Quality of colonoscopy in an emerging country: A prospective, multicentre study in Russia

Background: The quality of colonoscopy has been related to a higher risk of interval cancer, and this issue has been addressed extensively in developed countries. The aim of our study was to explore the main quality indicators of colonoscopy in a large emerging country. Methods: Consecutive patients referred for colonoscopy in 14 centres were prospectively included between July and October 2014. Before colonoscopy, several clinical and demographic variables were collected. Main quality indicators (i.e. caecal intubation rate, (advanced) adenoma detection rate, rate of adequate cleansing and sedation) were collected. Data were analysed at per patient and per centre level (only for those with at least 100 cases). Factors associated with caecal intubation rate and adenoma detection rate were explored at multivariate analysis. Results: A total of 8829 (males: 35%; mean age: 57 + 14 years) patients were included, with 11 centres enrolling at least 100 patients. Screening (including non-alarm symptoms) accounted for 59% (5188/8829) of the indications. Sedation and split preparation were used in 26% (2294/8829) and 25% (2187/8829) of the patients. Caecal intubation was achieved in 7616 patients (86%), and it was ≥85% in 8/11 (73%) centres. Adenoma detection rate was 18% (1550/8829), and it was higher than 20% in five (45%) centres, whilst it was lower than 10% in four (33%) centres. At multivariate analysis, age (OR: 1.020, 95% CI: 1.015–1.024), male sex (OR: 1.2, 95% CI: 1.1–1.3), alarm symptoms (OR: 1.8, 95% CI: 1.7–2), split preparation (OR: 1.4, 95% CI: 1.2–1.6), caecal intubation rate (OR: 1.6, 95% CI: 1.3–1.9) and withdrawal time measurement (OR: 1.2, 95% CI: 1.6–2.1) were predictors of a higher adenoma detection rate, while adequate preparation (OR: 3.4: 95% CI: 2.9–3.9) and sedation (OR: 1.3; 95% CI: 1.1–1.6) were the strongest predictors of caecal intubation rate. Conclusions: According to our study, there is a substantial intercentre variability in the main quality indicators. Overall, the caecal intubation rate appears to be acceptable in most centres, whilst the overall level of adenoma detection appears low, with less than half of the centres being higher than 20%. Educational and quality assurance programs, including higher rates of sedation and split regimen of preparation, may be necessary to increase the key quality indicators

Rationality and the experimental study of reasoning

A survey of the results obtained during the past three decades in some of the most widely used tasks and paradigms in the experimental study of reasoning is presented. It is shown that, at first sight, human performance suffers from serious shortcomings. However, after the problems of communication between experimenter and subject are taken into account, which leads to clarify the subject's representation of the tasks, one observes a better performance, although still far from perfect. Current theories of reasoning, of which the two most prominent are very briefly outlined, agree in identifying the load in working memory as the main source of limitation in performance. Finally, a recent view on human rationality prompted by the foregoing results is described

