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As a promising paradigm, mobile crowdsensing (MCS) takes advantage of sensing abilities and cooperates with multi-agent reinforcement learning technologies to provide services for users in large sensing areas, such as smart transportation, environment monitoring, etc. In most cases, strategy training for multi-agent reinforcement learning requires substantial interaction with the sensing environment, which results in unaffordable costs. Thus, environment reconstruction via extraction of the causal effect model from past data is an effective way to smoothly accomplish environment monitoring. However, the sensing environment is often so complex that the observable and unobservable data collected are sparse and heterogeneous, affecting the accuracy of the reconstruction. In this paper, we focus on developing a robust multi-agent environment monitoring framework, called self-interested coalitional crowdsensing for multi-agent interactive environment monitoring (SCC-MIE), including environment reconstruction and worker selection. In SCC-MIE, we start from a multi-agent generative adversarial imitation learning framework to introduce a new self-interested coalitional learning strategy, which forges cooperation between a reconstructor and a discriminator to learn the sensing environment together with the hidden confounder while providing interpretability on the results of environment monitoring. Based on this, we utilize the secretary problem to select suitable workers to collect data for accurate environment monitoring in a real-time manner. It is shown that SCC-MIE realizes a significant performance improvement in environment monitoring compared to the existing models.
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BACKGROUND: SAHA was reported to enhance the expression of miR-129-5p, which was predicted to bind to 3' UTR of CASP-6, a gene playing crucial roles in the pathogenesis of memory impairment. Whether SAHA/miR-129-5p/CASP-6 is involved in the pathogenesis of prenatal exposure to sevoflurane remains to be explored. METHODS: Morris water maze test was performed to evaluate the functional parameters of learning and memory. Quantitative real-time qPCR was carried out to analyze the expression of miRNAs and CASP-6 mRNA under different conditions. RESULTS: Sevoflurane exposure of pregnant rats and SAHA treatment of the offspring had no effect on the blood gases, litter size, survival rate and weight. SAHA administration remarkably reversed the learning and memory impairment in prenatal rats caused by sevoflurane exposure. Mechanistically, the abnormal expression of miR-129-5p and CASP-6 in the offspring of pregnant rats exposed to sevoflurane was effectively restored by SAHA treatment. The luciferase activity of CASP-6 vector was effectively inhibited by miR-129-5p in primary neuron cells of rats. Moreover, the expression of CASP-6 mRNA and protein was significantly suppressed by miR-129-5p and SAHA treatment in a dose-dependent manner. CONCLUSION: Our work demonstrated that the administration of SAHA suppressed the expression of CASP-6 via modulating the expression of miR-129-5p, and SAHA may rescue the apoptosis of neurons caused by exposure to sevoflurane. The underlying mechanism might be the ability of SAHA to relieve learning and memory impairment in the offspring of the pregnant rats exposed to sevoflurane.
