RESUMEN
Environmental factors affecting health and vulnerability far outweigh genetics in accounting for disparities in health status and longevity in US communities. The concept of the exposome, the totality of exposure from conception onwards, provides a paradigm for researchers to investigate the complex role of the environment on the health of individuals. We propose a complementary framework, community-level exposomics, for population-level exposome assessment. The goal is to bring the exposome paradigm to research and practice on the health of populations, defined by various axes including geographic, social, and occupational. This framework includes the integration of community-level measures of the built, natural and social environments, environmental pollution-derived from conventional and community science approaches, internal markers of exposure that can be measured at the population-level and early responses associated with health status that can be tracked using population-based monitoring. Primary challenges to the implementation of the proposed framework include needed advancements in population-level measurement, lack of existing models with the capability to produce interpretable and actionable evidence and the ethical considerations of labeling geographically-bound populations by exposomic profiles. To address these challenges, we propose a set of recommendations that begin with greater engagement with and empowerment of affected communities and targeted investment in community-based solutions. Applications to urban settings and disaster epidemiology are discussed as examples for implementation.
RESUMEN
Scientific reproducibility that effectively leverages existing study data is critical to the advancement of research in many disciplines including neuroscience, which uses imaging and electrophysiology modalities as primary endpoints or key dependency in studies. We are developing an integrated search platform called NeuroBridge to enable researchers to search for relevant study datasets that can be used to test a hypothesis or replicate a published finding without having to perform a difficult search from scratch, including contacting individual study authors and locating the site to download the data. In this paper, we describe the development of a metadata ontology based on the World Wide Web Consortium (W3C) PROV specifications to create a corpus of semantically annotated published papers. This annotated corpus was used in a deep learning model to support automated identification of candidate datasets related to neurocognitive assessment of subjects with drug abuse or schizophrenia using neuroimaging. We built on our previous work in the Provenance for Clinical and Health Research (ProvCaRe) project to model metadata information in the NeuroBridge ontology and used this ontology to annotate 51 articles using a Web-based tool called Inception. The Bidirectional Encoder Representations from Transformers (BERT) neural network model, which was trained using the annotated corpus, is used to classify and rank papers relevant to five research hypotheses and the results were evaluated independently by three users for accuracy and recall. Our combined use of the NeuroBridge ontology together with the deep learning model outperforms the existing PubMed Central (PMC) search engine and manifests considerable trainability and transparency compared with typical free-text search. An initial version of the NeuroBridge portal is available at: https://neurobridges.org/.
