Objective: To analyze the effect of continuous nursing on self-care ability and quality of life of patients with permanent artificial pacemaker implantation. Methods: A total of 90 patients receiving permanent artific...Objective: To analyze the effect of continuous nursing on self-care ability and quality of life of patients with permanent artificial pacemaker implantation. Methods: A total of 90 patients receiving permanent artificial pacemaker treatment in our hospital during the first 8 months of November 2021 were selected as samples to compare the data differences between the two groups (control group and intervention group were 45 patients /n = 45 patients/group, respectively). Results: The compliance of the intervention group was higher than that of the control group (P;There was no significant difference in EDCA score between groups before intervention (P>0.05). After intervention, EDCA score in the intervention group was higher than that in the control group (P<0.05). The nursing quality score of intervention group was higher than that of control group (P;The compliance score of intervention group was higher than that of control group (P<0.05). After intervention, SRSS and MNA scores in the intervention group were higher than those in the control group (P<0.05). The scores of the four items in the intervention group were higher than those in the control group (P < 0.05). Discussion: Continuous nursing intervention can effectively improve the quality and effect of nursing, and has significant application value.展开更多
The usability assessment of a pacemaker is a complex task where the dedicated programmer for testing programmed algorithms is necessary.This paper provides the outcomes of development and complex testing of the artifi...The usability assessment of a pacemaker is a complex task where the dedicated programmer for testing programmed algorithms is necessary.This paper provides the outcomes of development and complex testing of the artificial cardiac system to evaluate the pacemaker’s functionality.In this work,we used the modular laboratory platform ELVIS II and created graphical user interface in LabVIEW programming environment.The electrical model of the heart allows signals generation(right atrium,right ventricle)and the monitoring of the stimulation pulses.The LabVIEW user interface allows to set the parameters of the generated signals and the simulation of the cardiac rhythm disorders as well as the monitoring and visualization of the pacemaker behavior in real-time.The results demonstrate the capability of proposed system to evaluate the paced and sensed pulses.The proposed solution allows the scientists to test the behavior of any cardiac pacemaker for its pre-programmed settings and pacing mode.In addition,the proposed system can simulate various disorders and test cardiac pacemakers in different working modes.展开更多
This review comprehensively summarized the potential of artificial intelligence(AI)in the management of esophageal cancer.It highlighted the significance of AI-assisted endoscopy in Japan where endoscopy is central to...This review comprehensively summarized the potential of artificial intelligence(AI)in the management of esophageal cancer.It highlighted the significance of AI-assisted endoscopy in Japan where endoscopy is central to both screening and diagnosis.For the clinical adaptation of AI,several challenges remain for its effective translation.The establishment of high-quality clinical databases,such as the National Clinical Database and Japan Endoscopy Database in Japan,which covers almost all cases of esophageal cancer,is essential for validating multimodal AI models.This requires rigorous external validation using diverse datasets,including those from different endoscope manufacturers and image qualities.Furthermore,endoscopists’skills significantly affect diagnostic accuracy,suggesting that AI should serve as a supportive tool rather than a replacement.Addressing these challenges,along with country-specific legal and ethical considerations,will facilitate the successful integration of multimodal AI into the management of esophageal cancer,particularly in endoscopic diagnosis,and contribute to improved patient outcomes.Although this review focused on Japan as a case study,the challenges and solutions described are broadly applicable to other high-incidence regions.展开更多
Background:Medical artificial intelligence(MAI)is a synthesis of medical science and artificial intelligence development,serving as a crucial field in the current advancement and application of AI.In the process of de...Background:Medical artificial intelligence(MAI)is a synthesis of medical science and artificial intelligence development,serving as a crucial field in the current advancement and application of AI.In the process of developing medical AI,there may arise not only legal risks such as infringement of privacy rights and health rights but also ethical risks stemming from violations of the principles of beneficence and non-maleficence.Methods:To effectively address the damages caused by MAI in the future,it is necessary to establish a hierarchical governance system with MAI.This paper examines the systematic collection of local practices in China and the induction and integration of legal remedies for the damage of MAI.Results:To effectively address the ethical and legal challenges of medical artificial intelligence,a hierarchical regulatory system should be established,which based on the impact of intervention measures on natural rights and differences in intervention timing.This paper finally obtains a legal hierarchical governance system corresponding to the ethical risks and legal risks of MAI in China.Conclusion:The Chinese government has formed a multi-agent governance system based on the impact of risks on rights and the timing of legal intervention,which provides a reference for other countries to follow up on the research on MAI risk management.展开更多
Gastrointestinal tumors require personalized treatment strategies due to their heterogeneity and complexity.Multimodal artificial intelligence(AI)addresses this challenge by integrating diverse data sources-including ...Gastrointestinal tumors require personalized treatment strategies due to their heterogeneity and complexity.Multimodal artificial intelligence(AI)addresses this challenge by integrating diverse data sources-including computed tomography(CT),magnetic resonance imaging(MRI),endoscopic imaging,and genomic profiles-to enable intelligent decision-making for individualized therapy.This approach leverages AI algorithms to fuse imaging,endoscopic,and omics data,facilitating comprehensive characterization of tumor biology,prediction of treatment response,and optimization of therapeutic strategies.By combining CT and MRI for structural assessment,endoscopic data for real-time visual inspection,and genomic information for molecular profiling,multimodal AI enhances the accuracy of patient stratification and treatment personalization.The clinical implementation of this technology demonstrates potential for improving patient outcomes,advancing precision oncology,and supporting individualized care in gastrointestinal cancers.Ultimately,multimodal AI serves as a transformative tool in oncology,bridging data integration with clinical application to effectively tailor therapies.展开更多
BACKGROUND Gastrointestinal stromal tumors(GISTs)are rare mesenchymal neoplasms primarily originating in the stomach or small intestine.Duodenal GISTs are particularly uncommon,accounting for only a small fraction of ...BACKGROUND Gastrointestinal stromal tumors(GISTs)are rare mesenchymal neoplasms primarily originating in the stomach or small intestine.Duodenal GISTs are particularly uncommon,accounting for only a small fraction of GIST cases.These tumors often present with nonspecific symptoms,making early detection challenging.This case discusses a duodenal GIST misdiagnosed as pancreatic cancer due to obstructive jaundice.CASE SUMMARY A 40-year-old male with jaundice and abdominal symptoms underwent imaging,which suggested a malignant periampullary tumor.Preoperative misdiagnosis of pancreatic cancer was made,and surgery was performed.Postoperative histopathology confirmed a duodenal GIST.The role of artificial intelligence in the diagnostic pathway is explored,emphasizing its potential to differentiate between duodenal GISTs and other similar conditions using advanced imaging analysis.CONCLUSION Artificial intelligence in radiomic imaging holds significant promise in enhancing the diagnostic process for rare cancers like duodenal GISTs,ensuring timely and accurate treatment.展开更多
Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This...Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This paper presents a scoping review offering a novel perspective on the intersection of healthy behaviors,mental health,and AI literacy.By examining how individuals’understanding of AI influences their choices regarding nutrition and their susceptibility to mental health issues,the current study explores emerging trends in health behavior decision-making.This emphasizes the need for integrating AI literacy into mental health and health behaviors education,as well as the development of AI-driven tools to support healthier behavior choices.It highlights that individuals with low AI literacy may misinterpret or overly depend on AI guidance,resulting in maladaptive health choices,while those with high AI literacy may be more likely to engage reflectively and sustain positive behaviors.The paper outlines the importance of inclusive education,user-centered design,and community-based support systems to enhance AI literacy for digitally marginalized groups.AI literacy may be positioned as a key determinant of health equity,better allowing for interdisciplinary strategies that empower individuals to make informed,autonomous decisions that promote both physical and mental health.展开更多
Artificial intelligence(AI)is increasingly recognized as a transformative force in the field of solid organ transplantation.From enhancing donor-recipient matching to predicting clinical risks and tailoring immunosupp...Artificial intelligence(AI)is increasingly recognized as a transformative force in the field of solid organ transplantation.From enhancing donor-recipient matching to predicting clinical risks and tailoring immunosuppressive therapy,AI has the potential to improve both operational efficiency and patient outcomes.Despite these advancements,the perspectives of transplant professionals-those at the forefront of critical decision-making-remain insufficiently explored.To address this gap,this study utilizes a multi-round electronic Delphi approach to gather and analyses insights from global experts involved in organ transplantation.Participants are invited to complete structured surveys capturing demographic data,professional roles,institutional practices,and prior exposure to AI technologies.The survey also explores perceptions of AI’s potential benefits.Quantitative responses are analyzed using descriptive statistics,while open-ended qualitative responses undergo thematic analysis.Preliminary findings indicate a generally positive outlook on AI’s role in enhancing transplantation processes,particularly in areas such as donor matching and post-operative care.These mixed views reflect both optimism and caution among professionals tasked with integrating new technologies into high-stakes clinical workflows.By capturing a wide range of expert opinions,the findings will inform future policy development,regulatory considerations,and institutional readiness frameworks for the integration of AI into organ transplantation.展开更多
Artificial intelligence(AI)is revolutionizing medical imaging,particularly in chronic liver diseases assessment.AI technologies,including machine learning and deep learning,are increasingly integrated with multiparame...Artificial intelligence(AI)is revolutionizing medical imaging,particularly in chronic liver diseases assessment.AI technologies,including machine learning and deep learning,are increasingly integrated with multiparametric ultrasound(US)techniques to provide more accurate,objective,and non-invasive evaluations of liver fibrosis and steatosis.Analyzing large datasets from US images,AI enhances diagnostic precision,enabling better quantification of liver stiffness and fat content,which are essential for diagnosing and staging liver fibrosis and steatosis.Combining advanced US modalities,such as elastography and doppler imaging with AI,has demonstrated improved sensitivity in identifying different stages of liver disease and distinguishing various degrees of steatotic liver.These advancements also contribute to greater reproducibility and reduced operator dependency,addressing some of the limitations of traditional methods.The clinical implications of AI in liver disease are vast,ranging from early detection to predicting disease progression and evaluating treatment response.Despite these promising developments,challenges such as the need for large-scale datasets,algorithm transparency,and clinical validation remain.The aim of this review is to explore the current applications and future potential of AI in liver fibrosis and steatosis assessment using multiparametric US,highlighting the technological advances and clinical relevance of this emerging field.展开更多
Objective:To investigate the effect of 12-lead electrocardiogram and 24-hour dynamic electrocardiogram in detecting pacemaker dysfunction and changes in cardiac function indexes in patients with pacemaker implantation...Objective:To investigate the effect of 12-lead electrocardiogram and 24-hour dynamic electrocardiogram in detecting pacemaker dysfunction and changes in cardiac function indexes in patients with pacemaker implantation.Methods:A total of 136 patients with pacemaker implantation in the First Clinical Medical College of Three Gorges University,Institute of Cardiovascular Disease of Three Gorges University and Yicang Central People’s Hospital from January 2023 to December 2024 were selected as the research objects.All patients received 12-lead electrocardiogram and 24-hour holter 3–14 days after implantation.Results:The overall detection rate of various types of pacemaker dysfunction by Holter was significantly higher than that by conventional ECG(27.21%vs.5.15%,χ^(2)=24.402,P<0.001).The overall arrhythmia detection rate of Holter was significantly higher than that of conventional electrocardiogram(57.35%vs.10.29%,χ^(2)=67.277,P<0.001).The time domain indexes of heart rate variability obtained by 24-hour continuous monitoring of Holter were significantly improved compared with those of conventional electrocardiogram(P<0.05).Conclusions:Compared with 12-lead electrocardiogram,24-hour holter monitoring can more accurately detect pacemaker dysfunction and arrhythmia in patients with pacemaker implantation,and provide more comprehensive data of heart rate variability,which is helpful for clinicians to better evaluate the cardiac function of patients and adjust treatment plans.展开更多
Since the release of ChatGPT in late 2022,Generative Artificial Intelligence(GAI)has gained widespread attention because of its impressive capabilities in language comprehension,reasoning,and generation.GAI has been s...Since the release of ChatGPT in late 2022,Generative Artificial Intelligence(GAI)has gained widespread attention because of its impressive capabilities in language comprehension,reasoning,and generation.GAI has been successfully applied across various aspects(e.g.,creative writing,code generation,translation,and information retrieval).In cartography and GIS,researchers have employed GAI to handle some specific tasks,such as map generation,geographic question answering,and spatiotemporal data analysis,yielding a series of remarkable results.Although GAI-based techniques are developing rapidly,literature reviews of their applications in cartography and GIS remain relatively limited.This paper reviews recent GAI-related research in cartography and GIS,focusing on three aspects:①map generation,②geographical analysis,and③evaluation of GAI’s spatial cognition abilities.In addition,the paper analyzes current challenges and proposes future research directions.展开更多
