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1.
J Environ Manage ; 362: 121253, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38823294

RESUMO

Carbon trading is one of the pivotal means of carbon emission reduction. Accurate prediction of carbon prices can stabilize the carbon market, mitigate investment risks, and promote green development. In this study, firstly, the IVMD and ICEEMDAN are used to decompose carbon price quadratically; secondly, the Dispersion entropy is used to identify the sequence frequency, and then the SOA-LSSVM model and TCN model are used to predict the high-frequency and low-frequency sequences, respectively; finally, the prediction results are integrated by SOA-GRU. As a result, the hybrid IVMD-ICEEMDAN-SOALSSVM/TCN-SOAGRU model was constructed. This framework consistently performs best under two carbon markets, the CEEX Guangzhou and the EU ETS, compared with 21 comparative models, with MAPEs of 0.42% and 0.83%, respectively. The main contributions are as follows: (1) A novel IVMD-ICEEMDAN secondary decomposition method is proposed, which improves the problem of poorly determining the value of the decomposition modal number K in the traditional VMD method and improves the efficiency of the carbon price sequence decomposition. (2) A hybrid forecasting model of LSSVM and TCN is proposed, effectively capturing the features of different sequences. (3) Optimization for LSSVM and GRU using SOA improves the stability and adaptability of the model. The article provides governments, enterprises, and investors with novel and effective carbon price forecasting tool.


Assuntos
Carbono , Previsões , Modelos Teóricos , Comércio
2.
Hum Resour Health ; 22(1): 44, 2024 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-38918801

RESUMO

BACKGROUND: Despite the significance of demand forecasting accuracy for the registered nurse (RN) workforce, few studies have evaluated past forecasts. PURPOSE: This paper examined the ex post accuracy of past forecasting studies focusing on RN demand and explored its determinants on the accuracy of demand forecasts. METHODS: Data were collected by systematically reviewing national reports or articles on RN demand forecasts. The mean absolute percentage error (MAPE) was measured for forecasting error by comparing the forecast with the actual demand (employed RNs). Nonparametric tests, the Mann‒Whitney test, and the Kruskal‒Wallis test were used to analyze the differences in the MAPE according to the variables, which are methodological and researcher factors. RESULTS: A total of 105 forecast horizons and 196 forecasts were analyzed. The average MAPE of the total forecast horizon was 34.8%. Among the methodological factors, the most common determinant affecting forecast accuracy was the RN productivity assumption. The longer the length of the forecast horizon was, the greater the MAPE was. The longer the length of the data period was, the greater the MAPE was. Moreover, there was no significant difference among the researchers' factors. CONCLUSIONS: To improve demand forecast accuracy, future studies need to accurately measure RN workload and productivity in a manner consistent with the real world.


Assuntos
Previsões , Enfermeiras e Enfermeiros , Carga de Trabalho , Humanos , República da Coreia , Carga de Trabalho/estatística & dados numéricos , Enfermeiras e Enfermeiros/provisão & distribuição , Enfermeiras e Enfermeiros/estatística & dados numéricos , Necessidades e Demandas de Serviços de Saúde , Eficiência
3.
Entropy (Basel) ; 26(6)2024 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-38920487

RESUMO

The complexity in stock index futures markets, influenced by the intricate interplay of human behavior, is characterized as nonlinearity and dynamism, contributing to significant uncertainty in long-term price forecasting. While machine learning models have demonstrated their efficacy in stock price forecasting, they rely solely on historical price data, which, given the inherent volatility and dynamic nature of financial markets, are insufficient to address the complexity and uncertainty in long-term forecasting due to the limited connection between historical and forecasting prices. This paper introduces a pioneering approach that integrates financial theory with advanced deep learning methods to enhance predictive accuracy and risk management in China's stock index futures market. The SF-Transformer model, combining spot-forward parity and the Transformer model, is proposed to improve forecasting accuracy across short and long-term horizons. Formulated upon the arbitrage-free futures pricing model, the spot-forward parity model offers variables such as stock index price, risk-free rate, and stock index dividend yield for forecasting. Our insight is that the mutual information generated by these variables has the potential to significantly reduce uncertainty in long-term forecasting. A case study on predicting major stock index futures prices in China demonstrates the superiority of the SF-Transformer model over models based on LSTM, MLP, and the stock index futures arbitrage-free pricing model, covering both short and long-term forecasting up to 28 days. Unlike existing machine learning models, the Transformer processes entire time series concurrently, leveraging its attention mechanism to discern intricate dependencies and capture long-range relationships, thereby offering a holistic understanding of time series data. An enhancement of mutual information is observed after introducing spot-forward parity in the forecasting. The variation of mutual information and ablation study results highlights the significant contributions of spot-forward parity, particularly to the long-term forecasting. Overall, these findings highlight the SF-Transformer model's efficacy in leveraging spot-forward parity for reducing uncertainty and advancing robust and comprehensive approaches in long-term stock index futures price forecasting.

