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Background: In hospital management, pinpointing steps that most enhance operating room (OR) throughput is challenging. While prior literature has utilized discrete event simulation (DES) to study specific strategies such as scheduling and resource allocation, our study examines an earlier planning phase, assessing all workflow stages to determine the most impactful steps for subsequent strategy development. Methods: DES models real‐world systems by simulating sequential events. We constructed a DES model for thoracic, gastrointestinal, and orthopedic surgeries summarized from a tertiary Chinese hospital. The model covers preoperative preparations, OR occupation, and OR preparation. Parameters were sourced from patient data and staff experience. Model outcome is OR throughput. Post‐validation, scenario analyses were conducted for each department, including: (1) improving preoperative patient preparation time; (2) increasing PACU beds; (3) improving OR preparation time; (4) use of new equipment to reduce the operative time of a selected surgery type; three levels of improvement (slight, moderate, large) were investigated. Results: The first three improvement scenarios resulted in a 1%–5% increase in OR throughput across the three departments. Large reductions in operative time of the selected surgery types led to approximately 12%, 33%, and 38% increases in gastrointestinal, thoracic, and orthopedic surgery throughput, respectively. Moderate reductions resulted in 6%–17% increases in throughput and slight reductions of 1%–7%. Conclusions: The model could reliably reflect OR workflows of the three departments. Among the options investigated, model simulations suggest that improving OR preparation time and operative time are the most effective. [ABSTRACT FROM AUTHOR]

The National Institute of Metrology, China, successfully organized the 10th International Comparison of Absolute Gravimeters in its Changping Campus in 2017 (ICAG-2017). The ICAG-2017 is registered as the CCM.G-K2.2017 Key Comparison (KC) and Pilot Study (PS) in the frame of CIPM Mutual Recognition Arrangement of the International Committee for Weights and Measures (CIPM-MRA). KC instrument belongs to an institute of National Metrology Institutes (NMIs) or its Designated Institute (DIs). PS instrument belongs to an institute that is not listed as NMI or DI. The comparison allows the determination of the degree of equivalence of national standards for free-fall acceleration measurement and ensures the consistency of the participating results with their declared uncertainties. This is the first time that such a comparison has been organized outside of the European continent and establishes a new absolute gravimeter international comparison site in China. With the participation of 13 KC gravimeters, it is also the largest comparison up to now. In parallel, a pilot study was also conducted which allowed the participation of 17 PS gravimeters including several atomic gravimeters. For the KC part of ICAG-2017, the results have already been published on "Metrologia" (Volume 57,07,002). This paper presents the results of the PS part of ICAG-2017 in which 15 of the 17 gravimeters are in equivalence. [ABSTRACT FROM AUTHOR]

Bioinorganic chemistry is found as a sizzling field in today's era. It deals with chemistry amongst the heavy metals with natural resources, i.e., air, soil, water, plant byproducts (foods), and environmental essences. The aim of this research is to determine the concentration of heavy metals present in the food waste water sample and to study the environmental effects of metal ion concentration. To conduct the research work, the physicochemical parameters and levels of five heavy metals of food waste water samples were collected from five sampling points of renowned hotels, restaurants, canteens, and confectionaries of a state of India and assessed using the standard analytical procedure. Sampling was carried out from January 2017 up to December 2017. The physicochemical parameters were determined such as pH, temperature, turbidity, conductivity, total dissolved solids, total suspended solids, total alkalinity, biological oxygen demand, chemical oxygen demand, dissolved oxygen, total organic carbon, sulphate, nitrate, and phosphate. The heavy metal concentration was determined by using the UV-spectrophotometer, and the results were compared with the standards prescribed by the WHO, BIS, ICMR, and municipal authorities. The results obtained in the physicochemical analysis revealed that a few parameters were found beyond limits, and the metal ion concentration (iron and zinc) results were found above the permissible limits set by the CPCB (Central Pollution Control Board), ICMR, BIS, and World Health Organization (WHO), most especially, effluent from point P 1. It was concluded that all the effluents required further treatment before releasing them into the water body or land to prevent pollution. The obtained results reveal that waste water used for irrigation and farming of nearby areas and water drained from restaurant kitchens were considerably polluted and not suitable for aquatic organisms, irrigation, and agricultural purposes. [ABSTRACT FROM AUTHOR]

