25 research outputs found

    Ensemble methods for ranking data with and without position weights

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    The main goal of this Thesis is to build suitable Ensemble Methods for ranking data with weights assigned to the items’positions, in the cases of rankings with and without ties. The Thesis begins with the definition of a new rank correlation coefficient, able to take into account the importance of items’position. Inspired by the rank correlation coefficient, τ x , proposed by Emond and Mason (2002) for unweighted rankings and the weighted Kemeny distance proposed by García-Lapresta and Pérez-Román (2010), this work proposes τ x w , a new rank correlation coefficient corresponding to the weighted Kemeny distance. The new coefficient is analized analitically and empirically and represents the main core of the consensus ranking process. Simulations and applications to real cases are presented. In a second step, in order to detect which predictors better explain a phenomenon, the Thesis proposes decision trees for ranking data with and without weights, discussing and comparing the results. A simulation study is built up, showing the impact of different structures of weights on the ability of decision trees to describe data. In the third part, ensemble methods for ranking data, more specifically Bagging and Boosting, are introduced. Last but not least, a review on a different topic is inserted in this Thesis. The review compares a significant number of linear mixed model selection procedures available in the literature. The review represents the answer to a pressing issue in the framework of LMMs: how to identify the best approach to adopt in a specific case. The work outlines mainly all approaches found in literature. This review represents my first academic training in making research.The main goal of this Thesis is to build suitable Ensemble Methods for ranking data with weights assigned to the items’positions, in the cases of rankings with and without ties. The Thesis begins with the definition of a new rank correlation coefficient, able to take into account the importance of items’position. Inspired by the rank correlation coefficient, τ x , proposed by Emond and Mason (2002) for unweighted rankings and the weighted Kemeny distance proposed by García-Lapresta and Pérez-Román (2010), this work proposes τ x w , a new rank correlation coefficient corresponding to the weighted Kemeny distance. The new coefficient is analized analitically and empirically and represents the main core of the consensus ranking process. Simulations and applications to real cases are presented. In a second step, in order to detect which predictors better explain a phenomenon, the Thesis proposes decision trees for ranking data with and without weights, discussing and comparing the results. A simulation study is built up, showing the impact of different structures of weights on the ability of decision trees to describe data. In the third part, ensemble methods for ranking data, more specifically Bagging and Boosting, are introduced. Last but not least, a review on a different topic is inserted in this Thesis. The review compares a significant number of linear mixed model selection procedures available in the literature. The review represents the answer to a pressing issue in the framework of LMMs: how to identify the best approach to adopt in a specific case. The work outlines mainly all approaches found in literature. This review represents my first academic training in making research

    Synthesis of platinum complexes with 2-(5-perfluoroalkyl-1,2,4-oxadiazol-3yl)-pyridine and 2-(3-perfluoroalkyl-1-methyl-1,2,4-triazole-5yl)-pyridine ligands and their in vitro antitumor activity

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    Five new mononuclear Pt(II) complexes with 5-perfluoroalkyl-1,2,4-oxadiazolyl-pyridine and 3-perfluoroalkyl-1,2,4-triazolyl-pyridine ligands are reported. The ligands 2-(5-perfluoroheptyl-1,2,4-oxadiazole-3yl)-pyridine (pfhop), 2-(5-perfluoropropyl)-1,2,4-oxadiazole-3yl)-pyridine (pfpop), 2-(3-perfluoroheptyl-1-methyl-1,2,4-triazole-5yl)-pyridine (pfhtp), 2-(3-perfluoropropyl-1-methyl-1,2,4-triazole-5yl)-pyridine (pfptp) and their complexes [PtCl2(pfhop)(2)]center dot 1.5 DMSO (2a), [PtCl2(pfpop)(2)]center dot 1.5 DMSO (3a), [PtCl2(pfhtp)(2)]center dot 1.5 DMSO (4a), PtCl2(pfhtp) (4b), [PtCl2(PfPtP)(2)]center dot 1.5 DMSO (5a) have been synthesized and structurally characterized. The complexes 2a, 3a, 4a and 5a have the same chemical environment of Pt(II) where PtCl2 moieties coordinate two molecules of ligand via N1 atom of pyridine in the case of pfhop and pfpop, and N2 atom of 1,2,4-triazole in the case of pfhtp and pfptp. For 4b, pfhtp behaves as bidentate ligand, coordinating Pt(II) ion via N4 atom of triazole and N1 atom of pyridine. All complexes have been tested in vitro by 3-(4,5-dimethyl-2-thiazolyl)bromide-2,5-diphenyl-2 H-tetrazolium (MTT) test on four tumor cell lines MCF-7 (human breast cancer), HepG2 (human hepatocellular carcinoma), HCT116 (human colorectal carcinoma). Compounds 2a and 4b showed a dose-dependent anti-proliferative effect against the three tumor cell lines whereas did not affect viability of intestinal normal-like differentiated Caco-2 cells. The cell death of HepG2, MCF-7 and HCT116 induced by the compounds, was considered to be apoptotic by measuring the exposure of phosphatidylserine to the outer membrane and observing the typical apoptotic morphological change by acridine orange (AO)/ethidium bromide (EB) stainin

