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1.
J R Stat Soc Ser C Appl Stat ; 73(3): 658-681, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-39072300

RESUMO

We consider unsupervised classification by means of a latent multinomial variable which categorizes a scalar response into one of the L components of a mixture model which incorporates scalar and functional covariates. This process can be thought as a hierarchical model with the first level modelling a scalar response according to a mixture of parametric distributions and the second level modelling the mixture probabilities by means of a generalized linear model with functional and scalar covariates. The traditional approach of treating functional covariates as vectors not only suffers from the curse of dimensionality, since functional covariates can be measured at very small intervals leading to a highly parametrized model, but also does not take into account the nature of the data. We use basis expansions to reduce the dimensionality and a Bayesian approach for estimating the parameters while providing predictions of the latent classification vector. The method is motivated by two data examples that are not easily handled by existing methods. The first example concerns identifying placebo responders on a clinical trial (normal mixture model) and the other predicting illness for milking cows (zero-inflated mixture of the Poisson model).

2.
Front Public Health ; 12: 1337432, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38699419

RESUMO

Introduction: Obesity and gender play a critical role in shaping the outcomes of COVID-19 disease. These two factors have a dynamic relationship with each other, as well as other risk factors, which hinders interpretation of how they influence severity and disease progression. This work aimed to study differences in COVID-19 disease outcomes through analysis of risk profiles stratified by gender and obesity status. Methods: This study employed an unsupervised clustering analysis, using Mexico's national COVID-19 hospitalization dataset, which contains demographic information and health outcomes of patients hospitalized due to COVID-19. Patients were segmented into four groups by obesity and gender, with participants' attributes and clinical outcome data described for each. Then, Consensus and PAM clustering methods were used to identify distinct risk profiles based on underlying patient characteristics. Risk profile discovery was completed on 70% of records, with the remaining 30% available for validation. Results: Data from 88,536 hospitalized patients were analyzed. Obesity, regardless of gender, was linked with higher odds of hypertension, diabetes, cardiovascular diseases, pneumonia, and Intensive Care Unit (ICU) admissions. Men tended to have higher frequencies of ICU admissions and pneumonia and higher mortality rates than women. Within each of the four analysis groups (divided based on gender and obesity status), clustering analyses identified four to five distinct risk profiles. For example, among women with obesity, there were four profiles; those with a hypertensive profile were more likely to have pneumonia, and those with a diabetic profile were most likely to be admitted to the ICU. Conclusion: Our analysis emphasizes the complex interplay between obesity, gender, and health outcomes in COVID-19 hospitalizations. The identified risk profiles highlight the need for personalized treatment strategies for COVID-19 patients and can assist in planning for patterns of deterioration in future waves of SARS-CoV-2 virus transmission. This research underscores the importance of tackling obesity as a major public health concern, given its interplay with many other health conditions, including infectious diseases such as COVID-19.


Assuntos
COVID-19 , Hospitalização , Obesidade , Aprendizado de Máquina não Supervisionado , Humanos , COVID-19/epidemiologia , COVID-19/mortalidade , Masculino , Feminino , Obesidade/epidemiologia , México/epidemiologia , Pessoa de Meia-Idade , Hospitalização/estatística & dados numéricos , Fatores de Risco , Adulto , Fatores Sexuais , Idoso , SARS-CoV-2 , Análise por Conglomerados
3.
Sensors (Basel) ; 24(8)2024 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-38676214

RESUMO

Passive acoustic monitoring (PAM) through acoustic recorder units (ARUs) shows promise in detecting early landscape changes linked to functional and structural patterns, including species richness, acoustic diversity, community interactions, and human-induced threats. However, current approaches primarily rely on supervised methods, which require prior knowledge of collected datasets. This reliance poses challenges due to the large volumes of ARU data. In this work, we propose a non-supervised framework using autoencoders to extract soundscape features. We applied this framework to a dataset from Colombian landscapes captured by 31 audiomoth recorders. Our method generates clusters based on autoencoder features and represents cluster information with prototype spectrograms using centroid features and the decoder part of the neural network. Our analysis provides valuable insights into the distribution and temporal patterns of various sound compositions within the study area. By utilizing autoencoders, we identify significant soundscape patterns characterized by recurring and intense sound types across multiple frequency ranges. This comprehensive understanding of the study area's soundscape allows us to pinpoint crucial sound sources and gain deeper insights into its acoustic environment. Our results encourage further exploration of unsupervised algorithms in soundscape analysis as a promising alternative path for understanding and monitoring environmental changes.

