40 research outputs found

    Assessing the impact of COVID-19 on liver cancer management (CERO-19)

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    Background & Aims: The coronavirus disease 2019 (COVID-19) pandemic has posed unprecedented challenges to healthcare systems and it may have heavily impacted patients with liver cancer (LC). Herein, we evaluated whether the schedule of LC screening or procedures has been interrupted or delayed because of the COVID-19 pandemic. Methods: An international survey evaluated the impact of the COVID-19 pandemic on clinical practice and clinical trials from March 2020 to June 2020, as the first phase of a multicentre, international, and observational project. The focus was on patients with hepatocellular carcinoma or intrahepatic cholangiocarcinoma, cared for around the world during the first COVID-19 pandemic wave. Results: Ninety-one centres expressed interest to participate and 76 were included in the analysis, from Europe, South America, North America, Asia, and Africa (73.7%,17.1%, 5.3%, 2.6%, and 1.3% per continent, respectively). Eighty-seven percent of the centres modified their clinical practice: 40.8% the diagnostic procedures, 80.9% the screening programme, 50% cancelled curative and/or palliative treatments for LC, and 41.7% modified the liver transplantation programme. Forty-five out of 69 (65.2%) centres in which clinical trials were running modified their treatments in that setting, but 58.1% were able to recruit new patients. The phone call service was modified in 51.4% of centres which had this service before the COVID-19 pandemic (n = 19/37). Conclusions: The first wave of the COVID-19 pandemic had a tremendous impact on the routine care of patients with liver cancer. Modifications in screening, diagnostic, and treatment algorithms may have significantly impaired the outcome of patients. Ongoing data collection and future analyses will report the benefits and disadvantages of the strategies imple mented, aiding future decision-making

