/health system practice. There was a statistically significant difference in pre- and postintervention well-being (7.0 ± 3.6 v 8.2 ± 3.0, P = .03) with high satisfaction with postgroup experience (9.1 ± 2.5). These quantitative improvements were affirmed by qualitative feedback. These themes included (1) an enhanced understanding of burnout in oncology, (2) shared experience in practice of oncology, and (3) fostering connections with diverse colleagues. Future recommendations proposed included (1) restructuring group format and (2) tailoring groups according to practice setting (academic v community).

CONCLUSION: Preliminary results suggest that a brief, innovative oncologist-tailored group peer support program is feasible, acceptable, and beneficial for enhancing well-being dimensions including burnout, engagement, and satisfaction. Additional study is required to refine program components (optimal timing, format) to support oncologist well-being, now during the pandemic and well into recovery.

PMID:37327462 | DOI:10.1200/OP.23.00068

Environ Sci Technol. 2023 Jun 16. doi: 10.1021/acs.est.3c00365. Online ahead of print.

ABSTRACT

On-site batteries, low-pressure biogas storage, and wastewater storage could position wastewater resource recovery facilities as a widespread source of industrial energy demand flexibility. This work introduces a digital twin method that simulates the coordinated operation of current and future energy flexibility resources. We combine process models and statistical learning on 15 min resolution sensor data to construct a facility’s energy and water flows. We then value energy flexibility interventions and use an iterative search algorithm to optimize energy flexibility upgrades. Results from a California facility with anaerobic sludge digestion and biogas cogeneration predict a 17% reduction in electricity bills and an annualized 3% return on investment. A national analysis suggests substantial benefit from using existing flexibility resources, such as wet-weather storage, to reduce electricity bills but finds that new energy flexibility investments are much less profitable in electricity markets without time-of-use incentives and plants without existing cogeneration facilities. Profitability of a range of energy flexibility interventions may increase as a larger number of utilities place a premium on energy flexibility, and cogeneration is more widely adopted. Our findings suggest that policies are needed to incentivize the sector’s energy flexibility and provide subsidized lending to finance it.

PMID:37327453 | DOI:10.1021/acs.est.3c00365

Phys Rev Lett. 2023 Jun 2;130(22):221801. doi: 10.1103/PhysRevLett.130.221801.

ABSTRACT

Top quarks have been recently shown to be a promising system to study quantum information at the highest-energy scale available. The current lines of research mostly discuss topics such as entanglement, Bell nonlocality or quantum tomography. Here, we provide the full picture of quantum correlations in top quarks by studying also quantum discord and steering. We find that both phenomena are present at the LHC. In particular, quantum discord in a separable quantum state is expected to be detected with high-statistical significance. Interestingly, due to the singular nature of the measurement process, quantum discord can be measured following its original definition, and the steering ellipsoid can be experimentally reconstructed, both highly demanding measurements in conventional setups. In contrast to entanglement, the asymmetric nature of quantum discord and steering can provide witnesses of CP-violating physics beyond the standard model.

PMID:37327434 | DOI:10.1103/PhysRevLett.130.221801

Phys Rev Lett. 2023 Jun 2;130(22):223201. doi: 10.1103/PhysRevLett.130.223201.

ABSTRACT

We characterize and model the Stark effect due to the radio-frequency (rf) electric field experienced by a molecular ion in an rf Paul trap, a leading systematic in the uncertainty of the field-free rotational transition. The ion is deliberately displaced to sample different known rf electric fields and measure the resultant shifts in transition frequencies. With this method, we determine the permanent electric dipole moment of CaH^{+}, and find close agreement with theory. The characterization is performed by using a frequency comb which probes rotational transitions in the molecular ion. With improved coherence of the comb laser, a fractional statistical uncertainty for a transition line center of as low as 4.6×10^{-13} was achieved.

PMID:37327411 | DOI:10.1103/PhysRevLett.130.223201

Biometrics. 2023 Jun 16. doi: 10.1111/biom.13882. Online ahead of print.

ABSTRACT

The study of how the number of spikes in a middle temporal visual area (MT/V5) neuron is tuned to the direction of a visual stimulus has attracted considerable attention over the years, but recent studies suggest that the variability of the number of spikes might also be influenced by the directional stimulus. This entails that Poisson regression models are not adequate for this type of data, as the observations usually present over/underdispersion (or both) with respect to the Poisson distribution. This paper makes use of the double exponential family and presents a flexible model to estimate, jointly, the mean and dispersion functions, accounting for the effect of a circular covariate. The empirical performance of the proposal is explored via simulations and an application to a neurological data set is shown.

