25 research outputs found
Casimir-Polder interaction of neutrons with metal or dielectric surfaces
We predict a repulsive Casimir-Polder-type dispersion interaction between a
single neutron and a metal or dielectric surface. Our model scenario assumes a
single neutron subject to an external magnetic field. Due to its intrinsic
magnetic moment, the neutron then forms a magnetisable two-level system which
can exchange virtual photons with a nearby surface. The resulting dispersion
interaction between a purely magnetic object (neutron) and a purely electric
one (surface) is found to be repulsive. Its magnitude is considerably smaller
than than the standard atom-surface Casimir-Polder force due to the magnetic
nature of the interaction and the smallness of the electron-to-neutron mass
ratio. Nevertheless, we show that it can be comparable to the gravitational
potential of the same surface.Comment: 5 pages, 3 figure
Machine learning to predict poor school performance in paediatric survivors of intensive care: a population-based cohort study
Purpose: Whilst survival in paediatric critical care has improved, clinicians lack tools capable of predicting long-term outcomes. We developed a machine learning model to predict poor school outcomes in children surviving intensive care unit (ICU). Methods: Population-based study of children < 16 years requiring ICU admission in Queensland, Australia, between 1997 and 2019. Failure to meet the National Minimum Standard (NMS) in the National Assessment Program-Literacy and Numeracy (NAPLAN) assessment during primary and secondary school was the primary outcome. Routine ICU information was used to train machine learning classifiers. Models were trained, validated and tested using stratified nested cross-validation.
Results: 13,957 childhood ICU survivors with 37,200 corresponding NAPLAN tests after a median follow-up duration of 6 years were included. 14.7%, 17%, 15.6% and 16.6% failed to meet NMS in school grades 3, 5, 7 and 9. The model demonstrated an Area Under the Receiver Operating Characteristic curve (AUROC) of 0.8 (standard deviation SD, 0.01), with 51% specificity to reach 85% sensitivity [relative Area Under the Precision Recall Curve (rel-AUPRC) 3.42, SD 0.06]. Socio-economic status, illness severity, and neurological, congenital, and genetic disorders contributed most to the predictions. In children with no comorbidities admitted between 2009 and 2019, the model achieved a AUROC of 0.77 (SD 0.03) and a rel-AUPRC of 3.31 (SD 0.42).
Conclusion: A machine learning model using data available at time of ICU discharge predicted failure to meet minimum educational requirements at school age. Implementation of this prediction tool could assist in prioritizing patients for follow-up and targeting of rehabilitative measures. Keywords: Child, Intensive care, Machine learning, Neurodevelopment, Schoo
Prediction of recovery from multiple organ dysfunction syndrome in pediatric sepsis patients.
MOTIVATION
Sepsis is a leading cause of death and disability in children globally, accounting for ∼3 million childhood deaths per year. In pediatric sepsis patients, the multiple organ dysfunction syndrome (MODS) is considered a significant risk factor for adverse clinical outcomes characterized by high mortality and morbidity in the pediatric intensive care unit. The recent rapidly growing availability of electronic health records (EHRs) has allowed researchers to vastly develop data-driven approaches like machine learning in healthcare and achieved great successes. However, effective machine learning models which could make the accurate early prediction of the recovery in pediatric sepsis patients from MODS to a mild state and thus assist the clinicians in the decision-making process is still lacking.
RESULTS
This study develops a machine learning-based approach to predict the recovery from MODS to zero or single organ dysfunction by 1 week in advance in the Swiss Pediatric Sepsis Study cohort of children with blood-culture confirmed bacteremia. Our model achieves internal validation performance on the SPSS cohort with an area under the receiver operating characteristic (AUROC) of 79.1% and area under the precision-recall curve (AUPRC) of 73.6%, and it was also externally validated on another pediatric sepsis patients cohort collected in the USA, yielding an AUROC of 76.4% and AUPRC of 72.4%. These results indicate that our model has the potential to be included into the EHRs system and contribute to patient assessment and triage in pediatric sepsis patient care.
AVAILABILITY AND IMPLEMENTATION
Code available at https://github.com/BorgwardtLab/MODS-recovery. The data underlying this article is not publicly available for the privacy of individuals that participated in the study.
SUPPLEMENTARY INFORMATION
Supplementary data are available at Bioinformatics online
Prediction of recovery from multiple organ dysfunction syndrome in pediatric sepsis patients
MOTIVATION: Sepsis is a leading cause of death and disability in children globally, accounting for ∼3 million childhood deaths per year. In pediatric sepsis patients, the multiple organ dysfunction syndrome (MODS) is considered a significant risk factor for adverse clinical outcomes characterized by high mortality and morbidity in the pediatric intensive care unit. The recent rapidly growing availability of electronic health records (EHRs) has allowed researchers to vastly develop data-driven approaches like machine learning in healthcare and achieved great successes. However, effective machine learning models which could make the accurate early prediction of the recovery in pediatric sepsis patients from MODS to a mild state and thus assist the clinicians in the decision-making process is still lacking.
