Machine Learning‐Based Prediction of Parking Space Availability in IoT‐Enabled Smart Parking Management Systems

Machine learning (ML) models are cost-effective tools that can establish a prognosis by considering clinical, genomic, and histological data from breast cancer patients. In this study, we evaluate the performance of 12 ML models in predicting the overall survival of breast cancer patients from “The Cancer Genome Atlas-Breast Cancer” database at 60 months of follow-up. The models evaluated were Logistic Regression (LR), Ridge Classifier (RC), Least Absolute Shrinkage and Selection Operator (LASSO), K-Nearest Neighbors (KNN), Naive Bayes (NB), Linear Discriminant Analysis (LDA), Decision Tree (DT), Multilayer Perceptron (MP), Stochastic Gradient Descent (SGD), Support Vector Machine (SVM), Random Forest (RF), and XGBoost (XGB). The most accurate models were NB (86.76%) and SGD (85.29%). The models with the highest sensitivity were SGD (93.75%), MP (91.67%), and NB (89.89%), while the models with the highest specificity were KNN (95.0%), DT (90.0%), and LASSO (85.0%). The models with the highest area under the ROC curve were LDA (90.83%), LASSO (90.1%), and LR (89.79%). The most relevant variables were “Previous Diagnosis of Cancer,” “Presence of Tumor,” “Ancillary Therapy,” and “Histology.” Our findings demonstrate that AI tools for predicting patient outcomes are a viable option when expensive prognostic genomic tools are not available. According to our results, NB and LASSO show promising performance in predicting the prognosis of breast cancer patients. Further studies with data from developing countries are needed to improve the performance of these tools.

Background: Osteoporosis is a systemic skeletal disorder marked by reduced bone density and microarchitectural deterioration, leading to increased fracture risk. While the dual-energy X-ray absorptiometry (DEXA) scan is the World Health Organization (WHO)-recommended diagnostic standard, its limitations necessitate alternative methods. Emerging magnetic resonance imaging (MRI) techniques, radiomics, and machine learning promise to enhance osteoporosis diagnosis through detailed analysis of lumbar MRI apparent diffusion coefficient (ADC) maps, potentially revolutionizing early detection and treatment strategies. Objectives: In this study, we are going to evaluate the performance of machine learning (ML) models using radiomics features of lumbar MRI ADC map for osteoporosis detection, and to identify significant features and their diagnostic thresholds. Specific performance metrics such as accuracy, sensitivity, specificity, and Area Under the receiver operating characteristic (ROC) Curve (AUC) were assessed. Patients and Methods: This retrospective study employed a cross-sectional design, with a total of 140 cases, including 21 with osteoporosis. The study's inclusion criteria consisted of concurrent lumbar MRI and DEXA within a year, while exclusion criteria included infectious or neoplastic lumbar lesions, fractures, instrumentation, significant osteodegenerative changes, cases where the first four lumbar vertebrae were not included in the imaging field, and absence of diffusion-weighted imaging. Manual segmentation of lumbar vertebrae from ADC maps was performed to create a comprehensive dataset, comprising 5,580 radiomics features per case. Subsequently, the top five features selected by fast correlation-based filter (FCBF) were used to test the performance of seven Machine Learning algorithms (k-Nearest neighbors, decision tree, random forest, logistic regression, support vector machine, naive bayes, and neural network). Statistical tests and ROC curve analysis were conducted to determine the significance and thresholds of these features. Results: The study included 140 cases, with 132 females (94.3%) and 8 males (5.7%), and a mean age of 65.32 ± 8.50 years. The mean BMI was 31.43 ± 5.53 kg/m² for females and 26 ± 3.59 kg/m² for males. In terms of demographic differences, no significant age difference was found between the osteoporotic and non-osteoporotic groups (P = 0.889). However, the osteoporotic group had significantly lower mean body weight (64.90 ± 10.13 kg vs. 74.68 ± 13.94 kg, P = 0.003) and BMI (27.40 ± 4.38 kg/m² vs. 31.77 ± 5.52 kg/m², P = 0.001) compared to the non-osteoporotic group. The median interval between DEXA and lumbar MRI was 1 month (range 0.1 - 11.87 months). The Neural Network model demonstrated the highest performance with an AUC of 0.616 and a classification accuracy of 0.764 using all features. The Naive Bayes model, using the top five features selected by FCBF, showed the highest performance with an AUC of 0.913, accuracy of 0.907, sensitivity of 0.667, and specificity of 0.95. All ML models’ performance were elevated by feature selection. Independent t-tests and Mann-Whitney U tests identified 521 and 670 significant features, respectively (P < 0.05). ROC analysis revealed 58 features with AUC values above 0.70. Conclusion: This study's findings suggest that ML models, particularly the Naive Bayes algorithm, can effectively use lumbar ADC map radiomics to diagnose osteoporosis. These findings could enhance early detection and treatment strategies, potentially improving patient outcomes and reducing the burden of osteoporotic fractures. This study also established threshold values for significant features.

