Research on Multi-Scale Feature Fusion Network Algorithm Based on Brain Tumor Medical Image Classification

Gliomas have the highest mortality rate of all brain tumors.Correctly classifying the glioma risk period can help doctors make reasonable treatment plans and improve patients’survival rates.This paper proposes a hierarchical multi-scale attention feature fusion medical image classification network(HMAC-Net),which effectively combines global features and local features.The network framework consists of three parallel layers:The global feature extraction layer,the local feature extraction layer,and the multi-scale feature fusion layer.A linear sparse attention mechanism is designed in the global feature extraction layer to reduce information redundancy.In the local feature extraction layer,a bilateral local attention mechanism is introduced to improve the extraction of relevant information between adjacent slices.In the multi-scale feature fusion layer,a channel fusion block combining convolutional attention mechanism and residual inverse multi-layer perceptron is proposed to prevent gradient disappearance and network degradation and improve feature representation capability.The double-branch iterative multi-scale classification block is used to improve the classification performance.On the brain glioma risk grading dataset,the results of the ablation experiment and comparison experiment show that the proposed HMAC-Net has the best performance in both qualitative analysis of heat maps and quantitative analysis of evaluation indicators.On the dataset of skin cancer classification,the generalization experiment results show that the proposed HMAC-Net has a good generalization effect.

A Review of Point Feature Based Medical Image Registration

Point features, as the basis of lines, surfaces, and bodies, are commonly used in medical image registration. To obtain an elegant spatial transformation of extracted feature points, many point set matching algorithms(PMs) have been developed to match two point sets by optimizing multifarious distance functions. There are ample reviews related to medical image registration and PMs which summarize their basic principles and main algorithms separately. However,to data, detailed summary of PMs used in medical image registration in different clinical environments has not been published. In this paper, we provide a comprehensive review of the existing key techniques of the PMs applied to medical image registration according to the basic principles and clinical applications. As the core technique of the PMs, geometric transformation models are elaborated in this paper, demonstrating the mechanism of point set registration. We also focus on the clinical applications of the PMs and propose a practical classification method according to their applications in different clinical surgeries. The aim of this paper is to provide a summary of pointfeaturebased methods used in medical image registration and to guide doctors or researchers interested in this field to choose appropriate techniques in their research.

Importance of Features Selection,Attributes Selection,Challenges and Future Directions for Medical Imaging Data:A Review

In the area of pattern recognition and machine learning,features play a key role in prediction.The famous applications of features are medical imaging,image classification,and name a few more.With the exponential growth of information investments in medical data repositories and health service provision,medical institutions are collecting large volumes of data.These data repositories contain details information essential to support medical diagnostic decisions and also improve patient care quality.On the other hand,this growth also made it difficult to comprehend and utilize data for various purposes.The results of imaging data can become biased because of extraneous features present in larger datasets.Feature selection gives a chance to decrease the number of components in such large datasets.Through selection techniques,ousting the unimportant features and selecting a subset of components that produces prevalent characterization precision.The correct decision to find a good attribute produces a precise grouping model,which enhances learning pace and forecast control.This paper presents a review of feature selection techniques and attributes selection measures for medical imaging.This review is meant to describe feature selection techniques in a medical domainwith their pros and cons and to signify its application in imaging data and data mining algorithms.The review reveals the shortcomings of the existing feature and attributes selection techniques to multi-sourced data.Moreover,this review provides the importance of feature selection for correct classification of medical infections.In the end,critical analysis and future directions are provided.

A cross-sectional study to assess medication safety,knowledge,attitude,and practices regarding nutrition and medication among pregnant women

Objective:To assess pregnant women's knowledge,attitude,and practice regarding nutrition and medication usage,analyse the prescribing pattern,and categorize them based on the Food and Drug Administration(FDA)guidelines.Methods:A cross-sectional study was conducted with 264 pregnant women in the obstetrics and gynaecology department of a tertiary care hospital from October 2022 to August 2023.A knowledge,attitude,and practice(KAP)questionnaire was prepared in English language by the researchers and validated by an expert panel consisting of 12 members.The validated questionnaire was then translated into regional languages,Kannada and Malayalam.The reliability of the questionnaire was assessed with test-retest method with a representative sample population of 30 subjects(10 subjects for each language).The subjects'knowledge,attitude,and practice were evaluated using the validated KAP questionnaire.The safety of the medication was assessed using the FDA drug safety classification for pregnancy.Results:The mean scores for nutritional and medication usage knowledge,attitude,and practice were 4.14±1.15,4.50±1.09,and 3.00±1.47,respectively.Among 30 prescribed medications,3 belong to category A(no risk in human studies),8 belong to category B(no risk in animal studies),18 belong to category C(risk cannot be ruled out)and 1 drug is not classified.A significant association was observed between medication knowledge and practice(r=0.159,P=0.010).Conclusions:Most of the study population knows the need to maintain good dietary and medication practices during pregnancy.Counselling pregnant women regarding diet and medication usage is crucial in maternal care.

