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Predicting the effectiveness of neoadjuvant therapy in rectal cancer patients:Model construction based on radiomics and carcinoembryonic antigens
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作者 Biyao Liu Jinyue Feng +7 位作者 Yiguang Hu Ruisi Tang Yutong Zhang Yidian Wang Yong Wang Liya Wang Hang Qiu Xiaodong Wang 《Intelligent Oncology》 2026年第1期5-14,共10页
This study aimed to develop a multimodal imaging histological model based on computed tomography(CT)images and carcinoembryonic antigen(CEA)values to predict the efficacy of preoperative neoadjuvant therapy in rectal ... This study aimed to develop a multimodal imaging histological model based on computed tomography(CT)images and carcinoembryonic antigen(CEA)values to predict the efficacy of preoperative neoadjuvant therapy in rectal cancer patients.Data were obtained from the Database of Colorectal Cancer of West China Hospital of Sichuan University.A total of 155 patients were enrolled and categorized into good and poor response groups based on pathological evaluation using the tumor regression grade system.Radiomics features were extracted from CT images using PyRadiomics software,and CEA data were collected and processed.Three types of models—a clinical model,a pure radiomics model,and an integrated model—were constructed using logistic regression,support vector machine,random forest(RF),and XGBoost algorithms.The results showed that the integrated model,particularly the RF and XGBoost models,demonstrated the best predictive performance.The RF model achieved an area under the curve(AUC)value of 0.96 in the test set,with accuracy,sensitivity,and specificity of 0.88,0.50,and 1.00,respectively.The XGBoost model had the highest AUC value of 0.97 in the test set,with accuracy,sensitivity,and specificity of 0.91,0.70,and 0.97,respectively.This model can be integrated into existing clinical practice to provide clinicians with additional insights for guiding treatment decisions.Future studies should recruit a larger and more diverse patient population to validate and refine the model,and prospective validation is needed to assess its real-world applicability. 展开更多
关键词 Rectal cancer Neoadjuvant therapy Carcinoembryonic antigen Radiomics Prediction model Precision medicine
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Development and validation of machine learningbased in-hospital mortality predictive models for acute aortic syndrome in emergency departments
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作者 Yuanwei Fu Yilan Yang +6 位作者 Hua Zhang Daidai Wang Qiangrong Zhai Lanfang Du Nijiati Muyesai YanxiaGao Qingbian Ma 《World Journal of Emergency Medicine》 2026年第1期43-49,共7页
BACKGROUND:This study aims to develop and validate a machine learning-based in-hospital mortality predictive model for acute aortic syndrome(AAS)in the emergency department(ED)and to derive a simplifi ed version suita... BACKGROUND:This study aims to develop and validate a machine learning-based in-hospital mortality predictive model for acute aortic syndrome(AAS)in the emergency department(ED)and to derive a simplifi ed version suitable for rapid clinical application.METHODS:In this multi-center retrospective cohort study,AAS patient data from three hospitals were analyzed.The modeling cohort included data from the First Affiliated Hospital of Zhengzhou University and the People’s Hospital of Xinjiang Uygur Autonomous Region,with Peking University Third Hospital data serving as the external test set.Four machine learning algorithms—logistic regression(LR),multilayer perceptron(MLP),Gaussian naive Bayes(GNB),and random forest(RF)—were used to develop predictive models based on 34 early-accessible clinical variables.A simplifi ed model was then derived based on fi ve key variables(Stanford type,pericardial eff usion,asymmetric peripheral arterial pulsation,decreased bowel sounds,and dyspnea)via Least Absolute Shrinkage and Selection Operator(LASSO)regression to improve ED applicability.RESULTS:A total of 929 patients were included in the modeling cohort,and 210 were included in the external test set.Four machine learning models based on 34 clinical variables were developed,achieving internal and external validation AUCs of 0.85-0.90 and 0.73-0.85,respectively.The simplifi ed model incorporating fi ve key variables demonstrated internal and external validation AUCs of 0.71-0.86 and 0.75-0.78,respectively.Both models showed robust calibration and predictive stability across datasets.CONCLUSION:Both kinds of models were built based on machine learning tools,and proved to have certain prediction performance and extrapolation. 展开更多
关键词 Emergency department Acute aortic syndrome MORTALITY Predictive model Machine learning ALGORITHMS
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The Application of Frailty Prediction Model for Middle-aged and Elderly Patients with Upper Gastrointestinal Bleeding in Peri-inpatient Nursing Intervention
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作者 Chaoxiang You Xiaoqin Ren +4 位作者 Fen Wu Ying Yang Jianrong Wang Cuixia Zhao Yuting He 《Journal of Clinical and Nursing Research》 2026年第1期161-166,共6页
