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Due to the increasing cost of health insurance, for decades, many countries have endeavored to constrain the cost of insurance by utilizing a DRG payment system. In most cases, under the DRG payment system, hospitals cannot exactly know which DRG code inpatients are until they are discharged. This paper focuses on the prediction of what DRG code appendectomy patients will be classified with when they are admitted to hospital. We utilize two models (or classifiers) constructed using the C4.5 algorithm and back-propagation neural network (BPN). We conducted experiments with the data collected from two hospitals. The results show that the accuracies of these two classification models can be up to 97.84% and 98.70%, respectively. According to the predicted DRG code, hospitals can effectively arrange medical resources with certainty, then, in turn, improve the quality of the medical care patients receive. [ABSTRACT FROM AUTHOR]

To achieve successful prevention of fire incidents originating from human activities, it is imperative to possess a thorough understanding. This paper introduces a machine learning approach, specifically utilizing deep neural networks (DNN), to develop predictive models for fire occurrence in Keelung City, Taiwan. It investigates ten factors across demographic, architectural, and economic domains through spatial analysis and thematic maps generated from geographic information system data. These factors are then integrated as inputs for the DNN model. Through 50 iterations, performance indices including the coefficient of determination (R2), root mean square error (RMSE), variance accounted for (VAF), prediction interval (PI), mean absolute error (MAE), weighted index (WI), weighted mean absolute percentage error (WMAPE), Nash–Sutcliffe efficiency (NS), and the ratio of performance to deviation (RPD) are computed, with average values of 0.89, 7.30 × 10−2, 89.21, 1.63, 4.90 × 10−2, 0.97, 2.92 × 10−1, 0.88, and 4.84, respectively. The model's predictions, compared with historical data, demonstrate its efficacy. Additionally, this study explores the impact of various urban renewal strategies using the DNN model, highlighting the significant influence of economic factors on fire incidence. This underscores the importance of economic factors in mitigating fire incidents and emphasizes their consideration in urban renewal planning. [ABSTRACT FROM AUTHOR]

Globally, the incidence rate for breast cancer ranks first. Treatment for early-stage breast cancer is highly cost effective. Five-year survival rate for stage 0–2 breast cancer exceeds 90%. Screening mammography has been acknowledged as the most reliable way to diagnose breast cancer at an early stage. Taiwan government has been urging women without any symptoms, aged between 45 and 69, to have a screening mammogram bi-yearly. This brings about a large workload for radiologists. In light of this, this paper presents a deep neural network (DNN)-based model as an efficient and reliable tool to assist radiologists with mammographic interpretation. For the first time in the literature, mammograms are completely classified into BI-RADS categories 0, 1, 2, 3, 4A, 4B, 4C and 5. The proposed model was trained using block-based images segmented from a mammogram dataset of our own. A block-based image was applied to the model as an input, and a BI-RADS category was predicted as an output. At the end of this paper, the outperformance of this work is demonstrated by an overall accuracy of 94.22%, an average sensitivity of 95.31%, an average specificity of 99.15% and an area under curve (AUC) of 0.9723. When applied to breast cancer screening for Asian women who are more likely to have dense breasts, this model is expected to give a higher accuracy than others in the literature, since it was trained using mammograms taken from Taiwanese women. [ABSTRACT FROM AUTHOR]

This study presents a novel financial performance forecasting method that combines the threshold technique with Artificial Neural Networks (ANN). It applies the threshold regression method to identify the factors within the board of directors that influence the financial performance of traditional industries in Taiwan. The findings indicate that the ANN method effectively predicts financial performance by using relevant board structure data. Furthermore, the empirical results suggest that boards with more members demonstrate increased profitability. Additionally, a more significant presence of board members with accounting expertise contributes to more consistent profits. In contrast, an increased presence of members with financial expertise has a more pronounced impact on profitability. [ABSTRACT FROM AUTHOR]

