BACKGROUND: Exposure to second-generation antipsychotics (SGAs) carries a risk of type 2 diabetes, but questions remain about the diabetogenic effects of SGAs.
OBJECTIVE: To assess the diabetes risk associated with two frequently used SGAs.
METHODS: This was a retrospective cohort study of adults with schizophrenia, bipolar I disorder or severe major depressive disorder (MDD) exposed during 2008-2013 to continuous monotherapy with aripiprazole or olanzapine for up to 24 months, with no pre-period exposure to other antipsychotics. Newly diagnosed type 2 diabetes was quantified with targeted minimum loss-based estimation; risk was summarised as the restricted mean survival time (RMST), the average number of diabetes-free months. Sensitivity analyses were used to evaluate potential confounding by indication.
RESULTS: Aripiprazole-treated patients had fewer diabetes-free months compared with olanzapine-treated patients. RMSTs were longer in olanzapine-treated patients, by 0.25 months [95% CI: 0.14, 0.36], 0.16 months [0.02, 0.31] and 0.22 months [0.01, 0.44] among patients with schizophrenia, bipolar I disorder and severe MDD, respectively. Although some sensitivity analyses suggest a risk of unobserved confounding, E-values indicate that this risk is not severe.
CONCLUSIONS: Using robust methods and accounting for exposure duration effects, we found a slightly higher risk of type 2 diabetes associated with aripiprazole compared with olanzapine monotherapy regardless of diagnosis. If this result was subject to unmeasured selection despite our methods, it would suggest clinician success in identifying olanzapine candidates with low diabetes risk. Confirmatory research is needed, but this insight suggests a potentially larger role for olanzapine in the treatment of well-selected patients, particularly for those with schizophrenia, given the drug\'s effectiveness advantage among them.

There is a lack of data on mental health service utilisation and outcomes for people with experience of forced migration living in the UK. Details about migration experiences documented in free-text fields in electronic health records might be harnessed using novel data science methods; however, there are potential limitations and ethical concerns.

Antibodies are a class of proteins that recognize and neutralize pathogens by binding to their antigens. They are the most significant category of biopharmaceuticals for both diagnostic and therapeutic applications. Understanding how antibodies interact with their antigens plays a fundamental role in drug and vaccine design and helps to comprise the complex antigen binding mechanisms. Computational methods for predicting interaction sites of antibody-antigen are of great value due to the overall cost of experimental methods. Machine learning methods and deep learning techniques obtained promising results.In this work, we predict antibody interaction interface sites by applying HSS-PPI, a hybrid method defined to predict the interface sites of general proteins. The approach abstracts the proteins in terms of hierarchical representation and uses a graph convolutional network to classify the amino acids between interface and non-interface. Moreover, we also equipped the amino acids with different sets of physicochemical features together with structural ones to describe the residues. Analyzing the results, we observe that the structural features play a fundamental role in the amino acid descriptions. We compare the obtained performances, evaluated using standard metrics, with the ones obtained with SVM with 3D Zernike descriptors, Parapred, Paratome, and Antibody i-Patch.

Lane change behavior disrupts traffic flow and increases the potential for traffic conflicts, especially on expressway weaving segments. Focusing on the diversion process, this study incorporating individual driving patterns into conflict prediction and causation analysis can help develop individualized intervention measures to avoid risky diversion behaviors. First, to minimize measurement errors, this study introduces a lane line reconstruction method. Second, several unsupervised clustering methods, including k-means, agglomerative clustering, gaussian mixture, and spectral clustering, are applied to explore diversion patterns. Moreover, machine learning methods, including Convolutional Neural Networks (CNN), Long Short-Term Memory (LSTM), Attention-based LSTM, eXtreme Gradient Boosting (XGB), Support Vector Machine (SVM), and Multilayer Perceptron (MLP), are employed for real-time traffic conflict prediction. Finally, mixed logit models are developed using pre-conflict condition data to investigate the causal mechanisms of traffic conflicts. The results indicate that the K-means algorithm with four clusters exhibits the highest Calinski-Harabasz and Silhouette scores and the lowest Davies-Bouldin scores. With superior classification accuracy and generalization ability, the LSTM is used to develop the personalized traffic conflict prediction model. Sensitivity analysis indicates that incorporating the diversion patterns into the LSTM model results in an improvement of 3.64% in Accuracy, 7.15% in Precision, and 1.34% in Recall. Results from the four mixed logit models indicate significant differences in factors contributing to traffic conflicts within each diversion pattern. For instance, increasing the speed difference between the target vehicle and the right preceding vehicle benefits traffic conflict during acceleration diversions but decreases the likelihood of traffic conflicts during deceleration diversions. These results can help traffic engineers propose individualized solutions to reduce unsafe diversion behavior.

