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1.
Brain Lang ; 257: 105462, 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39357142

RESUMEN

Few studies have examined neural correlates of late talking in toddlers, which could aid in understanding etiology and improving diagnosis of developmental language disorder (DLD). Greater frontal gamma activity has been linked to better language skills, but findings vary by risk for developmental disorders, and this has not been investigated in late talkers. This study examined whether frontal gamma power (30-50 Hz), from baseline-state electroencephalography (EEG), was related to DLD risk (categorical late talking status) and a continuous measure of expressive language in n = 124 toddlers. Frontal gamma power was significantly associated with late talker status when controlling for demographic factors and concurrent receptive language (ß = 1.96, McFadden's Pseudo R2 = 0.21). Demographic factors and receptive language did not significantly moderate the association between frontal gamma power and late talker status. A continuous measure of expressive language ability was not significantly associated with gamma (r = -0.07). Findings suggest that frontal gamma power may be useful in discriminating between groups of children that differ in DLD risk, but not for expressive language along a continuous spectrum of ability.

2.
J Environ Manage ; 370: 122725, 2024 Oct 02.
Artículo en Inglés | MEDLINE | ID: mdl-39362156

RESUMEN

The short-term risks associated with atmospheric trace gases, particularly carbon monoxide (CO), are critical for ecological security and human health. Traditional statistical methods, which still dominate the assessment of these risks, limit the potential for enhanced accuracy and reliability. This study evaluates the performance of traditional models (ARIMA), machine learning models (LightGBM, ConvLSTM2D), and optimized machine learning solutions (Bayes residual optimization ConvLSTM2D LightGBM, Bayes_CL) in predicting Sentinel 5P columnar CO levels. This study findings demonstrate that machine learning models and their optimized versions significantly outperform traditional ARIMA models in cross-validation (CV), visualization, and overall prediction performance. Notably, machine learning model based on Bayes and residual optimization (Bayes_CL) achieved the highest CV score (Bayes_CL R2 = 0.8, LightGBM R2 = 0.79, ConvLSTM2D R2 = 0.75, ARIMA R2 = 0.61), along with superior visualization and other metrics. Using Bayes_CL, we effectively quantified a 2.4% increase in columnar CO levels in mainland China in the second half of 2023, following the complete lifting of COVID-19 lockdowns. This study confirms that machine learning models can effectively replace traditional methods for short-term risk assessment of Sentinel 5P columnar CO. This transition holds significant implications for policy formulation, greenhouse effect assessment, and population health risk evaluation, especially in uncertain situations where human activities are severely disrupted, thereby affecting environmental safety.

3.
Mol Neurobiol ; 2024 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-39352635

RESUMEN

Naringin (NAR), a flavanone glycoside, occurs widely in citrus fruits, vegetables, and alcoholic beverages. Despite evidence of the neuroprotective effects of NAR on animal models of ischemic stroke, brain cell-type-specific data about the antioxidant efficacy of NAR and possible protein targets of such beneficial effects are limited. Here, we demonstrate the brain cell type-specific prophylactic role of NAR, an FDA-listed food additive, in an in vitro oxygen-glucose deprivation (OGD) model of cerebral ischemia using MTT and DCFDA assays. Using Bayes' theorem-based predictive model, we first ranked the top-10 protein targets (ALDH2, ACAT1, CTSB, FASN, LDHA, PTGS1, CTSD, LGALS1, TARDBP, and CDK1) from a curated list of 289 NAR-interacting proteins in neurons that might be mediating its antioxidant effect in the OGD model. When preincubated with NAR for 2 days, N2a and CTX-TNA2 cells could withstand up to 8 h of OGD without a noticeable decrease in cell viability. This cerebroprotective effect is partly mediated by reducing intracellular ROS production in the above two brain cell types. The antioxidant effect of NAR was comparable with the equimolar (50 µM) concentration of clinically used ROS-scavenger and neuroprotective edaravone. Molecular docking of NAR with the top-10 protein targets from Bayes' analysis showed the lowest binding energy for CDK1 (- 8.8 kcal/M). Molecular dynamics simulation analysis showed that NAR acts by inhibiting CDK1 by stably occupying its ATP-binding cavity. Considering diet has been listed as a risk factor for stroke, NAR may be explored as a component of functional food for stroke or related neurological disorders.

