As the most critical part of post-graduate education,the Chinese government launched Standard Resident Training in 2013 to solve the regional inequality of medical quality and meet the increasing social requirement fo...As the most critical part of post-graduate education,the Chinese government launched Standard Resident Training in 2013 to solve the regional inequality of medical quality and meet the increasing social requirement for better medical service.We integrated problem-based learning(PBL)and case-based learning(CBL)in the Endodontics Standard Resident Training.By evaluating with objective parameters including theoretical knowledge and clinical practice skill,and subjective parameters including questionnaire,it was found that PBL+CBL played a positive role in endodontic resident training with a significant difference(P<0.05).This combined training model is instructive for China’s resident training,and this result can provide a rudimentary reference to current postgraduate teaching reform.展开更多
OBJECTIVE:To assess the effect of case-based learning(CBL)in the education of Traditional Chinese Medicine(TCM).METHODS:The studies concerning TCM courses designed with CBL were included by searching the databases of ...OBJECTIVE:To assess the effect of case-based learning(CBL)in the education of Traditional Chinese Medicine(TCM).METHODS:The studies concerning TCM courses designed with CBL were included by searching the databases of EBSCO,Pubmed,Science Citation Index,China National Knowledge Infrastructure,Chongqing VIP database.The valid data was extracted in accordance with the included criteria.The quality of the studies was assessed with Gemma Flores-Masteo.RESULTS:A total of 22 articles were retrieved that met the selection criteria:one was of high quality;two were of low quality;the rest were categorized as moderate quality.The majority of the studiesdemonstrated the better effect produced by CBL,while a few studies showed no difference,compared with the didactic format.All included studies confirmed the favorable effect on learners'attitude,skills and ability.CONCLUSION:CBL showed the desirable results in achieving the goal of learning.Compared to didactic approach,it played a more active role in promoting students'competency.Since the quality of the articles on which the study was based was not so high,the findings still need further research to become substantiated.展开更多
Objective:The integration of training in theory and practice across the medical education spectrum is being encouraged to increase student understanding and skills in the sciences.This study aimed to determine the dec...Objective:The integration of training in theory and practice across the medical education spectrum is being encouraged to increase student understanding and skills in the sciences.This study aimed to determine the deciding factors that drive students'perceived advantages in class to improve precision education and the teaching model.Methods:A mixed strategy of an existing flipped classroom(FC)and a case-based learning(CBL)model was conducted in a medical morphology curriculum for 575 postgraduate students.The subjective learning evaluation of the individuals(learning time,engagement,study interest and concentration,and professional integration)was collected and analyzed after FC-CBL model learning.Results:The results from the general evaluation showed promising results of the medical morphology in the FC-CBL model.Students felt more engaged by instructors in person and benefited in terms of time-saving,flexible arrangements,and professional improvement.Our study contributed to the FC-CBL model in Research Design in postgraduate training in 4 categories:1)advancing a guideline of precision teaching according to individual characteristics;2)revealing whether a learning background is needed for a Research Design course to guide setting up a preliminary course;3)understanding the perceived advantages and their interfaces;and 4)barriers and/or improvement to implement the FC-CBL model in the Research Design class,such as a richer description of e-learning and hands-on practice.Conclusion:Undertaking a FC-CBL combined model could be a useful addition to pedagogy for medical morphology learning in postgraduate training.展开更多
Objective:To explore the application effect of flipped classroom combined with case-based learning teaching methods in pharmacoeconomics teaching.Methods:The students majoring in clinical pharmacy in 2019 were selecte...Objective:To explore the application effect of flipped classroom combined with case-based learning teaching methods in pharmacoeconomics teaching.Methods:The students majoring in clinical pharmacy in 2019 were selected as the study subjects,and the cost-effectiveness analysis of different dosage forms of Yinzhihuang in the treatment of neonatal jaundice was selected as the teaching case.The flipped classroom combined with case-based learning teaching method was used to carry out theoretical teaching to the students.After the course,questionnaires were distributed through the Sojump platform to evaluate the teaching effect.Results:The results of the questionnaire showed that 85.71%of the students believed that the flipped classroom combined with case-based learning teaching method was helpful in mobilizing the learning enthusiasm and initiative,and improving the comprehensive application ability of the knowledge of pharmacoeconomics.92.86%of the students think that it is conducive to the understanding and memorization of learning content,as well as the cultivation of teamwork,communication,etc.Conclusion:Flipped classroom combined with case-based learning teaching method can improve students’knowledge mastery,thinking skills,and practical application skills,as well as optimize and improve teachers’teaching levels.展开更多
Dermatovenereology,as a cornerstone discipline in clinical medical education,is characterized by its extensive morphological diversity,complex pathophysiology,and high clinical specificity.However,traditional lecture-...Dermatovenereology,as a cornerstone discipline in clinical medical education,is characterized by its extensive morphological diversity,complex pathophysiology,and high clinical specificity.However,traditional lecture-based pedagogical approaches are often insufficient to address the discipline’s dynamically evolving knowledge base,heterogeneous disease presentations,and the demand for multidimensional clinical reasoning.In response to these challenges,Case-Based Learning(CBL)has emerged as a pivotal educational reform strategy.By leveraging authentic clinical case narratives,CBL effectively activates learners’intrinsic motivation,fosters higher-order clinical reasoning,and enhances collaborative problem-solving capabilities.This review synthesizes current evidence regarding the theoretical foundations,practical implementation strategies,and educational outcomes associated with CBL within dermatovenereology curricula.Grounded in modern educational theories,including Bloom’s taxonomy and situated cognition,CBL employs carefully designed clinical scenarios with structured problem-chain frameworks to integrate three core competency domains:case deconstruction,differential diagnosis,and therapeutic decision-making.Essential instructional components encompass structured controversial case discussions,multidisciplinary team(MDT)-based simulations,and clinical-translational reasoning mechanisms.Accumulated evidence indicates that CBL significantly improves learners’proficiencies in lesion interpretation,diagnostic efficiency,evidence-based decision-making,teamwork,and enhancing professional identity formation.Nevertheless,sustainable integration of CBL faces challenges related to pedagogical systematization,faculty development,learner adaptation,and technological support.Future efforts should focus on building a resilient dermatology talent cultivation system through optimized instructional design,intelligent tutoring systems,and competency-oriented assessments.展开更多
