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At least 469 records · Page 26Linked to original sources

META-DIFF: a k-mer-based pipeline that detects differentially abundant sequences in metagenomics whole genome sequencing.

Traditional case-control metagenomic studies are constrained by their dependence on taxonomic and functional databases. Because annotation occurs before differential analysis, they are limited to known elements and keep function and taxonomy separate. Although binning strategies have emerged to reconstruct genomes and mitigate this issue, they still require an assembly step, preventing the use of all available sequencing data. Here, we introduce META-DIFF, a pipeline based on differentially abundant k-mers independently of any prior annotation. From those k-mers, it reconstructs longer sequences and provides biological context, as well as the best set of unitigs to discriminate between conditions. Across both taxonomy-centric and functionally-centric benchmarks, it showed robust performance and displayed great reproducibility. It also behaved more conservatively than did other univariate methodologies, i.e. it maintained a high precision at the expense of recall, particularly in conditions of low fold-change and limited sequencing depth. The efficacy of META-DIFF was further validated through its application to a real-world colorectal cancer dataset, which produced both confirmatory and novel results compared with those of previous publications. The pipeline is able to exploit all reads and identify differentially abundant elements, including unknown DNA, prior to annotation. With the guidelines provided, META-DIFF provides users with great exploratory power to unravel microbiome changes.

Metagenomics↗

The value of vesicant 18F-fluorodeoxyglucose positron emission tomography (18F-FDG PET) in gastric malignancies.

AIM: The value of vesicant 18F-fluorodeoxyglucose positron emission tomography (18F-FDG PET) in the detection and staging of primary gastric malignancies was studied prospectively. METHODS: Thirty-eight patients with suspected gastric tumour were imaged with three-dimensional PET after the injection of 18F-FDG. During the PET study, vesicant was given orally in order to extend the stomach with CO(2) gas. Surgical operation (n=31) or gastric endoscopy with biopsy (n=7) was undertaken 3-26 days after the PET study. The PET results were compared with clinical (computed tomography/magnetic resonance imaging/ultrasound), surgical and histological staging. RESULTS: PET correctly diagnosed 83.3% of primary malignant (25/30) and benign (7/8) lesions, and corrected 11 clinically and five surgically mis-staged cases. Five primaries were false-negatives in quantitative analysis, but qualitative PET readings revealed positive lymph nodes, thereby providing a correct diagnosis in two of the five. PET misdiagnosed seven N1, one N2 and one false-positive case. The focal uptake of 18F-FDG was correlated with the differentiation, size and depth of invasion of the gastric tumours. CONCLUSIONS: 18F-FDG PET is useful for the detection and staging of primary gastric malignancies, and the administration of vesicant may improve the diagnostic confidence.

Adenocarcinoma↗

Thinking aloud about trust: a protocol analysis of trust in risk management.

There are two general theories of trust in risk management. One, derived from normative considerations, claims that trust is based on universally applicable factors such as fairness and objectivity. According to the second, social-psychological theory, trust is based on agreement or similarity and is context specific. Although the first theory is normative, it also claims, along with the second, to be a descriptive account of how trust judgments are made. The present study was designed to test the adequacy of these two theories by using a think-aloud procedure to examine the thinking associated with trust judgments in an experimental simulation of a typical risk management context. Contrary to the universalist theory, results supported two hypotheses derived from the social-psychological theory. First, study participants--who read brief policy statements designed to address global climate change--based their trust judgments on specific forms of agreement, ranging from agreement on the importance of the issue to agreement on values inferred from the policy statement. Second, the extent and depth of participants' conscious information processing was negatively related to the level of trust. Disagreement and distrust generated more conscious consideration than agreement and trust. These results provide a more detailed understanding than previously available of how trust in risk management is based on local forms of agreement that vary across people, contexts, and time.

Journal Article↗

Electrical impedance for estimation of irritation in oral mucosa and skin.

Our aim is to establish an objective, easy-to-use technique to evaluate tissue irritation in vivo using non-invasive electrical impedance measurements. Such a technique would facilitate testing the biocompatibility of various materials, and also in quantifying skin diseases and other processes involving structural changes. It has been found that irritation of the oral mucosa not clinically or histologically discernible could be detected with a simple device based on electrical impedance techniques. Originally, the key problem was to focus the probing electrical field in order to minimize artefacts emanating from tissue layers of no interest. The device was then refined and applied to skin testing. It was found that irritation effects far below the limit of the commonly used visual readings could be detected. In this case, it is desirable to exclude from the measurement tissue layers with no diagnostic information, or at least reduce their influence. In this paper, the essential steps of the development of a multi-frequency depth selective device are reviewed.

