Search

The rise of mass customisation drives manufacturers to adopt leasing agreements for their machinery rather than outright their ownership. This industrial trend results in large-scale leased manufacturing systems, where the asset conditions and maintenance requirements for a fleet of machines and/or production lines from several manufacturers are continuously monitored and managed by a lessor. In this paper, we propose an operations and maintenance planning model that explicitly models (i) dynamic real-time failure rate predictions for machines based on sensor-driven degradation data, (ii) optimal routes for maintenance teams across a number of geographically-distributed manufacturing sites, and (iii) operational outcomes. The model can handle complex maintenance and operational outcome interdependencies between multiple machines, and incorporate demand for different products, heterogeneous machine capacities and capabilities, factory topology, and the resulting production flow capacities of products. To demonstrate the model's practicality, it is applied to three experimental case studies with various numbers of machines, operating schedules, product types, and flow capacities. The results show that the proposed model significantly outperforms the traditional reliability-based maintenance model in key metrics such as the number of unexpected failures, the cost of preventive maintenance actions, machine downtime, the percentage of unsatisfied demand, and total cost. [ABSTRACT FROM AUTHOR]

Claudins (CLDN1-CLDN24) are a family of tight junction proteins whose dysregulation has been implicated in tumorigeneses of many cancer types. In colorectal cancer (CRC), CLDN1, CLDN2, CLDN4, and CLDN18 have been shown to either be upregulated or aberrantly expressed. In the normal colon, CLDN1 and CLDN3-7 are expressed. Although a few claudins, such as CLDN6 and CLDN7, are expressed in CRC their levels are reduced compared to the normal colon. The present review outlines the expression profiles of claudin proteins in CRC and those that are potential biomarkers for prognostication.

Qualification is a process that demonstrates whether a product meets or exceeds specified requirements. Testing and data analysis performed within a qualification procedure should verify that products satisfy those requirements, including reliability requirements. Most of the electronics industry qualifies products using procedures dictated within qualification standards. A review of common qualification standards reveals that those standards do not consider customer requirements or the product physics‐of‐failure in that intended application. As a result, qualification, as represented in the reviewed qualification standards, would not meet our definition of qualification for reliability assessment. This paper introduces the application of diagnostics and prognostics techniques to analyze real‐time data trends while conducting qualification tests. Diagnostics techniques identify anomalous behavior exhibited by the product, and prognostics techniques forecast how the product will behave during the remainder of the qualification test and how the product would have behaved if the test continued. As a result, combining diagnostics and prognostics techniques can enable the prediction of the remaining time‐to‐failure for the product undergoing qualification. Several ancillary benefits related to an improved testing strategy, parts selection and management, and support of a prognostics and health management system in operation also arise from applying prognostics and diagnostics techniques to qualification. [ABSTRACT FROM AUTHOR]

Disruptions in the brain's connections to the hands resulting from a cervical spinal cord injury (cSCI) can lead to severe and persistent functional impairments. The integrity of these connections is an important predictor of upper extremity recovery in stroke and may similarly act as a biomarker in cSCI. In this perspective article, we review recent findings from a large cohort of individuals with cSCI, demonstrating the predictive value of corticospinal tract (CST) integrity in cSCI—CST sparing. This research underscores that, akin to stroke, the integrity of brain-to-hand connections is crucial for predicting upper extremity recovery following cSCI. We address the limitations of commonly used metrics, such as sacral sparing and the concept of central cord syndrome. Furthermore, we offer insights on emerging metrics, such as tissue bridges, emphasizing their potential in assessing the integrity of brain connections to the spinal cord. [ABSTRACT FROM AUTHOR]

The prediction of remaining useful life (RUL) is a critical component of prognostic and health management for industrial systems. In recent decades, there has been a surge of interest in RUL prediction based on degradation data of a well‐defined degradation index (DI). However, in many real‐world applications, the DI may not be readily available and must be constructed from complex source data, rendering many existing methods inapplicable. Motivated by multivariate sensor data from industrial induction motors, this paper proposes a novel prognostic framework that develops a nonlinear DI, serving as an ensemble of representative features, and employs a similarity‐based method for RUL prediction. The proposed framework enables online prediction of RUL by dynamically updating information from the in‐service unit. Simulation studies and a case study on three‐phase industrial induction motors demonstrate that the proposed framework can effectively extract reliability information from various channels and predict RUL with high accuracy. [ABSTRACT FROM AUTHOR]

Alzheimer's disease (AD), the most prevalent form of dementia, is expected to rise dramatically in incidence due to the global population aging. Traditional diagnostic approaches, such as cerebrospinal fluid analysis and positron emission tomography, are expensive and invasive, limiting their routine clinical use. Recent advances in blood-based biomarkers, including amyloid-beta, phosphorylated tau, and neurofilament light, offer promising non-invasive alternatives for early AD detection and disease monitoring. This review synthesizes current research on these blood-based biomarkers, highlighting their potential to track AD pathology and enhance diagnostic accuracy. Furthermore, this review uniquely integrates recent findings on protein-protein interaction networks and microRNA pathways, exploring novel combinations of proteomic, genomic, and epigenomic biomarkers that provide new insights into AD's molecular mechanisms. Additionally, we discuss the integration of these biomarkers with advanced neuroimaging techniques, emphasizing their potential to revolutionize AD diagnostics. Although large-scale validation is still needed, these biomarkers represent a critical advancement toward more accessible, cost-effective, and early diagnostic tools for AD. [ABSTRACT FROM AUTHOR]

