ABSTRACT
Complement inhibition has shown promise in various disorders, including COVID-19. A prediction tool including complement genetic variants is vital. This study aims to identify crucial complement-related variants and determine an optimal pattern for accurate disease outcome prediction. Genetic data from 204 COVID-19 patients hospitalized between April 2020 and April 2021 at three referral centres were analysed using an artificial intelligence-based algorithm to predict disease outcome (ICU vs. non-ICU admission). A recently introduced alpha-index identified the 30 most predictive genetic variants. DERGA algorithm, which employs multiple classification algorithms, determined the optimal pattern of these key variants, resulting in 97% accuracy for predicting disease outcome. Individual variations ranged from 40 to 161 variants per patient, with 977 total variants detected. This study demonstrates the utility of alpha-index in ranking a substantial number of genetic variants. This approach enables the implementation of well-established classification algorithms that effectively determine the relevance of genetic variants in predicting outcomes with high accuracy.
Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , COVID-19/genetics , Artificial Intelligence , AlgorithmsABSTRACT
We aimed to develop a prediction model for intensive care unit (ICU) hospitalization of Coronavirus disease-19 (COVID-19) patients using artificial neural networks (ANN). We assessed 25 laboratory parameters at first from 248 consecutive adult COVID-19 patients for database creation, training, and development of ANN models. We developed a new alpha-index to assess association of each parameter with outcome. We used 166 records for training of computational simulations (training), 41 for documentation of computational simulations (validation), and 41 for reliability check of computational simulations (testing). The first five laboratory indices ranked by importance were Neutrophil-to-lymphocyte ratio, Lactate Dehydrogenase, Fibrinogen, Albumin, and D-Dimers. The best ANN based on these indices achieved accuracy 95.97%, precision 90.63%, sensitivity 93.55%. and F1-score 92.06%, verified in the validation cohort. Our preliminary findings reveal for the first time an ANN to predict ICU hospitalization accurately and early, using only 5 easily accessible laboratory indices.
Subject(s)
COVID-19 , Adult , Humans , Artificial Intelligence , Reproducibility of Results , Neural Networks, Computer , Intensive Care UnitsABSTRACT
There is an unmet need of models for early prediction of morbidity and mortality of Coronavirus disease-19 (COVID-19). We aimed to a) identify complement-related genetic variants associated with the clinical outcomes of ICU hospitalization and death, b) develop an artificial neural network (ANN) predicting these outcomes and c) validate whether complement-related variants are associated with an impaired complement phenotype. We prospectively recruited consecutive adult patients of Caucasian origin, hospitalized due to COVID-19. Through targeted next-generation sequencing, we identified variants in complement factor H/CFH, CFB, CFH-related, CFD, CD55, C3, C5, CFI, CD46, thrombomodulin/THBD, and A Disintegrin and Metalloproteinase with Thrombospondin motifs (ADAMTS13). Among 381 variants in 133 patients, we identified 5 critical variants associated with severe COVID-19: rs2547438 (C3), rs2250656 (C3), rs1042580 (THBD), rs800292 (CFH) and rs414628 (CFHR1). Using age, gender and presence or absence of each variant, we developed an ANN predicting morbidity and mortality in 89.47% of the examined population. Furthermore, THBD and C3a levels were significantly increased in severe COVID-19 patients and those harbouring relevant variants. Thus, we reveal for the first time an ANN accurately predicting ICU hospitalization and death in COVID-19 patients, based on genetic variants in complement genes, age and gender. Importantly, we confirm that genetic dysregulation is associated with impaired complement phenotype.
