Predicting the Kidney Diseases by Using Machine Learning Techniques

ObjectiveThis study aimed to systematically identify risk factors for urinary catheter-related hematuria in patients with acute myocardial infarction (AMI). By integrating logistic regression and decision tree models, we sought to develop actionable strategies for risk stratification and complication prevention.MethodsA retrospective analysis of 209 AMI patients was conducted to evaluate predictors of hematuria, including demographics, coagulation indices (INR, platelets), and procedural variables. Logistic regression and decision tree (CART algorithm) models were employed to identify risk factors and their interactions. Model performance was assessed using ROC-AUC, sensitivity, and specificity.ResultsThe incidence of catheter-related hematuria was 32.5%. Both models identified persistent agitation during catheter indwelling and PLT ≤ 246 as common predictors. The logistic regression model specifically identified Gender (OR = 0.202), patient awareness of catheter purpose and precautions (OR = 0.470), and emergency catheter placement (OR = 2.257) as significant factors. The decision tree model uniquely identified INR > 0.955 and repeated complaints of urethral pain as predictors.ConclusionHematuria in AMI patients results from coagulation dysfunction, procedural trauma, and behavioral factors. The combined use of logistic regression and decision trees enhances risk stratification. Clinical strategies should prioritize gentle catheterization, dynamic coagulation monitoring, and patient education to reduce complications.

The aging and multimorbid population and health personnel shortages pose a substantial burden on primary health care. While predictive machine learning (ML) algorithms have the potential to address these challenges, concerns include transparency and insufficient reporting of model validation and effectiveness of the implementation in the clinical workflow. To systematically identify predictive ML algorithms implemented in primary care from peer-reviewed literature and US Food and Drug Administration (FDA) and Conformité Européene (CE) registration databases and to ascertain the public availability of evidence, including peer-reviewed literature, gray literature, and technical reports across the artificial intelligence (AI) life cycle. PubMed, Embase, Web of Science, Cochrane Library, Emcare, Academic Search Premier, IEEE Xplore, ACM Digital Library, MathSciNet, AAAI.org (Association for the Advancement of Artificial Intelligence), arXiv, Epistemonikos, PsycINFO, and Google Scholar were searched for studies published between January 2000 and July 2023, with search terms that were related to AI, primary care, and implementation. The search extended to CE-marked or FDA-approved predictive ML algorithms obtained from relevant registration databases. Three reviewers gathered subsequent evidence involving strategies such as product searches, exploration of references, manufacturer website visits, and direct inquiries to authors and product owners. The extent to which the evidence for each predictive ML algorithm aligned with the Dutch AI predictive algorithm (AIPA) guideline requirements was assessed per AI life cycle phase, producing evidence availability scores. The systematic search identified 43 predictive ML algorithms, of which 25 were commercially available and CE-marked or FDA-approved. The predictive ML algorithms spanned multiple clinical domains, but most (27 [63%]) focused on cardiovascular diseases and diabetes. Most (35 [81%]) were published within the past 5 years. The availability of evidence varied across different phases of the predictive ML algorithm life cycle, with evidence being reported the least for phase 1 (preparation) and phase 5 (impact assessment) (19% and 30%, respectively). Twelve (28%) predictive ML algorithms achieved approximately half of their maximum individual evidence availability score. Overall, predictive ML algorithms from peer-reviewed literature showed higher evidence availability compared with those from FDA-approved or CE-marked databases (45% vs 29%). The findings indicate an urgent need to improve the availability of evidence regarding the predictive ML algorithms' quality criteria. Adopting the Dutch AIPA guideline could facilitate transparent and consistent reporting of the quality criteria that could foster trust among end users and facilitating large-scale implementation.

