8,231 results on '"Martinez, Maria"'
Search Results
2. Do Large Language Models Show Biases in Causal Learning?
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Carro, Maria Victoria, Selasco, Francisca Gauna, Mester, Denise Alejandra, Gonzales, Margarita, Leiva, Mario A., Martinez, Maria Vanina, and Simari, Gerardo I.
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Computer Science - Artificial Intelligence ,Computer Science - Computation and Language ,Computer Science - Machine Learning - Abstract
Causal learning is the cognitive process of developing the capability of making causal inferences based on available information, often guided by normative principles. This process is prone to errors and biases, such as the illusion of causality, in which people perceive a causal relationship between two variables despite lacking supporting evidence. This cognitive bias has been proposed to underlie many societal problems, including social prejudice, stereotype formation, misinformation, and superstitious thinking. In this research, we investigate whether large language models (LLMs) develop causal illusions, both in real-world and controlled laboratory contexts of causal learning and inference. To this end, we built a dataset of over 2K samples including purely correlational cases, situations with null contingency, and cases where temporal information excludes the possibility of causality by placing the potential effect before the cause. We then prompted the models to make statements or answer causal questions to evaluate their tendencies to infer causation erroneously in these structured settings. Our findings show a strong presence of causal illusion bias in LLMs. Specifically, in open-ended generation tasks involving spurious correlations, the models displayed bias at levels comparable to, or even lower than, those observed in similar studies on human subjects. However, when faced with null-contingency scenarios or temporal cues that negate causal relationships, where it was required to respond on a 0-100 scale, the models exhibited significantly higher bias. These findings suggest that the models have not uniformly, consistently, or reliably internalized the normative principles essential for accurate causal learning., Comment: 15 pages, 6 figures
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- 2024
3. Honesty to Subterfuge: In-Context Reinforcement Learning Can Make Honest Models Reward Hack
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McKee-Reid, Leo, Sträter, Christoph, Martinez, Maria Angelica, Needham, Joe, and Balesni, Mikita
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Computer Science - Artificial Intelligence ,Computer Science - Machine Learning - Abstract
Previous work has shown that training "helpful-only" LLMs with reinforcement learning on a curriculum of gameable environments can lead models to generalize to egregious specification gaming, such as editing their own reward function or modifying task checklists to appear more successful. We show that gpt-4o, gpt-4o-mini, o1-preview, and o1-mini - frontier models trained to be helpful, harmless, and honest - can engage in specification gaming without training on a curriculum of tasks, purely from in-context iterative reflection (which we call in-context reinforcement learning, "ICRL"). We also show that using ICRL to generate highly-rewarded outputs for expert iteration (compared to the standard expert iteration reinforcement learning algorithm) may increase gpt-4o-mini's propensity to learn specification-gaming policies, generalizing (in very rare cases) to the most egregious strategy where gpt-4o-mini edits its own reward function. Our results point toward the strong ability of in-context reflection to discover rare specification-gaming strategies that models might not exhibit zero-shot or with normal training, highlighting the need for caution when relying on alignment of LLMs in zero-shot settings., Comment: 20 pages, 9 figures
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- 2024
4. Advancing Interactive Explainable AI via Belief Change Theory
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Rago, Antonio and Martinez, Maria Vanina
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Computer Science - Artificial Intelligence - Abstract
As AI models become ever more complex and intertwined in humans' daily lives, greater levels of interactivity of explainable AI (XAI) methods are needed. In this paper, we propose the use of belief change theory as a formal foundation for operators that model the incorporation of new information, i.e. user feedback in interactive XAI, to logical representations of data-driven classifiers. We argue that this type of formalisation provides a framework and a methodology to develop interactive explanations in a principled manner, providing warranted behaviour and favouring transparency and accountability of such interactions. Concretely, we first define a novel, logic-based formalism to represent explanatory information shared between humans and machines. We then consider real world scenarios for interactive XAI, with different prioritisations of new and existing knowledge, where our formalism may be instantiated. Finally, we analyse a core set of belief change postulates, discussing their suitability for our real world settings and pointing to particular challenges that may require the relaxation or reinterpretation of some of the theoretical assumptions underlying existing operators., Comment: 9 pages. To be published at KR 2024
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- 2024
5. Towards a Dialogue Game-Based Semantics for Extended Abstract Argumentation Frameworks Based on Indecision-Blocking
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Soto, Yamil Osvaldo Omar, Deagustini, Cristhian Ariel David, Martinez, Maria Vanina, Simari, Gerardo Ignacio, Goos, Gerhard, Series Editor, Hartmanis, Juris, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Destercke, Sébastien, editor, Martinez, Maria Vanina, editor, and Sanfilippo, Giuseppe, editor
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- 2025
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6. Unlearning Information Bottleneck: Machine Unlearning of Systematic Patterns and Biases
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Han, Ling, Huang, Hao, Scheinost, Dustin, Hartley, Mary-Anne, and Martínez, María Rodríguez
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Computer Science - Machine Learning ,Computer Science - Artificial Intelligence - Abstract
Effective adaptation to distribution shifts in training data is pivotal for sustaining robustness in neural networks, especially when removing specific biases or outdated information, a process known as machine unlearning. Traditional approaches typically assume that data variations are random, which makes it difficult to adjust the model parameters accurately to remove patterns and characteristics from unlearned data. In this work, we present Unlearning Information Bottleneck (UIB), a novel information-theoretic framework designed to enhance the process of machine unlearning that effectively leverages the influence of systematic patterns and biases for parameter adjustment. By proposing a variational upper bound, we recalibrate the model parameters through a dynamic prior that integrates changes in data distribution with an affordable computational cost, allowing efficient and accurate removal of outdated or unwanted data patterns and biases. Our experiments across various datasets, models, and unlearning methods demonstrate that our approach effectively removes systematic patterns and biases while maintaining the performance of models post-unlearning.
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- 2024
7. A practical guide to therapeutic drug monitoring in busulfan: recommendations from the Pharmacist Committee of the European Society for Blood and Marrow Transplantation (EBMT)
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Domingos, Vera, Nezvalova-Henriksen, Katerina, Dadkhah, Adrin, Moreno-Martinez, Maria-Estela, Ben Hassine, Khalil, Pires, Vera, Kröger, Nicolaus, Bauters, Tiene, Hassan, Moustapha, Duncan, Nick, Kalwak, Krzysztof, Ansari, Marc, Langebrake, Claudia, and Admiraal, Rick
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- 2024
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8. An innovative approach to the multidisciplinary treatment of uninsured breast cancer patients
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Nodora, Jesse N., Gilbert, Jacqueline A., Martinez, Maria Elena, Arslan, Waqas, Reyes, Trevin, Dover, John A., Ramos, Gilbert M., Komenaka, Ian G., Hitchon, Hebert D., and Komenaka, Ian K.
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- 2024
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9. Current and Novel Therapies for Cluster Headache: A Narrative Review
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de Freitas Dias, Bruna, Robinson, Christopher L., Villar-Martinez, Maria Dolores, Ashina, Sait, and Goadsby, Peter J.
