Genetic algorithm

遗传算法
  • 文章类型: Journal Article
    我们提出了一种优化撇油器分配的遗传算法,为受约束的分配引入量身定制的修复操作。方法基本上涉及基于模拟的评估,以确保遵守韩国的规定。结果表明,优化后的分配,与目前的相比,平均减少了工作时间,并导致撇渣器总容量大幅减少。此外,我们提出了一种基于深度神经网络的代理模型,与基于仿真的优化相比,大大提高了效率。解决动员储存撇油器的地点效率低下的问题,进一步优化旨在最大程度地减少动员位置,并通过基于场景的模拟进行了验证,类似于实际情况。根据韩国的重大漏油事件,这一策略大大减少了工作时间和所需的地点。这些发现证明了所提出的遗传算法和动员位置最小化策略在增强溢油响应操作中的有效性。
    We propose a genetic algorithm for optimizing oil skimmer assignments, introducing a tailored repair operation for constrained assignments. Methods essentially involve simulation-based evaluation to ensure adherence to South Korea\'s regulations. Results show that the optimized assignments, compared to current ones, reduced work time on average and led to a significant reduction in total skimmer capacity. Additionally, we present a deep neural network-based surrogate model, greatly enhancing efficiency compared to simulation-based optimization. Addressing inefficiencies in mobilizing locations that store oil skimmers, further optimization aimed to minimize mobilized locations and was validated through scenario-based simulations resembling actual situations. Based on major oil spills in South Korea, this strategy significantly reduced work time and required locations. These findings demonstrate the effectiveness of the proposed genetic algorithm and mobilized location minimization strategy in enhancing oil spill response operations.
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  • 文章类型: Journal Article
    在2019年后冠状病毒病时代,专用室外空气系统(DOAS),为建筑物提供100%的室外空气,被广泛认可,因为它可以通过向占用空间提供新鲜的室外空气来确保可接受的室内空气质量。具有适当设计和操作的DOAS可以提供足够的通风和除湿,同时实现能源效率。尽管如此,在确定DOAS的最优控制序列方面,设计人员和操作员在实践中实施的指导有限。因此,在实践中,在DOAS的设计和控制阶段已经认识到许多问题,包括通风和除湿不足,担心过冷,增加送风干球温度,这可能会导致严重的不适和能源浪费。人们一直在努力开发高性能的DOAS控制,以提高能源效率。然而,这种控制通常很复杂,或者难以解释,供建筑设计师和运营商在实践中考虑。在这方面,本文探讨了一种基于仿真的框架,用于生成DOAS的送风温度控制序列,不仅可以确保提高节能潜力,而且可以保证控制逻辑的实施能力。美国能源部具有动态占用概况的原型小学是用整个建筑模拟程序建模的,EnergyPlus。该模型由DOAS组成,该DOAS带有用于通风的排气能量回收系统和用于空间冷却和加热的风机盘管单元。然后,采用遗传算法来找到真正的最佳送风温度控制序列,以最小化加热的能源成本,通风,和空调系统运行。最后,采用决策树从优化中提取规则,以得出DOAS送风温度的可实施操作顺序。总共12周的模拟,包括四周的加热,冷却,和肩膀的季节,分开,在天气条件下对纽约市进行了案例研究。本案例研究确定了基于优化信息规则提取的控制,与传统的基于室外空气温度的复位控制相比,可以节省约13%的能源成本和25%的能源消耗,冷却,和肩膀的季节。值得注意的是,节能主要是通过减少加热能耗来实现的。重要的是,它几乎对应于真正的最优控制结果,这减少了大约14%的能源成本和27%的能源消耗。从结果来看,可以强调的是,优化信息规则提取可以与最优控制一样有效,同时大大降低了控制的复杂性。
    In the era of post-Coronavirus Disease 2019, the dedicated outdoor air system (DOAS), which provides 100% outdoor air for the building, is widely acknowledged as it can ensure acceptable indoor air quality by delivering fresh outdoor air to occupied space. The DOAS with a proper design and operation can provide sufficient ventilation and dehumidification while achieving energy efficiency. Nonetheless, there is limited guidance in determining the optimal control sequence of the DOAS for the designers and operators to implement in practice. Accordingly, in practice, a number of issues have been acknowledged in the design and control phases of DOAS, including insufficient ventilation and dehumidification, and increasing supply air dry-bulb temperature in fear of over-cooling, which might cause significant discomfort and energy waste. There have been