318 research outputs found

    Exploiting the noise: improving biomarkers with ensembles of data analysis methodologies.

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    BackgroundThe advent of personalized medicine requires robust, reproducible biomarkers that indicate which treatment will maximize therapeutic benefit while minimizing side effects and costs. Numerous molecular signatures have been developed over the past decade to fill this need, but their validation and up-take into clinical settings has been poor. Here, we investigate the technical reasons underlying reported failures in biomarker validation for non-small cell lung cancer (NSCLC).MethodsWe evaluated two published prognostic multi-gene biomarkers for NSCLC in an independent 442-patient dataset. We then systematically assessed how technical factors influenced validation success.ResultsBoth biomarkers validated successfully (biomarker #1: hazard ratio (HR) 1.63, 95% confidence interval (CI) 1.21 to 2.19, P = 0.001; biomarker #2: HR 1.42, 95% CI 1.03 to 1.96, P = 0.030). Further, despite being underpowered for stage-specific analyses, both biomarkers successfully stratified stage II patients and biomarker #1 also stratified stage IB patients. We then systematically evaluated reasons for reported validation failures and find they can be directly attributed to technical challenges in data analysis. By examining 24 separate pre-processing techniques we show that minor alterations in pre-processing can change a successful prognostic biomarker (HR 1.85, 95% CI 1.37 to 2.50, P < 0.001) into one indistinguishable from random chance (HR 1.15, 95% CI 0.86 to 1.54, P = 0.348). Finally, we develop a new method, based on ensembles of analysis methodologies, to exploit this technical variability to improve biomarker robustness and to provide an independent confidence metric.ConclusionsBiomarkers comprise a fundamental component of personalized medicine. We first validated two NSCLC prognostic biomarkers in an independent patient cohort. Power analyses demonstrate that even this large, 442-patient cohort is under-powered for stage-specific analyses. We then use these results to discover an unexpected sensitivity of validation to subtle data analysis decisions. Finally, we develop a novel algorithmic approach to exploit this sensitivity to improve biomarker robustness

    Discussing an extreme mock/what-if scenario over the antarctic peninsula: the effect of intense melt on surface mass balance

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    peer reviewedThis discussion paper interprets the findings of a recent study comparing melt estimates from the regional atmospheric model MAR, those derived from Automatic Weather Stations (AWS), and microwave remote sensing images over the Antarctic Peninsula from 2019 to 2021. Our interpretation reveals a paradox: MAR overestimates melt when compared to AWS-based melt estimates, yet underestimates melt when compared to satellite imagery. This discrepancy underscores a fundamental gap in our understanding of surface processes. To illustrate the potential implications of this gap, we present a fictional (“what-if”) scenario that explores an extreme case of melting, based on parametrizations from Kittel et al., 2022, and the outliers of Dethinne et al., 2023. We examine the potential impact on the ice sheet's surface mass balance (SMB), drawing parallels with the situation in Greenland during the 1990s, where increased melt production had cascading effects on SMB. Moreover, we highlight that the presence of liquid water at the surface of the snowpack can be a precursor to significant destabilization processes over ice shelves, although this aspect is not the focus of our current paper. By opening a debate on the accuracy and interpretation of melt modeling, we aim to draw attention to the potential consequences of extreme melting events on the Antarctic Ice Sheet's SMB and stability

    Early life exposures and the risk of inflammatory bowel disease: Systematic review and meta-analyses

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    Background: Early life exposures impact immune system development and therefore the risk of immune-mediated diseases, including inflammatory bowel disease (IBD). We systematically reviewed the impact of pre-, peri‑, and postnatal exposures up to the age of five years on subsequent IBD diagnosis. Methods: We identified case-control and cohort studies reporting on the association between early life environmental factors and Crohn's disease (CD), ulcerative colitis (UC), or IBD overall. Databases were search from their inception until May 24th, 2019 until July 14th, 2020. We conducted meta-analyses for quantitative review of relevant risk factors that were comparable across studies and qualitative synthesis of the literature for a wide range of early life exposures, including maternal health and exposures during pregnancy, perinatal factors, birth month and related-factors, breastfeeding, hygiene-related factors and social factors, immigration, antibiotics, offspring health, including infections, and passive smoking. PROSPERO registration: CRD42019134980. Findings: Prenatal exposure to antibiotics (OR 1.8; 95% CI 1.2-2.5) and tobacco smoke (OR 1.5; 95% CI 1.2-1.9), and early life otitis media (OR 2.1; 95% CI 1.2-3.6) were associated with IBD. There was a trend towards an association between exposure to antibiotics in infancy and IBD (OR: 1.7, 95% CI 0.97, 2.9), supported by positive data on population-based data. Breastfeeding was protective against IBD. Other early life risk factors had no association with IBD, but data were limited and heterogenous. Interpretation: Early life is an important period of susceptibility for IBD development later in life. Tobacco smoke, infections and antibiotics were associated positively, and breastfeeding was associated negatively with IBD. Our findings offer an opportunity to develop primary prevention strategies.info:eu-repo/semantics/publishedVersio

    Monitoring and modelling landscape dynamics

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    International audienceChanges in land cover and land use are among the most pervasive and important sources of recent alterations of the Earth's land surface.This special issue also presents new directions in modelling landscape dynamics. Agent-based models have primarily been used to simulate local land use and land cover changes processes with a focus on decision making (Le 2008; Matthews et al. 2007; Parker et al. 2003; Bousquet and Le Page 2001)

    Temporal characterization of a multi-wavelength Brillouin–erbium fiber laser

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    This paper provides the first detailed temporal characterization of a multi-wavelength-Brillouin-erbium fiber laser (MWBEFL) by measuring the optical intensity of the individual frequency channels with high temporal resolution. It is found that the power in each channel is highly unstable due to the excitation of several cavity modes for typical conditions of operation. Also provided is the real-time measurements of the MWBEFL output power for two configurations that were previously reported to emit phase-locked picosecond pulse trains, concluded from their autocorrelation measurements. Real-time measurements reveal a high degree of instability without the formation of a stable pulse train. Finally, we model the MWBEFL using coupled wave equations describing the evolution of the Brillouin pump, Stokes and acoustic waves in the presence of stimulated Brillouin scattering, and the optical Kerr effect. A good qualitative consistency between the simulation and experimental results is evident, in which the interference signal at the output shows strong instability as well as the chaotic behavior due to the dynamics of participating pump and Stokes waves
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