Machine learning applications in healthcare clinical practice and research

Machine learning(ML)is a type of artificial intelligence that assists computers in the acquisition of knowledge through data analysis,thus creating machines that can complete tasks otherwise requiring human intelligence.Among its various applications,it has proven groundbreaking in healthcare as well,both in clinical practice and research.In this editorial,we succinctly introduce ML applications and present a study,featured in the latest issue of the World Journal of Clinical Cases.The authors of this study conducted an analysis using both multiple linear regression(MLR)and ML methods to investigate the significant factors that may impact the estimated glomerular filtration rate in healthy women with and without non-alcoholic fatty liver disease(NAFLD).Their results implicated age as the most important determining factor in both groups,followed by lactic dehydrogenase,uric acid,forced expiratory volume in one second,and albumin.In addition,for the NAFLD-group,the 5th and 6th most important impact factors were thyroid-stimulating hormone and systolic blood pressure,as compared to plasma calcium and body fat for the NAFLD+group.However,the study's distinctive contribution lies in its adoption of ML methodologies,showcasing their superiority over traditional statistical approaches(herein MLR),thereby highlighting the potential of ML to represent an invaluable advanced adjunct tool in clinical practice and research.

Inspires effective alternatives to backpropagation:predictive coding helps understand and build learning

Artificial neural networks are capable of machine learning by simulating the hiera rchical structure of the human brain.To enable learning by brain and machine,it is essential to accurately identify and correct the prediction errors,referred to as credit assignment(Lillicrap et al.,2020).It is critical to develop artificial intelligence by understanding how the brain deals with credit assignment in neuroscience.

Early identification of stroke through deep learning with multi-modal human speech and movement data

Early identification and treatment of stroke can greatly improve patient outcomes and quality of life.Although clinical tests such as the Cincinnati Pre-hospital Stroke Scale(CPSS)and the Face Arm Speech Test(FAST)are commonly used for stroke screening,accurate administration is dependent on specialized training.In this study,we proposed a novel multimodal deep learning approach,based on the FAST,for assessing suspected stroke patients exhibiting symptoms such as limb weakness,facial paresis,and speech disorders in acute settings.We collected a dataset comprising videos and audio recordings of emergency room patients performing designated limb movements,facial expressions,and speech tests based on the FAST.We compared the constructed deep learning model,which was designed to process multi-modal datasets,with six prior models that achieved good action classification performance,including the I3D,SlowFast,X3D,TPN,TimeSformer,and MViT.We found that the findings of our deep learning model had a higher clinical value compared with the other approaches.Moreover,the multi-modal model outperformed its single-module variants,highlighting the benefit of utilizing multiple types of patient data,such as action videos and speech audio.These results indicate that a multi-modal deep learning model combined with the FAST could greatly improve the accuracy and sensitivity of early stroke identification of stroke,thus providing a practical and powerful tool for assessing stroke patients in an emergency clinical setting.

Synthetic data as an investigative tool in hypertension and renal diseases research

There is a growing body of clinical research on the utility of synthetic data derivatives,an emerging research tool in medicine.In nephrology,clinicians can use machine learning and artificial intelligence as powerful aids in their clinical decision-making while also preserving patient privacy.This is especially important given the epidemiology of chronic kidney disease,renal oncology,and hypertension worldwide.However,there remains a need to create a framework for guidance regarding how to better utilize synthetic data as a practical application in this research.

Recombinant chitinase-3-like protein 1 alleviates learning and memory impairments via M2 microglia polarization in postoperative cognitive dysfunction mice

Postoperative cognitive dysfunction is a seve re complication of the central nervous system that occurs after anesthesia and surgery,and has received attention for its high incidence and effect on the quality of life of patients.To date,there are no viable treatment options for postoperative cognitive dysfunction.The identification of postoperative cognitive dysfunction hub genes could provide new research directions and therapeutic targets for future research.To identify the signaling mechanisms contributing to postoperative cognitive dysfunction,we first conducted Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analyses of the Gene Expression Omnibus GSE95426 dataset,which consists of mRNAs and long non-coding RNAs differentially expressed in mouse hippocampus3 days after tibial fracture.The dataset was enriched in genes associated with the biological process"regulation of immune cells,"of which Chill was identified as a hub gene.Therefore,we investigated the contribution of chitinase-3-like protein 1 protein expression changes to postoperative cognitive dysfunction in the mouse model of tibial fractu re surgery.Mice were intraperitoneally injected with vehicle or recombinant chitinase-3-like protein 124 hours post-surgery,and the injection groups were compared with untreated control mice for learning and memory capacities using the Y-maze and fear conditioning tests.In addition,protein expression levels of proinflammatory factors(interleukin-1βand inducible nitric oxide synthase),M2-type macrophage markers(CD206 and arginase-1),and cognition-related proteins(brain-derived neurotropic factor and phosphorylated NMDA receptor subunit NR2B)were measured in hippocampus by western blotting.Treatment with recombinant chitinase-3-like protein 1 prevented surgery-induced cognitive impairment,downregulated interleukin-1βand nducible nitric oxide synthase expression,and upregulated CD206,arginase-1,pNR2B,and brain-derived neurotropic factor expression compared with vehicle treatment.Intraperitoneal administration of the specific ERK inhibitor PD98059 diminished the effects of recombinant chitinase-3-like protein 1.Collectively,our findings suggest that recombinant chitinase-3-like protein 1 ameliorates surgery-induced cognitive decline by attenuating neuroinflammation via M2 microglial polarization in the hippocampus.Therefore,recombinant chitinase-3-like protein1 may have therapeutic potential fo r postoperative cognitive dysfunction.

