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8,213 Results Found

  • Review
  • Open Access
1 Citations
1,682 Views
23 Pages

In Vitro Evaluation of Confounders in Brain Optical Monitoring: A Review

  • Karina Awad-Pérez,
  • Maria Roldan and
  • Panicos A. Kyriacou

10 September 2025

Optical brain monitoring techniques, including near-infrared spectroscopy (NIRS), diffuse correlation spectroscopy (DCS), and photoplethysmography (PPG) have gained attention for their non-invasive, affordable, and portable nature. These methods offe...

(This article belongs to the Collection Sensors for Globalized Healthy Living and Wellbeing)
  • Article
  • Open Access
1 Citations
1,667 Views
15 Pages

Precautionary Health Behaviours as Potential Confounders in COVID-19 Vaccine Effectiveness Studies

  • Chloé Wyndham-Thomas,
  • Leonie de Munter,
  • Kok Yew Ngew,
  • Sanskruti Gaikwad and ,
  • Konstantina Chatzikonstantinidou,
  • Antonio Carmona,
  • Charlotte Martin,
  • Gerrit Luit ten Kate,
  • Nicolas Praet and
  • Kaatje Bollaerts
  • + 7 authors+ 2 authors

12 October 2025

Background/Objectives: Precautionary health behaviours (PHBs), such as hand-washing or self-isolation, are non-pharmaceutical interventions used to reduce SARS-CoV-2 transmission. We investigated the potential confounding by PHBs of COVID-19 vaccine...

(This article belongs to the Special Issue Advance Public Health Through Vaccination)
  • Review
  • Open Access
48 Citations
7,388 Views
17 Pages

Confounders in Identification and Analysis of Inflammatory Biomarkers in Cardiovascular Diseases

  • Qurrat Ul Ain,
  • Mehak Sarfraz,
  • Gayuk Kalih Prasesti,
  • Triwedya Indra Dewi and
  • Neng Fisheri Kurniati

5 October 2021

Proinflammatory biomarkers have been increasingly used in epidemiologic and intervention studies over the past decades to evaluate and identify an association of systemic inflammation with cardiovascular diseases. Although there is a strong correlati...

(This article belongs to the Special Issue Molecular Biomarkers In Cardiology 2021)
  • Review
  • Open Access
11 Citations
10,151 Views
16 Pages

12 January 2024

Several meta-analyses have found a positive association between a popular type of “fad diet”, ketogenic diets, and their effect on anthropometric and blood parameters. However, the non-specific inclusion criteria for meta-analyses may lead to incorre...

(This article belongs to the Section Food Nutrition)
  • Article
  • Open Access
6 Citations
2,712 Views
17 Pages

8 March 2023

Software defect prediction technology can effectively improve software quality. Depending on the code metrics, machine learning models are built to predict potential defects. Some researchers have indicated that the size metric could cause confoundin...

(This article belongs to the Section Computing and Artificial Intelligence)
  • Article
  • Open Access
706 Views
15 Pages

Ensemble Variability as a Signal of Confounding in Medical Imaging Models

  • Uma M. Lal-Trehan Estrada,
  • Sunil A. Sheth,
  • Arnau Oliver,
  • Xavier Lladó and
  • Luca Giancardo

Machine learning models for medical image analysis are vulnerable to hidden confounders, which can compromise generalization and clinical reliability. Existing detection strategies typically require explicit knowledge or labels of the confounder, whi...

(This article belongs to the Section Data)
  • Article
  • Open Access
3 Citations
3,652 Views
14 Pages

10 May 2025

Background: Adequate control for confounding is key to many observational study designs. Confounders are often identified based on subject matter knowledge from empirical investigations. Negative confounders, which typically generate type 2 error, i....

(This article belongs to the Section Human Genomics and Genetic Diseases)
  • Article
  • Open Access
2 Citations
3,057 Views
13 Pages

27 January 2022

Software defect prediction technology can effectively detect potential defects in the software system. The most common method is to establish machine learning models based on software metrics for prediction. However, most of the prediction models are...

(This article belongs to the Special Issue Artificial Intelligence and Machine Learning in Software Engineering)
  • Article
  • Open Access
592 Views
35 Pages

23 June 2026

Objective diagnosis in psychiatry remains challenging due to the lack of reliable biological markers and the presence of confounding variables in observational data. While EEG-based machine learning models have shown promising classification performa...

