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1.
Infect Prev Pract ; 6(3): 100382, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39091623

RESUMEN

Digital epidemiology is the process of investigating the dynamics of disease-related patterns, both social and clinical, as well as the causes of these trends in epidemiology. Digital epidemiology, utilising big data from a variety of digital sources, has emerged as a viable method for early detection and monitoring of viral outbreaks. The present review gives an overview of digital epidemiology, emphasising its importance in the timely detection of infectious disease outbreaks. Researchers may discover and track outbreaks in real time using digital data sources such as search engine queries, social media trends, and digital health records. However, data quality, concerns about privacy, and data interoperability must be addressed to maximise the effectiveness of digital epidemiology. As the global landscape of infectious diseases evolves, integrating digital epidemiology becomes critical to improving pandemic preparedness and response efforts. Integrating digital epidemiology into routine monitoring systems has the potential to improve global health outcomes and save lives in the event of viral outbreaks.

2.
Heliyon ; 10(14): e34159, 2024 Jul 30.
Artículo en Inglés | MEDLINE | ID: mdl-39092267

RESUMEN

In the era of sharing economy, the tourism market is increasingly characterized by personalized demand, mobile consumption and product segmentation. This paper aims to apply big data mining technology in the field of smart tourism. Firstly, it focuses on image summary selection and collaborative filtering technology based on big data mining. It then demonstrates the integration of blockchain in smart tourism, emphasizing the use of decentralized structures and smart contracts to achieve data security and transparency, and describes the testing process of smart tourism platforms, including data preparation and platform operational efficiency testing. Finally, the research results of this paper are summarized, and the development potential and practical application value of smart tourism are demonstrated. The results show that in the smart tourism big data mining model, the minimum support for the data set is 10 % and 20 %, respectively. Moreover, with the increase of the number of nodes in the same data set, the running time decreases gradually. It can be seen that smart tourism big data mining has strong scalability.

4.
Heliyon ; 10(14): e34248, 2024 Jul 30.
Artículo en Inglés | MEDLINE | ID: mdl-39108861

RESUMEN

With the innovation of information technology, the national industry has been adjusted and upgraded, and the development of the Internet industry has had a huge impact on economic development. The investment and financing of network enterprises and the merger and acquisition of network companies need to evaluate the value of network companies. In this regard, this paper evaluated the value of Internet platform enterprises under the digital economy based on the Big Data (BD) cooperation asset valuation model. This paper analyzed the factors affecting the value evaluation of Internet enterprises and discussed the advantages of BD cooperative asset valuation model in the value evaluation of Internet enterprises in the digital economy. The BD cooperation asset valuation model was constructed, and the value evaluation experiment of Internet platform enterprises under the digital economy was carried out. The experimental results of this paper showed that in the evaluation of the profitability value of Internet enterprises, the difference between the net sales interest rate was 0.14%-0.51 %. The difference between the net interest rate of equity was 0.09%-0.67 %, and the difference between the net interest rate of total assets was 0.19%-0.92 %; in terms of the evaluation of the operating capacity of Internet enterprises, the difference between the current asset turnover rate was 0.05-0.16. The difference of non-current asset turnover rate was 0.02-0.15, and the difference of total asset turnover rate was 0.01-0.16. The evaluation value based on the BD cooperation asset valuation model was not different from the actual enterprise value, which showed that the BD cooperation asset valuation model had good advantages in the evaluation of the value of Internet enterprises.

5.
Brain Spine ; 4: 102858, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39105104

RESUMEN

Introduction: Numerous complex physiological models derived from intracranial pressure (ICP) monitoring data have been developed. More recently, techniques such as machine learning are being used to develop increasingly sophisticated models to aid in clinical decision-making tasks such as diagnosis and prediction. Whilst their potential clinical impact may be significant, few models based on ICP data are routinely available at a patient's bedside. Further, the ability to refine models using ongoing patient data collection is rare. In this paper we identify and discuss the challenges faced when converting insight from ICP data analysis into deployable tools at the patient bedside. Research question: To provide an overview of challenges facing implementation of sophisticated ICP models and analyses at the patient bedside. Material and methods: A narrative review of the barriers facing implementation of sophisticated ICP models and analyses at the patient bedside in a neurocritical care unit combined with a descriptive case study (the CHART-ADAPT project) on the topic. Results: Key barriers found were technical, analytical, and integrity related. Examples included: lack of interoperability of medical devices for data collection and/or model deployment; inadequate infrastructure, hindering analysis of large volumes of high frequency patient data; a lack of clinical confidence in a model; and ethical, trust, security and patient confidentiality considerations governing the secondary use of patient data. Discussion and conclusion: To realise the benefits of ICP data analysis, the results need to be promptly delivered and meaningfully communicated. Multiple barriers to implementation remain and solutions which address real-world challenges are required.

