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The development of visual tools for the timely identification of spatio-temporal clusters will assist in implementing control measures to prevent further damage. From January 2015 to June 2020, a total number of 1463 avian influenza outbreak farms were detected in Taiwan and further confirmed to be affected by highly pathogenic avian influenza subtype H5Nx. In this study, we adopted two common concepts of spatio-temporal clustering methods, the Knox test and scan statistics, with visual tools to explore the dynamic changes of clustering patterns. Since most (68.6%) of the outbreak farms were detected in 2015, only the data from 2015 was used in this study. The first two-stage algorithm performs the Knox test, which established a threshold of 7 days and identified 11 major clusters in the six counties of southwestern Taiwan, followed by the standard deviational ellipse (SDE) method implemented on each cluster to reveal the transmission direction. The second algorithm applies scan likelihood ratio statistics followed by AGC index to visualize the dynamic changes of the local aggregation pattern of disease clusters at the regional level. Compared to the one-stage aggregation approach, Knox-based and AGC mapping were more sensitive in small-scale spatio-temporal clustering., (© 2021. The Author(s).)

Due to the increasing cost of health insurance, for decades, many countries have endeavored to constrain the cost of insurance by utilizing a DRG payment system. In most cases, under the DRG payment system, hospitals cannot exactly know which DRG code inpatients are until they are discharged. This paper focuses on the prediction of what DRG code appendectomy patients will be classified with when they are admitted to hospital. We utilize two models (or classifiers) constructed using the C4.5 algorithm and back-propagation neural network (BPN). We conducted experiments with the data collected from two hospitals. The results show that the accuracies of these two classification models can be up to 97.84% and 98.70%, respectively. According to the predicted DRG code, hospitals can effectively arrange medical resources with certainty, then, in turn, improve the quality of the medical care patients receive. [ABSTRACT FROM AUTHOR]

The ship tracking and mapping capabilities that geospatial technology provides create an opportunity to observe fishing vessels as they move through established maritime boundaries. This paper connects data availability to ground-truthing research and explores the limits of vessel movement mapping in representing worker abuse at sea through three related themes. First, a conceptual background links the advancements in maritime remote sensing to critical GIS scholarship and provides a background on worker abuse aboard Taiwanese fishing vessels. Second, the paper examines the potential of machine learning algorithms to represent worker abuse at sea, arguing that more extensive ground-truthing research with workers could help address variations in the data and limited data sets. Third, I use remote sensing data to identify and unpack Taiwanese fishing across the three EEZs with the most concentrated Taiwanese fishing activity: starting with Taiwan, followed by the Falkland Islands, and Seychelles. I argue that fishing activity and the digital representation of vessel movements are governed by terrestrial geopolitics and subject to manipulation by ship captains. Finally, the conclusion offers recommendations for how future research can capitalize on the capabilities of AIS, particularly with respect to addressing problems of working conditions and abuse at sea. [ABSTRACT FROM AUTHOR]

Bridge structures deteriorate due to various factors, and their maintenance can be made more efficient by utilizing relevant information. This paper describes an algorithm called Self-Organizing Map-based Cluster Merging (SOMCM) using a multi-dimensional matrix composite neural network, and a surface image identification system. The algorithm is designed to investigate the relevance between the main components of bridges and their types of deterioration. 6140 records on bridge maintenance were collected for all bridges in the Taoyuan region of Taiwan in 2021. The SOMCM algorithm involves finding the winner neuron through merging processes. 61 clusters were merged into 8 clusters after a predetermined number of iterations. Clustering analysis of the final 8 clusters revealed 9 major bridge maintenance association rules. Follow-up studies can apply the algorithm to integrate more technologies including GIS coordinates, material availability, real-time traffic conditions, and weather information to be of benefit to engineering practitioners. • The study is to develop a new algorithm, SOM-based Cluster Merging (SOMCM). • The paper is to investigate the relevance for bridge main components and their deterioration types. • The initial result involves 61 clusters being merged to 8 clusters with the predetermined iterations. • The clustering analysis for the final 8 clusters shows 9 major bridge maintenance association rules. [ABSTRACT FROM AUTHOR]