Reliability engineering faces many of the same challenges today that it did at its inception in the 1950s. The fundamental issue remains uncertainty in system representation, specifically related to performance model structure and parameterization. Details of a design are unavailable early in the development process and therefore performance models must either account for the range of possibilities or be wrong. Increasing system complexity has compounded this uncertainty. In this work, we seek to understand how the reliability engineering literature has shifted over time. We exe cute a systematic literature review of 30,543 reliability engineering papers (covering roughly a third of the reliability papers indexed by Elsevier's Engineering Village. Topic modeling was performed on the abstracts of those papers to identify 279 topics. The hierarchical topic reduction resulted in the identification of eight top‐level method topics (prognostics, statistics, maintenance, quality control, management, physics of failure, modeling, and risk assessment) as well as three domain‐specific topics (nuclear, infrastructure, and software). We found that topics more associated with later phases in the development process (such as prognostics, maintenance, and quality control) have increased in popularity over time relative to other topics. We propose that this is a response to the challenges posed by model uncertainty and increasing complexity. [ABSTRACT FROM AUTHOR]

PEMFCs play a key role in the energy transition scenarios thanks to the zero emissions, versatility, and power density. PEMFC performances are improved optimizing water management to ensure proper ion transport: it is well known that a well-balanced water content avoids either electrodes flooding or membrane drying, causing gas starvation at the active sites or low proton conductivity, respectively. In this paper, an analytical formulation for water transport dynamics within the membrane, derived from membrane water balance, is proposed to overcome the limitations of PEM dynamics model largely adopted in the literature. The dynamics is simulated thanks to the introduction of a characteristic time with a closed analytical form, which is general and easily implementable for any application where both low computational time and high accuracy are required. Furthermore, the net water molar fluxes at the membrane boundaries can be easily computed as well for a cell's simulation. The analytical formulation has a strong dependency on the operative conditions, as well as physical parameters of the membrane itself. From the proposed formulation, for a 200 µm membrane, the characteristic time can vary from 5 s up to 50 s; this example shows how control strategies must consider PEM dynamic behavior. [ABSTRACT FROM AUTHOR]

Abstract Background Stratipath Breast is a CE-IVD marked artificial intelligence-based solution for prognostic risk stratification of breast cancer patients into high- and low-risk groups, using haematoxylin and eosin (H&E)-stained histopathology whole slide images (WSIs). In this validation study, we assessed the prognostic performance of Stratipath Breast in two independent breast cancer cohorts. Methods This retrospective multi-site validation study included 2719 patients with primary breast cancer from two Swedish hospitals. The Stratipath Breast tool was applied to stratify patients based on digitised WSIs of the diagnostic H&E-stained tissue sections from surgically resected tumours. The prognostic performance was evaluated using time-to-event analysis by multivariable Cox Proportional Hazards analysis with progression-free survival (PFS) as the primary endpoint. Results In the clinically relevant oestrogen receptor (ER)-positive/human epidermal growth factor receptor 2 (HER2)-negative patient subgroup, the estimated hazard ratio (HR) associated with PFS between low- and high-risk groups was 2.76 (95% CI: 1.63–4.66, p-value

Abstract The Gasdermin E gene (GSDME) plays roles in deafness and cancers. However, the roles and mechanisms in cancers are complex, and the same gene exhibits different mechanisms and actions in different types of cancers. Online databases, such as GEPIA2, cBioPortal, and DNMIVD, were used to comprehensively analyze GSDME profiles, DNA methylations, mutations, diagnosis, and prognosis in patients with tumor tissues and matched healthy tissues. Western blotting and RT-PCR were used to monitor the regulation of GSDME by Cordycepin (CD) in cancer cell lines. We revealed that GSDME expression is significantly upregulated in eight cancers (ACC, DLBC, GBM, HNSC, LGG, PAAD, SKCM, and THYM) and significantly downregulated in seven cancers (COAD, KICH, LAML, OV, READ, UCES, and UCS). The overall survival was longer only in ACC, but shorter in four cancers, including COAD, KIRC, LIHC, and STAD, when GSDME was highly expressed in cancers compared with the corresponding normal tissues. Moreover, the high expression of GSDME was negatively correlated with the poor prognosis of ACC, while the low expression of GSDME was negatively correlated with the poor prognosis of COAD, suggesting that GSDME might serve as a good prognostic factor in these two cancer types. Accordingly, results indicated that the DNA methylations of those 7 CpG sites constitute a potentially effective signature to distinguish different tumors from adjacent healthy tissues. Gene mutations for GSDME were frequently observed in a variety of tumors, with UCES having the highest frequency. Moreover, CD treatment inhibited GSDME expression in different cancer cell lines, while overexpression of GSDME promoted cell migration and invasion. Thus, we have systematically and successfully clarified the GSDME expression profiles, diagnostic values, and prognostic values in pan-cancers. Targeting GSDME with CD implies therapeutic significance and a mechanism for antitumor roles in some types of cancers via increasing the sensitivity of chemotherapy. Altogether, our study may provide a strategy and biomarker for clinical diagnosis, prognostics, and treatment of cancers by targeting GSDME.

Metabolomics aims for comprehensive characterization and measurement of small molecule metabolites (<1700 Da) in complex biological matrices. This study sought to assess the current understanding and usage of metabolomics in laboratory medicine globally and evaluate the perception of its promise and future implementation. A survey was conducted by the IFCC metabolomics working group that queried 400 professionals from 79 countries. Participants provided insights into their experience levels, knowledge, and usage of metabolomics approaches, along with detailing the applications and methodologies employed. Findings revealed a varying level of experience among respondents, with varying degrees of familiarity and utilization of metabolomics techniques. Targeted approaches dominated the field, particularly liquid chromatography coupled to a triple quadrupole mass spectrometer, with untargeted methods also receiving significant usage. Applications spanned clinical research, epidemiological studies, clinical diagnostics, patient monitoring, and prognostics across various medical domains, including metabolic diseases, endocrinology, oncology, cardiometabolic risk, neurodegeneration and clinical toxicology. Despite optimism for the future of clinical metabolomics, challenges such as technical complexity, standardization issues, and financial constraints remain significant hurdles. The study underscores the promising yet intricate landscape of metabolomics in clinical practice, emphasizing the need for continued efforts to overcome barriers and realize its full potential in patient care and precision medicine. [ABSTRACT FROM AUTHOR]