4.
Heliyon ; 10(5): e26645, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38444471

RESUMO

The flagellar movement of the mammalian sperm plays a crucial role in fertilization. In the female reproductive tract, human spermatozoa undergo a process called capacitation which promotes changes in their motility. Only capacitated spermatozoa may be hyperactivated and only those that transition to hyperactivated motility are capable of fertilizing the egg. Hyperactivated motility is characterized by asymmetric flagellar bends of greater amplitude and lower frequency. Historically, clinical fertilization studies have used two-dimensional analysis to classify sperm motility, despite the inherently three-dimensional (3D) nature of sperm motion. Recent research has described several 3D beating features of sperm flagella. However, the 3D motility pattern of hyperactivated spermatozoa has not yet been characterized. One of the main challenges in classifying these patterns in 3D is the lack of a ground-truth reference, as it can be difficult to visually assess differences in flagellar beat patterns. Additionally, it is worth noting that only a relatively small proportion, approximately 10-20% of sperm incubated under capacitating conditions exhibit hyperactivated motility. In this work, we used a multifocal image acquisition system that can acquire, segment, and track sperm flagella in 3D+t. We developed a feature-based vector that describes the spatio-temporal flagellar sperm motility patterns by an envelope of ellipses. The classification results obtained using our 3D feature-based descriptors can serve as potential label for future work involving deep neural networks. By using the classification results as labels, it will be possible to train a deep neural network to automatically classify spermatozoa based on their 3D flagellar beating patterns. We demonstrated the effectiveness of the descriptors by applying them to a dataset of human sperm cells and showing that they can accurately differentiate between non-hyperactivated and hyperactivated 3D motility patterns of the sperm cells. This work contributes to the understanding of 3D flagellar hyperactive motility patterns and provides a framework for research in the fields of human and animal fertility.

5.
Sci Total Environ ; 915: 169988, 2024 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-38211857

RESUMO

Monitoring and understanding of water resources have become essential in designing effective and sustainable management strategies to overcome the growing water quality challenges. In this context, the utilization of unsupervised learning techniques for evaluating environmental tracers has facilitated the exploration of sources and dynamics of groundwater systems through pattern recognition. However, conventional techniques may overlook spatial and temporal non-linearities present in water research data. This paper introduces the adaptation of FlowSOM, a pioneering approach that combines self-organizing maps (SOM) and minimal spanning trees (MST), with the fast-greedy network clustering algorithm to unravel intricate relationships within multivariate water quality datasets. By capturing connections within the data, this ensemble tool enhances clustering and pattern recognition. Applied to the complex water quality context of the hyper-arid transboundary Caplina/Concordia coastal aquifer system (Peru/Chile), the FlowSOM network and clustering yielded compelling results in pattern recognition of the aquifer salinization. Analyzing 143 groundwater samples across eight variables, including major ions, the approach supports the identification of distinct clusters and connections between them. Three primary sources of salinization were identified: river percolation, slow lateral aquitard recharge, and seawater intrusion. The analysis demonstrated the superiority of FlowSOM clustering over traditional techniques in the case study, producing clusters that align more closely with the actual hydrogeochemical pattern. The outcomes broaden the utilization of multivariate analysis in water research, presenting a comprehensive approach to support the understanding of groundwater systems.

6.
Rev. cuba. hig. epidemiol ; Rev. cuba. hig. epidemiol;612024.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1569836

RESUMO

Introducción: La infección por el virus de inmunodeficiencia humana (VIH) y su evolución a través de cuatro décadas (crónica) ha orillado a médicos a estudiar el comportamiento de los linfocitos T CD4 con ayuda ramas como la estadística y matemáticas. Objetivo: Describir el comportamiento del conteo de linfocitos T CD4 en el tiempo a través del aprendizaje no supervisado. Métodos: Estudio tipo cohorte retrospectiva, se realizó una búsqueda de cuantificaciones de linfocitos T CD4 continuas a través del periodo de estudio establecido (2018-2022) en el expediente electrónico, en la presente investigación no se tuvo contacto con los pacientes. Resultados: Existe un ascenso en los valores numéricos promedio de linfocitos T CD4 a lo largo del estudio y se empieza a estabilizar entre los grupos hacia un recuento sobre los 500 linfocitos, lo cual refleja un estado inmunológico bueno a través del tiempo. Conclusión: Identificamos estabilidad en el seguimiento temporal, lo cual puede contribuir a un patrón de memoria por lo que sugerimos un análisis fractal extenso.