On environment difficulty and discriminating power

The final publication is available at Springer via http://dx.doi.org/10.1007/s10458-014-9257-1This paper presents a way to estimate the difficulty and discriminating power of any task instance. We focus on a very general setting for tasks: interactive (possibly multiagent) environments where an agent acts upon observations and rewards. Instead of analysing the complexity of the environment, the state space or the actions that are performed by the agent, we analyse the performance of a population of agent policies against the task, leading to a distribution that is examined in terms of policy complexity. This distribution is then sliced by the algorithmic complexity of the policy and analysed through several diagrams and indicators. The notion of environment response curve is also introduced, by inverting the performance results into an ability scale. We apply all these concepts, diagrams and indicators to two illustrative problems: a class of agent-populated elementary cellular automata, showing how the difficulty and discriminating power may vary for several environments, and a multiagent system, where agents can become predators or preys, and may need to coordinate. Finally, we discuss how these tools can be applied to characterise (interactive) tasks and (multi-agent) environments. These characterisations can then be used to get more insight about agent performance and to facilitate the development of adaptive tests for the evaluation of agent abilities.I thank the reviewers for their comments, especially those aiming at a clearer connection with the field of multi-agent systems and the suggestion of better approximations for the calculation of the response curves. The implementation of the elementary cellular automata used in the environments is based on the library 'CellularAutomaton' by John Hughes for R [58]. I am grateful to Fernando Soler-Toscano for letting me know about their work [65] on the complexity of 2D objects generated by elementary cellular automata. I would also like to thank David L. Dowe for his comments on a previous version of this paper. This work was supported by the MEC/MINECO projects CONSOLIDER-INGENIO CSD2007-00022 and TIN 2010-21062-C02-02, GVA project PROMETEO/2008/051, the COST - European Cooperation in the field of Scientific and Technical Research IC0801 AT, and the REFRAME project, granted by the European Coordinated Research on Long-term Challenges in Information and Communication Sciences & Technologies ERA-Net (CHIST-ERA), and funded by the Ministerio de Economia y Competitividad in Spain (PCIN-2013-037).José Hernández-Orallo (2015). On environment difficulty and discriminating power. Autonomous Agents and Multi-Agent Systems. 29(3):402-454. https://doi.org/10.1007/s10458-014-9257-1S402454293Anderson, J., Baltes, J., & Cheng, C. T. (2011). Robotics competitions as benchmarks for ai research. The Knowledge Engineering Review, 26(01), 11–17.Andre, D., & Russell, S. J. (2002). State abstraction for programmable reinforcement learning agents. In Proceedings of the National Conference on Artificial Intelligence (pp. 119–125). Menlo Park, CA; Cambridge, MA; London; AAAI Press; MIT Press; 1999.Antunes, L., Fortnow, L., van Melkebeek, D., & Vinodchandran, N. V. (2006). Computational depth: Concept and applications. Theoretical Computer Science, 354(3), 391–404. Foundations of Computation Theory (FCT 2003), 14th Symposium on Fundamentals of Computation Theory 2003.Arai, K., Kaminka, G. A., Frank, I., & Tanaka-Ishii, K. (2003). Performance competitions as research infrastructure: Large scale comparative studies of multi-agent teams. Autonomous Agents and Multi-Agent Systems, 7(1–2), 121–144.Ashcraft, M. H., Donley, R. D., Halas, M. A., & Vakali, M. (1992). Chapter 8 working memory, automaticity, and problem difficulty. In Jamie I.D. Campbell (Ed.), The nature and origins of mathematical skills, volume 91 of advances in psychology (pp. 301–329). North-Holland.Ay, N., Müller, M., & Szkola, A. (2010). Effective complexity and its relation to logical depth. IEEE Transactions on Information Theory, 56(9), 4593–4607.Barch, D. M., Braver, T. S., Nystrom, L. E., Forman, S. D., Noll, D. C., & Cohen, J. D. (1997). Dissociating working memory from task difficulty in human prefrontal cortex. Neuropsychologia, 35(10), 1373–1380.Bordini, R. H., Hübner, J. F., & Wooldridge, M. (2007). Programming multi-agent systems in AgentSpeak using Jason. London: Wiley. com.Boutilier, C., Reiter, R., Soutchanski, M., Thrun, S. et al. (2000). Decision-theoretic, high-level agent programming in the situation calculus. In Proceedings of the National Conference on Artificial Intelligence (pp. 355–362). Menlo Park, CA; Cambridge, MA; London; AAAI Press; MIT Press; 1999.Busoniu, L., Babuska, R., & De Schutter, B. (2008). A comprehensive survey of multiagent reinforcement learning. IEEE Transactions on Systems, Man, and Cybernetics, Part C: Applications and Reviews, 38(2), 156–172.Chaitin, G. J. (1977). Algorithmic information theory. IBM Journal of Research and Development, 21, 350–359.Chedid, F. B. (2010). Sophistication and logical depth revisited. In 2010 IEEE/ACS International Conference on Computer Systems and Applications (AICCSA) (pp. 1–4). IEEE.Cheeseman, P., Kanefsky, B. & Taylor, W. M. (1991). Where the really hard problems are. In Proceedings of IJCAI-1991 (pp. 331–337).Dastani, M. (2008). 