Social preferences of future physicians.

We measure the social preferences of a sample of US medical students and compare their preferences with those of the general population sampled in the American Life Panel (ALP). We also compare the medical students with a subsample of highly educated, wealthy ALP subjects as well as elite law school students and undergraduate students. We further associate the heterogeneity in social preferences within medical students to the tier ranking of their medical schools and their expected specialty choice. Our experimental design allows us to rigorously distinguish altruism from preferences regarding equality-efficiency tradeoffs and accurately measure both at the individual level rather than pooling data or assuming homogeneity across subjects. This is particularly informative, because the subjects in our sample display widely heterogeneous social preferences in terms of both their altruism and equality-efficiency tradeoffs. We find that medical students are substantially less altruistic and more efficiency focused than the average American. Furthermore, medical students attending the top-ranked medical schools are less altruistic than those attending lower-ranked schools. We further show that the social preferences of those attending top-ranked medical schools are statistically indistinguishable from the preferences of a sample of elite law school students. The key limitation of this study is that our experimental measures of social preferences have not yet been externally validated against actual physician practice behaviors. Pending this future research, we probed the predictive validity of our experimental measures of social preferences by showing that the medical students choosing higher-paying medical specialties are less altruistic than those choosing lower-paying specialties

The Council of Europe's AI Convention (2023-2024): Promises and Pitfalls for Health Protection

The Council of Europe, Europe's most important human rights organization, is developing a legally binding instrument for the development, design, and application of AI systems. This “Convention on Artificial Intelligence, Human Rights, Democracy and the Rule of Law” (AI Convention) aims to protect fundamental rights against the harms of AI. The AI Convention may become the first legally-binding international treaty on AI. In this article, we highlight the implications of the proposed AI Convention for the health and human rights protection of patients. We praise the following characteristics:[1] Global regulation for technology that easily crosses jurisdictions;[2] The human rights-based approach with human rights assessment;[3] The actor-neutral, full-lifecycle approach;[4] The creation of enforceable rights through the European Human Rights Court. We signal the following challenges:[1] The sector-neutral approach,[2] The lack of reflection on new human rights,[3] Definitional issues, and[4] The process of global negotiations. We conclude that it is important for the Council of Europe not to compromise on the wide scope of application and the rights-based character of the proposed AI Convention.<br/

First principles derivation of a Rayleigh Gans Debye model for scattering from anisotropic inhomogeneities

Scattering problems are important in describing light propagation in wide ranging media such as the atmosphere, colloidal solutions, metamaterials, glass ceramic composites, transparent polycrystalline ceramics, and surfaces. The Rayleigh Gans Debye (RGD) approximation has enjoyed great success in describing a wide range of scattering phenomena. We derive a generalized RGD formulation from the perturbation of Maxwell equations. In contrast to most treatments of RGD scattering, our formulation can model any soft scattering phenomena in linear media, including scattering by stochastic process, lossy media, and by anisotropic inhomogeneities occurring at multiple length scales. Our first-principles derivation makes explicit underlying assumptions and provides jumping off points for more general treatments. The derivation also facilitates a deeper understanding of soft scattering. It is demonstrated that sources of scattering are not interfaces as is often presumed, but excess accelerating charges emitting uncompensated radiation. Approximations to the equations are also presented and discussed. For example, the scattering coefficient in the large size RGD limit is shown to be proportional to the correlation length and the variance of a projected phase shift

The absolute position of a resonance peak

It is common practice in scattering theory to correlate between the position of a resonance peak in the cross section and the real part of a complex energy of a pole of the scattering amplitude. In this work we show that the resonance peak position appears at the absolute value of the pole's complex energy rather than its real part. We further demonstrate that a local theory of resonances can still be used even in cases previously thought impossible

The survival and function of IL-10-producing regulatory B cells are negatively controlled by SLAMF5

B cells have essential functions in multiple sclerosis and in its mouse model, experimental autoimmune encephalomyelitis, both as drivers and suppressors of the disease. The suppressive effects are driven by a regulatory B cell (Breg) population that functions, primarily but not exclusively, via the production of IL-10. However, the mechanisms modulating IL-10-producing Breg abundance are poorly understood. Here we identify SLAMF5 for controlling IL-10+ Breg maintenance and function. In EAE, the deficiency of SLAMF5 in B cells causes accumulation of IL10+ Bregs in the central nervous system and periphery. Blocking SLAMF5 in vitro induces both human and mouse IL-10-producing Breg cells and increases their survival with a concomitant increase of a transcription factor, c-Maf. Finally, in vivo SLAMF5 blocking in EAE elevates IL-10+ Breg levels and ameliorates disease severity. Our results suggest that SLAMF5 is a negative moderator of IL-10+ Breg cells, and may serve as a therapeutic target in MS and other autoimmune diseases

Sp1 Expression Is Disrupted in Schizophrenia; A Possible Mechanism for the Abnormal Expression of Mitochondrial Complex I Genes, NDUFV1 and NDUFV2

