273 research outputs found
Comparison between Suitable Priors for Additive Bayesian Networks
Additive Bayesian networks are types of graphical models that extend the
usual Bayesian generalized linear model to multiple dependent variables through
the factorisation of the joint probability distribution of the underlying
variables. When fitting an ABN model, the choice of the prior of the parameters
is of crucial importance. If an inadequate prior - like a too weakly
informative one - is used, data separation and data sparsity lead to issues in
the model selection process. In this work a simulation study between two weakly
and a strongly informative priors is presented. As weakly informative prior we
use a zero mean Gaussian prior with a large variance, currently implemented in
the R-package abn. The second prior belongs to the Student's t-distribution,
specifically designed for logistic regressions and, finally, the strongly
informative prior is again Gaussian with mean equal to true parameter value and
a small variance. We compare the impact of these priors on the accuracy of the
learned additive Bayesian network in function of different parameters. We
create a simulation study to illustrate Lindley's paradox based on the prior
choice. We then conclude by highlighting the good performance of the
informative Student's t-prior and the limited impact of the Lindley's paradox.
Finally, suggestions for further developments are provided.Comment: 8 pages, 4 figure
Surgical treatment for colorectal cancer: Analysis of the influence of an enhanced recovery programme on long-term oncological outcomes-a study protocol for a prospective, multicentre, observational cohort study
Introduction
The evidence currently available from enhanced recovery after surgery (ERAS) programmes concerns their benefits in the immediate postoperative period, but there is still very little evidence as to whether their correct implementation benefits patients in the long term. The working hypothesis here is that, due to the lower response to surgical aggression and lower rates of postoperative complications, ERAS protocols can reduce colorectal cancer-related mortality. The main objective of this study is to analyse the impact of an ERAS programme for colorectal cancer on 5-year survival. As secondary objectives, we propose to analyse the weight of each of the predefined items in the oncological results as well as the quality of life.
Methods and analysis
A multicentre prospective cohort study was conducted in patients older than 18 years of age who are scheduled to undergo surgery for colorectal cancer. The study involved 12 hospitals with an implemented enhanced recovery protocol according to the guidelines published by the Spanish National Health Service. The intervention group includes patients with a minimum implementation level of 70%, and the control group includes those who fail to reach this level. Compliance will be studied using 18 key performance indicators, and the results will be analysed using cancer survival indicators, including overall survival, cancer-specific survival and relapse-free survival. The time to recurrence, perioperative morbidity and mortality, hospital stay and quality of life will also be studied, the latter using the validated EuroQol Five questionnaire. The propensity index method will be used to create comparable treatment and control groups, and a multivariate regression will be used to study each variable. The Kaplan-Meier estimator will be used to estimate survival and the log-rank test to make comparisons. A p value of less than 0.05 (two-tailed) will be considered to be significant.
Ethics and dissemination
Ethical approval for this study was obtained from the Aragon Ethical Committee (C.P.-C.I. PI20/086) on 4 March 2020. The findings of this study will be submitted to peer-reviewed journals (BMJ Open, JAMA Surgery, Annals of Surgery, British Journal of Surgery). Abstracts will be submitted to relevant national and international meetings.
Trial registration number NCT04305314
Calcium and Vitamin D increase mRNA levels for the growth control hIK1 channel in human epidermal keratinocytes but functional channels are not observed
BACKGROUND: Intermediate-conductance, calcium-activated potassium channels (IKs) modulate proliferation and differentiation in mesodermal cells by enhancing calcium influx, and they contribute to the physiology of fluid movement in certain epithelia. Previous reports suggest that IK channels stimulate proliferative growth in a keratinocyte cell line; however, because these channels indirectly promote calcium influx, a critically unique component of the keratinocyte differentiation program, an alternative hypothesis is that they would be anti-proliferative and pro-differentiating. This study addresses these hypotheses. METHODS: Real-time PCR, patch clamp electrophysiology, and proliferation assays were used to determine if human IK1 (hIK1) expression and function are correlated with either proliferation or differentiation in cultured human skin epidermal keratinocytes, and skin biopsies grown in explant culture. RESULTS: hIK1 mRNA expression in human keratinocytes and skin was increased in response to anti-proliferative/pro-differentiating stimuli (elevated calcium and Vitamin D). Correspondingly, the hIK1 agonist 1-EBIO inhibited keratinocyte proliferation suggesting that the channel could be anti-proliferative and pro-differentiating. However, this proliferative inhibition by 1-EBIO was not reversed by a panel of hIK1 blockers, calling into question the mechanism of 1-EBIO action. Subsequent patch clamp electrophysiological analysis failed to detect hIK1 channel currents in keratinocytes, even those expressing substantial hIK1 mRNA in response to calcium and Vitamin D induced differentiation. Identical electrophysiological recording conditions were then used to observe robust IK1 currents in fibroblasts which express IK1 mRNA levels comparable to those of keratinocytes. Thus, the absence of observable hIK1 currents in keratinocytes was not a function of the electrophysiological techniques. CONCLUSION: Human keratinocyte differentiation is stimulated by calcium mobilization and influx, and differentiation stimuli coordinately upregulate mRNA levels of the calcium-activated hIK1 channel. This upregulation is paradoxical in that functional hIK1 channels are not observed in cultured keratinocytes. It appears, therefore, that hIK1 does not contribute to the functional electrophysiology of primary human keratinocytes, nor intact human skin. Further, the results indicate caution is required when interpreting experiments utilizing pharmacological hIK1 modulators in human keratinocytes
