Hepatitis B is a potentially deadly liver infection caused by the hepatitis B virus. It is a serious public health problem globally. Substantial efforts have been made to apply machine learning in detecting the virus. However, the application of model interpretability is limited in the existing literature. Model interpretability makes it easier for humans to understand and trust the machine-learning model. Therefore, in this study, we used SHapley Additive exPlanations (SHAP), a game-based theoretical approach to explain and visualize the predictions of machine learning models applied for hepatitis B diagnosis. The algorithms used in building the models include decision tree, logistic regression, support vector machines, random forest, adaptive boosting (AdaBoost), and extreme gradient boosting (XGBoost), and they achieved balanced accuracies of 75%, 82%, 75%, 86%, 92%, and 90%, respectively. Meanwhile, the SHAP values showed that bilirubin is the most significant feature contributing to a higher mortality rate. Consequently, older patients are more likely to die with elevated bilirubin levels. The outcome of this study can aid health practitioners and health policymakers in explaining the result of machine learning models for health-related problems.
14 August 2020 in Advances in Difference Equations
In this work, we formulate and analyze a new mathematical model for COVID-19 epidemic with isolated class in fractional order. This model is described by a system of fractional-order differential equations model and includes five classes, namely, S (susceptible class), E (exposed class), I (infected class), Q (isolated class), and R (recovered class). Dynamics and numerical approximations for the proposed fractional-order model are studied. Firstly, positivity and boundedness of the model are established. Secondly, the basic reproduction number of the model is calculated by using the next generation matrix approach. Then, asymptotic stability of the model is investigated. Lastly, we apply the adaptive predictor–corrector algorithm and fourth-order Runge–Kutta (RK4) method to simulate the proposed model. Consequently, a set of numerical simulations are performed to support the validity of the theoretical results. The numerical simulations indicate that there is a good agreement between theoretical results and numerical ones.
6 July 2022 in Journal of Applied Mathematics and Computing
Diabetic ketoacidosis (DKA) is a serious complication that affects millions of individuals globally and presents significant health complications. Hyperchloremia, an electrolyte imbalance characterized by high levels of chloride in the blood, may result in gastrointestinal problems, kidney damage, and even death, especially in DKA patients. Early detection and treatment of hyperchloremia are of utmost importance in the management of DKA. This study explores the potential of the bootstrap aggregating ensemble with random subspaces machine learning approach to predict the occurrence of hyperchloremia, providing a basis for early intervention and improved patient outcomes. We tested our approach with the retrospective MIMIC-III database containing 1177 DKA patients and compared it with previous studies with an area under the curve (AUC) of 100%. Our approach showed significant performance outperforming other methods. The combination of this approach may enhance the early detection and timely intervention of hyperchloremia cases, ultimately leading to improved patient outcomes and a more effective management of DKA-associated complications. Our work aims to contribute to the development of decision support tools for healthcare professionals, assisting them in making informed decisions for DKA patients, with a focus on preventing and managing hyperchloremia.
We extend the nonstandard finite difference method of solution to the study of pharmacokinetic–pharmacodynamic models. Pharmacokinetic (PK) models are commonly used to predict drug concentrations that drive controlled intravenous (I.V.) transfers (or infusion and oral transfers) while pharmacokinetic and pharmacodynamic (PD) interaction models are used to provide predictions of drug concentrations affecting the response of these clinical drugs. We structure a nonstandard finite difference (NSFD) scheme for the relevant system of equations which models this pharamcokinetic process. We compare the results obtained to standard methods. The scheme is dynamically consistent and reliable in replicating complex dynamic properties of the relevant continuous models for varying step sizes. This study provides assistance in understanding the long-term behavior of the drug in the system, and validation of the efficiency of the nonstandard finite difference scheme as the method of choice.
The motivation for this study is to introduce and motivate the use of nonstandard finite difference (NSFD) schemes, capable of solving one-compartment pharmacokinetic models. These models are modeled by both linear and nonlinear ordinary differential equations. “Exact” finite difference schemes, which are a special NSFD, are provided for the linear models while we apply the NSFD rules, based on Mickens’ idea of transferring nonlinear models into discrete schemes. The method used was compared with other established methods to verify its efficiency and accuracy. One-compartment pharmacokinetic models are considered for different routes of administration: I.V. bolus injection, I.V. bolus infusion and extravascular administration.