Evolved fuzzy reasoning model for hypoglycaemic detection.

Hypoglycaemia is a serious side effect of insulin therapy in patients with diabetes. We measure physiological parameters (heart rate, corrected QT interval of the electrocardiogram (ECG) signal) continuously to provide early detection of hypoglycemic episodes in Type 1 diabetes mellitus (T1DM) patients. Based on the physiological parameters, an evolved fuzzy reasoning model (FRM) to recognize the presence of hypoglycaemic episodes is developed. To optimize the fuzzy rules and the fuzzy membership functions of FRM, an evolutionary algorithm called hybrid particle swarm optimization with wavelet mutation operation is investigated. All data sets are collected from Department of Health, Government of Western Australia for a clinical study. The results show that the proposed algorithm performs well in terms of the clinical sensitivity and specificity

Precision medicine and artificial intelligence : a pilot study on deep learning for hypoglycemic events detection based on ECG

Tracking the fluctuations in blood glucose levels is important for healthy subjects and crucial diabetic patients. Tight glucose monitoring reduces the risk of hypoglycemia, which can result in a series of complications, especially in diabetic patients, such as confusion, irritability, seizure and can even be fatal in specific conditions. Hypoglycemia affects the electrophysiology of the heart. However, due to strong inter-subject heterogeneity, previous studies based on a cohort of subjects failed to deploy electrocardiogram (ECG)-based hypoglycemic detection systems reliably. The current study used personalised medicine approach and Artificial Intelligence (AI) to automatically detect nocturnal hypoglycemia using a few heartbeats of raw ECG signal recorded with non-invasive, wearable devices, in healthy individuals, monitored 24 hours for 14 consecutive days. Additionally, we present a visualisation method enabling clinicians to visualise which part of the ECG signal (e.g., T-wave, ST-interval) is significantly associated with the hypoglycemic event in each subject, overcoming the intelligibility problem of deep-learning methods. These results advance the feasibility of a real-time, non-invasive hypoglycemia alarming system using short excerpts of ECG signal

Precision medicine and artificial intelligence : a pilot study on deep learning for hypoglycemic events detection based on ECG

Tracking the fluctuations in blood glucose levels is important for healthy subjects and crucial diabetic patients. Tight glucose monitoring reduces the risk of hypoglycemia, which can result in a series of complications, especially in diabetic patients, such as confusion, irritability, seizure and can even be fatal in specific conditions. Hypoglycemia affects the electrophysiology of the heart. However, due to strong inter-subject heterogeneity, previous studies based on a cohort of subjects failed to deploy electrocardiogram (ECG)-based hypoglycemic detection systems reliably. The current study used personalised medicine approach and Artificial Intelligence (AI) to automatically detect nocturnal hypoglycemia using a few heartbeats of raw ECG signal recorded with non-invasive, wearable devices, in healthy individuals, monitored 24 hours for 14 consecutive days. Additionally, we present a visualisation method enabling clinicians to visualise which part of the ECG signal (e.g., T-wave, ST-interval) is significantly associated with the hypoglycemic event in each subject, overcoming the intelligibility problem of deep-learning methods. These results advance the feasibility of a real-time, non-invasive hypoglycemia alarming system using short excerpts of ECG signal

Cardiomyopathy Detection from Electrocardiogram Features

Cardiomyopathy means heart (cardio) muscle (myo) disease (pathy) . Currently, cardiomyopathies are defined as myocardial disorders in which the heart muscle is structurally and/or functionally abnormal in the absence of a coronary artery disease, hypertension, valvular heart disease or congenital heart disease sufficient to cause the observed myocardial abnormalities. This book provides a comprehensive, state-of-the-art review of the current knowledge of cardiomyopathies. Instead of following the classic interdisciplinary division, the entire cardiovascular system is presented as a functional unity, and the contributors explore pathophysiological mechanisms from different perspectives, including genetics, molecular biology, electrophysiology, invasive and non-invasive cardiology, imaging methods and surgery. In order to provide a balanced medical view, this book was edited by a clinical cardiologist

Telemedicine framework using case-based reasoning with evidences

Telemedicine is the medical practice of information exchanged from one location to another through electronic communications to improve the delivery of health care services. This research article describes a telemedicine framework with knowledge engineering using taxonomic reasoning of ontology modeling and semantic similarity. In addition to being a precious support in the procedure of medical decision-making, this framework can be used to strengthen significant collaborations and traceability that are important for the development of official deployment of telemedicine applications. Adequate mechanisms for information management with traceability of the reasoning process are also essential in the fields of epidemiology and public health. In this paper we enrich the case-based reasoning process by taking into account former evidence-based knowledge. We use the regular four steps approach and implement an additional (iii) step: (i) establish diagnosis, (ii) retrieve treatment, (iii) apply evidence, (iv) adaptation, (v) retain. Each step is performed using tools from knowledge engineering and information processing (natural language processing, ontology, indexation, algorithm, etc.). The case representation is done by the taxonomy component of a medical ontology model. The proposed approach is illustrated with an example from the oncology domain. Medical ontology allows a good and efficient modeling of the patient and his treatment. We are pointing up the role of evidences and specialist's opinions in effectiveness and safety of care

