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Machine learning classifiers are increasingly widely used. This research note explores how a particular widely used classifier, the Random Forest, performs when faced with samples which are imbalanced and noisy data. Both are known to affect accuracy, but if their effects are independent or not has not been explored. Based on an experiment using synthetic data generated for the study we find that the effects of noise and sample balance interact with each other; classification accuracy is worse when faced with both noisy data and sample imbalance. This has implications for the use of RF in market research, but also for how methods to address either sample imbalance or noise are assessed. [ABSTRACT FROM AUTHOR]

The competition among Food & Beverage companies has substantially increased in today's age of digitization. Sales forecasting is one of their main challenges. Due to space limitations, employee shortages, and rising online demand, retail sales forecasting became extremely important for Food and Beverage companies. This research analyzed the sales data of a multinational Food & Beverage Company. It proposed a framework using Gaussian Mixture Model (GMM) clustering, Hierarchical Agglomerative Clustering (HAC), and Random Forest algorithm for forecasting sales. This model analyzes the impact of the weekends, holidays, promotional activities, customer sentiments, festivals, and socio-economic situations in sales data and is able to forecast sales ranging from one to 15 months. An investigation of the suggested model's performance compared to numerous cutting-edge sales forecasting techniques is carried out to show its efficacy. Here, we demonstrate that the proposed hybrid model surpasses current predicting and computing efficiency methods. The results of this study can help retail managers to allocate resources and manage inventories in well-informed ways. The findings suggest that combining many strategies may produce the most precise forecasts. [ABSTRACT FROM AUTHOR]

Solar interfacial evaporation, as a novel practical freshwater production method, requires continuous research on how to improve the evaporation rates to increase water production. In this study, sets of data were obtained from molecule dynamics simulation and literature, in which the parameters included height, diameter, height–radius ratio, evaporation efficiency, and evaporation rate. Initially, the correlation between the four input parameters and the output of the evaporation rate was examined through traditional pairwise plots and Pearson correlation analysis, revealing weak correlations. Subsequently, the accuracy and generalization performance of the evaporation rate prediction models established by neural network and random forest were compared, with the latter demonstrating superior performance and reliability confirmed via random data extraction. Furthermore, the impact of different percentages (10%, 20%, and 30%) of the data on the model performance was explored, and the result indicated that the model performance is better when the test set is 20% and all the constructed model converge. Moreover, the mean absolute error and mean squared error of the evaporation rate prediction model for the three ratios were calculated to evaluate their performance. However, the relationship between the height- radius ratio and optimal evaporation rate was investigated using the enumeration method, and it was determined that the evaporation efficiency was optimal when the height–radius ratio was 6. Finally, the importance of height, diameter, height– radius ratio, and evaporation efficiency were calculated to optimize evaporator structure, increase evaporation rate, and facilitate the application of interfacial evaporation in solar desalination. [ABSTRACT FROM AUTHOR]

In this article, we present a machine learning model to obtain fast and accurate estimates of the molecular Hessian matrix. In this model, based on a random forest, the second derivatives of the energy with respect to redundant internal coordinates are learned individually. The internal coordinates together with their specific representation guarantee rotational and translational invariance. The model is trained on a subset of the QM7 dataset but is shown to be applicable to larger molecules picked from the QM9 dataset. From the predicted Hessian, it is also possible to obtain reasonable estimates of the vibrational frequencies, normal modes, and zero point energies of the molecules. [ABSTRACT FROM AUTHOR]

In this work, the random forest algorithm galpro is implemented to generate photometric redshift posteriors, and its performance when trained and then applied to data from another survey is investigated. The algorithm is initially calibrated using a truth data set compiled from the Dark Energy Spectroscopic Instrument (DESI) Legacy survey. We find that the testing and training data sets must have very similar redshift distributions, with the range of their photometric data overlapping by at least 90 per cent in the appropriate photometric bands in order for the training data to be applicable to the testing data. galpro is again trained using the DESI data set and then applied to a sample drawn from the Panoramic Survey Telescope and Rapid Response System survey, to explore whether galpro can be trained using a trusted data set and applied to an entirely new survey, albeit one that uses a different magnitude system for its photometric bands, thus requiring careful conversion of the measured magnitudes. The results of this further test indicate that galpro does not produce accurate photometric redshift posteriors for the new survey, even where the distribution of redshifts for the two data sets overlaps by over 90 per cent. We conclude that the photometric redshifts generated by galpro are not suitable for generating estimates of photometric redshifts and their posterior distribution functions when applied to an entirely new survey, particularly one that uses a different magnitude system. However, our results demonstrate that galpro is a useful tool for inferring photometric redshift estimates in the case where a spectroscopic galaxy survey is nearly complete, but missing some spectroscopic redshift values. [ABSTRACT FROM AUTHOR]

This study developed an innovative biosensor strategy for the sensitive and selective detection of canine mammary tumor biomarkers, cancer antigen 15–3 (CA 15–3) and mucin 1 (MUC-1), integrating green silver nanoparticles (GAgNPs) with machine learning (ML) algorithms to achieve high diagnostic accuracy and potential for noninvasive early detection. The GAgNPs-enhanced electrochemical biosensor demonstrated selective detection of CA 15–3 in serum and MUC-1 in tissue homogenates, with limits of detection (LODs) of 0.07 and 0.11 U mL−1, respectively. The nanoscale dimensions of the GAgNPs endowed them with electrochemically active surface areas, facilitating sensitive biomarker detection. Experimental studies targeted CA 15–3 and MUC-1 biomarkers in clinical samples, and the biosensor exhibited ease of use and good selectivity. Furthermore, ML algorithms were employed to analyze the electrochemical data and predict biomarker concentrations, enhancing the diagnostic accuracy. The Random Forest algorithm achieved 98% accuracy in tumor presence prediction, while an Artificial Neural Network attained 76% accuracy in CA 15–3-based tumor grade classification. The integration of ML techniques with the GAgNPs-based biosensor offers a promising approach for noninvasive, accurate, and early detection of canine mammary tumors, potentially revolutionizing veterinary diagnostics. This multilayered strategy, combining eco-friendly nanomaterials, electrochemical sensing, and ML algorithms, holds significant potential for advancing both biomedical research and clinical practice in the field of canine mammary tumor diagnostics. [ABSTRACT FROM AUTHOR]