Introduction: Sensorineural hearing impairment (SNHI), a common childhood disorder with heterogeneous genetic causes, can lead to delayed language development and psychosocial problems. Next-generation sequencing (NGS) offers high-throughput screening and high-sensitivity detection of genetic etiologies of SNHI, enabling clinicians to make informed medical decisions, provide tailored treatments, and improve prognostic outcomes. Areas covered: This review covers the diverse etiologies of HHI and the utility of different NGS modalities (targeted sequencing and whole exome/genome sequencing), and includes HHI-related studies on newborn screening, genetic counseling, prognostic prediction, and personalized treatment. Challenges such as the trade-off between cost and diagnostic yield, detection of structural variants, and exploration of the non-coding genome are also highlighted. Expert opinion: In the current landscape of NGS-based diagnostics for HHI, there are both challenges (e.g. detection of structural variants and non-coding genome variants) and opportunities (e.g. the emergence of medical artificial intelligence tools). The authors advocate the use of technological advances such as long-read sequencing for structural variant detection, multi-omics analysis for non-coding variant exploration, and medical artificial intelligence for pathogenicity assessment and outcome prediction. By integrating these innovations into clinical practice, precision medicine in the diagnosis and management of HHI can be further improved. [ABSTRACT FROM AUTHOR]

Background: Stratipath Breast is a CE-IVD marked artificial intelligence-based solution for prognostic risk stratification of breast cancer patients into high- and low-risk groups, using haematoxylin and eosin (H&E)-stained histopathology whole slide images (WSIs). In this validation study, we assessed the prognostic performance of Stratipath Breast in two independent breast cancer cohorts. Methods: This retrospective multi-site validation study included 2719 patients with primary breast cancer from two Swedish hospitals. The Stratipath Breast tool was applied to stratify patients based on digitised WSIs of the diagnostic H&E-stained tissue sections from surgically resected tumours. The prognostic performance was evaluated using time-to-event analysis by multivariable Cox Proportional Hazards analysis with progression-free survival (PFS) as the primary endpoint. Results: In the clinically relevant oestrogen receptor (ER)-positive/human epidermal growth factor receptor 2 (HER2)-negative patient subgroup, the estimated hazard ratio (HR) associated with PFS between low- and high-risk groups was 2.76 (95% CI: 1.63–4.66, p-value < 0.001) after adjusting for established risk factors. In the ER+/HER2- Nottingham histological grade (NHG) 2 subgroup, the HR was 2.20 (95% CI: 1.22–3.98, p-value = 0.009) between low- and high-risk groups. Conclusion: The results indicate an independent prognostic value of Stratipath Breast among all breast cancer patients, as well as in the clinically relevant ER+/HER2- subgroup and the NHG2/ER+/HER2- subgroup. Improved risk stratification of intermediate-risk ER+/HER2- breast cancers provides information relevant for treatment decisions of adjuvant chemotherapy and has the potential to reduce both under- and overtreatment. Image-based risk stratification provides the added benefit of short lead times and substantially lower cost compared to molecular diagnostics and therefore has the potential to reach broader patient groups. [ABSTRACT FROM AUTHOR]

The Gasdermin E gene (GSDME) plays roles in deafness and cancers. However, the roles and mechanisms in cancers are complex, and the same gene exhibits different mechanisms and actions in different types of cancers. Online databases, such as GEPIA2, cBioPortal, and DNMIVD, were used to comprehensively analyze GSDME profiles, DNA methylations, mutations, diagnosis, and prognosis in patients with tumor tissues and matched healthy tissues. Western blotting and RT-PCR were used to monitor the regulation of GSDME by Cordycepin (CD) in cancer cell lines. We revealed that GSDME expression is significantly upregulated in eight cancers (ACC, DLBC, GBM, HNSC, LGG, PAAD, SKCM, and THYM) and significantly downregulated in seven cancers (COAD, KICH, LAML, OV, READ, UCES, and UCS). The overall survival was longer only in ACC, but shorter in four cancers, including COAD, KIRC, LIHC, and STAD, when GSDME was highly expressed in cancers compared with the corresponding normal tissues. Moreover, the high expression of GSDME was negatively correlated with the poor prognosis of ACC, while the low expression of GSDME was negatively correlated with the poor prognosis of COAD, suggesting that GSDME might serve as a good prognostic factor in these two cancer types. Accordingly, results indicated that the DNA methylations of those 7 CpG sites constitute a potentially effective signature to distinguish different tumors from adjacent healthy tissues. Gene mutations for GSDME were frequently observed in a variety of tumors, with UCES having the highest frequency. Moreover, CD treatment inhibited GSDME expression in different cancer cell lines, while overexpression of GSDME promoted cell migration and invasion. Thus, we have systematically and successfully clarified the GSDME expression profiles, diagnostic values, and prognostic values in pan-cancers. Targeting GSDME with CD implies therapeutic significance and a mechanism for antitumor roles in some types of cancers via increasing the sensitivity of chemotherapy. Altogether, our study may provide a strategy and biomarker for clinical diagnosis, prognostics, and treatment of cancers by targeting GSDME. [ABSTRACT FROM AUTHOR]