Subject(s)
COVID-19/genetics , COVID-19/mortality , Neural Networks, Computer , COVID-19/epidemiology , Complement Activation/genetics , Complement Factor H/genetics , Complement System Proteins/genetics , Female , Greece/epidemiology , Hospitalization/statistics & numerical data , Humans , Intensive Care Units/statistics & numerical data , Male , Middle Aged , Models, Genetic , Morbidity , Polymorphism, Single Nucleotide , Thrombomodulin/geneticsABSTRACT
Recent studies suggest excessive complement activation in severe coronavirus disease-19 (COVID-19). The latter shares common characteristics with complement-mediated thrombotic microangiopathy (TMA). We hypothesized that genetic susceptibility would be evident in patients with severe COVID-19 (similar to TMA) and associated with disease severity. We analyzed genetic and clinical data from 97 patients hospitalized for COVID-19. Through targeted next-generation-sequencing we found an ADAMTS13 variant in 49 patients, along with two risk factor variants (C3, 21 patients; CFH,34 patients). 31 (32%) patients had a combination of these, which was independently associated with ICU hospitalization (p = 0.022). Analysis of almost infinite variant combinations showed that patients with rs1042580 in thrombomodulin and without rs800292 in complement factor H did not require ICU hospitalization. We also observed gender differences in ADAMTS13 and complement-related variants. In light of encouraging results by complement inhibitors, our study highlights a patient population that might benefit from early initiation of specific treatment.
Subject(s)
ADAMTS13 Protein/genetics , COVID-19/genetics , Complement C3/genetics , Genetic Predisposition to Disease/genetics , Thrombomodulin/genetics , Aged , Algorithms , COVID-19/physiopathology , Complement Activation , Complement Factor H/genetics , Critical Care , Female , Genetic Testing , High-Throughput Nucleotide Sequencing , Hospitalization/statistics & numerical data , Humans , Intensive Care Units , Male , Middle Aged , Risk Factors , Severity of Illness Index , Thrombotic Microangiopathies/geneticsABSTRACT
This work presents a soft-sensor approach for estimating critical mechanical properties of sandcrete materials. Feed-forward (FF) artificial neural network (ANN) models are employed for building soft-sensors able to predict the 28-day compressive strength and the modulus of elasticity of sandcrete materials. To this end, a new normalization technique for the pre-processing of data is proposed. The comparison of the derived results with the available experimental data demonstrates the capability of FF ANNs to predict with pinpoint accuracy the mechanical properties of sandcrete materials. Furthermore, the proposed normalization technique has been proven effective and robust compared to other normalization techniques available in the literature.
ABSTRACT
The progression of optical materials and their associated applications necessitates a profound comprehension of their optical characteristics, with the Judd-Ofelt (JO) theory commonly employed for this purpose. However, the computation of JO parameters (Ω2, Ω4, Ω6) entails wide experimental and theoretical endeavors, rendering traditional calculations often impractical. To address these challenges, the correlations between JO parameters and the bulk matrix composition within a series of Rare-Earth ions doped sulfophosphate glass systems were explored in this research. In this regard, a novel soft computing technique named genetic expression programming (GEP) was employed to derive formulations for JO parameters and bulk matrix composition. The predictor variables integrated into the formulations consist of JO parameters. This investigation demonstrates the potential of GEP as a practical tool for defining functions and classifying important factors to predict JO parameters. Thus, precise characterization of such materials becomes crucial with minimal or no reliance on experimental work.
ABSTRACT
The unconfined compressive strength (UCS) of intact rocks is crucial for engineering applications, but traditional laboratory testing is often impractical, especially for historic buildings lacking sufficient core samples. Non-destructive tests like the Schmidt hammer rebound number and compressional wave velocity offer solutions, but correlating these with UCS requires complex mathematical models. This paper introduces a novel approach using an artificial neural network (ANN) to simultaneously correlate UCS with three non-destructive test indexes: Schmidt hammer rebound number, compressional wave velocity, and open-effective porosity. The proposed ANN model outperforms existing methods, providing accurate UCS predictions for various rock types. Contour maps generated from the model offer practical tools for geotechnical and geological engineers, facilitating decision-making in the field and enhancing educational resources. This integrated approach promises to streamline UCS estimation, improving efficiency and accuracy in engineering assessments of intact rock materials.
ABSTRACT
It is important to determine the risk for admission to the intensive care unit (ICU) in patients with COVID-19 presenting at the emergency department. Using artificial neural networks, we propose a new Data Ensemble Refinement Greedy Algorithm (DERGA) based on 15 easily accessible hematological indices. A database of 1596 patients with COVID-19 was used; it was divided into 1257 training datasets (80 % of the database) for training the algorithms and 339 testing datasets (20 % of the database) to check the reliability of the algorithms. The optimal combination of hematological indicators that gives the best prediction consists of only four hematological indicators as follows: neutrophil-to-lymphocyte ratio (NLR), lactate dehydrogenase, ferritin, and albumin. The best prediction corresponds to a particularly high accuracy of 97.12 %. In conclusion, our novel approach provides a robust model based only on basic hematological parameters for predicting the risk for ICU admission and optimize COVID-19 patient management in the clinical practice.
