"Things Are Different Now But": Older LGBT Adults' Experiences and Unmet Needs in Health Care.

Background: Approximately 2.7 million U.S. older adults self-identify as lesbian, gay, bisexual, and transgender (LGBT). Many felt unsafe revealing their sexual orientation until relatively recently, and may still not be "out" to medical providers. The aim of this study was to increase understanding of the experiences and needs of older LGBT adults when accessing care. Method: Individual semistructured interviews were conducted with 10 individuals aged 65 years or older from a local LGBT community. Interviews were audio taped and transcribed verbatim. Transcripts were analyzed via thematic analysis. Results: Major themes were "Outness," "Things are Different Now," and "Additional Resources." These describe participant comfort with being "out"; how treatment they received changed over time, and needed services or other options from the community. Conclusion: While many older LGBT adults are accustomed to navigating social mores to avoid negative experiences, nurses as well as other health care providers must be prepared to create trusting relationships with these individuals to provide truly comprehensive care

Enhancing Low-resource Fine-grained Named Entity Recognition by Leveraging Coarse-grained Datasets

Named Entity Recognition (NER) frequently suffers from the problem of insufficient labeled data, particularly in fine-grained NER scenarios. Although $K$-shot learning techniques can be applied, their performance tends to saturate when the number of annotations exceeds several tens of labels. To overcome this problem, we utilize existing coarse-grained datasets that offer a large number of annotations. A straightforward approach to address this problem is pre-finetuning, which employs coarse-grained data for representation learning. However, it cannot directly utilize the relationships between fine-grained and coarse-grained entities, although a fine-grained entity type is likely to be a subcategory of a coarse-grained entity type. We propose a fine-grained NER model with a Fine-to-Coarse(F2C) mapping matrix to leverage the hierarchical structure explicitly. In addition, we present an inconsistency filtering method to eliminate coarse-grained entities that are inconsistent with fine-grained entity types to avoid performance degradation. Our experimental results show that our method outperforms both $K$-shot learning and supervised learning methods when dealing with a small number of fine-grained annotations.Comment: Accepted to EMNLP 202

Data Augmentation for Neural Machine Translation using Generative Language Model

Despite the rapid growth in model architecture, the scarcity of large parallel corpora remains the main bottleneck in Neural Machine Translation. Data augmentation is a technique that enhances the performance of data-hungry models by generating synthetic data instead of collecting new ones. We explore prompt-based data augmentation approaches that leverage large-scale language models such as ChatGPT. To create a synthetic parallel corpus, we compare 3 methods using different prompts. We employ two assessment metrics to measure the diversity of the generated synthetic data. This approach requires no further model training cost, which is mandatory in other augmentation methods like back-translation. The proposed method improves the unaugmented baseline by 0.68 BLEU score

The Japanese Influence in Art Nouveau Decorative Arts

Although the foundation being so unlike each other, East and West have been influencing each other continuing to this day. Rather than dividing both cultures this paper will examine the part were they meet. Asia inspired western artists and designers to create their own fanciful vision of the east. Art nouveau was a style emerged from international communications, while concerned in mass and high art with industrial patronage's well as domestic interior set on urban district. Alongside with conventional past and contemporary European artistic tradition, oriental motif especially Japanese had a great impact on Art Nouveau style. In this paper Japanese influence in Art Nouveau period mainly concentrating on subject matter in various medium including decorative arts as well as painting. It would be interesting to see how western world comprehend the works of Japanese and transform to their own