Background and aimsThe birth weight of a newborn is a crucial factor that affects their overall health and future well-being. Low birth weight (LBW) is a widespread global issue, which the World Health Organization defines as weighing less than 2,500 g. LBW can have severe negative consequences on an individual’s health, including neonatal mortality and various health concerns throughout their life. To address this problem, this study has been conducted using BDHS 2017–2018 data to uncover important aspects of LBW using a variety of machine learning (ML) approaches and to determine the best feature selection technique and best predictive ML model.MethodsTo pick out the key features, the Boruta algorithm and wrapper method were used. Logistic Regression (LR) used as traditional method and several machine learning classifiers were then used, including, DT (Decision Tree), SVM (Support Vector Machine), NB (Naïve Bayes), RF (Random Forest), XGBoost (eXtreme Gradient Boosting), and AdaBoost (Adaptive Boosting), to determine the best model for predicting LBW. The model’s performance was evaluated based on the specificity, sensitivity, accuracy, F1 score and AUC value.ResultsResult shows, Boruta algorithm identifies eleven significant features including respondent’s age, highest education level, educational attainment, wealth index, age at first birth, weight, height, BMI, age at first sexual intercourse, birth order number, and whether the child is a twin. Incorporating Boruta algorithm’s significant features, the performance of traditional LR and ML methods including DT, SVM, NB, RF, XGBoost, and AB were evaluated where LR, had a specificity, sensitivity, accuracy and F1 score of 0.85, 0.5, 85.15% and 0.915. While the ML methods DT, SVM, NB, RF, XGBoost, and AB model’s respective accuracy values were 85.35%, 85.15%, 84.54%, 81.18%, and 84.41%. Based on the specificity, sensitivity, accuracy, F1 score and AUC, RF (specificity = 0.99, sensitivity = 0.58, accuracy = 85.86%, F1 score = 0.9243, AUC = 0.549) outperformed the other methods. Both the classical (LR) and machine learning (ML) models’ performance has improved dramatically when important characteristics are extracted using the wrapper method. The LR method identified five significant features with a specificity, sensitivity, accuracy and F1 score of 0.87, 0.33, 87.12% and 0.9309. The region, whether the infant is a twin, and cesarean delivery were the three key features discovered by the DT and RF models, which were implemented using the wrapper technique. All three models had the identical F1 score of 0.9318. However, “child is twin” was recognized as a significant feature by the SVM, NB, and AB models, with an F1 score of 0.9315. Ultimately, with an F1 score of 0.9315, the XGBoost model recognized “child is twin” and “age at first sex” as relevant features. Random Forest again beat the other approaches in this instance.ConclusionsThe study reveals Wrapper method as the optimal feature selection technique. The ML method outperforms traditional methods, with Random Forest (RF) being the most effective predictive model for Low-Birth-Weight prediction. The study suggests that policymakers in Bangladesh can mitigate low birth weight newborns by considering identified risk factors.

