Assessing the Reproducibility of Research Based on the Food and Drug Administration Manufacturer and User Facility Device Experience Data.

OBJECTIVE: This article aims to assess the reproducibility of Manufacturer and User Facility Device Experience (MAUDE) data-driven studies by analyzing the data queries used in their research processes. METHODS: Studies using MAUDE data were sourced from PubMed by searching for "MAUDE" or "Manufacturer and User Facility Device Experience" in titles or abstracts. We manually chose articles with executable queries. The reproducibility of each query was assessed by replicating it in the MAUDE Application Programming Interface. The reproducibility of a query is determined by a reproducibility coefficient that ranges from 0.95 to 1.05. This coefficient is calculated by comparing the number of medical device reports (MDRs) returned by the reproduced queries to the number of reported MDRs in the original studies. We also computed the reproducibility ratio, which is the fraction of reproducible queries in subgroups divided by the query complexity, the device category, and the presence of a data processing flow. RESULTS: As of August 8, 2022, we identified 523 articles from which 336 contained queries, and 60 of these were executable. Among these, 14 queries were reproducible. Queries using a single field like product code, product class, or brand name showed higher reproducibility (50%, 33.3%, 31.3%) compared with other fields (8.3%, P = 0.037). Single-category device queries exhibited a higher reproducibility ratio than multicategory ones, but without statistical significance (27.1% versus 8.3%, P = 0.321). Studies including a data processing flow had a higher reproducibility ratio than those without, although this difference was not statistically significant (42.9% versus 17.4%, P = 0.107). CONCLUSIONS: Our findings indicate that the reproducibility of queries in MAUDE data-driven studies is limited. Enhancing this requires the development of more effective MAUDE data query strategies and improved application programming interfaces.

Accurate Spatio-Temporal Delivery of Nitric Oxide Facilitates the Programmable Repair of Avascular Dense Connective Tissues Injury.

Avascular dense connective tissues (e.g., the annulus fibrosus (AF) rupture, the meniscus tear, and tendons and ligaments injury) repair remains a challenge due to the "biological barrier" that hinders traditional drug permeation and limits self-healing of the injured tissue. Here, accurate delivery of nitric oxide (NO) to penetrate the "AF biological barrier" is achieved thereby enabling programmable AF repair. NO-loaded BioMOFs are synthesized and mixed in a modified polyvinyl alcohol and PCL-composited electrospun fiber membrane with excellent reactive oxygen species-responsive capability (LN@PM). The results show that LN@PM could respond to the high oxidative stress environment at the injured tissue and realize continuous and substantial NO release. Based on low molecular weight and lipophilicity, NO could penetrate through the "biological barrier" for accurate AF drug delivery. Moreover, the dynamic characteristics of the LN@PM reaction can be matched with the pathological microenvironment to initiate programmable tissue repair including sequential remodeling microenvironment, reprogramming the immune environment, and finally promoting tissue regeneration. This tailored programmable treatment strategy that matches the pathological repair process significantly repairs AF, ultimately alleviating intervertebral disc degeneration. This study highlights a promising approach for avascular dense connective tissue treatment through intelligent NO release, effectively overcoming "AF biological barriers" and programmable treatment.

Morphology design and electronic configuration of MoSe2 anchored on TiO2 nanospheres for high energy density sodium-ion half/full batteries.

Molybdenum selenide (MoSe2) has shown potential sodium storage properties due to its large layer spacing (0.646 nm) and high theoretical capacity and narrow band gap. However, as the anode material of sodium ion batteries (SIBs), the MoSe2's performance is not ideal, especially due to the layer agglomeration and stacking caused by volume expansion and low intrinsic conductivity. Hence, morphology design and electronic configuration of MoSe2 is proposed via building MoSe2 nanosheets and auxiliary sulfur doping on the surface of the TiO2 hollow nanosphere (S-MoSe2@TiO2). The hierarchical shaped S-MoSe2@TiO2 effectively overcomes the shortcomings of high surface energy and weak interlayer van der Waals force of MoSe2. As anode for SIBs, S-MoSe2@TiO2 delivers enhanced cycling life and rate capability (308 mAh/g at 10 A/g after 1000 cycles) with the comparison of MoSe2@TiO2 or pure MoSe2 and TiO2. Such excellent sodium storage performance is due to the fast diffusion kinetics of Na+. When it is applied in sodium ion full batteries, the S-MoSe2@TiO2 anode based cell can reach a high energy density of 187.8 W h kg-1 at 148.3 W kg-1. The design of the new MoSe2-based hybrid provides a novel scheme for the preparation of advanced anode in SIBs.

Enhanced Patient Portal Engagement Associated with Improved Weight Loss Outcomes in Post-Bariatric Surgery Patients.