The uplift resistance of the soil overlying shield tunnels significantly impacts their anti-floating stability.However,research on uplift resistance concerning special-shaped shield tunnels is limited.This study combi...The uplift resistance of the soil overlying shield tunnels significantly impacts their anti-floating stability.However,research on uplift resistance concerning special-shaped shield tunnels is limited.This study combines numerical simulation with machine learning techniques to explore this issue.It presents a summary of special-shaped tunnel geometries and introduces a shape coefficient.Through the finite element software,Plaxis3D,the study simulates six key parameters—shape coefficient,burial depth ratio,tunnel’s longest horizontal length,internal friction angle,cohesion,and soil submerged bulk density—that impact uplift resistance across different conditions.Employing XGBoost and ANN methods,the feature importance of each parameter was analyzed based on the numerical simulation results.The findings demonstrate that a tunnel shape more closely resembling a circle leads to reduced uplift resistance in the overlying soil,whereas other parameters exhibit the contrary effects.Furthermore,the study reveals a diminishing trend in the feature importance of buried depth ratio,internal friction angle,tunnel longest horizontal length,cohesion,soil submerged bulk density,and shape coefficient in influencing uplift resistance.展开更多
Countries around the world have been making efforts to reduce pollutant emissions. However, the response of global black carbon(BC) aging to emission changes remains unclear. Using the Community Atmosphere Model versi...Countries around the world have been making efforts to reduce pollutant emissions. However, the response of global black carbon(BC) aging to emission changes remains unclear. Using the Community Atmosphere Model version 6 with a machine-learning-integrated four-mode version of the Modal Aerosol Module, we quantify global BC aging responses to emission reductions for 2011–2018 and for 2050 and 2100 under carbon neutrality. During 2011–18, global trends in BC aging degree(mass ratio of coatings to BC, R_(BC)) exhibited marked regional disparities, with a significant increase in China(5.4% yr^(-1)), which contrasts with minimal changes in the USA, Europe, and India. The divergence is attributed to opposing trends in secondary organic aerosol(SOA) and sulfate coatings, driven by regional changes in the emission ratios of corresponding coating precursors to BC(volatile organic compounds-VOCs/BC and SO_(2)/BC). Projections under carbon neutrality reveal that R_(BC) will increase globally by 47%(118%) in 2050(2100), with strong convergent increases expected across major source regions. The R_(BC) increase, primarily driven by enhanced SOA coatings due to sharper BC reductions relative to VOCs, will enhance the global BC mass absorption cross-section(MAC) by 11%(17%) in 2050(2100).Consequently, although the global BC burden will decline sharply by 60%(76%), the enhanced MAC partially offsets the magnitude of the decline in the BC direct radiative effect, resulting in the moderation of global BC DRE decreases to 88%(92%) of the BC burden reductions in 2050(2100). This study highlights the globally enhanced BC aging and light absorption capacity under carbon neutrality, thereby partly offsetting the impact of BC direct emission reductions on future changes in BC radiative effects globally.展开更多
Cyclohexene is an important raw material in the production of nylon.Selective hydrogenation of benzene is a key method for preparing cyclohexene.However,the Ru catalysts used in current industrial processes still face...Cyclohexene is an important raw material in the production of nylon.Selective hydrogenation of benzene is a key method for preparing cyclohexene.However,the Ru catalysts used in current industrial processes still face challenges,including high metal usage,high process costs,and low cyclohexene yield.This study utilizes existing literature data combined with machine learning methods to analyze the factors influencing benzene conversion,cyclohexene selectivity,and yield in the benzene hydrogenation to cyclohexene reaction.It constructs predictive models based on XGBoost and Random Forest algorithms.After analysis,it was found that reaction time,Ru content,and space velocity are key factors influencing cyclohexene yield,selectivity,and benzene conversion.Shapley Additive Explanations(SHAP)analysis and feature importance analysis further revealed the contribution of each variable to the reaction outcomes.Additionally,we randomly generated one million variable combinations using the Dirichlet distribution to attempt to predict high-yield catalyst formulations.This paper provides new insights into the application of machine learning in heterogeneous catalysis and offers some reference for further research.展开更多
Federated Learning(FL)has become a leading decentralized solution that enables multiple clients to train a model in a collaborative environment without directly sharing raw data,making it suitable for privacy-sensitiv...Federated Learning(FL)has become a leading decentralized solution that enables multiple clients to train a model in a collaborative environment without directly sharing raw data,making it suitable for privacy-sensitive applications such as healthcare,finance,and smart systems.As the field continues to evolve,the research field has become more complex and scattered,covering different system designs,training methods,and privacy techniques.This survey is organized around the three core challenges:how the data is distributed,how models are synchronized,and how to defend against attacks.It provides a structured and up-to-date review of FL research from 2023 to 2025,offering a unified taxonomy that categorizes works by data distribution(Horizontal FL,Vertical FL,Federated Transfer Learning,and Personalized FL),training synchronization(synchronous and asynchronous FL),optimization strategies,and threat models(data leakage and poisoning attacks).In particular,we summarize the latest contributions in Vertical FL frameworks for secure multi-party learning,communication-efficient Horizontal FL,and domain-adaptive Federated Transfer Learning.Furthermore,we examine synchronization techniques addressing system heterogeneity,including straggler mitigation in synchronous FL and staleness management in asynchronous FL.The survey covers security threats in FL,such as gradient inversion,membership inference,and poisoning attacks,as well as their defense strategies that include privacy-preserving aggregation and anomaly detection.The paper concludes by outlining unresolved issues and highlighting challenges in handling personalized models,scalability,and real-world adoption.展开更多
Split Learning(SL)has been promoted as a promising collaborative machine learning technique designed to address data privacy and resource efficiency.Specifically,neural networks are divided into client and server subn...Split Learning(SL)has been promoted as a promising collaborative machine learning technique designed to address data privacy and resource efficiency.Specifically,neural networks are divided into client and server subnetworks in order to mitigate the exposure of sensitive data and reduce the overhead on client devices,thereby making SL particularly suitable for resource-constrained devices.Although SL prevents the direct transmission of raw data,it does not alleviate entirely the risk of privacy breaches.In fact,the data intermediately transmitted to the server sub-model may include patterns or information that could reveal sensitive data.Moreover,achieving a balance between model utility and data privacy has emerged as a challenging problem.In this article,we propose a novel defense approach that combines:(i)Adversarial learning,and(ii)Network channel pruning.In particular,the proposed adversarial learning approach is specifically designed to reduce the risk of private data exposure while maintaining high performance for the utility task.On the other hand,the suggested channel pruning enables the model to adaptively adjust and reactivate pruned channels while conducting adversarial training.The integration of these two techniques reduces the informativeness of the intermediate data transmitted by the client sub-model,thereby enhancing its robustness against attribute inference attacks without adding significant computational overhead,making it wellsuited for IoT devices,mobile platforms,and Internet of Vehicles(IoV)scenarios.The proposed defense approach was evaluated using EfficientNet-B0,a widely adopted compact model,along with three benchmark datasets.The obtained results showcased its superior defense capability against attribute inference attacks compared to existing state-of-the-art methods.This research’s findings demonstrated the effectiveness of the proposed channel pruning-based adversarial training approach in achieving the intended compromise between utility and privacy within SL frameworks.In fact,the classification accuracy attained by the attackers witnessed a drastic decrease of 70%.展开更多