Sensitivity toward humidity, response and recovery time, and reproducibility behaviors of a novel copolymer sensor, obtained by oxidative chemical polymerization of o-phenylenediamine and aniline using D-camphor-10-sulfonic acid dopant, were reported. It is a novel copolymer, and there are very few studies available concerning its synthesis and humidity sensing applications. Humidity-sensitive properties of the copolymer were tested by measuring the resistance of the fabricated films, and good humidity sensitivity was obtained. Moreover, a decrease in resistance with the increase in humidity was observed. Compared to polyaniline (PANI), the humidity sensing property of the copolymer was found to show quicker response and recovery time, higher reproducibility, and higher sensitivity. However, PANI alone exhibited relatively poor sensing property. The response time for the copolymer films at the relative humidity ranging from 11 to 97% was about 38 s, and the corresponding recovery time was about 11 s. The value of sensitivity was about 10. These results indicate excellent sensing character of the new type of copolymer humidity sensors. The obtained sensor is expected to exhibit good humidity sensing behavior in moisture-containing environment. [ABSTRACT FROM AUTHOR]

Background: The growing demand for electrophysiology (EP) treatment in China presents a challenge for current EP care delivery systems. This study constructed a discrete event simulation (DES) model of an inpatient EP care delivery process, simulating a generalized inpatient journey of EP patients from admission to discharge in the cardiology department of a tertiary hospital in China. The model shows how many more patients the system can serve under different resource constraints by optimizing various phases of the care delivery process. Methods: Model inputs were based on and validated using real-world data, simulating the scheduling of limited resources among competing demands from different patient types. The patient stay consists of three stages, namely: the pre-operative stay, the EP procedure, and the post-operative stay. The model outcome was the total number of discharges during the simulation period. The scenario analysis presented in this paper covers two capacity-limiting scenarios (CLS): (1) fully occupied ward beds and (2) fully occupied electrophysiology laboratories (EP labs). Within each CLS, we investigated potential throughput when the length of stay or operative time was reduced by 10%, 20%, and 30%. The reductions were applied to patients with atrial fibrillation, the most common indication accounting for almost 30% of patients. Results: Model validation showed simulation results approximated actual data (137.2 discharges calculated vs. 137 observed). With fully occupied wards, reducing pre- and/or post-operative stay time resulted in a 1–7% increased throughput. With fully occupied EP labs, reduced operative time increased throughput by 3–12%. Conclusions: Model validation and scenario analyses demonstrated that the DES model reliably reflects the EP care delivery process. Simulations identified which phases of the process should be optimized under different resource constraints, and the expected increases in patients served. [ABSTRACT FROM AUTHOR]

Abstract: Sulfonated poly(p-phenylene)s (SPPs) containing sulfonic acid groups in their side chains had been directly synthesized by Ni(0) catalytic coupling of sodium 3-(2,5-dichlorobenzoyl)benzenesulfonate and 2,5-dichlorobenzophenone. The synthesized copolymers possessed high molecular weights revealed by their high viscosity, and the formation of tough and flexible membranes by casting from DMAc solution. The copolymers exhibited excellent oxidative stability and mechanical properties due to their fully aromatic structure extending through the backbone and pendent groups. Transmission electron microscopic (TEM) analysis revealed that these side-chain type SPP membranes have a microphase-separated structure composed of hydrophilic side-chain domains and hydrophobic polyphenylene main chain domains. The proton conductivities of copolymer membranes increased with the increase of IEC and temperature, reaching values above 3.4×10−1 S/cm at 120°C, which are almost 2–3 times higher than that of Nafion 117 at the same measurement conditions. Consequently, these materials proved to be promising as proton exchange membranes. [Copyright &y& Elsevier]

