Federated Learning Model for Auto Insurance Rate Setting Based on Tweedie Distribution

In the assessment of car insurance claims,the claim rate for car insurance presents a highly skewed probability distribution,which is typically modeled using Tweedie distribution.The traditional approach to obtaining the Tweedie regression model involves training on a centralized dataset,when the data is provided by multiple parties,training a privacy-preserving Tweedie regression model without exchanging raw data becomes a challenge.To address this issue,this study introduces a novel vertical federated learning-based Tweedie regression algorithm for multi-party auto insurance rate setting in data silos.The algorithm can keep sensitive data locally and uses privacy-preserving techniques to achieve intersection operations between the two parties holding the data.After determining which entities are shared,the participants train the model locally using the shared entity data to obtain the local generalized linear model intermediate parameters.The homomorphic encryption algorithms are introduced to interact with and update the model intermediate parameters to collaboratively complete the joint training of the car insurance rate-setting model.Performance tests on two publicly available datasets show that the proposed federated Tweedie regression algorithm can effectively generate Tweedie regression models that leverage the value of data fromboth partieswithout exchanging data.The assessment results of the scheme approach those of the Tweedie regressionmodel learned fromcentralized data,and outperformthe Tweedie regressionmodel learned independently by a single party.

Arterial Hypertension-Related Factors within Custodial Settings of Southern Benin in 2023

Introduction: Hypertension, a non-communicable disease, is a major public health threat worldwide, accounting for a high level of morbidity and mortality. Although it has been extensively published among the general population, further research is needed to understand the reality of hypertension within the custodial setting. This study aimed to investigate the factors associated with arterial hypertension in custodial settings in southern Benin in 2023. Methods: This was a cross-sectional, descriptive, analytical study held in prisons in southern Benin from March to April 2023, involving inmates selected by two-stage random sampling. In the first stage, four prisons out of the six in the southern region of Benin were selected by simple random sampling. In the second stage, the prisoners were selected by systematic random sampling, with the sampling frame being the numbered list of eligible prisoners in each prison selected. Data collected by observation and questionnaire survey were analyzed using Stata 11 software. Hypertension was defined as systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg. Overweight was defined by a body mass index (weight/height2 (kg/m2) ≥ 25. Factors associated with hypertension were identified by multiple logistic regression, at a 5% threshold of significance. Results: Altogether 336 inmates aged 37.55 ± 1.72 years were surveyed. The prevalence of hypertension in custodial settings in southern Benin in 2023 was 31.32% (95% CI [17.06;52.57]). Associated factors were inmate age (ORa = 3.36 95% CI: [1.94;5.85]) and abnormal waist circumference (ORa = 2.61 95% CI [1.27;5.40]). Conclusion: The prevalence of arterial hypertension in prisons of southern Benin (31.32%) is high when compared with the national average (25.9% (22.5-29.3)). The ministries of the Interior and Health need to collaborate to involve inmates in preventive strategies for non-communicable diseases, including hypertension.

Prospective randomized study to evaluate and compare the post-procedural sexual function in patients undergoing semi-rigid ureterorenoscopy for distal ureteric stones in three different operating room settings

Objective:To evaluate and compare the effect of semi-rigid ureterorenoscopy on post-procedural sexual function with three different operating room settings.Methods:In this prospective randomized study,consecutive sexually active patients with normal pre-operative sexual function undergoing uncomplicated semi-rigid ureterorenoscopy for distal ureteric stones were randomized into three groups,with three different operating room settings.Procedure-related anxiety and sexual function were assessed pre-operatively using Amsterdam Preoperative Anxiety and Information Scale and Brief Sexual Function Inventory(in males)and Female Sexual Function Index-6(in females),respectively.All the participants were stented following the procedure,and the stent was removed after 3 weeks.Post-procedural sexual function and general discomfort were assessed and compared between three groups at 1 week,3 weeks,and 12 weeks.The effect of surgery-related anxiety,preoperative sexual function,age,and general discomfort(including stent-related discomfort)on post-procedural sexual function were analyzed using multiple regression analysis.A p-value of less than 0.05 was considered statistically significant.Results:Totally,327 eligible patients were randomized into three groups.The group of patients who underwent the procedural with a screen separating the operating area from the patient vision,while the patient could watch the endoscopy through a separate monitor,had better post-procedural sexual function compared to those who had total vision of the operating area as well as to those whose eyes were blocked.This difference was statistically significant.This post-procedural reduction in sexual function could not be attributed to in situ stent alone.Conclusions:Our study showed that semi-rigid ureterorenoscopy can have significant negative effect on sexual function,which can be reduced with proper preoperative counseling and an ideal operating room settings.