The Internet of Vehicles,or IoV,is expected to lessen pollution,ease traffic,and increase road safety.IoV entities’interconnectedness,however,raises the possibility of cyberattacks,which can have detrimental effects....The Internet of Vehicles,or IoV,is expected to lessen pollution,ease traffic,and increase road safety.IoV entities’interconnectedness,however,raises the possibility of cyberattacks,which can have detrimental effects.IoV systems typically send massive volumes of raw data to central servers,which may raise privacy issues.Additionally,model training on IoV devices with limited resources normally leads to slower training times and reduced service quality.We discuss a privacy-preserving Federated Split Learning with Tiny Machine Learning(TinyML)approach,which operates on IoV edge devices without sharing sensitive raw data.Specifically,we focus on integrating split learning(SL)with federated learning(FL)and TinyML models.FL is a decentralisedmachine learning(ML)technique that enables numerous edge devices to train a standard model while retaining data locally collectively.The article intends to thoroughly discuss the architecture and challenges associated with the increasing prevalence of SL in the IoV domain,coupled with FL and TinyML.The approach starts with the IoV learning framework,which includes edge computing,FL,SL,and TinyML,and then proceeds to discuss how these technologies might be integrated.We elucidate the comprehensive operational principles of Federated and split learning by examining and addressingmany challenges.We subsequently examine the integration of SL with FL and various applications of TinyML.Finally,exploring the potential integration of FL and SL with TinyML in the IoV domain is referred to as FSL-TM.It is a superior method for preserving privacy as it conducts model training on individual devices or edge nodes,thereby obviating the necessity for centralised data aggregation,which presents considerable privacy threats.The insights provided aim to help both researchers and practitioners understand the complicated terrain of FL and SL,hence facilitating advancement in this swiftly progressing domain.展开更多
Knowledge distillation has become a standard technique for compressing large language models into efficient student models,but existing methods often struggle to balance prediction accuracy with explanation quality.Re...Knowledge distillation has become a standard technique for compressing large language models into efficient student models,but existing methods often struggle to balance prediction accuracy with explanation quality.Recent approaches such as Distilling Step-by-Step(DSbS)introduce explanation supervision,yet they apply it in a uniform manner that may not fully exploit the different learning dynamics of prediction and explanation.In this work,we propose a task-structured curriculum learning(TSCL)framework that structures training into three sequential phases:(i)prediction-only,to establish stable feature representations;(ii)joint prediction-explanation,to align task outputs with rationale generation;and(iii)explanation-only,to refine the quality of rationales.This design provides a simple but effective modification to DSbS,requiring no architectural changes and adding negligible training cost.We justify the phase scheduling with ablation studies and convergence analysis,showing that an initial prediction-heavy stage followed by a balanced joint phase improves both stability and explanation alignment.Extensive experiments on five datasets(e-SNLI,ANLI,CommonsenseQA,SVAMP,and MedNLI)demonstrate that TSCL consistently outperforms strong baselines,achieving gains of+1.7-2.6 points in accuracy and 0.8-1.2 in ROUGE-L,corresponding to relative error reductions of up to 21%.Beyond lexical metrics,human evaluation and ERASERstyle faithfulness diagnostics confirm that TSCL produces more faithful and informative explanations.Comparative training curves further reveal faster convergence and lower variance across seeds.Efficiency analysis shows less than 3%overhead in wall-clock training time and no additional inference cost,making the approach practical for realworld deployment.This study demonstrates that a simple task-structured curriculum can significantly improve the effectiveness of knowledge distillation.By separating and sequencing objectives,TSCL achieves a better balance between accuracy,stability,and explanation quality.The framework generalizes across domains,including medical NLI,and offers a principled recipe for future applications in multimodal reasoning and reinforcement learning.展开更多
Latest digital advancements have intensified the necessity for adaptive,data-driven and socially-centered learning ecosystems.This paper presents the formulation of a cross-platform,innovative,gamified and personalize...Latest digital advancements have intensified the necessity for adaptive,data-driven and socially-centered learning ecosystems.This paper presents the formulation of a cross-platform,innovative,gamified and personalized Learning Ecosystem,which integrates 3D/VR environments,as well as machine learning algorithms,and business intelligence frameworks to enhance learner-centered education and inferenced decision-making.This Learning System makes use of immersive,analytically assessed virtual learning spaces,therefore facilitating real-time monitoring of not just learning performance,but also overall engagement and behavioral patterns,via a comprehensive set of sustainability-oriented ESG-aligned Key Performance Indicators(KPIs).Machine learning models support predictive analysis,personalized feedback,and hybrid recommendation mechanisms,whilst dedicated dashboards translate complex educational data into actionable insights for all Use Cases of the System(Educational Institutions,Educators and Learners).Additionally,the presented Learning System introduces a structured Mentoring and Consulting Subsystem,thence reinforcing human-centered guidance alongside automated intelligence.The Platform’s modular architecture and simulation-centered evaluation approach actively support personalized,and continuously optimized learning pathways.Thence,it exemplifies a mature,adaptive Learning Ecosystem,supporting immersive technologies,analytics,and pedagogical support,hence,contributing to contemporary digital learning innovation and sociotechnical transformation in education.展开更多
Automated grading of dandruff severity is a clinically significant but challenging task due to the inherent ordinal nature of severity levels and the high prevalence of label noise from subjective expert annotations.S...Automated grading of dandruff severity is a clinically significant but challenging task due to the inherent ordinal nature of severity levels and the high prevalence of label noise from subjective expert annotations.Standard classification methods fail to address these dual challenges,limiting their real-world performance.In this paper,a novel,three-phase training framework is proposed that learns a robust ordinal classifier directly from noisy labels.The approach synergistically combines a rank-based ordinal regression backbone with a cooperative,semi-supervised learning strategy to dynamically partition the data into clean and noisy subsets.A hybrid training objective is then employed,applying a supervised ordinal loss to the clean set.The noisy set is simultaneously trained using a dualobjective that combines a semi-supervised ordinal loss with a parallel,label-agnostic contrastive loss.This design allows themodel to learn fromthe entire noisy subset while using contrastive learning to mitigate the risk of error propagation frompotentially corrupt supervision.Extensive experiments on a new,large-scale,multi-site clinical dataset validate our approach.Themethod achieves state-of-the-art performance with 80.71%accuracy and a 76.86%F1-score,significantly outperforming existing approaches,including a 2.26%improvement over the strongest baseline method.This work provides not only a robust solution for a practical medical imaging problem but also a generalizable framework for other tasks plagued by noisy ordinal labels.展开更多
