The Extent and Coverage of Current Knowledge of Connected Health: Systematic Mapping Study

Background: This paper examines the development of the Connected Health research landscape with a view on providing a historical perspective on existing Connected Health research. Connected Health has become a rapidly growing research field as our healthcare system is facing pressured to become more proactive and patient centred. Objective: We aimed to identify the extent and coverage of the current body of knowledge in Connected Health. With this, we want to identify which topics have drawn the attention of Connected health researchers, and if there are gaps or interdisciplinary opportunities for further research. Methods: We used a systematic mapping study that combines scientific contributions from research on medicine, business, computer science and engineering. We analyse the papers with seven classification criteria, publication source, publication year, research types, empirical types, contribution types research topic and the condition studied in the paper. Results: Altogether, our search resulted in 208 papers which were analysed by a multidisciplinary group of researchers. Our results indicate a slow start for Connected Health research but a more recent steady upswing since 2013. The majority of papers proposed healthcare solutions (37%) or evaluated Connected Health approaches (23%). Case studies (28%) and experiments (26%) were the most popular forms of scientific validation employed. Diabetes, cancer, multiple sclerosis, and heart conditions are among the most prevalent conditions studied. Conclusions: We conclude that Connected Health research seems to be an established field of research, which has been growing strongly during the last five years. There seems to be more focus on technology driven research with a strong contribution from medicine, but business aspects of Connected health are not as much studied

Internet of Things for Mental Health: Open Issues in Data Acquisition, Self-Organization, Service Level Agreement, and Identity Management

The increase of mental illness cases around the world can be described as an urgent and serious global health threat. Around 500 million people suffer from mental disorders, among which depression, schizophrenia, and dementia are the most prevalent. Revolutionary technological paradigms such as the Internet of Things (IoT) provide us with new capabilities to detect, assess, and care for patients early. This paper comprehensively survey works done at the intersection between IoT and mental health disorders. We evaluate multiple computational platforms, methods and devices, as well as study results and potential open issues for the effective use of IoT systems in mental health. We particularly elaborate on relevant open challenges in the use of existing IoT solutions for mental health care, which can be relevant given the potential impairments in some mental health patients such as data acquisition issues, lack of self-organization of devices and service level agreement, and security, privacy and consent issues, among others. We aim at opening the conversation for future research in this rather emerging area by outlining possible new paths based on the results and conclusions of this work.Consejo Nacional de Ciencia y Tecnologia (CONACyT)Sonora Institute of Technology (ITSON) via the PROFAPI program PROFAPI_2020_0055Spanish Ministry of Science, Innovation and Universities (MICINN) project "Advanced Computing Architectures and Machine Learning-Based Solutions for Complex Problems in Bioinformatics, Biotechnology and Biomedicine" RTI2018-101674-B-I0

Evaluation of IBM Watson Natural Language Processing Service to predict influenza-like illness outbreaks from Twitter data

In this work we evaluate whether Watson NLP service can be used to reliably predict infectious disease such as influenza-like illness (ILI) outbreaks using Twitter data. Watson’s performance is evaluated by computing Pearson correlation coefficient between the number of tweets classified by Watson as ILI and the number of ILI occurrences recovered from traditional epidemic surveillance system of the Centers for Disease Control and Prevention (CDC). Achieved correlation was 0.55. Furthermore, a 12-week discrepancy was found between peak occurrences of ILI predicted by Watson and CDC reported data. Additionally, we developed a scoring method for ILI prediction from a Twitter post using a simple formula with the ability to predict ILI two weeks ahead of ILI data as reported by CDC. The obtained results suggest that data found within social media can be used to supplement the traditional surveillance in epidemics of infectious diseases such as influenza or more recently COVID-19 with the help of intelligent computation

Understanding and preventing the advertisement and sale of illicit drugs to young people through social media: A multidisciplinary scoping review