    A complex case of fatal calciphylaxis in a female patient with hyperparathyroidism secondary to end stage renal disease of graft and coexistence of haemolytic uremic syndrome

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    Background. Calciphylaxis is a potentially fatal complication of persistent secondary hyperparathyroidism; its cause is still not clear. Unfortunately there is no close relation in severity of clinical picture, serological and pathological alteration. For this reason the prognosis is difficult to establish. Administration of sodium thiosulphate may reduce the precipitation of calcium crystals and improve the general clinical conditions before surgical parathyroidectomy, which seems the only therapeutic approach able to reduce the mortality risk in these patients. Methods and Results. A 60 year old female patient suffering from End Renal Stage Disease, on haemodialysis from 2001 due to the onset of haemolytic uremic syndrome, underwent a kidney transplant in April 2008. After transplantation there was a recurrence of the haemolytic uremic syndrome, with temporary worsening of the graft. Six months later there was a definite loss of graft and return to dialysis treatment. On April 2010 a severe systemic calciphylaxis related to secondary hyperparathyroidism was diagnosed. The patient underwent parathyroidectomy but, because of the unimproved clinical picture, treatment with sodium thiosulphate was initiated. There was only improvement in cutaneous lesions. The worsening general clinical condition of the patient caused death due to general septic complications. Conclusions. The coexistence of haemolytic uremic syndrome and secondary hyperpathyroidism makes the prognosis poor and, in this case, therapy, which counteracts calcium crystals precipitation, has no effect. Preventive parathyroidectomy can be considered as the only possible treatment

    Role of Dietary Carotenoids in Frailty Syndrome: A Systematic Review

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    Unbalanced diets and altered micronutrient intake are prevalent in the aging adult population. We conducted a systematic review to appraise the evidence regarding the association between single (α-carotene, β-carotene, lutein, lycopene, β-cryptoxanthin) or total carotenoids and frailty syndrome in the adult population. The literature was screened from study inception to December 2021, using six different electronic databases. After establishing inclusion criteria, two independent researchers assessed the eligibility of 180 retrieved articles. Only 11 fit the eligibility requirements, reporting five carotenoid entries. No exclusion criteria were applied to outcomes, assessment tools, i.e., frailty constructs or surrogates, recruitment setting, general health status, country, and study type (cohort or cross-sectional). Carotenoid exposure was taken as either dietary intake or serum concentrations. Cross-sectional design was more common than longitudinal design (n = 8). Higher dietary and plasma levels of carotenoids, taken individually or cumulatively, were found to reduce the odds of physical frailty markedly, and the evidence showed consistency in the direction of association across all selected studies. Overall, the methodological quality was rated from moderate (27%) to high (73%). Prevention of micronutrient deficiencies has some potential to counteract physical decline. Considering carotenoids as biological markers, when monitoring micronutrient status, stressing increased fruit and vegetable intake may be part of potential multilevel interventions to prevent or better manage disability

    EtG Quantification in Hair and Different Reference Cut-Offs in Relation to Various Pathologies: A Scoping Review

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    CC BY 4.0Ethyl glucuronide (EtG) is a non-volatile, non-oxidative, hydrophilic, and stable ethanol phase II metabolite. EtG is produced through ethanol glucuronidation by UDP-glucuronosyltransferase (UGT), a phase II enzyme. EtG can be extracted from different biological matrices, including keratin ones, such as hair or nails. The purpose of this scoping review is to describe the relationship between EtG levels in hair and some of the most common and frequent pathological conditions and verify whether different reference cut-offs in relation to various pathologies have been identified in the scientific literature. In fact, in-depth knowledge of the influence of pathologies, such as diabetes mellitus, hepatic and renal dysfunction, on EtG production and its storage in keratin matrices would allow a more appropriate interpretation of obtained data and rule out false positives or false negatives. This scoping review is based on bibliographic research carried out on PubMed regarding the quantification of EtG in hair of subjects affected by different pathological conditions. According to the scientific literature, the main and most common pathologies that can affect the concentration of EtG in hair are liver and kidney diseases and diabetes. The EtG quantification analytical data should be interpreted carefully as they may have a great impact in both forensic and clinical contexts

    The role of immune suppression in COVID-19 hospitalization: clinical and epidemiological trends over three years of SARS-CoV-2 epidemic

