Search Results (48,558)

Objectives: Radial artery spasm (RAS) is a common complication of transradial coronary angiography that may adversely affect procedural success and patient comfort. This study aimed to evaluate clinical, procedural, and anthropometric factors associated with RAS in patients undergoing elective transradial coronary angiography, with a particular focus on the wrist circumference-to-body mass index (WC/BMI) ratio as a novel predictor. Methods: A total of 466 patients who underwent elective coronary angiography via the right radial artery between January 2024 and December 2024 were included. All procedures were performed using a 6 Fr introducer sheath according to a standardized protocol. Radial artery spasm was clinically defined as operator resistance during catheter manipulation accompanied by patient-reported pain or marked discomfort in the accessed arm. Wrist circumference and body mass index were measured before the procedure, and the WC/BMI ratio was calculated. Radial artery diameter was assessed using ultrasonography. Variables associated with RAS were evaluated using univariable and multivariable logistic regression analyses. Due to collinearity between WC/BMI and radial artery diameter, two separate multivariable models were constructed. Discriminative performance was assessed using receiver operating characteristic (ROC) curve analysis. Results: Radial artery spasm occurred in 51 patients (10.9%). Patients who developed RAS had significantly lower WC/BMI ratios and smaller radial artery diameters compared with those without spasm (both p ≤ 0.001). In multivariable analysis, a lower WC/BMI ratio was independently associated with an increased risk of RAS (odds ratio [OR] 0.51 per 0.1-unit increase; 95% confidence interval [CI] 0.34–0.78; p = 0.002). Similarly, smaller radial artery diameter remained an independent predictor of RAS (OR 0.83 per 0.1 mm increase; 95% CI 0.75–0.92; p < 0.001). The area under the curve (AUC) was 0.651 for WC/BMI and 0.636 for radial artery diameter. The combined model demonstrated improved discriminative ability (AUC 0.713). Conclusions: The WC/BMI ratio is a simple, practical, and readily obtainable anthropometric parameter that can predict the risk of radial artery spasm before transradial coronary angiography. When combined with radial artery diameter, it provides improved discrimination for identifying patients at higher risk of RAS. Full article

Background: Bone Mineral Density (BMD) plays a crucial role in diagnosing osteoporosis, and early detection is essential to preventing complications such as osteoporotic fractures. However, access to dual-energy X-ray absorptiometry (DXA) screening remains limited in many healthcare settings. Objective: This study presents a fully automated artificial intelligence pipeline for BMD prediction from lumbar spine radiographs to enable opportunistic osteoporosis screening. Methods: The proposed system integrates automatic vertebral segmentation and a machine learning-based regression model for BMD prediction. A YOLO-based instance segmentation model was trained to automatically segment four lumbar vertebrae, achieving a high Intersection over Union (IoU) of 0.9. Radiomic features were extracted from the segmented vertebrae to capture advanced image characteristics and combined with clinical features from 2875 female patients. An eXtreme Gradient Boosting (XGBoost) regressor was trained to provide opportunistic BMD estimation. Results: The model achieved a mean absolute percentage error (MAPE) of 6% for BMD prediction. A classification model built from segmented vertebrae distinguished between osteoporosis, osteopenia, and normal bone with approximately 90% accuracy. Strong agreement between predicted and ground-truth BMD values was confirmed using Pearson correlation coefficient and Bland–Altman analysis. Conclusions: The proposed fully automated system demonstrates strong agreement with DXA measurements and potential for opportunistic osteoporosis screening in settings with limited DXA access. Further validation and refinement are needed to achieve clinical-grade precision for diagnostic applications. Full article

