Brain Tumor Classification based on Improved Stacked Ensemble Deep Learning Methods.

OBJECTIVE: Brain Tumor diagnostic prediction is essential for assisting radiologists and other healthcare professionals in identifying and classifying brain tumors. For the diagnosis and treatment of cancer diseases, prediction and classification accuracy are crucial. The aim of this study was to improve ensemble deep learning models for classifing brain tumor and increase the performance of structure models by combining different model of deep learning to develop a model with more accurate predictions than the individual models. METHODS: Convolutional neural networks (CNNs), which are made up of a single algorithm called CNN model, are the foundation of most current methods for classifying cancer illness images. The model CNN is combined with other models to create other methods of classification called ensemble method. However, compared to a single machine learning algorithm, ensemble machine learning models are more accurate. This study used stacked ensemble deep learning technology. The data set used in this study was obtained from Kaggle and included two categories: abnormal & normal brains. The data set was trained with three models: VGG19, Inception v3, and Resnet 10. RESULT: The 96.6% accuracy for binary classification (0,1) have been achieved by stacked ensemble deep learning model with Loss binary cross entropy, and Adam optimizer take into consideration with stacking models. CONCLUSION: The stacked ensemble deep learning model can be improved over a single framework.

Telehealth experiences in Canadian veterans: associations, strengths and barriers to care during the COVID-19 pandemic.

INTRODUCTION: Identifying barriers to care in veteran populations is critical, as veterans face increased social isolation, relationship strains and financial insecurities. For Canadian veterans experiencing barriers to accessing healthcare, telehealth may be a promising alternative with comparable effectiveness to in-person services; however, the potential benefits and limitations of telehealth require further examination to determine its long-term utility, and to inform health policy and planning. The goal of the present research was to identify predictors and barriers to telehealth usage in Canadian veterans in the context of the COVID-19 pandemic. METHODS: Data were drawn from baseline data of a longitudinal survey examining the psychological functioning of Canadian veterans during the COVID-19 pandemic. Participants were 1144 Canadian veterans aged 18-93 years (Mage=56.24, SD=12.92; 77.4% men). We assessed reported telehealth use (ie, for mental healthcare, physical healthcare), healthcare access (ie, difficulty accessing care, avoidance of care) and mental health and stress since the beginning of the COVID-19 pandemic, sociodemographic variables and open-ended responses about telehealth experiences. RESULTS: Findings suggest that sociodemographic factors and previous telehealth use were significantly associated with telehealth use during the COVID-19 pandemic. Qualitative evidence highlighted both the benefits (eg, reducing barriers of access) and drawbacks (eg, not all services can be delivered) of telehealth services. CONCLUSIONS: This paper provided a deeper understanding of Canadian veterans' experiences with accessing telehealth care during the COVID-19 pandemic. While for some, the use of telehealth mitigated perceived barriers (eg, safety concerns of leaving home), others felt that not all health services could be appropriately carried out through telehealth. Altogether, findings support the use of telehealth services in increasing care accessibility for Canadian veterans. Continued use of quality telehealth services may be a valuable form of care that extends the reach of healthcare professionals.

(Na, Zr) and (Ca, Zr) Phosphate-Molybdates and Phosphate-Tungstates: II-Radiation Test and Hydrolytic Stability.

This paper introduces the results of hydrolytic stability tests and radiation resistance tests of phosphate molybdates and phosphate tungstates Na1-xZr2(PO4)3-x(XO4)x, X = Mo, W (0 ≤ x ≤ 0.5). The ceramics characterized by relatively high density (more than 97.5%) were produced by spark plasma sintering (SPS) of submicron powders obtained by sol-gel synthesis. The study focused on hydrolytic resistance of the ceramics in static mode at room temperature. After 28 days of testing in distilled water, the normalized leaching rate was determined. It was found that the ceramics demonstrated high hydrolytic resistance in static mode: the normalized leaching rates for Mo- and W-containing ceramics were 31·10-6 and 3.36·10-6 g·cm-2·day-1, respectively. The ceramics demonstrated high resistance to irradiation with 167 MeV Xe+26 multiple-charged ions at fluences ranging from 1·1012 to 6·1013 cm-2. The Mo-containing Na0.5Zr2(PO4)2.5(XO4)0.5 ceramics were shown to have higher radiation resistance than phosphate tungstates. Radiation was shown to trigger an increase in leaching rates for W and Mo in the crystal structure of NZP ceramics.

