117 research outputs found

    Investigating the structure of expansions and recessions in US business cycle: a modified recursive partitioning approach

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    In this paper the problem of identifying the structure of expansions and recessions in the US economy is placed in the framework of recursive partitioning and discriminant analysis. The classification provided by the National Bureau ofEconomic Research (NBER) is considered. Using as covariates themain variables and indicators deemed useful to predict the business cycle, a modified recursive partitioning approach isproposed at each step (tree node) the method identifies the linear combination of the covariates that discriminates the mostbetween being in and out of a recession this new covariate is then used to split the data. The application to the case of the US business cycle and the comparison with classical logisticregression shows the merits of the proposed approach that represents a useful to tool to identify and to interpret thestructure of expansionsand recessions.Business-cycle indicators

    Using Trees to Investigate Structural Breaks L'Identificazione di Break Strutturali mediante gli Alberi di Decisione

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    Riassunto: Nel presente lavoro viene proposto un approccio per la individuazione di break strutturali in serie temporali quando si dispone di serie esplicative. Il metodo si articola in uno schema iterativo basato sull'uso alternato della analisi canonica e della regressione ad albero. In particolare, l'informazione contenuta nelle serie esplicative viene sintetizzata, a mezzo della analisi canonica, in combinazioni lineari. Queste ultime sono successivamente impiegate come covariate nella regressione ad albero in cui la variabile di rispostaĂš la serie temporale di cui si desiderano identificare i break strutturali. La proposta sarĂ  illustrata mediante uno studio di simulazione

    Impairment of circulating endothelial progenitors in Down syndrome

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    <p>Abstract</p> <p>Background</p> <p>Pathological angiogenesis represents a critical issue in the progression of many diseases. Down syndrome is postulated to be a systemic anti-angiogenesis disease model, possibly due to increased expression of anti-angiogenic regulators on chromosome 21. The aim of our study was to elucidate some features of circulating endothelial progenitor cells in the context of this syndrome.</p> <p>Methods</p> <p>Circulating endothelial progenitors of Down syndrome affected individuals were isolated, <it>in vitro </it>cultured and analyzed by confocal and transmission electron microscopy. ELISA was performed to measure SDF-1α plasma levels in Down syndrome and euploid individuals. Moreover, qRT-PCR was used to quantify expression levels of <it>CXCL12 </it>gene and of its receptor in progenitor cells. The functional impairment of Down progenitors was evaluated through their susceptibility to hydroperoxide-induced oxidative stress with BODIPY assay and the major vulnerability to the infection with human pathogens. The differential expression of crucial genes in Down progenitor cells was evaluated by microarray analysis.</p> <p>Results</p> <p>We detected a marked decrease of progenitors' number in young Down individuals compared to euploid, cell size increase and some major detrimental morphological changes. Moreover, Down syndrome patients also exhibited decreased SDF-1α plasma levels and their progenitors had a reduced expression of SDF-1α encoding gene and of its membrane receptor. We further demonstrated that their progenitor cells are more susceptible to hydroperoxide-induced oxidative stress and infection with Bartonella henselae. Further, we observed that most of the differentially expressed genes belong to angiogenesis, immune response and inflammation pathways, and that infected progenitors with trisomy 21 have a more pronounced perturbation of immune response genes than infected euploid cells.</p> <p>Conclusions</p> <p>Our data provide evidences for a reduced number and altered morphology of endothelial progenitor cells in Down syndrome, also showing the higher susceptibility to oxidative stress and to pathogen infection compared to euploid cells, thereby confirming the angiogenesis and immune response deficit observed in Down syndrome individuals.</p

    Why Are Outcomes Different for Registry Patients Enrolled Prospectively and Retrospectively? Insights from the Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF).

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    Background: Retrospective and prospective observational studies are designed to reflect real-world evidence on clinical practice, but can yield conflicting results. The GARFIELD-AF Registry includes both methods of enrolment and allows analysis of differences in patient characteristics and outcomes that may result. Methods and Results: Patients with atrial fibrillation (AF) and ≄1 risk factor for stroke at diagnosis of AF were recruited either retrospectively (n = 5069) or prospectively (n = 5501) from 19 countries and then followed prospectively. The retrospectively enrolled cohort comprised patients with established AF (for a least 6, and up to 24 months before enrolment), who were identified retrospectively (and baseline and partial follow-up data were collected from the emedical records) and then followed prospectively between 0-18 months (such that the total time of follow-up was 24 months; data collection Dec-2009 and Oct-2010). In the prospectively enrolled cohort, patients with newly diagnosed AF (≀6 weeks after diagnosis) were recruited between Mar-2010 and Oct-2011 and were followed for 24 months after enrolment. Differences between the cohorts were observed in clinical characteristics, including type of AF, stroke prevention strategies, and event rates. More patients in the retrospectively identified cohort received vitamin K antagonists (62.1% vs. 53.2%) and fewer received non-vitamin K oral anticoagulants (1.8% vs . 4.2%). All-cause mortality rates per 100 person-years during the prospective follow-up (starting the first study visit up to 1 year) were significantly lower in the retrospective than prospectively identified cohort (3.04 [95% CI 2.51 to 3.67] vs . 4.05 [95% CI 3.53 to 4.63]; p = 0.016). Conclusions: Interpretations of data from registries that aim to evaluate the characteristics and outcomes of patients with AF must take account of differences in registry design and the impact of recall bias and survivorship bias that is incurred with retrospective enrolment. Clinical Trial Registration: - URL: http://www.clinicaltrials.gov . Unique identifier for GARFIELD-AF (NCT01090362)

    Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

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    BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

    Splitting along Directions: an application to the study of the U.S. business cycle

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    The talk deals with the problem of dimension reduction in the general context of supervised statistical learning. In particular, data mining applications with many covariates often lead to high dimensional data analysis problems. The main goal of the proposed methodology is to improve tree based methods as prediction tool by introducing an alternative approach to data partitioning which is meant to handle large numbers of (correlated) covariates. The key idea is to use suitable combinations of covariates recursively identified. This modified recursive partitioning is adopted to investigate the structure of expansions and recessions on U.S. business cycl

    L'L’ Étude des Relations des Synonymie par la Classification Automatique

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    Les synonymes sont des mots liĂ©s par un rapport de proximitĂ© sĂ©mantique et ils sont donc interchangeables. Ă©tant donnĂ© un mot et ses synonymes: 1) une mesure de proximitĂ© entre les synonymes permet d’évaluer le degrĂ© de synonymie par rapport au mot d’intĂ©rĂȘt 2) la Classification Automatique (CA) permet de grouper les synonymes en soulignant ce diffĂ©rents sens. On propose une methode qui permet calculer des indices de proximitĂ© (ou similaritĂ©) entre les synonymes d'un mot objective qui expriment le degrĂ© de similaritĂ© entre eux par rapport au mot objecti

    Retrospective Characterization of the COVID-19 Epidemic in Four Selected European Countries via Change Point Analysis

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    The focus of this contribution is to show how the course of the pandemic can be retrospectively investigated in terms of change points detection. At this aim, an automatic method based on recursive partitioning is employed, considering the time series of the 14-day noti- fication rate of newly reported COVID-19 cases per 100,000 population collected by the European Centre for Disease Prevention and Control. The application shows that the pandemic, at the individual country level, can be broken into different periods that do not correspond to the com- mon notion of wave as a natural pattern of peaks and valleys implying predictable rises and falls. This retrospective analysis can be useful ei- ther to evaluate the implemented measures or to define adequate policies for the future
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