Data-Driven Strategies for Carbimazole Titration: Exploring Machine Learning Solutions in Hyperthyroidism Control.

BACKGROUND: University Hospitals Dorset (UHD) has over 1,000 thyroid patient contacts annually. These are primarily patients with autoimmune hyperthyroidism treated with Carbimazole titration. Dose adjustments are made by a healthcare professional (HCP) based on the results of thyroid function tests, who then prescribes a dose and communicates this to the patient via letter. This is time-consuming and introduces treatment delays. This study aimed to replace some time-intensive manual dose adjustments with a machine learning model to determine Carbimazole dosing. This can in the future serve patients with rapid and safe dose determination and ease the pressures on HCPs. METHODS: Data from 421 hyperthyroidism patients at UHD were extracted and anonymised. A total of 353 patients (83.85%) were included in the study. Different machine-learning classification algorithms were tested under several data processing regimes. Using an iterative approach, consisting of an initial model selection followed by a feature selection method the performance was improved. Models were evaluated using weighted F1 scores and Brier scores to select the best model with the highest confidence. RESULTS: The best performance is achieved using a random forest (RF) approach, resulting in good average F1 scores of 0.731. A model was selected based on a balanced assessment considering the accuracy of the prediction (F1 = 0.751) and the confidence of the model (Brier score = 0.38). CONCLUSION: To simulate a use-case, the accumulation of the prediction error over time was assessed. It was determined that an improvement in accuracy is expected if this model was to be deployed in practice.

Machine Learning for Understanding and Predicting Injuries in Football.

Attempts to better understand the relationship between training and competition load and injury in football are essential for helping to understand adaptation to training programmes, assessing fatigue and recovery, and minimising the risk of injury and illness. To this end, technological advancements have enabled the collection of multiple points of data for use in analysis and injury prediction. The full breadth of available data has, however, only recently begun to be explored using suitable statistical methods. Advances in automatic and interactive data analysis with the help of machine learning are now being used to better establish the intricacies of the player load and injury relationship. In this article, we examine this recent research, describing the analyses and algorithms used, reporting the key findings, and comparing model fit. To date, the vast array of variables used in analysis as proxy indicators of player load, alongside differences in approach to key aspects of data treatment-such as response to data imbalance, model fitting, and a lack of multi-season data-limit a systematic evaluation of findings and the drawing of a unified conclusion. If, however, the limitations of current studies can be addressed, machine learning has much to offer the field and could in future provide solutions to the training load and injury paradox through enhanced and systematic analysis of athlete data.

Stat-tracks and mediotypes: powerful tools for modern ichnology based on 3D models.

Vertebrate tracks are subject to a wide distribution of morphological types. A single trackmaker may be associated with a range of tracks reflecting individual pedal anatomy and behavioural kinematics mediated through substrate properties which may vary both in space and time. Accordingly, the same trackmaker can leave substantially different morphotypes something which must be considered in creating ichnotaxa. In modern practice this is often captured by the collection of a series of 3D track models. We introduce two concepts to help integrate these 3D models into ichnological analysis procedures. The mediotype is based on the idea of using statistically-generated three-dimensional track models (median or mean) of the type specimens to create a composite track to support formal recognition of a ichno type. A representative track (mean and/or median) is created from a set of individual reference tracks or from multiple examples from one or more trackways. In contrast, stat-tracks refer to other digitally generated tracks which may explore variance. For example, they are useful in: understanding the preservation variability of a given track sample; identifying characteristics or unusual track features; or simply as a quantitative comparison tool. Both concepts assist in making ichnotaxonomical interpretations and we argue that they should become part of the standard procedure when instituting new ichnotaxa. As three-dimensional models start to become a standard in publications on vertebrate ichnology, the mediotype and stat-track concepts have the potential to help guiding a revolution in the study of vertebrate ichnology and ichnotaxonomy.