(Na, Zr) and (Ca, Zr) Phosphate-Molybdates and Phosphate-Tungstates: I-Synthesis, Sintering and Characterization.

Submicron-grade powders of Na1-xZr2(PO4)3-x(XO4)x compounds (hereafter referred to as NZP) and Ca1-xZr2(PO4)3-x(XO4)x compounds (hereafter, CZP), X = Mo, W (0 ≤ x ≤ 0.5) were obtained by sol-gel synthesis. The compounds obtained were studied by X-ray diffraction phase analysis and electron microscopy. An increase in the W or Mo contents was shown to result in an increase in the unit cell volume of the NZP and CZP crystal lattices and in a decrease in the coherent scattering region sizes. Thermal expansion behavior at high temperatures of synthesized NZP and CZP compounds has been investigated. The dependencies of the parameters a and c on the heating temperature, as well as the temperature dependence of the crystal lattice unit cell volume V in the range from the room temperature up to 800 °C, were obtained. The dependencies of the average thermal expansion coefficient (αav) and of the volume coefficient (ß) on the W and Mo contents in the compositions of NZP and CZP compounds were studied. Ceramics Na1-xZr2(PO4)3-x(XO4)x with relatively high density (more than 97.5%) were produced by spark plasma sintering (SPS). The increase in the W or Mo contents in the ceramics leads to an increase in the relative density of NZP and to a decrease of the optimum sintering temperature. The mean grain size in the NZP ceramics decreases with increasing W or Mo contents. The study of strength characteristics has revealed that the hardness of the NZP ceramics is greater than 5 GPa, and that the minimum fracture toughness factor was 1 MPa·m1/2.

Addressing moral injury in the military.

Moral injury is a relatively new, but increasingly studied, construct in the field of mental health, particularly in relation to current and ex-serving military personnel. Moral injury refers to the enduring psychosocial, spiritual or ethical harms that can result from exposure to high-stakes events that strongly clash with one's moral beliefs. There is a pressing need for further research to advance understanding of the nature of moral injury; its relationship to mental disorders such as posttraumatic stress disorder and depression; triggering events and underpinning mechanisms; and prevalence, prevention and treatment. In the meantime, military leaders have an immediate need for guidance on how moral injury should be addressed and, where possible, prevented. Such guidance should be theoretically sound, evidence-informed and ethically responsible. Further, the implementation of any practice change based on the guidance should contribute to the advancement of science through robust evaluation. This paper draws together current research on moral injury, best-practice approaches in the adjacent field of psychological resilience, and principles of effective implementation and evaluation. This research is combined with the military and veteran mental health expertise of the authors to provide guidance on the design, implementation and evaluation of moral injury interventions in the military. The paper discusses relevant training in military ethical practice, as well as the key roles leaders have in creating cohesive teams and having frank discussions about the moral and ethical challenges that military personnel face.

Discrete dislocation simulation of the ultrasonic relaxation of non-equilibrium grain boundaries in a deformed polycrystal.

For the first time, the relaxation of disordered dislocation arrays in a model 3 × 3 columnar polycrystal under ultrasonic action is studied using the discrete dislocation approach. All grains contain three non-parallel slip systems located at an angle of 60° to each other. The non-equilibrium state of the grain boundaries is modeled using two finite edge dislocation walls with Burgers vector of opposite signs, which are equivalent to a wedge junction disclination quadrupole. It is shown that ultrasonic treatment causes a significant rearrangement of the lattice dislocations and their gliding towards the grain boundaries. It results in a decrease in the internal stress fields associated with the presence of non-equilibrium grain boundaries and relaxation of dislocation structure. The model predicts an existence of optimal amplitude, at which the maximum relaxing effect can be achieved. Dependence of the relaxation of dislocation structure on the grain size is also investigated.

