Photoacoustic tomography has emerged as a promising alternative to MRI and X-ray scans in the clinical setting due to its ability to afford high-resolution images at depths in the cm range. However, its utility has not been established in the basic research arena owing to a lack of analyte-specific photoacoustic probes. To this end, we have developed acoustogenic probes for copper(II)-1 and -2 (APC-1 and APC-2, a water-soluble congener) for the chemoselective visualization of Cu(II), a metal ion which plays a crucial role in chronic neurological disorders such as Alzheimer's disease. To detect Cu(II), we have equipped both APCs with a 2-picolinic ester sensing module that is readily hydrolyzed in the presence of Cu(II) but not by other divalent metal ions. Additionally, we designed APC-1 and APC-2 explicitly for ratiometric photoacoustic imaging by using an aza-BODIPY dye scaffold exhibiting two spectrally resolved NIR absorbance bands which correspond to the 2-picolinic ester capped and uncapped phenoxide forms. The normalized ratiometric turn-on responses for APC-1 and APC-2 were 89- and 101-fold, respectively.
Objective
Rapid advances of high-throughput technologies and wide adoption of electronic health records (EHRs) have led to fast accumulation of -omic and EHR data. These voluminous complex data contain abundant information for precision medicine, and big data analytics can extract such knowledge to improve the quality of health care.
Methods
In this article, we present -omic and EHR data characteristics, associated challenges, and data analytics including data pre-processing, mining, and modeling.
Results
To demonstrate how big data analytics enables precision medicine, we provide two case studies, including identifying disease biomarkers from multi-omic data and incorporating -omic information into EHR.
Conclusion
Big data analytics is able to address –omic and EHR data challenges for paradigm shift towards precision medicine.
Significance
Big data analytics makes sense of –omic and EHR data to improve healthcare outcome. It has long lasting societal impact.
Accurate reporting of causes of death on death certificates is essential to formulate appropriate disease control, prevention and emergency response by national health-protection institutions such as Center for disease prevention and control (CDC). In this study, we utilize knowledge from publicly available expert-formulated rules for the cause of death to determine the extent of discordance in the death certificates in national mortality data with the expert knowledge base. We also report the most commonly occurring invalid causal pairs which physicians put in the death certificates. We use sequence rule mining to find patterns that are most frequent on death certificates and compare them with the rules from the expert knowledge based. Based on our results, 20.1% of the common patterns derived from entries into death certificates were discordant. The most probable causes of these discordance or invalid rules are missing steps and non-specific ICD-10 codes on the death certificates. Revision (ICD-10) which contains 22 chapters covering 2,046 categories of diseases [3, 4]. Despite the pressing need for high quality cause of death information, challenges such as lack of adequate knowledge and practice still exist for the accurate filling of death certificates. These challenges lead to death certificates of uncertain quality. Studies have
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