efforts to develop high-performing DOAS controls for better energy efficiency. However, such controls are often complex, or difficult to interpret, for building designers and operators to consider in practice. In this regard, this paper explores a simulation-based framework for generating a supply air temperature control sequence of the DOAS not only to ensure improved energy-saving potential but also to guarantee the implement-ability of the control logic. The U.S Department of Energy prototype primary school with dynamic occupancy profiles was modeled with a whole building simulation program, EnergyPlus. The model consists of a DOAS with an exhaust air energy recovery system for ventilation and fan-coil units for space cooling and heating. Then, a Genetic Algorithm was adopted to find the true optimal supply air temperature control sequence in terms of minimizing the energy cost of the heating, ventilation, and air conditioning system operation. Lastly, Decision Tree was adopted to extract rules out of the optimums to derive an implementable sequence of operation for the DOAS supply air temperature. A total of 12 week-simulation including four weeks of heating, cooling, and shoulder seasons, separately, under the weather condition of New York City was conducted for the case study. This case study identified that the optimization-informed rule extraction-based control, when compared to conventional outdoor air temperature-based reset control, could save about 13% of energy cost and 25% of energy consumption throughout the heating, cooling, and shoulder seasons. It is notable that the energy-saving was mainly achieved by reducing the heating energy consumption. Importantly, it nearly corresponds to the true optimal control result, which reduces approximately 14% of energy cost and 27% of energy consumption. From the results, it can be highlighted that the optimization-informed rule extraction can be as energy effective as the optimal control, while significantly reducing the complexity of the control.
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  • 文章类型: Journal Article
    研究人员最近将重点放在1、2和4-三唑稠合杂环分子的生物学和合成作用上,因为它们具有巨大的药用价值。本研究的目的是使用k-最近邻分子场分析(kNN-MFA)方法对取代的1,2和4三唑衍生物的抗癌潜力进行3DQSAR评估。
    使用分子设计套件,对一系列4-氨基-5-(吡啶基)-4H-1、2和4-三唑-3-硫醇抗癌药物(VlifeMDS)进行了三维定量结构-活性关系(3D-QSAR)分析。这项研究对20种取代的1、2和4-三唑衍生物使用了遗传算法和手动选择方法。基于遗传算法(GA),生成3D-QSAR模型。使用内部和外部验证评估统计显著性和预测能力。
    最显着模型的相关系数为0.9334(平方相关系数r2=0.8713),表明生物活性和描述符有很强的关系。该模型表现出74.45%的内部预测性(q2=0.2129),外部预测率为81.09%(predr2=0.8417),和预测相关系数的最小误差项(predr2se=0.1255)。该模型揭示了空间(S1047--0.0780--0.0451S927)和静电(E1002)数据点,这些数据点显着有助于抗癌活性。分子现场研究表明,取代的三唑衍生物的结构特征与其活性之间存在联系。
    化合物的良好至中等的抗癌潜力证实了1,2,4-三唑衍生物的显着药理作用。这些结果可以导致鉴定具有最佳抗癌活性和最小副作用的潜在化合物。
    UNASSIGNED: Researchers have recently focused on the biological and synthetic effects of 1, 2, and 4-triazole fused heterocyclic molecules because they have tremendous medicinal value. The objective of the present study was to carry out the 3D QSAR evaluation on the substituted 1,2, and 4 triazole derivatives for anticancer potential using k-Nearest Neighbor-Molecular Field Analysis (kNN-MFA) method.