Abstract: Copoly(phenylene-imide)s were synthesized by Ni(0)-catalyzed coupling of aromatic dichlorides containing imide structure and 2,5-dichlorobenzophenone. The route offered the flexibility of incorporating different ratios of benzophenone and imide groups in the polymer backbone in a controlled manner. The resulting copolymers exhibited high molecular weights (high inherent viscosity), and a combination of desirable properties such as good solubility in dipolar aprotic solvents and cresols, film-forming capability and good mechanical properties. Wide-angle X-ray diffractograms revealed that the polymers were amorphous. These copolymers had glass transition temperatures between 209 and 319°C and 10% weight loss temperatures in the range of 502–543°C in nitrogen atmosphere. The tough polymer films, obtained by casting from N-methylpyrrolidone solution, had a tensile strength range of 83–156MPa and a tensile modulus range of 1.6–3.6GPa. [Copyright &y& Elsevier]

A new high-performance material, poly(sulfone-imide) was prepared by Ni(0)-catalyzed coupling of aromatic dichlorides containing imide structure and 4,4''-dichlorodiphenylsulfone. The copolymers were produced with high yield and moderate to high inherent viscosities of 0.52–1.13 dL/g. Wide-angle X-ray diffractograms revealed that the polymers were amorphous. Most of the polymers exhibited good solubility and could be readily dissolved in various solvents such as N-methyl-2-pyrrolidinone(NMP) and N,N-dimethylacetamide (DMAc). These polysulfone-imides had glass-transition temperatures between 317 and 345 °C and 10% weight loss temperatures in the range of 450–476 °C in nitrogen atmosphere. The tough polymer films, obtained by casting from cresol solution, had a tensile strength range of 21–158 MPa and a tensile modulus range of 2.1–3.3 GPa. [Copyright &y& Elsevier]

Osteomyelitis, a grave deep tissue infection primarily caused by Staphylococcus aureus , results in serious complications such as abscesses and sepsis. With the incidence from open fractures exceeding 30 % and prevalent antibiotic resistance due to extensive treatment regimens, there's an urgent need for innovative, antibiotic-free strategies. Photothermal therapy (PTT) and photodynamic therapy (PDT) renowned for generating localized reactive oxygen species (ROS), face limitations in penetration depth. To overcome this, our method combines the deep penetration attributes of medical microwaves (MW) with the synergistic effects of the ZnO/ZrO 2 solid solution. Comprehensive in vitro and in vivo evaluations showcased the solid-solution's potent antibacterial efficacy and biocompatibility. The ZnO/ZrO 2 solid solution, especially in a 7:3 M ratio, manifests superior microstructural characteristics, optimizing MW-assisted therapy. Our findings highlight the potential of this integrated strategy as a promising avenue in osteomyelitis management. [Display omitted] • The ZnO/ZrO 2 (7:3) solid solution, showing largest surface area, good solid solution degree and more surface Ov. • The ZnO/ZrO 2 solid solution exhibited high bactericidal efficiency under MW-induced thermal and dynamic effects. • ZnO/ZrO 2 solid solution has commendable biocompatibility. [ABSTRACT FROM AUTHOR]

Many efforts have been taken in recent years to push atomic gravimeters toward practical applications. We demonstrate an atomic gravimeter named NIM-AGRb2 that is transportable and suitable for high-precision gravity measurements. Constraint-structured active vibration isolation (CS-AVI) is used to reduce the ground vibration noise. The constraint structure in CS-AVI ensures that the isolation platform only has vertical translation, with all other degrees of freedom (DoFs) being constrained. Therefore, the stability of active vibration isolation is enhanced. With the implementation of CS-AVI, the sensitivity of NIM-AGRb2 reached as low as 20.5 μGal/Hz1/2. The short-term sensitivity could be further reduced to 10.8 μGal/Hz1/2 in a seismologic observation station. Moreover, we evaluated the system noise of the gravimeter, and the results were consistent with our observations. [ABSTRACT FROM AUTHOR]

