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17 pages, 3891 KB  
Article
Assessment of Mechanized Rice Farming in Northwestern Nigeria: Socio-Economic Insights and Predictive Modeling
by Nasir Umar Hassan and Ayse Gozde Karaatmaca
Sustainability 2025, 17(21), 9699; https://doi.org/10.3390/su17219699 - 31 Oct 2025
Abstract
In Nigeria’s northwestern states of Kano, Katsina, and Kaduna, mechanized rice production is an important contributor to household income and rural economic activity, especially amid a rapidly growing population projected to exceed 400 million by 2050. This study investigates the socio-economic insights of [...] Read more.
In Nigeria’s northwestern states of Kano, Katsina, and Kaduna, mechanized rice production is an important contributor to household income and rural economic activity, especially amid a rapidly growing population projected to exceed 400 million by 2050. This study investigates the socio-economic insights of mechanized rice farmers and assesses the impact of mechanization on income, seasonal production, government support, and rural poverty alleviation. Data were collected from 125 respondents across 14 local government areas by using structured questionnaires and analyzed through descriptive statistics and hybrid machine learning models. The findings show that revenue generation significantly influences the adoption of mechanized rice farming, while government involvement is limited and largely ineffective. Advanced predictive modeling revealed that hybrid approaches, particularly those combining regression and Artificial Neural Networks with Bayesian Optimization, outperformed traditional models in forecasting rice yield. Key challenges identified include the high cost of equipment and restricted access to subsidized inputs. This study concludes that income from rice sales drives mechanization and that targeted policy interventions are necessary to overcome socio-economic barriers and improve productivity. These findings highlight the dual importance of economic empowerment and technological innovation in advancing sustainable rice production and improving livelihoods in Nigeria’s rice-growing regions. Full article
(This article belongs to the Special Issue Smart Cities with Innovative Solutions in Sustainable Urban Future)
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15 pages, 1389 KB  
Article
Leveraging Explainable Automated Machine Learning (AutoML) and Metabolomics for Robust Diagnosis and Pathophysiological Insights in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)
by Fatma Hilal Yagin, Cemil Colak, Fahaid Al-Hashem, Sarah A. Alzakari, Amel Ali Alhussan and Mohammadreza Aghaei
Diagnostics 2025, 15(21), 2755; https://doi.org/10.3390/diagnostics15212755 - 30 Oct 2025
Abstract
Background/Objectives: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a debilitating complex disease with an elusive etiology, lacking objective diagnostic biomarkers. This study leverages advanced Automated Machine Learning (AutoML) to analyze plasma metabolomic and lipidomic profiles for the purpose of ME/CFS detection. Methods: We [...] Read more.
Background/Objectives: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a debilitating complex disease with an elusive etiology, lacking objective diagnostic biomarkers. This study leverages advanced Automated Machine Learning (AutoML) to analyze plasma metabolomic and lipidomic profiles for the purpose of ME/CFS detection. Methods: We utilized a publicly available dataset comprising 888 metabolic features from 106 ME/CFS patients and 91 matched controls. Three AutoML frameworks—TPOT, Auto-Sklearn, and H2O AutoML—were benchmarked under identical time constraints. Univariate ROC and PLS-DA analyses with cross-validation, permutation testing, and VIP-based feature selection were applied to standardized, log-transformed omics data to identify significant discriminatory metabolites/lipids and assess their intercorrelations. Results: TPOT significantly outperformed its counterparts, achieving an area under the curve (AUC) of 92.1%, accuracy of 87.3%, sensitivity of 85.8%, and specificity of 89.0%. The PLS-DA model revealed a moderate but statistically significant discrimination between ME/CFS and controls. Explainable artificial intelligence (XAI) via SHAP analysis of the optimal TPOT model identified key metabolites implicating dysregulated pathways in mitochondrial energy metabolism (succinic acid, pyruvic acid, leucine), chronic inflammation (prostaglandin D2, 11,12-EET), gut–brain axis communication (glycocholic acid), and cell membrane integrity (pc(35:2)a). Conclusions: Our results demonstrate that TPOT-derived models not only provide a highly accurate and robust diagnostic tool but also yield biologically interpretable insights into the pathophysiology of ME/CFS, highlighting its potential for clinical decision support and elucidating novel therapeutic targets. Full article
41 pages, 2706 KB  
Review
Advances in Precision Oncology: From Molecular Profiling to Regulatory-Approved Targeted Therapies
by Petar Brlek, Vedrana Škaro, Nenad Hrvatin, Luka Bulić, Ana Petrović, Petar Projić, Martina Smolić, Parth Shah and Dragan Primorac
Cancers 2025, 17(21), 3500; https://doi.org/10.3390/cancers17213500 - 30 Oct 2025
Abstract
The rapid evolution of sequencing technologies has profoundly advanced precision oncology. Whole-exome sequencing (WES), whole-genome sequencing (WGS), and whole-transcriptome sequencing (RNA-Seq) enable comprehensive characterization of tumor biology by detecting actionable mutations, gene fusions, splice variants, copy number alterations, and pathway dysregulation. These approaches [...] Read more.