Ecological criteria for assessing the content of petroleum hydrocarbons in the main soils of coniferous-deciduous forests and forest steppe.

The effect of pollution of Albicluvisols/Retisols, Calcaric Leptosols, Luvic Phaeozems, Greyzamic Phaeozems and Folic Fluvisols with oil (Solovatovsky oil field, Perm region) added in amounts of 1, 2, 3 and 5 g oil/kg of soil on the organisms was studied in a model laboratory experiment. Oil addition showed phytotoxic effects on root length in Triticum aestivum L., Lepidium sativum L., Picea obovata Ledeb. and Pinus sylvestris L. in all soils. However, oil contamination of Calcaric Leptosols and Greyzamic Phaeozems led to growth stimulation in Picea obovata seedlings. A remarkable shift in the diversity and number of colony-forming units of heterotrophic and oil-oxidizing bacteria was detected in all soil types. The maximum decrease in biodiversity (45%) was noted for heterotrophic bacteria in Luvic Phaeozems. Aqueous extracts from all oil-contaminated soils had a toxic effect on Chlorella vulgaris Beijer, causing an increase in biomass by more than 30%, but did not show acute toxicity on Daphnia magna Straus. Oil addition in the range of 1-3 g oil/kg soil posed no environmental risk to human health. However, oil addition at 5 g oil/kg of soil led to an increase in the level of carcinogenic risk to children to the threshold values of acceptable risk and ranged from 0.95 × 10-4 for Greyzamic Phaeozems and Folic Fluvisols to 1.098 × 10-4 for Luvic Phaeozems. Our results suggest that the reaction of test organisms to oil pollution depends on the soil type, and their complex application makes it possible to identify the most sensitive factor and assess the dangerous level of pollution.

Accumulation and distribution of radionuclides in higher aquatic plants during the vegetation period.

The long-term observations of the dynamics of 90Sr and 137Cs concentration, as well as the physicochemical forms of these radionuclides in 10 species of higher aquatic plants during the vegetation period of Glyboke Lake in the Chornobyl Exclusion Zone were presented. The accumulation of radionuclides depends on the influence of environmental factors and species characteristics of the studied plants. It has been shown that the accumulation of 90Sr and 137Cs by plants mainly occurs in accordance with the physiological stages of their development. Under conditions of intensive growth and accumulation of biomass in the juvenile period, plants disproportionately uptake 137Cs from the environment; during the seed ripening period at the stage of aging, plants mainly accumulate 90Sr, as evidenced by the non-correlation of this radionuclide concentration in water and plants in the considered periods. The specific features of the accumulation of radionuclides by plants were studied by the method of analysis of physicochemical forms, which consists in the sequential extraction of radionuclides from plant preparations and makes it possible to quantitatively investigate potentially exchange and fixed forms. The analysis of physicochemical forms confirmed the patterns of seasonal distribution of radionuclides, as well as their accumulation in cells, tissues and in the whole plant obtained from long-term observations.

[The organizational clinical system of development of medical care based on electronic personified data of medical services under angina pectoris and myocardium infarction].

The article presents the analysis of quality of medical care of patients with coronary heart disease at the phases of the clinic, ambulance and hospital based on the data from electronic personalized records and registry accounts of the territorial mandatory health insurance foundation. The results of implemented analysis and application of principle of inter-agency information interaction, the clinical organizational system of managing quality of outputs of medical care provision to patients with ischemic heart disease has been developed. The developed medical care quality management system based on database of personalized electronic patient records was tested in practice and demonstrated positive results.

Greater prevalence of post-traumatic stress disorder and depression in deployed Canadian Armed Forces personnel at risk for moral injury.

