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At least 37 records · Page 2

Effect of static local distortions vs. dynamic motions on the stability and band gaps of cubic oxide and halide perovskites

Ternary ABX 3 perovskites made of corner-sharing BX 6 octahedra have long featured prominently in solid-state chemistry and condensed matter physics. Still, the joint understanding of their two main subgroups—halides and oxides—has not been fully developed. Indeed, unlike the case in simpler compounds having a single, robust repeated motif (“monomorphous”), certain cubic perovskites can manifest a non-thermal (= intrinsic) distribution of local motifs (“polymorphous networks”). Such static deformations can include positional degrees of freedom (e.g., atomic displacements and octahedral tilting) or magnetic moment degrees of freedom in paramagnets. Unlike thermal motion, such static distortions do not time-average to zero, being an expression of the intrinsic symmetry breaking preference of the chemical bonding. Here, the present study compares electronic structure features of oxide and halide perovskites starting from the static polymorphous distribution of motifs described by Density Functional Theory (DFT) minimization of the internal energy, continuing to finite temperature thermal disorder modeled via finite temperature DFT molecular dynamics. We find that (i) different oxide vs. halide ABX 3 compounds adopt different energy-lowering symmetry-breaking modes. The calculated pair distribution function (PDF) of SrTiO 3 from the first-principles agrees with recently measured PDF. (ii) In both oxides and halides, such static distortions lead to band gap blueshifts with respect to undistorted cubic Pm-3m structure. (iii) For oxide perovskites, high-temperature molecular dynamics simulations initiated from the statically distorted polymorphous structures reveal that the thermally-induced distortions can lead to a band gap redshift. (iv) In contrast, for cubic halide perovskite CsPbI 3 , both the intrinsic distortions and the thermal distortions contribute in tandem to band gap blueshift, the former, intrinsic effect being dominant. (v) In the oxide SrTiO 3 and CaTiO 3 (but not in halide) perovskites, octahedral tilting leads to the emergence of a distinct Γ–Γ direct band gap component as a secondary valley minimum to the well-known indirect R–Γ gap. Understanding such intrinsic vs. thermal effects on oxide vs. halide perovskites holds the potential for designing target electronic properties.

36 MATERIALS SCIENCE↗

Sneutrino tribrid inflation, metastable cosmic strings and gravitational waves

Here, we present a successful realization of sneutrino tribrid inflation model based on a gauged U(1)_B-L extension of Minimal Supersymmetric Standard Model (MSSM). A single interaction term involving the B-L Higgs field and the right-handed neutrinos serves multiple purposes. These include the generation of heavy Majorana masses for the right-handed neutrinos to provide an explanation for the tiny neutrino masses via the seesaw mechanism, a realistic scenario for reheating and non-thermal leptogenesis with a reheat temperature as low as 10 6 GeV, and a successful realization of inflation with right-handed sneutrino as the inflaton. The matter parity which helps avoid rapid proton decay survives as a Z 2 subgroup of a U(1) R-symmetry. Depending on the choice of model parameters yields the following predicted range of the tensor to scalar ratio, 3 x 10 -11 ≲ r≲ 7x 10 -4 (6 x 10 -7 ≲ r ≲ 0.01), and the running of the scalar spectral index, -0.00022 ≲ dn_s/dln k ≲ -0.0026 (-0.00014 ≲ dn_s/dln k ≲ 0.005), along with the B-L breaking scale, 3 x 10 14 ≲ M/ GeV≲ 5 x 10 15 (6 x 10 15 ≲ M/ GeV≲ 2 x 10 16 ), calculated at the central value of the scalar spectral index, n_s =0.966, reported by Planck 2018. The possibility of realizing metastable cosmic strings in a grand unified theory setup is briefly discussed. The metastable cosmic string network admits string tension values in the range 10 -8 ≲ Gμ s ≲ 10 -6 , and predicts a stochastic gravitational wave background lying within the 2-σ bounds of the recent NANOGrav 12.5-yr data.

supersymmetry and cosmology↗

Frustrated magnetic cycloidal structure and emergent Potts nematicity in CaMn 2 P 2

