scholarly journals An Artificial Neural Network Model for Predicting Successful Extubation in Intensive Care Units

2018 ◽  
Vol 7 (9) ◽  
pp. 240 ◽  
Author(s):  
Meng-Hsuen Hsieh ◽  
Meng-Ju Hsieh ◽  
Chin-Ming Chen ◽  
Chia-Chang Hsieh ◽  
Chien-Ming Chao ◽  
...  

Background: Successful weaning from mechanical ventilation is important for patients in intensive care units (ICUs). The aim was to construct neural networks to predict successful extubation in ventilated patients in ICUs. Methods: Data from 1 December 2009 through 31 December 2011 of 3602 patients with planned extubation in Chi-Mei Medical Center’s ICUs was used to train and test an artificial neural network (ANN). The input was 37 clinical risk factors, and the output was a failed extubation prediction. Results: One hundred eighty-five patients (5.1%) had a failed extubation. Multivariate analyses revealed that failure was positively associated with therapeutic intervention scoring system (TISS) scores (odds ratio [OR]: 1.814; 95% Confidence Interval [CI]: 1.283–2.563), chronic hemodialysis (OR: 12.264; 95% CI: 8.556–17.580), rapid shallow breathing (RSI) (OR: 2.003; 95% CI: 1.378–2.910), and pre-extubation heart rate (OR: 1.705; 95% CI: 1.173–2.480), but negatively associated with pre-extubation PaO2/FiO2 (OR: 0.529; 95%: 0.370–0.750) and maximum expiratory pressure (MEP) (OR: 0.610; 95% CI: 0.413–0.899). A multilayer perceptron ANN model with 19 neurons in a hidden layer was developed. The overall performance of this model was F1: 0.867, precision: 0.939, and recall: 0.822. The area under the receiver operating characteristic curve (AUC) was 0.85, which is better than any one of the following predictors: TISS: 0.58 (95% CI: 0.54–0.62; p < 0.001); 0.58 (95% CI: 0.53–0.62; p < 0.001); and RSI: 0.54 (95% CI: 0.49–0.58; p = 0.097). Conclusions: The ANN performed well when predicting failed extubation, and it will help predict successful planned extubation.

2019 ◽  
Vol 8 (10) ◽  
pp. 1592 ◽  
Author(s):  
Kyoung Hwa Lee ◽  
Jae June Dong ◽  
Su Jin Jeong ◽  
Myeong-Hun Chae ◽  
Byeong Soo Lee ◽  
...  

An adequate model for predicting bacteraemia has not yet been developed. This study aimed to evaluate the performance of an artificial neural network (ANN)-based prediction model in comparison with previous statistical models. The performance of multi-layer perceptron (MLP), a representative ANN model, was verified via comparison with a non-neural network model. A total of 1260 bacteraemia episodes were identified in 13,402 patients. In MLP with 128 hidden layer nodes, the area under the receiver operating characteristic curve (AUC) of the prediction performance was 0.729 (95% confidence interval [CI]; 0.712–0.728), while in MLP with 256 hidden layer nodes, it was 0.727 (95% CI; 0.713–0.727). In a conventional Bayesian statistical method, the AUC was 0.7. The aforementioned two MLP models exhibited the highest sensitivity (0.810). The ranking of clinical variables was used to describe the influential power of the prediction. Serum alkaline phosphatase was one of the most influential clinical variables, and one-out search was the best ranking method for measuring the influence of the clinical variables. Furthermore, adding variables beyond the 10 top-ranking ones did not significantly affect the prediction of bacteraemia. The ANN model is not inferior to conventional statistical approaches. Bacteraemia can be predicted using only the top 10 clinical variables determined by a ranking method, and the model can be used in clinical practice by applying real-time monitoring.


2019 ◽  
Vol 47 (5) ◽  
pp. 2097-2103
Author(s):  
Wujun Geng ◽  
Hongli Tang ◽  
Apurb Sharma ◽  
Yizhou Zhao ◽  
Ye Yan ◽  
...  

