The generalization ability of ELM can be improved by fusing a number of individual ELMs. This paper proposes a new scheme of fusing ELMs based on upper integrals, which differs from all the existing fuzzy integral models of classifier fusion. The new scheme uses the upper integral to reasonably assign tested samples to different ELMs for maximizing the classification efficiency. By solving an optimization problem of upper integrals, we obtain the proportions of assigning samples to different ELMs and their combinations. The definition of upper integral guarantees such a conclusion that the classification accuracy of the fused ELM is not less than that of any individual ELM theoretically. Numerical simulations demonstrate that most existing fusion methodologies such as Bagging and Boosting can be improved by our upper integral model.
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http://dx.doi.org/10.1016/j.neunet.2014.11.004 | DOI Listing |
Surg Endosc
January 2025
Faculty of Medicine, Pediatric Surgery, Tanta University Hospital, Tanta, 31527, Egypt.
Background: Surgical fundoplication remains integral in managing gastroesophageal reflux disease (GERD) by addressing gastroesophageal valve incompetence. This study introduces a novel hybrid approach, the Eversion Cruroplasty and Collar Overwrap (ECCO) procedure, aiming to combine benefits of conventional partial wrapping and posteromedial cardiopexy, considering gastric fundus anatomical peculiarities as an anti-reflux barrier.
Methods: A retrospective analysis of pediatric patients presenting with refractory GERD from 2021 to 2023 was conducted.
BMJ Open
January 2025
Siriraj Health Policy Unit, Mahidol University Faculty of Medicine Siriraj Hospital, Bangkok, Thailand
Objectives: To evaluate the cost-utility of botulinum toxin A (BoNT-A) for treating upper limb (UL) and lower limb (LL) post-stroke spasticity.
Design: Using a Markov model, adopting a societal perspective and a lifetime horizon with a 3% annual discount rate, the cost-utility analysis was conducted to compare BoNT-A combined with standard of care (SoC) with SoC alone. Costs, utilities, transitional probabilities and treatment efficacy were derived from 5-year retrospective data from tertiary hospitals and meta-analysis.
Environ Pollut
January 2025
Department of Population Health Sciences, Duke University, Durham, NC 27708, United States; Duke Cancer Institute, Duke University, Durham, NC 27708, United States.
Radon is a naturally occurring radioactive gas derived from the decay of uranium in the Earth's crust. Radon exposure is the leading cause of lung cancer among non-smokers in the US. Radon infiltrates homes through soil and building foundations.
View Article and Find Full Text PDFPLoS Comput Biol
January 2025
Biorobotics Laboratory, EPFL, Lausanne, Switzerland.
Humans can perform movements in various physical environments and positions (corresponding to different experienced gravity), requiring the interaction of the musculoskeletal system, the neural system and the external environment. The neural system is itself comprised of several interactive components, from the brain mainly conducting motor planning, to the spinal cord (SC) implementing its own motor control centres through sensory reflexes. Nevertheless, it remains unclear whether similar movements in various environmental dynamics necessitate adapting modulation at the brain level, correcting modulation at the spinal level, or both.
View Article and Find Full Text PDFAnn Biomed Eng
January 2025
Department of Rehabilitation Medicine, Beijing Jishuitan Hospital, Beijing, People's Republic of China.
Background: The integration of artificial intelligence into medicine has attracted increasing attention in recent years. ChatGPT has emerged as a promising tool for delivering evidence-based recommendations in various clinical domains. However, the application of ChatGPT to physical therapy for musculoskeletal conditions has yet to be investigated.
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