Prediction of sepsis within 24 hours at the triage stage in emergency departments using machine learning

BACKGROUND:Sepsis is one of the main causes of mortality in intensive care units(ICUs).Early prediction is critical for reducing injury.As approximately 36%of sepsis occur within 24 h after emergency department(ED)admission in Medical Information Mart for Intensive Care(MIMIC-IV),a prediction system for the ED triage stage would be helpful.Previous methods such as the quick Sequential Organ Failure Assessment(qSOFA)are more suitable for screening than for prediction in the ED,and we aimed to fi nd a light-weight,convenient prediction method through machine learning.METHODS:We accessed the MIMIC-IV for sepsis patient data in the EDs.Our dataset comprised demographic information,vital signs,and synthetic features.Extreme Gradient Boosting(XGBoost)was used to predict the risk of developing sepsis within 24 h after ED admission.Additionally,SHapley Additive exPlanations(SHAP)was employed to provide a comprehensive interpretation of the model's results.Ten percent of the patients were randomly selected as the testing set,while the remaining patients were used for training with 10-fold cross-validation.RESULTS:For 10-fold cross-validation on 14,957 samples,we reached an accuracy of 84.1%±0.3%and an area under the receiver operating characteristic(ROC)curve of 0.92±0.02.The model achieved similar performance on the testing set of 1,662 patients.SHAP values showed that the fi ve most important features were acuity,arrival transportation,age,shock index,and respiratory rate.CONCLUSION:Machine learning models such as XGBoost may be used for sepsis prediction using only a small amount of data conveniently collected in the ED triage stage.This may help reduce workload in the ED and warn medical workers against the risk of sepsis in advance.

Effective Capacity of URLLC over Parallel Fading Channels with Imperfect Channel State Information

This paper investigates the effective capacity of a point-to-point ultra-reliable low latency communication(URLLC)transmission over multiple parallel sub-channels at finite blocklength(FBL)with imperfect channel state information(CSI).Based on reasonable assumptions and approximations,we derive the effective capacity as a function of the pilot length,decoding error probability,transmit power and the sub-channel number.Then we reveal significant impact of the above parameters on the effective capacity.A closed-form lower bound of the effective capacity is derived and an alternating optimization based algorithm is proposed to find the optimal pilot length and decoding error probability.Simulation results validate our theoretical analysis and show that the closedform lower bound is very tight.In addition,through the simulations of the optimized effective capacity,insights for pilot length and decoding error probability optimization are provided to evaluate the optimal parameters in realistic systems.

Detection of Oscillations in Process Control Loops From Visual Image Space Using Deep Convolutional Networks

Oscillation detection has been a hot research topic in industries due to the high incidence of oscillation loops and their negative impact on plant profitability.Although numerous automatic detection techniques have been proposed,most of them can only address part of the practical difficulties.An oscillation is heuristically defined as a visually apparent periodic variation.However,manual visual inspection is labor-intensive and prone to missed detection.Convolutional neural networks(CNNs),inspired by animal visual systems,have been raised with powerful feature extraction capabilities.In this work,an exploration of the typical CNN models for visual oscillation detection is performed.Specifically,we tested MobileNet-V1,ShuffleNet-V2,Efficient Net-B0,and GhostNet models,and found that such a visual framework is well-suited for oscillation detection.The feasibility and validity of this framework are verified utilizing extensive numerical and industrial cases.Compared with state-of-theart oscillation detectors,the suggested framework is more straightforward and more robust to noise and mean-nonstationarity.In addition,this framework generalizes well and is capable of handling features that are not present in the training data,such as multiple oscillations and outliers.

Control of GaN inverted pyramids growth on c-plane patterned sapphire substrates

Growth of gallium nitride(GaN)inverted pyramids on c-plane sapphire substrates is benefit for fabricating novel devices as it forms the semipolar facets.In this work,GaN inverted pyramids are directly grown on c-plane patterned sapphire substrates(PSS)by metal organic vapor phase epitaxy(MOVPE).The influences of growth conditions on the surface morphol-ogy are experimentally studied and explained by Wulff constructions.The competition of growth rate among{0001},{1011},and{1122}facets results in the various surface morphologies of GaN.A higher growth temperature of 985 ℃ and a lowerⅤ/Ⅲratio of 25 can expand the area of{}facets in GaN inverted pyramids.On the other hand,GaN inverted pyramids with almost pure{}facets are obtained by using a lower growth temperature of 930℃,a higherⅤ/Ⅲratio of 100,and PSS with pattern arrangement perpendicular to the substrate primary flat.

