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Young children's ability to understand a model as a spatial representation.

Children's ability to understand that a real environment can be represented in a symbolic form (i.e., by a model) is an important developmental achievement. Researchers have claimed that children who are just 3 years of age appreciate models as representations. This research was based on tasks that involved having young children use a model to locate a hiding place in an actual room. In this article, however, we point out the difficulties in interpreting previous model tasks, and we describe two studies that showed that young 3-year-olds could perform model tasks successfully when the hiding place they were looking for was a unique place in the model (and room). When the hiding place was unique, the children had to note only that place and they needed no further knowledge about the relationship between the model and the room. When the hiding place was one of two identical places, however, the children needed to take spatial relationships into account to distinguish the correct place, and young 3-year-olds were unable to do this. Four-year-olds were able to use spatial relationships to distinguish identical places when the model was aligned with the space it represented, but they had difficulty when the model was not aligned. Five-year-olds could use spatial relationships effectively between one model space and another whether or not the model was aligned.

Child

Factors affecting atrazine fate in north central U.S. soils.

Atrazine persistence and fate are influenced by many factors, the interactions of which are difficult to predict. Several models, such as LEACHP (Wagenet and Hutson 1989), have been used as tools to estimate losses and identify variables that will impact the magnitude of loss. The LEACHP model was evaluated for predicting atrazine movement in sandy loam, silt loam, and clay loam soils during three consecutive years (two dry and one wet) in Minnesota (Khakural et al. 1995). Considering the broad range in soil properties and climatic conditions used in testing, the model performed well. However, these are only estimates, and additional field studies need to be conducted to verify model results. In a report by Fausey et al. (1995), the amount of atrazine found in groundwater throughout the Midwestern region was reported to be much below the MCL. However, specific sites in the Midwest may struggle with atrazine problems from both point and nonpoint sources of contamination. Some states, such as South Dakota, have created groundwater protection areas that alert growers and the public to sensitive areas where contamination may occur because of soil type, depth to groundwater, and distance to public wellheads. Wisconsin has developed a tiered managerial strategy, or zoning approach, in which restrictions are matched to pollution detections (Wolf and Nowak 1996). The USEPA has mandates for states to implement generic management plans to prevent pesticide contamination of groundwater. Chemical-specific plans by states will be required for at least five pesticides, one of which will be atrazine. Best management practices have been and are continuing to be developed to aid the grower in lessening the adverse impacts of atrazine. With continuing research into understanding the problem and developing solutions, and with adaptation of these recommendations by growers, the use of effective, inexpensive herbicides may continue with minimal off-site environmental effects.

Agriculture

Evaluation of finite element analysis for prediction of the strength reduction due to metastatic lesions in the femoral neck.

Between 30 and 70% of almost one million new cancer patients diagnosed each year will develop osseous metastases. Clinicians are faced with the difficult task of determining which patients require prophylactic stabilization to prevent pathologic fracture. The objective of this study was to test the ability of macroscopic finite element models to predict the fracture strength of the proximal femur with a lesion in the femoral neck. Drill hole defects in human cadaver femora were used to simulate lesions that penetrate one cortex of the femoral neck. Based on the first of two series of in vitro experiments, the fracture strength of a femur with a lesion that penetrates either the inferior-medial or superior-lateral cortex of the neck is approximately 45% less than the fracture strength of the paired intact femur; based on the second series, the fracture strength with the inferior-medial lesion is approximately 20% less than the fracture strength with the superior-lateral lesion. A series of three-dimensional finite element models were used to predict the fracture strength for anterior and posterior lesions, as well as the inferior-medial and posterior-lateral lesions tested in vitro. Based on a direct comparison of the strengths predicted by the finite element models to the measured in vitro fracture strengths, the finite element models performed poorly. In particular, the application of an anisotropic strength criterion to the stresses predicted by the models resulted in a considerable underestimation of the percentage reduction in the in vitro fracture strength. This may reflect a fundamental inability of a linear, macroscopic continuum-based analysis to predict accurately the fracture strength of a bone structure as complex as the proximal femur. However, despite this lack of agreement in absolute fracture strength, the general trends for gait and stair ascent loading for the inferior-medial and superior-lateral lesions were consistent with the in vitro data. The greatest reduction in strength was predicted for the inferior-medial lesion, followed by the anterior lesion and then the superior-lateral lesion, and the least reduction in strength was predicted for the posterior lesion. Most importantly, the predicted strength ratio varied considerably as a function of the applied loads. Any metastatic lesions of the femoral neck may be especially sensitive to some particular activity, making it difficult to determine precisely the risk of fracture.

