A 15-year review of lightning deaths in Germany-with a focus on pathognomonic findings.

Lethal accidents caused by lightning are divided into observed and unobserved events. Pathognomonic or characteristic findings are often overlooked during external postmortem examination. Classical mistakes may be made which may often lead to an incorrect diagnosis. An analysis of 270 fatalities was performed on a historical collection of the Committee for Lightning Conductor Construction for the United Economic Area e. V. (ABBW) on lethal accidents due to lightning that occurred in Germany for the period 1951-1965. Furthermore, a selective literature research was carried out. The aim of the study was to analyze the death scene, the clothing, and the victim. The authors focused on chief findings which were relevant to the correct diagnosis of "death by lightning." Both Lichtenberg figures and singed body hair were considered pathognomonic for a lightning strike. The question arose as to whether Lichtenberg figures, for example, represented the finding that most often led to the correct diagnosis. Of the 270 lightning-struck victims from the case collection, 129 (47.8%) had singed body hair and 25 (9.3%) had Lichtenberg figures. A comparison of the frequency of the two reported findings, singed body hair versus Lichtenberg figures, has only been performed in the literature for case numbers below 40. This study is the first evaluation of a relatively large number of lethal accidents due to lightning. Singed body hair was reported more frequently in lightning-struck victims than Lichtenberg figures. This study showed that singed body hair is probably more diagnostically important than Lichtenberg figures.

Prolepsis and Rendering Futures in Intergovernmental Panel on Climate Change Reports.

Rhetorical figures of speech provide important analytical frames to chart how arguments operate within genres and within genre ecologies. Varieties of the figure prolepsis allow for the rendering of future time or fact in the present, which can be a powerful rhetorical inducement toward social and political action. In this article, we examine how anticipatory arguments drawn from complex data shape a key genre for public and policy-facing work on the climate crisis-the Intergovernmental Panel on Climate Change's Synthesis Report's (SYR) Statement for Policy Makers (SPM). We examine how the rhetorical figure of prolepsis operates within this genre to understand the anticipatory arguments and logics emerging from the synthesis of scientific findings and their reporting. Pairing figural studies and Rhetorical Genre Studies, we further offer an approach to investigate how these patterned operations of language might intersect in their rhetorical workings.

Hemispheric functional asymmetries and sex effects in visual bistable perception.

This study investigates bistable perception as a function of the presentation side of the ambiguous figures and of participants' sex, to evaluate left-right hemispheric (LH-RH) asymmetries related to consciousness. In two experiments using the divided visual field paradigm, two Rubin's vase-faces figures were projected simultaneously and continuously 180 s long to the left (LVF) and right (RVF; Experiment 1) or to the upper (UVF) and lower (DVF; Experiment 2) visual hemifields of 48 healthy subjects monitored with eye-tracker. Experiment 1 enables stimulus segregation from the LVF to the RH and from the RVF to the LH, whereas Experiment 2 does not. Results from Experiment 1 show that males perceived the face profiles for more time in the LVF than in the RVF, with an opposite trend for the vase, whereas females show a similar pattern of perception in the two hemifields. A related result confirmed the previously reported possibility to have simultaneously two different percepts (qualia) in the two hemifields elicited by the two identic ambiguous stimuli, which was here observed to occur more frequently in males. Similar effects were not observed in Experiment 2. These findings suggest that the percepts display the processing abilities of the hemisphere currently processing the stimulus eliciting them (e.g., RH-faces), and that females and males reflect in bistable perception, a genuine manifestation of consciousness, the well-known hemispheric asymmetry differences they show in ordinary perception.

Application of the Model of Spots for Inverse Problems.