Introduction: In the realm of computational pathology, the scarcity and restricted diversity of genitourinary (GU) tissue datasets pose significant challenges for training robust diagnostic models. This study explores the potential of Generative Adversarial Networks (GANs) to mitigate these limitations by generating high-quality synthetic images of rare or underrepresented GU tissues. We hypothesized that augmenting the training data of computational pathology models with these GAN-generated images, validated through pathologist evaluation and quantitative similarity measures, would significantly enhance model performance in tasks such as tissue classification, segmentation, and disease detection. Methods: To test this hypothesis, we employed a GAN model to produce synthetic images of eight different GU tissues. The quality of these images was rigorously assessed using a Relative Inception Score (RIS) of 1.27 ± 0.15 and a Fréchet Inception Distance (FID) that stabilized at 120, metrics that reflect the visual and statistical fidelity of the generated images to real histopathological images. Additionally, the synthetic images received an 80% approval rating from board-certified pathologists, further validating their realism and diagnostic utility. We used an alternative Spatial Heterogeneous Recurrence Quantification Analysis (SHRQA) to assess the quality of prostate tissue. This allowed us to make a comparison between original and synthetic data in the context of features, which were further validated by the pathologist's evaluation. Future work will focus on implementing a deep learning model to evaluate the performance of the augmented datasets in tasks such as tissue classification, segmentation, and disease detection. This will provide a more comprehensive understanding of the utility of GAN-generated synthetic images in enhancing computational pathology workflows. Results: This study not only confirms the feasibility of using GANs for data augmentation in medical image analysis but also highlights the critical role of synthetic data in addressing the challenges of dataset scarcity and imbalance. Conclusions: Future work will focus on refining the generative models to produce even more diverse and complex tissue representations, potentially transforming the landscape of medical diagnostics with AI-driven solutions. [ABSTRACT FROM AUTHOR]

Spread of novel coronavirus and other flu-like illnesses, periodically causing increased death and morbidity rates, places pressures on national health systems. In order to provide a reliable long-term forecast of the new coronavirus infection rate, this research employs novel Gaidai bio-system reliability technique, especially suitable for multi-regional biological, environmental and public health systems. The goal of this study was to directly apply state of art statistical techniques to unprocessed raw clinical data, utilizing a multicenter, population-based biostatistical methodology. Epidemiological risks have been accurately forecasted, specifically for European Union member states. Based on their clinical survey data, suggested spatiotemporal methodology may be applied in a variety of public biological and health applications.

Background The association of lipid‐lowering drug targets and their gene variants with cardiovascular diseases has been previously clarified. However, the relationship between gene variants of lipid‐lowering drug targets and the adverse prognosis of ischemic stroke patients remains unclear. Methods and Results Multiple single‐nucleotide polymorphisms associated with 6 lipid‐lowering drug targets were genotyped for patients with ischemic stroke. The primary outcome was death or major disability within 2 years after ischemic stroke. Genetic risk score was constructed from significant single‐nucleotide polymorphisms identified via additive models, which was calculated by multiplying the number of risk alleles at each locus by the corresponding beta coefficient and then summing the products. The rs2006760‐C of the HMGCR, rs11206510‐T of PCSK9, and rs1864163‐G and rs9929488‐G of CETP were associated with increased odds of adverse outcomes within 2 years after ischemic stroke. Each additional risk allele was associated with higher odds of adverse outcomes. Genetic risk score was positively associated with the odds of primary outcome (odds ratio [OR], 1.48 [95% CI, 1.15–1.90]; Ptrend = 0.001), major disability (OR, 1.56 [95% CI, 1.16–2.08]; Ptrend = 0.002), death (hazard ratio [HR], 1.58 [95% CI, 1.12–2.25]; Ptrend = 0.011), and the composite outcome of death or cardiovascular events (HR, 1.41 [95% CI, 1.08–1.85]; Ptrend = 0.010) when 2 extreme quartiles were compared. Conclusions rs2006760‐C of HMGCR, rs11206510‐T of PCSK9, and rs1864163‐G and rs9929488‐G of CETP were associated with increased odds of adverse outcomes within 2 years after ischemic stroke. Furthermore, higher GRS was positively related to the odds of poor outcomes in patients with ischemic stroke. Registration: URL: https://www.clinicaltrials.gov; Identifier: NCT01840072.

For patients monitored in intensive care units in the aftermath of a cardiac arrest, one of the well-established difficulties of care after resuscitation is the ability to perform the necessary prognostic assessments as accurately and early as possible. Although current guidelines include algorithms to determine prognosis, there are still missing links and uncertainties. Biomarkers obtained from peripheral blood are generally non-invasive and easy to obtain. Although the potential to use microRNA as a prognostic biomarker after cardiac arrest has received less interest recently, its popularity has increased in the last few years. By identifying prognostic biomarkers within 24 h of cardiac arrest, clinicians in intensive care could gain valuable insights to guide patient outcomes and predict both mortality and survival rates.

Mucins (MUC1-MUC24) are a family of glycoproteins involved in cell signaling and barrier protection. They have been implicated in the progression of numerous malignancies including gastric, pancreatic, ovarian, breast, and lung cancer. Mucins have also been extensively studied with respect to colorectal cancer. They have been found to have diverse expression profiles amongst the normal colon, benign hyperplastic polyps, pre-malignant polyps, and colon cancers. Those expressed in the normal colon include MUC2, MUC3, MUC4, MUC11, MUC12, MUC13, MUC15 (at low levels), and MUC21. Whereas MUC5, MUC6, MUC16, and MUC20 are absent from the normal colon and are expressed in colorectal cancers. MUC1, MUC2, MUC4, MUC5AC, and MUC6 are currently the most widely covered in the literature regarding their role in the progression from normal colonic tissue to cancer.