Adversarial Reinforcement Learning(ARL)models for intelligent devices and Network Intrusion Detection Systems(NIDS)improve systemresilience against sophisticated cyber-attacks.As a core component of ARL,Adversarial Tr...Adversarial Reinforcement Learning(ARL)models for intelligent devices and Network Intrusion Detection Systems(NIDS)improve systemresilience against sophisticated cyber-attacks.As a core component of ARL,Adversarial Training(AT)enables NIDS agents to discover and prevent newattack paths by exposing them to competing examples,thereby increasing detection accuracy,reducing False Positives(FPs),and enhancing network security.To develop robust decision-making capabilities for real-world network disruptions and hostile activity,NIDS agents are trained in adversarial scenarios to monitor the current state and notify management of any abnormal or malicious activity.The accuracy and timeliness of the IDS were crucial to the network’s availability and reliability at this time.This paper analyzes ARL applications in NIDS,revealing State-of-The-Art(SoTA)methodology,issues,and future research prospects.This includes Reinforcement Machine Learning(RML)-based NIDS,which enables an agent to interact with the environment to achieve a goal,andDeep Reinforcement Learning(DRL)-based NIDS,which can solve complex decision-making problems.Additionally,this survey study addresses cybersecurity adversarial circumstances and their importance for ARL and NIDS.Architectural design,RL algorithms,feature representation,and training methodologies are examined in the ARL-NIDS study.This comprehensive study evaluates ARL for intelligent NIDS research,benefiting cybersecurity researchers,practitioners,and policymakers.The report promotes cybersecurity defense research and innovation.展开更多
As urbanization continues to accelerate,the challenges associated with managing transportation in metropolitan areas become increasingly complex.The surge in population density contributes to traffic congestion,impact...As urbanization continues to accelerate,the challenges associated with managing transportation in metropolitan areas become increasingly complex.The surge in population density contributes to traffic congestion,impacting travel experiences and posing safety risks.Smart urban transportation management emerges as a strategic solution,conceptualized here as a multidimensional big data problem.The success of this strategy hinges on the effective collection of information from diverse,extensive,and heterogeneous data sources,necessitating the implementation of full⁃stack Information and Communication Technology(ICT)solutions.The main idea of the work is to investigate the current technologies of Intelligent Transportation Systems(ITS)and enhance the safety of urban transportation systems.Machine learning models,trained on historical data,can predict traffic congestion,allowing for the implementation of preventive measures.Deep learning architectures,with their ability to handle complex data representations,further refine traffic predictions,contributing to more accurate and dynamic transportation management.The background of this research underscores the challenges posed by traffic congestion in metropolitan areas and emphasizes the need for advanced technological solutions.By integrating GPS and GIS technologies with machine learning algorithms,this work aims to pay attention to the development of intelligent transportation systems that not only address current challenges but also pave the way for future advancements in urban transportation management.展开更多
To integrate traditional culture and modern technology,Shandong University’s School of Software has promoted an interdisciplinary teaching project called IYAN&ITAN,the I Ching Knowledge Graph.The project,driven b...To integrate traditional culture and modern technology,Shandong University’s School of Software has promoted an interdisciplinary teaching project called IYAN&ITAN,the I Ching Knowledge Graph.The project,driven by I Ching texts,guides students to practice natural language processing(NLP)and knowledge graph technology in a task-oriented curriculum,based on constructivism,situated learning,and inquiry-based pedagogy,with a progressive and task-oriented teaching model.The platform established enables the retrieval of knowledge,parsing of text,symbolic-numeric analysis,and historical commentary integration,making possible multidimensional,structured representation of I Ching knowledge,and offering an extensible reference for interdisciplinary learning in the context of New Engineering Education.展开更多
BACKGROUND The accurate prediction of lymph node metastasis(LNM)is crucial for managing locally advanced(T3/T4)colorectal cancer(CRC).However,both traditional histopathology and standard slide-level deep learning ofte...BACKGROUND The accurate prediction of lymph node metastasis(LNM)is crucial for managing locally advanced(T3/T4)colorectal cancer(CRC).However,both traditional histopathology and standard slide-level deep learning often fail to capture the sparse and diagnostically critical features of metastatic potential.AIM To develop and validate a case-level multiple-instance learning(MIL)framework mimicking a pathologist's comprehensive review and improve T3/T4 CRC LNM prediction.METHODS The whole-slide images of 130 patients with T3/T4 CRC were retrospectively collected.A case-level MIL framework utilising the CONCH v1.5 and UNI2-h deep learning models was trained on features from all haematoxylin and eosinstained primary tumour slides for each patient.These pathological features were subsequently integrated with clinical data,and model performance was evaluated using the area under the curve(AUC).RESULTS The case-level framework demonstrated superior LNM prediction over slide-level training,with the CONCH v1.5 model achieving a mean AUC(±SD)of 0.899±0.033 vs 0.814±0.083,respectively.Integrating pathology features with clinical data further enhanced performance,yielding a top model with a mean AUC of 0.904±0.047,in sharp contrast to a clinical-only model(mean AUC 0.584±0.084).Crucially,a pathologist’s review confirmed that the model-identified high-attention regions correspond to known high-risk histopathological features.CONCLUSION A case-level MIL framework provides a superior approach for predicting LNM in advanced CRC.This method shows promise for risk stratification and therapy decisions,requiring further validation.展开更多
Accurate prediction of rockburst intensity levels is crucial for ensuring the safety of deep hard rock engineering construction.This paper introduced an expert system for rockburst intensity level prediction that empl...Accurate prediction of rockburst intensity levels is crucial for ensuring the safety of deep hard rock engineering construction.This paper introduced an expert system for rockburst intensity level prediction that employs machine learning algorithms as the basis for its inference rules.The system comprises four modules:a database,a repository,an inference engine,and an interpreter.A database containing 1114 rockburst cases was used to construct 357 datasets that serve as the repository for the expert system.Additionally,19 types of machine learning algorithms were used to establish 6783 micro-models to construct cognitive rules within the inference engine.By integrating probability theory and marginal analysis,a fuzzy scoring method based on the SoftMax function was developed and applied to the interpreter for rockburst intensity level prediction,effectively restoring the continuity of rockburst characteristics.The research results indicate that ensemble algorithms based on decision trees are more effective in capturing the characteristics of rockburst.Key factors for accurate prediction of rockburst intensity include uniaxial compressive strength,elastic energy index,the maximum principal stress,tangential stress,and their composite indicators.The accuracy of the proposed rockburst intensity level prediction expert system was verified using 20 engineering rockburst cases,with predictions aligning closely with the actual rockburst intensity levels.展开更多
基金supported by the Teaching Reform Project of Stomatology College of Chongqing Medical University(KQJ202215,KQJ202204)the Teaching Reform Project of Chongqing Medical University(JY20220317).