Artifacts↗

Retinal image quality, reading and myopia.

Analysis was undertaken of the retinal image characteristics of the best-spectacle corrected eyes of progressing myopes (n = 20, mean age = 22 years; mean spherical equivalent = -3.84 D) and a control group of emmetropes (n = 20, mean age = 23 years; mean spherical equivalent = 0.00 D) before and after a 2h reading task. Retinal image quality was calculated based upon wavefront measurements taken with a Hartmann-Shack sensor with fixation on both a far (5.5 m) and near (individual reading distance) target. The visual Strehl ratio based on the optical transfer function (VSOTF) was significantly worse for the myopes prior to reading for both the far (p = 0.01) and near (p = 0.03) conditions. The myopic group showed significant reductions in various aspects of retinal image quality compared with the emmetropes, involving components of the modulation transfer function, phase transfer function and point spread function, often along the vertical meridian of the eye. The depth of focus of the myopes (0.54 D) was larger (p = 0.02) than the emmetropes (0.42 D) and the distribution of refractive power (away from optimal sphero-cylinder) was greater in the myopic eyes (variance of distributions p < 0.05). We found evidence that the lead and lag of accommodation are influenced by the higher order aberrations of the eye (e.g. significant correlations between lead/lag and the peak of the visual Strehl ratio based on the MTF). This could indicate that the higher accommodation lags seen in myopes are providing optimized retinal image characteristics. The interaction between low and high order aberrations of the eye play a significant role in reducing the retinal image quality of myopic eyes compared with emmetropes.

Accommodation, Ocular↗

Phonological spelling errors among dyslexic children learning a transparent orthography: the case of Czech.

Substantial evidence from studies of English-speaking dyslexic children's spelling suggests that these individuals have a persistent impairment in representing the phonological structure and content of words in writing. In contrast, several studies of German dyslexic children (Landerl & Wimmer, 2000) suggest that, among learners of transparent orthographies, the above impairment is transient and resolves by the end of grade 2; instead dyslexic spelling is characterised by a persistent impairment in learning inconsistent spelling patterns. In order to determine whether phonological spelling difficulties are transient among dyslexic spellers of other transparent orthographies, we analysed phonological accuracy in the spellings of 43 dyslexic children, 43 age-matched control and 43 spelling-matched control children attending primary schools in Prague. Czech dyslexic children presented an interesting test case because Czech has a transparent orthography. Czech dyslexics as old as 11 years (grade 5) continued to produce high rates of phonologically inaccurate spellings relative to their age peers; thus their difficulties with phonological representation in spelling had not resolved. This pattern is consistent with findings from studies of English-speaking dyslexics, and it suggests that orthographic depth may impact less dramatically on the manifestation of dyslexia than has been proposed previously.

Child↗

Accelerated long-read variant calling with Clair3 for whole-genome sequencing.

SUMMARY: The rapid growth of genomic data and increasing adoption of long-read sequencing technologies have rendered variant calling one of the most computationally demanding tasks in genomic analysis. Although deep learning-based methods currently outperform conventional approaches in distinguishing true variants from complex sequencing noise, they impose prohibitive computational and time requirements. To address this limitation, we present a computational framework based on Clair3 that integrates parallelized feature generation, enhanced variant phasing, in-memory read haplotagging, and GPU-accelerated neural network inference to accelerate variant calling. By dynamically optimizing the use of both GPU and CPU resources, our method achieves substantial runtime improvements without compromising accuracy. We evaluated our framework across a range of sequencing depths, diverse samples, and multiple hardware configurations. Our results demonstrate that the optimized pipeline completes variant calling for a 30&#xd7; whole-genome sequence in 12-20&#x2009;minutes using standard computational resources (32 CPU threads and one NVIDIA GPU), and in 12-15&#x2009;minutes on an Apple Mac Studio (32 threads), which is &#x223c;10-20-fold speedup compared with its initial release. In addition to exceptional efficiency, our method maintains state-of-the-art accuracy, achieving SNP F1-scores of 99.32% and 99.70% on 30&#xd7; ONT and PacBio GIAB HG003 datasets, respectively. This work introduces a rapid, accurate, and scalable variant calling framework that effectively supports large-cohort genomic studies and time-sensitive clinical applications. AVAILABILITY AND IMPLEMENTATION: The accelerated implementation of Clair3 is open source and available at: https://github.com/HKU-BAL/Clair3/tree/gpu.