UNASSIGNED: This study aims to explore the microtubule-associated gene signatures and molecular processes shared by osteonecrosis of the femoral head (ONFH) and osteosarcoma (OS).
UNASSIGNED: Datasets from the TARGET and GEO databases were subjected to bioinformatics analysis, including the functional enrichment analysis of genes shared by ONFH and OS. Prognostic genes were identified using univariate and multivariate Cox regression analyses to develop a risk score model for predicting overall survival and immune characteristics. Furthermore, LASSO and SVM-RFE algorithms identified biomarkers for ONFH, which were validated in OS. Function prediction, ceRNA network analysis, and gene-drug interaction network construction were subsequently conducted. Biomarker expression was then validated on clinical samples by using qPCR.
UNASSIGNED: A total of 14 microtubule-associated disease genes were detected in ONFH and OS. Subsequently, risk score model based on four genes was then created, revealing that patients with low-risk exhibited superior survival outcomes compared with those with high-risk. Notably, ONFH with low-risk profiles may manifest an antitumor immune microenvironment. Moreover, by utilizing LASSO and SVM-RFE algorithms, four diagnostic biomarkers were pinpointed, enabling effective discrimination between patients with ONFH and healthy individuals as well as between OS and normal tissues. Additionally, 21 drugs targeting these biomarkers were predicted, and a comprehensive ceRNA network comprising four mRNAs, 71 miRNAs, and 98 lncRNAs was established. The validation of biomarker expression in clinical samples through qPCR affirmed consistency with the results of bioinformatics analysis.
UNASSIGNED: Microtubule-associated genes may play pivotal roles in OS and ONFH. Additionally, a prognostic model was constructed, and four genes were identified as potential biomarkers and therapeutic targets for both diseases.

Timely prediction of pathogen is important key factor to reduce the quality and yield losses. Wheat is major crop in northern part of India. In Punjab, wheat face challenge by different diseases so the study was conducted for two locations viz. Ludhiana and Bathinda. The information regarding the occurrence of Karnal bunt in 12 consecutive crop seasons (from 2009-10 to 2020-21) in Ludhiana district and in 9 crop seasons (from 2010-11 to 2018-19) in Bathinda district, was collected from the Wheat Section of the Department of Plant Breeding and Genetics at Punjab Agricultural University (PAU), located in Ludhiana. The study aims to investigate the adequacy of various methods of machine learning for prediction of Karnal bunt using meteorological data for different time period viz. February, March, 15 February to 15 March and overall period obtained from Department of Climate Change and Agricultural Meteorology, PAU, Ludhiana. The most intriguing outcome is that for each period, different disease prediction models performed well. The random forest regression (RF) for February month, support vector regression (SVR) for March month, SVR and BLASSO for 15 February to 15 March period and random forest for overall period surpassed the performance than other models. The Taylor diagram was created to assess the effectiveness of intricate models by comparing various metrics such as root mean square error (RMSE), root relative square error (RRSE), correlation coefficient (r), relative mean absolute error (MAE), modified D-index, and modified NSE. It allows for a comprehensive evaluation of these models\' performance.