The rapid evolution of sequencing technologies has profoundly advanced precision oncology. Whole-exome sequencing (WES), whole-genome sequencing (WGS), and whole-transcriptome sequencing (RNA-Seq) enable comprehensive characterization of tumor biology by detecting actionable mutations, gene fusions, splice variants, copy number alterations, and pathway dysregulation. These approaches also provide critical insights into biomarkers such as homologous recombination deficiency (HRD), tumor mutational burden (TMB), and microsatellite instability (MSI), which are increasingly essential for guiding therapeutic decisions. Importantly, comprehensive genomic profiling not only refines patient stratification for targeted therapies but also sheds light on tumor–immune interactions and the tumor microenvironment, paving the way for more effective immunotherapeutic combinations. WGS is considered the gold standard for detecting germline mutations and complex structural variants, while WES remains central for detecting somatic driver mutations that guide targeted therapies. RNA-Seq complements these methods by capturing gene expression dynamics, identifying clinically relevant fusions, and revealing mechanisms of resistance. Together with advances in bioinformatics and artificial intelligence, these tools translate molecular data into actionable strategies for patient care. This review integrates insights from WGS, WES, and RNA-Seq with an overview of FDA- and EMA-approved targeted therapies, organized by tumor type, and highlights the molecular signaling pathways that drive cancer development and treatment. By bridging genomic profiling with regulatory-approved therapies, we outline current advances and future perspectives in delivering personalized cancer care. Full article
(This article belongs to the Special Issue The Advance of Biomarker-Driven Targeted Therapies in Cancer)
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27 pages, 7332 KB  
Review
Enhancing CO2 Reduction Performance on Cu-Based Catalysts: Modulating Electronic Properties and Molecular Configurations
by Huimin Han, Luxin Yang, Chao Han, Maosheng Bi, Hongbo Li, Yuwei Zeng, Kunming Pan, Shengyu Yin, Fang Wang and Saifei Pan
Materials 2025, 18(21), 4964; https://doi.org/10.3390/ma18214964 - 30 Oct 2025
Abstract
The renewable-energy-powered electrocatalytic CO2 reduction reaction (CO2RR) efficiently converts CO2 into high-value chemicals and fuels, offering a promising approach to addressing environmental and energy sustainability challenges. This process is of immense significance for constructing a sustainable artificial carbon cycle. [...] Read more.