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    Specific immune suppression types have been associated with a greater risk of severe COVID-19 disease and death. We analyzed data from patients >17 years that were hospitalized for COVID-19 at the “Fondazione IRCCS Ca′ Granda Ospedale Maggiore Policlinico” in Milan (Lombardy, Northern Italy). The study included 1727 SARS-CoV-2-positive patients (1,131 males, median age of 65 years) hospitalized between February 2020 and November 2022. Of these, 321 (18.6%, CI: 16.8–20.4%) had at least one condition defining immune suppression. Immune suppressed subjects were more likely to have other co-morbidities (80.4% vs. 69.8%, p < 0.001) and be vaccinated (37% vs. 12.7%, p < 0.001). We evaluated the contribution of immune suppression to hospitalization during the various stages of the epidemic and investigated whether immune suppression contributed to severe outcomes and death, also considering the vaccination status of the patients. The proportion of immune suppressed patients among all hospitalizations (initially stable at <20%) started to increase around December 2021, and remained high (30–50%). This change coincided with an increase in the proportions of older patients and patients with co-morbidities and with a decrease in the proportion of patients with severe outcomes. Vaccinated patients showed a lower proportion of severe outcomes; among non-vaccinated patients, severe outcomes were more common in immune suppressed individuals. Immune suppression was a significant predictor of severe outcomes, after adjusting for age, sex, co-morbidities, period of hospitalization, and vaccination status (OR: 1.64; 95% CI: 1.23–2.19), while vaccination was a protective factor (OR: 0.31; 95% IC: 0.20–0.47). However, after November 2021, differences in disease outcomes between vaccinated and non-vaccinated groups (for both immune suppressed and immune competent subjects) disappeared. Since December 2021, the spread of the less virulent Omicron variant and an overall higher level of induced and/or natural immunity likely contributed to the observed shift in hospitalized patient characteristics. Nonetheless, vaccination against SARS-CoV-2, likely in combination with naturally acquired immunity, effectively reduced severe outcomes in both immune competent (73.9% vs. 48.2%, p < 0.001) and immune suppressed (66.4% vs. 35.2%, p < 0.001) patients, confirming previous observations about the value of the vaccine in preventing serious disease

    Weighted and unweighted distances based decision tree for ranking data

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    Preference data represent a particular type of ranking data (widely used in sports, web search, social sciences), where a group of people gives their preferences over a set of alternatives. Within this framework, distance-based decision trees represent a non-parametric tool for identifying the profiles of subjects giving a similar ranking. This paper aims at detecting, in the framework of (complete and incomplete) ranking data, the impact of the differently structured weighted distances for building decision trees. The traditional metrics between rankings don’t take into account the importance of swapping elements similar among them (element weights) or elements belonging to the top (or to the bottom) of an ordering (position weights). By means of simulations, using weighted distances to build decision trees, we will compute the impact of different weighting structures both on splitting and on consensus ranking. The distances that will be used satisfy Kemenys axioms and, accordingly, a modified version of the rank correlation coefficient τx, proposed by Edmond and Mason, will be proposed and used for assessing the trees’ goodness

    A new position weight correlation coefficient for consensus ranking process without ties

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    Preference data represent a particular type of ranking data where a group of people gives their preferences over a set of alternatives. The traditional metrics between rankings do not take into account the importance of swapping elements similar among them (element weights) or elements belonging to the top (or to the bottom) of an ordering (position weights). Following the structure of the τx proposed by Emond and Mason and the class of weighted Kemeny–Snell distances, a proper rank correlation coefficient is defined for measuring the correlation among weighted position rankings without ties. The one‐to‐one correspondence between the weighted distance and the rank correlation coefficient holds, analytically speaking, using both equal and decreasing weights. In order to determine the consensus ranking among rankings, related to a set of subjects, the new coefficient is maximized modifying suitably a branch‐and‐bound algorithm proposed in the literature

    Position Weighted Decision Trees for Ranking Data

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    Preference data represent a particular type of ranking data where a group of people gives their preferences over a set of alternatives. Within this framework, distance-based decision trees represent a non-parametric tool for identifying the profiles of subjects giving a similar ranking. This paper aims at detecting, in the framework of (complete and incomplete) ranking data, the impact of the differently structured weighted distances for building decision trees. By means of simulations, we will compute the impact of higher/lower homogeneity in groups and different weighting structures both on splitting and on consensus ranking. The distances that will be used satisfy Kemeny’s axioms and, accordingly, a modified version of the rank correlation coefficient τx , proposed by Emond and Mason, will be proposed and used for rank aggregation and class label in the tree leaves

    Consensus among preference rankings: a new weighted correlation coefficient for linear and weak orderings

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    Preference data are a particular type of ranking data where some subjects (voters, judges,...) express their preferences over a set of alternatives (items). In most real life cases, some items receive the same preference by a judge, thus giving rise to a ranking with ties. An important issue involving rankings concerns the aggregation of the preferences into a “consensus”. The purpose of this paper is to investigate the consensus between rankings with ties, taking into account the importance of swapping elements belonging to the top (or to the bottom) of the ordering (position weights). By combining the structure of τx proposed by Emond and Mason (J Multi-Criteria Decis Anal 11(1):17–28, 2002) with the class of weighted Kemeny-Snell distances, a position weighted rank correlation coefficient is proposed for comparing rankings with ties. The one-to-one correspondence between the weighted distance and the rank correlation coefficient is proved, analytically speaking, using both equal and decreasing weights
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