Plan Choice Research Articles

Effect of health literacy and shared decision-making on choice of weight-loss plan among overweight or obese participants receiving a prototype artificial intelligence robot intervention facilitating weight-loss management decisions.

Implementation of artificial intelligence (AI) in medical decision-making is still in early development. We developed an AI robot intervention prototype with a health literacy-friendly interface that uses interactive voice response (IVR) surveying to assist in decision-making for weight loss. The weight-specific health literacy instrument (WSHLI) and Shared Decision-Making Questionnaire (SDMQ) were used to measure factors influencing weight-loss decisions. Factors associated with participants choosing to lose weight were analyzed using logistic regression, and factors influencing the selection of specific weight-loss plans were examined with one-way analysis of variance. Our study recruited 144 overweight or obese adults (69.4% women, 58.3% with body mass index (BMI) ≥ 24). After interacting with the AI robot, 78% of the study population made the decision to lose weight. SDMQ score was a significant factor positively influencing the decision for weight-loss (odds ratio [OR]: 2.16, 95% confidence interval [CI]: 1.09-4.29, p = 0.027). Individuals who selected self-monitored lifestyle modification (mean ± SD: 11.52 ± 1.95) had significantly higher health literacy than those who selected dietician-assisted plan (9.92 ± 2.30) and physician-guided treatment (9.60 ± 1.52) (both p = 0.001). The study results demonstrated that our prototype AI robot can effectively encourage individuals to make decisions regarding weight management and that both WSHLI and SDMQ scores affect the choice of weight-loss plans.

Attention Please! Health Plan Choice and (In-)Attention

We study the role of inattention as a key source of inertia in health plan choices. Our structural model shows that more than 90% of the elderly in Switzerland are inattentive and thus stick to their previous plan. We estimate sizeable switching costs even conditional on attention explaining part of the observed choice persistence. Inattention leads to overspending and generates considerable welfare losses for most consumers. A policy simulation shows that eliminating financially dominated plans from the choice set yields welfare gains for two thirds of individuals.

THE PROSTHODONTIC TREATMENT OF THE MANDIBLE EDENTULOUSNESS. CLINICAL CASE

The article presents a clinical case of the prosthodontic treatment of the mandible edentulousness.
 Edentulousness is a widespread pathology that depends on the social and economic situation in the country, the demographic situation, the level of dental care and prevention organization. The current worldwide trend of population aging leads to an increase in the number of the elderly, and this number is expected to increase in the future. According to the WHO, today about 600 million people are people over 60, and this number will have doubled by 2030 and will constitute 2 billion in 2050 mostly in developed countries. The situation in Ukraine is not better.
 Functional and aesthetic rehabilitation of patients with edentulousness requires a comprehensive approach to the prosthodontic treatment planning. Complete removable laminar dentures on the mandible have a number of disadvantages. Insufficient fixation, stabilization, diction problems, aesthetic problems, decreased self-esteem of the patient are among the key ones. Modern protocols of the prosthodontic treatment require the manufacture of dental prostheses based on intraosseous dental implants.
 Complete dentures based on intraosseous dental implants have a number of advantages over the fixed dentures. Compensation for deficient bone support of the facial soft tissues occurs by means of the basis. Patients’ possibility to remove a secondary restoration by themselves lead to proper hygiene of the oral cavity and peri-implant area in particular.
 The clinical research conducted by S. Wolfart (2016) showed the possibility of fixed/removable dental prosthesis fixation in 14-31 days (early loading) after the surgical stage of implantation provided that 4-6 intraosseous dental implants were installed. The maximum mobilization of the patient to comply with the recommendations and prescriptions is the main task considering the limited postoperative period before the dental prosthesis fixation.
 Our publication describes the treatment of a patient born in 1967, who was diagnosed with a mandible complete absence of teeth. Diagnosis, examination and treatment were performed on the basis of the Department of Dentistry Postgraduate Education of Ivano-Frankivsk National Medical University.
 The described prosthodontic treatment plan involves the manufacture of a complete denture with bar system based on four intraosseous dental implants according to the early loading protocol in a patient with primary treatment of mandible edentulousness.
 The choice of treatment plan was based on the results of past medical history, the patient’s disease, basic and additional methods of examination, analysis of individual indications and contraindications and readiness for the selected treatment plan.
 This treatment protocol has its advantages over the protocol of manufacturing a fixed prosthesis based on intraosseous dental implants such as a higher level of proprioceptive sensations, increased level of hygiene, lower complexity of clinical and laboratory stages, affordability.
 The term of clinical and laboratory stages of manufacturing (from the surgical stage of implant treatment to the fixation of the dental prosthesis) constituted 16 days.
 Additional opportunities for success in clinical and laboratory stages of treatment, the accuracy of manufacture and minimization of complications in the future were created as a result of the combination of digital and analog treatment methods in dental prosthesis manufacturing.

