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When conducting condition recognition research on AC contactor vibration signals through time-frequency analysis, the feature data exhibit a high degree of redundancy, which leads to repetitive information and hinders the accuracy of recognition. To address the redundancy issue in the features of AC contactor vibration signals, this study introduces a feature selection method based on Regularized Random Forest with Recursive Selection (RFRS). Initially, a test platform for AC contactor vibration signals was established, and time-frequency domain features of the AC contactor vibration signals were extracted. Subsequently, the traditional Random Forest (RF) was refined by optimizing its stopping criteria using the Recursive Feature Elimination approach and by incorporating a regularization coefficient during the splitting process to direct the split towards significant features. This modification not only enhances the Random Forest's capacity to leverage existing information but also introduces a bias, enabling it to favor important features. Finally, through case analysis, the proposed method effectively reduced the dimensionality of the feature set and achieved an average of 87.37% for Recall, 87.41% for F1-Score, 88.38% for Precision, and 85.74% for Accuracy. The overall performance of this method surpasses that of the three mainstream feature selection methods: Spearman's rank correlation coefficient method, the embedded method, and the filter method. This study thus provides a rather effective feature selection approach for the state recognition study of AC contactors.
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Vibración , Algoritmos , Humanos , Procesamiento de Señales Asistido por Computador , Bosques AleatoriosRESUMEN
Currently, the incidence of diquat (DQ) poisoning is increasing, and quickly predicting the prognosis of poisoned patients is crucial for clinical treatment. In this study, a total of 84 DQ poisoning patients were included, with 38 surviving and 46 deceased. The plasma DQ concentration of DQ poisoned patients, determined by liquid chromatography-mass spectrometry (LC-MS) were collected and analyzed with their complete blood count (CBC) indicators. Based on DQ concentration and CBC dataset, the random forest of diagnostic and prognostic models were established. The results showed that the initial DQ plasma concentration was highly correlated with patient prognosis. There was data redundancy in the CBC dataset, continuous measurement of CBC tests could improve the model's predictive accuracy. After feature selection, the predictive accuracy of the CBC dataset significantly increased to 0.81 ± 0.17, with the most important features being white blood cells and neutrophils. The constructed CBC random forest prediction model achieved a high predictive accuracy of 0.95 ± 0.06 when diagnosing DQ poisoning. In conclusion, both DQ concentration and CBC dataset can be used to predict the prognosis of DQ treatment. In the absence of DQ concentration, the random forest model using CBC data can effectively diagnose DQ poisoning and patient's prognosis.
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Algoritmos , Diquat , Humanos , Diquat/sangre , Diquat/envenenamiento , Femenino , Masculino , Pronóstico , Adulto , Recuento de Células Sanguíneas , Persona de Mediana Edad , Herbicidas/envenenamiento , Herbicidas/sangre , Adulto Joven , Adolescente , Bosques AleatoriosRESUMEN
MOTIVATION: In the realm of precision medicine, effective patient stratification and disease subtyping demand innovative methodologies tailored for multi-omics data. Clustering techniques applied to multi-omics data have become instrumental in identifying distinct subgroups of patients, enabling a finer-grained understanding of disease variability. Meanwhile, clinical datasets are often small and must be aggregated from multiple hospitals. Online data sharing, however, is seen as a significant challenge due to privacy concerns, potentially impeding big data's role in medical advancements using machine learning. This work establishes a powerful framework for advancing precision medicine through unsupervised random forest-based clustering in combination with federated computing. RESULTS: We introduce a novel multi-omics clustering approach utilizing unsupervised random forests. The unsupervised nature of the random forest enables the determination of cluster-specific feature importance, unraveling key molecular contributors to distinct patient groups. Our methodology is designed for federated execution, a crucial aspect in the medical domain where privacy concerns are paramount. We have validated our approach on machine learning benchmark datasets as well as on cancer data from The Cancer Genome Atlas. Our method is competitive with the state-of-the-art in terms of disease subtyping, but at the same time substantially improves the cluster interpretability. Experiments indicate that local clustering performance can be improved through federated computing. AVAILABILITY AND IMPLEMENTATION: The proposed methods are available as an R-package (https://github.com/pievos101/uRF).