We report neutron-diffraction results on single-crystal CaMn 2 P 2 containing corrugated Mn honeycomb layers, and we determine its ground-state magnetic structure. The diffraction patterns consist of prominent (1/6,1/6, L ) reciprocal-lattice unit (r.l.u.; L = integer) magnetic Bragg reflections, whose temperature-dependent intensities are consistent with a first-order antiferromagnetic phase transition at the Néel temperature T N = 70 (1) K. Our analysis of the diffraction patterns reveals an in-plane 6 × 6 magnetic unit cell with ordered spins that in the principal-axis directions rotate by 60°steps between nearest neighbors on each sublattice that forms the honeycomb structure, consistent with the P A c magnetic space group. We find that a few other magnetic subgroup symmetries (P A 2 /c, P C 2/m, P S 1, P C 2, P C m, P S 1) of the paramagnetic $P\bar{3}m11'$ crystal symmetry are consistent with the observed diffraction pattern. We relate our findings to frustrated J 1 -J 2 -J 3 Heisenberg honeycomb antiferromagnets with single-ion anisotropy and the emergence of Potts nematicity.

75 CONDENSED MATTER PHYSICS, SUPERCONDUCTIVITY AND↗

Water and heat: New constraints on the evolution of the CV chondrite parent body

This paper focuses on the post-accretion history of CV3 chondrites, through a combination of petrographic and mineralogical characterization, magnetic measurements, spectral (Raman and Infrared) and thermo-gravimetric analysis of 31 meteorites (including 7 falls, 21 Antarctic and 3 non-Antarctic finds) spanning a wide metamorphic range. We classify the 21 Antarctic chondrites and the Bukhara fall into the CV Red , CV OxA , and CV OxB subgroups. We establish quantitative parameters relevant for this sub-classification. In comparison to CV Ox , CV Red chondrites are characterized by (i) a lower abundance of matrix, (ii) a higher abundance of metal, (iii) the presence of Ni-poor sulfides. In comparison to CV OxB , CV OxA are characterized by (i) similar matrix abundance, (ii) a higher abundance of metal, (iii) the presence of metal almost exclusively under the form of awaruite, (iv) lower Ni content of sulfides, (v) lower magnetic susceptibility and saturation remanence. In this work, both CV Ox (CV OxA and CV OxB ) and CV Red experienced aqueous alteration, and contain oxyhydroxides and phyllosilicates. We show that the abundance of these hydrated secondary minerals observed today in individual CV chondrites decreases with their peak metamorphic temperature. This is interpreted either as partial dehydration of these secondary minerals or limited hydration due to the rapid exhaustion of the water reservoir during parent body thermal metamorphism. Moreover, the lower abundance of oxyhydroxides (that have a lower thermal stability than phyllosilicates and may in large part postdate the peak of thermal metamorphism) in more metamorphosed CV chondrites is interpreted as lower availability of aqueous fluids during retrograde metamorphism in these meteorites. Lastly, we show that in comparison to CV OxB , CV OxA are systematically (i) more metamorphosed, (ii) less hydrated, (iii) depleted in ferromagnetic minerals, (iv) but enriched in metal in the form of secondary awaruite. CV OxA may be thermally metamorphosed CV OxB . CV Red are significantly different from CV Ox (matrix abundances, alteration products, opaque minerals), but span the same wide metamorphic range. This could be indicative of a laterally heterogeneous CV parent body, or suggest the existence of distinct parent bodies for CV Ox and CV Red chondrites.

79 ASTRONOMY AND ASTROPHYSICS↗

Universality in logarithmic temperature corrections to near-extremal rotating black hole thermodynamics in various dimensions

The low-temperature thermodynamics of near-extremal rotating black holes has recently been revisited to incorporate one-loop contributions that are dominant in this regime. We discuss these quantum corrections to the gravitational path integral for asymptotically Anti de-Sitter black holes in four and five dimensions. In four dimensions we explicitly consider Kerr-AdS 4 , Kerr-Newman-AdS 4 and the rotating black hole in $\mathcal{N}$ = 4 gauged supergravity with two scalars and two electric charges turned on. In five dimensions we explicitly address the asymptotically flat Myers-Perry black hole and the Kerr-AdS5 black hole. In every case we find that tensor modes contribute $\frac{3}{2}$logT Hawking to the low-temperature thermodynamics. We identify the root cause of this universality in two facts: (i) the universal presence of a SL(2, $\mathbb{R}$) subgroup of isometries in the near-horizon geometry and (ii) a set of cancellations in the Lichnerowicz operator. We show that these two conditions hold for near-extremal black holes in asymptotically flat and asymptotically AdS spacetimes of various dimensions.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Floor and ceiling effects in the EORTC QLQ-C30 Physical Functioning subscale among patients with advanced or metastatic breast cancer