    UNASSIGNED: Using the molecular design suite, a three-dimensional quantitative structure-activity relationship (3D-QSAR) analysis was undertaken on a series of 4-amino-5-(pyridin3yl)-4H-1, 2, and 4-triazole-3-thiol anticancer drugs (Vlife MDS). This study used a genetic algorithm and a manual selection approach on 20 substituted 1, 2, and 4-triazole derivatives. Based on the genetic algorithm (GA), the 3D-QSAR model was generated. Statistical significance and predictive capacity were evaluated using internal and external validation.
    UNASSIGNED: The most significant model has a correlation coefficient of 0.9334 (squared correlation coefficient r2 = 0.8713), showing that biological activity and descriptors have a strong relationship. The model exhibited internal predictivity of 74.45 percent (q2 = 0.2129), external predictivity of 81.09 percent (pred r2 = 0.8417), and the smallest error term for the predictive correlation coefficient (pred r2se = 0.1255). The model revealed steric (S 1047--0.0780--0.0451S 927) and electrostatic (E 1002) data points that contribute remarkably to anticancer activity. A molecular field study demonstrates a link between the structural features of substituted triazole derivatives and their activities.
    UNASSIGNED: The good-to-moderate anticancer potential of compounds confirms the significant pharmacological role of 1,2,4-triazole derivatives. These results could lead to the identification of potential chemical compounds with optimal anticancer activity and minimal side effects.
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  • 文章类型: Journal Article
    背景:低毒性的局部用利多卡因微乳制剂,低刺激,迫切需要强大的透皮能力和方便的给药。方法:对5%利多卡因微乳的三种制备条件进行Box-Behnken设计:表面活性剂/(油相+表面活性剂)质量比(X1),橄榄油/(α-亚麻酸+亚油酸)的质量比(X2)和含水量W%(X3)。然后,采用5种多目标遗传算法对3个评价指标进行优化,以优化利多卡因微乳制剂的效果。最后,通过实验验证了理想的优化方案。结果:采用非支配排序遗传算法-II进行30次随机搜索。其中,方案2:X1=0.75,X2=0.35,X3=75%,结果Y1=0.17μg/(cm2·s)和Y2=0.74mg/cm2;方案19:X1=0.68,X2=1.42,X3=75%,结果Y1=0.14μg/(cm2·s)和Y2=0.80mg/cm2,为目标函数要求提供了最佳匹配。经过3代进化,该方法的最大和平均适应度达到稳定。上述两种方案的实验验证表明,Y1和Y2的实测值与优化得到的预测值无统计学差异(p>0.05),与目标值接近。结论:本研究提出了两种利多卡因微乳制备方案。这些制剂导致良好的透皮性能或麻醉持续时间长,分别。
    Background: Topical lidocaine microemulsion preparations with low toxicity, low irritation, strong transdermal capability and convenient administration are urgently needed. Methods: Box-Behnken design was performed for three preparation conditions of 5% lidocaine microemulsions: mass ratio of the mass ratio of surfactant/(oil phase + surfactant) (X1), the mass ratio of olive oil/(α-linolenic acid + linoleic acid) (X2) and the water content W% (X3). Then, five multi-objective genetic algorithms were used to optimize the three evaluation indices to optimize the effects of lidocaine microemulsion preparations. Finally, the ideal optimization scheme was experimentally verified. Results: Non-dominated Sorting Genetic Algorithm-II was used for 30 random searches. Among these, Scheme 2: X1 = 0.75, X2 = 0.35, X3 = 75%, which resulted in Y1 = 0.17 μg/(cm2·s) and Y2 = 0.74 mg/cm2; and the Scheme 19: X1 = 0.68, X2 = 1.42, X3 = 75% which resulted in Y1 = 0.14 μg/(cm2·s) and Y2 = 0.80 mg/cm2, provided the best matches for the objective function requirements. The maximum and average fitness of the method have reached stability after 3 generations of evolution. Experimental verification of the above two schemes showed that there were no statistically significant differences between the measured values of Y1 and Y2 and the predicted values obtained by optimization (p > 0.05) and are close to the target value. Conclusion: Two lidocaine microemulsion preparation protocols were proposed in this study. These preparations resulted in good transdermal performance or long anesthesia duration, respectively.
