1.Graph Machine Learning With Systematic Hyper-Parameter Selection on Hidden Networks and Mental Health Conditions in the Middle-Aged and Old
Psychiatry Investigation 2024;21(12):1382-1390
		                        		
		                        			 Objective:
		                        			It takes significant time and energy to collect data on explicit networks. This study used graph machine learning to identify hidden networks and predict mental health conditions in the middle-aged and old. 
		                        		
		                        			Methods:
		                        			Data came from the Korean Longitudinal Study of Ageing (2016–2018), with 2,000 participants aged 56 or more. The dependent variable was mental disease (no vs. yes) in 2018. Twenty-eight predictors in 2016 were included. Graph machine learning with systematic hyper-parameter selection was conducted. 
		                        		
		                        			Results:
		                        			The area under the curve was similar across different models in different scenarios. However, sensitivity (93%) was highest for the graph random forest in the scenario of 2,000 participants and the centrality requirement of life satisfaction 90. Based on the graph random forest, top-10 determinants of mental disease were mental disease in previous period (2016), age, income, life satisfaction–health, life satisfaction–overall, subjective health, body mass index, life satisfaction–economic, children alive and health insurance. Especially, life satisfaction–overall was a top-5 determinant in the graph random forest, which considers life satisfaction as an emotional connection and a group interaction. 
		                        		
		                        			Conclusion
		                        			Improving an individual’s life satisfaction as a personal condition is expected to strengthen the individual’s emotional connection as a group interaction, which would reduce the risk of the individual’s mental disease in the end. This would bring an important clinical implication for highlighting the importance of a patient’s life satisfaction and emotional connection regarding the diagnosis and management of the patient’s mental disease. 
		                        		
		                        		
		                        		
		                        	
2.Graph Machine Learning With Systematic Hyper-Parameter Selection on Hidden Networks and Mental Health Conditions in the Middle-Aged and Old
Psychiatry Investigation 2024;21(12):1382-1390
		                        		
		                        			 Objective:
		                        			It takes significant time and energy to collect data on explicit networks. This study used graph machine learning to identify hidden networks and predict mental health conditions in the middle-aged and old. 
		                        		
		                        			Methods:
		                        			Data came from the Korean Longitudinal Study of Ageing (2016–2018), with 2,000 participants aged 56 or more. The dependent variable was mental disease (no vs. yes) in 2018. Twenty-eight predictors in 2016 were included. Graph machine learning with systematic hyper-parameter selection was conducted. 
		                        		
		                        			Results:
		                        			The area under the curve was similar across different models in different scenarios. However, sensitivity (93%) was highest for the graph random forest in the scenario of 2,000 participants and the centrality requirement of life satisfaction 90. Based on the graph random forest, top-10 determinants of mental disease were mental disease in previous period (2016), age, income, life satisfaction–health, life satisfaction–overall, subjective health, body mass index, life satisfaction–economic, children alive and health insurance. Especially, life satisfaction–overall was a top-5 determinant in the graph random forest, which considers life satisfaction as an emotional connection and a group interaction. 
		                        		
		                        			Conclusion
		                        			Improving an individual’s life satisfaction as a personal condition is expected to strengthen the individual’s emotional connection as a group interaction, which would reduce the risk of the individual’s mental disease in the end. This would bring an important clinical implication for highlighting the importance of a patient’s life satisfaction and emotional connection regarding the diagnosis and management of the patient’s mental disease. 
		                        		
		                        		
		                        		
		                        	
3.Graph Machine Learning With Systematic Hyper-Parameter Selection on Hidden Networks and Mental Health Conditions in the Middle-Aged and Old
Psychiatry Investigation 2024;21(12):1382-1390
		                        		
		                        			 Objective:
		                        			It takes significant time and energy to collect data on explicit networks. This study used graph machine learning to identify hidden networks and predict mental health conditions in the middle-aged and old. 
		                        		
		                        			Methods:
		                        			Data came from the Korean Longitudinal Study of Ageing (2016–2018), with 2,000 participants aged 56 or more. The dependent variable was mental disease (no vs. yes) in 2018. Twenty-eight predictors in 2016 were included. Graph machine learning with systematic hyper-parameter selection was conducted. 
		                        		