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Anestesia , MicroRNAs , Gravidez , Feminino , Ratos , Animais , Sevoflurano/farmacologia , Vorinostat/farmacologia , Aprendizagem , Transtornos da Memória/induzido quimicamente , Transtornos da Memória/tratamento farmacológico , Transtornos da Memória/metabolismo , MicroRNAs/metabolismo , Hipocampo/metabolismoRESUMO
OBJECTIVE: Atherosclerosis (AS) as a major cause of cardiovascular diseases, is considered a chronic inflammatory disease and accelerates by inflammation, lipid metabolism disorder and other mechanisms. AS pathogenesis and its relationship with immune regulation and metabolic interactions is still not fully elucidated. The purpose of this study is to delve into the correlation between mitochondrial metabolism and immunity in AS, and identify potential therapeutic targets for clinical treatment. METHODS: Hub genes associated with mitochondrial metabolism and the pathogenesis of AS were identified by performing differentially expressed genes (DEGs) analysis and Weighted Gene Co-expression Network Analysis (WGCNA) based on two gene expression datasets (GSE100927 and GSE43292). And the biological processes and pathways of DEGs were determined through gene ontology (GO) and Gene Set Enrichment Analysis (GSEA) analysis. Then stepwise regression, random forest, and Lasso regression machine learning were used to evaluate the diagnostic value of hub genes. After that, the immune infiltration and single cell sequencing dataset GSE184073 were analyzed, and the immune cell composition in peripheral blood from AS patients using Mass Cytometry were detected to further consider the influence of immunoregulation. RESULTS: Ten hub genes associated with mitochondrial metabolism and AS pathogenesis were identified, including NDUFS4, AIFM3, IDUA, TNF, CHKA, SLC11A1, SLC35C1, SLC37A2, ARSB, SLC16A5. GO and GSEA analysis showed their correlation with immunity and inflammation. Lasso regression revealed that TNF and ARSB had relatively good diagnostic performance. Further exploration was conducted on the expression of these hub genes in the immune microenvironment and their correlation with different immune factors. Mass cytometry demonstrated the influence of the vascular immune microenvironment on the pathogenesis of AS. CONCLUSIONS: Our study provides a more comprehensive understanding of the complex relationships between immune and metabolic factors and their impact on the microenvironment of AS. The identification of hub genes in AS may provide new targets for therapeutic intervention.
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Aterosclerose , Doenças Cardiovasculares , Humanos , Aterosclerose/genética , InflamaçãoRESUMO
The impact of the COVID pandemic to our society is unprecedented in our time. As coronavirus mutates, maintaining social distance remains an essential step in defending personal as well as public health. This study conceptualizes the social distance "nudge" and explores the efficacy of mHealth digital intervention, while developing and validating a choice architecture that aims to influence users' behavior in maintaining social distance for their own self-interest. End-user nudging experiments were conducted via a mobile phone app that was developed as a research artifact. The accuracy of social distance nudging was validated in both United States and Japan. Future work will consider behavioral studies to better understand the effectiveness of this digital nudging intervention.
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We describe a semiautomated approach to segment Env spikes from the membrane envelope of Simian Immunodeficiency Virus visualized by cryoelectron tomography of frozen-hydrated specimens. Multivariate data analysis is applied to a large set of overlapping subvolumes extracted semiautomatically from the viral envelope and does not utilize a template of the target structure. The major manual step used in the method involves determination of six points that define an ellipsoid approximating the virion shape. The approach is robust to departures of the actual virion from this starting ellipsoid. A point cage of sufficient density is generated to ensure that any spike-like protein is identified multiple times. Subsequently translational alignment of class averages to a cylindrical reference on a curved surface separates subvolumes with spikes from those without. Spike containing subvolumes identified multiple times are removed by proximity analysis. Slightly different procedures segment spikes in the equatorial and the polar regions. Once all spikes are segmented, further alignment of class averages using separately the polar and spin angles produces recognizable spike images. Our approach localized 96% of the equatorial spikes and 85% of all spikes identified manually; it identifies a significant number of additional spikes missed by manual selection. Two types of spike shapes were segmented, one with near 3-fold symmetry resembling the conventional spike, the other had a T-shape resembling the spike structure obtained when antibodies such as PG9 bind to HIV Env. The approach should be applicable to segmentation of any protein spikes extending from a cellular or virion envelope.
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Microscopia Crioeletrônica/métodos , Processamento de Imagem Assistida por Computador/métodos , Envelope Viral/química , Produtos do Gene env do Vírus da Imunodeficiência Humana/química , Algoritmos , Tomografia com Microscopia Eletrônica/métodos , HIV-1/química , Vírus da Imunodeficiência Símia/química , Envelope Viral/classificação , Proteínas Virais/química , Vírion/químicaRESUMO
Designing protein sequences that fold to a given three-dimensional (3D) structure has long been a challenging problem in computational structural biology with significant theoretical and practical implications. In this study, we first formulated this problem as predicting the residue type given the 3D structural environment around the C α atom of a residue, which is repeated for each residue of a protein. We designed a nine-layer 3D deep convolutional neural network (CNN) that takes as input a gridded box with the atomic coordinates and types around a residue. Several CNN layers were designed to capture structure information at different scales, such as bond lengths, bond angles, torsion angles, and secondary structures. Trained on a very large number of protein structures, the method, called ProDCoNN (protein design with CNN), achieved state-of-the-art performance when tested on large numbers of test proteins and benchmark datasets.