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  • 文章类型: Journal Article
    通过优化五个输入参数并提高生物量产量,提高了二倍体粘膜VSPA的废水处理效率。pH值,温度,光强度,废水百分比(污染物浓度),和N/P比进行了优化,并对其效果进行了研究。两种竞争技术,响应面法(RSM)和人工神经网络(ANN),应用于使用根据中央复合设计生成的实验数据构建预测模型。MATLAB和Python都用于构建神经网络模型。与RSM模型相比,ANN模型对实验数据的预测精度较高,误差较小。将生成的模型与遗传算法(GA)混合,以确定导致高生物量生产率的输入参数的优化值。在Python中执行的ANN-GA混合方法给出了误差较小(0.45%)的优化结果,pH值为7.8,温度28.8°C,105.20μmolm-2s-1光强度,93.10废水%(COD)和23.5N/P比。
    The wastewater treatment efficiency of Diplosphaera mucosa VSPA was enhanced by optimising five input parameters and increasing the biomass yield. pH, temperature, light intensity, wastewater percentage (pollutant concentration), and N/P ratio were optimised, and their effects were studied. Two competitive techniques, response surface methodology (RSM) and artificial neural network (ANN), were applied for constructing predictive models using experimental data generated according to central composite design. Both MATLAB and Python were used for constructing ANN models. ANN models predicted the experimental data with high accuracy and less error than RSM models. Generated models were hybridised with a genetic algorithm (GA) to determine the optimised values of input parameters leading to high biomass productivity. ANN-GA hybridisation approach performed in Python presented optimisation results with less error (0.45%), which were 7.8 pH, 28.8 °C temperature, 105.20 μmol m-2 s-1 light intensity, 93.10 wastewater % (COD) and 23.5 N/P ratio.
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  • 文章类型: Journal Article
    本研究使用支持向量回归(SVR)模型研究了多性状基因组预测的非线性内核。我们评估了在纯种肉鸡中测量的两种car体性状(CT1和CT2)的单性状(ST)和多性状(MT)模型提供的预测能力。MT模型还包括关于体内测量的指示性状(生长和饲料效率性状-FE)的信息。我们提出了一种称为(准)多任务SVR(QMTSVR)的方法,通过遗传算法(GA)进行超参数优化。ST和MT贝叶斯收缩和变量选择模型(基因组最佳线性无偏预测因子-GBLUP,贝叶斯C-BC,并采用再现核希尔伯特空间回归-RKHS)作为基准。使用两种验证设计(CV1和CV2)训练MT模型,如果次要特征的信息在测试集中可用,则不同。模型的预测能力用预测精度(ACC;即,预测值和观测值之间的相关性,除以表型准确性的平方根),标准化均方根误差(RMSE*),和通货膨胀因素(B)。为了解释CV2式预测中的潜在偏差,我们还计算了精度的参数估计(ACCPAR)。预测能力指标根据特征而有所不同,模型,和验证设计(CV1或CV2),ACC的范围从0.71到0.84,RMSE*为0.78至0.92,b在0.82和1.34之间。QMTSVR-CV2在两个性状中都达到了最高的ACC和最小的RMSE*。我们观察到,对于CT1,模型/验证设计选择对准确性指标(ACC或ACCPar)的选择很敏感。尽管如此,QMTSVR比MTGBLUP和MTBC更高的预测精度在精度指标上得到了复制,除了所提出的方法与MTRKHS模型的性能相似之外。结果表明,所提出的方法与使用高斯或尖峰实验室多变量先验的常规多特征贝叶斯回归模型具有竞争力。
    This study investigates nonlinear kernels for multitrait (MT) genomic prediction using support vector regression (SVR) models. We assessed the predictive ability delivered by single-trait (ST) and MT models for 2 carcass traits (CT1 and CT2) measured in purebred broiler chickens. The MT models also included information on indicator traits measured in vivo [Growth and feed efficiency trait (FE)]. We proposed an approach termed (quasi) multitask SVR (QMTSVR), with hyperparameter optimization performed via genetic algorithm. ST and MT Bayesian shrinkage and variable selection models [genomic best linear unbiased predictor (GBLUP), BayesC (BC), and reproducing kernel Hilbert space (RKHS) regression] were employed as benchmarks. MT models were trained using 2 validation designs (CV1 and CV2), which differ if the information on secondary traits is available in the testing set. Models\' predictive ability was assessed with prediction accuracy (ACC; i.e. the correlation between predicted and observed values, divided by the square root of