The security of the seed industry is crucial for ensuring national food security.Currently,developed countries in Europe and America,along with international seed industry giants,have entered the Breeding 4.0 era.This...The security of the seed industry is crucial for ensuring national food security.Currently,developed countries in Europe and America,along with international seed industry giants,have entered the Breeding 4.0 era.This era integrates biotechnology,artificial intelligence(AI),and big data information technology.In contrast,China is still in a transition period between stages 2.0 and 3.0,which primarily relies on conventional selection and molecular breeding.In the context of increasingly complex international situations,accurately identifying core issues in China's seed industry innovation and seizing the frontier of international seed technology are strategically important.These efforts are essential for ensuring food security and revitalizing the seed industry.This paper systematically analyzes the characteristics of crop breeding data from artificial selection to intelligent design breeding.It explores the applications and development trends of AI and big data in modern crop breeding from several key perspectives.These include highthroughput phenotype acquisition and analysis,multiomics big data database and management system construction,AI-based multiomics integrated analysis,and the development of intelligent breeding software tools based on biological big data and AI technology.Based on an in-depth analysis of the current status and challenges of China's seed industry technology development,we propose strategic goals and key tasks for China's new generation of AI and big data-driven intelligent design breeding.These suggestions aim to accelerate the development of an intelligent-driven crop breeding engineering system that features large-scale gene mining,efficient gene manipulation,engineered variety design,and systematized biobreeding.This study provides a theoretical basis and practical guidance for the development of China's seed industry technology.展开更多
Natural cemented calcareous sand and limestone are highly complex and not well understood in terms of the me-chanical behavior due to the difficulty of obtaining undisturbed samples from far sea.This paper proposes an...Natural cemented calcareous sand and limestone are highly complex and not well understood in terms of the me-chanical behavior due to the difficulty of obtaining undisturbed samples from far sea.This paper proposes an artificial method in a laboratory setting using microbial-induced carbonate precipitation(MICP)to simulate the natural process of cementation of limestone.The artificially cemented sand has a high degree of similarity with the natural weakly limestone in three aspects:(1)the mineral composition of the cemented material is also granular calcite and acicular aragonite;(2)the microstructure in interconnected open pore network can be gradually closed and contracted with cementation.The porosity reaches to approximately 9.2%;(3)both the stress-strain relationship and the unconfined strength closely resemble that of natural weakly limestone.Furthermore,both static and dynamic behaviors of artificial limestone were studied by quasi-static compression tests and Split Hopkinson Pressure Bar(SHPB)tests,finding that the unconfined strength of weakly artifical limestone exponentially increases with increasing strain rate.A rate-dependent bond strength was proposed and implemented in software to reveal the mechanism of strain rate effects.It is found that the loading velocity is too high to keep in sync with the initiation and propagation of cracks under impact loading.This delay-induced viscosity may restrict the movement of the surrounding balls,thus increasing resistance.展开更多
Dealing with data scarcity is the biggest challenge faced by Artificial Intelligence(AI),and it will be interesting to see how we overcome this obstacle in the future,but for now,“THE SHOW MUST GO ON!!!”As AI spread...Dealing with data scarcity is the biggest challenge faced by Artificial Intelligence(AI),and it will be interesting to see how we overcome this obstacle in the future,but for now,“THE SHOW MUST GO ON!!!”As AI spreads and transforms more industries,the lack of data is a significant obstacle:the best methods for teaching machines how real-world processes work.This paper explores the considerable implications of data scarcity for the AI industry,which threatens to restrict its growth and potential,and proposes plausible solutions and perspectives.In addition,this article focuses highly on different ethical considerations:privacy,consent,and non-discrimination principles during AI model developments under limited conditions.Besides,innovative technologies are investigated through the paper in aspects that need implementation by incorporating transfer learning,few-shot learning,and data augmentation to adapt models so they could fit effective use processes in low-resource settings.This thus emphasizes the need for collaborative frameworks and sound methodologies that ensure applicability and fairness,tackling the technical and ethical challenges associated with data scarcity in AI.This article also discusses prospective approaches to dealing with data scarcity,emphasizing the blend of synthetic data and traditional models and the use of advanced machine learning techniques such as transfer learning and few-shot learning.These techniques aim to enhance the flexibility and effectiveness of AI systems across various industries while ensuring sustainable AI technology development amid ongoing data scarcity.展开更多
BACKGROUND Autoimmune myocarditis(AM)associated with autoimmune diseases can cause complete atrioventricular block(CAVB),but the related autoantigens and the underlying mechanisms are unclear.Anti-SSA/Ro antibodies ma...BACKGROUND Autoimmune myocarditis(AM)associated with autoimmune diseases can cause complete atrioventricular block(CAVB),but the related autoantigens and the underlying mechanisms are unclear.Anti-SSA/Ro antibodies may play an important role in this process,but cases of AM with positive anti-SSA/Ro antibodies are rare.In addition,arrhythmias,such as atrioventricular block,are very common in patients with autoimmune diseases,but severe atrioventricular block requiring permanent pacemaker implantation is extremely rare.CASE SUMMARY The patient in this case had AM with anti-SSA/Ro antibody positivity,which was associated with connective tissue disease,and the patient subsequently developed CAVB.After intensive immunosuppressive therapy,the antibody test results became negative,and pulmonary hypertension significantly improved.However,the outcome of permanent pacemaker implantation did not change.CONCLUSION In clinical practice,the awareness of adult AM associated with autoimmune diseases combined with CAVB should be strengthened in clinicians,and anti-SSA/Ro antibodies may play a role in this process.Therefore,improving the detection of antibodies and early intervention,such as active immunosuppression therapy,may be very important for improving disease prognosis.For patients who do not respond to immunosuppressive therapy,implantation of a permanent pacemaker may become an essential treatment option.展开更多