Racial and Ethnic Differences in Diabetes Care and Health Care Use and Costs

INTRODUCTION: Previous studies have shown racial and ethnic differences in diabetes complication rates and diabetes control. The objective of this study was to examine racial and ethnic differences in diabetes care and health care use and costs for adults with diabetes using a nationally representative sample of the U.S. noninstitutionalized civilian population. METHODS: We performed a cross-sectional analysis of the 2000 Medical Expenditure Panel Survey (MEPS) and its related Diabetes Care Survey. The respondents were adults (aged 18 years and older) with diabetes, including non-Hispanic whites, non-Hispanic African Americans, and Hispanics. Racial and ethnic differences were examined in diabetes process of care and health care use and costs using logistic regression, negative binomial regression, and ordinary least squares regression with log cost. RESULTS: Most of the outcomes in diabetes care management, treatment, and complications were not significantly different among race groups. After adjusting for socioeconomic and demographic characteristics, Hispanics were more likely to have eye problems than whites (odds ratio, 1.56; 95% confidence interval, 1.03–2.56). African Americans and Hispanics had lower total health care costs, lower ambulatory care costs, and lower prescription drug costs than whites (P < .01 for all). CONCLUSION: We found differences in ambulatory care and prescription drug fills among white, African American, and Hispanic adults with diabetes. However, most of the diabetes care measures were not significantly different among the three racial and ethnic groups. Understanding the reason outcomes do not differ when health care use and costs differ significantly should be a focus of future studies

Complementary and Alternative Medicine Attitudes and Use in Caregivers of Patients with Lung Cancer

https://digitalcommons.psjhealth.org/summit_all/1071/thumbnail.jp

Heterogeneity of Adenosine Triphosphate-Based Chemotherapy Response Assay in Colorectal Cancer - Secondary Publication

PURPOSE: Adenosine triphosphate-based chemotherapy response assay (ATP-CRA) is a well-documented and validated technology that can individualize chemotherapy for patients with lung, stomach, or breast cancer. This study explored the feasibility of ATP-CRA as a chemosensitivity test in patients with colorectal cancer. MATERIALS AND METHODS: A total of 118 patients who underwent surgical resection for colorectal adenocarcinoma were analyzed for chemosensitivity to 6 anticancer drugs using ATP-CRA. We calculated the cell death rate (CDR) by measuring intracellular ATP levels of drug-exposed cells and untreated controls. RESULTS: Interpretable results were available for 85.5% (118/138) of patients. The mean coefficient of variation for triplicate ATP measurements was 9.2%. The highest CDR was observed in irinotecan (34.0%) and the lowest CDR in etoposide (21.0%). Paclitaxel had the broadest range of CDR (0-86.7%) and 5-FU had the narrowest range of CDR (0-56.8%). The overall highest responsiveness was seen most prevalently in irinotecan (24.7%, 23/93 patients). Irinotecan had the greatest responsiveness in patients with well differentiated and moderately differentiated carcinoma. CONCLUSION: Our study suggests that ATP-CRA could be used to identify patients with colorectal cancer who might benefit from treatment with a specific chemotherapeutic agent.ope

Korean Studies on Blood Stasis: An Overview

Blood stasis is one of the important pathological concepts in Korean medicine. We analyzed the Korean studies concerning blood stasis. We searched for articles in eight electronic databases from their inception to September, 2014. We included reviews, clinical studies, and preclinical studies that had studied blood stasis and excluded articles in which blood stasis was not mentioned or in which the original authors had not explained blood stasis. Of 211 total included studies, 19 were reviews, 52 were clinical studies, and 140 were preclinical articles. “Stagnant blood within the body” was the most frequently mentioned phrase of the traditional concept of blood stasis. Traumatic injury was the most frequently studied disease/condition in the clinical studies. In the preclinical studies, coagulopathy was studied most frequently, followed by hyperviscosity, hyperlipidemia, inflammation, neoplasm, ischemic brain injury, and atherosclerosis. Hyeolbuchukeo-tang and Angelicae Gigantis Radix were the most frequent formula and single herb, respectively, used in the blood stasis researches. The results showed that blood stasis was mainly recognized as disorder of circulation and many studies showed the effectiveness of activating blood circulating herbs for diseases and pathologies such as traumatic injury or coagulopathy. Further studies are needed in the pathologic mechanisms and various diseases of blood stasis