    FMAP: Distributed Cooperative Multi-Agent Planning

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    This paper proposes FMAP (Forward Multi-Agent Planning), a fully-distributed multi-agent planning method that integrates planning and coordination. Although FMAP is specifically aimed at solving problems that require cooperation among agents, the flexibility of the domain-independent planning model allows FMAP to tackle multi-agent planning tasks of any type. In FMAP, agents jointly explore the plan space by building up refinement plans through a complete and flexible forward-chaining partial-order planner. The search is guided by h D T G , a novel heuristic function that is based on the concepts of Domain Transition Graph and frontier state and is optimized to evaluate plans in distributed environments. Agents in FMAP apply an advanced privacy model that allows them to adequately keep private information while communicating only the data of the refinement plans that is relevant to each of the participating agents. Experimental results show that FMAP is a general-purpose approach that efficiently solves tightly-coupled domains that have specialized agents and cooperative goals as well as loosely-coupled problems. Specifically, the empirical evaluation shows that FMAP outperforms current MAP systems at solving complex planning tasks that are adapted from the International Planning Competition benchmarks.This work has been partly supported by the Spanish MICINN under projects Consolider Ingenio 2010 CSD2007-00022 and TIN2011-27652-C03-01, the Valencian Prometeo project II/2013/019, and the FPI-UPV scholarship granted to the first author by the Universitat Politecnica de Valencia.Torreño Lerma, A.; Onaindia De La Rivaherrera, E.; Sapena Vercher, O. (2014). FMAP: Distributed Cooperative Multi-Agent Planning. Applied Intelligence. 41(2):606-626. https://doi.org/10.1007/s10489-014-0540-2S606626412Benton J, Coles A, Coles A (2012) Temporal planning with preferences and time-dependent continuous costs. In: Proceedings of the 22nd international conference on automated planning and scheduling (ICAPS). AAAI, pp 2–10Borrajo D. (2013) Multi-agent planning by plan reuse. In: Proceedings of the 12th international conference on autonomous agents and multi-agent systems (AAMAS). IFAAMAS, pp 1141–1142Boutilier C, Brafman R (2001) Partial-order planning with concurrent interacting actions. J Artif Intell Res 14(105):136Brafman R, Domshlak C (2008) From one to many: planning for loosely coupled multi-agent systems. In: Proceedings of the 18th international conference on automated planning and scheduling (ICAPS). AAAI, pp 28–35Brenner M, Nebel B (2009) Continual planning and acting in dynamic multiagent environments. J Auton Agents Multiagent Syst 19(3):297–331Bresina J, Dearden R, Meuleau N, Ramakrishnan S, Smith D, Washington R (2002) Planning under continuous time and resource uncertainty: a challenge for AI. In: Proceedings of the 18th conference on uncertainty in artificial intelligence (UAI). Morgan Kaufmann, pp 77–84Cox J, Durfee E (2009) Efficient and distributable methods for solving the multiagent plan coordination problem. Multiagent Grid Syst 5(4):373–408Crosby M, Rovatsos M, Petrick R (2013) Automated agent decomposition for classical planning. In: Proceedings of the 23rd international conference on automated planning and scheduling (ICAPS). AAAI, pp 46–54Dimopoulos Y, Hashmi MA, Moraitis P (2012) μ-satplan: Multi-agent planning as satisfiability. Knowl-Based Syst 29:54–62Fikes R, Nilsson N (1971) STRIPS: a new approach to the application of theorem proving to problem solving. Artif Intell 2(3):189–208Gerevini A, Haslum P, Long D, Saetti A, Dimopoulos Y (2009) Deterministic planning in the fifth international planning competition: PDDL3 and experimental evaluation of the planners. Artif Intell 173(5-6):619–668Ghallab M, Nau D, Traverso P (2004) Automated planning. Theory and practice. Morgan KaufmannGünay A, Yolum P (2013) Constraint satisfaction as a tool for modeling and checking feasibility of multiagent commitments. Appl Intell 39(3):489–509Helmert M (2004) A planning heuristic based on causal graph analysis. In: Proceedings of the 14th international conference on automated planning and scheduling ICAPS. AAAI, pp 161–170Hoffmann J, Nebel B (2001) The FF planning system: fast planning generation through heuristic search. J Artif Intell Res 14:253–302Jannach D, Zanker M (2013) Modeling and solving distributed configuration problems: a CSP-based approach. IEEE Trans Knowl Data Eng 25(3):603–618Jonsson A, Rovatsos M (2011) Scaling up multiagent planning: a best-response approach. In: Proceedings of the 21st international conference on automated planning and scheduling (ICAPS). AAAI, pp 114–121Kala R, Warwick K (2014) Dynamic distributed lanes: motion planning for multiple autonomous vehicles. Appl Intell:1–22Koehler J, Ottiger D (2002) An AI-based approach to destination control in elevators. AI Mag 23(3):59–78Kovacs DL (2011) Complete BNF description of PDDL3.1. Technical reportvan der Krogt R (2009) Quantifying privacy in multiagent planning. Multiagent Grid Syst 5(4):451–469Kvarnström J (2011) Planning for loosely coupled agents using partial order forward-chaining. In: Proceedings of the 21st international conference on automated planning and scheduling (ICAPS). AAAI, pp 138–145Lesser V, Decker K, Wagner T, Carver N, Garvey A, Horling B, Neiman D, Podorozhny R, Prasad M, Raja A et al (2004) Evolution of the GPGP/TAEMS domain-independent coordination framework. Auton Agents Multi-Agent Syst 9(1–2):87–143Long D, Fox M (2003) The 3rd international planning competition: results and analysis. J Artif Intell Res 20:1–59Nissim R, Brafman R, Domshlak C (2010) A general, fully distributed multi-agent planning algorithm. In: Proceedings of the 9th international conference on autonomous agents and multiagent systems (AAMAS). IFAAMAS, pp 1323–1330O’Brien P, Nicol R (1998) FIPA - towards a standard for software agents. BT Tech J 16(3):51–59Öztürk P, Rossland K, Gundersen O (2010) A multiagent framework for coordinated parallel problem solving. Appl Intell 33(2):132–143Pal A, Tiwari R, Shukla A (2013) Communication constraints multi-agent territory exploration task. Appl Intell 38(3):357–383Richter S, Westphal M (2010) The LAMA planner: guiding cost-based anytime planning with landmarks. J Artif Intell Res 39(1):127–177de la Rosa T, García-Olaya A, Borrajo D (2013) A case-based approach to heuristic planning. Appl Intell 39(1):184–201Sapena O, Onaindia E (2008) Planning in highly dynamic environments: an anytime approach for planning under time constraints. Appl Intell 29(1):90–109Sapena O, Onaindia E, Garrido A, Arangú M (2008) A distributed CSP approach for collaborative planning systems. Eng Appl Artif Intell 21(5):698–709Serrano E, Such J, Botía J, García-Fornes A (2013) Strategies for avoiding preference profiling in agent-based e-commerce environments. Appl Intell:1–16Smith D, Frank J, Jónsson A (2000) Bridging the gap between planning and scheduling. Knowl Eng Rev 15(1):47–83Such J, García-Fornes A, Espinosa A, Bellver J (2012) Magentix2: a privacy-enhancing agent platform. Eng Appl Artif Intell:96–109Tonino H, Bos A, de Weerdt M, Witteveen C (2002) Plan coordination by revision in collective agent based systems. Artif Intell 142(2):121–145Torreño A, Onaindia E, Sapena O (2012) An approach to multi-agent planning with incomplete information. In: Proceedings of the 20th European conference on artificial intelligence (ECAI), vol 242. IOS Press, pp 762–767Torreño A, Onaindia E, Sapena O (2014) A flexible coupling approach to multi-agent planning under incomplete information. Knowl Inf Syst 38(1):141–178Van Der Krogt R, De Weerdt M (2005) Plan repair as an extension of planning. In: Proceedings of the 15th international conference on automated planning and scheduling (ICAPS). AAAI, pp 161–170de Weerdt M, Clement B (2009) Introduction to planning in multiagent systems. Multiagent Grid Syst 5(4):345– 355Yokoo M, Durfee E, Ishida T, Kuwabara K (1998) The distributed constraint satisfaction problem: formalization and algorithms. IEEE Trans Knowl Data Eng 10(5):673–685Zhang J, Nguyen X, Kowalczyk R (2007) Graph-based multi-agent replanning algorithm. In: Proceedings of the 6th international joint conference conference on autonomous agents and multiagent systems (AAMAS). IFAAMAS, pp 798–80