The renewable-energy-powered electrocatalytic CO2 reduction reaction (CO2RR) efficiently converts CO2 into high-value chemicals and fuels, offering a promising approach to addressing environmental and energy sustainability challenges. This process is of immense significance for constructing a sustainable artificial carbon cycle. Cu-based catalysts exhibit remarkable catalytic activity and broad product selectivity in CO2RR, which can be attributed to their excellent electrical conductivity, moderate adsorption energy, and unique electronic structure. This review comprehensively summarizes the advantages, practical applications, and mechanistic insights of Cu-based catalysts in CO2RR, with a systematic based on recent advances in tuning strategies via electronic effects and structural design. Specifically, it emphasizes the influence of electronic structure tuning (electron-donating/-withdrawing effects and steric hindrance effects), active center tuning (single-atom catalysts, heterogeneous synergetic effects, and polymer modification), and surface structure (morphology effect, valence-state effect, and crystalline-facet effect) influences on catalytic performance. By rationally designing the catalyst structure, the adsorption behavior of reaction intermediates can be effectively regulated, thereby enabling the highly selective generation of target products. The objective of this paper is to provide a theoretical framework and actionable strategies for the structural design and catalytic performance optimization of Cu-based catalysts, with the ultimate goal of promoting the development and practical application of efficient CO2RR catalytic systems. Full article
(This article belongs to the Section Catalytic Materials)
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13 pages, 1500 KB  
Article
SIT-ia: A Software-Hardware System to Improve Male Sorting Efficacy for the Sterile Insect Technique
by Gerardo de la Vega, Luciano Smith, Lihuen Soria-Mercier, Wilson Edwards, Federico Triñanes, Santiago Masagué and Juan Corley
Insects 2025, 16(11), 1108; https://doi.org/10.3390/insects16111108 - 30 Oct 2025
Abstract
Invasive insects can cause significant economic impacts to agriculture worldwide and impact human health. Traditional pest management methods that include chemical insecticides have raised increasing environmental and health concerns, prompting the need for sustainable alternatives. The Sterile Insect Technique (SIT), which consists of [...] Read more.
Invasive insects can cause significant economic impacts to agriculture worldwide and impact human health. Traditional pest management methods that include chemical insecticides have raised increasing environmental and health concerns, prompting the need for sustainable alternatives. The Sterile Insect Technique (SIT), which consists of releasing sterile males of a target pest to mate with wild females, is held as a promising solution. However, the success of SIT relies on the release of sterile males. The efficient separation of sexes prior to sterilization and release is necessary. This study presents SIT-ia, a software–hardware system that utilizes artificial intelligence (AI) and computer vision to automate the sex-sorting process. We showcase its use with the fruit fly pest D. suzukii. The system was able to identify males from females with a 98.6% accuracy, sorting 1000 sterile flies in ~70 min, which is nearly half the time involved in manual sorting by experts (i.e., ~112 min). This simple device can easily be adopted in SIT production protocols, improving the feasibility and efficacy of improved pest management practices. Full article
(This article belongs to the Special Issue Advanced Pest Control Strategies of Fruit Crops)
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37 pages, 2371 KB  
Review
Visual Neurorestoration: An Expert Review of Current Strategies for Restoring Vision in Humans
by Jonathon Cavaleri, Michelle Lin, Kevin Wu, Zachary Gilbert, Connie Huang, Yu Tung Lo, Vahini Garimella, Jonathan C. Dallas, Robert G. Briggs, Austin J. Borja, Jae Eun Lee, Patrick R. Ng, Kimberly K. Gokoffski and Darrin J. Lee
Brain Sci. 2025, 15(11), 1170; https://doi.org/10.3390/brainsci15111170 - 30 Oct 2025
Abstract
Visual impairment impacts nearly half a billion people globally. Corrective glasses, artificial lens replacement, and medical management have markedly improved the management of diseases inherent to the eye, such as refractive errors, cataracts, and glaucoma. However, therapeutic strategies for retinopathies, optic nerve damage, [...] Read more.
