1,721,061 research outputs found
Development of predictive models for short-term prediction of disability progression in multiple sclerosis
Full text linkMultiple Sclerosis (MS) is an autoimmune degenerative disease of the central nervous system, in which chronic inflammation leads to demyelination with transient or permanent axon damage. Symptoms of MS include problems with vision, movement, sensation and balance, which can be intermittent or progressively increasing over time until bringing to permanent disability. Predictive models of MS disability progression can be very useful to support the clinician in choosing the best care for each patient. The aim of this work is to develop predictive models of short-term MS disability progression. Data are part of the Multiple Sclerosis Outcome Assessments Consortium (MSOAC) Placebo database, which includes longitudinal demographic and clinical data of 2465 MS patients who were enrolled in the control arm of different MS clinical trials. Variables collected in the first visit were used to predict a binary outcome of disability progression at 6 months and 18 months from the baseline, using a logistic regression model. Disability progression was defined as a 1.5 increase in the Expanded Disability Status Scale (EDSS) value compared to the baseline time. 20 input variables were considered in each model, including demographics, medical history, functional tests, questionnaires, and MS phenotype. Preprocessed data were split into a training and a test set with an 80%-20% proportion. Logistic regression models were trained on the training set, using over-/undersampling techniques for balancing the classes. The identified models were tested on the test set by assessing the area under the receiver operating characteristic curve (AUC). Prediction performance on the test set was satisfactory, although not optimal, with AUC equal to 0.74 at 6 months and 0.71 at 18 months. These prediction performances are comparable with results obtained by other literature studies on smaller cohorts. Future developments of this work include the use of other machine learning techniques for model training, the application of feature selection and variable ranking techniques, the incorporation of new variables (e.g., imaging variables), and the external validation of the models on new populations
Eleven quick tips for data cleaning and feature engineering
Full text linkApplying computational statistics or machine learning methods to data is a key component of many scientific studies, in any field, but alone might not be sufficient to generate robust and reliable outcomes and results. Before applying any discovery method, preprocessing steps are necessary to prepare the data to the computational analysis. In this framework, data cleaning and feature engineering are key pillars of any scientific study involving data analysis and that should be adequately designed and performed since the first phases of the project. We call “feature” a variable describing a particular trait of a person or an observation, recorded usually as a column in a dataset. Even if pivotal, these data cleaning and feature engineering steps sometimes are done poorly or inefficiently, especially by beginners and unexperienced researchers. For this reason, we propose here our quick tips for data cleaning and feature engineering on how to carry out these important preprocessing steps correctly avoiding common mistakes and pitfalls. Although we designed these guidelines with bioinformatics and health informatics scenarios in mind, we believe they can more in general be applied to any scientific area. We therefore target these guidelines to any researcher or practitioners wanting to perform data cleaning or feature engineering. We believe our simple recommendations can help researchers and scholars perform better computational analyses that can lead, in turn, to more solid outcomes and more reliable discoveries
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Outlining outcomes for Transcatheter Aortic Valve Implantation (TAVI) patients: towards a definition of “value”
No full textA dynamic probabilistic model of the onset and interaction of cardio-metabolic comorbidities on an ageing adult population
Full text linkComorbidity is widespread in the ageing population, implying multiple and complex medical needs for individuals and a public health burden. Determining risk factors and predicting comorbidity development can help identify at-risk subjects and design prevention strategies. Using socio-demographic and clinical data from approximately 11,000 subjects monitored over 11 years in the English Longitudinal Study of Ageing, we develop a dynamic Bayesian network (DBN) to model the onset and interaction of three cardio-metabolic comorbidities, namely type 2 diabetes (T2D), hypertension, and heart problems. The DBN allows us to identify risk factors for developing each morbidity, simulate ageing progression over time, and stratify the population based on the risk of outcome occurrence. By applying hierarchical agglomerative clustering to the simulated, dynamic risk of experiencing morbidities, we identified patients with similar risk patterns and the variables contributing to their discrimination. The network reveals a direct joint effect of biomarkers and lifestyle on outcomes over time, such as the impact of fasting glucose, HbA1c, and BMI on T2D development. Mediated cross-relationships between comorbidities also emerge, showcasing the interconnected nature of these health issues. The model presents good calibration and discrimination ability, particularly in predicting the onset of T2D (iAUC-ROC = 0.828, iAUC-PR = 0.294) and survival (iAUC-ROC = 0.827, iAUC-PR = 0.311). Stratification analysis unveils two distinct clusters for all comorbidities, effectively discriminated by variables like HbA1c for T2D and age at baseline for heart problems. The developed DBN constitutes an effective, highly-explainable predictive risk tool for simulating and stratifying the dynamic risk of developing cardio-metabolic comorbidities. Its use could help identify the effects of risk factors and develop health policies that prevent the occurrence of comorbidities
GEN-RWD Sandbox: A Modular Architecture for Privacy-preserving Data Sharing for AI-driven Medical Research
Full text linkVariations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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