2APL: A practical agent programming language. Autonomous Agents and Multi-agent Systems, 16(3), 214–248.Delahaye, J. P. & Zenil, H. (2011). Numerical evaluation of algorithmic complexity for short strings: A glance into the innermost structure of randomness. Applied Mathematics and Computation, 219(1), 63–77Dowe, D. L. (2008). Foreword re C. S. Wallace. Computer Journal, 51(5), 523–560. Christopher Stewart WALLACE (1933–2004) memorial special issue.Dowe, D. L., & Hernández-Orallo, J. (2012). IQ tests are not for machines, yet. Intelligence, 40(2), 77–81.Du, D. Z., & Ko, K. I. (2011). Theory of computational complexity (Vol. 58). London: Wiley-Interscience.Elo, A. E. (1978). The rating of chessplayers, past and present (Vol. 3). London: Batsford.Embretson, S. E., & Reise, S. P. (2000). Item response theory for psychologists. London: Lawrence Erlbaum.Fatès, N. & Chevrier, V. (2010). How important are updating schemes in multi-agent systems? an illustration on a multi-turmite model. In Proceedings of the 9th International Conference on Autonomous Agents and Multiagent Systems: volume 1-Volume 1 (pp. 533–540). International Foundation for Autonomous Agents and Multiagent Systems.Ferber, J. & Müller, J. P. (1996). Influences and reaction: A model of situated multiagent systems. In Proceedings of Second International Conference on Multi-Agent Systems (ICMAS-96) (pp. 72–79).Ferrando, P. J. (2009). Difficulty, discrimination, and information indices in the linear factor analysis model for continuous item responses. Applied Psychological Measurement, 33(1), 9–24.Ferrando, P. J. (2012). Assessing the discriminating power of item and test scores in the linear factor-analysis model. Psicológica, 33, 111–139.Gent, I. P., & Walsh, T. (1994). Easy problems are sometimes hard. Artificial Intelligence, 70(1), 335–345.Gershenson, C. & Fernandez, N. (2012). Complexity and information: Measuring emergence, self-organization, and homeostasis at multiple scales. Complexity, 18(2), 29–44.Gruner, S. (2010). Mobile agent systems and cellular automata. Autonomous Agents and Multi-agent Systems, 20(2), 198–233.Hardman, D. K., & Payne, S. J. (1995). Problem difficulty and response format in syllogistic reasoning. The Quarterly Journal of Experimental Psychology, 48(4), 945–975.He, J., Reeves, C., Witt, C., & Yao, X. (2007). A note on problem difficulty measures in black-box optimization: Classification, realizations and predictability. Evolutionary Computation, 15(4), 435–443.Hernández-Orallo, J. (2000). Beyond the turing test. Journal of Logic Language & Information, 9(4), 447–466.Hernández-Orallo, J. (2000). On the computational measurement of intelligence factors. In A. Meystel (Ed.), Performance metrics for intelligent systems workshop (pp. 1–8). Gaithersburg, MD: National Institute of Standards and Technology.Hernández-Orallo, J. (2000). Thesis: Computational measures of information gain and reinforcement in inference processes. AI Communications, 13(1), 49–50.Hernández-Orallo, J. (2010). A (hopefully) non-biased universal environment class for measuring intelligence of biological and artificial systems. In M. Hutter et al. (Ed.), 3rd International Conference on Artificial General Intelligence (pp. 182–183). Atlantis Press Extended report at http://users.dsic.upv.es/proy/anynt/unbiased.pdf .Hernández-Orallo, J., & Dowe, D. L. (2010). Measuring universal intelligence: Towards an anytime intelligence test. Artificial Intelligence, 174(18), 1508–1539.Hernández-Orallo, J., Dowe, D. L., España-Cubillo, S., Hernández-Lloreda, M. V., & Insa-Cabrera, J. (2011). On more realistic environment distributions for defining, evaluating and developing intelligence. In J. Schmidhuber, K. R. Thórisson, & M. Looks (Eds.), LNAI series on artificial general intelligence 2011 (Vol. 6830, pp. 82–91). Berlin: Springer.Hernández-Orallo, J., Dowe, D. L., & Hernández-Lloreda, M. V. (2014). Universal psychometrics: Measuring cognitive abilities in the machine kingdom. Cognitive Systems Research, 27, 50–74.Hernández-Orallo, J., Insa, J., Dowe, D. L. & Hibbard, B. (2012). Turing tests with turing machines. In A. Voronkov (Ed.), The Alan Turing Centenary Conference, Turing-100, Manchester, 2012, volume 10 of EPiC Series (pp. 140–156).Hernández-Orallo, J. & Minaya-Collado, N. (1998). A formal definition of intelligence based on an intensional variant of Kolmogorov complexity. In Proceedings of International Symposium of Engineering of Intelligent Systems (EIS’98) (pp. 146–163). ICSC Press.Hibbard, B. (2009). Bias and no free lunch in formal measures of intelligence. Journal of Artificial General Intelligence, 1(1), 54–61.Hoos, H. H. (1999). Sat-encodings, search space structure, and