6.
Br J Psychiatry ; : 1-8, 2024 Aug 07.
Artículo en Inglés | MEDLINE | ID: mdl-39109752

RESUMEN

BACKGROUND: The serotonin 4 receptor (5-HT4R) is a promising target for the treatment of depression. Highly selective 5-HT4R agonists, such as prucalopride, have antidepressant-like and procognitive effects in preclinical models, but their clinical effects are not yet established. AIMS: To determine whether prucalopride (a 5-HT4R agonist and licensed treatment for constipation) is associated with reduced incidence of depression in individuals with no past history of mental illness, compared with anti-constipation agents with no effect on the central nervous system. METHOD: Using anonymised routinely collected data from a large-scale USA electronic health records network, we conducted an emulated target trial comparing depression incidence over 1 year in individuals without prior diagnoses of major mental illness, who initiated treatment with prucalopride versus two alternative anti-constipation agents that act by different mechanisms (linaclotide and lubiprostone). Cohorts were matched for 121 covariates capturing sociodemographic factors, and historical and/or concurrent comorbidities and medications. The primary outcome was a first diagnosis of major depressive disorder (ICD-10 code F32) within 1 year of the index date. Robustness of the results to changes in model and population specification was tested. Secondary outcomes included a first diagnosis of six other neuropsychiatric disorders. RESULTS: Treatment with prucalopride was associated with significantly lower incidence of depression in the following year compared with linaclotide (hazard ratio 0.87, 95% CI 0.76-0.99; P = 0.038; n = 8572 in each matched cohort) and lubiprostone (hazard ratio 0.79, 95% CI 0.69-0.91; P < 0.001; n = 8281). Significantly lower risks of all mood disorders and psychosis were also observed. Results were similar across robustness analyses. CONCLUSIONS: These findings support preclinical data and suggest a role for 5-HT4R agonists as novel agents in the prevention of major depression. These findings should stimulate randomised controlled trials to confirm if these agents can serve as a novel class of antidepressant within a clinical setting.

7.
Oral Dis ; 2024 Aug 04.
Artículo en Inglés | MEDLINE | ID: mdl-39099182

RESUMEN

OBJECTIVE: The aim of this study was to identify risk factors for sialolithiasis patients using a large community and hospital-based cohort. METHODS: A retrospective case-control study was conducted on 20,396 individuals, including 5100 sialolithiasis patients and 15,296 matched controls. Demographics and laboratory data were obtained from electronic medical records. Statistical analyses were performed to identify significant differences between the two groups. A p-value of <0.05 was considered significant. RESULTS: Sialolithiasis was more prevalent in women, with a mean age at diagnosis of 55.75 years. Several geographic location variables emerged as risk factors for sialolithiasis including Israeli birth, higher socioeconomic communities, and specific areas of residency. Tobacco smoking (odds ratio = 1.46) was a significant risk factor. Low high-density lipoprotein levels, elevated triglycerides, and elevated amylase levels were associated with sialolithiasis. CONCLUSIONS: This study provides valuable insights into the demographic and laboratory characteristics of sialolithiasis patients, indicating that area of residency and lifestyle factors contribute to the risk of developing sialolithiasis. The findings may contribute to a better understanding of the disease and the development of preventative measures or early diagnostics tools.

8.
J Environ Manage ; 368: 122125, 2024 Aug 08.
Artículo en Inglés | MEDLINE | ID: mdl-39121621

RESUMEN

Digital industrialization represented by big data provides substantial support for the high-quality development of the digital economy, but its impact on urban energy conservation development requires further research. To this end, based on the panel data of Chinese cities from 2010 to 2019 and taking the establishment of the national big data comprehensive pilot zone (NBDCPZ) as a quasi-natural experiment, this paper explores the impact, mechanism, and spatial spillover effect of digital industrialization represented by big data on urban energy conservation development using the Difference-in-Differences (DID) method. The results show that digital industrialization can help achieve urban energy conservation development, which still holds after a series of robustness tests. Mechanism analysis reveals that digital industrialization impacts urban energy conservation development by driving industrial sector output growth, promoting industrial upgrading, stimulating green technology innovation, and alleviating resource misallocation. Heterogeneity analysis indicates that the energy conservation effect of digital industrialization is more significant in the central region, intra-regional demonstration comprehensive pilot zones, large cities, non-resource-based cities, and high-level digital infrastructure cities. Additionally, digital industrialization can promote energy conservation development in neighboring areas through spatial spillover effect. This paper enriches the theoretical framework concerning the relationship between digital industrialization and energy conservation development. The findings have significant implications for achieving the coordinated development of digitalization and conservation.