Premature ovarian failure (POF) caused by chemotherapy is a growing concern for female reproductive health. The use of metformin (MET), which has anti-oxidative and anti-inflammatory effects, in the treatment of POF damaged by chemotherapy drugs remains unclear. In this study, we investigated the impact of MET on POF caused by cyclophosphamide (CTX) combined with busulfan (BUS) and M1 macrophages using POF model mice and primary granule cells (GCs). Our findings demonstrate that intragastric administration of MET ameliorates ovarian damage and alleviates hormonal disruption in chemotherapy-induced POF mice. This effect is achieved through the reduction of inflammatory and oxidative stress-related harm. Additionally, MET significantly relieves abnormal inflammatory response, ROS accumulation, and senescence in primary GCs co-cultured with M1 macrophages. We also observed that this protective role of MET is closely associated with the AMPK/PPAR-γ/SIRT1 pathway in cell models. In conclusion, our results suggest that MET can protect against chemotherapy-induced ovarian injury by inducing the expression of the AMPK pathway while reducing oxidative damage and inflammation. [ABSTRACT FROM AUTHOR]

Objective. To discover the effect of propofol intravenous anesthesia along with press-needle therapy on analgesic effect during painless abortion. Methods. A total of 128 cases who experienced painless abortion in our hospital from January 2019 to August 2021 were recruited as the research subjects. They were categorized into control and observation groups through the haphazard number table approach, with 64 patients in each group. Propofol intravenous anesthesia was given to the control group, and the observation group was given combined anesthesia with press-needle on this basis. Ramsay score, hemodynamic indexes, operation-related indexes, and postoperative recovery were studied between the two groups before anesthesia (T0), at the time of uterine aspiration (T1), promptly following the operation (T2), and at the recovery time of directional force (T3). The stress state and the level of pain mediators in the two groups of sufferers were observed at each time period, and the visual analogue scale (VAS) was employed to assess the degree of postoperative uterine contraction pain. Results. Ramsay score at T1 and T2 time points in observation group was lesser than that in control group (P < 0.05). There existed no meaningful discrepancies in operation time and recovery time between both groups (P > 0.05). The total dosage of propofol in the observation group was lesser compared to that in the control group, and the recovery time of directional force was much shorter compared to that in the control group (P < 0.05). There existed no meaningful discrepancies in perioperative diastolic blood pressure (DBP), systolic blood pressure (SBP), and heart rate (HR) between both groups (P > 0.05). The levels of norepinephrine (NE), cortisol (Cor), glucose (GLU) and substance P (SP), prostaglandin E2 (PGE2), and 5-hydroxytryptophan (5-HT) in the observation group were lesser than those in the control group immediately after surgery and 24 hours following the operation (P < 0.05). There existed no meaningful discrepancies in vaginal bleeding time, endometrial thickness 3 weeks after operation, and time to start menstruating between both groups (P > 0.05). The score of VAS for the observation group was lesser than that of the control group at 10 min and 30 min after operation (P < 0.05). There existed no substantial discrepancy in the incidence of negative reactions between both groups (P > 0.05). Conclusion. Propofol intravenous anesthesia combined with press-needle therapy can ameliorate the analgesic impacts during painless abortion, reduce postoperative uterine contraction pain, inhibit the release of postoperative pain mediators, and improve the stress state of the body. [ABSTRACT FROM AUTHOR]

