1,375 research outputs found
P298 Comparison between clinical and patient-reported symptoms among Crohn's disease and ulcerative colitis patients
Background: There is no symptom-based patient-reported outcomes (PRO) measurement available in IBD. Disease scores contain a mixture of PRO and physician's observations and have shown serious limitations in clinical trials. Comparison between healthcare professionals (HCP) and patient (P) reports on scores' items is a first step toward disease scores refinement. In our IBD cohort study, we were able to collect P and HCP-reported symptoms independently. We assessed the agreement between both measures, and tested the correlation between the general well-being item (GWB) and two health-related quality of life (HRQoL) measures.
Methods: Between 2012 and 2015, we collected CDAI and MTWAI items 1) during follow-up medical visits, 2) through P self-reported follow-up questionnaire, except lab values. We compared items independently reported by HCP and P, stratified by diagnostic and Δt HCP-P reports. We calculated the Cohen's kappa (κ) statistic for agreement. A quadratic weight was applied for more severely serious disagreements. For EIM & complications, we computed a pooled κ based on the average between observed and expected probability of agreement over sub-items. A pooled κ was computed to summarize agreement over all examined variables. We also collected SF-36 and IBDQ scores. Pearson correlation coefficients r were calculated between both scores and GWB reports of HCP and P.
Results: 2427 reports could be evaluated (Δt: 537<1 month, 390 1–2, 1500 2–6), referring to 1385 patients (52% females, 58% CD)
Near-infrared oxygen airglow from the Venus nightside
Groundbased imaging and spectroscopic observations of Venus reveal intense near-infrared oxygen airglow emission from the upper atmosphere and provide new constraints on the oxygen photochemistry and dynamics near the mesopause (approximately 100 km). Atomic oxygen is produced by the Photolysis of CO2 on the dayside of Venus. These atoms are transported by the general circulation, and eventually recombine to form molecular oxygen. Because this recombination reaction is exothermic, many of these molecules are created in an excited state known as O2(delta-1). The airglow is produced as these molecules emit a photon and return to their ground state. New imaging and spectroscopic observations acquired during the summer and fall of 1991 show unexpected spatial and temporal variations in the O2(delta-1) airglow. The implications of these observations for the composition and general circulation of the upper venusian atmosphere are not yet understood but they provide important new constraints on comprehensive dynamical and chemical models of the upper mesosphere and lower thermosphere of Venus
Organisation spatiale des sites de repos des sangliers en milieu méditerranéen.
En France, malgré la diversité des paysages, le sanglier est présent dans tous les départements. Tous les milieux aussi contrastés qu'ils soient (forêt, bocage, Camargue, garrigue etc...). Le développement des populations méditerranéennes a surtout été spectaculaire dans les garrigues à chêne vert du fait du vieillissement des peuplements et donc d'une augmentation de la nourriture liée à une production plus massive de glands. Le suivi rapproché d'individus par télémétrie a permis de montrer la sédentarité de cette espèce avec un attachement au domaine vital de naissance et a permis de mettre en évidence un choix quant à la structure de la végétation abritant les zones à bauges
Information Needs and Concerns of Patients with Inflammatory Bowel Disease: What Can We Learn from Participants in a Bilingual Clinical Cohort?
BACKGROUND: Inflammatory Bowel Disease (IBD) patients are confronted with needs and concerns related to their disease.
AIM: To explore information expectations of patients included in a national bilingual IBD cohort in Switzerland (SIBDC).
METHODS: This is a mixed-methods study, comprising 1) a semi-narrative survey sent to 1506 patients from the SIBDC and 2) two focus groups conducted with 14 patients to explore and assess the relevance of the survey's findings. Data collected within the framework of the SIBDC was used to characterize survey's responders.
RESULTS: 728 patients (48%) replied to the survey: 52.5% females, 56% Crohn's disease (CD), 87% secondary/tertiary level educated, 70% full/part-time employed. On average, 47% of patients sought for information, regardless of the disease stage; 27% of them were dissatisfied with information received at the time of first symptoms. During flares, 43% were concerned about drugs and therapies; in remission, 57% had concerns on research and developments; 27% searched for information linked to daily disease management. Information-seeking increased when active disease, for CD with high levels of perceived stress (OR = 2.47; p = 0.003), and for all with higher posttraumatic stress symptoms. The focus groups confirmed a perceived lack of information about general functioning, disease course, treatments and their risks, extra-intestinal symptoms and manifestations.
CONCLUSIONS: Information remains insufficient for IBD patients. Lack of information in specific domains can potentially cause stress and hinder detection of symptoms. Better information should be considered as a potentially important component in improving patients' outcomes in IBD
Extreme State Aggregation Beyond MDPs
We consider a Reinforcement Learning setup where an agent interacts with an
environment in observation-reward-action cycles without any (esp.\ MDP)
assumptions on the environment. State aggregation and more generally feature
reinforcement learning is concerned with mapping histories/raw-states to
reduced/aggregated states. The idea behind both is that the resulting reduced
process (approximately) forms a small stationary finite-state MDP, which can
then be efficiently solved or learnt. We considerably generalize existing
aggregation results by showing that even if the reduced process is not an MDP,
the (q-)value functions and (optimal) policies of an associated MDP with same
state-space size solve the original problem, as long as the solution can
approximately be represented as a function of the reduced states. This implies
an upper bound on the required state space size that holds uniformly for all RL
problems. It may also explain why RL algorithms designed for MDPs sometimes
perform well beyond MDPs.Comment: 28 LaTeX pages. 8 Theorem
Holonomic functions of several complex variables and singularities of anisotropic Ising n-fold integrals
Lattice statistical mechanics, often provides a natural (holonomic) framework
to perform singularity analysis with several complex variables that would, in a
general mathematical framework, be too complex, or could not be defined.
