Background: Accurate estimation of nitrogen dioxide (NO) and nitrogen oxide (NO) concentrations at high spatiotemporal resolutions is crucial for improving evaluation of their health effects, particularly with respect to short-term exposures and acute health outcomes. For estimation over large regions like California, high spatial density field campaign measurements can be combined with more sparse routine monitoring network measurements to capture spatiotemporal variability of NO and NO concentrations. However, monitors in spatially dense field sampling are often highly clustered and their uneven distribution creates a challenge for such combined use. Furthermore, heterogeneities due to seasonal patterns of meteorology and source mixtures between sub-regions (e.g. southern vs. northern California) need to be addressed.
Objectives: In this study, we aim to develop highly accurate and adaptive machine learning models to predict high-resolution NO and NO concentrations over large geographic regions using measurements from different sources that contain samples with heterogeneous spatiotemporal distributions and clustering patterns.
Methods: We used a comprehensive Kruskal-K-means method to cluster the measurement samples from multiple heterogeneous sources. Spatiotemporal cluster-based bootstrap aggregating (bagging) of the base mixed-effects models was then applied, leveraging the clusters to obtain balanced and less correlated training samples for less bias and improvement in generalization. Further, we used the machine learning technique of grid search to find the optimal interaction of temporal basis functions and the scale of spatial effects, which, together with spatiotemporal covariates, adequately captured spatiotemporal variability in NO and NO at the state and local levels.
Results: We found an optimal combination of four temporal basis functions and 200 m scale spatial effects for the base mixed-effects models. With the cluster-based bagging of the base models, we obtained robust predictions with an ensemble cross validation R of 0.88 for both NO and NO [RMSE (RMSEIQR): 3.62 ppb (0.28) and 9.63 ppb (0.37) respectively]. In independent tests of random sampling, our models achieved similarly strong performance (R of 0.87-0.90; RMSE of 3.97-9.69 ppb; RMSEIQR of 0.21-0.27), illustrating minimal over-fitting.
Conclusions: Our approach has important implications for fusing data from highly clustered and heterogeneous measurement samples from multiple data sources to produce highly accurate concentration estimates of air pollutants such as NO and NO at high resolution over a large region.
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http://dx.doi.org/10.1016/j.envint.2019.04.057 | DOI Listing |
Stroke
January 2025
Department of Neurology, University of Pennsylvania, PA. (L.I., S.E.Z., S.E.K., B.L.C.).
Background: A modified computed tomography angiography (CTA)-based Carotid Plaque Reporting and Data System (Plaque-RADS) classification was applied to a cohort of patients with embolic stroke of undetermined source to test whether high-risk Plaque-RADS subtypes are more prevalent on the ipsilateral side of stroke. With the widespread use of CTA for stroke evaluation, a CTA-based Plaque-RADS would be valuable for generalizability.
Methods: A retrospective observational cross-sectional study was conducted at a single integrated health system comprised of 3 hospitals with a comprehensive stroke center between October 1, 2015, and April 1, 2017.
Front Public Health
January 2025
Department of Statistics, College of Science, Bahir Dar University, Bahir Dar, Ethiopia.
Introduction: Reducing poverty through crop commercialization is one of the antipoverty efforts that helps promote health. This study explored the prevalence and the causal relationship between crop commercialization and rural Ethiopian households' multidimensional poverty using multilevel data.
Methods: The study uses data from the most recent nationally representative Ethiopian socioeconomic survey 2018/19 to calculate the rural multidimensional poverty index using the Alkire and Foster technique.
Am J Prev Cardiol
December 2024
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Objectives: In observational studies, older adults with low serum vitamin D levels are at higher risk of cardiovascular disease (CVD), but randomized trials have failed to demonstrate reduction in CVD risk from vitamin D supplementation, possibly because the doses of vitamin D supplements tested were too low. Our objective was to determine if higher doses of vitamin D supplementation reduce high-sensitivity cardiac troponin (hs-cTnI) and N-terminal pro-b-type natriuretic peptide (NT-proBNP), markers of subclinical CVD.
Methods: The Study to Understand Fall Reduction and Vitamin D in You (STURDY) was a double-blind, randomized, response-adaptive trial that tested the effects of 4 doses of vitamin D3 supplementation (200, 1000, 2000, 4000 IU/day) on fall risk among older adults with low serum 25-hydroxyvitamin D concentrations (10-29 ng/mL).
Front Pharmacol
January 2025
Department of Pharmacy, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China.
Objectives: To assess the pharmacokinetics and pharmacodynamics of imipenem in a retrospective cohort of hospitalized Chinese older patients.
Methods: A population pharmacokinetic (PPK) model was constructed utilizing a nonlinear mixed-effects modeling approach. The final model underwent evaluation through bootstrap resampling and visual predictive checks.
Adv Methods Pract Psychol Sci
March 2024
Department of Psychology, University of Washington, Seattle, Washington.
In this tutorial, we introduce the reader to analyzing ecological momentary assessment (EMA) data as applied in psychological sciences with the use of Bayesian (generalized) linear mixed-effects models. We discuss practical advantages of the Bayesian approach over frequentist methods and conceptual differences. We demonstrate how Bayesian statistics can help EMA researchers to (a) incorporate prior knowledge and beliefs in analyses, (b) fit models with a large variety of outcome distributions that reflect likely data-generating processes, (c) quantify the uncertainty of effect-size estimates, and (d) quantify the evidence for or against an informative hypothesis.
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