4.
Clin Exp Optom ; : 1-8, 2024 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-39374948

RESUMEN

CLINICAL RELEVANCE: Identifying polarisation-modulated patterns may be an effective method for both detecting and monitoring macular damage. BACKGROUND: The aim of this work is to determine the effectiveness of polarisation-modulated patterns in identifying macular damage and foveolar involvement using a methodology that involved feature selection, Naïve Bayes supervised machine learning, cross validation, and use of an interpretable nomogram. METHODS: A cross-sectional study involving 520 eyes was undertaken, encompassing both normal and abnormal cases, including those with age-related macular disease, diabetic retinopathy or epiretinal membrane. Macular damage and foveolar integrity were assessed using optical coherence tomography. Various polarisation-modulated geometrical and optotype patterns were employed, along with traditional methods for visual function measurement, to complete perceptual detection and identification measures. Other variables assessed included age, sex, eye (right, left) and ocular media (normal, pseudophakic, cataract). Redundant variables were removed using a Fast Correlation-Based Filter. The area under the receiver operating characteristic curve and Matthews correlation coefficient were calculated, following 5-fold stratified cross validation, for Naïve Bayes models describing the relationship between the selected predictors of macular damage and foveolar involvement. RESULTS: Only radially structured polarisation-modulated patterns and age emerged as predictors of macular damage and foveolar involvement. All other variables, including traditional logMAR measures of visual acuity, were identified as redundant. Naïve Bayes, utilising the Fast Correlation-Based Filter selected features, provided a good prediction for macular damage and foveolar involvement, with an area under the receiver operating curve exceeding 0.7. Additionally, Matthews correlation coefficient showed a medium size effect for both conditions. CONCLUSIONS: Radially structured polarisation-modulated geometric patterns outperform polarisation-modulated optotypes and standard logMAR acuity measures in predicting macular damage, regardless of foveolar involvement.

5.
J Hazard Mater ; 480: 136057, 2024 Oct 04.
Artículo en Inglés | MEDLINE | ID: mdl-39369682

RESUMEN

Cyanobacterial harmful algal blooms (HABs) pose a significant threat to aquatic ecosystems, water quality, and public health, particularly in large hypereutrophic lakes. Developing accurate short-term prediction models is essential for early warning and effective management of HABs. This study introduces a Bayesian-based model aimed at predicting HABs in three of China's large hypereutrophic lakes: Lake Taihu, Lake Chaohu, and Lake Hulunhu. By integrating MODIS data from the Terra and Aqua satellites with meteorological data spanning from 2010 to 2018, the model forecasts HABs distributions 1, 4, and 7 days in advance. Validation with meteorological data from 2019 to 2020 showed high accuracy, with 0.83 at the pixel level, 0.74 for zonal predictions, and 0.64 for lake-wide HABs area forecasts. Further evaluation using 2023 weather forecast data yielded similar accuracies of 0.78, 0.57, and 0.62, respectively. In addition to predicting the spatial extent of HABs, the model provides binary HABs maps, outbreak areas, and HABs status within lake zones. This method for building prediction models significantly enhances early warning and management capabilities for HABs, providing a scalable framework that can be adapted to other regions facing similar threats from HABs.

6.
Mar Pollut Bull ; 209(Pt A): 117106, 2024 Oct 10.
Artículo en Inglés | MEDLINE | ID: mdl-39393221

RESUMEN

Few studies have effectively shown how to use satellites that gather optical data to monitor plastic debris in the marine environment. For the first time, floating macro-plastics distinguishable from seaweed are identified in optical data from the European Space Agency's Sentinel-2 satellites. Case studies from three Brazilian areas, selected for suspected macro-plastics in Sentinel-2 data, utilized a unique Floating Debris Index (FDI) for the Sentinel-2 Multi-Spectral Instrument (MSI) to detect surface material patches. Sub-pixel-scale detection revealed macro-plastics mixed with seaweed and sea foam. Using a Machine Learning-based Naive Bayes algorithm, we classified materials and identified macro-plastics, achieving an 87.25 % accuracy in identifying suspected plastics. Temporal analysis tracked plastic debris movement and accumulation. This methodology is scalable and transferable, with potential applications for monitoring marine plastic pollution in other coastal regions globally.