Enhancing the clinical relevance of haemorrhage prediction models in trauma

We read with interest the recent systematic reviewaArtificial intelligence and machine learning for hemorrhagic trauma careoby Peng et al.[1],which evaluated literature on machine learning(ML)in the management of traumatic haemorrhage.We thank the authors for their contribution to the role of ML in trauma.

GraphSTGAN:Situation understanding network of slow-fast high maneuvering targets for maritime monitor services of IoT data

With the rapid growth of the maritime Internet of Things(IoT)devices for Maritime Monitor Services(MMS),maritime traffic controllers could not handle a massive amount of data in time.For unmanned MMS,one of the key technologies is situation understanding.However,the presence of slow-fast high maneuvering targets and track breakages due to radar blind zones make modeling the dynamics of marine multi-agents difficult,and pose significant challenges to maritime situation understanding.In order to comprehend the situation accurately and thus offer unmanned MMS,it is crucial to model the complex dynamics of multi-agents using IoT big data.Nevertheless,previous methods typically rely on complex assumptions,are plagued by unstructured data,and disregard the interactions between multiple agents and the spatial-temporal correlations.A deep learning model,Graph Spatial-Temporal Generative Adversarial Network(GraphSTGAN),is proposed in this paper,which uses graph neural network to model unstructured data and uses STGAN to learn the spatial-temporal dependencies and interactions.Extensive experiments show the effectiveness and robustness of the proposed method.

Data processing method for aerial testing of rotating accelerometer gravity gradiometer

A novel method for noise removal from the rotating accelerometer gravity gradiometer(MAGG)is presented.It introduces a head-to-tail data expansion technique based on the zero-phase filtering principle.A scheme for determining band-pass filter parameters based on signal-to-noise ratio gain,smoothness index,and cross-correlation coefficient is designed using the Chebyshev optimal consistent approximation theory.Additionally,a wavelet denoising evaluation function is constructed,with the dmey wavelet basis function identified as most effective for processing gravity gradient data.The results of hard-in-the-loop simulation and prototype experiments show that the proposed processing method has shown a 14%improvement in the measurement variance of gravity gradient signals,and the measurement accuracy has reached within 4E,compared to other commonly used methods,which verifies that the proposed method effectively removes noise from the gradient signals,improved gravity gradiometry accuracy,and has certain technical insights for high-precision airborne gravity gradiometry.

Core–Shell Microfiber Encapsulation Enables Glycerol‑Free Cryopreservation of RBCs with High Hematocrit

Cryopreservation of red blood cells(RBCs)provides great potential benefits for providing transfusion timely in emergencies.High concentrations of glycerol(20%or 40%)are used for RBC cryopreservation in current clinical practice,which results in cytotoxicity and osmotic injuries that must be carefully controlled.However,existing studies on the low-glycerol cryopreservation of RBCs still suffer from the bottleneck of low hematocrit levels,which require relatively large storage space and an extra concentration process before transfusion,making it inconvenient(time-consuming,and also may cause injury and sample lose)for clinical applications.To this end,we develop a novel method for the glycerol-free cryopreservation of human RBCs with a high final hematocrit by using trehalose as the sole cryoprotectant to dehydrate RBCs and using core–shell alginate hydrogel microfibers to enhance heat transfer during cryopreservation.Different from previous studies,we achieve the cryopreservation of human RBCs at high hematocrit(>40%)with high recovery(up to 95%).Additionally,the washed RBCs post-cryopreserved are proved to maintain their morphology,mechanics,and functional properties.This may provide a nontoxic,high-efficiency,and glycerol-free approach for RBC cryopreservation,along with potential clinical transfusion benefits.

