Avoid Oversimplifications in Machine Learning: Going beyond the Class-Prediction Accuracy.

Class-prediction accuracy provides a quick but superficial way of determining classifier performance. It does not inform on the reproducibility of the findings or whether the selected or constructed features used are meaningful and specific. Furthermore, the class-prediction accuracy oversummarizes and does not inform on how training and learning have been accomplished: two classifiers providing the same performance in one validation can disagree on many future validations. It does not provide explainability in its decision-making process and is not objective, as its value is also affected by class proportions in the validation set. Despite these issues, this does not mean we should omit the class-prediction accuracy. Instead, it needs to be enriched with accompanying evidence and tests that supplement and contextualize the reported accuracy. This additional evidence serves as augmentations and can help us perform machine learning better while avoiding naive reliance on oversimplified metrics

Retinal nerve fibre layer thickness changes after pan-retinal photocoagulation in diabetic retinopathy

Diabetic retinopathy is a disease involving microangiopathic changes in response to chronic hyperglycaemia and pan retinal photocoagulation (PRP) is currently the mainstay of treatment for proliferative retinopathy. In the present study, we evaluated the effect of pan retinal photocoagulation (PRP) on retinal nerve fibre layer (RNFL) thickness in patients with diabetic retinopathy using optical coherence tomography (OCT). This was a prospective longitudinal study. Patients with Type 2 diabetes mellitus with proliferative diabetic retinopathy (PDR) or very severe non-(N)PDR requiring laser treatment were included in the study. PRP was performed by a single trained personnel. Peripapillary RNFL located 3.4 mm around the optic disc was evaluated using time-domain OCT. Examination was performed before treatment, and 2 and 4 months after laser treatment. In total, 39 subjects (39 eyes) were recruited into this study. Twenty-nine patients had PDR and 10 had very severe NPDR. Mean age was 54.97 ± 8.38 years. Male and female genders were almost equally distributed with 18 males and 21 females. Median thickness of average RNFL at baseline was 108.8 um (interquartile range [IQR] 35.3). At two months post-procedure, average RNFL thickness significantly increased to 117.4 (IQR 28.6; P = 0.006). Although, other quadrants revealed a similar trend of increasing thickness at two months but it was not significant. At 4 months post-laser treatment, RNFL thickness in all quadrants reduced to baseline levels with insignificant changes of thickness compared to prior to laser treatment. There was also no significant association between changes in RNFL thickness and HbA1c levels (P = 0.77). In conclusion, PRP causes transient thickening of the RNFL which recovers within 4 months post-laser treatment. At the same time, poor sugar control has no direct influence on the RNFL changes after PRP

Extensions of the External Validation for Checking Learned Model Interpretability and Generalizability.

We discuss the validation of machine learning models, which is standard practice in determining model efficacy and generalizability. We argue that internal validation approaches, such as cross-validation and bootstrap, cannot guarantee the quality of a machine learning model due to potentially biased training data and the complexity of the validation procedure itself. For better evaluating the generalization ability of a learned model, we suggest leveraging on external data sources from elsewhere as validation datasets, namely external validation. Due to the lack of research attractions on external validation, especially a well-structured and comprehensive study, we discuss the necessity for external validation and propose two extensions of the external validation approach that may help reveal the true domain-relevant model from a candidate set. Moreover, we also suggest a procedure to check whether a set of validation datasets is valid and introduce statistical reference points for detecting external data problems

Harmonic Reduction of a Single-Phase Multilevel Inverter Using Genetic Algorithm and Particle Swarm Optimization

Power inverter play an important role in power system especially with its capability on reducing system size and increase efficiently. The recent research trends of power electronic system are focusing on multilevel inverter topics in optimization on voltage output, reducing the total harmonics distortion, modulation technique, and switching configuration. The research emphasizes the optimization with a fundamental switching frequency method that is the optimized harmonic stepped waveform (OHSW) modulation method. The selective harmonic elimination (SHE) calculation has adapted with genetic algorithm (GA) and particle swarm optimization (PSO) in order to speed up the calculation. Both bioinspired algorithms are compared in terms of total harmonic distortion (THD) and selective harmonic elimination for both equal and unequal sources. The overall result showed that both algorithms have high accuracy in solving the nonlinear equation. However, the genetic algorithm showed better output quality in terms of selective harmonic elimination which overall no exceeding 0.4%. Particle swarm optimization shows strength in finding the best total harmonic distortion where in seven-level cascaded H-bridge multilevel inverter (m=0.8) shows 6.8% only as compared to genetic algorithm. Simulation for three-level, five-level, and seven-level for each multilevel inverter at different circumferences had been done in this research. The result draws out a conclusion where the possibility of having a filterless high-efficient inverter can be achieved

Prevalence and awareness of lower urinary tract symptoms among males in the Outpatient Clinics of Universiti Kebangsaan Malaysia Medical Centre.

This study aims to determine the prevalence of lower urinary tract symptoms (LUTS) and level of awareness among male outpatients in Universiti Kebangsaan Malaysia Medical Centre (UKMMC). A questionnaire consisting of demographic data, questions related to knowledge, attitude and practice on BPH and the International Prostate Symptom Score (IPSS) was used for this study. Uroflowmetry and bladder scan were used to evaluate the function of the urinary tract and severity of BPH. Urine dipstick was done for glycosuria, proteinuria and haematuria. A total of 220 respondents were surveyed. The prevalence of moderately and severely symptomatic LUTS was 42.7%. The most commonly reported LUTS were nocturia (78.2%), frequency (58.2%) and incomplete emptying (44.6%). The prevalence of glycosuria, proteinuria and haematuria were 23.6%, 11.4% and 1.8% respectively. There was a significant association between increasing age with the severity of LUTS (p=0.005). Out of 102 respondents with voided urine volume greater than 150 mL, there was a significant decrease in maximum (Qmax) (p=0.039) and average (Qave) urine flow rates with every 10 years increase of age (p=0.001). The majority of respondents (59.5%) have heard of BPH before. Over 78.2% of the respondents would seek medical attention if they have LUTS with 15.9% saying they would seek traditional treatment. In conclusion, the prevalence of LUTS was high and the level of awareness was satisfactory

