Evaluation of the Factors Affecting Classification Performance in Class Imbalance Problem

In binary classification, when the distribution of numbers in the class is imbalanced, we are aimed to increase the accuracy of classification in classification methods. In our study, simulated data sets and actual data sets are used. In the simulation, the "BinNor" package in the R project, which produces both numerical and categorical data, was utilized. When simulation work is planned, three different effects are considered which may affect the classification performance. These are: sample size, correlation structure and class imbalance rates. Scenarios were created by considering these effects. Each scenario was repeated 1000 times and 10-fold cross-validation was applied. CART, SVM and RF methods have been used in the classification of data sets obtained from both simulation and actual data sets. SMOTE, SMOTEBoost and RUSBoost were used to decrease or completely remove the imbalance of the data before the classification methods were applied. Specificity, sensitivity, balanced accuracy and F-measure were used as performance measures. The simulation results: the imbalance rate increases from 10 to 30, the effect of the 3 algorithms on the classification methods is similar accuracy. Because the class imbalance has become balanced

Systematic Analysis of Multi-Source Inspection Database via Ship Smart Audit System

This study proposes a methodology to deeply analyze the multi-source inspection/audit findings gathered from a ship fleet to promote and implement proactive measures systematically. In addition to the ship audit reports of Company-A operating 16 bulk carriers in the Black Sea and the Mediterranean, the multi-source inspection database also consists of benchmarking datasets of different fleets. The Ship Smart Audit System (SSAS), including data collection, causation, analysis and prioritization, and implementation phases, is developed to strengthen the maritime regulatory compliance. Particularly, the Marine Systematic Cause Analysis Technique (M-SCAT), Cognitive Mapping (CM), and Pareto analysis are integrated into methodological background of the study. The SSAS is demonstrated with 5,000 findings from the benchmarking dataset and, subsequently, over 1,900 findings from the Company-A. Then, cause priorities, root cause trends, preventive actions, and audit item preferences are identified as an interconnected process of the ship management company. Consequently, the study encourages maritime executives to increase the effectiveness of pre-inspection and internal audit implementations

Synthesis of conductive carbon aerogels decorated with β-tricalcium phosphate nanocrystallites

There has been substantial interest in research aimed at conductive carbon-based supports since the discovery that the electrical stimulus can have dramatic effect on cell behavior. Among these carbon-aerogels decorated with biocompatible polymers were suggested as future materials for tissue engineering. However, high reaction temperatures required for the synthesis of the aerogels tend to impair the stability of the polymeric networks. Herein, we report a synthetic route towards carbon-aerogel scaffolds decorated with biocompatible ceramic nanoparticles of tricalcium phosphate. The composites can be prepared at temperature as high as 1100 °C without significant effect on the morphology of the composite which is comparable with the original aerogel framework. Although the conductivity of the composites tends to decrease with the increasing ceramic content the measured conductivity values are similar to those previously reported on polymer-functionalized carbon-aerogels. The cell culture study revealed that the developed constructs support cell proliferation and provide good cell attachment suggesting them as potentially good candidates for tissue-engineering applications

A Broadband Superabsorber at Optical Frequencies: Design and Demonstration

Metasurface based super absorbers exhibit near unity absorbance. While the absorption peak can be tuned by the geometry/size of the sub-wavelength resonator, broadband absorption can be obtained by placing multiple resonators of various size or shapes in a unit cell. Metal dispersion hinders high performance broadband absorption at optical frequencies and careful designing is essential to achieve good structures. We propose a novel analytical framework for designing a broadband super absorber which is much faster than the time consuming full wave simulations that are employed so far. Analytical expressions are derived for the wavelength dependency of the design parameters, which are then used in the optimization of broadband absorption. Numerical simulations report an average polarization-independent absorption of ~97 in the 450 to 950 nm spectral region with a near unity absorption (99.36) in the 500 to 850 nm region. Experimentally, we demonstrate an average absorption over 98 in the 450 to 950 nm spectral region at 20 degree incident angle The designed super absorber is polarization insensitive and has a weak launch angle dependency. The proposed framework simplifies the design process and provides a quicker optimal solution for high performance broadband super absorbers

30-day morbidity and mortality of sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass: a propensity score-matched analysis of the GENEVA data

