亚洲男人的天堂2018av,欧美草比,久久久久久免费视频精选,国色天香在线看免费,久久久久亚洲av成人片仓井空

Health-related quality of life (Hr-QoL) scales provide crucial information on neurodegenerative disease progression, help improving patient care, and constitute a meaningful endpoint for therapeutic research. However, Hr-QoL progression is usually poorly documented, as for multiple system atrophy (MSA), a rare and rapidly progressing alpha-synucleinopathy. This work aimed to describe Hr-QoL progression during the natural course of MSA, explore disparities between patients, and identify informative items using a four-step statistical strategy.We leveraged the data of the French MSA cohort comprising annual assessments with the MSA-QoL questionnaire for more than 500 patients over up to 11 years. The four-step strategy (1) determined the subdimensions of Hr-QoL in MSA; (2) modelled the subdimension trajectories over time, accounting for the risk of death; (3) mapped the sequence of item impairments with disease stages; and (4) identified the most informative items specific to each disease stage.Among the 536 patients included, 50% were women and they were aged on average 65.1 years old at entry. Among them, 63.1% died during the follow-up. Four dimensions were identified. In addition to the original motor, nonmotor, and emotional domains, an oropharyngeal component was highlighted. While the motor and oropharyngeal domains deteriorated rapidly, the nonmotor and emotional aspects were already slightly to moderately impaired at cohort entry and deteriorated slowly over the course of the disease. Impairments were associated with sex, diagnosis subtype, and delay since symptom onset. Except for the emotional domain, each dimension was driven by key identified items.Hr-QoL is a multidimensional concept that deteriorates progressively over the course of MSA and brings essential knowledge for improving patient care. As exemplified with MSA, the thorough description of Hr-QoL using the 4-step original analysis can provide new perspectives on neurodegenerative diseases' management to ultimately deliver better support focused on the patient's perspective.

相關內容

Causal representation learning algorithms discover lower-dimensional representations of data that admit a decipherable interpretation of cause and effect; as achieving such interpretable representations is challenging, many causal learning algorithms utilize elements indicating prior information, such as (linear) structural causal models, interventional data, or weak supervision. Unfortunately, in exploratory causal representation learning, such elements and prior information may not be available or warranted. Alternatively, scientific datasets often have multiple modalities or physics-based constraints, and the use of such scientific, multimodal data has been shown to improve disentanglement in fully unsupervised settings. Consequently, we introduce a causal representation learning algorithm (causalPIMA) that can use multimodal data and known physics to discover important features with causal relationships. Our innovative algorithm utilizes a new differentiable parametrization to learn a directed acyclic graph (DAG) together with a latent space of a variational autoencoder in an end-to-end differentiable framework via a single, tractable evidence lower bound loss function. We place a Gaussian mixture prior on the latent space and identify each of the mixtures with an outcome of the DAG nodes; this novel identification enables feature discovery with causal relationships. Tested against a synthetic and a scientific dataset, our results demonstrate the capability of learning an interpretable causal structure while simultaneously discovering key features in a fully unsupervised setting.

Causal investigations in observational studies pose a great challenge in scientific research where randomized trials or intervention-based studies are not feasible. Leveraging Shannon's seminal work on information theory, we consider a framework of asymmetry where any causal link between putative cause and effect must be explained through a mechanism governing the cause as well as a generative process yielding an effect of the cause. Under weak assumptions, this framework enables the assessment of whether X is a stronger predictor of Y or vice-versa. Under stronger identifiability assumptions our framework is able to distinguish between cause and effect using observational data. We establish key statistical properties of this framework. Our proposed methodology relies on scalable non-parametric density estimation using fast Fourier transformation. The resulting estimation method is manyfold faster than the classical bandwidth-based density estimation while maintaining comparable mean integrated squared error rates. We investigate key asymptotic properties of our methodology and introduce a data-splitting technique to facilitate inference. The key attraction of our framework is its inference toolkit, which allows researchers to quantify uncertainty in causal discovery findings. We illustrate the performance of our methodology through simulation studies as well as multiple real data examples.

