Ironing on hydroxyls Although iron-dependent enzymes efficiently hydroxylate aryl rings, this activity has proven hard to replicate with synthetic catalysts. Cheng et al . report that a disulfide ligand activates iron to catalyze carbon–hydrogen hydroxylation of a wide variety of arenes using hydrogen peroxide. The protocol can also cleanly functionalize phenols with an additional hydroxyl group, although unfunctionalized arenes react more rapidly, in contrast to conventional oxidative selectivity patterns. The authors showcase this complementary selectivity through hydroxylation of pharmaceuticals with complex substitution patterns. —JSY
Personalized medicine, a paradigm of medicine tailored to a patient's characteristics, is an increasingly attractive field in health care. An important goal of personalized medicine is to identify a subgroup of patients, based on baseline covariates, that benefits more from the targeted treatment than other comparative treatments. Most of the current subgroup identification methods only focus on obtaining a subgroup with an enhanced treatment effect without paying attention to subgroup size. Yet, a clinically meaningful subgroup learning approach should identify the maximum number of patients who can benefit from the better treatment. In this article, we present an optimal subgroup selection rule (SSR) that maximizes the number of selected patients, and in the meantime, achieves the pre‐specified clinically meaningful mean outcome, such as the average treatment effect. We derive two equivalent theoretical forms of the optimal SSR based on the contrast function that describes the treatment‐covariates interaction in the outcome. We further propose a constrained policy tree search algorithm (CAPITAL) to find the optimal SSR within the interpretable decision tree class. The proposed method is flexible to handle multiple constraints that penalize the inclusion of patients with negative treatment effects, and to address time to event data using the restricted mean survival time as the clinically interesting mean outcome. Extensive simulations, comparison studies, and real data applications are conducted to demonstrate the validity and utility of our method.
Prediction performance of a risk scoring system needs to be carefully assessed before its adoption in clinical practice. Clinical preventive care often uses risk scores to screen asymptomatic population. The primary clinical interest is to predict the risk of having an event by a prespecified future time t . Accuracy measures such as positive predictive values have been recommended for evaluating the predictive performance. However, for commonly used continuous or ordinal risk score systems, these measures require a subjective cutoff threshold value that dichotomizes the risk scores. The need for a cutoff value created barriers for practitioners and researchers. In this paper, we propose a threshold-free summary index of positive predictive values that accommodates time-dependent event status and competing risks. We develop a nonparametric estimator and provide an inference procedure for comparing this summary measure between 2 risk scores for censored time to event data. We conduct a simulation study to examine the finite-sample performance of the proposed estimation and inference procedures. Lastly, we illustrate the use of this measure on a real data example, comparing 2 risk score systems for predicting heart failure in childhood cancer survivors.
The geographic ranges in which species live is a function of many factors underlying ecological and evolutionary contingencies. Observing the geographic range of an individual species provides valuable information about these historical contingencies for a lineage, determining the distribution of many distantly related species in tandem provides information about large-scale constraints on evolutionary and ecological processes generally. We present a linear regression method that allows for the discrimination of various hypothetical biogeographical models for determining which landscape distributional pattern best matches data from the fossil record. The linear regression models used in the discrimination rely on geodesic distances between sampling sites (typically geologic formations) as the independent variable and three possible dependent variables: Dice/Sorensen similarity; Euclidean distance; and phylogenetic community dissimilarity. Both the similarity and distance measures are useful for full-community analyses without evolutionary information, whereas the phylogenetic community dissimilarity requires phylogenetic data. Importantly, the discrimination method uses linear regression residual error to provide relative measures of support for each biogeographical model tested, not absolute answers or p-values. When applied to a recently published dataset of Campanian pollen, we find evidence that supports two plant communities separated by a transitional zone of unknown size. A similar case study of ceratopsid dinosaurs using phylogenetic community dissimilarity provided no evidence of a biogeographical pattern, but this case study suffers from a lack of data to accurately discriminate and/or too much temporal mixing. Future research aiming to reconstruct the distribution of organisms across a landscape has a statisticalbased method for determining what biogeographic distributional model best matches the available data.
We consider the sequential decision optimization on the periodic environment, that occurs in a wide variety of real-world applications when the data involves seasonality, such as the daily demand of drivers in ride-sharing and dynamic traffic patterns in transportation. In this work, we focus on learning the stochastic periodic world by leveraging this seasonal law. To deal with the general action space, we use the bandit based on Gaussian process (GP) as the base model due to its flexibility and generality, and propose the Periodic-GP method with a temporal periodic kernel based on the upper confidence bound. Theoretically, we provide a new regret bound of the proposed method, by explicitly characterizing the periodic kernel in the periodic stationary model. Empirically, the proposed algorithm significantly outperforms the existing methods in both synthetic data experiments and a real data application on Madrid traffic pollution.
