688 research outputs found
Evaluating true BCI communication rate through mutual information and language models.
Brain-computer interface (BCI) systems are a promising means for restoring communication to patients suffering from "locked-in" syndrome. Research to improve system performance primarily focuses on means to overcome the low signal to noise ratio of electroencephalogric (EEG) recordings. However, the literature and methods are difficult to compare due to the array of evaluation metrics and assumptions underlying them, including that: 1) all characters are equally probable, 2) character selection is memoryless, and 3) errors occur completely at random. The standardization of evaluation metrics that more accurately reflect the amount of information contained in BCI language output is critical to make progress. We present a mutual information-based metric that incorporates prior information and a model of systematic errors. The parameters of a system used in one study were re-optimized, showing that the metric used in optimization significantly affects the parameter values chosen and the resulting system performance. The results of 11 BCI communication studies were then evaluated using different metrics, including those previously used in BCI literature and the newly advocated metric. Six studies' results varied based on the metric used for evaluation and the proposed metric produced results that differed from those originally published in two of the studies. Standardizing metrics to accurately reflect the rate of information transmission is critical to properly evaluate and compare BCI communication systems and advance the field in an unbiased manner
The Baptist Church in Warren: Rehabilitation and Preservation Report
The Baptist Church in Warren is located in the Warren Waterfront Historic National Register District. Warren also has a Voluntary Historic District. Both the National Register Nomination and the Voluntary Historic District have regulations which pertain to changes to the exterior view shed of the building. Exterior work on this project will need to abide by the State of Rhode Island and the Providence Plantations Rehabilitation Code for existing buildings and structures and the Town of Warren Department of Building and Zoning. Exterior work done on a voluntary basis, according to the Warren Voluntary Historic District guidelines, will qualify for a 20% tax credit. The Baptist Church in Warren does not meet the requirements for the local and state tax credit
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Assessment of Heart Failure Patients' Interest in Mobile Health Apps for Self-Care: Survey Study.
BackgroundHeart failure is a serious public health concern that afflicts millions of individuals in the United States. Development of behaviors that promote heart failure self-care may be imperative to reduce complications and avoid hospital re-admissions. Mobile health solutions, such as activity trackers and smartphone apps, could potentially help to promote self-care through remote tracking and issuing reminders.ObjectiveThe objective of this study was to ascertain heart failure patients' interest in a smartphone app to assist them in managing their treatment and symptoms and to determine factors that influence their interest in such an app.MethodsIn the clinic waiting room on the day of their outpatient clinic appointments, 50 heart failure patients participated in a self-administered survey. The survey comprised 139 questions from previously published, institutional review board-approved questionnaires. The survey measured patients' interest in and experience using technology as well as their function, heart failure symptoms, and heart failure self-care behaviors. The Minnesota Living with Heart Failure Questionnaire (MLHFQ) was among the 11 questionnaires and was used to measure the heart failure patients' health-related quality of life through patient-reported outcomes.ResultsParticipants were aged 64.5 years on average, 32% (16/50) of the participants were women, and 91% (41/45) of the participants were determined to be New York Heart Association Class II or higher. More than 60% (30/50) of the survey participants expressed interest in several potential features of a smartphone app designed for heart failure patients. Participant age correlated negatively with interest in tracking, tips, and reminders in multivariate regression analysis (P<.05). In contrast, MLHFQ scores (worse health status) produced positive correlations with these interests (P<.05).ConclusionsThe majority of heart failure patients showed interest in activity tracking, heart failure symptom management tips, and reminder features of a smartphone app. Desirable features and an understanding of factors that influence patient interest in a smartphone app for heart failure self-care may allow researchers to address common concerns and to develop apps that demonstrate the potential benefits of mobile technology
Brief report: RRx-001 is a c-Myc inhibitor that targets cancer stem cells.
The goal of anticancer therapy is to selectively eradicate all malignant cells. Unfortunately for the majority of patients with metastatic disease, this goal is consistently thwarted by the nearly inevitable development of therapeutic resistance; the main driver of therapeutic resistance is a minority subpopulation of cancer cells called cancer stem cells (CSCs) whose mitotic quiescence essentially renders them non-eradicable. The Wnt signaling pathway has been widely implicated as a regulator of CSCs and, therefore, its inhibition is thought to result in a reversal of therapeutic resistance via loss of stem cell properties. RRx-001 is a minimally toxic redox-active epi-immunotherapeutic anticancer agent in Phase III clinical trials that sensitizes tumors to radiation and cytotoxic chemotherapies. In this article, as a potential mechanism for its radio- and chemosensitizing activity, we report that RRx-001 targets CD133 + /CD44 + cancer stem cells from three colon cancer cell-lines, HT-29, Caco-2, and HCT116, and inhibits Wnt pathway signalling with downregulation of c-Myc
Recurrent Acute Pulmonary Toxicity and Respiratory Failure Associated with Fludarabine Monophosphate
A case of recurrent acute fludarabine pulmonary toxicity in a 67-year-old man with non-Hodgkin’s lymphoma is presented. The patient responded well to high dose steroid therapy. The literature with respect to this rare entity is reviewed
Bidirectional Representation Learning from Transformers using Multimodal Electronic Health Record Data to Predict Depression
Advancements in machine learning algorithms have had a beneficial impact on
representation learning, classification, and prediction models built using
electronic health record (EHR) data. Effort has been put both on increasing
models' overall performance as well as improving their interpretability,
particularly regarding the decision-making process. In this study, we present a
temporal deep learning model to perform bidirectional representation learning
on EHR sequences with a transformer architecture to predict future diagnosis of
depression. This model is able to aggregate five heterogenous and
high-dimensional data sources from the EHR and process them in a temporal
manner for chronic disease prediction at various prediction windows. We applied
the current trend of pretraining and fine-tuning on EHR data to outperform the
current state-of-the-art in chronic disease prediction, and to demonstrate the
underlying relation between EHR codes in the sequence. The model generated the
highest increases of precision-recall area under the curve (PRAUC) from 0.70 to
0.76 in depression prediction compared to the best baseline model. Furthermore,
the self-attention weights in each sequence quantitatively demonstrated the
inner relationship between various codes, which improved the model's
interpretability. These results demonstrate the model's ability to utilize
heterogeneous EHR data to predict depression while achieving high accuracy and
interpretability, which may facilitate constructing clinical decision support
systems in the future for chronic disease screening and early detection.Comment: in IEEE Journal of Biomedical and Health Informatics (2021
Transformer Lesion Tracker
Evaluating lesion progression and treatment response via longitudinal lesion
tracking plays a critical role in clinical practice. Automated approaches for
this task are motivated by prohibitive labor costs and time consumption when
lesion matching is done manually. Previous methods typically lack the
integration of local and global information. In this work, we propose a
transformer-based approach, termed Transformer Lesion Tracker (TLT).
Specifically, we design a Cross Attention-based Transformer (CAT) to capture
and combine both global and local information to enhance feature extraction. We
also develop a Registration-based Anatomical Attention Module (RAAM) to
introduce anatomical information to CAT so that it can focus on useful feature
knowledge. A Sparse Selection Strategy (SSS) is presented for selecting
features and reducing memory footprint in Transformer training. In addition, we
use a global regression to further improve model performance. We conduct
experiments on a public dataset to show the superiority of our method and find
that our model performance has improved the average Euclidean center error by
at least 14.3% (6mm vs. 7mm) compared with the state-of-the-art (SOTA). Code is
available at https://github.com/TangWen920812/TLT.Comment: Accepted MICCAI 202
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