This article proposes the application of a new mathematical model of spots for solving inverse problems using a learning method, which is similar to using deep learning. In general, the spots represent vague figures in abstract "information spaces" or crisp figures with a lack of information about their shapes. However, crisp figures are regarded as a special and limiting case of spots. A basic mathematical apparatus, based on L4 numbers, has been developed for the representation and processing of qualitative information of elementary spatial relations between spots. Moreover, we defined L4 vectors, L4 matrices, and mathematical operations on them. The developed apparatus can be used in Artificial Intelligence, in particular, for knowledge representation and for modeling qualitative reasoning and learning. Another application area is the solution of inverse problems by learning. For example, this can be applied to image reconstruction using ultrasound, X-ray, magnetic resonance, or radar scan data. The introduced apparatus was verified by solving problems of reconstruction of images, utilizing only qualitative data of its elementary relations with some scanning figures. This article also demonstrates the application of a spot-based inverse Radon algorithm for binary image reconstruction. In both cases, the spot-based algorithms have demonstrated an effective denoising property.

Lichtenberg figures-morphological findings.

Following a witnessed lethal lightning strike of an adult male who was standing outside in a storm, numerous Lichtenberg figures were identified upon external examination of the body. Sectioning across multiple areas of linear erythema in the figures showed no subcutaneous hemorrhage. This was later confirmed on histology which showed only subtle dermal capillary dilatation with no interstitial hemorrhage or inflammation in these areas. The only areas of interstitial hemorrhage were present in adjacent scattered punctate burns from arcing. The documented resolution of Lichtenberg figures within hours would be more in keeping with temporary functional capillary dilatation, shown in this case, rather than with tissue alteration by interstitial hemorrhage or inflammation.

[Changes in number of emergency medical service deployments in an urban area during the first COVID-19 pandemic-related contact restriction phase]. / Veränderungen der rettungsdienstlichen Einsatzzahlen in einer Metropolregion während der ersten COVID-19-Pandemie-bedingten Kontaktbeschränkungsphase.

Background: To contain the coronavirus disease (COVID-19) pandemic, public life was reduced through contact restriction measures (referred to as "lockdown" in the further course for reading simplicity), among other things to make health system resources available for the treatment of COVID-19 patients. In parallel, a decrease in emergency patients was observed in the public health system. Methods: For two 10-week periods before and during the lockdown, ambulance service deployment rates were analysed in 6 ambulance service areas for 6 tracer diagnoses. Random effects were minimised by comparing the results with the corresponding 2018 and 2019 time periods and a calculated expected value. Results: For emergency ambulance service calls, there was a reduction in call numbers (-16%) during the lockdown. A 20% reduction for the categories cardiac and cerebral ischaemia was found. In the urban area, the reduction in cardiac ischaemia was less pronounced at 14% than in the surrounding area at 23%. The deployment figures for intoxications decreased by 27% and for psychiatric emergencies by 16%. Conclusion: The public ambulance service was not overwhelmed by the COVID-19 pandemic; there was a decrease in depolyments during the lockdown. For the reduction in cerebral or cardiac ischaemias, the explanatory models for the influence of the lockdown are missing. Further studies on the utilisation behaviour of the ambulance service during a lockdown appear necessary in order to detect potentially fatal reductions in utilisation for the patient outcome and to be able to counteract them through education.

Replacing bar graphs of continuous data with more informative graphics: are we making progress?

Recent work has raised awareness about the need to replace bar graphs of continuous data with informative graphs showing the data distribution. The impact of these efforts is not known. The present observational meta-research study examined how often scientists in different fields use various graph types, and assessed whether visualization practices have changed between 2010 and 2020. We developed and validated an automated screening tool, designed to identify bar graphs of counts or proportions, bar graphs of continuous data, bar graphs with dot plots, dot plots, box plots, violin plots, histograms, pie charts, and flow charts. Papers from 23 fields (approximately 1000 papers/field per year) were randomly selected from PubMed Central and screened (n=227998). F1 scores for different graphs ranged between 0.83 and 0.95 in the internal validation set. While the tool also performed well in external validation sets, F1 scores were lower for uncommon graphs. Bar graphs are more often used incorrectly to display continuous data than they are used correctly to display counts or proportions. The proportion of papers that use bar graphs of continuous data varies markedly across fields (range in 2020: 4-58%), with high rates in biochemistry and cell biology, complementary and alternative medicine, physiology, genetics, oncology and carcinogenesis, pharmacology, microbiology and immunology. Visualization practices have improved in some fields in recent years. Fewer than 25% of papers use flow charts, which provide information about attrition and the risk of bias. The present study highlights the need for continued interventions to improve visualization and identifies fields that would benefit most.