The prevailing hypothesis regards schizophrenia as a polygenic disease, in which multiple genes combine with each other and with environmental stimuli to produce the variance of its clinical symptoms. We investigated whether the ubiquitous transcription factor Sp1 is abnormally expressed in schizophrenia, and consequently can affect the expression of genes implicated in this disorder. promoter by binding to its three GC-boxes. Both activation and binding were inhibited by mithramycin.These findings suggest that abnormality in Sp1, which can be the main activator/repressor or act in combination with additional transcription factors and is subjected to environmental stimuli, can contribute to the polygenic and clinically heterogeneous nature of schizophrenia

Simultaneous disruption of two DNA polymerases, Polη and Polζ, in Avian DT40 cells unmasks the role of Polη in cellular response to various DNA lesions

Replicative DNA polymerases are frequently stalled by DNA lesions. The resulting replication blockage is released by homologous recombination (HR) and translesion DNA synthesis (TLS). TLS employs specialized TLS polymerases to bypass DNA lesions. We provide striking in vivo evidence of the cooperation between DNA polymerase η, which is mutated in the variant form of the cancer predisposition disorder xeroderma pigmentosum (XP-V), and DNA polymerase ζ by generating POLη−/−/POLζ−/− cells from the chicken DT40 cell line. POLζ−/− cells are hypersensitive to a very wide range of DNA damaging agents, whereas XP-V cells exhibit moderate sensitivity to ultraviolet light (UV) only in the presence of caffeine treatment and exhibit no significant sensitivity to any other damaging agents. It is therefore widely believed that Polη plays a very specific role in cellular tolerance to UV-induced DNA damage. The evidence we present challenges this assumption. The phenotypic analysis of POLη−/−/POLζ−/− cells shows that, unexpectedly, the loss of Polη significantly rescued all mutant phenotypes of POLζ−/− cells and results in the restoration of the DNA damage tolerance by a backup pathway including HR. Taken together, Polη contributes to a much wide range of TLS events than had been predicted by the phenotype of XP-V cells

Balloon aortic valvuloplasty: Results of the Valvuloplasty and Angioplasty of Congenital Anomalies Registry

Data from 204 children and infants who underwent aortic balloon valvuloplasty between 1982 and 1986, reported to the Valvuloplasty and Angioplasty of Congenital Anomalies Registry, were reviewed. Valvuloplasty was successful in 192 of 204 children, reducing the peak systolic left ventricular ejection gradient from 77 +/- 2 to 30 +/- 1 mm Hg, p &lt; 0.001. The same degree of aortic stenosis gradients reduction was noted in both the 38 children under 1 year of age and in the 166 children over 1 year of age. Significant complications included death, aortic regurgitation and femoral artery thrombosis or damage. The incidence of these complications correlated with the age of the child, the ratio of valvuloplasty balloon size/anulus size, or both. The data suggest that percutaneous balloon valvuloplasty provides effective acute relief of valvar aortic stenosis in both infants and children. However, long-term follow-up data are necessary before balloon valvuloplasty can be established as a treatment of choice for congenital valvar aortic stenosis.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/28678/1/0000495.pd

RC100:Rotation Curves of 100 Massive Star-forming Galaxies at z = 0.6-2.5 Reveal Little Dark Matter on Galactic Scales

We analyze Hα or CO rotation curves extending out to several galaxy effective radii for 100 massive, large, star-forming disk galaxies (SFGs) across the peak of cosmic galaxy star formation (z ∼ 0.6-2.5), more than doubling the previous sample presented by Genzel et al. and Price et al. The observations were taken with SINFONI and KMOS integral-field spectrographs at the ESO-Very Large Telescope, LUCI-LBT, NOEMA-IRAM, and Atacama Large Millimeter/submillimeter Array. We fit the major-axis kinematics with beam-convolved, forward models of turbulent rotating disks with bulges embedded in dark matter (DM) halos, including the effects of pressure support. The fraction of dark to total matter within the disk effective radius (R e ∼ 5 kpc), f DM(R e) = V 2DM(R e)/V 2circ(R e) decreases with redshift: at z ∼ 1 (z ∼ 2) the median DM fraction is 0.38 ± 0.23 (0.27 ± 0.18), and a third (half) of all galaxies are maximal disks with f DM(R e) &lt; 0.28. DM fractions correlate inversely with the baryonic surface density, and the low DM fractions can be explained with a flattened, or cored, inner DM density distribution. At z ∼ 2, there is ≈40% less DM mass on average within R e compared to expected values based on cosmological stellar-mass-halo-mass relations. The DM deficit is more evident at high star formation rate surface densities (≳2.5 M ⊙ yr−1 kpc2) and galaxies with massive bulges (≥1010 M ⊙). A combination of stellar or active galactic nucleus feedback, and/or heating due to dynamical friction, may drive the DM from cuspy into cored mass distributions, pointing to an efficient buildup of massive bulges and central black holes at z ∼ 2 SFGs.</p