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- 2024
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10. ANAIS-112 three years data: a sensitive model independent negative test of the DAMA/LIBRA dark matter signal
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Coarasa, Iván, Amaré, Julio, Apilluelo, Jaime, Cebrián, Susana, Cintas, David, García, Eduardo, Martínez, María, Oliván, Miguel Ángel, Ortigoza, Ysrael, de Solórzano, Alfonso Ortiz, Pardo, Tamara, Puimedón, Jorge, Salinas, Ana, Sarsa, María Luisa, and Villar, Patricia
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Astrophysics - Instrumentation and Methods for Astrophysics ,High Energy Physics - Experiment - Abstract
Weakly interacting massive particles (WIMPs) are well-motivated candidates for dark matter. One signature of galactic WIMPs is the annual modulation expected in a detector's interaction rate, which arises from Earth's revolution around the Sun. Over two decades, the DAMA/LIBRA experiment has observed such modulation with 250 kg of NaI(Tl) scintillators, in accordance with WIMP expectations but inconsistent with the negative results of other experiments. The signal depends on the target material, so to validate or refute the DAMA result, the experiment must be replicated using the same material. This is the goal of the ANAIS-112 experiment, currently underway since August 2017 with 112.5 kg of NaI(Tl). In this work, we present a reanalysis of three years of data employing an improved analysis chain to enhance the experimental sensitivity. The results presented here are consistent with the absence of modulation and inconsistent with DAMA's observation at nearly 3$\sigma$ confidence level, with the potential to reach a 5$\sigma$ level within 8 years from the beginning of the data collection. Additionally, we explore the impact of different scintillation quenching factors in the comparison between ANAIS-112 and DAMA/LIBRA., Comment: 16 pages, 10 figures, 1 table
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- 2024
11. Computational Complexity of Preferred Subset Repairs on Data-Graphs
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Pardal, Nina, Cifuentes, Santiago, Pin, Edwin, Martinez, Maria Vanina, and Abriola, Sergio
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Computer Science - Databases ,Computer Science - Artificial Intelligence ,Computer Science - Logic in Computer Science ,68P15, 68T27, 03B70, 68T37 - Abstract
Preferences are a pivotal component in practical reasoning, especially in tasks that involve decision-making over different options or courses of action that could be pursued. In this work, we focus on repairing and querying inconsistent knowledge bases in the form of graph databases, which involves finding a way to solve conflicts in the knowledge base and considering answers that are entailed from every possible repair, respectively. Without a priori domain knowledge, all possible repairs are equally preferred. Though that may be adequate for some settings, it seems reasonable to establish and exploit some form of preference order among the potential repairs. We study the problem of computing prioritized repairs over graph databases with data values, using a notion of consistency based on GXPath expressions as integrity constraints. We present several preference criteria based on the standard subset repair semantics, incorporating weights, multisets, and set-based priority levels. We show that it is possible to maintain the same computational complexity as in the case where no preference criterion is available for exploitation. Finally, we explore the complexity of consistent query answering in this setting and obtain tight lower and upper bounds for all the preference criteria introduced., Comment: Appendix
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- 2024
12. HPV Vaccine Misperceptions Among Hispanics/Latinos in Southern California
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Santana, Christina, Pines, Heather A, Lemus, Hector, Martinez, Maria Elena, Nodora, Jesse N, Pulgarin, Salma Parra, Crespo, Noe C, Madanat, Hala, and McDaniels-Davidson, Corinne
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Public Health ,Health Sciences ,Cancer ,HPV and/or Cervical Cancer Vaccines ,Women's Health ,Prevention ,Behavioral and Social Science ,Infectious Diseases ,Clinical Research ,Vaccine Related ,Immunization ,Minority Health ,Sexually Transmitted Infections ,Health Disparities ,Good Health and Well Being ,Humans ,Hispanic or Latino ,Papillomavirus Vaccines ,Female ,Adult ,Male ,California ,Health Knowledge ,Attitudes ,Practice ,Middle Aged ,Young Adult ,Papillomavirus Infections ,Adolescent ,White People ,HPV ,HPV vaccine ,Misperceptions ,Hispanic ,Latino ,Public Health and Health Services ,Public health - Abstract
BackgroundCervical and other vaccine-preventable HPV-associated cancers disproportionately impact Hispanic/Latinos in the USA. HPV vaccine uptake may be impacted by community agreement with common HPV vaccine misperceptions. It is unknown whether Hispanics/Latinos have a greater agreement with these misperceptions relative to non-Hispanic whites.MethodsHPV vaccine misperceptions were assessed through a 12-item Likert scale included in a population health assessment mailed to households in the southwest United States. Linear regression models assessed the association between identifying as Hispanic/Latino and summed misperception score.ResultsAmong the 407 individuals in the analytic sample, 111 (27.3%) were Hispanic/Latino and 296 (72.7%) were non-Hispanic white. On average, Hispanics/Latinos had a 3.03-point higher HPV vaccine misperception sum score relative to non-Hispanic whites, indicating greater agreement with misperceptions (95% confidence interval: 1.16-4.88; p
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- 2024
13. Ataxia-telangiectasia in Latin America: clinical features, immunodeficiency, and mortality in a multicenter study
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Pereira, Renan A., Dantas, Ellen O., Loekmanwidjaja, Jessica, Mazzucchelli, Juliana T. L., Aranda, Carolina S., Serrano, Maria E. G., De La Cruz Córdoba, Elisabeth A., Bezrodnik, Liliana, Moreira, Ileana, Ferreira, Janaira F. S., Dantas, Vera M., Sales, Valéria S. F., Fernandez, Carmen C., Vilela, Maria M. S., Motta, Isabela P., Franco, Jose Luis, Arango, Julio Cesar Orrego, Álvarez-Álvarez, Jesús A., Cardozo, Lina Rocío Riaño, Orellana, Julio C., Condino-Neto, Antonio, Kokron, Cristina M., Barros, Myrthes T., Regairaz, Lorena, Cabanillas, Diana, Suarez, Carmen L. N., Rosario, Nelson A., Chong-Neto, Herberto J., Takano, Olga A., Nadaf, Maria I. S. V., Moraes, Lillian S. L., Tavares, Fabiola S., Rabelo, Flaviane, Pino, Jessica, Calderon, Wilmer C., Mendoza-Quispe, Daniel, Goudouris, Ekaterini S., Patiño, Virginia, Montenegro, Cecilia, Souza, Monica S., Branco, Aniela BXCCastelo, Forte, Wilma C. N., Carvalho, Flavia A. A., Segundo, Gesmar, Cheik, Marina F. A., Roxo-Junior, Persio, Peres, Maryanna, Oliveira, Annie M., Neto, Arnaldo C. P., Ortega-López, Maria Claudia, Lozano, Alejandro, Lozano, Natalia Andrea, Nieto, Leticia H., Grumach, Anete S., Costa, Daniele C., Antunes, Nelma M. N., Nudelman, Victor, Pereira, Camila T. M., Martinez, Maria D. M., Quiroz, Francisco J. R., Cardona, Aristoteles A., Nuñez-Nuñez, Maria E., Rodriguez, Jairo A., Cuellar, Célia M., Vijoditz, Gustavo, Bichuetti-Silva, Daniélli C., Prando, Carolina C. M., Amantéa, Sérgio L., and Costa-Carvalho, Beatriz T.