Objective:To investigate the impact of targeted nursing interventions based on frailty prediction models on peri-hospitalization clinical outcomes in middle-aged and elderly patients with upper gastrointestinal bleedi... Objective:To investigate the impact of targeted nursing interventions based on frailty prediction models on peri-hospitalization clinical outcomes in middle-aged and elderly patients with upper gastrointestinal bleeding(UGIB).Methods:A prospective cohort study was conducted,and 126 middle-aged and elderly patients with UGIB admitted from August 2024 to August 2025 were selected as the study subjects.The patients were divided into the intervention group(63 cases)and the control group(63 cases)based on whether they received nursing intervention based on frailty prediction models.The control group received routine care,while the intervention group,on the basis of routine care,used the FRAIL scale combined with laboratory indicators(albumin,hemoglobin,etc.)to establish a predictive model to evaluate patients within 24 hours of admission,and implemented multi-dimensional targeted nursing intervention for pre-frailty or frailty patients screened out.The incidence of frailty,rebleeding rate,average length of stay,hospitalization cost,and nursing satisfaction during hospitalization were compared between the two groups.Results:The incidence of frailty during hospitalization in the intervention group was 11.1%(7 cases/63 cases),significantly lower than 31.7%(20 cases/63 cases)in the control group,and the difference was statistically significant(p<0.05).The rebleeding rate of 4.8%vs 12.7%,the average length of stay of(7.2±1.5)days vs(9.1±2.2)days,and the average hospitalization cost of(23,000±6,000)yuan vs(28,000±7,000)yuan in the intervention group were all lower than those in the control group(all p<0.05).The nursing satisfaction score of the intervention group(93.5±4.2)points was higher than that of the control group(86.3±5.8)points(p<0.05).Conclusion:The frailty prediction model applied to the peri-hospitalization care of middle-aged and elderly patients with UGIB can effectively identify frailty risk.Through early targeted intervention,the incidence of frailty and rebleeding rate can be reduced,the length of hospital stay can be shortened,medical expenses can be reduced,and nursing satisfaction can be improved,which has clinical promotion value. 展开更多
关键词 Upper gastrointestinal bleeding WEAKNESS Predictive models Elderly care Perioperative period
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Numerical model for rapid prediction of temperature field, mushy zone and grain size in heating−cooling combined mold (HCCM) horizontal continuous casting of C70250 alloy plates
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作者 Ling-hui MENG Fan ZHAO +3 位作者 Dong LIU Chang-jian LU Yan-bin JIANG Xin-hua LIU 《Transactions of Nonferrous Metals Society of China》 2026年第1期203-217,共15页
Machine learning-assisted methods for rapid and accurate prediction of temperature field,mushy zone,and grain size were proposed for the heating−cooling combined mold(HCCM)horizontal continuous casting of C70250 alloy... Machine learning-assisted methods for rapid and accurate prediction of temperature field,mushy zone,and grain size were proposed for the heating−cooling combined mold(HCCM)horizontal continuous casting of C70250 alloy plates.First,finite element simulations of casting processes were carried out with various parameters to build a dataset.Subsequently,different machine learning algorithms were employed to achieve high precision in predicting temperature fields,mushy zone locations,mushy zone inclination angle,and billet grain size.Finally,the process parameters were quickly optimized using a strategy consisting of random generation,prediction,and screening,allowing the mushy zone to be controlled to the desired target.The optimized parameters are 1234℃for heating mold temperature,47 mm/min for casting speed,and 10 L/min for cooling water flow rate.The optimized mushy zone is located in the middle of the second heat insulation section and has an inclination angle of roughly 7°. 展开更多
关键词 Cu alloy numerical simulation machine learning prediction model process optimization
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Spatial response and prediction model for blasting-induced vibration in a deep double-line tunnel
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作者 Chong Yu Yongan Ma +3 位作者 Haibo Li Changjian Wang Haibin Wang Linghao Meng 《International Journal of Mining Science and Technology》 2026年第1期169-186,共18页
Excessive blasting-induced vibration during drilling-and-blasting excavation of deep tunnels can trigger geological hazards and compromise the stability of both the rock mass and support structures.This study focused ... Excessive blasting-induced vibration during drilling-and-blasting excavation of deep tunnels can trigger geological hazards and compromise the stability of both the rock mass and support structures.This study focused on the deep double-line Sejila Mountain tunnel to systematically analyze the spatial response of blasting-induced vibration and to develop a prediction model through field tests and numerical simulations.The results revealed that the presence of a cross passage significantly altered propagation paths and the spatial distribution of blasting-induced vibration velocity.The peak particle velocity(PPV)at the cross-passage corner was amplified by approximately 1.92 times due to wave reflection and geometric focusing.Blasting-induced vibration waves attenuated non-uniformly across the tunnel cross-section,where PPV on the blast-face side was 1.54–6.56 times higher than that on the opposite side.We propose an improved PPV attenuation model that accounts for the propagation path effect.This model significantly improved fitting accuracy and resolved anomalous parameter(k and a)estimates in traditional equations,thereby improving prediction reliability.Furthermore,based on the observed spatial distribution of blasting-induced vibration,optimal monitoring point placement and targeted vibration control measures for tunnel blasting were discussed.These findings provide a scientific basis for designing blasting schemes and vibration mitigation strategies in deep tunnels. 展开更多