Aged

Digital separation of primary and scatter components of chest radiographs.

This article describes a technique for digital separation of the primary and scatter components of a radiographic image. The method involves mathematical modeling of the process whereby an antiscatter grid reduces scatter patterns in film radiographs. Two superimposable radiographs (one taken with and the other without an intervening antiscatter grid) are applied to the model. Performance characteristics of the grid (primary and scatter transmittance factors) are also determined and used in the model. Radiographs of a humanoid chest phantom are processed. Scatter/primary separation appears to be accurate to within 15%. Film images that are quantitatively faithful to the calculated primary and scatter fields are included.

Analog-Digital Conversion

AWGE-ESPCA: An edge sparse PCA model based on adaptive noise elimination regularization and weighted gene network for Hermetia illucens genomic data analysis.

Hermetia illucens is an important insect resource. Studies have shown that exploring the effects of Cu2+-stressed on the growth and development of the Hermetia illucens genome holds significant scientific importance. There are three major challenges in the current studies of Hermetia illucens genomic data analysis: firstly, the lack of available genomic data which limits researchers in Hermetia illucens genomic data analysis. Secondly, to the best of our knowledge, there are no Artificial Intelligence (AI) feature selection models designed specifically for Hermetia illucens genome. Unlike human genomic data, noise in Hermetia illucens data is a more serious problem. Third, how to choose those genes located in the pathway enrichment region. Existing models assume that each gene probe has the same priori weight. However, researchers usually pay more attention to gene probes which are in the pathway enrichment region. Based on the above challenges, we initially construct experiments and establish a new Cu2+-stressed Hermetia illucens growth genome dataset. Subsequently, we propose AWGE-ESPCA: an edge Sparse PCA model based on adaptive noise elimination regularization and weighted gene network. The AWGE-ESPCA model innovatively proposes an adaptive noise elimination regularization method, effectively addressing the noise challenge in Hermetia illucens genomic data. We also integrate the known gene-pathway quantitative information into the Sparse PCA(SPCA) framework as a priori knowledge, which allows the model to filter out the gene probes in pathway-rich regions as much as possible. Ultimately, this study conducts five independent experiments and compared four latest Sparse PCA models as well as representative supervised and unsupervised baseline models to validate the model performance. The experimental results demonstrate the superior pathway and gene selection capabilities of the AWGE-ESPCA model. Ablation experiments validate the role of the adaptive regularizer and network weighting module. To summarize, this paper presents an innovative unsupervised model for Hermetia illucens genome analysis, which can effectively help researchers identify potential biomarkers. In addition, we also provide a working AWGE - ESPCA model code in the address: https://github.com/yhyresearcher/AWGE_ESPCA.

Animals

Predicting natural variation in the yeast phenotypic landscape with machine learning.

