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Abdominal and general adiposity are independently associated with mortality, but there is no consensus on how best to assess abdominal adiposity. We compared the ability of alternative waist indices to complement body mass index (BMI) when assessing all-cause mortality. We used data from 352,985 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC) and Cox proportional hazards models adjusted for other risk factors. During a mean follow-up of 16.1 years, 38,178 participants died. Combining in one model BMI and a strongly correlated waist index altered the association patterns with mortality, to a predominantly negative association for BMI and a stronger positive association for the waist index, while combining BMI with the uncorrelated A Body Shape Index (ABSI) preserved the association patterns. Sex-specific cohort-wide quartiles of waist indices correlated with BMI could not separate high-risk from low-risk individuals within underweight (BMI<18.5 kg/m(2)) or obese (BMI30 kg/m(2)) categories, while the highest quartile of ABSI separated 18-39% of the individuals within each BMI category, which had 22-55% higher risk of death. In conclusion, only a waist index independent of BMI by design, such as ABSI, complements BMI and enables efficient risk stratification, which could facilitate personalisation of screening, treatment and monitoring.
Droughts in tropical South America have an imminent and severe impact on the Amazon rainforest and affect the livelihoods of millions of people. Extremely dry conditions in Amazonia have been previously linked to sea surface temperature (SST) anomalies in the adjacent tropical oceans. Although the sources and impacts of such droughts have been widely studied, establishing reliable multi-year lead statistical forecasts of their occurrence is still an ongoing challenge. Here, we further investigate the relationship between SST and rainfall anomalies using a complex network approach. We identify four ocean regions which exhibit the strongest overall SST correlations with central Amazon rainfall, including two particularly prominent regions in the northern and southern tropical Atlantic. Based on the time-dependent correlation between SST anomalies in these two regions alone, we establish a new early-warning method for droughts in the central Amazon basin and demonstrate its robustness in hindcasting past major drought events with lead-times up to 18 months.
Bayesian geomorphology
(2020)
The rapidly growing amount and diversity of data are confronting us more than ever with the need to make informed predictions under uncertainty. The adverse impacts of climate change and natural hazards also motivate our search for reliable predictions. The range of statistical techniques that geomorphologists use to tackle this challenge has been growing, but rarely involves Bayesian methods. Instead, many geomorphic models rely on estimated averages that largely miss out on the variability of form and process. Yet seemingly fixed estimates of channel heads, sediment rating curves or glacier equilibrium lines, for example, are all prone to uncertainties. Neighbouring scientific disciplines such as physics, hydrology or ecology have readily embraced Bayesian methods to fully capture and better explain such uncertainties, as the necessary computational tools have advanced greatly. The aim of this article is to introduce the Bayesian toolkit to scientists concerned with Earth surface processes and landforms, and to show how geomorphic models might benefit from probabilistic concepts. I briefly review the use of Bayesian reasoning in geomorphology, and outline the corresponding variants of regression and classification in several worked examples.
Increased N400 amplitudes on indefinite articles (a/an) incompatible with expected nouns have been initially taken as strong evidence for probabilistic pre-activation of phonological word forms, and recently been intensely debated because they have been difficult to replicate. Here, these effects are simulated using a neural network model of sentence comprehension that we previously used to simulate a broad range of empirical N400 effects. The model produces the effects when the cue validity of the articles concerning upcoming noun meaning in the learning environment is high, but fails to produce the effects when the cue validity of the articles is low due to adjectives presented between articles and nouns during training. These simulations provide insight into one of the factors potentially contributing to the small size of the effects in empirical studies and generate predictions for cross-linguistic differences in article induced N400 effects based on articles’ cue validity. The model accounts for article induced N400 effects without assuming pre-activation of word forms, and instead simulates these effects as the stimulus-induced change in a probabilistic representation of meaning corresponding to an implicit semantic prediction error.
