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Nevin Manimala Statistics

Pharmacists’ perceptions of the use of internet-based medication information by patients: A cross-sectional survey

PLoS One. 2021 Aug 13;16(8):e0256031. doi: 10.1371/journal.pone.0256031. eCollection 2021.

ABSTRACT

PURPOSE: The credibility and the reliability of Internet webpages to seek medication-related information is questionable. The main objective of the current study was to evaluate perception and experience of pharmacists with the use of Internet-based medication information by their patients.

METHODS: This is a cross-sectional descriptive study that was conducted to evaluate perception and experience of pharmacists with the use of Internet-based medication information by their patients. During the study period, 200 pharmacists were approached to participate in the study using a paper-based survey to assess their perceptions and current experience with the use of Internet-based medication information by their patients. Data were analyzed using descriptive statistics (mean/standard deviation for continuous variables, and frequency/percentages for qualitative variables). Also, simple linear regression was utilized to screen factors affecting pharmacists’ perception scores of the use of Internet-based medication information.

RESULTS: Among 161 recruited pharmacists, the majority (n = 129, 80.1%) reported receiving inquiries from patients about Internet-based medication information within the last year. Among them, only 22.6% (n = 29) of pharmacists believed that Internet-based medication information is somewhat or very accurate. Unfortunately, only 24.2% (n = 31) of them stated that they always had enough time for their patient to discuss their Internet-based medication information. Regarding pharmacists’ perception of the use of Internet-based medication information by their patients, more than half of the pharmacists (>50%) believe that Internet-based medication information could increase the patient’s role in taking responsibility. On the other hand, 54.7% (n = 88) of the pharmacists believed that Internet-based medication information would contribute to rising the healthcare cost by obtaining unnecessary medications by patients. Finally, pharmacists’ educational level was found to significantly affect their perception scores toward patient use of Internet-based medication information where those with higher educational level showed lower perception score (r = -0.200, P-value = 0.011).

CONCLUSION: Although pharmacists felt that usage of Internet-based data by patients is beneficial, they also have believed that it has a negative impact in terms of rising the healthcare cost, and it promotes unnecessary fear or concern about medications. We suggest that pharmacists be trained on principles of critical appraisal to become professional in retrieval information on the Internet that might improve their delivery of healthcare information and their recommendations to patients.

PMID:34388191 | DOI:10.1371/journal.pone.0256031

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Nevin Manimala Statistics

Bandgap prediction of two-dimensional materials using machine learning

PLoS One. 2021 Aug 13;16(8):e0255637. doi: 10.1371/journal.pone.0255637. eCollection 2021.

ABSTRACT

The bandgap of two-dimensional (2D) materials plays an important role in their applications to various devices. For instance, the gapless nature of graphene limits the use of this material to semiconductor device applications, whereas the indirect bandgap of molybdenum disulfide is suitable for electrical and photo-device applications. Therefore, predicting the bandgap rapidly and accurately for a given 2D material structure has great scientific significance in the manufacturing of semiconductor devices. Compared to the extremely high computation cost of conventional first-principles calculations, machine learning (ML) based on statistics may be a promising alternative to predicting bandgaps. Although ML algorithms have been used to predict the properties of materials, they have rarely been used to predict the properties of 2D materials. In this study, we apply four ML algorithms to predict the bandgaps of 2D materials based on the computational 2D materials database (C2DB). Gradient boosted decision trees and random forests are more effective in predicting bandgaps of 2D materials with an R2 >90% and root-mean-square error (RMSE) of ~0.24 eV and 0.27 eV, respectively. By contrast, support vector regression and multi-layer perceptron show that R2 is >70% with RMSE of ~0.41 eV and 0.43 eV, respectively. Finally, when the bandgap calculated without spin-orbit coupling (SOC) is used as a feature, the RMSEs of the four ML models decrease greatly to 0.09 eV, 0.10 eV, 0.17 eV, and 0.12 eV, respectively. The R2 of all the models is >94%. These results show that the properties of 2D materials can be rapidly obtained by ML prediction with high precision.

