MRT

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  • 文章类型: Journal Article
    磁共振测温法(MRT)可以实时且无创地测量体内3D温度变化。然而,对于口咽区域和整个头部和颈部,运动可能会引入大的伪影。考虑到60-90分钟的长处理时间,本研究旨在评估口咽周围的MRT在热疗治疗中是否具有临床可行性,并量化呼吸和吞咽对MRT表现的影响.3D-ME-FGRE序列用于在约75分钟内冷却五名志愿者的口咽周围的幻影。成像协议包括加速成像(ARC=2),图像平均数(NEX=1、2和3)。对于志愿者来说,这些采集包括屏气扫描和故意吞咽扫描。对颈部肌肉的MRT性能进行了量化,脊髓和咬肌,使用平均平均误差(MAE),平均误差(ME)和空间标准偏差(SD)。在幻影中,NEX的增加导致SD的显着降低,但MAE和我没有改变。在不同扫描之间的志愿者中没有发现显著差异。评估的区域之间存在显着差异:颈部肌肉具有最佳的MAE(=1.96°C)和SD(=0.82°C),其次是脊髓(MAE=3.17°C,SD=0.92°C)和咬肌(MAE=4.53°C,SD=1.16°C)。关于我,脊髓做得最好,然后是颈部肌肉和咬肌,值为-0.64°C,分别为1.15°C和-3.05°C。呼吸,吞咽,和不同的成像方式(加速度和NEX)不会显着影响口咽区域的MRT性能。然而,选择的ROI,导致显著差异。
    Magnetic resonance thermometry (MRT) can measure in-vivo 3D-temperature changes in real-time and noninvasively. However, for the oropharynx region and the entire head and neck, motion potentially introduces large artifacts. Considering long treatment times of 60-90 min, this study aims to evaluate whether MRT around the oropharynx is clinically feasible for hyperthermia treatments and quantify the effects of breathing and swallowing on MRT performance. A 3D-ME-FGRE sequence was used in a phantom cooling down and around the oropharynx of five volunteers over ∼75 min. The imaging protocol consisted of imaging with acceleration (ARC = 2), number of image averages (NEX = 1,2 and 3). For volunteers, the acquisitions included a breath-hold scan and scans with deliberate swallowing. MRT performance was quantified in neck muscle, spinal cord and masseter muscle, using mean average error (MAE), mean error (ME) and spatial standard deviation (SD). In phantom, an increase in NEX leads to a significant decrease in SD, but MAE and ME were unchanged. No significant difference was found in volunteers between the different scans. There was a significant difference between the regions evaluated: neck muscle had the best MAE (=1.96 °C) and SD (=0.82 °C), followed by spinal cord (MAE = 3.17 °C, SD = 0.92 °C) and masseter muscle (MAE = 4.53 °C, SD = 1.16 °C). Concerning the ME, spinal cord did best, then neck muscle and masseter muscle, with values of -0.64 °C, 1.15 °C and -3.05 °C respectively. Breathing, swallowing, and different ways of imaging (acceleration and NEX) do not significantly influence the MRT performance in the oropharynx region. The ROI selected however, leads to significant differences.