Background: Periprosthetic joint infection (PJI) after hip arthroplasty for proximal femur fracture is a severe complication, and early postoperative identification remains challenging. This study developed and validated machine learning (ML) models for the early prediction of 90-day EBJIS 2021 “confirmed” PJI using routinely available perioperative data. Methods: We performed a single-center retrospective study including 1182 consecutive adults undergoing primary hip arthroplasty for proximal femur fracture (2015–2022). Forty-seven perioperative candidate predictors were extracted, including early postoperative laboratory values (postoperative day 1–2 and maxima within 72 h). Six algorithms were trained and compared (logistic regression, random forest, support vector machine, multilayer perceptron, XGBoost, and stacking ensemble) using a stratified 80/20 training–test split with 10-fold cross-validation, grid-search hyperparameter tuning, and class weighting. A sensitivity-prioritizing classification threshold was derived using training data only and applied unchanged to evaluation cohorts. Uncertainty was estimated via 1000 bootstrap iterations. Calibration was assessed using the Brier score and calibration intercept/slope. Temporal validation was conducted in a same-center 2023 cohort (n = 147). Model explainability used SHAP. Results: EBJIS-confirmed 90-day PJI occurred in 58/1182 (4.9%) patients. In held-out testing, the final XGBoost model demonstrated good discrimination (AUC 0.889, 95% CI 0.804–0.960) with good overall calibration (Brier score 0.043). Using a prespecified sensitivity-prioritizing threshold selected in the training set, test-set sensitivity was 100%, specificity 58.5%, PPV 11.4%, and NPV 100%. The stacking ensemble yielded the highest discrimination (AUC 0.937; 95% CI 0.89–0.98). In temporal validation (same-center 2023 cohort; n = 147), model performance remained stable (AUC 0.892; sensitivity 85.7%; NPV 99.1% at the prespecified threshold). Calibration was favorable in the development cohort (Brier 0.041; intercept −0.04; slope 0.96) and in 2023 (Brier 0.038; intercept −0.06; slope 0.94). SHAP identified postoperative C-reactive protein, operative duration, body mass index, ASA class, and serum sodium as the most influential predictors. Conclusions: ML models, particularly XGBoost, supported early postoperative risk stratification for 90-day EBJIS-confirmed PJI after fracture-related hip arthroplasty, with a consistently high NPV and stable calibration in a temporally independent same-center cohort. Prospective multi-center validation and impact evaluation are needed before clinical implementation. Full article

The Ecological Conservation Redline (ECR) is a key spatial policy tool in China’s efforts to protect the Ecosystem Services (ES) of Hainan Island. However, its effectiveness in promoting the coordinated restoration of Hainan Island’s ES remains unclear. This study employs the InVEST model to assess the spatiotemporal dynamics of carbon storage, habitat quality, water yield, and soil retention within the ECR zones of Hainan Island from 1990 to 2020. A Multiple Ecosystem Service Landscape Index (MESLI) was constructed, and Geographically Weighted Regression (GWR) was applied to examine the influence of ECR implementation on ES synergies and the spatial drivers underlying these patterns, aiming to elucidate the complex interactions between conservation policy and ecosystem functioning. The results show that (1) the delineation of the ECR has facilitated ecological restoration in the region. MESLI detrimentally declined before 2010 but positively increased by 12.7% during 2010–2020, indicating an improvement consistent with the period of ECR implementation. Moreover, (2) ESs within the ECR display marked spatial heterogeneity. GWR results reveal that MESLI is positively associated with vegetation cover and slope, and negatively associated with population density, with pronounced disparities in northern and central regions that call for differentiated governance strategies. Finally, (3) constructing a composite evaluation framework based on multiple ESs contributes to optimizing the delineation and management of ECRs, enhancing their scientific support for regional sustainable development. This study provides decision-making guidance for the zoned governance of conservation areas on tropical islands and offers insights for redline management in other ecologically sensitive regions. Full article

