A comprehensive study of mobility functioning information in clinical notes: Entity hierarchy, corpus annotation, and sequence labeling

Background Secondary use of Electronic Health Records (EHRs) has mostly focused on health conditions (diseases and drugs). Function is an important health indicator in addition to morbidity and mortality. Nevertheless, function has been overlooked in accessing patients’ health status. The World Health Organization (WHO)’s International Classification of Functioning, Disability and Health (ICF) is considered the international standard for describing and coding function and health states. We pioneer the first comprehensive analysis and identification of functioning concepts in the Mobility domain of the ICF. Results Using physical therapy notes at the National Institutes of Health’s Clinical Center, we induced a hierarchical order of mobility-related entities including 5 entities types, 3 relations, 8 attributes, and 33 attribute values. Two domain experts manually curated a gold standard corpus of 14,281 nested entity mentions from 400 clinical notes. Inter-annotator agreement (IAA) of exact matching averaged 92.3 % F1-score on mention text spans, and 96.6 % Cohen’s kappa on attributes assignments. A high-performance Ensemble machine learning model for named entity recognition (NER) was trained and evaluated using the gold standard corpus. Average F1-score on exact entity matching of our Ensemble method (84.90 %) outperformed popular NER methods: Conditional Random Field (80.4 %), Recurrent Neural Network (81.82 %), and Bidirectional Encoder Representations from Transformers (82.33 %). Conclusions The results of this study show that mobility functioning information can be reliably captured from clinical notes once adequate resources are provided for sequence labeling methods. We expect that functioning concepts in other domains of the ICF can be identified in similar fashion

Effect of anion type in the performance of ionic liquid/poly(vinylidene fluoride) electromechanical actuators

Low voltage actuators based on poly(vinylidene fluoride)(PVDF)with 10, 25 and 40 % 1-hexyl-3-methylimidazolium chloride ([C6mim][Cl])and 1-hexyl-3-methylimidazolium bis(trifluoromethylsulfonyl)imide ([C6mim][NTf2]) are prepared by solvent casting in order to evaluate the effect of anion size in the bending properties. Independently of the ionic liquid type and content, its presence leads to the crystallization of PVDF in the -phase. The addition of ionic liquid into the polymer matrix decreases significantly its degree of crystallinity and the elastic modulus. It is also confirmed the good miscibility between PVDF and IL,determinedby the interaction of the CF2groups from the PVDF chains with the imidazolium ring in the ionic liquid (IL). The AC conductivity of the composites depends both on the amount of ionic liquid content and anion size. The bending movement of the IL/PVDF composites is correlated to theirdegree of crystallinity, mechanical properties and ionic conductivity value and the best value of bending response (0.53 %) being found for IL/PVDF composite with40 wt% of [C6mim][Cl] at an applied voltage of 10 volts square signal.The authors thank the FCT-Fundação para a Ciência e Tecnologia-for financial support in the framework of the Strategic Funding UID/FIS/04650/2013, projects PTDC/EEI-SII/5582/2014 and PTDC/CTM-ENE/5387/2014,and grants SFRH/BD/90215/2012 (J.C.D.), SFRH/BPD/112547/2015 (C.M.C.). The authors thank Solvay for kindly supplying the high quality materials. Financial support from the Basque Government Industry Department under the ELKARTEK Program is also acknowledged.The authorsexpress their gratitude to the Ministry of the Higher Education and Scientific Research of Tunisiafor a research fellowship

Polyphasic taxonomy of Aspergillus section Fumigati and its teleomorph Neosartorya

The taxonomy of Aspergillus section Fumigati with its teleomorph genus Neosartorya is revised. The species concept is based on phenotypic (morphology and extrolite profiles) and molecular (β-tubulin and calmodulin gene sequences) characters in a polyphasic approach. Four new taxa are proposed: N. australensis N. ferenczii, N. papuaensis and N. warcupii. All newly described and accepted species are illustrated. The section consists of 33 taxa: 10 strictly anamorphic Aspergillus species and 23 Neosartorya species. Four other Neosartorya species described previously were not available for this monograph, and consequently are relegated to the category of doubtful species

Brain Complexity: Analysis, Models and Limits of Understanding

Abstract. Manifold initiatives try to utilize the operational principles of organisms and brains to develop alternative, biologically inspired computing paradigms. This paper reviews key features of the standard method applied to complexity in the cognitive and brain sciences, i.e. decompositional analysis. Projects investigating the nature of computations by cortical columns are discussed which exemplify the application of this standard method. New findings are mentioned indicating that the concept of the basic uniformity of the cortex is untenable. The claim is discussed that non-decomposability is not an intrinsic property of complex, integrated systems but is only in our eyes, due to insufficient mathematical techniques. Using Rosen’s modeling relation, the scientific analysis method itself is made a subject of discussion. It is concluded that the fundamental assumption of cognitive science, i.e., cognitive and other complex systems are decomposable, must be abandoned.