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The results show that input parameter variations significantly impact all stages (segmentation, feature computation, and survival analysis) of the use case application. We then identified and classified features according to their robustness to parameter variation, and using the proposed features selection strategy, for instance, patient grouping stability in survival analysis has been improved from in 17% and 34% for BRCA and LUSC, respectively.
This strategy created more robust analyses, demonstrating that SA and UQ are important methods that may increase confidence digital pathology.
This strategy created more robust analyses, demonstrating that SA and UQ are important methods that may increase confidence digital pathology.
while traditional sleep staging is achieved through the visual-expert-based-annotation of a polysomnography, it has the disadvantages of being unpractical and expensive. Alternatives have been developed over the years to relieve sleep staging from its heavy requirements, through the collection of more easily assessable signals and its automation using machine learning. However, these alternatives have their limitations, some due to variabilities among and between subjects, other inherent to their use of sub-discriminative signals. Many new solutions rely on the evaluation of the Autonomic Nervous System (ANS) activation through the assessment of the heart-rate (HR); the latter is modulated by the aforementioned variabilities, which may result in data and concept shifts between what was learned and what we want to classify. Such adversary effects are usually tackled by Transfer Learning, dealing with problems where there are differences between what is known (source) and what we want to classify (target). Inning (KCATL, KTATL) to performances without transfer using a fixed classifier (a Support Vector Classifier - SVC). In most cases, both transfer learning methods result in an improvement of performances (higher detection rates for a fixed false-alarm rate). Our methods do not require iterative computations.
we observe improved performances using our transfer methods, which are computationally efficient, as they only require the computation of a kernel matrix and are non-iterative. However, some optimisation aspects are still under investigation.
we observe improved performances using our transfer methods, which are computationally efficient, as they only require the computation of a kernel matrix and are non-iterative. However, some optimisation aspects are still under investigation.
Immune checkpoint inhibitors (ICIs) have proven to be effective treatment for lung cancer. However, a precise predictive immuno-oncology biomarker is still under development. We investigated the associations among PD-L1 expression, tumor mutational burden (TMB), and oncogenic driver alterations in advanced non-small cell lung cancer (NSCLC) patients treated with ICIs.
This multicenter cohort study included 1017 lung cancer patients. PD-L1 expression using four IHC assays (22C3, 28-8, SP263, SP142), TMB by whole-exome sequencing and oncogenic driver alterations were analyzed comprehensively. Clinical characteristics, treatment and survival data were collected.
The results of 22C3 and 28-8 for PD-L1 expression showed acceptable concordance (k=0.89; 95% confidence interval [CI], 0.87-0.92), and the clinical outcomes of ICIs classified according to PD-L1 expression by both assays were also approximately the same. There was slight concordance (k=0.16; 95% CI, 0.11-0.22) between 22C3 and SP142, and high PD-L1 expression by SP142 was correspond to very high PD-L1 expressions by other assays. Patients with both high PD-L1 expression and high TMB showed a good response to ICIs with the response rate of 64% and median progression-free survival of 9.0months despite of small population. Common EGFR or STK11 mutations showed a lower rate of high PD-L1 expression and a worse efficacy of ICIs and KRAS mutations had no negative impact on response to ICIs.
Comprehensive assessment of PD-L1 expression, TMB, and oncogenic driver alterations would help to better predict the clinical outcomes of ICIs in NSCLC patients.
