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F1000Research 2023When health-related research funding agencies choose to fund research, they balance a number of competing issues: costs, stakeholder views and potential benefits. The...
When health-related research funding agencies choose to fund research, they balance a number of competing issues: costs, stakeholder views and potential benefits. The REWARD Alliance, and the related Lancet-REWARD Campaign, question whether those decisions are yielding all the value they could. A group of health-related research funding agencies, organisations that represent health-related research funding agencies and those that inform and set health-related-research funding policy from around the world have come together since 2016 to share, learn, collaborate and influence emerging practice. This group meets under the name of the Ensuring Value in Research Funders' Forum (EViR Funders' Forum). The EViR Funders' Forum worked together to develop a set of ten Guiding Principles, that if funders adhered to would reduce research waste and ensure value in research. The EViR Funders' Forum has previously agreed and published a Consensus Statement. The Forum has agreed on a set of ten Guiding Principles to help health-research funders to maximise the value of research by ensuring that: research priorities are justifiable; the design, conduct and analysis of research minimise bias; regulation and management are proportionate to risks; methods and findings are accessible in full; and findings are appropriately and effectively disseminated and used. When setting research funding policy, we must balance multiple stakeholders' needs and expectations. When funders do this well, they maximise the probability of benefits to society from the research they support - when funders do this badly, they passively allow or actively contribute to research waste. These challenges must be resolved by funders either working together or in conjunction with other actors in the research ecosystem.
Topics: Humans; Biomedical Research; Research Support as Topic; Research
PubMed: 38845618
DOI: 10.12688/f1000research.128797.2 -
BMC Complementary Medicine and Therapies Jun 2024Acupuncture is widely used worldwide; however, studies on its effectiveness have been impeded by limitations regarding the design of appropriate control groups. In...
BACKGROUND
Acupuncture is widely used worldwide; however, studies on its effectiveness have been impeded by limitations regarding the design of appropriate control groups. In clinical research, noninvasive sham acupuncture techniques can only be applied through validation studies. Therefore, this systematic review aimed to evaluate the scope of existing literature on this topic to identify trends.
METHODS
We queried Pubmed, EMBASE, and the Cochrane Central Register of Controlled Trials databases from inception to July 2022 for relevant articles. Author names were used to identify additional relevant articles. Two independent reviewers assessed the identified articles based on the inclusion and exclusion criteria. The following data were extracted: study design, information regarding acupuncturists and participants, general and treatment-related characteristics of the intervention and control groups, participants' experience of acupuncture, and research findings.
RESULTS
The database query yielded 673 articles, of which 29 articles were included in the final review. Among these, 18 involved the use of one of three devices: Streitberger (n = 5), Park (n = 7), and Takakura (n = 6) devices. The remaining 11 studies used other devices, including self-developed needles. All the included studies were randomized controlled trials. The methodological details of the included studies were heterogeneous with respect to outcomes assessed, blinding, and results.
CONCLUSIONS
Sham acupuncture validation studies have been conducted using healthy volunteers, with a focus on blind review and technological developments in sham acupuncture devices. However, theren may be language bias in our findings since we could not query Chinese and Japanese databases due to language barriers. There is a need for more efforts toward establishing control groups suitable for various acupuncture therapy interventions. Moreover, there is a need for more rigorous sham acupuncture validation studies, which could lead to higher-quality clinical studies.
Topics: Acupuncture Therapy; Humans; Validation Studies as Topic; Randomized Controlled Trials as Topic; Placebos
PubMed: 38840076
DOI: 10.1186/s12906-024-04506-1 -
Cortex; a Journal Devoted To the Study... May 2024Stroke often causes long-term motor and somatosensory impairments. Motor planning and tactile perception rely on spatial body representations. However, the link between...
Stroke often causes long-term motor and somatosensory impairments. Motor planning and tactile perception rely on spatial body representations. However, the link between altered spatial body representations, motor deficit and tactile spatial coding remains unclear. This study investigates the relationship between motor deficits and alterations of anatomical (body) and tactile spatial representations of the hand in 20 post-stroke patients with upper limb hemiparesis. Anatomical and tactile spatial representations were assessed from 10 targets (nails and knuckles) respectively cued verbally by their anatomical name or using tactile stimulations. Two distance metrics (hand width and finger length) and two structural measures (relative organization of targets positions and angular deviation of fingers from their physical posture) were computed and compared to clinical assessments, normative data and lesions sites. Over half of the patients had altered anatomical and/or tactile spatial representations. Metrics of tactile and anatomical representations showed common variations, where a wider hand representation was linked to more severe motor deficits. In contrast, alterations in structural measures were not concomitantly observed in tactile and anatomical representations and did not correlate with clinical assessments. Finally, a preliminary analysis showed that specific alterations in tactile structural measures were associated with dorsolateral prefrontal stroke lesions. This study reveals shared and distinct characteristics of anatomical and tactile hand spatial representations, reflecting different mechanisms that can be affected differently after stroke: metrics and location of tactile and anatomical representations were partially shared while the structural measures of tactile and anatomical representations had distinct characteristics.