BACKGROUND Kidney and liver transplantation are two sub-specialized medical disciplines,with transplant professionals spending decades in training.While artificial intelligencebased(AI-based)tools could potentially as...BACKGROUND Kidney and liver transplantation are two sub-specialized medical disciplines,with transplant professionals spending decades in training.While artificial intelligencebased(AI-based)tools could potentially assist in everyday clinical practice,comparative assessment of their effectiveness in clinical decision-making remains limited.AIM To compare the use of ChatGPT and GPT-4 as potential tools in AI-assisted clinical practice in these challenging disciplines.METHODS In total,400 different questions tested ChatGPT’s/GPT-4 knowledge and decision-making capacity in various renal and liver transplantation concepts.Specifically,294 multiple-choice questions were derived from open-access sources,63 questions were derived from published open-access case reports,and 43 from unpublished cases of patients treated at our department.The evaluation covered a plethora of topics,including clinical predictors,treatment options,and diagnostic criteria,among others.RESULTS ChatGPT correctly answered 50.3%of the 294 multiple-choice questions,while GPT-4 demonstrated a higher performance,answering 70.7%of questions(P<0.001).Regarding the 63 questions from published cases,ChatGPT achieved an agreement rate of 50.79%and partial agreement of 17.46%,while GPT-4 demonstrated an agreement rate of 80.95%and partial agreement of 9.52%(P=0.01).Regarding the 43 questions from unpublished cases,ChatGPT demonstrated an agreement rate of 53.49%and partial agreement of 23.26%,while GPT-4 demonstrated an agreement rate of 72.09%and partial agreement of 6.98%(P=0.004).When factoring by the nature of the task for all cases,notably,GPT-4 demonstrated outstanding performance,providing a differential diagnosis that included the final diagnosis in 90%of the cases(P=0.008),and successfully predicting the prognosis of the patient in 100%of related questions(P<0.001).CONCLUSION GPT-4 consistently provided more accurate and reliable clinical recommendations with higher percentages of full agreements both in renal and liver transplantation compared with ChatGPT.Our findings support the potential utility of AI models like ChatGPT and GPT-4 in AI-assisted clinical practice as sources of accurate,individualized medical information and facilitating decision-making.The progression and refinement of such AI-based tools could reshape the future of clinical practice,making their early adoption and adaptation by physicians a necessity.展开更多
Hepatocellular carcinoma(HCC)remains a leading cause of cancer-related mortality globally,necessitating advanced diagnostic tools to improve early detection and personalized targeted therapy.This review synthesizes ev...Hepatocellular carcinoma(HCC)remains a leading cause of cancer-related mortality globally,necessitating advanced diagnostic tools to improve early detection and personalized targeted therapy.This review synthesizes evidence on explainable ensemble learning approaches for HCC classification,emphasizing their integration with clinical workflows and multi-omics data.A systematic analysis[including datasets such as The Cancer Genome Atlas,Gene Expression Omnibus,and the Surveillance,Epidemiology,and End Results(SEER)datasets]revealed that explainable ensemble learning models achieve high diagnostic accuracy by combining clinical features,serum biomarkers such as alpha-fetoprotein,imaging features such as computed tomography and magnetic resonance imaging,and genomic data.For instance,SHapley Additive exPlanations(SHAP)-based random forests trained on NCBI GSE14520 microarray data(n=445)achieved 96.53%accuracy,while stacking ensembles applied to the SEER program data(n=1897)demonstrated an area under the receiver operating characteristic curve of 0.779 for mortality prediction.Despite promising results,challenges persist,including the computational costs of SHAP and local interpretable model-agnostic explanations analyses(e.g.,TreeSHAP requiring distributed computing for metabolomics datasets)and dataset biases(e.g.,SEER’s Western population dominance limiting generalizability).Future research must address inter-cohort heterogeneity,standardize explainability metrics,and prioritize lightweight surrogate models for resource-limited settings.This review presents the potential of explainable ensemble learning frameworks to bridge the gap between predictive accuracy and clinical interpretability,though rigorous validation in independent,multi-center cohorts is critical for real-world deployment.展开更多
BACKGROUND Recent advancements in artificial intelligence(AI)have significantly enhanced the capabilities of endoscopic-assisted diagnosis for gastrointestinal diseases.AI has shown great promise in clinical practice,...BACKGROUND Recent advancements in artificial intelligence(AI)have significantly enhanced the capabilities of endoscopic-assisted diagnosis for gastrointestinal diseases.AI has shown great promise in clinical practice,particularly for diagnostic support,offering real-time insights into complex conditions such as esophageal squamous cell carcinoma.CASE SUMMARY In this study,we introduce a multimodal AI system that successfully identified and delineated a small and flat carcinoma during esophagogastroduodenoscopy,highlighting its potential for early detection of malignancies.The lesion was confirmed as high-grade squamous intraepithelial neoplasia,with pathology results supporting the AI system’s accuracy.The multimodal AI system offers an integrated solution that provides real-time,accurate diagnostic information directly within the endoscopic device interface,allowing for single-monitor use without disrupting endoscopist’s workflow.CONCLUSION This work underscores the transformative potential of AI to enhance endoscopic diagnosis by enabling earlier,more accurate interventions.展开更多
In the current era of digitalization sweeping the education field,primary school English education is facing new challenges and opportunities of deep integration with artificial intelligence.This study focuses on prim...In the current era of digitalization sweeping the education field,primary school English education is facing new challenges and opportunities of deep integration with artificial intelligence.This study focuses on primary school English teachers and uses various methods such as questionnaire surveys,visits,and interviews to conduct an in-depth exploration of their artificial intelligence literacy.After data analysis,optimization strategies are proposed to further improve the artificial intelligence literacy of primary school English teachers and promote the development of educational soft power.展开更多
Feature selection(FS)is a pivotal pre-processing step in developing data-driven models,influencing reliability,performance and optimization.Although existing FS techniques can yield high-performance metrics for certai...Feature selection(FS)is a pivotal pre-processing step in developing data-driven models,influencing reliability,performance and optimization.Although existing FS techniques can yield high-performance metrics for certain models,they do not invariably guarantee the extraction of the most critical or impactful features.Prior literature underscores the significance of equitable FS practices and has proposed diverse methodologies for the identification of appropriate features.However,the challenge of discerning the most relevant and influential features persists,particularly in the context of the exponential growth and heterogeneity of big data—a challenge that is increasingly salient in modern artificial intelligence(AI)applications.In response,this study introduces an innovative,automated statistical method termed Farea Similarity for Feature Selection(FSFS).The FSFS approach computes a similarity metric for each feature by benchmarking it against the record-wise mean,thereby finding feature dependencies and mitigating the influence of outliers that could potentially distort evaluation outcomes.Features are subsequently ranked according to their similarity scores,with the threshold established at the average similarity score.Notably,lower FSFS values indicate higher similarity and stronger data correlations,whereas higher values suggest lower similarity.The FSFS method is designed not only to yield reliable