Extracting decision-making features from the unstructured eye movements of clinicians on glaucoma OCT reports and developing AI models to classify expertise.

This study aimed to investigate the eye movement patterns of ophthalmologists with varying expertise levels during the assessment of optical coherence tomography (OCT) reports for glaucoma detection. Objectives included evaluating eye gaze metrics and patterns as a function of ophthalmic education, deriving novel features from eye-tracking, and developing binary classification models for disease detection and expertise differentiation. Thirteen ophthalmology residents, fellows, and clinicians specializing in glaucoma participated in the study. Junior residents had less than 1 year of experience, while senior residents had 2-3 years of experience. The expert group consisted of fellows and faculty with over 3 to 30+ years of experience. Each participant was presented with a set of 20 Topcon OCT reports (10 healthy and 10 glaucomatous) and was asked to determine the presence or absence of glaucoma and rate their confidence of diagnosis. The eye movements of each participant were recorded as they diagnosed the reports using a Pupil Labs Core eye tracker. Expert ophthalmologists exhibited more refined and focused eye fixations, particularly on specific regions of the OCT reports, such as the retinal nerve fiber layer (RNFL) probability map and circumpapillary RNFL b-scan. The binary classification models developed using the derived features demonstrated high accuracy up to 94.0% in differentiating between expert and novice clinicians. The derived features and trained binary classification models hold promise for improving the accuracy of glaucoma detection and distinguishing between expert and novice ophthalmologists. These findings have implications for enhancing ophthalmic education and for the development of effective diagnostic tools.

Inverse Volcano: A New Molecule-Surface Interaction Phenomenon.

Explosive desorption of guest molecules embedded in amorphous solid water upon its crystallization is known as the "molecular volcano." Here, we describe an abrupt ejection of NH_{3} guest molecules from various molecular host films toward a Ru(0001) substrate upon heating, utilizing both temperature programmed contact potential difference and temperature programmed desorption measurements. NH_{3} molecules abruptly migrate toward the substrate due to either crystallization or desorption of the host molecules, following an "inverse volcano" process considered a highly probable phenomenon for dipolar guest molecules that strongly interact with the substrate.

Chemical Reactivity of Strongly Interacting, Hydrogen-Bond-Forming Molecules Following 193 nm Photon Irradiation: Methanol in Amorphous Solid Water at Low Temperatures.

Mixtures of methanol and amorphous solid water (ASW) ices are observed in the interstellar medium (ISM), where they are subject to irradiation by UV photons and bombardment by charged particles. The charged particles, if at high enough density, induce a local electric field in the ice film that potentially affects the photochemistry of these ices. When CD3OD@ASW ices grown at 38 K on a Ru(0001) substrate are irradiated by 193 nm (6.4 eV) photons, products such as HD, D2, CO, and CO2 are formed in large abundances relative to the initial amount of CD3OD. Other molecules such as D2O, CD4, acetaldehyde, and ethanol and/or dimethyl ether are also observed, but in smaller relative abundances. The reactivity cross sections range from (2.6 ± 0.3) × 10-21 to (3.8 ± 0.3) × 10-25 cm2/photon. The main products are formed through two competing mechanisms: direct photodissociation of methanol and water and dissociative electron attachment (DEA) by photoelectrons ejected from the Ru(0001) substrate. An electric field of 2 × 108 V/m generated within the ASW film during Ne+ ions bombardment is apparently not strong enough to affect the relative abundances (selectivity) of the photochemical products observed in this study.

Distribution of Weakly Interacting Atoms and Molecules in Low-Temperature Amorphous Solid Water.

Understanding the distribution and mixing of atoms and molecules in amorphous solid water (ASW) at low temperatures is relevant to the exploration of the astrochemical environment in the interstellar medium (ISM) that leads to the formation of new complex molecules. In this study, a combination of temperature programmed desorption (ΔP-TPD) experiments and Ne+ ion sputtering is used to determine the extent of mixing and distribution of guest atoms and molecules within thin ASW films deposited at 35 K on a Ru(0001) substrate, prior to sputtering. The mixing of krypton atoms and methyl chloride molecules within thin ASW films is directed by the physical properties of the respective species and the nature of their interaction with the host water molecules. While the Kr-H2O interaction may be described as a weak van der Waals attraction, the CD3Cl-H2O interaction can be characterized as weakly hydrophobic in nature. This leads to differences in the level of homogeneity in mixing and distribution of the guest species in the ASW film. Both krypton atoms and methyl chloride molecules reveal a propensity to migrate toward the ASW-vacuum interface. The krypton atoms migrate through both diffusion and displacement by incoming H2O molecules, while the methyl chloride molecules tend to move toward the vacuum interface primarily via displacement. This behavior results in more homogeneous mixing of Kr in ASW at 35 K compared to the dipole moment containing molecule CD3Cl. As a general outcome of our study, it is observed that mixing in ASW at low temperatures is more homogeneous when the guest atom/molecule is inert and does not possess a constant dipole moment.

