Machine Learning-based Prediction Model Research Articles

Conventional machine learning-based prediction models did not outperform the International IgA Nephropathy Prediction Tool

Conventional machine learning-based prediction models did not outperform the International IgA Nephropathy Prediction Tool

Predicting superagers: a machine learning approach utilizing gut microbiome features

ObjectiveCognitive decline is often considered an inevitable aspect of aging; however, recent research has identified a subset of older adults known as “superagers” who maintain cognitive abilities comparable to those of younger individuals. Investigating the neurobiological characteristics associated with superior cognitive function in superagers is essential for understanding “successful aging.” Evidence suggests that the gut microbiome plays a key role in brain function, forming a bidirectional communication network known as the microbiome-gut-brain axis. Alterations in the gut microbiome have been linked to cognitive aging markers such as oxidative stress and inflammation. This study aims to investigate the unique patterns of the gut microbiome in superagers and to develop machine learning-based predictive models to differentiate superagers from typical agers.MethodsWe recruited 161 cognitively unimpaired, community-dwelling volunteers aged 60 years or from dementia prevention centers in Seoul, South Korea. After applying inclusion and exclusion criteria, 115 participants were included in the study. Following the removal of microbiome data outliers, 102 participants, comprising 57 superagers and 45 typical agers, were finally analyzed. Superagers were defined based on memory performance at or above average normative values of middle-aged adults. Gut microbiome data were collected from stool samples, and microbial DNA was extracted and sequenced. Relative abundances of bacterial genera were used as features for model development. We employed the LightGBM algorithm to build predictive models and utilized SHAP analysis for feature importance and interpretability.ResultsThe predictive model achieved an AUC of 0.832 and accuracy of 0.764 in the training dataset, and an AUC of 0.861 and accuracy of 0.762 in the test dataset. Significant microbiome features for distinguishing superagers included Alistipes, PAC001137_g, PAC001138_g, Leuconostoc, and PAC001115_g. SHAP analysis revealed that higher abundances of certain genera, such as PAC001138_g and PAC001115_g, positively influenced the likelihood of being classified as superagers.ConclusionOur findings demonstrate the machine learning-based predictive models using gut-microbiome features can differentiate superagers from typical agers with a reasonable performance.

Integrating StEP-COMPAC Definition and Enhanced Recovery after Surgery Status in a Machine-learning-based Model for Postoperative Pulmonary Complications in Laparoscopic Hepatectomy

BackgroundPostoperative pulmonary complications (PPCs) contribute to high mortality rates and impose significant financial burdens. In this study, a machine learning-based prediction model was developed to identify patients at high risk of developing PPCs following laparoscopic hepatectomy. MethodsData were collected from 1022 adult patients who underwent laparoscopic hepatectomy at two centres between January 2015 and February 2022. The dataset was divided into a development set and a temporal external validation set based on the year of surgery. A total of 42 factors were extracted for pre-modelling, including the implementation status of Enhanced Recovery after Surgery (ERAS). Feature selection was performed using the least absolute shrinkage and selection operator (LASSO) method. Model performance was assessed using the area under the receiver operating characteristic curve (AUC). The model with the best performance was externally validated using temporal data. ResultsThe incidence of PPCs was 8.7%. Lambda.1se was selected as the optimal lambda for LASSO feature selection. For implementation of ERAS, serum gamma-glutamyl transferase levels, malignant tumour presence, total bilirubin levels, and age-adjusted Charleston Comorbidities Index were the selected factors. Seven models were developed. Among them, logistic regression demonstrated the best performance, with an AUC of 0.745 in the internal validation set and 0.680 in the temporal external validation set. ConclusionsBased on the most recent definition, a machine learning model was employed to predict the risk of PPCs following laparoscopic hepatectomy. Logistic regression was identified as the best-performing model. ERAS implementation was associated with a reduction in the number of PPCs.