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- 2024
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14. The Distributional Uncertainty of the SHAP score in Explainable Machine Learning
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Cifuentes, Santiago, Bertossi, Leopoldo, Pardal, Nina, Abriola, Sergio, Martinez, Maria Vanina, and Romero, Miguel
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Computer Science - Artificial Intelligence ,Computer Science - Machine Learning ,Computer Science - Logic in Computer Science ,68T37, 68T27 - Abstract
Attribution scores reflect how important the feature values in an input entity are for the output of a machine learning model. One of the most popular attribution scores is the SHAP score, which is an instantiation of the general Shapley value used in coalition game theory. The definition of this score relies on a probability distribution on the entity population. Since the exact distribution is generally unknown, it needs to be assigned subjectively or be estimated from data, which may lead to misleading feature scores. In this paper, we propose a principled framework for reasoning on SHAP scores under unknown entity population distributions. In our framework, we consider an uncertainty region that contains the potential distributions, and the SHAP score of a feature becomes a function defined over this region. We study the basic problems of finding maxima and minima of this function, which allows us to determine tight ranges for the SHAP scores of all features. In particular, we pinpoint the complexity of these problems, and other related ones, showing them to be NP-complete. Finally, we present experiments on a real-world dataset, showing that our framework may contribute to a more robust feature scoring., Comment: In ECAI 2024 proceedings
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- 2024
15. T cell receptor binding prediction: A machine learning revolution
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Weber, Anna, Pélissier, Aurélien, and Martínez, María Rodríguez
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Quantitative Biology - Quantitative Methods ,Quantitative Biology - Biomolecules ,Quantitative Biology - Subcellular Processes - Abstract
Recent advancements in immune sequencing and experimental techniques are generating extensive T cell receptor (TCR) repertoire data, enabling the development of models to predict TCR binding specificity. Despite the computational challenges due to the vast diversity of TCRs and epitopes, significant progress has been made. This paper discusses the evolution of the computational models developed for this task, with a focus on machine learning efforts, including the early unsupervised clustering approaches, supervised models, and the more recent applications of Protein Language Models (PLMs). We critically assess the most prominent models in each category, and discuss recurrent challenges, such as the lack of generalization to new epitopes, dataset biases, and biases in the validation design of the models. Furthermore, our paper discusses the transformative role of transformer-based protein models in bioinformatics. These models, pretrained on extensive collections of unlabeled protein sequences, can convert amino acid sequences into vectorized embeddings that capture important biological properties. We discuss recent attempts to leverage PLMs to deliver very competitive performances in TCR-related tasks. Finally, we address the pressing need for improved interpretability in these often opaque models, proposing strategies to amplify their impact in the field.
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- 2023
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16. ANAIS-112: updated results on annual modulation with three-year exposure
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Coarasa, Iván, Amaré, Julio, Apilluelo, Jaime, Cebrián, Susana, Cintas, David, García, Eduardo, Martínez, María, Oliván, Miguel Ángel, Ortigoza, Ysrael, de Solórzano, Alfonso Ortiz, Pardo, Tamara, Puimedón, Jorge, Salinas, Ana, Sarsa, María Luisa, and Villar, Patricia
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Astrophysics - Instrumentation and Methods for Astrophysics ,High Energy Physics - Experiment - Abstract
The ANAIS experiment is intended to search for dark matter annual modulation with ultrapure NaI(Tl) scintillators in order to provide a model independent confirmation or refutation of the long-standing DAMA/LIBRA positive annual modulation signal in the low energy detection rate, using the same target and technique. Other experiments exclude the region of parameters singled out by DAMA/LIBRA. However, these experiments use different target materials, so the comparison of their results depends on the models assumed for the dark matter particle and its distribution in the galactic halo. ANAIS-112, consisting of nine 12.5 kg NaI(Tl) modules produced by Alpha Spectra Inc., disposed in a 3$\times$3 matrix configuration, is taking data smoothly with excellent performance at the Canfranc Underground Laboratory, Spain, since August, 2017. Last published results corresponding to three-year exposure were compatible with the absence of modulation and incompatible with DAMA/LIBRA for a sensitivity above 2.5$\sigma$ C.L. Present status of the experiment and a reanalysis of the first 3 years data using new filtering protocols based on machine-learning techniques are reported. This reanalysis allows to improve the sensitivity previously achieved for the DAMA/LIBRA signal. Updated sensitivity prospects are also presented: with the improved filtering, testing the DAMA/LIBRA signal at 5$\sigma$ will be within reach in 2025., Comment: Contributed to the TAUP2023 Conference, August-September 2023. To be published in Proceeding of Science. arXiv admin note: substantial text overlap with arXiv:2110.10649, arXiv:2209.14113
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- 2023
17. Nivolumab plus platinum-doublet chemotherapy in treatment-naive patients with advanced grade 3 Neuroendocrine Neoplasms of gastroenteropancreatic or unknown origin: The multicenter phase 2 NICE-NEC trial (GETNE-T1913)
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Riesco-Martinez, Maria Carmen, Capdevila, Jaume, Alonso, Vicente, Jimenez-Fonseca, Paula, Teule, Alex, Grande, Enrique, Sevilla, Isabel, Benavent, Marta, Alonso-Gordoa, Teresa, Custodio, Ana, Anton-Pascual, Beatriz, Hernando, Jorge, Polo, Eduardo, Castillo-Trujillo, Oscar Alfredo, Lamas-Paz, Arantza, Teijo, Ana, Rodriguez-Gil, Yolanda, Soldevilla, Beatriz, and Garcia-Carbonero, Rocio
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- 2024
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18. On the Construction of Admissible Orders for Tuples and Its Application to Imprecise Risk Matrices
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Baz, Juan, Martinez, Maria, Diaz-Vazquez, Susana, and Montes, Susana
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- 2024
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19. Low anterior resection with transanal transection and single-stapled anastomosis: technical aspects and initial results
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Vivas López, Alfredo, Villar, Oscar Garcia, Borda, Javier Garcia, Restrepo Nuñez, Rafael, Rubio, Eduardo, Nevado, Cristina, Pelaez, Pablo, Labalde Martinez, Maria, Alias, David, Falcon, Kleber, Lorenzo, Sofia, Perea García, José, and Ferrero, Eduardo
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- 2024
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20. Beyond Certificates: 6G-ready Access Control for the Service-Based Architecture with Decentralized Identifiers and Verifiable Credentials
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Garzon, Sandro Rodriguez, Tuan, Hai Dinh, Martinez, Maria Mora, Küpper, Axel, Einsiedler, Hans Joachim, and Schneider, Daniela
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Computer Science - Networking and Internet Architecture - Abstract
Next generation mobile networks are poised to transition from monolithic structures owned and operated by single mobile network operators into multi-stakeholder networks where various parties contribute with infrastructure, resources, and services. However, a federation of networks and services brings along a crucial challenge: Guaranteeing secure and trustworthy access control among network entities of different administrative domains. This paper introduces a novel technical concept and a prototype, outlining and implementing a 5G Service-Based Architecture that utilizes Decentralized Identifiers and Verifiable Credentials instead of traditional X.509 certificates and OAuth2.0 access tokens to authenticate and authorize network functions among each other across administrative domains. This decentralized approach to identity and permission management for network functions reduces the risk of single points of failure associated with centralized public key infrastructures. It unifies access control mechanisms and lays the groundwork for lesser complex and more trustful cross-domain key management for highly collaborative network functions in a multi-party Service-Based Architecture of 6G., Comment: This work has been submitted to the IEEE for possible publication