10.
Trends Genet ; 2024 Aug 07.
Artículo en Inglés | MEDLINE | ID: mdl-39117482

RESUMEN

Harnessing cutting-edge technologies to enhance crop productivity is a pivotal goal in modern plant breeding. Artificial intelligence (AI) is renowned for its prowess in big data analysis and pattern recognition, and is revolutionizing numerous scientific domains including plant breeding. We explore the wider potential of AI tools in various facets of breeding, including data collection, unlocking genetic diversity within genebanks, and bridging the genotype-phenotype gap to facilitate crop breeding. This will enable the development of crop cultivars tailored to the projected future environments. Moreover, AI tools also hold promise for refining crop traits by improving the precision of gene-editing systems and predicting the potential effects of gene variants on plant phenotypes. Leveraging AI-enabled precision breeding can augment the efficiency of breeding programs and holds promise for optimizing cropping systems at the grassroots level. This entails identifying optimal inter-cropping and crop-rotation models to enhance agricultural sustainability and productivity in the field.

11.
Adv Food Nutr Res ; 111: 305-354, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39103216

RESUMEN

The evolution of food safety practices is crucial in addressing the challenges posed by a growing global population and increasingly complex food supply chains. Traditional methods are often labor-intensive, time-consuming, and susceptible to human error. This chapter explores the transformative potential of integrating microfluidics into smart food safety protocols. Microfluidics, involving the manipulation of small fluid volumes within microscale channels, offers a sophisticated platform for developing miniaturized devices capable of complex tasks. Combined with sensors, actuators, big data analytics, artificial intelligence, and the Internet of Things, smart microfluidic systems enable real-time data acquisition, analysis, and decision-making. These systems enhance control, automation, and adaptability, making them ideal for detecting contaminants, pathogens, and chemical residues in food products. The chapter covers the fundamentals of microfluidics, its integration with smart technologies, and its applications in food safety, addressing the challenges and future directions in this field.


Asunto(s)
Inocuidad de los Alimentos , Microfluídica , Microfluídica/métodos , Humanos , Contaminación de Alimentos/análisis , Inteligencia Artificial
12.
JMIR Public Health Surveill ; 10: e59924, 2024 Aug 13.
Artículo en Inglés | MEDLINE | ID: mdl-39137032

RESUMEN

BACKGROUND: Online food delivery services (OFDS) enable individuals to conveniently access foods from any deliverable location. The increased accessibility to foods may have implications on the consumption of healthful or unhealthful foods. Concerningly, previous research suggests that OFDS offer an abundance of energy-dense and nutrient-poor foods, which are heavily promoted through deals or discounts. OBJECTIVE: In this paper, we describe the development of the DIGIFOOD dashboard to monitor the digitalization of local food environments in New South Wales, Australia, resulting from the proliferation of OFDS. METHODS: Together with a team of data scientists, we designed a purpose-built dashboard using Microsoft Power BI. The development process involved three main stages: (1) data acquisition of food outlets via web scraping, (2) data cleaning and processing, and (3) visualization of food outlets on the dashboard. We also describe the categorization process of food outlets to characterize the healthfulness of local, online, and hybrid food environments. These categories included takeaway franchises, independent takeaways, independent restaurants and cafes, supermarkets or groceries, bakeries, alcohol retailers, convenience stores, and sandwich or salad shops. RESULTS: To date, the DIGIFOOD dashboard has mapped 36,967 unique local food outlets (locally accessible and scraped from Google Maps) and 16,158 unique online food outlets (accessible online and scraped from Uber Eats) across New South Wales, Australia. In 2023, the market-leading OFDS operated in 1061 unique suburbs or localities in New South Wales. The Sydney-Parramatta region, a major urban area in New South Wales accounting for 28 postcodes, recorded the highest number of online food outlets (n=4221). In contrast, the Far West and Orana region, a rural area in New South Wales with only 2 postcodes, recorded the lowest number of food outlets accessible online (n=7). Urban areas appeared to have the greatest increase in total food outlets accessible via online food delivery. In both local and online food environments, it was evident that independent restaurants and cafes comprised the largest proportion of food outlets at 47.2% (17,437/36,967) and 51.8% (8369/16,158), respectively. However, compared to local food environments, the online food environment has relatively more takeaway franchises (2734/16,158, 16.9% compared to 3273/36,967, 8.9%) and independent takeaway outlets (2416/16,158, 14.9% compared to 4026/36,967, 10.9%). CONCLUSIONS: The DIGIFOOD dashboard leverages the current rich data landscape to display and contrast the availability and healthfulness of food outlets that are locally accessible versus accessible online. The DIGIFOOD dashboard can be a useful monitoring tool for the evolving digital food environment at a regional scale and has the potential to be scaled up at a national level. Future iterations of the dashboard, including data from additional prominent OFDS, can be used by policy makers to identify high-priority areas with limited access to healthful foods both online and locally.