Introduction: Infection with the human immunodeficiency virus (HIV) and its evolution over four decades (chronic) has led doctors to study the behavior of CD4 T lymphocytes with the help of branches such as statistics and mathematics. Objective: To describe the behavior of the CD4 T lymphocyte count over time through unsupervised learning. Methods: Retrospective cohort type study, a search for continuous CD4 T lymphocyte quantifications throughout the established study period (2018-2022) was performed in the electronic file, in the present investigation there was no contact with the patients. Results: There is an increase in the average numerical values of CD4 T lymphocytes throughout the study and it begins to stabilize between the groups towards a count of over 500 lymphocytes, which reflects a good immune status over time. Conclusion: We identified stability in temporal tracking, which may contribute to a memory pattern, so we suggest an extensive fractal analysis.

7.
bioRxiv ; 2023 Nov 16.
Artigo em Inglês | MEDLINE | ID: mdl-37961150

RESUMO

Synchronous excitatory discharges from the entorhinal cortex (EC) to the dentate gyrus (DG) generate fast and prominent patterns in the hilar local field potential (LFP), called dentate spikes (DSs). As sharp-wave ripples in CA1, DSs are more likely to occur in quiet behavioral states, when memory consolidation is thought to take place. However, their functions in mnemonic processes are yet to be elucidated. The classification of DSs into types 1 or 2 is determined by their origin in the lateral or medial EC, as revealed by current source density (CSD) analysis, which requires recordings from linear probes with multiple electrodes spanning the DG layers. To allow the investigation of the functional role of each DS type in recordings obtained from single electrodes and tetrodes, which are abundant in the field, we developed an unsupervised method using Gaussian mixture models to classify such events based on their waveforms. Our classification approach achieved high accuracies (> 80%) when validated in 8 mice with DG laminar profiles. The average CSDs, waveforms, rates, and widths of the DS types obtained through our method closely resembled those derived from the CSD-based classification. As an example of application, we used the technique to analyze single-electrode LFPs from apolipoprotein (apo) E3 and apoE4 knock-in mice. We observed that the latter group, which is a model for Alzheimer's disease, exhibited wider DSs of both types from a young age, with a larger effect size for DS type 2, likely reflecting early pathophysiological alterations in the EC-DG network, such as hyperactivity. In addition to the applicability of the method in expanding the study of DS types, our results show that their waveforms carry information about their origins, suggesting different underlying network dynamics and roles in memory processing.

8.
Braz J Phys Ther ; 27(4): 100533, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37597491

RESUMO

BACKGROUND: Exercise is an effective intervention for knee osteoarthritis (OA), and unsupervised exercise programs should be a common adjunct to most treatments. However, it is unknown if current clinical trials are capturing information regarding adherence. OBJECTIVE: To summarize the extent and quality of reporting of unsupervised exercise adherence in clinical trials for knee OA. METHODS: Reviewers searched five databases (PubMed, CINAHL, Medline (OVID), EMBASE and Cochrane). Randomized controlled trials where participants with knee OA engaged in an unsupervised exercise program were included. The extent to which exercise adherence was monitored and reported was assessed and findings were subgrouped according to method for tracking adherence. The types of adherence measurement categories were synthesized. A quality assessment was completed using the Physiotherapy Evidence Database (PEDro) scores. RESULTS: Of 3622 abstracts screened, 176 studies met criteria for inclusion. PEDro scores for study quality ranged from two to ten (mean=6.3). Exercise adherence data was reported in 72 (40.9%) studies. Twenty-six (14.8%) studies only mentioned collection of adherence. Adherence rates ranged from 3.7 to 100% in trials that reported adherence. For 18 studies (10.2%) that tracked acceptable adherence, there was no clear superiority in treatment effect based on adherence rates. CONCLUSIONS: Clinical trials for knee OA do not consistently collect or report adherence with unsupervised exercise programs. Slightly more than half of the studies reported collecting adherence data while only 40.9% reported findings with substantial heterogeneity in tracking methodology. The clinical relevance of these programs cannot be properly contextualized without this information.