Faced with the terrible spread of electronic attacks and intrusions, which tend to increase, securing computer systems has become an urgent necessity for enterprises. In this work, we are interested in a very specific security problem, which is the identity theft of business experts that causes major problems for the company, such as loss of money, fraud, information leakage, customer distrust of using the enterprise's services, etc. The implementation of an implicit authentication system based on the study of the expert behavior is a very effective way to fight this problem. The objective of this work is to propose a system dedicated to business experts, which will be able to detect impostors and false profiles during the authentication phase and during the negotiation phase in a continuous manner. The proposed system relies on machine learning algorithms, behavioral authentication, the keystroke dynamics of real experts and their behaviors during the negotiation phase, as well as their ways of interacting with the application, in order to prevent imposters to infiltrate the system by trying to login with the account of a real expert. So, we followed the following steps: Data acquisition, Criteria extraction, Model creation and Storage. We Have used three machine learning algorithms, which are: K Nearest Neighbor, Random Forest and Logistic Regression. [ABSTRACT FROM AUTHOR]

The primary goal of the present research work is to build machine learning based classification model for classifying an individual with different degrees of autism that can yield better performance than traditional autism assessment scale used in India. The study aimed to find how significant are the selected additional 6 attributes for better identification and understanding of Autism spectrum disorder (ASD). This work focuses on a unique screening tool developed for the Indian population –Indian Scale for assessment of Autism(ISAA) to build the classification model. For better performance few additional significant features are also considered following proper procedure. Selective machine learning models are built and finally performance evaluation is done on all classifier results. As an alternative approach, a binary classifier multi-layer perceptron (MLP) model has also been trained on both the data sets to distinguish between people with autism who need less attention and those who need more attention for assessment and further intervention. Overall performance of 3 best classifiers (KNN, Random Forest, SVM) suggests that after considering additional 6 attributes SVM produced better efficacy in identification of degree of autism over conventional ISAA parameters with higher weighted F1 score of 85.7% and accuracy of 90% respectively. It is also reconfirmed with the results of the MLP model. The basic model converges after 71 epochs with training accuracy 97.78% wherein the extended model converges after 61 epochs with training accuracy 98.89%. The best model functions better than conventional scale of assessment which also made the screening task unbiased, accurate and time efficient. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusions Anemia due to malnutrition may develop as a result of iron, folate and vitamin B12 deficiencies. This situation poses a higher risk of morbidity and mortality in the geriatric population than in other age groups. Therefore, early diagnosis of anemia and early initiation of treatment is very important. This study aims to predict the diagnosis of anemia with using machine learning (ML) methods in geriatric patients followed in an outpatient clinic.In line with the purpose of the study, anemia classification was made by analysing patients' hemogram and biochemistry blood values and medical data such as malnutrition, physical and cognitive activity scores with ML methods.In our data set consisting of 438 patient observations, the most successful ML algorithm was the J48 algorithm with 97.77% accuracy. In the continuation of the study, the predictive performance of anemia was investigated by excluding blood values and selecting only attributes consisting of malnutrition and physical activity scores. In this case, the most successful prediction was obtained with the Random Forest algorithm with 85.39% accuracy.The study showed that anemia can be predicted with high accuracy in geriatric patients without hemogram data. Additionally, our geriatric data set was shared with researchers for future research. Thus, it has contributed to the literature by opening a new path for studies on subjects such as comparing classification performances with new methodologies or predicting different diseases in geriatric patients. [ABSTRACT FROM AUTHOR]

The majority of people are using connecting media in recent times, like Facebook, Twitter, LinkedIn, etc. People like to communicate on social websites as compared to direct conversation due to the lack of time, fast communication, minimizing long distance, etc. but more fraud such as fake accounts, cloned attacks, etc. are generated due to growing data on social connecting media. In our proposed approach, we are using the Bernoulli RBM_RF Classifier (BRRC) to detect cloned attacks in connecting media. This model is based on deep learning algorithms and more research is under process but still, there is no such kind of model to provide high accuracy. In this model, we have used multiple algorithms Artificial Neural Networks (ANN), Logistic Regression, Decision Trees, K-Nearest Neighbour Classification, Random Forest, and Bernoulli RBM with extra add-on features of the random forest we have created a Bernoulli pipeline also known as BRRC. Our goal is to establish a clear neural network connection between our target attributes. Finally, we created a restricted Boltzmann machine using a RBM Bernoulli pipeline with additional add-on random forest features after using random forest, where we employed n number of decision trees for classification and provided the same in depth. Our model can extract higher-level features from the given data and helps in the dimensionality Reduction of the input data by learning a compressed representation. Accuracy can be improved by using a big dataset with particular connecting media attributes that are either not currently available or are only sparingly present. We can conclude that Bernoulli Restricted Boltzmann Machine is the best fit and suitable for our model with 93% accuracy. [ABSTRACT FROM AUTHOR]

The use of social media has grown exponentially in recent years up to become a reflection of human social attitudes and to represent today the main channel for conducting discussions and sharing opinions. For this reason, the vast amount of information generated is often used for predicting outcomes of real-world events in different fields, including business, politics, and health, as well as in the entertainment industry. In this paper, we focus on how data from Twitter can be used to predict ratings of a large set of TV shows regardless of their specific genre. Given a show, the idea is to exploit features concerning the pre-release hype on Twitter for rating predictions. We propose a novel machine learning-based approach to the genre-independent TV show popularity prediction problem. We compared the performance of several well-known predictive methods, and as a result, we discovered that LSTM and Random Forest can predict the ratings in the USA entertainment market, with a low mean squared error of 0.058. Furthermore, we tested our model by using data of "never seen" shows, by deriving interesting results in terms of error rates. Finally, we compared performance against relevant solutions available in the literature, with discussions about challenges arousing from the analysis of shows in different languages. [ABSTRACT FROM AUTHOR]

Background Aims Materials and Methods Results Discussion Conclusion Given that students from socio‐economically disadvantaged family backgrounds are more likely to suffer from low academic performance, there is an interest in identifying features of academic resilience, which may mitigate the relationship between disadvantaged socio‐economic status and academic performance.This study sought to combine machine learning and explainable artificial intelligence (XAI) technique to identify key features of academic resilience in mathematics learning during COVID‐19.Based on PISA 2022 data in 79 countries/economies, the random forest model coupled with Shapley additive explanations (SHAP) value technique not only uncovered the key features of academic resilience but also examined the contributions of each key feature.Findings indicated that 35 features were identified in the classification of academically resilient and non‐academically resilient students, which largely validated the previous academic resilient framework. Notably, gender differences were shown in the distribution of some key features. Research findings also indicated that resilient students tended to have a stable emotional state, high levels of self‐efficacy, low levels of truancy and positive future aspirations.This study has established a research paradigm essentially methodological in nature to bridge the gap between psychological theories and big data in the field of educational psychology.To sum up, our study shed light on the issues of education equity and quality from a global perspective in the times of the COVID‐19 pandemic. [ABSTRACT FROM AUTHOR]