Efficacy of long-lasting insecticidal nets with declining physical and chemical integrity on Aedes aegypti (diptera : culicidae)
Fitting long-lasting insecticidal nets (LLIN) as screens on doors and windows has a significant impact on indoor adult Aedes aegypti, with entomological reductions measured in a previous study being significant for up to two years post-installation, even in the presence of pyrethroid-resistant Aedes populations. The study used bioassays (0, 6, and 12 months), which confirmed that LLIN residual activity decreased over time. However, the study demonstrates that the remaining chemical effect after field conditions still contributes to killing/repelling mosquitoes. LLIN screening from the neighborhood Juan Pablo II in Merida (Yucatan State, Mexico) were randomly selected. Merida is highly endemic for dengue and other Aedes-borne viruses
Gut microbiome of multiple sclerosis patients and paired household healthy controls reveal associations with disease risk and course
Latino Communities in the United States: Place-Making in the Pre-World War II, Postwar, and Contemporary City
Scholarship on Latino communities in the United States has yet to catch up with the rapid growth of this ethnic population in the country. Understanding the Latino urban experience and developing plans to better respond to both the needs of Latino communities and their integration within society is not only relevant, but also urgently necessary. Using the city of Los Angeles as a main lens, in addition to a general look at the urban Southwest, we contribute to the scholarship on the subject with a review of literature on Latino communities. We structure the review as an assessment of the various challenges and opportunities for urban Latinos in the pre-war, postwar, and contemporary city. Focusing on space, culture, economy, and governance, we chart the various roles both the private and public sectors play in meeting these challenges. Our reading of the literature shows that particular government actions in the economic and governance domains in the past had positive impacts on Latino integration, and we call for a similar effort today in addressing contemporary challenges. We conclude by suggesting that future planning scholarship on Latino communities engage the wider urban studies literature, focus on emerging forms of urbanization, and call on planners to sustain increased academic and practical interest in the topic
Embedded Software of the KM3NeT Central Logic Board
The KM3NeT Collaboration is building and operating two deep sea neutrino
telescopes at the bottom of the Mediterranean Sea. The telescopes consist of
latices of photomultiplier tubes housed in pressure-resistant glass spheres,
called digital optical modules and arranged in vertical detection units. The
two main scientific goals are the determination of the neutrino mass ordering
and the discovery and observation of high-energy neutrino sources in the
Universe. Neutrinos are detected via the Cherenkov light, which is induced by
charged particles originated in neutrino interactions. The photomultiplier
tubes convert the Cherenkov light into electrical signals that are acquired and
timestamped by the acquisition electronics. Each optical module houses the
acquisition electronics for collecting and timestamping the photomultiplier
signals with one nanosecond accuracy. Once finished, the two telescopes will
have installed more than six thousand optical acquisition nodes, completing one
of the more complex networks in the world in terms of operation and
synchronization. The embedded software running in the acquisition nodes has
been designed to provide a framework that will operate with different hardware
versions and functionalities. The hardware will not be accessible once in
operation, which complicates the embedded software architecture. The embedded
software provides a set of tools to facilitate remote manageability of the
deployed hardware, including safe reconfiguration of the firmware. This paper
presents the architecture and the techniques, methods and implementation of the
embedded software running in the acquisition nodes of the KM3NeT neutrino
telescopes
Prospects for combined analyses of hadronic emission from -ray sources in the Milky Way with CTA and KM3NeT
The Cherenkov Telescope Array and the KM3NeT neutrino telescopes are major
upcoming facilities in the fields of -ray and neutrino astronomy,
respectively. Possible simultaneous production of rays and neutrinos
in astrophysical accelerators of cosmic-ray nuclei motivates a combination of
their data. We assess the potential of a combined analysis of CTA and KM3NeT
data to determine the contribution of hadronic emission processes in known
Galactic -ray emitters, comparing this result to the cases of two
separate analyses. In doing so, we demonstrate the capability of Gammapy, an
open-source software package for the analysis of -ray data, to also
process data from neutrino telescopes. For a selection of prototypical
-ray sources within our Galaxy, we obtain models for primary proton and
electron spectra in the hadronic and leptonic emission scenario, respectively,
by fitting published -ray spectra. Using these models and instrument
response functions for both detectors, we employ the Gammapy package to
generate pseudo data sets, where we assume 200 hours of CTA observations and 10
years of KM3NeT detector operation. We then apply a three-dimensional binned
likelihood analysis to these data sets, separately for each instrument and
jointly for both. We find that the largest benefit of the combined analysis
lies in the possibility of a consistent modelling of the -ray and
neutrino emission. Assuming a purely leptonic scenario as input, we obtain, for
the most favourable source, an average expected 68% credible interval that
constrains the contribution of hadronic processes to the observed -ray
emission to below 15%.Comment: 18 pages, 15 figures. Submitted to journa
International lower limb collaborative (INTELLECT) study: a multicentre, international retrospective audit of lower extremity open fractures
Trauma remains a major cause of mortality and disability across the world1, with a higher burden in developing nations2. Open lower extremity injuries are devastating events from a physical3, mental health4, and socioeconomic5 standpoint. The potential sequelae, including risk of chronic infection and amputation, can lead to delayed recovery and major disability6. This international study aimed to describe global disparities, timely intervention, guideline-directed care, and economic aspects of open lower limb injuries
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