Discovering potential pathways between type 2 diabetes mellitus and diabetic retinopathy: A big data analysis of the South Korean National Sample Cohort.

Diabetes mellitus, a prevalent metabolic disorder, is associated with a multitude of complications that necessitate vigilant management post-diagnosis. A notable complication, diabetic retinopathy, could lead to intense ocular injury, including vision impairment and blindness, due to the impact of the disease. Studying the transition from diabetes to diabetic retinopathy is paramount for grasping and halting the progression of complications. In this study, we examine the statistical correlation between type 2 diabetes mellitus and retinal disorders classified elsewhere, ultimately proposing a comprehensive disease network. The National Sample Cohort of South Korea, containing approximately 1 million samples and primary diagnoses based on the International Statistical Classification of Diseases and Related Health Problems 10th Revision classification, was utilized for this retrospective analysis. The diagnoses of both conditions displayed a statistically significant correlation with a chi-square test value of P < .001, and the t test for the initial diagnosis date also yielded a P < .001 value. The devised network, comprising 27 diseases and 142 connections, was established through statistical evaluations. This network offers insight into potential pathways leading to diabetic retinopathy and intermediary diseases, encouraging medical researchers to further examine various risk factors associated with these connections.

Machine Learning Big Data Analysis of the Impact of Air Pollutants on Rhinitis-Related Hospital Visits.

This study seeks to elucidate the intricate relationship between various air pollutants and the incidence of rhinitis in Seoul, South Korea, wherein it leveraged a vast repository of data and machine learning techniques. The dataset comprised more than 93 million hospital visits (n = 93,530,064) by rhinitis patients between 2013 and 2017. Daily atmospheric measurements were captured for six major pollutants: PM10, PM2.5, O3, NO2, CO, and SO2. We employed traditional correlation analyses alongside machine learning models, including the least absolute shrinkage and selection operator (LASSO), random forest (RF), and gradient boosting machine (GBM), to dissect the effects of these pollutants and the potential time lag in their symptom manifestation. Our analyses revealed that CO showed the strongest positive correlation with hospital visits across all three categories, with a notable significance in the 4-day lag analysis. NO2 also exhibited a substantial positive association, particularly with outpatient visits and hospital admissions and especially in the 4-day lag analysis. Interestingly, O3 demonstrated mixed results. Both PM10 and PM2.5 showed significant correlations with the different types of hospital visits, thus underlining their potential to exacerbate rhinitis symptoms. This study thus underscores the deleterious impacts of air pollution on respiratory health, thereby highlighting the importance of reducing pollutant levels and developing strategies to minimize rhinitis-related hospital visits. Further research considering other environmental factors and individual patient characteristics will enhance our understanding of these intricate dynamics.

Machine Learning-Based Analyses of the Effects of Various Types of Air Pollutants on Hospital Visits by Asthma Patients.

Asthma is a chronic respiratory disorder defined by airway inflammation, chest pains, wheezing, coughing, and difficulty breathing that affects an estimated 300 million individuals globally. Although various studies have shown an association between air pollution and asthma, few studies have used statistical and machine learning algorithms to investigate the effect of each individual air pollutant on asthma. The purpose of this research was to assess the association between air pollutants and the frequency of hospital visits by asthma patients using three analysis methods: linear correlation analyses were performed by Pearson correlation coefficients, and least absolute shrinkage and selection operator (LASSO) and random forest (RF) models were used for machine learning-based analyses to investigate the effect of air pollutants. This research studied asthma patients using the hospital visit database in Seoul, South Korea, collected between 2013 and 2017. The data set included outpatient hospital visits (n = 17,787,982), hospital admissions (n = 215,696), and emergency department visits (n = 85,482). The daily atmospheric environmental information from 2013 to 2017 at 25 locations in Seoul was evaluated. The three analysis models revealed that NO2 was the most significant pollutant on average in outpatient hospital visits by asthma patients. For example, NO2 had the greatest impact on outpatient hospital visits, resulting in a positive association (r=0.331). In hospital admissions of asthma patients, CO was the most significant pollutant on average. It was observed that CO exhibited the most positive association with hospital admissions (I = 3.329). Additionally, a significant time lag was found between both NO2 and CO and outpatient hospital visits and hospital admissions of asthma patients in the linear correlation analysis. In particular, NO2 and CO were shown to increase hospital admissions at lag 4 in the linear correlation analysis. This study provides evidence that PM2.5, PM10, NO2, CO, SO2, and O3 are associated with the frequency of hospital visits by asthma patients.