Objective: The objective was to prospectively derive and validate a prediction rule for detecting cases warranting investigation for surgical site infections (SSI) after ambulatory surgery. Methods: We analysed electronic health record (EHR) data for children who underwent ambulatory surgery at one of 4 ambulatory surgical facilities. Using regularized logistic regression and random forests, we derived SSI prediction rules using 30 months of data (derivation set) and evaluated performance with data from the subsequent 10 months (validation set). Models were developed both with and without data extracted from free text. We also evaluated the presence of an antibiotic prescription within 60 days after surgery as an independent indicator of SSI evidence. Our goal was to exceed 80% sensitivity and 10% positive predictive value (PPV). Results: We identified 234 surgeries with evidence of SSI among the 7910 surgeries available for analysis. We derived and validated an optimal prediction rule that included free text data using a random forest model (sensitivity = 0.9, PPV = 0.28). Presence of an antibiotic prescription had poor sensitivity (0.65) when applied to the derivation data but performed better when applied to the validation data (sensitivity = 0.84, PPV = 0.28). Conclusions: EHR data can facilitate SSI surveillance with adequate sensitivity and PPV.

BACKGROUND: RNA sequencing (RNA-Seq) allows an unbiased survey of the entire transcriptome in a high-throughput manner. A major application of RNA-Seq is to detect differential isoform expression across experimental conditions, which is of great biological interest due to its direct relevance to protein function and disease pathogenesis. Detection of differential isoform expression is challenging because of uncertainty in isoform expression estimation owing to ambiguous reads and variability in precision of the estimates across samples. It is desirable to have a method that can account for these issues and is flexible enough to allow adjustment for covariates. RESULTS: In this paper, we present MetaDiff, a random-effects meta-regression model that naturally fits for the above purposes. Through extensive simulations and analysis of an RNA-Seq dataset on human heart failure, we show that the random-effects meta-regression approach is computationally fast, reliable, and can improve the power of differential expression analysis while controlling for false positives due to the effect of covariates or confounding variables. In contrast, several existing methods either fail to control false discovery rate or have reduced power in the presence of covariates or confounding variables. The source code, compiled JAR package and documentation of MetaDiff are freely available at https://github.com/jiach/MetaDiff. CONCLUSION: Our results indicate that random-effects meta-regression offers a flexible framework for differential expression analysis of isoforms, particularly when gene expression is influenced by other variables.

We present novel techniques for single-image vignetting correction based on symmetries of two forms of image gradients: semicircular tangential gradients (SCTG) and radial gradients (RG). For a given image pixel, an SCTG is an image gradient along the tangential direction of a circle centered at the presumed optical center and passing through the pixel. An RG is an image gradient along the radial direction with respect to the optical center. We observe that the symmetry properties of SCTG and RG distributions are closely related to the vignetting in the image. Based on these symmetry properties, we develop an automatic optical center estimation algorithm by minimizing the asymmetry of SCTG distributions, and also present two methods for vignetting estimation based on minimizing the asymmetry of RG distributions. In comparison to prior approaches to single-image vignetting correction, our methods do not rely on image segmentation and they produce more accurate results. Experiments show our techniques to work well for a wide range of images while achieving a speed-up of 3-5 times compared to a state-of-the-art method.