The European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 Physical Functioning subscale is a widely used patient-reported outcome measure that quantifies cancer patients' physical functioning. Strong floor/ceiling effects can affect a scale's sensitivity to change. The aim of this study was to characterize floor/ceiling effects of the physical functioning domain in patients with advanced/metastatic breast cancer enrolled in commercial clinical trials and a community-based trial. The clinical trial cohort comprised patients from 5 registrational trials submitted to the Food and Drug Administration for review (2010-2017). The community cohort comprised a subgroup of patients from the Alliance Patient Reported Outcomes to Enhance Cancer Treatment (PRO-TECT) trial. The distribution of patient responses to Physical Functioning items and the summed score were assessed at the baseline and 3-month follow-up for both cohorts. Descriptive statistics were used to determine floor/ceiling effects at the item and scale levels. The clinical trial cohort and the community cohort consisted of 2407 and 178 patients, respectively. Twenty-four percent or more of the respondents reported “not at all” for having trouble/needing help with each Physical Functioning item across both cohorts and measurement time points. Fourteen to twenty percent of the patients scored perfectly (100 of 100) on the Physical Functioning subscale summary measure (where higher scores indicated better physical functioning) across both cohorts and time points. Minor floor effects and notable ceiling effects were found at the item and scale levels of the Physical Functioning subscale, regardless of cohort, and this creates some uncertainty about its ability to detect changes in physical functioning among high-functioning patients. In conclusion, investigators may consider adding additional high-functioning items from the EORTC's item library to more accurately describe the impact of anticancer treatment on patients' physical functioning.

60 APPLIED LIFE SCIENCES↗

High-quality composite Pati-Salam axion

We present a composite QCD axion model where the Peccei-Quinn symmetry emerges as a high-quality, accidental symmetry. The axion potential is only modified by eight-fermion, dimension-12 operators, which if present at the Planck scale, allow for axion dark matter from misalignment while solving the strong 𝐶⁢𝑃 problem. The model is an SU⁡(𝑁 𝑐 ) gauge theory with ten flavors where the Pati-Salam unified subgroup SO⁡(6) × SO⁡(4) ⊂ SU⁢(10)𝐿 and Sp⁡(10) ⊂ SU⁢(10) 𝑅 are weakly gauged. The dynamics breaks SU⁢(10) 𝐿 × SU⁢(10) 𝑅 → SU⁢(10) 𝑉 and the weakly gauged groups to U⁡(3) × U⁡(2) ⊃ SU⁢(3) 𝑐 × SU⁢(2) 𝐿 × U⁡(1) 𝑌 , with the QCD axion identified as one of the Nambu-Goldstone bosons. This axion has a relatively large coupling to photons while a residual $\bar{𝜃}$ eff may be just below the current limit on the neutron electric dipole moment. If the dimension-12 operators are present near the grand unified theory scale, they can cause domain wall networks to decay, allowing for axion dark matter even for the postinflationary scenario.

Gherghetta, Tony [University of Minnesota, Minneap↗

Highly-efficient quantum Fourier transformations for certain non-Abelian groups

Quantum Fourier transformations are an essential component of many quantum algorithms, from prime factoring to quantum simulation. While the standard Abelian QFrT is well studied, important variants corresponding to non-Abelian groups of interest have seen less development. In particular, fast non-Abelian Fourier transformations are important components for both quantum simulations of field theories as well as approaches to the non-Abelian hidden subgroup problem. In this work, we present fast quantum Fourier transformations for a number of non-Abelian groups of interest for high energy physics, B T , B O , 6 Δ ( 27 ) , Δ ( 54 ) , and Σ ( 36 × 3 ) . For each group, we derive explicit quantum circuits and estimate resource scaling for fault-tolerant implementations. Our work shows that the development of a fast Fourier transformation can substantively reduce simulation costs by an up to three orders of magnitude for the finite groups that we have investigated.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Expected individual benefit of prophylactic platelet transfusions in hemato‐oncology patients based on bleeding risks