7.
Entropy (Basel) ; 26(9)2024 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-39330119

RESUMEN

Relative belief inferences are shown to arise as Bayes rules or limiting Bayes rules. These inferences are invariant under reparameterizations and possess a number of optimal properties. In particular, relative belief inferences are based on a direct measure of statistical evidence.

8.
J Imaging ; 10(9)2024 Sep 04.
Artículo en Inglés | MEDLINE | ID: mdl-39330438

RESUMEN

Breast cancer is the most commonly diagnosed cancer worldwide. The therapy used and its success depend highly on the histology of the tumor. This study aimed to explore the potential of predicting the molecular subtype of breast cancer using radiomic features extracted from screening digital mammography (DM) images. A retrospective study was performed using the OPTIMAM Mammography Image Database (OMI-DB). Four binary classification tasks were performed: luminal A vs. non-luminal A, luminal B vs. non-luminal B, TNBC vs. non-TNBC, and HER2 vs. non-HER2. Feature selection was carried out by Pearson correlation and LASSO. The support vector machine (SVM) and naive Bayes (NB) ML classifiers were used, and their performance was evaluated with the accuracy and the area under the receiver operating characteristic curve (AUC). A total of 186 patients were included in the study: 58 luminal A, 35 luminal B, 52 TNBC, and 41 HER2. The SVM classifier resulted in AUCs during testing of 0.855 for luminal A, 0.812 for luminal B, 0.789 for TNBC, and 0.755 for HER2, respectively. The NB classifier showed AUCs during testing of 0.714 for luminal A, 0.746 for luminal B, 0.593 for TNBC, and 0.714 for HER2. The SVM classifier outperformed NB with statistical significance for luminal A (p = 0.0268) and TNBC (p = 0.0073). Our study showed the potential of radiomics for non-invasive breast cancer subtype classification.

9.
J Biopharm Stat ; : 1-33, 2024 Sep 26.
Artículo en Inglés | MEDLINE | ID: mdl-39327770

RESUMEN

The majority of statistical methods to share information in basket trials are based on a Bayesian hierarchical model with a common normal distribution for the logit-transformed response rates. The methods are of varying complexity, yet they all use this basic model. Generally, complexity is an obstacle for the application in clinical trials and that includes the use of the logit-transformation. The transformation complicates the model and impedes a direct interpretation of the hyperparameters. On the other hand, there exist basket trial designs which directly work on the probability scale of the response rate which facilitates the understanding of the model for many stakeholders. In order to reduce unnecessary complexity, we considered using a hierarchical beta-binomial model instead of the transformed models. This article investigates whether this approach is a practicable alternative to the commonly applied sharing tools based on a logit-transformation of the response rates. For this purpose, we performed a systematic comparison of the two models, starting with the distributional assumptions for the response rates, continuing with the Bayesian behavior together with binomial data in an independent setting and ended with a simulation study for the hierarchical model under various data and prior scenarios. All Bayesian comparisons require equal starting points, wherefore we propose a calibration procedure to choose similar priors for the models. The evaluation of the sharing property additionally required an evaluation measure for simulation results, which we derived in this work. The conclusion of the comparison is that the hierarchical beta-binomial model is a feasible alternative basic model to share information in basket trials.