Student’s mental health problems have been explored previously in higher education literature in various contexts including empirical work involving quantitative and qualitative methods. Nevertheless, comparatively few research could be found, aiming for computational methods that learn information directly from data without relying on set parameters for a predetermined equation as an analytical method. This study aims to investigate the performance of Machine learning (ML) models used in higher education. ML models considered are Naïve Bayes, Support Vector Machine, K-Nearest Neighbor, Logistic Regression, Stochastic Gradient Descent, Decision Tree, Random Forest, XGBoost (Extreme Gradient Boosting Decision Tree), and NGBoost (Natural) algorithm. Considering the factors of mental health illness among students, we follow three phases of data processing: segmentation, feature extraction, and classification. We evaluate these ML models against classification performance metrics such as accuracy, precision, recall, F1 score, and predicted run time. The empirical analysis includes two contributions: 1. It examines the performance of various ML models on a survey-based educational dataset, inferring a significant classification performance by a tree-based XGBoost algorithm; 2. It explores the feature importance [variables] from the datasets to infer the significant importance of social support, learning environment, and childhood adversities on a student’s mental health illness.

BackgroundAcute upper gastrointestinal bleeding (AUGIB) is one of the most common critical diseases encountered in the intensive care unit (ICU), with a mortality rate ranging from 15 to 20%. Accurate stratification of acute gastrointestinal bleeding into acute variceal gastrointestinal bleeding (AVGIB) and acute non-variceal gastrointestinal bleeding (ANGIB) subtypes is clinically essential as distinct entities require markedly different therapeutic approaches and even divergent prognostic implications. AUGIB characterized by hemorrhagic shock, hypotension, multiple organ dysfunction (MODS), and even circulatory failure is life-threatening. Machine learning (ML) prediction model can be an effective tool for mortality prediction, enabling the timely identification of high-risk patients and improving outcomes.MethodsA total of 3,050 acute upper gastrointestinal bleeding (AUGIB) patients were included in our research from the MIMIC-IV database, among which 625 patients were classified as AVGIB and 2,425 patients were categorized as ANGIB. Patients’ clinical features, intervention methods, vital signs, scores, and important laboratory results were collected. The Synthetic Minority Over-sampling Technique-Edited Nearest Neighbors (SMOTE-ENN) and Adaptive Synthetic Sampling (ADASYN) were adopted to address the imbalance of the dataset. As many as 12 machine learning (ML) algorithms, namely, logistic regression (LR), decision tree (DT), random forest (RF), gradient boosting (GB), AdaBoost, XGBoost, Naive Bayes (NB), support vector machine (SVM), light gradient-boosting machine (LightGBM), K-nearest neighbors (KNN), extremely randomized trees (ET), and voting classifier (VC), were performed. The model performance was evaluated using accuracy, precision, recall, F1-score, and area under the receiver operating characteristic curve (AUC). Shapley Additive exPlanations (SHAP) analysis was conducted to identify the most influential features contributing to mortality prediction.ResultsIn terms of AVGIB patients, extremely randomized trees model demonstrated excellent predictive value among other ML models, with the AUC of 0.996 ± 0.007, accuracy of 0.996 ± 0.009, precision of 0.957 ± 0.024, recall of 0.988 ± 0.012, and F1 score of 0.972 ± 0.007. The top 10 primary feature variables of ET model were whether combined with acute kidney failure, transfusion of albumin, vasoactive drugs, transfusion of plasma, transfusion of platelet, the max of international normalized ratio (INR), the max of prothrombin time (PT), and the max of activated partial thromboplastin time (APTT). In case of ANGIB patients, gradient boosting model proven to be the optimal machine learning models, with the AUC of 0.985 ± 0.002, accuracy of 0.948 ± 0.009, precision of 0.949 ± 0.009, recall of 0.968 ± 0.009, and F1 score of 0.959 ± 0.007. Similarly, the top 10 feature variables of GB model were Glasgow Coma Scale (GCS) score, vasoactive drugs, acute kidney failure, AIMS65 score, APACHE-II score, mechanical ventilation, the minimum of lactate, chronic liver disease, and the minimum and maximum of APTT. The SHAP visualization shows the weights of two ML models feature variables and the average sharp values of variables. Meanwhile, SHAP waterfall outputs the model prediction process with true positive and negative patients. Most importantly, two website prognostic prediction platforms were developed to enhance clinical accessibility: the ET model for AVGIB patients available at https://10zr656do5281.vicp.fun while the GB model for ANGIB patients accessible at http://10zr656do5281.vicp.fun.ConclusionThe ET model provides a reliable prognostic tool for AVGIB patients, while the GB model serves as a robust tool for ANGIB patients in predicting in-hospital mortality. By systematically integrating clinical features, risk stratification scores, vital signs, and invention measures, the ML models may deliver comprehensive predictions that benefit for clinical decision-making and potentially enhance clinical outcomes in the near future.