Most organismal traits result from the complex interplay of many genetic and environmental factors, making their prediction difficult. Here, we used machine learning (ML) models to explore phenotype predictions for 223 traits measured across 1011 genome-sequenced Saccharomyces cerevisiae strains isolated worldwide. We benchmarked a ML pipeline with multiple linear and non-linear models to predict phenotypes from genotypes and gene expression, and determined gradient boosting machines as the best-performing model. Gene function disruption scores and gene presence/absence emerged as best predictors, suggesting a considerable contribution of the accessory genome in controlling phenotypes. The prediction accuracy broadly varied among phenotypes, with stress resistance being easier to predict compared to growth across nutrients. ML identified relevant genomic features linked to phenotypes, including high-impact variants with established relationships to phenotypes, despite these being rare in the population. Near-perfect accuracies were achieved when other phenomics data mostly in similar conditions were used, suggesting that useful information can be conveyed across phenotypes. Overall, our study underscores the power of ML to interpret the functional outcome of genetic variants.

Genetic Variation

Quality of laboratory performance in testing for human immunodeficiency virus type 1 antibody. Identification of variables associated with laboratory performance.

To identify factors that may affect the quality of laboratory performance of human immunodeficiency virus type 1 (HIV-1) antibody testing, the Centers for Disease Control and Prevention Model Performance Evaluation Program surveyed laboratories in 1989 that performed enzyme immunoassay (EIA) and Western blot tests for HIV-1 antibody. Panels of 10 HIV-1-antibody-positive and antibody-negative plasma samples, some of which were duplicates, were mailed to program-participating laboratories. Laboratories were also mailed survey questionnaires to ascertain their laboratory characteristics and testing practices. Using 1988 data, researchers previously found that the overall analytic performance of laboratories performing HIV-1 antibody testing was independently associated with the following: (1) requiring a minimum degree of testing personnel; (2) having written criteria for identifying unsatisfactory specimens; (3) requiring in-house training for testing personnel; (4) having tested more than 10,000 specimens; (5) being identified as an "other" laboratory type; (6) having more than 24 months of testing experience; (7) laboratory uses specific (Abbott) materials for EIA; and (8) testing specimens collected by family-planning clinics. To verify these findings, we performed multivariate analysis on 1989 performance data. For the 1989 EIA analytic sensitivity, significant positive (P < or = .05) associations were detected with having written criteria for identifying unsatisfactory specimens and with having tested more than 10,000 specimens. For the 1989 overall EIA analytic performance, a significant negative (P < or = .05) association was found with using specific (Abbott) EIA materials, and a significant positive (P < or = .05) association was found with having tested more than 10,000 specimens. For Western blot results, the only significant (P < or = .05) associations were for both analytic sensitivity and overall analytic performance and having tested more than 10,000 specimens.

Blotting, Western

Genetic Susceptibility to Incisional Hernia Evaluation of Hernia Polygenic Risk Scores.

OBJECTIVES: Incisional hernia (IH) affects 13-30% of people after abdominal surgery, resulting in substantial morbidity and costs. While clinical risk factors have been studied extensively, genomic risk for IH is incompletely understood. We aimed to evaluate the impact of polygenic risk scores (PRS) on IH risk prediction. METHODS: We created and evaluated three PRS for abdominal hernia, ventral hernia and latent hernia susceptibility for prediction of IH in an institutional biobank. The primary outcome was defined as the diagnosis or repair of an IH based on ICD-9/10-CM/PCS and CPT codes. Clinical covariates included age, sex, body mass index (BMI), smoking status, index procedure type, and perioperative surgical site infection. A phenome-wide association study (PheWAS) was performed to assess clinical associations with increased PRS. We then tested the ability of the PRS to improve prediction for IH by modeling clinical covariates with and without PRS in patients who underwent abdominal surgery. Model performance was assessed using 10 iterations of 5-fold cross-validation to estimate Brier scores and area under the receiver operating characteristic curve (AUROC), which were compared using cross-model Bayesian analysis of variance. RESULTS: In 55,809 subjects, assessed PRS was significantly associated with incisional, umbilical, and ventral hernia on PheWAS, with 1.19 greater odds of developing IH per 1-SD increase in PRS (95% CI: 1.13-1.25, P < 0.001). Of 9,909 subjects who underwent qualifying abdominal surgery, 706 developed IH. In this cohort, the latent hernia susceptibility PRS was associated with a 16% increased hazard of developing IH per 1-SD increase (HR 1.16; 95% CI: 1.07-1.26; P < 0.001). Compared to a predictive model using clinical covariates (Brier score = 0.047, 95% CI: 0.046-0.048; AUROC = 0.660, 95% CI: 0.653-0.666), addition of the PRS showed similar Brier score and AUROC estimates (Brier score = 0.047, 95% CI: 0.046-0.048; AUROC: 0.667, 95% CI: 0.661-0.673) at five years. Cross-model Bayesian analysis demonstrated >99% probability of practical equivalence when trying to detect a difference of &#x2265; 0.02. CONCLUSION: All three PRS for hernia were independently associated with IH, suggesting that genomic factors contribute significantly to IH development. However, none of the three PRS meaningfully improved clinical IH risk prediction in patients who underwent abdominal surgery. This suggests that clinical comorbidities and surgical techniques may be equally as important as genomic architecture.