Review on Surgical Management of Esophageal Rupture Saudi Arabia, Review Article

Esophageal rupture presents a significant interprofessional challenge to the entire therapeutic team. The majority of symptoms are non-specific, which can significantly delay the time between perforation and final diagnosis. An esophageal rupture can be caused by a variety of pathophysiological factors. Instruments such as endoscope causes an elevation in the wall tension, particularly iatrogenic interventions, or a massive rise in intraluminal pressure caused by throwing up, chest injury, or abdominal injuries are the main stressors. The choice of the management plan and its outcome depends mainly on the site of the rupture. Although the perforation can occur at any site of the esophagus, there is a tendency to main areas that correspond to natural points of narrowing of the lumen. If esophageal rupture requires surgery, patients should be transported to the operating room as soon as feasible. Minor delays in surgical therapy can lead to higher rates of morbidity and fatality. This review aims to summarize current evidence on etiology, epidemiology, diagnosis, and surgical management of esophageal rupture.

RETRACTED ARTICLE: Research on the improvement of accounting work quality of new agricultural business entities under the background of big data

This article has been retracted from publication in the Taylor & Francis journal, Acta Agriculturae Scandinavica, Section B — Soil & Plant Science. Following publication, concerns were raised by multiple third-parties around the content of the special issue and the decision-making process. Following an investigation by the Taylor & Francis Publishing Ethics & Integrity team in full cooperation with the Editor-in-Chief, it was confirmed that this article included in Special Issue titled “ Envisage Computer Modelling and Statistics for Agriculture”, guest edited by Gunasekaran Manogaran was not peer-reviewed appropriately, in line with the Journal's peer review standards and policy. As the stringency of the peer review process is core to the integrity of the publication process, the Editor and Publisher have decided to retract all of the articles within the above-named Special Issue. The journal has not confirmed if the authors were aware of this compromised peer review process. The journal is committed to correcting the scientific record and will fully cooperate with any institutional investigations into this matter. The authors have been informed of this decision. We have been informed in our decision-making by our policy on publishing ethics and integrity and the COPE guidelines.

Less is not more: 401(k) plan information and retirement planning choices

AbstractThis paper presents the results of a choice experiment that is designed to examine whether changing how plan information is presented affects planned retirement-savings behavior. The main hypothesis is that providing plan information in a more concise format with helpful recommendations, rather than providing lengthy and detailed information, will alter retirement-planning choices. The specific choices examined include: whether to enroll, how much to contribute, and how to structure (broadly) the asset allocation. The choice experiment is conducted on three different samples: (i) a Qualtrics panel of new employees, (ii) a Qualtrics panel of job seekers, and (iii) a sample of business-school students. Our results suggest that, controlling for demographic and other factors, our main hypothesis was not supported by the data in any of the samples. Thus, the data cast some doubt on the notion that simplifying and condensing the retirement-plan information presented to employees will result in vastly different retirement-planning choices.

Land-Use Mix and Urban Sustainability: Benefits and Indicators Analysis

Sustainable development is one of the biggest challenges for the future of our cities. With this in mind, eco-districts are essentially designed to respond to four challenges that place emphasis mainly on complexity and resilience by acting on aspects such as urban green spaces, mobility, energy, water management and waste management. In this study, the focus is on the concept of mixitè, from both a functional and social perspective, which is seen as a tool to increase the sustainability of urban settlements and bring benefits to the social, environmental and economic system. Despite the growing interest of research into the impacts of an urban land-use mix, there have been few methodological analyses on how to measure the functional mix in an urban environment. Therefore, the goal of this study is to define one or more indicators that are able to represent the diversity of the soil through their application to different areas. It is therefore possible to define a tool that helps to design, evaluate and support decision makers in urban planning choices. Indeed, it is important to understand how the soil mix, and subsequently the social mix, affects sustainability and how planners can take it into account in planning and developing urban policies. In this document: (a) we will highlight the theories and concepts underlying both functional and social mixitè; (b) the benefits it brings both to the city and to the individual; (c) a review of the main methods of measurement of the mixitè; (d) application and a subsequent comparison of the methods identified in case studies represented by three areas related to the establishment of the University of Salerno, in Italy, consisting of its two campuses as well as an adjacent site. The results obtained show that some of the indicators analyzed are more effective at representing the phenomenon of mixitè than others. Therefore, widening research, especially for those concerning the social mixitè, is advisable. Despite this, the results show that proper planning and management of urban devices bring about a series of advantages by increasing the sustainability and urban efficiency of settlements.