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Medicina de Precisión , Humanos , Análisis por Conglomerados , Medicina de Precisión/métodos , Aprendizaje Automático no Supervisado , Aprendizaje Automático , Neoplasias , Privacidad , Algoritmos , Bosques AleatoriosRESUMEN
Fluoride (F) is a trace element that is essential to the human body and occurs naturally in the environment. However, a deficiency or excess of F in the environment can potentially lead to human health issues. The pseudototal amount of F in soil often does not correlate directly with the F content in plants. Instead, the F content within plants tends to have a greater correlation with the bioavailable F in soils. In large-scale soil surveys, only the pseudototal elemental content of soils is typically measured, which may not be highly reliable for developing agricultural zoning plans. There are significant variations in the ability of different plants to accumulate F from soil. Additionally, due to variations in soil elemental absorption mechanisms among different plant species, when multiple crops are grown in an area, it is typically necessary to study the elemental absorption mechanisms of each crop. To address these issues, in this study, we examined the factors influencing F bioaccumulation coefficients in different crops based on 1:50,000 soil geochemical survey data. Using the random forest algorithm, four indicators-bioavailable P, bioavailable Zn, leachable Pb, and Sr-were selected from among 29 parameters to predict the F content within crops to replace bioavailable F in the soil. Compared with the multivariate linear regression (MLR) model, the random forest (RF) model provided more accurate and reliable predictions of the fluoride content in crops, with the RF model's prediction accuracy improving by approximately 95.23%. Additionally, while the partial least squares regression (PLSR) model also offered improved accuracy over MLR, the RF model still outperformed PLSR in terms of prediction accuracy and robustness. Additionally, it maximized the utilization of existing geochemical survey data, enabling cross-species studies for the first time and avoiding redundant evaluations of different types of agricultural products in the same region. In this investigation, we selected the Xining-Ledu region of Qinghai Province, China, as the study area and employed a random forest model to predict the crop F content in soils, providing a new methodological framework for crop production that effectively enhances agricultural quality and efficiency.
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Algoritmos , Productos Agrícolas , Fluoruros , Contaminantes del Suelo , Productos Agrícolas/química , Productos Agrícolas/metabolismo , Fluoruros/análisis , Contaminantes del Suelo/análisis , Suelo/química , Monitoreo del Ambiente/métodos , Modelos Lineales , Bosques AleatoriosRESUMEN
The interaction between microbes and drugs encompasses the sourcing of pharmaceutical compounds, microbial drug degradation, the development of drug resistance genes, and the impact of microbial communities on host drug metabolism and immune modulation. These interactions significantly impact drug efficacy and the evolution of drug resistance. In this study, we propose a novel predictive model, termed GCGACNN. We first collected microbe, disease, and drug association data from multiple databases and the relevant literature to construct three association matrices and generate similarity feature matrices using Gaussian similarity functions. These association and similarity feature matrices were then input into a multi-layer Graph Neural Network for feature extraction, followed by a two-dimensional Convolutional Neural Network for feature fusion, ultimately establishing an effective predictive framework. Experimental results demonstrate that GCGACNN outperforms existing methods in predictive performance.
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Redes Neurales de la Computación , Humanos , Preparaciones Farmacéuticas/metabolismo , Algoritmos , Bosques AleatoriosRESUMEN
Precise prediction of soil salinity using visible, and near-infrared (vis-NIR) spectroscopy is crucial for ensuring food security and effective environmental management. This paper focuses on the precise prediction of soil salinity utilizing visible and near-infrared (vis-NIR) spectroscopy, a critical factor for food security and effective environmental management. The objective is to utilize vis-NIR spectra alongside a multiple regression model (MLR) and a random forest (RF) modeling approach to predict soil salinity across various land use types, such as farmlands, bare lands, and rangelands accurately. To this end, we selected 150 sampling points representatives of these diverse land uses. At each point, we collected soil samples to measure the soil salinity (ECe) and employed a portable spectrometer to capture the spectral reflectance across the full wavelength range of 400 to 2400 nm. The methodology involved using both individual spectral reflectance values and combinations of reflectance values from different wavelengths as input variables for developing the MLR and RF models. The results indicated that the RF model (RMSE = 4.85 dS m-1, R2 = 0.87, and RPD = 3.15), utilizing combined factors as input variables, outperformed others. Furthermore, our analysis across different land uses revealed that models incorporating combined input variables yielded significantly better results, particularly for farmlands and rangelands. This study underscores the potential of combining vis-NIR spectroscopy with advanced modeling techniques to enhance the accuracy of soil salinity predictions, thereby supporting more informed agricultural and environmental management decisions.