Antifungal medications are important due to their potential application in cancer treatment either on their own or with traditional treatments. The mechanisms that prevent the effects of these medications and restrict their usage in cancer treatment are not completely understood. The evaluation and discrimination of the possible protective effects of the anti-apoptotic members of the Bcl-2 family of proteins, critical regulators of mitochondrial apoptosis, against antifungal drug-induced cell death has still scientific uncertainties that must be considered. Novel, simple, and reliable strategies are highly demanded to identify the biochemical signature of this phenomenon. However, the complex nature of cells poses challenges for the analysis of cellular biochemical changes or classification. In this study, for the first time, we investigated the probable protective activities of Bcl-2 and Mcl-1 proteins against cell damage induced by ketoconazole (KET) and fluconazole (FLU) antifungal drugs in a yeast model through surface-enhanced Raman spectroscopy (SERS) approach. The proposed SERS platform created robust Raman spectra with a high signal-to-noise ratio. The analysis of SERS spectral data via advanced unsupervised and supervised machine learning methods enabled unquestionable differentiation (100 %) in samples and biomolecular identification. Various SERS bands related to lipids and proteins observed in the analyses suggest that the expression of these anti-apoptotic proteins reduces oxidative biomolecule damage induced by the antifungals. Also, cell viability assay, Annexin V-FITC/PI double staining, and total oxidant and antioxidant status analyses were performed to support Raman measurements. We strongly believe that the proposed approach paves the way for the evaluation of various biochemical structures/changes in various cells.

Machine learning (ML) models are widely employed for crash severity modelling, yet their interpretability remains underexplored. Interpretation is crucial for comprehending ML results and aiding informed decision-making. This study aims to implement an interpretable ML to visualize the impacts of factors on crash severity using 5 years of freeways data from Iran. Methods including classification and regression trees (CART), K-nearest neighbours (KNNs), random forest (RF), artificial neural network (ANN) and support vector machines (SVM) were applied, with RF demonstrating superior accuracy, recall, F1-score and ROC. The accumulated local effects (ALE) were utilized for interpretation. Findings suggest that light traffic conditions (volume/capacity<0.5) with critical values around 0.05 or 0.38, and higher proportion of large trucks and buses, particularly at 10% and 4%, are associated with severe crashes. Additionally, speeds exceeding 90 km/h, drivers younger than 30 years, rollover crashes, collisions with fixed objects and barriers, nighttime driving and driver fatigue elevate the likelihood of severe crashes.

Accurate and rapid plant disease detection is critical for enhancing long-term agricultural yield. Disease infection poses the most significant challenge in crop production, potentially leading to economic losses. Viruses, fungi, bacteria, and other infectious organisms can affect numerous plant parts, including roots, stems, and leaves. Traditional techniques for plant disease detection are time-consuming, require expertise, and are resource-intensive. Therefore, automated leaf disease diagnosis using artificial intelligence (AI) with Internet of Things (IoT) sensors methodologies are considered for the analysis and detection. This research examines four crop diseases: tomato, chilli, potato, and cucumber. It also highlights the most prevalent diseases and infections in these four types of vegetables, along with their symptoms. This review provides detailed predetermined steps to predict plant diseases using AI. Predetermined steps include image acquisition, preprocessing, segmentation, feature selection, and classification. Machine learning (ML) and deep understanding (DL) detection models are discussed. A comprehensive examination of various existing ML and DL-based studies to detect the disease of the following four crops is discussed, including the datasets used to evaluate these studies. We also provided the list of plant disease detection datasets. Finally, different ML and DL application problems are identified and discussed, along with future research prospects, by combining AI with IoT platforms like smart drones for field-based disease detection and monitoring. This work will help other practitioners in surveying different plant disease detection strategies and the limits of present systems.

In the field of plant breeding, various machine learning models have been developed and studied to evaluate the genomic prediction (GP) accuracy of unseen phenotypes. Deep learning has shown promise. However, most studies on deep learning in plant breeding have been limited to small datasets, and only a few have explored its application in moderate-sized datasets. In this study, we aimed to address this limitation by utilizing a moderately large dataset. We examined the performance of a deep learning (DL) model and compared it with the widely used and powerful best linear unbiased prediction (GBLUP) model. The goal was to assess the GP accuracy in the context of a five-fold cross-validation strategy and when predicting complete environments using the DL model. The results revealed the DL model outperformed the GBLUP model in terms of GP accuracy for two out of the five included traits in the five-fold cross-validation strategy, with similar results in the other traits. This indicates the superiority of the DL model in predicting these specific traits. Furthermore, when predicting complete environments using the leave-one-environment-out (LOEO) approach, the DL model demonstrated competitive performance. It is worth noting that the DL model employed in this study extends a previously proposed multi-modal DL model, which had been primarily applied to image data but with small datasets. By utilizing a moderately large dataset, we were able to evaluate the performance and potential of the DL model in a context with more information and challenging scenario in plant breeding.