9,739 research outputs found

    Improving diagnostic procedures for epilepsy through automated recording and analysis of patients’ history

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    Transient loss of consciousness (TLOC) is a time-limited state of profound cognitive impairment characterised by amnesia, abnormal motor control, loss of responsiveness, a short duration and complete recovery. Most instances of TLOC are caused by one of three health conditions: epilepsy, functional (dissociative) seizures (FDS), or syncope. There is often a delay before the correct diagnosis is made and 10-20% of individuals initially receive an incorrect diagnosis. Clinical decision tools based on the endorsement of TLOC symptom lists have been limited to distinguishing between two causes of TLOC. The Initial Paroxysmal Event Profile (iPEP) has shown promise but was demonstrated to have greater accuracy in distinguishing between syncope and epilepsy or FDS than between epilepsy and FDS. The objective of this thesis was to investigate whether interactional, linguistic, and communicative differences in how people with epilepsy and people with FDS describe their experiences of TLOC can improve the predictive performance of the iPEP. An online web application was designed that collected information about TLOC symptoms and medical history from patients and witnesses using a binary questionnaire and verbal interaction with a virtual agent. We explored potential methods of automatically detecting these communicative differences, whether the differences were present during an interaction with a VA, to what extent these automatically detectable communicative differences improve the performance of the iPEP, and the acceptability of the application from the perspective of patients and witnesses. The two feature sets that were applied to previous doctor-patient interactions, features designed to measure formulation effort or detect semantic differences between the two groups, were able to predict the diagnosis with an accuracy of 71% and 81%, respectively. Individuals with epilepsy or FDS provided descriptions of TLOC to the VA that were qualitatively like those observed in previous research. Both feature sets were effective predictors of the diagnosis when applied to the web application recordings (85.7% and 85.7%). Overall, the accuracy of machine learning models trained for the threeway classification between epilepsy, FDS, and syncope using the iPEP responses from patients that were collected through the web application was worse than the performance observed in previous research (65.8% vs 78.3%), but the performance was increased by the inclusion of features extracted from the spoken descriptions on TLOC (85.5%). Finally, most participants who provided feedback reported that the online application was acceptable. These findings suggest that it is feasible to differentiate between people with epilepsy and people with FDS using an automated analysis of spoken seizure descriptions. Furthermore, incorporating these features into a clinical decision tool for TLOC can improve the predictive performance by improving the differential diagnosis between these two health conditions. Future research should use the feedback to improve the design of the application and increase perceived acceptability of the approach

    Beam scanning by liquid-crystal biasing in a modified SIW structure

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    A fixed-frequency beam-scanning 1D antenna based on Liquid Crystals (LCs) is designed for application in 2D scanning with lateral alignment. The 2D array environment imposes full decoupling of adjacent 1D antennas, which often conflicts with the LC requirement of DC biasing: the proposed design accommodates both. The LC medium is placed inside a Substrate Integrated Waveguide (SIW) modified to work as a Groove Gap Waveguide, with radiating slots etched on the upper broad wall, that radiates as a Leaky-Wave Antenna (LWA). This allows effective application of the DC bias voltage needed for tuning the LCs. At the same time, the RF field remains laterally confined, enabling the possibility to lay several antennas in parallel and achieve 2D beam scanning. The design is validated by simulation employing the actual properties of a commercial LC medium

    A long short-temory relation network for real-time prediction of patient-specific ventilator parameters

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    Accurate prediction of patient-specific ventilator parameters is crucial for optimizing patient-ventilator interaction. Current approaches encounter difficulties in concurrently observing long-term, time-series dependencies and capturing complex, significant features that influence the ventilator treatment process, thereby hindering the achievement of accurate prediction of ventilator parameters. To address these challenges, we propose a novel approach called the long short-term memory relation network (LSTMRnet). Our approach uses a long, short-term memory bank to store rich information and an important feature selection step to extract relevant features related to respiratory parameters. This information is obtained from the prior knowledge of the follow up model. We also concatenate the embeddings of both information types to maintain the joint learning of spatio-temporal features. Our LSTMRnet effectively preserves both time-series and complex spatial-critical feature information, enabling an accurate prediction of ventilator parameters. We extensively validate our approach using the publicly available medical information mart for intensive care (MIMIC-III) dataset and achieve superior results, which can be potentially utilized for ventilator treatment (i.e., sleep apnea-hypopnea syndrome ventilator treatment and intensive care units ventilator treatment