Abstract Background Prophylactic platelet transfusions prevent bleeding in hemato‐oncology patients, but it is unclear how any benefit varies between patients. Our aim was to assess if patients with different baseline risks for bleeding benefit differently from a prophylactic platelet transfusion strategy. Study design and methods Using the data from the randomized controlled TOPPS trial (Trial of Platelet Prophylaxis), we developed a prediction model for World Health Organization grades 2, 3, and 4 bleeding risk (defined as at least one bleeding episode in a 30 days period) and grouped patients in four risk‐quartiles based on this predicted baseline risk. Predictors in the model were baseline platelet count, age, diagnosis, disease modifying treatment, disease status, previous stem cell transplantation, and the randomization arm. Results The model had a c‐statistic of 0.58 (95% confidence interval [CI] 0.54–0.64). There was little variation in predicted risks (quartiles 46%, 47%, and 51%), but prophylactic platelet transfusions gave a risk reduction in all risk quartiles. The absolute risk difference (ARD) was 3.4% (CI −12.2 to 18.9) in the lowest risk quartile (quartile 1), 7.4% (95% CI −8.4 to 23.3) in quartile 2, 6.8% (95% CI −9.1 to 22.9) in quartile 3, and 12.8% (CI −3.1 to 28.7) in the highest risk quartile (quartile 4). Conclusion In our study, generally accepted bleeding risk predictors had limited predictive power (expressed by the low c‐statistic), and, given the wide confidence intervals of predicted ARD, could not aid in identifying subgroups of patients who might benefit more (or less) from prophylactic platelet transfusion.

Cornelissen, Loes L.↗

FY21 Progress of the Oak Ridge Health Physics Research Reactor CAAS Benchmark Evaluation [Slides]

The FY21 version of the evaluation, focusing on element 57 dose at 3 meters, was presented at the ICSBEP Technical Review Group meeting in October 2021 and was not accepted for 2022 publication in the handbook. The main issue was identified and replacement of the element 57 neutron dose benchmark metric by neutron fluence (closer to what was measured) is required. A subgroup was formed, confident for the updated neutron fluence evaluation to be accepted in the ICSBEP handbook. The updated evaluation will be presented again at the 2022 ICSBEP TRG for publication in the 2023 handbook.

21 SPECIFIC NUCLEAR REACTORS AND ASSOCIATED PLANTS↗

Improving Traditional Registrational Trial End Points: Development and Application of a Desirability of Outcome Ranking End Point for Complicated Urinary Tract Infection Clinical Trials

Abstract Background Traditional end points used in registrational randomized, controlled trials (RCTs) often do not allow for complete interpretation of the full range of potential clinical outcomes. Desirability of outcome ranking (DOOR) is an approach to the design and analysis of clinical trials that incorporates benefits and risks of novel treatment strategies and provides a global assessment of patient experience. Methods Through a multidisciplinary committee of experts in infectious diseases, clinical trial design, drug regulation, and patient experience, we developed a DOOR end point for infectious disease syndromes and demonstrated how this could be applied to 3 registrational drug trials (ZEUS, APEKS-cUTI, and DORI-05) for complicated urinary tract infections (cUTIs). ZEUS compared fosfomycin to piperacillin/tazobactam, APEKS-cUTI compared cefiderocol to imipenem, and DORI-05 compared doripenem to levofloxacin. Using DOOR, we estimated the probability of a more desirable outcome with each investigational antibacterial drug. Results In each RCT, the DOOR distribution was similar and the probability that a patient in the investigational arm would have a more desirable outcome than a patient in the control arm had a 95% confidence interval containing 50%, indicating no significant difference between treatment arms. DOOR facilitated improved understanding of potential trade-offs between clinical efficacy and safety. Partial credit and subgroup analyses also highlight unique attributes of DOOR. Conclusions DOOR can effectively be used in registrational cUTI trials. The DOOR end point presented here can be adapted for other infectious disease syndromes and prospectively incorporated into future clinical trials.

Immunology↗

Chiral gauge theories on $R^3 \times S^1$ and SUSY breaking

We study SU(5) S U ( 5 ) chiral gauge theories on R^3\times S^1 R 3 × S 1 . With an unequal number of fundamental and antifundmental matter representations we calculate nontrivial pre-ADS superpotentials generated by composite multi-monopoles. We also point out that the structure of the composite multi-monopoles can be determined simply from the affine Dynkin diagrams of the gauge group and its unbroken subgroup. For the case of one flavor, we find that the superpotential is independent of the composite meson. We show that dynamical 4D SUSY breaking in the simplest chiral SU(5) S U ( 5 ) gauge theory can be demonstrated directly via semi-classical effects on the circle.