Whole Genome Sequencing↗

Bispectral EEG index monitoring of high-dose nitrous oxide and low-dose sevoflurane sedation.

This single-blind controlled clinical study characterized the effects of 30-70% nitrous oxide (N2O) and 0.2-0.8% sevoflurane conscious sedation on quantitative electroencephalographic (EEG) readings of 22 healthy dental students as measured by the bispectral index (BIS). The study verified the 2 previously published BIS/N2O investigations showing no correlation between N2O dosage up to 70% and BIS. Observer's Assessment of Alertness and Sedation scores (OAA/S), however, correlated well with increasing doses of N2O from approximately 35 to 70%. A near linear dose-response relationship was established between OAA/S and end tidal (ET) sevoflurane concentrations of 0.4-0.7%. Only at the highest level of end tidal sevoflurane recorded, 0.7%, was statistically significant BIS depression seen. Subjects evaluated the acceptability of the sedative effect of the 2 gases, showing a slight preference for N2O. Comparable partial anterograde amnesia and sedation (OAA/S) were produced by both agents in administered concentrations of 40-70% N2O and 0.6-0.8% sevoflurane. Female subjects exhibited better memory and significantly less amnesia than males. No statistically significant changes occurred in any of the monitored vital signs. EMG readings demonstrated a statistically significant difference from control values only at the highest, 0.7%, ET concentration of sevoflurane. BIS does not appear useful for evaluating the level of nitrous oxide sedation in the dental setting but may have some value in assessing depth of sedation at deeper levels of sevoflurane sedation.

Adult↗

Efficacy of dapiprazole with hydroxyamphetamine hydrobromide and tropicamide.

BACKGROUND: Clinical interest in ophthalmic agents to reverse pharmacologically induced mydriasis safely has been attempted for over fifty years. These agents may aid practitioners in assisting the younger patient to regain unable near visual function. METHODS: We evaluated the usefulness of dapiprazole in a private clinical setting. Our study was doubled masked, randomized and used one eye of each subject as a control. Twenty-six consecutive subjects were given dapiprazole as directed by its manufacturer. This administration of dapiprazole followed bilateral pupil dilation with proparacaine 0.5%, hydroxyamphetamine 1.0% and tropicamide 0.25%. Pupil diameter, amplitude of accommodation, intraocular pressure and conjunctival injection were each evaluated prior to instillation of the diagnostic agents, immediately before the instillation of dapiprazole and at 30, 60, 120, and 180 minutes after the final instillation of dapiprazole. RESULTS: The average pupillary recovery time for dapiprazole-treated eyes was similar to previously published data. Accommodation also showed significant recovery, with comfortable reading ability returning by approximately 45 minutes. CONCLUSION: The design of our study did not permit us to determine what portion of accommodation recovery if any was attributable to a ciliary muscle effect and what portion may have resulted from the increased depth of field attending pupillary constriction.

Accommodation, Ocular↗

Fundamental properties of medical image perception.

With a mind toward the effective acquisition, processing, presentation, and reading of radiological images, a survey of how the human visual system perceives images is presented here. The level is chosen to be suitable for the radiologist, and the relative emphasis on the various visual cues of luminance, color, form, texture, motion, and depth is chosen based on their importance with radiological images. Examples of the radiological relevance of the various visual properties are given. We cover first what the visual system's behavior is and then survey some of the properties of the physiological mechanisms that provide this behavior.

Data Display↗

The pH of gingival crevices and periodontal pockets in children, teenagers and adults.

Gingival crevice and periodontal pocket pH, measured directly with glass micro-electrodes, was near neutral at most sites in most individuals (mean pH 6.92 +/- 0.03 SEM, 69 subjects). Periodontal state ranged from healthy to periodontitis but neither clinical evidence of gingivitis at a site nor pocket depth were associated with crevicular pH different from that at healthy sites. This finding contradicts earlier reports that gingivitis is associated with a crevicular pH as alkaline as pH 9.06. Metallic antimony electrodes as used by earlier investigators were found to give pH readings that were too high by as much as 1.5 pH units in the presence of organic reducing agents of the type produced by oral bacteria within gingival crevices. In contrast, glass micro-electrodes respond only to hydrogen ions and thereby provided accurate measurements of pH even in the presence of organic reducing agents. Loss of CO2 to the atmosphere from biological fluids that are bicarbonate buffered resulted in a shift to alkaline pH by as much as 1 pH unit. As a result, only measurements taken within gingival crevices or periodontal pockets can provide accurate measurements of crevice or pocket pH.