evaluation metrics but also to reduce data complexity without compromising model performance.Comparative analyses were performed against several established techniques,including Chi-squared(CS),Correlation Coefficient(CC),Genetic Algorithm(GA),Exhaustive Approach,Greedy Stepwise Approach,Gain Ratio,and Filtered Subset Eval,using a variety of datasets such as the Experimental Dataset,Breast Cancer Wisconsin(Original),KDD CUP 1999,NSL-KDD,UNSW-NB15,and Edge-IIoT.In the absence of the FSFS method,the highest classifier accuracies observed were 60.00%,95.13%,97.02%,98.17%,95.86%,and 94.62%for the respective datasets.When the FSFS technique was integrated with data normalization,encoding,balancing,and feature importance selection processes,accuracies improved to 100.00%,97.81%,98.63%,98.94%,94.27%,and 98.46%,respectively.The FSFS method,with a computational complexity of O(fn log n),demonstrates robust scalability and is well-suited for datasets of large size,ensuring efficient processing even when the number of features is substantial.By automatically eliminating outliers and redundant data,FSFS reduces computational overhead,resulting in faster training and improved model performance.Overall,the FSFS framework not only optimizes performance but also enhances the interpretability and explainability of data-driven models,thereby facilitating more trustworthy decision-making in AI applications.展开更多
文摘Objective: To analyze the effect of continuous nursing on self-care ability and quality of life of patients with permanent artificial pacemaker implantation. Methods: A total of 90 patients receiving permanent artificial pacemaker treatment in our hospital during the first 8 months of November 2021 were selected as samples to compare the data differences between the two groups (control group and intervention group were 45 patients /n = 45 patients/group, respectively). Results: The compliance of the intervention group was higher than that of the control group (P;There was no significant difference in EDCA score between groups before intervention (P>0.05). After intervention, EDCA score in the intervention group was higher than that in the control group (P<0.05). The nursing quality score of intervention group was higher than that of control group (P;The compliance score of intervention group was higher than that of control group (P<0.05). After intervention, SRSS and MNA scores in the intervention group were higher than those in the control group (P<0.05). The scores of the four items in the intervention group were higher than those in the control group (P < 0.05). Discussion: Continuous nursing intervention can effectively improve the quality and effect of nursing, and has significant application value.
基金Thework and the contributions were supported by the project SV4502261/SP2022/98‘Biomedical Engineering systems XVIII’.
文摘The usability assessment of a pacemaker is a complex task where the dedicated programmer for testing programmed algorithms is necessary.This paper provides the outcomes of development and complex testing of the artificial cardiac system to evaluate the pacemaker’s functionality.In this work,we used the modular laboratory platform ELVIS II and created graphical user interface in LabVIEW programming environment.The electrical model of the heart allows signals generation(right atrium,right ventricle)and the monitoring of the stimulation pulses.The LabVIEW user interface allows to set the parameters of the generated signals and the simulation of the cardiac rhythm disorders as well as the monitoring and visualization of the pacemaker behavior in real-time.The results demonstrate the capability of proposed system to evaluate the paced and sensed pulses.The proposed solution allows the scientists to test the behavior of any cardiac pacemaker for its pre-programmed settings and pacing mode.In addition,the proposed system can simulate various disorders and test cardiac pacemakers in different working modes.
基金Supported by Japan Society for the Promotion of Science,No.24K11935.
文摘This review comprehensively summarized the potential of artificial intelligence(AI)in the management of esophageal cancer.It highlighted the significance of AI-assisted endoscopy in Japan where endoscopy is central to both screening and diagnosis.For the clinical adaptation of AI,several challenges remain for its effective translation.The establishment of high-quality clinical databases,such as the National Clinical Database and Japan Endoscopy Database in Japan,which covers almost all cases of esophageal cancer,is essential for validating multimodal AI models.This requires rigorous external validation using diverse datasets,including those from different endoscope manufacturers and image qualities.Furthermore,endoscopists’skills significantly affect diagnostic accuracy,suggesting that AI should serve as a supportive tool rather than a replacement.Addressing these challenges,along with country-specific legal and ethical considerations,will facilitate the successful integration of multimodal AI into the management of esophageal cancer,particularly in endoscopic diagnosis,and contribute to improved patient outcomes.Although this review focused on Japan as a case study,the challenges and solutions described are broadly applicable to other high-incidence regions.
基金funded by China Law Society 2025 Annual Legal Research,Project grant number:CLS(2025)Y04.
文摘Background:Medical artificial intelligence(MAI)is a synthesis of medical science and artificial intelligence development,serving as a crucial field in the current advancement and application of AI.In the process of developing medical AI,there may arise not only legal risks such as infringement of privacy rights and health rights but also ethical risks stemming from violations of the principles of beneficence and non-maleficence.Methods:To effectively address the damages caused by MAI in the future,it is necessary to establish a hierarchical governance system with MAI.This paper examines the systematic collection of local practices in China and the induction and integration of legal remedies for the damage of MAI.Results:To effectively address the ethical and legal challenges of medical artificial intelligence,a hierarchical regulatory system should be established,which based on the impact of intervention measures on natural rights and differences in intervention timing.This paper finally obtains a legal hierarchical governance system corresponding to the ethical risks and legal risks of MAI in China.Conclusion:The Chinese government has formed a multi-agent governance system based on the impact of risks on rights and the timing of legal intervention,which provides a reference for other countries to follow up on the research on MAI risk management.
基金Supported by Xuhui District Health Commission,No.SHXH202214.
文摘Gastrointestinal tumors require personalized treatment strategies due to their heterogeneity and complexity.Multimodal artificial intelligence(AI)addresses this challenge by integrating diverse data sources-including computed tomography(CT),magnetic resonance imaging(MRI),endoscopic imaging,and genomic profiles-to enable intelligent decision-making for individualized therapy.This approach leverages AI algorithms to fuse imaging,endoscopic,and omics data,facilitating comprehensive characterization of tumor biology,prediction of treatment response,and optimization of therapeutic strategies.By combining CT and MRI for structural assessment,endoscopic data for real-time visual inspection,and genomic information for molecular profiling,multimodal AI enhances the accuracy of patient stratification and treatment personalization.The clinical implementation of this technology demonstrates potential for improving patient outcomes,advancing precision oncology,and supporting individualized care in gastrointestinal cancers.Ultimately,multimodal AI serves as a transformative tool in oncology,bridging data integration with clinical application to effectively tailor therapies.
