768 research outputs found
Using State-of-the-art Emotion Detection Models in a Crisis Communication Context
Times of crisis are usually associated with highly emotional experiences, which often result in emotionally charged communication. This is especially the case on social media. Identifying the emotional climate on social media is imperative in the context of crisis communication, e.g., in view of shaping crisis response strategies. However, the sheer volume of social media data often makes manual oversight impossible. In this paper, we therefore investigate how automatic methods for emotion detection can aid research on crisis communication and social media. Concretely, we investigate two Dutch emotion detection models (a transformer model and a classical machine learning model based on dictionaries) and apply them to Dutch tweets about four different crisis cases. First, we perform a validation study to assess the performance of these models in the domain of crisis-related tweets. Secondly, we propose a framework for monitoring the emotional climate on social media, and assess whether emotion detection models can be used to address the steps in the framework
Economic complexity, FDI, and industrial policies in Mozambique
Timbe, G., Pinheiro, F. L., Bam, W., Hartmann, D., & De Bruyne, K. (2024). Is natural resource abundance a curse or an opportunity? Economic complexity, FDI, and industrial policies in Mozambique. Resources Policy, 98, 1-14. Article 105326. https://doi.org/10.2139/ssrn.4793284, https://doi.org/10.1016/j.resourpol.2024.105326 --- FLP acknowledges the financial support provided by FCT Portugal under the project UIDB/04152/2020 -- Centro de Investigação em Gestão de Informação (MagIC)/NOVAIMS (https://doi.org/10.54499/UIDB/04152/2020). DH would like to express his gratitude for the financial support of CNPq (406943/2021-4 and 315441/2021-6). The authors are thankful to Diogo Ferraz and the Necode group for the insightful feedback.Recent research has shown that a lack of structural transformation predicates the onset of the resource curse, that is, the notion that resource-rich countries paradoxically have lower growth prospects in the long run. Such structural transformations can be mapped through economic complexity indicators, which have been shown to predict the long-term economic underperformance of countries before it is manifested in lower economic growth rates. Economic complexity thus provides countries with an early warning before the onset of the resource curse. FDI and effective industrial policy have been proposed as potential tools to facilitate diversification and counter the resource curse. Emerging insights from economic complexity can further unpack how FDI and industrial policy impact the resource curse. To illustrate this, we critically evaluate the role that FDI and industrial policy have played in the case of Mozambique. We investigate whether these tools have contributed to circumventing or accelerating the onset of the resource curse in the country. Our empirical results cover a period between 1996 and 2019, showing that FDI mainly focussed on natural resource products in the periphery of the product space with a low to average product complexity index. Moreover, industrial policies have also promoted diversification into some related mining goods and relatively simple activities, such as textiles and agriculture, that would only slightly improve the country's overall complexity but not lead to structural realignment. Neither FDI nor industrial policies have exploited the most promising new industrial opportunities associated with mining activities, which can help master new technological and productive knowledge. Where industrial policy has targeted more complex goods, these have often been unrelated to existing capabilities and consequently been unsuccessful. Hence, despite the economic growth that Mozambique has experienced, it has not been able to improve its industrial structure, which points towards the eventual onset of the resource curse. Based on these observations, we make recommendations on how FDI and industrial policies could be refocused in a smart diversification direction to improve Mozambique's industrial structure in a promising and achievable direction.publishersversionepub_ahead_of_prin
Intracoronary EnalaPrilat to Reduce MICROvascular Damage During Percutaneous Coronary Intervention (ProMicro) study.
Intracoronary angiotensin-converting enzyme inhibitors have been shown to relieve myocardial ischemia in stable patients and to improve epicardial flow in patients with ST-segment elevation myocardial infarction. Yet, it is
still unclear whether these effects are mediated by a modulation of the coronary microcirculation.
Methods We randomly assigned 40 patients to receive either an intracoronary bolus of enalaprilat (50 g) or placebo before elective PCI. The index of microvascular resistance was measured at baseline, 10 minutes after study drug
administration, and after PCI. High-sensitivity cardiac troponin T was measured as a marker of myocardial injury.
Results Infusion of enalaprilat resulted in a significant reduction in index of microvascular resistance (27 11 at baseline vs. 19 9 after drug vs. 15 8 after PCI), whereas a significant post-procedural increase in index of microvascular resistance levels was observed in the placebo group (24 15 at baseline vs. 24 15 after drug vs.
33 19 after PCI). Index of microvascular resistance levels after PCI were significantly lower in the enalaprilat
group (p 0.001). Patients pre-treated with enalaprilat also showed lower peak values (mean: 21.7 ng/ml,
range: 8.2 to 34.8 ng/ml vs. mean: 32.3 ng/ml, range: 12.6 to 65.2 ng/ml, p 0.048) and peri-procedural increases of high-sensitivity cardiac troponin T (mean: 9.9 ng/ml, range: 2.7 to 19.0 ng/ml vs. mean: 26.6 ng/ml,
range: 6.3 to 60.5 ng/ml, p 0.025).