(This article belongs to the Special Issue Artificial Intelligence and Data Science, 2nd Edition)
  • Article
  • Open Access
4 Citations
6,778 Views
17 Pages

Adjusted Sample Size Calculation for RNA-seq Data in the Presence of Confounding Covariates

  • Xiaohong Li,
  • Shesh N. Rai,
  • Eric C. Rouchka,
  • Timothy E. O’Toole and
  • Nigel G. F. Cooper

Sample size calculation for adequate power analysis is critical in optimizing RNA-seq experimental design. However, the complexity increases for directly estimating sample size when taking into consideration confounding covariates. Although a number...

  • Review
  • Open Access
16 Citations
16,337 Views
16 Pages

25 April 2024

Controlling for confounding bias is crucial in causal inference. Causal inference using data from observational studies (e.g., electronic health records) or imperfectly randomized trials (e.g., imperfect randomization or compliance) requires accounti...

  • Article
  • Open Access
34 Citations
6,878 Views
11 Pages

20 December 2020

Confounding adjustment is important for observational studies to derive valid effect estimates for inference. Despite the theoretical advancement of confounding selection procedure, it is often challenging to distinguish between confounders and media...

(This article belongs to the Special Issue Health Effects Associated with Exposures to Endocrine Disrupting Chemicals)
  • Article
  • Open Access
3 Citations
1,562 Views
18 Pages

Confounder-Invariant Representation Learning (CIRL) for Robust Olfaction with Scarce Aroma Sensor Data: Mitigating Humidity Effects in Breath Analysis

  • Md Hafizur Rahman,
  • Jayden K. Hooper,
  • Alaa Wardeh,
  • Ashok Prabhu Masilamani and ,
  • Hélène Yockell-Lelièvre,
  • Jayan Ozhi Kandathil and
  • Mojtaba Khomami Abadi
  • + 2 authors+ 0 author

8 November 2025

Confounding factors in olfactory aroma data, such as high humidity levels, substantially affect sensor outputs, masking subtle volatile organic compound (VOC) patterns and hindering generalizable machine learning models. Traditional representation le...

(This article belongs to the Special Issue Advances in Sensorized AI-Driven Intelligent Systems in Healthcare and Beyond)
  • Abstract
  • Open Access
1,836 Views
1 Page

Timeseries forecasting plays an important role in many applications where knowledge of the future behaviour of a given quantity of interest is required. Traditionally, this task is approached using methods such as exponential smoothing, ARIMA and, mo...

(This article belongs to the Proceedings of The 1st International Electronic Conference on Algorithms)
  • Abstract
  • Open Access
1,601 Views
2 Pages

Objectives: Fruit and vegetable (FV) consumption has been inversely associated with cardiovascular disease, but questions remain about the extent to which these results are due to confounding. Methods: From 2006–2010, >0.5 million adults age...

(This article belongs to the Proceedings of The 14th European Nutrition Conference FENS 2023)
  • Article
  • Open Access
1,346 Views
16 Pages

1 April 2026

Gesture recognition with electrical impedance tomography (EIT) is an enormous potential tool for human–machine interaction because of its low cost, low complexity and high temporal resolution. Although high-precision EIT-based gesture recogniti...

(This article belongs to the Special Issue Artificial Intelligence (AI) and Machine Learning (ML) in Biosensors: Innovation, Application, and Challenge)
  • Article
  • Open Access
13 Citations
5,170 Views
15 Pages

The Association between Fast Food Outlets and Overweight in Adolescents Is Confounded by Neighbourhood Deprivation: A Longitudinal Analysis of the Millennium Cohort Study

  • Mark A. Green,
  • Matthew Hobbs,
  • Ding Ding,
  • Michael Widener and ,
  • John Murray,
  • Lindsey Reece and
  • Alex Singleton
  • + 2 authors+ 0 author

The aim of our study is to utilise longitudinal data to explore if the association between the retail fast food environment and overweight in adolescents is confounded by neighbourhood deprivation. Data from the Millennium Cohort Study for England we...

