322 research outputs found
Quantifying Model Complexity via Functional Decomposition for Better Post-Hoc Interpretability
Post-hoc model-agnostic interpretation methods such as partial dependence
plots can be employed to interpret complex machine learning models. While these
interpretation methods can be applied regardless of model complexity, they can
produce misleading and verbose results if the model is too complex, especially
w.r.t. feature interactions. To quantify the complexity of arbitrary machine
learning models, we propose model-agnostic complexity measures based on
functional decomposition: number of features used, interaction strength and
main effect complexity. We show that post-hoc interpretation of models that
minimize the three measures is more reliable and compact. Furthermore, we
demonstrate the application of these measures in a multi-objective optimization
approach which simultaneously minimizes loss and complexity
Quantitative fluid overload in severe aortic stenosis refines cardiac damage and associates with worse outcomes
Aims: Cardiac decompensation in aortic stenosis (AS) involves extra-valvular cardiac damage and progressive fluid overload (FO). FO can be objectively quantified using bioimpedance spectroscopy. We aimed to assess the prognostic value of FO beyond established damage markers to guide risk stratification. Methods and results: Consecutive patients with severe AS scheduled for transcatheter aortic valve implantation (TAVI) underwent prospective risk assessment with bioimpedance spectroscopy (BIS) and echocardiography. FO by BIS was defined as ≥1.0 L (0.0 L = euvolaemia). The extent of cardiac damage was assessed by echocardiography according to an established staging classification. Right-sided cardiac damage (rCD) was defined as pulmonary vasculature/tricuspid/right ventricular damage. Hospitalization for heart failure (HHF) and/or death served as primary endpoint. In total, 880 patients (81 ± 7 years, 47% female) undergoing TAVI were included and 360 (41%) had FO. Clinical examination in patients with FO was unremarkable for congestion signs in >50%. A quarter had FO but no rCD (FO+/rCD−). FO+/rCD+ had the highest damage markers, including N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels. After 2.4 ± 1.0 years of follow-up, 236 patients (27%) had reached the primary endpoint (29 HHF, 194 deaths, 13 both). Quantitatively, every 1.0 L increase in bioimpedance was associated with a 13% increase in event hazard (adjusted hazard ratio 1.13, 95% confidence interval 1.06–1.22, p < 0.001). FO provided incremental prognostic value to traditional risk markers (NT-proBNP, EuroSCORE II, damage on echocardiography). Stratification according to FO and rCD yielded worse outcomes for FO+/rCD+ and FO+/rCD−, but not FO−/rCD+, compared to FO−/rCD−. Conclusion: Quantitative FO in patients with severe AS improves risk prediction of worse post-interventional outcomes compared to traditional risk assessment
Large Process Models: Business Process Management in the Age of Generative AI
The continued success of Large Language Models (LLMs) and other generative
artificial intelligence approaches highlights the advantages that large
information corpora can have over rigidly defined symbolic models, but also
serves as a proof-point of the challenges that purely statistics-based
approaches have in terms of safety and trustworthiness. As a framework for
contextualizing the potential, as well as the limitations of LLMs and other
foundation model-based technologies, we propose the concept of a Large Process
Model (LPM) that combines the correlation power of LLMs with the analytical
precision and reliability of knowledge-based systems and automated reasoning
approaches. LPMs are envisioned to directly utilize the wealth of process
management experience that experts have accumulated, as well as process
performance data of organizations with diverse characteristics, e.g., regarding
size, region, or industry. In this vision, the proposed LPM would allow
organizations to receive context-specific (tailored) process and other business
models, analytical deep-dives, and improvement recommendations. As such, they
would allow to substantially decrease the time and effort required for business
transformation, while also allowing for deeper, more impactful, and more
actionable insights than previously possible. We argue that implementing an LPM
is feasible, but also highlight limitations and research challenges that need
to be solved to implement particular aspects of the LPM vision
Quantum Simulation of Antiferromagnetic Spin Chains in an Optical Lattice
Understanding exotic forms of magnetism in quantum mechanical systems is a
central goal of modern condensed matter physics, with implications from high
temperature superconductors to spintronic devices. Simulating magnetic
materials in the vicinity of a quantum phase transition is computationally
intractable on classical computers due to the extreme complexity arising from
quantum entanglement between the constituent magnetic spins. Here we employ a
degenerate Bose gas confined in an optical lattice to simulate a chain of
interacting quantum Ising spins as they undergo a phase transition. Strong spin
interactions are achieved through a site-occupation to pseudo-spin mapping. As
we vary an applied field, quantum fluctuations drive a phase transition from a
paramagnetic phase into an antiferromagnetic phase. In the paramagnetic phase
the interaction between the spins is overwhelmed by the applied field which
aligns the spins. In the antiferromagnetic phase the interaction dominates and
produces staggered magnetic ordering. Magnetic domain formation is observed
through both in-situ site-resolved imaging and noise correlation measurements.