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- 2023
21. DockGame: Cooperative Games for Multimeric Rigid Protein Docking
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Somnath, Vignesh Ram, Sessa, Pier Giuseppe, Martinez, Maria Rodriguez, and Krause, Andreas
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Computer Science - Machine Learning - Abstract
Protein interactions and assembly formation are fundamental to most biological processes. Predicting the assembly structure from constituent proteins -- referred to as the protein docking task -- is thus a crucial step in protein design applications. Most traditional and deep learning methods for docking have focused mainly on binary docking, following either a search-based, regression-based, or generative modeling paradigm. In this paper, we focus on the less-studied multimeric (i.e., two or more proteins) docking problem. We introduce DockGame, a novel game-theoretic framework for docking -- we view protein docking as a cooperative game between proteins, where the final assembly structure(s) constitute stable equilibria w.r.t. the underlying game potential. Since we do not have access to the true potential, we consider two approaches - i) learning a surrogate game potential guided by physics-based energy functions and computing equilibria by simultaneous gradient updates, and ii) sampling from the Gibbs distribution of the true potential by learning a diffusion generative model over the action spaces (rotations and translations) of all proteins. Empirically, on the Docking Benchmark 5.5 (DB5.5) dataset, DockGame has much faster runtimes than traditional docking methods, can generate multiple plausible assembly structures, and achieves comparable performance to existing binary docking baselines, despite solving the harder task of coordinating multiple protein chains., Comment: Under Review
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- 2023
22. Conformal Autoregressive Generation: Beam Search with Coverage Guarantees
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Deutschmann, Nicolas, Alberts, Marvin, and Martínez, María Rodríguez
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Computer Science - Machine Learning - Abstract
We introduce two new extensions to the beam search algorithm based on conformal predictions (CP) to produce sets of sequences with theoretical coverage guarantees. The first method is very simple and proposes dynamically-sized subsets of beam search results but, unlike typical CP procedures, has an upper bound on the achievable guarantee depending on a post-hoc calibration measure. Our second algorithm introduces the conformal set prediction procedure as part of the decoding process, producing a variable beam width which adapts to the current uncertainty. While more complex, this procedure can achieve coverage guarantees selected a priori. We provide marginal coverage bounds for each method, and evaluate them empirically on a selection of tasks drawing from natural language processing and chemistry., Comment: 11 pages, 4 figures
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- 2023
23. Racial disparities in colorectal cancer outcomes and access to care: a multi-cohort analysis.
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Riviere, Paul, Morgan, Kylie, Deshler, Leah, Demb, Joshua, Mehtsun, Winta, Martinez, Maria, Gupta, Samir, Banegas, Matthew, Murphy, James, and Rose, Brent
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colorectal cancer ,disparities ,health services research ,outcomes ,race ,veteran affairs ,Humans ,Colorectal Neoplasms ,Male ,Female ,United States ,Aged ,Health Services Accessibility ,SEER Program ,Middle Aged ,Healthcare Disparities ,Black or African American ,White People ,Cohort Studies ,Survival Analysis ,Aged ,80 and over ,United States Department of Veterans Affairs ,Adult - Abstract
INTRODUCTION: Non-Hispanic Black (NHB) Americans have a higher incidence of colorectal cancer (CRC) and worse survival than non-Hispanic white (NHW) Americans, but the relative contributions of biological versus access to care remain poorly characterized. This study used two nationwide cohorts in different healthcare contexts to study health system effects on this disparity. METHODS: We used data from the Surveillance, Epidemiology, and End Results (SEER) registry as well as the United States Veterans Health Administration (VA) to identify adults diagnosed with colorectal cancer between 2010 and 2020 who identified as non-Hispanic Black (NHB) or non-Hispanic white (NHW). Stratified survival analyses were performed using a primary endpoint of overall survival, and sensitivity analyses were performed using cancer-specific survival. RESULTS: We identified 263,893 CRC patients in the SEER registry (36,662 (14%) NHB; 226,271 (86%) NHW) and 24,375 VA patients (4,860 (20%) NHB; 19,515 (80%) NHW). In the SEER registry, NHB patients had worse OS than NHW patients: median OS of 57 months (95% confidence interval (CI) 55-58) versus 72 months (95% CI 71-73) (hazard ratio (HR) 1.14, 95% CI 1.12-1.15, p = 0.001). In contrast, VA NHB median OS was 65 months (95% CI 62-69) versus NHW 69 months (95% CI 97-71) (HR 1.02, 95% CI 0.98-1.07, p = 0.375). There was significant interaction in the SEER registry between race and Medicare age eligibility (p
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- 2024
24. Neighborhood Factors Associated with COVID-19 Cases in California
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Oh, Debora L, Meltzer, Dan, Wang, Katarina, Canchola, Alison J, DeRouen, Mindy C, McDaniels-Davidson, Corinne, Gibbons, Joseph, Carvajal-Carmona, Luis, Nodora, Jesse N, Hill, Linda, Gomez, Scarlett Lin, and Martinez, Maria Elena
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Public Health ,Health Sciences ,Health Disparities ,Emerging Infectious Diseases ,Infectious Diseases ,Clinical Research ,Basic Behavioral and Social Science ,Coronaviruses ,Behavioral and Social Science ,Minority Health ,Good Health and Well Being ,Humans ,United States ,COVID-19 ,Ethnicity ,Residence Characteristics ,Racial Groups ,California ,Los Angeles ,Socioeconomic Factors ,Neighborhood ,Disparities ,Race ,Public Health and Health Services ,Public health - Abstract
BackgroundThere is a need to assess neighborhood-level factors driving COVID-19 disparities across racial and ethnic groups.ObjectiveTo use census tract-level data to investigate neighborhood-level factors contributing to racial and ethnic group-specific COVID-19 case rates in California.DesignQuasi-Poisson generalized linear models were used to identify neighborhood-level factors associated with COVID-19 cases. In separate sequential models for Hispanic, Black, and Asian, we characterized the associations between neighborhood factors on neighborhood COVID-19 cases. Subanalyses were conducted on neighborhoods with majority Hispanic, Black, and Asian residents to identify factors that might be unique to these neighborhoods. Geographically weighted regression using a quasi-Poisson model was conducted to identify regional differences.Main measuresAll COVID-19 cases and tests reported through January 31, 2021, to the California Department of Public Health. Neighborhood-level data from census tracts were obtained from American Community Survey 5-year estimates (2015-2019), United States Census (2010), and United States Department of Housing and Urban Development.Key resultsThe neighborhood factors associated with COVID-19 case rate were racial and ethnic composition, age, limited English proficiency (LEP), income, household size, and population density. LEP had the largest influence on the positive association between proportion of Hispanic residents and COVID-19 cases (- 2.1% change). This was also true for proportion of Asian residents (- 1.8% change), but not for the proportion of Black residents (- 0.1% change). The influence of LEP was strongest in areas of the Bay Area, Los Angeles, and San Diego.ConclusionNeighborhood-level contextual drivers of COVID-19 burden differ across racial and ethnic groups.
