Decades of research in exercise immunology have demonstrated the profound impact of exercise on the immune response, influencing an individual\'s disease susceptibility. Accurate prediction of white blood cells (WBCs) count during exercise can help to design effective training programs to maintain optimal the immune system function and prevent its suppression. In this regard, this study aimed to develop an easy-to-use and efficient modelling tool for predicting WBCs count during exercise. To achieve this goal, the predictive power of a range of machine-learning algorithms, including six standalone models (M5 prime (M5P), random forest (RF), alternating model trees (AMT), reduced error pruning tree (REPT), locally weighted learning (LWL), and support vector regression (SVR)) were assessed along with six types of hybrid models trained with a bagging (BA) algorithm (BA-M5P, BA-RF, BA-AMT, BA-REPT, BA-LWL, and BA- SVR). A comprehensive database was constructed from 200 eligible people. The models employed post-exercise training WBCs counts as the output parameter and seven WBCs-influencing factors, including intensity and duration of exercise, pre-exercise training WBCs counts, age, body fat percentage, maximal aerobic capacity, and muscle mass as input parameters. Comparing the prediction results of the models to the observed WBCs using standard statistics indicated that the BA-M5P model had the greatest potential to produce a robust prediction of the number of lymphocytes, neutrophils, monocytes, and WBC compared to other models. Moreover, pre-exercise training WBCs counts, intensity and duration of exercise and body fat percentage were the most important features in predicting WBCs counts. These findings hold significant implications for the advancement of exercise immunology and the promotion of public health.

The internal ribosome entry site (IRES) is a cis-regulatory element that can initiate translation in a cap-independent manner. It is often related to cellular processes and many diseases. Thus, identifying the IRES is important for understanding its mechanism and finding potential therapeutic strategies for relevant diseases since identifying IRES elements by experimental method is time-consuming and laborious. Many bioinformatics tools have been developed to predict IRES, but all these tools are based on structure similarity or machine learning algorithms. Here, we introduced a deep learning model named DeepIRES for precisely identifying IRES elements in messenger RNA (mRNA) sequences. DeepIRES is a hybrid model incorporating dilated 1D convolutional neural network blocks, bidirectional gated recurrent units, and self-attention module. Tenfold cross-validation results suggest that DeepIRES can capture deeper relationships between sequence features and prediction results than other baseline models. Further comparison on independent test sets illustrates that DeepIRES has superior and robust prediction capability than other existing methods. Moreover, DeepIRES achieves high accuracy in predicting experimental validated IRESs that are collected in recent studies. With the application of a deep learning interpretable analysis, we discover some potential consensus motifs that are related to IRES activities. In summary, DeepIRES is a reliable tool for IRES prediction and gives insights into the mechanism of IRES elements.

Establishing a highly reliable and accurate water quality prediction model is critical for effective water environment management. However, enhancing the performance of these predictive models continues to pose challenges, especially in the plain watershed with complex hydraulic conditions. This study aims to evaluate the efficacy of three traditional machine learning models versus three deep learning models in predicting the water quality of plain river networks and to develop a novel hybrid deep learning model to further improve prediction accuracy. The performance of the proposed model was assessed under various input feature sets and data temporal frequencies. The findings indicated that deep learning models outperformed traditional machine learning models in handling complex time series data. Long Short-Term Memory (LSTM) models improved the R2 by approximately 29% and lowered the Root Mean Square Error (RMSE) by about 48.6% on average. The hybrid Bayes-LSTM-GRU (Gated Recurrent Unit) model significantly enhanced prediction accuracy, reducing the average RMSE by 18.1% compared to the single LSTM model. Models trained on feature-selected datasets exhibited superior performance compared to those trained on original datasets. Higher temporal frequencies of input data generally provide more useful information. However, in datasets with numerous abrupt changes, increasing the temporal interval proves beneficial. Overall, the proposed hybrid deep learning model demonstrates an efficient and cost-effective method for improving water quality prediction performance, showing significant potential for application in managing water quality in plain watershed.