Visual impairment impacts nearly half a billion people globally. Corrective glasses, artificial lens replacement, and medical management have markedly improved the management of diseases inherent to the eye, such as refractive errors, cataracts, and glaucoma. However, therapeutic strategies for retinopathies, optic nerve damage, and distal optic pathways remain limited. The complex optic apparatus comprises multiple neural structures that transmit information from the retina to the diencephalon to the cortex. Over the last few decades, innovations have emerged to address the loss of function at each step of this pathway. Given the retina’s lack of regenerative potential, novel treatment options have focused on replacing lost retinal cell types through cellular replacement with stem cells, restoring lost gene function with genetic engineering, and imparting new light sensation capabilities with optogenetics. Additionally, retinal neuroprosthetics have shown efficacy in restoring functional vision, and neuroprosthetic devices targeting the optic nerve, thalamus, and cortex are in early stages of development. Non-invasive neuromodulation has also shown some promise in modulating the visual cortex. Recently, the first in-human whole-eye transplant was performed. While functional vision was not restored, the feasibility of such a transplant with viable tissue graft at one year was demonstrated. Subsequent studies are now focused on guidance cues for axonal regeneration past the graft site to reach the lateral geniculate nucleus. Although the methods discussed above have shown promise individually, improvements in vision have been modest at best. Achieving the goal of restoration of functional vision will clearly require further development of cellular therapies, genetic engineering, transplantation, and neuromodulation. A concerted multidisciplinary effort involving scientists, engineers, ophthalmologists, neurosurgeons, and reconstructive surgeons will be necessary to restore vision for patients with vision loss from these challenging pathologies. In this expert review article, we describe the current literature in visual neurorestoration with respect to cellular therapeutics, genetic therapies, optogenetics, neuroprosthetics, non-invasive neuromodulation, and whole-eye transplant. Full article
(This article belongs to the Special Issue Novel Neuroimaging of Neurological and Psychiatric Disorders)
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30 pages, 2754 KB  
Review
Recognition Element-Based Strategies for Rapid Detection of Foodborne Pathogens: Recent Progress and Perspectives
by Wang Guo, Meifeng Jiang, Yunkai Xie, Hong Xu and Zongbao Sun
Biosensors 2025, 15(11), 717; https://doi.org/10.3390/bios15110717 - 29 Oct 2025
Abstract
The detection of foodborne pathogens is of great significance for safeguarding food safety and public health. In recent years, rapid detection technologies based on diverse recognition elements have advanced considerably, driven by progress in molecular biology, materials science, and information technology. This review [...] Read more.
The detection of foodborne pathogens is of great significance for safeguarding food safety and public health. In recent years, rapid detection technologies based on diverse recognition elements have advanced considerably, driven by progress in molecular biology, materials science, and information technology. This review takes recognition elements as the central theme and systematically outlines the mechanisms and research progress of antibodies, nucleic acid aptamers, nucleic acid amplification techniques, CRISPR/Cas systems, molecular imprinting technology, peptides, and small-molecule receptors in foodborne pathogen detection, while comparing their performance in terms of specificity, sensitivity, stability, and applicability. In addition, this review further elaborates on the developmental trends of detection platforms, including multi-target and multimodal integration, microfluidics combined with portable point-of-care testing (POCT) systems, and intelligent terminals empowered by artificial intelligence algorithms. These trends provide new perspectives for improving detection systems in terms of throughput, portability, and intelligence. Overall, this review aims to serve as a comprehensive reference for the development of rapid, accurate, and intelligent detection systems for foodborne pathogens. Full article
(This article belongs to the Section Environmental Biosensors and Biosensing)
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21 pages, 3002 KB  
Review
Engineered Artificial Minerals (EnAMs): Concept, Design Strategies, and Case Studies
by Wensheng Han, Joao Weiss, Xiang Lu, Daniel Munchen, Chuling Jiang, Hugo Lucas, Mengjie Ran, Wen Chen and Bernd Friedrich
Minerals 2025, 15(11), 1129; https://doi.org/10.3390/min15111129 - 29 Oct 2025
Abstract
With the continuous development of easily accessible resources, the exploitation of complex mineral resources, metallurgical waste slag containing high-value metals, and secondary resources is gradually becoming a mainstream trend. Due to the complex distribution characteristics of elements in these resources, efficient recycling is [...] Read more.