10.
Stat Med ; 2024 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-39299911

RESUMEN

Despite the success of pharmacovigilance studies in detecting signals of adverse drug events (ADEs) from real-world data, the risks of ADEs in subpopulations warrant increased scrutiny to prevent them in vulnerable individuals. Recently, the case-crossover design has been implemented to leverage large-scale administrative claims data for ADE detection, while controlling both observed confounding effects and short-term fixed unobserved confounding effects. Additionally, as the case-crossover design only includes cases, subpopulations can be conveniently derived. In this manuscript, we propose a precision mixture risk model (PMRM) to identify ADE signals from subpopulations under the case-crossover design. The proposed model is able to identify signals from all ADE-subpopulation-drug combinations, while controlling for false discovery rate (FDR) and confounding effects. We applied the PMRM to an administrative claims data. We identified ADE signals in subpopulations defined by demographic variables, comorbidities, and detailed diagnosis codes. Interestingly, certain drugs were associated with a higher risk of ADE only in subpopulations, while these drugs had a neutral association with ADE in the general population. Additionally, the PMRM could control FDR at a desired level and had a higher probability to detect true ADE signals than the widely used McNemar's test. In conclusion, the PMRM is able to identify subpopulation-specific ADE signals from a tremendous number of ADE-subpopulation-drug combinations, while controlling for both FDR and confounding effects.

11.
Heliyon ; 10(18): e36774, 2024 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-39315172

RESUMEN

This research proposes the Kavya-Manoharan Unit Exponentiated Half Logistic (KM-UEHL) distribution as a novel tool for epidemiological modeling of COVID-19 data. Specifically designed to analyze data constrained to the unit interval, the KM-UEHL distribution builds upon the unit exponentiated half logistic model, making it suitable for various data from COVID-19. The paper emphasizes the KM-UEHL distribution's adaptability by examining its density and hazard rate functions. Its effectiveness is demonstrated in handling the diverse nature of COVID-19 data through these functions. Key characteristics like moments, quantile functions, stress-strength reliability, and entropy measures are also comprehensively investigated. Furthermore, the KM-UEHL distribution is employed for forecasting future COVID-19 data under a progressive Type-II censoring scheme, which acknowledges the time-dependent nature of data collection during outbreaks. The paper presents various methods for constructing prediction intervals for future-order statistics, including maximum likelihood estimation, Bayesian inference (both point and interval estimates), and upper-order statistics approaches. The Metropolis-Hastings and Gibbs sampling procedures are combined to create the Markov chain Monte Carlo simulations because it is mathematically difficult to acquire closed-form solutions for the posterior density function in the Bayesian framework. The theoretical developments are validated with numerical simulations, and the practical applicability of the KM-UEHL distribution is showcased using real-world COVID-19 datasets.

12.
Heliyon ; 10(17): e36572, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-39281535

RESUMEN

Aim: This study aims to address the key question of the causal relationship between serum levels of 25-hydroxyvitamin D (vitamin D) and autism spectrum disorders (ASD). Methods: Publicly available Genome-Wide Association Study (GWAS) datasets were used to conduct the bidirectional Two-sample MR analyses using methods including inverse-variance weighted (IVW), weighted median, MR-Egger regression, simple mode, MR-PRESSO test, Steiger filtering, and weighted mode, followed by BWMR for validation. Results: The MR analysis indicated that there was no causal relationship between Vitamin D as the exposure and ASD as the outcome in the positive direction of the MR analysis (IVW: OR = 0.984, 95 % CI: 0.821-1.18, P = 0.866). The subsequent BWMR validation stage yielded consistent results (OR = 0.984, 95 % CI 0.829-1.20, P = 0.994). Notably, in the reverse MR analysis with ASD as the exposure and Vitamin D as the outcome, the results suggested that the occurrence of ASD could lead to decreased Vitamin D levels (IVW: OR = 0.976, 95 % CI: 0.961-0.990, P = 0.000855), with BWMR findings in the validation stage confirming the discovery phase (OR = 0.975, 95 % CI: 0.958-0.991, P = 0.00297). For the positive MR analysis, no pleiotropy was detected in the instrumental variables. Similarly, no pleiotropy or heterogeneity was detected in the instrumental variables for the reverse MR analysis. Sensitivity analysis using the leave-one-out approach for both positive and reverse instrumental variables suggested that the MR analysis results were robust. Conclusion: Through the discovery and validation analysis process, we can confidently assert that there is no causative link between Vitamin D and ASD, and that supplementing Vitamin D is not expected to provide effective improvement for patients with ASD. Our study significantly advances a new perspective in ASD research and has a positive impact on medication guidance for patients with ASD.