The growth and development of children under five (toddlers) affect their health conditions. Each region uniquely identifies the main factors influencing the toddler's health condition. The status of toddlers is generally categorized into two classes, namely normal and abnormal, so it is often found that the condition of toddler status is in the form of multi-response variables. Combining the two binary classes' response variables will form a multiclass response variable requiring different model development techniques and performance measurements. This study aims to determine the main factors that affect toddlers' health conditions in Malang, Indonesia, build multiclass logistic regression and decision tree classification models, and measure the model's performance. The Chi-square test selected predictor features as the input of multiclass logistic regression and decision tree models. From the feature selection, four main factors influence the status of toddlers' health conditions in Malang: the mother's history of diabetes before pregnancy, the father's blood pressure, psychological condition, and drinking water quality. The decision tree model performs better than the logistic regression model on the various performance measures used.

A form of cancer known as lung cancer usually appears in the cells that line the lungs' air passages. It is the primary cause of cancer-related deaths in both genders. Lung adenocarcinoma (LUAD) and squamous cell carcinoma (LUSC) are two separate types of non-small cell lung cancer (NSCLC). Recognition of the differentially expressed genes (DEGs) is necessary to distinguish between healthy and diseased states molecularly. Biomedical books and microarray investigations are two common places to find details concerning gene expression variations. A gene is said to be highly expressed if there is a significant statistical distinction or change in reading counts or expression level indices between two different experimental conditions. A good gene expression strategy leads to a good gene silencing strategy, which subsequently slows or stops the cancer progression. In this paper, we present a robust analysis of the mRNA data from the LUAD data to find the most differentially expressed genes. Then we employ several machine learning techniques to categorize the samples into the five stages of lung cancer. We investigated four distinct models; including linear regression, logistic regression, RANSAC regression, and decision trees. The models achieved 100%, 91%, 98%, and 100% accuracies for 12 differential expression genes using linear regression, logistic regression, RANSAC regression, and decision trees respectively. The logistic regression and decision trees achieved 100% and 98% accuracies for 5665 differential expression genes. The proposed models achieved the highest accuracies in comparison with the state-of-the-art models.KeywordsGene expressionDEGsLUADLung cancerClassificationMachine learningDecision treeRANSACLogistic regressionLinear regression

A new hybrid classification algorithm for customer churn prediction based on logistic regression and decision trees

The global demand for electricity has visualized high growth with the rapid growth in population and economy. It thus becomes necessary to efficiently distribute electricity to households and industries in order to reduce power loss. Smart Grids (SG) have the potential to reduce such power losses during power distribution. Machine learning and artificial intelligence techniques have been successfully implemented on SGs to achieve enhanced accuracy in customer demand prediction. There exists a dire need to analyze and evaluate the various machine learning algorithms, thereby identify the most suitable one to be applied to SGs. In the present work, several state-of-the-art machine learning algorithms, namely Support Vector Machines (SVM), K-Nearest Neighbor (KNN), Logistic Regression, Naive Bayes, Neural Networks, and Decision Tree classifier, have been deployed for predicting the stability of the SG. The SG dataset used in the study is publicly available collected from UC Irvine (UCI) machine learning repository. The experimentation results highlighted the superiority of the Decision Tree classification algorithm, which outperformed the other state of the art algorithms yielding 100% precision, 99.9% recall, 100% F1 score, and 99.96% accuracy.

BackgroundCervical cancer is a common malignant tumor of the female reproductive system and is considered a leading cause of mortality in women worldwide. The analysis of time to event, which is crucial for any clinical research, can be well done with the method of survival prediction. This study aims to systematically investigate the use of machine learning to predict survival in patients with cervical cancer.MethodAn electronic search of the PubMed, Scopus, and Web of Science databases was performed on October 1, 2022. All articles extracted from the databases were collected in an Excel file and duplicate articles were removed. The articles were screened twice based on the title and the abstract and checked again with the inclusion and exclusion criteria. The main inclusion criterion was machine learning algorithms for predicting cervical cancer survival. The information extracted from the articles included authors, publication year, dataset details, survival type, evaluation criteria, machine learning models, and the algorithm execution method.ResultsA total of 13 articles were included in this study, most of which were published from 2018 onwards. The most common machine learning models were random forest (6 articles, 46%), logistic regression (4 articles, 30%), support vector machines (3 articles, 23%), ensemble and hybrid learning (3 articles, 23%), and Deep Learning (3 articles, 23%). The number of sample datasets in the study varied between 85 and 14946 patients, and the models were internally validated except for two articles. The area under the curve (AUC) range for overall survival (0.40 to 0.99), disease-free survival (0.56 to 0.88), and progression-free survival (0.67 to 0.81), respectively from (lowest to highest) received. Finally, 15 variables with an effective role in predicting cervical cancer survival were identified.ConclusionCombining heterogeneous multidimensional data with machine learning techniques can play a very influential role in predicting cervical cancer survival. Despite the benefits of machine learning, the problem of interpretability, explainability, and imbalanced datasets is still one of the biggest challenges. Providing machine learning algorithms for survival prediction as a standard requires further studies.