Figures of merit of plasmon lattice resonance sensors: shape and material matters.

The figure of merit (FOM) of plasmon lattice resonance (PLR) sensors based on the array of metal/Si/SiO2nanoparticles has been investigated. We demonstrate the shape and material of metal nanoparticles have remarkable effects on the PLR and FOM. FOM is governed by full-widths at half maximum (FWHM) and sensitivity of the PLR. Three different types of PLR can be generated by changing Ag nanoparticles' shapes (pillars, cubes, spheres). One (named PLR1) is mainly originated from the coupling between Mie resonance of individual Si nanopillars and diffraction waves. PLR1of Ag/Si/SiO2nanoparticle arrays is limited in sensing applications due to lower intensity (for Ag pillars and Ag cubes), or smaller FOM (for Ag spheres). The other two are named PLR2. PLR2of Ag/Si/SiO2nanoparticle array with Ag pillars (or Ag cubes) is mainly originated from the coupling between the quadrupole resonance of individual Ag nanopillars (or Ag cubes) and diffraction waves. While PLR2of Ag/Si/SiO2nanoparticle array with Ag spheres is mainly originated from the coupling between dipole resonance of individual Ag nanospheres and diffraction waves. The optimal Ag nanoparticles' shape in FOM is pillar due to the smallest FWHM of PLR2of Ag/Si/SiO2nanoparticle array with Ag pillars. Meanwhile, a comparison of FOM between Au, Ag and Al nanopillars of fixed size is made. The optimal material of metal nanopillars to obtain a high FOM is Ag due to higher sensitivity and narrower FWHM.

Computer-assisted mitotic count using a deep learning-based algorithm improves interobserver reproducibility and accuracy.

The mitotic count (MC) is an important histological parameter for prognostication of malignant neoplasms. However, it has inter- and intraobserver discrepancies due to difficulties in selecting the region of interest (MC-ROI) and in identifying or classifying mitotic figures (MFs). Recent progress in the field of artificial intelligence has allowed the development of high-performance algorithms that may improve standardization of the MC. As algorithmic predictions are not flawless, computer-assisted review by pathologists may ensure reliability. In the present study, we compared partial (MC-ROI preselection) and full (additional visualization of MF candidates and display of algorithmic confidence values) computer-assisted MC analysis to the routine (unaided) MC analysis by 23 pathologists for whole-slide images of 50 canine cutaneous mast cell tumors (ccMCTs). Algorithmic predictions aimed to assist pathologists in detecting mitotic hotspot locations, reducing omission of MFs, and improving classification against imposters. The interobserver consistency for the MC significantly increased with computer assistance (interobserver correlation coefficient, ICC = 0.92) compared to the unaided approach (ICC = 0.70). Classification into prognostic stratifications had a higher accuracy with computer assistance. The algorithmically preselected hotspot MC-ROIs had a consistently higher MCs than the manually selected MC-ROIs. Compared to a ground truth (developed with immunohistochemistry for phosphohistone H3), pathologist performance in detecting individual MF was augmented when using computer assistance (F1-score of 0.68 increased to 0.79) with a reduction in false negatives by 38%. The results of this study demonstrate that computer assistance may lead to more reproducible and accurate MCs in ccMCTs.

Reversible-figure perception: Why is voluntary control limited?

Observers can voluntarily avoid reversals of an ambiguous, reversible figure, extending the duration of an intended percept. This is usually attributed to high-level, top-down attentional processes. However, voluntary control is limited. Reversals occur despite attempts to avoid them. In two experiments, observers demonstrated significant, but limited, voluntary control over Necker cube perception. Cube size and cube completeness, variables associated with stimulus-driven processes involving neural adaptation, influenced the frequency of reversals regardless of observers' intentions. Results are consistent with the hybrid hypothesis that both top-down and bottom-up processes contribute to Necker-cube perception and support the hypothesis that the contribution of bottom-up processes is responsible for the limitation on voluntary control.