PMID:37327387 | DOI:10.1111/biom.13882

Breastfeed Med. 2023 Jun 16. doi: 10.1089/bfm.2022.0263. Online ahead of print.

ABSTRACT

Objective: This study investigated changes in sodium concentrations in human milk from mothers of premature infants using different breast pumps for 14 days postpartum, and the correlation between the sodium concentration in mother’s own milk (MOM) and the volume pumped. Study Design: This randomized controlled study recruited 66 mothers of premature infants delivered in our hospital from February to December 2018, and we assigned them to three groups using an envelope method. In intervention group 1, a hospital-grade electric breast pump was used from postpartum day 1 to 14; in intervention group 2, a hospital-grade electric breast pump was used on postpartum days 1 to 5 and a normal personal electric breast pump on postpartum days 6 to 14; in the control group, a personal normal electric breast pump was used from postpartum day 1 to 14. Data recorded included the breast milk volume pumped and milk sodium concentration. Results: The average daily volume of MOM pumped differed statistically (p < 0.05) between the intervention and control groups at postpartum days 7 and 14. The average daily volume pumped did not differ between intervention groups 1 and 2 by postpartum day 14 (p > 0.05). However, the time taken for the sodium concentrations to normalize differed significantly (p < 0.01). At postpartum day 5, the sodium concentrations of 73% of intervention group 1 and 2 mothers were within normal limits, and they were maintained until day 14. In comparison, only 41% of the controls had normal MOM sodium levels on day 5, and they were still high on day 7 in 27.3% of controls. Conclusions: In the early stage of lactation initiation (within 5 days postpartum), using a hospital-grade electric breast pump promotes lactation in mothers who deliver prematurely and the sodium concentrations normalize more quickly. Sodium can be used as an objective biomarker of MOM to evaluate the possibility of delayed lactation in mothers of premature infants, and it could assist interventions in the early postpartum period. Trial Registration: Chinese Clinical Trial Registry, ChiCTR2200061384.

PMID:37327383 | DOI:10.1089/bfm.2022.0263

Ther Hypothermia Temp Manag. 2023 Jun 16. doi: 10.1089/ther.2023.0017. Online ahead of print.

ABSTRACT

This study aimed to determine the effects of preoperative active and passive warming on postoperative hypothermia, vital signs, and perception of thermal comfort in patients scheduled to undergo elective open abdominal surgery. This was a randomized controlled study. The study sample comprised 90 patients (30 in the active warming group, 30 in the passive warming group, and 30 in the control group) who agreed to participate and met the research criteria. According to the comparison of patients’ vital signs, a statistically significant difference was observed in terms of patients’ preoperative body temperature values (χ² = 56.959; p = 0.000). A comparison of the patients’ postoperative thermal comfort perception scores yielded a statistically significant difference (χ² = 39.693; p = 0.000). Postoperative comfort scores in the active warming group were significantly higher than those in the passive warming and control groups. In conclusion, warming methods are effective in preventing undesirable postoperative hypothermia. The time to reach normothermia after surgery was shorter, vital signs were at a desirable level, and thermal comfort perceptions were higher in patients who were prewarmed. ClinicalTrials.gov (Identifier: NCT04997694).

PMID:37327382 | DOI:10.1089/ther.2023.0017

Big Data. 2023 Jun 16. doi: 10.1089/big.2022.0299. Online ahead of print.

ABSTRACT

“Industry 4.0” aims to build a highly versatile, individualized digital production model for goods and services. The carbon emission (CE) issue needs to be addressed by changing from centralized control to decentralized and enhanced control. Based on a solid CE monitoring, reporting, and verification system, it is necessary to study future power system CE dynamics simulation technology. In this article, a data-driven approach is proposed to analyzing the trajectory of urban electricity CEs based on empirical mode decomposition, which suggests combining macro-energy thinking and big data thinking by removing the barriers among power systems and related technological, economic, and environmental domains. Based on multisource heterogeneous mass data acquisition, effective secondary data can be extracted through the integration of statistical analysis, causal analysis, and behavior analysis, which can help construct a simulation environment supporting the dynamic interaction among mathematical models, multi-agents, and human participants.