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Salinidad , Suelo , Espectroscopía Infrarroja Corta , Suelo/química , Espectroscopía Infrarroja Corta/métodos , Análisis de Regresión , Agricultura/métodos , Monitoreo del Ambiente/métodos , Análisis Espectral/métodos , Bosques AleatoriosRESUMEN
Postoperative pulmonary complications (PPCs) are a significant concern following lung resection due to prolonged hospital stays and increased morbidity and mortality among patients. This study aims to develop and validate a risk prediction model for PPCs after lung resection using the random forest (RF) algorithm to enhance early detection and intervention. Data from 180 patients who underwent lung resections at the Third Affiliated Hospital of the Naval Medical University between September 2022 and February 2024 were retrospectively analyzed. The patients were randomly allocated into a training set and a test set in an 8:2 ratio. An RF model was constructed using Python, with feature importance ranked based on the mean Gini index. The predictive performance of the model was evaluated through analyses of the receiver operating characteristic curve, calibration curve, and decision curve. Among the 180 patients included, 47 (26.1%) developed PPCs. The top 5 predictive factors identified by the RF model were blood loss, maximal length of resection, number of lymph nodes removed, forced expiratory volume in the first second as a percentage of predicted value, and age. The receiver operating characteristic curve and calibration curve analyses demonstrated favorable discrimination and calibration capabilities of the model, while decision curve analysis indicated its clinical applicability. The RF algorithm is effective in predicting PPCs following lung resection and holds promise for clinical application.
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Algoritmos , Neumonectomía , Complicaciones Posoperatorias , Humanos , Femenino , Masculino , Complicaciones Posoperatorias/epidemiología , Complicaciones Posoperatorias/etiología , Persona de Mediana Edad , Estudios Retrospectivos , Neumonectomía/efectos adversos , Anciano , Medición de Riesgo/métodos , Curva ROC , Factores de Riesgo , Adulto , Enfermedades Pulmonares/etiología , Enfermedades Pulmonares/epidemiología , Bosques AleatoriosRESUMEN
Colorectal cancer (CRC) is a frequent, worldwide tumor described for its huge complexity, including inter-/intra-heterogeneity and tumor microenvironment (TME) variability. Intra-tumor heterogeneity and its connections with metabolic reprogramming and epithelial-mesenchymal transition (EMT) were investigated with explorative shotgun proteomics complemented by a Random Forest (RF) machine-learning approach. Deep and superficial tumor regions and distant-site non-tumor samples from the same patients (n = 16) were analyzed. Among the 2009 proteins analyzed, 91 proteins, including 23 novel potential CRC hallmarks, showed significant quantitative changes. In addition, a 98.4% accurate classification of the three analyzed tissues was obtained by RF using a set of 21 proteins. Subunit E1 of 2-oxoglutarate dehydrogenase (OGDH-E1) was the best classifying factor for the superficial tumor region, while sorting nexin-18 and coatomer-beta protein (beta-COP), implicated in protein trafficking, classified the deep region. Down- and up-regulations of metabolic checkpoints involved different proteins in superficial and deep tumors. Analogously to immune checkpoints affecting the TME, cytoskeleton and extracellular matrix (ECM) dynamics were crucial for EMT. Galectin-3, basigin, S100A9, and fibronectin involved in TME-CRC-ECM crosstalk were found to be differently variated in both tumor regions. Different metabolic strategies appeared to be adopted by the two CRC regions to uncouple the Krebs cycle and cytosolic glucose metabolism, promote lipogenesis, promote amino acid synthesis, down-regulate bioenergetics in mitochondria, and up-regulate oxidative stress. Finally, correlations with the Dukes stage and budding supported the finding of novel potential CRC hallmarks and therapeutic targets.