Background: There is a paucity of data comparing 30-day morbidity and mortality of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and one anastomosis gastric bypass (OAGB). This study aimed to compare the 30-day safety of SG, RYGB, and OAGB in propensity score-matched cohorts. Materials and methods: This analysis utilised data collected from the GENEVA study which was a multicentre observational cohort study of bariatric and metabolic surgery (BMS) in 185 centres across 42 countries between 01/05/2022 and 31/10/2020 during the Coronavirus Disease-2019 (COVID-19) pandemic. 30-day complications were categorised according to the Clavien–Dindo classification. Patients receiving SG, RYGB, or OAGB were propensity-matched according to baseline characteristics and 30-day complications were compared between groups. Results: In total, 6770 patients (SG 3983; OAGB 702; RYGB 2085) were included in this analysis. Prior to matching, RYGB was associated with highest 30-day complication rate (SG 5.8%; OAGB 7.5%; RYGB 8.0% (p = 0.006)). On multivariate regression modelling, Insulin-dependent type 2 diabetes mellitus and hypercholesterolaemia were associated with increased 30-day complications. Being a non-smoker was associated with reduced complication rates. When compared to SG as a reference category, RYGB, but not OAGB, was associated with an increased rate of 30-day complications. A total of 702 pairs of SG and OAGB were propensity score-matched. The complication rate in the SG group was 7.3% (n = 51) as compared to 7.5% (n = 53) in the OAGB group (p = 0.68). Similarly, 2085 pairs of SG and RYGB were propensity score-matched. The complication rate in the SG group was 6.1% (n = 127) as compared to 7.9% (n = 166) in the RYGB group (p = 0.09). And, 702 pairs of OAGB and RYGB were matched. The complication rate in both groups was the same at 7.5 % (n = 53; p = 0.07). Conclusions: This global study found no significant difference in the 30-day morbidity and mortality of SG, RYGB, and OAGB in propensity score-matched cohorts

30-Day morbidity and mortality of bariatric metabolic surgery in adolescence during the COVID-19 pandemic – The GENEVA study

Background: Metabolic and bariatric surgery (MBS) is an effective treatment for adolescents with severe obesity. Objectives: This study examined the safety of MBS in adolescents during the coronavirus disease 2019 (COVID-19) pandemic. Methods: This was a global, multicentre and observational cohort study of MBS performed between May 01, 2020, and October 10,2020, in 68 centres from 24 countries. Data collection included in-hospital and 30-day COVID-19 and surgery-specific morbidity/mortality. Results: One hundred and seventy adolescent patients (mean age: 17.75 ± 1.30 years), mostly females (n = 122, 71.8%), underwent MBS during the study period. The mean pre-operative weight and body mass index were 122.16 ± 15.92 kg and 43.7 ± 7.11 kg/m2, respectively. Although majority of patients had pre-operative testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (n = 146; 85.9%), only 42.4% (n = 72) of the patients were asked to self-isolate pre-operatively. Two patients developed symptomatic SARS-CoV-2 infection post-operatively (1.2%). The overall complication rate was 5.3% (n = 9). There was no mortality in this cohort. Conclusions: MBS in adolescents with obesity is safe during the COVID-19 pandemic when performed within the context of local precautionary procedures (such as pre-operative testing). The 30-day morbidity rates were similar to those reported pre-pandemic. These data will help facilitate the safe re-introduction of MBS services for this group of patients

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Large-vscale hydrogen production and storage technologies: Current status and future directions

This is an accepted manuscript of an article published by Elsevier in International Journal of Hydrogen Energy on 13/11/2020, available online: https://doi.org/10.1016/j.ijhydene.2020.10.110 The accepted version of the publication may differ from the final published version.Over the past years, hydrogen has been identified as the most promising carrier of clean energy. In a world that aims to replace fossil fuels to mitigate greenhouse emissions and address other environmental concerns, hydrogen generation technologies have become a main player in the energy mix. Since hydrogen is the main working medium in fuel cells and hydrogen-based energy storage systems, integrating these systems with other renewable energy systems is becoming very feasible. For example, the coupling of wind or solar systems hydrogen fuel cells as secondary energy sources is proven to enhance grid stability and secure the reliable energy supply for all times. The current demand for clean energy is unprecedented, and it seems that hydrogen can meet such demand only when produced and stored in large quantities. This paper presents an overview of the main hydrogen production and storage technologies, along with their challenges. They are presented to help identify technologies that have sufficient potential for large-scale energy applications that rely on hydrogen. Producing hydrogen from water and fossil fuels and storing it in underground formations are the best large-scale production and storage technologies. However, the local conditions of a specific region play a key role in determining the most suited production and storage methods, and there might be a need to combine multiple strategies together to allow a significant large-scale production and storage of hydrogen.Published versio