Bayesian analysis

Adequacy of a systems structure in the modeling of training effects on performance.

A systems model of training effects on performance was applied to eight initially untrained subjects who were volunteers for an endurance training program for the purpose of verifying the statistical adequacy of the systems structure. In the model initially proposed by T. W. Calvert, E. W. Banister, M. V. Savage, and T. Bach (IEEE Trans. Syst. Man Cybern. 6: 94-102, 1976), the performance changes were related to the successive training loads by three first-order transfer functions. In the present study, the number of first-order components was statistically tested. A model including only one component, which had a positive effect on the performance, provided a significant fit with the performances in every subject. A second component significantly improved the fit in only two subjects. This further component, which had a negative effect on performance, was identified as fatigue. Nevertheless, a two-antagonistic component model is proposed to provide a good representation of the training responses. However, the low level of exercise demands and the inaccuracy of the fit could have impaired the evidencing of a fatiguing effect during the presently studied training protocol.

Adult

Change processes in a creation of meaning event.

Creation of meaning events are in-therapy change episodes that occur when a patient seeks to understand the meaning of an emotional experience. A performance model of this task was developed in an earlier study. The present study was conducted to determine which client performance components distinguish successful from unsuccessful creation of meaning episodes. Measures of referential activity were also applied to the events and uncovered important features of the therapist intervention that accompanied successful meaning making. The implications of these results for psychotherapy are discussed.

Adult

The invariance of sentence performance structures across language modality.

Native users of American Sign Language were asked to manipulate sentences in four different ways: sign them at slow rate, parse them, make relatedness judgments of pairs of signs taken from each sentence, and recall the sentences. The data obtained from these four tasks (pause durations, parsing values, indices of relatedness and probe latencies) were used to construct hierarchical performance structures for each of the sentences. The resulting structures were highly similar across tasks; that is, performance structures are not task specific. The four measures at each sign boundary in each sentence were well predicted by a performance model, elaborated by Grosjean, Grosjean, and Lane for speech, that combines a parsing measure with a symmetry measure. Thus performance structures appear to be founded in the processing of language, be it visual or oral, and not in the properties of any particular communication modality.

Adult

Examining Transcriptomic Markers Associated With Neutrophil Extracellular Traps to Predict Mortality Risk in Neonatal Sepsis.