文摘As the most critical part of post-graduate education,the Chinese government launched Standard Resident Training in 2013 to solve the regional inequality of medical quality and meet the increasing social requirement for better medical service.We integrated problem-based learning(PBL)and case-based learning(CBL)in the Endodontics Standard Resident Training.By evaluating with objective parameters including theoretical knowledge and clinical practice skill,and subjective parameters including questionnaire,it was found that PBL+CBL played a positive role in endodontic resident training with a significant difference(P<0.05).This combined training model is instructive for China’s resident training,and this result can provide a rudimentary reference to current postgraduate teaching reform.
基金Supported by "Twelve-five" Scientific Research Study on Education from Chinese Academy of Higher Education(No.11YB032)by Scientific Research Study on Education from Sichuan Academy of Higher Education(No.11SC-007)by Key research project on teaching reform from Chengdu University of Traditional Chinese Medicine(No.JGZD201001)
文摘OBJECTIVE:To assess the effect of case-based learning(CBL)in the education of Traditional Chinese Medicine(TCM).METHODS:The studies concerning TCM courses designed with CBL were included by searching the databases of EBSCO,Pubmed,Science Citation Index,China National Knowledge Infrastructure,Chongqing VIP database.The valid data was extracted in accordance with the included criteria.The quality of the studies was assessed with Gemma Flores-Masteo.RESULTS:A total of 22 articles were retrieved that met the selection criteria:one was of high quality;two were of low quality;the rest were categorized as moderate quality.The majority of the studiesdemonstrated the better effect produced by CBL,while a few studies showed no difference,compared with the didactic format.All included studies confirmed the favorable effect on learners'attitude,skills and ability.CONCLUSION:CBL showed the desirable results in achieving the goal of learning.Compared to didactic approach,it played a more active role in promoting students'competency.Since the quality of the articles on which the study was based was not so high,the findings still need further research to become substantiated.
基金supported by grants from the Hunan Province Academic Degree and Graduate Education Reform Project(No.2020JGYB028)the National Natural Science Foundation of China(No.81971891,No.82172196,No.81772134)+1 种基金the Key Laboratory of Emergency and Trauma(Hainan Medical University)of the Ministry of Education(No.KLET-202108)the College Students'Innovation and Entrepreneurship Project(No.S20210026020013).
文摘Objective:The integration of training in theory and practice across the medical education spectrum is being encouraged to increase student understanding and skills in the sciences.This study aimed to determine the deciding factors that drive students'perceived advantages in class to improve precision education and the teaching model.Methods:A mixed strategy of an existing flipped classroom(FC)and a case-based learning(CBL)model was conducted in a medical morphology curriculum for 575 postgraduate students.The subjective learning evaluation of the individuals(learning time,engagement,study interest and concentration,and professional integration)was collected and analyzed after FC-CBL model learning.Results:The results from the general evaluation showed promising results of the medical morphology in the FC-CBL model.Students felt more engaged by instructors in person and benefited in terms of time-saving,flexible arrangements,and professional improvement.Our study contributed to the FC-CBL model in Research Design in postgraduate training in 4 categories:1)advancing a guideline of precision teaching according to individual characteristics;2)revealing whether a learning background is needed for a Research Design course to guide setting up a preliminary course;3)understanding the perceived advantages and their interfaces;and 4)barriers and/or improvement to implement the FC-CBL model in the Research Design class,such as a richer description of e-learning and hands-on practice.Conclusion:Undertaking a FC-CBL combined model could be a useful addition to pedagogy for medical morphology learning in postgraduate training.
基金2022 Medical Innovation and Development Project of Lanzhou University(lzuyxcx-2022-40)2022 Education and Teaching Reform Research Project of Lanzhou University General Project(202201)The Foundation of the First Hospital of Lanzhou University(ldyyyn 2021-92)。
文摘Objective:To explore the application effect of flipped classroom combined with case-based learning teaching methods in pharmacoeconomics teaching.Methods:The students majoring in clinical pharmacy in 2019 were selected as the study subjects,and the cost-effectiveness analysis of different dosage forms of Yinzhihuang in the treatment of neonatal jaundice was selected as the teaching case.The flipped classroom combined with case-based learning teaching method was used to carry out theoretical teaching to the students.After the course,questionnaires were distributed through the Sojump platform to evaluate the teaching effect.Results:The results of the questionnaire showed that 85.71%of the students believed that the flipped classroom combined with case-based learning teaching method was helpful in mobilizing the learning enthusiasm and initiative,and improving the comprehensive application ability of the knowledge of pharmacoeconomics.92.86%of the students think that it is conducive to the understanding and memorization of learning content,as well as the cultivation of teamwork,communication,etc.Conclusion:Flipped classroom combined with case-based learning teaching method can improve students’knowledge mastery,thinking skills,and practical application skills,as well as optimize and improve teachers’teaching levels.
文摘Dermatovenereology,as a cornerstone discipline in clinical medical education,is characterized by its extensive morphological diversity,complex pathophysiology,and high clinical specificity.However,traditional lecture-based pedagogical approaches are often insufficient to address the discipline’s dynamically evolving knowledge base,heterogeneous disease presentations,and the demand for multidimensional clinical reasoning.In response to these challenges,Case-Based Learning(CBL)has emerged as a pivotal educational reform strategy.By leveraging authentic clinical case narratives,CBL effectively activates learners’intrinsic motivation,fosters higher-order clinical reasoning,and enhances collaborative problem-solving capabilities.This review synthesizes current evidence regarding the theoretical foundations,practical implementation strategies,and educational outcomes associated with CBL within dermatovenereology curricula.Grounded in modern educational theories,including Bloom’s taxonomy and situated cognition,CBL employs carefully designed clinical scenarios with structured problem-chain frameworks to integrate three core competency domains:case deconstruction,differential diagnosis,and therapeutic decision-making.Essential instructional components encompass structured controversial case discussions,multidisciplinary team(MDT)-based simulations,and clinical-translational reasoning mechanisms.Accumulated evidence indicates that CBL significantly improves learners’proficiencies in lesion interpretation,diagnostic efficiency,evidence-based decision-making,teamwork,and enhancing professional identity formation.Nevertheless,sustainable integration of CBL faces challenges related to pedagogical systematization,faculty development,learner adaptation,and technological support.Future efforts should focus on building a resilient dermatology talent cultivation system through optimized instructional design,intelligent tutoring systems,and competency-oriented assessments.