Laparoscopic transcystic common bile duct exploration in patients with a nondilated common bile duct.

Laparoscopic transcystic common bile duct exploration (LTCBDE) is the minimally traumatic surgical method for the treatment of choledocholithiasis secondary to cholecystolithiasis with dilated common bile duct (CBD). However, no report exists concerning LTCBDE in patients with nondilated CBD. The purpose of this study was thus to explore the safety, efficacy, and feasibility of LTCBDE in patients with choledocholithiasis secondary to cholecystolithiasis with nondilatation of the CBD. We retrospectively analyzed 47 patients with choledocholithiasis secondary to cholecystolithiasis who were treated with LTCBDE at the Second Affiliated Hospital of Nanchang University from January 2017 to August 2021 (all the patients had undergone endoscopic retrograde cholangio-pancreatography treatment, but this failed due to various reasons). Clinical data on disease characteristics, methods for cystic duct incision and CBD stone extraction, and surgical outcomes were collected and reviewed. Each patient was followed up for more than 3 months. There were 47 patients in this study, including 21 females and 26 males, with their ages ranging from 15 to 82 years (51±15 years). All patients were treated with surgery, and the CBD stones were removed successfully. Among these patients, 45 underwent LTCBDE for the removal of stones in the CBD, with failure occurring in 2 patients who then accepted laparoscopic common bile duct stone removal (LCBDE) + T tube drainage. The diameter of the cystic duct was 0.30-0.73 cm (0.60±0.07 cm), the diameter of the CBD was 0.60-0.80 cm (0.73±0.05 cm), the operation time was 75-220 minutes (159±33 minutes), and the postoperative hospital stay was 2-13 days (6±2 days). None of the patients experience any serious postoperative complications, and all were discharged safely. During the follow-up, no postoperative biliary stenosis, bile leakage, or other complications occurred. LTCBDE is feasible to treat patients with choledocholithiasis secondary to cholecystolithiasis with nondilatation of the CBD. This choice of treatment plan reduces the length of hospital stay and the occurrence of postoperative complications. However, it is recommended that this be attempted on the basis of the experience of LTCBDE with dilated CBD.

Magnetic Resonance Morphometry of Normal Cerebral Aqueduct in South Indian Population

Abstract Introduction Cerebral aqueduct (of Sylvius) connects the third and fourth ventricles of the brain, and the shape of the aqueduct varies. The aim of the study is to assess the morphometry of the cerebral aqueduct in normal south Indian adult population and to look for pattern by shape, if any. Materials and Methods One hundred and fifty normal brain MR images (75 males and 75 females) using 3D heavily T2-weighted sequence were analyzed for various normal parameters of cerebral aqueduct. Mean and standard deviation were calculated. Based on the shape of the aqueduct, an attempt was made to classify them. Unpaired t-test was used to assess any significant difference between age groups and gender. The intraclass coefficient correlation was used to analyze the interobserver variability. Results The mean value of the length of the cranial and caudal part of aqueduct in males were 0.69 cm and 0.86 cm and in females 0.65 cm and 0.80 cm, respectively. The length was more in males, and it was statistically significant (p = 0.006 and 0.02). There are four types of cerebral aqueduct based on shape. Conclusion MRI is considered as the investigation of choice for preoperative planning of brain operative procedures. The MR morphometric evaluation of cerebral aqueduct provides precise knowledge about the anatomy and may be of help in the diagnosis and treatment by endoscopic neurosurgery.

GIANT CELL TUMOUR OF THE TENDON SHEATH OF THE THUMB – A CASE REPORT

Giant cell tumor (GCT) of the tendon sheath is the second most common benign soft tissue tumor of the hand. Magnetic resonance imaging (MRI) is the investigative tool of choice for both diagnosis and treatment planning. The current standard treatment of choice is excision or amputation of the involved part as the recurrence rates are very high. Hence, it is necessary that the surgeon ensures complete removal of the tumor and removal of residual satellite nodules if any. There are many hypotheses proposed regarding the etiology of these lesions, but still the opinions are varied.

