853 research outputs found
Learning Incoherent Subspaces: Classification via Incoherent Dictionary Learning
In this article we present the supervised iterative projections and rotations (s-ipr) algorithm, a method for learning discriminative incoherent subspaces from data. We derive s-ipr as a supervised extension of our previously proposed iterative projections and rotations (ipr) algorithm for incoherent dictionary learning, and we employ it to learn incoherent sub-spaces that model signals belonging to different classes. We test our method as a feature transform for supervised classification, first by visualising transformed features from a synthetic dataset and from the âirisâ dataset, then by using the resulting features in a classification experiment
Thermodynamic Scaling of the Viscosity of Van Der Waals, H-Bonded, and Ionic Liquids
Viscosities and their temperature, T, and volume, V, dependences are reported
for 7 molecular liquids and polymers. In combination with literature viscosity
data for 5 other liquids, we show that the superpositioning of relaxation times
for various glass-forming materials when expressed as a function of TV^g, where
the exponent g is a material constant, can be extended to the viscosity. The
latter is usually measured to higher temperatures than the corresponding
relaxation times, demonstrating the validity of the thermodynamic scaling
throughout the supercooled and higher T regimes. The value of g for a given
liquid principally reflects the magnitude of the intermolecular forces (e.g.,
steepness of the repulsive potential); thus, we find decreasing g in going from
van der Waals fluids to ionic liquids. For strongly H-bonded materials, such as
low molecular weight polypropylene glycol and water, the superpositioning
fails, due to the non-trivial change of chemical structure (degree of
H-bonding) with thermodynamic conditions.Comment: 16 pages 7 figure
Biopsychosocial correlates of persistent postsurgical pain in women with endometriosis
ObjectiveTo examine pain and biopsychosocial correlates over time for women with persistent postsurgical pain after surgery for endometriosis.MethodsCrossâ sectional study of women who underwent any endometriosis surgery between 2003 and 2006. Following surgery, patients completed validated questionnaires (Shortâ Form McGill Pain Questionnaire, 12â item Shortâ Form Health Survey, Beck Depression Inventory, Coping Strategies Questionnaire catastrophizing subscale). The primary outcome was pelvic pain intensity, measured by the McGill total pain score. Bivariate comparisons between each potential predictor and pain intensity were performed using the Ă 2 and t tests, 1â way analysis of variance, and simple linear regression.ResultsIn total, 79 completed the questionnaires and were included in the present analysis. The McGill affective pain score was negatively correlated with age (Ă²â coefficient â 0.12, P = 0.002) and positively correlated with catastrophization (Ă²â coefficient 0.66, P = 0.01). Women with a history of dyspareunia scored significantly higher on the McGill total pain score (P < 0.001); there was no association between pain intensity and endometriosis severity.ConclusionYounger age and catastrophization are correlated with persistent pain following surgery for endometriosis. The severity of endometriosis does not predict persistent pain. Further evaluation of psychosocial factors may identify patients who are least likely to benefit from surgeries for endometriosisâ associated pelvic pain.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135478/1/ijgo169.pd
Addressing the Health Needs of Rural Native Veterans: Assessment and Recommendations
Native Veterans comprise unique populations within the VeteransAdministration (VA) system of care and represent a proud tradition of military service. Limited healthcare data available on rural Native veterans indicate significant disparities in access to care and health status compared with other populations. This article provides an assessment of current challenges, barriers, and issues related to addressing the healthcare needs of rural Native veterans and offers recommendations to improve healthcare for this special population. To meet the needs of rural Native veterans it will be important to: conduct needs assessments to gather important health data about rural Native veterans; develop a clearinghouse of information on and for rural Native veterans and disseminate this information widely; develop strategies to enhance transportation policies and provisions; expand the use of technology and outreach; work toward increasing cultural competence among VA employees; and improve the availability of traditional healing services
Timescales of spike-train correlation for neural oscillators with common drive
We examine the effect of the phase-resetting curve (PRC) on the transfer of
correlated input signals into correlated output spikes in a class of neural
models receiving noisy, super-threshold stimulation. We use linear response
theory to approximate the spike correlation coefficient in terms of moments of
the associated exit time problem, and contrast the results for Type I vs. Type
II models and across the different timescales over which spike correlations can
be assessed. We find that, on long timescales, Type I oscillators transfer
correlations much more efficiently than Type II oscillators. On short
timescales this trend reverses, with the relative efficiency switching at a
timescale that depends on the mean and standard deviation of input currents.