Regulator of G protein signaling 6 mediates exercise-induced recovery of hippocampal neurogenesis,learning,and memory in a mouse model of Alzheimer’s disease

Hippocampal neuronal loss causes cognitive dysfunction in Alzheimer’s disease.Adult hippocampal neurogenesis is reduced in patients with Alzheimer’s disease.Exercise stimulates adult hippocampal neurogenesis in rodents and improves memory and slows cognitive decline in patients with Alzheimer’s disease.However,the molecular pathways for exercise-induced adult hippocampal neurogenesis and improved cognition in Alzheimer’s disease are poorly understood.Recently,regulator of G protein signaling 6(RGS6)was identified as the mediator of voluntary running-induced adult hippocampal neurogenesis in mice.Here,we generated novel RGS6fl/fl;APP_(SWE) mice and used retroviral approaches to examine the impact of RGS6 deletion from dentate gyrus neuronal progenitor cells on voluntary running-induced adult hippocampal neurogenesis and cognition in an amyloid-based Alzheimer’s disease mouse model.We found that voluntary running in APP_(SWE) mice restored their hippocampal cognitive impairments to that of control mice.This cognitive rescue was abolished by RGS6 deletion in dentate gyrus neuronal progenitor cells,which also abolished running-mediated increases in adult hippocampal neurogenesis.Adult hippocampal neurogenesis was reduced in sedentary APP_(SWE) mice versus control mice,with basal adult hippocampal neurogenesis reduced by RGS6 deletion in dentate gyrus neural precursor cells.RGS6 was expressed in neurons within the dentate gyrus of patients with Alzheimer’s disease with significant loss of these RGS6-expressing neurons.Thus,RGS6 mediated voluntary running-induced rescue of impaired cognition and adult hippocampal neurogenesis in APP_(SWE) mice,identifying RGS6 in dentate gyrus neural precursor cells as a possible therapeutic target in Alzheimer’s disease.

Machine learning in metal-ion battery research: Advancing material prediction, characterization, and status evaluation

Metal-ion batteries(MIBs),including alkali metal-ion(Li^(+),Na^(+),and K^(3)),multi-valent metal-ion(Zn^(2+),Mg^(2+),and Al^(3+)),metal-air,and metal-sulfur batteries,play an indispensable role in electrochemical energy storage.However,the performance of MIBs is significantly influenced by numerous variables,resulting in multi-dimensional and long-term challenges in the field of battery research and performance enhancement.Machine learning(ML),with its capability to solve intricate tasks and perform robust data processing,is now catalyzing a revolutionary transformation in the development of MIB materials and devices.In this review,we summarize the utilization of ML algorithms that have expedited research on MIBs over the past five years.We present an extensive overview of existing algorithms,elucidating their details,advantages,and limitations in various applications,which encompass electrode screening,material property prediction,electrolyte formulation design,electrode material characterization,manufacturing parameter optimization,and real-time battery status monitoring.Finally,we propose potential solutions and future directions for the application of ML in advancing MIB development.

Design and Research on Identification of Typical Tea Plant Diseases Using Small Sample Learning

Tea plants are susceptible to diseases during their growth.These diseases seriously affect the yield and quality of tea.The effective prevention and control of diseases requires accurate identification of diseases.With the development of artificial intelligence and computer vision,automatic recognition of plant diseases using image features has become feasible.As the support vector machine(SVM)is suitable for high dimension,high noise,and small sample learning,this paper uses the support vector machine learning method to realize the segmentation of disease spots of diseased tea plants.An improved Conditional Deep Convolutional Generation Adversarial Network with Gradient Penalty(C-DCGAN-GP)was used to expand the segmentation of tea plant spots.Finally,the Visual Geometry Group 16(VGG16)deep learning classification network was trained by the expanded tea lesion images to realize tea disease recognition.

