Development of a Web-Based Clinical Decision Support System for Drug Prescription: ...

Purpose The emergence of electronic prescribing devices with clinical decision support systems (CDSS) is able to significantly improve management pharmacological treatments. We developed a web application available on smartphones in order to help clinicians monitor prescription and further propose CDSS. Method A web application (www.MEmind.net) was developed to assess patients and collect data regarding gender, age, diagnosis and treatment. We analyzed antipsychotic prescriptions in 4345 patients attended in five Psychiatric Community Mental Health Centers from June 2014 to October 2014. The web-application reported average daily dose prescribed for antipsychotics, prescribed daily dose (PDD), and the PDD to defined daily dose (DDD) ratio. Results The MEmind web-application reported that antipsychotics were used in 1116 patients out of the total sample, mostly in 486 (44%) patients with schizophrenia related disorders but also in other diagnoses. Second generation antipsychotics (quetiapine, aripiprazole and long-acting paliperidone) were preferably employed. Low doses were more frequently used than high doses. Long acting paliperidone and ziprasidone however, were the only two antipsychotics used at excessive dosing. Antipsychotic polypharmacy was used in 287 (26%) patients with classic depot drugs, clotiapine, amisulpride and clozapine. Conclusions In this study we describe the first step of the development of a web application that is able to make polypharmacy, high dose usage and off label usage of antipsychotics visible to clinicians. Current development of the MEmind web application may help to improve prescription security via momentary feedback of prescription and clinical decision support system

Development of a Web-Based Clinical Decision Support System for Drug Prescription: ...

Purpose The emergence of electronic prescribing devices with clinical decision support systems (CDSS) is able to significantly improve management pharmacological treatments. We developed a web application available on smartphones in order to help clinicians monitor prescription and further propose CDSS. Method A web application (www.MEmind.net) was developed to assess patients and collect data regarding gender, age, diagnosis and treatment. We analyzed antipsychotic prescriptions in 4345 patients attended in five Psychiatric Community Mental Health Centers from June 2014 to October 2014. The web-application reported average daily dose prescribed for antipsychotics, prescribed daily dose (PDD), and the PDD to defined daily dose (DDD) ratio. Results The MEmind web-application reported that antipsychotics were used in 1116 patients out of the total sample, mostly in 486 (44%) patients with schizophrenia related disorders but also in other diagnoses. Second generation antipsychotics (quetiapine, aripiprazole and long-acting paliperidone) were preferably employed. Low doses were more frequently used than high doses. Long acting paliperidone and ziprasidone however, were the only two antipsychotics used at excessive dosing. Antipsychotic polypharmacy was used in 287 (26%) patients with classic depot drugs, clotiapine, amisulpride and clozapine. Conclusions In this study we describe the first step of the development of a web application that is able to make polypharmacy, high dose usage and off label usage of antipsychotics visible to clinicians. Current development of the MEmind web application may help to improve prescription security via momentary feedback of prescription and clinical decision support system

Exports and Productivity: Comparable Evidence for 14 Countries

We use comparable micro level panel data for 14 countries and a set of identically specified empirical models to investigate the relationship between exports and productivity. Our overall results are in line with the big picture that is by now familiar from the literature: Exporters are more productive than non-exporters when observed and unobserved heterogeneity are controlled for, and these exporter productivity premia tend to increase with the share of exports in total sales; there is strong evidence in favour of self-selection of more productive firms into export markets, but nearly no evidence in favour of the learning-by-exporting hypothesis. We document that the exporter premia differ considerably across countries in identically specified empirical models. In a meta-analysis of our results we find that countries that are more open and have more effective government report higher productivity premia. However, the level of development per se does not appear to be an explanation for the observed cross-country differences.exports; productivity; micro data; international comparison

College Freshmen Students’ Perspectives on Weight Gain Prevention in the Digital Age: Web-Based Survey