BACKGROUND: Neonates are highly susceptible to sepsis, which is often accompanied by fatal coagulopathy. Anticoagulant therapies have not reduced sepsis-related mortality in clinical trials, possibly due to patient heterogeneity. Neutrophil extracellular traps (NETs) enhance coagulation by activating platelets, suggesting that NET-specific biomarkers may identify patients who may benefit from targeted anticoagulant treatment. This study evaluated the association between NET gene expression and adverse outcomes in neonatal sepsis. METHODS: We analyzed whole blood transcriptomes from 123 neonates with sepsis and developed a predictive model, the NET score, based on NET-related gene expression. Model performance was assessed in two independent validation sets. Mediation and correlation analyses explored the relationship between the NET score and a coagulation score. Temporal transcriptomic data from septic shock cases further tested this interaction. RESULTS: The NET score achieved AUCs of 88.7% and 85.4% in validation Sets 1 and 2, respectively, indicating strong predictive performance. Mediation and temporal analyses supported a sequential relationship between NETosis and coagulation in sepsis. Age-specificity of the model was confirmed using pediatric (n = 163) and adult (n = 86) sepsis transcriptomic datasets. Neonates with disseminated intravascular coagulation exhibited a trend toward elevated NET scores. CONCLUSIONS: Our findings support a novel risk stratification approach using the NET score to identify neonates at increased risk for sepsis-associated coagulopathy and poor outcomes, potentially guiding targeted therapeutic strategies.

neonatal sepsis

Monte Carlo modelling of the performance of a rotating slit-collimator for improved planar gamma-camera imaging.

Planar imaging with a gamma camera is currently limited by the performance of the collimator. Spatial resolution and sensitivity trade off against each other; it is not possible with conventional parallel-hole collimation to have high geometric sensitivity and at the same time excellent spatial resolution unless field-of-view is sacrificed by using fan- or cone-beam collimators. We propose a rotating slit-collimator which collects one-dimensional projections from which the planar image may be reconstructed by the theory of computed tomography. The performance of such a collimator is modelled by Monte Carlo methods and images are reconstructed by a convolution and backprojection technique. The performance is compared with that of a conventional parallel-hole collimator and it is shown that higher spatial resolution with increased sensitivity is possible with the slit-collimator. For a point source a spatial resolution of some 6 mm at a distance of 100 mm from the collimator with a x7 sensitivity compared with a parallel-hole collimator was achieved. Applications to bone scintigraphy are modelled and an improved performance in hot-spot imaging is demonstrated. The expected performance in cold-spot imaging is analytically investigated. The slit-collimator is not expected to improve cold-spot imaging. Practical design considerations are discussed.

Equipment Design

Assessment of a model for overall left ventricular three-dimensional motion from MRI data.

In this paper we present a complete methodology to evaluate a model for overall three-dimensional (3D) motion of the human left ventricle (LV) from MRI data. The left ventricular motion is approximated by a linear model associated with an affine transformation to determine parameters for non-rigid motion of the LV. The proposed method has been applied to a normal patient and to a patient with cardiac disease. Results obtained show that the linear model provides a fairly good approximation of normal left ventricular motion, whereas serious cardiac disease produces abnormal motion, yielding altered model performances.

Heart Diseases

Statistical response models for ozone exposure: their generality when applied to human spirometric and animal permeability functions of the lung.

Exposure of humans or animals to ozone (O3) alters spirometric and permeability functions of the lung. While these responses show clear concentration (C) dependency, the interactive role of exposure duration (T) has not been well defined. Ozone-induced alterations in forced expiratory volume in 1 s (FEV1) obtained from human studies and in levels of bronchoalveolar lavage fluid protein (BALP) obtained from studies of rats and guinea pigs were used to compare the utility of several proposed response models as functions of C and T. A large human-study database compiled for T = 2 h and a wide-ranging C and T study on animals were used to contrast each model. The models examined included the quadratic, logistic, log regression, and exponential models. This work suggests that models used for risk assessment should incorporate both T and C. Our results suggest that modified forms of many of these models perform well with both human and animal responses and can be additionally modified to include ventilation rate. As a simple biological model, the exponential model showed advantages. The absolute concentration rates-of-change in the exponential function of integrated physiological changes like BALP and FEV1 were equal for low O3 exposure.

Animals

The identification of Class III malocclusions by discriminant analysis.