Watson-Jones Anatomical Approach for Open Reduction and Internal Fixation of Proximal Femoral Fractures without Image Intensifier in a Low-Resource Setting

Introduction: Standard procedures for surgical fixation of proximal femoral fractures (PFF) require an image intensifier which in developing countries remains a luxury. We hypothesized that, with a well-codified technique, the Watson Jones approach (WJA) without image intensifier nor traction table, can allow open reduction and internal fixation (ORIF) of PFF using Dynamic hip screw (DHS), with satisfactory outcome. Patients and methods: Forty one consecutive patients (mean age 59.5 ± 21.6 years, 61% males) who were followed in a Teaching Hospital for PFF treated by ORIF using the WJA and DHS from January 2016 to December 2020 were reassessed. The outcome measures were the quality of the reduction, the positioning of the implants, the tip-apex distance (TAD), the rate and delay of consolidation, the functional results using Postel Merle d’Aubigné (PMA) score, the rate of surgical site infection (SSI) and the overall mortality. Logistic regression was used to determine factors associated with mechanical failure. Results: The mean follow-up period was 33.8 ± 15.0 months. Fracture reduction was good in 31 (75.6%) cases and acceptable in 8(19.5%) cases. Implant position was fair to good in 37 (90.2%) patients. The mean TAD was 26.1 ± 3.9 mm. Three patients developed SSI. Consolidation was achieved in 38 (92.6%) patients. The functional results were good to excellent in 80.5% of patients. The overall mortality rate was 7.3%. There were an association between mechanical failure and osteoporosis (p = 0.04), fracture reduction (p = 0.003), and TAD (p = 0.025). In multivariate logistic regression, no independent factors were predictive of mechanical failure. Conclusion: This study shows that ORIF using DHS for PFF via the Watson-Jones approach without an image intensifier can give satisfactory anatomical and functional outcomes in low-resource settings. It provides and validates a reliable and reproducible technique that deserves to be diffused to surgeons in austere areas over the world.

Age and geochemical evolution of granite magmatism in Olkhon region from Caledonian syncollisional ore-free granite to the rare metal granite and pegmatite of Middle Paleozoic intraplate setting

The detailed description of two granite complexes in the Olkhon subterrane is given.The Early Paleozoic Sharanur complex was formed by granitization of gneisses of the Olkhon series.It includes migmatites,granite-gneisses,granites and pegmatites of normal alkalinity;they belong to the type of syncollisional granites.The Middle Paleozoic Aya granite complex includes mother Aya massif of amazonite-bearing granites and several types of rare-metal pegmatites.They have elevated alkalinity,low of Ba,Sr,and high LILE and HFSE elements contents.The Aya pegmatites lie in northwest cracks of stretching and associated with the rise of the territory under the influence of the North Asian plume.These cracks and pegmatites mark the beginning of a new intraplate geodynamic setting.Two geochemical types are distinguished among the pegmatites of this complex.These are amazonite pegmatites of Li-F type with Ta mineralization and complex type pegmatite with Be-Rb-Nb-Ta and Li-F mineralization(the Ilixin vein).The Tashkiney pegmatite vein is similar to Ilixin,but lies in the gneisses of the Olkhon series.It shows high concentrations of Be,Nb,Ta,as well as W,Sn,but lacks Li and F,due to a greater depth and higher temperature of the melt crystallization of this pegmatite.

Significance of“Printing English”in the Curriculum Setting of Business English Majors(Publishing Direction)

With the development of the global economy and the quick growth of international exchanges,Business English major plays an increasingly important role in higher education.The training goal of Business English major(publishing direction)has gradually shifted from the improvement of studentslanguage abilities to the cultivation of more specialized business knowledge and publishing skills.As an important course for Business English majors(publishing direction),Printing English is of great significance for cultivating studentsprofessional quality,professional competitiveness,career development,and practical ability.From the perspective of curriculum setting,it is necessary to re-understand the importance of Printing English in the curriculum setting of Business English major(publishing direction),and put forward corresponding teaching methods and strategies.

