125 research outputs found

    Development of Query Strategies to Identify a Histologic Lymphoma Subtype in a Large Linked Database System

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    Background: Large linked databases (LLDB) represent a novel resource for cancer outcomes research. However, accurate means of identifying a patient population of interest within these LLDBs can be challenging. Our research group developed a fully integrated platform that provides a means of combining independent legacy databases into a single cancer-focused LLDB system. We compared the sensitivity and specifi city of several SQL-based query strategies for identifying a histologic lymphoma subtype in this LLDB to determine the most accurate legacy data source for identifying a specifi c cancer patient population.Methods: Query strategies were developed to identify patients with follicular lymphoma from a LLDB of cancer registry data, electronic medical records (EMR), laboratory, administrative, pharmacy, and other clinical data. Queries were performed using common diagnostic codes (ICD-9), cancer registry histology codes (ICD-O), and text searches of EMRs. We reviewed medical records and pathology reports to confirm each diagnosis and calculated the sensitivity and specificity for each query strategy.Results: Together the queries identified 1538 potential cases of follicular lymphoma. Review of pathology and other medical reports confirmed 415 cases of follicular lymphoma, 300 pathology-verifi ed and 115 verified from other medical reports. The query using ICD-O codes was highly specific (96%). Queries using text strings varied in sensitivity (range 7ā€“92%) and specifi city (range 86ā€“99%). Queries using ICD-9 codes were both less sensitive (34ā€“44%) and specific (35ā€“87%).Conclusions: Queries of linked-cancer databases that include cancer registry data should utilize ICD-O codes or employ structured free-text searches to identify patient populations with a precise histologic diagnosis.Abbreviations: LLDB: Large Linked Database; SEER: Surveillance Epidemiology and End Results; EMR: Electronic Medical Record; ICD-9: International Classifi cation of Diseases (9th revision); ICD-O: International Classifi cation of Diseases for Oncology; AP: Anatomical Pathology; WHO: World Health Organization

    Termolecular ion-atom association

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    Ph.D.MR Flanner

    XSim version 2: simulation of modern breeding programs

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    AbstractSimulation can be an efficient approach to design, evaluate, and optimize breeding programs. In the era of modern agriculture, breeding programs can benefit from a simulator that integrates various sources of big data and accommodates state-of-the-art statistical models. The initial release of XSim, in which stochastic descendants can be efficiently simulated with a drop-down strategy, has mainly been used to validate genomic selection results. In this article, we present XSim Version 2 that is an open-source tool and has been extensively redesigned with additional features to meet the needs in modern breeding programs. It seamlessly incorporates multiple statistical models for genetic evaluations, such as GBLUP, Bayesian alphabets, and neural networks, and it can effortlessly simulate successive generations of descendants based on complex mating schemes by the aid of its modular design. Case studies are presented to demonstrate the flexibility of XSim Version 2 in simulating crossbreeding in animal and plant populations. Modern biotechnology, including double haploids and embryo transfer, can all be simultaneously integrated into the mating plans that drive the simulation. From a computing perspective, XSim Version 2 is implemented in Julia, which is a computer language that retains the readability of scripting languages (e.g. R and Python) without sacrificing much computational speed compared to compiled languages (e.g. C). This makes XSim Version 2 a simulation tool that is relatively easy for both champions and community members to maintain, modify, or extend in order to improve their breeding programs. Functions and operators are overloaded for a better user interface so they may concatenate, subset, summarize, and organize simulated populations at each breeding step. With the strong and foreseeable demands in the community, XSim Version 2 will serve as a modern simulator bridging the gaps between theories and experiments with its flexibility, extensibility, and friendly interface
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