BackgroundHeart failure (HF) is a life-threatening complication of cardiovascular disease. HF patients are more likely to progress to acute kidney injury (AKI) with a poor prognosis. However, it is difficult for doctors to distinguish which patients will develop AKI accurately. This study aimed to construct a machine learning (ML) model to predict AKI occurrence in HF patients.Materials and methodsThe data of HF patients from the Medical Information Mart for Intensive Care-IV (MIMIC-IV) database was retrospectively analyzed. A ML model was established to predict AKI development using decision tree, random forest (RF), support vector machine (SVM), K-nearest neighbor (KNN), and logistic regression (LR) algorithms. Thirty-nine demographic, clinical, and treatment features were used for model establishment. Accuracy, sensitivity, specificity, and the area under the receiver operating characteristic curve (AUROC) were used to evaluate the performance of the ML algorithms.ResultsA total of 2,678 HF patients were engaged in this study, of whom 919 developed AKI. Among 5 ML algorithms, the RF algorithm exhibited the highest performance with the AUROC of 0.96. In addition, the Gini index showed that the sequential organ function assessment (SOFA) score, partial pressure of oxygen (PaO2), and estimated glomerular filtration rate (eGFR) were highly relevant to AKI development. Finally, to facilitate clinical application, a simple model was constructed using the 10 features screened by the Gini index. The RF algorithm also exhibited the highest performance with the AUROC of 0.95.ConclusionUsing the ML model could accurately predict the development of AKI in HF patients.

This study aims to analyze the performance of machine learning models for detecting Internet of Things malware utilizing a recent IoT dataset. Experiments on the IoT dataset were conducted with nine well-known machine learning techniques, consisting of Logistic Regression (LR), Naive Bayes (NB), Decision Tree (DT), k-Nearest Neighbors (KNN), Support Vector Machines (SVM), Neural Networks (NN), Random Forest (RF), Bagging (BG), and Stacking (ST). The results show that the proposed model attains 100% accuracy in detecting IoT malware for DT, SVM, RF, BG; about 99.9% percent for LR, NB, KNN, NN; and only 28.16% for ST classifier. This study also shows higher performance than other proposed machine learning models evaluated on the same dataset. Therefore, the results of this study can help both the researchers and application developers in designing and building intelligent malware detection systems for IoT devices.

Sepsis is a leading cause of mortality in the intensive care unit. Early prediction of sepsis can reduce the overall mortality rate and cost of sepsis treatment. Some studies have predicted mortality and development of sepsis using machine learning models. However, there is a gap between the creation of different machine learning algorithms and their implementation in clinical practice.This study utilized data from the Medical Information Mart for Intensive Care III. We established and compared the gradient boosting decision tree (GBDT), logistic regression (LR), k-nearest neighbor (KNN), random forest (RF), and support vector machine (SVM).A total of 3937 sepsis patients were included, with 34.3% mortality in the Medical Information Mart for Intensive Care III group. In our comparison of 5 machine learning models (GBDT, LR, KNN, RF, and SVM), the GBDT model showed the best performance with the highest area under the receiver operating characteristic curve (0.992), recall (94.8%), accuracy (95.4%), and F1 score (0.933). The RF, SVM, and KNN models showed better performance (area under the receiver operating characteristic curve: 0.980, 0.898, and 0.877, respectively) than the LR (0.876).The GBDT model showed better performance than other machine learning models (LR, KNN, RF, and SVM) in predicting the mortality of patients with sepsis in the intensive care unit. This could be used to develop a clinical decision support system in the future.

