Training of the next generation of biostatisticians: a call to action in the U.S.

Two workshops (2001, 2003) were held by the National Institutes of Health (NIH) to examine the need to train more biostatisticians in the U.S. to meet the increasing opportunities in the biomedical research enterprise. The supply of new PhD graduates in biostatistics in the U.S. has been relatively steady for the past two decades while the demand has increased dramatically. These workshops concluded that a renewed effort must be made in the U.S., led in part by the NIH, to add to and expand the existing training programs to increase the supply. This article summarizes those two workshops and their recommendations. Some progress has been made through a new biostatistics training program with emphasis in bioinformatics sponsored by the National Institute of General Medical Sciences (NIGMS). Copyright © 2006 John Wiley & Sons, Ltd.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/55834/1/2668_ftp.pd

A study of the stress factors and coping strategies of Japanese students in UK higher education institutions

The aim of this thesis is to investigate the stress factors and coping strategies of Japanese students in UK Higher Education Institutions. It is beIieved that this is the first time that this specific but wide research with Japanese students has been attempted. The first five chapters provide a range of background information and relevant considerations in preparation for the actual investigation. This involved investigation of a possible conceptual framework for examining stress and coping strategies with evidence being sought from previous research. Statistical, historical and literary information about previous overseas study by Japanese and other international students was also considered. A preliminary survey was carried out with 35 Japanese students and this provided valuable information especially for the design of a questionnaire for the main survey, which obtained answers from 285 Japanese students about the types and degree levels of various stress factors, as well as the types of coping strategies adopted in specific situations. Other indicators of their experiences were sought from answers about advice to future Japanese students and to the staff of UK HEIs. Examinations or coursework in English, oral presentations, participation in group or class discussion and worry about obtaining good assessments were common experiences causing the most severe stress to Japanese students. Follow-up interviews were carried out with 27 respondents to seek mainly qualitative data which helped in gaining a better understanding of how time-related stress factors affected individual students, who all drew a graph showing the levels of their stressful experiences throughout their entire study period. Although Japanese students were found to have experienced a wide range of stressful situations, their coping strategies were generally positive and overall they reported a high level of satisfaction with their time spent in UK HEIs

Causal Unit of Rotors in a Cardiac System

The heart exhibits complex systems behaviors during atrial fibrillation (AF), where the macroscopic collective behavior of the heart causes the microscopic behavior. However, the relationship between the downward causation and scale is nonlinear. We describe rotors in multiple spatiotemporal scales by generating a renormalization group from a numerical model of cardiac excitation, and evaluate the causal architecture of the system by quantifying causal emergence. Causal emergence is an information-theoretic metric that quantifies emergence or reduction between microscopic and macroscopic behaviors of a system by evaluating effective information at each spatiotemporal scale. We find that there is a spatiotemporal scale at which effective information peaks in the cardiac system with rotors. There is a positive correlation between the number of rotors and causal emergence up to the scale of peak causation. In conclusion, one can coarse-grain the cardiac system with rotors to identify a macroscopic scale at which the causal power reaches the maximum. This scale of peak causation should correspond to that of the AF driver, where networks of cardiomyocytes serve as the causal units. Those causal units, if identified, can be reasonable therapeutic targets of clinical intervention to cure AF.Comment: 19 pages, 9 figures. arXiv admin note: text overlap with arXiv:1711.1012

Model of unidirectional block formation leading to reentrant ventricular tachycardia in the infarct border zone of postinfarction canine hearts

AbstractBackgroundWhen the infarct border zone is stimulated prematurely, a unidirectional block line (UBL) can form and lead to double-loop (figure-of-eight) reentrant ventricular tachycardia (VT) with a central isthmus. The isthmus is composed of an entrance, center, and exit. It was hypothesized that for certain stimulus site locations and coupling intervals, the UBL would coincide with the isthmus entrance boundary, where infarct border zone thickness changes from thin-to-thick in the travel direction of the premature stimulus wavefront.MethodA quantitative model was developed to describe how thin-to-thick changes in the border zone result in critically convex wavefront curvature leading to conduction block, which is dependent upon coupling interval. The model was tested in 12 retrospectively analyzed postinfarction canine experiments. Electrical activation was mapped for premature stimulation and for the first reentrant VT cycle. The relationship of functional conduction block forming during premature stimulation to functional block during reentrant VT was quantified.ResultsFor an appropriately placed stimulus, in accord with model predictions: 1. The UBL and reentrant VT isthmus lateral boundaries overlapped (error: 4.8±5.7mm). 2. The UBL leading edge coincided with the distal isthmus where the center-entrance boundary would be expected to occur. 3. The mean coupling interval was 164.6±11.0ms during premature stimulation and 190.7±20.4ms during the first reentrant VT cycle, in accord with model calculations, which resulted in critically convex wavefront curvature and functional conduction block, respectively, at the location of the isthmus entrance boundary and at the lateral isthmus edges.DiscussionReentrant VT onset following premature stimulation can be explained by the presence of critically convex wavefront curvature and unidirectional block at the isthmus entrance boundary when the premature stimulation interval is sufficiently short. The double-loop reentrant circuit pattern is a consequence of wavefront bifurcation around this UBL followed by coalescence, and then impulse propagation through the isthmus. The wavefront is blocked from propagating laterally away from the isthmus by sharp increases in border zone thickness, which results in critically convex wavefront curvature at VT cycle lengths

Accuracy of prediction of infarct-related arrhythmic circuits from image-based models reconstructed from low and high resolution MRI.

Identification of optimal ablation sites in hearts with infarct-related ventricular tachycardia (VT) remains difficult to achieve with the current catheter-based mapping techniques. Limitations arise from the ambiguities in determining the reentrant pathways location(s). The goal of this study was to develop experimentally validated, individualized computer models of infarcted swine hearts, reconstructed from high-resolution ex-vivo MRI and to examine the accuracy of the reentrant circuit location prediction when models of the same hearts are instead reconstructed from low clinical-resolution MRI scans. To achieve this goal, we utilized retrospective data obtained from four pigs ~10 weeks post infarction that underwent VT induction via programmed stimulation and epicardial activation mapping via a multielectrode epicardial sock. After the experiment, high-resolution ex-vivo MRI with late gadolinium enhancement was acquired. The Hi-res images were downsampled into two lower resolutions (Med-res and Low-res) in order to replicate image quality obtainable in the clinic. The images were segmented and models were reconstructed from the three image stacks for each pig heart. VT induction similar to what was performed in the experiment was simulated. Results of the reconstructions showed that the geometry of the ventricles including the infarct could be accurately obtained from Med-res and Low-res images. Simulation results demonstrated that induced VTs in the Med-res and Low-res models were located close to those in Hi-res models. Importantly, all models, regardless of image resolution, accurately predicted the VT morphology and circuit location induced in the experiment. These results demonstrate that MRI-based computer models of hearts with ischemic cardiomyopathy could provide a unique opportunity to predict and analyze VT resulting for from specific infarct architecture, and thus may assist in clinical decisions to identify and ablate the reentrant circuit(s)