Over the past century, conscientiousness has become seen as the preeminent trait for predicting performance. This consensus is due in part to these employees' ability to work with traditional 20th-century technology. Such pairings balance the systematic nature of conscientious employees with the technology's need for user input and direction to perform tasks--resulting in a complementary match. However, the 21st century has seen the incorporation of intelligent machines (e.g., artificial intelligence, robots, and algorithms) into employees' jobs. Unlike traditional technology, these new machines are equipped with the capability to make decisions autonomously. Thus, their nature overlaps with the orderliness subdimension of conscientious employees--resulting in a non-complementary mismatch. This calls into question whether the consensus about conscientious employees' effectiveness with 20th-century technology applies to 21st-century jobs. Integrating complementarity and role theory, we refine this consensus. Across three studies using distinct samples (an experience sampling study, a field experiment, and an online experiment from working adults in Malaysia, Taiwan, and the United States), each focused on a different type of intelligent machine, we show not only that using intelligent machines has benefits and consequences, but, importantly, that conscientious (i.e., orderly) employees are less likely to benefit from working with them. [ABSTRACT FROM AUTHOR]

A discernible correlation emerged between global bridge disasters and bridge deterioration in recent years. To assist bridge inspectors in conducting deterioration identification, this paper presents a Pilgrimage Walk Optimization (PWO) algorithm inspired by Taiwan's unique Matsu bobee custom. The search behavior of the PWO algorithm simulates the gathering of devotees following Matsu's palanquin and their collective movements based on folk belief activities, including divination block casting, pilgrimage, the leisure ceremony, crawling beneath the palanquin, palanquin robbing, and the return palanquin ceremony. Analysis results show that the PWO outperformed contemporary metaheuristic algorithms on various multidimensional benchmark functions and was effectively applied to image segmentation for multiple types of bridge deterioration collected by an unmanned aerial vehicle. In the increasing number of engineering problems requiring edge computing to process big data, the proposed PWO algorithm is a low-cost and robust method with fault tolerance. • Presenting the innovative Pilgrimage Walk Optimization (PWO) algorithm, a revolutionary metaheuristic approach. • The new algorithm is tested on benchmark functions and applied to optimize image segmentation. • PWO algorithm outperforms contemporary metaheuristic algorithms in terms of achieving optimal solutions. • Exploring diverse bridge deterioration patterns auto-segmented using metaheuristic clustering algorithms. • PWO algorithm holds potential applications in AIoT technology and automation within the construction industry. [ABSTRACT FROM AUTHOR]

Background: Aging leads to changes in the body system, such as sarcopenia. This can result in several health issues, particularly physical and mobility dysfunction. Asian people typically have little awareness of sarcopenia. Thus, this study incorporated nursing instruction into the mobile application design to allow users to easily learn about sarcopenia. Objective: This study evaluated a model for predicting high-risk populations for sarcopenia in home settings. We further developed a sarcopenia nursing guidance mobile application and assessed the effectiveness of this application in influencing sarcopenia-related knowledge and self-care awareness among participants. Methods: Using a one-group pretest–posttest design, data were collected from 120 participants at a teaching hospital in northern Taiwan. This study used an artificial intelligence algorithm to evaluate a model for predicting high-risk populations for sarcopenia. We developed and assessed the sarcopenia nursing guidance mobile application using a questionnaire based on the Mobile Application Rating Scale. Results: The application developed in this study enhanced participants' sarcopenia-related knowledge and awareness regarding self-care. After the three-month intervention, the knowledge and awareness was effectively increase, total score was from 4.15 ± 2.35 to 6.65 ± 0.85 and were significant for all questionnaire items (p values < 0.05). On average, 96.1% of the participants were satisfied with the mobile app. The artificial intelligence algorithm positively evaluated the home-use model for predicting high-risk sarcopenia groups. Conclusions: The mobile application of the sarcopenia nursing guidance for public use in home settings may help alleviate sarcopenia symptoms and reduce complications by enhancing individuals' self-care awareness and ability. Trial registration: NCT05363033, registered on 02/05/2022. [ABSTRACT FROM AUTHOR]