Background: Bariatric surgery is an effective intervention for obesity, but it requires comprehensive postoperative self-management to achieve optimal outcomes. While patient portals are generally seen as beneficial in engaging patients in health management, the link between their use and post-bariatric surgery weight loss remains unclear. Objective: This study investigated the association between patient portal engagement and postoperative body mass index (BMI) reduction among bariatric surgery patients. Methods: This retrospective longitudinal study included patients who underwent Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) at Vanderbilt University Medical Center (VUMC) between January 2018 and March 2021. Using generalized estimating equations, we estimated the association between active days of postoperative patient portal use and the reduction of BMI percentage (%BMI) at 3, 6, and 12 months post-surgery. Covariates included duration since surgery, the patient's age at the time of surgery, gender, race and ethnicity, type of bariatric surgery, severity of comorbid conditions, and socioeconomic disadvantage. Results: The study included 1,415 patients, mostly female (80.9%), with diverse racial and ethnic backgrounds. 805 (56.9%) patients underwent RYGB and 610 (43.1%) underwent SG. By one-year post-surgery, the mean (SD) %BMI reduction was 31.1% (8.3%), and the mean (SD) number of patient portal active days was 61.0 (41.2). A significantly positive association was observed between patient portal engagement and %BMI reduction, with variations revealed over time. Each 10-day increment of active portal use was associated with a 0.57% ([95% CI: 0.42- 0.72], P < .001) and 0.35% ([95% CI: 0.22- 0.49], P < .001) %BMI reduction at 3 and 6 months postoperatively. The association was not statistically significant at 12 months postoperatively (ß=-0.07, [95% CI: -0.24- 0.09], P = .54). Various portal functions, including messaging, visits, my record, medical tools, billing, resources, and others, were positively associated with %BMI reduction at 3- and 6-months follow-ups. Conclusions: Greater patient portal engagement, which may represent stronger adherence to postoperative instructions, better self-management of health, and enhanced communication with care teams, was associated with improved postoperative weight loss. Future investigations are needed to identify important portal features that contribute to the long-term success of weight loss management.

Aliovalent doping and structural design of MoSe2 with fast reaction kinetics for high-stable sodium-ion half/full batteries.

The development of high-quality anode materials is critical for the advancement of sodium-ion batteries (SIBs). MoSe2 is a candidate anode for SIBs, while its inherent limitations, such as the agglomeration of nanosheets, poor electron conductance and mechanical strain due to volume changes during cycling, which can lead to decreased performance and durability in SIBs. To overcome the challenges, a novel aliovalent doping and structural engineering was taken to prepare reduced graphene oxide (rGO) functionalized and phosphorus-doped MoSe2 flake (P-MoSe2@rGO) via in situ growth technique. The unique structural design of P-MoSe2@rGO addresses material limitations and optimizes performance by providing a high conductive grid for ion/electron transfer, a large surface area for full electrolyte penetration, and effective suppression of MoSe2 nanosheet agglomeration and mechanical strain due to volume change during charge/discharge in SIBs. The P-MoSe2@rGO inherits the enhanced electronic conductivity and enlarged layer spacing (from 0.652 to 0.668 nm), which boosts the reaction kinetics and facilitates the insertion/extraction of sodium ions. The P-MoSe2@rGO exhibits excellent long-cycle properties with a high reversible capacity of 384 mAh/g at 2 A/g and 338 mAh/g at 10 A/g after 1450 circulations. Detailed discussion of reaction kinetics is conducted. Theoretical calculations prove that doping of P atoms in MoSe2 reduces the forbidden band gap from 1.443 to 1.397 eV and accelerates ion and electron migration. Furthermore, the full cell P-MoSe2@rGO//Na3V2(PO4)3@C (NVP@C) demonstrates a remarkable cycling durability of 326 mAh/g after 200 cycles and a high energy density of 159.6 Wh kg-1. This process provides a reference for the adjustment and modification of MoSe2 to adapt to high performance SIBs anode.

Assessing Intrahospital Care Transition Structures Before and During the COVID-19 Pandemic: Network Analysis Study.

Transitions of care (TOC) is essential for patients with complex medical needs to maintain the continuity of care. The COVID-19 pandemic may result in unexpected pressure on healthcare organizations' routine work and may burden the TOC system. The objective of this study is to assess TOC structures in pre- and intra-COVID-19 and quantify changes in the structures through the lens of network analysis. We investigated a trauma registry repository consisting of care transitions of 5,674 (2,699 and 2,975 in pre- and intra-COVID-19) inpatients admitted to Vanderbilt University Medical Center (VUMC) between January 2019 and May 2021. Network metrics, including assortativity, homophily, and small-world-ness were leveraged to measure TOC structures and their changes. Our results showed both pre- and intra-COVID-19 TOC structures were disassortative, homophily, and small-world- ness, and the COVID-19 pandemic had limited influences on the three characteristics of the TOC structures. The disassortative TOC structure indicates patients can be efficiently transferred between triage centers (highly connected units) and receivers (lowly connected units); the homophily structure demonstrates two connected care units serve similar patients, and the small-world-ness reveals a patient can be transferred to highly collaborative care units with a short length of transfer path.

Taking pleasure at another's misfortune: the implicit Schadenfreude of disaster spectators.

Implicit Schadenfreude of disaster spectators, with augmentation of implicit self-esteem and higher reward responsiveness as indicators, and the influence of insecurity and masculinity was explored in two studies. Both studies were conducted under conditions without any clearly legitimizing factors. Experimental (priming with disaster video) and control (priming with neutral video) groups were compared using the Implicit Association Test in Study 1, the results of which showed augmentation of implicit self-esteem in the experimental group. In Study 2, participants who read and believed a fabricated news report of fire disaster via a local area network website showed higher reward responsiveness in a reward-based signal-detection task. Other results showed that insecurity negatively predicted the augmentation of implicit self-esteem and reward responsiveness, while masculinity only negatively predicted the augmentation of implicit self-esteem.