With the continuous development of easily accessible resources, the exploitation of complex mineral resources, metallurgical waste slag containing high-value metals, and secondary resources is gradually becoming a mainstream trend. Due to the complex distribution characteristics of elements in these resources, efficient recycling is difficult to achieve. A phase reconstruction strategy has been proposed to address the distribution forms of elements. The phase reconstruction strategy employs pyrometallurgical methods to subject complex resources to high-temperature smelting and cooling crystallization. In the cooling crystallization process, the target elements in melt are selectively enriched into engineered artificial minerals (EnAMs). Then, the target elements can be recovered by subsequently separating these EnAMs. However, the concept of and design strategies for EnAMs are still unclear. In this review, the concept of EnAMs is proposed based on previous studies. This review explores how to design EnAMs by phase equilibrium studies and utilizing geochemical behaviors. Additionally, the application cases of EnAMs in treating challenging tantalum–niobium and rare earth element (REE) resources, secondary resource recycling, and metallurgical slag were collected. Furthermore, the challenges and future perspectives of EnAMs for complex resources are discussed. Full article
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31 pages, 1382 KB  
Review
Towards Sustainable Buildings and Energy Communities: AI-Driven Transactive Energy, Smart Local Microgrids, and Life Cycle Integration
by Andrzej Ożadowicz
Energies 2025, 18(21), 5668; https://doi.org/10.3390/en18215668 - 29 Oct 2025
Viewed by 60
Abstract
The transition towards sustainable and low-carbon energy systems highlights the crucial role of buildings, microgrids, and local communities as key actors in enhancing resilience and achieving decarbonization targets. The application of artificial intelligence (AI) is of paramount importance as it enables accurate prediction, [...] Read more.
The transition towards sustainable and low-carbon energy systems highlights the crucial role of buildings, microgrids, and local communities as key actors in enhancing resilience and achieving decarbonization targets. The application of artificial intelligence (AI) is of paramount importance as it enables accurate prediction, adaptive control, and optimization of distributed resources. This paper reviews recent advances in AI applications for transactive energy (TE) and dynamic energy management (DEM), focusing on their integration with building automation, microgrid coordination, and community energy exchanges. It also considers the emerging role of life cycle-based methods, such as life cycle assessment (LCA) and life cycle cost (LCC), in extending operational intelligence to long-term environmental and economic objectives. The analysis is based on a curated set of 97 publications identified through structured queries and thematic filtering. The findings indicate substantial advancement in methodological approaches, notably reinforcement learning (RL), hybrid model predictive control, federated and edge AI, and digital twin applications. However, this study also uncovers shortcomings in the integration and interoperability of sustainability. This paper contributes by consolidating fragmented research and proposing a multi-layered AI framework that aligns short-term performance with long-term resilience and sustainability. Full article
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33 pages, 8857 KB  
Article
A Multi-Stage Framework Combining Experimental Testing, Numerical Calibration, and AI Surrogates for Composite Panel Characterization
by Marcello Fulgione, Simone Palladino, Luca Esposito, Sina Sarfarazi and Mariano Modano
Buildings 2025, 15(21), 3900; https://doi.org/10.3390/buildings15213900 - 28 Oct 2025
Viewed by 170
Abstract
Composite modular panels are increasingly used in modern buildings, yet their layered behavior makes mechanical characterization and modeling difficult. This study presents a novel hybrid framework that integrates analytical, numerical, and AI-driven approaches for the mechanical characterization of composite panels. The system combines [...] Read more.