Comprehensive assessment of PD-L1 expression, TMB, and oncogenic driver alterations would help to better predict the clinical outcomes of ICIs in NSCLC patients.Many children in low- and middle-income countries are growing up during a rapid nutrition transition. Experimental evidence on food choice in developing countries is scarce, while it is unclear to what extent evidence from high-income countries can be generalized. Children participated in a snack choice experiment. We expose some children to emoji labels encouraging healthy snacks, while others observe healthy or unhealthy snacking by peers. While emoji labels moderately promote healthy snacking, the adverse effect of observing a peer eating the unhealthy snack is very large. The effect associated with observing a healthy peer is insignificant. Additionally, cross-randomized blocks of children watched a nutrition video to study the interaction of information provision and nudging. The video independently improves healthy choices but does not aid the emoji nudge and cannot counter the strong negative peer effect. We compare our findings to studies conducted in developed countries and discuss policy implications.Blast-induced traumatic brain injury is the signature injury of modern military conflicts. To more fully understand the effects of blast exposure, we placed rats in different holder configurations, exposed them to blast overpressure, and assessed the degree of eye and brain injury. Anesthetized Long-Evans rats received blast exposures directed at the head (63 kPa, 195 dB-SPL) in either an "open holder" (head and neck exposed; n = 7), or an "enclosed holder" (window for blast exposure to eye; n = 15) and were compared to non-blast exposed (control) rats (n = 22). Outcomes included optomotor response (OMR), electroretinography (ERG), and spectral domain optical coherence tomography (SD-OCT) at 2, 4, and 6 months post-blast, and cognitive function (Y-maze) at 3 months. Spatial frequency and contrast sensitivity were reduced in ipsilateral blast-exposed eyes in both holders (p less then 0.01), while contralateral eyes showed greater deficits with the enclosed holder (p less then 0.05). Thinner retinas (p less then 0.001) and reduced ERG a- and b- wave amplitudes (p less then 0.05) were observed for both ipsilateral and contralateral eyes with the enclosed, but not the open, holder. T-5224 nmr Rats in the open holder showed cognitive deficits compared to rats in the enclosed holder (p less then 0.05). Overall, the animal holder configuration used in blast exposure studies can significantly affect outcomes. Enclosed holders may cause secondary damage to the contralateral eye by concussive injury or blast wave reflection off the holder wall. Open holders may damage the brain via rapid head movement (contrecoup injury). These results highlight additional factors to be considered when evaluating patients with blast exposure or developing models of blast injury.People can perceive 3D information from contour drawings and some types of configurations of contours in such drawings are important for 3D perception. We know that our visual system is sensitive to these configurations. Koshmanova & Sawada (2019, Vision Research, 154, 97-104) showed that the sensitivity is higher to a parallel configuration of contours than to a perpendicular configuration of contours. In this study, two psychophysical experiments were conducted that compared the sensitivity to a parallel configuration to two different configurations. In Experiment 1, orientation thresholds were measured with parallel and converging configurations composed of three contours. In Experiment 2, orientation thresholds of configurations composed of two contours were measured with parallel, collinear, and perpendicular configurations. The results of Experiment 1 showed that the visual system is more sensitive to parallel configurations than to converging configurations. The results of Experiment 2 showed that the sensitivity to the parallel configuration is analogous to the sensitivity to the collinear configuration, and it is higher than the sensitivity to the perpendicular configuration. The role that the parallel configuration plays in the 3D perception of contour-drawings is discussed.The effects of contrast adaptation and contrast area summation (spatial integration) were investigated using a contrast discrimination task. The task consisted of a target of variable size, and a pedestal with a fixed base contrast. Discrimination performance was examined for a condition in which the pedestal size was fixed, equal to the largest target size, and for a condition in which the pedestal size matched the target size and thus varied with it. Repeated performance of the task produced rapid within-session improvements for both conditions. For stimuli with a matching size of target and pedestal, the performance improved only for the larger targets, indicating the development of spatial integration, which was initially absent for these stimuli. However, the improvements were mostly temporary, and were not fully retained between subsequent daily sessions. The temporary nature of the sensitivity gains implies that they resulted, at least in part, from rapid adaptation to the stimulus contrast. We suggest that adaptation decorrelates and thus reduces the spatial noise generated by a high-contrast pedestal, leading to improved spatial integration (area summation) and better contrast sensitivity. A decorrelation model successfully predicted our experimental results.
To determine whether children born extremely preterm are at increased risk for sleep disturbances and to explore relationships between extremely preterm birth, sleep and attention-deficit/hyperactivity disorder (ADHD) symptoms and emotional symptoms.
EPICure2 cohort study. Parents of 165 children born ≤26 weeks' gestation (53% male) and 121 children born at term (43% male) completed the Children's Sleep Habits Questionnaire, sleep disordered breathing subscale of the Pediatric Sleep Questionnaire, the emotional problems scale of the Strengths and Difficulties Questionnaire and the ADHD Rating Scale-5 at 11 years of age.
Extremely preterm children had greater habitual snoring (adjusted odds ratio 6.8; 95% confidence interval 2.3, 20.3), less frequently fell asleep within 20 minutes (Cohen's d 0.33), higher night wakings (d 0.44) and daytime sleepiness scores (d 0.40) than term-born children; there was no between-group difference in sleep duration scores. Among children without severe disability, night wakings scores partially mediated the relationship between preterm birth and inattention (additional 5% of variance explained), hyperactivity/impulsivity (13%) and emotional problems (9%). Snoring partially mediated the relationship between preterm birth, hyperactivity/impulsivity and inattention (additional 1-5% of variance).
Children born extremely preterm are at increased risk of disturbed sleep compared to term-born children. As night wakings partially mediated the relationship between preterm birth and ADHD symptoms and emotional problems, reducing sleep disturbance may improve sleep and reduce attention and emotional problems in this population.
Children born extremely preterm are at increased risk of disturbed sleep compared to term-born children. As night wakings partially mediated the relationship between preterm birth and ADHD symptoms and emotional problems, reducing sleep disturbance may improve sleep and reduce attention and emotional problems in this population.
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