关键词 Blasting-induced vibration Spatial response Attenuation law Prediction model Double-line tunnel
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A relay-based probabilistic prediction model for multi-fidelity scenarios in total pressure loss of a compressor cascade with micro-textured surfaces
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作者 Liyue WANG Cong WANG +2 位作者 Xinyue LAN Haochen ZHANG Gang SUN 《Chinese Journal of Aeronautics》 2026年第1期55-65,共11页
The micro-riblet structures have been demonstrated effective in controlling the Total Pressure Loss(TPL)of aero-engine blades.However,due to the considerable scale gap between micro-texture and an actual aero-engine b... The micro-riblet structures have been demonstrated effective in controlling the Total Pressure Loss(TPL)of aero-engine blades.However,due to the considerable scale gap between micro-texture and an actual aero-engine blade,wind tunnel tests and numerical simulations with massive grids directly describing the global flow field are costly for aerodynamic evaluation.Furthermore,the fine micro surface structure brings unavoidable manufacturing errors,and the probability prediction contributes to gaining the confidence interval of the results.Therefore,a novel relay-based probabilistic model for multi-fidelity scenarios in the TPL prediction of a compressor cascade with micro-riblet surfaces is proposed to trade off accuracy and efficiency.Combined with the low-fidelity flow data generated by an aerodynamic solution strategy using the boundary surrogate model and the high-fidelity flow data from the experiment,the relay-based modeling has been achieved through knowledge transferring,and the confidence interval can be provided by the Gaussian Process Regression(GPR)model.The TPL of compressor cascades with micro-riblet surfaces under different surface structures at March number Ma=0.64,0.74,0.84 have been evaluated using the Relay-Based Probabilistic(RBP)model.The results illustrate that the RBP model could provide higher accuracy than the Single-Fidelity-Data-Driven(SFDD)prediction model,which show the promising potential of multi-fidelity scenarios data fusion in the aerodynamic evaluation of multi-scale configurations. 展开更多
关键词 Knowledge transfer Micro-riblet Multi-fidelity surrogate Probability prediction model Total pressure loss
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A Scale Separation Hybrid Predictive Model and Its Application to Predict Summer Monthly Precipitation in Northeast China
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作者 Lei YU Aihui WANG Changzheng LIU 《Advances in Atmospheric Sciences》 2026年第3期504-528,共25页
Northeast China serves as an important crop production region.Accurately forecasting summer precipitation in Northeast China(NEC-PR)has been a challenge due to its wide range of time scales influenced by varying clima... Northeast China serves as an important crop production region.Accurately forecasting summer precipitation in Northeast China(NEC-PR)has been a challenge due to its wide range of time scales influenced by varying climatic conditions.This study presents a scale separation hybrid statistical model with recurrent neural network(SS-RNN)to predict the summer monthly NEC-PR.The SS-RNN model decomposes the multiple scales of the NEC-PR into several spatiotemporal intrinsic mode functions covering annual to decadal time scales.This strategy provides a way to derive appropriate predictors and establish predictive models for the primary spatial modes of the NEC-PR at various time scales.Our results demonstrate substantial improvements by the SS-RNN model in predicting the summer monthly NEC-PR as compared with dynamic models,particularly in predicting the spatial pattern of the NEC-PR.In this paper we take August,the month of the highest NEC-PR,to assess our model skill.Independent forecasts of the August NEC-PR over the period 2021–24 achieve significant spatial anomaly correlation coefficients,reaching a maximum value of 0.83.Additional verifications by station observations show that the model hits most station anomalies,achieving a mean predictive skill score of 90. 展开更多
关键词 Northeast China precipitation scale separation approach statistical predictive model recurrent neural network predictive model
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Prediction model for quality of life in sepsis survivors one year after discharge
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作者 Yi Yao Wenjin Li +3 位作者 Dejiang Hong Ze Chen Kai Peng Guangju Zhao 《World Journal of Emergency Medicine》 2026年第2期105-112,共8页