    High Sensitivity C Reactive Protein in Patients with Rheumatoid Arthritis Treated with Antibodies against IL-6 or Jak Inhibitors: A Clinical and Ultrasonographic Study

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    Background: We examined whether high-sensitivity CRP (hsCRP) reflected the inflammatory disease status evaluated by clinical and ultrasound (US) parameters in RA patients receiving IL-6 receptor antibodies (anti-IL-6R) or JAK inhibitors (JAKi). Methods: We conducted a cross-sectional study of patients with established RA receiving anti-IL-6R (tocilizumab, sarilumab) or JAKi (tofacitinib, baricitinib). Serum hsCRP and US synovitis in both hands were measured. Associations between hsCRP and clinical inflammatory activity were evaluated using composite activity indices. The association between hsCRP and US synovitis was analyzed. Results: 63 (92% female) patients (42 anti- IL-6R and 21 JAKi) were included, and the median disease duration was 14.4 (0.2–37.5) years. Most patients were in remission or had low levels of disease. Overall hsCRP values were very low, and significantly lower in anti-IL-6R patients (median 0.04 mg/dL vs. 0.16 mg/dL). Anti-IL-6R (82.4%) patients and 48% of JAKi patients had very low hsCRP levels (≤0.1 mg/dL) (p = 0.002). In the anti-IL-6R group, hsCRP did not correlate with the composite activity index or US synovitis. In the JAKi group, hsCRP moderately correlated with US parameters (r = 0.5) but not clinical disease activity, and hsCRP levels were higher in patients with US synovitis (0.02 vs. 0.42 mg/dL) (p = 0.001). Conclusion: In anti-IL-6R RA-treated patients, hsCRP does not reflect the inflammatory disease state, but in those treated with JAKi, hsCRP was associated with US synovitis

    Imaging Findings in Patients with Immune Checkpoint Inhibitor-Induced Arthritis

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    Immune checkpoint inhibitor (ICI)-induced arthritis is an increasingly recognized adverse event in patients with oncologic disease during immunotherapy. Four patterns are well described, including rheumatoid arthritis (RA)-like, polymyalgia rheumatica (PMR)-like, psoriatic arthritis (PsA)-like, and oligo-monoarthritis, among others. Despite better clinical recognition of these syndromes, information about the main imaging findings is limited. Methods: We conducted a retrospective observational study including all adult patients referred to the Rheumatology Department of a single-center due to ICI-induced arthritis who underwent imaging studies [ultrasound (US), magnetic resonance imaging (MRI), and (18)F-FDG PET/CT)] between January 2017 and January 2022. Results: Nineteen patients with ICI-induced arthritis with at least one diagnostic imaging assessment were identified (15 US, 4 MRI, 2 (18)F-FDG PET/CT). Most patients were male (84.2%), with a median age at inclusion of 73 years. The main underlying diagnoses for ICI treatment were melanoma in five cases. The distribution of ICI-induced arthritis was as follows: PMR-like (5, 26.2%), RA-like (4, 21.1%), PsA-like (4, 21.1%), and others (6, 31.6%). All RA-like patients had US findings indistinguishable from conventional RA patients. In addition, 3/5 (60%) of PMR-like patients had significant involvement of the hands and wrists. Abnormal findings on MRI or PET-CT were reported by clinical symptoms. No erosions or myofascitis were seen. Conclusions: ICI-induced arthritis patients present inflammatory patterns on imaging studies similar to conventional inflammatory arthropathies, and therefore these syndromes should be followed carefully and treated according to these findings