Construction of a machine learning-based prediction model for unfavourable discharge outcomes in patients with ischemic stroke

BackgroundIschemic stroke is a common and serious disease with economic and healthcare burdens. Predicting the unfavorable discharge outcome of patients is essential for formulating appropriate treatment strategies and providing personalised care. Therefore, this study aims to establish and validate a prediction model based on machine learning methods to accurately predict the discharge outcome of ischemic stroke patients, providing valuable information for clinical decision making. MethodsThe derivation data consisted of 964 patients from Guangdong Provincial People’s Hospital and was used for training and internal validation. A favourable discharge outcome was defined as a National Institutes of Health Stroke Scale score of ≤1 or a decrease of ≥8 points compared to the admission score. A predictive model was created based on 88 medical characteristics gathered during the patient's initial admission, using nine machine learning algorithms. The model's predictive performance was compared using various evaluation metrics. The final model's feature importance was ranked and explained using the Shapley additive explanation method. FindingsThe random forest model demonstrated the greatest discriminative ability among the nine machine learning models. We created an interpretable random forest model by ranking and reducing the features based on their importance, which included eight features. In internal validations, the final model accurately predicted the discharge outcomes of ischemic stroke with AUC values of 0.903 and has been translated into a convenient tool to facilitate its utility in clinical settings. ConclusionsOur explainable ML model was not only successfully developed to accurately predict discharge outcomes in patients with ischemic stroke and it mitigated the concern of the “black-box” issue with an undirect interpretation of the ML technique.

Development and validation of machine learning-based prediction model for severe pneumonia: a multicenter cohort study

Severe pneumonia (SP) is a prevalent respiratory ailment characterized by high mortality and poor prognosis. Current scoring systems for pneumonia are not only time-consuming but also exhibit limitations in early SP prediction. To address this gap, this study aimed to develop a machine-learning model using inflammatory markers from peripheral blood for early prediction of SP. A total of 204 pneumonia patients from seven medical centers were studied, with 143 (68 SP cases) in the training cohort and 61 (32 SP cases) in the test cohort. Clinical characteristics and laboratory test results were collected at diagnosis. Various models including Logistic Regression, Random Forest, Naïve Bayes, XGBoost, Support Vector Machine, and Decision Tree were built and evaluated. Seven predictors—age, sex, WBC count, T-lymphocyte count, NLR, CRP, TNF-α, IL-4/IFN-γ ratio, IL-6/IL-10 ratio—were selected through LASSO regression and clinical insight. The XGBoost model, exhibiting best performance, achieved an AUC of 0.901 (95% CI: 0.827 to 0.985) in the test cohort, with an accuracy of 0.803, sensitivity of 0.844, specificity of 0.759, and F1_score of 0.818. Indeed, SHAP analysis emphasized the significance of elevated WBC counts, older age, and elevated CRP as the top predictors. The use of inflammatory biomarkers in this concise predictive model shows significant potential for the rapid assessment of SP risk, thereby facilitating timely preventive interventions.

Machine Learning-Based Predictive Model for Mortality in Female Breast Cancer Patients Considering Lifestyle Factors.

To construct a free and accurate breast cancer mortality prediction tool by incorporating lifestyle factors, aiming to assist healthcare professionals in making informed decisions. In this retrospective study, we utilized a ten-year follow-up dataset of female breast cancer patients from a major Chinese hospital and included 1,390 female breast cancer patients with a 7% (96) mortality rate. We employed six machine learning algorithms (ridge regression, k-nearest neighbors, neural network, random forest, support vector machine, and extreme gradient boosting) to construct a mortality prediction model for breast cancer. This model incorporated significant lifestyle factors, such as postsurgery sexual activity, use of totally implantable venous access ports, and prosthetic breast wear, which were identified as independent protective factors. Meanwhile, ten-fold cross-validation demonstrated the superiority of the random forest model (average AUC = 0.918; 1-year AUC = 0.914, 2-year AUC = 0.867, 3-year AUC = 0.883). External validation further supported the model's robustness (average AUC = 0.782; 1-year AUC = 0.809, 2-year AUC = 0.785, 3-year AUC = 0.893). Additionally, a free and user-friendly web tool was developed using the Shiny framework to facilitate easy access to the model. Our breast cancer mortality prediction model is free and accurate, providing healthcare professionals with valuable information to support their clinical decisions and potentially promoting healthier lifestyles for breast cancer patients.