This switch occurs over timescales that could be exploited by downstream
circuits
Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a national study of commercial health care claims
There is growing evidence that opioid prescribing in the United States follows a pattern in which patients who are at the highest risk of adverse outcomes from opioids are more likely to receive long-term opioid therapy. These patients include, in particular, those with substance use disorders (SUDs) and other psychiatric conditions. This study examined health insurance claims among 10,311,961 patients who filled prescriptions for opioids. Specifically, we evaluated how opioid receipt differed among patients with and without a wide range of preexisting psychiatric and behavioral conditions (ie, opioid and nonopioid SUDs, suicide attempts or other self-injury, motor vehicle crashes, and depressive, anxiety, and sleep disorders) and psychoactive medications (ie, antidepressants, benzodiazepines, hypnotics, mood stabilizers, antipsychotics, and medications used for SUD, tobacco cessation, and attention-deficit/hyperactivity disorder). Relative to those without, patients with all assessed psychiatric conditions and medications had modestly greater odds of subsequently filling prescriptions for opioids and, in particular, substantially greater risk of long-term opioid receipt. Increases in risk for long-term opioid receipt in adjusted Cox regressions ranged from approximately 1.5-fold for prior attention-deficit/hyperactivity disorder medication prescriptions (hazard ratio [HR] = 1.53; 95% confidence interval [CI], 1.48-1.58) to approximately 3-fold for prior nonopioid SUD diagnoses (HR = 3.15; 95% CI, 3.06-3.24) and nearly 9-fold for prior opioid use disorder diagnoses (HR = 8.70; 95% CI, 8.20-9.24). In sum, we found evidence of greater opioid receipt among commercially insured patients with a breadth of psychiatric conditions. Future studies assessing behavioral outcomes associated with opioid prescribing should consider preexisting psychiatric conditions
Numerical Solution of Differential Equations by the Parker-Sochacki Method
A tutorial is presented which demonstrates the theory and usage of the
Parker-Sochacki method of numerically solving systems of differential
equations. Solutions are demonstrated for the case of projectile motion in air,
and for the classical Newtonian N-body problem with mutual gravitational
attraction.Comment: Added in July 2010: This tutorial has been posted since 1998 on a
university web site, but has now been cited and praised in one or more
refereed journals. I am therefore submitting it to the Cornell arXiv so that
it may be read in response to its citations. See "Spiking neural network
simulation: numerical integration with the Parker-Sochacki method:" J. Comput
Neurosci, Robert D. Stewart & Wyeth Bair and
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2717378
Association of Mental Health Conditions and Treatments With Long-term Opioid Analgesic Receipt Among Adolescents
Importance:
Adults with mental health conditions are more likely than those without to receive long-term opioid therapy. Less is known about opioid therapy among adolescents, especially those with mental health conditions.
Objective:
To examine associations between preexisting mental health conditions and treatments and initiation of any opioid and long-term opioid therapy among adolescents.
Design, Setting, and Participants:
A cohort of 1âŻ224âŻ520 incident opioid recipients without cancer diagnoses aged 14 to 18 years at first receipt was extracted from nationwide commercial health care claims data from January 1, 2003, to December 31, 2014. Analysis was conducted from August 19, 2016, to November 16, 2017. Associations between preexisting mental health conditions and treatments and any opioid receipt were examined by comparing recipients with nonrecipients matched on sex, calendar year and years of age of first enrollment, and months of enrollment (prior to the index month for recipients, ever for nonrecipients). Associations between preexisting mental health conditions and treatments and subsequent long-term opioid therapy were examined among recipients with at least 6 months' follow-up using Cox proportional hazards regressions adjusted for demographics.
Exposures:
Mental health condition diagnoses and treatments recorded in inpatient, outpatient, and filled-prescription claims prior to opioid receipt.
Main Outcomes and Measures:
Opioid receipt, defined as any opioid analgesic prescription claim, and long-term opioid therapy, defined as more than 90 days' supply within a 6-month window having no gaps in supply of more than 32 days.
Results:
Of the 1âŻ224âŻ520 new opioid recipients included, the median age at first receipt was 17 years (interquartile range, 16-18 years), and 51.1% were female. Median follow-up after first receipt was 625 days (interquartile range, 255-1268 days). Adolescents with anxiety, mood, neurodevelopmental, sleep, and nonopioid substance use disorders and most mental health treatments were significantly more likely to receive any opioid (odds ratios from 1.13 [95% CI, 1.10-1.16] for nonopioid substance use disorders to 1.69 [95% CI, 1.58-1.81] for nonbenzodiazepine hypnotics). Among the 1âŻ000âŻ453 opioid recipients (81.7%) who had at least 6 months' follow-up, the cumulative incidence of long-term opioid therapy was 3.0 (95% CI, 2.8-3.1) per 1000 recipients within 3 years after first opioid receipt. All preexisting mental health conditions and treatments were strongly associated with higher rates of long-term opioid therapy (adjusted hazard ratios from 1.73 [95% CI 1.54-1.95] for attention-deficit/hyperactivity disorder to 8.90 [95% CI, 5.85-13.54] for opioid use disorder).
Conclusions and Relevance:
Commercially insured adolescents with many types of preexisting mental health conditions and treatments were modestly more likely to receive any opioid and were substantially more likely to subsequently transition to long-term opioid therapy relative to those without, although overall rates of long-term opioid therapy were low
Subjective Sleep Quality Deteriorates Before Development of Painful Temporomandibular Disorder
There is good evidence that poor sleep quality increases risk of painful temporomandibular disorder (TMD). However little is known about the course of sleep quality in the months preceding TMD onset, and whether the relationship is mediated by heightened sensitivity to pain. The Pittsburgh Sleep Quality Index was administered at enrollment into the OPPERA prospective cohort study. Thereafter the Sleep Quality Numeric Rating Scale was administered every three months to 2,453 participants. Sensitivity to experimental pressure pain and pinprick pain stimuli was measured at baseline and repeated during follow-up of incident TMD cases (n=220) and matched TMD-free controls (n=193). Subjective sleep quality deteriorated progressively, but only in those who subsequently developed TMD. A Cox proportional hazards model showed that risk of TMD was greater among participants whose sleep quality worsened during follow-up (adjusted hazard ratio=1.73, 95% confidence limits: 1.29, 2.32). This association was independent of baseline measures of sleep quality, psychological stress, somatic awareness, comorbid conditions, non-pain facial symptoms and demographics. Poor baseline sleep quality was not significantly associated with baseline pain sensitivity or with subsequent change in pain sensitivity. Furthermore the relationship between sleep quality and TMD incidence was not mediated via baseline pain sensitivity nor change in pain sensitivity
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