21 research outputs found

    Prevalence and Concordance of oral and Genital Hpv By Sexual orientation among Us Men

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    The objective of our study was to describe oral and genital human papillomavirus (HPV) infection prevalence and concordance by sexual orientation among US men using a nationally representative sample. We conducted a retrospective cross-sectional analysis of the 2013-2016 National Health and Nutrition Examination Survey. The survey conducts a physical examination and collects oral rinse and genital swab specimens; demographic and health behaviors are self-reported. We used descriptive statistics and multivariate regression models to estimate HPV infection prevalence and the likelihood of HPV infection, respectively. All analyses were adjusted for National Health and Nutrition Examination Survey design and weights, and statistical significance was tested at a 2-sided P value of less than .05. Men who have sex with men had a statistically significantly higher prevalence of oral HPV (high-risk, 9-valent, 4-valent, and HPV 16 and 18), genital HPV (9-valent, 4-valent, and HPV 16 and 18), and concordant oral and genital HPV (high-risk and 9-valent) infections compared with heterosexual men. Improved HPV prevention among men is needed

    State Variation in Squamous Cell Carcinoma of the anus incidence and Mortality, and association With Hiv/Aids and Smoking in the United States

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    PURPOSE: Squamous cell carcinoma of the anus (SCCA) incidence and mortality rates are rising in the United States. Understanding state-level incidence and mortality patterns and associations with smoking and AIDS prevalence (key risk factors) could help unravel disparities and provide etiologic clues. METHODS: Using the US Cancer Statistics and the National Center for Health Statistics data sets, we estimated state-level SCCA incidence and mortality rates. Rate ratios (RRs) were calculated to compare incidence and mortality in 2014-2018 versus 2001-2005. The correlations between SCCA incidence with current smoking (from the Behavioral Risk Factor Surveillance System) and AIDS (from the HIV Surveillance system) prevalence were evaluated using Spearman\u27s rank correlation coefficient. RESULTS: Nationally, SCCA incidence and mortality rates (per 100,000) increased among men (incidence, 2.29-3.36, mortality, 0.46-0.74) and women (incidence, 3.88-6.30, mortality, 0.65-1.02) age ≥ 50 years, but decreased among men age \u3c 50 years and were stable among similar-aged women. In state-level analysis, a marked increase in incidence (≥ 1.5-fold for men and ≥ two-fold for women) and mortality (≥ two-fold) for persons age ≥ 50 years was largely concentrated in the Midwestern and Southeastern states. State-level SCCA incidence rates in recent years (2014-2018) among men were correlated ( CONCLUSION: During 2001-2005 to 2014-2018, SCCA incidence and mortality nearly doubled among men and women age ≥ 50 years living in Midwest and Southeast. State variation in AIDS and smoking patterns may explain variation in SCCA incidence. Improved and targeted prevention is needed to combat the rise in SCCA incidence and mitigate magnifying geographic disparities

    UNCERTAINTY AND A NEW MEASURE FOR CLASSIFICATION UNCERTAINTY

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    Ben-Israel and Iyigun ([1] and [2]) presents a new clustering method which is probabilistic distance clustering (P-D Clustering). In this method, the probability of assignment to cluster for each point is inversely proportional to distances between data point and centers of clusters according to given number of clusters and their centers. In this paper, we study on new uncertainty measure for classification using the assignment probabilities of P-D Clustering. Moreover, the relationship of the new measure with Kullback - Liebner divergence is discussed

    A Dynamic Data-driven Approach for Operation Planning of Microgrids

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    Distributed generation resources (DGs) and their utilization in large-scale power systems are attracting more and more utilities as they are becoming more qualitatively reliable and economically viable. However, uncertainties in power generation from DGs and fluctuations in load demand must be considered when determining the optimal operation plan for a microgrid. In this context, a novel dynamic data-driven application systems (DDDAS) approach is proposed for determining the real-time operation plan of an electric microgridwhile considering its conflicting objectives. In particular, the proposed approachis equipped with three modules: 1) a database including the real-time microgrid topology data (i.e., power demand, market price for electricity, etc.) and the data for environmental factors (i.e., solar radiation, wind speed, temperature, etc.); 2) a simulation, in which operation of the microgrid is simulated with embedded rule-based scaleidentification procedures; and 3) a multi-objective optimization module which finds the near-optimal operation plan in terms of minimum operating cost and minimum emission using a particle-filtering based algorithm. The complexity of the optimization depends on the scaleof the problem identified from the simulation module. The results obtained from the optimization module are sent back to the microgrid system to enhance its operation. The experiments conducted in this study demonstratethe power of the proposed approach in real-time assessment and control of operation in microgrids
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