BACKGROUND: In Jordan, no national value set is available for any preference-accompanied health utility measure.
OBJECTIVE: This study aims to develop a value set for EQ-5D-3L based on the preferences of the Jordanian general population.
METHODS: A representative sample of the Jordanian general population was obtained through quota sampling involving age, gender, and region. Participants aged above 18 years were interviewed via videoconferencing using the EuroQol Valuation Technology 2.1 protocol. Participants completed ten composite time trade-offs (cTTO) and ten discrete choice experiments (DCE) tasks. cTTO and DCE data were analyzed using linear and logistic regression models, respectively, and hybrid models were applied to the combined DCE and cTTO data.
RESULTS: A total of 301 participants with complete data were included in the analysis. The sample was representative of the general population regarding region, age, and gender. All model types applied, that is, random intercept model, random intercept Tobit, linear model with correction for heteroskedasticity, Tobit with correction for heteroskedasticity, and all hybrid models, were statistically significant. They showed logical consistency in terms of higher utility decrements with more severe levels. The hybrid model corrected for heteroskedasticity was selected to construct the Jordanian EQ-5D-3L value set as it showed the best fit and lowest mean absolute error. The predicted value for the most severe health state (33333) was - 0.563. Utility decrements due to mobility had the largest weight, followed by anxiety/depression, while usual activities had the smallest weight.
CONCLUSIONS: This study provides the first EQ-5D-3L value set in the Middle East. The Jordanian EQ-5D-3L value set can now be used in health technology assessments for health policy planning by the Jordanian health sector\'s decision-makers.

Epilepsy seizure prediction is vital for enhancing the quality of life for individuals with epilepsy. In this study, we introduce a novel hybrid deep learning architecture, merging DenseNet and Vision Transformer (ViT) with an attention fusion layer for seizure prediction. DenseNet captures hierarchical features and ensures efficient parameter usage, while ViT offers self-attention mechanisms and global feature representation. The attention fusion layer effectively amalgamates features from both networks, guaranteeing the most relevant information is harnessed for seizure prediction. The raw EEG signals were preprocessed using the short-time Fourier transform (STFT) to implement time-frequency analysis and convert EEG signals into time-frequency matrices. Then, they were fed into the proposed hybrid DenseNet-ViT network model to achieve end-to-end seizure prediction. The CHB-MIT dataset, including data from 24 patients, was used for evaluation and the leave-one-out cross-validation method was utilized to evaluate the performance of the proposed model. Our results demonstrate superior performance in seizure prediction, exhibiting high accuracy and low redundancy, which suggests that combining DenseNet, ViT, and the attention mechanism can significantly enhance prediction capabilities and facilitate more precise therapeutic interventions.

BACKGROUND: Deep neural networks (DNNs) have made significant contributions to diagnosing pneumonia from chest X-ray imaging. However, certain aspects of diagnosis and planning can be further enhanced through the implementation of a quantum deep neural network (QDNN). Therefore, we introduced a technique that integrates neural networks with quantum algorithms named the ZFNet-quantum neural network for detecting pneumonia using 5863 X-ray scans with binary cases.
METHODS: The hybrid model efficiently pre-processes complex and high-dimensional data by extracting significant features from the ZFNet model. These significant features are given to the quantum circuit algorithm and further embedded into a quantum device. The parameterized quantum circuit algorithm using qubits, superposition theorem, and entanglement phenomena generates 4 features from 4098 features extracted from images via a deep transfer learning model. Moreover, to validate the outcome measures of the proposed technique, we used various PennyLane quantum devices to detect pneumonia and normal control images. By using the Adam optimizer, which exploits an adaptive learning rate that is fixed to 10-6 and six layers of a quantum circuit composed of quantum gates, the proposed model achieves an accuracy of 96.5%, corresponding to 25 epochs.
RESULTS: The integrated ZFNet-quantum learning network outperforms the deep transfer learning network in terms of testing accuracy, as the accuracy gained by the convolutional neural network (CNN) is 94%. Therefore, we use a hybrid classical-quantum model to detect pneumonia in which a variational quantum algorithm enhances the outcomes of a ZFNet transfer learning method.
CONCLUSIONS: This approach is an efficient and automated method for detecting pneumonia and could significantly enhance outcome measures related to the speed and accuracy of the network in the clinical and healthcare sectors.

This study explores the integration of crop phenology models and machine learning approaches for predicting rice phenology across China, to gain a deeper understanding of rice phenology prediction. Multiple approaches were used to predict heading and maturity dates at 337 locations across the main rice growing regions of China from 1981 to 2020, including crop phenology model, machine learning and hybrid model that integrate both approaches. Furthermore, an interpretable machine learning (IML) using SHapley Additive exPlanation (SHAP) was employed to elucidate influence of climatic and varietal factors on uncertainty in crop phenology model predictions. Overall, the hybrid model demonstrated a high accuracy in predicting rice phenology, followed by machine learning and crop phenology models. The best hybrid model, based on a serial structure and the eXtreme Gradient Boosting (XGBoost) algorithm, achieved a root mean square error (RMSE) of 4.65 and 5.72 days and coefficient of determination (R2) values of 0.93 and 0.9 for heading and maturity predictions, respectively. SHAP analysis revealed temperature to be the most influential climate variable affecting phenology predictions, particularly under extreme temperature conditions, while rainfall and solar radiation were found to be less influential. The analysis also highlighted the variable importance of climate across different phenological stages, rice cultivation patterns, and geographic regions, underscoring the notable regionality. The study proposed that a hybrid model using an IML approach would not only improve the accuracy of prediction but also offer a robust framework for leveraging data-driven in crop modeling, providing a valuable tool for refining and advancing the modeling process in rice.