IMPORTANCE The response effectiveness of different large language models (LLMs) and various individuals, including medical students, graduate students, and practicing physicians, in pediatric ophthalmology consultations, has not been clearly established yet. OBJECTIVE Design a 100-question exam based on pediatric ophthalmology to evaluate the performance of LLMs in highly specialized scenarios and compare them with the performance of medical students and physicians at different levels. DESIGN, SETTING, AND PARTICIPANTS This survey study assessed three LLMs, namely ChatGPT (GPT-3.5), GPT-4, and PaLM2, were assessed alongside three human cohorts: medical students, postgraduate students, and attending physicians, in their ability to answer questions related to pediatric ophthalmology. It was conducted by administering questionnaires in the form of test papers through the LLM network interface, with the valuable participation of volunteers. MAIN OUTCOMES AND MEASURES Mean scores of LLM and humans on 100 multiple-choice questions, as well as the answer stability, correlation, and response confidence of each LLM. RESULTS GPT-4 performed comparably to attending physicians, while ChatGPT (GPT-3.5) and PaLM2 outperformed medical students but slightly trailed behind postgraduate students. Furthermore, GPT-4 exhibited greater stability and confidence when responding to inquiries compared to ChatGPT (GPT-3.5) and PaLM2. CONCLUSIONS AND RELEVANCE Our results underscore the potential for LLMs to provide medical assistance in pediatric ophthalmology and suggest significant capacity to guide the education of medical students.

Accelerated life-tests (ALTs) are applied for inferring lifetime characteristics of highly reliable products. In particular, step-stress ALTs increase the stress level at which units under test are subject at certain pre-fixed times, thus accelerating product wear and inducing its failure. In some cases, due to cost or product nature constraints, continuous monitoring of devices is infeasible but the units are inspected for failures at particular inspection time points. In such setups, the ALT response is interval-censored. Furthermore, when a test unit fails, there are often more than one fatal cause for the failure, known as competing risks. In this paper, we assume that all competing risks are independent and follow an exponential distribution with scale parameter depending on the stress level. Under this setup, we present a family of robust estimators based on the density power divergence, including the classical maximum likelihood estimator as a particular case. We derive asymptotic and robustness properties of the MDPDE, showing its consistency for large samples. Based on these MDPDEs, estimates of the lifetime characteristics of the product as well as estimates of cause-specific lifetime characteristics have been developed. Direct, transformed and bootstrap confidence intervals for the mean lifetime to failure, reliability at a mission time, and distribution quantiles are proposed, and their performance is empirically compared through simulations. Besides, the performance of the MDPDE family has been examined through an extensive numerical study and the methods of inference discussed here are illustrated with a real-data example regarding electronic devices.

We introduce a semi-explicit time-stepping scheme of second order for linear poroelasticity satisfying a weak coupling condition. Here, semi-explicit means that the system, which needs to be solved in each step, decouples and hence improves the computational efficiency. The construction and the convergence proof are based on the connection to a differential equation with two time delays, namely one and two times the step size. Numerical experiments confirm the theoretical results and indicate the applicability to higher-order schemes.

Numerous applications in the field of molecular communications (MC) such as healthcare systems are often event-driven. The conventional Shannon capacity may not be the appropriate metric for assessing performance in such cases. We propose the identification (ID) capacity as an alternative metric. Particularly, we consider randomized identification (RI) over the discrete-time Poisson channel (DTPC), which is typically used as a model for MC systems that utilize molecule-counting receivers. In the ID paradigm, the receiver's focus is not on decoding the message sent. However, he wants to determine whether a message of particular significance to him has been sent or not. In contrast to Shannon transmission codes, the size of ID codes for a Discrete Memoryless Channel (DMC) grows doubly exponentially fast with the blocklength, if randomized encoding is used. In this paper, we derive the capacity formula for RI over the DTPC subject to some peak and average power constraints. Furthermore, we analyze the case of state-dependent DTPC.