Explainer: An interactive Agent for Explaining the Diagnosis of Cardiac Arrhythmia Generated by IK-DCBRC

Interactions between medical applications and users involve a high level of trust, since many complex, automated applications are integrated and involve critical domains in which public health is paramount. Although uncertainty decreases the accuracy and trust of such medical applications under these circumstances, explanation-aware computing becomes crucial in improving the efficiency of these applications. This paper describes an intelligent agent that interacts with users to provide meaningful explanations of previous diagnoses supported by IK-DCBRC. The agent ensures intelligent interactions with users via a rule-based system that generates appropriate explanations according to the selected level of abstraction and the detected cardiac arrhythmia. The paper also describes a particular medical application, that is, cardiac arrhythmia with automatic diagnoses supported by the case-based reasoning classifier, IK-DCBRC

HEMA: A Proposed Robot for Improving Healthcare Access in Underserved Communities

Abstract- Healthcare access is a major challenge in underserved communities, where people often face barriers such as distance, cost, and lack of transportation. HEMA (Horus Expert Medical Assistant Robot) is a new technology with the potential to revolutionize healthcare access in underserved communities by providing basic healthcare services on-site. HEMA is a mobile, affordable, and easy-to-use robot that can collect patient data, diagnose common diseases, and provide basic treatment.HEMA can address the challenges of healthcare access in underserved communities in a number of ways. First, HEMA can provide healthcare services to people who live in remote areas and who may not have access to a traditional healthcare facility. Second, HEMA can provide affordable healthcare services to people who may not be able to afford to pay for healthcare out-of-pocket or who may not have health insurance. Third, HEMA can provide healthcare services to people who may have difficulty traveling to a traditional healthcare facility due to a disability or lack of transportation.HEMA has the potential to make a significant impact on the future of healthcare delivery in underserved communities. By providing basic healthcare services on-site, HEMA can help to improve access to care, reduce disparities in health outcomes, and improve the overall health and well-being of people in underserved communitie

HEMA: A Proposed Robot for Improving Healthcare Access in Underserved Communities

Abstract- Healthcare access is a major challenge in underserved communities, where people often face barriers such as distance, cost, and lack of transportation. HEMA (Horus Expert Medical Assistant Robot) is a new technology with the potential to revolutionize healthcare access in underserved communities by providing basic healthcare services on-site. HEMA is a mobile, affordable, and easy-to-use robot that can collect patient data, diagnose common diseases, and provide basic treatment.HEMA can address the challenges of healthcare access in underserved communities in a number of ways. First, HEMA can provide healthcare services to people who live in remote areas and who may not have access to a traditional healthcare facility. Second, HEMA can provide affordable healthcare services to people who may not be able to afford to pay for healthcare out-of-pocket or who may not have health insurance. Third, HEMA can provide healthcare services to people who may have difficulty traveling to a traditional healthcare facility due to a disability or lack of transportation.HEMA has the potential to make a significant impact on the future of healthcare delivery in underserved communities. By providing basic healthcare services on-site, HEMA can help to improve access to care, reduce disparities in health outcomes, and improve the overall health and well-being of people in underserved communitie

Toward developing a tele-diagnosis system on fish disease

Fish disease diagnosis is a complicated process and requires high level of expertise, an expert system for fish disease diagnosis is considered as an effective tool to help fish farmers. However, many farmers have no computers and are not able to access the Internet. Telephone and mobile uses increase rapidly, so, the provision of call centre service appears as a sound alternative support channel for farmer to acquire counseling and support. This paper presents a research attempt to develop and evaluate a call center oriented Hybrid disease diagnosis & consulting system (H-Vet) in aquaculture in China. This paper looks at why H-Vet is needed and what are the advantages and difficulties in the developing and using such a system. A machine learning approach is adopted, which helps to acquire knowledge when enhancing expert systems with the user information collected through call center. This paper also proposes a fuzzy Group Support Systems (GSS) framework for acquiring knowledge from individual expert and aggregating knowledge into workgroup knowledge by H-Vet in the situation of difficult disease diagnosis. The system’s architecture and components are describedIFIP International Conference on Artificial Intelligence in Theory and Practice - Expert SystemsRed de Universidades con Carreras en Informática (RedUNCI