The impact of machine learning-based prediction model on annual surveillance endoscopy costs for detecting gastric cancer

Background and AimsIn this study, we assessed our machine learning (ML)-based model's impact on reducing annual surveillance endoscopy costs for detecting gastric cancer (GC). MethodsAnalyzing 1099 patients with chronic gastritis undergoing annual esophagogastroduodenoscopy (EGD), we randomly divided them into training and test sets (4:1). Using gradient boosting decision trees and incorporating patient characteristics, the ML model was developed. In the test sets, we compared the EGD number needed to screen (NNS) one GC, the cost, and the GC detection rate across different risk stratification strategies. ResultsThe ML-selected high-risk cohort demonstrated low NNS values, low total cost, low cost per one GC, and high GC detection rates compared to alternative risk stratification approaches including operative link for gastric atrophy assessment, and operative link for gastric intestinal metaplasia assessment. ConclusionOur ML model holds promise in reducing endoscopy surveillance costs while maintaining a robust gastric cancer detection rate.

A machine learning-based prediction model for architectural heritage: The case of domed Sinan mosques

This study presents a machine learning-based prediction model (PM) customized to predict missing components of historical mosques. Domed mosques built by Architect Sinan during the Classical Ottoman Period (16th century) are selected due to their distinctive features and stylistic similarities. The model development process includes data collection (46 domed Sinan mosques), data preparation and refinement, training, testing, and validation. The Pix2Pix method is used to train and validate the machine learning models, and the Structural Similarity (SSIM) metric is used to objectively evaluate the outcomes. Preliminary results indicate that the success of the PMs is not directly proportional to the number of input components. Instead, factors such as overall mass organization, the curvature of the dome, and the number of balconies on the minaret play crucial roles in determining the success of the outcomes.

Predicting all-cause mortality and premature death using interpretable machine learning among a middle-aged and elderly Chinese population

ObjectiveTo develop machine learning-based prediction models for all-cause and premature mortality among the middle-aged and elderly population in China. MethodAdults aged 45 years or older at baseline of 2011 from the China Health and Retirement Longitudinal Study (CHARLS) were included. The stacked ensemble model was built utilizing five selected machine learning algorithms. These models underwent training and testing using the CHARLS 2011–2015 cohort (derivation cohort) and subsequently underwent external validation using the CHARLS 2015–2018 cohort (validation cohort). SHapley Additive exPlanations (SHAP) was introduced to quantify the importance of risk factors and explain machine learning algorithms. ResultIn derivation cohort, a total of 10,677 subjects were included, 478 died during the follow-up. The stacked ensemble model demonstrated the highest efficacy in terms of its discrimination capability for predicting all-cause mortality and premature death, with an AUC[95 % CI] of 0.826[0.792–0.859] and 0.773[0.725–0.821], respectively. In validation cohort, the corresponding AUC[95 % CI] were 0.803[0.743–0.864] and 0.791[0.719–0.863], respectively. Risk factors including age, sex, self-reported health, activities of daily living, cognitive function, ever smoker, levels of systolic blood pressure, Cystatin C and low density lipoprotein were strong predictors for both all-cause mortality and premature death. ConclusionStacked ensemble models performed well in predicting all-cause and premature death in this Chinese cohort. Interpretable techniques can aid in identifying significant risk factors and non-linear relationships between predictors and mortality.