Cataracts are a leading cause of blindness worldwide, making accurate diagnosis and effective surgical planning critical. However, grading the severity of the lens nucleus is challenging because deep learning (DL) models pretrained using ImageNet perform poorly when applied directly to medical data due to the limited availability of labeled medical images and high interclass similarity. Self-supervised pretraining offers a solution by circumventing the need for cost-intensive data annotations and bridging domain disparities. In this study, to address the challenges of intelligent grading, we proposed a hybrid model called nuclear cataract mask encoder network (NCME-Net), which utilizes self-supervised pretraining for the four-class analysis of nuclear cataract severity. A total of 792 images of nuclear cataracts were categorized into the training set (533 images), the validation set (139 images), and the test set (100 images). NCME-Net achieved a diagnostic accuracy of 91.0 % on the test set, a 5.0 % improvement over the best-performing DL model (ResNet50). Experimental results demonstrate NCME-Net\'s ability to distinguish between cataract severities, particularly in scenarios with limited samples, making it a valuable tool for intelligently diagnosing cataracts. In addition, the effect of different self-supervised tasks on the model\'s ability to capture the intrinsic structure of the data was studied. Findings indicate that image restoration tasks significantly enhance semantic information extraction.

BACKGROUND: Influenza, an acute infectious respiratory disease, presents a significant global health challenge. Accurate prediction of influenza activity is crucial for reducing its impact. Therefore, this study seeks to develop a hybrid Convolution Neural Network-Long Short Term Memory neural network (CNN-LSTM) model to forecast the percentage of influenza-like-illness (ILI) rate in Hebei Province, China. The aim is to provide more precise guidance for influenza prevention and control measures.
METHODS: Using ILI% data from 28 national sentinel hospitals in the Hebei Province, spanning from 2010 to 2022, we employed the Python deep learning framework PyTorch to develop the CNN-LSTM model. Additionally, we utilized R and Python to develop four other models commonly used for predicting infectious diseases. After constructing the models, we employed these models to make retrospective predictions, and compared each model\'s prediction performance using mean absolute error (MAE), root mean square error (RMSE), mean absolute percentage error (MAPE), and other evaluation metrics.
RESULTS: Based on historical ILI% data from 28 national sentinel hospitals in Hebei Province, the Seasonal Auto-Regressive Indagate Moving Average (SARIMA), Extreme Gradient Boosting (XGBoost), Convolution Neural Network (CNN), Long Short Term Memory neural network (LSTM) models were constructed. On the testing set, all models effectively predicted the ILI% trends. Subsequently, these models were used to forecast over different time spans. Across various forecasting periods, the CNN-LSTM model demonstrated the best predictive performance, followed by the XGBoost model, LSTM model, CNN model, and SARIMA model, which exhibited the least favorable performance.
CONCLUSIONS: The hybrid CNN-LSTM model had better prediction performances than the SARIMA model, CNN model, LSTM model, and XGBoost model. This hybrid model could provide more accurate influenza activity projections in the Hebei Province.

A parallel hybrid ordinary differential equation (ODE) integrating the Activated Sludge Model No. 2d (ASM2d) and an artificial neural network (ANN) was developed to simulate biological phosphorus removal (BPR) with high accuracy and interpretability. Two novelties were introduced; first, the involved supporting data (i.e., phosphate-release activity) were incorporated as an input in the ANN. Second, the outputs of the ANN were selective. Three models were implemented using different ANN outputs, and all three outperformed ASM2d in phosphate estimation for anaerobic/aerobic sequencing batch reactor operation. In particular, the incorporation of four variables responsible for BPR into the ANN enabled the highest performance (R2 = 0.93) owing to the capture of increasing phosphate-accumulating organisms (PAOs). The ANN with the supporting data worked satisfactorily to compensate for ASM2d by adding proper PAOs, resulting in improvement in phosphate estimation. The novel parallel hybrid ODE can simulate BPR while maintaining physical meaning.