Neurologic System: Multiple Sclerosis

 

World Multiple Sclerosis Day: Know the warning signs of this disease

What is the effect of the demyelization on the nerves of an individual who has Multiple Sclerosis?
Why are the medications appropriate?
Why do you think females are at greater risk for MS?

 

Sample Solution

Multiple sclerosis (MS) is the most common demyelinating disease of the central nervous system. A demyelinating disease is any condition that results in damage to the protective covering (myelin sheath) that surrounds nerve fibers in your brain, optic nerves and spinal cord. When the myelin sheath is damaged, nerve impulses slow or even stop, causing neurological problems. In this disorder, your immune system attacks the myelin sheath or the cells that produce and maintain it. This causes inflammation and injury to the sheath and ultimately to the nerve fibers that it surrounds. The process can result in multiple areas of scarring (sclerosis).

Simulated Annealing follows a somewhat similar strategy as Randomized Hill Climbing; random positions are chosen at the start of each iteration to spread out the search space, but rather than choosing adjacent neighbors, the algorithm picks a neighbor based on a probability distribution given by a ‘temperature’ value (hence the name ‘annealing’) [2]. The algorithm will always move to ‘better’ neighbors, but will also move to worse neighbors given a certain acceptance probability (calculated with the temperature). As the temperature cools, the acceptance probability decreases proportionally until the algorithm essentially resembles basic hill climbing and a local (ideally global) minima is found.
Two important hyperparameters are involved in tuning a simulated annealing model: the initial temperature of the annealing algorithm, and a ‘cooling factor’ (also referred to as a ‘cooling schedule’) which determines the rate of temperature decrease. Using a 70/30 train/test split, we ran a grid search on these two hyperparameters over 1,000 iterations, results of which can be seen on Table 2. Note that we began initial temperature at 1,000 as too low of a temperature would result in the algorithm not expanding its search space to the full scope of the problem and operating as basic hill climbing, as mentioned previously.

Initial Temperature

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