    Novel 129Xe Magnetic Resonance Imaging and Spectroscopy Measurements of Pulmonary Gas-Exchange

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    Gas-exchange is the primary function of the lungs and involves removing carbon dioxide from the body and exchanging it within the alveoli for inhaled oxygen. Several different pulmonary, cardiac and cardiovascular abnormalities have negative effects on pulmonary gas-exchange. Unfortunately, clinical tests do not always pinpoint the problem; sensitive and specific measurements are needed to probe the individual components participating in gas-exchange for a better understanding of pathophysiology, disease progression and response to therapy. In vivo Xenon-129 gas-exchange magnetic resonance imaging (129Xe gas-exchange MRI) has the potential to overcome these challenges. When participants inhale hyperpolarized 129Xe gas, it has different MR spectral properties as a gas, as it diffuses through the alveolar membrane and as it binds to red-blood-cells. 129Xe MR spectroscopy and imaging provides a way to tease out the different anatomic components of gas-exchange simultaneously and provides spatial information about where abnormalities may occur. In this thesis, I developed and applied 129Xe MR spectroscopy and imaging to measure gas-exchange in the lungs alongside other clinical and imaging measurements. I measured 129Xe gas-exchange in asymptomatic congenital heart disease and in prospective, controlled studies of long-COVID. I also developed mathematical tools to model 129Xe MR signals during acquisition and reconstruction. The insights gained from my work underscore the potential for 129Xe gas-exchange MRI biomarkers towards a better understanding of cardiopulmonary disease. My work also provides a way to generate a deeper imaging and physiologic understanding of gas-exchange in vivo in healthy participants and patients with chronic lung and heart disease

    Empirical Analysis of Machine Learning algorithms in Fake News detection

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    Social media is the finest venue for thinking and expressing in the modern world. And this is the best place to share information about your identity, culture, religion, and customs. It entails an immediate information interchange that covers news from every industry. These days, social media has a big impact on how we live and how society functions. Currently, social media is the best medium for expressing your thoughts. Social media has also evolved into a channel for disseminating information about nearby events. how the locals in the other place are made aware of what is going on there. People benefit from this through learning about various cultures. However, some evil people use social media to spread their lies, which affects society and our everyday lives. Furthermore, fake news spreads like a forest fire if it is not dealt with promptly. And this bogus news offends certain individuals and occasionally sparks riots in public places. We need instruments in the modern day that can confirm any news, whether it is real or fraudulent. The current work considers a variety of machine-learning techniques for detecting false news, including Random Forest (RF), Decision Tree (DT), and Support Vector Machine (SVM). The performance evaluation was then conducted using several criteria, including F-1 score, recall, accuracy, and precision. The empirical investigation shows DT has the greatest accuracy level at 100%

    A review of abnormal behavior detection in activities of daily living

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    Abnormal behavior detection (ABD) systems are built to automatically identify and recognize abnormal behavior from various input data types, such as sensor-based and vision-based input. As much as the attention received for ABD systems, the number of studies on ABD in activities of daily living (ADL) is limited. Owing to the increasing rate of elderly accidents in the home compound, ABD in ADL research should be given as much attention to preventing accidents by sending out signals when abnormal behavior such as falling is detected. In this study, we compare and contrast the formation of the ABD system in ADL from input data types (sensor-based input and vision-based input) to modeling techniques (conventional and deep learning approaches). We scrutinize the public datasets available and provide solutions for one of the significant issues: the lack of datasets in ABD in ADL. This work aims to guide new research to understand the field of ABD in ADL better and serve as a reference for future study of better Ambient Assisted Living with the growing smart home trend