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Neoplasias Colorrectales , Matriz Extracelular , Aprendizaje Automático , Proteómica , Microambiente Tumoral , Humanos , Neoplasias Colorrectales/metabolismo , Neoplasias Colorrectales/patología , Neoplasias Colorrectales/inmunología , Proteómica/métodos , Matriz Extracelular/metabolismo , Transición Epitelial-Mesenquimal , Transducción de Señal , Masculino , Femenino , Persona de Mediana Edad , Anciano , Bosques AleatoriosRESUMEN
Antibiotic resistance can rapidly spread through bacterial populations via bacterial conjugation. The bacterial membrane has an important role in facilitating conjugation, thus investigating the effects on the bacterial membrane caused by conjugative plasmids, antibiotic resistance, and genes involved in conjugation is of interest. Analysis of bacterial membranes was conducted using gas cluster ion beam-secondary ion mass spectrometry (GCIB-SIMS). The complexity of the data means that data analysis is important for the identification of changes in the membrane composition. Preprocessing of data and several analytical methods for identification of changes in bacterial membranes have been investigated. GCIB-SIMS data from Escherichia coli samples were subjected to principal components analysis (PCA), principal components-canonical variate analysis (PC-CVA), and Random Forests (RF) data analysis with the aim of extracting the maximum biological information. The influence of increasing replicate data was assessed, and the effect of diminishing biological variation was studied. Optimized m/z region-specific scaling provided improved clustering, with an increase in biologically significant peaks contributing to the loadings. PC-CVA improved clustering, provided clearer loadings, and benefited from larger data sets collected over several months. RF required larger sample numbers and while showing overlap with the PC-CVA, produced additional peaks of interest. The combination of PC-CVA and RF allowed very subtle differences between bacterial strains and growth conditions to be elucidated for the first time. Specifically, comparative analysis of an E. coli strain with and without the F-plasmid revealed changes in cyclopropanation of fatty acids, where the addition of the F-plasmid led to a reduction in cyclopropanation.
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Escherichia coli , Análisis de Componente Principal , Espectrometría de Masa de Ion Secundario , Escherichia coli/efectos de los fármacos , Espectrometría de Masa de Ion Secundario/métodos , Antibacterianos/farmacología , Membrana Celular/metabolismo , Membrana Celular/química , Farmacorresistencia Bacteriana , Farmacorresistencia Microbiana , Bosques AleatoriosRESUMEN
PURPOSE: Parametric regression models have been the main statistical method for identifying average treatment effects. Causal machine learning models showed promising results in estimating heterogeneous treatment effects in causal inference. Here we aimed to compare the application of causal random forest (CRF) and linear regression modelling (LRM) to estimate the effects of organisational factors on ICU efficiency. METHODS: A retrospective analysis of 277,459 patients admitted to 128 Brazilian and Uruguayan ICUs over three years. ICU efficiency was assessed using the average standardised efficiency ratio (ASER), measured as the average of the standardised mortality ratio (SMR) and the standardised resource use (SRU) according to the SAPS-3 score. Using a causal inference framework, we estimated and compared the conditional average treatment effect (CATE) of seven common structural and organisational factors on ICU efficiency using LRM with interaction terms and CRF. RESULTS: The hospital mortality was 14 %; median ICU and hospital lengths of stay were 2 and 7 days, respectively. Overall median SMR was 0.97 [IQR: 0.76,1.21], median SRU was 1.06 [IQR: 0.79,1.30] and median ASER was 0.99 [IQR: 0.82,1.21]. Both CRF and LRM showed that the average number of nurses per ten beds was independently associated with ICU efficiency (CATE [95 %CI]: -0.13 [-0.24, -0.01] and -0.09 [-0.17,-0.01], respectively). Finally, CRF identified some specific ICUs with a significant CATE in exposures that did not present a significant average effect. CONCLUSION: In general, both methods were comparable to identify organisational factors significantly associated with CATE on ICU efficiency. CRF however identified specific ICUs with significant effects, even when the average effect was nonsignificant. This can assist healthcare managers in further in-dept evaluation of process interventions to improve ICU efficiency.