Machine learning-based predictive model for the development of thrombolysis resistance in patients with acute ischemic stroke

BackgroundThe objective of this study was to establish a predictive model utilizing machine learning techniques to anticipate the likelihood of thrombolysis resistance (TR) in acute ischaemic stroke (AIS) patients undergoing recombinant tissue plasminogen activator (rt-PA) intravenous thrombolysis, given that nearly half of such patients exhibit poor clinical outcomes.MethodsRetrospective clinical data were collected from AIS patients who underwent intravenous thrombolysis with rt-PA at the First Affiliated Hospital of Bengbu Medical University. Thrombolysis resistance was defined as ([National Institutes of Health Stroke Scale (NIHSS) at admission − 24-hour NIHSS] × 100％/ NIHSS at admission) ≤ 30%. In this study, we developed five machine learning models: logistic regression (LR), extreme gradient boosting (XGBoost), support vector machine (SVM), the least absolute shrinkage and selection operator (LASSO), and random forest (RF). We assessed the model’s performance by using receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis (DCA), and presented the results through a nomogram.ResultsThis study included a total of 218 patients with AIS who were treated with intravenous thrombolysis, 88 patients experienced TR. Among the five machine learning models, the LASSO model performed the best. The area under the curve (AUC) on the testing group was 0.765 (sensitivity: 0.767, specificity: 0.694, accuracy: 0.727). The apparent curve in the calibration curve was similar to the ideal curve, and DCA showed a positive net benefit. Key features associated with TR included NIHSS at admission, blood glucose, white blood cell count, neutrophil count, and blood urea nitrogen.ConclusionMachine learning methods with multiple clinical variables can help in early screening of patients at high risk of thrombolysis resistance, particularly in contexts where healthcare resources are limited.

A machine learning-based prediction model for delayed clinically important postoperative nausea and vomiting in high-risk patients undergoing laparoscopic gastrointestinal surgery

BackgroundDelayed clinically important postoperative nausea and vomiting (CIPONV) could lead to significant consequences following surgery. We aimed to develop a prediction model for it using machine learning algorithms utilizing perioperative data from patients undergoing laparoscopic gastrointestinal surgery. MethodsAll 1154 patients in the FDP-PONV trial were enrolled. The optimal features for model development were selected by least absolute shrinkage and selection operator and stepwise regression from 81 perioperative variables. The machine learning algorithm with the best area under the receiver operating characteristic curve (ROCAUC) was determined and assessed. The interpretation of the prediction model was performed by the SHapley Additive Explanations library. ResultsSix important predictors were identified. The random forest model showed the best performance in predicting delayed CIPONV, achieving an ROCAUC of 0.737 in the validation cohort. ConclusionThis study developed an interpretable model predicting personalized risk for delayed CIPONV, aiding high-risk patient identification and prevention strategies.

Machine Learning-Based Prediction Models for Punching Shear Strength of Fiber-Reinforced Polymer Reinforced Concrete Slabs Using a Gradient-Boosted Regression Tree.

Fiber-reinforced polymers (FRPs) are increasingly being used as a composite material in concrete slabs due to their high strength-to-weight ratio and resistance to corrosion. However, FRP-reinforced concrete slabs, similar to traditional systems, are susceptible to punching shear failure, a critical design concern. Existing empirical models and design provisions for predicting the punching shear strength of FRP-reinforced concrete slabs often exhibit significant bias and dispersion. These errors highlight the need for more reliable predictive models. This study aims to develop gradient-boosted regression tree (GBRT) models to accurately predict the shear strength of FRP-reinforced concrete panels and to address the limitations of existing empirical models. A comprehensive database of 238 sets of experimental results for FRP-reinforced concrete slabs has been compiled from the literature. Different machine learning algorithms were considered, and the performance of GBRT models was evaluated against these algorithms. The dataset was divided into training and testing sets to verify the accuracy of the model. The results indicated that the GBRT model achieved the highest prediction accuracy, with root mean square error (RMSE) of 64.85, mean absolute error (MAE) of 42.89, and coefficient of determination (R2) of 0.955. Comparative analysis with existing experimental models showed that the GBRT model outperformed these traditional approaches. The SHapley Additive exPlanation (SHAP) method was used to interpret the GBRT model, providing insight into the contribution of each input variable to the prediction of punching shear strength. The analysis emphasized the importance of variables such as slab thickness, FRP reinforcement ratio, and critical section perimeter. This study demonstrates the effectiveness of the GBRT model in predicting the punching shear strength of FRP-reinforced concrete slabs with high accuracy. SHAP analysis elucidates key factors that influence model predictions and provides valuable insights for future research and design improvements.