PMID:34388173 | DOI:10.1371/journal.pone.0255637

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Nevin Manimala Statistics

Keel bone fractures in Danish laying hens: Prevalence and risk factors

PLoS One. 2021 Aug 13;16(8):e0256105. doi: 10.1371/journal.pone.0256105. eCollection 2021.

ABSTRACT

Keel bone fractures (KBF) in commercial poultry production systems are a major welfare problem with possible economic consequences for the poultry industry. Recent investigations suggest that the overall situation may be worsening. Depending on the housing system, fracture prevalences exceeding 80% have been reported from different countries. No specific causes have yet been identified and this has consequently hampered risk factor identification. The objective of the current study was to investigate the prevalence of KBF in Danish layer hens and to identify risk factors in relation to KBF in all major productions systems, including parent stock production. For risk factor identification, production data from the included flocks was used. In total, 4794 birds from 40 flocks were investigated at end-of-lay. All birds were euthanized on farm and underwent inspection and palpation followed by necropsy. All observations were recorded and subsequently analysed using the SAS statistical software package. In flocks from non-caged systems, fracture prevalence in the range 53%-100%, was observed whereas the prevalence in flocks from enriched cages ranged between 50-98%. Furthermore, often multiple fractures (≥4) were observed in individual birds (range 5-81% of the birds with fractures) depending on the flock. The localization of the fractures at the distal end of the keel bone is highly consistent in all flocks (>96%). Macroscopically the fractures varied morphologically from an appearance with an almost total absence of callus, most frequently observed in caged birds, to large callus formations in and around the fracture lines, which was a typical finding in non-caged birds. Despite being housed under cage-free conditions, parent birds had significantly fewer fractures (all flocks were 60 weeks old) per bird, than other birds from cage-free systems. The body weight at end-of-lay had an effect on the risk of having fractures, heavy hens have significantly fewer fractures at end-of-lay. The older the hens were at onset of lay, the lower was the flock prevalence at end-of-lay. Additionally, the daily egg size at onset of lay was of importance for the risk of developing fractures, the production of heavier eggs initially, resulted in higher fracture prevalence at depopulation. The odds ratio of body weight, (+100 g) was 0.97, age at onset of lay (+1 week) was 0.87 and daily egg weight at onset (+1 gram) was 1.03. In conclusion, the study demonstrated a very high prevalence of KBF in hens from all production systems and identified hen size, age at onset of lay and daily egg weight at onset of lay to be major risk factors for development of KBF in the modern laying hen. Further research regarding this is warranted to strengthen the longevity and enhance the welfare of laying hens.

PMID:34388183 | DOI:10.1371/journal.pone.0256105

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Nevin Manimala Statistics

Environmental factors shaping stable isotope signatures of modern red deer (Cervus elaphus) inhabiting various habitats

PLoS One. 2021 Aug 13;16(8):e0255398. doi: 10.1371/journal.pone.0255398. eCollection 2021.

ABSTRACT

Stable isotope analyses of bone collagen are often used in palaeoecological studies to reveal environmental conditions in the habitats of different herbivore species. However, such studies require valuable reference data, obtained from analyses of modern individuals, in habitats of well-known conditions. In this article, we present the stable carbon and nitrogen isotope composition of bone collagen from modern red deer (N = 242 individuals) dwelling in various habitats (N = 15 study sites) in Europe. We investigated which of the selected climatic and environmental factors affected the δ13C and δ15N values in bone collagen of the studied specimens. Among all analyzed factors, the percent of forest cover influenced the carbon isotopic composition most significantly, and decreasing forest cover caused an increase in δ13C values. The δ15N was positively related to the proportion of open area and (only in the coastal areas) negatively related to the distance to the seashore. Using rigorous statistical methods and a large number of samples, we confirmed that δ13C and δ15N values can be used as a proxy of past habitats of red deer.

PMID:34388162 | DOI:10.1371/journal.pone.0255398

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Nevin Manimala Statistics

Preliminary results of rehabilitation intervention for the correction of cognitive impairment in patients with multiple sclerosis

Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(7. Vyp. 2):94-98. doi: 10.17116/jnevro202112107294.

