RESUMO
Through our respiratory system, many viruses and diseases frequently spread and pass from one person to another. Covid-19 served as an example of how crucial it is to track down and cut back on contacts to stop its spread. There is a clear gap in finding automatic methods that can detect hand-to-face contact in complex urban scenes or indoors. In this paper, we introduce a computer vision framework, called FaceTouch, based on deep learning. It comprises deep sub-models to detect humans and analyse their actions. FaceTouch seeks to detect hand-to-face touches in the wild, such as through video chats, bus footage, or CCTV feeds. Despite partial occlusion of faces, the introduced system learns to detect face touches from the RGB representation of a given scene by utilising the representation of the body gestures such as arm movement. This has been demonstrated to be useful in complex urban scenarios beyond simply identifying hand movement and its closeness to faces. Relying on Supervised Contrastive Learning, the introduced model is trained on our collected dataset, given the absence of other benchmark datasets. The framework shows a strong validation in unseen datasets which opens the door for potential deployment.
Assuntos
COVID-19 , Humanos , SARS-CoV-2/isolamento & purificação , Tato/fisiologia , Aprendizado Profundo , Mãos/fisiologia , Busca de Comunicante/métodos , Aprendizado de Máquina Supervisionado , Gestos , FaceRESUMO
Early detection of sepsis is key to ensure timely clinical intervention. Since very few end-to-end pipelines are publicly available, fair comparisons between methodologies are difficult if not impossible. Progress is further limited by discrepancies in the reconstruction of sepsis onset time. This retrospective cohort study highlights the variation in performance of predictive models under three subtly different interpretations of sepsis onset from the sepsis-III definition and compares this against inter-model differences. The models are chosen to cover tree-based, deep learning, and survival analysis methods. Using the MIMIC-III database, between 867 and 2178 intensive care unit admissions with sepsis were identified, depending on the onset definition. We show that model performance can be more sensitive to differences in the definition of sepsis onset than to the model itself. Given a fixed sepsis definition, the best performing method had a gain of 1-5% in the area under the receiver operating characteristic (AUROC). However, the choice of onset time can cause a greater effect, with variation of 0-6% in AUROC. We illustrate that misleading conclusions can be drawn if models are compared without consideration of the sepsis definition used which emphasizes the need for a standardized definition for sepsis onset.
Assuntos
Sepse , Humanos , Estudos Retrospectivos , Sepse/diagnóstico , Bases de Dados Factuais , Hospitalização , Unidades de Terapia IntensivaRESUMO
The availability of mobile technologies has enabled the efficient collection of prospective longitudinal, ecologically valid self-reported clinical questionnaires from people with psychiatric diagnoses. These data streams have potential for improving the efficiency and accuracy of psychiatric diagnosis as well predicting future mood states enabling earlier intervention. However, missing responses are common in such datasets and there is little consensus as to how these should be dealt with in practice. In this study, the missing-response-incorporated log-signature method achieves roughly 74.8% correct diagnosis, with f1 scores for three diagnostic groups 66% (bipolar disorder), 83% (healthy control) and 75% (borderline personality disorder) respectively. This was superior to the naive model which excluded missing data and advanced models which implemented different imputation approaches, namely, k-nearest neighbours (KNN), probabilistic principal components analysis (PPCA) and random forest-based multiple imputation by chained equations (rfMICE). The log-signature method provided an effective approach to the analysis of prospectively collected mood data where missing data was common and should be considered as an approach in other similar datasets. Because of treating missing responses as a signal, its superiority also highlights that missing data conveys valuable clinical information.