Design and Implementation of a High-Sensitivity Magnetic Sensing System Based on GMI Effect

A high-sensitivity magnetic sensing system based on giant magneto-impedance(GMI)effect is designed and fabricated.The system comprises a GMI sensor equipped with a gradient probe and an signal acquisition and processing module.A segmented superposition algorithm is used to increase target signal and reduce the random noise.The results show that under unshielded,room temperature conditions,the system achieves successful detection of weak magnetic fields down to 2 pT with a notable sensitivity of 1.84×10^(8)V/T(G=1000).By applying 17 overlays,the segmented superposition algorithm increases the power proportion of the target signal at 31 Hz from6.89%to 45.91%,surpassing the power proportion of the 2 Hz low-frequency interference signal.Simultaneously,it reduces the power proportion of the 20 Hz random noise.The segmented superposition process effectively cancels out certain random noise elements,leading to a reduction in their respective power proportions.This high-sensitivity magnetic sensing system features a simple structure,and is easy to operate,making it highly valuable for both practical applications and broader dissemination.

Age of Information Based User Scheduling and Data Assignment in Multi-User Mobile Edge Computing Networks:An Online Algorithm

This paper investigates the age of information(AoI)-based multi-user mobile edge computing(MEC)network with partial offloading mode.The weighted sum AoI(WSA)is first analyzed and derived,and then a WSA minimization problem is formulated by jointly optimizing the user scheduling and data assignment.Due to the non-analytic expression of the WSA w.r.t.the optimization variables and the unknowability of future network information,the problem cannot be solved with known solution methods.Therefore,an online Joint Partial Offloading and User Scheduling Optimization(JPOUSO)algorithm is proposed by transforming the original problem into a single-slot data assignment subproblem and a single-slot user scheduling sub-problem and solving the two sub-problems separately.We analyze the computational complexity of the presented JPO-USO algorithm,which is of O(N),with N being the number of users.Simulation results show that the proposed JPO-USO algorithm is able to achieve better AoI performance compared with various baseline methods.It is shown that both the user’s data assignment and the user’s AoI should be jointly taken into account to decrease the system WSA when scheduling users.

The Immense Impact of Reverse Edges on Large Hierarchical Networks

Hierarchical networks are frequently encountered in animal groups,gene networks,and artificial engineering systems such as multiple robots,unmanned vehicle systems,smart grids,wind farm networks,and so forth.The structure of a large directed hierarchical network is often strongly influenced by reverse edges from lower-to higher-level nodes,such as lagging birds’howl in a flock or the opinions of lowerlevel individuals feeding back to higher-level ones in a social group.This study reveals that,for most large-scale real hierarchical networks,the majority of the reverse edges do not affect the synchronization process of the entire network;the synchronization process is influenced only by a small part of these reverse edges along specific paths.More surprisingly,a single effective reverse edge can slow down the synchronization of a huge hierarchical network by over 60%.The effect of such edges depends not on the network size but only on the average in-degree of the involved subnetwork.The overwhelming majority of active reverse edges turn out to have some kind of“bunching”effect on the information flows of hierarchical networks,which slows down synchronization processes.This finding refines the current understanding of the role of reverse edges in many natural,social,and engineering hierarchical networks,which might be beneficial for precisely tuning the synchronization rhythms of these networks.Our study also proposes an effective way to attack a hierarchical network by adding a malicious reverse edge to it and provides some guidance for protecting a network by screening out the specific small proportion of vulnerable nodes.

Compression of Battery X-Ray Tomography Data with Machine Learning

With the increasing demand for high-resolution x-ray tomography in battery characterization,the challenges of storing,transmitting,and analyzing substantial imaging data necessitate more efficient solutions.Traditional data compression methods struggle to balance reduction ratio and image quality,often failing to preserve critical details for accurate analysis.This study proposes a machine learning-assisted compression method tailored for battery x-ray imaging data.Leveraging physics-informed representation learning,our approach significantly reduces file sizes without sacrificing meaningful information.We validate the method on typical battery materials and different x-ray imaging techniques,demonstrating its effectiveness in preserving structural and chemical details.Experimental results show an up-to-95 compression ratio while maintaining high fidelity in the projection and reconstructed images.The proposed framework provides a promising solution for managing large-scale battery x-ray imaging datasets,facilitating significant advancements in battery research and development.