Assuntos
Osteoartrite do Joelho , Humanos , Exercício Físico , Modalidades de Fisioterapia , Terapia por Exercício/métodos
9.
Thyroid ; 33(9): 1090-1099, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37392021

RESUMO

Background: Alterations in DNA methylation are stable epigenetic events that can serve as clinical biomarkers. The aim of this study was to analyze methylation patterns among various follicular cell-derived thyroid neoplasms to identify disease subtypes and help understand and classify thyroid tumors. Methods: We employed an unsupervised machine learning method for class discovery to search for distinct methylation patterns among various thyroid neoplasms. Our algorithm was not provided with any clinical or pathological information, relying exclusively on DNA methylation data to classify samples. We analyzed 810 thyroid samples (n = 256 for discovery and n = 554 for validation), including benign and malignant tumors, as well as normal thyroid tissue. Results: Our unsupervised algorithm identified that samples could be classified into three subtypes based solely on their methylation profile. These methylation subtypes were strongly associated with histological diagnosis (p < 0.001) and were therefore named normal-like, follicular-like, and papillary thyroid carcinoma (PTC)-like. Follicular adenomas, follicular carcinomas, oncocytic adenomas, and oncocytic carcinomas clustered together forming the follicular-like methylation subtype. Conversely, classic papillary thyroid carcinomas (cPTC) and tall cell PTC clustered together forming the PTC-like subtype. These methylation subtypes were also strongly associated with genomic drivers: 98.7% BRAFV600E-driven cancers were PTC like, whereas 96.0% RAS-driven cancers had a follicular-like methylation pattern. Interestingly, unlike other diagnoses, follicular variant PTC (FVPTC) samples were split into two methylation clusters (follicular like and PTC like), indicating a heterogeneous group likely to be formed by two distinct diseases. FVPTC samples with a follicular-like methylation pattern were enriched for RAS mutations (36.4% vs. 8.0%; p < 0.001), whereas FVPTC- with PTC-like methylation patterns were enriched for BRAFV600E mutations (52.0% vs. 0%, Fisher exact p = 0.004) and RET fusions (16.0% vs. 0%, Fisher exact p = 0.003). Conclusions: Our data provide novel insights into the epigenetic alterations of thyroid tumors. Since our classification method relies on a fully unsupervised machine learning approach for subtype discovery, our results offer a robust background to support the classification of thyroid neoplasms based on methylation patterns.


Assuntos
Adenocarcinoma Folicular , Neoplasias da Glândula Tireoide , Humanos , Metilação de DNA , Proteínas Proto-Oncogênicas B-raf/genética , Proteínas Proto-Oncogênicas B-raf/metabolismo , Neoplasias da Glândula Tireoide/patologia , Câncer Papilífero da Tireoide/genética , Câncer Papilífero da Tireoide/patologia , Adenocarcinoma Folicular/genética , Adenocarcinoma Folicular/patologia , Mutação
10.
Procedia Comput Sci ; 219: 1453-1461, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36968662

RESUMO

Brazil is one of the countries with the worst response against the pandemic scenario of coronavírus. At the beginning we were on average with 4000 deaths in a 24 hours period. In the course of this situation, large amounts of health and medicine datasets were being generated in real time, requiring effective ways to extract information and discover patterns that can help in the fight against this disease. And even more important is to monitor the progress of prophylactic measures and whether they are being effective in reducing the spread of the virus. Thus, the aim of this study is to analyze how the coronavirus has different ways to evolve in each Brazilian state with the influences of the vaccination process. To achieve this goal, the time series Clustering Technique based on a K-Means variation was applied, with the similarity metric Dynamic Time Warping (DTW). We produced this study using the data reported by the Ministry of Health in Brazil, referring to deaths per 100k inhabitants and all vaccination data available. Our results indicate an unevenly occurring vaccination and the need to identify other associated patterns with human development indices and other socio-economic indicators, being this the first analysis developed in the country, under the goals above.