Mediating role of inner strength in the relationship between medication literacy and medication adherence among kidney transplant patients

Objective:Compared with long-term renal replacement therapy,kidney transplantation is the ideal treatment for end-stage renal disease(ESRD),significantly extending patient life and improving quality of life.Kidney transplant patients need to adhere to lifelong immunosuppressive medication regimens,but their medication adherence is generally poor compared with other organ transplant recipients.Medication adherence is closely related to medication literacy and psychological status,yet related studies are limited.This study aims to investigate the current status of medication adherence,inner strength,and medication literacy in kidney transplant patients,analyze the relationships among these 3 factors,and explore the mediating role of inner strength in the relationship between medication literacy and medication adherence.Methods:A cross-sectional survey was conducted from March to October 2023 involving 421 patients aged≥18 years who visited kidney transplantation outpatient clinics at 4 tertiary hospitals in Hunan Province.The inner strength,medication literacy,and medication adherence of kidney transplant patients were investigated using the Inner Strength Scale(ISS),the Chinese version of the Medication Literacy Assessment in Spanish and English(MedLitRxSE),and the Chinese version of the Morisky Medication Adherence Scale-8(C-MMAS-8),respectively.Univariate analysis was performed to examine the effects of demographic and clinical data on medication adherence.Correlation analysis was conducted to explore the relationships among medication literacy,medication adherence,and inner strength.Significant variables from univariate and correlation analyses were further analyzed using multiple linear regression,and the mediating effect of inner strength was explored.Results:Among the 421 questionnaires collected,408 were valid,with an effective rate of 96.91%.The scores of C-MMAS-8,MedLitRxSE,and ISS were 6.64±1.16,100.63±14.67,and 8.47±4.03,respectively.Among the 408 patients,only 86(21.08%)patients had a high level of medication adherence,whereas 230(56.37%)patients had a medium level of medication adherence,and 92(22.55%)patients had poor medication adherence.Univariate analysis indicated that the kidney transplant patients’age,marital status,education levels,years since their kidney transplant operation,number of hospitalizations after the kidney transplant,and adverse drug reactions showed significant differences in medication adherence(all P<0.05).Correlation analysis showed that inner strength positively correlated with both medication literacy(r=0.183,P<0.001)and medication adherence(r=0.201,P<0.001).Additionally,there was a positive correlation between medication adherence and medication literacy(r=0.236,P<0.001).Inner strength accounted for 13.22%of the total effect in the mediating role between medication literacy and medication adherence.Conclusion:The level of medication adherence among kidney transplant patients needs improvement,and targeted intervention measures are essential.Inner strength mediates the relationship between medication literacy and medication adherence in these patients.Healthcare professionals should focus on enhancing medication literacy and supporting patients’inner strength to improve medication adherence.

AF-Net:A Medical Image Segmentation Network Based on Attention Mechanism and Feature Fusion

Medical image segmentation is an important application field of computer vision in medical image processing.Due to the close location and high similarity of different organs in medical images,the current segmentation algorithms have problems with mis-segmentation and poor edge segmentation.To address these challenges,we propose a medical image segmentation network(AF-Net)based on attention mechanism and feature fusion,which can effectively capture global information while focusing the network on the object area.In this approach,we add dual attention blocks(DA-block)to the backbone network,which comprises parallel channels and spatial attention branches,to adaptively calibrate and weigh features.Secondly,the multi-scale feature fusion block(MFF-block)is proposed to obtain feature maps of different receptive domains and get multi-scale information with less computational consumption.Finally,to restore the locations and shapes of organs,we adopt the global feature fusion blocks(GFF-block)to fuse high-level and low-level information,which can obtain accurate pixel positioning.We evaluate our method on multiple datasets(the aorta and lungs dataset),and the experimental results achieve 94.0%in mIoU and 96.3%in DICE,showing that our approach performs better than U-Net and other state-of-art methods.