Phase-Based Optical Flow Method with Optimized Parameter Settings for Enhancing Displacement Measurement Adaptability

To enhance the applicability and measurement accuracy of phase-based optical flow method using complex steerable pyramids in structural displacement measurement engineering applications, an improved method of optimizing parameter settings is proposed. The optimized parameters include the best measurement points of the Region of Interest (ROI) and the levels of pyramid filters. Additionally, to address the issue of updating reference frames in practical applications due to the difficulty in estimating the maximum effective measurement value, a mechanism for dynamically updating reference frames is introduced. Experimental results demonstrate that compared to representative image gradient-based displacement measurement methods, the proposed method exhibits higher measurement accuracy in engineering applications. This provides reliable data support for structural damage identification research based on vibration signals and is expected to broaden the engineering application prospects for structural health monitoring.

Designing a Protection Scheme in Micro-Grid Systems with DG Using Central Protection Unite and Multiple Setting Group Protection Relays

Distributed generators now is widely used in electrical power networks, in some cases it works seasonally, and some types works at special weather conditions like photo voltaic systems and wind energy, and due to this continuous changes in generation condition, the fault current level in network will be affected, this changes in fault current level will affect in the coordination between protection relays and to keep the coordination at right way, an adaptive protection system is required that can adaptive its setting according to generation changes, the fault current level in each case is evaluated using ETAP software, and the required relay setting in each case is also evaluated using Grey Wolf Optimizer (GWO) algorithm, and to select suitable setting which required in each condition, to select the active setting group of protection relay according to generation capacity, central protection unite can be used, and to improve protection stability and minimizing relays tripping time, a proposed method for selecting suitable backup relay is used, which leads to decrease relays tripping time and increase system stability, output settings for relays in all cases achieved our constrains.

Delivering substance use prevention interventions for adolescents in educational settings:A scoping review

Currently,a proportion of adolescents use alcohol,tobacco,and illicit drugs,which inevitably harms their health and academic progress.Adolescence is a peak period for substance use initiation and a critical time for preventing substance use problems.Various entities,such as families,schools,and communities,have implemented a variety of interventions to alleviate adolescent substance use problems,and schools play a unique role.To explore the types,characteristics,and effectiveness of substance use interventions in educational settings for adolescents,we conducted a scoping review and identified 32 studies after screening.We divided the 32 studies according to intervention type,including curriculum interventions focusing on cognitive-behavioral skill enhancement,exercise interventions,peer interventions and family-school cooperation,and electronic interventions.Except for the mixed results on electronic interventions,the results showed that the other interventions were beneficial to different extents in alleviating adolescent substance use problems.In addition,we analyzed and summarized the advantages and challenges of intervening in adolescent substance use in educational settings.Schools can use equipment and human resources to provide adolescents with various types of intervention measures,but they also face challenges such as stigmatization,ineffective coordination among multiple resources,and poor implementation effects.In the future,school-based intervention measures can fully utilize big data and artificial intelligence technology and collaborate with families and communities to intervene appropriately while paying attention to the comorbidity risks of substance use disorders and psychological health issues.

Psychosocial Group Intervention at a Low-Resource Setting Environment for Women Who Are Diagnosed and Treated for Breast Cancer: A Systematic Review

Africa faces significant challenges in terms of material and personnel resources for oncology interventions. This is particularly evident in South Africa, where resources are divided into high- and low-resource settings. High-resource settings cater to those with financial means to access private oncology facilities. However, many breast cancer patients receive care in South Africa’s low-resource settings, such as public hospital oncology clinics. Unfortunately, these settings have limited service providers and fail to offer comprehensive interventions, resulting in poor outcomes. However, recent research has highlighted the significance of socially supportive relationships in promoting healing and overall individual well-being, and spirituality has been identified as a source of positive outcomes in cancer patients. This systematic review paper explores the feasibility of implementing support group cancer care and interventions that incorporate social support networks available in community settings, and spiritual practices facilitated by traditional healers, and religious/spiritual leaders. These interventions can be provided within low-resource settings to women diagnosed with breast cancer. Inclusive participation of spouses, children, and extended family in the support group cancer care can facilitate healing for the entire system. Focusing on the strengths and resources within communities and incorporating these complementary services, can enhance the well-being and quality of life for Black African women diagnosed with breast cancer, despite low-resource settings. This approach acknowledges the potential of community-based support networks and encourages collaboration between various stakeholders, including community health educators, nurses, lay counselors, and community volunteers, to address the complex needs of these patients.