Research and Application of Deep Learning Technology in Prefabricated Buildings

Prefabricated buildings have become an important development trend in the field of modern architecture because of their high efficiency and environmental friendliness. Artificial intelligence and deep learning technology have been increasingly applied in prefabricated buildings. Deep learning technology provides comprehensive optimization of building design, construction, quality control, and cost and schedule management through the learning and analysis of large amounts of data. This paper aims to explore the application of deep learning technology in prefabricated buildings, analyze the revolutionary changes it brings in different stages, and discuss the problems faced when implementing this technology.

Design and Research of an Intelligent Learning System for University Physics

In order to break through the limitations of traditional teaching,realize the integration of online and offline teaching,and optimize the intelligent learning experience of university physics,this paper proposes the design of an intelligent learning system for university physics based on cloud computing platforms,and applies this system to teaching environment of university physics.It successfully integrates emerging technologies such as cloud computing,machine learning,and situational awareness,integrates learning context awareness,intelligent recording and broadcasting,resource sharing,learning performance prediction,and content planning and recommendation,and comprehensively improves the quality of university physics teaching.It can optimize the teaching process and deepen intelligent teaching reform,aiming at providing references for the teaching practice of university physics.

Research and Discussion on Flipped Classroom Combined with Case-Based Learning in Pharmacoeconomics Teaching

Objective:To explore the application effect of flipped classroom combined with case-based learning teaching methods in pharmacoeconomics teaching.Methods:The students majoring in clinical pharmacy in 2019 were selected as the study subjects,and the cost-effectiveness analysis of different dosage forms of Yinzhihuang in the treatment of neonatal jaundice was selected as the teaching case.The flipped classroom combined with case-based learning teaching method was used to carry out theoretical teaching to the students.After the course,questionnaires were distributed through the Sojump platform to evaluate the teaching effect.Results:The results of the questionnaire showed that 85.71%of the students believed that the flipped classroom combined with case-based learning teaching method was helpful in mobilizing the learning enthusiasm and initiative,and improving the comprehensive application ability of the knowledge of pharmacoeconomics.92.86%of the students think that it is conducive to the understanding and memorization of learning content,as well as the cultivation of teamwork,communication,etc.Conclusion:Flipped classroom combined with case-based learning teaching method can improve students’knowledge mastery,thinking skills,and practical application skills,as well as optimize and improve teachers’teaching levels.

College English autonomous teaching and learning research and practice

This paper intends to promote a college English autonomous teaching and learning approach by introducing the whole process of its implementation and feedback from the learners. The theoretical and practical framework of this approach is： with multiple autonomous learning research and practice models as its core, with process syllabus as its guidance, with task-based teaching as its essential principle, with group cooperation and reciprocal learning as its means, with extracurricular activities, online learning and self-access center as its learning environment, with formative assessment system as its guarantee and with cultivation of learners＇ comprehensive English practical skills and autonomy as its goal. Through this approach, we provide the learners with a favorable learning environment where they can learn by themselves and learn by reflection and practice so that they can learn how to learn and how to behave and how to survive.

Research and Study on Cooperative Learning with special Reference to Vocational Students of Practical English class

This paper covers an experimental study with the application of cooperative learning in the college English teaching to vocational students. It intends to find answers to the following questions: how do students cooperate in cooperative learning? Can cooperative learning promote students' learning? The author conducts an experiment by applying recording. Based on the above research work, this result has been reached: cooperative learning can promote students'mastering of vocabulary and grammar. The author would like to share her experiences with others in pedagogical studies of teaching vocational college students English.

College English Teaching Study Conducted by Discovery Learning Theory and Action Research——Take College English Ⅱ for Instance

The unceasing revolution of the global economy and culture boosts the revolutionary step of the educational circle.Combining the creed of The Guide of College English Teaching in 2016 with the results of investigation and survey in colleges, a research group in the Institute of Foreign Languages of Hankou University comes up with a revolutionary trial scheme on College English teaching conducted by discovery learning theory, as well as a research method of action research, which is in hope of mending the problems and shortcomings of current College English teaching.

What Motivates Us to Learn as We Grow?——A Research Review on the Relationship between Age and Motivation in Second Language Learning

Motivation is always a dominatant factor in second language learning and teaching. Dornyei once suggested his model of learners' motivation, which is, language learning attitudes and the Ideal L2 self. Certainly, this could bring some research interests to other researchers. In this paper, the author reviews a research carried among the Hungarians, where the research focus is clearly given on the relationship between age and motivation to test Dornyei' s theory and offer a new way to promote learner's motivation in second language learning.