Asunto(s)
Abastecimiento de Alimentos , Nueva Gales del Sur , Humanos , Abastecimiento de Alimentos/estadística & datos numéricos , Abastecimiento de Alimentos/normas , Abastecimiento de Alimentos/métodos , Internet
13.
Child Adolesc Psychiatry Ment Health ; 18(1): 101, 2024 Aug 10.
Artículo en Inglés | MEDLINE | ID: mdl-39127668

RESUMEN

BACKGROUND: During the COVID-19 pandemic, youth had rising mental health needs and changes in service accessibility. Our study investigated changes in use of mental health care services for Canadian youth in Alberta before and during the COVID-19 pandemic. We also investigated how youth utilization patterns differed for subgroups based on social factors (i.e., age, gender, socioeconomic status, and geography) previously associated with health care access. METHODS: We used cross-sectional population-based data from Alberta, Canada to understand youth (15-24 year) mental health care use from 2018/19 to 2021/22. We performed interrupted time series design, segmented regression modeling on type of mental health care use (i.e., general physician, psychiatrist, emergency room, and hospitalization) and diagnosis-related use. We also investigated the characteristics of youth who utilized mental health care services and stratified diagnosis-related use patterns by youth subgroups. RESULTS: The proportion of youth using mental health care significantly increased from 15.6% in 2018/19 to 18.8% in 2021/22. Mental health care use showed an immediate drop in April 2020 when the COVID-19 pandemic was declared and public health protections were instituted, followed by a steady rise during the next 2 years. An increase was significant for general physician and psychiatrist visits. Most individual diagnoses included in this study showed significant increasing trends during the pandemic (i.e., anxiety, adjustment, ADHD, schizophrenia, and self-harm), with substance use showing an overall decrease. Mortality rates greatly increased for youth being seen for mental health reasons from 71 per 100,000 youth in 2018/19 to 163 per 100,000 in 2021/22. In addition, there were clear shifts over time in the characteristics of youth using mental health care services. Specifically, there was increased utilization for women/girls compared to men/boys and for youth from wealthier neighborhoods. Increases over time in the utilization of services for self-harm were limited to younger youth (15-16 year). CONCLUSIONS: The study provides evidence of shifts in mental health care use during the COVID-19 pandemic. Findings can be used to plan for ongoing mental health needs of youth, future pandemic responses, and other public health emergencies.

14.
Heliyon ; 10(14): e34711, 2024 Jul 30.
Artículo en Inglés | MEDLINE | ID: mdl-39130414

RESUMEN

The progressive evolution of the spatial and temporal resolutions of Earth observation satellites has brought multiple benefits to scientific research. The increasing volume of data with higher frequencies and spatial resolutions offers precise and timely information, making it an invaluable tool for environmental analysis and enhanced decision-making. However, this presents a formidable challenge for large-scale environmental analyses and socioeconomic applications based on spatial time series, often compelling researchers to resort to lower-resolution imagery, which can introduce uncertainty and impact results. In response to this, our key contribution is a novel machine learning approach for dense geospatial time series rooted in superpixel segmentation, which serves as a preliminary step in mitigating the high dimensionality of data in large-scale applications. This approach, while effectively reducing dimensionality, preserves valuable information to the maximum extent, thereby substantially enhancing data accuracy and subsequent environmental analyses. This method was empirically applied within the context of a comprehensive case study encompassing the 2002-2022 period with 8-d-frequency-normalized difference vegetation index data at 250-m resolution in an area spanning 43,470 km2. The efficacy of this methodology was assessed through a comparative analysis, comparing our results with those derived from 1000-m-resolution satellite data and an existing superpixel algorithm for time series data. An evaluation of the time-series deviations revealed that using coarser-resolution pixels introduced an error that exceeded that of the proposed algorithm by 25 % and that the proposed methodology outperformed other algorithms by more than 9 %. Notably, this methodological innovation concurrently facilitates the aggregation of pixels sharing similar land-cover classifications, thus mitigating subpixel heterogeneity within the dataset. Further, the proposed methodology, which is used as a preprocessing step, improves the clustering of pixels according to their time series and can enhance large-scale environmental analyses across a wide range of applications.

