Quality assessment of expert answers to lay questions about cystic fibrosis from various language zones in Europe: the ECORN-CF project

Background: The European Centres of Reference Network for Cystic Fibrosis (ECORN-CF) established an Internet forum which provides the opportunity for CF patients and other interested people to ask experts questions about CF in their mother language. The objectives of this study were to: 1. develop a detailed quality assessment tool to analyze quality of expert answers, 2. evaluate the intra- and inter-rater agreement of this tool, and 3. explore changes in the quality of expert answers over the time frame of the project. Methods: The quality assessment tool was developed by an expert panel. Five experts within the ECORN-CF project used the quality assessment tool to analyze the quality of 108 expert answers published on ECORN-CF from six language zones. 25 expert answers were scored at two time points, one year apart. Quality of answers was also assessed at an early and later period of the project. Individual rater scores and group mean scores were analyzed for each expert answer. Results: A scoring system and training manual were developed analyzing two quality categories of answers: content and formal quality. For content quality, the grades based on group mean scores for all raters showed substantial agreement between two time points, however this was not the case for the grades based on individual rater scores. For formal quality the grades based on group mean scores showed only slight agreement between two time points and there was also poor agreement between time points for the individual grades. The inter-rater agreement for content quality was fair (mean kappa value 0.232+/-0.036, p<0.001) while only slight agreement was observed for the grades of the formal quality (mean kappa value 0.105+/-0.024, p<0.001). The quality of expert answers was rated high (four language zones) or satisfactory (two language zones) and did not change over time. Conclusions: The quality assessment tool described in this study was feasible and reliable when content quality was assessed by a group of raters. Within ECORN-CF, the tool will help ensure that CF patients all over Europe have equal possibility of access to high quality expert advice on their illness

Shared Visual Attention and Memory Systems in the Drosophila Brain

Background: Selective attention and memory seem to be related in human experience. This appears to be the case as well in simple model organisms such as the fly Drosophila melanogaster. Mutations affecting olfactory and visual memory formation in Drosophila, such as in dunce and rutabaga, also affect short-term visual processes relevant to selective attention. In particular, increased optomotor responsiveness appears to be predictive of visual attention defects in these mutants. Methodology/Principal Findings: To further explore the possible overlap between memory and visual attention systems in the fly brain, we screened a panel of 36 olfactory long term memory (LTM) mutants for visual attention-like defects using an optomotor maze paradigm. Three of these mutants yielded high dunce-like optomotor responsiveness. We characterized these three strains by examining their visual distraction in the maze, their visual learning capabilities, and their brain activity responses to visual novelty. We found that one of these mutants, D0067, was almost completely identical to dunce for all measures, while another, D0264, was more like wild type. Exploiting the fact that the LTM mutants are also Gal4 enhancer traps, we explored the sufficiency for the cells subserved by these elements to rescue dunce attention defects and found overlap at the level of the mushroom bodies. Finally, we demonstrate that control of synaptic function in these Gal4 expressing cells specifically modulates a 20-30 Hz local field potential associated with attention-like effects in the fly brain. Conclusions/Significance: Our study uncovers genetic and neuroanatomical systems in the fly brain affecting both visual attention and odor memory phenotypes. A common component to these systems appears to be the mushroom bodies, brain structures which have been traditionally associated with odor learning but which we propose might be also involved in generating oscillatory brain activity required for attention-like processes in the fly brain

Comparison of the Transport Mechanism in Underdoped High Temperature Superconductors and in Spin Ladders

Recently, the normal state resistivity of high temperature superconductors (in particular in La2-xSrxCuO4 single crystals) has been studied extensively in the region below Tc by suppressing the superconducting state in high magnetic fields. In the present work we report on the normal state resistance of underdoped La2-xSrxCuO4 thin films under epitaxial strain, measured far below Tc by applying pulsed fields up to 60 T. We will compare the transport measurements on these high temperature superconductors with transport data reported for the Sr2.5Ca11.5Cu24O41 spin ladder compound. This comparison leads to an interpretation of the data in terms of the recently proposed 1D quantum transport model and the charge-stripe models.Comment: 5 pages, PDF fil

Examining assumptions regarding valid electronic monitoring of medication therapy: development of a validation framework and its application on a European sample of kidney transplant patients