Category:Ankle Arthritis; AnkleIntroduction/Purpose:Ankle arthrodesis and total ankle replacement are the most commonly performed procedures for surgical management of ankle arthritis. Arthrodesis provides effective pain relief but the rate of complications after arthrodesis is higher as it is more commonly performed in patients with comorbidities that preclude ankle replacement. Accurately risk- stratifying patients who undergo ankle arthrodesis would be of great utility, given the significant cost and morbidity associated with developing major perioperative complications. There is a paucity of accurate prediction models that can be used to pre- operatively risk-stratify patients for ankle arthrodesis. We aim to develop a machine learning (ML) algorithm for prediction of major perioperative complication after ankle arthrodesis as well as compare its performance against traditional predictive models based on logistic regression.Methods:This is a retrospective cohort study of adult patients who underwent ankle arthrodesis at any non-federal California hospital between 2015 and 2017. The primary outcome was readmission within 30 days or major perioperative complication - venous thromboembolism within 30 days, myocardial infarction within 7 days, pneumonia within 7 days, systemic infection within 7 days, surgical site bleeding within 90 days, and wound complications within 90 days. We build ML and logistic regression models that span different classes of modeling approaches: XGBoost, AdaBoost, Gradient Boosting, and Random Forest. Discrimination and calibration were assessed using area under the receiver operating characteristic curve (AUROC) and Brier score, respectively. We utilize a partial dependence function to measure the importance of an individual feature by assessing the average effect in predicted risks when its value is altered. We rank the contribution of the included variables to the prediction of adverse outcomes.Results:A total of 1,084 patients met inclusion criteria for this study. There were 131 major complications or readmission (12.1%). The optimized XGBoost algorithm demonstrates higher discrimination (AUROC: 0.707 + 0.052) compared to LR (0.691 + 0.055). The receiver operating characteristic curves for the XGBoost and logistic regression models are visualized in Figure 1. XGBoost also outperforms the three other ML models. This model was well calibrated (Brier score: 0.103 + 0.001). The variables most important for the XGBoost model include diabetes, chronic kidney disease, implant complication, and major fracture. Five of the ten most important features for XGBoost were markedly less important for the traditional logistic regression model: male sex, prior hip fracture, cardiorespiratory failure, acute renal failure, and dialysis status.Conclusion:We report a ML algorithm for prediction of major perioperative complications after ankle arthrodesis. The optimized XGBoost model is well-calibrated and demonstrates superior risk prediction to logistic regression. This tool may identify and address potentially modifiable risk factors, helping to accurately risk-stratify patients and decrease likelihood of major complications. Notably, the predictors most important for XGBoost are different from those for logistic regression. This suggests that the superior discriminative capability of ML methods stems from their ability to capture complex non-linear relationships between variables that logistic regression is unable to detect.