Adoptive T cell therapy has undergone remarkable advancements in recent decades; nevertheless, the rapid and effective ex vivo expansion of tumor-reactive T cells remains a formidable challenge, limiting their clinical application. Artificial antigen-presenting substrates represent a promising avenue for enhancing the efficiency of adoptive immunotherapy and fostering T cell expansion. These substrates offer significant potential by providing flexibility and modularity in the design of tailored stimulatory environments. Polydimethylsiloxane (PDMS) silicone elastomer stands as a widely utilized biomaterial for exploring the varying sensitivity of T cell activation to substrate properties. This paper explores the optimization of PDMS surface modification and formulation to create customized stimulatory surfaces with the goal of enhancing T cell expansion. By employing soft PDMS elastomer functionalized through silanization and activating agent, coupled with site-directed protein immobilization techniques, a novel T cell stimulatory platform is introduced, facilitating T cell activation and proliferation. Notably, our findings underscore that softer modified elastomers (Young' modulus E∼300 kPa) exhibit superior efficacy in stimulating and activating mouse CD4+ T cells compared to their stiffer counterparts (E∼3 MPa). Furthermore, softened modified PDMS substrates demonstrate enhanced capabilities in T cell expansion and Th1 differentiation, offering promising insights for the advancement of T cell-based immunotherapy. [Display omitted] • Chemically modified layers and Protein A enhance antibody density and stability. • Softer elastomers better stimulate CD4+ T cells compared to stiffer ones. • Softened PDMS substrates enhance T cell expansion and Th1 differentiation. • Study shows surface chemistry and mechanical cues influence T cell behavior. [ABSTRACT FROM AUTHOR]

• High expression of ALDH3A2 leads to poor prognosis of ovarian cancer. • ALDH3A2 inhibits ferroptosis in ovarian cancer. • ALDH3A2 knockout decreased intracellular GSH content in ovarian cancer cells. Ovarian cancer (OC) is a malignant gynecologic tumor with high morbidity and mortality. As a newly discovered mode of programmed cell death, ferroptosis has been involved in various pathological processes of kinds of tumors in recent years. Aldehyde dehydrogenase 3 family member A2 (ALDH3A2) catalyzes the oxidation of long-chain aliphatic aldehydes to fatty acid. ALDH3A2 has been shown to be associated with ferroptosis in acute myeloid leukemia (AML), but the mechanism remains unclear. In this study, we analyzed the TCGA and GTEx databases and showed that high ALDH3A2 expression predicted poor prognosis in ovarian cancer. Further studies found that knockout or overexpression of ALDH3A2 correspondingly increased or attenuated the ferroptosis sensitivity of ovarian cancer cells. And sequencing revealed that ALDH3A2 knockout led to the activation of lipid metabolic, GSH metabolic, phospholipid metabolic, and aldehyde metabolic pathways, suggesting that ALDH3A2 induced changes in the sensitivity of ovarian cancer cells to ferroptosis by affecting these metabolic processes. Our results provide a new promising therapeutic strategy for the treatment of OC. [ABSTRACT FROM AUTHOR]

We aimed to introduce hydrophilic sulfobetaine-type zwitterionic groups to macromolecular chains of copolymers to construct novel copolymer hydrogels with anti-protein-fouling performance that could be used as soft contact lens (SCL) materials. Using hydroxyethyl methacrylate (HEMA), N-vinyl pyrrolidinone (NVP) and sulfobetaine methacrylate (SBMA) as comonomers, several copolymer hydrogels with different SBMA contents, poly(HEMA-NVP-SBMA), are synthesized via radical copolymerization in an aqueous phase. Surface chemistry, structural morphologies, water contact angle (WCA), equilibrium water content (EWC), visible light transmittance and tensile mechanical properties are investigated. The prepared hydrogels exhibit a closed-type porous structure. With increasing SBMA content in the comonomer mixture, the prepared copolymer hydrogel pore size gradually increases up to the micron level, WCA tends to decrease, EWC tends to increase, and visible light transmittance slightly increases, but their tensile mechanical properties decline. The amounts of protein Lyz and BSA adsorbed on the copolymer hydrogels and on commercially available EASY DAY®SCLs as a control are also determined by protein adsorption tests. The amount of protein adsorbed on the copolymer hydrogel decreases with increasing SBMA content. For the hydrogel prepared using the comonomer mixture with 5.0 wt % SBMA, the amount of adsorbed Lyz is 0.91 μg/cm2, which corresponds to only 56.8% of the amount adsorbed on EASY DAY®SCLs. Thus, novel SCL materials with high water content and excellent anti-protein-fouling performance were efficiently constructed by introducing sulfobetaine-type zwitterionic groups into a traditional polymer hydrogel system. [ABSTRACT FROM AUTHOR]