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Redes Neurais de Computação , Engenharia de Proteínas/estatística & dados numéricos , Proteínas/química , Software , Sequência de Aminoácidos , Benchmarking , Bases de Dados de Proteínas , Conjuntos de Dados como Assunto , Engenharia de Proteínas/métodos , Estrutura Secundária de Proteína , Alinhamento de SequênciaRESUMO
BACKGROUND: In recent years, deep learning methods have been applied to many natural language processing tasks to achieve state-of-the-art performance. However, in the biomedical domain, they have not out-performed supervised word sense disambiguation (WSD) methods based on support vector machines or random forests, possibly due to inherent similarities of medical word senses. RESULTS: In this paper, we propose two deep-learning-based models for supervised WSD: a model based on bi-directional long short-term memory (BiLSTM) network, and an attention model based on self-attention architecture. Our result shows that the BiLSTM neural network model with a suitable upper layer structure performs even better than the existing state-of-the-art models on the MSH WSD dataset, while our attention model was 3 or 4 times faster than our BiLSTM model with good accuracy. In addition, we trained "universal" models in order to disambiguate all ambiguous words together. That is, we concatenate the embedding of the target ambiguous word to the max-pooled vector in the universal models, acting as a "hint". The result shows that our universal BiLSTM neural network model yielded about 90 percent accuracy. CONCLUSION: Deep contextual models based on sequential information processing methods are able to capture the relative contextual information from pre-trained input word embeddings, in order to provide state-of-the-art results for supervised biomedical WSD tasks.
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Algoritmos , Redes Neurais de Computação , Vocabulário , Humanos , Processamento de Linguagem Natural , Máquina de Vetores de SuporteRESUMO
After publication of this supplement article [1], it was brought to our attention that the Results section of the abstract contained a partial sentence.
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BACKGROUND: In the past few years, neural word embeddings have been widely used in text mining. However, the vector representations of word embeddings mostly act as a black box in downstream applications using them, thereby limiting their interpretability. Even though word embeddings are able to capture semantic regularities in free text documents, it is not clear how different kinds of semantic relations are represented by word embeddings and how semantically-related terms can be retrieved from word embeddings. METHODS: To improve the transparency of word embeddings and the interpretability of the applications using them, in this study, we propose a novel approach for evaluating the semantic relations in word embeddings using external knowledge bases: Wikipedia, WordNet and Unified Medical Language System (UMLS). We trained multiple word embeddings using health-related articles in Wikipedia and then evaluated their performance in the analogy and semantic relation term retrieval tasks. We also assessed if the evaluation results depend on the domain of the textual corpora by comparing the embeddings of health-related Wikipedia articles with those of general Wikipedia articles. RESULTS: Regarding the retrieval of semantic relations, we were able to retrieve diverse semantic relations in the nearest neighbors of a given word. Meanwhile, the two popular word embedding approaches, Word2vec and GloVe, obtained comparable results on both the analogy retrieval task and the semantic relation retrieval task, while dependency-based word embeddings had much worse performance in both tasks. We also found that the word embeddings trained with health-related Wikipedia articles obtained better performance in the health-related relation retrieval tasks than those trained with general Wikipedia articles. CONCLUSION: It is evident from this study that word embeddings can group terms with diverse semantic relations together. The domain of the training corpus does have impact on the semantic relations represented by word embeddings. We thus recommend using domain-specific corpus to train word embeddings for domain-specific text mining tasks.