Increased N400 amplitudes on indefinite articles (a/an) incompatible with expected nouns have been initially taken as strong evidence for probabilistic pre-activation of phonological word forms, and recently been intensely debated because they have been difficult to replicate. Here, these effects are simulated using a neural network model of sentence comprehension that we previously used to simulate a broad range of empirical N400 effects. The model produces the effects when the cue validity of the articles concerning upcoming noun meaning in the learning environment is high, but fails to produce the effects when the cue validity of the articles is low due to adjectives presented between articles and nouns during training. These simulations provide insight into one of the factors potentially contributing to the small size of the effects in empirical studies and generate predictions for cross-linguistic differences in article induced N400 effects based on articles’ cue validity. The model accounts for article induced N400 effects without assuming pre-activation of word forms, and instead simulates these effects as the stimulus-induced change in a probabilistic representation of meaning corresponding to an implicit semantic prediction error.
Background:
COVID-19 has infected millions of people worldwide and is responsible for several hundred thousand fatalities. The COVID-19 pandemic has necessitated thoughtful resource allocation and early identification of high-risk patients. However, effective methods to meet these needs are lacking.
Objective:
The aims of this study were to analyze the electronic health records (EHRs) of patients who tested positive for COVID-19 and were admitted to hospitals in the Mount Sinai Health System in New York City; to develop machine learning models for making predictions about the hospital course of the patients over clinically meaningful time horizons based on patient characteristics at admission; and to assess the performance of these models at multiple hospitals and time points.
Methods:
We used Extreme Gradient Boosting (XGBoost) and baseline comparator models to predict in-hospital mortality and critical events at time windows of 3, 5, 7, and 10 days from admission. Our study population included harmonized EHR data from five hospitals in New York City for 4098 COVID-19-positive patients admitted from March 15 to May 22, 2020. The models were first trained on patients from a single hospital (n=1514) before or on May 1, externally validated on patients from four other hospitals (n=2201) before or on May 1, and prospectively validated on all patients after May 1 (n=383). Finally, we established model interpretability to identify and rank variables that drive model predictions.
Results:
Upon cross-validation, the XGBoost classifier outperformed baseline models, with an area under the receiver operating characteristic curve (AUC-ROC) for mortality of 0.89 at 3 days, 0.85 at 5 and 7 days, and 0.84 at 10 days. XGBoost also performed well for critical event prediction, with an AUC-ROC of 0.80 at 3 days, 0.79 at 5 days, 0.80 at 7 days, and 0.81 at 10 days. In external validation, XGBoost achieved an AUC-ROC of 0.88 at 3 days, 0.86 at 5 days, 0.86 at 7 days, and 0.84 at 10 days for mortality prediction. Similarly, the unimputed XGBoost model achieved an AUC-ROC of 0.78 at 3 days, 0.79 at 5 days, 0.80 at 7 days, and 0.81 at 10 days. Trends in performance on prospective validation sets were similar. At 7 days, acute kidney injury on admission, elevated LDH, tachypnea, and hyperglycemia were the strongest drivers of critical event prediction, while higher age, anion gap, and C-reactive protein were the strongest drivers of mortality prediction.
Conclusions:
We externally and prospectively trained and validated machine learning models for mortality and critical events for patients with COVID-19 at different time horizons. These models identified at-risk patients and uncovered underlying relationships that predicted outcomes.
Based on an analysis of continuous monitoring of farm animal behavior in the region of the 2016 M6.6 Norcia earthquake in Italy, Wikelski et al., 2020; (Seismol Res Lett, 89, 2020, 1238) conclude that animal activity can be anticipated with subsequent seismic activity and that this finding might help to design a "short-term earthquake forecasting method." We show that this result is based on an incomplete analysis and misleading interpretations. Applying state-of-the-art methods of statistics, we demonstrate that the proposed anticipatory patterns cannot be distinguished from random patterns, and consequently, the observed anomalies in animal activity do not have any forecasting power.