PMID:37327377 | DOI:10.1089/big.2022.0299

Medicine (Baltimore). 2023 Jun 16;102(24):e33913. doi: 10.1097/MD.0000000000033913.

ABSTRACT

Obesity in women, a global issue, is being widely managed with bariatric surgery worldwide. According to recommended guidelines, pregnancy should be avoided for 12 to 24 months following surgery due to various risks. We assessed if surgery-to-conception time has a relation with pregnancy outcomes taking into account gestational weight gain. A cohort study between 2015 and 2019 followed-up pregnancies after various types of bariatric surgeries performed (e.g. Roux-en-Y gastric bypass, sleeve gastrectomy, gastric banding, gastric bypass with Roux-en-Y gastroenterostomy) in Tawam Hospital, Al Ain, United Arab Emirates. There were 5 surgery-to-conception groups: <6 months, 6 to 12 months, 13 to 18 months, 19 to 24 months, and >24 months. There were 3 gestational weight gain groups: inadequate, adequate, or excessive (based on the National Academy of Medicine classification). Maternal and neonatal outcomes were compared using analysis of variance and chi-square tests. There were 158 pregnancies. Booking maternal body mass index and weight were higher among mothers who conceived <6 months following surgery (P < .001). Gestational weight gain was not related to the type of bariatric surgery (P = .24), but it was far more often inadequate in mothers who conceived <12 months following surgery (P = .002). Maternal (including pregnancy-induced hypertension and gestational diabetes mellitus) and neonatal outcomes were not statistically significantly associated with surgery-to-conception duration. However, birth weight was lower when gestational weight gain was inadequate (P = .03). There is a negative relationship between shorter bariatric surgery-to-conception interval and gestational weight gain, a feature related to neonatal birth weight. Conception should be delayed to improve pregnancy outcomes following bariatric surgery.

PMID:37327305 | DOI:10.1097/MD.0000000000033913

Medicine (Baltimore). 2023 Jun 16;102(24):e34054. doi: 10.1097/MD.0000000000034054.

ABSTRACT

Most hepatocellular carcinomas (HCC) treated by transcatheter arterial chemoembolization with drug-eluting beads (DEB-TACE) are characterized by coagulation necrosis; therefore, it is often difficult to distinguish enhancement in the arterial phase that would lead to false negative evaluation. This study aimed to evaluate the specificity and sensitivity of the difference value of multiphase contrast-enhanced computed tomography (CECT) in predicting residual tumor activity in HCC lesions after DEB-TACE. This retrospective diagnostic study analyzed CECT images of 73 HCC lesions in 57 patients 20 to 40 days (average 28 days) after DEB-TACE treatment at our Hospital from January to December 2019. Postoperative pathology or digital subtraction angiography images were used as references. Residual tumor activity after the first intervention was determined based on the presence of tumor staining in digital subtraction angiography or the postoperative pathological discovery of HCC tumor cells. A significant difference was observed between the active and inactive residual groups in ∆ HU difference between CT values of arterial phase and non-contrast scans (AN, P = .000), difference between CT values of venous phase and non-contrast scans (VN, P = .000), difference between CT values of delay phase and non-contrast scans (DN, P = .000), (difference between CT values of venous and arterial phase scans, P = .001), and (difference between CT values of delay and arterial phase scans, P = .005). No statistically significant difference was observed between the delayed and venous phases (difference between CT values of delay and venous phase scans, P = .361). The area under the curve (AUC) of the ROC curve showed that the diagnostic efficacies in difference in CT value of AN (AUC = 0.976), VN (AUC = 0.927), and DN (AUC = 0.924) were higher, and their cutoff values were 4.86, 12.065, 20.19 HU with their sensitivities of 93.3%, 84.4%, 77.8% and specificities of 100%, 96.4%, and 100%, respectively. difference in CT value values of AN, VN, DN, difference between CT values of venous and arterial phase scans and difference between CT values of delay and arterial phase scans can sensitively detect residual tumor activity 20-40 days after DEB-TACE. Thus, more sensitive active residual foci were detected using all 3 enhanced phases rather than only the arterial phase. Quantitative analysis of multiphase CECT can detect residual tumor activity in an early and noninvasive manner, which can provide time for patients to receive early follow-up treatment.

PMID:37327303 | DOI:10.1097/MD.0000000000034054