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Ontologias Biológicas , Mineração de Dados , Bases de Conhecimento , Processamento de Linguagem Natural , Semântica , Unified Medical Language SystemRESUMO
The advent of high-resolution magnetic resonance imaging (MRI) has enabled in vivo research in a variety of populations and diseases on the structure and function of hippocampal subfields and subdivisions of the parahippocampal gyrus. Because of the many extant and highly discrepant segmentation protocols, comparing results across studies is difficult. To overcome this barrier, the Hippocampal Subfields Group was formed as an international collaboration with the aim of developing a harmonized protocol for manual segmentation of hippocampal and parahippocampal subregions on high-resolution MRI. In this commentary we discuss the goals for this protocol and the associated key challenges involved in its development. These include differences among existing anatomical reference materials, striking the right balance between reliability of measurements and anatomical validity, and the development of a versatile protocol that can be adopted for the study of populations varying in age and health. The commentary outlines these key challenges, as well as the proposed solution of each, with concrete examples from our working plan. Finally, with two examples, we illustrate how the harmonized protocol, once completed, is expected to impact the field by producing measurements that are quantitatively comparable across labs and by facilitating the synthesis of findings across different studies. © 2016 Wiley Periodicals, Inc.
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Hipocampo/diagnóstico por imagem , Processamento de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Giro Para-Hipocampal/diagnóstico por imagem , Humanos , Reconhecimento Automatizado de PadrãoRESUMO
Bundle sheath (BS) cells form a single cell layer surrounding the vascular tissue in leaves. In C3 plants, photosynthesis occurs in both the BS and mesophyll cells, but the BS cells are the major sites of photosynthesis in C4 plants, whereas the mesophyll cells are only involved in CO2 fixation. Because C4 plants are more efficient photosynthetically, introduction of the C4 mechanism into C3 plants is considered a key strategy to improve crop yield. One prerequisite for such C3-to-C4 engineering is the ability to manipulate the number and physiology of the BS cells, but the molecular basis of BS cell-fate specification remains unclear. Here we report that mutations in three GRAS family transcription factors, SHORT-ROOT (SHR), SCARECROW (SCR) and SCARECROW-LIKE 23 (SCL23), affect BS cell fate in Arabidopsis thaliana. SCR and SCL23 are expressed specifically in the BS cells and act redundantly in BS cell-fate specification, but their expression pattern and function diverge at later stages of leaf development. Using ChIP-chip experiments and sugar assays, we show that SCR is primarily involved in sugar transport whereas SCL23 functions in mineral transport. SHR is also essential for BS cell-fate specification, but it is expressed in the central vascular tissue. However, the SHR protein moves into the BS cells, where it directly regulates SCR and SCL23 expression. SHR, SCR and SCL23 homologs are present in many plant species, suggesting that this developmental pathway for BS cell-fate specification is likely to be evolutionarily conserved.
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Proteínas de Arabidopsis/fisiologia , Arabidopsis/citologia , Diferenciação Celular/genética , Fatores de Transcrição/fisiologia , Arabidopsis/genética , Arabidopsis/metabolismo , Proteínas de Arabidopsis/genética , Proteínas de Arabidopsis/metabolismo , Folhas de Planta/citologia , Folhas de Planta/genética , Folhas de Planta/metabolismo , Fatores de Transcrição/genética , Fatores de Transcrição/metabolismoRESUMO
Homologous recombination (HR) is a major DNA double-strand break (DSB) repair pathway of clinical interest because of treatment with poly(ADP-ribose) polymerase inhibitors (PARPi). Cooperation between RAD51 and BRCA2 is pivotal for DNA DSB repair, and its dysfunction induces HR deficiency and sensitizes cancer cells to PARPi. The depletion of the DEAD-box protein DDX11 was found to suppress HR in hepatocellular carcinoma (HCC) cells. The HR ability of HCC cells is not always dependent on the DDX11 level because of natural DDX11 mutations. In Huh7 cells, natural DDX11 mutations were detected, increasing the susceptibility of Huh7 cells to olaparib in vitro and in vivo. The HR deficiency of Huh7 cells was restored when CRISPR/Cas9-mediated knock-in genomic editing was used to revert the DDX11 Q238H mutation to wild type. The DDX11 Q238H mutation impeded the phosphorylation of DDX11 by ATM at serine 237, preventing the recruitment of RAD51 to damaged DNA sites by disrupting the interaction between RAD51 and BRCA2. Clinically, a high level of DDX11 correlated with advanced clinical characteristics and a poor prognosis and served as an independent risk factor for overall and disease-free survival in patients with HCC. We propose that HCC with a high level of wild-type DDX11 tends to be more resistant to PARPi because of enhanced recombination repair, and the key mutation of DDX11 (Q238H) is potentially exploitable.