BACKGROUND:Sepsis survivors experience poor long-term quality of life post-discharge.The aim of this study was to analyze the factors that impact the long-term quality of life of sepsis survivors and develop a clinica... BACKGROUND:Sepsis survivors experience poor long-term quality of life post-discharge.The aim of this study was to analyze the factors that impact the long-term quality of life of sepsis survivors and develop a clinical prediction model.METHODS:A total of 442 sepsis patients from the Emergency Intensive Care Unit of a tertiary hospital in Wenzhou were included.These patients were assigned to the training set or the validation set at a ratio of 7:3.The European Quality of Life 5 Dimensions 5 Level Version(EQ-5D-5L) questionnaire was used to evaluate the quality of life in sepsis survivors one year after discharge.Multivariate logistic regression analysis was used to identify predictors,which were then used to develop the prediction model and subsequently derive a scoring system.The model's effectiveness was assessed using an area under the receiver operating characteristic curve,calibration curves,and clinical decision analysis.RESULTS:Of the 442 patients included,70 died one year after discharge,and 372 completed the questionnaire.A total of 46.6% of sepsis survivors have poor quality of life one year after discharge in the training set.Multivariate logistic regression revealed that age,platelet,serum albumin,serum urea,and C-reactive protein were independent risk factors for poor quality of life in sepsis survivors.The area under the curve of the scoring system was 0.777(95% CI:0.726–0.828).The calibration curves showed that it was well calibrated.Decision curve analysis indicated that the scoring system provided good clinical usefulness.The internal validation also demonstrated its effectiveness.CONCLUSION:The prediction model incorporating five risk factors may predict quality of life one year after discharge in sepsis survivors,which provides a measure to develop post-discharge rehabilitation and follow-up plans for this patient population. 展开更多
关键词 SEPSIS Sepsis survivors Quality of life EQ-5D-5L Prediction model
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Predictive modeling for mechanical properties of cold-rolled strip steel based on random forest regression and whale optimization algorithm
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作者 Hong-Lei Cai Yi-Ming Fang +3 位作者 Le Liu Li-Hui Ren Zhen-Dong Liu Xiao-Dong Zhao 《Journal of Iron and Steel Research International》 2026年第3期73-87,共15页
In response to the challenges of inadequate predictive accuracy and limited generalization capability in data-driven modeling for the mechanical properties of the cold-rolled strip steel,a predictive modeling method n... In response to the challenges of inadequate predictive accuracy and limited generalization capability in data-driven modeling for the mechanical properties of the cold-rolled strip steel,a predictive modeling method named RFR-WOA is developed based on random forest regression(RFR)and whale optimization algorithm(WOA).Firstly,using Pearson and Spearman correlation analysis and Gini coefficient importance ranking on an actual production dataset containing 37,878 samples,22 key variables are selected as model inputs from 112 variables that affect mechanical properties.Subsequently,an RFR-based predictive model for the mechanical properties of cold-rolled strip steel is constructed.Then,with the combination of the coefficient of determination(R^(2))and root mean square error as the optimization objective,the hyperparameters of RFR model are iteratively optimized using WOA,and better predictive effectiveness is obtained.Finally,the mechanical properties prediction model based on RFR-WOA is compared with models established using deep neural networks,convolutional neural networks,and other methods.The test results on 9469 samples of actual production data show that the model developed present has better predictive accuracy and generalization capability. 展开更多
关键词 Cold-rolled strip steel Mechanical property Predictive modeling Random forest regression Whale optimization algorithm
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A Predictive Model for the Elastic Modulus of High-Strength Concrete Based on Coarse Aggregate Characteristics
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作者 LI Liangshun LI Huajian +2 位作者 HUANG Fali YANG Zhiqiang DONG Haoliang 《Journal of Wuhan University of Technology(Materials Science)》 2026年第1期121-137,共17页
To investigate the influence of coarse aggregate parent rock properties on the elastic modulus of concrete,the mineralogical properties and stress-strain curves of granite and dolomite parent rocks,as well as the stre... To investigate the influence of coarse aggregate parent rock properties on the elastic modulus of concrete,the mineralogical properties and stress-strain curves of granite and dolomite parent rocks,as well as the strength and elastic modulus of mortar and concrete prepared with mechanism aggregates of the corresponding lithology,and the stress-strain curves of concrete were investigated.In this paper,a coarse aggregate and mortar matrix bonding assumption is proposed,and a prediction model for the elastic modulus of mortar is established by considering the lithology of the mechanism sand and the slurry components.An equivalent coarse aggregate elastic modulus model was established by considering factors such as coarse aggregate particle size,volume fraction,and mortar thickness between coarse aggregates.Based on the elastic modulus of the equivalent coarse aggregate and the remaining mortar,a prediction model for the elastic modulus of the two and three components of concrete in series and then in parallel was established,and the predicted values differed from the measured values within 10%.It is proposed that the coarse aggregate elastic modulus in highstrength concrete is the most critical factor affecting the elastic modulus of concrete,and as the coarse aggregate elastic modulus increases by 27.7%,the concrete elastic modulus increases by 19.5%. 展开更多
