Search Results (12)

Causal graph discovery (CGD) is the process of estimating the underlying probabilistic graphical model that represents the joint distribution of features of a dataset. CGD algorithms are broadly classified into two categories: (i) constraint-based algorithms, where the outcome depends on conditional independence (CI) tests, and (ii) score-based algorithms, where the outcome depends on optimized score function. Because sensitive features of observational data are prone to privacy leakage, differential privacy (DP) has been adopted to ensure user privacy in CGD. Adding the same amount of noise in this sequential-type estimation process affects the predictive performance of algorithms. Initial CI tests in constraint-based algorithms and later iterations of the optimization process of score-based algorithms are crucial; thus, they need to be more accurate and less noisy. Based on this key observation, we present CURATE (CaUsal gRaph AdapTivE privacy), a DP-CGD framework with adaptive privacy budgeting. In contrast to existing DP-CGD algorithms with uniform privacy budgeting across all iterations, CURATE allows for adaptive privacy budgeting by minimizing error probability (constraint-based), maximizing iterations of the optimization problem (score-based) while keeping the cumulative leakage bounded. To validate our framework, we present a comprehensive set of experiments on several datasets and show that CURATE achieves higher utility compared to existing DP-CGD algorithms with less privacy leakage. Full article

Background/Objectives: To review the findings of a multiparametric MRI (the “liver triple screen”) solution for the non-invasive assessment of liver fat, iron, and fibrosis in patients with chronic liver disease (CLD). Methods: A retrospective evaluation of all consecutive triple screen MRI cases was performed at our institution over the last 32 months. Relevant clinical, laboratory, and radiologic data were analyzed using descriptive statistics. Results: There were 268 patients, including 162 (60.4%) males and 106 (39.6%) females. The mean age was 54 ± 15.2 years (range 16 to 71 years). The most common cause of CLD was metabolic dysfunction-associated steatotic liver disease (MASLD) at 45.5%. The most common referring physician group was Gastroenterology at 62.7%. In 23.9% of cases, the reason for ordering the MRI was a pre-existing failed or unreliable US elastography. There were 17 cases (6.3%) of MRI technical failure. Our analysis revealed liver fibrosis in 66% of patients, steatosis in 68.3%, and iron overload in 22.1%. Combined fibrosis and steatosis were seen in 28.7%, steatosis and iron overload in 16.8%, fibrosis and iron overload in 6%, and combined fibrosis, steatosis, and iron overload in 4.1%. A positive MEFIB index, a predictor of liver-related outcomes, was found in 57 (27.5%) of 207 patients. Incidental findings were found in 14.9% of all MRIs. Conclusions: The liver triple screen MRI is an effective tool for evaluating liver fat, iron, and fibrosis in patients with CLD. It provides essential clinical information and can help identify MASLD patients at risk for liver-related outcomes. Full article

Vaccine immunogenicity and reactogenicity depend on recipient and vaccine characteristics. We hypothesized that healthy adults reporting higher reactogenicity from seasonal inactivated influenza vaccine (IIV) developed higher antibody titers compared with those reporting lower reactogenicity. We performed a secondary analysis of a randomized phase 1 trial of a trivalent IIV delivered by microneedle patch (MNP) or intramuscular (IM) injection. We created composite reactogenicity scores as exposure variables and used hemagglutination inhibition (HAI) titers as outcome variables. We used mixed-model analysis of variance to estimate geometric mean titers (GMTs) and titer fold change and modified Poisson generalized estimating equations to estimate risk ratios of seroprotection and seroconversion. Estimates of H3N2 GMTs were associated with the Systemic and Local scores among the IM group. Within the IM group, those with high reaction scores had lower baseline H3N2 GMTs and twice the titer fold change by day 28. Those with high Local scores had a greater probability of seroconversion. These results suggest that heightened reactogenicity to IM IIV is related to low baseline humoral immunity to an included antigen. Participants with greater reactogenicity developed greater titer fold change after 4 weeks, although the response magnitude was similar or lower compared with low-reactogenicity participants. Full article