BACKGROUND: College freshmen are highly vulnerable to experiencing weight gain, and this phenomenon is associated with an increased risk of chronic diseases and mortality in older adulthood. Technology offers an attractive and scalable way to deliver behavioral weight gain prevention interventions for this population. Weight gain prevention programs that harness the appeal and widespread reach of Web-based technologies (electronic health or eHealth) are increasingly being evaluated in college students. Yet, few of these interventions are informed by college students\u27 perspectives on weight gain prevention and related lifestyle behaviors. OBJECTIVE: The objective of this study was to assess college freshmen students\u27 concern about weight gain and associated topics, as well as their interest in and delivery medium preferences for eHealth programs focused on these topics. METHODS: Web-based surveys that addressed college freshmen students\u27 (convenience sample of N=50) perspectives on weight gain prevention were administered at the beginning and end of the fall 2015 semester as part of a longitudinal investigation of health-related issues and experiences in first semester college freshmen. Data on weight gain prevention-related concerns and corresponding interest in eHealth programs targeting topics of potential concern, as well as preferred program delivery medium and current technology use were gathered and analyzed using descriptive statistics. RESULTS: A considerable proportion of the freshmen sample expressed concern about weight gain (74%, 37/50) and both traditional (healthy diet: 86%, 43/50; physical activity: 64%, 32/50) and less frequently addressed (stress: 82%, 41/50; sleep: 74%, 37/50; anxiety and depression: 60%, 30/50) associated topics within the context of behavioral weight gain prevention. The proportion of students who reported interest in eHealth promotion programs targeting these topics was also generally high (ranging from 52% [26/50] for stress management to 70% [35/50] for eating a healthy diet and staying physically active). Email was the most frequently used electronic platform, with 96% (48/50) of students reporting current use of it. Email was also the most frequently cited preferred eHealth delivery platform, with 86% (43/50) of students selecting it. Facebook was preferred by the second greatest proportion of students (40%, 20/50). CONCLUSIONS: Most college freshmen have concerns about an array of weight gain prevention topics and are generally open to the possibility of receiving eHealth interventions designed to address their concerns, preferably via email compared with popular social media platforms. These preliminary findings offer a foundation to build upon when it comes to future descriptive investigations focused on behavioral weight gain prevention among college freshmen in the digital age

Open Universe for Blazars: A new generation of astronomical products based on 14 years of Swift -XRT data

Aims. Open Universe for Blazars is a set of high-transparency multi-frequency data products for blazar science, and the tools designed to generate them. Blazars are drawing growing interest following the consolidation of their position as the most abundant type of source in the extragalactic very high-energy γ-ray sky, and because of their status as prime candidate sources in the nascent field of multi-messenger astrophysics. As such, blazar astrophysics is becoming increasingly data driven, depending on the integration and combined analysis of large quantities of data from the entire span of observational astrophysics techniques. The project was therefore chosen as one of the pilot activities within the United Nations Open Universe Initiative, whose objective is to stimulate a large increase in the accessibility and ease of utilisation of space science data for the worldwide benefit of scientific research, education, capacity building, and citizen science. Methods. Our aim is to deliver innovative data science tools for multi-messenger astrophysics. In this work we report on a data analysis pipeline called Swift-DeepSky based on the Swift XRTDAS software and the XIMAGE package, encapsulated into a Docker container. Swift-DeepSky downloads and reads low-level data, generates higher level products, detects X-ray sources, and estimates several intensity and spectral parameters for each detection, thus facilitating the generation of complete and up-to-date science-ready catalogues from an entire space-mission data set. Results. As a first application of our innovative approach, we present the results of a detailed X-ray image analysis based on Swift-DeepSky that was run on all Swift-XRT observations including a known blazar, carried out during the first 14 years of operations of the Neil Gehrels Swift Observatory. Short exposures executed within one week of each other have been added to increase sensitivity, which ranges between ∼1 × 10-12 and ∼1 × 10-14 erg cm-2 s-1 (0.3-10.0 keV). After cleaning for problematic fields, the resulting database includes over 27 000 images integrated in different X-ray bands, and a catalogue, called 1OUSXB, that provides intensity and spectral information for 33 396 X-ray sources, 8896 of which are single or multiple detections of 2308 distinct blazars. All the results can be accessed online in a variety of ways, from the Open Universe portal through Virtual Observatory services, via the VOU-Blazar tool and the SSDC SED builder. One of the most innovative aspects of this work is that the results can be easily reproduced and extended by anyone using the Docker version of the Swift-DeepSky pipeline, which runs on Linux, Mac, and Windows machines, and does not require any specific experience in X-ray data analysis.Fil: Giommi, Paolo. Università di Roma; Italia. International Center For Relativistic Astrophysics; Italia. Universitat Technical Zu Munich; AlemaniaFil: Brandt, C. H.. International Center For Relativistic Astrophysics; Italia. Jacobs University; AlemaniaFil: Barres de Almeida, U.. International Center For Relativistic Astrophysics; Italia. Centro Brasileiro de Pesquisas Físicas; BrasilFil: Pollock, A. M. T.. University of Sheffield; Reino UnidoFil: Arneodo, F.. New York University Abu Dhabi; Arabia SauditaFil: Chang, Y. L.. International Center For Relativistic Astrophysics; ItaliaFil: Civitarese, Enrique Osvaldo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Física La Plata. Universidad Nacional de La Plata. Facultad de Ciencias Exactas. Instituto de Física La Plata; ArgentinaFil: de Angelis, Maria Cruz. Università di Roma; ItaliaFil: D'Elia, V.. Space Science Data Center; Italia. Osservatorio Astronomico di Roma; ItaliaFil: Del Rio Vera, J.. United Nations Office for Outer Space Affairs; AustraliaFil: Di Pippo, S.. United Nations Office for Outer Space Affairs; AustraliaFil: Middei, Riccardo. Università di Roma; ItaliaFil: Penacchioni, Ana Virginia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Física La Plata. Universidad Nacional de La Plata. Facultad de Ciencias Exactas. Instituto de Física La Plata; ArgentinaFil: Perri, M.. Osservatorio Astronomico di Roma; Italia. Space Science Data Center; ItaliaFil: Ruffini, Remo. International Center For Relativistic Astrophysics; ItaliaFil: Sahakyan, Narek. International Centre For Relativistic Astrophysics Network; ArmeniaFil: Turriziani, Sara. Computational Astrophysics Laboratory; Japó