PubMed: 38838560
DOI: 10.1016/j.cortex.2024.04.015 -
Data in Brief Jun 2024Planch. and (A. Chev.) C.F. Liang et A.R. Ferguson are the botanical names for the two main closely related kiwifruit species that are cultivated worldwide [1]....
Planch. and (A. Chev.) C.F. Liang et A.R. Ferguson are the botanical names for the two main closely related kiwifruit species that are cultivated worldwide [1]. According to the Food and Agriculture Organisation (FAO) of the United Nation, kiwifruit is produced on 268,788 hectares of land worldwide, yielding 4,348,011 metric tonnes of fruit per year. China is the world's top producer, followed by Italy, New Zealand, Chile, and Greece, with a cumulative valuation of 2,907,580 thousand US dollars for export (http://www.fao.org/faostat/en/#data/QC). Several research using nutrient medium and other inorganic treatments on softwood cuttings for micro-propagation techniques have shown promising outcomes [2,3]. Several agricultural and horticultural crops have demonstrated significantly improved crop growth, quality, and reproduction when treated with seaweed extracts [4]. It is possible to utilise seaweed extracts to encourage cuttings from perennial fruit species, such as kiwifruit (), to root and flourish. Absence of a growth regulator permitted by organic methods is one of the main obstacles in kiwifruit production. Hardwood cuttings are the most popular technique of clonally reproducing kiwifruit, and the cuttings' ability to root depends on the application of synthetic auxins, which is not allowed in organic agriculture. Therefore, alternative biostimulants have been used to promote the rooting of kiwifruit cuttings in this study. For six hours, the cuttings in this investigation were submerged in base dipping solutions containing 1, 5, 10, and 50 % of G Sap (), K Sap (), AN (), EM (), HA (Humic acid), and control (water). After that, for a period of six months, the treatments of G Sap, K Sap, AN, EM, HA, and control were applied (at the rate of 50 ml of solutions) to the potted cuttings at intervals of fifteen days. The dataset provided the data of the rooting percent in all the kiwifruit cultivars, namely 'Monty', 'Abott', 'Hayward', 'Allison' and 'Bruno' ( ≤ 0.01), shoot and root growth parameters including leaf number per cutting, number of roots per cutting, number of branches, plant height, shoot diameter, root length, root diameter and root weight with the application of seaweed extracts. Also data of pigments (chlorophyll , chlorophyll and total carotenoids), metabolites (total carbohydrates and soluble phenols) and electrolyte leakage were collected after the treatments. Data of four root promoting candidate genes ( and ) were also described which indicated the influence of the biostimulants on the cuttings. The application of seaweed extracts resulted in a positive increase in all shoot and root growth parameters, including the number of leaves per cutting, the number of roots per cutting, the number of branches, plant height, shoot diameter, root length, root diameter, and root weight ( ≤ 0.05). In comparison to the control cuttings, the seaweed extract-treated cuttings showed significantly greater levels of pigments (such as chlorophyll a, chlorophyll b, and total carotenoids), metabolites (such as total carbohydrates and soluble phenols), and reduced electrolyte leakage. Various treatments (1, 5 and 10% solutions of G Sap, K Sap, AN, EM, HA and control) gave positive impact on nutrient parameters of kiwifruit cultivar 'Hayward'. Moreover, the relative positive expressions of root inducing genes ( and ) was observed in leaves and roots of cultivar 'Hayward' by qRT-PCR after treatment with G Sap, K Sap, AN, EM, HA @ 10 % and control. Thus, it can be said that seaweed extract and humic acid are good substitutes for synthetic hormones in encouraging kiwifruit cuttings to root and flourish.
PubMed: 38831905
DOI: 10.1016/j.dib.2024.110538 -
Heliyon May 2024Alternative fuels can be produced from both non-edible feedstocks and edible crops. The higher production costs and contaminating nature of vegetable biofuels, which...
Evaluating the effect of diethyl ether and moringa oleifera antioxidant additives on the performance and emission characteristics of jatropha biodiesel-diesel blended fuel on CI engine - An experimental investigation.