基金Guangzhou Metro Scientific Research Project(No.JT204-100111-23001)Chongqing Municipal Special Project for Technological Innovation and Application Development(No.CSTB2022TIAD-KPX0101)Science and Technology Research and Development Program of China State Railway Group Co.,Ltd.(No.N2023G045)。
文摘The uplift resistance of the soil overlying shield tunnels significantly impacts their anti-floating stability.However,research on uplift resistance concerning special-shaped shield tunnels is limited.This study combines numerical simulation with machine learning techniques to explore this issue.It presents a summary of special-shaped tunnel geometries and introduces a shape coefficient.Through the finite element software,Plaxis3D,the study simulates six key parameters—shape coefficient,burial depth ratio,tunnel’s longest horizontal length,internal friction angle,cohesion,and soil submerged bulk density—that impact uplift resistance across different conditions.Employing XGBoost and ANN methods,the feature importance of each parameter was analyzed based on the numerical simulation results.The findings demonstrate that a tunnel shape more closely resembling a circle leads to reduced uplift resistance in the overlying soil,whereas other parameters exhibit the contrary effects.Furthermore,the study reveals a diminishing trend in the feature importance of buried depth ratio,internal friction angle,tunnel longest horizontal length,cohesion,soil submerged bulk density,and shape coefficient in influencing uplift resistance.
基金supported by the National Natural Science Foundation of China (42505149,41925023,U2342223,42105069,and 91744208)the China Postdoctoral Science Foundation (2025M770303)+1 种基金the Fundamental Research Funds for the Central Universities (14380230)the Jiangsu Funding Program for Excellent Postdoctoral Talent,and Jiangsu Collaborative Innovation Center of Climate Change。
文摘Countries around the world have been making efforts to reduce pollutant emissions. However, the response of global black carbon(BC) aging to emission changes remains unclear. Using the Community Atmosphere Model version 6 with a machine-learning-integrated four-mode version of the Modal Aerosol Module, we quantify global BC aging responses to emission reductions for 2011–2018 and for 2050 and 2100 under carbon neutrality. During 2011–18, global trends in BC aging degree(mass ratio of coatings to BC, R_(BC)) exhibited marked regional disparities, with a significant increase in China(5.4% yr^(-1)), which contrasts with minimal changes in the USA, Europe, and India. The divergence is attributed to opposing trends in secondary organic aerosol(SOA) and sulfate coatings, driven by regional changes in the emission ratios of corresponding coating precursors to BC(volatile organic compounds-VOCs/BC and SO_(2)/BC). Projections under carbon neutrality reveal that R_(BC) will increase globally by 47%(118%) in 2050(2100), with strong convergent increases expected across major source regions. The R_(BC) increase, primarily driven by enhanced SOA coatings due to sharper BC reductions relative to VOCs, will enhance the global BC mass absorption cross-section(MAC) by 11%(17%) in 2050(2100).Consequently, although the global BC burden will decline sharply by 60%(76%), the enhanced MAC partially offsets the magnitude of the decline in the BC direct radiative effect, resulting in the moderation of global BC DRE decreases to 88%(92%) of the BC burden reductions in 2050(2100). This study highlights the globally enhanced BC aging and light absorption capacity under carbon neutrality, thereby partly offsetting the impact of BC direct emission reductions on future changes in BC radiative effects globally.
基金Supported by CAS Basic and Interdisciplinary Frontier Scientific Research Pilot Project(XDB1190300,XDB1190302)Youth Innovation Promotion Association CAS(Y2021056)+1 种基金Joint Fund of the Yulin University and the Dalian National Laboratory for Clean Energy(YLU-DNL Fund 2022007)The special fund for Science and Technology Innovation Teams of Shanxi Province(202304051001007)。
文摘Cyclohexene is an important raw material in the production of nylon.Selective hydrogenation of benzene is a key method for preparing cyclohexene.However,the Ru catalysts used in current industrial processes still face challenges,including high metal usage,high process costs,and low cyclohexene yield.This study utilizes existing literature data combined with machine learning methods to analyze the factors influencing benzene conversion,cyclohexene selectivity,and yield in the benzene hydrogenation to cyclohexene reaction.It constructs predictive models based on XGBoost and Random Forest algorithms.After analysis,it was found that reaction time,Ru content,and space velocity are key factors influencing cyclohexene yield,selectivity,and benzene conversion.Shapley Additive Explanations(SHAP)analysis and feature importance analysis further revealed the contribution of each variable to the reaction outcomes.Additionally,we randomly generated one million variable combinations using the Dirichlet distribution to attempt to predict high-yield catalyst formulations.This paper provides new insights into the application of machine learning in heterogeneous catalysis and offers some reference for further research.
文摘Federated Learning(FL)has become a leading decentralized solution that enables multiple clients to train a model in a collaborative environment without directly sharing raw data,making it suitable for privacy-sensitive applications such as healthcare,finance,and smart systems.As the field continues to evolve,the research field has become more complex and scattered,covering different system designs,training methods,and privacy techniques.This survey is organized around the three core challenges:how the data is distributed,how models are synchronized,and how to defend against attacks.It provides a structured and up-to-date review of FL research from 2023 to 2025,offering a unified taxonomy that categorizes works by data distribution(Horizontal FL,Vertical FL,Federated Transfer Learning,and Personalized FL),training synchronization(synchronous and asynchronous FL),optimization strategies,and threat models(data leakage and poisoning attacks).In particular,we summarize the latest contributions in Vertical FL frameworks for secure multi-party learning,communication-efficient Horizontal FL,and domain-adaptive Federated Transfer Learning.Furthermore,we examine synchronization techniques addressing system heterogeneity,including straggler mitigation in synchronous FL and staleness management in asynchronous FL.The survey covers security threats in FL,such as gradient inversion,membership inference,and poisoning attacks,as well as their defense strategies that include privacy-preserving aggregation and anomaly detection.The paper concludes by outlining unresolved issues and highlighting challenges in handling personalized models,scalability,and real-world adoption.
基金supported by a grant(No.CRPG-25-2054)under the Cybersecurity Research and Innovation Pioneers Initiative,provided by the National Cybersecurity Authority(NCA)in the Kingdom of Saudi Arabia.