RESULTS: This study develops a machine learning-based approach to predict the recovery from MODS to zero or single organ dysfunction by 1 week in advance in the Swiss Pediatric Sepsis Study cohort of children with blood-culture confirmed bacteremia. Our model achieves internal validation performance on the SPSS cohort with an area under the receiver operating characteristic (AUROC) of 79.1% and area under the precision-recall curve (AUPRC) of 73.6%, and it was also externally validated on another pediatric sepsis patients cohort collected in the USA, yielding an AUROC of 76.4% and AUPRC of 72.4%. These results indicate that our model has the potential to be included into the EHRs system and contribute to patient assessment and triage in pediatric sepsis patient care.
AVAILABILITY AND IMPLEMENTATION: Code available at https://github.com/BorgwardtLab/MODS-recovery. The data underlying this article is not publicly available for the privacy of individuals that participated in the study.
SUPPLEMENTARY INFORMATION: Supplementary data are available at Bioinformatics online
Spectroscopic effects of velocity-dependent Casimir-Polder interactions induced by parallel plates
Casimir-Polder interactions cause energy and momentum exchange between microscopic and macroscopic bodies, a process mediated by quantum fluctuations in the coupled matter-electromagnetic field system. The dynamics of such effects are yet to be experimentally investigated due to the dominance of static effects at currently attainable atomic velocities. However, Y. Guo and Z. Jacob [Opt. Express 22, 26193 (2014)] have proposed a nonstatic two-plate setup where quantum-fluctuation-mediated effects have a strong velocity-dependent resonance, leading to a giant friction force on the plates. Here a more easily realizable setup, a moving atom between two stationary plates, is analyzed within a QED framework to establish the spectroscopic Casimir-Polder effects on the atom and their velocity dependence. While no large velocity-dependent enhancement is found, expressions for the plate-induced spectroscopic effects on the atom were found and further shown to be equivalent to the Doppler-shifted static result within certain velocity constraints. A numerical analysis investigates the behavior of this system for the well-studied case of the 6D3/2→7P1/2 transition in 133Cs interacting with sapphire plates
networkGWAS: A network-based approach for genome-wide association studies in structured populations
While the search for associations between genetic markers and complex traits has discovered tens of thousands of trait-related genetic variants, the vast majority of these only explain a tiny fraction of observed phenotypic variation. One possible strategy to detect stronger associations is to aggregate the effects of several genetic markers and to test entire genes, pathways or (sub)networks of genes for association to a phenotype. The latter, network-based genome-wide association studies, in particular suffers from a huge search space and an inherent multiple testing problem. As a consequence, current approaches are either based on greedy feature selection, thereby risking that they miss relevant associations, and/or neglect doing a multiple testing correction, which can lead to an abundance of false positive findings. To address the shortcomings of current approaches of network-based genome-wide association studies, we propose networkGWAS, a computationally efficient and statistically sound approach to gene-based genome-wide association studies based on mixed models and neighborhood aggregation. It allows for population structure correction and for well-calibrated p-values, which we obtain through a block permutation scheme. networkGWAS successfully detects known or plausible associations on simulated rare variants from H. sapiens data as well as semi-simulated and real data with common variants from A. thaliana and enables the systematic combination of gene-based genome-wide association studies with biological network information
networkGWAS: a network-based approach to discover genetic associations
Motivation: While the search for associations between genetic markers and complex traits has led to the discovery of tens of thousands of trait-related genetic variants, the vast majority of these only explain a small fraction of the observed phenotypic variation. One possible strategy to overcome this while leveraging biological prior is to aggregate the effects of several genetic markers and to test entire genes, pathways or (sub)networks of genes for association to a phenotype. The latter, network-based genome-wide association studies, in particular suffer from a vast search space and an inherent multiple testing problem. As a consequence, current approaches are either based on greedy feature selection, thereby risking that they miss relevant associations, or neglect doing a multiple testing correction, which can lead to an abundance of false positive findings. Results: To address the shortcomings of current approaches of network-based genome-wide association studies, we propose networkGWAS, a computationally efficient and statistically sound approach to network-based genome-wide association studies using mixed models and neighborhood aggregation. It allows for population structure correction and for well-calibrated P-values, which are obtained through circular and degree-preserving network permutations. networkGWAS successfully detects known associations on diverse synthetic phenotypes, as well as known and novel genes in phenotypes from Saccharomycescerevisiae and Homo sapiens. It thereby enables the systematic combination of gene-based genome-wide association studies with biological network information.ISSN:1367-4803ISSN:1460-205