Proteolysis is a central regulator of many biological pathways and the study of proteases has had a significant impact on our understanding of both native biology and disease. Proteases are key regulators of infectious disease and misregulated proteolysis in humans contributes to a variety of maladies, including cardiovascular disease, neurodegeneration, inflammatory diseases, and cancer. Central to understanding a protease's biological role, is characterizing its substrate specificity. This chapter will facilitate the characterization of individual proteases and complex, heterogeneous proteolytic mixtures and provide examples of the breadth of applications that leverage the characterization of misregulated proteolysis. Here we present the protocol of Multiplex Substrate Profiling by Mass Spectrometry (MSP-MS), a functional assay that quantitatively characterizes proteolysis using a synthetic library of physiochemically diverse, model peptide substrates, and mass spectrometry. We present a detailed protocol as well as examples of the use of MSP-MS for the study of disease states, for the development of diagnostic and prognostic tests, for the generation of tool compounds, and for the development of protease-targeted drugs.

This paper presents an overview of integrating new research outcomes into the development of a structural health monitoring strategy for the floating cover at the Western Treatment Plant (WTP) in Melbourne, Australia. The size of this floating cover, which covers an area of approximately 470 m × 200 m, combined with the hazardous environment and its exposure to extreme weather conditions, only allows for monitoring techniques based on remote sensing. The floating cover is deformed by the accumulation of sewage matter beneath it. Our research has shown that the only reliable data for constructing a predictive model to support the structural health monitoring of this critical asset is obtained directly from the actual floating cover at the sewage treatment plant. Our recent research outcomes lead us towards conceptualising an advanced engineering analysis tool designed to support the future creation of a digital twin for the floating cover at the WTP. Foundational work demonstrates the effectiveness of an unmanned aerial vehicle (UAV)-based photogrammetry methodology in generating a digital elevation model of the large floating cover. A substantial set of data has been acquired through regular UAV flights, presenting opportunities to leverage this information for a deeper understanding of the interactions between operational conditions and the structural response of the floating cover. This paper discusses the current findings and their implications, clarifying how these outcomes contribute to the ongoing development of an advanced digital twin for the floating cover. [ABSTRACT FROM AUTHOR]

From the beginning, a science-based approach to questions of the future and – more precisely – thinking in alternative futures was in latent conflict with the official ideology of the German Democratic Republic, according to which East German society (and indeed, the whole humankind) was heading towards a communist future. During the 1960s, however, prognostics – the socialist type of futures studies – fitted well into the ambition of political leaders to foster economic development by promoting scientific-technological progress and adopting new management systems of the national economy. Prognostics was to a certain extent institutionalized and obtained in parts a cybernetic underpinning, but ideological constraints on knowledge never vanished. Moreover, prognostics had to distinguish itself clearly from "late-capitalist" futurology. With the reorientation of politics after Walter Ulbricht lost power, prognostics was cut back as was its cybernetic underpinning. As the official belief in the communist future eroded during the 1980s, there was no longer any room for governmental foresight. Futures thinking was taken up by the dissident movement. [ABSTRACT FROM AUTHOR]

This paper provides a framework based on machine learning approach in I4.0 environment to predict the remaining useful life of an aviation engine. For illustration purpose, an industrial case study is presented which applies machine learning algorithms to analyze the data collected using the Commercial Modular Aero-Propulsion System Simulation (C-MAPSS) simulation which includes run-to-degradation data for a turbofan engine. The results obtained from the study validate the proposed framework to identify prominent features and perform sequential analysis on unstructured data for predicting the remaining useful life of an aviation engine. Six machine learning models are applied to the dataset containing four subsets: FD001, FD002, FD003 and FD004 in C-MAPSS dataset each working on different degradation conditions for turbofan engine. For FD001, random forest had the lowest RMSE (11.59), and for FD002, FD003 and FD004, the lowest RMSE was given by LGBM classifier (12.78, 7.95 and 11.04), respectively. From the findings, it is observed that LGBM performs better with higher AUC 89% and lowest RMSE. The proposed framework can be applied to a wide range of failure prediction applications. Regardless of the underlying physics, ML-based data-driven methodologies can be used to analyze a wide range of systems. [ABSTRACT FROM AUTHOR]

Data-based prognostic methods exploit sensor data to forecast the remaining useful life (RUL) of industrial settings to optimize the scheduling of maintenance actions. However, implementing sensors may not be cost-effective or practical for all components. Traditional preventive approaches are not based on sensor data; however, they schedule maintenance at equally spaced intervals, which is not a cost-effective approach since the distribution of the time between failures changes with the degradation state of other parts or changes in working conditions. This study introduces a novel framework comprising two maintenance scheduling strategies. In the absence of sensor data, we propose a novel dynamic preventive policy that adjusts intervention intervals based on the most recent failure data. When sensor data are available, a method for RUL prediction, designated k-LSTM-GFT, is enhanced to dynamically account for RUL prediction uncertainty. The results demonstrate that dynamic preventive maintenance can yield cost reductions of up to 51.8% compared to conventional approaches. The predictive approach optimizes the exploitation of RUL, achieving costs that are only 3–5% higher than the minimum cost achievable while ensuring the safety of critical systems since all of the failures are avoided. [ABSTRACT FROM AUTHOR]