phenotype accuracy), standardized root-mean-squared error (RMSE*), and inflation factor (b). To account for potential bias in CV2-style predictions, we also computed a parametric estimate of accuracy (ACCpar). Predictive ability metrics varied according to trait, model, and validation design (CV1 or CV2), ranging from 0.71 to 0.84 for ACC, 0.78 to 0.92 for RMSE*, and between 0.82 and 1.34 for b. The highest ACC and smallest RMSE* were achieved with QMTSVR-CV2 in both traits. We observed that for CT1, model/validation design selection was sensitive to the choice of accuracy metric (ACC or ACCpar). Nonetheless, the higher predictive accuracy of QMTSVR over MTGBLUP and MTBC was replicated across accuracy metrics, besides the similar performance between the proposed method and the MTRKHS model. Results showed that the proposed approach is competitive with conventional MT Bayesian regression models using either Gaussian or spike-slab multivariate priors.
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  • 文章类型: Journal Article
    分析物响应的先验估计对于高效开发液相色谱-电喷雾电离/质谱(LC-ESI/MS)方法至关重要。但由于缺乏对影响实验结果的因素的了解,仍然是一项艰巨的任务。在这项研究中,我们解决了发现信号响应和结构特性之间的相互作用关系的挑战,在具有定量结构-性质关系(QSPR)和实验设计(DoE)的整个方法中,方法参数和溶剂相关描述符。为了系统地研究应进行QSPR预测的实验领域,我们根据Box-BehnkenDoE方案改变了LC和仪器因子。七个化合物,包括阿立哌唑及其杂质,经受了57种不同的实验条件,产生399个LC-ESI/MS数据端点。为了获得测量响应的更标准的分布,峰面积在建模前进行对数变换。使用遗传算法(GA)选择的特征进行QSPR预测,并为梯度增强树(GBT)提供训练数据。提出的模型在测试数据上表现出令人满意的性能,RMSEP为1.57%,a为96.48%。这是LC-ESI/MS中的第一项QSPR研究,该研究提供了整个实验和化学空间中分析物响应行为的整体概述。由于分子内电子效应和分子大小被非常重视,GA-GBT模型提高了对模型化合物的信号响应生成的理解。它还强调需要微调影响去溶剂化和液滴充电效率的参数。
    A priori estimation of analyte response is crucial for the efficient development of liquid chromatography-electrospray ionization/mass spectrometry (LC-ESI/MS) methods, but remains a demanding task given the lack of knowledge about the factors affecting the experimental outcome. In this research, we address the challenge of discovering the interactive relationship between signal response and structural properties, method parameters and solvent-related descriptors throughout an approach featuring quantitative structure-property relationship (QSPR) and design of experiments (DoE). To systematically investigate the experimental domain within which QSPR prediction should be undertaken, we varied LC and instrumental factors according to the Box-Behnken DoE scheme. Seven compounds, including aripiprazole and its impurities, were subjected to 57 different experimental conditions, resulting in 399 LC-ESI/MS data endpoints. To obtain a more standard distribution of the measured response, the peak areas were log-transformed before modeling. QSPR predictions were made using features selected by Genetic Algorithm (GA) and providing Gradient Boosted Trees (GBT) with training data. Proposed model showed satisfactory performance on test data with a RMSEP of 1.57 % and a of 96.48 %. This is the first QSPR study in LC-ESI/MS that provided a holistic overview of the analyte\'s response behavior across the experimental and chemical space. Since intramolecular electronic effects and molecular size were given great importance, the GA-GBT model improved the understanding of signal response generation of model compounds. It also highlighted the need to fine-tune the parameters affecting desolvation and droplet charging efficiency.