Objective Methods Results Interpretation To explore the relationship between 35 trace metals in scalp hair and the glioma risk as well as the potential mediating roles of 27 plasma inflammatory cytokines.A case–control study involving 228 participants was performed in southeastern China. Trace metals in scalp hair were analyzed using inductively coupled plasma mass spectrometry, and multiplex cytokines were detected based on Luminex® technology. The least absolute shrinkage and selection operator (LASSO) regression in combination with four machine learning methods were used to select trace metals associated with gliomas. The joint exposure effect of trace metals was estimated using the generalized weighted quantile sum (gWQS) regression and quantile‐based g‐computation (qgcomp) algorithms.Both LASSO regression and random forest algorithms identified five trace metals (gadolinium [Gd], lithium [Li], thulium [Tm], thorium [Th], and molybdenum [Mo]) associated with gliomas. After adjustments for potential confounders, Gd (odds ratio [OR] = 2.84, 95% confidence interval [CI]: 1.89–4.43) and Li (OR = 1.77, 95% CI: 1.04–3.02) concentrations were positively associated with glioma risk, while Tm (OR = 0.36, 95% CI: 0.17–0.73) and Th (OR = 0.45, 95% CI: 0.28–0.71) exhibited inverse associations. Both gWQS and qgcomp algorithms showed Gd contributed most to the mixture effect. Moreover, there was a significant interaction between Gd and Tm or Th on glioma risk (p < 0.05). Notably, granulocyte–macrophage colony‐stimulating factor (GM‐CSF) mediated the association between Gd exposure and glioma risk by 25.75%.These findings suggest potential associations of certain trace metals, especially for Gd, with glioma risk, and may provide new insights into the mechanisms underlying from an inflammatory response perspective. [ABSTRACT FROM AUTHOR]

Understanding the intricate pathways of protein secretion in bacteria is crucial for advancing research on bacterial diseases and their potential treatments, particularly in the case of non-classical protein secretion pathways. These pathways pose unique challenges due to the complex signaling mechanisms involved. To address this, we employed advanced machine learning techniques and gathered physical–chemical characteristics of amino acids from the AA index site. Through a meticulous six-step methodology, we curated a comprehensive dataset by filtering raw genome data and juxtaposing it with a positive dataset comprising 141 proteins from authoritative literature sources. Leveraging a conventional Random Forest machine learning algorithm, we achieved an impressive accuracy rate of approximately 91% in classifying non-classical secreted proteins. This validation was conducted on a dataset of 14 positive and 92 negative proteins, resulting in a sensitivity of 91% and a specificity of 86%. Notably, our study distinguishes itself by its rapid execution of non-classical secretion pathway analyses, rendering it particularly suitable for large datasets. This speed does not compromise accuracy, allowing for comprehensive Omics analyses. Consequently, our research underscores the significance of carefully selecting appropriate descriptors and constructing a robust training dataset to enhance Omics analyses of bacterial protein secretion via non-classical pathways. For further details, please refer to the complete study available at https://github.com/santosardr/non-CSPs. [ABSTRACT FROM AUTHOR]

AbstractThe geographical origin of traditional Chinese medicine, which concerns the growth, collection, and processing location, significantly affecting the quality and efficacy of the materials and is a key indicator for the evaluation and identification. This work utilized untargeted proton nuclear magnetic resonance (1H NMR) metabolomics alongside machine learning techniques to accurately identify the geographical origins of 40 Croton tiglium L. samples from Sichuan, Guangxi, Henan, and Dabie Mountain Employing solvents with varying polarities for sample pretreatment, principal component analysis (PCA) suggests that extraction using petroleum ether (PE) optimally retains metabolite information, effectively distinguishing Croton tiglium L. samples across regions. There are eighteen major metabolites, including alkanes, esters, organic acids, and lipids were identified in the PE extract. The nonlinear random forest algorithms of geographical origin achieved an accuracy of 100% for both the training and test sets. The organic acids and ester were highlighted as the variable majorly responsible for this separation by machine learning algorithms. This approach provides an effective method for determining the origin and quality of the seeds of Croton tiglium L. with broad application prospects. [ABSTRACT FROM AUTHOR]

Surface ablation temperature and linear ablation rate are two crucial indicators for ceramic coatings under ultrahigh temperatures service, yet the results collection of such two indicators in the process is difficult due to the long‐period material preparation and the high‐cost test. In this work, four kinds of machine learning models are applied to predict the above two indicators. The Random Forest (RF) model exhibits a high accuracy of 87% in predicting surface ablation temperature, while a low accuracy of 60% in linear ablation rate. To optimize the model, the novel features are constructed based on the original features by the sum of the importance weights in the model. Thereafter, the importance of the newly constructed features increases significantly, and the accuracy of the optimized RF model is improved by 11%, exceeding 70% in accuracy. By validation with available data and experiments, the optimized model demonstrates precise predictions of the target variables. [ABSTRACT FROM AUTHOR]

Objective Background Method Results Conclusion Implications This scoping review systematically examined the applied family science literature involving families raising young children to understand how relevant studies have applied artificial intelligence (AI)‐facilitated technologies.Family research is exploring the application of AI. However, there is a critical need for a review study that systematically examines the varied use of AI in applied family science to inform family practitioners and policymakers.Comprehensive literature searches were conducted in nine databases. Of the 10,022 studies identified, 21 met inclusion criteria: peer‐reviewed journal article; published between 2014–2024; written in English; involved the use of AI in collecting data, analyzing data, or providing family‐centered services; included families raising young children 0–5 years; and was quantitative in analysis.Most studies focused on maternal and child health outcomes in low‐ and middle‐income countries. All studies identified were in the AI use domain of data analysis, with 76% of the studies having a focus on identifying the most important predictors. Random forest performed as the best machine learning model. Only one study directly mentioned the ethical use of AI.Overall, the applied family science evidence base that employs AI is limited in size and scope, with most studies using AI for data analysis purposes with limited ethical considerations.AI models in applied family science can inform family services and policies aimed at promoting family and child health. However, thoughtful consideration of AI ethics and fairness is needed to prevent the negative social impacts of AI on marginalized groups of families and their young children. [ABSTRACT FROM AUTHOR]