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  • 文章类型: Journal Article
    布鲁氏菌病是一种重要的细菌性人畜共患病,在全世界范围内对牲畜造成巨大的经济损失和与健康有关的负担。这项研究的目的是确定南非西北省四个地区的社区和小农养牛中布鲁氏菌病的血清阳性率(RuthSegomotsiMompati博士,NgakaModiriMolema,Bojanala铂金和KennethKaunda博士地区)。收集了来自养殖动物(n=378)和屠宰场屠宰动物(n=392)的770份血液样本。此外,牛奶样品(n=22)是从泌乳养殖奶牛中收集的。玫瑰红测试(RBT),补体固定试验(CFT)和乳环试验(MRT)用于检测针对布鲁氏菌物种的抗体。RBT在95%置信区间显示2%的血清阳性率(CI:1.35-3.35),CFT证实,所有四个地区的总体血清阳性率为1.95%(95%CI:1.14-3.12)。尽管发现布鲁氏菌病的血清阳性率很低,不能排除这种疾病未被发现的可能性。总的来说,这项研究的结果证实,布鲁氏菌病在南非西北省的调查地区是地方性的。贡献:这项研究的结果将有助于农业部组织的国家布鲁氏菌病项目,土地改革和农村发展(2016-2026),以协助有效实施疾病控制措施,以防止该国牛群进一步爆发疫情。
    Brucellosis is an important bacterial zoonosis responsible for considerable economic losses in livestock and health-related burden worldwide. The objective of this study was to determine the seroprevalence of brucellosis in communal and smallholder cattle farming in four districts of the North West province of South Africa (Dr Ruth Segomotsi Mompati, Ngaka Modiri Molema, Bojanala platinum and Dr Kenneth Kaunda districts). Seven hundred and seventy blood samples from farmed animals (n = 378) and abattoir-slaughtered animals (n = 392) were collected. In addition, milk samples (n = 22) were collected from lactating farmed cows. Rose Bengal test (RBT), complement fixation test (CFT) and milk ring test (MRT) were used to detect antibodies against Brucella species. The RBT showed a seroprevalence of 2% at 95% confidence interval (CI: 1.35-3.35), CFT confirmed an overall seroprevalence of 1.95% (95% CI: 1.14-3.12) for all four districts sampled. Although the seroprevalence of brucellosis was found to be low, the possibility of undetected cases of the disease could not be ruled out. Overall, the findings of this study confirmed that brucellosis is endemic in the surveyed areas of the North West province of South Africa.Contribution: The outcome of this study will contribute to the National Brucellosis Project organised by the Department of Agriculture, Land Reform and Rural Development (2016-2026) to assist in the effective implementation of the disease control measures with a view to prevent further outbreaks in the country\'s cattle population.
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  • 文章类型: Journal Article
    如今,由于全球变暖的影响不断加剧,热应力指数的测量至关重要。随着气温继续升高,个人的福祉和健康越来越受到威胁,这可能会对人类的表现和行为产生不利影响。因此,监测和评估热应力指数已成为必要,以确保个人的安全和舒适。热舒适指数,如湿球温度(WBGT),热带夏季指数(TSI),和预测的热应变(PHS),以及平均辐射温度(MRT)等参数,通常用于评估和控制工作环境和城市环境中的热应力条件。因此,这些参数的测量和监测应该在任何环境中,人们经常暴露。现代城市根据智慧城市概念收集和发布相关信息。为了监控大城市,必须开发具有成本效益的解决方案。这项工作介绍了在巴伦西亚的Benicalap-CiutatFallera区测试的热应力监测(HSM)系统原型网络的结果,西班牙。这项工作的范围是设计,Commission,并测试能够测量热应力指数的低成本原型。热应力监测系统包括中央单元或接收器和经由射频通信的若干发射器。变送器精确测量风速,空气温度,相对湿度,大气压力,太阳辐射,和黑球温度。接收器具有将数据发送到云中的SQL数据库的4G调制解调器。这些设备经过了一年的测试,表明无线电数据传输在距离接收器700米的范围内是可靠的。系统的电源,由光伏板和锂离子电池组成,向发射机提供离网能力,每次收费最多36天的测试备份自主权。然后,指标如WBGT,TSI,和MRT是使用设备收集的数据成功估计的。12点网络的材料成本约为2430欧元,每台设备的价格为190欧元。
    Nowadays, the measurement of heat stress indices is of principal importance due to the escalating impact of global warming. As temperatures continue to rise, the well-being and health of individuals are increasingly at risk, which can lead to a detrimental effect on human performance and behavior. Hence, monitoring and assessing heat stress indices have become necessary for ensuring the safety and comfort of individuals. Thermal comfort indices, such as wet-bulb globe temperature (WBGT), Tropical Summer Index (TSI), and Predicted Heat Strain (PHS), as well as parameters like mean radiant temperature (MRT), are typically used for assessing and controlling heat stress conditions in working and urban environments. Therefore, measurement and monitoring of these parameters should be obtained for any environment in which people are constantly exposed. Modern cities collect and publish this relevant information following the Smart City concept. To monitor large cities, cost-effective solutions must be developed. This work presents the results of a Heat Stress Monitoring (HSM) system prototype network tested in the Benicalap-Ciutat Fallera district in Valencia, Spain. The scope of this work is to design, commission, and test a low-cost prototype that is able to measure heat stress indices. The Heat Stress Monitoring system comprises a central unit or receiver and several transmitters communicating via radiofrequency. The transmitter accurately measures wind speed, air temperature, relative humidity, atmospheric pressure, solar irradiation, and black globe temperature. The receiver has a 4G modem that sends the data to an SQL database in the cloud. The devices were tested over one year, showing that radio data transmission is reliable up to 700 m from the receiver. The system\'s power supply, composed of a Photovoltaic panel and Lithium-ion batteries, provided off-grid capabilities to the transmitter, with a tested backup autonomy of up to 36 days per charge. Then, indicators such as WBGT, TSI, and MRT were successfully estimated using the data collected by the devices. The material cost of a 12-point network is around EUR 2430 with a competitive price of EUR 190 per device.