		                        			Results:
		                        			The area under the curve was similar across different models in different scenarios. However, sensitivity (93%) was highest for the graph random forest in the scenario of 2,000 participants and the centrality requirement of life satisfaction 90. Based on the graph random forest, top-10 determinants of mental disease were mental disease in previous period (2016), age, income, life satisfaction–health, life satisfaction–overall, subjective health, body mass index, life satisfaction–economic, children alive and health insurance. Especially, life satisfaction–overall was a top-5 determinant in the graph random forest, which considers life satisfaction as an emotional connection and a group interaction. 
		                        		
		                        			Conclusion
		                        			Improving an individual’s life satisfaction as a personal condition is expected to strengthen the individual’s emotional connection as a group interaction, which would reduce the risk of the individual’s mental disease in the end. This would bring an important clinical implication for highlighting the importance of a patient’s life satisfaction and emotional connection regarding the diagnosis and management of the patient’s mental disease. 
		                        		
		                        		
		                        		
		                        	
4.Graph Machine Learning With Systematic Hyper-Parameter Selection on Hidden Networks and Mental Health Conditions in the Middle-Aged and Old
Psychiatry Investigation 2024;21(12):1382-1390
		                        		
		                        			 Objective:
		                        			It takes significant time and energy to collect data on explicit networks. This study used graph machine learning to identify hidden networks and predict mental health conditions in the middle-aged and old. 
		                        		
		                        			Methods:
		                        			Data came from the Korean Longitudinal Study of Ageing (2016–2018), with 2,000 participants aged 56 or more. The dependent variable was mental disease (no vs. yes) in 2018. Twenty-eight predictors in 2016 were included. Graph machine learning with systematic hyper-parameter selection was conducted. 
		                        		
		                        			Results:
		                        			The area under the curve was similar across different models in different scenarios. However, sensitivity (93%) was highest for the graph random forest in the scenario of 2,000 participants and the centrality requirement of life satisfaction 90. Based on the graph random forest, top-10 determinants of mental disease were mental disease in previous period (2016), age, income, life satisfaction–health, life satisfaction–overall, subjective health, body mass index, life satisfaction–economic, children alive and health insurance. Especially, life satisfaction–overall was a top-5 determinant in the graph random forest, which considers life satisfaction as an emotional connection and a group interaction. 
		                        		
		                        			Conclusion
		                        			Improving an individual’s life satisfaction as a personal condition is expected to strengthen the individual’s emotional connection as a group interaction, which would reduce the risk of the individual’s mental disease in the end. This would bring an important clinical implication for highlighting the importance of a patient’s life satisfaction and emotional connection regarding the diagnosis and management of the patient’s mental disease. 
		                        		
		                        		
		                        		
		                        	
5.Graph Machine Learning With Systematic Hyper-Parameter Selection on Hidden Networks and Mental Health Conditions in the Middle-Aged and Old
Psychiatry Investigation 2024;21(12):1382-1390
		                        		
		                        			 Objective:
		                        			It takes significant time and energy to collect data on explicit networks. This study used graph machine learning to identify hidden networks and predict mental health conditions in the middle-aged and old. 
		                        		
		                        			Methods:
		                        			Data came from the Korean Longitudinal Study of Ageing (2016–2018), with 2,000 participants aged 56 or more. The dependent variable was mental disease (no vs. yes) in 2018. Twenty-eight predictors in 2016 were included. Graph machine learning with systematic hyper-parameter selection was conducted. 
		                        		
		                        			Results:
		                        			The area under the curve was similar across different models in different scenarios. However, sensitivity (93%) was highest for the graph random forest in the scenario of 2,000 participants and the centrality requirement of life satisfaction 90. Based on the graph random forest, top-10 determinants of mental disease were mental disease in previous period (2016), age, income, life satisfaction–health, life satisfaction–overall, subjective health, body mass index, life satisfaction–economic, children alive and health insurance. Especially, life satisfaction–overall was a top-5 determinant in the graph random forest, which considers life satisfaction as an emotional connection and a group interaction. 
		                        		