This study investigated the prognostic value of admission blood counts for arteriovenous malformation (AVM) outcomes and compared admission blood counts for patients with ruptured and unruptured AVMs. A retrospective analysis of patients who underwent surgical treatment for a ruptured cerebral AVM between February 1, 2014, and March 31, 2020, was conducted. The primary outcome was poor neurologic outcome, defined as a modified Rankin Scale score ≥2 in patients with unruptured AVMs or >2 in patients with ruptured AVMs. Of 235 included patients, 80 (34%) had ruptured AVMs. At admission, patients with ruptured AVMs had a significantly lower mean (SD) hemoglobin level (12.78 [2.07] g/dL vs. 13.71 [1.60] g/dL, P < 0.001), hematocrit (38.1% [5.9%] vs. 40.7% [4.6%], P < 0.001), lymphocyte count (16% [11%] vs. 26% [10%], P < 0.001), and absolute lymphocyte count (1.41 [0.72] × 103/μL vs. 1.79 [0.68] × 103/μL, P < 0.001), and they had a significantly higher mean (SD) white blood cell count (10.4 [3.8] × 103/μL vs. 7.6 [2.3] × 103/μL, P < 0.001), absolute neutrophil count (7.8 [3.8] × 103/μL vs. 5.0 [2.5] × 103/μL, P < 0.001), and neutrophil count (74% [14%] vs. 64% [13%], P < 0.001). Among patients with unruptured AVMs, white blood cell count ≥6.4 × 103/μL and absolute neutrophil count ≥3.4 × 103/μL were associated with a favorable neurologic outcome, whereas hemoglobin level ≥13.4 g/dL was associated with an unfavorable outcome. Among patients with ruptured AVMs, hypertension was associated with a 3-fold increase in odds of a poor neurologic outcome. Patients with ruptured and unruptured AVMs present with characteristic profiles of hematologic and inflammatory parameters evident in their admission blood work. [ABSTRACT FROM AUTHOR]

Most structural faults in metal parts can be attributed to fatigue crack propagation. The analysis and prognostics of fatigue crack propagation play essential roles in the health management of mechanical systems. Due to the impacts of different uncertainty factors, the crack propagation process exhibits significant randomness, which causes difficulties in fatigue life prediction. To improve prognostic accuracy, a physics-based Tweedie exponential dispersion process (TEDP) model is proposed via integrating Paris Law and the stochastic process. This TEDP model can capture both the crack growth mechanism and uncertainty. Compared with other existing models, the TEDP taking Wiener process, Gamma process, and inverse process as special cases is more general and flexible in modeling complex degradation paths. The probability density function of the model is derived based on saddle-joint approximation. The unknown parameters are calculated via maximum likelihood estimation. Then, the analytic expressions of the distributions of lifetime and product reliability are presented. Significant findings include that the proposed TEDP model substantially enhances predictive accuracy in lifetime estimations of mechanical systems under varying operational conditions, as demonstrated in a practical case study on fatigue crack data. This model not only provides highly accurate lifetime predictions, but also offers deep insights into the reliability assessments of mechanically stressed components. [ABSTRACT FROM AUTHOR]

For patients monitored in intensive care units in the aftermath of a cardiac arrest, one of the well-established difficulties of care after resuscitation is the ability to perform the necessary prognostic assessments as accurately and early as possible. Although current guidelines include algorithms to determine prognosis, there are still missing links and uncertainties. Biomarkers obtained from peripheral blood are generally non-invasive and easy to obtain. Although the potential to use microRNA as a prognostic biomarker after cardiac arrest has received less interest recently, its popularity has increased in the last few years. By identifying prognostic biomarkers within 24 h of cardiac arrest, clinicians in intensive care could gain valuable insights to guide patient outcomes and predict both mortality and survival rates. [ABSTRACT FROM AUTHOR]

In this study, waste biomass-derived biogas was employed as the main fuel while the biodiesel-diesel blend was used as pilot fuel. This paper describes the development of a Decision Tree and Response Surface methodology-based statistical framework for prediction modeling and optimization. The compression ratio, fuel injection time, fuel injection pressure, and biogas flow rate were employed as controllable inputs, and brake thermal efficiency, peak combustion pressure, and exhaust emission were selected as responses. The experimental data for model development was gathered for the development of prediction models and optimization. The decision tree-based models were robust with almost negligible mean squared errors and R2 values of more than 0.9487 for all models. Response surface methodology-based optimized engine parameters were validated with the following results compression ratio was 17.9, fuel injection pressure was 225 bar, fuel injection timing was 26.3-degree crank angle after top dead center, and the biogas flow rate was 0.85 kg/h. Validation results were within 5 % of the model-optimized results. The prognostic models for all control factors were developed with decision tree-based machine learning with high predictive efficiency and low errors.

Data from real systems is an important resource for research in machine diagnostics and prognostics. The demand for data has increased exponentially in recent years due to the growing interest in prognostics and the development of AI technologies for predictive maintenance. When used for fault detection and predictive maintenance, data must be able to provide information about the degradation phenomena that occur in machines. In addition, one goal of prognostics is to predict the remaining useful life (RUL), which requires a large amount of data to apply data-driven techniques or validate physics-based models. Bearings are subject to a wide range of loads and fatigue stresses, and their failure can be catastrophic for the entire machine or plant. The Department of Engineering of the University of Ferrara has carried out an extensive experimental campaign to record the evolution of vibration signals throughout the life of self-aligning double row rolling element bearings. Six accelerated run-to-failure tests were performed, while the acceleration signals were continuously recorded by a uniaxial accelerometer. A radial load was applied to the bearing housing and controlled by a load cell. The shaft speed was kept constant and controlled by an electric motor driven by an inverter. The data set provided contains acceleration signals in the radial direction for the entire duration of the tests and can be used for research or industrial purposes.

Proton exchange membrane fuel cell (PEMFC) is a promising hydrogen technique with various application prospects. However, all the PEMFCs are subject to degradation resulting from mechanical and chemical aging. To tackle this challenge, accurately predicting fuel cell degradation is essential for its durability optimization. In this study, an enhanced data-driven prognostic framework is developed to accurately predict short-term and medium-term degradation using only fuel cell voltage as the input feature. Firstly, a local outlier factor (LOF) algorithm is adopted for automatic detection of outliers in raw data collected from actual sensing environments. Then, an advanced deep learning model, residual–CNN–LSTM-random attention, is proposed to optimize voltage prediction to better indicate future PEMFC degradation trend. The proposed work is validated by the IEEE PHM 2014 Data Challenge. Compared to state-of-the-art methods, the proposed framework provides superior prediction accuracies with high stability. For instance, the framework improves short-term prediction, achieving a root mean square error (RMSE) of 0.0021 and a mean absolute percentage error (MAPE) of 0.0323 at steady state when training stops at 600 h. For medium-term prediction, our method also attains better results with an RMSE of 0.0085 and a MAPE of 0.4237 under same working conditions. Additionally, the comparative analyses demonstrate a lower computational burden and higher suitability of proposed work for practical applications. • An enhanced deep learning model, residual–CNN–LSTM-random attention, is proposed. • The innovative degradation prognostic framework is developed based on above model. • The efficiency of framework is verified by steady-state and quasi-dynamic aging data. • The framework improves the prediction accuracies, while maintaining high stability. • Compared to state-of-the-art methods, our work is more suitable for application. [ABSTRACT FROM AUTHOR]