Utilization of Logistical Regression to the Modified Sine-Gordon Model in the MST Experiment

In this paper, a logistical regression statistical analysis (LR) is presented for a set of variables used in experimental measurements in reversed field pinch (RFP) machines, commonly known as “slinky mode” (SM), observed to travel around the torus in Madison Symmetric Torus (MST). The LR analysis is used to utilize the modified Sine-Gordon dynamic equation model to predict with high confidence whether the slinky mode will lock or not lock when compared to the experimentally measured motion of the slinky mode. It is observed that under certain conditions, the slinky mode “locks” at or near the intersection of poloidal and/or toroidal gaps in MST. However, locked mode cease to travel around the torus;while unlocked mode keeps traveling without a change in the energy, making it hard to determine an exact set of conditions to predict locking/unlocking behaviour. The significant key model parameters determined by LR analysis are shown to improve the Sine-Gordon model’s ability to determine the locking/unlocking of magnetohydrodyamic (MHD) modes. The LR analysis of measured variables provides high confidence in anticipating locking versus unlocking of slinky mode proven by relational comparisons between simulations and the experimentally measured motion of the slinky mode in MST.

Design of Cold-Junction Compensation and Disconnection Detection Circuits of Various Thermocouples and Implementation of Multi-Channel Interfaces Using Them-A Secondary Publication

Cold-junction compensation(CJC)and disconnection detection circuit design of various thermocouples(TC)and multi-channel TC interface circuits were designed.The CJC and disconnection detection circuit consists of a CJC semiconductor device,an instrumentation amplifier(IA),two resistors,and a diode for disconnection detection.Based on the basic circuit,a multi-channel interface circuit was also implemented.The CJC was implemented using compensation semiconductor and IA,and disconnection detection was detected by using two resistors and a diode so that IA input voltage became-0.42 V.As a result of the experiment using R-type TC,the error of the designed circuit was reduced from 0.14 mV to 3μV after CJC in the temperature range of 0°C to 1400°C.In addition,it was confirmed that the output voltage of IA was saturated from 88 mV to-14.2 V when TC was disconnected from normal.The output voltage of the designed circuit was 0 V to 10 V in the temperature range of 0°C to 1400°C.The results of the 4-channel interface experiment using R-type TC were almost identical to the CJC and disconnection detection results for each channel.The implemented multi-channel interface has a feature that can be applied equally to E,J,K,T,R,and S-type TCs by changing the terminals of CJC semiconductor devices and adjusting the IA gain.

A Study on the Design Method of Hybrid MOSFET-CNTFET Based SRAM-A Secondary Publication

More than 10,000 carbon nanotube field-effect transistors(CNTFETs)have been successfully integrated into one semiconductor chip using conventional semiconductor design procedures and manufacturing processes.These transistors offer advantages such as high carrier mobility,large saturation velocity,low intrinsic capacitance,flexibility,and transparency.The three-dimensional multilayer structure of the CNTFET semiconductor chip,along with ongoing research in CNTFET manufacturing processes,increases the potential for creating a hybrid MOSFET-CNTFET semiconductor chip.This chip combines conventional metal-oxide-semiconductor field-effect transistors(MOSFETs)and CNTFETs in one integrated system.This paper discusses a methodology to design 6T binary static random-access memory(SRAM)using a hybrid MOSFET-CNTFET.This paper introduces a method for designing a hybrid MOSFET-CNTFET SRAM by leveraging existing MOSFET SRAM or CNTFET SRAM design approaches.Additionally,this paper compares its performance with conventional MOSFET SRAM and CNTFET SRAM designs.

Observer Based Control for a Class of Systems with Output Deadzone Nonlinearity

In this paper, a combination of model based adaptive design along with adaptive linear output feedback controller is used to compensate for robotic manipulator with output deadzone nonlinearity. The deadzone dynamics are utilized to adaptively estimate the deadzone parameter and a switching function is designed to eliminate the error produced in the adaptive observer dynamics. The overall design of the closed loop system ensures stability in the BIBO criterion.

