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The purpose of the present study is to analyze the prognostic factors of acute leukemia and to construct a decision model based on a causal relationship between the factors of this disease to assist medical specialists. In medical decisions, to reach effective, quick, and reliable results, there is a need for a simple decision-making model based on a specialist's self-assessment. It may help the medical team before final diagnosis by costly and time-consuming procedures such as bone marrow sampling and pathological test as well as provide an appropriate prognosis and diagnosis tool. Because of the complex and not the well-defined structure of medical data, the use of intelligent methods must be considered. For this purpose, first, a data-driven Bayesian network (BN) and Greedy algorithm are employed to determine causal relationships and probability between nodes using the real set of data. Then, these causal relationships will form based on the fuzzy cognitive map (FCM). Finally, according to scenarios defined, the results are analyzed. These analyses are also repeated for each type of acute leukemia including acute lymphocytic leukemia (ALL) and acute myelocytic leukemia (AML). Graphical abstract.Missing data (MD) is a common and inevitable problem facing data mining (DM)-based decision systems in e-health since many medical historical datasets contain a huge number of missing values. Therefore, a pre-processing stage is usually required to deal with missing values before building any DM-based decision system. The purpose of this paper is to evaluate the impact of MD techniques on classification systems in cardiovascular dysautonomias diagnosis. We analyzed and compared the accuracy rates of four classification techniques random forest (RF), support vector machines (SVM), C4.5 decision tree, and Naive Bayes (NB), using two MD techniques deletion or imputation with k-nearest neighbors (KNN). A total of 216 experiments were therefore carried out using three missingness mechanisms (MCAR missing completely at random, MAR missing at random and NMAR not missing at random), two MD techniques (deletion and KNN imputation), nine MD percentages from 10 to 90% over a dataset collected from the autonomic nervous system (ANS) unit of the University Hospital Avicenne in Morocco. The results obtained suggest that using KNN imputation rather than deletion enhances the accuracy rates of the four classifiers. Moreover, the MD percentages have a negative impact on the performance of classification techniques regardless of the MD mechanisms and MD techniques used. In fact, the accuracy rates of the four classifiers decrease as the MD percentage increases. Graphical abstract.
The initiation of flowering transition in rice (Oryza sativa) is a complex process regulated by genes and environment. In particular, drought can interfere with flowering; therefore, many plants hasten this process to shorten their life cycle under water scarcity, and this is known as drought-escape response. However, rice has other strategies; for example, drought stress can delay flowering instead of accelerating it. RICE CENTRORADIALIS 1 (RCN1) is a TERMINAL FLOWER-like gene that influences rice flowering transition and spike differentiation. It interacts with 14-3-3 proteins and transcription factor OsFD1 to form a florigen repression complex that suppresses flowering transition in rice.
In this study, we explored the role of RCN1 in the molecular pathway of drought-regulated flowering transition. The rcn1 mutant plants displayed early heading under both normal water and drought stress conditions, and they were more insensitive to drought stress than the wild-type plants. Abscisic acid (ABA) signaling-mediated drought-induced RCN1 is involved in this process.
Thus, RCN1 plays an important role in the process of drought stress inhibiting flowering transition. It may worked by suppressing the protein function rather than transcription of HEADING DATE 3a.
Thus, RCN1 plays an important role in the process of drought stress inhibiting flowering transition. It may worked by suppressing the protein function rather than transcription of HEADING DATE 3a.
Sarcopenia has been underscored as a significant predictor of poor prognosis in cancer patients undergoing immunotherapy with programmed death-1 (PD-1) inhibitors. We aimed to investigate the prognostic significance of computed tomography (CT)-determined sarcopenia in patients with microsatellite-stable (MSS) gastric cancer (GC) treated with PD-1 inhibitors.
We retrospectively assessed patients with MSS GC who had been treated with PD-1 inhibitors from March 2016 to June 2019. Pre-treatment sarcopenic status was determined by analyzing L3 skeletal muscle index with abdominal CT. Progression-free survival (PFS) and overall survival (OS) were estimated using the Kaplan-Meier method, and the differences in survival probability according to sarcopenic status were compared using the log-rank test. Cox proportional hazards regression analyses were performed to identify predictors of PFS and OS.
Of 149 patients with MSS GC (mean age, 57.0 ± 12.3years; 93 men), 79 (53.0%) had sarcopenia. Patients with sarcopenia had significantly shorter PFS than patients without sarcopenia (median, 1.4months vs. 2.6months; P = 0.026). Sarcopenia was independently associated with shorter PFS (adjusted hazard ratio [HR], 1.79; 95% confidence interval [CI], 1.10-2.93; P = 0.020). Patients with sarcopenia had shorter OS than patients without sarcopenia (median, 3.6months vs. 4.9months; P = 0.052), but sarcopenia itself was not a significant prognostic factor for OS (adjusted HR, 1.01; 95% CI, 0.58-1.75; P = 0.974).
CT-determined sarcopenia is an independent prognostic factor for PFS in patients with MSS GC treated with PD-1 inhibitors.
CT-determined sarcopenia is an independent prognostic factor for PFS in patients with MSS GC treated with PD-1 inhibitors.
The purpose of our study was to develop an online calculator to estimate the effect of docetaxel triplets (DPF) in first line of advanced gastric cancer (AGC), and to assess the external validity of docetaxel trials in individual patients.
The study includes patients with HER2(-) AGC treated with platin and fluoropyrimidine (PF) or with DPF in first line. Treatment effect and interactions were assessed using Bayesian accelerated failure time models.
The series comprises 1376 patients; 238 treated with DPF and 1138 with PF between 2008 and 2019. DPF was associated with increased progression-free survival (PFS) and overall survival (OS) with time ratio (TR) 1.27 (95% credible interval [CrI], 1.15-1.40), and TR 1.19 (95% CrI, 1.09-1.27), respectively. Serious adverse events were more common with DPF, particularly hematological effects (32% vs 22%). Younger participants received greater DPF dose density without achieving greater disease control, while severe toxicity was likewise higher. Selleckchem Nintedanib DPF yielded superior OS in Lauren intestinal (TR 1.
My Website: https://www.selleckchem.com/products/BIBF1120.html
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