Background: The behavioral variant of frontotemporal dementia (bvFTD) is very heterogeneous in pathology, genetics, and disease course. Unlike Alzheimer's disease, reliable biomarkers are lacking and sporadic bvFTD is often misdiagnosed as a primary psychiatric disorder (PPD) due to overlapping clinical features. Current efforts to characterize and improve diagnostics are centered on the minority of genetic cases. Objective: The multi-center study DIPPA-FTD aims to develop diagnostic and prognostic algorithms to help distinguish sporadic bvFTD from late-onset PPD in its earliest stages. Methods: The prospective DIPPA-FTD study recruits participants with late-life behavioral changes, suspect for bvFTD or late-onset PPD diagnosis with a negative family history for FTD and/or amyotrophic lateral sclerosis. Subjects are invited to participate after diagnostic screening at participating memory clinics or recruited by referrals from psychiatric departments. At baseline visit, participants undergo neurological and psychiatric examination, questionnaires, neuropsychological tests, and brain imaging. Blood is obtained to investigate biomarkers. Patients are informed about brain donation programs. Follow-up takes place 10-14 months after baseline visit where all examinations are repeated. Results from the DIPPA-FTD study will be integrated in a data-driven approach to develop diagnostic and prognostic models. Conclusions: DIPPA-FTD will make an important contribution to early sporadic bvFTD identification. By recruiting subjects with ambiguous or prodromal diagnoses, our research strategy will allow the characterization of early disease stages that are not covered in current sporadic FTD research. Results will hopefully increase the ability to diagnose sporadic bvFTD in the early stage and predict progression rate, which is pivotal for patient stratification and trial design. [ABSTRACT FROM AUTHOR]

Hydrogen fuel has shown promise as a clean, alternative fuel aiding in the reduction of fossil fuel dependence within the transportation sector. However, hydrogen refueling stations and infrastructure remains a barrier and are a prerequisite for consumer adoption of low-cost and low-emission fuel cell electric vehicles (FCEVs). The costs for FCEV fueling include both station capital costs and operation and maintenance (O&M) costs. Contributing to these O&M costs, unscheduled maintenance is presently more costly and more frequent than for similar gasoline fueling infrastructure and is asserted to be a limiting factor in achieving FCEV customer acceptance and cost parity. Unscheduled maintenance leads to longer station downtime, therefore, causing an increase in missed fueling opportunities, which forces customers to seek refueling at other operable stations that may be significantly farther away. This research proposes a framework for a hydrogen station prognostics health monitoring (H2S PHM) model that can minimize unexpected downtime by predicting the remaining useful life for primary hydrogen station components within the major station subsystems. The H2S PHM model is a data-driven statistical model, based on O&M data collected from 34 retail hydrogen stations located in the U.S. The primary subcomponents studied are the dispenser, compressor, and chiller. The remaining useful life calculations are used to decide whether or not maintenance should be completed based on the prediction and expected future station use. This paper presents the background, method, and results for the H2S PHM model as for a means for improving station availability and customer confidence in FCEVs and hydrogen infrastructure. • Hydrogen station reliability is a key contributor to market success. • Mean fills between failure and station availability are lower than conventional technologies. • A prognostics health monitoring system can improve hydrogen station availability. • Estimated remaining useful life of primary components assists in maintenance decisions. [ABSTRACT FROM AUTHOR]

Battery aging is a complex phenomenon, and precise state of health (SoH) monitoring is essential for effective battery management. This paper presents a data-driven method for SoH estimation based on support vector regression (SVR), utilizing features built from both full and partial discharge capacity curves, as well as battery temperature data. It provides an in-depth discussion of the novel features constructed from different voltage intervals. Moreover, three combinations of features were analyzed, demonstrating how their efficacy changes across different voltage ranges. Successful results were obtained using the full discharge capacity curves, built from the full interval of 2 to 3.4 V and achieving a mean R2 value of 0.962 for the test set, thus showcasing the adequacy of the selected SVR strategy. Finally, the features constructed from the full voltage range were compared with ones built from 10 small voltage ranges. Similar success was observed, evidenced by a mean R2 value ranging between 0.939 and 0.973 across different voltage ranges. This indicates the practical applicability of the developed models in real-world scenarios. The tuning and evaluation of the proposed models were carried out using a substantial dataset created by Toyota, consisting of 124 lithium iron phosphate batteries. [ABSTRACT FROM AUTHOR]