4.
Heliyon ; 10(11): e31604, 2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38867967

RESUMO

Modeling the behavior of stock price data has always been one of the challenging applications of Artificial Intelligence (AI) and Machine Learning (ML) due to its high complexity and dependence on various conditions. Recent studies show that this will be difficult to do with just one learning model. The problem can be more complex for companies in the construction sector, due to the dependency of their behavior on more conditions. This study aims to provide a hybrid model for improving the accuracy of prediction for the stock price index of companies in the construction section. The contribution of this paper can be considered as follows: First, a combination of several prediction models is used to predict stock prices so that learning models can cover each other's errors. In this research, an ensemble model based on Artificial Neural Network (ANN), Gaussian Process Regression (GPR), and Classification and Regression Tree (CART) is presented for predicting the stock price index. Second, the optimization technique is used to determine the effect of each learning model on the prediction result. For this purpose, first, all three mentioned algorithms process the data simultaneously and perform the prediction operation. Then, using the Cuckoo Search (CS) algorithm, the output weight of each algorithm is determined as a coefficient. Finally, using the ensemble technique, these results are combined and the final output is generated through weighted averaging on optimal coefficients. The proposed system was implemented, and its efficiency was evaluated by real stock data of construction companies. The results showed that using CS optimization in the proposed ensemble system is highly effective in reducing prediction error. According to the results, the proposed system can predict the price index with an average accuracy of 96.6 %, which shows a reduction of at least 2.4 % in prediction error compared to the previous methods. Comparing the evaluation results of the proposed system with similar algorithms indicates that our model is more accurate and can be useful for predicting the stock price index in real-world scenarios.

5.
Environ Sci Pollut Res Int ; 31(30): 42719-42749, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38879646

RESUMO

Accurately predicting potential evapotranspiration (PET) is crucial in water resource management, agricultural planning, and climate change studies. This research aims to investigate the performance of two machine learning methods, the adaptive network-based fuzzy inference system (ANFIS) and the deep belief network (DBN), in forecasting PET, as well as to explore the potential of hybridizing the ANFIS approach with the Snake Optimizer (ANFIS-SO) algorithm. The study utilized a comprehensive dataset spanning the period from 1983 to 2020. The ANFIS, ANFIS-SO, and DBN models were developed, and their performances were evaluated using statistical metrics, including R2, R adj 2 , NSE, WI, STD, and RMSE. The results showcase the exceptional performance of the DBN model, which achieved R2 and R adj 2 values of 0.99 and NSE and WI scores of 0.99 across the nine stations analyzed. In contrast, the standard ANFIS method exhibited relatively weaker performance, with R2 and R adj 2 values ranging from 0.52 to 0.88. However, the ANFIS-SO approach demonstrated a substantial improvement, with R2 and R adj 2 values ranging from 0.94 to 0.99, suggesting the value of optimization techniques in enhancing the model's capabilities. The Taylor diagram and violin plots with box plots further corroborated the comparative analysis, highlighting the DBN model's superior ability to closely match the observed standard deviation and correlation and its consistent and low-variance predictions. The ANFIS-SO method also exhibited enhanced performance in these visual representations, with an RMSE of 0.86, compared to 0.95 for the standard ANFIS. The insights gained from this study can inform the selection of the most appropriate modeling technique, whether it be the high-precision DBN, the flexible ANFIS, or the optimized ANFIS-SO approach, based on the specific requirements and constraints of the application.