BACKGROUND: A link between moral injury (i.e., the psychological distress caused by perceived moral transgressions) and adverse mental health outcomes (AMHO) has been recently proposed. However, the prevalence of exposure to morally injurious events and the associated risk of experiencing AMHO remains understudied. METHOD: The impact of exposure to potentially morally injurious experiences (PMIEs) was explored in relation to past-year PTSD and MDD, using the 2013 Canadian Armed Forces Mental Health Survey dataset of Afghanistan mission deployed regular force and reserve personnel. A series of logistic regressions were conducted, controlling for relevant sociodemographic, military, deployment, and trauma-related variables. RESULTS: Over half of the deployed personnel endorsed at least one PMIE. Several demographic and military variables were associated with exposure to PMIEs. Those exposed to PMIEs demonstrated a greater likelihood of having past-year PTSD and MDD; feeling responsible for the death of Canadian or ally personnel demonstrated the strongest association with PTSD and MDD. Mental health training was not a moderator for PMIE exposure and AMHO. CONCLUSIONS: Exposure to PMIEs during deployments is common and represents an independent risk factor for past-year PTSD and MDD. Improved training that targets moral-ethical dilemmas and treatment interventions that address moral injury expressions is warranted.

The antioxidant 2,6-di-tert-butylphenol moiety attenuates the pro-oxidant properties of the auranofin analogue.

Metal-based drugs are gaining momentum as a rapidly developing area of medicinal inorganic chemistry. Among gold pharmaceuticals, auranofin is a well known antirheumatic drug. The efficacy of gold-organic complexes largely depends on their pro-oxidant properties since auranofin targets the redox enzyme thioredoxin reductase (TrxR). However, an uncontrollable oxygen burst may be harmful for healthy cells; therefore, the search for chemical modifications to attenuate oxidation-related general toxicity of gold containing anti-inflammatory drugs is justified. In this study, we demonstrate that the incorporation of a specific antioxidant phenol fragment can counterbalance the pro-oxidative potential of the Au containing complex molecule. The electrochemical studies of AuPPh3SR (1, R= 3,5-di-tert-butyl-4-hydroxyphenyl) and its precursors AuPPh3Cl (2) and RSH (3) showed that complex 1 and phenol 3 efficiently scavenged the radicals (as detected by cyclic voltammetry) whereas 2 had no effect. Compound 1 inhibited TrxR in vitro with IC50 0.57 ± 0.15 µM, a value one order of magnitude bigger than the potency reported for auranofin. Compound 1 (5 mg kg-1 daily gavage for 14 days) caused a decrease in ex vivo spontaneous and ascorbate-induced lipid peroxidation in the homogenates of rat lung, heart muscle, spleen, liver, kidneys, testicles and brain as assessed by the thiobarbituric acid reactive substances. Importantly, in animals fed with 1, no discernible general toxicity was registered suggesting that this compound is well tolerated. Our results provide evidence for an efficient synthetic route to obtain gold containing anti-inflammatory drug candidates with balanced pro/anti-oxidative properties.

Microstructure changes in ultrafine-grained nickel processed by high pressure torsion under ultrasonic treatment.

Commercially pure nickel was processed by high pressure torsion (HPT) and subjected to ultrasonic treatment (UST) with different amplitudes of compression-tension stresses in the zone of stress antinode of a standing wave. It was found that microstructure parameters such as the dislocation density, low- and high-angle grain boundary fractions, microhardness, and the stored excess energy as well, non-monotonically depend on the ultrasound amplitude. A structure relaxation leading to a reduction of internal stresses and stored energy and increase of the fraction of high-angle boundaries was observed at some intermediate amplitudes of the oscillating stress. The maximum relaxation effect was observed in the samples after UST with the amplitude of 60MPa. Possible mechanisms of the influence of ultrasound on the microstructure of deformed materials are discussed.

[Modified Oligonucleotides for Guiding RNA Cleavage Using Bacterial RNase P].