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  • 文章类型: Journal Article
    儿童肥胖是未来不良健康状况的主要风险因素。多组分亲子干预被认为可有效控制体重。ENDORSE平台利用m-health技术,人工智能(AI),和严肃的游戏(SG),以创建连接医疗保健专业人员的创新软件生态系统,孩子们,和他们的父母,以提供协调的服务,以打击儿童肥胖。它由活动跟踪器组成,儿童移动SG,以及面向父母和医疗保健专业人员的移动应用程序。通过最终用户与平台的交互收集的异构数据集组成唯一的用户简档。它的一部分提供了一个基于AI的模型,该模型支持个性化消息。进行了一项可行性试点试验,涉及50名超重和肥胖儿童(平均年龄10.5岁,52%的女孩,58%青春期,中位基线BMIz评分2.85)在3个月的干预中。通过基于数据记录的使用频率来测量依从性。总的来说,达到了临床和统计学上显著的BMIz评分降低(平均BMIz评分降低-0.21±0.26,p值<0.001).在活动追踪器使用水平与BMIz评分改善之间显示出统计学上的显着相关性(-0.355,p=0.017),强调ENDORSE平台的潜力。
    Childhood obesity constitutes a major risk factor for future adverse health conditions. Multicomponent parent-child interventions are considered effective in controlling weight. Τhe ENDORSE platform utilizes m-health technologies, Artificial Intelligence (AI), and serious games (SG) toward the creation of an innovative software ecosystem connecting healthcare professionals, children, and their parents in order to deliver coordinated services to combat childhood obesity. It consists of activity trackers, a mobile SG for children, and mobile apps for parents and healthcare professionals. The heterogeneous dataset gathered through the interaction of the end-users with the platform composes the unique user profile. Part of it feeds an AI-based model that enables personalized messages. A feasibility pilot trial was conducted involving 50 overweight and obese children (mean age 10.5 years, 52% girls, 58% pubertal, median baseline BMI z-score 2.85) in a 3-month intervention. Adherence was measured by means of frequency of usage based on the data records. Overall, a clinically and statistically significant BMI z-score reduction was achieved (mean BMI z-score reduction -0.21 ± 0.26, p-value < 0.001). A statistically significant correlation was revealed between the level of activity tracker usage and the improvement of BMI z-score (-0.355, p = 0.017), highlighting the potential of the ENDORSE platform.
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  • 文章类型: Journal Article
    Explainable Artificial Intelligence (XAI) makes AI understandable to the human user particularly when the model is complex and opaque. Local Interpretable Model-agnostic Explanations (LIME) has an image explainer package that is used to explain deep learning models. The image explainer of LIME needs some parameters to be manually tuned by the expert in advance, including the number of top features to be seen and the number of superpixels in the segmented input image. This parameter tuning is a time-consuming task. Hence, with the aim of developing an image explainer that automizes image segmentation, this paper proposes Ensemble-based Genetic Algorithm Explainer (EGAE) for melanoma cancer detection that automatically detects and presents the informative sections of the image to the user. EGAE has three phases. First, the sparsity of chromosomes in GAs is determined heuristically. Then, multiple GAs are executed consecutively. However, the difference between these GAs are in different number of superpixels in the input image that result in different chromosome lengths. Finally, the results of GAs are ensembled using consensus and majority votings. This paper also introduces how Euclidean distance can be used to calculate the distance between the actual explanation (delineated by experts) and the calculated explanation (computed by the explainer) for accuracy measurement. Experimental results on a melanoma dataset show that EGAE automatically detects informative lesions, and it also improves the accuracy of explanation in comparison with LIME efficiently. The python codes for EGAE, the ground truths delineated by clinicians, and the melanoma detection dataset are available at https://github.com/KhaosResearch/EGAE.