Objective This study was designed to assess clinical predictors of hypoxemia and develop an artificial neural network (ANN) model for prediction of hypoxemia during sedation for gastrointestinal endoscopy examination. Methods A total of 220 patients were enrolled in this prospective observational study. Data on demographics, chronic concomitant disease information, neck circumference, thyromental distance and anaesthetic dose were collected and statistically analysed. Results Univariate analysis indicated that body mass index (BMI), habitual snoring and neck circumference were associated with hypoxemia. An ANN model was developed with three variables (BMI, habitual snoring and neck circumference). The area under the receiver operating characteristic curve for the ANN model was 0.80. Conclusions The ANN model developed here, comprising BMI, habitual snoring and neck circumference, was useful for prediction of hypoxemia during sedation for gastrointestinal endoscopy.


2019 ◽  
Vol 12 (3) ◽  
pp. 248-261
Author(s):  
Baomin Wang ◽  
Xiao Chang

Background: Angular contact ball bearing is an important component of many high-speed rotating mechanical systems. Oil-air lubrication makes it possible for angular contact ball bearing to operate at high speed. So the lubrication state of angular contact ball bearing directly affects the performance of the mechanical systems. However, as bearing rotation speed increases, the temperature rise is still the dominant limiting factor for improving the performance and service life of angular contact ball bearings. Therefore, it is very necessary to predict the temperature rise of angular contact ball bearings lubricated with oil-air. Objective: The purpose of this study is to provide an overview of temperature calculation of bearing from many studies and patents, and propose a new prediction method for temperature rise of angular contact ball bearing. Methods: Based on the artificial neural network and genetic algorithm, a new prediction methodology for bearings temperature rise was proposed which capitalizes on the notion that the temperature rise of oil-air lubricated angular contact ball bearing is generally coupling. The influence factors of temperature rise in high-speed angular contact ball bearings were analyzed through grey relational analysis, and the key influence factors are determined. Combined with Genetic Algorithm (GA), the Artificial Neural Network (ANN) model based on these key influence factors was built up, two groups of experimental data were used to train and validate the ANN model. Results: Compared with the ANN model, the ANN-GA model has shorter training time, higher accuracy and better stability, the output of ANN-GA model shows a good agreement with the experimental data, above 92% of bearing temperature rise under varying conditions can be predicted using the ANNGA model. Conclusion: A new method was proposed to predict the temperature rise of oil-air lubricated angular contact ball bearings based on the artificial neural network and genetic algorithm. The results show that the prediction model has good accuracy, stability and robustness.


Author(s):  
Shu-Farn Tey ◽  
Chung-Feng Liu ◽  
Tsair-Wei Chien ◽  
Chin-Wei Hsu ◽  
Kun-Chen Chan ◽  
...  

Unplanned patient readmission (UPRA) is frequent and costly in healthcare settings. No indicators during hospitalization have been suggested to clinicians as useful for identifying patients at high risk of UPRA. This study aimed to create a prediction model for the early detection of 14-day UPRA of patients with pneumonia. We downloaded the data of patients with pneumonia as the primary disease (e.g., ICD-10:J12*-J18*) at three hospitals in Taiwan from 2016 to 2018. A total of 21,892 cases (1208 (6%) for UPRA) were collected. Two models, namely, artificial neural network (ANN) and convolutional neural network (CNN), were compared using the training (n = 15,324; ≅70%) and test (n = 6568; ≅30%) sets to verify the model accuracy. An app was developed for the prediction and classification of UPRA. We observed that (i) the 17 feature variables extracted in this study yielded a high area under the receiver operating characteristic curve of 0.75 using the ANN model and that (ii) the ANN exhibited better AUC (0.73) than the CNN (0.50), and (iii) a ready and available app for predicting UHA was developed. The app could help clinicians predict UPRA of patients with pneumonia at an early stage and enable them to formulate preparedness plans near or after patient discharge from hospitalization.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Zhonghui Thong ◽  
Jolena Ying Ying Tan ◽  
Eileen Shuzhen Loo ◽  
Yu Wei Phua ◽  
Xavier Liang Shun Chan ◽  
...  

