Most screening tests for T2DM in use today were developed using multivariate regression methods that are often further simplified to allow transformation into a scoring formula. The increasing volume of electronically collected data opened the opportunity to develop more complex, accurate prediction models that can be continuously updated using machine learning approaches. This study compares machine learning-based prediction models (i.e. Glmnet, RF, XGBoost, LightGBM) to commonly used regression models for prediction of undiagnosed T2DM. The performance in prediction of fasting plasma glucose level was measured using 100 bootstrap iterations in different subsets of data simulating new incoming data in 6-month batches. With 6 months of data available, simple regression model performed with the lowest average RMSE of 0.838, followed by RF (0.842), LightGBM (0.846), Glmnet (0.859) and XGBoost (0.881). When more data were added, Glmnet improved with the highest rate (+ 3.4%). The highest level of variable selection stability over time was observed with LightGBM models. Our results show no clinically relevant improvement when more sophisticated prediction models were used. Since higher stability of selected variables over time contributes to simpler interpretation of the models, interpretability and model calibration should also be considered in development of clinical prediction models.

Background/Objectives: Identifying and decomposing compound ingredients within meal plans presents meal customization and nutritional analysis challenges. It is essential for accurately identifying and replacing problematic ingredients linked to allergies or intolerances and helping nutritional evaluation. Methods: This study explored the effectiveness of three large language models (LLMs)—GPT-4o, Llama-3 (70B), and Mixtral (8x7B), in decomposing compound ingredients into basic ingredients within meal plans. GPT-4o was used to generate 15 structured meal plans, each containing compound ingredients. Each LLM then identified and decomposed these compound items into basic ingredients. The decomposed ingredients were matched to entries in a subset of the USDA FoodData Central repository using API-based search and mapping techniques. Nutritional values were retrieved and aggregated to evaluate accuracy of decomposition. Performance was assessed through manual review by nutritionists and quantified using accuracy and F1-score. Statistical significance was tested using paired t-tests or Wilcoxon signed-rank tests based on normality. Results: Results showed that large models—both Llama-3 (70B) and GPT-4o—outperformed Mixtral (8x7B), achieving average F1-scores of 0.894 (95% CI: 0.84–0.95) and 0.842 (95% CI: 0.79–0.89), respectively, compared to an F1-score of 0.690 (95% CI: 0.62–0.76) from Mixtral (8x7B). Conclusions: The open-source Llama-3 (70B) model achieved the best performance, outperforming the commercial GPT-4o model, showing its superior ability to consistently break down compound ingredients into precise quantities within meal plans and illustrating its potential to enhance meal customization and nutritional analysis. These findings underscore the potential role of advanced LLMs in precision nutrition and their application in promoting healthier dietary practices tailored to individual preferences and needs.

Depression is a global concern, with a significant number of people affected worldwide, particularly in low- and middle-income countries. The rising prevalence of depression emphasizes the importance of early detection and understanding the origins of such conditions. This paper proposes a framework for detecting depression using a hybrid visualization approach that combines local and global interpretation. This approach aims to assist in model adaptation, provide insights into patient characteristics, and evaluate prediction model suitability in a different environment. This study utilizes R programming language with the Caret, ggplot2, Plotly, and Dalex libraries for model training, visualization, and interpretation. Data from the NHANES repository was used for secondary data analysis. The NHANES repository is a comprehensive source for examining health and nutrition of individuals in the United States, and covers demographic, dietary, medication use, lifestyle choices, reproductive and mental health data. Penalized logistic regression models were built using NHANES 2015-2018 data, while NHANES 2019-March 2020 data was used for evaluation at the global-specific and local level interpretation. The prediction model that supports this framework achieved an average AUC score of 0.748 (95% CI: 0.743-0.752), with minimal variability in sensitivity and specificity. The built-in prediction model highlights chest pain, the ratio of family income to poverty, and smoking status as crucial features for predicting depressive states in both the original and local environments.

Introduction: Type 2 diabetes mellitus is a major global health concern, but interpreting machine learning models for diagnosis remains challenging. This study investigates combining association rule mining with advanced natural language processing to improve both diagnostic accuracy and interpretability. This novel approach has not been explored before in using pretrained transformers for diabetes classification on tabular data. Methods: The study used the Pima Indians Diabetes dataset to investigate Type 2 diabetes mellitus. Python and Jupyter Notebook were employed for analysis, with the NiaARM framework for association rule mining. LightGBM and the dalex package were used for performance comparison and feature importance analysis, respectively. SHAP was used for local interpretability. OpenAI GPT version 3.5 was utilized for outcome prediction and interpretation. The source code is available on GitHub. Results: NiaARM generated 350 rules to predict diabetes. LightGBM performed better than the GPT-based model. A comparison of GPT and NiaARM rules showed disparities, prompting a similarity score analysis. LightGBM’s decision making leaned heavily on glucose, age, and BMI, as highlighted in feature importance rankings. Beeswarm plots demonstrated how feature values correlate with their influence on diagnosis outcomes. Discussion: Combining association rule mining with GPT for Type 2 diabetes mellitus classification yields limited effectiveness. Enhancements like preprocessing and hyperparameter tuning are required. Interpretation challenges and GPT’s dependency on provided rules indicate the necessity for prompt engineering and similarity score methods. Variations in feature importance rankings underscore the complexity of T2DM. Concerns regarding GPT’s reliability emphasize the importance of iterative approaches for improving prediction accuracy.

Primary care professionals struggle to keep up to date with the latest scientific literature critical in guiding evidence-based practice related to their daily work. To help solve the above-mentioned problem, we employed generative artificial intelligence techniques based on large-scale language models to summarize abstracts of scientific papers. Our objective is to investigate the potential of generative artificial intelligence in diminishing the cognitive load experienced by practitioners, thus exploring its ability to alleviate mental effort and burden. The study participants were provided with two use cases related to preventive care and behavior change, simulating a search for new scientific literature. The study included 113 university students from Slovenia and the United States randomized into three distinct study groups. The first group was assigned to the full abstracts. The second group was assigned to the short abstracts generated by AI. The third group had the option to select a full abstract in addition to the AI-generated short summary. Each use case study included ten retrieved abstracts. Our research demonstrates that the use of generative AI for literature review is efficient and effective. The time needed to answer questions related to the content of abstracts was significantly lower in groups two and three compared to the first group using full abstracts. The results, however, also show significantly lower accuracy in extracted knowledge in cases where full abstract was not available. Such a disruptive technology could significantly reduce the time required for healthcare professionals to keep up with the most recent scientific literature; nevertheless, further developments are needed to help them comprehend the knowledge accurately.