关键词 elastic modulus prediction model MINERALOGICAL influence mechanism
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Evaluation and forecast of the regional marine innovation ecosystem’s competitiveness:A systematic multivariate grey interval model with spatial proximity effects
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作者 LI Xuemei LI Na DING Song 《Journal of Geographical Sciences》 2026年第2期363-398,共36页
Establishing a Regional Marine Innovation Ecosystem(RMIE)is crucial for advancing China’s maritime power strategy.Concurrently,developing a competitive RMIE serves as a strategic lever to enhance the global competiti... Establishing a Regional Marine Innovation Ecosystem(RMIE)is crucial for advancing China’s maritime power strategy.Concurrently,developing a competitive RMIE serves as a strategic lever to enhance the global competitiveness of China’s marine science sector.However,research on the competitiveness of RMIE is limited.To this end,this study constructs an evaluation index system based on ecological niche theory to assess the competitiveness of RMIE in China from 2008 to 2020.The findings indicate generally fluctuating upward trends in RMIE’s competitiveness,with Shandong,Jiangsu,and Guangdong showing relatively strong positions.Notably,there are significant intra-regional imbalances and inter-regional asynchrony in RMIE’s competitiveness across China’s three major marine economic circles.Recognizing that forecasting RMIE competitiveness can inform policy formulation,this paper proposes a systematic multivariate grey interval prediction model that incorporates spatial proximity effects.This model effectively captures the interval and uncertainty characteristics of RMIE’s competitiveness while considering spatial relationships among regions.Results from comparative analysis,robustness tests,and sensitivity analysis demonstrate its superior applicability and forecasting accuracy.Additionally,interval forecasts and scenario analyses suggest that RMIE competitiveness will maintain stable growth,although unbalanced and unsynchronized development is likely to persist.Overall,the approach developed for evaluating and forecasting RMIE competitiveness offers valuable insights for effective policy formulation. 展开更多
关键词 grey model regional marine innovation ecosystem ecological niche theory multivariate grey interval prediction model spatial proximity effects
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Human-Robot Interaction-Based Model Predictive Control for Exoskeleton Robots Driven by Series Elastic Actuators
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作者 Changxian Xu Keping Liu Zhongbo Sun 《IEEE/CAA Journal of Automatica Sinica》 2026年第2期486-488,共3页
Dear Editor,This letter presents a model predictive control(MPC)scheme for human-robot interaction(HRI)in a multi-joint exoskeleton robot(ER)driven by series elastic actuator(SEA).The proposed scheme in robot-in-charg... Dear Editor,This letter presents a model predictive control(MPC)scheme for human-robot interaction(HRI)in a multi-joint exoskeleton robot(ER)driven by series elastic actuator(SEA).The proposed scheme in robot-in-charge(RIC)mode facilitates the ER driven by SEA to provide the required assistance and support for the subject. 展开更多
关键词 human robot interaction model predictive assistance support series elastic actuator model predictive control series elastic actuator sea exoskeleton robot robot charge mode
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ATLAS study:Design,athletic performance,and sex-specific regression models for muscle strength in the Greek population
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作者 Natia A.Pogosova Despoina Brekou +7 位作者 Ioanna E.Gavra Efthymia A.Katsareli Eleni More Panagiotis G.Symianakis Maria Kafyra Ioanna Panagiota Kalafati Giannis Arnaoutis George V.Dedoussis 《Sports Medicine and Health Science》 2026年第1期79-95,共17页
Purpose:ATLAS is a cross-sectional study aiming to investigate environmental and genetic determinants of athletic performance in healthy Greek competitive athletes(CA).This article presents the study design,investigat... Purpose:ATLAS is a cross-sectional study aiming to investigate environmental and genetic determinants of athletic performance in healthy Greek competitive athletes(CA).This article presents the study design,investigates the muscle strength performance(MSP)of 289 adult and teenage CA,exercisers,and physically inactive individuals(PI),and proposes predictive models of MSP for adults.Methods:Muscle maximal,speed,and explosive strength(MMS/MSS/MES)at unilateral maximal concentric flexion and extension contraction(FC/EC)were evaluated using Biodex System 3 PRO^(TM)at 60°/s,180°/s,and 300°/s,while additional performance markers were assessed through field ergometric testing.Participants were interviewed about their