Taiwan is highly susceptible to global warming, experiencing a 1.4 °C increase in air temperature from 1911 to 2005, which is twice the average for the Northern Hemisphere. This has potentially led to higher rates of respiratory and cardiovascular mortality. Accurately predicting maximum temperatures during the summer season is crucial, but numerical weather models become less accurate and more uncertain beyond five days. To enhance the reliability of a forecast, post-processing techniques are essential for addressing systematic errors. In September 2020, the NOAA NCEP implemented the Global Ensemble Forecast System version 12 (GEFSv12) to help manage climate risks. This study developed a Hybrid statistical post-processing method that combines Artificial Neural Networks (ANN) and quantile mapping (QQ) approaches to predict daily maximum temperatures (Tmax) and their extremes in Taiwan during the summer season. The Hybrid technique, utilizing deep learning techniques, was applied to the GEFSv12 reforecast data and evaluated against ERA5 reanalysis. The Hybrid technique was the most effective among the three techniques tested. It had the lowest bias and RMSE and the highest correlation coefficient and Index of Agreement. It successfully reduced the warm bias and overestimation of Tmax extreme days. This led to improved prediction skills for all forecast lead times. Compared to ANN and QQ, the Hybrid method proved to be more effective in predicting daily Tmax, including extreme Tmax during summer, on extended-range time-scale deterministic and ensemble probabilistic forecasts over Taiwan. [ABSTRACT FROM AUTHOR]

Developing on-site earthquake early warning systems has been a challenging problem because of time limitations and the amount of information that can be collected before the warning needs to be issued. A potential solution that could prevent severe disasters is to predict the potential strong motion using the initial P-wave signal and provide warnings before serious ground shaking starts. In practice, the accuracy of prediction is the most critical issue for earthquake early warning systems. Traditional methods use certain criteria, selected through intuition or experience, to make the prediction. However, the criteria thresholds are difficult to select and may significantly affect the prediction accuracy. This paper investigates methods based on artificial intelligence for predicting the greatest earthquake ground motion early, when the P-wave arrives at seismograph stations. A neural network model is built to make the predictions using a small window of the initial P-wave acceleration signal. The model is trained by seismic waves collected from 1991 to 2019 in Taiwan and is evaluated by events in 2020 and 2021. From these evaluations, the proposed scheme significantly outperforms the threshold-based method in terms of its accuracy and average leading time. [ABSTRACT FROM AUTHOR]

Storm surges are one of the most devastating coastal disasters. Numerous efforts have continuously been made to achieve better prediction of storm surge variation. In this paper, we propose a parametric cyclone and neural network hybrid model for accurate, long lead-time storm surge prediction. The model was applied to the northeastern coastal region of Taiwan, i.e., Longdong station. A total of 14 historical typhoon events were used for model training and validation, and the results and questions associated with this hybrid approach carefully discussed. Overall, the proposed method reduced the complexity of network structure while retaining the important typhoon indicators. In particular, local pressure and winds estimated from the storm parameters through physically-based parametric cyclone models allow for inferring the possible future influence of a typhoon, unlike the simple collection and direct usage of observation data from local stations in earlier works. Meanwhile, the error-tolerance capability of the neural network alleviated some discrepancy in the model inputs and enabled good surge prediction. Further, the proposed method showed better and faster convergence thanks to the retention of storm information and the reduced dimensions of the search space. The hybrid model presented excellent performance or maintained reasonable capability for short lead-time and long lead-time storm surge prediction. Compared with the pure neural network model under the same network dimensions, the present model demonstrated great improvement in accuracy as the prediction lead time increased to 8 h, e.g., 33–40% (13–21%) and 32–37% (18–29%) RMSE and CE, respectively, in the training/validation phase. [ABSTRACT FROM AUTHOR]