Assuntos
Algoritmos , Lógica Fuzzy , Heurística , Mudança Climática , Aprendizado de Máquina , Modelos Teóricos , Redes Neurais de Computação
6.
J Appl Stat ; 51(9): 1818-1841, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38933138

RESUMO

Modeling and accurately forecasting trend and seasonal patterns of a time series is a crucial activity in economics. The main propose of this study is to evaluate and compare the performance of three traditional forecasting methods, namely the ARIMA models and their extensions, the classical decomposition time series associated with multiple linear regression models with correlated errors, and the Holt-Winters method. These methodologies are applied to retail time series from seven different European countries that present strong trend and seasonal fluctuations. In general, the results indicate that all the forecasting models somehow follow the seasonal pattern exhibited in the data. Based on mean squared error (MSE), root mean squared error (RMSE), mean absolute percentage error (MAPE), mean absolute scaled error (MASE) and U-Theil statistic, the results demonstrate the superiority of the ARIMA model over the other two forecasting approaches. Holt-Winters method also produces accurate forecasts, so it is considered a viable alternative to ARIMA. The performance of the forecasting methods in terms of coverage rates matches the results for accuracy measures.

7.
J Infect Public Health ; 17(6): 1125-1133, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38723322

RESUMO

BACKGROUND: During the COVID-19 pandemic, analytics and predictive models built on regional data provided timely, accurate monitoring of epidemiological behavior, informing critical planning and decision-making for health system leaders. At Atrium Health, a large, integrated healthcare system in the southeastern United States, a team of statisticians and physicians created a comprehensive forecast and monitoring program that leveraged an array of statistical methods. METHODS: The program utilized the following methodological approaches: (i) exploratory graphics, including time plots of epidemiological metrics with smoothers; (ii) infection prevalence forecasting using a Bayesian epidemiological model with time-varying infection rate; (iii) doubling and halving times computed using changepoints in local linear trend; (iv) death monitoring using combination forecasting with an ensemble of models; (v) effective reproduction number estimation with a Bayesian approach; (vi) COVID-19 patients hospital census monitored via time series models; and (vii) quantified forecast performance. RESULTS: A consolidated forecast and monitoring report was produced weekly and proved to be an effective, vital source of information and guidance as the healthcare system navigated the inherent uncertainty of the pandemic. Forecasts provided accurate and precise information that informed critical decisions on resource planning, bed capacity and staffing management, and infection prevention strategies. CONCLUSIONS: In this paper, we have presented the framework used in our epidemiological forecast and monitoring program at Atrium Health, as well as provided recommendations for implementation by other healthcare systems and institutions to facilitate use in future pandemics.


Assuntos
Teorema de Bayes , COVID-19 , COVID-19/epidemiologia , COVID-19/prevenção & controle , Humanos , Atenção à Saúde/organização & administração , Previsões/métodos , SARS-CoV-2 , Pandemias , Monitoramento Epidemiológico , Modelos Estatísticos
8.
Heliyon ; 10(9): e29582, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38699015

RESUMO

The advent of the Internet of Things (IoT) has accelerated the pace of economic development across all sectors. However, it has also brought significant challenges to traditional human resource management, revealing an increasing number of problems and making it unable to meet the needs of contemporary enterprise management. The IoT has brought numerous conveniences to human society, but it has also led to security issues in communication networks. To ensure the security of these networks, it is necessary to integrate data-driven technologies to address this issue. In response to the current state of human resource management, this paper proposes the application of IoT technology in enterprise human resource management and combines it with radial basis function neural networks to construct a model for predicting enterprise human resource needs. The model was also experimentally analyzed. The results show that under this algorithm, the average prediction accuracy for the number of employees over five years is 90.2 %, and the average prediction accuracy for sales revenue is 93.9 %. These data indicate that the prediction accuracy of the model under this study's algorithm has significantly improved. This paper also conducted evaluation experiments on a wireless communication network security risk prediction model. The average prediction accuracy of four tests is 91.21 %, indicating that the model has high prediction accuracy. By introducing data-driven technology and IoT applications, this study provides new solutions for human resource management and communication network security, promoting technological innovation in the fields of traditional human resource management and information security management. The research not only improves the accuracy of the prediction models but also provides strong support for decision-making and risk management in related fields, demonstrating the great potential of big data and artificial intelligence technology in the future of enterprise management and security.