lifestyle,dietary habits,physical activity,injury,and medical history.Body composition was assessed via bioelectrical impedance.gDNA was extracted from biochemical samples and then genotyped.Statistical analysis was conducted using IBM SPSS Statistics v21.0 and R.Results:Age,fitness,and sex impacted correlations of MSP with body composition and anthropometric measurements(p<0.05).Among CA,females outperformed males in accuracy(p<0.001)while,males outperformed females in anaerobic power,MSP,speed,and endurance(p<0.001).Adult CA outperformed exercisers and PI in MMS,MSS,and MES(p<0.05).Multiple linear regression models,with predictors age,FFM,body extremity,training load explained the majority of variation in MMS(R^(2)_(adj):71.4%–88.9%),MSS(R^(2)_(adj):64.8%–78.4%),and MES(R^(2)_(adj):52.7%–68.4%)at EC,FC,and their mean(p<0.001).Conclusions:Muscle-strengthening strategies should be customized according to individual fitness levels,body composition,and anthropometric measurements.The innovative sex-specific regression models assessing MMS,MSS,and MES at EC and FC provide a framework for personalizing rehabilitation and skill-specific training strategies. 展开更多
关键词 Athletic performance Isokinetic dynamometer Muscle strength performance Greek population Predictive models Body composition
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The African Climate as Predicted by the IAP Grid-Point Nine-Layer Atmospheric General Circulation Model (IAP-9L-AGCM) 被引量:1
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《Advances in Atmospheric Sciences》 SCIE CAS CSCD 1997年第3期122-129,共8页
TheAfricanClimateasPredictedbytheIAPGrid-PointNine-LayerAtmosphericGeneralCirculationModel(IAP-9L-AGCM)Chine... TheAfricanClimateasPredictedbytheIAPGrid-PointNine-LayerAtmosphericGeneralCirculationModel(IAP-9L-AGCM)ChinekeTheoChidiezie①,... 展开更多
关键词 IAP-9L-AGCM Grid The African Climate as predicted by the IAP Grid-Point Nine-Layer Atmospheric General Circulation model
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Construction and validation of machine learning-based predictive model for colorectal polyp recurrence one year after endoscopic mucosal resection 被引量:2
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作者 Yi-Heng Shi Jun-Liang Liu +5 位作者 Cong-Cong Cheng Wen-Ling Li Han Sun Xi-Liang Zhou Hong Wei Su-Juan Fei 《World Journal of Gastroenterology》 2025年第11期46-62,共17页
BACKGROUND Colorectal polyps are precancerous diseases of colorectal cancer.Early detection and resection of colorectal polyps can effectively reduce the mortality of colorectal cancer.Endoscopic mucosal resection(EMR... BACKGROUND Colorectal polyps are precancerous diseases of colorectal cancer.Early detection and resection of colorectal polyps can effectively reduce the mortality of colorectal cancer.Endoscopic mucosal resection(EMR)is a common polypectomy proce-dure in clinical practice,but it has a high postoperative recurrence rate.Currently,there is no predictive model for the recurrence of colorectal polyps after EMR.AIM To construct and validate a machine learning(ML)model for predicting the risk of colorectal polyp recurrence one year after EMR.METHODS This study retrospectively collected data from 1694 patients at three medical centers in Xuzhou.Additionally,a total of 166 patients were collected to form a prospective validation set.Feature variable screening was conducted using uni-variate and multivariate logistic regression analyses,and five ML algorithms were used to construct the predictive models.The optimal models were evaluated based on different performance metrics.Decision curve analysis(DCA)and SHapley Additive exPlanation(SHAP)analysis were performed to assess clinical applicability and predictor importance.RESULTS Multivariate logistic regression analysis identified 8 independent risk factors for colorectal polyp recurrence one year after EMR(P<0.05).Among the models,eXtreme Gradient Boosting(XGBoost)demonstrated the highest area under the curve(AUC)in the training set,internal validation set,and prospective validation set,with AUCs of 0.909(95%CI:0.89-0.92),0.921(95%CI:0.90-0.94),and 0.963(95%CI:0.94-0.99),respectively.DCA indicated favorable clinical utility for the XGBoost model.SHAP analysis identified smoking history,family history,and age as the top three most important predictors in the model.CONCLUSION The XGBoost model has the best predictive performance and can assist clinicians in providing individualized colonoscopy follow-up recommendations. 展开更多
关键词 Colorectal polyps Machine learning Predictive model Risk factors SHapley Additive exPlanation
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Multiparametric magnetic resonance imaging-based predictive model for chemotherapy response in colorectal cancer patients with gene mutations 被引量:2
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作者 Wen-Yan Kang Wen-Ming Deng +4 位作者 Xiao-Qin Ye Yi-Hong Zhong Xiao-Jun Li Ling-Ling Feng De-Hong Luo 《World Journal of Gastrointestinal Oncology》 2025年第10期280-289,共10页