Magma source and tectonic setting of the Dunde granite in the Western Tianshan:constraints from geochronology,geochemistry,and Sr–Nd–Hf isotopes

The Dunde iron-zinc polymetallic deposit is one of large iron deposits occurred in the Awulale Metallogenetic Belt,Western Tianshan(NW-China).This study reports new geochronology and geochemistry for granite in the Dunde mining area in order to constrain the tectonicmagmatic activities and metallogenesis of this region.Granites in the southwest of Dunde mining area are mainly syenogranites intruded into volcanics of the Dahalajunshan Formation in the Early Carboniferous,and they are far from the area where ore bodies and mineralized altered rocks are widely developed.LA-ICP-MS U–Pb zircon dating indicates that Dunde syenogranite was at 306.8±1.0 Ma,which could constrain the upper limit of metallogenic age for this deposit.The Dunde granites are high SiO_(2)(73.41–80.07 wt%),high differentiation index(D.I.=89.7–95.0),weakly peraluminous to metaluminous(A/CNK=0.94–1.08),and they are enriched in LILE and LREE and depleted in Eu,Ba,Sr and P_(2)O_(5),indicating that they belong to highly fractionated Ⅰ-type granite.Based on εHf values(+9.2 to+10.5)for zircon and high εNd(-t)values(+4.7 to+5.8)for whole-rock,and the two-stage model ages for 601–735 Ma,suggest that the magma source could be the juvenile lower crust.Combined with regional geological setting,the 306.8 Ma Dunde granites are formed in post-collision extensional tectonic setting.

Labetalol versus Hydralazine in the Management of Severe Pre-Eclampsia at Tertiary Hospitals in a Low-Resource Setting: A Randomised Controlled Trial

Objective: Intravenous labetalol and hydralazine are both considered first-line medications for the management of acute-onset, severe hypertension in pregnant and postpartum women. The study compared the efficacy and safety profile of intravenous labetalol and hydralazine in the control hypertension in severe pre-eclampsia. Materials and Methods: One hundred patients who presented with severe pre-eclampsia were randomized into two study groups. The fifty patients in each arm of the study received either intravenous labetalol or intravenous hydralazine for the control of blood pressure. Results: The mean age of the labetalol subjects was 28.6 ± 5.47 years while that of their hydralazine counterparts was 29.12 ± 5.77 years. The majority of respondents in both groups were primigravidae (76% vs. 78%) (P = 0.813). The number of doses of drug needed to significantly lower the mean systolic blood pressure was slightly lower in the labetalol group (2 doses) compared to the hydralazine group (5 doses) (t = 0.803Y, P = 0.977). The incidence of headaches which were the commonest complaints was comparable in both groups 8% and 10% of respondents respectively (P > 0.05). Conclusion: Although both intravenous labetalol and hydralazine are useful in patients with severe pre-eclampsia, the response to labetalol was better with comparable side effects.

Analysis of TOPSIS techniques based on bipolar complex fuzzy N-soft setting and their applications in decision-making problems

A novel model termed a bipolar complex fuzzy N-soft set(BCFN-SS)is initiated for tackling information that involves positive and negative aspects,the second dimension,and parameterised grading simultaneously.The theory of BCFN-SS is the generalisation of two various theories,that is,bipolar complex fuzzy(BCF)and N-SS.The invented model of BCFN-SS helps decision-makers to cope with the genuine-life dilemmas containing BCF information along with parameterised grading at the same time.Further,various algebraic operations,including the usual type of union,intersection,complements,and a few others types,are invented.Certain primary operational laws for BCFNSS are also invented.Moreover,a technique for order preference by similarity to the ideal solution(TOPSIS)approach is devised in the setting of BCFN-SS for managing strategic decision-making(DM)dilemmas containing BCFN-SS information.Keeping in mind the usefulness and benefits of the TOPSIS approach,two various types of TOPSIS approaches in the environment of BCFN-SS are devised and then a numerical example for exposing the usefulness of the devised TOPSIS approach is interpreted.To disclose the prominence and benefits of the devised work,the devised approaches with numerous prevailing work are compared.