    Analysis and Design of Detection for Liver Cancer using Particle Swarm Optimization and Decision Tree

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    Liver cancer is taken as a major cause of death all over the world. According to WHO (World Health Organization) every year 9.6 million peoples are died due to cancer worldwide. It is one of the eighth most leading causes of death in women and fifth in men as reported by the American Cancer Society. The number of death rate due to cancer is projected to increase by45 percent in between 2008 to 2030. The most common cancers are lung, breast, and liver, colorectal. Approximately 7, 82,000 peoples are died due to liver cancer each year. The most efficient way to decrease the death rate cause of liver cancer is to treat the diseases in the initial stage. Early treatment depends upon the early diagnosis, which depends on reliable diagnosis methods. CT imaging is one of the most common and important technique and it acts as an imaging tool for evaluating the patients with intuition of liver cancer. The diagnosis of liver cancer has historically been made manually by a skilled radiologist, who relied on their expertise and personal judgement to reach a conclusion. The main objective of this paper is to develop the automatic methods based on machine learning approach for accurate detection of liver cancer in order to help radiologists in the clinical practice. The paper primary contribution to the process of liver cancer lesion classification and automatic detection for clinical diagnosis. For the purpose of detecting liver cancer lesions, the best approaches based on PSO and DPSO have been given. With the help of the C4.5 decision tree classifier, wavelet-based statistical and morphological features were retrieved and categorised

    Comparison of Some Prediction Models and their Relevance in the Clinical Research

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    In healthcare research, predictive modeling is commonly utilized to forecast risk variables and enhance treatment procedures for improved patient outcomes. Enormous quantities of data are being created as a result of recent advances in research, clinical trials, next-generation genomic sequencing, biomarkers, and transcriptional and translational studies. Understanding how to handle and comprehend scientific data to offer better treatment for patients is critical. Currently, multiple prediction models are being utilized to investigate patient outcomes. However, it is critical to recognize the limitations of these models in the research design and their unique benefits and drawbacks. In this overview, we will look at linear regression, logistic regression, decision trees, and artificial neural network prediction models, as well as their advantages and disadvantages. The two most perilous requirements for building any predictive healthcare model are feature selection and model validation. Typically, feature selection is done by a review of the literature and expert opinion on that subject. Model validation is also an essential component of every prediction model. It characteristically relates to the predictive model's performance and accuracy. It is strongly recommended that all clinical parameters should be thoroughly examined before using any prediction model

    PIKS: A Technique to Identify Actionable Trends for Policy-Makers Through Open Healthcare Data

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    With calls for increasing transparency, governments are releasing greater amounts of data in multiple domains including finance, education and healthcare. The efficient exploratory analysis of healthcare data constitutes a significant challenge. Key concerns in public health include the quick identification and analysis of trends, and the detection of outliers. This allows policies to be rapidly adapted to changing circumstances. We present an efficient outlier detection technique, termed PIKS (Pruned iterative-k means searchlight), which combines an iterative k-means algorithm with a pruned searchlight based scan. We apply this technique to identify outliers in two publicly available healthcare datasets from the New York Statewide Planning and Research Cooperative System, and California's Office of Statewide Health Planning and Development. We provide a comparison of our technique with three other existing outlier detection techniques, consisting of auto-encoders, isolation forests and feature bagging. We identified outliers in conditions including suicide rates, immunity disorders, social admissions, cardiomyopathies, and pregnancy in the third trimester. We demonstrate that the PIKS technique produces results consistent with other techniques such as the auto-encoder. However, the auto-encoder needs to be trained, which requires several parameters to be tuned. In comparison, the PIKS technique has far fewer parameters to tune. This makes it advantageous for fast, "out-of-the-box" data exploration. The PIKS technique is scalable and can readily ingest new datasets. Hence, it can provide valuable, up-to-date insights to citizens, patients and policy-makers. We have made our code open source, and with the availability of open data, other researchers can easily reproduce and extend our work. This will help promote a deeper understanding of healthcare policies and public health issues
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