BACKGROUND Patients harboring gene mutations like KRAS,NRAS,and BRAF demonstrate highly variable responses to chemotherapy,posing challenges for treatment optimization.Multiparametric magnetic resonance imaging(MRI),w... BACKGROUND Patients harboring gene mutations like KRAS,NRAS,and BRAF demonstrate highly variable responses to chemotherapy,posing challenges for treatment optimization.Multiparametric magnetic resonance imaging(MRI),with its noninvasive capability to assess tumor characteristics in detail,has shown promise in evaluating treatment response and predicting therapeutic outcomes.This technology holds potential for guiding personalized treatment strategies tailored to individual patient profiles,enhancing the precision and effectiveness of colorectal cancer care.AIM To create a multiparametric MRI-based predictive model for assessing chemotherapy efficacy in colorectal cancer patients with gene mutations.METHODS This retrospective study was conducted in a tertiary hospital,analyzing 157 colorectal cancer patients with gene mutations treated between August 2022 and December 2023.Based on chemotherapy outcomes,the patients were categorized into favorable(n=60)and unfavorable(n=50)response groups.Univariate and multivariate logistic regression analyses were performed to identify independent predictors of chemotherapy efficacy.A predictive nomogram was constructed using significant variables,and its performance was assessed using the area under the receiver operating characteristic curve(AUC)in both training and validation sets.RESULTS Univariate analysis identified that tumor differentiation,T2 signal intensity ratio,tumor-to-anal margin distance,and MRI-detected lymph node metastasis as significantly associated with chemotherapy response(P<0.05).Multivariate Logistics regression confirmed these four parameters as independent predictors.The predictive model demonstrated strong discrimination,with an AUC of 0.938(sensitivity:86%;specificity:92%)in the training set,and 0.942(sensitivity:100%;specificity:83%)in the validation set.CONCLUSION We established and validated a multiparametric MRI-based model for predicting chemotherapy response in colorectal cancer patients with gene mutations.This model holds promise for guiding individualized treatment strategies. 展开更多
关键词 Colorectal cancer RAS gene mutation Multiparametric magnetic resonance imaging CHEMOTHERAPY Predictive model
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Development and validation of a predictive model for the pathological upgrading of gastric low-grade intraepithelial neoplasia 被引量:2
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作者 Kun-Ming Lyu Qian-Qian Chen +4 位作者 Yi-Fan Xu Yao-Qian Yuan Jia-Feng Wang Jun Wan En-Qiang Ling-Hu 《World Journal of Gastroenterology》 2025年第11期63-73,共11页
BACKGROUND The discrepancy between endoscopic biopsy pathology and the overall pathology of gastric low-grade intraepithelial neoplasia(LGIN)presents challenges in developing diagnostic and treatment protocols.AIM To ... BACKGROUND The discrepancy between endoscopic biopsy pathology and the overall pathology of gastric low-grade intraepithelial neoplasia(LGIN)presents challenges in developing diagnostic and treatment protocols.AIM To develop a risk prediction model for the pathological upgrading of gastric LGIN to aid clinical diagnosis and treatment.METHODS We retrospectively analyzed data from patients newly diagnosed with gastric LGIN who underwent complete endoscopic resection within 6 months at the First Medical Center of Chinese People’s Liberation Army General Hospital between January 2008 and December 2023.A risk prediction model for the pathological progression of gastric LGIN was constructed and evaluated for accuracy and clinical applicability.RESULTS A total of 171 patients were included in this study:93 patients with high-grade intraepithelial neoplasia or early gastric cancer and 78 with LGIN.The logistic stepwise regression model demonstrated a sensitivity and specificity of 0.868 and 0.800,respectively,while the least absolute shrinkage and selection operator(LASSO)regression model showed sensitivity and specificity values of 0.842 and 0.840,respectively.The area under the curve(AUC)for the logistic model was 0.896,slightly lower than the AUC of 0.904 for the LASSO model.Internal validation with 30%of the data yielded AUC scores of 0.908 for the logistic model and 0.905 for the LASSO model.The LASSO model provided greater utility in clinical decision-making.CONCLUSION A risk prediction model for the pathological upgrading of gastric LGIN based on white-light and magnifying endoscopic features can accurately and effectively guide clinical diagnosis and treatment. 展开更多
关键词 Endoscopic resection Gastric low-grade intraepithelial neoplasia Early gastric cancer Pathological upgrade Prediction model
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Digital model for rapid prediction and autonomous control of die forging force for aluminum alloy aviation components 被引量:2
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作者 Hao Hu Fan Zhao +5 位作者 Daoxiang Wu Zhengan Wang Zhilei Wang Zhihao Zhang Weidong Li Jianxin Xie 《International Journal of Minerals,Metallurgy and Materials》 2025年第9期2189-2199,共11页