Evaluating the magnitude of overdiagnosis associated with stool-based service screening for colorectal cancer (CRC) beyond a randomized controlled trial is often intractable and understudied. We aim to estimate the proportion of overdiagnosis in population-based service screening programs for CRC with the fecal immunochemical test (FIT). The natural process of overdiagnosis-embedded disease was first built up to learn transition parameters that quantify the pathway of non-progressive and progressive screen-detected cases calibrated with sensitivity, while also taking competing mortality into account. The Markov algorithms were then developed for estimating these transition parameters based on Taiwan FIT service CRC screening data on 5,417,699 residents aged 50–69 years from 2004 to 2014. Following the digital twin design with the parallel universe structure for emulating the randomized controlled trial, the screened twin, mirroring the control group without screening, was virtually recreated by the application of the above-mentioned trained parameters to predict CRC cases containing overdiagnosis. The ratio of the predicted CRCs derived from the screened twin to the observed CRCs of the control group minus 1 was imputed to measure the extent of overdiagnosis. The extent of overdiagnosis for invasive CRCs resulting from FIT screening is 4.16% (95% CI: 2.61–5.78%). The corresponding figure is increased to 9.90% (95% CI: 8.41–11.42%) for including high grade dysplasia (HGD) and further inflated to 15.83% (95% CI: 15.23–16.46%) when the removal adenoma is considered. The modest proportion of overdiagnosis modelled by the digital twin method, dispensing with the randomized controlled trial design, suggests the harm done to population-based FIT service screening is negligible. [ABSTRACT FROM AUTHOR]

Credit scoring is playing an increasingly critical role with the rising number of lending operations for micro and small enterprises as well as individuals. A large number of research is primarily based on the combination and construction methods of credit scoring models by the experts. However, different credit data have distinct requirements for the models, and how to automatically search and construct credit scoring models according to credit data has become essential, that is the main concern of this paper. In response to the current challenges for credit scoring research, we proposed an Automatic Credit Scoring Strategy (ACSS), designed a credit assessment platform which includes data import, classification model automatic search, feature selection, hyperparameter optimization, data mining, classification output and other modules. Aiming at the problem of substantial imbalance in credit data, we propose an improved SMOTE algorithm that is capable of generating supplementary data for the lack of minority in credit data, thereby making the credit data distribution well balanced. As for classification model selection, features engineering, parameter optimization and other parts, we further incorporate automatic search ways to reduce manual interaction. We utilize public and self-owned credit data sets to conduct experiments and compare them with the latest credit assessment methods. Extensive experiments have demonstrated that our ACSS method achieves relatively noticeable performance improvements using the German credit dataset, the Taiwan credit dataset and the personal credit dataset for credit scoring. The best results achieved by our proposed method are 0.98, 0.99, 0.895 and 0.901 for MAE, RMSE, accuracy and precision respectively. In addition, the experimental results also show that our proposed improved SMOTE algorithm contributes to the credit scoring performance enhancement. The experimental findings suggest that our proposed ACSS balances automation and accuracy, which can be implemented to the consumption industry to enhance the reliability of credit assessments. • We utilize an improved SMOTE that could decrease the impact of data imbalance that exists in the credit data. • We propose to leverage the credit feature pruning algorithm and memetic optimization algorithm. • We propose an automated credit scoring strategy (ACSS) method with a cost-effective neural architecture search (C-NAS) scheme. [ABSTRACT FROM AUTHOR]

In this study, we focus on the electronic bus (E-Bus) system developed for Taiwan's mountainous areas. The rural area in Taiwan with its towering mountains has become a sightseeing hot spot. The radio propagation of a (cloud-based) 4G/LTE network may be severely limited by the mountainous geography, leading to unacceptable connection quality. We have built a smart (fog-based) local wireless E-Bus system using a feature-enhanced long-range widearea network (LoRaWAN, also known as GloRa in Taiwan). Since there is no electricity on the mountain roads, the bus stops of this E-Bus system are operated by a dynamo. Furthermore, we present a virtual direction and position algorithm for multiple E-Bus lines. A novel sensing method using the dynamos is proposed to estimate the feasibility of the E-Bus optimization problem. [ABSTRACT FROM AUTHOR]

With the unique rainfall patterns of typhoons, plum rains, and short-term heavy rainfalls, the frequent landslide and debris flow disasters have caused severe loss to people in Taiwan. In the studies of landslide susceptibility, the information of factors used for analysis was usually annual-based content, and it was assumed that the same elements from different years were independent between each year. However, the occurrence of landslides was usually not simply due to the changes within a year. Instead, landslides were triggered because the factors that affected the potential of landslides reached critical conditions after a cumulative change with time. Therefore, this study had well evaluated the influence of temporal characteristics and the ratios of antecedent landslide areas in the past five years in the landslide potential evaluation model. The analysis was conducted through the random forest (RF) algorithm. Additional rainfall events of 2017 were used to test the proposed model's performance to understand its practicality. The analysis results show that in the study area, the RF model had considerably acceptable performance. The results have also demonstrated that the antecedent landslide ratios in the past five years were essential to describe the significance of cumulative change with time when conducting potential landslide evaluation. [ABSTRACT FROM AUTHOR]