9.
Hum Resour Health ; 22(1): 25, 2024 Apr 17.
Artigo em Inglês | MEDLINE | ID: mdl-38632567

RESUMO

BACKGROUND: Health workforce projection models are integral components of a robust healthcare system. This research aims to review recent advancements in methodology and approaches for health workforce projection models and proposes a set of good practice reporting guidelines. METHODS: We conducted a systematic review by searching medical and social science databases, including PubMed, EMBASE, Scopus, and EconLit, covering the period from 2010 to 2023. The inclusion criteria encompassed studies projecting the demand for and supply of the health workforce. PROSPERO registration: CRD 42023407858. RESULTS: Our review identified 40 relevant studies, including 39 single countries analysis (in Australia, Canada, Germany, Ghana, Guinea, Ireland, Jamaica, Japan, Kazakhstan, Korea, Lesotho, Malawi, New Zealand, Portugal, Saudi Arabia, Serbia, Singapore, Spain, Thailand, UK, United States), and one multiple country analysis (in 32 OECD countries). Recent studies have increasingly embraced a complex systems approach in health workforce modelling, incorporating demand, supply, and demand-supply gap analyses. The review identified at least eight distinct types of health workforce projection models commonly used in recent literature: population-to-provider ratio models (n = 7), utilization models (n = 10), needs-based models (n = 25), skill-mixed models (n = 5), stock-and-flow models (n = 40), agent-based simulation models (n = 3), system dynamic models (n = 7), and budgetary models (n = 5). Each model has unique assumptions, strengths, and limitations, with practitioners often combining these models. Furthermore, we found seven statistical approaches used in health workforce projection models: arithmetic calculation, optimization, time-series analysis, econometrics regression modelling, microsimulation, cohort-based simulation, and feedback causal loop analysis. Workforce projection often relies on imperfect data with limited granularity at the local level. Existing studies lack standardization in reporting their methods. In response, we propose a good practice reporting guideline for health workforce projection models designed to accommodate various model types, emerging methodologies, and increased utilization of advanced statistical techniques to address uncertainties and data requirements. CONCLUSIONS: This study underscores the significance of dynamic, multi-professional, team-based, refined demand, supply, and budget impact analyses supported by robust health workforce data intelligence. The suggested best-practice reporting guidelines aim to assist researchers who publish health workforce studies in peer-reviewed journals. Nevertheless, it is expected that these reporting standards will prove valuable for analysts when designing their own analysis, encouraging a more comprehensive and transparent approach to health workforce projection modelling.

10.
Foods ; 13(8)2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38672875

RESUMO

China is a major player in the marine fish trade. The price prediction of marine fish is of great significance to socio-economic development and the fisheries industry. However, due to the complexity and uncertainty of the marine fish market, traditional forecasting methods often struggle to accurately predict price fluctuations. Therefore, this study adopts an intelligent combination model to enhance the accuracy of food product price prediction. Firstly, three decomposition methods, namely empirical wavelet transform, singular spectrum analysis, and variational mode decomposition, are applied to decompose complex original price series. Secondly, a combination of bidirectional long short-term memory artificial neural network, extreme learning machine, and exponential smoothing prediction methods are applied to the decomposed results for cross-prediction. Subsequently, the predicted results are input into the PSO-CS intelligence algorithm for weight allocation and to generate combined prediction results. Empirical analysis is conducted using data illustrating the daily sea purchase price of larimichthys crocea in Ningde City, Fujian Province, China. The combination prediction accuracy with PSO-CS weight allocation is found to be higher than that of single model predictions, yielding superior results. With the implementation of weight allocation intelligent combinatorial modelling, the prediction of marine fish prices demonstrates higher accuracy and stability, enabling better adaptation to market changes and price fluctuations.

11.
J Water Health ; 22(4): 639-651, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38678419

RESUMO

Stream flow forecasting is a crucial aspect of hydrology and water resource management. This study explores stream flow forecasting using two distinct models: the Soil and Water Assessment Tool (SWAT) and a hybrid M5P model tree. The research specifically targets the daily stream flow predictions at the MH Halli gauge stations, located along the Hemvati River in Karnataka, India. A 14-year dataset spanning from 2003 to 2017 is divided into two subsets for model calibration and validation. The SWAT model's performance is evaluated by comparing its predictions to observed stream flow data. Residual time series values resulting from this comparison are then resolved using the M5P model tree. The findings reveal that the hybrid M5P tree model surpasses the SWAT model in terms of various evaluation metrics, including root-mean-square error, coefficient of determination (R2), Nash-Sutcliffe efficiency, and degree of agreement (d) for the MH Halli stations. In conclusion, this study shows the effectiveness of the hybrid M5P tree model in stream flow forecasting. The research contributes valuable insights into improved water resource management and underscores the importance of selecting appropriate models based on their performance and suitability for specific hydrological forecasting tasks.