Exclusive Fibula Osteosynthesis for Treating Open Fractures Gustillo I-III B of the Distal Half of the Leg Bones in a Resources-Limited Setting

Introduction: Management of open leg bones fractures is a challenging health issue for the surgeon, particularly true in resource-limited settings. In this study, we evaluate exclusive fibular osteosynthesis in the treatment of open fractures of the distal half of the leg bones as a therapeutic option in our context. Methods: This is a prospective, experimental, multicenter study of 30 open fractures of the distal half of the leg bones treated with exclusive fibula osteosynthesis, conducted in 3 hospitals in the DRC from January 1, 2013 to September 30, 2016. Results: The age range of 20 to 40 years grouped 22 (73.4%) patients, the sex ratio was 1:1 and the unemployed were the most involved with 16 (53.3%) cases. The Gustilo II, I, III B and III A types represented 40%, 33.3%, 20% and 6.7%, respectively. The fractures were located in the distal third in 12 (40%) cases, in the middle third in 11 (36.7%) cases, and in both malleoli in 7 cases (23.3%). Osteosynthesis of the fibula by screw plate was applied in 22 (73.3%) patients and pinning in 8 (26.7%). Satisfactory reduction of the tibial fracture site was achieved in 29 (96.7%) cases and 100% bone healing was achieved within an average of 10 weeks. Four (13.3%) loss of alignment, 1 (3.3%) infection, 1 (3.3%) skin necrosis and 2 (6.7%) ankle stiffness complicated our fractures. Conclusion: Exclusive osteosynthesis of the fibula as a common technique for fractures of the distal half of the leg bones allowed us to reduce, immobilize and consolidate the tibial fracture in the required time and to preserve the mobility of the ankle.

Access to novel anti-diabetic agents in resource limited settings:A brief commentary

The prevalence of diabetes mellitus is increasing in resource limited settings.Simultaneously,there has been an increase in the number of novel therapies for the management of diabetes mellitus.However,use of novel antidiabetic therapies is limited because of major market access challenges in resource limited settings.Niching products to those patients with the highest absolute risk for major adverse cardiovascular outcomes,and thus most likely to benefit from the therapy,are less likely to have negative budget impact for funders.To improve access,and reduce morbidity and mortality,requires alignment amongst key stakeholders including patient advocacy groups,health care professional councils,national departments of health,the pharmaceutical industry,treasury and finance departments.

Design and Structure Optimization of Plenum Chamber with Airfoil Baffle to Improve Its Outlet Velocity Uniformity in Heat Setting Machines

The plenum chamber of a heat setting machine is a key structure for distributing hot air to different air channels.Its outlet velocity uniformity directly determines the heating uniformity of textiles,significantly affecting the heat setting performance.In a traditional heat setting machine,the outlet airflow maldistribution of the plenum chamber still exists.In this study,a novel plenum chamber with an airfoil baffle was established to improve the uniformity of the velocity distribution at the outlet in a heat setting machine.The structural influence of the plenum chamber on the velocity distribution was investigated using a computational fluid dynamics program.It was found that a chamber with a smaller outlet partition thickness had a better outlet velocity uniformity.The structural optimization of the plenum chamber was conducted using the particle swarm optimization algorithm.The outlet partition thickness,the transverse distance and the longitudinal distance of the optimized plenum chamber were 20,686.2 and 274.6 mm,respectively.Experiments were carried out.The experimental and simulated results showed that the optimized plenum chamber with an airfoil baffle could improve the outlet velocity uniformity.The air outlet velocity uniformity index of the optimized plenum chamber with an airfoil baffle was 4.75%higher than that of the plenum chamber without an airfoil baffle and 5.98%higher than that of the conventional chamber with a square baffle in a commercial heat setting machine.