Assuntos
Afeto , Transtorno Bipolar , Humanos , Estudos Prospectivos , Projetos de Pesquisa , Análise de Componente PrincipalRESUMO
OBJECTIVES: Patients in an ICU are particularly vulnerable to sepsis. It is therefore important to detect its onset as early as possible. This study focuses on the development and validation of a new signature-based regression model, augmented with a particular choice of the handcrafted features, to identify a patient's risk of sepsis based on physiologic data streams. The model makes a positive or negative prediction of sepsis for every time interval since admission to the ICU. DESIGN: The data were sourced from the PhysioNet/Computing in Cardiology Challenge 2019 on the "Early Prediction of Sepsis from Clinical Data." It consisted of ICU patient data from three separate hospital systems. Algorithms were scored against a specially designed utility function that rewards early predictions in the most clinically relevant region around sepsis onset and penalizes late predictions and false positives. SETTING: The work was completed as part of the PhysioNet 2019 Challenge alongside 104 other teams. PATIENTS: PhysioNet sourced over 60,000 ICU patients with up to 40 clinical variables for each hour of a patient's ICU stay. The Sepsis-3 criteria was used to define the onset of sepsis. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: The algorithm yielded a utility function score which was the first placed entry in the official phase of the challenge.
Assuntos
Algoritmos , Cuidados Críticos/métodos , Sepse/diagnóstico , Diagnóstico Precoce , Humanos , Unidades de Terapia Intensiva , Modelos Estatísticos , Reprodutibilidade dos Testes , Estudos RetrospectivosRESUMO
Mobile technologies offer new opportunities for prospective, high resolution monitoring of long-term health conditions. The opportunities seem of particular promise in psychiatry where diagnoses often rely on retrospective and subjective recall of mood states. However, deriving clinically meaningful information from the complex time series data these technologies present is challenging, and the current implications for patient care are uncertain. In this study, 130 participants with bipolar disorder (n = 48) or borderline personality disorder (n = 31) and healthy volunteers (n = 51) completed daily mood ratings using a bespoke smartphone app for up to 1 year. A signature-based learning method was used to capture the evolving interrelationships between the different elements of mood and exploit this information to classify participants' diagnosis and to predict subsequent mood. The three participant groups could be distinguished from one another on the basis of self-reported mood using the signature methodology. The methodology classified 75% of participants into the correct diagnostic group compared with 54% using standard approaches. Subsequent mood ratings were correctly predicted with >70% accuracy. Prediction of mood was most accurate in healthy volunteers (89-98%) compared to bipolar disorder (82-90%) and borderline personality disorder (70-78%). The signature method provided an effective approach to the analysis of mood data both in terms of diagnostic classification and prediction of future mood. It also highlighted the differing predictability and the overlap inherent within disorders. The three cohorts offered internally consistent but distinct patterns of mood interaction in their reporting which have the potential to enable more efficient and accurate diagnoses and thus earlier treatment.
Assuntos
Afeto , Transtorno Bipolar/classificação , Transtorno da Personalidade Borderline/classificação , Aprendizado de Máquina , Adulto , Transtorno Bipolar/diagnóstico , Transtorno Bipolar/psicologia , Transtorno da Personalidade Borderline/diagnóstico , Transtorno da Personalidade Borderline/psicologia , Feminino , Humanos , Masculino , Aplicativos Móveis , Estudos Prospectivos , Curva ROC , Autorrelato , SmartphoneRESUMO
Online handwritten Chinese text recognition (OHCTR) is a challenging problem as it involves a large-scale character set, ambiguous segmentation, and variable-length input sequences. In this paper, we exploit the outstanding capability of path signature to translate online pen-tip trajectories into informative signature feature maps, successfully capturing the analytic and geometric properties of pen strokes with strong local invariance and robustness. A multi-spatial-context fully convolutional recurrent network (MC-FCRN) is proposed to exploit the multiple spatial contexts from the signature feature maps and generate a prediction sequence while completely avoiding the difficult segmentation problem. Furthermore, an implicit language model is developed to make predictions based on semantic context within a predicting feature sequence, providing a new perspective for incorporating lexicon constraints and prior knowledge about a certain language in the recognition procedure. Experiments on two standard benchmarks, Dataset-CASIA and Dataset-ICDAR, yielded outstanding results, with correct rates of 97.50 and 96.58 percent, respectively, which are significantly better than the best result reported thus far in the literature.