Artificial intelligence model validation before its application in clinical diagnosis assistance

The process of selecting an artificial intelligence (AI) model to assist clinical diagnosis of a particular pathology and its validation tests is relevant since the values of accuracy, sensitivity and specificity may not reflect the behavior of the method in a real environment. Here, we provide helpful considerations to increase the success of using an AI model in clinical practice.

TorsiFlex: an automatic generator of torsional conformers. Application to the twenty proteinogenic amino acids

In this work, we introduce TorsiFlex, a user-friendly software written in Python 3 and designed to find all the torsional conformers of flexible acyclic molecules in an automatic fashion. For the mapping of the torsional potential energy surface, the algorithm implemented in TorsiFlex combines two searching strategies: preconditioned and stochastic. The former is a type of systematic search based on chemical knowledge and should be carried out before the stochastic (random) search. The algorithm applies several validation tests to accelerate the exploration of the torsional space. For instance, the optimized structures are stored and this information is used to prevent revisiting these points and their surroundings in future iterations. TorsiFlex operates with a dual-level strategy by which the initial search is carried out at an inexpensive electronic structure level of theory and the located conformers are reoptimized at a higher level. Additionally, the program takes advantage of conformational enantiomerism, when possible. As a case study, and in order to exemplify the effectiveness and capabilities of this program, we have employed TorsiFlex to locate the conformers of the twenty proteinogenic amino acids in their neutral canonical form. TorsiFlex has produced a number of conformers that roughly doubles the amount of the most complete work to date.

Validation of sincerity of effort

Sincerity of subject effort is critical to the functional capacity assessment process. This review examines attempts at devising ways of objectively determining whether an evaluee performed his best during functional assessment. It is concluded that good, but not conclusive, evidence of submaximal performance can be gained in some evaluees. The 5 hand position and the rapid exchange grip tests are the best validated and most practical tests devised which can provide evidence of malingering. EMG measurements, although not as practical, may be even better. Further research is needed to further validate these tests as reliable methods of determining sincerity of subject effort.