By demonstrating a route to quantum magnetism in an optical lattice, this work
should facilitate further investigations of magnetic models using ultracold
atoms, improving our understanding of real magnetic materials.Comment: 12 pages, 9 figure
Prospective monitoring improves outcomes of primary total hip replacement: a cohort study
This is an Open Access article distributed under the terms of the Creative Commons Attribution Licens
Family coordination in families who have a child with autism spectrum disorder
Little is known about the interactions of families where there is a child with autism spectrum disorder (ASD). The present study applies the Lausanne Trilogue Play (LTP) to explore both its applicability to this population as well as to assess resources and areas of deficit in these families. The sample consisted of 68 families with a child with ASD, and 43 families with a typically developing (TD) child. With respect to the global score for family coordination there were several negative correlations: the more severe the symptoms (based on the child’s ADOS score), the more family coordination was dysfunctional. This correlation was particularly high when parents had to play together with the child. In the parts in which only one of the parents played actively with the child, while the other was simply present, some families did achieve scores in the functional range, despite the child’s symptom severity. The outcomes are discussed in terms of their clinical implications both for assessment and for interventio
Control of human endometrial stromal cell motility by PDGF-BB, HB-EGF and trophoblast-secreted factors
Human implantation involves extensive tissue remodeling at the fetal-maternal interface. It is becoming increasingly evident that not only trophoblast, but also decidualizing endometrial stromal cells are inherently motile and invasive, and likely contribute to the highly dynamic processes at the implantation site. The present study was undertaken to further characterize the mechanisms involved in the regulation of endometrial stromal cell motility and to identify trophoblast-derived factors that modulate migration. Among local growth factors known to be present at the time of implantation, heparin-binding epidermal growth factor-like growth factor (HB-EGF) triggered chemotaxis (directed locomotion), whereas platelet-derived growth factor (PDGF)-BB elicited both chemotaxis and chemokinesis (non-directed locomotion) of endometrial stromal cells. Supernatants of the trophoblast cell line AC-1M88 and of first trimester villous explant cultures stimulated chemotaxis but not chemokinesis. Proteome profiling for cytokines and angiogenesis factors revealed neither PDGF-BB nor HB-EGF in conditioned media from trophoblast cells or villous explants, while placental growth factor, vascular endothelial growth factor and PDGF-AA were identified as prominent secretory products. Among these, only PDGF-AA triggered endometrial stromal cell chemotaxis. Neutralization of PDGF-AA in trophoblast conditioned media, however, did not diminish chemoattractant activity, suggesting the presence of additional trophoblast-derived chemotactic factors. Pathway inhibitor studies revealed ERK1/2, PI3 kinase/Akt and p38 signaling as relevant for chemotactic motility, whereas chemokinesis depended primarily on PI3 kinase/Akt activation. Both chemotaxis and chemokinesis were stimulated upon inhibition of Rho-associated, coiled-coil containing protein kinase. The chemotactic response to trophoblast secretions was not blunted by inhibition of isolated signaling cascades, indicating activation of overlapping pathways in trophoblast-endometrial communication. In conclusion, trophoblast signals attract endometrial stromal cells, while PDGF-BB and HB-EGF, although not identified as trophoblast-derived, are local growth factors that may serve to fine-tune directed and non-directed migration at the implantation site
Resection of thoracic malignancies infiltrating cardiac structures with use of cardiopulmonary bypass
Background: Only few reports exist on malignant thoracic neoplasms that require cardiopulmonary bypass during resection. We aimed to investigate the early and late clinical outcome of these patients. Methods: Patients with thoracic malignancies that underwent surgery between 2002 and 2014 were analyzed. All patients had cardiopulomonary bypass support during resection. Clinical and perioperative data was retrospectively reviewed for outcome and overall survival. Results: Fifteen patients (12 female, mean age of 55 ± 15 years, range 24 to 80 years) were identified. Eleven (8 female) were diagnosed with primary thoracic malignomas and four with metastases. Three patients died early postoperatively. Patients diagnosed with sarcoma had a significantly worse outcome than non-sarcoma patients (83.3 ± 15.2 % after 1 year, 31.3 ± 24.5 % after 5 years vs. 83.3 ± 15.2 % after 1 year, 0 ± 0 % after 5 years, p = 0.005). Conclusions: Malignancies with extension into cardiac structures or infiltration of great vessels can be resected with cardiopulmonary bypass support and tolerable risk. Carefully selected patients can undergo advanced operative procedures with an acceptable 1-year-survival, but only few patients achieved good long-term outcome
MAGE-A as a novel approach in the diagnostic accuracy of oral squamous cell cancer: a case report
Implementation of Dual-Source RF Excitation in 3 T MR-Scanners Allows for Nearly Identical ADC Values Compared to 1.5 T MR Scanners in the Abdomen
Background: To retrospectively and prospectively compare abdominal apparent diffusion coefficient (ADC) values obtained within in a 1.5 T system and 3 T systems with and without dual-source parallel RF excitation techniques. Methodology/Principal Findings: After IRB approval, diffusion-weighted (DW) images of the abdomen were obtained on three different MR systems (1.5 T, a first generation 3 T, and a second generation 3 T which incorporates dual-source parallel RF excitation) on 150 patients retrospectively and 19 volunteers (57 examinations total) prospectively. Seven regions of interest (ROI) were throughout the abdomen were selected to measure the ADC. Statistical analysis included independent two-sided t-tests, Mann-Whitney U tests and correlation analysis. In the DW images of the abdomen, mean ADC values were nearly identical with nonsignificant differences when comparing the 1.5 T and second generation 3 T systems in all seven anatomical regions in the patient population and six of the seven in the volunteer population (p.0.05 in all distributions). The strength of correlation measured in the volunteer population between the two scanners in the kidneys ranged from r = 0.64–0.88 and in the remaining regions (besides the spleen), r.0.85. In the patient population the first generation 3 T scanner had different mean ADC values with significant differences (p,0.05) compared to the other two scanners in each of the seven distributions. In the volunteer population, the kidneys shared similar ADC mean values in comparison to the other two scanners with nonsignificant differences
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