Assuntos
Modelos Teóricos , Chuva , Índia , Rios , Movimentos da Água , Hidrologia , Monitoramento Ambiental/métodos , Previsões
12.
Heliyon ; 10(5): e26335, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38449637

RESUMO

Short-term prices prediction is a crucial task for participants in the electricity market, as it enables them to optimize their bidding strategies and mitigate risks. However, the price signal is subject to various factors, including supply, demand, weather conditions, and renewable energy sources, resulting in high volatility and nonlinearity. In this study, a novel approach is introduced that combines Artificial Neural Networks (ANN) with a newly developed Snake Optimization Algorithm (SOA) to forecast short-term price signals in the Nord Pool market. The snake optimization algorithm is utilized to optimize both the structure and weights of the neural network, as well as to select relevant input data based on the similarity of price curves and wind production. To evaluate the effectiveness of the proposed technique, experiments have been conducted using data from two regions of the Nord Pool market, namely DK-1 and SE-1, across different seasons and time horizons. The results demonstrate that the proposed technique surpasses two alternative methods based on Particle Swarm Optimization (PSO) and Genetic Algorithms-based Neural Network (PSOGANN) and Gravitational Search Optimization Algorithm-based Neural Network (GSONN), exhibiting superior accuracy and minimal error rates in short-term price prediction. The results show that the average MAPE index of the proposed technique for the DK-1 region is 3.1292%, which is 32.5% lower than the PSOGA method and 47.1% lower than the GSONN method. For the SE-1 region, the average MAPE index of the proposed technique is 2.7621%, which is 40.4% lower than the PSOGA method and 64.7% lower than the GSONN method. Consequently, the proposed technique holds significant potential as a valuable tool for market participants to enhance their decision-making and planning activities.

13.
Comp Migr Stud ; 12(1): 18, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38549877

RESUMO

This study examines the potential economic and labour market impacts of a hypothetical but plausible migration scenario of 250,000 new migrants inspired by Austria's experience in 2015. Using the agent-based macroeconomic model developed by Poledna et al. (Eur Econ Rev, 151:104306, 2023. 10.1016/j.euroecorev.2022.104306, the study explores the detailed labour market outcomes for different groups in Austria's population and the macroeconomic effects of the migration scenario. The analysis suggests that Austria's economy and labour market have the potential to be resilient to the simulated migration influx. The results indicate a positive impact on GDP due to increased aggregate consumption and investment. The labour market experiences an increase in the unemployment rates of natives and previous migrants. In some industries, the increase in the unemployment rates is more significant, potentially indicating competition among different groups of migrants. This research provides insights for policymakers and stakeholders in Austria and other countries that may face the challenge of managing large-scale migration in the near future. Supplementary Information: The online version contains supplementary material available at 10.1186/s40878-024-00374-3.

14.
Entropy (Basel) ; 26(3)2024 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-38539689

RESUMO

Since financial assets on stock exchanges were created, investors have sought to predict their future values. Currently, cryptocurrencies are also seen as assets. Machine learning is increasingly adopted to assist and automate investments. The main objective of this paper is to make daily predictions about the movement direction of financial time series through classification models, financial time series preprocessing methods, and feature selection with genetic algorithms. The target time series are Bitcoin, Ibovespa, and Vale. The methodology of this paper includes the following steps: collecting time series of financial assets; data preprocessing; feature selection with genetic algorithms; and the training and testing of machine learning models. The results were obtained by evaluating the models with the area under the ROC curve metric. For the best prediction models for Bitcoin, Ibovespa, and Vale, values of 0.61, 0.62, and 0.58 were obtained, respectively. In conclusion, the feature selection allowed the improvement of performance in most models, and the input series in the form of percentage variation obtained a good performance, although it was composed of fewer attributes in relation to the other sets tested.