ISSUES: The sale of illicit drugs online has expanded to mainstream social media apps. These platforms provide access to a wide audience, especially children and adolescents. Research is in its infancy and scattered due to the multidisciplinary aspects of the phenomena. APPROACH: We present a multidisciplinary systematic scoping review on the advertisement and sale of illicit drugs to young people. Peer-reviewed studies written in English, Spanish and French were searched for the period 2015 to 2022. We extracted data on users, drugs studied, rate of posts, terminology used and study methodology. KEY FINDINGS: A total of 56 peer-reviewed papers were included. The analysis of these highlights the variety of drugs advertised and platforms used to do so. Various methodological designs were considered. Approaches to detecting illicit content were the focus of many studies as algorithms move from detecting drug-related keywords to drug selling behaviour. We found that on average, for the studies reviewed, 13 in 100 social media posts advertise illicit drugs. However, popular platforms used by adolescents are rarely studied. IMPLICATIONS: Promotional content is increasing in sophistication to appeal to young people, shifting towards healthy, glamourous and seemingly legal depictions of drugs. Greater inter-disciplinary collaboration between computational and qualitative approaches are needed to comprehensively study the sale and advertisement of illegal drugs on social media across different platforms. This requires coordinated action from researchers, policy makers and service providers

Development and Validation of an Arterial Pressure-Based Cardiac Output Algorithm Using a Convolutional Neural Network: Retrospective Study Based on Prospective Registry Data

Background: Arterial pressure-based cardiac output (APCO) is a less invasive method for estimating cardiac output without concerns about complications from the pulmonary artery catheter (PAC). However, inaccuracies of currently available APCO devices have been reported. Improvements to the algorithm by researchers are impossible, as only a subset of the algorithm has been released. Objective: In this study, an open-source algorithm was developed and validated using a convolutional neural network and a transfer learning technique. Methods: A retrospective study was performed using data from a prospective cohort registry of intraoperative bio-signal data from a university hospital. The convolutional neural network model was trained using the arterial pressure waveform as input and the stroke volume (SV) value as the output. The model parameters were pretrained using the SV values from a commercial APCO device (Vigileo or EV1000 with the FloTrac algorithm) and adjusted with a transfer learning technique using SV values from the PAC. The performance of the model was evaluated using absolute error for the PAC on the testing dataset from separate periods. Finally, we compared the performance of the deep learning model and the FloTrac with the SV values from the PAC. Results: A total of 2057 surgical cases (1958 training and 99 testing cases) were used in the registry. In the deep learning model, the absolute errors of SV were 14.5 (SD 13.4) mL (10.2 [SD 8.4] mL in cardiac surgery and 17.4 [SD 15.3] mL in liver transplantation). Compared with FloTrac, the absolute errors of the deep learning model were significantly smaller (16.5 [SD 15.4] and 18.3 [SD 15.1], P<.001). Conclusions: The deep learning-based APCO algorithm showed better performance than the commercial APCO device. Further improvement of the algorithm developed in this study may be helpful for estimating cardiac output accurately in clinical practice and optimizing high-risk patient care. © Hyun-Lim Yang, Chul-Woo Jung, Seong Mi Yang, Min-Soo Kim, Sungho Shim, Kook Hyun Lee, Hyung-Chul Lee. Originally published in JMIR Medical Informatics (https://medinform.jmir.org), 16.08.2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Medical Informatics, is properly cited. The complete bibliographic information, a link to the original publication on https://medinform.jmir.org/, as well as this copyright and license information must be included.1