71 CLASSICAL AND QUANTUM MECHANICS, GENERAL PHYSIC↗

Uncovering the Core Microbiome and Distribution of Palmerolide in Synoicum adareanum Across the Anvers Island Archipelago, Antarctica

Polar marine ecosystems hold the potential for bioactive compound biodiscovery, based on their untapped macro- and microorganism diversity. Characterization of polar benthic marine invertebrate-associated microbiomes is limited to few studies. This study was motivated by our interest in better understanding the microbiome structure and composition of the ascidian, Synoicum adareanum, in which palmerolide A (PalA), a bioactive macrolide with specificity against melanoma, was isolated. PalA bears structural resemblance to a hybrid nonribosomal peptide-polyketide that has similarities to microbially-produced macrolides. We conducted a spatial survey to assess both PalA levels and microbiome composition in S. adareanum in a region of the Antarctic Peninsula near Anvers Island (64°46' S, 64°03' W). PalA was ubiquitous and abundant across a collection of 21 ascidians (3 subsamples each) sampled from seven sites across the Anvers Island Archipelago. The microbiome composition (V3–V4 16S rRNA gene sequence variants) of these 63 samples revealed a core suite of 21 bacterial amplicon sequence variants (ASVs)—20 of which were distinct from regional bacterioplankton. ASV co-occurrence analysis across all 63 samples yielded subgroups of taxa that may be interacting biologically (interacting subsystems) and, although the levels of PalA detected were not found to correlate with specific sequence variants, the core members appeared to occur in a preferred optimum and tolerance range of PalA levels. These results, together with an analysis of the biosynthetic potential of related microbiome taxa, describe a conserved, high-latitude core microbiome with unique composition and substantial promise for natural product biosynthesis that likely influences the ecology of the holobiont.

59 BASIC BIOLOGICAL SCIENCES↗

Structures of CTCF–DNA complexes including all 11 zinc fingers

The CCCTC-binding factor (CTCF) binds tens of thousands of enhancers and promoters on mammalian chromosomes by means of its 11 tandem zinc finger (ZF) DNA-binding domain. In addition to the 12–15-bp CORE sequence, some of the CTCF binding sites contain 5' upstream and/or 3' downstream motifs. Here, we describe two structures for overlapping portions of human CTCF, respectively, including ZF1–ZF7 and ZF3–ZF11 in complex with DNA that incorporates the CORE sequence together with either 3' downstream or 5' upstream motifs. Like conventional tandem ZF array proteins, ZF1–ZF7 follow the right-handed twist of the DNA, with each finger occupying and recognizing one triplet of three base pairs in the DNA major groove. ZF8 plays a unique role, acting as a spacer across the DNA minor groove and positioning ZF9–ZF11 to make cross-strand contacts with DNA. We ascribe the difference between the two subgroups of ZF1–ZF7 and ZF8–ZF11 to residues at the two positions -6 and -5 within each finger, with small residues for ZF1–ZF7 and bulkier and polar/charged residues for ZF8–ZF11. ZF8 is also uniquely rich in basic amino acids, which allows salt bridges to DNA phosphates in the minor groove. Highly specific arginine–guanine and glutamine–adenine interactions, used to recognize G:C or A:T base pairs at conventional base-interacting positions of ZFs, also apply to the cross-strand interactions adopted by ZF9–ZF11. The differences between ZF1–ZF7 and ZF8–ZF11 can be rationalized structurally and may contribute to recognition of high-affinity CTCF binding sites.

59 BASIC BIOLOGICAL SCIENCES↗

Population genomics provides insights into the genetic basis of adaptive evolution in the mushroom-forming fungus Lentinula edodes

Introduction: Mushroom-forming fungi comprise diverse species that develop complex multicellular structures. In cultivated species, both ecological adaptation and artificial selection have driven genome evolution. However, little is known about the connections among genotype, phenotype and adaptation in mushroom-forming fungi. Objectives: This study aimed to (1) uncover the population structure and demographic history of Lentinula edodes, (2) dissect the genetic basis of adaptive evolution in L. edodes, and (3) determine if genes related to fruiting body development are involved in adaptive evolution. Methods: We analyzed genomes and fruiting body-related traits (FBRTs) in 133 L. edodes strains and conducted RNA-seq analysis of fruiting body development in the YS69 strain. Combined methods of genomic scan for divergence, genome-wide association studies (GWAS), and RNA-seq were used to dissect the genetic basis of adaptive evolution. Results: We detected three distinct subgroups of L. edodes via single nucleotide polymorphisms, which showed robust phenotypic and temperature response differentiation and correlation with geographical distribution. Demographic history inference suggests that the subgroups diverged 36,871 generations ago. Moreover, L. edodes cultivars in China may have originated from the vicinity of Northeast China. A total of 942 genes were found to be related to genetic divergence by genomic scan, and 719 genes were identified to be candidates underlying FBRTs by GWAS. Integrating results of genomic scan and GWAS, 80 genes were detected to be related to phenotypic differentiation. A total of 364 genes related to fruiting body development were involved in genetic divergence and phenotypic differentiation. Conclusion: Adaptation to the local environment, especially temperature, triggered genetic divergence and phenotypic differentiation of L. edodes. A general model for genetic divergence and phenotypic differentiation during adaptive evolution in L. edodes, which involves in signal perception and transduction, transcriptional regulation, and fruiting body morphogenesis, was also integrated here.