A low-fibre diet leads to gut microbiota imbalance, characterized by low diversity and reduced ability to produce beneficial metabolites, such as short-chain fatty acids (SCFAs). This imbalance is associated with poor gastrointestinal and metabolic health. We aimed to determine whether one dietary change, substitution of white bread with high-fibre bread, improves gut microbiota diversity and SCFA-producing capability. Twenty-two healthy adults completed a two-phase randomized, cross-over trial. The participants consumed three slices of a high-fibre bread (Prebiotic Cape Seed Loaf with BARLEYmax^®) or control white bread as part of their usual diet for 2 weeks, with the treatment periods separated by a 4-week washout. High-fibre bread consumption increased total dietary fibre intake to 40 g/d, which was double the amount of fibre consumed at baseline or during the white bread intervention. Compared to white bread, the high-fibre bread intervention resulted in higher faecal alpha diversity (Shannon, p = 0.014) and relative abundance of the Lachnospiracae ND3007 group (p < 0.001, FDR = 0.019) and tended to increase the butyrate-producing capability (p = 0.062). In conclusion, substituting white bread with a high-fibre bread improved the diversity of gut microbiota and specific microbes involved in SCFA production and may enhance the butyrate-producing capability of gut microbiota in healthy adults. These findings suggest that a single dietary change involving high-fibre bread provides a practical way for adults to exceed recommended dietary fibre intake levels that improve gut microbiota composition and support gastrointestinal and metabolic health. Full article

In this research, the gas tungsten arc welding method was used to join 201 and 316L austenitic stainless steels using various filler electrodes (316L, 309L and 309LMo), resulting in dissimilar welds, and its various properties, namely, microstructural evolution, mechanical behavior and corrosion behavior were investigated. The ferrite–austenite solidification mode was attained, and therefore, different types of ferrite (lathy ferrite and skeletal ferrite) were formed in the austenite matrix in all of the filler electrode weldments’ weld zones, however, the variation in content of ferrite was observed. A ferritoscope was used to estimate the ferrite content in the weld zone, and for E316L, E309L and E309LMo filler electrodes, the ferrite number observed were 8.78, 9.05 and 12.69 units, respectively. Hence, the 316L filler electrode exhibited the lowest ferrite content, while the 309LMo filler electrode weldment displayed a higher ferrite content ascribed to the variation in the chemical composition of filler electrodes (different chemical composition of ferrite stabilizer elements, namely, chromium, molybdenum, etc.). Further, the mechanical characteristics, including microhardness and tensile characteristics, were determined to be higher in the 309LMo filler electrode weldment, followed by the 309L and 316L filler electrode weldments, primarily due to the increased ferrite content. All the welds exhibited failure in the ductile mode. Moreover, higher sensitization was observed in the 309LMo filler electrode weldment, with the 309L and 316L filler electrode weldments following suit, which is ascribed to the higher ferrite content. This higher ferrite content resulted in higher interphase regions of ferrite/austenite, thus resulting in higher sensitization. Full article

The onset of the COVID-19 pandemic rendered daily life overwhelmingly difficult for many children. Given the compelling evidence for the physical and mental health benefits of interaction with nature, might it be the case that time spent interacting with nature buffered the negative effects of the pandemic for children? To address this question, we conducted a longitudinal investigation with a cohort of 137 Girl Scouts across two time periods: right before the onset of the pandemic (December 2019–February 2020) and one year later (December 2020–February 2021). We found that during the pandemic (compared to pre-pandemic), Girl Scouts fared worse on measures of physical activity, positive emotions, negative emotions, anxiety, behavioral difficulties, and problematic media use. However, by using mixed models, we also found that, on average, Girl Scouts who spent more time interacting with nature fared less poorly (in this sense, “did better”) on measures of physical activity, positive emotions, anxiety, and behavioral difficulties, irrespective of the pandemic. Further analysis revealed that these advantageous associations were present even when accounting for the amount of nature near each child’s home (as measured by the normalized difference vegetation index, percent of natural land cover, and self-reported access to nature). To the best of our knowledge, this is the first study investigating nature interaction and children’s well-being to use data collected from the same cohort prior to and during the pandemic. In addition, we discuss the importance of opportunities to interact with nature for children’s well-being during future periods of social upheaval. Full article