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  • 文章类型: Case Reports
    恶性横纹肌样瘤是一种罕见的儿科肿瘤,通常起源于肾脏,但也可以在包括眼眶在内的其他软组织中发展。它被称为非典型畸胎瘤样横纹肌样瘤。轨道位置是特殊的,只有几例报告的病例。成像可以准确诊断,但需要组织学确认。治疗方法尚不清楚,但通常是手术,有或没有化疗。在这份报告中,我们介绍了一例1个月大的新生儿,患有眼眶原发性恶性横纹肌样瘤,小脑位置同步。病人无法接受手术,他接受了化疗,不幸的是,在姑息治疗后1周死亡。我们将说明这种临床经验,并指出放射成像在评估这种罕见情况中的重要性。
    Malignant rhabdoid tumor is an uncommon pediatric tumor that often arises from the kidneys but can also develop in other soft tissues including the orbits, where it is known as atypical teratoid rhabdoid tumor. Orbital location is exceptional, with just a few reported cases. Imaging allows for an accurate diagnosis, but histological confirmation is required. The treatment is yet unclear but nearly often surgical, either with or without chemotherapy. In this report, we present a case of a neonate of 1-month-old with an orbital primary malignant rhabdoid tumor with synchronous cerebellar location. The patient was unable to undergo surgery, he had chemotherapy, and unfortunately died 1 week after following palliative treatment. We will illustrate this clinical experience and point out the importance of radiological imaging in the assessment of this uncommon condition.
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  • 文章类型: Journal Article
    背景:减少2型糖尿病(T2D)患者的久坐行为和增加体力活动与各种积极的健康益处相关。及时的适应性干预提供了通过更多的情境意识来瞄准这两种行为的潜力,量身定做,个性化支持。我们已经开发了一种及时的适应性干预措施,以促进T2D患者少坐多动。
    目的:本文提出了一项微随机试验的研究方案,以调查动机信息是否能有效减少T2D患者的坐姿时间,并确定哪些行为改变技术是有效的,以及在哪些背景下(例如,location,etc).
    方法:我们将使用为期6周的微随机试验设计。将招募22名患有T2D的成年人。这项干预措施旨在减少坐着时间,增加站立和行走的时间,包括一个移动应用程序(iMove),定制的活动传感器称为久坐行为检测器(SORD),消息传递系统,和一个安全的数据库。根据随机化顺序,参与者每天可能会收到5次激励信息。
    结果:招募于2022年10月开始。截至目前,6名参与者(2名女性和4名男性)同意并参加了研究。他们的基线测量已经完成,他们已经开始使用iMove。6名参与者的平均年龄为56.8岁,他们平均被诊断为T2D9.4年。
    结论:这项研究将为优化数字行为改变干预措施提供信息,以支持患有T2D的人少坐多动,以增加日常体力活动。这项研究将产生关于久坐行为干预的直接有效性的新证据,它们的活性成分,和相关因素。
    背景:澳大利亚新西兰临床试验注册中心ACTRN12622000426785;https://anzctr.org。au/Trial/Registration/TrialReview.aspx?id=383664。
    DERR1-10.2196/41502。
    BACKGROUND: Reducing sedentary behavior and increasing physical activity in people with type 2 diabetes (T2D) are associated with various positive health benefits. Just-in-time adaptive interventions offer the potential to target both of these behaviors through more contextually aware, tailored, and personalized support. We have developed a just-in-time adaptive intervention to promote sitting less and moving more in people with T2D.
    OBJECTIVE: This paper presents the study protocol for a microrandomized trial to investigate whether motivational messages are effective in reducing time spent sitting in people with T2D and to determine what behavior change techniques are effective and in which context (eg, location, etc).