59 BASIC BIOLOGICAL SCIENCES↗

The Ubiquity of AGN Winds in Seyfert 1 Galaxies at Low Redshift

The optical spectra of 3896 Seyfert 1 (Sy1) galaxies detected with WISE at z < 0.4 were analyzed for evidence of outflows. In 37% of the Sy1s in our sample, the outflows appear as broad, blue-shifted, spectrally resolved components of the [O iii]λ5007 Å emission line, with a mean maximum velocity V {sub max} ∼ 1014 km s{sup −1} that is consistent with AGN winds. For each Sy1, we deduced the black hole (BH) mass, bolometric luminosity, Eddington ratio, and power-law index of the continuum, which we compared with the star formation rate (SFR) and host morphology. Having separated our sample in two spectroscopic subgroups—Sy1s with only broad Balmer lines (Sy1B) and those with both narrow and broad (Sy1N) lines—and distinguishing those that show as outflow (Sy1Bw and Sy1Nw), we report the following differences: (1) the BH mass is systematically higher and the power-law steeper in the Sy1B–Sy1Bw than in the Sy1N–Sy1Nw; (2) V {sub max} is higher in the Sy1Bw than in the Sy1Nw, correlated in both groups with the BH mass and bolometric luminosity; (3) the Eddington ratio and SFR are higher in the Sy1 with outflows; and (4) the specific star formation rates (sSFRs) of the Sy1s are normal for their morphology and mass, typical of early-type spiral galaxies in the green valley, far from the quenched regime. From these results, we conclude that AGN winds in Sy1s are triggered by higher accretion rates and probably radiatively launched, and there is no clear evidence of an effect on the star formation.

79 ASTRONOMY AND ASTROPHYSICS↗

ARCH: Large-scale knowledge graph via aggregated narrative codified health records analysis

Objective: Electronic health record (EHR) systems contain a wealth of clinical data stored as both codified data and free-text narrative notes (NLP). The complexity of EHR presents challenges in feature representation, information extraction, and uncertainty quantification. Here, to address these challenges, we proposed an efficient Aggregated naRrative Codified Health (ARCH) records analysis to generate a large-scale knowledge graph (KG) for a comprehensive set of EHR codified and narrative features. Methods: Using data from 12.5 million Veterans Affairs patients, ARCH first derives embedding vectors and generates similarities along with associated p-values to measure the strength of relatedness between clinical features with statistical certainty quantification. Next, ARCH performs a sparse embedding regression to remove indirect linkage between features to build a sparse KG. Finally, ARCH was validated on various clinical tasks, including detecting known relationships between entity pairs, predicting drug side effects, disease phenotyping, as well as sub-typing Alzheimer’s disease patients. Results: ARCH produces high-quality clinical embeddings and KG for over 60,000 codified and narrative EHR concepts. The KG and embeddings are visualized in the R-shiny powered web-API.3 ARCH achieved high accuracy in detecting EHR concept relationships, with AUCs of 0.926 (codified) and 0.861 (NLP) for similar EHR concepts, and 0.810 (codified) and 0.843 (NLP) for related pairs. It detected drug side effects with a 0.723 AUC, which improved to 0.826 after fine-tuning. Using both codified and NLP features, the detection power increased significantly. Compared to other methods, ARCH has superior accuracy and enhances weakly supervised phenotyping algorithms’ performance. Notably, it successfully categorized Alzheimer’s patients into two subgroups with varying mortality rates. Conclusion: The proposed ARCH algorithm generates large-scale high-quality semantic representations and knowledge graph for both codified and NLP EHR features, useful for a wide range of predictive modeling tasks.

Electronic health records↗