11.
Eur J Pediatr ; 182(5): 2173-2179, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-36853570

RESUMO

To use unsupervised machine learning to identify potential subphenotypes of preterm infants with patent ductus arteriosus (PDA). The study was conducted retrospectively at a neonatal intensive care unit in Brazil. Patients with a gestational age < 28 weeks who had undergone at least one echocardiogram within the first two weeks of life and had PDA size > 1.5 or LA/AO ratio > 1.5 were included. Agglomerative hierarchical clustering on principal components was used to divide the data into different clusters based on common characteristics. Two distinct subphenotypes of preterm infants with hemodynamically significant PDA were identified: "inflamed," characterized by high leukocyte, neutrophil, and neutrophil-to-lymphocyte ratio, and "respiratory acidosis," characterized by low pH and high pCO2 levels.    Conclusions: This study suggests that there may be two distinct subphenotypes of preterm infants with hemodynamically significant PDA: "inflamed" and "respiratory acidosis." By dividing the population into different subgroups based on common characteristics, it is possible to get a more nuanced understanding of the effectiveness of PDA interventions. What is Known: • Treatment of PDA in preterm infants has been controversial. • Stratification of preterm infants with PDA into subgroups is important in order to determine the best treatment. What is New: • Unsupervised machine learning was used to identify two subphenotypes of preterm infants with hemodynamically significant PDA. • The 'inflamed' cluster was characterized by higher values of leukocyte, neutrophil, and neutrophil-to-lymphocyte ratio. The 'respiratory acidosis' cluster was characterized by lower pH values and higher pCO2 values.


Assuntos
Acidose , Permeabilidade do Canal Arterial , Síndrome da Persistência do Padrão de Circulação Fetal , Recém-Nascido , Humanos , Lactente , Recém-Nascido Prematuro , Permeabilidade do Canal Arterial/diagnóstico por imagem , Estudos Retrospectivos , Aprendizado de Máquina
12.
Biomolecules ; 13(1)2023 01 14.
Artigo em Inglês | MEDLINE | ID: mdl-36671561

RESUMO

Drug-induced liver injury (DILI) is the principal reason for failure in developing drug candidates. It is the most common reason to withdraw from the market after a drug has been approved for clinical use. In this context, data from animal models, liver function tests, and chemical properties could complement each other to understand DILI events better and prevent them. Since the chemical space concept improves decision-making drug design related to the prediction of structure-property relationships, side effects, and polypharmacology drug activity (uniquely mentioning the most recent advances), it is an attractive approach to combining different phenomena influencing DILI events (e.g., individual "chemical spaces") and exploring all events simultaneously in an integrated analysis of the DILI-relevant chemical space. However, currently, no systematic methods allow the fusion of a collection of different chemical spaces to collect different types of data on a unique chemical space representation, namely "consensus chemical space." This study is the first report that implements data fusion to consider different criteria simultaneously to facilitate the analysis of DILI-related events. In particular, the study highlights the importance of analyzing together in vitro and chemical data (e.g., topology, bond order, atom types, presence of rings, ring sizes, and aromaticity of compounds encoded on RDKit fingerprints). These properties could be aimed at improving the understanding of DILI events.


Assuntos
Doença Hepática Induzida por Substâncias e Drogas , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Animais , Consenso , Modelos Animais , Fenômenos Químicos
13.
J Aging Phys Act ; 31(4): 693-704, 2023 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-36623512

RESUMO

OBJECTIVE: Individual unsupervised home-based exercise programs can enhance muscle strength, physical function, gait, and balance in older adults. However, the effectiveness of such programs may be limited by the lack of supervision. This study aims to verify the effectiveness of individual unsupervised home-based programs, compare the effects of individual unsupervised home-based to supervised programs, and verify the influence of supervision over individual unsupervised home-based programs on the physical function of older adults. METHODS: A systematic literature search was performed in four electronic databases, and the trials involved randomized controlled comparing the home-based programs to supervised, control groups, or home-based + supervised evaluating the muscle strength, physical function, gait, and balance in older adults. RESULTS: Eleven studies met the inclusion criteria. The meta-analysis revealed no differences between home-based program versus supervised program in gait, mobility, and balance, revealing a trend of significance to supervised program on strength (standardized mean difference [SMD] = 0.27, p = .05). The analysis revealed effects in mobility (SMD = 0.40, p = .003), balance (SMD = 0.58, p = .0002), and muscle strength (SMD = 0.36, p = .02) favoring home-based program versus control group. Significant effects between home-based program versus home-based + supervised program were observed in balance (SMD = 0.74, p = .002) and muscle strength (SMD = 0.58, p = .01) in favor of home-based + supervised program. CONCLUSION: Home-based programs effectively improve older adults' physical function compared with control groups. However, supervised programs were more effective for muscle strength.