Alternative fuels can be produced from both non-edible feedstocks and edible crops. The higher production costs and contaminating nature of vegetable biofuels, which cause engine component failure, make it conceivable to encourage the synthesis of biodiesel from non-edible sources. One of the most widely utilized alternative fuels is Jatropha biofuel, which has performance levels comparable to diesel fuels and can be used with CI (Compression Ignition) engines without any modifications. However when it comes to oxidative stability properties that impact shelf life and commercialization, the majority of biodiesels-including Jatropha-are lacking. Therefore, the objective of this study was to enhance the oxidative stability and other physicochemical parameters, such performance and emission characteristics, of Jatropha biodiesel with diesel blends by adding additives like DEE (diethyl ether) and MA (moringa oleifera antioxidant). The seeds of jatropha and moringa were harvested by hand and then mechanically extracted with a screw press. A conical flask containing the precisely weighed amount of oil is filled with 50 mL of neutral alcohol. The combination is then heated for an hour using a water condenser over a bath. Using phenolphthalein indicator, the contents are titrated with KOH solution after cooling. Weight of oil taken (w)/volume of KOH used (mL) × normality of KOH is the formula used to determine the acidity value of jatropha oil. It is therefore below the minimum level set by ASTM D 675, which is 2.5 mg KOH/g. Methanol was used in the transesterification process to produce biodiesel, and potassium hydroxide (KOH) was used as a catalyst. Then, using 5 % DEE and 10 % MA additives, the physicochemical properties of jatropha biodiesel-such as density, kinematics viscosity, calorific value, and oxidative stability-were characterized. The percentage of improvement of the biodiesel's mentioned properties with these additives was 0.68 %, 2.8 %, 0.73 %, and 33.8 %, respectively. The brake thermal efficiency (BTE) of B40MA10DEE05D45 increased by 8.52 % whereas the brake specific fuel consumption (BSFC) of B50MA10DEE05D35, which is Made up of 44 % diesel, 50 % jatropha biodiesel, 5 % DEE, and 10 % MA fuels, declined by 5.14 %. As a result of these additions, the blended fuel's CO, HC, and NOx emissions were reduced by 3.51 %, 2.25 %, and 8.64 %, respectively. Therefore, a 20 % blend of Jatropha biodiesel and diesel containing antioxidants from Moringa can be used in compression ignition engines without the need for engine modifications and with high oxidation stability.
PubMed: 38831843
DOI: 10.1016/j.heliyon.2024.e31436 -
International Journal of Systematic and... Jun 2024
Topics: Terminology as Topic; Publishing
PubMed: 38828845
DOI: 10.1099/ijsem.0.006275 -
Appetite May 2024Consuming enough energy to meet high energy demands can be challenging for military personnel wherein logistical constraints limit food availability. Increasing dietary...
Consuming enough energy to meet high energy demands can be challenging for military personnel wherein logistical constraints limit food availability. Increasing dietary energy density (ED) and/or volume density (VD) of rations may be countermeasures, but whether positive linear associations between ED and energy intake (EI) hold at moderate-to-high ED and VD is unclear. This study examined the effects of covertly increasing the ED and VD of moderate ED (≥1.6 kcal/g) foods on appetite and energy intake. Twenty healthy men completed four 2-day treatments in random order by consuming a standardized diet containing three experimental food items (EXP) engineered using leavening, physical compression and fat manipulation to be isovolumetric but lower (L) or higher (H) in ED and VD creating four treatments: LED/LVD, LED/HVD, HED/LVD, HED/HVD. Consumption of EXP was compulsory during two meals and a snack, but remaining intake was self-selected (SSF). Results failed to show any ED-by-VD interactions. During LVD, EI was lower for EXP (-417 kcal [95%CI: 432, -402], p < 0.01) and TOTAL (SSF + EXP) (-276 kcal [95%CI: 470, -83], p = 0.01) compared to HVD, while SSF EI did not differ (140 kcal [-51, 332], p = 0.15). During LED, EI for EXP (-291 kcal [95%CI: 306, -276], p < 0.01) was lower than HED, while SSF EI was higher than HED (203 kcal 95%CI: [12, 394], p = 0.04) and TOTAL EI did not differ (-88 kcal [-282, 105], p = 0.36). Thus, when a small isovolumetric portion of the diet was manipulated, increasing the VD of moderate ED foods failed to elicit compensatory reductions in ad libitum EI while increasing the ED of moderate ED foods did. Findings may support VD manipulation of moderate ED foods as a strategy to promote increased short-term EI in environments wherein logistical burden may limit food volume.
PubMed: 38825013
DOI: 10.1016/j.appet.2024.107537 -
BMC Public Health Jun 2024Globally, the counting of deaths based on gender identity and sexual orientation has been a challenge for health systems. In most cases, non-governmental organizations...
Accuracy, potential, and limitations of probabilistic record linkage in identifying deaths by gender identity and sexual orientation in the state of Rio De Janeiro, Brazil.
