Automated Knowledge Modeling for Cancer Clinical Practice Guidelines

Clinical Practice Guidelines (CPGs) for cancer diseases evolve rapidly due to new evidence generated by active research. Currently, CPGs are primarily published in a document format that is ill-suited for managing this developing knowledge. A knowledge model of the guidelines document suitable for programmatic interaction is required. This work proposes an automated method for extraction of knowledge from National Comprehensive Cancer Network (NCCN) CPGs in Oncology and generating a structured model containing the retrieved knowledge. The proposed method was tested using two versions of NCCN Non-Small Cell Lung Cancer (NSCLC) CPG to demonstrate the effectiveness in faithful extraction and modeling of knowledge. Three enrichment strategies using Cancer staging information, Unified Medical Language System (UMLS) Metathesaurus & National Cancer Institute thesaurus (NCIt) concepts, and Node classification are also presented to enhance the model towards enabling programmatic traversal and querying of cancer care guidelines. The Node classification was performed using a Support Vector Machine (SVM) model, achieving a classification accuracy of 0.81 with 10-fold cross-validation

Dissolved oxygen isotope modelling refines metabolic state estimates of stream ecosystems with different land use background

Dissolved oxygen (DO) is crucial for aerobic life in streams and rivers and mostly depends on photosynthesis (P), ecosystem respiration (R) and atmospheric gas exchange (G). However, climate and land use changes progressively disrupt metabolic balances in natural streams as sensitive reflectors of their catchments. Comprehensive methods for mapping fundamental ecosystem services become increasingly important in a rapidly changing environment. In this work we tested DO and its stable isotope ($^{18}$O$^{16}$O) ratios as novel tools for the status of stream ecosystems. For this purpose, six diel sampling campaigns were performed at three low-order and mid-latitude European streams with different land use patterns. Modelling of diel DO and its stable isotopes combined with land use analyses showed lowest P rates at forested sites, with a minimum of 17.9 mg m$^{-2}$ h$^{-1}$. Due to high R rates between 230 and 341 mg m$^{-2}$ h$^{-1}$ five out of six study sites showed a general heterotrophic state with P:R:G ratios between 0.1:1.1:1 and 1:1.9:1. Only one site with agricultural and urban influences showed a high P rate of 417 mg m$^{-2}$ h$^{-1}$ with a P:R:G ratio of 1.9:1.5:1. Between all sites gross G rates varied between 148 and 298 mg m$^{-2}$ h$^{-1}$. In general, metabolic rates depend on the distance of sampling locations to river sources, light availability, nutrient concentrations and possible exchanges with groundwater. The presented modelling approach introduces a new and powerful tool to study effects of land use on stream health. Such approaches should be integrated into future ecological monitoring

Treatment patterns among non-active users of maintenance asthma medication in the United Kingdom : a retrospective cohort study in the Clinical Practice Research Datalink

The authors are also grateful to Dr Michael Gibbs for providing a review of an early draft of this manuscript. Funding Editorial support was provided by Kate Hollingworth of Continuous Improvement Ltd and funded by GlaxoSmithKline (GSK). This study was funded by GSK. DCG, BA, JFB, and MF are employees of GSK and hold GSK shares.Peer reviewedPublisher PD

Fluorane sensitive supercapacitive microcrystalline MoO3: dual application in energy storage and HF detection

Exploring materials and device paradigms for multifunctional electrochemical applications such as supercapacitors and sensing makes materials more suitable for real-life applications. In this study, microcrystalline MoO3 powder has been synthesized using a simple sol-gel method, and its suitability for energy storage devices and HF sensing performance has been studied. The MoO3 microcrystallites, well-characterized using electron microscopy, X-ray diffraction, and Raman spectroscopy, have been tested for HF sensitivity on a glassy carbon electrode as well as on a carbon cloth electrode. Similarly, a solid-state prototype asymmetric supercapacitor has been demonstrated that displays its charge storage capabilities. The specific capacitance of MoO3 increases linearly with the increase of HF concentration. Additionally, the sensing performance of MoO3 can be seen by monitoring changes in current passing through the electrode in the presence of HF. High stability with good repeatability was displayed. In situ Raman spectroscopy, recorded during the charging and discharging process, has been used to understand the charge storage mechanism. A high sensitivity of 6656 mF mM−1 g−1 with a low limit of detection of 1.2 μM was observed, which makes this material suitable for sensing as well as charge storage

In-Vitro Evidences for the Formulation, Development, and Evaluation of Budesonide Oral Nano-sponges