ABSTRACT

One of the leading symptoms in patients with multiple sclerosis (MS) is cognitive impairment. It often affects aspects of cognition such as learning ability, memory, processing speed, and attention. It has been proven that patients often complain of difficulties in multitasking and choosing the right words. These problems are often underestimated. Various studies show that regular physical activity, mainly aerobic exercise, can potentially improve cognitive function. Positive effects on concentration, memory, and multitasking were described. In March 2019, the Tyumen regional center of MS, together with the clinical Institute of the brain (Yekaterinburg), launched a clinical study of methods for rehabilitation of cognitive disorders in patients with MS. There was a statistically significant improvement in MOCA-test scores, according to SDMT and PASSAT data in the main group of MS patients. Despite a significant improvement in cognitive function, the self-assessment of mental function according to the MSQOL54-MN test in this group of patients did not change. Our preliminary results suggest that a comprehensive and well-controlled training program can improve cognitive abilities in MS patients even after a short course of treatment.

PMID:34387454 | DOI:10.17116/jnevro202112107294

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Nevin Manimala Statistics

AutoMeKin2021: An open-source program for automated reaction discovery

J Comput Chem. 2021 Aug 13. doi: 10.1002/jcc.26734. Online ahead of print.

ABSTRACT

AutoMeKin2021 is an updated version of tsscds2018, a program for the automated discovery of reaction mechanisms (J. Comput. Chem. 2018, 39, 1922). This release features a number of new capabilities: rare-event molecular dynamics simulations to enhance reaction discovery, extension of the original search algorithm to study van der Waals complexes, use of chemical knowledge, a new search algorithm based on bond-order time series analysis, statistics of the chemical reaction networks, a web application to submit jobs, and other features. The source code, manual, installation instructions and the website link are available at: https://rxnkin.usc.es/index.php/AutoMeKin.

PMID:34387374 | DOI:10.1002/jcc.26734

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Nevin Manimala Statistics

Application of Contrast-Enhanced Ultrasound in the Differential Diagnosis of Benign and Malignant Subpleural Pulmonary Lesions

J Ultrasound Med. 2021 Aug 13. doi: 10.1002/jum.15804. Online ahead of print.

ABSTRACT

OBJECTIVE: To explore the clinical value of contrast-enhanced ultrasound (CEUS) in the differential diagnosis of benign and malignant subpleural pulmonary lesions (SPLs).

METHODS: Among 959 patients with SPLs who were scheduled to undergo ultrasound-guided puncture in our department between January 2019 and June 2019, 506 patients were included and their B-mode ultrasound and CEUS features, including the lesion’s location, size, margin, echo, perfusion pattern of ultrasound contrast agent, degree of enhancement, homogeneity, vascular signs, and necrosis, were retrospectively investigated. All malignant cases were diagnosed by pathology, while benign cases were diagnosed by two respiratory physicians after comprehensive analysis of pathology, etiology, imaging, and clinical symptoms. Statistical differences in these features between the benign and malignant groups were then analyzed.

RESULTS: There were 506 cases in this study, including 219 benign cases and 287 malignant cases. Among them, 351 were males and 155 were females, with an average age of 59 ± 16 years. There were statistically significant differences between benign and malignant groups in the perfusion pattern, the degree of enhancement, and vascular signs. The features of the malignant group included local-to-whole perfusion pattern, hypo-enhancement, and curly hair sign, while those of the benign group included a centrifugal perfusion pattern, iso-enhancement and hyper-enhancement, and dendritic sign. There was no statistically significant difference between the two groups in homogeneity and necrosis.

CONCLUSIONS: CEUS enhancement mode is different between benign and malignant SPLs, which can provide supplementary information for the differential diagnosis of SPLs in the existing imaging diagnosis.

PMID:34387377 | DOI:10.1002/jum.15804

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Nevin Manimala Statistics

A transcriptome-wide association study identifies novel blood-based gene biomarker candidates for Alzheimer’s disease risk

Hum Mol Genet. 2021 Aug 13:ddab229. doi: 10.1093/hmg/ddab229. Online ahead of print.