AbstractRegression models are often used to predict age of an individual based on methylation patterns. Artificial neural network (ANN) however was recently shown to be more accurate for age prediction. Additionally, the impact of ethnicity and sex on our previous regression model have not been studied. Furthermore, there is currently no age prediction study investigating the lower limit of input DNA at the bisulfite treatment stage prior to pyrosequencing. Herein, we evaluated both regression and ANN models, and the impact of ethnicity and sex on age prediction for 333 local blood samples using three loci on the pyrosequencing platform. Subsequently, we trained a one locus-based ANN model to reduce the amount of DNA used. We demonstrated that the ANN model has a higher accuracy of age prediction than the regression model. Additionally, we showed that ethnicity did not affect age prediction among local Chinese, Malays and Indians. Although the predicted age of males were marginally overestimated, sex did not impact the accuracy of age prediction. Lastly, we present a one locus, dual CpG model using 25 ng of input DNA that is sufficient for forensic age prediction. In conclusion, the two ANN models validated would be useful for age prediction to provide forensic intelligence leads.


Electronics ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 1448
Author(s):  
Nam-Gyu Lim ◽  
Jae-Yeol Kim ◽  
Seongjun Lee

Battery applications, such as electric vehicles, electric propulsion ships, and energy storage systems, are developing rapidly, and battery management issues are gaining attention. In this application field, a battery system with a high capacity and high power in which numerous battery cells are connected in series and parallel is used. Therefore, research on a battery management system (BMS) to which various algorithms are applied for efficient use and safe operation of batteries is being conducted. In general, maintenance/replacement of multi-series/multiple parallel battery systems is only possible when there is no load current, or the entire system is shut down. However, if the circulating current generated by the voltage difference between the newly added battery and the existing battery pack is less than the allowable current of the system, the new battery can be connected while the system is running, which is called hot swapping. The circulating current generated during the hot-swap operation is determined by the battery’s state of charge (SOC), the parallel configuration of the battery system, temperature, aging, operating point, and differences in the load current. Therefore, since there is a limit to formulating a circulating current that changes in size according to these various conditions, this paper presents a circulating current estimation method, using an artificial neural network (ANN). The ANN model for estimating the hot-swap circulating current is designed for a 1S4P lithium battery pack system, consisting of one series and four parallel cells. The circulating current of the ANN model proposed in this paper is experimentally verified to be able to estimate the actual value within a 6% error range.


2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Abolghasem Daeichian ◽  
Rana Shahramfar ◽  
Elham Heidari

Abstract Lime is a significant material in many industrial processes, including steelmaking by blast furnace. Lime production through rotary kilns is a standard method in industries, yet it has depreciation, high energy consumption, and environmental pollution. A model of the lime production process can help to not only increase our knowledge and awareness but also can help reduce its disadvantages. This paper presents a black-box model by Artificial Neural Network (ANN) for the lime production process considering pre-heater, rotary kiln, and cooler parameters. To this end, actual data are collected from Zobahan Isfahan Steel Company, Iran, which consists of 746 data obtained in a duration of one year. The proposed model considers 23 input variables, predicting the amount of produced lime as an output variable. The ANN parameters such as number of hidden layers, number of neurons in each layer, activation functions, and training algorithm are optimized. Then, the sensitivity of the optimum model to the input variables is investigated. Top-three input variables are selected on the basis of one-group sensitivity analysis and their interactions are studied. Finally, an ANN model is developed considering the top-three most effective input variables. The mean square error of the proposed models with 23 and 3 inputs are equal to 0.000693 and 0.004061, respectively, which shows a high prediction capability of the two proposed models.


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