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Appeals across 808 anti-vaccine and pro-vaccine comments were similar, though these appeals diverged in tactics and conclusions. Anti-vaccine arguments were more heterogeneous, deploying a wide range of arguments against vaccines. Additional analysis of pro-vaccine comments reveals that these comments use rhetorical strategies that could be counterproductive to producing persuasion. Pro-vaccine comments more frequently used tactics such as ad hominem arguments levied at those who refuse vaccines or used appeals to science to correct beliefs in vaccine skepticism, both of which can be ineffective when attempting to persuade a skeptical audience.
Further study of pro-vaccine argumentation appeals and tactics could illuminate how persuasiveness could be improved in online forums.
Further study of pro-vaccine argumentation appeals and tactics could illuminate how persuasiveness could be improved in online forums.We explore order in low angle grain boundaries (LAGBs) embedded in a two-dimensional crystal at thermal equilibrium. Symmetric LAGBs subject to a Peierls potential undergo, with increasing temperatures, a thermal depinning transition; above which, the LAGB exhibits transverse fluctuations that grow logarithmically with interdislocation distance. GSK-2879552 mouse Longitudinal fluctuations lead to a series of melting transitions marked by the sequential disappearance of diverging algebraic Bragg peaks with universal critical exponents. Aspects of our theory are checked by a mapping onto random matrix theory.
In the current literature, correlations between a contralateral carotid artery occlusion (CCO) with mortality and major adverse cardiac or cerebrovascular events (MACCE) rates after carotid artery stenting (CAS) are often described with controversial conclusions. Moreover, long-term results of mortality, MACCE and restenosis rate are scarcely reported. This study examined the association between a CCO and the short- and long-term outcomes after CAS.
One hundred and forty-six patients with CCO and without (No-CCO) who underwent between 2010 and 2017 to a CAS procedure in a single institution were retrospectively evaluated. The primary aim of the study was to evaluate mortality and MACCE rates in the short-term (defined as the occurrence during hospitalization and within 30-day) and after 3-year follow up. The secondary aim of the study was to examine the restenosis rates in the short- and long-term period.
The overall success of CAS was 99.3% and the 30-day all-cause mortality rate was 0.7% (one death). edom from restenosis rate with respect to the No-CCO group (87.6% vs 98.6%, p = 0.024). A Cox regression model on 3-year restenosis highlighted female gender and hypertension to be statistically significant predictors of restenosis.
Patients with a preexisting CCO didn't show a significative increased risk of procedural adverse events after CAS both in the immediate and long-term follow up, but on the long term they are more likely to experience restenosis. CCO condition should be considered always as a clinical manifestation of a more aggressive carotid atherosclerosis.
Patients with a preexisting CCO didn't show a significative increased risk of procedural adverse events after CAS both in the immediate and long-term follow up, but on the long term they are more likely to experience restenosis. CCO condition should be considered always as a clinical manifestation of a more aggressive carotid atherosclerosis.
Cardiac MRI is central to the evaluation of cardiac amyloidosis (CA). Native T
mapping and extracellular volume (ECV) are novel MR techniques with evolving utility in cardiovascular diseases, including CA.
To perform a meta-analysis of the diagnostic and prognostic data of native T
mapping and ECV techniques for assessing CA.
Systematic review and meta-analysis.
In all, 3520 patients including 1539 with CA from 22 studies retrieved following systematic search of Pubmed, Cochrane, and Embase.
1.5T or 3.0T/modified Look-Locker inversion recovery (MOLLI) or shortened MOLLI (shMOLLI) sequences.
Meta-analysis was performed for all CA and for light-chain (AL) and transthyretin (ATTR) subtypes. Thresholds were calculated to classify native T
and ECV values as not suggestive, indeterminate, or suggestive of CA.
Area under the receiver-operating characteristic curves (AUCs) and hazards ratios (HRs) with 95% confidence intervals (95% CI) were pooled using random-effects models and Open-Meta(Analyst) software.
Six studies were diagnostic, 16 studies reported T
and ECV values to determine reference range, and six were prognostic. Pooled AUCs (95% CI) for diagnosing CA were 0.92 (0.89-0.96) for native T
mapping and 0.96 (0.93-1.00) for ECV, with similarly high detection rates for AL- and ATTR-CA. Based on the pooled values of native T
and ECV in CA and control subjects, the thresholds that suggested the absence, indeterminate, or presence of CA were identified as <994 msec, 994-1073 msec, and >1073 msec, respectively, for native T
at 1.5T. Pooled HRs (95% CI) for predicting all-cause mortality were 1.15 (1.08-1.22) for native T
mapping as a continuous parameter, 1.19 (1.01-1.40) for ECV as a continuous parameter, and 4.93 (2.64-9.20) for ECV as a binary threshold.
Native T
mapping and ECV had high diagnostic performance and predicted all-cause mortality in CA.
1 TECHNICAL EFFICACY STAGE 2.
1 TECHNICAL EFFICACY STAGE 2.Artificial intelligence (AI) applications have attracted considerable ethical attention for good reasons. Although AI models might advance human welfare in unprecedented ways, progress will not occur without substantial risks. This article considers 3 such risks system malfunctions, privacy protections, and consent to data repurposing. To meet these challenges, traditional risk managers will likely need to collaborate intensively with computer scientists, bioinformaticists, information technologists, and data privacy and security experts. This essay will speculate on the degree to which these AI risks might be embraced or dismissed by risk management. In any event, it seems that integration of AI models into health care operations will almost certainly introduce, if not new forms of risk, then a dramatically heightened magnitude of risk that will have to be managed.
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