Composite modular panels are increasingly used in modern buildings, yet their layered behavior makes mechanical characterization and modeling difficult. This study presents a novel hybrid framework that integrates analytical, numerical, and AI-driven approaches for the mechanical characterization of composite panels. The system combines a layered concrete configuration with embedded steel reinforcement, and its performance was evaluated through experimental testing, analytical formulation, finite element simulations, and artificial intelligence techniques. Full-scale bending and shear tests were conducted and results in terms of displacements were compared with in silico simulations. The equivalent elastic modulus and thickness were suggested via a closed-form analytical procedure and validated numerically, showing less than 3% deviation from experiments. These equivalent parameters were used to simulate the dynamic response of a two-storey prototype building under harmonic excitation, with simulated modal periods differing by less than 10% from experimental data. To generalize the method, a parametric dataset of 218 panel configurations was generated by varying material and geometric properties. Machine learning models including Artificial Neural Network, Random Forest, Gradient Boosting, and Extra Trees were trained on this dataset, achieving R2 > 0.98 for both targets. A graphical user interface was developed to integrate the trained models into an engineering tool for fast prediction of equivalent properties. The proposed methodology provides a unified and computationally efficient approach that combines physical accuracy with practical usability, enabling rapid design and optimization of composite panel structures. Full article
(This article belongs to the Section Building Structures)
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29 pages, 893 KB  
Review
Advances in Hereditary Colorectal Cancer: How Precision Medicine Is Changing the Game
by Shenghao Lin, Chenxi Zhou, Hanlin Chen, Xinlei Zhou, Hujia Yang, Leitao Sun, Leyin Zhang and Yuxin Zhang
Cancers 2025, 17(21), 3461; https://doi.org/10.3390/cancers17213461 - 28 Oct 2025
Viewed by 93
Abstract
Only about 5% of colorectal cancers are hereditary, which is due to the low carrier rate of pathogenic gene mutations. The typical pattern of these cases is intergenerational aggregation within families and early onset. But public awareness of early diagnosis and intervention of [...] Read more.
Only about 5% of colorectal cancers are hereditary, which is due to the low carrier rate of pathogenic gene mutations. The typical pattern of these cases is intergenerational aggregation within families and early onset. But public awareness of early diagnosis and intervention of HCRC is insufficient, resulting in most patients being diagnosed only after developing cancer, thereby missing the optimal window for treatment. This article reviews the latest developments in precision screening, treatment, evaluation and prevention strategies for HCRC, including innovative uses of artificial intelligence (AI) in molecular diagnostics, imaging technology advances, and potential application prospects. Regarding precision screening, tests of genomics, transcriptomics, microbiome, etc., combined with personalised risk stratification, can, respectively, effectively detect pathogenic mutations and “cancer-promoting” intestinal environments in the preclinical stage. AI combined with endoscopic and imaging tools has improved the accuracy of polyp detection and tumor profiling. Liquid biopsy and molecular marker detection provide new non-invasive monitoring solutions. In precision treatment, beyond traditional approaches like surgery and chemotherapy, immunotherapy with checkpoint inhibitors may be considered for HCRC patients with mismatch repair deficiency (dMMR). For patients harboring somatic mutations such as KRAS or BRAF V600E, targeted therapy can be guided by these specific mutations. Regarding precision assessment, AI incorporates microsatellite instability (MSI) detection and imaging diagnostic techniques, crucial for integrating genetic, environmental, and lifestyle data in follow-up. This helps assess the risk of recurrence and adjust the long-term medication regimens, as well as provide effective nutritional support and psychological counselling. In summary, the rapid development of precision medicine is driving the clinical management of HCRC into the era of tailored care, aiming to optimise patient outcomes. Full article
(This article belongs to the Special Issue Hereditary and Familial Colorectal Cancer)
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23 pages, 1835 KB  
Article
TILDA-X: Transcriptome-Informed Lung Cancer Disparities via Explainable AI
by Masrur Sobhan, Md Mezbahul Islam, Mary Jo Trepka, Gregory E. Holt, Charles J. Dimitroff and Ananda M. Mondal
Cancers 2025, 17(21), 3454; https://doi.org/10.3390/cancers17213454 - 28 Oct 2025
Viewed by 176
Abstract
Background: Lung cancer is a leading cause of cancer-related mortality, with disparities in incidence and outcomes observed across different racial and sex groups. Identifying both patient-specific and cohort-specific disparity biomarkers is critical for developing targeted treatments. The lung cancer dataset is highly imbalanced [...] Read more.