13.
Stat Biopharm Res ; 16(3): 315-325, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39301054

RESUMEN

There is a growing need to evaluate of multiple competing drugs in phase II trials where the number of patients is often limited, and simultaneous assessment of both efficacy and toxicity is crucial. To avoid the waste of research resources, it is indeed more efficient to screen multiple drugs at once in a platform phase II setting. We aim to adapt the Bayesian optimal phase II (BOP2) design to multi-arm trials for both uncontrolled and controlled settings. The binary efficacy and toxicity endpoints are modeled by a Dirichlet distribution as a vector of four outcomes. Posterior marginal distributions at each analysis are used to derive the monitoring threshold that varies during the trial. We control the family-wise Type I error rate for multiple comparison against a common reference value or a shared control. We conduct simulation studies under both uncontrolled and controlled settings to evaluate the operating characteristics of the proposed design. Our simulations demonstrate that the design exhibits better operating characteristics compared to a design using a constant threshold and is less sensitive to changes in accrual rate relative to what was planned. The design had promising operating characteristics and could be used in phase II oncology clinical trials for evaluating multiple drugs at a time.

14.
J Gambl Stud ; 2024 Aug 27.
Artículo en Inglés | MEDLINE | ID: mdl-39192156

RESUMEN

Little is known about how gamblers form probability assessments. This paper reports on a preregistered study that administered an incentivized Bayesian choice task to n = 465 self-reported gamblers and non-gamblers. The task elicits subjective probability assessments and allows one to estimate the degree to which distinct information sources are weighted in forming probability assessments. Our data failed to support our main hypotheses that experienced online gamblers would be more accurate than non-gamblers in estimating probabilities, that gamblers experienced in games of skill (e.g., poker) would be more accurate than gamblers experienced only in non-skill games (e.g., slots), that accuracy would differ by sex, or that information sources would be weighted differently across different participant groups. Exploratory analysis, however, revealed that gambling frequency predicted lower Bayesian accuracy, while cognitive reflection predicted higher accuracy. The decline in accuracy linked to self-reported gambling frequency was stronger for female participants. Decision modeling estimated a decreased weight place on new evidence (over base rate odds) for those participant groups who showed decreased accuracy, which suggests that a proper incorporation of new information is important for probability assessments. Our results link online gambling frequency to worse performance in the critical probability assessment skills that should benefit gambling success (i.e., in skill-based games). Additional research is needed to better understand the mechanism linking reported gambling frequency to probability assessment accuracy.

15.
Cancer Epidemiol ; 92: 102624, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39094299

RESUMEN

BACKGROUND: Renal cell carcinoma (RCC) remains a global health concern due to its poor survival rate. This study aimed to investigate the influence of medical determinants and socioeconomic status on survival outcomes of RCC patients. We analyzed the survival data of 41,563 RCC patients recorded under the Surveillance, Epidemiology, and End Results (SEER) program from 2012 to 2020. METHODS: We employed a competing risk model, assuming lifetime of RCC patients under various risks follows Chen distribution. This model accounts for uncertainty related to survival time as well as causes of death, including missing cause of death. For model analysis, we utilized Bayesian inference and obtained the estimate of various key parameters such as cumulative incidence function (CIF) and cause-specific hazard. Additionally, we performed Bayesian hypothesis testing to assess the impact of multiple factors on the survival time of RCC patients. RESULTS: Our findings revealed that the survival time of RCC patients is significantly influenced by gender, income, marital status, chemotherapy, tumor size, and laterality. However, we observed no significant effect of race and origin on patient's survival time. The CIF plots indicated a number of important distinctions in incidence of causes of death corresponding to factors income, marital status, race, chemotherapy, and tumor size. CONCLUSIONS: The study highlights the impact of various medical and socioeconomic factors on survival time of RCC patients. Moreover, it also demonstrates the utility of competing risk model for survival analysis of RCC patients under Bayesian paradigm. This model provides a robust and flexible framework to deal with missing data, which can be particularly useful in real-life situations where patients information might be incomplete.