Yield of alarm features in predicting significant endoscopic findings among hospitalized patients with dyspepsia

BACKGROUND Dyspepsia is a very prevalent upper gastrointestinal tract symptoms complex.Some of these symptoms might arise from serious underlying diseases,so the promotion of evidence-based guidelines could potentially better align evaluation and treatment.AIM To determine the value of alarm features as a predictive factor for significant endoscopic findings(SEFs)among hospitalized patients presenting with dyspepsia.METHODS We conducted a retrospective case-control study including information about 6208 endoscopic procedures performed for hospitalized patients.Patients were divided into two groups,with and without SEFs,and compared to elucidate the ability of the different alarm features to predict SEFs.RESULTS During the study,605 patients fulfilled the inclusion criteria.When the demographics and clinical characteristics of the two groups were compared,tachycardia(P<0.05),normocytic anemia,(P<0.05),leukocytosis(P<0.05),and hypoalbuminemia(P<0.05)documented on admission prior to endoscopy were strong predictors of SEFs.Among the alarm features,upper gastrointestinal bleeding,persistent vomiting,odynophagia[odds ratio(OR)=3.81,P<0.05;OR=1.75,P=0.03;and OR=7.81,P=0.07,respectively]were associated with SEFs.Unexplained weight loss was strongly associated with malignancy as an endoscopic finding(OR=2.05;P<0.05).In addition,long-term use of anti-aggregate medications other than aspirin(P<0.05)was correlated to SEFs.CONCLUSION Novel predictors of SEFs were elucidated in this study.These parameters could be used as an adjunctive in decision making regarding performing upper endoscopy in hospitalized patients with dyspepsia.

Informing policy makers in developing countries:Practices and limitations of geriatric home medication review in Malaysia-A qualitative inquiry

Objective:To explore existing practices and challenges in the delivery of geriatric home medication review(HMR).The study was part of a larger study aimed to offer solution to expand the range of geriatric HMR.Methods:This study employed qualitative exploratory design through semi-structured individual in-depth interviews with the public pharmacists involved in the delivery of geriatric HMR at public hospitals.The purpose of the interviews was to explore challenges faced by them in the delivery of geriatric HMR.Results:Based on the emerging themes from the qualitative data,the study reveals that geriatric HMR in Malaysia is integrated as part of multidisciplinary home care visits,encompassing a diverse patient population with various healthcare needs.However,it faces challenges such as the lack of outcome monitoring,formal training,and workforce constraints.Despite these hurdles,there is a pressing need for the expansion of this service to better serve the community,and collaboration with community pharmacists holds potential to broaden its scope.Ultimately,the findings suggest that pharmacist-led HMR is both warranted and feasible within the Malaysian healthcare context.In order to optimize medicine-use among older people living in the community,approaches for expanding geriatric HMR services in Malaysia must be developed.Conclusions:This study holds profound implications as it attempts to illuminate policy makers in developing countries,enabling them to formulate effective HMR plans.By considering the challenges highlighted within this research,policy makers can design a comprehensive HMR service that caters adeptly to the healthcare needs of the mass population.

Advancements in Medication Rule for Pulmonary Nodules: A Review of Current Research Progress

This paper reviewed the literature on medication rule of pulmonary nodules in recent years. It is found that contemporary doctors pay more attention to regulating Qi, clearing heat and detoxifying, eliminating phlegm, dissolving phlegm and dissipating masses. They use mild drugs, cold and warm treatments in parallel, combining the tastes of pungent, bitterness, and sweetness at the same time. The treatment focuses on the five viscera with emphasis on the lung meridian while also considering the spleen and stomach functions as well as soothing liver stagnation. This information aims to provide some reference for clinical treatment of pulmonary nodules.