    METHODS: We will use a 6-week microrandomized trial design. A total of 22 adults with T2D will be recruited. The intervention aims to reduce sitting time and increase time spent standing and walking and comprises a mobile app (iMove), a bespoke activity sensor called Sedentary Behavior Detector (SORD), a messaging system, and a secured database. Depending on the randomization sequence, participants will potentially receive motivational messages 5 times a day.
    RESULTS: Recruitment was initiated in October 2022. As of now, 6 participants (2 female and 4 male) have consented and enrolled in the study. Their baseline measurements have been completed, and they have started using iMove. The mean age of 6 participants is 56.8 years, and they were diagnosed with T2D for 9.4 years on average.
    CONCLUSIONS: This study will inform the optimization of digital behavior change interventions to support people with T2D Sit Less and Move More to increase daily physical activity. This study will generate new evidence about the immediate effectiveness of sedentary behavior interventions, their active ingredients, and associated factors.
    BACKGROUND: Australian New Zealand Clinical Trial Registry ACTRN12622000426785; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=383664.
    UNASSIGNED: DERR1-10.2196/41502.
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  • 文章类型: Journal Article
    分子放射治疗(MRT)是广泛的恶性肿瘤的有效治疗选择,如神经内分泌肿瘤和肝癌。在实践中,人们普遍认为,有必要评估影响剂量估计准确性的不同因素的影响,并确定将治疗不确定性维持在可接受水平所需的措施.本研究解决了90Y-PET定量中的不确定性传播问题。我们评估了三种PET扫描仪在参考条件下的定量准确性(即,西门子传记mCT,西门子传记mCT流程,和GEDiscoveryDST)可在三个不同的意大利核医学中心使用。量化链中不确定性的具体方面已经得到解决,包括校准程序中的不确定度。提出了基于“测量不确定度表达指南”(GUM)方法的框架,用于对量化过程中的不确定性进行建模。最终,报告了对临床条件下可达到的不确定性的估计。
    Molecular Radiation Therapy (MRT) is a valid therapeutic option for a wide range of malignancies, such as neuroendocrine tumors and liver cancers. In its practice, it is generally acknowledged that there is a need to evaluate the influence of different factors affecting the accuracy of dose estimates and to define the actions necessary to maintain treatment uncertainties at acceptable levels. The present study addresses the problem of uncertainty propagation in 90Y-PET quantification. We assessed the quantitative accuracy in reference conditions of three PET scanners (namely, Siemens Biograph mCT, Siemens Biograph mCT flow, and GE Discovery DST) available at three different Italian Nuclear Medicine centers. Specific aspects of uncertainty within the quantification chain have been addressed, including the uncertainty in the calibration procedure. A framework based on the Guide to the Expression of Uncertainty in Measurement (GUM) approach is proposed for modeling the uncertainty in the quantification processes, and ultimately, an estimation of the uncertainty achievable in clinical conditions is reported.
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  • 文章类型: Journal Article
    这项研究调查了扩展金属网(EMM)在水平遮光设备中的适用性。我们对具有不同开口率和方向的EMM进行了模拟和实验。我们建立了不同的实验组和对照组来测量空气温度,表面温度,和黑球温度。经过仿真和实验数据的对比,我们用Grasshopper来模拟长期的气候情况。研究结果可为台南市用户提供参考,并提供定制化建议。ThefindingscanserveasaparametricdesigntoanalyzeEMM.Indesignprojectsinvolvingoutdoorhandorableshadingdevices,这些结果可用于设计阶段进行评估。全天测量显示,开口小的EMM表现出良好的阴影效果。在台南地区,我们建议使用朝北的EMM;在我们的模拟结果中,一天中有70%的阳光没有通过网格。对于早上的遮阳设备,应该使用朝西的EMM,因为它们阻挡了50-90%的阳光。下午和晚上的娱乐区,朝东的EMM可以在中午后遮挡50-90%的阳光。在台湾,不建议朝南的EMM,因为它们的遮阳性能在早上和下午都不理想。
    This study investigated the applicability of expanded metal meshes (EMMs) in horizontal shading devices. We performed simulations and experiments with EMMs with different opening ratios and directions. We established various experimental and control groups to measure air temperature, surface temperature, and black globe temperature. After the comparison of simulation and experimental data, we used Grasshopper to simulate long-term climate situations. The research results can serve as reference for users in Tainan and provide customized suggestions. The findings can serve as a paradigm for parametric design to analyze EMMs. In design projects involving outdoor horizontal shading devices, these results can be used in the design phase for evaluation. Full-day measurements revealed that EMMs with small openings exhibited favorable shading effects. In the Tainan area, we suggest using north-facing EMMs; in our simulations result, 70% of sunshine did not pass through the mesh in a day. For shading equipment in the morning, west-facing EMMs should be used because they blocked 50-90% of sunshine. For recreational areas in the afternoon and evening, east-facing EMMs can block 50-90% of sunshine after noon. In Taiwan, south-facing EMMs are not advised because their shading performance is suboptimal in the morning and afternoon.
