Staphylococcus aureus Pneumonia in Can Tho, Vietnam: Clinical Characteristics, Antimicrobial Resistance Profile and Risk Factors of Mortality.

INTRODUCTION: Staphylococcus aureus (S. aureus) is an important pathogen in both community-acquired and hospital-acquired pneumonia. S. aureus pneumonia has a high mortality rate and serious complications. Resistance to multiple antibiotics is a major challenge in the treatment of S. aureus pneumonia. Understanding the antibiotic resistance profile of S. aureus and the risk factors for mortality can help optimize antibiotic regimens and improve patient outcomes in S. aureus pneumonia. METHODS: A prospective cohort study of 118 patients diagnosed with S. aureus pneumonia between May 2021 and June 2023 was conducted, with a 30-day follow-up period. Demographic information, comorbidities, Charlson Comorbidity Index, clinical characteristics, outcomes, and complications were collected for each enrolled case. The data were processed and analyzed using R version 3.6.2. RESULTS: S. aureus pneumonia has a 30-day mortality rate of approximately 50%, with complication rates of 22% for acute respiratory distress syndrome (ARDS), 26.3% for septic shock, and 14.4% for acute kidney injury (AKI). Among patients with methicillin-resistant S. aureus (MRSA) pneumonia treated with vancomycin (n = 40), those with a vancomycin minimum inhibitory concentration (MIC) ≤ 1 had significantly higher cumulative survival at day 30 compared to those with MIC ≥ 2 (log-rank test p = 0.04). The prevalence of MRSA among S. aureus isolates was 84.7%. Hemoptysis, methicillin resistance, acidosis (pH < 7.35), and meeting the Infectious Diseases Society of America/American Thoracic Society (IDSA/ATS) criteria for severe pneumonia were significantly associated with mortality in a multivariate Cox regression model based on the adaptive least absolute shrinkage and selection operator (LASSO). CONCLUSIONS: S. aureus pneumonia is a severe clinical condition with high mortality and complication rates. MRSA has a high prevalence in Can Tho City, Vietnam. Hemoptysis, methicillin resistance, acidosis (pH < 7.35), and meeting the IDSA/ATS criteria for severe pneumonia are risk factors for mortality in S. aureus pneumonia.

Investigation of ANN architecture for predicting shear strength of fiber reinforcement bars concrete beams.

In this paper, an extensive simulation program is conducted to find out the optimal ANN model to predict the shear strength of fiber-reinforced polymer (FRP) concrete beams containing both flexural and shear reinforcements. For acquiring this purpose, an experimental database containing 125 samples is collected from the literature and used to find the best architecture of ANN. In this database, the input variables consist of 9 inputs, such as the ratio of the beam width, the effective depth, the shear span to the effective depth, the compressive strength of concrete, the longitudinal FRP reinforcement ratio, the modulus of elasticity of longitudinal FRP reinforcement, the FRP shear reinforcement ratio, the tensile strength of FRP shear reinforcement, the modulus of elasticity of FRP shear reinforcement. Thereafter, the selection of the appropriate architecture of ANN model is performed and evaluated by common statistical measurements. The results show that the optimal ANN model is a highly efficient predictor of the shear strength of FRP concrete beams with a maximum R2 value of 0.9634 on the training part and an R2 of 0.9577 on the testing part, using the best architecture. In addition, a sensitivity analysis using the optimal ANN model over 500 Monte Carlo simulations is performed to interpret the influence of reinforcement type on the stability and accuracy of ANN model in predicting shear strength. The results of this investigation could facilitate and enhance the use of ANN model in different real-world problems in the field of civil engineering.

A Novel Hybrid Model Based on a Feedforward Neural Network and One Step Secant Algorithm for Prediction of Load-Bearing Capacity of Rectangular Concrete-Filled Steel Tube Columns.

In this study, a novel hybrid surrogate machine learning model based on a feedforward neural network (FNN) and one step secant algorithm (OSS) was developed to predict the load-bearing capacity of concrete-filled steel tube columns (CFST), whereas the OSS was used to optimize the weights and bias of the FNN for developing a hybrid model (FNN-OSS). For achieving this goal, an experimental database containing 422 instances was firstly gathered from the literature and used to develop the FNN-OSS algorithm. The input variables in the database contained the geometrical characteristics of CFST columns, and the mechanical properties of two CFST constituent materials, i.e., steel and concrete. Thereafter, the selection of the appropriate parameters of FNN-OSS was performed and evaluated by common statistical measurements, for instance, the coefficient of determination (R2), root mean square error (RMSE), and mean absolute error (MAE). In the next step, the prediction capability of the best FNN-OSS structure was evaluated in both global and local analyses, showing an excellent agreement between actual and predicted values of the load-bearing capacity. Finally, an in-depth investigation of the performance and limitations of FNN-OSS was conducted from a structural engineering point of view. The results confirmed the effectiveness of the FNN-OSS as a robust algorithm for the prediction of the CFST load-bearing capacity.

Parametric Investigation of Particle Swarm Optimization to Improve the Performance of the Adaptive Neuro-Fuzzy Inference System in Determining the Buckling Capacity of Circular Opening Steel Beams.

In this paper, the main objectives are to investigate and select the most suitable parameters used in particle swarm optimization (PSO), namely the number of rules (nrule), population size (npop), initial weight (wini), personal learning coefficient (c1), global learning coefficient (c2), and velocity limits (fv), in order to improve the performance of the adaptive neuro-fuzzy inference system in determining the buckling capacity of circular opening steel beams. This is an important mechanical property in terms of the safety of structures under subjected loads. An available database of 3645 data samples was used for generation of training (70%) and testing (30%) datasets. Monte Carlo simulations, which are natural variability generators, were used in the training phase of the algorithm. Various statistical measurements, such as root mean square error (RMSE), mean absolute error (MAE), Willmott's index of agreement (IA), and Pearson's coefficient of correlation (R), were used to evaluate the performance of the models. The results of the study show that the performance of ANFIS optimized by PSO (ANFIS-PSO) is suitable for determining the buckling capacity of circular opening steel beams, but is very sensitive under different PSO investigation and selection parameters. The findings of this study show that nrule = 10, npop = 50, wini = 0.1 to 0.4, c1 = [1, 1.4], c2 = [1.8, 2], fv = 0.1, which are the most suitable selection values to ensure the best performance for ANFIS-PSO. In short, this study might help in selection of suitable PSO parameters for optimization of the ANFIS model.

Development of an AI Model to Measure Traffic Air Pollution from Multisensor and Weather Data.

Gas multisensor devices offer an effective approach to monitor air pollution, which has become a pandemic in many cities, especially because of transport emissions. To be reliable, properly trained models need to be developed that combine output from sensors with weather data; however, many factors can affect the accuracy of the models. The main objective of this study was to explore the impact of several input variables in training different air quality indexes using fuzzy logic combined with two metaheuristic optimizations: simulated annealing (SA) and particle swarm optimization (PSO). In this work, the concentrations of NO2 and CO were predicted using five resistivities from multisensor devices and three weather variables (temperature, relative humidity, and absolute humidity). In order to validate the results, several measures were calculated, including the correlation coefficient and the mean absolute error. Overall, PSO was found to perform the best. Finally, input resistivities of NO2 and nonmetanic hydrocarbons (NMHC) were found to be the most sensitive to predict concentrations of NO2 and CO.