This paper aims to develop a stochastic model (SM_EID_IOT) for estimating the inundation depths and associated 95% confidence intervals at the specific locations of the roadside water-level gauges, i.e., Internet of Things (IoT) sensors under the observed water levels/rainfalls and the precipitation forecasts given. The proposed SM_EID_IOT model is an ANN-derived one, a modified artificial neural network model (i.e., the ANN_GA-SA_MTF) in which the associated ANN weights are calibrated via a modified genetic algorithm with a variety of transfer functions considered. To enhance the reliability and accuracy of the proposed SM_EID_IOT model in the estimations of the inundation depths at the IoT sensors, a great number of the rainfall induced flood events as the training and validation datasets are simulated by the 2D hydraulic dynamic (SOBEK) model with the simulated rain fields via the stochastic generation model for the short-term gridded rainstorms. According to the results of model demonstration, Nankon catchment, located in northern Taiwan, the proposed SM_EID_IOT model can estimate the inundation depths at the various lead times with high reliability in capturing the validation datasets. Moreover, through the integrated real-time error correction method integrated with the proposed SM_EID_IOT model, the resulting corrected inundation-depth estimates exhibit a good agreement with the validated ones in time under an acceptable bias. [ABSTRACT FROM AUTHOR]

Patient safety is a paramount concern in the medical field, and advancements in deep learning and Artificial Intelligence (AI) have opened up new possibilities for improving healthcare practices. While AI has shown promise in assisting doctors with early symptom detection from medical images, there is a critical need to prioritize patient safety by enhancing existing processes. To enhance patient safety, this study focuses on improving the medical operation process during X-ray examinations. In this study, we utilize EfficientNet for classifying the 49 categories of pre-X-ray images. To enhance the accuracy even further, we introduce two novel Neural Network architectures. The classification results are then compared with the doctor's order to ensure consistency and minimize discrepancies. To evaluate the effectiveness of the proposed models, a comprehensive dataset comprising 49 different categories and over 12,000 training and testing sheets was collected from Taichung Veterans General Hospital. The research demonstrates a significant improvement in accuracy, surpassing a 4% enhancement compared to previous studies. [ABSTRACT FROM AUTHOR]

Construction projects are associated with risks, which influence projects' performance and quality. To ensure the on-time completion of construction projects, project managers often use risk assessment and management methods to reduce risks in the project life cycle. Identifying risk factors and the relationship between major risk factors and the quality of construction projects facilitates construction management. In this study, 948 project records of construction inspection from 1993 to 2020 were collected from the Public Construction Management Information System (PCMIS) of the Taiwan central government to conduct an expert survey to identify five risk dimensions and 19 major risk factors associated with Taiwanese construction projects. The hybrid analytic hierarchy process (AHP) and an artificial neural network (ANN) were employed to develop a model for predicting major risk factors and construction quality. The AHP was used to calculate the weight of major risk factors to verify their influence on construction. The ANN was adopted to extract the features of major risk factors to predict the quality of a construction project. The accuracy of the prediction model was 85%. The project managers can reference the prediction results obtained with the proposed method to perform effective risk management and devise decision-making strategies for construction management. [ABSTRACT FROM AUTHOR]

The technique of active ionospheric sounding by ionosondes requires sophisticated methods for the recovery of experimental data on ionograms. In this work, we applied an advanced algorithm of deep learning for the identification and classification of signals from different ionospheric layers. We collected a dataset of 6131 manually labeled ionograms acquired from low-latitude ionosondes in Taiwan. In the ionograms, we distinguished 11 different classes of the signals according to their ionospheric layers. We developed an artificial neural network, FC-DenseNet24, based on the FC-DenseNet convolutional neural network. We also developed a double-filtering algorithm to reduce incorrectly classified signals. That made it possible to successfully recover the sporadic E layer and the F2 layer from highly noise-contaminated ionograms whose mean signal-to-noise ratio was low, SNR = 1.43. The Intersection over Union (IoU) of the recovery of these two signal classes was greater than 0.6, which was higher than the previous models reported. We also identified three factors that can lower the recovery accuracy: (1) smaller statistics of samples; (2) mixing and overlapping of different signals; (3) the compact shape of signals. [ABSTRACT FROM AUTHOR]