文摘Split Learning(SL)has been promoted as a promising collaborative machine learning technique designed to address data privacy and resource efficiency.Specifically,neural networks are divided into client and server subnetworks in order to mitigate the exposure of sensitive data and reduce the overhead on client devices,thereby making SL particularly suitable for resource-constrained devices.Although SL prevents the direct transmission of raw data,it does not alleviate entirely the risk of privacy breaches.In fact,the data intermediately transmitted to the server sub-model may include patterns or information that could reveal sensitive data.Moreover,achieving a balance between model utility and data privacy has emerged as a challenging problem.In this article,we propose a novel defense approach that combines:(i)Adversarial learning,and(ii)Network channel pruning.In particular,the proposed adversarial learning approach is specifically designed to reduce the risk of private data exposure while maintaining high performance for the utility task.On the other hand,the suggested channel pruning enables the model to adaptively adjust and reactivate pruned channels while conducting adversarial training.The integration of these two techniques reduces the informativeness of the intermediate data transmitted by the client sub-model,thereby enhancing its robustness against attribute inference attacks without adding significant computational overhead,making it wellsuited for IoT devices,mobile platforms,and Internet of Vehicles(IoV)scenarios.The proposed defense approach was evaluated using EfficientNet-B0,a widely adopted compact model,along with three benchmark datasets.The obtained results showcased its superior defense capability against attribute inference attacks compared to existing state-of-the-art methods.This research’s findings demonstrated the effectiveness of the proposed channel pruning-based adversarial training approach in achieving the intended compromise between utility and privacy within SL frameworks.In fact,the classification accuracy attained by the attackers witnessed a drastic decrease of 70%.
文摘The Internet of Vehicles,or IoV,is expected to lessen pollution,ease traffic,and increase road safety.IoV entities’interconnectedness,however,raises the possibility of cyberattacks,which can have detrimental effects.IoV systems typically send massive volumes of raw data to central servers,which may raise privacy issues.Additionally,model training on IoV devices with limited resources normally leads to slower training times and reduced service quality.We discuss a privacy-preserving Federated Split Learning with Tiny Machine Learning(TinyML)approach,which operates on IoV edge devices without sharing sensitive raw data.Specifically,we focus on integrating split learning(SL)with federated learning(FL)and TinyML models.FL is a decentralisedmachine learning(ML)technique that enables numerous edge devices to train a standard model while retaining data locally collectively.The article intends to thoroughly discuss the architecture and challenges associated with the increasing prevalence of SL in the IoV domain,coupled with FL and TinyML.The approach starts with the IoV learning framework,which includes edge computing,FL,SL,and TinyML,and then proceeds to discuss how these technologies might be integrated.We elucidate the comprehensive operational principles of Federated and split learning by examining and addressingmany challenges.We subsequently examine the integration of SL with FL and various applications of TinyML.Finally,exploring the potential integration of FL and SL with TinyML in the IoV domain is referred to as FSL-TM.It is a superior method for preserving privacy as it conducts model training on individual devices or edge nodes,thereby obviating the necessity for centralised data aggregation,which presents considerable privacy threats.The insights provided aim to help both researchers and practitioners understand the complicated terrain of FL and SL,hence facilitating advancement in this swiftly progressing domain.
文摘Knowledge distillation has become a standard technique for compressing large language models into efficient student models,but existing methods often struggle to balance prediction accuracy with explanation quality.Recent approaches such as Distilling Step-by-Step(DSbS)introduce explanation supervision,yet they apply it in a uniform manner that may not fully exploit the different learning dynamics of prediction and explanation.In this work,we propose a task-structured curriculum learning(TSCL)framework that structures training into three sequential phases:(i)prediction-only,to establish stable feature representations;(ii)joint prediction-explanation,to align task outputs with rationale generation;and(iii)explanation-only,to refine the quality of rationales.This design provides a simple but effective modification to DSbS,requiring no architectural changes and adding negligible training cost.We justify the phase scheduling with ablation studies and convergence analysis,showing that an initial prediction-heavy stage followed by a balanced joint phase improves both stability and explanation alignment.Extensive experiments on five datasets(e-SNLI,ANLI,CommonsenseQA,SVAMP,and MedNLI)demonstrate that TSCL consistently outperforms strong baselines,achieving gains of+1.7-2.6 points in accuracy and 0.8-1.2 in ROUGE-L,corresponding to relative error reductions of up to 21%.Beyond lexical metrics,human evaluation and ERASERstyle faithfulness diagnostics confirm that TSCL produces more faithful and informative explanations.Comparative training curves further reveal faster convergence and lower variance across seeds.Efficiency analysis shows less than 3%overhead in wall-clock training time and no additional inference cost,making the approach practical for realworld deployment.This study demonstrates that a simple task-structured curriculum can significantly improve the effectiveness of knowledge distillation.By separating and sequencing objectives,TSCL achieves a better balance between accuracy,stability,and explanation quality.The framework generalizes across domains,including medical NLI,and offers a principled recipe for future applications in multimodal reasoning and reinforcement learning.
文摘Latest digital advancements have intensified the necessity for adaptive,data-driven and socially-centered learning ecosystems.This paper presents the formulation of a cross-platform,innovative,gamified and personalized Learning Ecosystem,which integrates 3D/VR environments,as well as machine learning algorithms,and business intelligence frameworks to enhance learner-centered education and inferenced decision-making.This Learning System makes use of immersive,analytically assessed virtual learning spaces,therefore facilitating real-time monitoring of not just learning performance,but also overall engagement and behavioral patterns,via a comprehensive set of sustainability-oriented ESG-aligned Key Performance Indicators(KPIs).Machine learning models support predictive analysis,personalized feedback,and hybrid recommendation mechanisms,whilst dedicated dashboards translate complex educational data into actionable insights for all Use Cases of the System(Educational Institutions,Educators and Learners).Additionally,the presented Learning System introduces a structured Mentoring and Consulting Subsystem,thence reinforcing human-centered guidance alongside automated intelligence.The Platform’s modular architecture and simulation-centered evaluation approach actively support personalized,and continuously optimized learning pathways.Thence,it exemplifies a mature,adaptive Learning Ecosystem,supporting immersive technologies,analytics,and pedagogical support,hence,contributing to contemporary digital learning innovation and sociotechnical transformation in education.
文摘Automated grading of dandruff severity is a clinically significant but challenging task due to the inherent ordinal nature of severity levels and the high prevalence of label noise from subjective expert annotations.Standard classification methods fail to address these dual challenges,limiting their real-world performance.In this paper,a novel,three-phase training framework is proposed that learns a robust ordinal classifier directly from noisy labels.The approach synergistically combines a rank-based ordinal regression backbone with a cooperative,semi-supervised learning strategy to dynamically partition the data into clean and noisy subsets.A hybrid training objective is then employed,applying a supervised ordinal loss to the clean set.The noisy set is simultaneously trained using a dualobjective that combines a semi-supervised ordinal loss with a parallel,label-agnostic contrastive loss.This design allows themodel to learn fromthe entire noisy subset while using contrastive learning to mitigate the risk of error propagation frompotentially corrupt supervision.Extensive experiments on a new,large-scale,multi-site clinical dataset validate our approach.Themethod achieves state-of-the-art performance with 80.71%accuracy and a 76.86%F1-score,significantly outperforming existing approaches,including a 2.26%improvement over the strongest baseline method.This work provides not only a robust solution for a practical medical imaging problem but also a generalizable framework for other tasks plagued by noisy ordinal labels.