Considering several Picard-Fuchs systems of two-variables "above" Calabi-Yau
ODEs, associated with double hypergeometric series, we show that holonomic
functions are actually a good framework for actually finding the singular
manifolds. We, then, analyse the singular algebraic varieties of the n-fold
integrals , corresponding to the decomposition of the magnetic
susceptibility of the anisotropic square Ising model. We revisit a set of
Nickelian singularities that turns out to be a two-parameter family of elliptic
curves. We then find a first set of non-Nickelian singularities for and , that also turns out to be rational or ellipic
curves. We underline the fact that these singular curves depend on the
anisotropy of the Ising model. We address, from a birational viewpoint, the
emergence of families of elliptic curves, and of Calabi-Yau manifolds on such
problems. We discuss the accumulation of these singular curves for the
non-holonomic anisotropic full susceptibility.Comment: 36 page
Post-critical set and non existence of preserved meromorphic two-forms
We present a family of birational transformations in depending on
two, or three, parameters which does not, generically, preserve meromorphic
two-forms. With the introduction of the orbit of the critical set (vanishing
condition of the Jacobian), also called ``post-critical set'', we get some new
structures, some "non-analytic" two-form which reduce to meromorphic two-forms
for particular subvarieties in the parameter space. On these subvarieties, the
iterates of the critical set have a polynomial growth in the \emph{degrees of
the parameters}, while one has an exponential growth out of these subspaces.
The analysis of our birational transformation in is first carried out
using Diller-Favre criterion in order to find the complexity reduction of the
mapping. The integrable cases are found. The identification between the
complexity growth and the topological entropy is, one more time, verified. We
perform plots of the post-critical set, as well as calculations of Lyapunov
exponents for many orbits, confirming that generically no meromorphic two-form
can be preserved for this mapping. These birational transformations in ,
which, generically, do not preserve any meromorphic two-form, are extremely
similar to other birational transformations we previously studied, which do
preserve meromorphic two-forms. We note that these two sets of birational
transformations exhibit totally similar results as far as topological
complexity is concerned, but drastically different results as far as a more
``probabilistic'' approach of dynamical systems is concerned (Lyapunov
exponents). With these examples we see that the existence of a preserved
meromorphic two-form explains most of the (numerical) discrepancy between the
topological and probabilistic approach of dynamical systems.Comment: 34 pages, 7 figure
Private Incremental Regression
Data is continuously generated by modern data sources, and a recent challenge
in machine learning has been to develop techniques that perform well in an
incremental (streaming) setting. In this paper, we investigate the problem of
private machine learning, where as common in practice, the data is not given at
once, but rather arrives incrementally over time.
We introduce the problems of private incremental ERM and private incremental
regression where the general goal is to always maintain a good empirical risk
minimizer for the history observed under differential privacy. Our first
contribution is a generic transformation of private batch ERM mechanisms into
private incremental ERM mechanisms, based on a simple idea of invoking the
private batch ERM procedure at some regular time intervals. We take this
construction as a baseline for comparison. We then provide two mechanisms for
the private incremental regression problem. Our first mechanism is based on
privately constructing a noisy incremental gradient function, which is then
used in a modified projected gradient procedure at every timestep. This
mechanism has an excess empirical risk of , where is the
dimensionality of the data. While from the results of [Bassily et al. 2014]
this bound is tight in the worst-case, we show that certain geometric
properties of the input and constraint set can be used to derive significantly
better results for certain interesting regression problems.Comment: To appear in PODS 201
Fuchs versus Painlev\'e
We briefly recall the Fuchs-Painlev\'e elliptic representation of Painlev\'e
VI. We then show that the polynomiality of the expressions of the correlation
functions (and form factors) in terms of the complete elliptic integral of the
first and second kind,
and , is a straight consequence of the fact that the differential
operators corresponding to the entries of Toeplitz-like determinants, are
equivalent to the second order operator which has as solution (or,
for off-diagonal correlations to the direct sum of and ). We show
that this can be generalized, mutatis mutandis, to the anisotropic Ising model.
The singled-out second order linear differential operator being replaced
by an isomonodromic system of two third-order linear partial differential
operators associated with , the Jacobi's form of the complete elliptic
integral of the third kind (or equivalently two second order linear partial
differential operators associated with Appell functions, where one of these
operators can be seen as a deformation of ). We finally explore the
generalizations, to the anisotropic Ising models, of the links we made, in two
previous papers, between Painlev\'e non-linear ODE's, Fuchsian linear ODE's and
elliptic curves. In particular the elliptic representation of Painlev\'e VI has
to be generalized to an ``Appellian'' representation of Garnier systems.Comment: Dedicated to the : Special issue on Symmetries and Integrability of
Difference Equations, SIDE VII meeting held in Melbourne during July 200
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