The utilization of sensor data to make informed decisions on maintenance schedule and spare parts provisioning will be determinant to the development of self-aware habitable facilities–so called SmartHabs–in deep space regions. To address this novel and challenging problem, this work presents a chance constrained stochastic mixed integer program to jointly optimize maintenance and spare parts provisioning for ensuring reliable and cost-efficient operations of SmartHabs. A SmartHab is modeled as a multi-unit system with non-identical components that randomly degrade over time. The proposed optimization model is driven by telemetry sensor data as the uncertainty of the remaining lifetime of the components is estimated by data-driven prognostic algorithms. The model further incorporates characteristic operational conditions of deep space habitats such as a long planning horizon that requires multiple maintenance decisions for each component, maintenance task assignment to humans and robots, long lead times between resupply trips, and high penalties due to stock-outs of spare parts. The formulation introduces chance constraints restricting the unavailability of critical components and the number of corrective repairs with high probability under the uncertainty of component failures. The nonlinearities induced by the chance constraints are circumvented by the derivation of two linearization methods based on scenario representation and safe approximations, resulting in their tractable mixed integer linear reformulations. The proposed model is validated by simulations, showing reliable and effective plans against benchmark approaches while evidencing to be computationally scalable as the number of components increases. • Joint optimization of maintenance and spare provisioning for deep space habitats. • Telemetry sensor data is used to describe the uncertainty of the optimization model. • Chance constraints for restricting the probability of unexpected failures. • Scalable optimization model validated by simulation studies. [ABSTRACT FROM AUTHOR]

Background: The current paradigm in mental health care focuses on clinical recovery and symptom remission. This model's efficacy is influenced by therapist trust in patient recovery potential and the depth of the therapeutic relationship. Schizophrenia is a chronic illness with severe symptoms where the possibility of recovery is a matter of debate. As artificial intelligence (AI) becomes integrated into the health care field, it is important to examine its ability to assess recovery potential in major psychiatric disorders such as schizophrenia. Objective: This study aimed to evaluate the ability of large language models (LLMs) in comparison to mental health professionals to assess the prognosis of schizophrenia with and without professional treatment and the long-term positive and negative outcomes. Methods: Vignettes were inputted into LLMs interfaces and assessed 10 times by 4 AI platforms: ChatGPT-3.5, ChatGPT-4, Google Bard, and Claude. A total of 80 evaluations were collected and benchmarked against existing norms to analyze what mental health professionals (general practitioners, psychiatrists, clinical psychologists, and mental health nurses) and the general public think about schizophrenia prognosis with and without professional treatment and the positive and negative long-term outcomes of schizophrenia interventions. Results: For the prognosis of schizophrenia with professional treatment, ChatGPT-3.5 was notably pessimistic, whereas ChatGPT-4, Claude, and Bard aligned with professional views but differed from the general public. All LLMs believed untreated schizophrenia would remain static or worsen without professional treatment. For long-term outcomes, ChatGPT-4 and Claude predicted more negative outcomes than Bard and ChatGPT-3.5. For positive outcomes, ChatGPT-3.5 and Claude were more pessimistic than Bard and ChatGPT-4. Conclusions: The finding that 3 out of the 4 LLMs aligned closely with the predictions of mental health professionals when considering the "with treatment" condition is a demonstration of the potential of this technology in providing professional clinical prognosis. The pessimistic assessment of ChatGPT-3.5 is a disturbing finding since it may reduce the motivation of patients to start or persist with treatment for schizophrenia. Overall, although LLMs hold promise in augmenting health care, their application necessitates rigorous validation and a harmonious blend with human expertise. [ABSTRACT FROM AUTHOR]

Roller mills are commonly used in the production of mining derivatives, since one of their purposes is to reduce raw materials to very small sizes and to combine them. This research evaluates the mechanical condition of a mill containing four rollers, focusing on the largest cylindrical roller bearings as the main component that causes equipment failure. The objective of this work is to make a prognosis of when the overall vibrations would reach the maximum level allowed (2.5 IPS pk), thus enabling planned replacements, and achieving the maximum possible useful life in operation, without incurring unscheduled corrective maintenance and unexpected plant shutdown. Wireless sensors were used to capture vibration data and the ARIMA (Auto-Regressive Integrated Moving Average) and Holt–Winters methods were applied to forecast vibration behavior in the short term. Finally, the results demonstrate that the Holt–Winters model outperforms the ARIMA model in precision, allowing a 3-month prognosis without exceeding the established vibration limit. [ABSTRACT FROM AUTHOR]

The presence and role of microbes in human cancers has come full circle in the last century. Tumors are no longer considered aseptic, but implications for cancer biology and oncology remain underappreciated. Opportunities to identify and build translational diagnostics, prognostics, and therapeutics that exploit cancer's second genome-the metagenome-are manifold, but require careful consideration of microbial experimental idiosyncrasies that are distinct from host-centric methods. Furthermore, the discoveries of intracellular and intra-metastatic cancer bacteria necessitate fundamental changes in describing clonal evolution and selection, reflecting bidirectional interactions with non-human residents. Reconsidering cancer clonality as a multispecies process similarly holds key implications for understanding metastasis and prognosing therapeutic resistance while providing rational guidance for the next generation of bacterial cancer therapies. Guided by these new findings and challenges, this Review describes opportunities to exploit cancer's metagenome in oncology and proposes an evolutionary framework as a first step towards modeling multispecies cancer clonality. Also see the video abstract here: https://youtu.be/-WDtIRJYZSs.

PEMFCs play a key role in the energy transition scenarios thanks to the zero emissions, versatility, and power density. PEMFC performances are improved optimizing water management to ensure proper ion transport: it is well known that a well-balanced water content avoids either electrodes flooding or membrane drying, causing gas starvation at the active sites or low proton conductivity, respectively. In this paper, an analytical formulation for water transport dynamics within the membrane, derived from membrane water balance, is proposed to overcome the limitations of PEM dynamics model largely adopted in the literature. The dynamics is simulated thanks to the introduction of a characteristic time with a closed analytical form, which is general and easily implementable for any application where both low computational time and high accuracy are required. Furthermore, the net water molar fluxes at the membrane boundaries can be easily computed as well for a cell’s simulation. The analytical formulation has a strong dependency on the operative conditions, as well as physical parameters of the membrane itself. From the proposed formulation, for a 200 µm membrane, the characteristic time can vary from 5 s up to 50 s; this example shows how control strategies must consider PEM dynamic behavior.