Conclusions Intracoronary enalaprilat improves coronary microvascular function and protects myocardium from procedurerelated injury in patients with coronary artery disease undergoing PCI. Larger studies are warranted to investigate whether these effects of enalaprilat could result into a significant clinical benefit. (J Am Coll Cardiol
2013;61:615–21) © 2013 by the American College of Cardiology Foundatio
Influence of fractional flow reserve on grafts patency. Systematic review and patient-level meta-analysis
Objective: To investigate the impact of invasive functional guidance for coronary artery bypass graft surgery (CABG) on graft failure. Background: Data on the impact of fractional flow reserve (FFR) in guiding CABG are still limited. Methods: Systematic review and individual patient data meta-analysis were performed. Primary objective was the risk of graft failure, stratified by FFR. Risk estimates are reported as odds ratios (ORs) derived from the aggregated data using random-effects models. Individual patient data were analyzed using mixed effect model to assess relationship between FFR and graft failure. This meta-analysis is registered in PROSPERO (CRD42020180444). Results: Four prospective studies comprising 503 patients referred for CABG, with 1471 coronaries, assessed by FFR were included. Graft status was available for 1039 conduits at median of 12.0 [IQR 6.6; 12.0] months. Risk of graft failure was higher in vessels with preserved FFR (OR 5.74, 95% CI 1.71–19.29). Every 0.10 FFR units decrease in the coronaries was associated with 56% risk reduction of graft failure (OR 0.44, 95% CI 0.34 to 0.59). FFR cut-off to predict graft failure was 0.79. Conclusion: Surgical grafting of coronaries with functionally nonsignificant stenoses was associated with higher risk of graft failure
RPL5 on 1p22.1 is recurrently deleted in multiple myeloma and its expression is linked to bortezomib response
Chromosomal region 1p22 is deleted in 6520% of multiple myeloma (MM) patients, suggesting the presence of an unidentified tumor suppressor. Using high-resolution genomic profiling, we delimit a 58 kb minimal deleted region (MDR) on 1p22.1 encompassing two genes: ectopic viral integration site 5 (EVI5) and ribosomal protein L5 (RPL5). Low mRNA expression of EVI5 and RPL5 was associated with worse survival in diagnostic cases. Patients with 1p22 deletion had lower mRNA expression of EVI5 and RPL5, however, 1p22 deletion status is a bad predictor of RPL5 expression in some cases, suggesting that other mechanisms downregulate RPL5 expression. Interestingly, RPL5 but not EVI5 mRNA levels were
significantly lower in relapsed patients responding to bortezomib and; both in newly diagnosed and relapsed patients, bortezomib treatment could overcome their bad prognosis by raising their progression-free survival to equal that of patients with high RPL5 expression.
In conclusion, our genetic data restrict the MDR on 1p22 to EVI5 and RPL5 and although the role of these genes in promoting MM progression remains to be determined, we identify RPL5 mRNA expression as a biomarker for initial response to bortezomib in relapsed patients and subsequent survival benefit after long-term treatment in newly diagnosed and relapsed patients
Influence of fractional flow reserve on grafts patency: Systematic review and patient-level meta-analysis.
To investigate the impact of invasive functional guidance for coronary artery bypass graft surgery (CABG) on graft failure.
Data on the impact of fractional flow reserve (FFR) in guiding CABG are still limited.
Systematic review and individual patient data meta-analysis were performed. Primary objective was the risk of graft failure, stratified by FFR. Risk estimates are reported as odds ratios (ORs) derived from the aggregated data using random-effects models. Individual patient data were analyzed using mixed effect model to assess relationship between FFR and graft failure. This meta-analysis is registered in PROSPERO (CRD42020180444).
Four prospective studies comprising 503 patients referred for CABG, with 1471 coronaries, assessed by FFR were included. Graft status was available for 1039 conduits at median of 12.0 [IQR 6.6; 12.0] months. Risk of graft failure was higher in vessels with preserved FFR (OR 5.74, 95% CI 1.71-19.29). Every 0.10 FFR units decrease in the coronaries was associated with 56% risk reduction of graft failure (OR 0.44, 95% CI 0.34 to 0.59). FFR cut-off to predict graft failure was 0.79.
Surgical grafting of coronaries with functionally nonsignificant stenoses was associated with higher risk of graft failure
Continuum of vasodilator stress from rest to contrast medium to adenosine hyperemia for fractional flow reserve assessment
Objectives:
This study compared the diagnostic performance with adenosine-derived fractional flow reserve (FFR) ≤0.8 of contrast-based FFR (cFFR), resting distal pressure (Pd)/aortic pressure (Pa), and the instantaneous wave-free ratio (iFR).
Background:
FFR objectively identifies lesions that benefit from medical therapy versus revascularization. However, FFR requires maximal vasodilation, usually achieved with adenosine. Radiographic contrast injection causes submaximal coronary hyperemia. Therefore, intracoronary contrast could provide an easy and inexpensive tool for predicting FFR.
Methods:
We recruited patients undergoing routine FFR assessment and made paired, repeated measurements of all physiology metrics (Pd/Pa, iFR, cFFR, and FFR). Contrast medium and dose were per local practice, as was the dose of intracoronary adenosine. Operators were encouraged to perform both intracoronary and intravenous adenosine assessments and a final drift check to assess wire calibration. A central core lab analyzed blinded pressure tracings in a standardized fashion.
Results:
A total of 763 subjects were enrolled from 12 international centers. Contrast volume was 8 ± 2 ml per measurement, and 8 different contrast media were used. Repeated measurements of each metric showed a bias <0.005, but a lower SD (less variability) for cFFR than resting indexes. Although Pd/Pa and iFR demonstrated equivalent performance against FFR ≤0.8 (78.5% vs. 79.9% accuracy; p = 0.78; area under the receiver-operating characteristic curve: 0.875 vs. 0.881; p = 0.35), cFFR improved both metrics (85.8% accuracy and 0.930 area; p < 0.001 for each) with an optimal binary threshold of 0.83. A hybrid decision-making strategy using cFFR required adenosine less often than when based on either Pd/Pa or iFR.
Conclusions:
cFFR provides diagnostic performance superior to that of Pd/Pa or iFR for predicting FFR. For clinical scenarios or health care systems in which adenosine is contraindicated or prohibitively expensive, cFFR offers a universal technique to simplify invasive coronary physiological assessments. Yet FFR remains the reference standard for diagnostic certainty as even cFFR reached only ∼85% agreement
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