15.
Sci Prog ; 107(1): 368504241236557, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38490223

RESUMO

We introduce a comprehensive analysis of several approaches used in stock price forecasting, including statistical, machine learning, and deep learning models. The advantages and limitations of these models are discussed to provide an insight into stock price forecasting. Traditional statistical methods, such as the autoregressive integrated moving average and its variants, are recognized for their efficiency, but they also have some limitations in addressing non-linear problems and providing long-term forecasts. Machine learning approaches, including algorithms such as artificial neural networks and random forests, are praised for their ability to grasp non-linear information without depending on stochastic data or economic theory. Moreover, deep learning approaches, such as convolutional neural networks and recurrent neural networks, can deal with complex patterns in stock prices. Additionally, this study further investigates hybrid models, combining various approaches to explore their strengths and counterbalance individual weaknesses, thereby enhancing predictive accuracy. By presenting a detailed review of various studies and methods, this study illuminates the direction of stock price forecasting and highlights potential approaches for further studies refining the stock price forecasting models.

16.
Demography ; 61(2): 439-462, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38482996

RESUMO

Estimation and prediction of subnational mortality rates for small areas are essential planning tools for studying health inequalities. Standard methods do not perform well when data are noisy, a typical behavior of subnational datasets. Thus, reliable estimates are difficult to obtain. I present a Bayesian hierarchical model framework for prediction of mortality rates at a small or subnational level. By combining ideas from demography and epidemiology, the classical mortality modeling framework is extended to include an additional spatial component capturing regional heterogeneity. Information is pooled across neighboring regions and smoothed over time and age. To make predictions more robust and address the issue of model selection, a Bayesian version of stacking is considered using leave-future-out validation. I apply this method to forecast mortality rates for 96 regions in Bavaria, Germany, disaggregated by age and sex. Uncertainty surrounding the forecasts is provided in terms of prediction intervals. Using posterior predictive checks, I show that the models capture the essential features and are suitable to forecast the data at hand. On held-out data, my predictions outperform those of standard models lacking a regional component.


Assuntos
Teorema de Bayes , Humanos , Previsões , Alemanha/epidemiologia
17.
Sci Rep ; 14(1): 5287, 2024 03 04.
Artigo em Inglês | MEDLINE | ID: mdl-38438528

RESUMO

In this paper, NeuralProphet (NP), an explainable hybrid modular framework, enhances the forecasting performance of pandemics by adding two neural network modules; auto-regressor (AR) and lagged-regressor (LR). An advanced deep auto-regressor neural network (Deep-AR-Net) model is employed to implement these two modules. The enhanced NP is optimized via AdamW and Huber loss function to perform multivariate multi-step forecasting contrast to Prophet. The models are validated with COVID-19 time-series datasets. The NP's efficiency is studied component-wise for a long-term forecast for India and an overall reduction of 60.36% and individually 34.7% by AR-module, 53.4% by LR-module in MASE compared to Prophet. The Deep-AR-Net model reduces the forecasting error of NP for all five countries, on average, by 49.21% and 46.07% for short-and-long-term, respectively. The visualizations confirm that forecasting curves are closer to the actual cases but significantly different from Prophet. Hence, it can develop a real-time decision-making system for highly infectious diseases.


Assuntos
COVID-19 , Pandemias , Humanos , COVID-19/epidemiologia , Sistemas Computacionais , Instalações de Saúde , Índia/epidemiologia
18.
Eur J Prev Cardiol ; 2024 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-38547043

RESUMO

AIMS: The efficacy of a healthy lifestyle in secondary prevention of cardiovascular disease (CVD) is well established and a first-line recommendation in CVD prevention guidelines. The aim of this study was to assess if they are also cost-effective in patients with established CVD. METHODS: A cost-utility analysis (CUA) was performed comparing a combined Mediterranean diet and physical activity intervention to usual care in CVD patients. The CUA had a healthcare perspective and lifetime horizon. Costs and utilities were estimated using a microsimulation on a cohort of 100,000 CVD patients sampled from the UCC-SMART study (N = 8,947, mean age 62 ±8.7 years and 74% male). Cost-effectiveness was expressed as incrementalcost-effectiveness ratio (ICER), incremental net health benefit (INHB) and incremental net monetary benefit (INMB). RESULTS: Mediterranean diet and physical activity yielded 2.0 incremental quality-adjusted life years (QALYs) and cost reductions of €1,236 per person compared to usual care, resulting in an ICER of €-626/QALY (95%CI -1,929 to 2,673). At a willingness-to-pay of €20,000/QALY, INHB was 2.04 (95%CI 0.99-3.58) QALY and INMB was €40,757 (95%CI 19,819-71,605). The interventions remained cost-effective in a wide range of sensitivity analyses, including worst-case scenarios and scenarios with reimbursement for food and physical activity costs. CONCLUSION: In patients with established CVD, a combined Mediterranean diet and physical activity intervention was cost-saving and highly cost-effective compared to usual care. These findings strongly advocate for the incorporation of lifestyle interventions as integral components of care for all CVD patients.