		                        			Conclusion
		                        			Improving an individual’s life satisfaction as a personal condition is expected to strengthen the individual’s emotional connection as a group interaction, which would reduce the risk of the individual’s mental disease in the end. This would bring an important clinical implication for highlighting the importance of a patient’s life satisfaction and emotional connection regarding the diagnosis and management of the patient’s mental disease. 
		                        		
		                        		
		                        		
		                        	
6.Artificial intelligence in colonoscopy: from detection to diagnosis
The Korean Journal of Internal Medicine 2024;39(4):555-562
		                        		
		                        			
		                        			 This study reviews the recent progress of artificial intelligence for colonoscopy from detection to diagnosis. The source of data was 27 original studies in PubMed. The search terms were “colonoscopy” (title) and “deep learning” (abstract). The eligibility criteria were: (1) the dependent variable of gastrointestinal disease; (2) the interventions of deep learning for classification, detection and/or segmentation for colonoscopy; (3) the outcomes of accuracy, sensitivity, specificity, area under the curve (AUC), precision, F1, intersection of union (IOU), Dice and/or inference frames per second (FPS); (3) the publication year of 2021 or later; (4) the publication language of English. Based on the results of this study, different deep learning methods would be appropriate for different tasks for colonoscopy, e.g., Efficientnet with neural architecture search (AUC 99.8%) in the case of classification, You Only Look Once with the instance tracking head (F1 96.3%) in the case of detection, and Unet with dense-dilation-residual blocks (Dice 97.3%) in the case of segmentation. Their performance measures reported varied within 74.0–95.0% for accuracy, 60.0–93.0% for sensitivity, 60.0–100.0% for specificity, 71.0–99.8% for the AUC, 70.1–93.3% for precision, 81.0–96.3% for F1, 57.2–89.5% for the IOU, 75.1–97.3% for Dice and 66–182 for FPS. In conclusion, artificial intelligence provides an effective, non-invasive decision support system for colonoscopy from detection to diagnosis. 
		                        		
		                        		
		                        		
		                        	
7.Relationships of Antidepressant Medication With Its Various Factors Including Nitrogen Dioxides Seasonality: Machine Learning Analysis Using National Health Insurance Data
Kwang-Sig LEE ; Hae-In KIM ; Byung-Joo HAM
Psychiatry Investigation 2023;20(6):515-523
		                        		
		                        			 Objective:
		                        			This study employs machine learning and population-based data to examine major factors of antidepressant medication including nitrogen dioxides (NO2) seasonality. 
		                        		
		                        			Methods:
		                        			Retrospective cohort data came from Korea National Health Insurance Service claims data for 43,251 participants with the age of 15–79 years, residence in the same districts of Seoul and no history of antidepressant medication during 2002–2012. The dependent variable was antidepressant-free months during 2013–2015 and the 103 independent variables for 2012 or 2015 were considered, e.g., particulate matter less than 2.5 micrometer in diameter (PM2.5), PM10, NO2, ozone (O3), sulphur dioxide (SO2) and carbon monoxide (CO) in each of 12 months in 2015. 
		                        		
		                        			Results:
		                        			It was found that the Cox hazard ratios of NO2 were statistically significant and registered values larger than 10 for every three months: March, June–July, October, and December. Based on random forest variable importance and Cox hazard ratios in brackets, indeed, the top 20 factors of antidepressant medication included age (0.0041 [1.69–2.25]), migraine and sleep disorder (0.0029 [1.82]), liver disease (0.0017 [1.33–1.34]), exercise (0.0014), thyroid disease (0.0013), cardiovascular disease (0.0013 [1.20]), asthma (0.0008 [1.19–1.20]), September NO2 (0.0008 [0.01]), alcohol consumption (0.0008 [1.31–1.32]), gender - woman (0.0007 [1.80–1.81]), July NO2 (0.0007 [14.93]), July PM10 (0.0007), the proportion of the married (0.0005), January PM2.5 (0.0004), September PM2.5 (0.0004), chronic obstructive pulmonary disease (0.0004), economic satisfaction (0.0004), January PM10 (0.0003), residents in welfare facilities per 1,000 (0.0003 [0.97]), and October NO2 (0.0003). 
		                        		
