Detecting heterogeneity in treatment response enriches the interpretation of gerontologic trials. In aging research, estimating the effect of the intervention on clinically meaningful outcomes faces analytical challenges when it is truncated by death. For example, in the Whole Systems Demonstrator trial, a large cluster-randomized study evaluating telecare among older adults, the overall effect of the intervention on quality of life was found to be null. However, this marginal intervention estimate obscures potential heterogeneity of individuals responding to the intervention, particularly among those who survive to the end of follow-up. To explore this heterogeneity, we adopt a causal framework grounded in principal stratification, targeting the Survivor Average Causal Effect (SACE)-the treatment effect among "always-survivors," or those who would survive regardless of treatment assignment. We extend this framework using Bayesian Additive Regression Trees (BART), a nonparametric machine learning method, to flexibly model both latent principal strata and stratum-specific potential outcomes. This enables the estimation of the Conditional SACE (CSACE), allowing us to uncover variatio
There are challenges that must be overcome to make recommender systems useful in healthcare settings. The reasons are varied: the lack of publicly available clinical data, the difficulty that users may have in understanding the reasons why a recommendation was made, the risks that may be involved in following that recommendation, and the uncertainty about its effectiveness. In this work, we address these challenges with a recommendation model that leverages the structure of psychometric data to provide visual explanations that are faithful to the model and interpretable by care professionals. We focus on a narrow healthcare niche, gerontological primary care, to show that the proposed recommendation model can assist the attending professional in the creation of personalised care plans. We report results of a comparative offline performance evaluation of the proposed model on healthcare datasets that were collected by research partners in Brazil, as well as the results of a user study that evaluates the interpretability of the visual explanations the model generates. The results suggest that the proposed model can advance the application of recommender systems in this healthcare nic
As the population continues to age, and gaming continues to grow as a hobby for older people, heterogeneity among older adult gamers is increasing. We argue that traditional game-based accessibility features, such as simplified input schemes, redundant information channels, and increased legibility of digital user interfaces, are increasingly limited in the face of this heterogeneity. This is because such features affect all older adult players simultaneously and therefore are designed generically. We introduce artificial intelligence, although it has its own limitations and ethical concerns, as a method of creating player-based accessibility features, given the adaptive nature of the emerging technology. These accessibility features may help to address unique assemblage of accessibility needs an individual may accumulate through age. We adopt insights from gerontology, HCI, and disability studies into the digital game design discourse for older adults, and we contribute insight that can guide the integration of player-based accessibility features to supplement game-based counterparts. The accessibility of digital games for heterogenous older adult audience is paramount, as the med
Despite the many recent achievements in developing and deploying social robotics, there are still many underexplored environments and applications for which systematic evaluation of such systems by end-users is necessary. While several robotic platforms have been used in gerontological healthcare, the question of whether or not a social interactive robot with multi-modal conversational capabilities will be useful and accepted in real-life facilities is yet to be answered. This paper is an attempt to partially answer this question, via two waves of experiments with patients and companions in a day-care gerontological facility in Paris with a full-sized humanoid robot endowed with social and conversational interaction capabilities. The software architecture, developed during the H2020 SPRING project, together with the experimental protocol, allowed us to evaluate the acceptability (AES) and usability (SUS) with more than 60 end-users. Overall, the users are receptive to this technology, especially when the robot perception and action skills are robust to environmental clutter and flexible to handle a plethora of different interactions.