The ability of a series of novel modified external guide sequences (EGS oligonucleotides) to induce the hydrolysis of target RNA with bacterial ribonuclease P has been studied; the most efficient modification variants have been selected. We have found patterns of the oligonucleotide sugar-phosphate backbone modi-fications that enhance oligonucleotide stability in the biological environment and do not violate the ability to interact with the enzyme and induce the RNA hydrolysis. It has been shown that analogues of EGS oligonucleotides selectively modified at 2'-position (2'-O-methyl and 2'-fluoro) or at internucleotide phosphates (phosphoryl guanidines) can be used for the addressed cleavage of a model RNA target by bacterial RNase P. The ability of new phosphoryl guanidine analogues of oligodeoxyribonucleotides that are stable in biological media to induce the hydrolysis of target RNA with bacterial ribonuclease P has been shown for the first time. The modified EGS oligonucleotides with an optimal balance between functional activity and stability in biological media can be considered as potential antibacterial agents.

Formation and Luminescent Properties of Al2O3:SiOC Nanocomposites on the Base of Alumina Nanoparticles Modified by Phenyltrimethoxysilane.

Al2O3:SiOC nanocomposites were synthesized by thermal treatment of fumed alumina nanoparticles modified by phenyltrimethoxysilane. The effect of annealing temperature in inert ambient on structure and photoluminescence of modified alumina powder was studied by IR spectroscopy as well as photoluminescence spectroscopy with ultraviolet and X-ray excitation. It is demonstrated that increase of annealing temperature results in formation of silica precipitates on the surface of alumina particles that is accompanied by development and spectral evolution of visible photoluminescence. These observations are discussed in terms of structural transformation of the surface of Al2O3 particles.

Determination of the conformal-field-theory central charge by the Wang-Landau algorithm.

We present a simple method to estimate the central charge of the conformal field theory corresponding to a critical point of a two-dimensional lattice model from Monte Carlo simulations. The main idea is to use the Wang-Landau flat-histogram algorithm, which allows us to obtain the free energy of a lattice model on a torus as a function of torus radii. The central charge is calculated with good precision from a free-energy scaling at the critical point. We apply the method to the Ising, tricritical Ising (Blume-Capel), Potts, and site-diluted Ising models, and we also discuss an estimation of the conformal weights.

[Extreme Climatic Events in the Altai Republic According to Dendrochronological Data].

The results of dating of extreme climatic events by damage to the anatomical structure and missing tree rings of the Siberian larch in the upper forest boundary of the Altai Republic are given. An analysis of the spatial distribution of the revealed dates over seven plots (Kokcy, Chind, Ak-ha, Jelo, Tute, Tara, and Sukor) allowed us to distinguish the extreme events on interregional (1700, 1783, 1788, 1812, 1814, 1884), regional (1724, 1775, 1784, 1835, 1840, 1847, 1850, 1852, 1854, 1869, 1871, 1910, 1917, 1927, 1938, 1958, 1961), and local (1702, 1736, 1751, 1785, 1842, 1843,1874, 1885, 1886, 1919, 2007, and 2009) scales. It was shown that the events of an interregional scale correspond with the dates of major volcanic eruptions (Grimsvotn, Lakagigar, Etna, Awu, Tambora, Soufriere St. Vinsent, Mayon, and Krakatau volcanos) and extreme climatic events, crop failures, lean years, etc., registered in historical sources.

Drift of dislocation tripoles under ultrasound influence.

Numerical simulations of dynamics of different stable dislocation tripoles under influence of monochromatic standing sound wave were performed. The basic conditions necessary for the drift and mutual rearrangements between dislocation structures were investigated. The dependence of the drift velocity of the dislocation tripoles as a function of the frequency and amplitude of the external influence was obtained. The results of the work can be useful in analysis of motion and self-organization of dislocation structure under ultrasound influence.

Radiation-induced cytogenetic and hematologic effects on aquatic biota within the Chernobyl exclusion zone.