Construction and verification of a machine learning-based prediction model of deep vein thrombosis formation after spinal surgery

BackgroundDeep vein thromboembolism (DVT) is a common postoperative complication with high morbidity and mortality rates. However, the safety and effectiveness of using prophylactic anticoagulants for preventing DVT after spinal surgery remain controversial. Hence, it is crucial to predict whether DVT occurs in advance following spinal surgery. The present study aimed to establish a machine learning (ML)-based prediction model of DVT formation following spinal surgery. MethodsWe reviewed the medical records of patients who underwent elective spinal surgery at the Third Affiliated Hospital of Zunyi Medical University (TAHZMU) from January 2020 to December 2022. We ultimately selected the clinical data of 500 patients who met the criteria for elective spinal surgery. The Boruta-SHAP algorithm was used for feature selection, and the SMOTE algorithm was used for data balance. The related risk factors for DVT after spinal surgery were screened and analyzed. Five ML algorithm models were established. The data of 150 patients treated at the Affiliated Hospital of Zunyi Medical University (AHZMU) from July 2023 to October 2023 were used for external verification of the model. The area under the curve (AUC), geometric mean (G-mean), sensitivity, accuracy, specificity, and F1 score were used to evaluate the performance of the models. ResultsThe results revealed that activated partial thromboplastin time (APTT), age, body mass index (BMI), preoperative serum creatinine (Crea), anesthesia time, rocuronium dose, and propofol dose were the seven important characteristic variables for predicting DVT after spinal surgery. Among the five ML models established in this study, the random forest classifier (RF) showed superior performance to the other models in the internal validation set. ConclusionSeven preoperative and intraoperative variables were included in our study to develop an ML-based predictive model for DVT formation following spinal surgery, and this model can be used to assist in clinical evaluation and decision-making.

Predicting compressive strength of hollow concrete prisms using machine learning techniques and explainable artificial intelligence (XAI)

The design of masonry structures requires accurate estimation of compressive strength (CS) of hollow concrete masonry prisms. Generally, the CS of masonry prisms is determined by destructive laboratory testing which results in time and resource wastage. Thus, this study aims to provide machine learning-based predictive models for CS of hollow concrete masonry blocks using different algorithms including Multi Expression Programming (MEP), Random Forest Regression (RFR), and Extreme Gradient Boosting (XGB) etc. A dataset of 159 experimental results was collected from published literature for this purpose. The collected dataset consisted of four input parameters including strength of masonry units (fb), height-to-thickness ratio (h/t), strength of mortar (fm), and ratio of fm/fb and only one output parameter i.e., CS. Out of all the algorithms employed in current study, only MEP and GEP expressed their output in the form of an empirical equation. The accuracy of developed models was assessed using root mean squared error (RMSE), objective function (OF), and R2 etc. Among all algorithms assessed, XGB turned out to be the most accurate having R2 = 0.99 and least OF value of 0.0063 followed by AdaBoost, RFR, and other algorithms. The developed XGB model was also used to conduct different explainable artificial intelligence (XAI) analysis including sensitivity and shapley analysis and the results showed that strength of masonry unit (fb) is the most significant variable in predicting CS. Thus, the ML-based predictive models presented in this study can be utilized practically for determining CS of hollow concrete masonry prisms without requiring expensive and time-consuming laboratory testing.