Median crossover crashes are among the most severe roadway safety events due to their high-energy nature and strong association with fatal and incapacitating injuries, posing a substantial public health burden. This study develops a multimodal intelligent analytics framework to evaluate the cable median barrier performance in Tennessee by integrating structured crash data, roadway and traffic characteristics, post-impact vehicle responses, and unstructured police narratives. Across 6094 crashes on 576 cable barrier segments, 1196 involved barrier impacts and 914 included complete post-impact response information. Deep learning-based text mining using a BERT transformer model was applied to narrative descriptions from fatal, serious injury, and minor injury crashes to extract contextual indicators of loss of control, impact dynamics, and injury mechanisms. Safety effectiveness evaluation using Empirical Bayes methods showed substantial reductions after installation, including a 96% decrease in fatal crashes and an 88% reduction in serious-injury crashes. Vehicle–barrier interactions—classified as containment, redirection, rollover, or penetration—were modeled using a multinomial logit framework with marginal effects to assess the influence of geometric, operational, and vehicle-related factors. Reduced barrier offset, narrow shoulders, high traffic volumes, outer-lane departures, and heavy-vehicle involvement significantly increased the likelihood of rollover and penetration events, which are strongly linked to higher injury severity. Through fusing multimodal data and combining explainable statistical models with deep learning text analysis, this study provided a scalable, trustworthy approach to characterizing injury risk, aligning transportation safety analytics with emerging intelligent healthcare and big-data methodologies aimed at preventing severe and fatal trauma. Full article

An assessment and prediction system for the quality of public water networks was developed, using Timișoara, Romania, as a case study. This was implemented on a Google Firebase cloud storage system and comprised twelve ML algorithms applied to test samples for drinkability and used in predictions of upcoming samples. The system compares 17 water quality parameters to the World Health Organization and public reports of Timișoara drinking water standards for 804 samples. The system provides real-time data storage, drinkability prediction for the reservoir water system, and rule-based critical water recommendations for elementary treatment in samples. The most accurate and best-calibrated against random forest, gradient boosting, and Logistic Regression algorithms was the decision tree algorithm of the ML models. The experimental findings also determine the regions of the worst and best water quality and propose respective treatment. In contrast to previous research and structures, the paper demonstrates an approved stable solution for smart water monitoring, correlating practical deployment with sophisticated data-based conclusions. The results contribute to enhancing public health, enhancing water management measures, and upscaling the system for larger-scale applications. Full article

Background: Ocular trauma is a significant cause of monocular visual impairment and potential psychological morbidity. This study aimed to determine the prevalence of anxiety, depression, and post-traumatic stress disorder (PTSD) in patients with mechanical ocular trauma and to investigate the predictive value of baseline clinical characteristics, specifically initial visual acuity. Methods: This retrospective study included 58 adult patients treated for mechanical ocular trauma. Sociodemographic data, injury mechanisms, and clinical variables, including initial visual acuity (LogMAR), ocular trauma score, and number of ocular surgeries, were analyzed. Psychological status was assessed using the Beck Depression Inventory, Beck Anxiety Inventory, and a PTSD checklist. Multivariate logistic regression and correlation analyses were performed to identify predictors of severe PTSD. Results: The cohort was predominantly male (86.2%) with a mean age of 42.5 years. Severe or very severe PTSD symptoms were identified in 35.1% of patients. Analysis revealed a significant positive correlation between initial visual acuity and PTSD scores (r = 0.273, p = 0.038). In the logistic regression model, initial visual acuity (LogMAR) demonstrated the highest odds ratio for severe PTSD in the multivariable model; however, this association did not reach statistical significance (OR = 2.164, 95% CI: 0.720–6.508, p = 0.169) and should therefore be interpreted as an exploratory trend rather than a confirmed predictor. Conclusions: Greater visual loss at the time of injury showed the strongest, although non-significant, association with subsequent PTSD symptom severity. These findings suggest that patients with severe initial visual impairment following ocular trauma may benefit from early psychological screening and timely mental health referral, warranting confirmation in larger prospective studies. Full article