Polycystic Ovary Syndrome (PCOS) is a hormonal state that affects women within the reproductive age group. Early and accurate diagnosis of medical conditions is crucial for the successful implementation of medication and prevention of significant health problems. In recent times, there has been an increasing amount of evidence suggesting that machine learning (ML) methods have significant potential in facilitating the diagnosis and classification of PCOS. The objective of this research is to evaluate the viability of using several machine learning algorithms, such as Random Forests, Decision Trees, Artificial Neural Networks, and XGBoost, for the purpose of classifying PCOS using clinical and laboratory features. Furthermore, the use of the Sine Cosine Algorithm was implemented for the purpose of selecting features in order to improve the accuracy and efficiency of the model. A sample of 500 individuals was selected for the purpose of training and assessing the models, with half of the participants (250) diagnosed with PCOS and the other half not exhibiting the disease. The findings suggest that the classification algorithms had strong performance in classifying PCOS, with XGBoost having the best level of performance. In addition, the use of the Sine Cosine Algorithm resulted in enhanced model precision and effectiveness via the identification of the most pertinent features for the classification objective. The results of this study emphasise the significant capabilities of machine learning methods, namely XGBoost and the Sine Cosine Algorithm, in aiding the diagnosis and classification of PCOS in a medical setting. Additional investigation is required in order to substantiate the models and prove their clinical significance in the provision of patient care. [ABSTRACT FROM AUTHOR]

Introduction: Pharmacovigilance is vital for drug safety. The process typically involves two key steps: initial signal generation from spontaneous reporting systems (SRSs) and subsequent expert review to assess the signals' (potential) causality and decide on the appropriate action. Methods: We propose a novel discovery and verification approach to pharmacovigilance based on electronic healthcare data. We enhance the signal detection phase by introducing an ensemble of methods which generated signals are combined using Borda count ranking; a method designed to emphasize consensus. Ensemble methods tend to perform better when data is noisy and leverage the strengths of individual classifiers, while trying to mitigate some of their limitations. Additionally, we offer the committee of medical experts with the option to perform an in-depth investigation of selected signals through tailored pharmacoepidemiological studies to evaluate their plausibility or spuriousness. To illustrate our approach, we utilize data from the German Pharmacoepidemiological Research Database, focusing on drug reactions to the direct oral anticoagulant rivaroxaban. Results: In this example, the ensemble method is built upon the Bayesian confidence propagation neural network, longitudinal Gamma Poisson shrinker, penalized regression and random forests. We also conduct a pharmacoepidemiological verification study in the form of a nested active comparator case-control study, involving patients diagnosed with atrial fibrillation who initiated anticoagulant treatment between 2011 and 2017. Discussion: The case study reveals our ability to detect known adverse drug reactions and discover new signals. Importantly, the ensemble method is computationally efficient. Hasty false conclusions can be avoided by a verification study, which is, however, time-consuming to carry out. We provide an online tool for easy application: https://borda.bips.eu. [ABSTRACT FROM AUTHOR]

Long COVID shares a number of clinical features with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), including post-exertional malaise, severe fatigue, and neurocognitive deficits. Utilizing validated assessment tools that accurately and efficiently screen for these conditions can facilitate diagnostic and treatment efforts, thereby improving patient outcomes. In this study, we generated a series of random forest machine learning algorithms to evaluate the psychometric properties of the DePaul Symptom Questionnaire-Short Form (DSQ-SF) in classifying large groups of adults with Long COVID, ME/CFS (without Long COVID), and healthy controls. We demonstrated that the DSQ-SF can accurately classify these populations with high degrees of sensitivity and specificity. In turn, we identified the particular DSQ-SF symptom items that best distinguish Long COVID from ME/CFS, as well as those that differentiate these illness groups from healthy controls. [ABSTRACT FROM AUTHOR]

Background: Colorectal cancer (CRC) is a common cancer that causes millions of deaths worldwide each year. At present, numerous studies have confirmed that intestinal microbes play a crucial role in the process of CRC. Additionally, studies have shown that CRC can be divided into several consensus molecular subtypes (CMS) based on tumor gene expression, and CRC microbiomes have been reported related to CMS. However, most previous studies on intestinal microbiome of CRC have only compared patients with healthy controls, without classifying of CRC patients based on intestinal microbial composition. Results: In this study, a CRC cohort including 339 CRC samples and 333 healthy controls was selected as the discovery set, and the CRC samples were divided into two subgroups (234 Subgroup1 and 105 Subgroup2) using PAM clustering algorithm based on the intestinal microbial composition. We found that not only the microbial diversity was significantly different (Shannon index, p-value < 0.05), but also 129 shared genera altered (p-value < 0.05) between the two CRC subgroups, including several marker genera in CRC, such as Fusobacterium and Bacteroides. A random forest algorithm was used to construct diagnostic models, which showed significantly higher efficiency when the CRC samples were divided into subgroups. Then an independent cohort including 187 CRC samples (divided into 153 Subgroup1 and 34 Subgroup2) and 123 healthy controls was chosen to validate the models, and confirmed the results. Conclusions: These results indicate that the divided CRC subgroups can improve the efficiency of disease diagnosis, with various microbial composition in the subgroups. [ABSTRACT FROM AUTHOR]

Background: Coronary artery disease (CAD) is a major global cardiovascular health threat and the leading cause of death in many countries. The disease has a significant impact in China, where it has become the leading cause of death. There is an urgent need to develop non-invasive, rapid, cost-effective, and reliable techniques for the early detection of CAD using machine learning (ML). Methods: Six hundred eight participants were divided into three groups: healthy, hypertensive, and CAD. The raw data of pulse wave from those participants was collected. The data were de-noised, normalized, and analyzed using several applications. Seven ML classifiers were used to model the processed data, including Decision Tree (DT), Random Forest (RF), Gradient Boosting Decision Tree (GBDT), Extra Trees (ET), Extreme Gradient Boosting (XGBoost), Light Gradient Boosting (LightGBM), and Unbiased Boosting with Categorical Features (CatBoost). Results: The Extra Trees classifier demonstrated the best classification performance. After tunning, the results performance evaluation on test set are: 0.8579 accuracy, 0.9361 AUC, 0.8561 recall, 0.8581 precision, 0.8571 F1 score, 0.7859 kappa coefficient, and 0.7867 MCC. The top 10 feature importances of ET model are w/t1, t3/tmax, tmax, t3/t1, As, hf/3, tf/3/tmax, tf/5, w and tf/3/t1. Conclusion: Radial artery pulse wave can be used to identify healthy, hypertensive and CAD participants by using Extra Trees Classifier. This method provides a potential pathway to recognize CAD patients by using a simple, non-invasive, and cost-effective technique. [ABSTRACT FROM AUTHOR]