Predictive direct power control for dual-active-bridge multilevel inverter based on conservative power theory

This paper explores the feasibility of multilevel dual-active bridge-inverter (DABMI) applications for grid-connected applications of a modern Model of Predictive Direct Power Control (MPDPC) based on the conservative power theory (CPT). In the case of unbalanced grid voltages, the objective of the study is to promote continued active and reactive energy in MPDPC without reducing effciency such as transient response and current harmonics. The nature of the instantaneous p-q theory permits only one out of three control targets to be fulfilled. The proposed control approached directly regulates the instantaneous active and reactive power to achieve three particular control objectives namely sinusoidal and symmetrical grid current, cancelling twice of fundamental grid frequency reactive power ripples, and removing twice grid frequency active power ripple. The techniques of complicated Grid part sequence extraction are unnecessary and improved at no extra expense, as is the case with current MPDPC fault-tolerant approaches. The instantaneous power at the next sampling instant is predicted with the newly developed discrete-time model. Each possible switching state will then be evaluated in the cost function defined until the optimal state which lead to the minimum power errors is determined. In MATLAB/Simulink simulation, the proposed CPT-based MPDPC measures reliability and performance at balanced and unbalanced grid voltages then compared with the conventional and existing MPDPC The proposed method manages to achieve all of three control targets which generates sinusoidal grid currents and attenuates active and reactive power ripple of twice the grid frequency exactly at the same time without losing its critical effciency including transient reaction and current harmonics

Genome-wide conserved consensus transcription factor binding motifs are hyper-methylated.

BACKGROUND: DNA methylation can regulate gene expression by modulating the interaction between DNA and proteins or protein complexes. Conserved consensus motifs exist across the human genome ("predicted transcription factor binding sites": "predicted TFBS") but the large majority of these are proven by chromatin immunoprecipitation and high throughput sequencing (ChIP-seq) not to be biological transcription factor binding sites ("empirical TFBS"). We hypothesize that DNA methylation at conserved consensus motifs prevents promiscuous or disorderly transcription factor binding. RESULTS: Using genome-wide methylation maps of the human heart and sperm, we found that all conserved consensus motifs as well as the subset of those that reside outside CpG islands have an aggregate profile of hyper-methylation. In contrast, empirical TFBS with conserved consensus motifs have a profile of hypo-methylation. 40% of empirical TFBS with conserved consensus motifs resided in CpG islands whereas only 7% of all conserved consensus motifs were in CpG islands. Finally we further identified a minority subset of TF whose profiles are either hypo-methylated or neutral at their respective conserved consensus motifs implicating that these TF may be responsible for establishing or maintaining an un-methylated DNA state, or whose binding is not regulated by DNA methylation. CONCLUSIONS: Our analysis supports the hypothesis that at least for a subset of TF, empirical binding to conserved consensus motifs genome-wide may be controlled by DNA methylation.RIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are

After the colonial: Tina Rimmer the Borneon artist

James Williamson in his 2nd edition of A Short History of British Expansion (1931) drew his readers attention to the dwindling numbers of European colonials particularly the British colonials in the colonies which numbered 1.5 million in 1921 and then 1.4 million in December 192715. Imperialism was at its closure after the world war and the world was in depression. Those who lived after the war returned home even those who were at the fringes of the British colonies. This article explores the social transformation of post imperial colonials who did not return after imperialism especially in the fringes of non-white former colonies like the North Borneo of Malaysia. The question that begs is the resistance or insistence of the imperial mindset of these colonials who did not return home after imperialism. Since there are few who are still alive to answer this question, the one important respondent that has been identified in this research is Tina Rimmer or Mary Christina Rimmer née Lewin, a much loved Borneo[n] artist who  will turn a 100 in August 20171

Harnessing technology and molecular analysis to understand the development of cardiovascular diseases in Asia: a prospective cohort study (SingHEART)

BACKGROUND: Cardiovascular disease (CVD) imposes much mortality and morbidity worldwide. The use of "deep learning", advancements in genomics, metabolomics, proteomics and devices like wearables have the potential to unearth new insights in the field of cardiology. Currently, in Asia, there are no studies that combine the use of conventional clinical information with these advanced technologies. We aim to harness these new technologies to understand the development of cardiovascular disease in Asia. METHODS: Singapore is a multi-ethnic country in Asia with well-represented diverse ethnicities including Chinese, Malays and Indians. The SingHEART study is the first technology driven multi-ethnic prospective population-based study of healthy Asians. Healthy male and female subjects aged 21-69 years old without any prior cardiovascular disease or diabetes mellitus will be recruited from the general population. All subjects are consented to undergo a detailed on-line questionnaire, basic blood investigations, resting and continuous electrocardiogram and blood pressure monitoring, activity and sleep tracking, calcium score, cardiac magnetic resonance imaging, whole genome sequencing and lipidomic analysis. Outcomes studied will include mortality and cause of mortality, myocardial infarction, stroke, malignancy, heart failure, and the development of co-morbidities. DISCUSSION: An initial target of 2500 patients has been set. From October 2015 to May 2017, an initial 683 subjects have been recruited and have completed the initial work-up the SingHEART project is the first contemporary population-based study in Asia that will include whole genome sequencing and deep phenotyping: including advanced imaging and wearable data, to better understand the development of cardiovascular disease across different ethnic groups in Asia