Host variables confound gut microbiota studies of human disease.

Low concordance between studies that examine the role of microbiota in human diseases is a pervasive challenge that limits the capacity to identify causal relationships between host-associated microorganisms and pathology. The risk of obtaining false positives is exacerbated by wide interindividual heterogeneity in microbiota composition1, probably due to population-wide differences in human lifestyle and physiological variables2 that exert differential effects on the microbiota. Here we infer the greatest, generalized sources of heterogeneity in human gut microbiota profiles and also identify human lifestyle and physiological characteristics that, if not evenly matched between cases and controls, confound microbiota analyses to produce spurious microbial associations with human diseases. We identify alcohol consumption frequency and bowel movement quality as unexpectedly strong sources of gut microbiota variance that differ in distribution between healthy participants and participants with a disease and that can confound study designs. We demonstrate that for numerous prevalent, high-burden human diseases, matching cases and controls for confounding variables reduces observed differences in the microbiota and the incidence of spurious associations. On this basis, we present a list of host variables that we recommend should be captured in human microbiota studies for the purpose of matching comparison groups, which we anticipate will increase robustness and reproducibility in resolving the members of the gut microbiota that are truly associated with human disease.

Data-driven modeling of noise time series with convolutional generative adversarial networks.

Random noise arising from physical processes is an inherent characteristic of measurements and a limiting factor for most signal processing and data analysis tasks. Given the recent interest in generative adversarial networks (GANs) for data-driven modeling, it is important to determine to what extent GANs can faithfully reproduce noise in target data sets. In this paper, we present an empirical investigation that aims to shed light on this issue for time series. Namely, we assess two general-purpose GANs for time series that are based on the popular deep convolutional GAN architecture, a direct time-series model and an image-based model that uses a short-time Fourier transform data representation. The GAN models are trained and quantitatively evaluated using distributions of simulated noise time series with known ground-truth parameters. Target time series distributions include a broad range of noise types commonly encountered in physical measurements, electronics, and communication systems: band-limited thermal noise, power law noise, shot noise, and impulsive noise. We find that GANs are capable of learning many noise types, although they predictably struggle when the GAN architecture is not well suited to some aspects of the noise, e.g. impulsive time-series with extreme outliers. Our findings provide insights into the capabilities and potential limitations of current approaches to time-series GANs and highlight areas for further research. In addition, our battery of tests provides a useful benchmark to aid the development of deep generative models for time series.

Using Baldrige criteria to meet or exceed Accreditation Council for Continuing Medical Education Standards.

Continuing medical education providers accredited by the Accreditation Council for Continuing Medical Education (ACCME) may apply organizational assessment strategies beyond the ACCME Essential Areas, Elements, and Criteria. The Malcolm Baldrige National Quality Program offers an organizational assessment strategy commonly used in business, health care, and education settings. An analysis of both standards pointed out useful associations between the ACCME Essential Areas and the Baldrige National Quality Program Education Criteria (2003). Including leadership, governance, and social responsibility, the Baldrige Education Criteria provide a more comprehensive organizational assessment and stronger emphasis on a wider variety of results. The present analysis suggests that a continuing medical education provider could meet, and possibly exceed, the ACCME standards by applying the Baldrige Education Criteria in a "self-study" process to define, measure, monitor, and document fundamental organizational responsibilities and performance.