ABSTRACT

Alzheimer’s disease (ad) adversely affects the health, quality of life and independence of patients. There is a critical need to identify novel blood gene biomarkers for ad risk assessment. We performed a transcriptome-wide association study to identify biomarker candidates for ad risk. We leveraged two sets of gene expression prediction models of blood developed using different reference panels and modelling strategies. By applying the prediction models to a meta-GWAS including 71 880 (proxy) cases and 383 378 (proxy) controls, we identified significant associations of genetically determined expression of 108 genes in blood with ad risk. Of these, 15 genes were differentially expressed between ad patients and controls with concordant directions in measured expression data. With evidence from the analyses based on both genetic instruments and directly measured expression levels, this study identifies 15 genes with strong support as biomarkers in blood for ad risk, which may enhance ad risk assessment and mechanism-focused studies.

PMID:34387340 | DOI:10.1093/hmg/ddab229

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Nevin Manimala Statistics

Assessing Confidence in Root Placement on Phylogenies: An Empirical Study Using Non-Reversible Models for Mammals

Syst Biol. 2021 Aug 13:syab067. doi: 10.1093/sysbio/syab067. Online ahead of print.

ABSTRACT

Using time-reversible Markov models is a very common practice in phylogenetic analysis, because although we expect many of their assumptions to be violated by empirical data, they provide high computational efficiency. However, these models lack the ability to infer the root placement of the estimated phylogeny. In order to compensate for the inability of these models to root the tree, many researchers use external information such as using outgroup taxa or additional assumptions such as molecular-clocks. In this study, we investigate the utility of non-reversible models to root empirical phylogenies and introduce a new bootstrap measure, the rootstrap, which provides information on the statistical support for any given root position. Availability and implementation: rootstrap support is implemented in IQ-TREE 2 and a tutorial is available at the iqtree webpage http://www.iqtree.org/doc/Rootstrap. In addition, a python script is available at https://github.com/suhanaser/Rootstrap.

PMID:34387349 | DOI:10.1093/sysbio/syab067

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Nevin Manimala Statistics

Low-dose CT denoising via convolutional neural network with an observer loss function

Med Phys. 2021 Aug 13. doi: 10.1002/mp.15161. Online ahead of print.

ABSTRACT

PURPOSE: Convolutional neural network (CNN)-based denoising is an effective method for reducing complex computed tomography (CT) noise. However, the image blur induced by denoising processes is a major concern. The main source of image blur is the pixel-level loss (e.g., mean-squared-error (MSE) and mean-absolute-error (MAE)) used to train a CNN denoiser. To reduce the image blur, feature-level loss is utilized to train a CNN denoiser. A CNN denoiser trained using VGG loss can preserve the small structures, edges, and texture of the image. However, VGG loss, derived from an ImageNet-pretrained image classifier, is not optimal for training a CNN denoiser for CT images. ImageNet contains natural RGB images, so the features extracted by the ImageNet-pretrained model cannot represent the characteristics of CT images that are highly correlated with diagnosis. Furthermore, a CNN denoiser trained with VGG loss causes bias in CT number. Therefore, we propose to use a binary classification network trained using CT images as a feature extractor and newly define the feature-level loss as observer loss.

METHODS: As obtaining labeled CT images for training classification network is difficult, we create labels by inserting simulated lesions. We conduct two separate classification tasks, signal-known-exactly (SKE) and signal-known-statistically (SKS), and define the corresponding feature-level losses as SKE loss and SKS loss, respectively. We use SKE loss and SKS loss to train CNN denoiser.

RESULTS: Compared to pixel-level losses, a CNN denoiser trained using observer loss (i.e., SKE loss and SKS loss) is effective in preserving structure, edge, and texture. Observer loss also resolves the bias in CT number, which is a problem of VGG loss. Comparing observer losses using SKE and SKS tasks, SKS yields images having a more similar noise structure to reference images.

CONCLUSIONS: Using observer loss for training CNN denoiser is effective to preserve structure, edge, and texture in denoised images and prevent the CT number bias. In particular, when using SKS loss, denoised images having a similar noise structure to reference images are generated.

PMID:34387360 | DOI:10.1002/mp.15161