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  • 文章类型: Review
    线粒体是真核细胞不可或缺的发电厂,也是主要的生化枢纽。因此,线粒体功能障碍,这可能源于线粒体基因组(mtDNA)的突变,可能会损害生物体的适应性,并导致人类严重的疾病。MtDNA是多拷贝的,通过母系单亲传播的高度多态基因组。种系中的几种机制起作用以抵消异质体(即,两种或多种mtDNA变体的共存)并防止mtDNA突变的扩展。然而,生殖生物技术,如通过核移植克隆,可以破坏mtDNA遗传,导致新的遗传组合可能不稳定并具有生理后果。这里,我们回顾了目前对线粒体遗传的理解,重点是它在动物和人类胚胎中通过核移植产生的模式。
    Mitochondria are indispensable power plants of eukaryotic cells that also act as a major biochemical hub. As such, mitochondrial dysfunction, which can originate from mutations in the mitochondrial genome (mtDNA), may impair organism fitness and lead to severe diseases in humans. MtDNA is a multi-copy, highly polymorphic genome that is uniparentally transmitted through the maternal line. Several mechanisms act in the germline to counteract heteroplasmy (i.e., coexistence of two or more mtDNA variants) and prevent expansion of mtDNA mutations. However, reproductive biotechnologies such as cloning by nuclear transfer can disrupt mtDNA inheritance, resulting in new genetic combinations that may be unstable and have physiological consequences. Here, we review the current understanding of mitochondrial inheritance, with emphasis on its pattern in animals and human embryos generated by nuclear transfer.
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  • 文章类型: Journal Article
    UNASSIGNED: MR thermometry (MRT) enables noninvasive temperature monitoring during hyperthermia treatments. MRT is already clinically applied for hyperthermia treatments in the abdomen and extremities, and devices for the head are under development. In order to optimally exploit MRT in all anatomical regions, the best sequence setup and post-processing must be selected, and the accuracy needs to be demonstrated.
    UNASSIGNED: MRT performance of the traditionally used double-echo gradient-echo sequence (DE-GRE, 2 echoes, 2D) was compared to multi-echo sequences: a 2D fast gradient-echo (ME-FGRE, 11 echoes) and a 3D fast gradient-echo sequence (3D-ME-FGRE, 11 echoes). The different methods were assessed on a 1.5 T MR scanner (GE Healthcare) using a phantom cooling down from 59 °C to 34 °C and unheated brains of 10 volunteers. In-plane motion of volunteers was compensated by rigid body image registration. For the ME sequences, the off-resonance frequency was calculated using a multi-peak fitting tool. To correct for B0 drift, the internal body fat was selected automatically using water/fat density maps.
    UNASSIGNED: The accuracy of the best performing 3D-ME-FGRE sequence was 0.20 °C in phantom (in the clinical temperature range) and 0.75 °C in volunteers, compared to DE-GRE values of 0.37 °C and 1.96 °C, respectively.
    UNASSIGNED: For hyperthermia applications, where accuracy is more important than resolution or scan-time, the 3D-ME-FGRE sequence is deemed the most promising candidate. Beyond its convincing MRT performance, the ME nature enables automatic selection of internal body fat for B0 drift correction, an important feature for clinical application.