BACKGROUND: Electronic monitoring (EM) is used increasingly to measure medication non-adherence. Unbiased EM assessment requires fulfillment of assumptions. The purpose of this study was to determine assumptions needed for internal and external validity of EM measurement. To test internal validity, we examined if (1) EM equipment functioned correctly, (2) if all EM bottle openings corresponded to actual drug intake, and (3) if EM did not influence a patient's normal adherence behavior. To assess external validity, we examined if there were indications that using EM affected the sample representativeness. METHODS: We used data from the Supporting Medication Adherence in Renal Transplantation (SMART) study, which included 250 adult renal transplant patients whose adherence to immunosuppressive drugs was measured during 3 months with the Medication Event Monitoring System (MEMS). Internal validity was determined by assessing the prevalence of nonfunctioning EM systems, the prevalence of patient-reported discrepancies between cap openings and actual intakes (using contemporaneous notes and interview at the end of the study), and by exploring whether adherence was initially uncharacteristically high and decreased over time (an indication of a possible EM intervention effect). Sample representativeness was examined by screening for differences between participants and non-participants or drop outs on non-adherence. RESULTS: Our analysis revealed that some assumptions were not fulfilled: 1) one cap malfunctioned (0.4%), 2) self-reported mismatches between bottle openings and actual drug intake occurred in 62% of the patients (n = 155), and 3) adherence decreased over the first 5 weeks of the monitoring, indicating that EM had a waning intervention effect. CONCLUSION: The validity assumptions presented in this article should be checked in future studies using EM as a measure of medication non-adherence

The Grizzly, October 8, 1991

1991 Parents\u27 Day a Great Success • Homecoming Festivities Planned • Is the Soviet Union Dead? • Teacher Appreciation Dinner a Success • Tortorelli at NASA • What About Recycled Paper? • Movie Review: Misery • Jane Powell Returns • Saffire: Uppity Blues Women • The Aggressive Couple • Homecoming Queen Nominees • Ethnic Degradation • Unsafe City • Appreciate Today • Construction Blues • Letter: Come On, Harley! • Bears Maul Swarthmore • Lady Bears Run to Victory • Volleyball Gets Spiked • Field Hockey Drives for Victory • Too Early to Tell? No Way • Cross Country Takes 2nd • Soccer Team Struggles Among Tough Competition • Flag Football Follieshttps://digitalcommons.ursinus.edu/grizzlynews/1279/thumbnail.jp

The Grizzly, October 29, 1991

Charles Gibson Speaks to Crowd • Blood Drive a Success • Pledging Ends • Clergy Assembly for Professional Development on Campus Next Week • Hood Speaks on Morals at Tri-Lambda Meeting • The Environmental Corner • The Experience of a Lifetime • Environmental Chemistry and its Price • Trimming the Fat • Snoopy • Berman Opens Two New Exhibits • Dating Game a Success • Carlin Captivates at Valley Forge • ProTheatre Presents ... The Crucible • Haunted Hayride • Silence of the Lambs • Thought Organization • America: A Nation of Sissies • Letters: Clarification of GALA; Put Your Mouth Where Your Money Is • Bears Have a Devil of a Time with FDU • Lady Bears Finish 4th at PAIAW • Field Hockey Sticks it to St. Joe\u27s • Lady \u27Mers Swim to Victory at Ship Relays • Men\u27s Lacrosse Defeats St. Joseph\u27s • Flag Football • Men Swimmers Start Season • Cross Country Runs Widener Ragged • Golf Scores • Farleigh-Dickinson and Haverford Bounce by Ursinushttps://digitalcommons.ursinus.edu/grizzlynews/1281/thumbnail.jp

The Grizzly, October 1, 1991

Whittaker Relates Gulf Experience • Sorority Pledging Underway • U.S.E.A.C. Conference a Success • Ursinus Students Feel the Excitement of Habitat • College Tutorial Project Thrives • U.C. Welcomes New Instructors • Leadershop 1991 • U.S.G.A. Finds a Home • A Plea for Help • GN\u27R: Illusion ... of Good Music • State Museum Exhibits Berman Sculptures • Jane Ira Bloom Jazzes It Up • Sky Sands Strikes Ursinus • Aerobics Attack • The Tempting Temple • Field Hockey Faces Tough Times • Bears Terrorized by Western Maryland • Lady Bears Finish 4th • Bears Tee Off • Runners Get Recognition • Soccer Splits Two • Cross Country Cruises to 3rd Place • Gift to Give • Alcohol Policy Enforcement Tightens • Intellect Over Image • Wismer Whine • Healing the Wounds of the Gulf War • The Search For the Chemical Promisehttps://digitalcommons.ursinus.edu/grizzlynews/1278/thumbnail.jp