Machine Learning (ML) is an Artificial Intelligence (AI) approach that allows systems to adapt to their environment based on past experiences. Machine Learning (ML) and Natural Language Processing (NLP) techniques are commonly used in sentiment analysis and Information Retrieval Techniques (IRT). This study supports the use of ML approaches, such as K-Means, to produce accurate outcomes in clustering and classification approaches. The main objective of this research is to explore the methods for sentiment classification and Information Retrieval Techniques (IRT). So, a combination of different machine learning algorithms is used with a dataset from amazon unlocked mobile reviews and telecom tweets to achieve better accuracy as it is crucial to consider the previous predictions related to sentiment classification and IRT. The datasets consist of user reviews ratings and algorithms utilized consist of K-Means Clustering algorithm, Logistic Regression (LR), Random Forest (RF), and Decision Tree (DT) algorithms. The amalgamation of each algorithm with the K-Means resulted in high levels of accuracy. Specifically, the K-Means combined with Logistic Regression (LR) yielded an accuracy rate of 99.98%. Similarly, the K-Means integrated with Random Forest (RF) resulted in an accuracy of 99.906%. Lastly, when the K-Means was merged with the Decision Tree (DT) Algorithm, the accuracy obtained was 99.83%.We exhibited that we could foresee efficient, effective, and accurate outcomes.

Kidneys are the filter of the human body. About 10% of the global population is thought to be affected by Chronic Kidney Disease (CKD), which causes kidney function to decline. To protect in danger patients from additional kidney damage, effective risk evaluation of CKD and appropriate CKD monitoring are crucial. Due to quick and precise detection capabilities, Machine Learning models can help practitioners accomplish this goal efficiently; therefore, an enormous number of diagnosis systems and processes in the healthcare sector nowadays are relying on machine learning due to its disease prediction capability. In this study, we designed and suggested disease predictive computer-aided designs for the diagnosis of CKD. The dataset for CKD is attained from the repository of machine learning of UCL, with a few missing values; those are filled in using "mean-mode" and "Random sampling method" strategies. After successfully achieving the missing data, eight ML techniques (Random Forest, SVM, Naive Bayes, Logistic Regression, KNN, XGBoost, Decision Tree, and AdaBoost) were used to establish models, and the performance evaluation comparisons among the result accuracies are measured by the techniques to find the machine learning models with the highest accuracy. Among them, Random Forest as well as Logistic Regression showed an outstanding 99% accuracy, followed by the Ada Boost, XGBoost, Naive Bayes, Decision Tree, and SVM, whereas the KNN classifier model stands last with an accuracy of 73%.

Farmers’ physical labor and debt are reduced as a result of agricultural automation, which emphasizes efficient and effective use of various machines in farming operations with the purpose of reducing physical labor and debt. It is a revolutionary idea in agriculture to create custom hiring centers, which are intended to make it easier for like-minded farmers to embrace technology/machinery for enhanced resource management practices. The study in question examines the significance of tool renting and sharing in the workplace. Rental and sharing equipment are two approaches that might be used to enable farmers to borrow equipment at a cheaper cost than they would otherwise have to pay for it. The following is a manual pilot study of 562 farmers in India to address the numerous challenges farmers face when looking for tools and equipment, as well as to determine their strong interest in the process of renting and sharing equipment. The study was conducted to address the numerous challenges farmers face when looking for tools and equipment and to determine their strong interest in the process of renting and sharing equipment. Farmers are divided into three groups according to the results of this poll: small, moderate, and large. Training and testing splits were used on the same data set in order to get a better understanding of the target variables. The data set for the survey was standardized in order to remove ambiguity. In this research, three different machine learning models were utilized: nearest neighbors, logistic regression, and decision trees. K-nearest neighbors was the most often used model, followed by logistic regression and decision trees. In order to get the best possible result, a comparison of the aforementioned algorithm models was carried out, which revealed that the decision tree is the better model among the others in this regard. Because the decision tree model is completely reliant on a large number of input factors, such as the kind of crop, the time/month of harvest, and the type of equipment necessary for the crops, it has the potential to have a social and economic impact on farmers and their livelihoods.