Background: The population diagnosed with renal cell carcinoma, especially in Asia, represents 36.6% of global cases, with the incidence rate of renal cell carcinoma in Korea steadily increasing annually. However, treatment options for renal cell carcinoma are diverse, depending on clinical stage and histologic characteristics. Hence, this study aims to develop a machine learning based clinical decision-support system that recommends personalized treatment tailored to the individual health condition of each patient. Results: We reviewed the real-world medical data of 1,867 participants diagnosed with renal cell carcinoma between November 2008 and June 2021 at the Pusan National University Yangsan Hospital in South Korea. Data were manually divided into a follow-up group where the patients did not undergo surgery or chemotherapy (Surveillance), a group where the patients underwent surgery (Surgery), and a group where the patients received chemotherapy before or after surgery (Chemotherapy). Feature selection was conducted to identify the significant clinical factors influencing renal cell carcinoma treatment decisions from 2,058 features. These features included subsets of 20, 50, 75, 100, and 150, as well as the complete set and an additional 50 expert-selected features. We applied representative machine learning algorithms, namely Decision Tree, Random Forest, and Gradient Boosting Machine (GBM). We analyzed the performance of three applied machine learning algorithms, among which the GBM algorithm achieved an accuracy score of 95% (95% CI, 92–98%) for the 100 and 150 feature sets. The GBM algorithm using 100 and 150 features achieved better performance than the algorithm using features selected by clinical experts (93%, 95% CI 89–97%). Conclusions: We developed a preliminary personalized treatment decision-support system (TDSS) called "RCC-Supporter" by applying machine learning (ML) algorithms to determine personalized treatment for the various clinical situations of RCC patients. Our results demonstrate the feasibility of using machine learning-based clinical decision support systems for treatment decisions in real clinical settings. [ABSTRACT FROM AUTHOR]

Background: Predicting mortality and relapse in children with acute lymphoblastic leukemia (ALL) is crucial for effective treatment and follow-up management. ALL is a common and deadly childhood cancer that often relapses after remission. In this study, we aimed to apply and evaluate machine learning-based models for predicting mortality and relapse in pediatric ALL patients. Methods: This retrospective cohort study was conducted on 161 children aged less than 16 years with ALL. Survival status (dead/alive) and patient experience of relapse (yes/no) were considered as the outcome variables. Ten machine learning (ML) algorithms were used to predict mortality and relapse. The performance of the algorithms was evaluated by cross-validation and reported as mean sensitivity, specificity, accuracy and area under the curve (AUC). Finally, prognostic factors were identified based on the best algorithms. Results: The mean accuracy of the ML algorithms for prediction of patient mortality ranged from 64 to 74% and for prediction of relapse, it varied from 64 to 84% on test data sets. The mean AUC of the ML algorithms for mortality and relapse was above 64%. The most important prognostic factors for predicting both mortality and relapse were identified as age at diagnosis, hemoglobin and platelets. In addition, significant prognostic factors for predicting mortality included clinical side effects such as splenomegaly, hepatomegaly and lymphadenopathy. Conclusions: Our results showed that artificial neural networks and bagging algorithms outperformed other algorithms in predicting mortality, while boosting and random forest algorithms excelled in predicting relapse in ALL patients across all criteria. These results offer significant clinical insights into the prognostic factors for children with ALL, which can inform treatment decisions and improve patient outcomes. [ABSTRACT FROM AUTHOR]

ABSTRACT Geographical random forest (GRF) is a recently developed and spatially explicit machine learning model. With the ability to provide more accurate predictions and local interpretations, GRF has already been used in many studies. The current GRF model, however, has limitations in its determination of the local model weight and bandwidth hyperparameters, potentially insufficient numbers of local training samples, and sometimes high local prediction errors. Also, implemented as an R package, GRF currently does not have a Python version which limits its adoption among machine learning practitioners who prefer Python. This work addresses these limitations by introducing theory‐informed hyperparameter determination, local training sample expansion, and spatially weighted local prediction. We also develop a Python‐based GRF model and package, PyGRF, to facilitate the use of the model. We evaluate the performance of PyGRF on an example dataset and further demonstrate its use in two case studies in public health and natural disasters. [ABSTRACT FROM AUTHOR]

Aim Methods Results Conclusion Length of stay (LOS) is an outcome measure and is assumed to be related to quality. The objective of this study is to examine the quality of birth care and risk factors associated with LOS after birth.A nationwide population‐based Turkish Demographic and Health Survey (TDHS) was used for the year 2018. A total of 1849 women ages 15–49 were included. Explanatory factor analysis and machine learning predictors such as Random Forest, Support Vector Machine, Neural Network, k‐Nearest Neighbor, and Naïve Bayes were used to identify the quality of birth care and risk factors associated with LOS after birth.As a result of the explanatory factor analysis, factor structures of quality of birth care, antenatal check‐ups and supplements, and risk factors associated with birth were obtained using the Categorical Component Analysis method. The type of delivery, place of delivery, age, and type of place, which are under the quality of birth care, and risk factors associated with birth factors were found to be the variables that had the highest impact on LOS estimation. Random forest (Accuracy = 0.5789), support vector machine (radial) (Accuracy = 0.5766), and neural network (Accuracy = 0.5750) models outperformed, respectively.Type of delivery which is an indicator of quality of birth care is a strong predictor of LOS after birth according to the Random Forest model. We demonstrated that machine learning techniques offer precise LOS prediction after birth. Further studies assessing the effect of quality of birth care on predicting LOS at birth would be beneficial. [ABSTRACT FROM AUTHOR]

High costs and time consuming associated with experimental trial-and-error result in low efficiency, creating an urgent need for a more effective strategy for ultra-high temperature ceramic matrix composites (UHTCMCs) development. Inspired by the exceptional performance of machine learning (ML) algorithms across various domains, this work employs ML algorithms to construct models and conduct in-depth analysis of the key factors and their patterns influencing the ablation resistance of UHTCMCs. A set of 26 dimensional features that could potentially impact the ablation resistance of UHTCMCs were established based on domain knowledge. Eight typical ML models were used to build and predict the linear ablation rate (LAR) of UHTCMCs. Results show that the random forest model has optimal generalization performance, with mean absolute error (MAE), mean squared error (MSE), and coefficient of determination (R 2) being 2.75 μm s−1 and 7.3 (μm s−1)2, and 0.71 respectively. The Shapley additive explanations values based on the random forest model reveal that the key features affecting the LAR of UHTCMCs are ranked as average melting point of ceramics (AMPC) > thermal conductivity of material (TCM) > thermal expansion coefficient of oxides (TECO) > fabrication temperature of material (FTM), all showing a negative influence on the LAR. Symbolic regression further indicates that AMPC, TCM, and TECO have an exponential negative correlation with LAR. These data-driven conclusions have been thoroughly validated through the use of C f /(TiZrHfNbTa)C composites. The established model can accelerate the discovery of material knowledge and provide reliable guidance for UHTCMC development. [ABSTRACT FROM AUTHOR]