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Mortalidad Hospitalaria , Unidades de Cuidados Intensivos , Humanos , Unidades de Cuidados Intensivos/organización & administración , Estudios Retrospectivos , Modelos Lineales , Femenino , Masculino , Brasil , Tiempo de Internación/estadística & datos numéricos , Eficiencia Organizacional , Persona de Mediana Edad , Aprendizaje Automático , Uruguay , Anciano , Adulto , Bosques AleatoriosRESUMEN
Background: Precise prediction of out-of-pocket (OOP) costs to improve health policy design is important for governments of countries with national health insurance. Controlling the medical expenses for hypertension, one of the leading causes of stroke and ischemic heart disease, is an important issue for the Japanese government. This study aims to explore the importance of OOP costs for outpatients with hypertension. Methods: To obtain a precise prediction of the highest quartile group of OOP costs of hypertensive outpatients, we used nationwide longitudinal data, and estimated a random forest (RF) model focusing on complications with other lifestyle-related diseases and the nonlinearities of the data. Results: The results of the RF models showed that the prediction accuracy of OOP costs for hypertensive patients without activities of daily living (ADL) difficulties was slightly better than that for all hypertensive patients who continued physician visits during the past two consecutive years. Important variables of the highest quartile of OOP costs were age, diabetes or lipidemia, lack of habitual exercise, and moderate or vigorous regular exercise. Conclusion: As preventing complications of diabetes or lipidemia is important for reducing OOP costs in outpatients with hypertension, regular exercise of moderate or vigorous intensity is recommended for hypertensive patients that do not have ADL difficulty. For hypertensive patients with ADL difficulty, habitual exercise is not recommended.
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Gastos en Salud , Hipertensión , Humanos , Hipertensión/economía , Femenino , Masculino , Persona de Mediana Edad , Japón , Anciano , Gastos en Salud/estadística & datos numéricos , Actividades Cotidianas , Estudios Longitudinales , Adulto , Bosques AleatoriosRESUMEN
Reliable and real-time monitoring of seafood decay is attracting growing interest for food safety and human health, while it is still a great challenge to accurately identify the released triethylamine (TEA) from the complex volatilome. Herein, defect-engineered WO3-x architectures are presented to design advanced TEA sensors for seafood quality assessment. Benefiting from abundant oxygen vacancies, the obtained WO2.91 sensor exhibits remarkable TEA-sensing performance in terms of higher response (1.9 times), faster response time (2.1 times), lower detection limit (3.2 times), and higher TEA/NH3 selectivity (2.8 times) compared with the air-annealed WO2.96 sensor. Furthermore, the definite WO2.91 sensor demonstrates long-term stability and anti-interference in complex gases, enabling the accurate recognition of TEA during halibut decay (0-48 h). Coupled with the random forest algorithm with 70 estimators, the WO2.91 sensor enables accurate prediction of halibut storage with an accuracy of 95%. This work not only provides deep insights into improving gas-sensing performance by defect engineering but also offers a rational solution for reliably assessing seafood quality.
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Algoritmos , Óxidos , Alimentos Marinos , Tungsteno , Alimentos Marinos/análisis , Tungsteno/química , Óxidos/química , Calidad de los Alimentos , Bosques AleatoriosRESUMEN
Milk casein is regarded as source to release potential sleep-enhancing peptides. Although various casein hydrolysates exhibited sleep-enhancing activity, the underlying reason remains unclear. This study firstly revealed the structural features of potential sleep-enhancing peptides from casein hydrolysates analyzed through peptidomics and multivariate analysis. Additionally, a random forest model and a potential Tyr-based peptide library were established, and then those peptides were quantified to facilitate rapidly-screening. Our findings indicated that YP-, YI/L, and YQ-type peptides with 4-10 amino acids contributed more to higher sleep-enhancing activity of casein hydrolysates, due to their crucial structural features and abundant numbers. Furthermore, three novel strong sleep-enhancing peptides, YQKFPQY, YPFPGPIPN, and YIPIQY were screened, and their activities were validated in vivo. Molecular docking results elucidated the importance of the YP/I/L/Q- structure at the N-terminus of casein peptides in forming crucial hydrogen bond and π-alkyl interactions with His-102 and Asn-60, respectively in the GABAA receptor for activation.
