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.

Mathematical modeling plays a crucial role in understanding and managing urban water systems (UWS), with mechanistic models often serving as the foundation for their design and operations. Despite the wide adoptions, mechanistic models are challenged by the complexity of dynamic processes and high computational demands. Data-driven models bring opportunities to capture system complexities and reduce computational cost, by leveraging the abundant data made available by recent advance in sensor technologies. However, the interpretability and data availability hinder their wider adoption. This paper advocates for a paradigm shift in the application of data-driven models within the context of UWS. Integrating existing mechanistic knowledge into data-driven modeling offers a unique solution that reduces data requirements and enhances model interpretability. The knowledge-informed approach balances model complexity with dataset size, enabling more efficient and interpretable modeling in UWS. Furthermore, the integration of mechanistic and data-driven models offers a more accurate representation of UWS dynamics, addressing lingering uncertainties and advancing modelling capabilities. This paper presents perspectives and conceptual framework on developing and implementing knowledge-informed data-driven modeling, highlighting their potential to improve UWS management in the digital era.

Timely and unbiased evaluation of Autism Spectrum Disorder (ASD) is essential for providing lasting benefits to affected individuals. However, conventional ASD assessment heavily relies on subjective criteria, lacking objectivity. Recent advancements propose the integration of modern processes, including artificial intelligence-based eye-tracking technology, for early ASD assessment. Nonetheless, the current diagnostic procedures for ASD often involve specialized investigations that are both time-consuming and costly, heavily reliant on the proficiency of specialists and employed techniques. To address the pressing need for prompt, efficient, and precise ASD diagnosis, an exploration of sophisticated intelligent techniques capable of automating disease categorization was presented. This study has utilized a freely accessible dataset comprising 547 eye-tracking systems that can be used to scan pathways obtained from 328 characteristically emerging children and 219 children with autism. To counter overfitting, state-of-the-art image resampling approaches to expand the training dataset were employed. Leveraging deep learning algorithms, specifically MobileNet, VGG19, DenseNet169, and a hybrid of MobileNet-VGG19, automated classifiers, that hold promise for enhancing diagnostic precision and effectiveness, was developed. The MobileNet model demonstrated superior performance compared to existing systems, achieving an impressive accuracy of 100%, while the VGG19 model achieved 92% accuracy. These findings demonstrate the potential of eye-tracking data to aid physicians in efficiently and accurately screening for autism. Moreover, the reported results suggest that deep learning approaches outperform existing event detection algorithms, achieving a similar level of accuracy as manual coding. Users and healthcare professionals can utilize these classifiers to enhance the accuracy rate of ASD diagnosis. The development of these automated classifiers based on deep learning algorithms holds promise for enhancing the diagnostic precision and effectiveness of ASD assessment, addressing the pressing need for prompt, efficient, and precise ASD diagnosis.

Watershed water quality modeling to predict changing water quality is an essential tool for devising effective management strategies within watersheds. Process-based models (PBMs) are typically used to simulate water quality modeling. In watershed modeling utilizing PBMs, it is crucial to effectively reflect the actual watershed conditions by appropriately setting the model parameters. However, parameter calibration and validation are time-consuming processes with inherent uncertainties. Addressing these challenges, this research aims to address various challenges encountered in the calibration and validation processes of PBMs. To achieve this, the development of a hybrid model, combining uncalibrated PBMs with data-driven models (DDMs) such as deep learning algorithms is proposed. This hybrid model is intended to enhance watershed modeling by integrating the strengths of both PBMs and DDMs. The hybrid model is constructed by coupling an uncalibrated Soil and Water Assessment Tool (SWAT) with a Long Short-Term Memory (LSTM). SWAT, a representative PBM, is constructed using geographical information and 5-year observed data from the Yeongsan River Watershed. The output variables of the uncalibrated SWAT, such as streamflow, suspended solids (SS), total nitrogen (TN), and total phosphorus (TP), as well as observed precipitation for the day and previous day, are used as training data for the deep learning model to predict the TP load. For the comparison, the conventional SWAT model is calibrated and validated to predict the TP load. The results revealed that TP load simulated by the hybrid model predicted the observed TP better than that predicted by the calibrated SWAT model. Also, the hybrid model reflects seasonal variations in the TP load, including peak events. Remarkably, when applied to other sub-basins without specific training, the hybrid model consistently outperformed the calibrated SWAT model. In conclusion, application of the SWAT-LSTM hybrid model could be a useful tool for decreasing uncertainties in model calibration and improving the overall predictive performance in watershed modeling. PRACTITIONER POINTS: We aimed to enhance process-based models for watershed water-quality modeling. The Soil and Water Assessment Tool-Long Short-Term Memory hybrid model\'s predicted and total phosphorus (TP) matched the observed TP. It exhibited superior predictive performance when applied to other sub-basins. The hybrid model will overcome the constraints of conventional modeling. It will also enable more effective and efficient modeling.