文摘Adversarial Reinforcement Learning(ARL)models for intelligent devices and Network Intrusion Detection Systems(NIDS)improve systemresilience against sophisticated cyber-attacks.As a core component of ARL,Adversarial Training(AT)enables NIDS agents to discover and prevent newattack paths by exposing them to competing examples,thereby increasing detection accuracy,reducing False Positives(FPs),and enhancing network security.To develop robust decision-making capabilities for real-world network disruptions and hostile activity,NIDS agents are trained in adversarial scenarios to monitor the current state and notify management of any abnormal or malicious activity.The accuracy and timeliness of the IDS were crucial to the network’s availability and reliability at this time.This paper analyzes ARL applications in NIDS,revealing State-of-The-Art(SoTA)methodology,issues,and future research prospects.This includes Reinforcement Machine Learning(RML)-based NIDS,which enables an agent to interact with the environment to achieve a goal,andDeep Reinforcement Learning(DRL)-based NIDS,which can solve complex decision-making problems.Additionally,this survey study addresses cybersecurity adversarial circumstances and their importance for ARL and NIDS.Architectural design,RL algorithms,feature representation,and training methodologies are examined in the ARL-NIDS study.This comprehensive study evaluates ARL for intelligent NIDS research,benefiting cybersecurity researchers,practitioners,and policymakers.The report promotes cybersecurity defense research and innovation.
文摘As urbanization continues to accelerate,the challenges associated with managing transportation in metropolitan areas become increasingly complex.The surge in population density contributes to traffic congestion,impacting travel experiences and posing safety risks.Smart urban transportation management emerges as a strategic solution,conceptualized here as a multidimensional big data problem.The success of this strategy hinges on the effective collection of information from diverse,extensive,and heterogeneous data sources,necessitating the implementation of full⁃stack Information and Communication Technology(ICT)solutions.The main idea of the work is to investigate the current technologies of Intelligent Transportation Systems(ITS)and enhance the safety of urban transportation systems.Machine learning models,trained on historical data,can predict traffic congestion,allowing for the implementation of preventive measures.Deep learning architectures,with their ability to handle complex data representations,further refine traffic predictions,contributing to more accurate and dynamic transportation management.The background of this research underscores the challenges posed by traffic congestion in metropolitan areas and emphasizes the need for advanced technological solutions.By integrating GPS and GIS technologies with machine learning algorithms,this work aims to pay attention to the development of intelligent transportation systems that not only address current challenges but also pave the way for future advancements in urban transportation management.
基金support provided by the Shandong University Education and Teaching Reform Research Project(2024Y232)the“New 20 Regulations for Universities”funding program of Jinan(202228089).
文摘To integrate traditional culture and modern technology,Shandong University’s School of Software has promoted an interdisciplinary teaching project called IYAN&ITAN,the I Ching Knowledge Graph.The project,driven by I Ching texts,guides students to practice natural language processing(NLP)and knowledge graph technology in a task-oriented curriculum,based on constructivism,situated learning,and inquiry-based pedagogy,with a progressive and task-oriented teaching model.The platform established enables the retrieval of knowledge,parsing of text,symbolic-numeric analysis,and historical commentary integration,making possible multidimensional,structured representation of I Ching knowledge,and offering an extensible reference for interdisciplinary learning in the context of New Engineering Education.
基金Supported by Chongqing Medical Scientific Research Project(Joint Project of Chongqing Health Commission and Science and Technology Bureau),No.2023MSXM060.
文摘BACKGROUND The accurate prediction of lymph node metastasis(LNM)is crucial for managing locally advanced(T3/T4)colorectal cancer(CRC).However,both traditional histopathology and standard slide-level deep learning often fail to capture the sparse and diagnostically critical features of metastatic potential.AIM To develop and validate a case-level multiple-instance learning(MIL)framework mimicking a pathologist's comprehensive review and improve T3/T4 CRC LNM prediction.METHODS The whole-slide images of 130 patients with T3/T4 CRC were retrospectively collected.A case-level MIL framework utilising the CONCH v1.5 and UNI2-h deep learning models was trained on features from all haematoxylin and eosinstained primary tumour slides for each patient.These pathological features were subsequently integrated with clinical data,and model performance was evaluated using the area under the curve(AUC).RESULTS The case-level framework demonstrated superior LNM prediction over slide-level training,with the CONCH v1.5 model achieving a mean AUC(±SD)of 0.899±0.033 vs 0.814±0.083,respectively.Integrating pathology features with clinical data further enhanced performance,yielding a top model with a mean AUC of 0.904±0.047,in sharp contrast to a clinical-only model(mean AUC 0.584±0.084).Crucially,a pathologist’s review confirmed that the model-identified high-attention regions correspond to known high-risk histopathological features.CONCLUSION A case-level MIL framework provides a superior approach for predicting LNM in advanced CRC.This method shows promise for risk stratification and therapy decisions,requiring further validation.
基金Project(42077244)supported by the National Natural Science Foundation of ChinaProject(2020-05)supported by the Open Research Fund of Guangdong Provincial Key Laboratory of Deep Earth Sciences and Geothermal Energy Exploitation and Utilization,China。
文摘Accurate prediction of rockburst intensity levels is crucial for ensuring the safety of deep hard rock engineering construction.This paper introduced an expert system for rockburst intensity level prediction that employs machine learning algorithms as the basis for its inference rules.The system comprises four modules:a database,a repository,an inference engine,and an interpreter.A database containing 1114 rockburst cases was used to construct 357 datasets that serve as the repository for the expert system.Additionally,19 types of machine learning algorithms were used to establish 6783 micro-models to construct cognitive rules within the inference engine.By integrating probability theory and marginal analysis,a fuzzy scoring method based on the SoftMax function was developed and applied to the interpreter for rockburst intensity level prediction,effectively restoring the continuity of rockburst characteristics.The research results indicate that ensemble algorithms based on decision trees are more effective in capturing the characteristics of rockburst.Key factors for accurate prediction of rockburst intensity include uniaxial compressive strength,elastic energy index,the maximum principal stress,tangential stress,and their composite indicators.The accuracy of the proposed rockburst intensity level prediction expert system was verified using 20 engineering rockburst cases,with predictions aligning closely with the actual rockburst intensity levels.