Asunto(s)
Teorema de Bayes , Carcinoma de Células Renales , Neoplasias Renales , Programa de VERF , Humanos , Neoplasias Renales/epidemiología , Neoplasias Renales/mortalidad , Neoplasias Renales/patología , Masculino , Femenino , Carcinoma de Células Renales/epidemiología , Carcinoma de Células Renales/mortalidad , Carcinoma de Células Renales/patología , Programa de VERF/estadística & datos numéricos , Persona de Mediana Edad , Anciano , Medición de Riesgo/métodos , Medición de Riesgo/estadística & datos numéricos , Tasa de Supervivencia , Incidencia , Adulto , Factores de Riesgo , Factores Socioeconómicos , Estados Unidos/epidemiología
16.
Brain Res ; 1844: 149137, 2024 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-39103069

RESUMEN

Chronic neuropathic pain and chronic tinnitus have been likened to phantom percepts, in which a complete or partial sensory deafferentation results in a filling in of the missing information derived from memory. 150 participants, 50 with tinnitus, 50 with chronic pain and 50 healthy controls underwent a resting state EEG. Source localized current density is recorded from all the sensory cortices (olfactory, gustatory, somatosensory, auditory, vestibular, visual) as well as the parahippocampal area. Functional connectivity by means of lagged phase synchronization is also computed between these regions of interest. Pain and tinnitus are associated with gamma band activity, reflecting prediction errors, in all sensory cortices except the olfactory and gustatory cortex. Functional connectivity identifies theta frequency connectivity between each of the sensory cortices except the chemical senses to the parahippocampus, but not between the individual sensory cortices. When one sensory domain is deprived, the other senses may provide the parahippocampal 'contextual' area with the most likely sound or somatosensory sensation to fill in the gap, applying an abductive 'duck test' approach, i.e., based on stored multisensory congruence. This novel concept paves the way to develop novel treatments for pain and tinnitus, using multisensory (i.e. visual, vestibular, somatosensory, auditory) modulation with or without associated parahippocampal targeting.


Asunto(s)
Electroencefalografía , Neuralgia , Acúfeno , Acúfeno/fisiopatología , Humanos , Neuralgia/fisiopatología , Femenino , Masculino , Persona de Mediana Edad , Electroencefalografía/métodos , Adulto , Encéfalo/fisiopatología , Anciano , Dolor Crónico/fisiopatología
17.
J Imaging ; 10(8)2024 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-39194990

RESUMEN

Breast cancer is one of the paramount causes of new cancer cases worldwide annually. It is a malignant neoplasm that develops in the breast cells. The early screening of this disease is essential to prevent its metastasis. A mammogram X-ray image is the most common screening tool practiced currently when this disease is suspected; all the breast lesions identified are not malignant. The invasive fine needle aspiration (FNA) of a breast mass sample is the secondary screening tool to clinically examine cancerous lesions. The visual image analysis of the stained aspirated sample imposes a challenge for the cytologist to identify the malignant cells accurately. The formulation of an artificial intelligence-based objective technique on top of the introspective assessment is essential to avoid misdiagnosis. This paper addresses several artificial intelligence (AI)-based techniques to diagnose breast cancer from the nuclear features of FNA samples. The Wisconsin Breast Cancer dataset (WBCD) from the UCI machine learning repository is applied for this investigation. Significant statistical parameters are measured to evaluate the performance of the proposed techniques. The best detection accuracy of 98.10% is achieved with a two-layer feed-forward neural network (FFNN). Finally, the developed algorithm's performance is compared with some state-of-the-art works in the literature.