Influence of an Electronic Field on the GMI Effect of Fe-based Nanocrystalline Microwire

In this work, a Fe-based nanocrystalline microwire of 20 mm in length and 25 μm in diameter was placed in the center of a 316 stainless steel pipe. The pipe was 500 μm in diameter and a little shorter than the microwire. A series of voltages were applied on the pipe to study the influence of the electrical field on the Giant-Magneto-Impedance(GMI) effect of the microwire. Experimental results showed that the electronic field between the wire and the pipe reduced the hysteresis of the GMI effect. The results were explained based on equivalent circuit and eddy current consumptions analysis.

Electronic mobility in the high-carrier-density limit of ion gel gated IDTBT thin film transistors

Indacenodithiophene-co-benzothiadiazole（IDTBT） has emerged as one of the most exciting semiconducting polymers in recent years because of its high electronic mobility and charge transport along the polymer backbone. By using the recently developed ion gel gating technique we studied the charge transport of IDTBT at carrier densities up to 10^21cm^-3.While the conductivity in IDTBT was found to be enhanced by nearly six orders of magnitude by ionic gating, the charge transport in IDTBT was found to remain 3D Mott variable range hopping even down to the lowest temperature of our measurements, 12 K. The maximum mobility was found to be around 0.2 cm^2·V^-1·s^-1, lower than that of Cytop gated field effect transistors reported previously. We attribute the lower mobility to the additional disorder induced by the ionic gating.

Matching while Learning: Wireless Scheduling for Age of Information Optimization at the Edge

In this paper,we investigate the minimization of age of information(AoI),a metric that measures the information freshness,at the network edge with unreliable wireless communications.Particularly,we consider a set of users transmitting status updates,which are collected by the user randomly over time,to an edge server through unreliable orthogonal channels.It begs a natural question:with random status update arrivals and obscure channel conditions,can we devise an intelligent scheduling policy that matches the users and channels to stabilize the queues of all users while minimizing the average AoI?To give an adequate answer,we define a bipartite graph and formulate a dynamic edge activation problem with stability constraints.Then,we propose an online matching while learning algorithm(MatL)and discuss its implementation for wireless scheduling.Finally,simulation results demonstrate that the MatL is reliable to learn the channel states and manage the users’buffers for fresher information at the edge.

Embedded System Development for Detection of Railway Track Surface Deformation Using Contour Feature Algorithm

Derailment of trains is not unusual all around the world,especially in developing countries,due to unidentified track or rolling stock faults that cause massive casualties each year.For this purpose,a proper condition monitoring system is essential to avoid accidents and heavy losses.Generally,the detection and classification of railway track surface faults in real-time requires massive computational processing and memory resources and is prone to a noisy environment.Therefore,in this paper,we present the development of a novel embedded system prototype for condition monitoring of railway track.The proposed prototype system works in real-time by acquiring railway track surface images and performing two tasks a)detect deformation(i.e.,faults)like squats,shelling,and spalling using the contour feature algorithm and b)the vibration signature on that faulty spot by synchronizing acceleration and image data.A new illumination scheme is also proposed to avoid the sunlight reflection that badly affects the image acquisition process.The contour detection algorithm is applied here to detect the uneven shapes and discontinuities in the geometrical structure of the railway track surface,which ultimately detects unhealthy regions.It works by converting Red,Green,and Blue(RGB)images into binary images,which distinguishes the unhealthy regions by making them white color while the healthy regions in black color.We have used the multiprocessing technique to overcome the massive processing and memory issues.This embedded system is developed on Raspberry Pi by interfacing a vision camera,an accelerometer,a proximity sensor,and a Global Positioning System(GPS)sensors(i.e.,multi-sensors).The developed embedded system prototype is tested in real-time onsite by installing it on a Railway Inspection Trolley(RIT),which runs at an average speed of 15 km/h.The functional verification of the proposed system is done successfully by detecting and recording the various railway track surface faults.An unhealthy frame’s onsite detection processing time was recorded at approximately 25.6ms.The proposed system can synchronize the acceleration data on specific railway track deformation.The proposed novel embedded system may be beneficial for detecting faults to overcome the conventional manual railway track condition monitoring,which is still being practiced in various developing or underdeveloped countries.