Background Malaria remains a major cause of illness and death among children under five in Nigeria, despite efforts to control transmission. Accurate and reliable prediction of malaria outbreaks is crucial for health authorities to take timely measures. This study aims to identify the most robust machine learning classification algorithms for predicting the status of malaria in children under five (0-59 months). Methods The 2021 Nigeria Malaria Indicator Survey (NMIS) included 10,655 children under five who were tested for malaria using the Rapid Diagnostic Test (RDT). Various machine learning models were explored, including Decision Trees, K-Nearest Neighbor, Naïve Bayes, Random Forest, Support Vector Machines, and Survey Logistic Regression, and their performance was evaluated through metrics such as accuracy, AUC, balanced accuracy, F1-Score, negative predictive value, precision, sensitivity, and specificity. Results Random Forest (RF) is the most robust and balanced classification model due to its superior accuracy (79%), precision (77%), recall (62%), F1-score (69%), and AUC (80%). Support Vector Machine (SVM) also demonstrated strong performance, particularly in accuracy (74%) and AUC (80%). Survey Logistic Regression (SLR) and Decision Tree (DT) offered moderate results but fell short compared to RF and SVM, indicating the need for further optimization. Naive Bayes (NB) and K-Nearest Neighbors (KNN) had limitations, making them less reliable for this task. Conclusion In conclusion, the study reveals that RF and SVM are the best classification models for predicting malaria status in children under five years old. RF is reliable and balanced, while SVM is preferred for recall. SLR and DT show potential but require optimization. NB and KNN have significant performance gaps, making them less suitable. These findings will help policymakers and malaria intervention programs address key factors, enabling more targeted public health interventions to reduce the malaria burden on young children and improve the well-being of vulnerable populations in Nigeria.

Intrusion detection plays a critical role in safeguarding computer networks from malicious activities and unauthorized access. Traditional machine learning (ML) models have been widely employed for intrusion detection, but their effectiveness can be limited due to the complex and evolving nature of network attacks. An efficient Convolutional Neural Network (CNN) that utilizes one-dimensional convolutions, batch normalization, and max pooling layers is designed to capture the attack patterns in network traffic data. By leveraging the inherent feature extraction capabilities of CNNs, the proposed architecture demonstrates improved performance in identifying network intrusions compared to traditional ML models. The effectiveness of the novel CNN architecture is evaluated by conducted comprehensive experiments on two benchmark intrusion detection datasets. The designed CNN performance was compared with four other ML models such as logistic regression, k-nearest neighbors, decision trees, and random forest. The experimental results revealed that the proposed CNN architecture outperformed the traditional ML models with highest accuracy of 97.68% and 97.39% and highest F1-score of 97.68% and 97.40% for. UNSW-NB15 and CICIDS2017 datasets, respectively. The proposed CNN architecture serves as a promising alternative to traditional ML models, offering improved performance in identifying and mitigating network attacks.

The prediction of wind energy generation is important to enhance the performance and dependability of renewable energy systems due to the rising demand for wind-generated electricity and advancements in wind energy technology competitiveness. This study leverages advanced machine learning (ML) and some other statistical and deep learning based time series forecasting models to enhance the accuracy of wind energy predictions. This comprehensive analysis includes nine ML models—Linear Regression, Random Forests (RF), Gradient Boosting Machines (GBM), Support Vector Machines (SVM), K-Nearest Neighbors (KNN), AdaBoost, XGBoost, Support Vector Regression (SVR), and Neural Networks—as well as Four time-series forecasting models—ARIMA, Temporal Convolutional Networks (TCNs), Long Short-Term Memory (LSTM) networks and GRU. Each ML model underwent rigorous cross-validation to ensure optimal performance. The assessment criteria utilized here comprised the Mean Squared Error (MSE), Root Mean Squared Error (RMSE), Mean Absolute Error (MAE), and the R² Score. It was found that among the nine ML models, Random Forests, GBM and KNN consistently provided superior accuracy and robustness, making them the top choices for wind energy prediction whereas the performance of linear regression, SVM and SVR were very poor for the considered dataset. From the experiment, Random Forest, GBM, and KNN showed the best performance with low MSE values of 0.77, 1.95, and 1.51 respectively, while other models had MSEs above 7.5, with AdaBoost reaching 30. Their RMSEs (0.88, 1.40, 1.23) and MAEs (0.093, 0.73, 0.10) also indicate strong predictive accuracy compared to the rest.In this paper, time series forecasting, TCNs, LSTM and GRU networks showed strong capabilities in capturing temporal dependencies and trends within the wind energy data. Visualization techniques were employed to compare model performances comprehensively, providing clear insights into their predictive power. Therefore, this present study offers a robust framework for researchers and practitioners aiming to leverage machine learning and time series forecasting in the realm of renewable energy prediction.