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- 2023
25. Hub-and-Spoke centralized intervention to optimize colorectal cancer screening and follow-up: A pragmatic, cluster-randomized controlled trial protocol
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Castañeda, Sheila F, Gupta, Samir, Nodora, Jesse N, Largaespada, Valesca, Roesch, Scott C, Rabin, Borsika A, Covin, Jennifer, Ortwine, Kristine, Preciado-Hidalgo, Yesenia, Howard, Nicole, Halpern, Michael T, and Martinez, Maria Elena
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Biomedical and Clinical Sciences ,Health Services and Systems ,Public Health ,Health Sciences ,Clinical Sciences ,Health Services ,Digestive Diseases ,Clinical Research ,Behavioral and Social Science ,Colo-Rectal Cancer ,Social Determinants of Health ,Dissemination and Implementation Research ,Aging ,Minority Health ,Cancer ,Clinical Trials and Supportive Activities ,Prevention ,Comparative Effectiveness Research ,Women's Health ,Health Disparities ,4.4 Population screening ,Humans ,Early Detection of Cancer ,Mass Screening ,Colorectal Neoplasms ,Ambulatory Care Facilities ,Community Health Centers ,Occult Blood ,Randomized Controlled Trials as Topic ,Community health centers ,Colorectal cancer screening ,Abnormal fecal immunochemical test follow-up ,Cancer disparities ,Medical and Health Sciences ,General Clinical Medicine ,Biomedical and clinical sciences ,Health sciences - Abstract
BackgroundGuidelines recommend screening for colorectal cancer (CRC), but participation and abnormal test follow up rates are suboptimal, with disparities by demography. Evidence-based interventions exist to promote screening, but community adoption and implementation are limited.MethodsThe San Diego Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science (ACCSIS) program is an academic-community partnership testing regional implementation of a Hub-and-Spoke model for increasing CRC screening and follow-up. The "hub" is a non-academic, non-profit organization that includes 17 community health center (CHC) systems, serving over 190 rural and urban clinic sites. The "spokes" are 3 CHC systems that oversee 11-28 clinics each, totaling over 60 clinics. Using a cluster-randomized trial design, 9 clinics were randomized to intervention and 16 to usual care. Within intervention clinics, approximately 5000 eligible patients not up-to-date with CRC screening per year were identified for intervention. Interventions include an invitation primer, a mailed fecal immunochemical test with completion instructions, and phone and text-based reminders (hub) and patient navigation protocol to promote colonoscopy completion after abnormal FIT (spoke). Outcomes include: 1) proportion of patients up-to-date with screening after three years in intervention versus non-intervention clinics; 2) proportion of patients with abnormal FIT completing colonoscopy within six months of the abnormal result. Implementation science measures are collected to assess acceptability, intervention and usual care adaptations, and sustainability of the intervention strategies.ConclusionThis large-scale, regional cluster randomized trial among CHCs serving diverse populations is anticipated to accelerate progress in CRC prevention in underserved populations.Trial registrationNCT04941300.
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- 2023
26. Unveiling Neolithic Economic Behavior: A Novel Approach to Chert Procurement at Çukuriçi Höyük, Western Anatolia: Unveiling Neolithic Economic Behavior: A Novel Approach to Chert Procurement at Çukuriçi Höyük, Western Anatolia
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Brandl, Michael, Martinez, Maria M., Hauzenberger, Christoph, Filzmoser, Peter, Milić, Bogdana, and Horejs, Barbara
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- 2025
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27. MRI-based sensing of pH-responsive content release from mesoporous silica nanoparticles
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Mundžić, Mirjana, Lazović, Jelena, Mladenović, Minja, Pavlović, Aleksandra, Ultimo, Amelia, Gobbo, Oliviero L., Ruiz-Hernandez, Eduardo, Santos-Martinez, Maria Jose, and Knežević, Nikola Ž.
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- 2024
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28. Adaptive Conformal Regression with Jackknife+ Rescaled Scores
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Deutschmann, Nicolas, Rigotti, Mattia, and Martinez, Maria Rodriguez
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Computer Science - Machine Learning ,Statistics - Machine Learning - Abstract
Conformal regression provides prediction intervals with global coverage guarantees, but often fails to capture local error distributions, leading to non-homogeneous coverage. We address this with a new adaptive method based on rescaling conformal scores with an estimate of local score distribution, inspired by the Jackknife+ method, which enables the use of calibration data in conformal scores without breaking calibration-test exchangeability. Our approach ensures formal global coverage guarantees and is supported by new theoretical results on local coverage, including an a posteriori bound on any calibration score. The strength of our approach lies in achieving local coverage without sacrificing calibration set size, improving the applicability of conformal prediction intervals in various settings. As a result, our method provides prediction intervals that outperform previous methods, particularly in the low-data regime, making it especially relevant for real-world applications such as healthcare and biomedical domains where uncertainty needs to be quantified accurately despite low sample data., Comment: 24 pages, 7 figures
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- 2023
29. A Likelihood Ratio Approach for Utilizing Case‐Control Data in the Clinical Classification of Rare Sequence Variants: Application to BRCA1 and BRCA2
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Zanti, Maria, O′Mahony, Denise G, Parsons, Michael T, Li, Hongyan, Dennis, Joe, Aittomäkkiki, Kristiina, Andrulis, Irene L, Anton-Culver, Hoda, Aronson, Kristan J, Augustinsson, Annelie, Becher, Heiko, Bojesen, Stig E, Bolla, Manjeet K, Brenner, Hermann, Brown, Melissa A, Buys, Saundra S, Canzian, Federico, Caputo, Sandrine M, Castelao, Jose E, Chang-Claude, Jenny, Collaborators, GC-HBOC study, Czene, Kamila, Daly, Mary B, De Nicolo, Arcangela, Devilee, Peter, Dörk, Thilo, Dunning, Alison M, Dwek, Miriam, Eccles, Diana M, Engel, Christoph, Evans, D Gareth, Fasching, Peter A, Gago-Dominguez, Manuela, García-Closas, Montserrat, García-Sáenz, José A, Gentry-Maharaj, Aleksandra, Giele, Willemina RR Geurts-, Giles, Graham G, Glendon, Gord, Goldberg, Mark S, Garcia, Encarna B Gómez, Güendert, Melanie, Guénel, Pascal, Hahnen, Eric, Haiman, Christopher A, Hall, Per, Hamann, Ute, Harkness, Elaine F, Hogervorst, Frans BL, Hollestelle, Antoinette, Hoppe, Reiner, Hopper, John L, Houdayer, Claude, Houlston, Richard S, Howell, Anthony, Investigators, ABCTB, Jakimovska, Milena, Jakubowska, Anna, Jernström, Helena, John, Esther M, Kaaks, Rudolf, Kitahara, Cari M, Koutros, Stella, Kraft, Peter, Kristensen, Vessela N, Lacey, James V, Lambrechts, Diether, Léoné, Melanie, Lindblom, Annika, Lubiński, Jan, Lush, Michael, Mannermaa, Arto, Manoochehri, Mehdi, Manoukian, Siranoush, Margolin, Sara, Martinez, Maria Elena, Menon, Usha, Milne, Roger L, Monteiro, Alvaro N, Murphy, Rachel A, Neuhausen, Susan L, Nevanlinna, Heli, Newman, William G, Offit, Kenneth, Park, Sue K, James, Paul, Peterlongo, Paolo, Peto, Julian, Plaseska-Karanfilska, Dijana, Punie, Kevin, Radice, Paolo, Rashid, Muhammad U, Rennert, Gad, Romero, Atocha, Rosenberg, Efraim H, Saloustros, Emmanouil, Sandler, Dale P, Schmidt, Marjanka K, Schmutzler, Rita K, and Shu, Xiao-Ou