Adolescent↗

Cervical cancer educational pamphlets: Do they miss the mark for Mexican immigrant women's needs?

The rate of invasive cervical cancer in US Hispanic women is nearly doubled that of non-Hispanics. Using in-depth interviews and content/grade level analysis of educational materials, this study explores the relevance of cervical cancer education materials to the needs of Mexican immigrant women. It also addresses health literacy issues that create barriers to learning. Findings show aspects of language, content, reading level, structure, and visual images in 22 cervical cancer pamphlets from 11 health care sites in a Midwest city were not relevant to the learning needs or health literacy levels of local Mexican immigrant women. Further research is recommended to establish an evidence base regarding optimal presentation of key elements of the cervical cancer educational message for Mexican immigrant women.

Adult↗

Automated oral hygiene self-care devices: making evidence-based choices to improve client outcomes.

Dental hygienists have historically been the primary promoters of health, prevention, and wellness in dental practice. With the large number of automated self-care devices available, many clients expect their dental hygienists to be experts and advisors on such purchases. It is vitally important for dental hygienists to understand and evaluate the available clinical research findings, and along with their clients, apply them in a collaborative decision making process. The purpose of this course is for dental hygienists to learn the scientific and practical implications of evidence-based care in the selection of automated oral hygiene self-care devices. Measurable clinical outcomes in plaque removal, reduction in gingivitis, bleeding, probing depth, periodontal pathogens, and the role of inflammatory mediators will be discussed. Automated self-care products currently available will be identified. Successful completion of the course objectives will be assessed by a post-test, to be completed by the learner after reading the article in its entirety. Two hours of continuing education course credit will be awarded following successful completion of the post test.

Decision Making↗

Evaluation of the light intensity of high intensity light units.

PURPOSE: To determine the intensity of PAC (plasma arc curing) light compared with conventional QTH (Quartz tungsten halogen) light using a hardness test. METHODS: The spectral distribution of two light sources was analyzed with a spectroradiometer, after the light intensity was determined. AP-X composite was packed into a black mold (4 mm in diameter and 4 mm in depth) to prepare a cylindrical specimen. The irradiating conditions for the PAC unit in the current study were fixed at 6-second irradiation with 600 mW/cm2 (P600-6), 900 mW/cm2 (P900-6), 1200 mW/cm2 (P1200-6), 1500 mW/cm2 (P1500-6), 1800 mW/cm2 (P1800-6) and 40-second irradiation with 600 mW/cm2 (P600-40). The conventional irradiating condition for QTH was 600 mW/cm2 for 40 seconds (Q600-40). After storage in 37 degrees C water for 24 hours, the hardness of the resin composite was measured with a nanoindentation testing machine. Triplicate readings were made at a distance of every 0.5 mm down to 3.0 mm from the top irradiated surface. The comparison of means was statistically analyzed applying one-way ANOVA and Fisher's PLSD test at a significant level of P< 0.05. RESULTS: Although the peak height of the PAC lamp was different due to the light intensity, the waveforms were parallel with one another and the wavelength of peaks was located at the same number. The hardness value at a depth of 2.0 mm and at values of P1800-6 was not significantly different from the control.

Analysis of Variance↗

Reading, readability, and legibility research: implications for notification letters.

This article defines communication science and then briefly describes three research areas relevant to worker notifications: (1) receiving of notification messages, (2) reading and understanding of notification messages, and (3) influences or effects of notification messages on workers. Next, the article focuses on the reading and legibility research relevant to worker notifications and then provides 16 guidelines for drafting worker notifications. Finally, the article suggests evaluating draft notifications by using one or more of the following: skilled editorial reviews, readability scoring, Cloze techniques, signal stopping techniques, in-depth personal interviews, focus groups, and usability testing.

Duty to Warn↗

The use of bispectral analysis in patients undergoing intravenous sedation for third molar extractions.