Green and blue infrastructure as a tool to support decision-making in the spatial planning process. The case of Lake Trichonida, Greece

Green infrastructure (GI) has gained high interest over the last two decades, as a policy tool to promote sustainable development and enhance the resilience of both the urban and rural environments. GI has the potential to offer multiple benefits through the services and functions performed within ecosystems, and thus its implementation requires an integrated and balanced approach that emphasizes the multifunctional nature of a territory. Multifunctionality along with connectivity and networking appear to be core features accepted by all disciplines using the term. GI incorporates green spaces, or/and blue if aquatic ecosystems are concerned, and other physical features in terrestrial and marine areas. This paper presents the development and application of a methodology to facilitate spatial planning choices, incorporating a green and blue infrastructure (GBI) approach, in a Greek case, the wider area of Lake Trichonida in Western Greece. The conceptual basis of the proposed approach embeds both natural and man-made features that could function as green or blue infrastructure. The methodology and its application facilitated the identification of planning priorities and the pursue of planning objectives, thus supporting the decision-making in the spatial planning process.

Assessment of Perceptions of Mental Health vs Medical Health Plan Networks Among US Adults With Private Insurance

Ten years after the Mental Health Parity and Addiction Equity Act, patients continue to report insurance-related barriers to specialty mental health care. To assess privately insured patients' perceptions of the adequacy of their health plan's provider network (provider network includes physicians, clinicians, other health care professionals, and their institutions that constitute the network), whether practitioners frequently leave plans, and whether practitioner plan participation affected patients' plan choice. A nationally representative, population-based internet survey study of English-speaking US adults participating in KnowledgePanel, an online research panel, was conducted from August to September 2018. Data analysis was performed from November 12, 2020, to May 12, 2021. From a sample of 29 854 panelists aged 18 to 64 years, 19 602 initiated the screener (completion rate of 66%), and 728 met study criteria: adults with private insurance receiving both specialty mental health and medical care in the past year. Health plan's provider network. Self-report of plan inadequacy, whether a practitioner left the plan and the participant's responses (stopped treatment, switched practitioner, or continued treatment), and whether participation of a specific practitioner was considered when a health plan was chosen. Experiences with both mental health and medical provider networks were assessed. Analyses were weighted to match the sample to the US population. Weights provided by KnowledgePanel were also adjusted for panel recruitment, attrition, oversampling, and survey nonresponse. Of a total of 728 study participants, 204 (39%) were aged 18 to 34 years, 504 (61%) were women, 82 (17%) were Hispanic, and 551 (66%) were non-Hispanic White individuals. Serious psychological distress was reported by 262 participants (36%), and 214 participants (29%) also received mental health treatment from a primary care practitioner. Participants rated their mental health provider network as inadequate more frequently than their medical provider network (163 [21%] vs 70 [10%]; odds ratio [OR], 2.69; 95% CI, 1.64-4.40; P < .001). However, among the 193 participants also receiving mental health treatment from a primary care practitioner, there was no significant difference in the ratings of mental health and medical provider networks (44 [14%] vs 18 [9%]; OR, 1.55; 95% CI, 0.65-3.67; P = .32). Sixty participants (8%) reported that a mental health practitioner had left their plan's insurance network in the past 3 years. Of the 523 participants with a choice of plan, 98 (20%) considered whether a specific mental health practitioner was in network before choosing a plan. This study's findings suggest that more participants perceived their mental health networks to be inadequate compared with their medical networks. Increasing the availability of mental health treatment in primary care practices may aid plans in constructing adequate mental health provider networks and improve patient access to mental health care.

Gender Equality and E-Scooters: Mind the Gap! A Statistical Analysis of the Sicily Region, Italy

Mobility since 2000 has undergone enormous changes due to new modes of transport and related technologies as well as catastrophic and pandemic events. Several strategies have been implemented by European states to mitigate impacts and assess possible risks in a preventive way. Today, mobility pursues the objectives of sustainability and resilience through a series of short-, medium- and long-term strategies that encourage the collaboration of the population to the choices of urban planning and design. Among the different modes of transport that have had a rise in recent years are scooters. Such modes are well suited to connecting spaces within the first and last mile. Similar to other modes of transportation, scooters are also characterized to date by reduced gender equity. The present work investigates through the administration of an online survey the participants’ perceptions concerning the factors that most affect this gender balance considering the metropolitan areas of Catania and Palermo in Sicily. The development of an ordinal regression model revealed the most influential factors of the gender equality variable. Specifically, age, job occupation and perceived safety level of micromobility modes play the most important role. The present findings can be effectively utilized in the planning stage of e-scooter services towards the bridging of the gender gap.