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Biological Sciences ,Biomedical and Clinical Sciences ,Oncology and Carcinogenesis ,Genetics ,Human Genome ,Cancer ,Prevention ,Breast Cancer ,Genetic Testing ,Biotechnology ,Women's Health ,2.1 Biological and endogenous factors ,Good Health and Well Being ,Humans ,Case-Control Studies ,BRCA2 Protein ,Genetic Predisposition to Disease ,Female ,BRCA1 Protein ,Breast Neoplasms ,Likelihood Functions ,Genetic Variation ,Penetrance ,GC-HBOC study Collaborators ,ABCTB Investigators ,ACMG/AMP ,BRCA ,PS4 ,VUS ,case-control ,likelihood ratio ,variant classification ,Clinical Sciences ,Genetics & Heredity ,Clinical sciences - Abstract
A large number of variants identified through clinical genetic testing in disease susceptibility genes, are of uncertain significance (VUS). Following the recommendations of the American College of Medical Genetics and Genomics (ACMG) and Association for Molecular Pathology (AMP), the frequency in case-control datasets (PS4 criterion), can inform their interpretation. We present a novel case-control likelihood ratio-based method that incorporates gene-specific age-related penetrance. We demonstrate the utility of this method in the analysis of simulated and real datasets. In the analyses of simulated data, the likelihood ratio method was more powerful compared to other methods. Likelihood ratios were calculated for a case-control dataset of BRCA1 and BRCA2 variants from the Breast Cancer Association Consortium (BCAC), and compared with logistic regression results. A larger number of variants reached evidence in favor of pathogenicity, and a substantial number of variants had evidence against pathogenicity - findings that would not have been reached using other case-control analysis methods. Our novel method provides greater power to classify rare variants compared to classical case-control methods. As an initiative from the ENIGMA Analytical Working Group, we provide user-friendly scripts and pre-formatted excel calculators for implementation of the method for rare variants in BRCA1, BRCA2 and other high-risk genes with known penetrance.
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- 2023
30. Cosmic muon flux attenuation methods for superconducting qubit experiments
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Bertoldo, Elia, Sánchez, Victor Pérez, Martínez, Maria, Martínez, Manel, Khalife, Hawraa, and Forn-Díaz, Pol
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Quantum Physics ,Physics - Instrumentation and Detectors - Abstract
We propose and demonstrate two practical mitigation methods to attenuate the cosmic muon flux, compatible with experiments involving superconducting qubits: shallow underground sites and specific device orientation. Using a specifically-built cosmic muon detector, we identify underground sites, widely present in urban environments, where significant attenuation of cosmic muon flux, up to a factor 35 for 100-meter depths, can be attained. Furthermore, we employ two germanium wafers in an above-ground laboratory, each equipped with a particle sensor, to show how the orientation of the chip with respect to the sky affects the amount and type of energy deposited on the substrate by ionizing radiation. We observe that the horizontal detector sees more counts at lower energy, while the vertical one is impacted by more particles at higher energy. The methods here described proposed ways to directly understand and reduce the effects of cosmic rays on qubits by attenuating the source of this type of decoherence, complementing existing on-chip mitigation strategies. We expect that both on-chip and off-chip methods combined will become ubiquitous in quantum technologies based on superconducting qubit circuits.
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- 2023
31. Asymptotic stability of the spectrum of a parametric family of homogenization problems associated with a perforated waveguide
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Gómez, Delfina, Nazarov, Sergei A., Orive-Illera, Rafael, and Pérez-Martínez, Maria-Eugenia
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Mathematics - Analysis of PDEs ,Mathematics - Spectral Theory ,35B27, 35P05, 47A55, 35J25, 47A10 - Abstract
In this paper, we provide uniform bounds for convergence rates of the low frequencies of a parametric family of problems for the Laplace operator posed on a rectangular perforated domain of the plane of height $H$. The perforations are periodically placed along the ordinate axis at a distance $O(\epsilon)$ between them, where $\epsilon$ is a parameter that converges towards zero. Another parameter $\eta$, the Floquet-parameter, ranges in the interval $[-\pi, \pi]$. The boundary conditions are quasi-periodicity conditions on the lateral sides of the rectangle and Neumann over the rest. We obtain precise bounds for convergence rates which are uniform on both parameters $\epsilon$ and $\eta$ and strongly depend on $H$. As a model problem associated with a waveguide, one of the main difficulties in our analysis comes near the nodes of the limit dispersion curves.
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- 2023
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32. Aligned Diffusion Schr\'odinger Bridges
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Somnath, Vignesh Ram, Pariset, Matteo, Hsieh, Ya-Ping, Martinez, Maria Rodriguez, Krause, Andreas, and Bunne, Charlotte
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Computer Science - Machine Learning ,Quantitative Biology - Quantitative Methods - Abstract
Diffusion Schr\"odinger bridges (DSB) have recently emerged as a powerful framework for recovering stochastic dynamics via their marginal observations at different time points. Despite numerous successful applications, existing algorithms for solving DSBs have so far failed to utilize the structure of aligned data, which naturally arises in many biological phenomena. In this paper, we propose a novel algorithmic framework that, for the first time, solves DSBs while respecting the data alignment. Our approach hinges on a combination of two decades-old ideas: The classical Schr\"odinger bridge theory and Doob's $h$-transform. Compared to prior methods, our approach leads to a simpler training procedure with lower variance, which we further augment with principled regularization schemes. This ultimately leads to sizeable improvements across experiments on synthetic and real data, including the tasks of predicting conformational changes in proteins and temporal evolution of cellular differentiation processes.