Social determinants of health (SDOH) play a critical role in the onset and progression of chronic kidney disease (CKD). Despite the well-established role of SDOH, previous studies have not fully incorporated these factors in predicting CKD in Type 2 diabetes patients. To bridge this gap, this study aimed to develop and evaluate the machine learning (ML) models that incorporate SDOH to enhance CKD risk prediction in Type 2 diabetes patients. Data were obtained from the 2023 Behavioral Risk Factor Surveillance System (BRFSS), a national survey that collects comprehensive health-related data from adults across the United States. Missing data were addressed using the K-nearest neighbor imputation method, and the Synthetic Minority Oversampling Technique (SMOTE) was applied to balance class distributions. Potential predictive features were selected using correlation coefficient analysis. The dataset was partitioned into training (80%) and testing (20%) subsets, with a 3-fold cross-validation strategy applied to the training data. Seven ML models were developed for CKD risk prediction, including logistic regression (LR), decision tree (DT), K-nearest neighbor (KNN), random forest (RF), eXtreme Gradient Boosting (XGBoost), and an artificial neural network (ANN). Model performance was evaluated using multiple metrics, including the area under the receiver operating characteristic curve (AUROC), precision, recall, F1 score, accuracy, and false positive rate. The study included 19,912 Type 2 diabetes patients (weighted sample size: 818,878), among whom 2,924 (weighted 13.92%) had CKD, and 16,988 (weighted 86.08%) did not. Over half of the CKD group (50.4%) were aged 65 or older. The proportion of female patients was higher in both groups, comprising 53.8% of the CKD group and 50.5% of the non-CKD group. Among the ML models evaluated, the RF model demonstrated the highest predictive performance for CKD, with an AUROC of 0.89 (95% CI: 0.88 - 0.90), followed by the DT model (0.84, 95% CI: 0.83 - 0.85) and XGBoost (0.83, 95% CI: 0.82 - 0.84). The RF model achieved an accuracy of 0.81 (95%CI: 0.81 - 0.81), a precision of 0.79 (95%CI: 0.79 - 0.79), a recall of 0.85 (95%CI: 0.85 - 0.85), and an F1 score of 0.82 (95%CI: 0.82 - 0.82). Additionally, the RF model exhibited strong calibration, reinforcing its reliability as a predictive tool for CKD risk in individuals with Type 2 diabetes. The study findings underscore the potential of ML models, particularly the RF model, in accurately predicting CKD among individuals with Type 2 diabetes. This approach not only enhances the precision of CKD prediction but also highlights the importance of addressing social and environmental disparities in disease prevention and management. Leveraging ML models with SDOH can lead to earlier interventions, more personalized treatment plans, and improved health outcomes for vulnerable populations. The online version contains supplementary material available at 10.1007/s40200-025-01621-9.

Simple SummaryEffective models for predicting non-functioning pituitary neuro-endocrine tumours (NF PitNET) recurrence and regrowth following surgical intervention remain elusive. Previous studies have identified conflicting risk factors in predictions of tumour progression for patients receiving surgery for NF PitNET. The aim of this study was to develop machine learning (ML) models to improve prediction of post-operative NF PitNET progression up to 15 years following surgery. ML models were shown to be effective for predicting tumour remission, stability, and regrowth, but were non-performant when predicting tumour recurrence or reduction in size. The extent of surgical resection was shown to have the strongest influence in the performant models, with lesser influence from age, tumour volume, and the use of post-operative radiotherapy, and with no influence shown from pre- or post-operative endocrine function.Post-operative tumour progression in patients with non-functioning pituitary neuroendocrine tumours is variable. The aim of this study was to use machine learning (ML) models to improve the prediction of post-operative outcomes in patients with NF PitNET. We studied data from 383 patients who underwent surgery with or without radiotherapy, with a follow-up period between 6 months and 15 years. ML models, including k-nearest neighbour (KNN), support vector machine (SVM), and decision tree, showed superior performance in predicting tumour progression when compared with parametric statistical modelling using logistic regression, with SVM achieving the highest performance. The strongest predictor of tumour progression was the extent of surgical resection, with patient age, tumour volume, and the use of radiotherapy also showing influence. No features showed an association with tumour recurrence following a complete resection. In conclusion, this study demonstrates the potential of ML models in predicting post-operative outcomes for patients with NF PitNET. Future work should look to include additional, more granular, multicentre data, including incorporating imaging and operative video data.