Subject(s)
Algorithms , COVID-19 , Intensive Care Units , Machine Learning , Severity of Illness Index , Humans , COVID-19/diagnosis , COVID-19/blood , Male , Female , Middle Aged , Prognosis , Aged , SARS-CoV-2 , Ferritins/blood , Neural Networks, Computer , Neutrophils , Adult , L-Lactate Dehydrogenase/bloodABSTRACT
BACKGROUND: The study aimed to determine the most crucial parameters associated with CVD and employ a novel data ensemble refinement procedure to uncover the optimal pattern of these parameters that can result in a high prediction accuracy. METHODS AND RESULTS: Data were collected from 369 patients in total, 281 patients with CVD or at risk of developing it, compared to 88 otherwise healthy individuals. Within the group of 281 CVD or at-risk patients, 53 were diagnosed with coronary artery disease (CAD), 16 with end-stage renal disease, 47 newly diagnosed with diabetes mellitus 2 and 92 with chronic inflammatory disorders (21 rheumatoid arthritis, 41 psoriasis, 30 angiitis). The data were analyzed using an artificial intelligence-based algorithm with the primary objective of identifying the optimal pattern of parameters that define CVD. The study highlights the effectiveness of a six-parameter combination in discerning the likelihood of cardiovascular disease using DERGA and Extra Trees algorithms. These parameters, ranked in order of importance, include Platelet-derived Microvesicles (PMV), hypertension, age, smoking, dyslipidemia, and Body Mass Index (BMI). Endothelial and erythrocyte MVs, along with diabetes were the least important predictors. In addition, the highest prediction accuracy achieved is 98.64%. Notably, using PMVs alone yields a 91.32% accuracy, while the optimal model employing all ten parameters, yields a prediction accuracy of 0.9783 (97.83%). CONCLUSIONS: Our research showcases the efficacy of DERGA, an innovative data ensemble refinement greedy algorithm. DERGA accelerates the assessment of an individual's risk of developing CVD, allowing for early diagnosis, significantly reduces the number of required lab tests and optimizes resource utilization. Additionally, it assists in identifying the optimal parameters critical for assessing CVD susceptibility, thereby enhancing our understanding of the underlying mechanisms.
Subject(s)
Algorithms , Cardiovascular Diseases , Humans , Cardiovascular Diseases/epidemiology , Cardiovascular Diseases/diagnosis , Male , Female , Middle Aged , Aged , AdultABSTRACT
The California Bearing Ratio (CBR) is an important index for evaluating the bearing capacity of pavement subgrade materials. In this research, random subspace optimization-based hybrid computing models were trained and developed for the prediction of the CBR of soil. Three models were developed, namely reduced error pruning trees (REPTs), random subsurface-based REPT (RSS-REPT), and RSS-based extra tree (RSS-ET). An experimental database was compiled from a total of 214 soil samples, which were classified according to AASHTO M 145, and included 26 samples of A-2-6 (clayey gravel and sand soil), 3 samples of A-4 (silty soil), 89 samples of A-6 (clayey soil), and 96 samples of A-7-6 (clayey soil). All CBR tests were performed in soaked conditions. The input parameters of the models included the particle size distribution, gravel content (G), coarse sand content (CS), fine sand content (FS), silt clay content (SC), organic content (O), liquid limit (LL), plastic limit (PL), plasticity index (PI), optimum moisture content (OMC), and maximum dry density (MDD). The accuracy of the developed models was assessed using numerous performance indexes, such as the coefficient of determination, relative error, MAE, and RMSE. The results show that the highest prediction accuracy was obtained using the RSS-based extra tree optimization technique.