ObjectiveThis study investigates the factors influencing sedentary behavior in older adult Chinese stroke patients using decision trees and logistic regression models.MethodsConvenience sampling method was employed to enroll 346 respondents aged ≥60 years with stroke from the Department of Neurology of three tertiary-level A hospitals in Heilongjiang province, based on the inclusion criteria. The Sedentary Behavior Questionnaire for Older Adults, the International Physical Activity Questionnaire Short Form (IPAQ-S), the Pittsburgh Sleep Quality Index (PSQI), the Self-Rating Depression Scale (SDS), and the Social Support Scale (SSRS) were used to assess sedentary behavior, physical activity level, sleep quality, depressive symptoms, and social support, respectively. Decision tree and logistic regression models were employed to analyze the factors related to sedentary behavior in older adult stroke patients.ResultsOf the 346 respondents, 233 (67.3%) had sedentary behavior. The logistic regression model showed that education level (OR = 2.843, 95%CI: 1.219–6.626), BMI (OR = 3.686, 95%CI: 1.838–7.393), longest consecutive sitting time (OR = 3.853, 95%CI: 1.867–7.953), and sleep quality (OR = 3.832, 95%CI: 1.716–8.557) were identified as risk factors for sedentary behavior in older adult stroke patients, while drink alcohol (OR = 0.386, 95%CI: 0.184–0.809) and physical activity level (OR = 0.064, 95%CI: 0.030–0.140) were identified as protective factors for sedentary behavior. Besides, the decision tree model showed that physical activity level, longest consecutive sitting time, sleep quality, BMI, depressive symptoms, and age were associated with sedentary behavior. The sensitivity and specificity of the logistic regression model were 69.9 and 93.1%, respectively, and the area under the receiver operating characteristic (ROC) curve was 0.900 (95% CI: 0.863–0.938). The sensitivity and specificity of the decision tree model were 66.4, and 93.1% respectively, and the area under the ROC curve was 0.860 (95% CI: 0.816–0.904).ConclusionOur findings indicated that physical activity level, longest consecutive sitting time, sleep quality, and BMI were key factors associated with sedentary behavior. To achieve the purpose of improving rehabilitation effect and quality of life, this study combining decision trees with logistic regression models was of high value in studying factors influencing sedentary behavior in older adult stroke patients.

Environmental Factors Prediction in Preterm Birth Using Comparison between Logistic Regression and Decision Tree Methods:  An Exploratory Analysis

Background: This study aims to identify high-risk patient groups for bleeding after coronary artery bypass graft (CABG) surgery. Methods: We retrospectively evaluated 205 patients (143 males, 62 females; mean age 59.7±10.1 years; range, 28 to 83 years) undergoing CABG surgery between June 2001 and August 2008 at Jamaran Heart Hospital, Tehran, Iran. Baseline characteristics of the patients and postoperative bleeding status were recorded. For classifying the bleeders and non-bleeders, classic logistic regression and decision tree models were utilized. Results: Logistic regression analysis showed that sex was significantly related to postoperative bleeding. Decision tree model revealed that age (score= 100), diabetes mellitus (score= 16.38), sex (score= 13.67), capital residency (score= 7.31) and dyslipidemia (score= 5.06) were found to have an impact on bleeding. We also observed that the decision tree model provided a better classification of the patients than logistic regression. Conclusion: Surgeons should be aware of risk indicators of bleeding such as older age, male sex, absence of diabetes mellitus and presence of dyslipidemia in patients with three bypassed vessels before CABG. We also recommend statisticians to utilize the decision tree model instead of logistic regression analysis in classification of risk groups.

This paper compares various machine learning algorithms for predicting availability and possible reorder level of military logistics. As a case scenario, dataset of price of petroleum product was used to test the accuracy of the proposed algorithm. In most Military, facilities, machines and equipment relied heavily on the availability of petroleum products. Military logistics must be intelligent, based on informed deductions. Machine learning is now pervasive and is readily applied to various areas of life including the military. Result of the evaluation shows that artificial neural network (ANN)- 85.57% and logistic regression- 78.44% performed better than k-nearest neighbour (KNN)-74.98%, random forest(RF)-72.81% and Naive Bayes(NB)-74.85%. If used in Military logistics, there could be attendant benefit such as: accurate price policy formulation; proper budgeting estimation; meeting production and demand targets; proactive supply chain and value chain derivations; informed and intelligent decision making process; competitive advantage and continuous availability of supply critical to military; trigger of further research on innovative emergent technologies in this area, amongst other intangible benefits.