Assuntos
Exercício Físico , Vida Independente , Humanos , Idoso , Terapia por Exercício , Marcha , Força Muscular
14.
Rev. gastroenterol. Perú ; 43(1)ene. 2023.
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1441879

RESUMO

Los métodos de inteligencia artificial utilizando herramientas de aprendizaje no supervisado pueden apoyar la resolución de problemas al establecer patrones de agrupación o clasificación no identificados, que permiten tipificar subgrupos para manejos más individualizados. Existen pocos estudios que permiten conocer la influencia de síntomas digestivos y extradigestivos en la tipificación dispepsia funcional; esta investigación realizó un análisis de aprendizaje no supervisado por conglomerados basándose en dichos síntomas, para discriminar subtipos de dispepsia y comparar con una de las clasificaciones actualmente más aceptadas. Se realizó un análisis exploratorio de conglomerados en adultos con dispepsia funcional según síntomas digestivos, extradigestivos y emocionales. Se conformaron patrones de agrupación de tal manera que dentro de cada grupo existiera homogeneidad en cuanto a los valores adoptados por cada variable. El método de análisis de conglomerados fue bietápico y los resultados del patrón de clasificación se compararon con una de las clasificaciones más aceptadas de dispepsia funcional. De 184 casos, 157 cumplieron con criterios de inclusión. El análisis de conglomerados excluyó 34 casos no clasificables. Los pacientes con dispepsia de tipo 1 (conglomerado uno), presentaron mejoría al tratamiento en el 100% de los casos, solo una minoría presentaron síntomas depresivos. Los pacientes con dispepsia de tipo 2 (conglomerado dos) presentaron una mayor probabilidad de falla al tratamiento con inhibidor de bomba de protones, padecieron con mayor frecuencia trastornos de sueño, ansiedad, depresión, fibromialgia, limitaciones físicas o dolor crónico de naturaleza no digestiva. Esta clasificación de dispepsia por análisis de clúster establece una visión más holística de la dispepsia en la cual características extradigestivas, síntomas afectivos, presencia o no de trastornos de sueño y de dolor crónico permiten discriminar el comportamiento y respuesta al manejo de primera línea.


Artificial intelligence methods using unsupervised learning tools can support problem solving by establishing unidentified grouping or classification patterns that allow typing subgroups for more individualized management. There are few studies that allow us to know the influence of digestive and extra-digestive symptoms in the classification of functional dyspepsia. This research carried out a cluster unsupervised learning analysis based on these symptoms to discriminate subtypes of dyspepsia and compare with one of the currently most accepted classifications. An exploratory cluster analysis was carried out in adults with functional dyspepsia according to digestive, extra-digestive and emotional symptoms. Grouping patterns were formed in such a way that within each group there was homogeneity in terms of the values adopted by each variable. The cluster analysis method was two-stage and the results of the classification pattern were compared with one of the most accepted classifications of functional dyspepsia. Of 184 cases, 157 met the inclusion criteria. The cluster analysis excluded 34 unclassifiable cases. Patients with type 1 dyspepsia (cluster one) presented improvement after treatment in 100% of cases, only a minority presented depressive symptoms. Patients with type 2 dyspepsia (cluster two) presented a higher probability of failure to treatment with proton pump inhibitor, suffered more frequently from sleep disorders, anxiety, depression, fibromyalgia, physical limitations or chronic pain of a non-digestive nature. This classification of dyspepsia by cluster analysis establishes a more holistic vision of dyspepsia in which extradigestive characteristics, affective symptoms, presence or absence of sleep disorders and chronic pain allow discriminating behavior and response to first-line management.