基于模糊三支区间集半概念知识提取方法研究

为了解决只需要考虑属性区间集到对象区间集的问题,将经典半概念理论引入三支区间集中,对于一个模糊形式背景,定义了面向属性的模糊区间集半算子,用此算子得到模糊AE-区间集半概念;讨论了该类半概念的偏序关系和格结构,进而得到求同一形式背景下模糊AE-区间集半概念全体的算法。对偶地,得到模糊OE-区间集半概念定义和其格结构,以及寻找模糊OE-区间集半概念全体的算法。所得结果有助于拓展概念格和区间集理论的应用范围,也为知识提取提供了一种有益的方法。

基于集对分析的区域水利高质量发展评价方法

基于发展目标、发展途径、发展条件相作用形成的区域水利高质量发展系统结构和相对联系数的指标体系筛选方法,构建了由59个评价指标、11个发展方面、3个发展子系统组成的区域水利高质量发展评价指标体系;利用专家咨询和遗传层次分析法确定各指标权重,采用集对分析计算指标、方面、子系统和样本4个层次与区域水利高质量发展评价标准集对间的联系数,应用减法集对势判断4个层次区域水利高质量发展状态,建立了基于集对分析的区域水利高质量发展评价方法(SPA-HDEM),并将其应用于陕西省2020年10个地市的水利高质量发展评价中。结果表明:西安水利高质量发展状态处于中等偏较高等级,咸阳、汉中、渭南、安康、宝鸡、榆林均处于中等等级,延安、商洛、铜川均处于较低偏中等等级;非陕南的7个地市的发展条件均不佳,10个地市的发展途径均相对较低;各地市处于反势的指标中,西安有“人均水资源量”等11个、铜川有“防洪堤防达标率”等32个、宝鸡有“水利投资占GDP比重”等16个、咸阳有“人均生活用水量”等14个、渭南有“水资源开发利用率”等19个、延安有“供水模数”等21个、榆林有“供水模数”等22个、汉中有“防洪堤防达标率”等15个、安康有“防洪堤防达标率”等21个、商洛有“人均工资”等25个,重点调控这些反势指标是全省水利高质量发展工作中的重要任务。SPA-HDEM适用性强,在已知评价等级标准的实际区域水利高质量发展评价问题中具有应用前景。

基于相对联系数的区域水利高质量发展评价指标体系筛选方法

为综合判断在区域水利高质量发展目标、发展途径、发展条件相互作用下区域水资源-经济社会-生态环境复合系统不断协同优化的系统高质量发展水平状态,构建了由发展目标、发展途径和发展条件3个子系统组成的区域水利高质量发展初步评价指标体系。为定量分析初步评价指标体系的专家咨询信息,根据专家指标排序合理性模糊关系的取值区间特点提出了相对联系数,用相对联系数的平均集对势估计各专家指标排序合理性的权重,进而可得各指标重要性的专家综合排序值,据此筛选初步评价指标体系,构建了基于相对联系数的区域水利高质量发展评价指标体系筛选方法(SM-RCN)。SM-RCN在陕西省的应用结果表明:筛选后的指标体系汇聚了各专家对区域水利高质量发展主要影响指标的综合评判;SM-RCN可克服评价指标体系构建过程缺乏定量分析依据的不足,可识别不同专家、同一专家对不同评价方面的指标排序合理性的程度。该筛选方法在区域水利现代化、水资源空间均衡、水资源承载力等评价指标体系构建过程中具有应用前景。

分布电容对引信共线装定系统信息传输特性的影响及其优化

针对引信共线装定过程中分布电容影响装定可靠性的问题,建立基于装定器模块、能量与信息传输模块、引信电路模块的等效电路模型。分别研究在装定输出信号为高电平时和低电平时两种情况下,分布电容对共线装定系统信息传输特性的影响。得出高电平时分布电容对共线装定系统影响较小的结论,并推导低电平时引信识别到的接收信号的低电平脉宽与分布电容的关系式。提出两种优化方法,一种利用二极管屏蔽外部因素如并入电缆引入的电容;另一种利用并联一个阻值较小电阻的方法来降低系统的时间常数,从而提高引信识别到的低电平脉宽,提高装定可靠性。经仿真和实验验证,两种方法均提高了引信识别接收信号的可靠性。