To improve the forecasting accuracy of the spread of infectious diseases, a hybrid model was recently introduced where the commonly assumed constant disease transmission rate was actively estimated from enforced mitigating policy data by a machine learning (ML) model and then fed to an extended susceptible-infected-recovered model to forecast the number of infected cases. Testing only one ML model, that is, gradient boosting model (GBM), the work left open whether other ML models would perform better. Here, we compared GBMs, linear regressions, k-nearest neighbors, and Bayesian networks (BNs) in forecasting the number of COVID-19-infected cases in the United States and Canadian provinces based on policy indices of future 35 days. There was no significant difference in the mean absolute percentage errors of these ML models over the combined dataset [H(3)=3.10,p=0.38]. In two provinces, a significant difference was observed [H(3)=8.77,H(3)=8.07,p<0.05], yet posthoc tests revealed no significant difference in pairwise comparisons. Nevertheless, BNs significantly outperformed the other models in most of the training datasets. The results put forward that the ML models have equal forecasting power overall, and BNs are best for data-fitting applications.

A healthy lifestyle can be an important prerequisite to prevent or at least delay the onset of dementia. However, the large number of physically inactive adults underscores the need for developing and evaluating intervention approaches aimed at improving adherence to a physically active lifestyle. In this regard, hybrid physical training, which usually combines center- and home-based physical exercise sessions and has proven successful in rehabilitative settings, could offer a promising approach to preserving cognitive health in the aging population. Despite its potential, research in this area is limited as hybrid physical training interventions have been underused in promoting healthy cognitive aging. Furthermore, the absence of a universally accepted definition or a classification framework for hybrid physical training interventions poses a challenge to future progress in this direction. To address this gap, this article informs the reader about hybrid physical training by providing a definition and classification approach of different types, discussing their specific advantages and disadvantages, and offering recommendations for future research. Specifically, we focus on applying digital technologies to deliver home-based exercises, as their use holds significant potential for reaching underserved and marginalized groups, such as older adults with mobility impairments living in rural areas.

The linear regression is critical for data modelling, especially for scientists. Nevertheless, with the plenty of high-dimensional data, there are data with more explanatory variables than the number of observations. In such circumstances, traditional approaches fail. This paper proposes a modified sparse regression model that solves the problem of heterogeneity using seaweed big data as a use case. The modified heterogeneity models for ridge, LASSO and Elastic net were used to model the data. Robust estimations M Bi-Square, M Hampel, M Huber, MM and S were used. Based on the results, the hybrid model of sparse regression for before, after, and modified heterogeneity robust regression with the 45 high ranking variables and a 2-sigma limit can be used efficiently and effectively to reduce the outliers. The obtained results confirm that the hybrid model of the modified sparse LASSO with the M Bi-Square estimator for the 45 high ranking parameters performed better compared with other existing methods.

Ischemic brain strokes are severe medical conditions that occur due to blockages in the brain\'s blood flow, often caused by blood clots or artery blockages. Early detection is crucial for effective treatment. This study aims to improve the detection and classification of ischemic brain strokes in clinical settings by introducing a new approach that integrates the stroke precision enhancement, ensemble deep learning, and intelligent lesion detection and segmentation models. The proposed hybrid model was trained and tested using a dataset of 10,000 computed tomography scans. A 25-fold cross-validation technique was employed, while the model\'s performance was evaluated using accuracy, precision, recall, and F1 score. The findings indicate significant improvements in accuracy for different stages of stroke images when enhanced using the SPEM model with contrast-limited adaptive histogram equalization set to 4. Specifically, accuracy showed significant improvement (from 0.876 to 0.933) for hyper-acute stroke images; from 0.881 to 0.948 for acute stroke images, from 0.927 to 0.974 for sub-acute stroke images, and from 0.928 to 0.982 for chronic stroke images. Thus, the study shows significant promise for the detection and classification of ischemic brain strokes. Further research is needed to validate its performance on larger datasets and enhance its integration into clinical settings.