Personalized medicine, a paradigm of medicine tailored to a patient's characteristics, is an increasingly attractive field in health care. An important goal of personalized medicine is to identify a subgroup of patients, based on baseline covariates, that benefits more from the targeted treatment than other comparative treatments. Most of the current subgroup identification methods only focus on obtaining a subgroup with an enhanced treatment effect without paying attention to subgroup size. Yet, a clinically meaningful subgroup learning approach should identify the maximum number of patients who can benefit from the better treatment. In this paper, we present an optimal subgroup selection rule (SSR) that maximizes the number of selected patients, and in the meantime, achieves the pre-specified clinically meaningful mean outcome, such as the average treatment effect. We derive two equivalent theoretical forms of the optimal SSR based on the contrast function that describes the treatment-covariates interaction in the outcome. We further propose a ConstrAined PolIcy Tree seArch aLgorithm (CAPITAL) to find the optimal SSR within the interpretable decision tree class. The proposed method is flexible to handle multiple constraints that penalize the inclusion of patients with negative treatment effects, and to address time to event data using the restricted mean survival time as the clinically interesting mean outcome. Extensive simulations, comparison studies, and real data applications are conducted to demonstrate the validity and utility of our method.
We consider off-policy evaluation (OPE) in continuous action domains, such as dynamic pricing and personalized dose finding. In OPE, one aims to learn the value under a new policy using historical data generated by a different behavior policy. Most existing works on OPE focus on discrete action domains. To handle continuous action space, we develop a brand-new deep jump Q-evaluation method for OPE. The key ingredient of our method lies in adaptively discretizing the action space using deep jump Q-learning. This allows us to apply existing OPE methods in discrete domains to handle continuous actions. Our method is further justified by theoretical results, synthetic and real datasets.
Personalized optimal decision making, finding the optimal decision rule (ODR) based on individual characteristics, has attracted increasing attention recently in many fields, such as education, economics, and medicine. Current ODR methods usually require the primary outcome of interest in samples for assessing treatment effects, namely, the experimental sample. However, in many studies, treatments may have a long-term effect, and as such, the primary outcome of interest cannot be observed in the experimental sample due to the limited duration of experiments, which makes the estimation of ODR impossible. This paper is inspired to address this challenge by making use of an auxiliary sample to facilitate the estimation of ODR in the experimental sample. We propose an auGmented inverse propensity weighted Experimental and Auxiliary sample-based decision Rule (GEAR) by maximizing the augmented inverse propensity weighted value estimator over a class of decision rules using the experimental sample, with the primary outcome being imputed based on the auxiliary sample. The asymptotic properties of the proposed GEAR estimators and their associated value estimators are established. Simulation studies are conducted to demonstrate its empirical validity with a real AIDS application. K E Y W O R D S augmented inverse propensity weighted estimation, auxiliary data, individualized treatment rule, optimal treatment decision making 1 | INTRODUCTION Personalized optimal decision making, finding the optimal decision rule (ODR) based on individual characteristics to maximize the mean outcome of interest, has attracted increasing attention recently in many fields. Examples include offering customized incentives to increase sales and level of engagement in the area of economics (Turvey, 2017), developing an individualized treatment rule for patients to optimize expected clinical outcomes of interest in precision medicine (Chakraborty & Moodie, 2013), and designing a personalized advertisement recommendation system to raise the click rates in the area of marketing (Cho et al., 2002).The general setup for finding the ODR contains three components in an experimental sample (from either randomized trials or observational studies): the covariate information (X), the treatment information (A), and the outcome of interest (Y). However, current ODR methods cannot be applied to cases where treatments have a long-term effect and the primary outcome of interest cannot be observed in the experimental sample. Take the AIDS Clinical Trials Group Protocol 175 (ACTG 175) data (Hammer et al., 1996) as an example. The experiment randomly assigned HIV-infected patients to competitive antiretroviral regimens, and recorded their CD4 count (cells/mm 3 ) and CD8 count over time. A higher CD4 count usually indicates a stronger immune system. However, due to the limitation of the follow-up, the clinically meaningful long-term outcome of interest for the AIDS recovery may be missing for a proportion of patients. Similar problems are also considered in the eval...
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