Currently, lipogenic and adipokine gene expression patterns in different fat depots during long-term feed restriction in growing lambs are poorly understood. This study aimed to determine the effects of long-term nutritional deficiency on lipogenic and adipokine gene expression in subcutaneous and visceral fat depots in lambs. Twenty male lambs (4 months old; 21.81±0.75 kg body weight) were randomly assigned to either control or feed-restricted groups. After 60 days of maintenance-level feed restriction, femoral, omental, mesenteric, epicardial, and perirenal fat were collected. Gene expressions were estimated by quantitative real-time PCR, and plasma parameters were also determined. The results showed that feed restriction increased the plasma concentration of NEFA ( P <0.05) at 30 days, and decreased the plasma concentration of triglycerides, glucose, and insulin ( P <0.05) at 30 days and 60 days. Feed restriction decreased lipogenic gene expression (acetyl coenzyme A carboxylase alpha and fatty acid synthase) in all five fat depots. The related key regulating gene PPARγ mRNA decreased ( P <0.05) in femoral, omental, and mesenteric fat depots, while sterol regulatory element binding transcription factor 1 decreased ( P <0.05) in femoral fat depots. Perilipin, as a barrier to lipolysis, decreased ( P <0.05) in femoral, omental and perirenal fat depots of the feed restriction group. Adipose tissue-derived hormone leptin mRNA decreased ( P <0.05) in all five fat depots, while adiponectin decreased ( P <0.05) only in omental, mesenteric, and epicardial depots. Macrophage marker CD68 mRNA increased ( P <0.05) in femoral and mesenteric fat depots. In addition, tumor necrosis factor-α mRNA increased in femoral, omental, and mesenteric depots, whereas IL-1β mRNA increased in femoral and perirenal depots. IL-6 expression decreased in femoral, omental, and epicardial fat depot at the end of feed restriction. Nutritional deficiency induced different changes in lipogenic and adipokine gene expression between visceral and subcutaneous adipose tissue. The decreased leptin, adiponectin, and increased inflammatory factors may inhibit lipogenesis and stimulate lipolysis to protect the body against the threat of starvation. [ABSTRACT FROM AUTHOR]

Background The aim of this study is to characterize the sera-epidemiology of pertussis immunity levels among community populations and to identify the underlying factors. Moreover, our study will help resolve new issues encountered during the control and prevention of pertussis reemergence. Methods The anti-pertussis antibody levels among community populations were examined using enzyme linked immunosorbent assays (ELISA) over three years. Comparative studies were carried out to assess the efficacy of different types of vaccines. Meanwhile, the duration of protection provided by DTaP within the under-7 age group was subjected to further analysis. Results The average positive rate for anti-pertussis antibody was 49.15% across all community populations, among which the 4–12 age group showed a rate substantially lower than those of other groups ( P < 0.001). There was no statistically significant difference in anti-pertussis antibody levels ( P = 0.977) between people receiving three and four doses of the vaccine. The surveillance results showed that the positive antibody response rate elicited by component pertussis combo (DTcP) vaccines (84.44%) was strikingly higher than that elicited by acellular pertussis combo (DTaP) vaccines (37.22%, P < 0.001). More specifically, when given 4 doses of DTcP vaccines, 66.67% of the people showed positive anti-pertussis toxin (PT) antibody levels, which was higher than the ratio of 9.87% ( P < 0.001) in the case of DTaP vaccines. The positive anti-pertussis antibody levels peaked at 73% within the first five months following vaccination and then gradually decreased to below 20% in four years. The positive rate was inversely correlated with the length of time after vaccination ( r = −0.929, P = 0.003). Conclusions The anti-pertussis antibody levels were not only relatively low among community populations, but also dropped excessively rapidly among vaccinated populations. Natural infection is an important contributor to the high pertussis immunity levels seen in adolescents and adults. The efficacy of DTaP remains to be improved. [ABSTRACT FROM AUTHOR]