Same-Energy UV Photons and Low-Energy Electrons Activating Methane and Ammonia Frozen in Amorphous Solid Water.

UV photons and low-energy electrons play an important role in the evolution of various molecules in the interstellar medium (ISM). Here, we examined the product molecule formation as a result of irradiation of 193 nm photons and 6.4 eV electrons (same energy under identical laboratory conditions) on D2O|CH4 + ND3|D2O sandwiched films deposited on Ru(0001) substrate at 25 K in ultrahigh vacuum as a model for processes in the ISM. Temperature-programmed desorption spectra performed following the irradiation revealed the signature of hydrazine and formamide product molecules. These molecules were, however, formed exclusively following the photons' irradiation. These results were compared with the products obtained from a D2O|CH4|D2O sample without ammonia, where deuterated formaldehyde was the dominant product, formed also by photons only. Our results indicate that the photon-induced activation of the cofrozen molecules within D2O occurs via direct (partial) dissociation of the host and embedded molecules, followed by sample annealing. The electron-induced activation occurs through a direct dissociative electron attachment mechanism. The results presented here suggest possible pathways to generate various C-N, C-O, C-C, N-O, and N-H bonds containing molecules in the ISM.

Spontaneous polarization of thick solid ammonia films.

Ammonia molecules have an important role in the radiation-induced chemistry that occurs on grains in the cold interstellar medium and leads to the formation of nitrogen containing molecules. Such grains and surfaces are primarily covered by water ices; however, these conditions allow the growth of solid ammonia films as well. Yet, solid ammonia know-how lags the vast volume of research that has been invested in the case of films of its "sibling" molecule water, which, in the porous amorphous phase, spontaneously form polar films and can cage coadsorbed molecules within their hydrogen-bonded matrix. Here, we report on the effect of growth temperature on the spontaneous polarization of solid ammonia films (leading to internal electric fields of ∼105 V/m) within the range of 30 K-85 K on top of a Ru(0001) substrate under ultra-high vacuum conditions. The effect of growth temperature on the films' depolarization upon annealing was recorded as well. By demonstrating the ability of ammonia to cage coadsorbed molecules, as water does, we show that temperature-programmed contact potential difference measurements performed by a Kelvin probe and especially their temperature derivative can track film reorganization/reconstruction and crystallization at temperatures significantly lower than the film desorption.

The role of thermal history on spontaneous polarization and phase transitions of amorphous solid water films studied by contact potential difference measurements.

Monitoring thermal processes occurring in molecular films on surfaces can provide insights into physical events such as morphology changes and phase transitions. Here, we demonstrate that temperature-programmed contact potential difference (TP-∆CPD) measurements employed by a Kelvin probe under ultrahigh vacuum conditions and their temperature derivative can track films' restructure and crystallization occurring in amorphous solid water (ASW) at temperatures well below the onset of film desorption. The effects of growth temperature and films' thickness on the spontaneous polarization that develops within ASW films grown at 33 K-120 K on top of a Ru(0001) substrate are reported. Electric fields of ∼106 V/m are developed within the ASW films despite low average levels of molecular dipole alignment (<0.01%) normal to the substrate plane. Upon annealing, an irreversible morphology-dependent depolarization has been recorded, indicating that the ASW films keep a "memory" of their thermal history. We demonstrate that TP-∆CPD measurements can track the collapse of the porous structure at temperatures above the growth and the ASW-ice Ic and ASW-ice Ih transitions at 131 K and 157 K, respectively. These observations have interesting implications for physical and chemical processes that take place at the interstellar medium such as planetary formation and photon- and electron-induced synthesis of new molecules.

AMG 837: a potent, orally bioavailable GPR40 agonist.

The discovery that certain long chain fatty acids potentiate glucose stimulated insulin secretion through the previously orphan receptor GPR40 sparked interest in GPR40 agonists as potential antidiabetic agents. Optimization of a series of ß-substituted phenylpropanoic acids led to the identification of (S)-3-(4-((4'-(trifluoromethyl)biphenyl-3-yl)methoxy)phenyl)hex-4-ynoic acid (AMG 837) as a potent GPR40 agonist with a superior pharmacokinetic profile and robust glucose-dependent stimulation of insulin secretion in rodents.

Optimization of 2-aminothiazole derivatives as CCR4 antagonists.

A series of 2-aminothiazole-derived antagonists of the CCR4 receptor has been synthesized and their affinity for the receptor evaluated using a [(125)I]TARC (CCL17) displacement assay. Optimization of these compounds for potency and pharmacokinetic properties led to the discovery of potent, orally bioavailable antagonists.