EOG-Based Human–Computer Interface: 2000–2020 Review

Electro-oculography (EOG)-based brain-computer interface (BCI) is a relevant technology influencing physical medicine, daily life, gaming and even the aeronautics field. EOG-based BCI systems record activity related to users' intention, perception and motor decisions. It converts the bio-physiological signals into commands for external hardware, and it executes the operation expected by the user through the output device. EOG signal is used for identifying and classifying eye movements through active or passive interaction. Both types of interaction have the potential for controlling the output device by performing the user's communication with the environment. In the aeronautical field, investigations of EOG-BCI systems are being explored as a relevant tool to replace the manual command and as a communicative tool dedicated to accelerating the user's intention. This paper reviews the last two decades of EOG-based BCI studies and provides a structured design space with a large set of representative papers. Our purpose is to introduce the existing BCI systems based on EOG signals and to inspire the design of new ones. First, we highlight the basic components of EOG-based BCI studies, including EOG signal acquisition, EOG device particularity, extracted features, translation algorithms, and interaction commands. Second, we provide an overview of EOG-based BCI applications in the real and virtual environment along with the aeronautical application. We conclude with a discussion of the actual limits of EOG devices regarding existing systems. Finally, we provide suggestions to gain insight for future design inquiries

Evaluating Saliency Map Explanations for Convolutional Neural Networks: A User Study

Convolutional neural networks (CNNs) offer great machine learning performance over a range of applications, but their operation is hard to interpret, even for experts. Various explanation algorithms have been proposed to address this issue, yet limited research effort has been reported concerning their user evaluation. In this paper, we report on an online between-group user study designed to evaluate the performance of "saliency maps" - a popular explanation algorithm for image classification applications of CNNs. Our results indicate that saliency maps produced by the LRP algorithm helped participants to learn about some specific image features the system is sensitive to. However, the maps seem to provide very limited help for participants to anticipate the network's output for new images. Drawing on our findings, we highlight implications for design and further research on explainable AI. In particular, we argue the HCI and AI communities should look beyond instance-level explanations.Comment: 10 pages, 6 figures, accepted long paper for ACM IUI 202

How Self-tracking and the Quantified Self Promote Health and Well-being: Systematic Review

Self-tracking technologies are widely used in people’s daily lives and health care. Academic research on self-tracking and the quantified self has also accumulated rapidly in recent years. Surprisingly, there is a paucity of research that reviews, classifies, and synthesizes the state of the art with respect to self-tracking and the quantified self.publishedVersio

Analyzing Tweets For Predicting Mental Health States Using Data Mining And Machine Learning Algorithms

Tweets are usually the outcome of peoples’ feelings on various topics. Twitter allows users to post casual and emotional thoughts to share in real-time. Around 20% of U.S. adults use Twitter. Using the word-frequency and singular value decomposition methods, we identified the behavior of individuals through their tweets. We graded depressive and anti-depressive keywords using the tweet time-series, time-window, and time-stamp methods. We have collected around four million tweets since 2018. A parameter (Depressive Index) is computed using the F1 score and Mathews correlation coefficient (MCC) to indicate the depressive level. A framework showing the Depressive Index and the Happiness Index is prepared with the time, location, and keywords and delivers F1 Score, MCC, and CI values. COVID-19 changed the routines of most peoples\u27 lives and affected mental health. We studied the tweets and compared them with the COVID-19 growth. The Happiness Index from our work and World Happiness Report for Georgia, New York, and Sri Lanka is compared. An interactive framework is prepared to analyze the tweets, depict the happiness index, and compare it. Bad words in tweets are analyzed, and a map showing the Happiness Index is computed for all the US states and was compared with WalletHub data. We add tweets continuously and a framework delivering an atlas of maps based on the Happiness Index and make these maps available for further study. We forecasted tweets with real-time data. Our results of tweets and COVID-19 reports (WHO) are in a similar pattern. A new moving average method was presented; this unique process gave perfect results at peaks of the function and improved the error percentage. An interactive GUI portal computes the Happiness Index, depression index, feel-good- factors, prediction of the keywords, and prepares a Happiness Index map. We plan to create a public web portal to facilitate users to get these results. Upon completing the proposed GUI application, the users can get the Happiness Index, Depression Index values, Happiness map, and prediction of keywords of the desired dates and geographical locations instantaneously