15.
Crit Rev Food Sci Nutr ; 63(7): 902-919, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-34323627

RESUMO

The evaluation of food intake is important in scientific research and clinical practice to understand the relationship between diet and health conditions of an individual or a population. Large volumes of data are generated daily in the health sector. In this sense, Artificial Intelligence (AI) tools have been increasingly used, for example, the application of Machine Learning (ML) algorithms to extract useful information, find patterns, and predict diseases. This systematic review aimed to identify studies that used ML algorithms to assess food intake in different populations. A literature search was conducted using five electronic databases, and 36 studies met all criteria and were included. According to the results, there has been a growing interest in the use of ML algorithms in the area of nutrition in recent years. Also, supervised learning algorithms were the most used, and the most widely used method of nutritional assessment was the food frequency questionnaire. We observed a trend in using the data analysis programs, such as R and WEKA. The use of ML in nutrition is recent and challenging. Therefore, it is encouraged that more studies are carried out relating these themes for the development of food reeducation programs and public policies.


Assuntos
Inteligência Artificial , Aprendizado de Máquina , Dieta , Estado Nutricional , Ingestão de Alimentos
16.
Artigo em Inglês | MEDLINE | ID: mdl-36497779

RESUMO

This study aimed to determine the body composition profile of candidates applying for a Physical Education and Sports major. 327 young adults (F: 87, M: 240) participated in this cross-sectional study. Nutritional status and body composition analysis were performed, and the profiles were generated using an unsupervised machine learning algorithm. Body mass index (BMI), percentage of fat mass (%FM), percentage of muscle mass (%MM), metabolic age (MA), basal metabolic rate (BMR), and visceral fat level (VFL) were used as input variables. BMI values were normal-weight although VFL was significantly higher in men (<0.001; η2 = 0.104). MA was positively correlated with BMR (0.81 [0.77, 0.85]; p < 0.01), BMI (0.87 [0.84, 0.90]; p < 0.01), and VFL (0.77 [0.72, 0.81]; p < 0.01). The hierarchical clustering analysis revealed two significantly different age-independent profiles: Cluster 1 (n = 265), applicants of both sexes that were shorter, lighter, with lower adiposity and higher lean mass; and, Cluster 2 (n = 62), a group of overweight male applicants with higher VFL, taller, with lower %MM and estimated energy expended at rest. We identified two profiles that might help universities, counselors and teachers/lecturers to identify applicants in which is necessary to increase physical activity levels and improve dietary habits.


Assuntos
Composição Corporal , Educação Física e Treinamento , Adulto Jovem , Feminino , Masculino , Humanos , Estudos Transversais , Composição Corporal/fisiologia , Índice de Massa Corporal , Sobrepeso/epidemiologia
17.
J Imaging ; 8(10)2022 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-36286385

RESUMO

A retinal vessel analysis is a procedure that can be used as an assessment of risks to the eye. This work proposes an unsupervised multimodal approach that improves the response of the Frangi filter, enabling automatic vessel segmentation. We propose a filter that computes pixel-level vessel continuity while introducing a local tolerance heuristic to fill in vessel discontinuities produced by the Frangi response. This proposal, called the local-sensitive connectivity filter (LS-CF), is compared against a naive connectivity filter to the baseline thresholded Frangi filter response and to the naive connectivity filter response in combination with the morphological closing and to the current approaches in the literature. The proposal was able to achieve competitive results in a variety of multimodal datasets. It was robust enough to outperform all the state-of-the-art approaches in the literature for the OSIRIX angiographic dataset in terms of accuracy and 4 out of 5 works in the case of the IOSTAR dataset while also outperforming several works in the case of the DRIVE and STARE datasets and 6 out of 10 in the CHASE-DB dataset. For the CHASE-DB, it also outperformed all the state-of-the-art unsupervised methods.