Background: Lung cancer is a leading cause of cancer-related mortality, with disparities in incidence and outcomes observed across different racial and sex groups. Identifying both patient-specific and cohort-specific disparity biomarkers is critical for developing targeted treatments. The lung cancer dataset is highly imbalanced across races, leading to biased results in disparity information if classification is based on race. Method: This study developed an explainable artificial intelligence-based framework, TILDA-X, which designs classification models based on disease conditions instead of races to mitigate racial imbalance in the dataset and applies explainable AI to delineate patient-specific disparity information. A lung cancer transcriptome dataset with three disease conditions—lung adenocarcinoma, lung squamous cell carcinoma, and healthy samples—was used to develop classification models. Applying a bottom-up approach from patient-specific disparity information, the cohort-specific disparity information is discovered for different racial and sex groups, African American males, European American males, African American females, and European American females. Results: Classification based on disease conditions achieved accuracy between 88% and 100% for minority groups (African American males and females), whereas it was only between 0% and 16% for race-based classification, which underscores the significance of the proposed approach. Functional analysis of sub-cohort-specific biomarker genes revealed unique pathways associated with lung cancers in different races and sexes. Among the significant pathways identified, over ~63% overlapped with previously reported lung cancer-related studies, supporting the biological validity of our findings. Overall, combining disease conditions-based classification with explainable AI, this study provides a robust, interpretable framework for characterizing race- and sex-specific disparities in lung cancer, offering a foundation for precision oncology and equitable therapeutic development based on transcriptome profile only. Full article
(This article belongs to the Special Issue Lung Cancer—Advances in Therapy and Prognostic Prediction)
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23 pages, 2049 KB  
Article
Machine Learning for Causal Inference in Hospital Diabetes Care: TMLE Analysis of Selection Bias in Diabetic Foot Infection Treatment—A Cautionary Tale
by Rim Hur and Robert Rushakoff
Diabetology 2025, 6(11), 122; https://doi.org/10.3390/diabetology6110122 - 28 Oct 2025
Viewed by 161
Abstract
Background/Objectives: Diabetic foot infections (DFIs) are a leading cause of hospitalization, amputation, and costs among patients with diabetes. Although early treatment is assumed to reduce complications, its real-world effects remain uncertain. We applied a causal machine-learning (ML) approach to investigate whether early DFI [...] Read more.
Background/Objectives: Diabetic foot infections (DFIs) are a leading cause of hospitalization, amputation, and costs among patients with diabetes. Although early treatment is assumed to reduce complications, its real-world effects remain uncertain. We applied a causal machine-learning (ML) approach to investigate whether early DFI treatment improves hospitalization and clinical outcomes. Methods: We conducted an observational study using de-identified UCSF electronic health record (EHR) data from 1434 adults with DFI (2015–2024). Early treatment (<3 days after diagnosis) was compared to delayed/no treatment (≥3 days or none). Outcomes included DFI-related hospitalization and lower-extremity amputation (LEA). Confounders included demographics, comorbidities, antidiabetic medication use, and laboratory values. We applied Targeted Maximum Likelihood Estimation (TMLE) with SuperLearner, a machine-learning ensemble. Results: Early treatment was associated with higher hospitalization risk (TMLE risk difference [RD]: 0.293; 95% CI: 0.220–0.367), reflecting the triage of clinically sicker patients. In contrast, early treatment showed a protective trend against amputation (TMLE RD: −0.040; 95% CI: −0.098 to 0.066). Results were consistent across estimation methods and robust to bootstrap validation. A major limitation is that many patients likely received treatment outside UCSF, introducing uncertainty around exposure classification. Conclusions: Early treatment of DFIs increased hospitalization but reduced amputation risk, a paradox reflecting appropriate clinical triage and systematic exposure misclassification from fragmented healthcare records. Providers prioritize the sickest patients for early intervention, leading to greater short-term utilization but potentially preventing irreversible complications. These findings highlight a cautionary tale; even with causal ML, single-institution analyses may misrepresent treatment effects, underscoring the need for causally informed decision support and unified EHR data. Full article
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19 pages, 2107 KB  
Article
Multi-Feature Fusion and Cloud Restoration-Based Approach for Remote Sensing Extraction of Lake and Reservoir Water Bodies in Bijie City
by Bai Xue, Yiying Wang, Yanru Song, Changru Liu and Pi Ai
Appl. Sci. 2025, 15(21), 11490; https://doi.org/10.3390/app152111490 - 28 Oct 2025
Viewed by 89
Abstract
Current lake and reservoir water body extraction algorithms are confronted with two critical challenges: (1) design dependency on specific geographical features, leading to constrained cross-regional adaptability (e.g., the JRC Global Water Body Dataset achieves ~90% overall accuracy globally, while the ESA WorldCover 2020 [...] Read more.