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  • 文章类型: Journal Article
    背景:不运动与许多健康风险有关,包括癌症,心血管疾病,2型糖尿病,增加医疗保健支出,而且是可以预防的,过早死亡。大多数美国人没有达到临床指南目标(即,每天8000-10000步)。行为预测算法可以通过在适当的时间促进轻推的传递来实现有效的干预以促进身体活动。
    目的:本文的目的是开发和验证预测步行的算法(即,>5分钟)在接下来的3小时内,从参与者“前5周”每分钟步数数据预测。
    方法:我们进行了回顾性研究,封闭队列,对2015年进行的HeartSteps移动健康运动干预的6周微随机试验进行二次分析。评估了6种算法的预测性能,如下:逻辑回归,径向基函数支持向量机,极限梯度提升(XGBoost),多层感知器(MLP),决策树,和随机森林。对于MLP来说,对90个随机层架构进行了优化测试。先前5周每小时步行数据,包括不幸,用于预测因子。参与者在接下来的3小时内是否行走被用作结果。K-折交叉验证(K=10)用于内部验证。主要结果指标是分类准确性,马修相关系数,灵敏度,和特异性。
    结果:总样本量包括44名参与者的6周数据。在44名参与者中,31(71%)为女性,26(59%)是白人,36(82%)拥有大学或以上学位,15人(34%)结婚。平均年龄为35.9(SD14.7)岁。没有足够数据(天数<10)的参与者(n=3,7%)被排除在外,41名(93%)参与者。具有优化层架构的MLP在精度方面表现出最佳性能(82.0%,SD1.1),而XGBoost(76.3%,SD1.5),随机森林(69.5%,SD1.0),支持向量机(69.3%,SD1.0),和决策树(63.6%,SD1.5)算法的性能低于逻辑回归(77.2%,SD1.2)。MLP在Mathew相关系数(0.643,SD0.021)方面也显示出优于所有其他尝试算法的整体性能,灵敏度(86.1%,SD3.0),和特异性(77.8%,SD3.3)。
    结论:建立并验证了步行行为预测模型。MLP在所有尝试的算法中显示出最高的整体性能。随机搜索最佳层结构是预测引擎开发的一种有前途的方法。未来的研究可以测试这种算法在促进身体活动的“智能”干预中的实际应用。
    Physical inactivity is associated with numerous health risks, including cancer, cardiovascular disease, type 2 diabetes, increased health care expenditure, and preventable, premature deaths. The majority of Americans fall short of clinical guideline goals (ie, 8000-10,000 steps per day). Behavior prediction algorithms could enable efficacious interventions to promote physical activity by facilitating delivery of nudges at appropriate times.
    The aim of this paper is to develop and validate algorithms that predict walking (ie, >5 min) within the next 3 hours, predicted from the participants\' previous 5 weeks\' steps-per-minute data.
    We conducted a retrospective, closed cohort, secondary analysis of a 6-week microrandomized trial of the HeartSteps mobile health physical-activity intervention conducted in 2015. The prediction performance of 6 algorithms was evaluated, as follows: logistic regression, radial-basis function support vector machine, eXtreme Gradient Boosting (XGBoost), multilayered perceptron (MLP), decision tree, and random forest. For the MLP, 90 random layer architectures were tested for optimization. Prior 5-week hourly walking data, including missingness, were used for predictors. Whether the participant walked during the next 3 hours was used as the outcome. K-fold cross-validation (K=10) was used for the internal validation. The primary outcome measures are classification accuracy, the Mathew correlation coefficient, sensitivity, and specificity.
    The total sample size included 6 weeks of data among 44 participants. Of the 44 participants, 31 (71%) were female, 26 (59%) were White, 36 (82%) had a college degree or more, and 15 (34%) were married. The mean age was 35.9 (SD 14.7) years. Participants (n=3, 7%) who did not have enough data (number of days <10) were excluded, resulting in 41 (93%) participants. MLP with optimized layer architecture showed the best performance in accuracy (82.0%, SD 1.1), whereas XGBoost (76.3%, SD 1.5), random forest (69.5%, SD 1.0), support vector machine (69.3%, SD 1.0), and decision tree (63.6%, SD 1.5) algorithms showed lower performance than logistic regression (77.2%, SD 1.2). MLP also showed superior overall performance to all other tried algorithms in Mathew correlation coefficient (0.643, SD 0.021), sensitivity (86.1%, SD 3.0), and specificity (77.8%, SD 3.3).
    Walking behavior prediction models were developed and validated. MLP showed the highest overall performance of all attempted algorithms. A random search for optimal layer structure is a promising approach for prediction engine development. Future studies can test the real-world application of this algorithm in a \"smart\" intervention for promoting physical activity.
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