Advancing competitive position in healthcare: a hybrid metaheuristic nutrition decision support system

A fuzzy based dietary clinical decision support system for patients with multiple chronic conditions (MCCs)

Due to the multifaceted nature of Multiple Chronic Conditions (MCCs), setting a diet for these patients is complicated and time-consuming. In this study, a clinical decision support system based on fuzzy logic was modeled and evaluated to aid dietitians in adjusting the diet for patients with MCCs. Mamdani fuzzy logic with 1144 rules was applied to design the model for MCCs patients over 18 years who suffer from one or more chronic diseases, including obesity, diabetes, hypertension, hyperlipidemia, and kidney disease. One hundred nutrition records from three nutrition clinics were employed to measure the system's performance. The findings showed that the diet set by nutritionists had no statistically significant difference from the diet recommended by the fuzzy model (p > 0.05), and there was a strong correlation close to one between them. In addition, the results indicated a suitable model performance with an accuracy of about 97%. This system could adjust the diet with high accuracy as well as humans. In addition, it could increase dietitians' confidence, precision, and speed in setting the diet for MCCs patients.

Detection of pulmonary embolism severity using clinical characteristics, hematological indices, and machine learning techniques

Introduction

Pulmonary embolism (PE) is a cardiopulmonary condition that can be fatal. PE can lead to sudden cardiovascular collapse and is potentially life-threatening, necessitating risk classification to modify therapy following the diagnosis of PE. We collected clinical characteristics, routine blood data, and arterial blood gas analysis data from all 139 patients.

Methods

Combining these data, this paper proposes a PE risk stratified prediction framework based on machine learning technology. An improved algorithm is proposed by adding sobol sequence and black hole mechanism to the cuckoo search algorithm (CS), called SBCS. Based on the coupling of the enhanced algorithm and the kernel extreme learning machine (KELM), a prediction framework is also proposed.

Results

To confirm the overall performance of SBCS, we run benchmark function experiments in this work. The results demonstrate that SBCS has great convergence accuracy and speed. Then, tests based on seven open data sets are carried out in this study to verify the performance of SBCS on the feature selection problem. To further demonstrate the usefulness and applicability of the SBCS-KELM framework, this paper conducts aided diagnosis experiments on PE data collected from the hospital.

Discussion

The experiment findings show that the indicators chosen, such as syncope, systolic blood pressure (SBP), oxygen saturation (SaO2%), white blood cell (WBC), neutrophil percentage (NEUT%), and others, are crucial for the feature selection approach presented in this study to assess the severity of PE. The classification results reveal that the prediction model's accuracy is 99.26% and its sensitivity is 98.57%. It is expected to become a new and accurate method to distinguish the severity of PE.

Design and Implementation of a Graphic Simulator for Calculating the Inverse Kinematics of a Redundant Planar Manipulator Robot

In this paper, a graphics simulator that allows for characterizing the kinematic and dynamic behavior of redundant planar manipulator robots is presented. This graphics simulator is implemented using the Solidworks software and the SimMechanics Toolbox of MATLAB/Simulink. To calculate the inverse kinematics of this type of robot, an algorithm based on the probabilistic method called Simulated Annealing is proposed. By means of this method, it is possible to obtain, among many possibilities, the best solution for inverse kinematics. Without losing generality, the performance of metaheuristic algorithm is tested in a 6-DoF (Degrees of Freedom) virtual robot. The Cartesian coordinates (x,y) of the end effector of the robot under study can be accessed through a graphic interface, thereby automatically calculating its inverse kinematics, and yielding the solution set with the position adopted by each joint for each coordinate entered. Dynamic equations are obtained from the Lagrange–Euler formulation. To generate the joint trajectories, an interpolation method with a third order polynomial is used. The effectiveness of the developed methodologies is verified through computational simulations of a virtual robot.