local search performance. In 1999 International Joint Conference on Artificial Intelligence (Vol. 16, pp. 296–303).Insa-Cabrera, J., Benacloch-Ayuso, J. L., & Hernández-Orallo, J. (2012). On measuring social intelligence: Experiments on competition and cooperation. In J. Bach, B. Goertzel, & M. Iklé (Eds.), AGI, volume 7716 of lecture notes in computer science (pp. 126–135). Berlin: Springer.Insa-Cabrera, J., Dowe, D. L., España-Cubillo, S., Hernández-Lloreda, M. V., & Hernández-Orallo, J. (2011). Comparing humans and AI agents. In J. Schmidhuber, K. R. Thórisson, & M. Looks (Eds.), LNAI series on artificial general intelligence 2011 (Vol. 6830, pp. 122–132). Berlin: Springer.Knuth, D. E. (1973). Sorting and searching, volume 3 of the art of computer programming. Reading, MA: Addison-Wesley.Kotovsky, K., & Simon, H. A. (1990). What makes some problems really hard: Explorations in the problem space of difficulty. Cognitive Psychology, 22(2), 143–183.Legg, S. (2008). Machine super intelligence. PhD thesis, Department of Informatics, University of Lugano, June 2008.Legg, S., & Hutter, M. (2007). Universal intelligence: A definition of machine intelligence. Minds and Machines, 17(4), 391–444.Leonetti, M. & Iocchi, L. (2010). Improving the performance of complex agent plans through reinforcement learning. In Proceedings of the 2010 International Conference on Autonomous Agents and Multiagent Systems (Vol. 1, pp. 723–730). International Foundation for Autonomous Agents and Multiagent Systems.Levin, L. A. (1973). Universal sequential search problems. Problems of Information Transmission, 9(3), 265–266.Levin, L. A. (1986). Average case complete problems. SIAM Journal on Computing, 15, 285.Li, M., & Vitányi, P. (2008). An introduction to Kolmogorov complexity and its applications (3rd ed.). Berlin: Springer.Low, C. K., Chen, T. Y., & Rónnquist, R. (1999). Automated test case generation for bdi agents. Autonomous Agents and Multi-agent Systems, 2(4), 311–332.Madden, M. G., & Howley, T. (2004). Transfer of experience between reinforcement learning environments with progressive difficulty. Artificial Intelligence Review, 21(3), 375–398.Mellenbergh, G. J. (1994). Generalized linear item response theory. Psychological Bulletin, 115(2), 300.Michel, F. (2004). Formalisme, outils et éléments méthodologiques pour la modélisation et la simulation multi-agents. PhD thesis, Université des sciences et techniques du Languedoc, Montpellier.Miller, G. A. (1956). The magical number seven, plus or minus two: Some limits on our capacity for processing information. Psychological Review, 63(2), 81.Orponen, P., Ko, K. I., Schöning, U., & Watanabe, O. (1994). Instance complexity. Journal of the ACM (JACM), 41(1), 96–121.Simon, H. A., & Kotovsky, K. (1963). Human acquisition of concepts for sequential patterns. Psychological Review, 70(6), 534.Team, R., et al. (2013). R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing.Whiteson, S., Tanner, B., & White, A. (2010). The reinforcement learning competitions. The AI Magazine, 31(2), 81–94.Wiering, M., & van Otterlo, M. (Eds.). (2012). Reinforcement learning: State-of-the-art. Berlin: Springer.Wolfram, S. (2002). A new kind of science. Champaign, IL: Wolfram Media.Zatuchna, Z., & Bagnall, A. (2009). Learning mazes with aliasing states: An LCS algorithm with associative perception. Adaptive Behavior, 17(1), 28–57.Zenil, H. (2010). Compression-based investigation of the dynamical properties of cellular automata and other systems. Complex Systems, 19(1), 1–28.Zenil, H. (2011). Une approche expérimentale à la théorie algorithmique de la complexité. PhD thesis, Dissertation in fulfilment of the degree of Doctor in Computer Science, Université de Lille.Zenil, H., Soler-Toscano, F., Delahaye, J. P. & Gauvrit, N. (2012). Two-dimensional kolmogorov complexity and validation of the coding theorem method by compressibility. arXiv, preprint arXiv:1212.6745

Cross-Dimensional Mapping of Number, Length and Brightness by Preschool Children

Human adults in diverse cultures, children, infants, and non-human primates relate number to space, but it is not clear whether this ability reflects a specific and privileged number-space mapping. To investigate this possibility, we tested preschool children in matching tasks where the dimensions of number and length were mapped both to one another and to a third dimension, brightness. Children detected variation on all three dimensions, and they reliably performed mappings between number and length, and partially between brightness and length, but not between number and brightness. Moreover, children showed reliably better mapping of number onto the dimension of length than onto the dimension of brightness. These findings suggest that number establishes a privileged mapping with the dimension of length, and that other dimensions, including brightness, can be mapped onto length, although less efficiently. Children's adeptness at number-length mappings suggests that these two dimensions are intuitively related by the end of the preschool years