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  • 文章类型: Journal Article
    背景:Braden量表通常用于确定医院获得性压力性损伤(HAPI)。然而,被确定为处于危险中的患者的数量已经有限的资源,和护理人员受到在患者护理期间可以合理评估的因素数量的限制。在过去的十年里,机器学习技术已被用于通过利用相关风险因素来预测HAPI。然而,这些研究均未考虑患者从入院到出院的状态变化.目标:开发Braden和机器学习的集成系统,以预测HAPI并协助进行早期干预的资源分配。所提出的方法通过对住院期间的因素进行三次评估来捕获患者风险的变化。设计:回顾性观察队列研究。设置:这项研究是在特拉华州的ChristianaCare医院进行的,美国。参与者:2020年5月至2022年2月出院的患者。从护理文件中确定了HAPI患者(N=15,889)。方法:除Braden外,还采用支持向量机(SVM)来预测患者发展HAPI的风险。使用多个性能指标来比较集成系统与Braden单独的结果。结果:HAPI率为3%。与单独的Braden量表(灵敏度(66.90±4.66)和检测患病率(41.96±1.35)相比,集成系统获得了更好的灵敏度(74.29±1.23)和检测患病率(24.27±0.16)。预测HAPI最重要的危险因素是Braden子因素,整个Braden,住院期间访问ICU,和格拉斯哥昏迷评分.结论:将SVM与Braden相结合的集成系统提供了比Braden更好的性能,并减少了被确定为有风险的患者的数量。此外,它允许更好地将资源分配给高风险患者。这将导致成本节约和更好地利用资源。与临床实践的相关性:开发的模型提供了一个自动系统来实时预测HAPI患者,并允许对被识别为有风险的患者进行持续干预。此外,综合系统用于确定早期干预所需的护士人数.报告方法:本研究采用EQUATOR指南(TRIPOD)来开发预测模型。患者或公众贡献:本研究基于对患者电子健康记录的二次分析。在处理和建模之前,对数据集进行去识别并去除患者标识符。
    Background: The Braden Scale is commonly used to determine Hospital-Acquired Pressure Injuries (HAPI). However, the volume of patients who are identified as being at risk stretches already limited resources, and caregivers are limited by the number of factors that can reasonably assess during patient care. In the last decade, machine learning techniques have been used to predict HAPI by utilizing related risk factors. Nevertheless, none of these studies consider the change in patient status from admission until discharge. Objectives: To develop an integrated system of Braden and machine learning to predict HAPI and assist with resource allocation for early interventions. The proposed approach captures the change in patients\' risk by assessing factors three times across hospitalization. Design: Retrospective observational cohort study. Setting(s): This research was conducted at ChristianaCare hospital in Delaware, United States. Participants: Patients discharged between May 2020 and February 2022. Patients with HAPI were identified from Nursing documents (N = 15,889). Methods: Support Vector Machine (SVM) was adopted to predict patients\' risk for developing HAPI using multiple risk factors in addition to Braden. Multiple performance metrics were used to compare the results of the integrated system versus Braden alone. Results: The HAPI rate is 3%. The integrated system achieved better sensitivity (74.29 ± 1.23) and detection prevalence (24.27 ± 0.16) than the Braden scale alone (sensitivity (66.90 ± 4.66) and detection prevalence (41.96 ± 1.35)). The most important risk factors to predict HAPI were Braden sub-factors, overall Braden, visiting ICU during hospitalization, and Glasgow coma score. Conclusions: The integrated system which combines SVM with Braden offers better performance than Braden and reduces the number of patients identified as at-risk. Furthermore, it allows for better allocation of resources to high-risk patients. It will result in cost savings and better utilization of resources. Relevance to clinical practice: The developed model provides an automated system to predict HAPI patients in real time and allows for ongoing intervention for patients identified as at-risk. Moreover, the integrated system is used to determine the number of nurses needed for early interventions. Reporting Method: EQUATOR guidelines (TRIPOD) were adopted in this research to develop the prediction model. Patient or Public Contribution: This research was based on a secondary analysis of patients\' Electronic Health Records. The dataset was de-identified and patient identifiers were removed before processing and modeling.
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