The Grizzly, November 12, 1991

Evaluations Show Drop in Pledge Grades • SAC Changes to AFAC • Voters Choose Wofford • Tri-Lamba Meets • Salk to Speak on Founders\u27 Day • Haley Visits Nearby High School • Crucible Captivates • WVOU at Music Marathon • Environmental Corner • Bench Art • Killer CAB Comedy • Fantasia • National Chemistry Week Unveils The Alchemist • Changing Life\u27s Blueprints • The Trouble With Wofford • The Black Hole of Greek Life • Face Off: Pros and Cons of GALA • Adopt a Flower Bed • IFC and The Illusion of Good Faith • Bears Squeak by King\u27s Point • Lady Bears Run Strong • Field Hockey Ends Season with a Tie • \u27Mers Submerge • Lady Swimmers Defeat Dickinsonhttps://digitalcommons.ursinus.edu/grizzlynews/1283/thumbnail.jp

Automatic colorimetric calibration of human wounds

Contains fulltext : 88431.pdf (publisher's version ) (Open Access)BACKGROUND: Recently, digital photography in medicine is considered an acceptable tool in many clinical domains, e.g. wound care. Although ever higher resolutions are available, reproducibility is still poor and visual comparison of images remains difficult. This is even more the case for measurements performed on such images (colour, area, etc.). This problem is often neglected and images are freely compared and exchanged without further thought. METHODS: The first experiment checked whether camera settings or lighting conditions could negatively affect the quality of colorimetric calibration. Digital images plus a calibration chart were exposed to a variety of conditions. Precision and accuracy of colours after calibration were quantitatively assessed with a probability distribution for perceptual colour differences (dE_ab). The second experiment was designed to assess the impact of the automatic calibration procedure (i.e. chart detection) on real-world measurements. 40 Different images of real wounds were acquired and a region of interest was selected in each image. 3 Rotated versions of each image were automatically calibrated and colour differences were calculated. RESULTS: 1st Experiment: Colour differences between the measurements and real spectrophotometric measurements reveal median dE_ab values respectively 6.40 for the proper patches of calibrated normal images and 17.75 for uncalibrated images demonstrating an important improvement in accuracy after calibration. The reproducibility, visualized by the probability distribution of the dE_ab errors between 2 measurements of the patches of the images has a median of 3.43 dE* for all calibrated images, 23.26 dE_ab for all uncalibrated images. If we restrict ourselves to the proper patches of normal calibrated images the median is only 2.58 dE_ab! Wilcoxon sum-rank testing (p < 0.05) between uncalibrated normal images and calibrated normal images with proper squares were equal to 0 demonstrating a highly significant improvement of reproducibility. In the second experiment, the reproducibility of the chart detection during automatic calibration is presented using a probability distribution of dE_ab errors between 2 measurements of the same ROI. CONCLUSION: The investigators proposed an automatic colour calibration algorithm that ensures reproducible colour content of digital images. Evidence was provided that images taken with commercially available digital cameras can be calibrated independently of any camera settings and illumination features

Arthropod communities in fungal fruitbodies are weakly structured by climate and biogeography across European beech forests

Aim The tinder fungus Fomes fomentarius is a pivotal wood decomposer in European beech Fagus sylvatica forests. The fungus, however, has regionally declined due to centuries of logging. To unravel biogeographical drivers of arthropod communities associated with this fungus, we investigated how space, climate and habitat amount structure alpha and beta diversity of arthropod communities in fruitbodies of F. fomentarius. Location Temperate zone of Europe. Taxon Arthropods. Methods We reared arthropods from fruitbodies sampled from 61 sites throughout the range of European beech and identified 13 orders taxonomically or by metabarcoding. We estimated the total number of species occurring in fruitbodies of F. fomentarius in European beech forests using the Chao2 estimator and determined the relative importance of space, climate and habitat amount by hierarchical partitioning for alpha diversity and generalized dissimilarity models for beta diversity. A subset of fungi samples was sequenced for identification of the fungus’ genetic structure. Results The total number of arthropod species occurring in fruitbodies of F. fomentarius across European beech forests was estimated to be 600. Alpha diversity increased with increasing fruitbody biomass; it decreased with increasing longitude, temperature and latitude. Beta diversity was mainly composed by turnover. Patterns of beta diversity were only weakly linked to space and the overall explanatory power was low. We could distinguish two genotypes of F. fomentarius, which showed no spatial structuring. Main conclusion Fomes fomentarius hosts a large number of arthropods in European beech forests. The low biogeographical and climatic structure of the communities suggests that fruitbodies represent a habitat that offers similar conditions across large gradients of climate and space, but are characterized by high local variability in community composition and colonized by species with high dispersal ability. For European beech forests, retention of trees with F. fomentarius and promoting its recolonization where it had declined seems a promising conservation strategy