Industrial health assessment often faces the challenge of sensor scarcity and a lack of labelled failure datasets, making conventional monitoring difficult to scale. This study addresses these constraints by proposing a state-aware framework that relies exclusively on routinely measured electrical parameters (active power, current, voltage, and power factor). The main challenge lies in distinguishing benign load variations from actual degradation without process-level context. To overcome this, we integrate automated operating-state recognition using XGBoost with per-state regression modelling to estimate the expected active power. A standardized Health Index (HI) is then derived from the residuals to quantify deviations from normal behaviour. Evaluated on a fleet of three-phase injection moulding machines, the framework demonstrates substantial performance improvements: the state-aware approach increased the median coefficient of determination from 0.64 to 0.86 and reduced residual variability by 30% compared to context-agnostic models. These findings show that synergistic system integration provides a stable and interpretable indicator for early degradation detection and fleet-level benchmarking under strict zero-label industrial constraints. Full article

Visible Light Positioning (VLP) is widely regarded as a promising technology for high-precision indoor localization due to its immunity to radio-frequency interference and compatibility with existing Light-Emitting Diode (LED) lighting infrastructure. Despite recent progress, current VLP systems remain fundamentally limited by nonlinear received signal strength (RSS) characteristics, unknown transmitter orientations, and dynamic indoor disturbances. Existing solutions typically address these challenges in isolation, resulting in limited robustness and scalability. This paper proposes SCENE-VLP (Sequential Deep Learning with Feature Compression and Optimal State Estimation), a structured positioning framework that integrates feature compression, temporal sequence modeling, and probabilistic state refinement within a unified estimation pipeline. Specifically, SCENE-VLP combines Principal Component Analysis (PCA) and Denoising Autoencoders (DAE) for linear and nonlinear observation conditioning, Gated Recurrent Units (GRU) for modeling temporal dependencies in RSS sequences, and Kalman-based filtering (KF/EKF) for recursive state-space refinement. The framework is formulated as a hierarchical approximation of the nonlinear observation model, linking data-driven measurement learning with Bayesian state estimation. A systematic ablation study across multiple scenarios, including same-dataset evaluation and cross-dataset generalization, demonstrates that each component provides complementary benefits. Feature compression reduces redundancy while preserving dominant signal structure; GRU significantly improves robustness over static regression; and recursive filtering consistently reduces positioning error compared to unfiltered predictions. While both KF and EKF improve performance, EKF provides incremental refinement under mild nonlinearities. Extensive simulations conducted on an indoor dataset collected from a realistic deployment with eight ceiling-mounted LEDs and a single photodetector (PD) show that SCENE-VLP achieves sub-decimeter localization accuracy, with P50 and P95 errors of 1.84 cm and 6.52 cm, respectively. Cross-scenario evaluation further confirms stable generalization and statistically consistent improvements. These results demonstrate that the structured integration of observation conditioning, temporal modeling, and Bayesian refinement yields measurable gains beyond partial pipeline configurations, establishing SCENE-VLP as a robust and scalable solution for next-generation indoor visible light positioning systems. Full article

With the rapid growth of large-scale networks, traditional rule-based and supervised anomaly detection methods struggle with heavy reliance on labeled data, slow response to rapidly changing patterns, and difficulty in capturing complex temporal anomalies. At the same time, real-world traffic exhibits strong class imbalance, where normal samples overwhelmingly dominate, causing many existing models to miss subtle but critical abnormal behaviors. To address these challenges, this paper proposes an unsupervised temporal anomaly detection framework for network traffic based on a Transformer-autoencoder bidirectional prediction and reconstruction model. The framework combines the advantages of autoencoders and regression models, using multi-head self-attention and positional encoding to capture long-range temporal dependencies in traffic sequences. A masked decoding mechanism is further employed to prevent information leakage from future time steps. The model jointly generates forward and backward predictions as well as reconstructed sequences, and designs multiple anomaly scoring strategies that integrate prediction and reconstruction errors to enhance the sensitivity to point, contextual, and collective anomalies under highly imbalanced data. Experiments on three public benchmark datasets demonstrate that the proposed method significantly improves detection performance, achieving up to an F1 score of 0.960 and a precision of 0.949, with recall approaching 1.0, while reducing false alarms, thereby showing strong applicability to practical network security scenarios. Full article