Metamaterial absorbers (MMAs) have tremendous potential for controlling and modulating Terahertz electromagnetic (EM) waves. It is challenging to design MMAs for optimal performance using conventional methods due to their time-consuming and computationally demanding nature. Machine learning (ML) regressor approaches have emerged as potential tools for optimizing the predictive modeling of MMAs in recent years. This article examined different regression techniques, such as Decision Tree, k-Nearest Neighbors, Random Forest, Extra Trees (ET), Extreme Gradient Boosting, Bagging, and Categorical Boosting. The primary goal is to assess the effectiveness of each regressor technique in forecasting the performance of MMAs using various performance metrics. The study focuses on a representative spectrum of MMAs, chosen for its key features that are common across a wide range of MMAs. The extra tree Regressor outperforms other models in the comparative analysis due to its capacity to integrate multiple decision trees and include randomness into the feature selection process, resulting in improved predictive skills. The ET regressor forecasts MMA performance remarkably well for a 70 % test size, with a Root Mean Squared Error of 0.0251, a Mean Absolute Error of 0.0074, a Mean Squared Error of 0.006, and an Adjusted R-squared of 0.9873. These findings can assist researchers in optimizing metamaterial absorber designs for Terahertz applications using ML regressor techniques and provide insights into how these methods can be generalized to other spectra with similar characteristics. [ABSTRACT FROM AUTHOR]

Breast cancer prediction and diagnosis are critical for timely and effective treatment, significantly impacting patient outcomes. Machine learning algorithms have become powerful tools for improving the prediction and diagnosis of breast cancer. The Breast Cancer Prediction and Diagnosis Model (BCPM), which utilises machine learning techniques to improve the precision and efficiency of breast cancer diagnosis and prediction, is presented in this paper. BCPM collects comprehensive and high-quality data from diverse sources, including electronic medical records, clinical trials, and public datasets. Through rigorous pre-processing, the data is cleaned, inconsistencies are addressed, and missing values are handled. Feature scaling techniques are applied to normalize the data, ensuring fair comparison and equal importance among different features. Furthermore, feature-selection algorithms are utilized to identify the most relevant features that contribute to breast cancer projection and diagnosis, optimizing the model's efficiency. The BCPM employs numerous machine learning methods, such as logistic regression, random forests, decision trees, support vector machines, and neural networks, to generate accurate models. Area under the curve (AUC), sensitivity, specificity, and accuracy are only some of the metrics used to assess a model's performance once it has been trained on a subset of data. The BCPM holds promise in improving breast cancer prediction and diagnosis, aiding in personalized treatment planning, and ultimately taming patient results. By leveraging machine learning algorithms, the BCPM contributes to ongoing efforts in combating breast cancer and saving lives. [ABSTRACT FROM AUTHOR]

Conditioning process intensification is necessary for improving the fly ash flotation effect. Understanding the relationship between conditioning parameters and flotation results is crucial for optimizing the conditioning-flotation process. This study developed a machine learning framework for predicting the yield, loss on ignition, and removal rate of unburned carbon using data from conditioning-flotation experiments. Feature variables of conditioning speed, impeller type, stirred tank diameter, collector dosage, and frother dosage were employed to develop five machine learning models. After tuning the hyper-parameters with GridSearchCV technique, it was found that Random Forest Regression model, eXtreme Gradient Boosting Regression model, and Gradient Boosting Regression model demonstrated good agreements between the predicted data and test data for the yield, loss on ignition, and removal rate of unburned carbon. The maximum R2 values were 0.9184, 0.8339, and 0.9434, respectively, while the minimum MSE values were 3.30, 5.82, and 20.59, respectively. The interpretable analysis using SHapley Additive exPlanations (SHAP) method indicated that conditioning speed was the most significant feature variable affecting the yield, loss on ignition, and removal rate of unburned carbon, while impeller type had a secondary impact. This investigation is expected to reveal the important role of conditioning process intensification in optimizing fly ash flotation. [ABSTRACT FROM AUTHOR]

Background: Accurately predicting the walking independence of stroke patients is important. Our objective was to determine and compare the performance of logistic regression (LR) and three machine learning models (eXtreme Gradient Boosting (XGBoost), Support Vector Machines (SVM), and Random Forest (RF)) in predicting walking independence at discharge in stroke patients, as well as to explore the variables that predict prognosis. Methods: 778 (80% for the training set and 20% for the test set) stroke patients admitted to China Rehabilitation Research Center between February 2020 and January 2023 were retrospectively included. The training set was used for training models. The test set was used to validate and compare the performance of the four models in terms of area under the curve (AUC), accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and F1 score. Results: Among the three ML models, the AUC of the XGBoost model is significantly higher than that of the SVM and RF models (P < 0.001, P = 0.024, respectively). There was no significant difference in the AUCs between the XGBoost model and the LR model (0.891 vs. 0.880, P = 0.560). The XGBoost model demonstrated superior accuracy (87.82% vs. 86.54%), sensitivity (50.00% vs. 39.39%), PPV (73.68% vs. 73.33%), NPV (89.78% vs. 87.94%), and F1 score (59.57% vs. 51.16%), with only slightly lower specificity (96.09% vs. 96.88%). Together, the XGBoost model and the stepwise LR model identified age, FMA-LE at admission, FAC at admission, and lower limb spasticity as key factors influencing independent walking. Conclusion: Overall, the XGBoost model performed best in predicting independent walking after stroke. The XGBoost and LR models together confirm that age, admission FMA-LE, admission FAC, and lower extremity spasticity are the key factors influencing independent walking in stroke patients at hospital discharge. Trial registration: Not applicable. [ABSTRACT FROM AUTHOR]