Machine learning-based prediction model for the yield of nitrogen-enriched biomass pyrolysis products: Performance evaluation and interpretability analysis

The process optimization and control of nitrogen-rich biomass pyrolysis technology is crucial. This technology effectively converts agricultural waste into high-value energy products. The aim of this study is to develop an accurate model for predicting the yield of nitrogen-rich biomass pyrolysis products using machine learning techniques. The goal is to improve both the yield and quality of the products. This study uses machine learning techniques to develop an accurate model for predicting the yield of three-phase products from nitrogen-rich biomass pyrolysis. The goal is to optimize the biomass energy conversion process. The study builds a dataset containing 468 samples. This dataset comprehensively characterizes the chemical, elemental, and industrial properties of biomass, as well as the pyrolysis operating parameters. Models with high prediction accuracy are achieved by comparing various machine learning algorithms. These algorithms include Random Forest, GBDT, SVR, and ANN. Fine feature selection and hyper-parameter tuning are used to enhance the performance. In particular, the optimized GBDT model achieves a performance of MSE of 10.04 and R² of 0.92 in cross-validation. SHAP value analysis is used to further interpret the prediction results of the model. Sensitivity analysis, conducted through Monte Carlo simulation, identifies key features that have a high impact on the target value. Additionally, two-feature partial correlation analysis reveals the importance and dependence of the model features. This provides crucial technical support and a scientific basis for the industrial application of biomass energy and the optimization of the pyrolysis process.

Leveraging Greenhouse Gas Emissions Traceability in the Groundnut Supply Chain: Blockchain-Enabled Off-Chain Machine Learning as a Driver of Sustainability

AbstractAs emphasized in multiple United Nations (UN) reports, sustainable agriculture, a key goal in the UN Sustainable Development Goals (SDGs), calls for dedicated efforts and innovative solutions. In this study, greenhouse gas (GHG) emissions in the groundnut supply chain from the region of Diourbel & Niakhar, Senegal, to the port of Dakar are investigated. The groundnut supply chain is divided into three steps: cultivation, harvesting, and processing/shipping. This work adheres to UN guidelines, addressing the imperative for sustainable agriculture by applying machine learning-based predictive modeling (MLPMs) utilizing the FAOSTAT and EDGAR databases. Additionally, it provides a novel approach using blockchain-enabled off-chain machine learning through smart contracts built on Hyperledger Fabric to secure GHG emissions storage and machine learning’s predictive analytics from fraud and enhance transparency and data security. This study also develops a decision-making dashboard to provide actionable insights for GHG emissions reduction strategies across the groundnut supply chain.

Machine learning-based prediction model of lower extremity deep vein thrombosis after stroke.

This study aimed to apply machine learning (ML) techniques to develop and validate a risk prediction model for post-stroke lower extremity deep vein thrombosis (DVT) based on patients' limb function, activities of daily living (ADL), clinical laboratory indicators, and DVT preventive measures. We retrospectively analyzed 620 stroke patients. Eight ML models-logistic regression (LR), support vector machine (SVM), random forest (RF), decision tree (DT), neural network (NN), extreme gradient boosting (XGBoost), Bayesian (NB), and K-nearest neighbor (KNN)-were used to build the model. These models were extensively evaluated using ROC curves, AUC, PR curves, PRAUC, accuracy, sensitivity, specificity, and clinical decision curves (DCA). Shapley's additive explanation (SHAP) was used to determine feature importance. Finally, based on the optimal ML algorithm, different functional feature set models were compared with the Padua scale to select the best feature set model. Our results indicated that the RF algorithm demonstrated superior performance in various evaluation metrics, including AUC (0.74/0.73), PRAUC (0.58/0.58), accuracy (0.75/0.77), and sensitivity (0.78/0.80) in both the training set and test set. DCA analysis revealed that the RF model had the highest clinical net benefit. SHAP analysis showed that D-dimer had the most significant influence on DVT, followed by age, Brunnstrom stage (lower limb), prothrombin time (PT), and mobility ability. The RF algorithm can predict post-stroke DVT to guide clinical practice.