18.
Appl Soft Comput ; 129: 109606, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36092471

RESUMO

One of the main problems that countries are currently having is being able to measure the impact of the pandemic in other areas of society (for example, economic or social). In that sense, being able to combine variables about the behavior of COVID-19 with other variables in the environment, to build models about its impact, which help the decision-making of national authorities, is a current challenge. In this sense, this work proposes an approach that allows monitoring the socioeconomic behavior of the regions/departments of a country (in this case, Colombia) due to the effect of COVID-19. To do this, an approach is proposed in which the behavior of the infected is initially predicted, and together with other context variables (climate, economics and socials) determines the current socioeconomic situation of a region. This classification of a region, with the pattern that characterizes it, is a fundamental input for those who make decisions. Thus, this work presents an approach based on machine learning techniques to identify regions with similar socioeconomic behaviors due to COVID-19, so they should eventually have similar public policies. The proposed hybrid model initially consists of a time series prediction model of infected, to which are added several context variables (climate, socioeconomic, incidence of COVID-19 at the level of deaths, suspects, etc.) in an unsupervised learning model, to determine the socioeconomic impact in the regions. Particularly, the unsupervised model groups similar regions together, and the pattern of each group describes the socioeconomic similarities between them, to help decision-makers in the process of defining policies to be implemented in the regions. The experiments showed the ability of the hybrid model to follow the evolution of the regions after 4 weeks. The quality metrics for the predictive model were around the values of 0.35 for MAPE and 0.68 for R 2 , and in the case of the clustering model were around the values of 0.3 for the Silhouette index and 0.6 for the Davies-Boulding index. The hybrid model allowed determining things like some regions that initially belonged to a group with a very low incidence of positive cases and very unfavorable socioeconomic conditions, became part of groups with moderately high incidences. Our preliminary results are very satisfactory since they allow studying the evolution of the socioeconomic impact in each region/department.

19.
Sensors (Basel) ; 22(9)2022 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-35591091

RESUMO

The Assisted Living Environments Research Area-AAL (Ambient Assisted Living), focuses on generating innovative technology, products, and services to assist, medical care and rehabilitation to older adults, to increase the time in which these people can live. independently, whether they suffer from neurodegenerative diseases or some disability. This important area is responsible for the development of activity recognition systems-ARS (Activity Recognition Systems), which is a valuable tool when it comes to identifying the type of activity carried out by older adults, to provide them with assistance. that allows you to carry out your daily activities with complete normality. This article aims to show the review of the literature and the evolution of the different techniques for processing this type of data from supervised, unsupervised, ensembled learning, deep learning, reinforcement learning, transfer learning, and metaheuristics approach applied to this sector of science. health, showing the metrics of recent experiments for researchers in this area of knowledge. As a result of this article, it can be identified that models based on reinforcement or transfer learning constitute a good line of work for the processing and analysis of human recognition activities.


Assuntos
Inteligência Ambiental , Pessoas com Deficiência , Atividades Cotidianas , Idoso , Atividades Humanas , Humanos , Tecnologia
20.
Artigo em Inglês | MEDLINE | ID: mdl-35564992

RESUMO

Preterm birth (PTB) is a phenomenon that brings risks and challenges for the survival of the newborn child. Despite many advances in research, not all the causes of PTB are already clear. It is understood that PTB risk is multi-factorial and can also be associated with socioeconomic factors. Thereby, this article seeks to use unsupervised learning techniques to stratify PTB risk in Brazil using only socioeconomic data. Through the use of datasets made publicly available by the Federal Government of Brazil, a new dataset was generated with municipality-level socioeconomic data and a PTB occurrence rate. This dataset was processed using various unsupervised learning techniques, such as k-means, principal component analysis (PCA), and density-based spatial clustering of applications with noise (DBSCAN). After validation, four clusters with high levels of PTB occurrence were discovered, as well as three with low levels. The clusters with high PTB were comprised mostly of municipalities with lower levels of education, worse quality of public services-such as basic sanitation and garbage collection-and a less white population. The regional distribution of the clusters was also observed, with clusters of high PTB located mostly in the North and Northeast regions of Brazil. The results indicate a positive influence of the quality of life and the offer of public services on the reduction in PTB risk.


Assuntos
Nascimento Prematuro , Brasil/epidemiologia , Feminino , Humanos , Recém-Nascido , Gravidez , Nascimento Prematuro/epidemiologia , Nascimento Prematuro/etiologia , Qualidade de Vida , Fatores de Risco , Fatores Socioeconômicos , Aprendizado de Máquina não Supervisionado
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