In an era marked by pervasive digital connectivity, cybersecurity concerns have escalated. The rapid evolution of technology has led to a spectrum of cyber threats, including sophisticated zero-day attacks. This research addresses the challenge of existing intrusion detection systems in identifying zero-day attacks using the CIC-MalMem-2022 dataset and autoencoders for anomaly detection. The trained autoencoder is integrated with XGBoost and Random Forest, resulting in the models XGBoost-AE and Random Forest-AE. The study demonstrates that incorporating an anomaly detector into traditional models significantly enhances performance. The Random Forest-AE model achieved 100% accuracy, precision, recall, F1 score, and Matthews Correlation Coefficient (MCC), outperforming the methods proposed by Balasubramanian et al., Khan, Mezina et al., Smith et al., and Dener et al. When tested on unseen data, the Random Forest-AE model achieved an accuracy of 99.9892%, precision of 100%, recall of 99.9803%, F1 score of 99.9901%, and MCC of 99.8313%. This research highlights the effectiveness of the proposed model in maintaining high accuracy even with previously unseen data. [ABSTRACT FROM AUTHOR]

ABSTRACT Aims Design Methods Results Conclusion Impact Patient or Public Contribution The aim of our study was to formulate and validate a prediction model using machine learning algorithms to forecast the risk of pressure injuries (PIs) in children undergoing living donor liver transplantation (LDLT).A retrospective cohort study.The research was carried out at China's largest paediatric liver transplantation centre. A total of 438 children who underwent LDLT between June 2021 and December 2022 constituted the study cohort. The dataset was partitioned randomly into 70% for training datasets (306 cases) and 30% for testing datasets (132 cases). Utilising four machine learning algorithms—Decision Tree, Random Forest, Gradient Boosting Decision Tree and eXtreme Gradient Boosting—we identified risk factors and constructed predictive models.Out of 438 children, 42 developed PIs, yielding an incidence rate of 9.6%. Notably, 94% of these cases were categorised as Stage 1, and 54% were localised on the occiput. Upon evaluating the four prediction models, the Decision Tree model emerged as the most effective. The primary contributors to pressure injury in the Decision Tree model were identified as operation time, intraoperative corticosteroid administration, preoperative skin protection measures and preoperative skin conditions. A visualisation elucidating the logical inference process for the 10 variables within the Decision Tree model was presented. Ultimately, based on the Decision Tree model, a predictive system was developed.Machine learning algorithms facilitate the identification of crucial factors, enabling the creation of an effective Decision Tree model to forecast pressure injury development in children undergoing LDLT.With this predictive model at their disposal, nurses can assess the pressure injury risk level in children more intuitively. Subsequently, they can implement tailored preventive strategies to mitigate the occurrence of PIs.Paediatric patients contributed electronic health records datasets. [ABSTRACT FROM AUTHOR]

Introduction: The aboveground carbon storage (AGC) in forests serves as a crucial metric for evaluating both the composition of the forest ecosystem and the quality of the forest. It also plays a significant role in assessing the quality of regional ecosystems. However, current technical limitations introduce a degree of uncertainty in estimating forest AGC at a regional scale. Despite these challenges, remote sensing technology provides an accurate means of monitoring forest AGC. Furthermore, the implementation of machine learning algorithms can enhance the precision of AGC estimates. Lishui City, with its rich forest resources and an approximate forest coverage rate of 80%, serves as a representative example of the typical subtropical forest distribution in Zhejiang Province. Methods: Therefore, this study uses Landsat remote sensing images, employing backpropagation neural network (BPNN), random forest (RF), and categorical boosting (CatBoost) to model the forest AGC of Lishui City, selecting the best model to estimate and analyze its forest AGC spatiotemporal dynamics over the past 30 years (1989-2019). Results: The study shows that: (1) The texture information calculated based on 9×9 and 11×11 windows is an important variable in constructing the remote sensing estimation model of the forest AGC in Lishui City; (2) All three machine learning techniques are capable of estimating forest AGC in Lishui City with high precision. Notably, the CatBoost algorithm outperforms the others in terms of accuracy, achieving a model training accuracy and testing accuracy R² of 0.95 and 0.83, and RMSE of 2.98 Mg C ha-1 and 4.93 Mg C ha-1, respectively. (3) Spatially, the central and southwestern regions of Lishui City exhibit high levels of forest AGC, whereas the eastern and northeastern regions display comparatively lower levels. Over time, there has been a consistent increase in the total forest AGC in Lishui City over the past three decades, escalating from 1.36×107 Mg C in 1989 to 6.16×107 Mg C in 2019. Discussion: This study provided a set of effective hyperparameters and model of machine learning suitable for subtropical forests and a reference data for improving carbon sequestration capacity of subtropical forests in Lishui City. [ABSTRACT FROM AUTHOR]

Background: Cancer stem cells (CSCs) are a subset of cells within tumors that possess the unique ability to self-renew and give rise to diverse tumor cells. These cells are crucial in driving tumormetastasis, recurrence, and resistance to treatment. The objective of this study was to pinpoint the essential regulatory genes associated with CSCs in prostate adenocarcinoma (PRAD) and assess their potential significance in the diagnosis, prognosis, and immunotherapy of patients with PRAD. Method: The study utilized single-cell analysis techniques to identify stem cellrelated genes and evaluate their significance in relation to patient prognosis and immunotherapy in PRAD through cluster analysis. By utilizing diverse datasets and employing various machine learning methods for clustering, diagnostic models for PRAD were developed and validated. The random forest algorithm pinpointed HSPE1 as the most crucial prognostic gene among the stem cellrelated genes. Furthermore, the study delved into the association between HSPE1 and immune infiltration, and employed molecular docking to investigate the relationship between HSPE1 and its associated compounds. Immunofluorescence staining analysis of 60 PRAD tissue samples confirmed the expression of HSPE1 and its correlation with patient prognosis in PRAD. Result: This study identified 15 crucial stem cell-related genes through singlecell analysis, highlighting their importance in diagnosing, prognosticating, and potentially treating PRAD patients. HSPE1 was specifically linked to PRAD prognosis and response to immunotherapy, with experimental data supporting its upregulation in PRAD and association with poorer prognosis. Conclusion: Overall, our findings underscore the significant role of stem cellrelated genes in PRAD and unveil HSPE1 as a novel target related to stem cell. [ABSTRACT FROM AUTHOR]

Venture capital (VC) significantly contributes to the development of regional economies and fosters innovation. Analyzing the factors that influence VC investments holds key importance. This study employs two methods to ascertain the relative significance of different factors at the city level: the Lindeman, Merenda, and Gold (LMG) approach in multiple linear regression (MLR) and variable importance in random forest (RF) machine learning. The findings reveal that several factors, including economy, finance, innovation, location, and policy, significantly influence VC investments. Both the MLR and RF models highlight the preeminence of economic and financial variables, followed closely by the city's potential for innovation. Moreover, spatial heterogeneity exists in the importance of these variables. In the economically developed and densely populated eastern regions of China, the financial environment of cities emerges as the most crucial, whereas in the central and western regions, the economy and innovation, respectively, take precedence. This research contributes to a deeper understanding of the distribution of VC investments and offers valuable insights for the development of regional policies. [ABSTRACT FROM AUTHOR]