(This article belongs to the Special Issue Life Course Neighbourhood Effects)
  • Article
  • Open Access
1,722 Views
17 Pages

23 November 2023

This paper provides a methodology to better understand the relationships between different aspects of vocal fold motion, which are used as features in machine learning-based approaches for detecting respiratory infections from voice recordings. The r...

(This article belongs to the Special Issue Information-Theoretic Approaches in Speech Processing and Recognition)
  • Article
  • Open Access
369 Views
31 Pages

1 September 2026

Background/Objectives: Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart defect, and cardiac computed tomography (CT) is increasingly central to its anatomical and pre-procedural assessment. Artificial-intelligence research in TO...

(This article belongs to the Section Machine Learning and Artificial Intelligence in Diagnostics)
  • Article
  • Open Access
1 Citations
1,120 Views
12 Pages

Association Between Rehabilitation Frequency and Functional Outcomes After Burn Injury: A Single-Center Retrospective Analysis of Confounding by Indication

  • Yazeed Temraz,
  • Theeb Al Salem,
  • Shaimaa Khan,
  • Raghad Alshehri and ,
  • Lina Alosaimi,
  • Mariam Hantoul,
  • Rahaf Alrajhi,
  • Rayya Alabdali,
  • Amal Bahumayim and
  • Abdulmajeed Al Ehaideb
  • + 7 authors+ 2 authors

19 January 2026

Objective: To identify key predictors of clinical outcomes in burn survivors and clarify the role of mixed-depth burns and confounding by indication in observational rehabilitation research. Design: Retrospective cohort study using data from a burn r...

(This article belongs to the Special Issue Global Perspectives on Burn Prevention, Management, Collaboration, and Disparities)
  • Article
  • Open Access
3 Citations
5,959 Views
18 Pages

This study critically evaluates a recent machine learning method called the X-Learner, that aims to estimate treatment effects by predicting counterfactual quantities. It uses information from the treated group to predict counterfactuals for the cont...

(This article belongs to the Special Issue Current Problems and Advances in Computational and Applied Mechanics)
  • Article
  • Open Access
279 Views
33 Pages

Patient Selection and the Apparent Laparoscopic Advantage in Rectal and Rectosigmoid Adenocarcinoma: A Single-Centre Propensity-Weighted Analysis of Confounding by Indication

  • Tibiana Negru,
  • Loredana Gabriela Stana,
  • Danut Dejeu,
  • Adrian Cosmin Ilie and ,
  • Alina Doina Tanase and
  • Stelian Pantea
  • + 1 author+ 0 author

14 October 2026

Background and Objectives: Observational comparisons of laparoscopic and open colorectal resection are vulnerable to confounding by indication because fitter patients with earlier disease are preferentially offered the minimally invasive approach. Us...

(This article belongs to the Special Issue Laparoscopic Surgery, 2nd Edition)
  • Article
  • Open Access
639 Views
22 Pages

Pattern similarity analysis is widely used to assess response reliability in repeated-stimulus fMRI designs, but pairwise similarity estimates may be confounded by temporal structure, including slow drift, autocorrelation, hemodynamic smoothing, and...

(This article belongs to the Section Methods in Biomedical Informatics)
  • Article
  • Open Access
4 Citations
3,312 Views
12 Pages

With the aim to shorten the time for diagnosis and accelerate access to correct management, a non-invasive diagnostic test for endometriosis was developed and validated. The IVD test combines an ELISA test kit to quantify CA125 and BDNF concentration...

(This article belongs to the Special Issue Endometriosis: From Molecular Basis to Therapy)
  • Article
  • Open Access
678 Views
30 Pages

26 September 2026

Background: Pooling public blood transcriptome studies never designed for integration introduces failures that standard diagnostics miss. Objective: To define safeguards for confounding-aware integration and establish what an integrated stroke datase...

(This article belongs to the Special Issue Bioinformatics, Computational Biology and Multi-Omics Studies)
  • Article
  • Open Access
1 Citations
541 Views
18 Pages

The Lipid Paradox in Statin-Naïve Patients with a First ST-Segment Elevation Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention: A Confounded, Not Protective, Association

  • Fatih Akkaya,
  • Nihan Bahadır,
  • Mustafa Kamil Sağlam,
  • Adnan Duha Cömert and ,
  • Nurcemal Şentürk and
  • Oğuz Yıldırım
  • + 1 author+ 0 author

5 July 2026

Background: Low admission low-density lipoprotein cholesterol (LDL-C) is paradoxically associated with worse outcomes after acute coronary syndrome, but this may reflect confounding rather than causation. We examined the paradox in statin-naïve...