Permanent ground deformation caused by fault movement threatens the safe operation of buried pipelines. Accurate fragility assessment of buried pipelines subjected to faulting is essential for pipeline design and risk management. However, buried pipelines exhibit nonlinear mechanical responses due to the coupled effects of multiple factors. Moreover, the effects of key parameters remain insufficiently quantified, limiting the accuracy and engineering applicability of existing fragility assessments. In this study, a three-dimensional finite element model incorporating large deformation and nonlinear pipe–soil interaction is developed and validated against representative experimental data. Using this model, numerical simulations are performed for 352 parameter combinations covering fault type, dip angle, burial depth, soil type, and pipe material. Nonlinear regression of the simulation results yielded predictive models for pipeline peak axial strain under normal-slip and reverse-slip faulting. A fragility framework is then established with fault displacement as the intensity measure, and fragility curves are derived for both faulting modes. The predicted peak axial strains agree with the finite element results: 78.6% (normal-slip) and 72.5% (reverse-slip) of predictions fall within ±20% error. The fragility curves enable quantitative estimation of fault-displacement thresholds. In the case study, the intact-to-damage displacement threshold is approximately 0.6 m for normal-slip faults but approximately 0.2 m for reverse-slip faults, indicating a higher failure likelihood under reverse-slip faulting. Within the investigated parameter ranges, the fault dip angle is the most significant factor affecting the pipeline failure probability for both normal-slip and reverse-slip faulting. Sandy soil and greater burial depth substantially increase the probability of moderate-to-severe damage, whereas higher steel grade increases the displacement threshold for transition from intact to failure. This study provides a rapid quantitative tool and a theoretical basis for pipeline design and risk quantification of buried pipelines in fault zones. Full article

Lonicera caerulea L. (blue honeysuckle) is rich in antioxidant polyphenols, and rapid and accurate determination of its polyphenol content is of great significance for functional food quality control. This study proposed a hybrid variable selection strategy designed for high-dimensional small-sample scenarios and developed a quantitative prediction model for polyphenol content based on mid-infrared (MIR) spectroscopy. A total of 191 Lonicera caerulea samples were collected from Northeast China, and 7468-dimensional spectral data were acquired using a Fourier transform infrared spectrometer. Polyphenol reference values were determined by the Folin–Ciocalteu method. Samples were divided into calibration (n = 152) and prediction (n = 39) sets using the SPXY algorithm. Among the 10 preprocessing methods evaluated, MSC combined with Savitzky–Golay first derivative achieved the best performance and was therefore used for subsequent modeling. The proposed hybrid variable selection method (VIP1.0∩RFR30%) intersected PLS variable importance in projection (VIP ≥ 1.0) with the top 30% important variables from random forest regression, selecting 984 key wavelengths and achieving 86.8% dimensionality reduction. A three-stage hyperparameter tuning strategy was implemented across four models (PLS, RFR, SVR, and XGBoost) to validate feature stability and control overfitting. The optimized XGBoost model achieved excellent performance on the independent test set ($R^2$ = 0.92, RMSE = 0.098, RPD = 3.47). Compared with the classical CARS method ($R^2$ = 0.78, RPD = 2.14), $R^2$ improved by 16.3% and RPD improved by 55.2%. The results demonstrate that the proposed hybrid variable selection strategy can effectively address the challenges of high-dimensional MIR spectral data in small-sample modeling, providing a reliable tool for rapid and non-destructive quantitative analysis of polyphenols in Lonicera caerulea. Full article