18.
Brain Sci ; 14(8)2024 Aug 03.
Artículo en Inglés | MEDLINE | ID: mdl-39199482

RESUMEN

Non-invasive brain stimulation, such as transcranial direct current stimulation (tDCS), has been shown to increase the outcome of speech and language therapy (SLT) in chronic aphasia. Only a few studies have investigated the effect of add-on tDCS on SLT in the early stage of aphasia; this may be due to methodological reasons, in particular the influence of spontaneous remission and the difficulty of establishing stimulation protocols in clinical routines. Thirty-seven participants with subacute aphasia (PwA) after stroke (23 men, 14 women; mean age 62 ± 12 years; mean duration 49 ± 28 days) were included in two consecutive periods of treatment lasting two weeks each. During the first period (P1) the participants received 10 sessions of SLT, during the second period (P2) the aphasia therapy was supplemented by anodal left hemispheric 2 mA tDCS over the left hemisphere. Severity-specific language tests (Aachen Aphasia Test (AAT), n = 27 and Bielefeld Aphasia Screening-Reha (BIAS-R), n = 10) were administered before P1, between P1 and P2, and after P2. Where information was available, the results were corrected for spontaneous remission (AAT sample), and the therapy outcomes of P1 and P2 were compared. Participants' overall language abilities improved significantly during P1 and P2. However, improvement-as measured by the AAT profile level or the BIAS-R mean percentage value-during P2 (with tDCS) was significantly higher than during P1 (p < 0.001; AAT sample and p = 0.005; BIAS-R sample). Thus, tDCS protocols can be implemented in early aphasia rehabilitation. Despite the limitations of the research design, which are also discussed from an implementation science perspective, this is preliminary evidence that an individually tailored anodal tDCS can have a significant add-on effect on the outcome of behavioral aphasia therapy in subacute aphasia.

19.
Healthc Technol Lett ; 11(4): 213-217, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39100505

RESUMEN

Heart attack is a life-threatening condition which is mostly caused due to coronary disease resulting in death in human beings. Detecting the risk of heart diseases is one of the most important problems in medical science that can be prevented and treated with early detection and appropriate medical management; it can also help to predict a large number of medical needs and reduce expenses for treatment. Predicting the occurrence of heart diseases by machine learning (ML) algorithms has become significant work in healthcare industry. This study aims to create a such system that is used for predicting whether a patient is likely to develop heart attacks, by analysing various data sources including electronic health records and clinical diagnosis reports from hospital clinics. ML is used as a process in which computers learn from data in order to make predictions about new datasets. The algorithms created for predictive data analysis are often used for commercial purposes. This paper presents an overview to forecast the likelihood of a heart attack for which many ML methodologies and techniques are applied. In order to improve medical diagnosis, the paper compares various algorithms such as Random Forest, Regression models, K-nearest neighbour imputation (KNN), Naïve Bayes algorithm etc. It is found that the Random Forest algorithm provides a better accuracy of 88.52% in forecasting heart attack risk, which could herald a revolution in the diagnosis and treatment of cardiovascular illnesses.

20.
Sci Rep ; 14(1): 19218, 2024 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-39160188

RESUMEN

The failure of water pipes in Water Distribution Networks (WDNs) is associated with environmental, economic, and social consequences. It is essential to mitigate these failures by analyzing the historical data of WDNs. The extant literature regarding water pipe failure analysis is limited by the absence of a systematic selection of significant factors influencing water pipe failure and eliminating the bias associated with the frequency distribution of the historical data. Hence, this study presents a new framework to address the existing limitations. The framework consists of two algorithms for categorical and numerical factors influencing pipe failure. The algorithms are employed to check the relevance between the pipe's failure and frequency distributions in order to select the most significant factors. The framework is applied to Hong Kong WDN, selecting 10 out of 21 as significant factors influencing water pipe failure. The likelihood feature method and Bayes' theorem are applied to estimate failure probability due to the pipe materials and the factors. The results indicate that galvanized iron and polyethylene pipes are the most susceptible to failure in the WDN. The proposed framework enables decision-makers in the water infrastructure industry to effectively prioritize their networks' most significant failure factors and allocate resources accordingly.

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