Recruitment in a research study via chatbot versus telephone outreach: a randomized trial at a minority-serving institution.

Chatbots are software applications to simulate a conversation with a person. The effectiveness of chatbots in facilitating the recruitment of study participants in research, specifically among racial and ethnic minorities, is unknown. The objective of this study is to compare a chatbot versus telephone-based recruitment in enrolling research participants from a predominantly minority patient population at an urban institution. We randomly allocated adults to receive either chatbot or telephone-based outreach regarding a study about vaccine hesitancy. The primary outcome was the proportion of participants who provided consent to participate in the study. In 935 participants, the proportion who answered contact attempts was significantly lower in the chatbot versus telephone group (absolute difference -21.8%; 95% confidence interval [CI] -27.0%, -16.5%; P < 0.001). The consent rate was also significantly lower in the chatbot group (absolute difference -3.4%; 95% CI -5.7%, -1.1%; P = 0.004). However, among participants who answered a contact attempt, the difference in consent rates was not significant. In conclusion, the consent rate was lower with chatbot compared to telephone-based outreach. The difference in consent rates was due to a lower proportion of participants in the chatbot group who answered a contact attempt.

Why is adiabatic compressed air energy storage yet to become a viable energy storage option?

Recent theoretical studies have predicted that adiabatic compressed air energy storage (ACAES) can be an effective energy storage option in the future. However, major experimental projects and commercial ventures have so far failed to yield any viable prototypes. Here we explore the underlying reasons behind this failure. By developing an analytical idealized model of a typical ACAES design, we derive a design-dependent efficiency limit for a system with hypothetical, perfect components. This previously overlooked limit, equal to 93.6% under continuous cycling for a typical design, arises from irreversibility associated with the transient pressure in the system. Although the exact value is design dependent, the methodology we present for finding the limit is applicable for a wide range of designs. Turning to real systems, the limit alone does not fully explain the failure of practical ACAES research. However, reviewing the available evidence alongside our analytical model, we reason that underestimation of the system complexity, difficulty with the integration of off-the-shelf components, and a number of misleading performance claims are the primary reasons hindering ACAES development.

Planning for sustainable cities by estimating building occupancy with mobile phones.

Accurate occupancy is crucial for planning for sustainable buildings. Using massive, passively-collected mobile phone data, we introduce a novel framework to estimate building occupancy at unprecedented scale. We show that, at urban-scale, occupancy differs widely from current estimates based on building types. For commercial buildings, we find typical occupancy rates are 5 times lower than current assumptions imply, while for residential buildings occupancy rates vary widely by neighborhood. Our mobile phone based occupancy estimates are integrated with a state-of-the-art urban building energy model to understand their impact on energy use predictions. Depending on the assumed relationship between occupancy and internal building loads, we find energy consumption which differs by +1% to -15% for residential buildings and by -4% to -21% for commercial buildings, compared to standard methods. This highlights a need for new occupancy-to-load models which can be applied at urban-scale to the diverse set of city building types.

A glutamatergic network mediates lithium response in bipolar disorder as defined by epigenome pathway analysis.

AIM: A regulatory network in the human brain mediating lithium response in bipolar patients was revealed by analysis of functional SNPs from genome-wide association studies (GWAS) and published gene association studies, followed by epigenome mapping. METHODS: An initial set of 23,312 SNPs in linkage disequilibrium with lead SNPs, and sub-threshold GWAS SNPs rescued by pathway analysis, were studied in the same populations. These were assessed using our workflow and annotation by the epigenome roadmap consortium. RESULTS: Twenty-seven percent of 802 SNPs that were associated with lithium response (13 published studies gene association studies and two GWAS) were shared in common with 1281 SNPs from 18 GWAS examining psychiatric disorders and adverse events associated with lithium treatment. Nineteen SNPs were annotated as active regulatory elements such as enhancers and promoters in a tissue-specific manner. They were located within noncoding regions of ten genes: ANK3, ARNTL, CACNA1C, CACNG2, CDKN1A, CREB1, GRIA2, GSK3B, NR1D1 and SLC1A2. Following gene set enrichment and pathway analysis, these genes were found to be significantly associated (p = 10(-27); Fisher exact test) with an AMPA2 glutamate receptor network in human brain. Our workflow results showed concordance with annotation of regulatory elements from the epigenome roadmap. Analysis of cognate mRNA and enhancer RNA exhibited patterns consistent with an integrated pathway in human brain. CONCLUSION: This pharmacoepigenomic regulatory pathway is located in the same brain regions that exhibit tissue volume loss in bipolar disorder. Although in silico analysis requires biological validation, the approach provides value for identification of candidate variants that may be used in pharmacogenomic testing to identify bipolar patients likely to respond to lithium.

Diagnostic Prediction of Von Willebrand Disease using Multiple Bleeding Phenomics Datasets.

The rigorous assessment of bleeding symptoms is a key component in establishing a diagnosis in patients suspected of having von Willebrand disease (VWD) and other inherited bleeding disorders. Multiple bleeding questionnaires have been developed and validated to capture bleeding history phenotypes for assessing patients with bleeding disorders. In this study we developed a prediction model based on Naïve Bayes decision tree classifier by analyzing various phenotypic attributes derived from multiple bleeding questionnaires. We evaluated the classification effectiveness derived from the top 25 attributes with highest discriminations on prediction of VWD. We used data from 952 patients and the classifier achieved a precision of 95%, recall of 94%, and a Receiving Operating Curve (ROC) area under the curve of 0.97.

Development and evaluation of a study design typology for human research.

A systematic classification of study designs would be useful for researchers, systematic reviewers, readers, and research administrators, among others. As part of the Human Studies Database Project, we developed the Study Design Typology to standardize the classification of study designs in human research. We then performed a multiple observer masked evaluation of active research protocols in four institutions according to a standardized protocol. Thirty-five protocols were classified by three reviewers each into one of nine high-level study designs for interventional and observational research (e.g., N-of-1, Parallel Group, Case Crossover). Rater classification agreement was moderately high for the 35 protocols (Fleiss' kappa = 0.442) and higher still for the 23 quantitative studies (Fleiss' kappa = 0.463). We conclude that our typology shows initial promise for reliably distinguishing study design types for quantitative human research.

Creating an ontology-based human phenotyping system: The Rockefeller University bleeding history experience.

The lack of standardized methods for human phenotyping is a major obstacle in translational science. We have developed a bleeding history phenotyping system comprising an ontology, a questionnaire, a Web-based phenotype recording instrument (PRI), and a database. The ontology facilitates transparency, collaboration, aggregation of data, and data analysis. The integrated system allows investigators worldwide to use the PRI, add their de-identified data to the database, and query the aggregated data. Thus, this system can increase the power to detect genotype-phenotype-environment relationships and help new investigators begin their studies. We anticipate that this approach may be applicable to other disorders.