Machine learning applications in stroke medicine:advancements,challenges,and future prospectives

Stroke is a leading cause of disability and mortality worldwide,necessitating the development of advanced technologies to improve its diagnosis,treatment,and patient outcomes.In recent years,machine learning techniques have emerged as promising tools in stroke medicine,enabling efficient analysis of large-scale datasets and facilitating personalized and precision medicine approaches.This abstract provides a comprehensive overview of machine learning’s applications,challenges,and future directions in stroke medicine.Recently introduced machine learning algorithms have been extensively employed in all the fields of stroke medicine.Machine learning models have demonstrated remarkable accuracy in imaging analysis,diagnosing stroke subtypes,risk stratifications,guiding medical treatment,and predicting patient prognosis.Despite the tremendous potential of machine learning in stroke medicine,several challenges must be addressed.These include the need for standardized and interoperable data collection,robust model validation and generalization,and the ethical considerations surrounding privacy and bias.In addition,integrating machine learning models into clinical workflows and establishing regulatory frameworks are critical for ensuring their widespread adoption and impact in routine stroke care.Machine learning promises to revolutionize stroke medicine by enabling precise diagnosis,tailored treatment selection,and improved prognostication.Continued research and collaboration among clinicians,researchers,and technologists are essential for overcoming challenges and realizing the full potential of machine learning in stroke care,ultimately leading to enhanced patient outcomes and quality of life.This review aims to summarize all the current implications of machine learning in stroke diagnosis,treatment,and prognostic evaluation.At the same time,another purpose of this paper is to explore all the future perspectives these techniques can provide in combating this disabling disease.

Research into college students＇ English autonomous learning capability and the necessity of cultivating metacognitive strategies

Through the research into college students＇ English autonomous learning ability of the non-English major students. That the cause why university students＇ English autonomous learning ability is weak is proved to be that they do not value the use of learning strategies. The use of learning strategies can promote the formation and enhancement of autonomous learning ability of the learners. Metacognitive strategy is a high-level management skill which can enable the learners to plan, regulate, monitor and evaluate actively their own learning process. Massive researches have proved whether metacognitive strategy is used successfully or not can directly affect the student learning result. So, it is necessary for teachers to cultivate and train the students to use metacogitive strategy in the university English teaching.

A New Pattern to Research the Learning:From Phenomenography and Constructivism Perspective——The Case of Guangzhou Academy of Fine Arts

This essay is trying to explore how the arts students experience the teaching and learning context in the English class of the col lege from the phenomenography perspective.The qualitative research methodology of phenomenography has traditionally required a man ual sorting and analysis of interview data.To study the teaching and learning context,the qualitative research method will be applied,and the data collection will base on the face-to-face interview.There are 8 sophomores were interviewed after they had one year study in col lege.The research findings reveal that most student in interview gradually get used to college English class,but never think about changing their learning approach even they study one year in a totally different teaching and learning environment.

Research on the Training Mode of “the Combination of College Students’ Extracurricular English Autonomous Learning and Chinese Culture” Based on WeChat Platform

In today’s college English extracurricular learning,college students often neglect the combination of English language learning and the input of Chinese traditional cultural knowledge,paying too much attention to Western culture learning,ignoring their traditional culture and lead to be speechless when encountering cultural exchange activities.The author believes that college students should pay attention to the input of Chinese traditional cultural content in the process of independent English learning outside the classroom.The creative team of college students led by the author through the WeChat platform,in Xinjiang Agricultural University,conducted a combination of Chinese culture input and English autonomous learning,aiming at strengthening the effectiveness of English learning,improving the self-learning ability and intercultural communication skills.

Research on Compatible Mode of Self-directed Learning and Cooperative Learning in Blended Teaching of Basic English Course

In the information age,blended teaching,no matter online or offline,has become the mainstream of college teaching reform.In this teaching model,self-directed learning and cooperative learning are the two main learning approaches.On the online teaching platform,students mainly learn knowledge-based content by self-directed learning,while practising their language skills by cooperative learning in flipped classroom activities.On one hand,it advocates student-centered strategy so as to improve students autonomous learning ability;on the other hand,teachers serve as a guide to organize the classroom activities;meanwhile,they give timely feedback to students in order to promote students’learning ability.In blended teaching model,this mutually compatible and reinforcing model of self-directed learning and cooperative learning is undoubtedly helpful to improve the teaching efficiency.