(This article belongs to the Section Cardiovascular Medicine)
  • Article
  • Open Access
569 Views
15 Pages

Background/Objectives: Automated dermoscopic image analysis can assist research on early skin cancer detection, but deep learning models may learn acquisition-related shortcuts, including terminal hairs, illumination gradients, gel bubbles, shadows a...

(This article belongs to the Special Issue AI for Precision Diagnostics: Enhancing Accuracy, Accessibility, and Outcomes)
  • Article
  • Open Access
118 Views
41 Pages

22 October 2026

When symbolic regression (SR) is run on data pooled from several facilities, a compact expression can fit well and still describe where the measurements happen to lie rather than a physical relationship. We present an audit framework for this structu...

  • Article
  • Open Access
2 Citations
2,313 Views
10 Pages

Relaxation of Some Confusions about Confounders

  • Ádám Zlatniczki,
  • Marcell Stippinger,
  • Zsigmond Benkő,
  • Zoltán Somogyvári and
  • András Telcs

31 October 2021

This work is about observational causal discovery for deterministic and stochastic dynamic systems. We explore what additional knowledge can be gained by the usage of standard conditional independence tests and if the interacting systems are located...

(This article belongs to the Section Complexity)
  • Article
  • Open Access

11 November 2026

Mare’s milk carries cultural and economic importance in Central Asia, yet udder and teat morphology in relation to individual milk yield remain poorly characterized, and farm-level confounding inflates apparent associations in multi-farm data....

(This article belongs to the Section Equids)
  • Review
  • Open Access
21 Citations
16,622 Views
12 Pages

Assessing Critical Flicker Fusion Frequency: Which Confounders? A Narrative Review

  • Thomas Muth,
  • Jochen D. Schipke,
  • Anne-Kathrin Brebeck and
  • Sven Dreyer

20 April 2023

The critical flicker fusion frequency (cFFF) refers to the frequency at which a regularly recurring change of light stimuli is perceived as steady. The cFFF threshold is often assessed in clinics to evaluate the temporal characteristics of the visual...

(This article belongs to the Section Ophthalmology)
  • Article
  • Open Access
206 Views
15 Pages

12 October 2026

Background and Objectives: Carbetocin is increasingly used for postpartum hemorrhage (PPH) prophylaxis, but its selection in routine practice may bias comparisons with oxytocin. This observational study examined the association between the agent rece...

(This article belongs to the Special Issue Research on Maternal Health and Perinatal Outcome)
  • Article
  • Open Access
176 Views
24 Pages

20 October 2026

Soil penetration resistance (PR) is widely used to assess compaction, although water content and field position can confound its relationships with crops. This study characterised depth-specific PR, identified its principal soil predictors, and evalu...

(This article belongs to the Section Agricultural Soils)
  • Article
  • Open Access
5 Citations
4,993 Views
10 Pages

Potential Confounders in the Analysis of Brazilian Adolescent’s Health: A Combination of Machine Learning and Graph Theory

  • Amanda Yumi Ambriola Oku,
  • Guilherme Augusto Zimeo Morais,
  • Ana Paula Arantes Bueno,
  • André Fujita and
  • João Ricardo Sato

The prevalence of health problems during childhood and adolescence is high in developing countries such as Brazil. Social inequality, violence, and malnutrition have strong impact on youth health. To better understand these issues we propose to combi...

(This article belongs to the Special Issue Network Analytics in Healthcare Decision Making)
  • Systematic Review
  • Open Access
3 Citations
1,077 Views
12 Pages

17 December 2025

Background/Objectives: Temporomandibular disorders (TMDs) are a heterogeneous subset of orthodontic conditions with persistent diagnostic and reporting variability. This review compared transparency, reporting quality, and spin prevalence in TMD/TMJ...