CMMCAN:Lightweight Feature Extraction and Matching Network for Endoscopic Images Based on Adaptive Attention

In minimally invasive surgery,endoscopes or laparoscopes equipped with miniature cameras and tools are used to enter the human body for therapeutic purposes through small incisions or natural cavities.However,in clinical operating environments,endoscopic images often suffer from challenges such as low texture,uneven illumination,and non-rigid structures,which affect feature observation and extraction.This can severely impact surgical navigation or clinical diagnosis due to missing feature points in endoscopic images,leading to treatment and postoperative recovery issues for patients.To address these challenges,this paper introduces,for the first time,a Cross-Channel Multi-Modal Adaptive Spatial Feature Fusion(ASFF)module based on the lightweight architecture of EfficientViT.Additionally,a novel lightweight feature extraction and matching network based on attention mechanism is proposed.This network dynamically adjusts attention weights for cross-modal information from grayscale images and optical flow images through a dual-branch Siamese network.It extracts static and dynamic information features ranging from low-level to high-level,and from local to global,ensuring robust feature extraction across different widths,noise levels,and blur scenarios.Global and local matching are performed through a multi-level cascaded attention mechanism,with cross-channel attention introduced to simultaneously extract low-level and high-level features.Extensive ablation experiments and comparative studies are conducted on the HyperKvasir,EAD,M2caiSeg,CVC-ClinicDB,and UCL synthetic datasets.Experimental results demonstrate that the proposed network improves upon the baseline EfficientViT-B3 model by 75.4%in accuracy(Acc),while also enhancing runtime performance and storage efficiency.When compared with the complex DenseDescriptor feature extraction network,the difference in Acc is less than 7.22%,and IoU calculation results on specific datasets outperform complex dense models.Furthermore,this method increases the F1 score by 33.2%and accelerates runtime by 70.2%.It is noteworthy that the speed of CMMCAN surpasses that of comparative lightweight models,with feature extraction and matching performance comparable to existing complex models but with faster speed and higher cost-effectiveness.

Feature Selection Method Based on Class Discriminative Degree for Intelligent Medical Diagnosis

By using efficient and timely medical diagnostic decision making,clinicians can positively impact the quality and cost of medical care.However,the high similarity of clinical manifestations between diseases and the limitation of clinicians’knowledge both bring much difficulty to decision making in diagnosis.Therefore,building a decision support system that can assist medical staff in diagnosing and treating diseases has lately received growing attentions in the medical domain.In this paper,we employ a multi-label classification framework to classify the Chinese electronic medical records to establish corresponding relation between the medical records and disease categories,and compare this method with the traditional medical expert system to verify the performance.To select the best subset of patient features,we propose a feature selection method based on the composition and distribution of symptoms in electronic medical records and compare it with the traditional feature selection methods such as chi-square test.We evaluate the feature selection methods and diagnostic models from two aspects,false negative rate(FNR)and accuracy.Extensive experiments have conducted on a real-world Chinese electronic medical record database.The evaluation results demonstrate that our proposed feature selection method can improve the accuracy and reduce the FNR compare to the traditional feature selection methods,and the multi-label classification framework have better accuracy and lower FNR than the traditional expert system.

Research Progress of Measuring Tools for Patient Medication Compliance

This paper introduced the content, compilation process, reliability and validity, scoring method of the evaluation tool for patients’ medication compliance at home and abroad, and reviewed the research progress of the tool. The evaluation method, dimension, scoring method, evaluation content and application scope of the tool were compared, so as to provide reference for nurses to comprehensively and accurately evaluate patients’ medication status.

A multi-feature-based intelligent redundancy elimination scheme for cloud-assisted health systems

Redundancy elimination techniques are extensively investigated to reduce storage overheads for cloud-assisted health systems.Deduplication eliminates the redundancy of duplicate blocks by storing one physical instance referenced by multiple duplicates.Delta compression is usually regarded as a complementary technique to deduplication to further remove the redundancy of similar blocks,but our observations indicate that this is disobedient when data have sparse duplicate blocks.In addition,there are many overlapped deltas in the resemblance detection process of post-deduplication delta compression,which hinders the efficiency of delta compression and the index phase of resemblance detection inquires abundant non-similar blocks,resulting in inefficient system throughput.Therefore,a multi-feature-based redundancy elimination scheme,called MFRE,is proposed to solve these problems.The similarity feature and temporal locality feature are excavated to assist redundancy elimination where the similarity feature well expresses the duplicate attribute.Then,similarity-based dynamic post-deduplication delta compression and temporal locality-based dynamic delta compression discover more similar base blocks to minimise overlapped deltas and improve compression ratios.Moreover,the clustering method based on block-relationship and the feature index strategy based on bloom filters reduce IO overheads and improve system throughput.Experiments demonstrate that the proposed method,compared to the state-of-the-art method,improves the compression ratio and system throughput by 9.68%and 50%,respectively.

