Healthcare analytics (New York, N.Y.)最新文献

Barrett's esophagus is an asymptomatic precursor to esophageal adenocarcinoma. Its rising incidence due to lifestyle factors, coupled with healthcare costs, requires cost-effective alternatives for surveillance. We propose a decision-analytic Markov cohort model to simulate Barrett's esophagus's natural progression to esophageal adenocarcinoma using TreeAge Pro. Health states include metaplasia (non-dysplastic Barrett's esophagus), low-grade dysplasia, high-grade dysplasia, and esophageal adenocarcinoma. Triplicates of these health states represent one non-stratified and two risk-stratified cohorts for devising risk-based strategies. A cycle length of six months and a time horizon of 35 years, totaling 70 cycles, is considered. Model inputs are derived from literature and, when unavailable from an extensive local database of 1087 patients (5081 person-years) from March 2003–2021, cleaned and analyzed with Rstudio (R version 3.6.3). Specific tests included descriptive statistics, Cox-proportional hazard models, and graphing. A seven-step calibration process is performed for risk-stratified and non-stratified groups simultaneously to match the progression to high-grade dysplasia and esophageal adenocarcinoma. This allows comparison between risk- and non-risk-based strategies. The calibration process included input parameterization, optimization, goodness of fit calculation, selection of sets meeting convergence criteria, and integration into probabilistic sensitivity analysis. This process generated 10,187 sets of transition probabilities, with 4358 meeting convergence criteria, ensuring equal model outputs in all groups. Mortality was 10.7% for cancer-related deaths, matching literature values. This process provides a robust framework for evaluating Barrett's esophagus progression and management strategies, supporting informed decision-making in healthcare.

Dementia is a major global health issue that significantly impacts millions of individuals, families, and societies worldwide, creating a substantial burden on healthcare systems. This study introduces a novel approach for predicting dementia by employing the Logistic Regression (LR) model, enhanced with Recursive Feature Elimination (RFE), applied to a unique dataset comprising 1000 patients, with 49.60% male and 50.40% female. The LR model, recognized for its simplicity and effectiveness in binary classification tasks, is optimized through RFE, a technique that iteratively eliminates less significant features to improve model performance. The model’s effectiveness was assessed using comprehensive metrics, including accuracy, precision, recall, F1-score, Matthews Correlation Coefficient (MCC), and Kappa score. Furthermore, SHapley Additive exPlanations (SHAP) values were employed to increase the interpretability of the model, providing insights into the most influential features for dementia prediction. To address the issue of overfitting, a standardization technique was implemented, which enhanced the model’s predictive performance. The findings of this study hold potential implications for early dementia detection, informing intervention strategies, and optimizing healthcare resource allocation.

The viral illness known as monkeypox causes symptoms such a rash that can appear on the hands, feet, chest, face, and lips or near the genitalia. This study presents a mathematical model for the kinetics of monkeypox transmission with vaccination and immunity loss following recovery. The theories of positivity and boundedness are used to analyze the model’s well-posedness. The next generation matrix is used to determine the model’s basic reproduction number. The model’s equilibrium points are discovered. We demonstrate that the disease-free equilibrium was locally asymptotically stable. The center manifold theory is used to establish the bifurcation analysis. The impact of the parameters related to the fundamental reproduction number $R_0$ is investigated using the normalized forward sensitivity index. In addition, the model is expanded to incorporate time-dependent management of preventing interaction with contaminated rodents, avoiding contact with contaminated people, wearing personal protective equipment, and reducing rodent populations by utilizing an integrated pest management strategy. The model’s qualitative analysis is supported by numerical simulation.

Our emotional, psychological, and social well-being are all parts of our mental health, influencing our thoughts, emotions, and behaviors. Mental health also influences how we respond to stress, interact with others, and make good or bad decisions. There has been growing interest in the use of machine learning for the early detection of mental illness. This study reviews the machine learning models, algorithms, and applications for the early detection of mental disease, particularly emphasizing the data modalities. We further propose a comprehensive methodology for assessing mental health that synergistically combines social media monitoring, data analytics from wearable devices, verbal polls, and individualized support. We provide an overview of the field’s current state, highlight the potential benefits and challenges of using machine learning in mental health care, and a new taxonomy of mental disorders issues based on five domains of data types. We review existing research on using machine learning to detect and treat mental illness and discuss the implications for future research. Finally, the value of this work lies in its potential to provide a fast and accurate method for predicting the mental health status of a person, which may assist in the diagnosis and treatment of mental illness.