		                        			Conclusion
		                        			Antidepressant medication has strong associations with neighborhood conditions including NO2 seasonality and welfare support. 
		                        		
		                        		
		                        		
		                        	
8.Machine Learning on Early Diagnosis of Depression
Psychiatry Investigation 2022;19(8):597-605
		                        		
		                        			
		                        			 To review the recent progress of machine learning for the early diagnosis of depression (major depressive disorder). The source of data was 32 original studies in the Web of Science. The search terms were “depression” (title) and “random forest” (abstract). The eligibility criteria were the dependent variable of depression, the interventions of machine learning (the decision tree, the naïve Bayesian, the random forest, the support vector machine and/or the artificial neural network), the outcomes of accuracy and/or the area under the receiver operating characteristic curve (AUC) for the early diagnosis of depression, the publication year of 2000 or later, the publication language of English and the publication journal of SCIE/SSCI. Different machine learning methods would be appropriate for different types of data for the early diagnosis of depression, e.g., logistic regression, the random forest, the support vector machine and/or the artificial neural network in the case of numeric data, the random forest in the case of genomic data. Their performance measures reported varied within 60.1–100.0 for accuracy and 64.0–96.0 for the AUC. Machine learning provides an effective, non-invasive decision support system for early diagnosis of depression. 
		                        		
		                        		
		                        		
		                        	
9.Artificial intelligence in obstetrics
Obstetrics & Gynecology Science 2022;65(2):113-124
		                        		
		                        			
		                        			 This study reviews recent advances on the application of artificial intelligence for the early diagnosis of various maternal-fetal conditions such as preterm birth and abnormal fetal growth. It is found in this study that various machine learning methods have been successfully employed for different kinds of data capture with regard to early diagnosis of maternal-fetal conditions. With the more popular use of artificial intelligence, ethical issues should also be considered accordingly. 
		                        		
		                        		
		                        		
		                        	
10.Machine Learning Approaches to Identify Factors Associated with Women's Vasomotor Symptoms Using General Hospital Data
Ki-Jin RYU ; Kyong Wook YI ; Yong Jin KIM ; Jung Ho SHIN ; Jun Young HUR ; Tak KIM ; Jong Bae SEO ; Kwang-Sig LEE ; Hyuntae PARK
Journal of Korean Medical Science 2021;36(17):e122-
		                        		
		                        			Background:
		                        			To analyze the factors associated with women's vasomotor symptoms (VMS) using machine learning. 
		                        		
		                        			Methods:
		                        			Data on 3,298 women, aged 40–80 years, who attended their general health check-up from January 2010 to December 2012 were obtained from Korea University Anam Hospital in Seoul, Korea. Five machine learning methods were applied and compared for the prediction of VMS, measured by the Menopause Rating Scale. Variable importance, the effect of a variable on model performance, was used for identifying the major factors associated with VMS. 
		                        		
		                        			Results:
		                        			In terms of the mean squared error, the random forest (0.9326) was much better than linear regression (12.4856) and artificial neural networks with one, two, and three hidden layers (1.5576, 1.5184, and 1.5833, respectively). Based on the variable importance from the random forest, the most important factors associated with VMS were age, menopause age, thyroid-stimulating hormone, and monocyte, triglyceride, gamma glutamyl transferase, blood urea nitrogen, cancer antigen 19-9, C-reactive protein, and low-density lipoprotein cholesterol levels. Indeed, the following variables were ranked within the top 20 in terms of variable importance: cancer antigen 125, total cholesterol, insulin, free thyroxine, forced vital capacity, alanine aminotransferase, forced expired volume in 1 second, height, homeostatic model assessment for insulin resistance, and carcinoembryonic antigen. 
		                        		
		                        			Conclusion
		                        			Machine learning provides an invaluable decision support system for the prediction of VMS. For managing VMS, comprehensive consideration is needed regarding thyroid function, lipid profile, liver function, inflammation markers, insulin resistance, monocyte count, cancer antigens, and lung function.
		                        		
		                        		
		                        		
		                        	
            
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