Background: Lupus nephritis (LN) is a prevalent and severe complication of systemic lupus erythematosus (SLE). Non-invasive diagnostics are limited, and current therapies have inadequate response rates. Expression of the chemokine Interferon-γ-induced protein 10 (IP-10) is regulated by Interferon-γ signaling and NF-κB, and its molecular activity and enhanced urine concentrations are implicated in LN, but its utility as a diagnostic marker and association with demographic, clinical, or pathologic features is not defined. Methods: 38 LN patients and 11 patients with non-LN glomerular diseases (GD) with active disease were included. Eighteen of the LN patients had achieved remission at one follow-up during the study time. Serum and urine were obtained from these samples, and the IP-10 levels were measured. Results: Serum and urine IP-10 levels are significantly enhanced in LN patients with active disease as compared with normal individuals (serum average 179.7 pg/mL vs. 7.2 pg/mL, p < 0.0001; urine average 28.7 pg/mg vs. 1.6 pg/mg, p = 0.0019) and patients with other forms of glomerular disease (serum average 179.7 pg/mL vs. 84.9 pg/mL, p = 0.0176; urine average 28.7 pg/mg vs. 0.18 pg/mg, p = 0.0011). Urine IP-10 levels are significantly higher in patients with proliferative LN (PLN) than those with membranous LN (MLN) (average 32.8 pg/mg vs. 7.6 pg/mg, p = 0.0155). Urine IP-10 levels are also higher in MLN versus primary membranous nephropathy (MN) (average 7.6 pg/mg vs. 0.2 pg/mg, p = 0.0193). Importantly, serum IP-10 levels remain elevated during active LN and LN remission, but urine IP-10 levels are decreased from active LN to remission in 72% of our patients. Lastly, serum, but not urine IP-10 levels are significantly higher in African American than White American LN patients in active LN (average 227.8 pg/mL vs. 103.4 pg/mL, p = 0.0309) and during LN remission (average 254.6 pg/mL vs. 89.2 pg/mL, p = 0.0399). Conclusions: Our findings suggest that serum and urine IP-10 measurements provide promising tests for monitoring LN activity, differentiation between classifications of LN, and differentiation between LN and other forms of glomerular disease. We also conclude that further assessment of elevated IP-10 levels in the serum and urine of high-risk populations (i.e., African American) could be beneficial in determining why many of these patients have worse outcomes and are non-responsive to standard therapeutics. Full article

With rapid urbanization and the Indian nutrition transition, Indian adolescents face a high risk of developing an energy imbalance. This study aims to assess the prevalence of excessive weight, underweight, and associated knowledge and lifestyle behaviors among private school-going adolescents in Delhi. A cross-sectional study was conducted in students (6th–7th grades) of eight randomly selected private schools in Delhi, India in 2019. A self-administered survey was used to assess students’ dietary-and-physical-activity-related knowledge and behavior. Anthropometric measurements (height, weight, and waist circumference) were also conducted. Out of 1567 participants, 7.2% were underweight, 61.3% normal, and 31.5% excess in weight. Underweight was associated with significantly more eating whilst studying for exams (relative risk ratio (RRR) 1.7 (1.0–2.9)). Excessive weight was associated with less incorrect knowledge on behaviors causing overweight (RRR 0.7 (0.5–0.9)), more often reading nutritional labels of packed food items (RRR 0.6 (0.4–0.9)), and less frequent vegetable-intake (RRR 0.7 (0.4–0.9)). Underweight students showed more suboptimal knowledge and unhealthy behaviors, whilst students with excessive weight showed more correct knowledge and healthy behaviors. This study highlights the immediate need for effective health-promoting interventions focused on the importance of healthy lifestyle at least in underweight adolescents. Full article