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Caseínas , Péptidos , Sueño , Caseínas/química , Animales , Péptidos/química , Simulación del Acoplamiento Molecular , Ratones , Masculino , Humanos , Secuencia de Aminoácidos , Bosques AleatoriosRESUMEN
BACKGROUND: Culicoides biting midges exhibit a global spatial distribution and are the main vectors of several viruses of veterinary importance, including bluetongue (BT) and African horse sickness (AHS). Many environmental and anthropological factors contribute to their ability to live in a variety of habitats, which have the potential to change over the years as the climate changes. Therefore, as new habitats emerge, the risk for new introductions of these diseases of interest to occur increases. The aim of this study was to model distributions for two primary vectors for BT and AHS (Culicoides imicola and Culicoides bolitinos) using random forest (RF) machine learning and explore the relative importance of environmental and anthropological factors in a region of South Africa with frequent AHS and BT outbreaks. METHODS: Culicoides capture data were collected between 1996 and 2022 across 171 different capture locations in the Western Cape. Predictor variables included climate-related variables (temperature, precipitation, humidity), environment-related variables (normalised difference vegetation index-NDVI, soil moisture) and farm-related variables (livestock densities). Random forest (RF) models were developed to explore the spatial distributions of C. imicola, C. bolitinos and a merged species map, where both competent vectors were combined. The maps were then compared to interpolation maps using the same capture data as well as historical locations of BT and AHS outbreaks. RESULTS: Overall, the RF models performed well with 75.02%, 61.6% and 74.01% variance explained for C. imicola, C. bolitinos and merged species models respectively. Cattle density was the most important predictor for C. imicola and water vapour pressure the most important for C. bolitinos. Compared to interpolation maps, the RF models had higher predictive power throughout most of the year when species were modelled individually; however, when merged, the interpolation maps performed better in all seasons except winter. Finally, midge densities did not show any conclusive correlation with BT or AHS outbreaks. CONCLUSION: This study yielded novel insight into the spatial abundance and drivers of abundance of competent vectors of BT and AHS. It also provided valuable data to inform mathematical models exploring disease outbreaks so that Culicoides-transmitted diseases in South Africa can be further analysed.
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Enfermedad Equina Africana , Lengua Azul , Ceratopogonidae , Insectos Vectores , Aprendizaje Automático , Animales , Bovinos , Enfermedad Equina Africana/epidemiología , Enfermedad Equina Africana/transmisión , Enfermedad Equina Africana/virología , Lengua Azul/epidemiología , Lengua Azul/transmisión , Lengua Azul/virología , Virus de la Lengua Azul , Ceratopogonidae/virología , Clima , Brotes de Enfermedades , Ecosistema , Caballos , Insectos Vectores/virología , Bosques Aleatorios , Sudáfrica/epidemiología , OvinosRESUMEN
High-precision evaluations of water environment quality are highly important for improving the accuracy of early warning systems of regional water pollution risk and improving the regional water environment. This paper employs the chimp optimization algorithm (ChOA) to enhance the traditional random forest model, resulting in the chimp optimization algorithm-random forest (ChOA-RF) water quality assessment model for evaluating the Jiansanjiang area in Heilongjiang Province, China. The results show that the overall water environment in Jiansanjiang has the following characteristics: "The water quality of farms in the northwest is poor, and the quality of groundwater is better than that of surface water." Total nitrogen (TN) and total phosphorus (TP) in surface water and ammonium nitrogen (NH3-N), ferrum (Fe), and manganese (Mn) in groundwater are the main pollutants. The TP and TN in surface water and the NH3-N in groundwater exceeded the relevant standards, likely due to the excessive application of chemical fertilizers, especially nitrogen fertilizers. Additionally, Fe and Mn are harmful native substances. According to these findings, targeted improvement strategies, such as reducing nitrogen fertilizer application, plugging well, and increasing the surface water utilization rate, are proposed. Moreover, the ChOA-RF model is compared with the traditional empirical value model and the particle swarm optimization-random forest (PSO-RF) model. The results show that the ChOA-RF model can effectively reduce the root mean square error and mean absolute percentage error and improve the coefficient of determination. The running time and convergence ability are also better than those of the PSO-RF model, which is a more accurate and efficient machine learning model. The model can be used not only for high-precision evaluation of regional water environment quality but also for other machine learning fields.