文摘BACKGROUND Gastrointestinal stromal tumors(GISTs)are rare mesenchymal neoplasms primarily originating in the stomach or small intestine.Duodenal GISTs are particularly uncommon,accounting for only a small fraction of GIST cases.These tumors often present with nonspecific symptoms,making early detection challenging.This case discusses a duodenal GIST misdiagnosed as pancreatic cancer due to obstructive jaundice.CASE SUMMARY A 40-year-old male with jaundice and abdominal symptoms underwent imaging,which suggested a malignant periampullary tumor.Preoperative misdiagnosis of pancreatic cancer was made,and surgery was performed.Postoperative histopathology confirmed a duodenal GIST.The role of artificial intelligence in the diagnostic pathway is explored,emphasizing its potential to differentiate between duodenal GISTs and other similar conditions using advanced imaging analysis.CONCLUSION Artificial intelligence in radiomic imaging holds significant promise in enhancing the diagnostic process for rare cancers like duodenal GISTs,ensuring timely and accurate treatment.
文摘Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This paper presents a scoping review offering a novel perspective on the intersection of healthy behaviors,mental health,and AI literacy.By examining how individuals’understanding of AI influences their choices regarding nutrition and their susceptibility to mental health issues,the current study explores emerging trends in health behavior decision-making.This emphasizes the need for integrating AI literacy into mental health and health behaviors education,as well as the development of AI-driven tools to support healthier behavior choices.It highlights that individuals with low AI literacy may misinterpret or overly depend on AI guidance,resulting in maladaptive health choices,while those with high AI literacy may be more likely to engage reflectively and sustain positive behaviors.The paper outlines the importance of inclusive education,user-centered design,and community-based support systems to enhance AI literacy for digitally marginalized groups.AI literacy may be positioned as a key determinant of health equity,better allowing for interdisciplinary strategies that empower individuals to make informed,autonomous decisions that promote both physical and mental health.
文摘Artificial intelligence(AI)is increasingly recognized as a transformative force in the field of solid organ transplantation.From enhancing donor-recipient matching to predicting clinical risks and tailoring immunosuppressive therapy,AI has the potential to improve both operational efficiency and patient outcomes.Despite these advancements,the perspectives of transplant professionals-those at the forefront of critical decision-making-remain insufficiently explored.To address this gap,this study utilizes a multi-round electronic Delphi approach to gather and analyses insights from global experts involved in organ transplantation.Participants are invited to complete structured surveys capturing demographic data,professional roles,institutional practices,and prior exposure to AI technologies.The survey also explores perceptions of AI’s potential benefits.Quantitative responses are analyzed using descriptive statistics,while open-ended qualitative responses undergo thematic analysis.Preliminary findings indicate a generally positive outlook on AI’s role in enhancing transplantation processes,particularly in areas such as donor matching and post-operative care.These mixed views reflect both optimism and caution among professionals tasked with integrating new technologies into high-stakes clinical workflows.By capturing a wide range of expert opinions,the findings will inform future policy development,regulatory considerations,and institutional readiness frameworks for the integration of AI into organ transplantation.
文摘Artificial intelligence(AI)is revolutionizing medical imaging,particularly in chronic liver diseases assessment.AI technologies,including machine learning and deep learning,are increasingly integrated with multiparametric ultrasound(US)techniques to provide more accurate,objective,and non-invasive evaluations of liver fibrosis and steatosis.Analyzing large datasets from US images,AI enhances diagnostic precision,enabling better quantification of liver stiffness and fat content,which are essential for diagnosing and staging liver fibrosis and steatosis.Combining advanced US modalities,such as elastography and doppler imaging with AI,has demonstrated improved sensitivity in identifying different stages of liver disease and distinguishing various degrees of steatotic liver.These advancements also contribute to greater reproducibility and reduced operator dependency,addressing some of the limitations of traditional methods.The clinical implications of AI in liver disease are vast,ranging from early detection to predicting disease progression and evaluating treatment response.Despite these promising developments,challenges such as the need for large-scale datasets,algorithm transparency,and clinical validation remain.The aim of this review is to explore the current applications and future potential of AI in liver fibrosis and steatosis assessment using multiparametric US,highlighting the technological advances and clinical relevance of this emerging field.
文摘Objective:To investigate the effect of 12-lead electrocardiogram and 24-hour dynamic electrocardiogram in detecting pacemaker dysfunction and changes in cardiac function indexes in patients with pacemaker implantation.Methods:A total of 136 patients with pacemaker implantation in the First Clinical Medical College of Three Gorges University,Institute of Cardiovascular Disease of Three Gorges University and Yicang Central People’s Hospital from January 2023 to December 2024 were selected as the research objects.All patients received 12-lead electrocardiogram and 24-hour holter 3–14 days after implantation.Results:The overall detection rate of various types of pacemaker dysfunction by Holter was significantly higher than that by conventional ECG(27.21%vs.5.15%,χ^(2)=24.402,P<0.001).The overall arrhythmia detection rate of Holter was significantly higher than that of conventional electrocardiogram(57.35%vs.10.29%,χ^(2)=67.277,P<0.001).The time domain indexes of heart rate variability obtained by 24-hour continuous monitoring of Holter were significantly improved compared with those of conventional electrocardiogram(P<0.05).Conclusions:Compared with 12-lead electrocardiogram,24-hour holter monitoring can more accurately detect pacemaker dysfunction and arrhythmia in patients with pacemaker implantation,and provide more comprehensive data of heart rate variability,which is helpful for clinicians to better evaluate the cardiac function of patients and adjust treatment plans.
基金National Natural Science Foundation of China(Nos.4210144242394063).
文摘Since the release of ChatGPT in late 2022,Generative Artificial Intelligence(GAI)has gained widespread attention because of its impressive capabilities in language comprehension,reasoning,and generation.GAI has been successfully applied across various aspects(e.g.,creative writing,code generation,translation,and information retrieval).In cartography and GIS,researchers have employed GAI to handle some specific tasks,such as map generation,geographic question answering,and spatiotemporal data analysis,yielding a series of remarkable results.Although GAI-based techniques are developing rapidly,literature reviews of their applications in cartography and GIS remain relatively limited.This paper reviews recent GAI-related research in cartography and GIS,focusing on three aspects:①map generation,②geographical analysis,and③evaluation of GAI’s spatial cognition abilities.In addition,the paper analyzes current challenges and proposes future research directions.