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- 2023
33. The Influence of Corporate Governance on the Sustainability of American Company Buildings
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Valls Martínez, María del Carmen, Montero, José-María, Sánchez Pacheco, María Estefanía, Zambrano Farías, Fernando José, Valls Martínez, María del Carmen, editor, and Santos-Jaén, José Manuel, editor
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- 2024
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34. Unveiling Differences in ESG Adoption: A Comparative Analysis of the Big Four Auditors
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Valls Martínez, María del Carmen, Santos-Jaén, José Manuel, Martín de Almagro Vázquez, Gema, Valls Martínez, María del Carmen, editor, and Santos-Jaén, José Manuel, editor
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- 2024
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35. Practical and scalable simulations of non-Markovian stochastic processes
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Pelissier, Aurelien, Phan, Miroslav, Beerenwinkel, Niko, and Martinez, Maria Rodriguez
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Quantitative Biology - Quantitative Methods - Abstract
Discrete stochastic processes are widespread in natural systems with many applications across physics, biochemistry, epidemiology, sociology, and finance. While analytic solutions often cannot be derived, existing simulation frameworks can generate stochastic trajectories compatible with the dynamical laws underlying the random phenomena. However, most simulation algorithms assume the system dynamics are memoryless (Markovian assumption), under which assumption, future occurrences only depend on the present state of the system. Mathematically, the Markovian assumption models inter-event times as exponentially distributed variables, which enables the exact simulation of stochastic trajectories using the seminal Gillespie algorithm. Unfortunately, the majority of stochastic systems exhibit properties of memory, an inherently non-Markovian attribute. Non-Markovian systems are notoriously difficult to investigate analytically, and existing numerical methods are computationally costly or only applicable under strong simplifying assumptions, often not compatible with empirical observations. To address these challenges, we have developed the Rejection-based Gillespie algorithm for non-Markovian Reactions (REGIR), a general and scalable framework to simulate non-Markovian stochastic systems with arbitrary inter-event time distributions. REGIR can achieve arbitrary user-defined accuracy while maintaining the same asymptotic computational complexity as the Gillespie algorithm. We illustrate REGIR's modeling capabilities in three important biochemical systems, namely microbial growth dynamics, stem cell differentiation, and RNA transcription. In all three cases, REGIR efficiently models the underlying stochastic processes and demonstrates its utility to accurately investigate complex non-Markovian systems. The algorithm is implemented as a python library REGIR.
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- 2022
36. Management of iron deficiency in women of childbearing age with oral iron intolerance: a prospective, randomised, controlled trial of three doses of an iron-whey-protein formulation: Prospective RandomisEd study of women of Childbearing age with gastroInteStinal Intolerance to Oral iroN (PRECISION)
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Ledwidge, Mark, Ryan, Fiona, Seoighe, Anna, Santos-Martinez, Maria Jose, Ryan, Cristin, and Gilmer, J. G. F.
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- 2024
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37. Microfluidic model of the alternative vasculature in neuroblastoma
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Villasante, Aranzazu, Lopez-Martinez, Maria Jose, Quiñonero, Gema, Garcia-Lizarribar, Andrea, Peng, Xiaofeng, and Samitier, Josep
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- 2024
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38. Examining Family Process among Infants and Toddlers and Implications for Maternal-Child Intervention
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LaForett, Doré R., Salomon, Rebecca E., Waldrop, Julee B., Martinez, Maria, Mandel, Marcia A., Wheeler, Anne C., Okoniewski, Katherine C., and Beeber, Linda S.
- Abstract
This article examined the associations between family processes and children's development among mothers and their children participating in early intervention (EI) services. Data from mothers and their infants and toddlers (n = 100) participating in EI were analyzed using regression methods to test the predictive power of maternal depressive symptoms, self-efficacy, and quality of mother-child interactions on children's behavior problems and social and emotional competence. Mother-child interactions were the most robust predictor of child behavior problems and competence. The presence of clinically elevated maternal depressive symptoms was high (30%) and associated with more child behavior problems. Stronger endorsement of self-efficacy also was related to higher levels of child social and emotional competence. We discuss our findings related to opportunities and challenges to support mothers experiencing depressive symptoms. EI services that strive toward an integrated approach could identify mothers with depressive symptoms and play an increased role in directly addressing their needs.
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- 2023
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39. Attention-based Interpretable Regression of Gene Expression in Histology
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Graziani, Mara, Marini, Niccolò, Deutschmann, Nicolas, Janakarajan, Nikita, Müller, Henning, and Martínez, María Rodríguez
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Quantitative Biology - Quantitative Methods ,Computer Science - Machine Learning - Abstract
Interpretability of deep learning is widely used to evaluate the reliability of medical imaging models and reduce the risks of inaccurate patient recommendations. For models exceeding human performance, e.g. predicting RNA structure from microscopy images, interpretable modelling can be further used to uncover highly non-trivial patterns which are otherwise imperceptible to the human eye. We show that interpretability can reveal connections between the microscopic appearance of cancer tissue and its gene expression profiling. While exhaustive profiling of all genes from the histology images is still challenging, we estimate the expression values of a well-known subset of genes that is indicative of cancer molecular subtype, survival, and treatment response in colorectal cancer. Our approach successfully identifies meaningful information from the image slides, highlighting hotspots of high gene expression. Our method can help characterise how gene expression shapes tissue morphology and this may be beneficial for patient stratification in the pathology unit. The code is available on GitHub., Comment: Github Repo: https://github.com/maragraziani/interpretableWSItoRNAseq
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- 2022
40. Parsimonious Argument Annotations for Hate Speech Counter-narratives
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Furman, Damian A., Torres, Pablo, Rodriguez, Jose A., Martinez, Lautaro, Alemany, Laura Alonso, Letzen, Diego, and Martinez, Maria Vanina
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Computer Science - Computation and Language - Abstract
We present an enrichment of the Hateval corpus of hate speech tweets (Basile et. al 2019) aimed to facilitate automated counter-narrative generation. Comparably to previous work (Chung et. al. 2019), manually written counter-narratives are associated to tweets. However, this information alone seems insufficient to obtain satisfactory language models for counter-narrative generation. That is why we have also annotated tweets with argumentative information based on Wagemanns (2016), that we believe can help in building convincing and effective counter-narratives for hate speech against particular groups. We discuss adequacies and difficulties of this annotation process and present several baselines for automatic detection of the annotated elements. Preliminary results show that automatic annotators perform close to human annotators to detect some aspects of argumentation, while others only reach low or moderate level of inter-annotator agreement.