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Algoritmos , Monitoreo del Ambiente , Monitoreo del Ambiente/métodos , China , Agua Subterránea/análisis , Agua Subterránea/química , Hidrología , Calidad del Agua , Nitrógeno/análisis , Fósforo/análisis , Modelos Teóricos , Contaminantes Químicos del Agua/análisis , Bosques AleatoriosRESUMEN
With childhood hypertension emerging as a global public health concern, understanding its associated factors is crucial. This study investigated the prevalence and associated factors of hypertension among Chinese children. This cross-sectional investigation was conducted in Pinghu, Zhejiang province, involving 2,373 children aged 8-14 years from 12 schools. Anthropometric measurements were taken by trained staff. Blood pressure (BP) was measured in three separate occasions, with an interval of at least two weeks. Childhood hypertension was defined as systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) ≥ age-, sex-, and height-specific 95th percentile, across all three visits. A self-administered questionnaire was utilized to collect demographic, socioeconomic, health behavioral, and parental information at the first visit of BP measurement. Random forest (RF) and multivariable logistic regression model were used collectively to identify associated factors. Additionally, population attributable fractions (PAFs) were calculated. The prevalence of childhood hypertension was 5.0% (95% confidence interval [CI]: 4.1-5.9%). Children with body mass index (BMI) ≥ 85th percentile were grouped into abnormal weight, and those with waist circumference (WC) > 90th percentile were sorted into central obesity. Normal weight with central obesity (NWCO, adjusted odds ratio [aOR] = 5.04, 95% CI: 1.96-12.98), abnormal weight with no central obesity (AWNCO, aOR = 4.60, 95% CI: 2.57-8.21), and abnormal weight with central obesity (AWCO, aOR = 9.94, 95% CI: 6.06-16.32) were associated with an increased risk of childhood hypertension. Childhood hypertension was attributable to AWCO mostly (PAF: 0.64, 95% CI: 0.50-0.75), followed by AWNCO (PAF: 0.34, 95% CI: 0.19-0.51), and NWCO (PAF: 0.13, 95% CI: 0.03-0.30). Our results indicated that obesity phenotype is associated with childhood hypertension, and the role of weight management could serve as potential target for intervention.
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Hipertensión , Humanos , Estudios Transversales , Masculino , Femenino , Hipertensión/epidemiología , China/epidemiología , Niño , Prevalencia , Adolescente , Factores de Riesgo , Modelos Logísticos , Bosques AleatoriosRESUMEN
Functional mobility tests, such as the L test of functional mobility, are recommended to provide clinicians with information regarding the mobility progress of lower-limb amputees. Smartphone inertial sensors have been used to perform subtask segmentation on functional mobility tests, providing further clinically useful measures such as fall risk. However, L test subtask segmentation rule-based algorithms developed for able-bodied individuals have not produced sufficiently acceptable results when tested with lower-limb amputee data. In this paper, a random forest machine learning model was trained to segment subtasks of the L test for application to lower-limb amputees. The model was trained with 105 trials completed by able-bodied participants and 25 trials completed by lower-limb amputee participants and tested using a leave-one-out method with lower-limb amputees. This algorithm successfully classified subtasks within a one-foot strike for most lower-limb amputee participants. The algorithm produced acceptable results to enhance clinician understanding of a person's mobility status (>85% accuracy, >75% sensitivity, >95% specificity).
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Amputados , Extremidad Inferior , Aprendizaje Automático , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Amputados/rehabilitación , Extremidad Inferior/cirugía , Extremidad Inferior/fisiopatología , Extremidad Inferior/fisiología , Bosques AleatoriosRESUMEN
BACKGROUND: Conditional logistic regression trees have been proposed as a flexible alternative to the standard method of conditional logistic regression for the analysis of matched case-control studies. While they allow to avoid the strict assumption of linearity and automatically incorporate interactions, conditional logistic regression trees may suffer from a relatively high variability. Further machine learning methods for the analysis of matched case-control studies are missing because conventional machine learning methods cannot handle the matched structure of the data. RESULTS: A random forest method for the analysis of matched case-control studies based on conditional logistic regression trees is proposed, which overcomes the issue of high variability. It provides an accurate estimation of exposure effects while being more flexible in the functional form of covariate effects. The efficacy of the method is illustrated in a simulation study and within an application to real-world data from a matched case-control study on the effect of regular participation in cervical cancer screening on the development of cervical cancer. CONCLUSIONS: The proposed random forest method is a promising add-on to the toolbox for the analysis of matched case-control studies and addresses the need for machine-learning methods in this field. It provides a more flexible approach compared to the standard method of conditional logistic regression, but also compared to conditional logistic regression trees. It allows for non-linearity and the automatic inclusion of interaction effects and is suitable both for exploratory and explanatory analyses.
