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Biology subjects

Lam, P. K.

Publications and source records attributed to Lam, P. K..

2 recordsLinked to original sources

Accurate brain age prediction using recurrent slice-based networks

BrainAge (a subjects apparent age predicted from neuroimaging data) is an important biomarker of brain aging. The deviation of BrainAge from true age has been associated with psychiatric and neurological disease, and has proven effective in predicting conversion from mild cognitive impairment (MCI) to dementia. Conventionally, 3D convolutional neural networks and their variants are used for brain age prediction. However, these networks have a larger number of parameters and take longer to train than their 2D counterparts. Here we propose a 2D slice-based recurrent neural network model, which takes in an ordered sequence of sagittal slices as input to predict the brain age. The model consists of two components: a 2D convolutional neural network (CNN), which encodes the relevant features from the slices, and a recurrent neural network (RNN) that learns the relationship between slices. We compare our method to other recently proposed methods, including 3D deep convolutional regression networks, information theoretic models, and bag-of-features (BoF) models (such as BagNet) - where the classification is based on the occurrences of local features, without taking into consideration their global spatial ordering. In our experiments, our proposed model performs comparably to, or better than, the current state of the art models, with nearly half the number of parameters and a lower convergence time.

neuroscience↗

Quantifying antimicrobial access and practices for paediatric diarrheal disease in an urban community setting in Southeast Asia

Antimicrobial-resistant infections are increasing across Asia. Aiming to evaluate antimicrobial access and practices in Ho Chi Minh City (HCMC) of Vietnam, we mapped pharmacy locations and used a simulated client method to calculate antimicrobial sales for paediatric diarrheal disease. We additionally evaluated healthcare choices for parents and caregivers when their children experienced diarrhoea. District 8 (population 396,175) of HCMC had 301 pharmacies (one for every 1,316 people), with a density of 15.8 pharmacies/km2. A wide range of different treatments (n=57) were sold for paediatric diarrheal disease, with 8% (3/37) and 22% (8/37) of the sampled pharmacies selling antimicrobials for watery and mucoid diarrhoea, respectively. Despite the apparent abundance of pharmacies, the majority of caregivers chose to take their child to a specialized hospital, with 81% (319/396) and 88% (347/396) of responders selecting this as their first, second, or third choice for watery and mucoid diarrhoea, respectively. Lastly, by combining denominators derived from caregiver interviews and diarrheal incidence figures, we calculated that 16% (2,359/14,427) of watery or mucoid diarrhoea episodes of the District 8 population aged 1 to <5 years would receive an antimicrobial for diarrhoea annually, but antimicrobial prescribing was almost ten times greater in hospitals than in the community. Our novel mixed-methods approach found that, whilst antimicrobials are commonly available for paediatric diarrhoea in the community of HCMC, usage is greater in hospitals. The observed non-standardized approach to diarrheal treatments is indicative of poor recommendations. We advocate better guidelines, training and dissemination of information regarding antimicrobials and their use in this location.

epidemiology↗