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1.
Nat Commun ; 15(1): 5922, 2024 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-39004638

RESUMO

The discovery of scientific formulae that parsimoniously explain natural phenomena and align with existing background theory is a key goal in science. Historically, scientists have derived natural laws by manipulating equations based on existing knowledge, forming new equations, and verifying them experimentally. However, this does not include experimental data within the discovery process, which may be inefficient. We propose a solution to this problem when all axioms and scientific laws are expressible as polynomials and argue our approach is widely applicable. We model notions of minimal complexity using binary variables and logical constraints, solve polynomial optimization problems via mixed-integer linear or semidefinite optimization, and prove the validity of our scientific discoveries in a principled manner using Positivstellensatz certificates. We demonstrate that some famous scientific laws, including Kepler's Law of Planetary Motion and the Radiated Gravitational Wave Power equation, can be derived in a principled manner from axioms and experimental data.

2.
Health Care Manag Sci ; 24(2): 253-272, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33590417

RESUMO

The COVID-19 pandemic has created unprecedented challenges worldwide. Strained healthcare providers make difficult decisions on patient triage, treatment and care management on a daily basis. Policy makers have imposed social distancing measures to slow the disease, at a steep economic price. We design analytical tools to support these decisions and combat the pandemic. Specifically, we propose a comprehensive data-driven approach to understand the clinical characteristics of COVID-19, predict its mortality, forecast its evolution, and ultimately alleviate its impact. By leveraging cohort-level clinical data, patient-level hospital data, and census-level epidemiological data, we develop an integrated four-step approach, combining descriptive, predictive and prescriptive analytics. First, we aggregate hundreds of clinical studies into the most comprehensive database on COVID-19 to paint a new macroscopic picture of the disease. Second, we build personalized calculators to predict the risk of infection and mortality as a function of demographics, symptoms, comorbidities, and lab values. Third, we develop a novel epidemiological model to project the pandemic's spread and inform social distancing policies. Fourth, we propose an optimization model to re-allocate ventilators and alleviate shortages. Our results have been used at the clinical level by several hospitals to triage patients, guide care management, plan ICU capacity, and re-distribute ventilators. At the policy level, they are currently supporting safe back-to-work policies at a major institution and vaccine trial location planning at Janssen Pharmaceuticals, and have been integrated into the US Center for Disease Control's pandemic forecast.


Assuntos
Tratamento Farmacológico da COVID-19 , COVID-19 , Aprendizado de Máquina , Idoso , COVID-19/mortalidade , COVID-19/fisiopatologia , Bases de Dados Factuais , Feminino , Previsões , Humanos , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Pandemias , Formulação de Políticas , Prognóstico , Medição de Risco/estatística & dados numéricos , SARS-CoV-2 , Ventiladores Mecânicos/provisão & distribuição
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