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2022 International Conference on Electronics, Information, and Communication, ICEIC 2022 ; 2022.
Article in English | Scopus | ID: covidwho-1831814

ABSTRACT

Software Defined Networking (SDN) is a technology where the programmability paradigm is applied and its study is very important in the training of future telecommunications specialists to understand other emerging technologies such as 5G, IoT and SD-WAN. In the new normal, generated by COVID-19, university students will return to data networking laboratories in a semi-presential scenario. Having a network monitoring system (NMS) application that shows in a complete way, in real time and open to new requirements, the scenarios that are implemented, is important for the training of future telecommunications specialists. In the present research work, the proposed monitoring system makes use of non-relational database, OpenDayLight as SDN controller and an architecture that uses a server that asynchronously displays the results on a client with the use of NeXt-UI. Our contribution is to have a system that allows a better visualization of the SDN scenarios developed and that facilitates students to make improvements to understand the operation of these SDN networks. © 2022 IEEE.

2.
Inf Fusion ; 74: 50-64, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1157429

ABSTRACT

Internet of things (IoT) application in e-health can play a vital role in countering rapidly spreading diseases that can effectively manage health emergency scenarios like pandemics. Efficient disease control also requires monitoring of Standard operating procedure (SOP) follow-up of the population in the disease-prone area with a cost-effective reporting and responding mechanism to register any violation. However, the IoT devices have limited resources and the application requires delay-sensitive data transmission. Named Data Networking (NDN) can significantly reduce content retrieval delays but inherits cache overflow and network congestion challenges. Therefore, we are motivated to present a novel smart COVID-19 pandemic-controlled eradication over NDN-IoT (SPICE-IT) mechanism. SPICE-IT introduces autonomous monitoring in indoor environments with efficient pull-based reporting mechanism that records violations at local servers and cloud server. Intelligent face mask detection and temperature monitoring mechanism examines every person. Cloud server controls the response action from the centre with an adaptive decision-making mechanism. Long short-term memory (LSTM) based caching mechanism reduces the cache overflow and overall network congestion problem.

3.
J Am Med Inform Assoc ; 28(7): 1411-1420, 2021 07 14.
Article in English | MEDLINE | ID: covidwho-1075534

ABSTRACT

OBJECTIVE: The Consortium for Clinical Characterization of COVID-19 by EHR (4CE) is an international collaboration addressing coronavirus disease 2019 (COVID-19) with federated analyses of electronic health record (EHR) data. We sought to develop and validate a computable phenotype for COVID-19 severity. MATERIALS AND METHODS: Twelve 4CE sites participated. First, we developed an EHR-based severity phenotype consisting of 6 code classes, and we validated it on patient hospitalization data from the 12 4CE clinical sites against the outcomes of intensive care unit (ICU) admission and/or death. We also piloted an alternative machine learning approach and compared selected predictors of severity with the 4CE phenotype at 1 site. RESULTS: The full 4CE severity phenotype had pooled sensitivity of 0.73 and specificity 0.83 for the combined outcome of ICU admission and/or death. The sensitivity of individual code categories for acuity had high variability-up to 0.65 across sites. At one pilot site, the expert-derived phenotype had mean area under the curve of 0.903 (95% confidence interval, 0.886-0.921), compared with an area under the curve of 0.956 (95% confidence interval, 0.952-0.959) for the machine learning approach. Billing codes were poor proxies of ICU admission, with as low as 49% precision and recall compared with chart review. DISCUSSION: We developed a severity phenotype using 6 code classes that proved resilient to coding variability across international institutions. In contrast, machine learning approaches may overfit hospital-specific orders. Manual chart review revealed discrepancies even in the gold-standard outcomes, possibly owing to heterogeneous pandemic conditions. CONCLUSIONS: We developed an EHR-based severity phenotype for COVID-19 in hospitalized patients and validated it at 12 international sites.


Subject(s)
COVID-19 , Electronic Health Records , Severity of Illness Index , COVID-19/classification , Hospitalization , Humans , Machine Learning , Prognosis , ROC Curve , Sensitivity and Specificity
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