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Antineoplásicos , Carcinoma Hepatocelular , Neoplasias Hepáticas , Humanos , Inibidores de Poli(ADP-Ribose) Polimerases/farmacologia , Inibidores de Poli(ADP-Ribose) Polimerases/uso terapêutico , Carcinoma Hepatocelular/tratamento farmacológico , Carcinoma Hepatocelular/genética , Linhagem Celular Tumoral , Neoplasias Hepáticas/tratamento farmacológico , Neoplasias Hepáticas/genética , Antineoplásicos/farmacologia , Recombinação Homóloga/genética , DNA , Rad51 Recombinase/genética , Rad51 Recombinase/metabolismo , DNA Helicases/genética , RNA Helicases DEAD-box/genética , Proteína BRCA2/genéticaRESUMO
MOTIVATION: Fluorescence in situ hybridization (FISH) is used to study the organization and the positioning of specific DNA sequences within the cell nucleus. Analyzing the data from FISH images is a tedious process that invokes an element of subjectivity. Automated FISH image analysis offers savings in time as well as gaining the benefit of objective data analysis. While several FISH image analysis software tools have been developed, they often use a threshold-based segmentation algorithm for nucleus segmentation. As fluorescence signal intensities can vary significantly from experiment to experiment, from cell to cell, and within a cell, threshold-based segmentation is inflexible and often insufficient for automatic image analysis, leading to additional manual segmentation and potential subjective bias. To overcome these problems, we developed a graphical software tool called FISH Finder to automatically analyze FISH images that vary significantly. By posing the nucleus segmentation as a classification problem, compound Bayesian classifier is employed so that contextual information is utilized, resulting in reliable classification and boundary extraction. This makes it possible to analyze FISH images efficiently and objectively without adjustment of input parameters. Additionally, FISH Finder was designed to analyze the distances between differentially stained FISH probes. AVAILABILITY: FISH Finder is a standalone MATLAB application and platform independent software. The program is freely available from: http://code.google.com/p/fishfinder/downloads/list.
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Processamento de Imagem Assistida por Computador/métodos , Hibridização in Situ Fluorescente/métodos , Software , Animais , Teorema de Bayes , Núcleo Celular/química , Gráficos por Computador , Humanos , Camundongos , Microscopia de FluorescênciaRESUMO
Acute myocardial infarction poses significant health risks and financial burden on healthcare and families. Prediction of mortality risk among AM! patients using rich electronic health record (EHR) data can potentially save lives and healthcare costs. Nevertheless, EHR-based prediction models usually use a missing data imputation method without considering its impact on the performance and interpretability of the model, hampering its real-world applicability in the healthcare setting. This study examines the impact of different methods for imputing missing values in EHR data on both the performance and the interpretations of predictive models. Our results showed that a small standard deviation in root mean squared error across different runs of an imputation method does not necessarily imply a small standard deviation in the prediction models' performance and interpretation. We also showed that the level of missingness and the imputation method used can have a significant impact on the interpretation of the models.