Coaches in professional football need to estimate how many minutes a player can tolerate in a match before relevant fatigue occurs. This study aimed to develop a framework to translate monitoring information into individualised, minute-based fatigue thresholds. Over four seasons in an elite club, external load (total distance, high-speed running, mechanical work) and heart rate were collected in training. Machine-learning-derived fitness and fatigue indices were computed and combined with 7- and 28-day load variables in a Random Forest regression model predicting match minutes. The trained model was then used to simulate four fatigue conditions by fixing the match-day fatigue index (z-FA_match = 0, −1, −2, −3). In an independent test season, the model showed a mean absolute error of 22.5 min and R² = 0.17 for playing time prediction, with z-FA_match as the most influential predictor. Simulated fatigue thresholds occurred in an ordered way (0 = 57.1, −1 = 64.9, −2 = 84.8, −3 = 84.4) and differed across season period, playing position, overall seasonal minutes, and return-to-play status. Integrating external load with fitness and fatigue indices via machine learning can provide individualised estimates of when players are likely to reach fatigue states, supporting decisions on selection, substitutions, and return-to-play management. Full article

Accurate prediction of wear behavior in polymer nanocomposites remains challenging due to the coupled influence of operating conditions and evolving surface morphology. In this study, a surface-aware triboinformatics framework is proposed to predict the dry sliding wear behavior of multi-walled carbon nanotube (MWCNT) reinforced epoxy composites by integrating operating parameters with run-wise atomic force microscopy (AFM) surface descriptors. Wear experiments were conducted using a Taguchi L16 design by varying CNT content (0–0.75 wt.%), applied load (10–40 N), sliding speed (183–458 rpm), and sliding distance (500–1250 m). AFM-derived parameters, including Ra, Rq, Z-range, and surface area difference, were extracted from the worn surface corresponding to each experimental run. Multiple regression-based machine learning models were evaluated using leave-one-out cross-validation, with ensemble-based models providing the best predictive performance (R² > 0.85 with low RMSE and MAE). Feature importance and partial dependence analyses identified CNT content as the dominant factor controlling wear reduction, followed by Z-range and Ra, highlighting the critical role of surface damage severity. Neat epoxy exhibited a maximum wear loss of 0.444 mg, whereas the 0.75 wt.% CNT composite showed values as low as 0.003 mg under comparable conditions, corresponding to a reduction of approximately 99%. The proposed framework enables mechanistically interpretable wear prediction and supports the design of durable polymer composites, contributing to SDG 9 (Industry, Innovation and Infrastructure) and SDG 12 (Responsible Consumption and Production). Full article

Strip intercropping of maize and soybean is a key practice for improving land productivity and ensuring food and oil security in the hilly regions of the Loess Plateau. However, complex interspecific interactions generate highly heterogeneous canopy structures, making it difficult for traditional linear models to capture yield variability within mixed pixels. Based on a single-season (2025) field experiment, this study developed a UAV multispectral imagery-based yield estimation framework integrating multiple machine-learning algorithms. Shapley additive explanations (SHAP) and partial dependence plots (PDP) were used to interpret the spectral–yield relationships under different spatial configurations. The predictive performance of linear regression and eight nonlinear algorithms was compared using 20 spectral features. Ensemble learning outperformed linear approaches in all intercropping scenarios. In the maize–soybean 3:2 pattern, the GBDT model delivered the highest accuracy (R² = 0.849; NRMSE = 9.28%), whereas in the 4:2 pattern with stronger shading stress on soybean, the random forest model showed the greatest robustness (R² = 0.724). Interpretation results indicated that yield in monoculture systems was mainly driven by physiological traits characterized by visible-band indices, while yield in intercropping systems was dominated by structural and stress-response traits represented by near-infrared and soil-adjusted vegetation indices. The generated centimeter-scale yield maps revealed clear strip-like spatial variability driven by interspecific competition. Overall, explainable machine learning combined with UAV multispectral data shows promise for within-season yield estimation in intercropping systems and can support spatially differentiated precision management under the sampled conditions. Full article