Willingness to Travel for Cellular Therapy: The Influence of Follow-Up Care Location, Oncologist Continuity, and Race.

Patients weigh competing priorities when deciding whether to travel to a cellular therapy center for treatment. We conducted a choice-based conjoint analysis to determine the relative value they place on clinical factors, oncologist continuity, and travel time under different post-treatment follow-up arrangements. We also evaluated for differences in preferences by sociodemographic factors. We administered a survey in which patients with diffuse large B-cell lymphoma selected treatment plans between pairs of hypothetical options that varied in travel time, follow-up arrangement, oncologist continuity, 2-year overall survival, and intensive care unit admission rate. We determined importance weights (which represent attributes' value to participants) using generalized estimating equations. Three hundred and two patients (62%) responded. When all follow-up care was at the center providing treatment, plans requiring longer travel times were less attractive (v 30 minutes, importance weights [95% CI] of -0.54 [-0.80 to -0.27], -0.57 [-0.84 to -0.29], and -0.17 [-0.49 to 0.14] for 60, 90, and 120 minutes). However, the negative impact of travel on treatment plan choice was mitigated by offering shared follow-up (importance weights [95% CI] of 0.63 [0.33 to 0.93], 0.32 [0.08 to 0.57], and 0.26 [0.04 to 0.47] at 60, 90, and 120 minutes). Black participants were less likely to choose plans requiring longer travel, regardless of follow-up arrangement, as indicated by lower value importance weights for longer travel times. Reducing travel burden through shared follow-up may increase patients' willingness to travel to receive cellular therapies, but additional measures are required to facilitate equitable access.

Planning: A Glue for Development Coalitions? State Actors' Agency and Power Relationships in Urban Development Projects in Milan and Brussels

In this paper, I combine urban regime analysis and financialisation scholarships to uncover the role of planning and question the role of state actors in urban development processes. Through an analysis of CityLife in Milan and Tour and Taxis in Brussels, I argue that state actors have a strong agency in decision making as they own a critical resource: planning. My investigation reveals that, in projects characterised by uncertainty and internal conflicts, planning functions as a glue of development coalitions. Local governments mobilise it to bring together private and public interests, in order to achieve their agendas. Nevertheless, this glue function plays out differently in Milan and Brussels. While in Milan local administrations used planning to facilitate the anchoring of capital, in Brussels local governments enacted planning to shift the balance of power between them. This outcome reveals contextual differences that ultimately depend on local governance settings and planning systems. The comparison depicts the making of two different development regimes. CityLife indicates a financialised turn in governance, in which planning choices are driven mainly by economic – and financial – imperatives. Tour and Taxis symbolises an experimental entrepreneurial urban regime, a sort of laboratory to test new governance and planning frameworks.

Framing and insurance choices

AbstractThe presentation of objective information should not affect a rational decision‐maker; however, in practice, it often does. This paper studies the effect of the framing of contingencies on insurance choices. In several experiments, we presented participants with differently framed insurance tasks, where they had to choose deductibles against two different types of losses. The treatment group received a broad description of the risky situation and was asked to decide on the deductibles jointly, whereas the control group received a narrow description of the same task and was asked to decide on the deductibles separately. We discovered that the distribution of the insurance premium paid was identical in all groups, but the actual choices of the insurance plans were significantly diverse: On average, the treatment group preferred more similar deductibles than did the control group. These results indicate the importance of framing in insurance decision‐making.