Lateral cephalometric radiographs of 210 control and 285 Class III subjects were traced, digitized, and 43 calculated variables submitted to a stepwise discriminant analysis. A 10-factor model was generated, giving 95.2 per cent correct classification of the control children and 95.1 per cent accurate identification of the Class III group. Ten control and 14 Class III children were categorized incorrectly. To test the validity of the analysis, radiographs of these 24 individuals were examined in detail. In all cases, a satisfactory reason for the misgrouping was identified. This investigation underlined the importance of rigorous standards of case selection when compiling the groups. The robustness of the 10-factor model was also examined. Subjects were arbitrarily split into two groups, the odd- and the even-numbered cases, and the discriminant analysis repeated on each. Both new models contained the same 10 variables, but with slightly different values for their accompanying coefficients. The cases erroneously identified by the whole group analysis were again misclassified, together with a few additional cases. Each new model performed equally well on the data from the opposing group as on that from which it had been derived. Thus, the model generated in this study was both valid and acceptably robust. It would therefore appear that discriminant analysis may be a viable tool in the identification and classification of groups of individuals.

Adolescent

Development and prospective validation of a clinical index to predict survival in ambulatory patients referred for cardiac transplant evaluation.

BACKGROUND: Risk stratification of patients with end-stage congestive heart failure is a critical component of the transplant candidate selection process. Accurate identification of individuals most likely to survive without a transplant would facilitate more efficient use of scarce donor organs. METHODS AND RESULTS: Multivariable proportional hazards survival models were developed with the use of data on 80 clinical characteristics from 268 ambulatory patients with advanced heart failure (derivation sample). Invasive and noninvasive models (with and without catheterization-derived data) were constructed. A prognostic score was determined for each patient from each model. Stratum-specific likelihood ratios were used to develop three prognostic-score risk groups. The models were prospectively validated on 199 similar patients (validation sample) by calculation of the area under the receiver operating characteristic curve for 1-year event-free survival, the censored c-index for event-free survival, and comparison of event-free survival curves for prognostic-score risk strata. Outcome events were defined as urgent transplant or death without transplant. The noninvasive model performed well in both samples, and increased performance was not attained by the addition of catheterization-derived variables. Prognostic-score risk groups derived from the noninvasive model in the derivation sample effectively stratified the risk of an outcome event in both samples (1-year event-free survival for derivation and validation samples, respectively: low risk, 93% and 88%; medium risk, 72% and 60%; high risk, 43% and 35%). CONCLUSIONS: Selection of candidates for cardiac transplantation may be improved by use of this noninvasive risk-stratification model.

Cardiac Output, Low

Predicting future functional status for seriously ill hospitalized adults. The SUPPORT prognostic model.

OBJECTIVE: To develop a model estimating the probability of an adult patient having severe functional limitations 2 months after being hospitalized with one of nine serious illnesses. DESIGN: Prospective cohort study. SETTING: Five teaching hospitals in the United States. PARTICIPANTS: 1746 patients (model development) who survived 2 months and completed an interview, selected from 4301 patients in the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT); independent validation sample of 2478 patients. MEASUREMENTS AND MAIN OUTCOMES: Patient function 2 months after admission categorized as absence or presence of severe functional limitations (defined as Sickness Impact Profile scores > or = 30 or as activities of daily living scores > or = 4 [levels that require near-constant personal assistance]). A logistic regression model was constructed to predict severe functional limitation. RESULTS: One third (n = 590) of patients who were interviewed at 2 months had severe functional limitations. Changes in functional status were common: Of those with no baseline dependencies (not dependent on personal assistance), 21% were severely limited at 2 months; of those with 4 or more baseline limitations, 30% had improved. The patient's ability to do activities of daily living was the most important predictor of functional status. Physiologic abnormalities, diagnosis, days in hospital, age, quality of life, and previous exercise capacity also contributed substantially. Model performance, assessed using receiver-operating characteristic curves, was 0.79 for the development sample and 0.75 for the validation sample. The model was well calibrated for the entire risk range. CONCLUSIONS: Functional outcome varied substantially after hospitalization for a serious illness. A small amount of readily available clinical information can estimate the probability of severe functional limitations.

Activities of Daily Living