BACKGROUND
Globally, the counting of deaths based on gender identity and sexual orientation has been a challenge for health systems. In most cases, non-governmental organizations have dedicated themselves to this work. Despite these efforts in generating information, the scarcity of official data presents significant limitations in policy formulation and actions guided by population needs. Therefore, this manuscript aims to evaluate the accuracy, potential, and limits of probabilistic data relationships to yield information on deaths according to gender identity and sexual orientation in the State of Rio de Janeiro.
METHODS
This study evaluated the accuracy of the probabilistic record linkage to obtain information on deaths according to gender and sexual orientation. Data from two information systems were used from June 15, 2015 to December 31, 2020. We constructed nine probabilistic data relationship strategies and identified the performance and cutoff points of the best strategy.
RESULTS
The best data blocking strategy was established through logical blocks with the first and last names, birthdate, and mother's name in the pairing strategy. With a population base of 80,178 records, 1556 deaths were retrieved. With an area under the curve of 0.979, this strategy presented 93.26% accuracy, 98.46% sensitivity, and 90.04% specificity for the cutoff point ≥ 17.9 of the data relationship score. The adoption of the cutoff point optimized the manual review phase, identifying 2259 (90.04%) of the 2509 false pairs and identifying 1532 (98.46%) of the 1556 true pairs.
CONCLUSION
With the identification of possible strategies for determining probabilistic data relationships, the retrieval of information on mortality according to sexual and gender markers has become feasible. Based on information from the daily routine of health services, the formulation of public policies that consider the LGBTQ + population more closely reflects the reality experienced by these population groups.
Topics: Humans; Brazil; Female; Male; Gender Identity; Sexual Behavior; Medical Record Linkage; Data Accuracy; Death Certificates; Adult
PubMed: 38824562
DOI: 10.1186/s12889-024-19002-x -
Journal of Medical Internet Research May 2024Efficient data exchange and health care interoperability are impeded by medical records often being in nonstandardized or unstructured natural language format. Advanced...
BACKGROUND
Efficient data exchange and health care interoperability are impeded by medical records often being in nonstandardized or unstructured natural language format. Advanced language models, such as large language models (LLMs), may help overcome current challenges in information exchange.
OBJECTIVE
This study aims to evaluate the capability of LLMs in transforming and transferring health care data to support interoperability.
METHODS
Using data from the Medical Information Mart for Intensive Care III and UK Biobank, the study conducted 3 experiments. Experiment 1 assessed the accuracy of transforming structured laboratory results into unstructured format. Experiment 2 explored the conversion of diagnostic codes between the coding frameworks of the ICD-9-CM (International Classification of Diseases, Ninth Revision, Clinical Modification), and Systematized Nomenclature of Medicine Clinical Terms (SNOMED-CT) using a traditional mapping table and a text-based approach facilitated by the LLM ChatGPT. Experiment 3 focused on extracting targeted information from unstructured records that included comprehensive clinical information (discharge notes).
RESULTS
The text-based approach showed a high conversion accuracy in transforming laboratory results (experiment 1) and an enhanced consistency in diagnostic code conversion, particularly for frequently used diagnostic names, compared with the traditional mapping approach (experiment 2). In experiment 3, the LLM showed a positive predictive value of 87.2% in extracting generic drug names.
CONCLUSIONS
This study highlighted the potential role of LLMs in significantly improving health care data interoperability, demonstrated by their high accuracy and efficiency in data transformation and exchange. The LLMs hold vast potential for enhancing medical data exchange without complex standardization for medical terms and data structure.
Topics: Humans; Health Information Exchange; Health Information Interoperability; Electronic Health Records; Natural Language Processing; Systematized Nomenclature of Medicine
PubMed: 38819879
DOI: 10.2196/56614 -
Heliyon May 2024Emotion recognition technology through EEG signal analysis is currently a fundamental concept in artificial intelligence. This recognition has major practical... (Review)
Review
Emotion recognition technology through EEG signal analysis is currently a fundamental concept in artificial intelligence. This recognition has major practical implications in emotional health care, human-computer interaction, and so on. This paper provides a comprehensive study of different methods for extracting electroencephalography (EEG) features for emotion recognition from four different perspectives, including time domain features, frequency domain features, time-frequency features, and nonlinear features. We summarize the current pattern recognition methods adopted in most related works, and with the rapid development of deep learning (DL) attracting the attention of researchers in this field, we pay more attention to deep learning-based studies and analyse the characteristics, advantages, disadvantages, and applicable scenarios. Finally, the current challenges and future development directions in this field were summarized. This paper can help novice researchers in this field gain a systematic understanding of the current status of emotion recognition research based on EEG signals and provide ideas for subsequent related research.
PubMed: 38818173
DOI: 10.1016/j.heliyon.2024.e31485