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Infarto do Miocárdio , Projetos de Pesquisa , Atenção à Saúde , Registros Eletrônicos de Saúde , HumanosRESUMO
We develop a computational model of shape that extends existing Riemannian models of curves to multidimensional objects of general topological type. We construct shape spaces equipped with geodesic metrics that measure how costly it is to interpolate two shapes through elastic deformations. The model employs a representation of shape based on the discrete exterior derivative of parametrizations over a finite simplicial complex. We develop algorithms to calculate geodesics and geodesic distances, as well as tools to quantify local shape similarities and contrasts, thus obtaining a formulation that accounts for regional differences and integrates them into a global measure of dissimilarity. The Riemannian shape spaces provide a common framework to treat numerous problems such as the statistical modeling of shapes, the comparison of shapes associated with different individuals or groups, and modeling and simulation of shape dynamics. We give multiple examples of geodesic interpolations and illustrations of the use of the models in brain mapping, particularly, the analysis of anatomical variation based on neuroimaging data.
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Within the glomerulus, the scaffolding protein nephrin bridges the actin-rich foot processes that extend from adjacent podocytes to form the slit diaphragm. Mutations affecting a number of slit diaphragm proteins, including nephrin, cause glomerular disease through rearrangement of the actin cytoskeleton and disruption of the filtration barrier. We recently established that the Nck family of Src homology 2 (SH2)/SH3 cytoskeletal adaptor proteins can mediate nephrin-dependent actin reorganization. Formation of foot processes requires expression of Nck in developing podocytes, but it is unknown whether Nck maintains podocyte structure and function throughout life. Here, we used an inducible transgenic strategy to delete Nck expression in adult mouse podocytes and found that loss of Nck expression rapidly led to proteinuria, glomerulosclerosis, and altered morphology of foot processes. We also found that podocyte injury reduced phosphorylation of nephrin in adult kidneys. These data suggest that Nck is required to maintain adult podocytes and that phosphotyrosine-based interactions with nephrin may occur in foot processes of resting, mature podocytes.
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Proteínas Adaptadoras de Transdução de Sinal/metabolismo , Taxa de Filtração Glomerular/fisiologia , Glomérulos Renais/metabolismo , Proteínas Oncogênicas/metabolismo , Podócitos/metabolismo , Junções Íntimas/metabolismo , Proteínas Adaptadoras de Transdução de Sinal/genética , Animais , Antibacterianos/farmacologia , Linhagem Celular , Modelos Animais de Doenças , Doxiciclina/farmacologia , Glomerulonefrite/induzido quimicamente , Glomerulonefrite/metabolismo , Glomerulonefrite/patologia , Glomérulos Renais/patologia , Masculino , Proteínas de Membrana/metabolismo , Camundongos , Camundongos Transgênicos , Proteínas Oncogênicas/genética , Fosforilação , Podócitos/efeitos dos fármacos , Podócitos/ultraestrutura , Proteinúria/metabolismo , Proteinúria/patologia , Puromicina Aminonucleosídeo/efeitos adversos , Ratos , Ratos Sprague-Dawley , Junções Íntimas/ultraestruturaRESUMO
The Drosophilamelanogaster cell line 1182-4, which constitutively lacks centrioles, was established many years ago from haploid embryos laid by females homozygous for the maternal haploid (mh) mutation. This was the first clear example of animal cells regularly dividing in the absence of this organelle. However, the cause of the acentriolar nature of the 1182-4 cell line remained unclear and could not be clearly assigned to a particular genetic event. Here, we detail historically the longstanding mystery of the lack of centrioles in this Drosophila cell line. Recent advances, such as the characterization of the mh gene and the genomic analysis of 1182-4 cells, allow now a better understanding of the physiology of these cells. By combining these new data, we propose three reasonable hypotheses of the genesis of this remarkable phenotype.