Sub-Saharan Africa continues to shoulder the heaviest burden of malaria. The 2024 World Health Organisation (WHO) malaria report highlighted that Africa contributed an alarming 94% of the global cases and 95% of the deaths. In the WHO African region, progress towards elimination and management of malaria is hindered by weak health systems and a lack of traditional diagnostic methods such as microscopy and malaria Rapid Diagnostic Tests (mRDTs). The primary aim of this paper is to develop a machine learning (ML) ensemble model for malaria diagnosis using clinical and demographic data, tailored for resource-limited settings. A retrospective study was conducted using 637 patient records from Gutu Mission Hospital and Gweru Provincial Hospital in Zimbabwe. Clinical symptoms (fever, chills, abdominal pain, headache and diarrhea) and demographic features (age, gender, residence and travel history) were analysed. Data preprocessing included handling class imbalance using the Synthetic Minority Oversampling Technique (SMOTE) and feature selection using Recursive Feature Elimination (RFE). Seven individual ML models, including Logistic regression (LR), Random Forest (RF), Decision Trees (DT), Gradient Boosting (GB), K-Nearest Neighbour (KNN), Naive Bayes (NB) and XGBoost were trained and evaluated on the malaria dataset. The individual models were further combined to build, train and evaluate ensemble models such as Bagging, Stacking, Soft Voting and AdaBoost. Model performance was assessed using accuracy, precision, confusion matrices, recall, F1 score, and AUC-ROC metrics. Clinical symptoms (chills: p-value=0.001, fever: p=0.003, diarrhea: p=0.01, abdominal pain: p< 0.001) were statistically significant predictors of malaria. Of the demographic factors, only travel history (p=0.02) showed a significant association with malaria. Among the seven individual ML models, GB achieved the highest predictive performance (Accuracy =0.94), followed by RF (Accuracy =0.94) and XGBoost (Accuracy =0.93). The stacking ensemble model outperformed all individual ML models and other ensemble models (bagging, soft voting and AdaBoost), achieving accuracy =0.96, precision =0.95, recall =0.98, F1 score =0.96 and AUC-ROC =0.98. This study demonstrates that ML, particularly ensemble models, can be used to improve malaria diagnosis significantly. The integration of these models into a web-based application could provide a scalable and accessible diagnostic tool for healthcare workers in resource-limited settings.

Access to clean drinking water is crucial for any region’s social and economic growth. However, rapid urbanization and industrialization have significantly deteriorated water quality, posing severe pollution threats from domestic, agricultural, and industrial sources. This study presents an innovative framework for assessing water quality in North Bhubaneswar, integrating the Water Quality Index (WQI) with statistical analysis, geospatial technologies, and machine learning models. The WQI, calculated using the Weighted Arithmetic Index method, provides a single composite value representing overall water quality based on several key physicochemical parameters. To evaluate potable water quality across 21 wards in the northern zone, several key parameters were monitored, including pH, electrical conductivity (EC), dissolved oxygen (DO), hardness, chloride, total dissolved solids (TDSs), and biochemical oxygen demand (BOD). The Weighted Arithmetic WQI method was employed to determine overall water quality, which ranged from excellent to good. Furthermore, Principal Component Analysis (PCA) revealed a strong positive correlation (r > 0.6) between pH, conductivity, hardness, and alkalinity. To enhance the accuracy and reliability of water quality assessment, multiple machine learning models Logistic Regression (LR), Decision Tree (DT), Random Forest (RF), Support Vector Machine (SVM), K-Nearest Neighbors (KNN), and Naïve Bayes (NB) were applied to classify water quality based on these parameters. Among them, the Decision Tree (DT) and Random Forest (RF) models demonstrated the highest precision (91.8% and 92.7%, respectively) and overall accuracy (91.7%), making them the most effective in predicting water quality and integrating WQI, machine learning, and statistics to analyze water quality. The study emphasizes the importance of continuous water quality monitoring and offers data-driven recommendations to ensure sustainable access to clean drinking water in North Bhubaneswar.