During 1998-2014 the rate of chromosomal aberrations in embryo tissues of the pond snail (Lymnaea stagnalis) and root meristems of higher aquatic plants, and also hematologic indexes of mantle liquid of the adult snails and peripheral blood of fishes in water bodies within the Chernobyl exclusion zone (EZ) was studied. The absorbed dose rate for hydrobionts from water bodies of the EZ registered in a range from 0.25 to 420 µGy h(-1) and in the reference ones - up to 0.09 µGy h(-1). The level of chromosomal aberrations in the molluscs from the most contaminated water bodies of the EZ was registered within range of 18-27% and for the molluscs from the reference lakes this index was on the average 1.5% with the maximal values 2.3%. The rate of chromosomal aberrations in root meristematic cells of higher aquatic plants from the contaminated lakes of the EZ was in range of 7-17% and in the plants from reference water bodies was not exceed 2.1%. The positive correlation between chromosomal aberration rate and absorbed dose rate in the pond snail's embryos and root meristems of higher aquatic plants in water bodies of the EZ was registered. Analysis of hemolymph structure of snails from the most contaminated water bodies showed a high rate of dead and phagocytic cells as well as decrease of the young amoebocytes quantity. Hematologic research of fish allows to determine on the one hand an insignificant changes of leukogram structure, and from the other hand a high level of red cells with different abnormalities in the peripheral blood of fishes from the water bodies with high levels of radioactive contamination. It is suppose that qualitative indexes of red cells in peripheral blood of fish are more sensitive to long-term radiation impact in comparison with elements of white blood, which can be used for conducting of the hematologic monitoring of radioactive contaminated water bodies.

Role of morality in the experience of guilt and shame within the armed forces.

OBJECTIVE: Despite advances in our understanding of mental health issues among military forces, a large proportion of military personnel continue to exhibit deployment-related psychological issues. Recent work has identified symptoms of guilt and shame related to moral injury as contributing significantly to combat-related mental health issues. This systematic scoping review explores the association between morality and symptoms of guilt and shame within military forces. METHOD: A search of the literature pertaining to guilt, shame and morality within military samples was conducted. RESULTS: Nineteen articles were selected for review. There is strong evidence linking exposure to and the perceived perpetration of moral transgressions with experiences of guilt and shame. Critically, symptoms of guilt and shame were related to adverse mental health outcomes, particularly the onset of post-traumatic stress disorder (PTSD). No studies have explored moral judgment in conjunction with assessments of guilt or moral injury. CONCLUSION: These findings have important implications for the prevention and treatment of PTSD-related symptoms in military samples. By measuring moral judgment prior to deployment, it may be possible to predict the likelihood of incurring moral injuries and the development of associated symptoms. Early intervention programmes aimed at ameliorating guilt and shame are required to prevent the long-term development of deployment-related psychological distress.

Comprehension of affective prosody in women with post-traumatic stress disorder related to childhood abuse.

OBJECTIVE: Although deficits in memory and cognitive processing are evident in post-traumatic stress disorder (PTSD), difficulties with social cognition and the impact of such difficulties on interpersonal functioning are poorly understood. Here, we examined the ability of women diagnosed with PTSD related to childhood abuse to discriminate affective prosody, a central component of social cognition. METHOD: Women with PTSD and healthy controls (HCs) completed two computer-based tasks assessing affective prosody: (i) recognition (categorizing foreign-language excerpts as angry, fearful, sad, or happy) and (ii) discrimination (identifying whether two excerpts played consecutively had the 'same' or 'different' emotion). The association of performance with symptom presentation, trauma history, and interpersonal functioning was also explored. RESULTS: Women with PTSD were slower than HCs at identifying happiness, sadness, and fear, but not anger in the speech excerpts. The presence of dissociative symptoms was related to reduced accuracy on the discrimination task. An increased severity of childhood trauma was associated with reduced accuracy on the discrimination task and with slower identification of emotional prosody. CONCLUSION: Exposure to childhood trauma is associated with long-term, atypical development in the interpretation of prosodic cues in speech. The findings have implications for the intergenerational transmission of trauma.