16.
Heliyon ; 10(15): e34821, 2024 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-39165964

RESUMEN

Driven by rapid advancements in technology and data science, a revolutionary transformation is sweeping across environmentally friendly cities worldwide. This surge stems from a pressing need to tackle the intricate complexities of urban sustainability, encompassing everything from infrastructure and governance to fragmented design and technological solutions. To effectively manage these complexities and accurately measure, assess, and optimize their sustainability performance, sustainable communities are increasingly tapping into the potential of smart city technologies, particularly big data and its fictionalized applications. This trend culminates in the emergence of smart cities. This article delves into the current state of research surrounding data-driven, environmentally conscious smart cities, aiming to assess the extent to which these two concepts are currently being integrated and identify potential gaps in this field. Through a strong emphasis on evidence-based research, the study underscores the potential of big data technologies to offer innovative approaches for monitoring, comprehending, evaluating, and ultimately managing sustainable urban development. It further highlights the crucial role of data-driven advancements in formulating strategic development policies and operational management procedures, ensuring that environmentally conscious cities can continue to contribute to sustainability goals even amidst rapid urbanization.

17.
Health Inf Manag ; : 18333583241270484, 2024 Aug 21.
Artículo en Inglés | MEDLINE | ID: mdl-39166442

RESUMEN

Background: The emergence of big data holds the promise of aiding healthcare providers by identifying patterns and converting vast quantities of data into actionable insights facilitating the provision of precision medicine and decision-making. Objective: This study aimed to investigate the factors influencing use of big data within healthcare services to facilitate their use. Method: A systematic review was conducted in February 2024, adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Database searches for articles published between 01 January 2020 and 18 February 2024 and included PubMed, Scopus, ProQuest and Cochrane Library. The Authority, Accuracy, Coverage, Objectivity, Date, Significance ( AACODS) checklist was used to evaluate the quality of the included articles. Subsequently, a thematic analysis was conducted on the findings of the review, using the Boyatzis approach. Results: A final selection of 46 studies were included in this systematic review. A significant proportion of these studies demonstrated acceptable quality, and the level of bias was deemed satisfactory. Thematic analysis identified seven major themes that influenced the use of big data in healthcare services. These themes were grouped into four primary categories: performance expectancy, effort expectancy, social influence, and facilitating conditions. Factors associated with "effort expectancy" were the most highly cited in the included studies (67%), while those related to "social influence" received the fewest citations (15%). Conclusion: This study underscored the critical role of "effort expectancy" factors, particularly those under the theme of "data complexity and management," in the process of using big data in healthcare services. Implications: Results of this study provide groundwork for future research to explore facilitators and barriers to using big data in health care, particularly in relation to data complexity and the efficient and effective management of big data, with significant implications for healthcare administrators and policymakers.

18.
Heliyon ; 10(12): e32092, 2024 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-39183845

RESUMEN

Guzheng tune progression involves intricately harmonizing melodic motif transitions. Effectively navigating this vast creative possibility space to expose musically consistent elaborations presents challenges. We develop a specialized large long short-term memory (LSTM) model for generating musically consistent Guzheng tune transitions. First, we propose novel firefly algorithm (FA) enhancements, e.g., adaptive diversity preservation and adaptive swim parameters, to boost exploration effectiveness for navigating the vast creative combinatorics when generating Guzheng tune transitions. Then, we develop a specialized stacked LSTM architecture incorporating residual connections and conditioned embedding vectors that can leverage long-range temporal dependencies in Guzheng music patterns, including unsupervised learning of concise Guzheng-specific melody embedding vectors via a variational autoencoder, encapsulating unique harmonic signatures from performance descriptors to provide style guidance. Finally, we use LSTM networks to develop adversarial generative large models that enable realistic synthesis and evaluation of Guzheng tunes switching. We gather an extensive 10+ hour corpus of solo Guzheng recordings spanning 230 musical pieces, 130 distinguished performing artists, and 600+ audio tracks. Simultaneously, we conduct thorough Guzheng data analysis. Comparative assessments against strong baselines over systematic musical metrics and professional listeners validate significant generation fidelity improvements. Our model achieves a 63 % reduction in reconstruction error compared to the standard FA optimization after 1000 iterations. It also outperforms baselines in capturing characteristic motifs, maintaining modality coherence with under 2 % dissonant pitch errors, and retaining desired rhythmic cadences. User studies further confirm the superior naturalness, novelty, and stylistic faithfulness of the generated tune transitions, with ratings close to real data.

