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Annual turnover of home care workers represents a huge loss of revenue and is a key source of inefficiency in the home health care industry. In this article, we propose a data-driven approach to monitor employee churn and to capture the evolution of employee intent to leave. Unlike most papers in the literature, we use machine learning techniques to analyze over 2 million visits in the US, Canada, and Australia between 2016 and 2019. Results show that the gap between the number of hours worked and in the contract is the most important factor to predict employee intent to leave, which means an employee should be given as many hours as requested in the contract to improve retention. Secondary results show that having diverse shift lengths and continuity in services and patients seem to be associated with less turnover. [ABSTRACT FROM AUTHOR]

Aim: To develop and validate models based on logistic regression and artificial intelligence for prognostic prediction of molar survival in periodontally affected patients. Materials and Methods: Clinical and radiographic data from four different centres across four continents (two in Europe, one in the United States, and one in China) including 515 patients and 3157 molars were collected and used to train and test different types of machine‐learning algorithms for their prognostic ability of molar loss over 10 years. The following models were trained: logistic regression, support vector machine, K‐nearest neighbours, decision tree, random forest, artificial neural network, gradient boosting, and naive Bayes. In addition, different models were aggregated by means of the ensembled stacking method. The primary outcome of the study was related to the prediction of overall molar loss (MLO) in patients after active periodontal treatment. Results: The general performance in the external validation settings (aggregating three cohorts) revealed that the ensembled model, which combined neural network and logistic regression, showed the best performance among the different models for the prediction of MLO with an area under the curve (AUC) = 0.726. The neural network model showed the best AUC of 0.724 for the prediction of periodontitis‐related molar loss. In addition, the ensembled model showed the best calibration performance. Conclusions: Through a multi‐centre collaboration, both prognostic models for the prediction of molar loss were developed and externally validated. The ensembled model showed the best performance in terms of both discrimination and validation, and it is made freely available to clinicians for widespread use in clinical practice. [ABSTRACT FROM AUTHOR]

Background and Objective: Computer-based neurocognitive tests are widely used in sport-related concussion management, but the performance of these tests is not well understood in the participant population with attention-deficit/hyperactivity disorder (ADHD) and/or learning disorder (LD). This research estimates the sensitivity and specificity performance of the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) computer-based neurocognitive test in identifying concussion in this population. Methods: Study participants consisted of collegiate university athletes and military service academy cadets from the National Collegiate Athletic Association-Department of Defense CARE Consortium who completed the ImPACT test between 2014 and 2021. Participants who self-identified as belonging to one of the subgroups of interest (ADHD with or without LD [ADHD:LD+/−], LD with or without ADHD [LD:ADHD+/−], ADHD and/or LD [ADHD a/o LD]) and completed a baseline (1874 ADHD:LD+/−, 779 LD:ADHD+/−, 2338 ADHD a/o LD) or 24–48 h post-concussion (175 ADHD:LD+/−, 77 LD:ADHD+/−, 216 ADHD a/o LD) ImPACT assessment were included. Sensitivity and specificity were calculated using a normative data method and three machine learning classification methods: logistic regression, classification and regression tree, and random forest. Results: Using the four methods, participants with ADHD:LD+/− had sensitivities that ranged from 0.474 to 0.697, and specificities that ranged from 0.538 to 0.686. Participants with LD:ADHD+/− had sensitivities that ranged from 0.455 to 0.688, and specificities that ranged from 0.456 to 0.588. For participants with ADHD a/o LD, sensitivities ranged from 0.542 to 0.755, and specificities ranged from 0.451 to 0.724. Conclusions: For all subgroups and analytical methods, the results illustrate sensitivity and specificity values below typically accepted levels indicative of clinical utility. These findings support that using ImPACT alone may be insufficient to inform concussion diagnoses and encourages the use of a multi-dimensional concussion assessment. [ABSTRACT FROM AUTHOR]

Natural streams longitudinal dispersion coefficient (Kx) is an essential indicator for pollutants transport and its determination is very important. Kx is influenced by several parameters, including river hydraulic geometry, sediment properties, and other morphological characteristics, and thus its calculation is a highly complex engineering problem. In this research, three relatively explored machine learning (ML) models, including Random Forest (RF), Gradient Boosting Decision Tree (GTB), and XGboost-Grid, were proposed for the Kx determination. The modeling scheme on building the prediction matrix was adopted from the well-established literature. Several input combinations were tested for better predictability performance for the Kx. The modeling performance was tested based on the data division for the training and testing (70–30% and 80–20%). Based on the attained modeling results, XGboost-Grid reported the best prediction results over the training and testing phase compared to RF and GTB models. The development of the newly established machine learning model revealed an excellent computed-aided technology for the Kx simulation. [ABSTRACT FROM AUTHOR]

Approximately seven years of daily initializations from the convection-allowing National Severe Storms Laboratory Weather Research and Forecasting Model are used as inputs to train random forest (RF) machine learning models to probabilistically predict instances of excessive rainfall. Unlike other hazards, excessive rainfall does not have an accepted definition, so multiple definitions of excessive rainfall and flash flooding—including flash flood reports and 24-h average recurrence intervals (ARIs)—are used to explore RF configuration forecast sensitivities. RF forecasts are analogous to operational Weather Prediction Center (WPC) day-1 Excessive Rainfall Outlooks (EROs) and their resolution, reliability, and skill are strongly influenced by rainfall definitions and how inputs are assembled for training. Models trained with 1-yr ARI exceedances defined by the Stage-IV (ST4) precipitation analysis perform poorly in the northern Great Plains and Southwest United States, in part due to a high bias in the number of training events in these regions. Increasing the ARI threshold to 2 years or removing ST4 data from training, optimizing forecast skill geographically, and spatially averaging meteorological inputs for training generally results in improved CONUS-wide RF forecast skill. Both EROs and RF forecasts have seasonal skill—–poor forecasts in the late fall and winter and skillful forecasts in the summer and early fall. However, the EROs are consistently and significantly better than their RF counterparts, regardless of RF configuration, particularly in the summer months. The results suggest careful consideration should be made when developing ML-based probabilistic precipitation forecasts with convection-allowing model inputs, and further development is necessary to consider these forecast products for operational implementation. Significance Statement: Machine learning (ML) models can deduce statistical relationships between a set of predictors and meteorological events. In this work, ML models are developed to predict excessive rainfall events. Since excessive rainfall is difficult to uniformly define across the United States, multiple ML models are built from a variety of rainfall datasets with predictors gathered from output of a high-resolution numerical weather prediction model and forecasts are made from each model. Forecasts made from these models are highly sensitive to both the definitions of excessive rainfall (e.g., 100 mm of rain in a day may cause flooding in a usually dry area, but not in a wet area) and the predictors used. Forecast skill can increase when excessive rainfall events are rarer and when predictors synthesize the surrounding environment rather than characterize specific geographical points. ML-based models have great potential for excessive rainfall prediction, but careful attention to the configuration of these models is required. [ABSTRACT FROM AUTHOR]