Digital modeling and autonomous control of the die forging process are significant challenges in realizing high-quality intelli-gent forging of components.Using the die forging of AA2014 aluminum alloy as a case study... Digital modeling and autonomous control of the die forging process are significant challenges in realizing high-quality intelli-gent forging of components.Using the die forging of AA2014 aluminum alloy as a case study,a machine-learning-assisted method for di-gital modeling of the forging force and autonomous control in response to forging parameter disturbances was proposed.First,finite ele-ment simulations of the forging processes were conducted under varying friction factors,die temperatures,billet temperatures,and for-ging velocities,and the sample data,including process parameters and forging force under different forging strokes,were gathered.Pre-diction models for the forging force were established using the support vector regression algorithm.The prediction error of F_(f),that is,the forging force required to fill the die cavity fully,was as low as 4.1%.To further improve the prediction accuracy of the model for the ac-tual F_(f),two rounds of iterative forging experiments were conducted using the Bayesian optimization algorithm,and the prediction error of F_(f) in the forging experiments was reduced from 6.0%to 1.5%.Finally,the prediction model of F_(f) combined with a genetic algorithm was used to establish an autonomous optimization strategy for the forging velocity at each stage of the forging stroke,when the billet and die temperatures were disturbed,which realized the autonomous control in response to disturbances.In cases of−20 or−40℃ reductions in the die and billet temperatures,forging experiments conducted with the autonomous optimization strategy maintained the measured F_(f) around the target value of 180 t,with the relative error ranging from−1.3%to+3.1%.This work provides a reference for the study of di-gital modeling and autonomous optimization control of quality factors in the forging process. 展开更多
关键词 aluminum alloy forging force prediction model machine learning intelligent control
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Fault-observer-based iterative learning model predictive controller for trajectory tracking of hypersonic vehicles 被引量:3
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作者 CUI Peng GAO Changsheng AN Ruoming 《Journal of Systems Engineering and Electronics》 2025年第3期803-813,共11页
This work proposes the application of an iterative learning model predictive control(ILMPC)approach based on an adaptive fault observer(FOBILMPC)for fault-tolerant control and trajectory tracking in air-breathing hype... This work proposes the application of an iterative learning model predictive control(ILMPC)approach based on an adaptive fault observer(FOBILMPC)for fault-tolerant control and trajectory tracking in air-breathing hypersonic vehicles.In order to increase the control amount,this online control legislation makes use of model predictive control(MPC)that is based on the concept of iterative learning control(ILC).By using offline data to decrease the linearized model’s faults,the strategy may effectively increase the robustness of the control system and guarantee that disturbances can be suppressed.An adaptive fault observer is created based on the suggested ILMPC approach in order to enhance overall fault tolerance by estimating and compensating for actuator disturbance and fault degree.During the derivation process,a linearized model of longitudinal dynamics is established.The suggested ILMPC approach is likely to be used in the design of hypersonic vehicle control systems since numerical simulations have demonstrated that it can decrease tracking error and speed up convergence when compared to the offline controller. 展开更多
关键词 hypersonic vehicle actuator fault tracking control iterative learning control(ILC) model predictive control(MPC) fault observer
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Doubly-Fed Pumped Storage Units Participation in Frequency Regulation Control Strategy for New Energy Power Systems Based on Model Predictive Control 被引量:2
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作者 Yuanxiang Luo Linshu Cai Nan Zhang 《Energy Engineering》 2025年第2期765-783,共19页
Large-scale new energy grid connection leads to the weakening of the system frequency regulation capability,and the system frequency stability is facing unprecedented challenges.In order to solve rapid frequency fluct... Large-scale new energy grid connection leads to the weakening of the system frequency regulation capability,and the system frequency stability is facing unprecedented challenges.In order to solve rapid frequency fluctuation caused by new energy units,this paper proposes a new energy power system frequency regulation strategy with multiple units including the doubly-fed pumped storage unit(DFPSU).Firstly,based on the model predictive control(MPC)theory,the state space equations are established by considering the operating characteristics of the units and the dynamic behavior of the system;secondly,the proportional-differential control link is introduced to minimize the frequency deviation to further optimize the frequency modulation(FM)output of the DFPSU and inhibit the rapid fluctuation of the frequency;lastly,it is verified on theMatlab/Simulink simulation platform,and the results show that the model predictive control with proportional-differential control link can further release the FM potential of the DFPSU,increase the depth of its FM,effectively reduce the frequency deviation of the system and its rate of change,realize the optimization of the active output of the DFPSU and that of other units,and improve the frequency response capability of the system. 展开更多
关键词 Doubly-fed pumped storage unit model predictive control proportional-differential control link frequency regulation
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