Idiopathic inflammatory bowel disease is quite common, with ulcerative colitis and Crohn's disease being the most common forms. Due to its high receptor affinity and quick diversion, the anti-inflammatory effects of the glucocorticoid budesonide are limited, but it is nevertheless useful in some situations. A unique BUD nano-sponges was developed by employing quasi-solvent diffusion and Eudragit S-100 as the polymer to address the problem of low efficacy and accessibility. Material and Methods: Drug release profile and percentage of drug entrapment in BUD Nano sponges were also measured and analyzed. Clinical activity score, colon/body weight ratio, and macroscopic ulceration activity were among the criteria used in an in vivo investigation of the formulation in male Wistar rats. Finally, histological investigation was done on colon tissue samples. Results: When compared to other BUD formulations on the market, this one performed exceptionally well, suggesting that the designed nanosponges are highly effective. The Wistar rats' clinical activity score was reduced when treated with the formed nanosponges. When compared to the placebo group, those who took this supplement saw a dramatic decrease in their colon weight ratio. Nanosponge colon histology revealed healthy colon anatomy and architecture. Conclusion: The findings of this study have substantiated the efficacy of BUD nano-sponges as innovative carriers in the treatment of inflammatory bowel diseas

Verbal Fluency in a National Sample: Telephone Administration Methods

Objectives: Describe novel methods for ascertaining verbal fluency in a large national sample of adults, examine demographic factors influencing performance, and compare scores to studies using in-person assessment. Methods/Design: Participants were from the REasons for Geographic and Racial Differences in Stroke (REGARDS) study, a national, population-based, longitudinal study of stroke in adults aged 45 years an older. Letter and semantic fluency were gathered, using Letter “F” and Animal Naming, via a telephone-based assessment with computer-assisted scoring of digital recordings. Results: Initial letter and semantic fluency scores were obtained on 18,505 and 18,072 participants, respectively. For both fluency tests, scores were normally distributed. Younger age and more years of education were associated with better performances (p<0.0001). The mean and standard deviation for matched subgroups, based on age, gender, and education, were quite comparable to scores reported out of samples using an in-person administration format. Telephone-based assessment also allowed for a level of quality control not available via in-person measurement. Conclusions: Telephone-based assessment of verbal fluency and computer-assisted scoring programs designed for this study facilitated large scale data acquisition, storage, and scoring of protocols. The resulting scores have similar characteristics to those obtained by traditional methods. These findings extend validation of cognitive assessment methods, using survey research staff and computer-assisted technology for test administration

Development and validation of HERWIG 7 tunes from CMS underlying-event measurements

This paper presents new sets of parameters (“tunes”) for the underlying-event model of the HERWIG7 event generator. These parameters control the description of multiple-parton interactions (MPI) and colour reconnection in HERWIG7, and are obtained from a fit to minimum-bias data collected by the CMS experiment at s=0.9, 7, and 13Te. The tunes are based on the NNPDF 3.1 next-to-next-to-leading-order parton distribution function (PDF) set for the parton shower, and either a leading-order or next-to-next-to-leading-order PDF set for the simulation of MPI and the beam remnants. Predictions utilizing the tunes are produced for event shape observables in electron-positron collisions, and for minimum-bias, inclusive jet, top quark pair, and Z and W boson events in proton-proton collisions, and are compared with data. Each of the new tunes describes the data at a reasonable level, and the tunes using a leading-order PDF for the simulation of MPI provide the best description of the dat

Measurement of the top quark forward-backward production asymmetry and the anomalous chromoelectric and chromomagnetic moments in pp collisions at √s = 13 TeV

Abstract The parton-level top quark (t) forward-backward asymmetry and the anomalous chromoelectric (d̂ t) and chromomagnetic (μ̂ t) moments have been measured using LHC pp collisions at a center-of-mass energy of 13 TeV, collected in the CMS detector in a data sample corresponding to an integrated luminosity of 35.9 fb−1. The linearized variable AFB(1) is used to approximate the asymmetry. Candidate t t ¯ events decaying to a muon or electron and jets in final states with low and high Lorentz boosts are selected and reconstructed using a fit of the kinematic distributions of the decay products to those expected for t t ¯ final states. The values found for the parameters are AFB(1)=0.048−0.087+0.095(stat)−0.029+0.020(syst),μ̂t=−0.024−0.009+0.013(stat)−0.011+0.016(syst), and a limit is placed on the magnitude of | d̂ t| &lt; 0.03 at 95% confidence level. [Figure not available: see fulltext.