Medical image fusion based on pulse coupled neural networks and multi-feature fuzzy clustering

Medical image fusion plays an important role in clinical applications such as image-guided surgery, image-guided radiotherapy, noninvasive diagnosis, and treatment planning. In order to retain useful information and get more reliable results, a novel medical image fusion algorithm based on pulse coupled neural networks (PCNN) and multi-feature fuzzy clustering is proposed, which makes use of the multi-feature of image and combines the advantages of the local entropy and variance of local entropy based PCNN. The results of experiments indicate that the proposed image fusion method can better preserve the image details and robustness and significantly improve the image visual effect than the other fusion methods with less information distortion.

Exploring the limited use of transdermal medications in psychiatry:Challenges and potential solutions

Transdermal medications are an useful yet underutilized tool in the field of psychiatry.Despite numerous advantages of using this route of medication delivery,transdermal medications remain less popular compared to other routes of medication administration such as oral and intramuscular routes in the management of various psychiatric conditions.In this editorial,we examine the advantages of transdermal medications with a brief overview of transdermal being used in psychiatry and other medical specialties.We discuss the factors that play a role in their limited usage in psychiatry.We highlight certain patient categories who can specifically benefit from them and discuss potential solutions that can broaden the perspective of treating clinicians making this an intriguing avenue in the field of psychiatry.

An intelligent prediction model of epidemic characters based on multi-feature

The epidemic characters of Omicron(e.g.large-scale transmission)are significantly different from the initial variants of COVID-19.The data generated by large-scale transmission is important to predict the trend of epidemic characters.However,the re-sults of current prediction models are inaccurate since they are not closely combined with the actual situation of Omicron transmission.In consequence,these inaccurate results have negative impacts on the process of the manufacturing and the service industry,for example,the production of masks and the recovery of the tourism industry.The authors have studied the epidemic characters in two ways,that is,investigation and prediction.First,a large amount of data is collected by utilising the Baidu index and conduct questionnaire survey concerning epidemic characters.Second,theβ-SEIDR model is established,where the population is classified as Susceptible,Exposed,Infected,Dead andβ-Recovered persons,to intelligently predict the epidemic characters of COVID-19.Note thatβ-Recovered persons denote that the Recovered persons may become Sus-ceptible persons with probabilityβ.The simulation results show that the model can accurately predict the epidemic characters.

Guided-YNet: Saliency Feature-Guided Interactive Feature Enhancement Lung Tumor Segmentation Network

Multimodal lung tumor medical images can provide anatomical and functional information for the same lesion.Such as Positron Emission Computed Tomography(PET),Computed Tomography(CT),and PET-CT.How to utilize the lesion anatomical and functional information effectively and improve the network segmentation performance are key questions.To solve the problem,the Saliency Feature-Guided Interactive Feature Enhancement Lung Tumor Segmentation Network(Guide-YNet)is proposed in this paper.Firstly,a double-encoder single-decoder U-Net is used as the backbone in this model,a single-coder single-decoder U-Net is used to generate the saliency guided feature using PET image and transmit it into the skip connection of the backbone,and the high sensitivity of PET images to tumors is used to guide the network to accurately locate lesions.Secondly,a Cross Scale Feature Enhancement Module(CSFEM)is designed to extract multi-scale fusion features after downsampling.Thirdly,a Cross-Layer Interactive Feature Enhancement Module(CIFEM)is designed in the encoder to enhance the spatial position information and semantic information.Finally,a Cross-Dimension Cross-Layer Feature Enhancement Module(CCFEM)is proposed in the decoder,which effectively extractsmultimodal image features through global attention and multi-dimension local attention.The proposed method is verified on the lung multimodal medical image datasets,and the results showthat theMean Intersection overUnion(MIoU),Accuracy(Acc),Dice Similarity Coefficient(Dice),Volumetric overlap error(Voe),Relative volume difference(Rvd)of the proposed method on lung lesion segmentation are 87.27%,93.08%,97.77%,95.92%,89.28%,and 88.68%,respectively.It is of great significance for computer-aided diagnosis.