(This article belongs to the Section Dentistry, Oral Surgery and Oral Medicine)
  • Article
  • Open Access
53 Citations
5,132 Views
15 Pages

Intestinal Taxa Abundance and Diversity in Inflammatory Bowel Disease Patients: An Analysis including Covariates and Confounders

  • Adelaide Teofani,
  • Irene Marafini,
  • Federica Laudisi,
  • Daniele Pietrucci and ,
  • Silvia Salvatori,
  • Valeria Unida,
  • Silvia Biocca,
  • Giovanni Monteleone and
  • Alessandro Desideri
  • + 4 authors+ 0 author

8 January 2022

Intestinal dysbiosis has been widely documented in inflammatory bowel diseases (IBDs) and is thought to influence the onset and perpetuation of gut inflammation. However, it remains unclear whether such bacterial changes rely in part on the modificat...

(This article belongs to the Section Nutrition and Metabolism)
  • Article
  • Open Access
16 Citations
3,922 Views
11 Pages

Beneficial Prognostic Effects of Aspirin in Patients Receiving Sorafenib for Hepatocellular Carcinoma: A Tale of Multiple Confounders

  • Luca Ielasi,
  • Francesco Tovoli,
  • Matteo Tonnini,
  • Raffaella Tortora and ,
  • Giulia Magini,
  • Rodolfo Sacco,
  • Tiziana Pressiani,
  • Franco Trevisani,
  • Vito Sansone and
  • Alessandro Granito
  • + 7 authors+ 2 authors

20 December 2021

Case–control observational studies suggested that aspirin might prevent hepatocellular carcinoma (HCC) in high-risk patients, even if randomized clinical trials are lacking. Information regarding aspirin in subjects who already developed HCC, e...

(This article belongs to the Collection Treatment of Hepatocellular Carcinoma and Cholangiocarcinoma)
  • Article
  • Open Access
7 Citations
2,740 Views
15 Pages

Background: Causality has recently been suggested to associate early childhood caries with psychomotor deficiency in preschoolers, where their causal interactions via other risk determinants remain unclear. Methods: To analyze such causality, we rand...

  • Article
  • Open Access
1 Citations
612 Views
12 Pages

The Confounder in Plain Sight: A Retrospective Pilot Analysis on the Impact of Comorbidity on C-Reactive Protein Utility for Differentiating Bacterial vs. Viral Infections

  • Alessandro Perrella,
  • Paola Salvatore,
  • Pierpaolo Di Micco,
  • Ugo Trama and ,
  • Antimo Di Spirito,
  • Claudia Tiberio,
  • Mariano Bernardo,
  • Nicolina Capoluongo,
  • Giusy Di Flumeri and
  • Francesca Futura Bernardi
  • + 6 authors+ 1 author

Background: The antimicrobial resistance crisis is driven by antibiotic overuse, often due to the difficulty in distinguishing bacterial from viral infections. In the European Union, acute respiratory tract infections account for about 38% of all ant...

(This article belongs to the Special Issue Digital Health and AI in Antibiotics Management and Antimicrobial Resistance Surveillance)
  • Article
  • Open Access
355 Views
40 Pages

Provenance-Associated Confounding in Cross-Collection Comparisons of Urease Inhibitors: A Quantified Reference Scale and a Domain-Aware Alternative

  • Javier Farías-Abarca,
  • Gabriela Urra,
  • Constanza Henríquez,
  • Osvaldo Yáñez and ,
  • Manuel I. Osorio,
  • Jonathan Palma,
  • Luis Morales-Quintana,
  • Reynier Suardíaz and
  • Daniel Bustos
  • + 4 authors+ 0 author

15 October 2026

Reference-library comparisons are widely used in target-focused cheminformatics to characterize the chemical space occupied by bioactive compounds. The separation obtained from such comparisons may, however, reflect differences in library provenance...

(This article belongs to the Special Issue Computational Approaches in Drug Discovery and Design: From Molecular Modeling to Translational Applications)
  • Article
  • Open Access
853 Views
31 Pages

Smart-city advanced metering infrastructure enables utility-scale remote analytics, but some forms of under-registration closely resemble lawful changes in demand and are hard to model as anomalies. We study a narrow, physically motivated event famil...