Background: Introduced in 2010, the sub-discipline of gerontologic biostatistics (GBS) was conceptualized to address the specific challenges in analyzing data from research studies involving older adults. However, the evolving technological landscape has catalyzed data science and statistical advancements since the original GBS publication, greatly expanding the scope of gerontologic research. There is a need to describe how these advancements enhance the analysis of multi-modal data and complex phenotypes that are hallmarks of gerontologic research. Methods: This paper introduces GBS 2.0, an updated and expanded set of analytical methods reflective of the practice of gerontologic biostatistics in contemporary and future research. Results: GBS 2.0 topics and relevant software resources include cutting-edge methods in experimental design; analytical techniques that include adaptations of machine learning, quantifying deep phenotypic measurements, high-dimensional -omics analysis; the integration of information from multiple studies, and strategies to foster reproducibility, replicability, and open science. Discussion: The methodological topics presented here seek to update and expan
The average life expectancy is increasing globally due to advancements in medical technology, preventive health care, and a growing emphasis on gerontological health. Therefore, developing technologies that detect and track aging-associated disease in cognitive function among older adult populations is imperative. In particular, research related to automatic detection and evaluation of Alzheimer's disease (AD) is critical given the disease's prevalence and the cost of current methods. As AD impacts the acoustics of speech and vocabulary, natural language processing and machine learning provide promising techniques for reliably detecting AD. We compare and contrast the performance of ten linear regression models for predicting Mini-Mental Status Exam scores on the ADReSS challenge dataset. We extracted 13000+ handcrafted and learned features that capture linguistic and acoustic phenomena. Using a subset of 54 top features selected by two methods: (1) recursive elimination and (2) correlation scores, we outperform a state-of-the-art baseline for the same task. Upon scoring and evaluating the statistical significance of each of the selected subset of features for each model, we find t
The Health State Function theory is applied to find a quantitative estimate of the Human Development Stages by defining and calculating the specific age groups and subgroups. Early and late adolescence stages, first, second and third stages of adult development are estimated along with the early, middle and old age groups and subgroups. We briefly present the first exit time theory used to find the health state function of a population and then we give the details of the new theoretical approach with the appropriate applications to support and validate the theoretical assumptions. Our approach is useful for people working in several scientific fields and especially in medicine, biology, anthropology, psychology, gerontology, probability and statistics. The results are connected with the speed and acceleration of the deterioration of the human organism during age as a consequence of the changes in the first, second and third differences of the Health State Function and of the Deterioration Function. Keywords: Human development stages, Deterioration, Deterioration function, Human Mortality Database, HMD, World Health Organization, WHO, Quantitative methods, Health State Function, Eri
As I compress on the canvas of a few pages here major results of my research on the retinoblastoma tumor suppressor protein (RB) spreading over the past 15 years, an exciting picture emerges on this unique host molecule which surpasses in its complexity even that of the most capable viral proteins known to date. Accordingly, RB has the potential to bind not only growth-promoting proteins such as insulin, but also to attach itself to calcium and oxygen, as well as to be secreted into the extracellular environment. Moreover, RB may exert proteolytic, antimicrobial and anti-aging activities. These condensed structure-based insights on RB are the substance of a scientific revolution I have initiated a long time ago, yet likely to gain even further speed in the years to come, thus expanding both our understanding of life at the molecular level and the possibilities for pharmacological modulation of fundamental biological phenomena, particularly in oncology and gerontology.
There has been strong recent interest in testing interval null hypothesis for improved scientific inference. For example, Lakens et al (2018) and Lakens and Harms (2017) use this approach to study if there is a pre-specified meaningful treatment effect in gerontology and clinical trials, which is different from the more traditional point null hypothesis that tests for any treatment effect. Two popular Bayesian approaches are available for interval null hypothesis testing. One is the standard Bayes factor and the other is the Region of Practical Equivalence (ROPE) procedure championed by Kruschke and others over many years. This paper establishes a formal connection between these two approaches with two benefits. First, it helps to better understand and improve the ROPE procedure. Second, it leads to a simple and effective algorithm for computing Bayes factor in a wide range of problems using draws from posterior distributions generated by standard Bayesian programs such as BUGS, JAGS and Stan. The tedious and error-prone task of coding custom-made software specific for Bayes factor is then avoided.
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A colossal ancient collision may have left some of the Moon’s deepest secrets surprisingly close to future Artemis landing sites。 By recreating the impact that formed the giant South Pole-Aitken basin—the Moon’s largest and oldest crater—scientists found that a low-angle strike from a large, iron-cored object blasted material from deep inside the M
Colossal Biosciences will be biobanking tissues from all of them as well
A distant galaxy nicknamed Shadow Blaster may have revealed a surprising source of cosmic neutrinos: extreme star formation instead of a supermassive black hole。 The discovery suggests that hidden, dust-filled starburst galaxies could account for a significant fraction of the Universe’s high-energy neutrinos
A clever nanoscale redesign may have solved one of superconductivity’s biggest problems。 Researchers in Sweden discovered that by subtly sculpting the surface beneath an ultrathin superconducting material, they could make it stay superconducting at higher temperatures and under much stronger magnetic fields
Notion is "going all in on using agents to run your inbox
Researchers found that twisting layered sheets of hexagonal boron nitride can dramatically change the light produced by quantum emitters embedded within the material。 The technique offers an unexpected new level of control over components that could power future quantum computers, communications systems, and sensors
Researchers discovered that hydrogen radicals generated by intense UV light can break down stubborn PFAS “forever chemicals” without added chemicals。 The breakthrough reveals a key mechanism that could lead to greener and more effective technologies for permanently destroying these pollutants
Scientists have found that staple-shaped particles can tangle together to create a material that is both strong and flexible。 Unlike conventional materials, these particles can be locked into a sturdy structure or rapidly unraveled using vibrations。 The unusual behavior could open the door to recyclable buildings, reconfigurable structures, and eve
A new catalyst design could significantly improve the conversion of CO2 into methanol, an important fuel and chemical feedstock。 Researchers separated key reaction steps across different catalyst sites, avoiding a long-standing trade-off between speed and efficiency。 The result was about three times more methanol production than standard commercial