19 research outputs found

    Impact of caloric and dietary restriction regimens on markers of health and longevity in humans and animals: a summary of available findings

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    Considerable interest has been shown in the ability of caloric restriction (CR) to improve multiple parameters of health and to extend lifespan. CR is the reduction of caloric intake - typically by 20 - 40% of ad libitum consumption - while maintaining adequate nutrient intake. Several alternatives to CR exist. CR combined with exercise (CE) consists of both decreased caloric intake and increased caloric expenditure. Alternate-day fasting (ADF) consists of two interchanging days; one day, subjects may consume food ad libitum (sometimes equaling twice the normal intake); on the other day, food is reduced or withheld altogether. Dietary restriction (DR) - restriction of one or more components of intake (typically macronutrients) with minimal to no reduction in total caloric intake - is another alternative to CR. Many religions incorporate one or more forms of food restriction. The following religious fasting periods are featured in this review: 1) Islamic Ramadan; 2) the three principal fasting periods of Greek Orthodox Christianity (Nativity, Lent, and the Assumption); and 3) the Biblical-based Daniel Fast. This review provides a summary of the current state of knowledge related to CR and DR. A specific section is provided that illustrates related work pertaining to religious forms of food restriction. Where available, studies involving both humans and animals are presented. The review includes suggestions for future research pertaining to the topics of discussion

    Federated learning enables big data for rare cancer boundary detection.

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    Although machine learning (ML) has shown promise across disciplines, out-of-sample generalizability is concerning. This is currently addressed by sharing multi-site data, but such centralization is challenging/infeasible to scale due to various limitations. Federated ML (FL) provides an alternative paradigm for accurate and generalizable ML, by only sharing numerical model updates. Here we present the largest FL study to-date, involving data from 71 sites across 6 continents, to generate an automatic tumor boundary detector for the rare disease of glioblastoma, reporting the largest such dataset in the literature (n = 6, 314). We demonstrate a 33% delineation improvement for the surgically targetable tumor, and 23% for the complete tumor extent, over a publicly trained model. We anticipate our study to: 1) enable more healthcare studies informed by large diverse data, ensuring meaningful results for rare diseases and underrepresented populations, 2) facilitate further analyses for glioblastoma by releasing our consensus model, and 3) demonstrate the FL effectiveness at such scale and task-complexity as a paradigm shift for multi-site collaborations, alleviating the need for data-sharing

    Author Correction: Federated learning enables big data for rare cancer boundary detection.

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    10.1038/s41467-023-36188-7NATURE COMMUNICATIONS14

    Federated Learning Enables Big Data for Rare Cancer Boundary Detection

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    Although machine learning (ML) has shown promise across disciplines, out-of-sample generalizability is concerning. This is currently addressed by sharing multi-site data, but such centralization is challenging/infeasible to scale due to various limitations. Federated ML (FL) provides an alternative paradigm for accurate and generalizable ML, by only sharing numerical model updates. Here we present the largest FL study to-date, involving data from 71 sites across 6 continents, to generate an automatic tumor boundary detector for the rare disease of glioblastoma, reporting the largest such dataset in the literature (n = 6, 314). We demonstrate a 33% delineation improvement for the surgically targetable tumor, and 23% for the complete tumor extent, over a publicly trained model. We anticipate our study to: 1) enable more healthcare studies informed by large diverse data, ensuring meaningful results for rare diseases and underrepresented populations, 2) facilitate further analyses for glioblastoma by releasing our consensus model, and 3) demonstrate the FL effectiveness at such scale and task-complexity as a paradigm shift for multi-site collaborations, alleviating the need for data-sharing

    Book ReviewsRum Maniacs: Alcoholic Insanity in the Early American RepublicClassrooms and Clinics: Urban Schools and the Protection and Promotion of Child Health, 1870–1930Veiled Warriors: Allied Nurses of the First World WarKriegskrankenpflege im Ersten Weltkrieg: Das Pflegepersonal der freiwilligen Krankenpflege in den Etappen des Deutschen Kaiserreichs [Nursing Care on the Battlefield During World War I: The Voluntary Carers Behind the Front Lines of the German Empire]‘For us it was Heaven’: The Passion, Grief and Fortitude of Patience Darton: From the Spanish Civil War to Mao’s ChinaNurses and Midwives in Nazi Germany: The “Euthanasia Programs”Polio Wars: Sister Kenny and the Golden Age of American MedicinePolio Boulevard: A MemoirCold War Kids: Politics and Childhood in Postwar America, 1945–1960Nurses’ Voices from the Northern Troubles: Personal Accounts from the Front LineIndian Sisters: A History of Nursing and the State, 1907-2007The History of Professional Nursing in North Carolina, 1902–2002Active Bodies: A History of Women’s Physical Education in Twentieth-Century AmericaTransnational and Historical Perspectives on Global Health, Welfare and HumanitarianismThe Inevitable Hour: The History of Caring for Dying Patients in AmericaHealth Care for Some: Rights and Rationing in the United States Since 1930Broken Hearts: The Tangled History of Cardiac CarePain: A Political HistoryRace Unmasked: Biology and Race in the Twentieth CenturySeeking the Cure: A History of Medicine in America

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