Online learning holds the promise of enabling efficient long-term credit assignment in recurrent neural networks. However, current algorithms fall short of offline backpropagation by either not being scalable or failing to learn long-range dependencies. Here we present a high-performance online learning algorithm that merely doubles the memory and computational requirements of a single inference pass. We achieve this by leveraging independent recurrent modules in multi-layer networks, an architectural motif that has recently been shown to be particularly powerful. Experiments on synthetic memory problems and on the challenging long-range arena benchmark suite reveal that our algorithm performs competitively, establishing a new standard for what can be achieved through online learning. This ability to learn long-range dependencies offers a new perspective on learning in the brain and opens a promising avenue in neuromorphic computing.

Continual learning (CL) methods designed for natural image classification often fail to reach basic quality standards for medical image segmentation. Atlas-based segmentation, a well-established approach in medical imaging, incorporates domain knowledge on the region of interest, leading to semantically coherent predictions. This is especially promising for CL, as it allows us to leverage structural information and strike an optimal balance between model rigidity and plasticity over time. When combined with privacy-preserving prototypes, this process offers the advantages of rehearsal-based CL without compromising patient privacy. We propose Atlas Replay, an atlas-based segmentation approach that uses prototypes to generate high-quality segmentation masks through image registration that maintain consistency even as the training distribution changes. We explore how our proposed method performs compared to state-of-the-art CL methods in terms of knowledge transferability across seven publicly available prostate segmentation datasets. Prostate segmentation plays a vital role in diagnosing prostate cancer, however, it poses challenges due to substantial anatomical variations, benign structural differences in older age groups, and fluctuating acquisition parameters. Our results show that Atlas Replay is both robust and generalizes well to yet-unseen domains while being able to maintain knowledge, unlike end-to-end segmentation methods. Our code base is available under //github.com/MECLabTUDA/Atlas-Replay.

We collect robust proposals given in the field of regression models with heteroscedastic errors. Our motivation stems from the fact that the practitioner frequently faces the confluence of two phenomena in the context of data analysis: non--linearity and heteroscedasticity. The impact of heteroscedasticity on the precision of the estimators is well--known, however the conjunction of these two phenomena makes handling outliers more difficult. An iterative procedure to estimate the parameters of a heteroscedastic non--linear model is considered. The studied estimators combine weighted $MM-$regression estimators, to control the impact of high leverage points, and a robust method to estimate the parameters of the variance function.

The synthesis of information deriving from complex networks is a topic receiving increasing relevance in ecology and environmental sciences. In particular, the aggregation of multilayer networks, i.e. network structures formed by multiple interacting networks (the layers), constitutes a fast-growing field. In several environmental applications, the layers of a multilayer network are modelled as a collection of similarity matrices describing how similar pairs of biological entities are, based on different types of features (e.g. biological traits). The present paper first discusses two main techniques for combining the multi-layered information into a single network (the so-called monoplex), i.e. Similarity Network Fusion (SNF) and Similarity Matrix Average (SMA). Then, the effectiveness of the two methods is tested on a real-world dataset of the relative abundance of microbial species in the ecosystems of nine glaciers (four glaciers in the Alps and five in the Andes). A preliminary clustering analysis on the monoplexes obtained with different methods shows the emergence of a tightly connected community formed by species that are typical of cryoconite holes worldwide. Moreover, the weights assigned to different layers by the SMA algorithm suggest that two large South American glaciers (Exploradores and Perito Moreno) are structurally different from the smaller glaciers in both Europe and South America. Overall, these results highlight the importance of integration methods in the discovery of the underlying organizational structure of biological entities in multilayer ecological networks.

北京阿比特科技有限公司