PURPOSE: The bispectral (BIS) index has been used to interpret electroencephalogram (EEG) recordings to predict the level of sedation and loss of consciousness in patients undergoing general anesthesia. It was the purpose of this project to assess the usefulness of BIS technology in determining the level of sedation in patients undergoing third molar extraction under conscious sedation. PATIENTS AND METHODS: Twenty-five subjects undergoing third molar extraction in an outpatient setting were analyzed. The EEG activity was recorded continually during surgery using a microcomputer (Aspect-1050 Monitor; Aspect Co, Natick, MA) with real-time bispectral data obtained by EEG skin electrodes through a frontotemporal montage. The Observer's Assessment of Alertness and Sedation (OAA/S) scale was used to subjectively assess the level of sedation observed by the anesthetist before initiating the sedation procedure and then at 5-minute intervals until the end of the procedure. The BIS level was simultaneously recorded. The initial sedation was accomplished using a standard dose of midazolam (0.05 mg/kg) and fentanyl (1.5 microg/kg) followed by a 10- to 30-mg bolus of propofol until a level of sedation at which the patient's eyes were closed and he or she was responsive only to vigorous stimulation or repeated loud calling of their name (OAA/S level of 1 to 2). Local anesthesia was then administered. Additional doses of sedative medication (midazolam or propofol) were given during the procedure to maintain the desired level of sedation (an OAA/S level of 2 to 3). The time and dose of the drug given were recorded. The level of sedation based on a single anesthetist's interpretation (OAA/S) and the BIS readings were then compared. RESULTS: A strong positive relationship between the BIS index and OAA/S readings was found (P < .0001). Pairwise comparisons of mean BIS index and its corresponding OAA/S level were significantly different from each other (P < .003) except for OAA/S levels 2 and 3 (P = .367). CONCLUSION: BIS technology offers an objective, ordinal means of assessing the depth of sedation. There was a strong relationship between the objective BIS values and subjective assessment (OAA/S scale) of the depth of anesthesia. This can be invaluable in providing an objective assessment of sedation in oral and maxillofacial surgery where it may be difficult to determine the level of sedation clinically.

Adolescent↗

Object substitution masking interferes with semantic processing: evidence from event-related potentials.

Object substitution masking (OSM) refers to impaired target identification caused by common onset, but delayed offset, of a surrounding dot mask. This effect has been hypothesized to reflect reentrant processes that result in the mask replacing the target representation. However, little is known about the depth of processing associated with masked targets in this paradigm. We investigated this issue by examining the effect of OSM on the N400 component of the event-related potential, which reflects the degree of semantic mismatch between a target and its context. Participants read a context word followed by a semantically related or unrelated target word surrounded by dots. As expected, delayed dot offset significantly reduced accuracy in identifying the target. The N400 amplitude was also diminished by OSM. These findings offer the first evidence that substitution interferes with target processing prior to semantic analysis, demonstrating an important difference between OSM and other visual phenomena, such as the attentional blink, in which semantic processing is independent of awareness.

Adolescent↗

Whole genome sequence data on Ethiopian key sorghum landraces and founder lines.

Sorghum (Sorghum bicolor (L.) Moench) is the fifth most important cereal globally. Its genetic diversity is key to improving yield stability, stress tolerance, and adaptation to different environments. Ethiopia is one of the centers for the crop's origin, diversity, and use in both human food and livestock feed. However, genomic data on Ethiopian sorghum remain limited, especially for landraces preferred by local farmers. This dataset consists of whole-genome sequencing data for 188 Ethiopian sorghum accessions, including founder lines and important landraces from major agroecological zones. Sequencing was performed using the Complete Genomics DNBSEQ-T7 platform, generating high-coverage whole-genome data (20 &#xd7; coverage). On average, each accession produced 64.7 million reads. Reads were aligned to the Sorghum bicolor NCBIv3 reference genome and variants called using GATK HaplotypeCaller with joint genotyping (GATK v4.6.1.0). Hard-filtering followed GATK best-practice thresholds (QD <2.0, FS> 60.0, MQ <40.0, MQRankSum <-12.5, ReadPosRankSum <-8.0), retaining biallelic SNPs with mean depth 10-50&#xd7;, missingness &#x2264;20%, and MAF &#x2265;0.05, yielding 6095,752 high-confidence SNPs across 185 accessions. Both the raw FASTQ files and processed VCF files are publicly available to support studies of sorghum genetic diversity, population structure, selection, and the genetic basis of important traits.

Adaptation↗