19.
J Asthma Allergy ; 17: 783-789, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39157425

RESUMEN

Asthma is a chronic inflammatory airway disease with significant burden; exacerbations can severely affect quality of life and healthcare costs. Advances in big data analysis and artificial intelligence have made it easier to predict future exacerbations more accurately. This study used an integrated dataset of Korean National Health Insurance, meteorological, air pollution, and viral data from national public databases to develop a model to predict asthma exacerbations on a daily basis in South Korea. We merged these sources and applied random forest, AdaBoost, XGBoost, and LightGBM machine learning models to compare their performances at predicting future exacerbations. Of the models, XGBoost (AUROC of 0.68 and accuracy of 0.96) and LightGBM (AUROC of 0.67 and accuracy of 0.96) were the most promising. Common important variables were the number of visits and exacerbations per year, and medical resource utilization, including the prescription of asthma medications. Comorbid diabetes, hypertension, gastroesophageal reflux, arthritis, metabolic syndrome, osteoporosis, and ischemic heart disease were also associated with elevated exacerbation risk. The models examined in this study highlight the importance of previous exacerbations, use of medical resources, and comorbidities in the prediction of future exacerbations in patients with asthma.

20.
J Med Internet Res ; 26: e48320, 2024 Aug 20.
Artículo en Inglés | MEDLINE | ID: mdl-39163096

RESUMEN

BACKGROUND: Electronic health records (EHRs) contain patients' health information over time, including possible early indicators of disease. However, the increasing amount of data hinders clinicians from using them. There is accumulating evidence suggesting that machine learning (ML) and deep learning (DL) can assist clinicians in analyzing these large-scale EHRs, as algorithms thrive on high volumes of data. Although ML has become well developed, studies mainly focus on engineering but lack medical outcomes. OBJECTIVE: This study aims for a scoping review of the evidence on how the use of ML on longitudinal EHRs can support the early detection and prevention of disease. The medical insights and clinical benefits that have been generated were investigated by reviewing applications in a variety of diseases. METHODS: This study was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A literature search was performed in 2022 in collaboration with a medical information specialist in the following databases: PubMed, Embase, Web of Science Core Collection (Clarivate Analytics), and IEEE Xplore Digital Library and computer science bibliography. Studies were eligible when longitudinal EHRs were used that aimed for the early detection of disease via ML in a prevention context. Studies with a technical focus or using imaging or hospital admission data were beyond the scope of this review. Study screening and selection and data extraction were performed independently by 2 researchers. RESULTS: In total, 20 studies were included, mainly published between 2018 and 2022. They showed that a variety of diseases could be detected or predicted, particularly diabetes; kidney diseases; diseases of the circulatory system; and mental, behavioral, and neurodevelopmental disorders. Demographics, symptoms, procedures, laboratory test results, diagnoses, medications, and BMI were frequently used EHR data in basic recurrent neural network or long short-term memory techniques. By developing and comparing ML and DL models, medical insights such as a high diagnostic performance, an earlier detection, the most important predictors, and additional health indicators were obtained. A clinical benefit that has been evaluated positively was preliminary screening. If these models are applied in practice, patients might also benefit from personalized health care and prevention, with practical benefits such as workload reduction and policy insights. CONCLUSIONS: Longitudinal EHRs proved to be helpful for support in health care. Current ML models on EHRs can support the detection of diseases in terms of accuracy and offer preliminary screening benefits. Regarding the prevention of diseases, ML and specifically DL models can accurately predict or detect diseases earlier than current clinical diagnoses. Adding personally responsible factors allows targeted prevention interventions. While ML models based on textual EHRs are still in the developmental stage, they have high potential to support clinicians and the health care system and improve patient outcomes.


Asunto(s)
Aprendizaje Profundo , Diagnóstico Precoz , Registros Electrónicos de Salud , Aprendizaje Automático , Humanos , Estudios Longitudinales
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