Background: To design a pulmonary ground-glass nodules (GGN) classification method based on computed tomography (CT) radiomics and machine learning for prediction of invasion in early-stage ground-glass opacity (GGO) pulmonary adenocarcinoma. Methods: This retrospective study included pulmonary GGN patients who were histologically confirmed to have adenocarcinoma in situ (AIS), minimally invasive adenocarcinoma (MIA), or invasive adenocarcinoma cancer (IAC) from 2020 to 2023. CT images of all patients were automatically segmented and 107 radiomic features were obtained for each patient. Classification models were developed using random forest (RF) and cross-validation, including three one-versus-others models and one three-class model. For each model, features were ranked by normalized Gini importance, and a minimal subset was selected with a cumulative importance exceeding 0.9. These selected features were then used to train the final models. The models' performance metrics, including area under the curve (AUC), accuracy, sensitivity, and specificity, were computed. AUC and accuracy were compared to determine the final optimal method. Results: The study comprised 193 patients (mean age 54 ± 11 years, 65 men), including 65 AIS, 54 MIA, and 74 IAC, divided into one training cohort (N = 154) and one test cohort (N = 39). The final three-class RF model outperformed three individual one-versus-others models in distinguishing each class from the other two. For the multiclass classification model, the AUC, accuracy, sensitivity, and specificity were 0.87, 0.79, 0.62, and 0.88 for AIS; 0.90, 0.79, 0.54, and 0.89 for MIA; and 0.87, 0.69, 0.73, and 0.67 for IAC, respectively. Conclusions: A radiomics-based multiclass RF model could effectively differentiate three types of pulmonary GGN, which enabled early diagnosis of GGO pulmonary adenocarcinoma. [ABSTRACT FROM AUTHOR]

Introduction: Additive manufacturing (AM) is a revolutionary technology transforming traditional production processes by providing exceptional mechanical characteristics. Methods: The present study aims explicitly to predict the hardness of Polycarbonate (PC) parts produced using AM. The objectives of this study are: (1) To investigate the process parameters that impact the ability to estimate the hardness of PC materials accurately, and (2) To develop a best-performing ML model from a range of models that can reliably predict the hardness of additively manufactured PC parts. Initially, fused filament fabrication (FFF), the most affordable AM technique, was used for the manufacturing of parts. Four process parameters, infill density, print direction, raster angle, and layer thickness, are selected for investigation. A heatmap is generated to obtain the influence of process parameters on hardness. Then, machine learning (ML) techniques create a range of predictive models that can predict hardness value considering the level of process parameters. Results: The developed ML models include Linear Regression, Decision Tree, Random Forest, K-nearest neighbor, Support Vector Regression, AdaBoost, and Artificial Neural Network. Further, an investigation has been done that includes choosing and improving ML algorithms and assessing the models' performance. Discussion: Prediction plots, residual plots, and evaluation metrics plots are prepared to gauge the performance of the developed models. Thus, the research enhances AM capabilities by applying predictive modeling to process parameters and improving the quality and reliability of fabricated components. [ABSTRACT FROM AUTHOR]

Objective: This study aimed to develop a deep learning model to predict skeletal malocclusions with an acceptable level of accuracy using airway and cephalometric landmark values obtained from analyzing different CBCT images. Background: In orthodontics, multitudinous studies have reported the correlation between orthodontic treatment and changes in the anatomy as well as the functioning of the airway. Typically, the values obtained from various measurements of cephalometric landmarks are used to determine skeletal class based on the interpretation an orthodontist experiences, which sometimes may not be accurate. Methods: Samples of skeletal anatomical data were retrospectively obtained and recorded in Digital Imaging and Communications in Medicine (DICOM) file format. The DICOM files were used to reconstruct 3D models using 3DSlicer (slicer.org) by thresholding airway regions to build up 3D polygon models of airway regions for each sample. The 3D models were measured for different landmarks that included measurements across the nasopharynx, the oropharynx, and the hypopharynx. Male and female subjects were combined as one data set to develop supervised learning models. These measurements were utilized to build 7 artificial intelligence-based supervised learning models. Results: The supervised learning model with the best accuracy was Random Forest, with a value of 0.74. All the other models were lower in terms of their accuracy. The recall scores for Class I, II, and III malocclusions were 0.71, 0.69, and 0.77, respectively, which represented the total number of actual positive cases predicted correctly, making the sensitivity of the model high. Conclusion: In this study, it is observed that the Random Forest model was the most accurate model for predicting the skeletal malocclusion based on various airway and cephalometric landmarks. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study is to explore the feasibility of using machine learning approaches to objectively differentiate the mobilization patterns, measured via accelerometer sensors, of patients pre- and post-intervention. Methods: The intervention tested the implementation of a Frailty Care Bundle to improve mobilization, nutrition and cognition in older orthopedic patients. The study recruited 120 participants, a sub-group analysis was undertaken on 113 patients with accelerometer data (57 pre-intervention and 56 post-intervention), the median age was 78 years and the majority were female. Physical activity data from an ankle-worn accelerometer (StepWatch 4) was collected for each patient during their hospital stay. These data contained daily aggregated gait variables. Data preprocessing included the standardization of step counts and feature computation. Subsequently, a binary classification model was trained. A systematic hyperparameter optimization approach was applied, and feature selection was performed. Two classifier models, logistic regression and Random Forest, were investigated and Shapley values were used to explain model predictions. Results: The Random Forest classifier demonstrated an average balanced accuracy of 82.3% (± 1.7%) during training and 74.7% (± 8.2%) for the test set. In comparison, the logistic regression classifier achieved a training accuracy of 79.7% (± 1.9%) and a test accuracy of 77.6% (± 5.5%). The logistic regression model demonstrated less overfitting compared to the Random Forest model and better performance on the hold-out test set. Stride length was consistently chosen as a key feature in all iterations for both models, along with features related to stride velocity, gait speed, and Lyapunov exponent, indicating their significance in the classification. Conclusion: The best performing classifier was able to distinguish between patients pre- and post-intervention with greater than 75% accuracy. The intervention showed a correlation with higher gait speed and reduced stride length. However, the question of whether these alterations are part of an adaptive process that leads to improved outcomes over time remains. [ABSTRACT FROM AUTHOR]