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- 2022
41. Trastuzumab Duocarmazine in Pretreated Human Epidermal Growth Factor Receptor 2–Positive Advanced or Metastatic Breast Cancer: An Open-Label, Randomized, Phase III Trial (TULIP)
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Turner, Nicholas, Saura, Cristina, Aftimos, Philippe, van den Tweel, Evelyn, Oesterholt, Mayke, Koper, Norbert, Colleoni, Marco, Kaczmarek, Emilie, Punie, Kevin, Song, Xinni, Armstrong, Anne, Bianchi, Giulia, Stradella, Agostina, Ladoire, Sylvain, Lim, Joline Si Jing, Quenel-Tueux, Nathalie, Tan, Tira J., Escrivá-de-Romaní, Santiago, OʼShaughnessy, Joyce, Kuip, Evelien, de Vries, Elisabeth G.E., Menke-van der Houven van Oordt, Willemien, Aftimos, Philippe, Papadimitriou, Konstantinos, Denys, Hannelore, Punie, Kevin, Jerusalem, Guy, Borms, Marleen, Duhoux, François, Turner, Nicholas, Macpherson, Iain, Armstrong, Anne, Levitt, Nicola, Palmieri, Carlo, Borley, Annabel, Crook, Timothy, Vega Alonso, Estela, Morales, Serafin, de Romani Muñoz, Santiago Escriva, Stradella, Agostina, Jerez Gilarranz, Yolanda, Anton, Antonio, Ponce, Jose Juan, Adamo, Barbara, Cortes Castan, Javier, Martinez, Maria, Petit, Thierry, Kaczmarek, Emilie, Ladoire, Sylvain, Quenel Tueux, Nathalie, Teixeira, Luis, Christophe Thery, Jean, Abadie-Lacourtoisie, Sophie, Lortholary, Alain, Luporsi, Elisabeth, Orfeuvre, Hubert, Bonnin, Nathalie, Bianchini, Giampaolo, Piacentini, Federico, Cognetti, Francesco, Marchetti, Paolo, Maiello, Evaristo, Cazzaniga, Marina, Guarneri, Valentina, Colleoni, Marco, Doni, Laura, Bordonaro, Roberto, Zamagni, Claudio, Bianchi, Giulia, Biganzoli, Laura, Thirlwell, Michael, Song, Xinni, Joy, Anil, Taylor, Sara, Helsten, Teresa, Chaudhry, Madhu, Ali, Haythem, Dakhil, Shaker, Mowat, Rex, Brufsky, Adam, Cobleigh, Melody, Modiano, Manuel, Cairo, Michelina, Meshad, Michael, Danso, Michael A., Andersen, Jay, Harroff, Allyson, Owera, Rami, Favret, Anne, OʼShaughnessy, Joyce, Pluard, Timothy, Rosenblatt, Paula, Jain, Sharad, Jensen, Jeanette Dupont, Jeppesen, Nina, Wedervang, Kim, Edlund, Per, Lindman, Henrik, Altena, Renske, Klint, Leif, Jing Ying, Tira Tan, and Si Jing, Joline Lim
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- 2024
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42. COVID-19 Pandemic Had Minimal Impact on Colonoscopy Completion After Colorectal Cancer Red Flag Sign or Symptoms in US Veterans
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Demb, Joshua, Liu, Lin, Bustamante, Ranier, Dominitz, Jason A, Earles, Ashley, Shah, Shailja C, Gawron, Andrew J, Martinez, Maria Elena, and Gupta, Samir
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Digestive Diseases ,Colo-Rectal Cancer ,Prevention ,Cancer ,Good Health and Well Being ,Adult ,Humans ,Middle Aged ,Aged ,Cohort Studies ,Colorectal Neoplasms ,Veterans ,Pandemics ,COVID-19 ,Iron ,Colonoscopy ,Early Detection of Cancer ,Colorectal cancer ,Symptoms ,Diagnosis ,Clinical Sciences ,Gastroenterology & Hepatology - Abstract
Delays in colonoscopy work-up for red flag signs or symptoms of colorectal cancer (CRC) during the COVID-19 pandemic are not well characterized. To examine colonoscopy uptake and time to colonoscopy after red flag diagnosis, before and during the COVID-19 pandemic. Cohort study of adults ages 50-75 with iron deficiency anemia (IDA), hematochezia, or abnormal stool blood test receiving Veterans Health Administration (VHA) care from April 2019 to December 2020. Index date was first red flag diagnosis date, categorized into "pre" (April-December 2019) and "intra" (April-December 2020) policy implementation prioritizing diagnostic procedures, allowing for a 3-month "washout" (January-March 2020) period. Outcomes were colonoscopy completion and time to colonoscopy pre- vs. intra-COVID-19, examined using multivariable Cox models with hazard ratios (aHRs) and 95% confidence intervals (CIs). There were 52,539 adults with red flag signs or symptoms (pre-COVID: 25,154; washout: 7527; intra-COVID: 19,858). Proportion completing colonoscopy was similar pre- vs. intra-COVID-19 (27.0% vs. 26.5%; p = 0.24). Median time to colonoscopy among colonoscopy completers was similar for pre- vs. intra-COVID-19 (46 vs. 42 days), but longer for individuals with IDA (60 vs. 49 days). There was no association between time period and colonoscopy completion (aHR: 0.99, 95% CI 0.95-1.03). Colonoscopy work-up of CRC red flag signs and symptoms was not delayed within VHA during the COVID-19 pandemic, possibly due to VHA policies supporting prioritization and completion. Further work is needed to understand how COVID-19 policies on screening and surveillance impact CRC-related outcomes, and how to optimize colonoscopy completion after a red flag diagnosis.
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- 2023
43. Hyper-Diversity in Sampling Strategy for Reader Response Studies in an Urban Context
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Ghasseminejad, Melina, Sools, Anneke, Herman, Luc, and Martínez, María-Ángeles
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- 2023
44. Early Embryonic Development in the Mare: From Fertilization to Implantation
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Gardón, Juan Carlos, Velasco-Martínez, María Gemma, Satué, Katy, Gardón, Juan Carlos, editor, and Satué Ambrojo, Katy, editor
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- 2024
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45. Ligand-Capped Heterogeneous Catalysts from Groups 8 to 10
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Fernández-Martínez, María Dolores, Godard, Cyril, Beller, Matthias, Series Editor, Dixneuf, Pierre H., Series Editor, Dupont, Jairton, Series Editor, Fürstner, Alois, Series Editor, Glorius, Frank, Series Editor, Gooßen, Lukas J., Series Editor, Nolan, Steven P., Series Editor, Okuda, Jun, Series Editor, Oro, Luis A., Series Editor, Willis, Michael, Series Editor, Zhou, Qi-Lin, Series Editor, and Martínez-Prieto, Luis M., editor
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- 2024
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46. Dialogues with the Community: Knowledge Exchange from Ethnobiology
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Auge, Melisa Ayelén, Martínez, María Pilar, Petrucci, Natalia, Paleo, María Clara, Correia Dantas, Eustógio W., Series Editor, Rabassa, Jorge, Series Editor, Gasparini, Germán Mariano, Series Editor, Pochettino, María Lelia, editor, Capparelli, Aylen, editor, Stampella, Pablo C., editor, and Andreoni, Diego, editor
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- 2024
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47. Physiology I: Venovenous ECMO
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Martínez Martínez, María, Taha, Ahmed Reda, editor, Caridi-Scheible, Mark, editor, Leiendecker, Eric R., editor, and Miller, Casey Frost, editor
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- 2024
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48. Extreme Cases in Boundary Homogenization for the Linear Elasticity System
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Gómez, Delfina, Pérez-Martínez, Maria-Eugenia, Constanda, Christian, editor, Harris, Paul J., editor, and Bodmann, Bardo E. J., editor
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- 2024
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49. Investigation of the Agricultural Reuse Potential of Urban Wastewater and Other Resources Derived by Using Membrane Bioreactor Technology Within the Circular Economy Framework
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Bermúdez, Laura Antiñolo, Mendoza, Verónica Díaz, Díaz, Juan Carlos Leyva, Pascual, Jaime Martín, del Mar Muñio Martínez, María, Capilla, Jose Manuel Poyatos, di Prisco, Marco, Series Editor, Chen, Sheng-Hong, Series Editor, Vayas, Ioannis, Series Editor, Kumar Shukla, Sanjay, Series Editor, Sharma, Anuj, Series Editor, Kumar, Nagesh, Series Editor, Wang, Chien Ming, Series Editor, Cui, Zhen-Dong, Series Editor, Lu, Xinzheng, Series Editor, Mannina, Giorgio, editor, and Ng, How Yong, editor
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- 2024
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50. The Regeneration of the Urban Commons: An Opportunity for Circular Cities
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Lanzoni, Luca, Martínez, María Jesús Peñalver, Cheshmehzangi, Ali, Editor-in-Chief, Mangi, Eugenio, editor, Chen, Weixuan, editor, and Heath, Tim, editor
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- 2024
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