Integrative prediction model for radiation pneumonitis incorporating genetic and clinical-pathological factors using machine learning

PurposeWe aimed to develop a machine learning-based prediction model for severe radiation pneumonitis (RP) by integrating relevant clinicopathological and genetic factors, considering the associations of clinical, dosimetric parameters, and single nucleotide polymorphisms (SNPs) of genes in the TGF-β1 pathway with RP. MethodsWe prospectively enrolled 59 primary lung cancer patients undergoing radiotherapy and analyzed pretreatment blood samples, clinicopathological/dosimetric variables, and 11 functional SNPs in TGFβ pathway genes. Using the Synthetic Minority Over-sampling Technique (SMOTE) and nested cross-validation, we developed a machine learning-based prediction model for severe RP (grade ≥ 2). Feature selection was conducted using four methods (filtered-based, wrapper-based, embedded, and logistic regression), and performance was evaluated using three machine learning models. ResultsSevere RP occurred in 20.3 % of patients with a median follow-up of 39.7 months. In our final model, age (>66 years), smoking history, PTV volume (>300 cc), and AG/GG genotype in BMP2 rs1979855 were identified as the most significant predictors. Additionally, incorporating genomic variables for prediction alongside clinicopathological variables significantly improved the AUC compared to using clinicopathological variables alone (0.822 vs. 0.741, p = 0.029). The same feature set was selected using both the wrapper-based method and logistic model, demonstrating the best performance across all machine learning models (AUC: XGBoost 0.815, RF 0.805, SVM 0.712, respectively). ConclusionWe successfully developed a machine learning-based prediction model for RP, demonstrating age, smoking history, PTV volume, and BMP2 rs1979855 genotype as significant predictors. Notably, incorporating SNP data significantly enhanced predictive performance compared to clinicopathological factors alone.

Designing an Experimental Platform to Assess Ergonomic Factors and Distraction Index in Law Enforcement Vehicles during Mission-Based Routes.

Mission-based routes for various occupations play a crucial role in occupational driver safety, with accident causes varying according to specific mission requirements. This study focuses on the development of a system to address driver distraction among law enforcement officers by optimizing the Driver-Vehicle Interface (DVI). Poorly designed DVIs in law enforcement vehicles, often fitted with aftermarket police equipment, can lead to perceptual-motor problems such as obstructed vision, difficulty reaching controls, and operational errors, resulting in driver distraction. To mitigate these issues, we developed a driving simulation platform specifically for law enforcement vehicles. The development process involved the selection and placement of sensors to monitor driver behavior and interaction with equipment. Key criteria for sensor selection included accuracy, reliability, and the ability to integrate seamlessly with existing vehicle systems. Sensor positions were strategically located based on previous ergonomic studies and digital human modeling to ensure comprehensive monitoring without obstructing the driver's field of view or access to controls. Our system incorporates sensors positioned on the dashboard, steering wheel, and critical control interfaces, providing real-time data on driver interactions with the vehicle equipment. A supervised machine learning-based prediction model was devised to evaluate the driver's level of distraction. The configured placement and integration of sensors should be further studied to ensure the updated DVI reduces driver distraction and supports safer mission-based driving operations.

Machine Learning-Based Prediction Models of Mortality for Intensive Care Unit Patients Using Nursing Records.

This study aimed to develop ICU mortality prediction models using a conceptual framework, focusing on nurses' concerns reflected in nursing records from the MIMIC IV database. We included 46,693 first-time ICU admissions of adults over 18 years with a minimum 24-hour stay, excluding those receiving hospice or palliative care. Predictors included demographics, clinical characteristics, and nursing documentation frequencies related to nurses' concerns. Four models were trained with 10-fold cross-validation after adjusting class imbalance. The random forest (RF) model was identified as the best-performing, with key predictors of mortality in this model being the frequency of vital signs, the frequency of nursing note documentation, and the frequency of monitoring-related nursing notes. This suggests that predictive models using nursing records, which reflect nurses' concerns as represented by the frequency of nursing documentation, may be integrated into clinical decision support tools, potentially enhancing patient outcomes in ICUs.