[Display omitted] • Fast humidity sensors based on PoPD films were fabricated. • The H 3 PO 4 doped PoPD films show the highest response, the fastest response/recovery behavior, excellent repeatability and good stability. • The H 3 PO 4 doped PoPD films demonstrate great potential applications on humidity detections. Micro/nanostructured poly(o-phenylenediamine) (PoPD) thin films were synthesized by a templateless method in the presence of inorganic/organic acids as dopants, including hydrochloric acid (HCl), phosphate acid (H 3 PO 4), camphorsulfonic acid (C 4 H 6 O 6), and sulfuric acid (H 2 SO 4). It was found that the morphology of products was dependent on the dopant species seriously at the same experimental conditions. The fibrous, big and long microbelts, narrow and short microbelts, wide and short microbelts, and nanorods were obtained correspondingly. The as-synthesized one-dimensional micro/nano-belt/rod structures of PoPD were firstly used for the fabrication of resistor-type humidity sensors. All the samples showed humidity sensing ability. However, the performance of the sensitivity was obviously different with changing the doping acids. Compared with other acids, PoPD doped with phosphate acid has the highest sensitivity, the quickest adsorption–desorption time, and the longest lifetime in a wide range of humidity. Between the two relative humidity (RH) of 11% and 97%, the response and recovery time on phosphate acid doped PoPD were 5 and 21 s, respectively. Both the response time and the recovery time are very fast and show great potential in practical applications. [ABSTRACT FROM AUTHOR]

• We set the complete remissions (CR) as the time node for the incidence of relapsed/refractory DLBCL, which is continuing to rise and risk-tailored early diagnostic and primary prevention strategies. Our study aims at setting the classifiers to different the patients with the relapsed/refractory DLBCL from the ones who become steady after their first reach CR and set the probability models to provide some reference for the clinicians to identify their patients at high risk. • The relapsed/refractory DLBCL not only performed as the major cause of the high mortality but also cause the class imbalance between the recurrence and non-recurrence population. This might significantly reduce the accuracy of machine learning models. To deal with class-imbalance data problems, SMOTE sampling, the Cost-sensitive methods, and the ensemble learning methods are applied in the data aspect and the model aspect, respectively. • We have set both classifiers and probability predicting models for 2 years recurrence hazard in DLBCL patients who first reached their CR periods. As SVM cannot provide the possibility for each sample, the platt scaling has applied to satisfy such needs. Treatments are limited for patients with relapsed/refractory Diffuse large B-cell lymphoma (DLBCL), and their survival rate is low. Prediction of the recurrence hazard for each patient could provide a reference regarding chemotherapy regimens for clinicians to extend patients' period of long-term remission. As current strategies cannot satisfy such need, we have established predictive models to classify patients with DLBCL with complete remission who had recurrences in 2 years from ones who did not. We assessed 518 patients with DLBCL and measured 52 variables of each patient. They were treated between January 2011 and July 2016. 17 variables were first selected by variable selection methods (including Lasso, Adaptive Lasso, and Elastic net). Then, we set classifiers and probability models for imbalanced data by combining the SMOTE sampling, cost-sensitive, and ensemble learning (consisting of AdaBoost, voting strategy, and Stacking) methods with the machine learning methods (Support Vector Machine, BackPropagation Artificial Neural Network, Random Forest), respectively. Last, assessed their performance. The disease stage and other 5 variables are significant indicators for recurrence. The SVM with AdaBoost ensemble learning method modeling by SMOTE data performs the best (Sensitivity=97.3%, AUC=96%, RMSE=19.6%, G-mean=96%) in all classifiers. The SVM with AdaBoost method(AUC=98.7%, RMSE=17.7%, MXE=12.7%, Cal mean=3.2%, BS0=2.5%, BS1=4%, BSALL=3.1%) and random forest (AUC=99.5%, RMSE=19.8%, MXE=16.2%, Cal mean=9.1%, BS0=4.8%, BS1=2.9%, BSALL=3.9%) both modeling by SMOTE sampling data perform well in probability models. This predictive model has high accuracy for almost all DLBCL patients and the six indicators can be recurrence signals. [ABSTRACT FROM AUTHOR]