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Lecteur Multimédia
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Publications
Clinical Care Trajectory Assessment of Children with Congenital Diaphragmatic Hernia and Neurodevelopmental Impairment
In a data-driven world, two prominent research problems are record linkage and data privacy, among others. Record linkage is essential for i… (voir plus)mproving decision-making by integrating information of the same entities from different sources. On the other hand, data privacy research seeks to balance the need to extract accurate insights from data with the imperative to protect the privacy of the entities involved. Inevitably, data privacy issues arise in the context of record linkage. This article identifies two complementary aspects at the intersection of these two fields: (1) how to ensure privacy during record linkage and (2) how to mitigate privacy risks when releasing the analysis results after record linkage. We specifically discuss privacy-preserving record linkage, differentially private regression, and related topics.
A Joint Temporal Model for Hospitalizations and ICU Admissions Due to COVID‐19 in Quebec
Mariana Carmona‐Baez
Alexandra M. Schmidt
Shirin Golchi
David L. Buckeridge
ABSTRACT Infectious respiratory diseases have been of interest in recent years for the great burden they place on health systems, for instan… (voir plus)ce, the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) that caused the global COVID‐19 pandemic. As many of these diseases might require hospitalization and even intensive care unit (ICU) admission, understanding the joint dynamics of hospitalizations and ICU admissions across time and different groups of the population remains of great importance. We aim to understand the joint evolution of hospital and ICU admissions given COVID‐19 test‐positive cases in the province of Quebec, Canada. We obtain the daily counts, by age group, on the number of confirmed COVID‐19 cases, the number of hospitalizations and the number of ICU admissions due to COVID‐19, from March 2020 through October 2021 in Quebec. We propose a joint Bayesian generalized dynamic linear model for the number of hospitalizations and ICU admissions to study their temporal trends and possible associations with sex and age group. Additionally, we use transfer functions to investigate if there is a memory effect of the number of cases on hospitalizations across the different age groups. The results suggest that there is a clear distinction in the patterns of hospitalizations and ICU admissions across age groups and that the number of cases has a persistent effect on the rate of hospitalization.
Deep learning applied to electrocardiograms (ECG-AI) is an emerging approach for predicting atrial fibrillation or flutter (AF). This study … (voir plus)introduces an ECG-AI model developed and tested at a tertiary cardiac centre, comparing its performance with clinical models and AF polygenic score (PGS).
Electrocardiograms in sinus rhythm from the Montreal Heart Institute were analysed, excluding those from patients with pre-existing AF. The primary outcome was incident AF at 5 years. An ECG-AI model was developed by splitting patients into non-overlapping data sets: 70% for training, 10% for validation, and 20% for testing. The performance of ECG-AI, clinical models, and PGS was assessed in the test data set. The ECG-AI model was externally validated in the Medical Information Mart for Intensive Care-IV (MIMIC-IV) hospital data set.
A total of 669 782 ECGs from 145 323 patients were included. Mean age was 61 ± 15 years, and 58% were male. The primary outcome was observed in 15% of patients, and the ECG-AI model showed an area under the receiver operating characteristic (AUC-ROC) curve of .78. In time-to-event analysis including the first ECG, ECG-AI inference of high risk identified 26% of the population with a 4.3-fold increased risk of incident AF (95% confidence interval: 4.02–4.57). In a subgroup analysis of 2301 patients, ECG-AI outperformed CHARGE-AF (AUC-ROC = .62) and PGS (AUC-ROC = .59). Adding PGS and CHARGE-AF to ECG-AI improved goodness of fit (likelihood ratio test P .001), with minimal changes to the AUC-ROC (.76–.77). In the external validation cohort (mean age 59 ± 18 years, 47% male, median follow-up 1.1 year), ECG-AI model performance remained consistent (AUC-ROC = .77).
ECG-AI provides an accurate tool to predict new-onset AF in a tertiary cardiac centre, surpassing clinical and PGS.
Hypnotic phenomena exhibit significant inter-individual variability, with some individuals consistently demonstrating efficient responses to… (voir plus) hypnotic suggestions, while others show limited susceptibility. Recent neurophysiological studies have added to a growing body of research that shows variability in hypnotic susceptibility is linked to distinct neural characteristics. Building on this foundation, our previous work identified that individuals with high and low hypnotic susceptibility can be differentiated based on the arrhythmic activity observed in resting-state electrophysiology (rs-EEG) outside of hypnosis. However, because previous work has largely focused on mean spectral characteristics, our understanding of the variability over time of these features, and how they relate to hypnotic susceptibility, is still limited. Here we address this gap using a time-resolved assessment of rhythmic alpha peaks and arrhythmic components of the EEG spectrum both prior to and following hypnotic induction. Using multivariate pattern classification, we investigated whether these neural features differ between individuals with high and low susceptibility to hypnosis. Specifically, we used multivariate pattern classification to investigate whether these non-stationary neural features could distinguish between individuals with high and low susceptibility to hypnosis before and after a hypnotic induction. Our analytical approach focused on time-resolved spectral decomposition to capture the intricate dynamics of neural oscillations and their non-oscillatory counterpart, as well as Lempel–Ziv complexity. Our results show that variations in the alpha center frequency are indicative of hypnotic susceptibility, but this discrimination is only evident during hypnosis. Highly hypnotic-susceptible individuals exhibit higher variability in alpha peak center frequency. These findings underscore how dynamic changes in neural states related to alpha peak frequency represent a central neurophysiological feature of hypnosis and hypnotic susceptibility.
Inflatable multistable materials have significantly advanced the design of shape‐preserving soft robotic arms, offering substantial benefi… (voir plus)ts in terms of shape adaptability, energy efficiency, and safety, ensuring operational reliability even in the event of sudden power loss. However, existing strategies for realizing multistable arms often limit themselves to a single mode of multistability, commonly with rotationally symmetric designs favoring extension stability and asymmetric designs inducing bending stability. To address the limitation, this study introduces a pioneering platform termed multimodal multistability that utilizes geometrical frustration. A single cylindrical symmetric cell, designed for extension bistability, could achieve frustrated multistable states in bending by controlling the cell with multiple degrees of freedom incorporated pneumatic actuator. This platform extends the spectrum of attainable stable trajectories while preserving essential attributes of arms, such as load‐bearability, programmability, and reversibility of shape changes. Leveraging a pneumatic system with four degrees of freedom for pressure control, not only enables capturing previously unexplored stable configurations in mechanical metastructures but also allows for the control of their deformation modes. With applications spanning space exploration, medical instruments, and rescue missions, the multimodal multistability promises unparalleled flexibility and efficiency in the design and operation of soft robots.
Linking DNA sequence to genomic function remains one of the grand challenges in genetics and genomics. Here, we combine large-scale single-m… (voir plus)olecule transcriptome sequencing of diverse cancer cell lines with cutting-edge machine learning to build LoRNASH, an RNA foundation model that learns how the nucleotide sequence of unspliced pre-mRNA dictates transcriptome architecture—the relative abundances and molecular structures of mRNA isoforms. Owing to its use of the StripedHyena architecture, LoRNASH handles extremely long sequence inputs at base-pair resolution (∼65 kilobase pairs), allowing for quantitative, zero-shot prediction of all aspects of transcriptome architecture, including isoform abundance, isoform structure, and the impact of DNA sequence variants on transcript structure and abundance. We anticipate that our public data release and the accompanying frontier model will accelerate many aspects of RNA biotechnology. More broadly, we envision the use of LoRNASH as a foundation for fine-tuning of any transcriptome-related downstream prediction task, including cell-type specific gene expression, splicing, and general RNA processing.