基金partially supported by the Construction of Collaborative Innovation Center of Beijing Academy of Agricultural and Forestry Sciences(KJCX20240406)the Beijing Natural Science Foundation(JQ24037)+1 种基金the National Natural Science Foundation of China(32330075)the Earmarked Fund for China Agriculture Research System(CARS-02 and CARS-54)。
文摘The security of the seed industry is crucial for ensuring national food security.Currently,developed countries in Europe and America,along with international seed industry giants,have entered the Breeding 4.0 era.This era integrates biotechnology,artificial intelligence(AI),and big data information technology.In contrast,China is still in a transition period between stages 2.0 and 3.0,which primarily relies on conventional selection and molecular breeding.In the context of increasingly complex international situations,accurately identifying core issues in China's seed industry innovation and seizing the frontier of international seed technology are strategically important.These efforts are essential for ensuring food security and revitalizing the seed industry.This paper systematically analyzes the characteristics of crop breeding data from artificial selection to intelligent design breeding.It explores the applications and development trends of AI and big data in modern crop breeding from several key perspectives.These include highthroughput phenotype acquisition and analysis,multiomics big data database and management system construction,AI-based multiomics integrated analysis,and the development of intelligent breeding software tools based on biological big data and AI technology.Based on an in-depth analysis of the current status and challenges of China's seed industry technology development,we propose strategic goals and key tasks for China's new generation of AI and big data-driven intelligent design breeding.These suggestions aim to accelerate the development of an intelligent-driven crop breeding engineering system that features large-scale gene mining,efficient gene manipulation,engineered variety design,and systematized biobreeding.This study provides a theoretical basis and practical guidance for the development of China's seed industry technology.
基金The authors would like to acknowledge the support of the National Natural Science Foundation of China(No.52279097,No.51779264)Blue and Green Project of Jiangsu Province.
文摘Natural cemented calcareous sand and limestone are highly complex and not well understood in terms of the me-chanical behavior due to the difficulty of obtaining undisturbed samples from far sea.This paper proposes an artificial method in a laboratory setting using microbial-induced carbonate precipitation(MICP)to simulate the natural process of cementation of limestone.The artificially cemented sand has a high degree of similarity with the natural weakly limestone in three aspects:(1)the mineral composition of the cemented material is also granular calcite and acicular aragonite;(2)the microstructure in interconnected open pore network can be gradually closed and contracted with cementation.The porosity reaches to approximately 9.2%;(3)both the stress-strain relationship and the unconfined strength closely resemble that of natural weakly limestone.Furthermore,both static and dynamic behaviors of artificial limestone were studied by quasi-static compression tests and Split Hopkinson Pressure Bar(SHPB)tests,finding that the unconfined strength of weakly artifical limestone exponentially increases with increasing strain rate.A rate-dependent bond strength was proposed and implemented in software to reveal the mechanism of strain rate effects.It is found that the loading velocity is too high to keep in sync with the initiation and propagation of cracks under impact loading.This delay-induced viscosity may restrict the movement of the surrounding balls,thus increasing resistance.
基金supported by Internal Research Support Program(IRSPG202202).
文摘Dealing with data scarcity is the biggest challenge faced by Artificial Intelligence(AI),and it will be interesting to see how we overcome this obstacle in the future,but for now,“THE SHOW MUST GO ON!!!”As AI spreads and transforms more industries,the lack of data is a significant obstacle:the best methods for teaching machines how real-world processes work.This paper explores the considerable implications of data scarcity for the AI industry,which threatens to restrict its growth and potential,and proposes plausible solutions and perspectives.In addition,this article focuses highly on different ethical considerations:privacy,consent,and non-discrimination principles during AI model developments under limited conditions.Besides,innovative technologies are investigated through the paper in aspects that need implementation by incorporating transfer learning,few-shot learning,and data augmentation to adapt models so they could fit effective use processes in low-resource settings.This thus emphasizes the need for collaborative frameworks and sound methodologies that ensure applicability and fairness,tackling the technical and ethical challenges associated with data scarcity in AI.This article also discusses prospective approaches to dealing with data scarcity,emphasizing the blend of synthetic data and traditional models and the use of advanced machine learning techniques such as transfer learning and few-shot learning.These techniques aim to enhance the flexibility and effectiveness of AI systems across various industries while ensuring sustainable AI technology development amid ongoing data scarcity.
文摘BACKGROUND Autoimmune myocarditis(AM)associated with autoimmune diseases can cause complete atrioventricular block(CAVB),but the related autoantigens and the underlying mechanisms are unclear.Anti-SSA/Ro antibodies may play an important role in this process,but cases of AM with positive anti-SSA/Ro antibodies are rare.In addition,arrhythmias,such as atrioventricular block,are very common in patients with autoimmune diseases,but severe atrioventricular block requiring permanent pacemaker implantation is extremely rare.CASE SUMMARY The patient in this case had AM with anti-SSA/Ro antibody positivity,which was associated with connective tissue disease,and the patient subsequently developed CAVB.After intensive immunosuppressive therapy,the antibody test results became negative,and pulmonary hypertension significantly improved.However,the outcome of permanent pacemaker implantation did not change.CONCLUSION In clinical practice,the awareness of adult AM associated with autoimmune diseases combined with CAVB should be strengthened in clinicians,and anti-SSA/Ro antibodies may play a role in this process.Therefore,improving the detection of antibodies and early intervention,such as active immunosuppression therapy,may be very important for improving disease prognosis.For patients who do not respond to immunosuppressive therapy,implantation of a permanent pacemaker may become an essential treatment option.