Lifestyle optimization, including physical activity and healthy diet, is a central recommendation for preventing recurrent cardiovascular events. In this study, we assessed if improving physical activity habits and adherence to a heart-healthy Mediterranean diet would also be a cost-effective option. The results were remarkable - following the Mediterranean diet and engaging in physical activity was expected to result in an increase of 2.0 quality-adjusted life years (QALYs, equal to a life year in perfect health) and cost savings. This means that lifestyle optimization in secondary CVD prevention improves population health, while reducing overall health care costs. These findings underscore the importance of implementing lifestyle changes in the care for all individuals with CVD. A health lifestyle is not only effective in improving health but also a prudent financial decision. Key messages  A combined Mediterranean diet and physical activity intervention is expected to result in two additional QALYs and three additional life years free of recurrent cardiovascular events per patient with with established CVDTargeting a healthy lifestyle is expected to lead to costs savings compared to usual care, due to the low costs of the intervention and the high efficacy in preventing recurrent cardiovascular events.Lifestyle optimization in secondary CVD prevention was shown to result in a dominant incremental cost-effectiveness ratio (ICER) of €-626/QALY, which strongly advocates for healthy policy targeted at implementing lifestyle interventions in regular care for CVD patients.

19.
Heliyon ; 10(4): e26037, 2024 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-38375301

RESUMO

Over time, the change in the inflation rate causes cost overruns by deviating the prices of goods and services in construction projects that require practitioners to make budgeting revisions. Hence, this study aims to develop a construction rates forecasting model that can incorporate the changing impact of the inflation rate on construction rates and predict the prices in a particular year, which can be adjusted when developing the Bill of Quantities. Following the time series analysis standards, a mathematical model was developed using MATLAB for forecasting. Construction rates, building prices, labour wages and machinery rates were forecasted from 2020 to 2025 based on the data collected from 2013 to 2019. Akaike information criterion was used to validate the self-developed construction rate forecasting model. It was revealed that the model yielded better results when the construction rates were compared with the autoregressive integrated moving average time series model results. The rates forecasting model may be used for any construction project where rates are affected by the inflation effect.

20.
Environ Sci Pollut Res Int ; 31(11): 16530-16553, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38321281

RESUMO

Forecasting China's carbon price accurately can encourage investors and manufacturing industries to take quantitative investments and emission reduction decisions effectively. The inspiration for this paper is developing an error-corrected carbon price forecasting model integrated fuzzy dispersion entropy and deep learning paradigm, named ICEEMDAN-FDE-VMD-PSO-LSTM-EC. Initially, the improved complete ensemble empirical mode decomposition with adaptive noise (ICEEMDAN) is used to primary decompose the original carbon price. Subsequently, the fuzzy dispersion entropy (FDE) is conducted to identify the high-complexity signals. Thirdly, the variational mode decomposition (VMD) and deep learning paradigm of particle swarm optimized long short-term memory (PSO-LSTM) models are employed to secondary decompose the high-complexity signals and perform out-of-sample forecasting. Finally, the error-corrected (EC) method is conducted to re-modify and strengthen the above-predicted accuracy. The results conclude that the forecasting performance of ICEEMDAN-type secondary decomposition models is significantly better than the primary decomposition models, the deep learning PSO-LSTM-type models have superiority in forecasting China carbon price, and the EC method for improving the forecasting accuracy has been proved. Noteworthy, the proposed model presents the best forecasting accuracy, with the forecasting errors RMSE, MAE, MAPE, and Pearson's correlation are 0.0877, 0.0407, 0.0009, and 0.9998, respectively. Especially, the long-term forecasting ability for 750 consecutive trading prices is outstanding. Those conclusions contribute to judging the carbon price characteristics and formulating market regulations.


Assuntos
Aprendizado Profundo , Entropia , Carbono , China , Investimentos em Saúde , Previsões
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