ABSTRACT
When designing flat slabs made of steel fiber-reinforced concrete (SFRC), it is very important to predict their punching shear capacity accurately. The use of machine learning seems to be a great way to improve the accuracy of empirical equations currently used in this field. Accordingly, this study utilized tree predictive models (i.e., random forest (RF), random tree (RT), and classification and regression trees (CART)) as well as a novel feature selection (FS) technique to introduce a new model capable of estimating the punching shear capacity of the SFRC flat slabs. Furthermore, to automatically create the structure of the predictive models, the current study employed a sequential algorithm of the FS model. In order to perform the training stage for the proposed models, a dataset consisting of 140 samples with six influential components (i.e., the depth of the slab, the effective depth of the slab, the length of the column, the compressive strength of the concrete, the reinforcement ratio, and the fiber volume) were collected from the relevant literature. Afterward, the sequential FS models were trained and verified using the above-mentioned database. To evaluate the accuracy of the proposed models for both testing and training datasets, various statistical indices, including the coefficient of determination (R2) and root mean square error (RMSE), were utilized. The results obtained from the experiments indicated that the FS-RT model outperformed FS-RF and FS-CART models in terms of prediction accuracy. The range of R2 and RMSE values were obtained as 0.9476-0.9831 and 14.4965-24.9310, respectively; in this regard, the FS-RT hybrid technique demonstrated the best performance. It was concluded that the three hybrid techniques proposed in this paper, i.e., FS-RT, FS-RF, and FS-CART, could be applied to predicting SFRC flat slabs.
ABSTRACT
During the last decades eco-friendly, low-cost, sustainable construction materials for utilization in civil engineering projects have attracted much attention. To this end, soilcretes are non-conventional construction materials produced by mixing natural soil such as natural clay or limestone sand with a hydraulic binder and are recently under detailed and in-depth investigation by many researchers. In this paper the results of the physical and mechanical characteristics of a large set of cylindrical specimens under uniaxial compression, are presented. Specifically, two types of soils such as sand and clay with metakaolin as a mineral additive have been used. This database can be extremely valuable for better understanding of the behavior of soilcrete materials. Furthermore, the results presented herein expected to be of great interest for researchers who deal with the prediction of mechanical properties of materials using soft computing techniques such as artificial intelligence (AI) techniques.
ABSTRACT
Masonry structures are complex systems that require detailed knowledge and information regarding their response under seismic excitations. Appropriate modelling of a masonry structure is a prerequisite for a reliable earthquake-resistant design and/or assessment. However, modelling a real structure with a robust quantitative (mathematical) representation is a very difficult, complex and computationally-demanding task. The paper herein presents a new stochastic computational framework for earthquake-resistant design of masonry structural systems. The proposed framework is based on the probabilistic behavior of crucial parameters, such as material strength and seismic characteristics, and utilizes fragility analysis based on different failure criteria for the masonry material. The application of the proposed methodology is illustrated in the case of a historical and monumental masonry structure, namely the assessment of the seismic vulnerability of the Kaisariani Monastery, a byzantine church that was built in Athens, Greece, at the end of the 11th to the beginning of the 12th century. Useful conclusions are drawn regarding the effectiveness of the intervention techniques used for the reduction of the vulnerability of the case-study structure, by means of comparison of the results obtained.
ABSTRACT
The fundamental period of vibration appears to be one of the most critical parameters for the seismic design of buildings because it strongly affects the destructive impact of the seismic forces. In this article, important research data (entitled FP4026 Research Database (Fundamental Period-4026 cases of infilled frames) based on a detailed and in-depth analytical research on the fundamental period of reinforced concrete structures is presented. In particular, the values of the fundamental period which have been analytically determined are presented, taking into account the majority of the involved parameters. This database can be extremely valuable for the development of new code proposals for the estimation of the fundamental period of reinforced concrete structures fully or partially infilled with masonry walls.
ABSTRACT
The fundamental period is one of the most critical parameters for the seismic design of structures. There are several literature approaches for its estimation which often conflict with each other, making their use questionable. Furthermore, the majority of these approaches do not take into account the presence of infill walls into the structure despite the fact that infill walls increase the stiffness and mass of structure leading to significant changes in the fundamental period. In the present paper, artificial neural networks (ANNs) are used to predict the fundamental period of infilled reinforced concrete (RC) structures. For the training and the validation of the ANN, a large data set is used based on a detailed investigation of the parameters that affect the fundamental period of RC structures. The comparison of the predicted values with analytical ones indicates the potential of using ANNs for the prediction of the fundamental period of infilled RC frame structures taking into account the crucial parameters that influence its value.