文摘BACKGROUND Kidney and liver transplantation are two sub-specialized medical disciplines,with transplant professionals spending decades in training.While artificial intelligencebased(AI-based)tools could potentially assist in everyday clinical practice,comparative assessment of their effectiveness in clinical decision-making remains limited.AIM To compare the use of ChatGPT and GPT-4 as potential tools in AI-assisted clinical practice in these challenging disciplines.METHODS In total,400 different questions tested ChatGPT’s/GPT-4 knowledge and decision-making capacity in various renal and liver transplantation concepts.Specifically,294 multiple-choice questions were derived from open-access sources,63 questions were derived from published open-access case reports,and 43 from unpublished cases of patients treated at our department.The evaluation covered a plethora of topics,including clinical predictors,treatment options,and diagnostic criteria,among others.RESULTS ChatGPT correctly answered 50.3%of the 294 multiple-choice questions,while GPT-4 demonstrated a higher performance,answering 70.7%of questions(P<0.001).Regarding the 63 questions from published cases,ChatGPT achieved an agreement rate of 50.79%and partial agreement of 17.46%,while GPT-4 demonstrated an agreement rate of 80.95%and partial agreement of 9.52%(P=0.01).Regarding the 43 questions from unpublished cases,ChatGPT demonstrated an agreement rate of 53.49%and partial agreement of 23.26%,while GPT-4 demonstrated an agreement rate of 72.09%and partial agreement of 6.98%(P=0.004).When factoring by the nature of the task for all cases,notably,GPT-4 demonstrated outstanding performance,providing a differential diagnosis that included the final diagnosis in 90%of the cases(P=0.008),and successfully predicting the prognosis of the patient in 100%of related questions(P<0.001).CONCLUSION GPT-4 consistently provided more accurate and reliable clinical recommendations with higher percentages of full agreements both in renal and liver transplantation compared with ChatGPT.Our findings support the potential utility of AI models like ChatGPT and GPT-4 in AI-assisted clinical practice as sources of accurate,individualized medical information and facilitating decision-making.The progression and refinement of such AI-based tools could reshape the future of clinical practice,making their early adoption and adaptation by physicians a necessity.
文摘Hepatocellular carcinoma(HCC)remains a leading cause of cancer-related mortality globally,necessitating advanced diagnostic tools to improve early detection and personalized targeted therapy.This review synthesizes evidence on explainable ensemble learning approaches for HCC classification,emphasizing their integration with clinical workflows and multi-omics data.A systematic analysis[including datasets such as The Cancer Genome Atlas,Gene Expression Omnibus,and the Surveillance,Epidemiology,and End Results(SEER)datasets]revealed that explainable ensemble learning models achieve high diagnostic accuracy by combining clinical features,serum biomarkers such as alpha-fetoprotein,imaging features such as computed tomography and magnetic resonance imaging,and genomic data.For instance,SHapley Additive exPlanations(SHAP)-based random forests trained on NCBI GSE14520 microarray data(n=445)achieved 96.53%accuracy,while stacking ensembles applied to the SEER program data(n=1897)demonstrated an area under the receiver operating characteristic curve of 0.779 for mortality prediction.Despite promising results,challenges persist,including the computational costs of SHAP and local interpretable model-agnostic explanations analyses(e.g.,TreeSHAP requiring distributed computing for metabolomics datasets)and dataset biases(e.g.,SEER’s Western population dominance limiting generalizability).Future research must address inter-cohort heterogeneity,standardize explainability metrics,and prioritize lightweight surrogate models for resource-limited settings.This review presents the potential of explainable ensemble learning frameworks to bridge the gap between predictive accuracy and clinical interpretability,though rigorous validation in independent,multi-center cohorts is critical for real-world deployment.
基金Supported by the 135 High-end Talent Project of West China Hospital,Sichuan University,No.ZYDG23029.
文摘BACKGROUND Recent advancements in artificial intelligence(AI)have significantly enhanced the capabilities of endoscopic-assisted diagnosis for gastrointestinal diseases.AI has shown great promise in clinical practice,particularly for diagnostic support,offering real-time insights into complex conditions such as esophageal squamous cell carcinoma.CASE SUMMARY In this study,we introduce a multimodal AI system that successfully identified and delineated a small and flat carcinoma during esophagogastroduodenoscopy,highlighting its potential for early detection of malignancies.The lesion was confirmed as high-grade squamous intraepithelial neoplasia,with pathology results supporting the AI system’s accuracy.The multimodal AI system offers an integrated solution that provides real-time,accurate diagnostic information directly within the endoscopic device interface,allowing for single-monitor use without disrupting endoscopist’s workflow.CONCLUSION This work underscores the transformative potential of AI to enhance endoscopic diagnosis by enabling earlier,more accurate interventions.
文摘In the current era of digitalization sweeping the education field,primary school English education is facing new challenges and opportunities of deep integration with artificial intelligence.This study focuses on primary school English teachers and uses various methods such as questionnaire surveys,visits,and interviews to conduct an in-depth exploration of their artificial intelligence literacy.After data analysis,optimization strategies are proposed to further improve the artificial intelligence literacy of primary school English teachers and promote the development of educational soft power.
文摘Feature selection(FS)is a pivotal pre-processing step in developing data-driven models,influencing reliability,performance and optimization.Although existing FS techniques can yield high-performance metrics for certain models,they do not invariably guarantee the extraction of the most critical or impactful features.Prior literature underscores the significance of equitable FS practices and has proposed diverse methodologies for the identification of appropriate features.However,the challenge of discerning the most relevant and influential features persists,particularly in the context of the exponential growth and heterogeneity of big data—a challenge that is increasingly salient in modern artificial intelligence(AI)applications.In response,this study introduces an innovative,automated statistical method termed Farea Similarity for Feature Selection(FSFS).The FSFS approach computes a similarity metric for each feature by benchmarking it against the record-wise mean,thereby finding feature dependencies and mitigating the influence of outliers that could potentially distort evaluation outcomes.Features are subsequently ranked according to their similarity scores,with the threshold established at the average similarity score.Notably,lower FSFS values indicate higher similarity and stronger data correlations,whereas higher values suggest lower similarity.The FSFS method is designed not only to yield reliable evaluation metrics but also to reduce data complexity without compromising model performance.Comparative analyses were performed against several established techniques,including Chi-squared(CS),Correlation Coefficient(CC),Genetic Algorithm(GA),Exhaustive Approach,Greedy Stepwise Approach,Gain Ratio,and Filtered Subset Eval,using a variety of datasets such as the Experimental Dataset,Breast Cancer Wisconsin(Original),KDD CUP 1999,NSL-KDD,UNSW-NB15,and Edge-IIoT.In the absence of the FSFS method,the highest classifier accuracies observed were 60.00%,95.13%,97.02%,98.17%,95.86%,and 94.62%for the respective datasets.When the FSFS technique was integrated with data normalization,encoding,balancing,and feature importance selection processes,accuracies improved to 100.00%,97.81%,98.63%,98.94%,94.27%,and 98.46%,respectively.The FSFS method,with a computational complexity of O(fn log n),demonstrates robust scalability and is well-suited for datasets of large size,ensuring efficient processing even when the number of features is substantial.By automatically eliminating outliers and redundant data,FSFS reduces computational overhead,resulting in faster training and improved model performance.Overall,the FSFS framework not only optimizes performance but also enhances the interpretability and explainability of data-driven models,thereby facilitating more trustworthy decision-making in AI applications.