Inattention and Switching Costs as Sources of Inertia in Medicare Part D

Consumers’ health plan choices are highly persistent even though optimal plans change over time. This paper separates two sources of inertia, inattention to plan choice and switching costs. We develop a panel data model with separate attention and choice stages, linked by heterogeneity in acuity, i.e., the ability and willingness to make diligent choices. Using data from Medicare Part D, we find that inattention is an important source of inertia but switching costs also play a role, particularly for low-acuity individuals. Separating the two stages and allowing for heterogeneity is crucial for counterfactual simulations of interventions that reduce inertia. (JEL D12, G22, H51, I13, I18, L65)

Modern vision in the use of liquid cargo operation simulators

The cargo operation planning, the process of implementation is one of the most difficult tasks carried out on liquid cargo vessels. The chief officer’s task is to process a huge amount of information, accurately enter data into a special computer, consistently calculate the stages of the work, and finally the most important is to complete the task in the shortest period of time. In the implementation, less attention is paid to the economic use of cargo mechanisms, their wear, and fuel costs. Despite the recommendations and strategies for the effective management of cargo operations, modern artificial intelligence has not yet fully replaced the mankind. We offer a modern and effective way to solve problems, such as maritime universities and maritime training center simulator classes’ students will search the most effective ways of cargo operation. The collaboration among vessel, university and terminal would be distance in the internet cloud, which provides: the ships’ crew work schedule reduction, a wide choice of cargo operations plans, selection of the optimal option, energy-saving, only target use of mechanisms, which finally lead to less wear and tear, fuel economy and, consequently reduction of CO2 pollution in the atmosphere. It will also reduce cargo operation time, thus reducing port and terminal fees. More over this principle of operation will increase the number of qualified personnel in the future and will be used in the future for remote control liquid cargo operations on unmanned vessels of future.

Informed Decision-making for Health Insurance Enrollment: Survey Study.

BackgroundHealth insurance enrollment is a difficult financial decision with large health impacts. Challenges such as low health insurance literacy and lack of knowledge about choosing a plan further complicate this decision-making process. Therefore, to support consumers in their choice of a health insurance plan, it is essential to understand how individuals go about making this decision.ObjectiveThis study aims to understand the sources of information used by individuals to support their employer-provided health insurance enrollment decisions. It seeks to describe how individual descriptive factors lead to choosing a particular type of information source.MethodsAn introduction was presented on health insurance plan selection and the sources of information used to support these decisions from the 1980s to the present. Subsequently, an electronic survey of 151 full-time faculty and staff members was conducted. The survey consisted of four sections: demographics, sources of information, health insurance literacy, and technology acceptance. Descriptive statistics were used to show the demographic characteristics of the 126 eligible respondents and to study the response behaviors in the remaining survey sections. Proportion data analysis was performed using the Cochran-Armitage trend test to understand the strength of the association between our variables and the types of sources used by the respondents.ResultsIn terms of demographics, most of the respondents were women (103/126, 81.7%), represented a small household (1-2 persons; 87/126, 69%), and used their insurance 3-12 times a year (52/126, 41.3%). They assessed themselves as having moderate to high health insurance literacy and high acceptance of technology. The most selected and top-ranked sources were Official employer or state websites and Official Human Resources Virtual Benefits Counselor Alex. From our data analysis, we found that the use of official primary sources was constant across age groups and health insurance use groups. Meanwhile, the use of friends or family as a primary source slightly decreased as age and use increased.ConclusionsIn this exploratory study, we identified the main sources of health insurance information among full-time employees from a large state university and found that most of the respondents needed 2-3 sources to gather all the information that they desired. We also studied and identified the relationships between individual factors (such as age, gender, and literacy) and 2 dependent variables on the types of primary sources of information. We encountered several limitations, which will be addressed in future studies.

Significant of Gradient Boosting Algorithm in Data Management System

Gradient boosting machines, the learning process successively fits fresh prototypes to offer a more precise approximation of the response parameter. The principle notion associated with this algorithm is that a fresh base-learner construct to be extremely correlated with the “negative gradient of the loss function” related to the entire ensemble. The loss function's usefulness can be random, nonetheless, for a clearer understanding of this subject, if the “error function is the model squared-error loss”, then the learning process would end up in sequential error-fitting. This study is aimed at delineating the significance of the gradient boosting algorithm in data management systems. The article will dwell much the significance of gradient boosting algorithm in text classification as well as the limitations of this model. The basic methodology as well as the basic-learning algorithm of the gradient boosting algorithms originally formulated by Friedman, is presented in this study. This may serve as an introduction to gradient boosting algorithms. This article has displayed the approach of gradient boosting algorithms. Both the hypothetical system and the plan choices were depicted and outlined. We have examined all the basic stages of planning a specific demonstration for one’s experimental needs. Elucidation issues have been tended to and displayed as a basic portion of the investigation. The capabilities of the gradient boosting algorithms were examined on a set of real-world down-to-earth applications such as text classification.