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Aprendizaje Automático , Bosques Aleatorios , Femenino , Humanos , Estudios de Casos y Controles , Modelos Logísticos , Neoplasias del Cuello UterinoRESUMEN
OBJECTIVE: To develop and validate a machine learning (ML) model based on high-frequency ultrasound (HFUS) images with the aim to identify the functional status of parathyroid glands (PTGs) in secondary hyper-parathyroidism (SHPT) patients. METHODS: This retrospective study enrolled 60 SHPT patients (27 female, 33 male; mean age: 51.2 years) with 184 PTGs detected from February 2016 to June 2022. All enrollments underwent single-photon emission computed tomography/computed tomography and contrast-enhanced ultrasound examinations. The PTGs were randomly divided into training (n = 147) and testing datasets (n = 37). Four effective ML classifiers were used and combined models incorporating multi-modal HFUS visual signs and radiomics features was constructed based on the optimal classifier. Model performance was compared in terms of discrimination, calibration and clinical utility. The Shapley additive explanation method was used to explain and visualize the main predictors of the optimal model. RESULTS: This model, using a random forest classifier algorithm, outperformed other classifiers. Based on optimal classifier features, the model constructed from ultrasound visual and ML features achieved a favorable performance in the prediction of hyper-functioning PTGs. Compared with the traditional visual model, the ultrasound-based ML model achieved significant (p = 0.03) improvement (area under the curve: 0.859 vs. 0.629) and higher sensitivity (100.0% vs. 94.1%) and accuracy (86.5% vs. 67.6%). Among the predictors attributed to model development, large size and high echogenic heterogeneity of PTGs in ultrasonographic images were more often associated with high risk of hyper-functioning PTGs. CONCLUSION: The ultrasound-based ML model for identifying hyper-functioning PTGs in SHPT patients showed good performance and interpretability using high-frequency ultrasonographic images, which may facilitate clinical management.
Asunto(s)
Aprendizaje Automático , Modelos Estadísticos , Enfermedades de las Paratiroides , Ultrasonografía , Glándulas Paratiroides/diagnóstico por imagen , Humanos , Masculino , Femenino , Persona de Mediana Edad , Adulto , Simulación por Computador/normas , Enfermedades de las Paratiroides/diagnóstico , Enfermedades de las Paratiroides/diagnóstico por imagen , Bosques Aleatorios , Tomografía Computarizada de Emisión de Fotón Único , Valor Predictivo de las PruebasRESUMEN
BACKGROUND: The short-term prognosis of stroke patients is mainly influenced by the severity of the primary disease at admission and the trend of disease development during the acute phase (1-7 days after admission). OBJECTIVE: The aim of this study is to explore the relationship between the bioelectrical impedance analysis (BIA) parameter trajectories during the acute phase of stroke patients and their short-term prognosis, and to investigate the predictive value of the prediction model constructed using BIA parameter trajectories and clinical indicators at admission for short-term prognosis in stroke patients. METHODS: A total of 162 stroke patients were prospectively enrolled, and their clinical indicators at admission and BIA parameters during the first 1-7 days of admission were collected. A Group-Based Trajectory Model (GBTM) was employed to identify different subgroups of longitudinal trajectories of BIA parameters during the first 1-7 days of admission in stroke patients. The random forest algorithm was applied to screen BIA parameter trajectories and clinical indicators with predictive value, construct prediction models, and perform model comparisons. The outcome measure was the Modified Rankin Scale (mRS) score at discharge. RESULTS: PA in BIA parameters can be divided into four separate trajectory groups. The incidence of poor prognosis (mRS: 4-6) at discharge was significantly higher in the "Low PA Rapid Decline Group" (85.0%) than in the "High PA Stable Group " (33.3%) and in the "Medium PA Slow Decline Group "(29.5%) (all P < 0.05). In-hospital mortality was the highest in the "Low PA Rapid Decline Group" (60%) compared with the remaining trajectory groups (P < 0.05). Compared with the prediction model with only clinical indicators (Model 1), the prediction model with PA trajectories (Model 2) demonstrated higher predictive accuracy and efficacy. The area under the receiver operating characteristic curve (AUC) of Model 2 was 0.909 [95% CI 0.863, 0.956], integrated discrimination improvement index (IDI), 0.035 (P < 0.001), and net reclassification improvement (NRI), 0.175 (P = 0.031). CONCLUSION: PA trajectories during the first 1-7 days of admission are associated with the short-term prognosis of stroke patients. PA trajectories have additional value in predicting the short-term prognosis of stroke patients.