    El poder de la colaboración

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    [ES] La implantación del EEES ha dado lugar a que, además de las competencias específicas de cada materia o asignatura de los estudios de Grado, el alumnado adquiera otra serie de competencias de carácter transversal o genérico, como es la del trabajo en equipo. A la hora de abordar y de concretar el objetivo de la competencia del trabajo en grupo, existen diversas metodologías. En algunas de ellas, tras formarse los grupos, se plantean trabajos de forma que cada grupo resuelve un problema. En contraposición a este planteamiento, la propuesta metodológica que presentamos va en la línea de trabajar con grupos autónomos y colaborativos, potenciando la interacción colaborativa y cooperativa entre grupos distintos para la consecución de unas metas que serán comunes o estarán íntimamente relacionadas para los distintos grupos. En este artículo se exponen 4 de los trabajos planteados en las prácticas de la asignatura de Matemáticas 2 del primer curso del Grado de Ingeniería de Sistemas de Telecomunicación, Sonido e Imagen (GISTSI), desarrollados en base al trabajo en grupos autónomos y colaborativos. Algunos de los trabajos se han diseñado desde planteamientos multidisciplinares con la colaboración previa de profesores de distintas disciplinas. Se muestran también los productos obtenidos por el alumnado gracias al poder añadido que proporciona la colaboración.[Otros] The implementation of the EHEA has meant that students must acquire another set of cross-generic competences, as is the teamwork, in addition to the specific competences corresponding to each subject or course of the grade studies.When addressing and achieving the objective of the teamwork competence, there are several methodologies. In some of them, after forming the work teams, work is posed so that each group solves a problem. In contrast to the previous approach, the methodology presented is in line to work with independent and collaborative groups, promoting collaborative and cooperative interaction between different groups to achieve common goals, or goals closely related for the different groups. This article presents 4 of the works proposed in the subject Mathematics 2 GISTSI first course, developed based on working in autonomous and collaborative groups. Some of the works have been designed from multidisciplinary approaches, with the previous collaboration of teachers from different disciplines. Products obtained by students through the added power provided by collaboration, are also shown.Vidal Meló, A.; Roig, B.; Estruch, VD.; Boigues Planes, FJ.; Rey Tormos, RMD.; Alba, J.; Sapena Piera, A. (2014). El poder de la colaboración. Editorial Universitat Politècnica de València. 689-703. http://hdl.handle.net/10251/168753S68970

    A flexible coupling approach to multi-agent planning under incomplete information

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    The final publication is available at Springer via http://dx.doi.org/10.1007/s10115-012-0569-7Multi-agent planning (MAP) approaches are typically oriented at solving loosely coupled problems, being ineffective to deal with more complex, strongly related problems. In most cases, agents work under complete information, building complete knowledge bases. The present article introduces a general-purpose MAP framework designed to tackle problems of any coupling levels under incomplete information. Agents in our MAP model are partially unaware of the information managed by the rest of agents and share only the critical information that affects other agents, thus maintaining a distributed vision of the task. Agents solve MAP tasks through the adoption of an iterative refinement planning procedure that uses single-agent planning technology. In particular, agents will devise refinements through the partial-order planning paradigm, a flexible framework to build refinement plans leaving unsolved details that will be gradually completed by means of new refinements. Our proposal is supported with the implementation of a fully operative MAP system and we show various experiments when running our system over different types of MAP problems, from the most strongly related to the most loosely coupled.This work has been partly supported by the Spanish MICINN under projects Consolider Ingenio 2010 CSD2007-00022 and TIN2011-27652-C03-01, and the Valencian Prometeo project 2008/051.Torreño Lerma, A.; Onaindia De La Rivaherrera, E.; Sapena Vercher, O. (2014). A flexible coupling approach to multi-agent planning under incomplete information. 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    Mathematical properties of weighted impact factors based on measures of prestige of the citing journals

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    The final publication is available at Springer via http://dx.doi.org/10.1007/s11192-015-1741-0An abstract construction for general weighted impact factors is introduced. We show that the classical weighted impact factors are particular cases of our model, but it can also be used for defining new impact measuring tools for other sources of information as repositories of datasets providing the mathematical support for a new family of altmet- rics. Our aim is to show the main mathematical properties of this class of impact measuring tools, that hold as consequences of their mathematical structure and does not depend on the definition of any given index nowadays in use. In order to show the power of our approach in a well-known setting, we apply our construction to analyze the stability of the ordering induced in a list of journals by the 2-year impact factor (IF2). We study the change of this ordering when the criterium to define it is given by the numerical value of a new weighted impact factor, in which IF2 is used for defining the weights. We prove that, if we assume that the weight associated to a citing journal increases with its IF2, then the ordering given in the list by the new weighted impact factor coincides with the order defined by the IF2. We give a quantitative bound for the errors committed. We also show two examples of weighted impact factors defined by weights associated to the prestige of the citing journal for the fields of MATHEMATICS and MEDICINE, GENERAL AND INTERNAL, checking if they satisfy the increasing behavior mentioned above.Ferrer Sapena, A.; Sánchez Pérez, EA.; González, LM.; Peset Mancebo, MF.; Aleixandre Benavent, R. (2015). Mathematical properties of weighted impact factors based on measures of prestige of the citing journals. 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