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An initial Appear: Differences in COVID-19 Mortality Amid US-Born and Foreign-Born Minnesota Inhabitants.
There are important differences in the risk of SARS-CoV-2 infection and death depending on occupation. Infections in healthcare workers have received the most attention, and there are clearly increased risks for intensive care unit workers who are caring for COVID-19 patients. However, a number of other occupations may also be at an increased risk, particularly those which involve social care or contact with the public. A large number of data sets are available with the potential to assess occupational risks of COVID-19 incidence, severity, or mortality. We are reviewing these data sets as part of the Partnership for Research in Occupational, Transport, Environmental COVID Transmission (PROTECT) initiative, which is part of the National COVID-19 Core Studies. In this report, we review the data sets available (including the key variables on occupation and potential confounders) for examining occupational differences in SARS-CoV-2 infection and COVID-19 incidence, severity and mortality. We also discuss the possible types of analyses of these data sets and the definitions of (occupational) exposure and outcomes. We conclude that none of these data sets are ideal, and all have various strengths and weaknesses. For example, mortality data suffer from problems of coding of COVID-19 deaths, and the deaths (in England and Wales) that have been referred to the coroner are unavailable. On the other hand, testing data is heavily biased in some periods (particularly the first wave) because some occupations (e.g. healthcare workers) were tested more often than the general population. Random population surveys are, in principle, ideal for estimating population prevalence and incidence, but are also affected by non-response. Thus, any analysis of the risks in a particular occupation or sector (e.g. transport), will require a careful analysis and triangulation of findings across the various available data sets.Long-term peritoneal dialysis (PD) is accompanied by low-grade intraperitoneal inflammation and may eventually lead to peritoneal membrane injury with a high solute transport rate and ultrafiltration failure. Osteopontin (OPN) is highly expressed through the stimulation of pro-inflammatory cytokines in many cell types. This study aimed to investigate the potential of OPN as a new indicator of peritoneal deterioration. One hundred nine continuous ambulatory PD patients were analyzed. The levels of OPN and IL-6 in peritoneal effluents or serum were analyzed by ELISA kits. The mean effluent OPN concentration was 2.39 ± 1.87 ng/mL. The OPN levels in drained dialysate were correlated with D/P Cr (p less then 0.0001, R = 0.54) and D/D0 glucose (p less then 0.0001, R = 0.39). Logistic regression analysis showed that the OPN levels in peritoneal effluents were an independent predictive factor for the increased peritoneal solute transport rate (PSTR) obtained by the peritoneal equilibration test (p less then 0.001). The area under the receiver operating characteristic curve of OPN was 0.84 (95% CI 0.75-0.92) in predicting the increased PSTR with a sensitivity of 86% and a specificity of 67%. selleck chemical The joint utilization of effluent OPN with age, effluent IL-6, and serum albumin further increased the specificity (81%). Thus, OPN may be a useful indicator of peritoneal deterioration in patients with PD.Query optimization is the process of identifying the best Query Execution Plan (QEP). The query optimizer produces a close to optimal QEP for the given queries based on the minimum resource usage. The problem is that for a given query, there are plenty of different equivalent execution plans, each with a corresponding execution cost. To produce an effective query plan thus requires examining a large number of alternative plans. Access plan recommendation is an alternative technique to database query optimization, which reuses the previously-generated QEPs to execute new queries. In this technique, the query optimizer uses clustering methods to identify groups of similar queries. However, clustering such large datasets is challenging for traditional clustering algorithms due to huge processing time. Numerous cloud-based platforms have been introduced that offer low-cost solutions for the processing of distributed queries such as Hadoop, Hive, Pig, etc. This paper has applied and tested a model for clustering variant sizes of large query datasets parallelly using MapReduce. The results demonstrate the effectiveness of the parallel implementation of query workloads clustering to achieve good scalability.In reinforcement learning (RL), dealing with non-stationarity is a challenging issue. However, some domains such as traffic optimization are inherently non-stationary. Causes for and effects of this are manifold. In particular, when dealing with traffic signal controls, addressing non-stationarity is key since traffic conditions change over time and as a function of traffic control decisions taken in other parts of a network. In this paper we analyze the effects that different sources of non-stationarity have in a network of traffic signals, in which each signal is modeled as a learning agent. More precisely, we study both the effects of changing the context in which an agent learns (e.g., a change in flow rates experienced by it), as well as the effects of reducing agent observability of the true environment state. Partial observability may cause distinct states (in which distinct actions are optimal) to be seen as the same by the traffic signal agents. This, in turn, may lead to sub-optimal performance. We show that the lack of suitable sensors to provide a representative observation of the real state seems to affect the performance more drastically than the changes to the underlying traffic patterns.The Flexible Job Shop Scheduling Problem (FJSP) is a combinatorial problem that continues to be studied extensively due to its practical implications in manufacturing systems and emerging new variants, in order to model and optimize more complex situations that reflect the current needs of the industry better. This work presents a new metaheuristic algorithm called the global-local neighborhood search algorithm (GLNSA), in which the neighborhood concepts of a cellular automaton are used, so that a set of leading solutions called smart-cells generates and shares information that helps to optimize instances of the FJSP. The GLNSA algorithm is accompanied by a tabu search that implements a simplified version of the Nopt1 neighborhood defined in Mastrolilli & Gambardella (2000) to complement the optimization task. The experiments carried out show a satisfactory performance of the proposed algorithm, compared with other results published in recent algorithms, using four benchmark sets and 101 test problems.
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