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Centríolos/metabolismo , Drosophila melanogaster/citologia , Animais , Linhagem Celular , Proteínas de Drosophila/genética , Proteínas de Drosophila/metabolismo , Genoma de Inseto , Modelos BiológicosRESUMO
Deep neural networks have achieved remarkable success in various challenging tasks. However, the black-box nature of such networks is not acceptable to critical applications, such as healthcare. In particular, the existence of adversarial examples and their overgeneralization to irrelevant, out-of-distribution inputs with high confidence makes it difficult, if not impossible, to explain decisions by such networks. In this paper, we analyze the underlying mechanism of generalization of deep neural networks and propose an (n, k) consensus algorithm which is insensitive to adversarial examples and can reliably reject out-of-distribution samples. Furthermore, the consensus algorithm is able to improve classification accuracy by using multiple trained deep neural networks. To handle the complexity of deep neural networks, we cluster linear approximations of individual models and identify highly correlated clusters among different models to capture feature importance robustly, resulting in improved interpretability. Motivated by the importance of building accurate and interpretable prediction models for healthcare, our experimental results on an ICU dataset show the effectiveness of our algorithm in enhancing both the prediction accuracy and the interpretability of deep neural network models on one-year patient mortality prediction. In particular, while the proposed method maintains similar interpretability as conventional shallow models such as logistic regression, it improves the prediction accuracy significantly.
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OBJECTIVE: To conduct a systematic scoping review of explainable artificial intelligence (XAI) models that use real-world electronic health record data, categorize these techniques according to different biomedical applications, identify gaps of current studies, and suggest future research directions. MATERIALS AND METHODS: We searched MEDLINE, IEEE Xplore, and the Association for Computing Machinery (ACM) Digital Library to identify relevant papers published between January 1, 2009 and May 1, 2019. We summarized these studies based on the year of publication, prediction tasks, machine learning algorithm, dataset(s) used to build the models, the scope, category, and evaluation of the XAI methods. We further assessed the reproducibility of the studies in terms of the availability of data and code and discussed open issues and challenges. RESULTS: Forty-two articles were included in this review. We reported the research trend and most-studied diseases. We grouped XAI methods into 5 categories: knowledge distillation and rule extraction (N = 13), intrinsically interpretable models (N = 9), data dimensionality reduction (N = 8), attention mechanism (N = 7), and feature interaction and importance (N = 5). DISCUSSION: XAI evaluation is an open issue that requires a deeper focus in the case of medical applications. We also discuss the importance of reproducibility of research work in this field, as well as the challenges and opportunities of XAI from 2 medical professionals' point of view. CONCLUSION: Based on our review, we found that XAI evaluation in medicine has not been adequately and formally practiced. Reproducibility remains a critical concern. Ample opportunities exist to advance XAI research in medicine.
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Inteligência Artificial , Registros Eletrônicos de Saúde , Aprendizado de Máquina , Atitude do Pessoal de Saúde , Bibliometria , Estudos de Avaliação como Assunto , Humanos , Modelos Logísticos , Reprodutibilidade dos TestesRESUMO
The aim of the present study was to evaluate the soft tissue bond strength of a newly developed, monomeric, biomimetic, tissue adhesive called phosphoserine modified cement (PMC). Two types of PMCs were evaluated using lap shear strength (LSS) testing, on porcine skin: a calcium metasilicate (CS1), and alpha tricalcium phosphate (αTCP) PMC. CS1 PCM bonded strongly to skin, reaching a peak LSS of 84, 132, and 154 KPa after curing for 0.5, 1.5, and 4 h, respectively. Cyanoacrylate and fibrin glues reached an LSS of 207 kPa and 33 kPa, respectively. αTCP PMCs reached a final LSS of ≈110 kPa. In soft tissues, stronger bond strengths were obtained with αTCP PMCs containing large amounts of amino acid (70-90 mol%), in contrast to prior studies in calcified tissues (30-50 mol%). When αTCP particle size was reduced by wet milling, and for CS1 PMCs, the strongest bonding was obtained with mole ratios of 30-50% phosphoserine. While PM-CPCs behave like stiff ceramics after setting, they bond to soft tissues, and warrant further investigation as tissue adhesives, particularly at the interface between hard and soft tissues.