Background: Immune checkpoint inhibitors (icis), including inhibitors of PD-1, PD-L1, and ctla-4, are relatively novel therapies for lung cancer, although their use might be limited by gastrointestinal toxicity. The aim of the present study was to determine the risk of diarrhea and colitis associated with icis in lung cancer and the rates of discontinuation because of those toxicities. Methods: Electronic databases were searched for prospective trials reporting the risk of diarrhea and colitis in patients with lung cancer treated with PD-1, PD-L1, and ctla-4 inhibitors. The incidences of diarrhea and colitis and their grades were assessed clinically using standardized reporting criteria. Pooled incidence and weighted relative risk estimates for diarrhea and colitis with 95% confidence intervals (cis) were estimated using a random effects model. The incidence of discontinuations for gi toxicity was also calculated. Results: Twenty-seven studies were included: sixteen studies with PD-1 inhibitors, nine studies with PD-L1 inhibitors, and four studies combining PD-based strategies with ctla-4 inhibitors. The incidence of all-grade diarrhea was 9.1% (95% ci: 7.8% to 10.5%) for anti–PD-1 therapy and 11.0% (95% ci: 7.5% to 14.5%) for anti–PD-L1 therapy. The incidence of all-grade colitis was 0.9% (95% ci: 0.4% to 1.3%) for anti–PD-1 therapy and 0.4% (95% ci: 0.0% to 0.8%) for anti–PD-L1 therapy. The relative risk for all-grade diarrhea was higher with combination anti–PD-1 and anti–ctla-4 than with anti–PD-1 monotherapy (relative risk: 1.61; 95% ci: 1.14 to 2.29). Anti–PD-1 therapy was discontinued in 4.1% of patients with diarrhea (95% ci: 0.7% to 7.4%) and in 35.7% of those with colitis (95% ci: 0.0% to 81.1%); combination therapy was discontinued in 10.1% of patients with diarrhea (95% ci: 4.8% to 15.4%) and in 39.9% of those with colitis (95% ci: 3.9% to 75.9%). Conclusions: Diarrhea is a relatively frequently encountered gi toxicity when ici therapy is used in lung cancer treatment. Colitis is less frequently encountered, although when it does occur, it often results in therapy discontinuation. Full article

Aluminum alloys can be used in the fabrication of intricate geometry and curved parts for a wide range of uses in aerospace and automotive sectors, where high stiffness and low weight are necessitated. This paper outlines a review of various research investigations on the superplastic behavior of aluminum alloys that have taken place mainly over the past two decades. The influencing factors on aluminum alloys superplasticity, such as initial grain size, deformation temperature, strain rate, microstructure refinement techniques, and addition of trace elements in aluminum alloys, are analyzed here. Since grain boundary sliding is one of the dominant features of aluminum alloys superplasticity, its deformation mechanism and the corresponding value of activation energy are included as a part of discussion. Dislocation motion, diffusion in grains, and near-grain boundary regions being major features of superplasticity, are discussed as important issues. Moreover, the paper also discusses the corresponding values of grain size exponent, stress exponent, solute drag creep and power law creep. Constitutive equations, which are essential for commercial applications and play a vital role in predicting and analyzing the superplastic behavior, are also reviewed here. Full article

The majority of aerospace structural composites use thermoset resins for their processing flexibility, temperature capability, and environmental durability. In this study, the recovery behavior of Veriflex-E, an epoxy-based, thermosetting, thermally-triggered shape memory polymer (SMP) resin, is investigated in glassy (25 °C) and rubbery (130 °C) states, as a function of shape memory cycles, and as a means to evaluate its potential as a resin for a shape memory composite. At 25 °C, Veriflex-E exhibits a promising high elastic modulus and a positive, nonlinear strain rate sensitivity in monotonic loading. At 130 °C, the strain rate sensitivity in monotonic loading decreases. Stress relaxation after storage in the deformed temporary state and subsequent shape recovery is of particular interest, a challenge to measure, and has not been widely reported for SMPs. The current experimental program measures the influence of strain rate changes in the 10⁻⁴–10⁻² s⁻¹ range on the stress relaxation response of the material, as well as on the strain recovery behavior at both 25 °C and 130 °C. As expected, the post-relaxation strain is larger with faster loading. Unexpectedly, the total strain recovered after shape memory cycling is more similar to the low temperature deformation. Overall, the results suggest that, while being influenced by both the loading rate and the test temperature, Veriflex-E is a promising candidate for a shape memory composite which could enable adaptive structures. Full article

Artemisinin, a sesquiterpene lactone, is the active antimalarial constituent of Artemisia annua. Several fungal strains Saccharomyces cerevisiae, Aspergillus flavus, Aspergillus niger and Picchia pastoris were used to biotransform artemisinin. Among these strains, A. flavus was the only microorganism capable of transforming artemisinin to deoxyartemisinin in higher yields than the previous reports. The structure of deoxyartemisinin was elucidated by spectroscopy. Deoxyartemisinin showed antibacterial activity against Staphylococcus aureus, S. epidermidis and S. mutans at a minimum inhibitory concentration (MIC) of 1 mg/mL compared to artemisinin whose MIC was >2 mg/mL. Full article