Current lake and reservoir water body extraction algorithms are confronted with two critical challenges: (1) design dependency on specific geographical features, leading to constrained cross-regional adaptability (e.g., the JRC Global Water Body Dataset achieves ~90% overall accuracy globally, while the ESA WorldCover 2020 reaches ~92% for water body classification, both showing degraded performance in complex karst terrains); (2) information loss due to cloud occlusion, compromising dynamic monitoring accuracy. To address these limitations, this study presents a multi-feature fusion and multi-level hierarchical extraction algorithm for lake and reservoir water bodies, leveraging the Google Earth Engine (GEE) cloud platform and Sentinel-2 multispectral imagery in the karst landscape of Bijie City. The proposed method integrates the Automated Water Extraction Index (AWEIsh) and Modified Normalized Difference Water Index (MNDWI) for initial water body extraction, followed by a comprehensive fusion of multi-source data—including Normalized Difference Vegetation Index (NDVI), Normalized Difference Built-up Index (NDBI), Normalized Difference Red-Edge Index (NDREI), Sentinel-2 B8/B9 spectral bands, and Digital Elevation Model (DEM). This strategy hierarchically mitigates vegetation shadows, topographic shadows, and artificial feature non-water targets. A temporal flood frequency algorithm is employed to restore cloud-occluded water bodies, complemented by morphological filtering to exclude non-target water features (e.g., rivers and canals). Experimental validation using high-resolution reference data demonstrates that the algorithm achieves an overall extraction accuracy exceeding 96% in Bijie City, effectively suppressing dark object interference (e.g., false positives due to topographic and anthropogenic features) while preserving water body boundary integrity. Compared with single-index methods (e.g., MNDWI), this method reduces false positive rates caused by building shadows and terrain shadows by 15–20%, and improves the IoU (Intersection over Union) by 6–13% in typical karst sub-regions. This research provides a universal technical framework for large-scale dynamic monitoring of lakes and reservoirs, particularly addressing the challenges of regional adaptability and cloud compositing in karst environments. Full article
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26 pages, 1275 KB  
Review
Artificial Intelligence Revolutionizing Time-Domain Astronomy
by Ze-Ning Wang, Da-Chun Qiang and Sheng Yang
Universe 2025, 11(11), 355; https://doi.org/10.3390/universe11110355 - 28 Oct 2025
Viewed by 238
Abstract
Artificial intelligence (AI) applications have attracted widespread attention and have proven to be highly successful in understanding messages across various dimensions. These applications have the potential to assist astronomers in exploring the massive amounts of astronomical data. In fact, the integration of AI [...] Read more.
Artificial intelligence (AI) applications have attracted widespread attention and have proven to be highly successful in understanding messages across various dimensions. These applications have the potential to assist astronomers in exploring the massive amounts of astronomical data. In fact, the integration of AI techniques with astronomy began some time ago, significantly advancing our understanding of the universe by aiding in exoplanet discovery, galaxy morphology classification, gravitational wave event analysis, and more. In particular, AI is now recognized as a crucial component in time-domain astronomy, particularly given the rapid evolution of targeting transients and the increasing number of candidates detected by powerful surveys. A notable success is SN 2023tyk, the first transient discovered and spectroscopically classified without human inspection, an achievement made even more remarkable given that it was identified by the Zwicky Transient Facility, which detects millions of alert sources every night. There is no doubt that AI will play a crucial role in future astronomical observations across various messenger channels, aiding in transient discovery and classification, and helping, or even replacing, observers in making real-time decisions. This review paper examines several cases where AI is transforming contemporary astronomy, especially time-domain astronomy. We discuss the AI algorithms and methodologies employed to date, highlight significant discoveries enabled by AI, and outline future research directions in this rapidly evolving field. Full article
(This article belongs to the Special Issue Applications of Artificial Intelligence in Modern Astronomy)
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