Clinical effects of detailed nursing management interventions on medication adherence and disease perception in patients with drugresistant tuberculosis

BACKGROUND Tuberculosis(TB)is a chronic respiratory infectious disease that considerably jeopardizes human health,and there is no effective vaccine suitable for its prevention in the entire population.AIM To investigate the promotion of medication adherence and disease cognition in patients with drug-resistant(DR-)TB using detailed nursing management.METHODS In total,114 patients with DR-TB who were diagnosed and treated at our hospital between January 2019 and January 2023 were included in this study.Patients in the control group(n=57)were managed with conventional nursing care,while those in the observation group(n=57)were managed with detailed nursing care.Medication adherence,disease awareness scores,medication safety,and nursing satisfaction were compared between the two groups after the intervention.RESULTS The post-intervention medication compliance rate was 91.23%in the observation group and 75.44%in the control group,with the former being 15.79%higher than the latter(P<0.05).There was no statistically significant difference in the disease awareness scores between the two groups before the intervention;the disease awareness scores of the observation group were significantly higher than those of the control group after the intervention(P<0.05).The incidence of gastrointestinal reactions,joint swelling and pain,hearing loss,electrolyte disorders,and liver and kidney function abnormalities were lower in the observation group than those in the control group.The total nursing satisfaction of the observation group was higher than that of the control group(P<0.05).CONCLUSION Implementation of detailed nursing management for patients with DR-TB can effectively improve medication adherence,enhance awareness of the disease,ensure safety of medication,and improve satisfaction with nursing care.

Adaptive Modeling of Monthly Depression Levels in Terms of Daily Assessments of Opioid Medications Taken and Pain Levels for Cancer Patients

A research study collected intensive longitudinal data from cancer patients on a daily basis as well as non-intensive longitudinal survey data on a monthly basis. Although the daily data need separate analysis, those data can also be utilized to generate predictors of monthly outcomes. Alternatives for generating daily data predictors of monthly outcomes are addressed in this work. Analyses are reported of depression measured by the Patient Health Questionnaire 8 as the monthly survey outcome. Daily measures include numbers of opioid medications taken, numbers of pain flares, least pain levels, and worst pain levels. Predictors are averages of recent non-missing values for each daily measure recorded on or prior to survey dates for depression values. Weights for recent non-missing values are based on days between measurement of a recent value and a survey date. Five alternative averages are considered: averages with unit weights, averages with reciprocal weights, weighted averages with reciprocal weights, averages with exponential weights, and weighted averages with exponential weights. Adaptive regression methods based on likelihood cross-validation (LCV) scores are used to generate fractional polynomial models for possible nonlinear dependence of depression on each average. For all four daily measures, the best LCV score over averages of all types is generated using the average of recent non-missing values with reciprocal weights. Generated models are nonlinear and monotonic. Results indicate that an appropriate choice would be to assume three recent non-missing values and use the average with reciprocal weights of the first three recent non-missing values.

MAIPFE:An Efficient Multimodal Approach Integrating Pre-Emptive Analysis,Personalized Feature Selection,and Explainable AI

Medical Internet of Things(IoT)devices are becoming more and more common in healthcare.This has created a huge need for advanced predictive health modeling strategies that can make good use of the growing amount of multimodal data to find potential health risks early and help individuals in a personalized way.Existing methods,while useful,have limitations in predictive accuracy,delay,personalization,and user interpretability,requiring a more comprehensive and efficient approach to harness modern medical IoT devices.MAIPFE is a multimodal approach integrating pre-emptive analysis,personalized feature selection,and explainable AI for real-time health monitoring and disease detection.By using AI for early disease detection,personalized health recommendations,and transparency,healthcare will be transformed.The Multimodal Approach Integrating Pre-emptive Analysis,Personalized Feature Selection,and Explainable AI(MAIPFE)framework,which combines Firefly Optimizer,Recurrent Neural Network(RNN),Fuzzy C Means(FCM),and Explainable AI,improves disease detection precision over existing methods.Comprehensive metrics show the model’s superiority in real-time health analysis.The proposed framework outperformed existing models by 8.3%in disease detection classification precision,8.5%in accuracy,5.5%in recall,2.9%in specificity,4.5%in AUC(Area Under the Curve),and 4.9%in delay reduction.Disease prediction precision increased by 4.5%,accuracy by 3.9%,recall by 2.5%,specificity by 3.5%,AUC by 1.9%,and delay levels decreased by 9.4%.MAIPFE can revolutionize healthcare with preemptive analysis,personalized health insights,and actionable recommendations.The research shows that this innovative approach improves patient outcomes and healthcare efficiency in the real world.