The Ninth Data Release of the Sloan Digital Sky Survey: First Spectroscopic Data from the SDSS-III Baryon Oscillation Spectroscopic Survey

The Sloan Digital Sky Survey III (SDSS-III) presents the first spectroscopic data from the Baryon Oscillation Spectroscopic Survey (BOSS). This ninth data release (DR9) of the SDSS project includes 535,995 new galaxy spectra (median z=0.52), 102,100 new quasar spectra (median z=2.32), and 90,897 new stellar spectra, along with the data presented in previous data releases. These spectra were obtained with the new BOSS spectrograph and were taken between 2009 December and 2011 July. In addition, the stellar parameters pipeline, which determines radial velocities, surface temperatures, surface gravities, and metallicities of stars, has been updated and refined with improvements in temperature estimates for stars with T_eff<5000 K and in metallicity estimates for stars with [Fe/H]>-0.5. DR9 includes new stellar parameters for all stars presented in DR8, including stars from SDSS-I and II, as well as those observed as part of the SDSS-III Sloan Extension for Galactic Understanding and Exploration-2 (SEGUE-2). The astrometry error introduced in the DR8 imaging catalogs has been corrected in the DR9 data products. The next data release for SDSS-III will be in Summer 2013, which will present the first data from the Apache Point Observatory Galactic Evolution Experiment (APOGEE) along with another year of data from BOSS, followed by the final SDSS-III data release in December 2014.Comment: 9 figures; 2 tables. Submitted to ApJS. DR9 is available at http://www.sdss3.org/dr

Mechanochemical control of epidermal stem cell divisions by B-plexins

The precise spatiotemporal control of cell proliferation is key to the morphogenesis of epithelial tissues. Epithelial cell divisions lead to tissue crowding and local changes in force distribution, which in turn suppress the rate of cell divisions. However, the molecular mechanisms underlying this mechanical feedback are largely unclear. Here, we identify a critical requirement of B-plexin transmembrane receptors in the response to crowding-induced mechanical forces during embryonic skin development. Epidermal stem cells lacking B-plexins fail to sense mechanical compression, resulting in disinhibition of the transcriptional coactivator YAP, hyperproliferation, and tissue overgrowth. Mechanistically, we show that B-plexins mediate mechanoresponses to crowding through stabilization of adhesive cell junctions and lowering of cortical stiffness. Finally, we provide evidence that the B-plexin-dependent mechanochemical feedback is also pathophysiologically relevant to limit tumor growth in basal cell carcinoma, the most common type of skin cancer. Our data define a central role of B-plexins in mechanosensation to couple cell density and cell division in development and disease.Peer reviewe