Machine Learning Approaches to Predict Risks of Diabetic Complications and Poor Glycemic Control in Nonadherent Type 2 Diabetes

Purpose: The objective of this study was to evaluate the efficacy of machine learning algorithms in predicting risks of complications and poor glycemic control in nonadherent type 2 diabetes (T2D).Materials and Methods: This study was a real-world study of the complications and blood glucose prognosis of nonadherent T2D patients. Data of inpatients in Sichuan Provincial People’s Hospital from January 2010 to December 2015 were collected. The T2D patients who had neither been monitored for glycosylated hemoglobin A nor had changed their hyperglycemia treatment regimens within the last 12 months were the object of this study. Seven types of machine learning algorithms were used to develop 18 prediction models. The predictive performance was mainly assessed using the area under the curve of the testing set.Results: Of 800 T2D patients, 165 (20.6%) met the inclusion criteria, of which 129 (78.2%) had poor glycemic control (defined as glycosylated hemoglobin A ≥7%). The highest area under the curves of the testing set for diabetic nephropathy, diabetic peripheral neuropathy, diabetic angiopathy, diabetic eye disease, and glycosylated hemoglobin A were 0.902 ± 0.040, 0.859 ± 0.050, 0.889 ± 0.059, 0.832 ± 0.086, and 0.825 ± 0.092, respectively.Conclusion: Both univariate analysis and machine learning methods reached the same conclusion. The duration of T2D and the duration of unadjusted hypoglycemic treatment were the key risk factors of diabetic complications, and the number of hypoglycemic drugs was the key risk factor of glycemic control of nonadherent T2D. This was the first study to use machine learning algorithms to explore the potential adverse outcomes of nonadherent T2D. The performances of the final prediction models we developed were acceptable; our prediction performances outperformed most other previous studies in most evaluation measures. Those models have potential clinical applicability in improving T2D care

QoS multicast tree construction in IP/DWDM optical internet by bio-inspired algorithms

Copyright @ Elsevier Ltd. All rights reserved.In this paper, two bio-inspired Quality of Service (QoS) multicast algorithms are proposed in IP over dense wavelength division multiplexing (DWDM) optical Internet. Given a QoS multicast request and the delay interval required by the application, both algorithms are able to find a flexible QoS-based cost suboptimal routing tree. They first construct the multicast trees based on ant colony optimization and artificial immune algorithm, respectively. Then a dedicated wavelength assignment algorithm is proposed to assign wavelengths to the trees aiming to minimize the delay of the wavelength conversion. In both algorithms, multicast routing and wavelength assignment are integrated into a single process. Therefore, they can find the multicast trees on which the least wavelength conversion delay is achieved. Load balance is also considered in both algorithms. Simulation results show that these two bio-inspired algorithms can construct high performance QoS routing trees for multicast applications in IP/DWDM optical Internet.This work was supported in part ny the Program for New Century Excellent Talents in University, the Engineering and Physical Sciences Research Council (EPSRC) of UK under Grant EP/E060722/1, the National Natural Science Foundation of China under Grant no. 60673159 and 70671020, the National High-Tech Reasearch and Development Plan of China under Grant no. 2007AA041201, and the Specialized Research Fund for the Doctoral Program of Higher Education under Grant no. 20070145017

Dust aerosol optical depth retrieval and dust storm detection for Xinjiang Region using Indian National Satellite Observations

The Xinjiang Uyghur Autonomous Region (Xinjiang) is located near the western border of China. Xinjiang has a high frequency of dust storms, especially in late winter and early spring. Geostationary satellite remote sensing offers an ideal way to monitor the regional distribution and intensity of dust storms, which can impact the regional climate. In this study observations from the Indian National Satellite (INSAT) 3D are used for dust storm detection in Xinjiang because of the frequent 30-min observations with six bands. An analysis of the optical properties of dust and its quantitative relationship with dust storms in Xinjiang is presented for dust events in April 2014. The Aerosol Optical Depth (AOD) derived using six predefined aerosol types shows great potential to identify dust events. Cross validation between INSAT-3D retrieved AOD and MODIS AOD shows a high coefficient of determination (R2 = 0.92). Ground validation using AERONET (Aerosol Robotic Network) AOD also shows a good correlation with R2 of 0.77. We combined the apparent reflectance (top-of-atmospheric reflectance) of visible and shortwave infrared bands, brightness temperature of infrared bands and retrieved AOD into a new Enhanced Dust Index (EDI). EDI reveals not only dust extent but also the intensity. EDI performed very well in measuring the intensity of dust storms between 22 and 24 April 2014. A visual comparison between EDI and Feng Yun-2E (FY-2E) Infrared Difference Dust Index (IDDI) also shows a high level of similarity. A good linear correlation (R2 of 0.78) between EDI and visibility on the ground demonstrates good performance of EDI in estimating dust intensity. A simple threshold method was found to have a good performance in delineating the extent of the dust plumes but inadequate for providing information on dust plume intensity

Preface

2021 International Conference on Environmental Engineering and Energy (ICEEE 2021) was held online in Wuhan, China, on November 20, 2021. ICEEE 2021 is co-sponsored by Modern International Green Culture Communication Association (MIGCCA), and the conference proceeding is published by IOP Publishing. ICEEE 2021 provides an excellent international forum for sharing knowledge and results in theory, methodology and applications of environmental engineering and energy. The conference looks for significant contributions to all major fields of environmental engineering and energy in theoretical and application aspects. The aim of the conference is to provide a platform to the global researchers and practitioners from both academia as well as industry to meet and share cutting-edge development in the fields.The ICEEE 2021 proceedings tend to collect the up-to-date, comprehensive and worldwide state-of-art knowledge on environmental engineering and energy. All of accepted papers were subjected to strict peer-reviewing by 2–5 expert reviewers. The papers have been selected for this volume because of quality and the relevance to the conference. We hope this book will not only provide the readers a broad overview of the latest research results, but also provide the readers a valuable summary and reference in these fields.COVID-19 cases were found in difference provinces, which were cluster of infection. In order to avoid virus' spreading, the organiser switched the conference to a virtual one. It was held online on November 20, 2021 via Tencent Meeting. The virtual conference consisted of Opening Speech (10 mins), Keynote Speeches (40 mins presentation + 10 mins Q&A), and Oral Presentation (15-20 mins presentation + 10 mins Q&A) and Concluding Remarks (5 mins). The number of attendees are more than expectation

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

Quantitative Comparison of Tree Ensemble Learning Methods for Perfume Identification Using a Portable Electronic Nose

Perfume identification (PI) based on an electronic nose (EN) can be used for exposing counterfeit perfumes more time-efficiently and cost-effectively than using gas chromatography and mass spectrometry instruments. During the past five years, decision-tree-based ensemble learning methods, also called tree ensemble learning methods, have demonstrated excellent performance when solving multi-class classification problems. However, the performance of tree ensemble learning methods for the EN-based PI problem remains uncertain. In this paper, four well-known tree ensemble learning classification methods, random forest (RF), stagewise additive modeling using a multi-class exponential loss function (SAMME), gradient-boosting decision tree (GBDT), and extreme gradient boosting (XGBoost), were implemented for PI using our self-designed EN. For fair comparison, all the tested classification methods used as input the same feature data extracted using principal component analysis. Moreover, two benchmark methods, neural network and support vector machine, were also tested with the same experimental setup. The quantitative results of experiments undertaken demonstrated that the mean PI accuracy achieved by XGBoost was up to 97.5%, and that XGBoost outperformed other tested methods in terms of accuracy mean and variance based on our self-designed EN