Қазақ ұлттық қыздар педагогикалық университеті / Казахский национальный женский педагогический университет

Постоянный URI для этого сообществаhttps://cris.qyzpu.edu.kz/handle/123456789/1

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2024 - 20262

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    AN EARLY WARNING SYSTEM FOR HOSPITALS USING A WEARABLE ECG DEVICE AND MACHINE LEARNING
    (Mukhametzhan Tynyshbayev ALT University, 2024-09-26)
    Zhadyra N. Alimbayeva
    ;
    Chingiz A. Alimbayev
    ;
    Dilfuza Akhmedova
    ;
    Кassymbek Ozhikenov
    ;
    Zhansulu Ualieva
    According to the World Health Organization, many clinical errors in medical practice occur due to incomplete or untimely access to patient information. The introduction of nurse call systems significantly improves communication between medical staff and patients, increases response efficiency and patient satisfaction. Traditional nurse call systems based on patients' manual requests for medical care are insufficient to prevent unforeseen medical situations. This article proposes a new approach based on the wearable ECG devices developed by the authors for monitoring the cardiovascular system of patients. This approach uses machine learning techniques to analyze data from wearable ECG devices, which allows timely detection of dangerous patient conditions and necessary medical interventions. The proposed early warning system for hospitals performs various important functions, such as continuous recording of the electrical activity of the heart, preprocessing data to reduce noise and improve accuracy, extracting key parameters for further analysis, forming diagnostic indicators and a comprehensive assessment of the condition of the heart to identify potential anomalies.
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    Interpretable Machine Learning Approach for Diabetes Classification in Patients with Cardiovascular Disease
    (Multidisciplinary Digital Publishing Institute, 2026-07-04)
    Chingiz A. Alimbayev
    ;
    Zhadyra N. Alimbayeva
    ;
    Kassymbek Ozhikenov
    ;
    Kairat Karibayev
    ;
    Zhanat Abuova
    Diabetes mellitus is strongly associated with cardiovascular dysfunction and remains one of the leading contributors to morbidity and mortality worldwide. Early identification of diabetes-related cardiovascular alterations is essential for timely risk stratification and personalized clinical management. In the present study, an interpretable machine learning framework for diabetes classification in patients with cardiovascular disease was developed using routinely available clinical, biochemical, renal, and echocardiographic parameters. A retrospective dataset consisting of 131 cardiovascular patients was included in the final analysis, comprising 65 patients with diabetes mellitus and 66 patients without diabetes. Demographic, metabolic, renal, and cardiovascular variables, including age, body mass index (BMI), glycated hemoglobin (HbA1c), glucose concentration, estimated glomerular filtration rate (eGFR), troponin level, heart rate, and left ventricular ejection fraction (EF), were included in the analysis. Multiple supervised machine learning algorithms, including Logistic Regression, Support Vector Machine (SVM), Gradient Boosting, and Random Forest, were implemented and compared using repeated stratified cross-validation. Among the evaluated models, Random Forest demonstrated the highest classification performance, achieving a mean ROC AUC of 0.880 ± 0.050. Statistical analysis revealed significantly elevated HbA1c, glucose, and troponin levels together with reduced ejection fraction values in diabetic patients. Explainable artificial intelligence analysis using SHAP and partial dependence plots identified glucose concentration, HbA1c, age, and renal function as the dominant contributors to diabetes classification. Nonlinear relationships between metabolic and cardiovascular variables were additionally observed. The obtained findings demonstrate that interpretable machine learning approaches can provide effective discrimination between diabetic and non-diabetic cardiovascular patients while maintaining clinically meaningful interpretability. The proposed framework may contribute to future intelligent clinical decision-support systems and personalized cardiovascular risk assessment strategies.