2206A Student Center
Collaborations across disciplines: MU Thyroid Nodule Electronic Database (MU-TNED), a multidisciplinary informatics approach
Thyroid nodules are common findings and thyroid cancer is projected to be one of the leading causes of cancer in women. The EHR includes the necessary data needed to connect clinical research with patient outcomes. The objective for this project was to develop and validate a usable informatics tool for clinicians and researchers to record, analyze, and be able to manipulate the clinical and research data to benefit all collaborators. The tool was specifically designed to enable follow-up in a longitudinal manner to support multiple aspects of research. The informatics tool MU-TNED was designed with a multidisciplinary team including the departments of pathology and anatomical sciences, endocrinology and health informatics to be able to transfer identified and validated clinical information directly from the EHR into a research database based on clinicians and research needs. The research database created has resulted in numerous quality improvement and clinical research studies enabling clinicians as well as researchers to be able to answer important questions on topics such as diagnostic modalities, quality of care and patient outcomes.
2206C Student Center
MODELING THE HIPPOCAMUS: FINELY CONTROLLED MEMORY STORAGE USING SPIKING NEURONS
The hippocampus, an area in the temporal lobe of the mammalian brain, participates in the storage of personal memories and life events, including traumatic memories and the consequent symptoms of post-traumatic stress, giving importance to the study of the machinery of hippocampal memory storage and retrieval. The circuit is known to be controlled by the neuromodulator Acetylcholine, which switches the circuit between the memory storage state and the memory retrieval state.
We built a computational model of the hippocampus with the ability to perform both memory storage and retrieval functions, controlled by the level of Acetylcholine. This functional separation decrease interference between the two circuit functions while sharing the same physical implementation of a network of spiking neurons.
We discovered three important differences between the storage and retrieval circuits. First, they had difference in how they produced runaway excitation, an aberrant spread of brain activity leading to seizures. Second, the two circuits had distinct mechanisms to maintain control over runaway excitation spread. These two findings provided the first classification of seizures based on the functional state of the brain, and suggested the need for specific treatments for each type.
Third, we found the two circuits also had unique ways of generating theta rhythmic activity, which is theorized to have a fundamental role in memory storage and retrieval. Our model uncovered an unexpected complexity in theta rhythm generation across functional states of the circuit. These findings can allow for deciphering the computations carried out by the circuit, based on the engaged mechanisms of rhythm generation.
2206A Student Center
Use of the N-ary Relational Schema to Atomize Compound Relational Triples
Electronic medical records document health information in structured format and in unstructured free text format. Health information in structured format contains laboratory results, vital signs, patient demographics etc. The unstructured free text is the prime source of healthcare information documenting providers’ interpretations of health conditions, diagnoses, medical interventions, impressions, etc. In order to uncover unknown information and search for patterns in health data with computational methods, we need to structure the unstructured free text data. For that, we use information extraction, a computational technique for analyzing free text and deriving structured information. Extracted information from free text can be represented in the form of relational triples. Relational triples are statements of a single fact composed of subject-relation-object. These triple statements allow the development of knowledge bases, knowledge graphs or the application of inference rules. In our research, we employ Stanford’s CoreNLP engine for information extraction in triple format. This format helps us to develop Resource Description Framework (RDF) networks where each subject and object become nodes and the edges represent the relations between the nodes. However, most of the triples produced by CoreNLP convey multiple facts (compound triple), instead of a single fact (atomic triple). Compound triples produce networks with nodes representing multiple entities instead of a single entity causing issues of network representation of our data. Here, we extend the use of CoreNLP to atomize compound triples. Our approach is based on the N-ary relational schema that links an individual to multiple individuals or values. Our approach includes triple decomposition and ontological modeling.
2205 A&B Student Center
Effects of evolutionary pressure on histone modifications
With the advent of next-generation sequencing technologies, a considerable effort has been put into sequencing the epigenomes of different species. The efforts such as “Encode” and “Roadmap” epigenomics projects provide an opportunity to compare epigenomes across species (especially between human and mouse). This study is an effort to understand how different histone modifications vary/co-appear between orthologous regions of the two species. In this work, we have used various measures of orthologous similarity between each pair of orthologous genes and explore how histone modifications are conserved with respect to changes in these similarity measures. These measures of similarity include “codon usage frequency similarity” (CUFS), Ka/Ks ratio and gene expression similarity. Our simulation indicates that evolutionary selection pressure of an orthologous pair (Ka/Ks ratio) is more strongly correlated with its histone modification than any other similarity measure. We also found that genes with low Ka/Ks have more similar histone profiles across species than the ones with high Ka/Ks, suggesting more differential regulation for genes with higher selection pressure.
CE705 CS&E Building
An Interventional Informatics Approach to Development and Evaluation of Population-based Health and Web Technologies
Interventional informatics is the use of health information technology (HIT) which drives evidence-based and evidence-generating practices to inform an improved health delivery system. Current HIT lacks movement towards data-driven infrastructures designed to promote information gathering, sharing, and new knowledge discovery in several areas. This thesis undertakes three specific areas where gaps exist. First, in undertaking quality improvement initiatives aligned with fidelity to program models, a web-based practice exchange was designed, built, tested and launched. Second, a systematic review of eHealth technology instruments for outcomes and evaluation components geared towards patient outcomes was conducted, uncovering gaps in the availability of psychometrically sound measures to evaluate eHealth technologies. Third, a study was conducted to establish a baseline of satisfaction and usability, among medical care providers with the current advance care planning process (ACP) and documentation within the electronic medical record (EMR). This study discovered barriers to use of the EMR to retrieve ACP documents and prioritization areas for improvements to begin.
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