Differential and Joint Effects of Metformin and Statins on Overall Survival of Elderly Patients with Pancreatic Adenocarcinoma: A Large Population-Based Study.

Background: Published evidence indicates that individual use of metformin and statin is associated with reduced cancer mortality. However, their differential and joint effects on pancreatic cancer survival are inconclusive.Methods: We identified a large population-based cohort of 12,572 patients ages 65 years or older with primary pancreatic ductal adenocarcinoma (PDAC) diagnosed between 2008 and 2011 from the Surveillance, Epidemiology, and End Results (SEER)-Medicare-linked database. Exposure to metformin and statins was ascertained from Medicare Prescription Drug Event files. Cox proportional hazards models with time-varying covariates adjusted for propensity scores were used to assess the association while controlling for potential confounders.Results: Of 12,572 PDAC patients, 950 (7.56%) had used metformin alone, 4,506 (35.84%) had used statin alone, and 2,445 (19.45%) were dual users. Statin use was significantly associated with improved overall survival [HR, 0.94; 95% confidence interval (CI), 0.90-0.98], and survival was more pronounced in postdiagnosis statin users (HR, 0.69; 95% CI, 0.56-0.86). Metformin use was not significantly associated with overall survival (HR, 1.01; 95% CI, 0.94-1.09). No beneficial effect was observed for dual users (HR, 1.00; 95% CI, 0.95-1.05).Conclusions: Our findings suggest potential benefits of statins on improving survival among elderly PDAC patients; further prospective studies are warranted to corroborate the putative benefit of statin therapy in pancreatic cancer.Impact: Although more studies are needed to confirm our findings, our data add to the body of evidence on potential anticancer effects of statins. Cancer Epidemiol Biomarkers Prev; 26(8); 1225-32. ©2017 AACR

GraphFC: Customs Fraud Detection with Label Scarcity

Custom officials across the world encounter huge volumes of transactions. With increased connectivity and globalization, the customs transactions continue to grow every year. Associated with customs transactions is the customs fraud - the intentional manipulation of goods declarations to avoid the taxes and duties. With limited manpower, the custom offices can only undertake manual inspection of a limited number of declarations. This necessitates the need for automating the customs fraud detection by machine learning (ML) techniques. Due the limited manual inspection for labeling the new-incoming declarations, the ML approach should have robust performance subject to the scarcity of labeled data. However, current approaches for customs fraud detection are not well suited and designed for this real-world setting. In this work, we propose $\textbf{GraphFC}$ ($\textbf{Graph}$ neural networks for $\textbf{C}$ustoms $\textbf{F}$raud), a model-agnostic, domain-specific, semi-supervised graph neural network based customs fraud detection algorithm that has strong semi-supervised and inductive capabilities. With upto 252% relative increase in recall over the present state-of-the-art, extensive experimentation on real customs data from customs administrations of three different countries demonstrate that GraphFC consistently outperforms various baselines and the present state-of-art by a large margin

Adaptive computation of multiscale entropy and its application in EEG signals for monitoring depth of anesthesia during surgery

Entropy as an estimate of complexity of the electroencephalogram is an effective parameter for monitoring the depth of anesthesia (DOA) during surgery. Multiscale entropy (MSE) is useful to evaluate the complexity of signals over different time scales. However, the limitation of the length of processed signal is a problem due to observing the variation of sample entropy (SE) on different scales. In this study, the adaptive resampling procedure is employed to replace the process of coarse-graining in MSE. According to the analysis of various signals and practical EEG signals, it is feasible to calculate the SE from the adaptive resampled signals, and it has the highly similar results with the original MSE at small scales. The distribution of the MSE of EEG during the whole surgery based on adaptive resampling process is able to show the detailed variation of SE in small scales and complexity of EEG, which could help anesthesiologists evaluate the status of patients.The Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taiwan which is sponsored by National Science Council (Grant Number: NSC 100-2911-I-008-001). Also, it was supported by Chung-Shan Institute of Science & Technology in Taiwan (Grant Numbers: CSIST-095-V101 and CSIST-095-V102). Furthermore, it was supported by the National Science Foundation of China (No.50935005)

Synthetic cell lines for recombinant AAV production

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Synthetic cell lines for recombinant AAV production

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