(This article belongs to the Section Smart Urban Energies and Integrated Systems)
  • Comment
  • Open Access
2 Citations
1,652 Views
2 Pages

Comment on Muth et al. Assessing Critical Flicker Fusion Frequency: Which Confounders? A Narrative Review. Medicina 2023, 59, 800

  • Natalia D. Mankowska,
  • Rita I. Sharma,
  • Malgorzata Grzywinska,
  • Anna B. Marcinkowska and ,
  • Jacek Kot and
  • Pawel J. Winklewski
  • + 1 author+ 0 author

15 September 2023

We first want to thank the authors of the excellent review for their contributions to summarizing the confounders associated with critical flicker fusion frequency (CFFF) [...]

(This article belongs to the Section Ophthalmology)
  • Review
  • Open Access
41 Citations
5,949 Views
34 Pages

5 December 2022

It has been suggested that molecular pathological mechanisms responsible for periodontitis can be linked with biochemical alterations in neurodegenerative disorders. Hypothetically, chronic systemic inflammation as a response to periodontitis plays a...

(This article belongs to the Special Issue Molecular Links between Periodontitis and Systemic Diseases)
  • Article
  • Open Access
5 Citations
4,523 Views
13 Pages

The Vascularized Fibula as Salvage Procedure in Extremity Reconstruction: A Retrospective Analysis of Time to Heal and Possible Confounders

  • Christian Smolle,
  • Judith C. J. Holzer-Geissler,
  • Patrick Mandal,
  • Jessica Schwaller and ,
  • Gert Petje,
  • Johannes Rois,
  • Lars-Peter Kamolz and
  • Werner Girsch
  • + 3 authors+ 0 author

28 February 2024

The vascularized fibula transfer is a well-established technique for extremity reconstruction, but operative planning and patient selection remains crucial. Although recently developed techniques for bone reconstruction, such as bone segment transfer...

(This article belongs to the Special Issue Skin, Wound, Plastic Surgery and Hand Surgery)
  • Review
  • Open Access
6 Citations
3,873 Views
21 Pages

Numerous variables can affect the assessment of language dominance using presurgical functional magnetic resonance (fMRI) in patients with brain tumors. This work organizes the variables into confounding and modulating factors. Confounding factors gi...

  • Article
  • Open Access
22 Citations
5,651 Views
14 Pages

27 October 2021

Sarcopenic obesity is closely associated with knee osteoarthritis (KOA) and has high risk of total knee replacement (TKR). In addition, poor nutrition status may lead to sarcopenia and physical frailty in KOA and is negatively associated with surgery...

(This article belongs to the Special Issue Sarcopenic Obesity: Impact on Diet on Clinical and Biological Outcomes)
  • Review
  • Open Access
291 Citations
21,069 Views
38 Pages

Open-Ended Coaxial Probe Technique for Dielectric Measurement of Biological Tissues: Challenges and Common Practices

  • Alessandra La Gioia,
  • Emily Porter,
  • Ilja Merunka,
  • Atif Shahzad and ,
  • Saqib Salahuddin,
  • Marggie Jones and
  • Martin O’Halloran
  • + 2 authors+ 0 author

Electromagnetic (EM) medical technologies are rapidly expanding worldwide for both diagnostics and therapeutics. As these technologies are low-cost and minimally invasive, they have been the focus of significant research efforts in recent years. Such...

(This article belongs to the Special Issue Electromagnetic Technologies for Medical Diagnostics: Fundamental Issues, Clinical Applications and Perspectives)
  • Article
  • Open Access
3,938 Views
14 Pages

26 October 2025

Measures of narcissism often overlap with global self-esteem, risking that observed associations with outcomes may reflect associations of self-regard rather than actual narcissistic dispositions. The present study examined whether common narcissism...

(This article belongs to the Special Issue Individual Differences in Narcissism: From Personality to Psychopathology)
  • Article
  • Open Access
2 Citations
2,651 Views
14 Pages

The relationships between selected upper airway-related symptoms (speech disturbances, voice disorders, cough, and breathing abnormalities) and mental illness and sleep disorders have been previously demonstrated. However, these relationships have no...

  • Article
  • Open Access
477 Views
24 Pages

Online review platforms are core infrastructure of digital commerce, yet the business-level determinants of review content remain poorly understood. We examine how service participation intensity, the degree to which a business format requires active...

(This article belongs to the Special Issue Electronic Commerce and Information Management Towards the Digital Era)

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