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1.
BMC Pregnancy Childbirth ; 23(1): 553, 2023 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-37532986

RESUMO

BACKGROUND: Pregnant people are particularly vulnerable to SARS-CoV-2 infection and to ensuing severe illness. Predicting adverse maternal and perinatal outcomes could aid clinicians in deciding on hospital admission and early initiation of treatment in affected individuals, streamlining the triaging processes. METHODS: An international repository of 1501 SARS-CoV-2-positive cases in pregnancy was created, consisting of demographic variables, patient comorbidities, laboratory markers, respiratory parameters, and COVID-19-related symptoms. Data were filtered, preprocessed, and feature selection methods were used to obtain the optimal feature subset for training a variety of machine learning models to predict maternal or fetal/neonatal death or critical illness. RESULTS: The Random Forest model demonstrated the best performance among the trained models, correctly identifying 83.3% of the high-risk patients and 92.5% of the low-risk patients, with an overall accuracy of 89.0%, an AUC of 0.90 (95% Confidence Interval 0.83 to 0.95), and a recall, precision, and F1 score of 0.85, 0.94, and 0.89, respectively. This was achieved using a feature subset of 25 features containing patient characteristics, symptoms, clinical signs, and laboratory markers. These included maternal BMI, gravidity, parity, existence of pre-existing conditions, nicotine exposure, anti-hypertensive medication administration, fetal malformations, antenatal corticosteroid administration, presence of dyspnea, sore throat, fever, fatigue, duration of symptom phase, existence of COVID-19-related pneumonia, need for maternal oxygen administration, disease-related inpatient treatment, and lab markers including sFLT-1/PlGF ratio, platelet count, and LDH. CONCLUSIONS: We present the first COVID-19 prognostication pipeline specifically for pregnant patients while utilizing a large SARS-CoV-2 in pregnancy data repository. Our model accurately identifies those at risk of severe illness or clinical deterioration, presenting a promising tool for advancing personalized medicine in pregnant patients with COVID-19.


Assuntos
COVID-19 , Complicações Infecciosas na Gravidez , Feminino , Humanos , Recém-Nascido , Gravidez , COVID-19/diagnóstico , Morte Fetal , Parto , Complicações Infecciosas na Gravidez/diagnóstico , Complicações Infecciosas na Gravidez/terapia , Estudos Retrospectivos , SARS-CoV-2 , Resultado da Gravidez
2.
Sensors (Basel) ; 23(12)2023 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-37420682

RESUMO

Stroke survivors often suffer from movement impairments that significantly affect their daily activities. The advancements in sensor technology and IoT have provided opportunities to automate the assessment and rehabilitation process for stroke survivors. This paper aims to provide a smart post-stroke severity assessment using AI-driven models. With the absence of labelled data and expert assessment, there is a research gap in providing virtual assessment, especially for unlabeled data. Inspired by the advances in consensus learning, in this paper, we propose a consensus clustering algorithm, PSA-NMF, that combines various clusterings into one united clustering, i.e., cluster consensus, to produce more stable and robust results compared to individual clustering. This paper is the first to investigate severity level using unsupervised learning and trunk displacement features in the frequency domain for post-stroke smart assessment. Two different methods of data collection from the U-limb datasets-the camera-based method (Vicon) and wearable sensor-based technology (Xsens)-were used. The trunk displacement method labelled each cluster based on the compensatory movements that stroke survivors employed for their daily activities. The proposed method uses the position and acceleration data in the frequency domain. Experimental results have demonstrated that the proposed clustering method that uses the post-stroke assessment approach increased the evaluation metrics such as accuracy and F-score. These findings can lead to a more effective and automated stroke rehabilitation process that is suitable for clinical settings, thus improving the quality of life for stroke survivors.


Assuntos
Reabilitação do Acidente Vascular Cerebral , Acidente Vascular Cerebral , Dispositivos Eletrônicos Vestíveis , Humanos , Consenso , Qualidade de Vida , Acidente Vascular Cerebral/diagnóstico , Movimento , Reabilitação do Acidente Vascular Cerebral/métodos
3.
Sensors (Basel) ; 22(20)2022 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-36298220

RESUMO

Point clouds are one of the most widely used data formats produced by depth sensors. There is a lot of research into feature extraction from unordered and irregular point cloud data. Deep learning in computer vision achieves great performance for data classification and segmentation of 3D data points as point clouds. Various research has been conducted on point clouds and remote sensing tasks using deep learning (DL) methods. However, there is a research gap in providing a road map of existing work, including limitations and challenges. This paper focuses on introducing the state-of-the-art DL models, categorized by the structure of the data they consume. The models' performance is collected, and results are provided for benchmarking on the most used datasets. Additionally, we summarize the current benchmark 3D datasets publicly available for DL training and testing. In our comparative study, we can conclude that convolutional neural networks (CNNs) achieve the best performance in various remote-sensing applications while being light-weighted models, namely Dynamic Graph CNN (DGCNN) and ConvPoint.

4.
Sensors (Basel) ; 22(5)2022 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-35271004

RESUMO

The increasing number of car accidents is a significant issue in current transportation systems. According to the World Health Organization (WHO), road accidents are the eighth highest top cause of death around the world. More than 80% of road accidents are caused by distracted driving, such as using a mobile phone, talking to passengers, and smoking. A lot of efforts have been made to tackle the problem of driver distraction; however, no optimal solution is provided. A practical approach to solving this problem is implementing quantitative measures for driver activities and designing a classification system that detects distracting actions. In this paper, we have implemented a portfolio of various ensemble deep learning models that have been proven to efficiently classify driver distracted actions and provide an in-car recommendation to minimize the level of distractions and increase in-car awareness for improved safety. This paper proposes E2DR, a new scalable model that uses stacking ensemble methods to combine two or more deep learning models to improve accuracy, enhance generalization, and reduce overfitting, with real-time recommendations. The highest performing E2DR variant, which included the ResNet50 and VGG16 models, achieved a test accuracy of 92% as applied to state-of-the-art datasets, including the State Farm Distracted Drivers dataset, using novel data splitting strategies.


Assuntos
Condução de Veículo , Aprendizado Profundo , Direção Distraída , Acidentes de Trânsito/prevenção & controle , Atenção
5.
Children (Basel) ; 7(10)2020 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-33066454

RESUMO

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by a lack of social communication and social interaction. Autism is a mental disorder investigated by social and computational intelligence scientists utilizing advanced technologies such as machine learning models to enhance clinicians' ability to provide robust diagnosis and prognosis of autism. However, with dynamic changes in autism behaviour patterns, these models' quality and accuracy have become a great challenge for clinical practitioners. We applied a deep neural network learning on a large brain image dataset obtained from ABIDE (autism brain imaging data exchange) to provide an efficient diagnosis of ASD, especially for children. Our deep learning model combines unsupervised neural network learning, an autoencoder, and supervised deep learning using convolutional neural networks. Our proposed algorithm outperforms individual-based classifiers measured by various validations and assessment measures. Experimental results indicate that the autoencoder combined with the convolution neural networks provides the best performance by achieving 84.05% accuracy and Area under the Curve (AUC) value of 0.78.

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