Artificial Neural Networks in the Outcome Prediction of Adjustable Gastric Banding in Obese Women

Obesity is unanimously regarded as a global epidemic and a major contributing factor to the development of many common illnesses. Laparoscopic Adjustable Gastric Banding (LAGB) is one of the most popular surgical approaches worldwide. Yet, substantial variability in the results and significant rate of failure can be expected, and it is still debated which categories of patients are better suited to this type of bariatric procedure. The aim of this study was to build a statistical model based on both psychological and physical data to predict weight loss in obese patients treated by LAGB, and to provide a valuable instrument for the selection of patients that may benefit from this procedure.The study population consisted of 172 obese women, with a mean ± SD presurgical and postsurgical Body Mass Index (BMI) of 42.5 ± 5.1 and 32.4 ± 4.8 kg/m(2), respectively. Subjects were administered the comprehensive test of psychopathology Minnesota Multiphasic Personality Inventory-2 (MMPI-2). Main goal of the study was to use presurgical data to predict individual therapeutical outcome in terms of Excess Weight Loss (EWL) after 2 years. Multiple linear regression analysis using the MMPI-2 scores, BMI and age was performed to determine the variables that best predicted the EWL. Based on the selected variables including age, and 3 psychometric scales, Artificial Neural Networks (ANNs) were employed to improve the goodness of prediction. Linear and non linear models were compared in their classification and prediction tasks: non linear model resulted to be better at data fitting (36% vs. 10% variance explained, respectively) and provided more reliable parameters for accuracy and mis-classification rates (70% and 30% vs. 66% and 34%, respectively).ANN models can be successfully applied for prediction of weight loss in obese women treated by LAGB. This approach may constitute a valuable tool for selection of the best candidates for surgery, taking advantage of an integrated multidisciplinary approach

Handgrip strength time profile and frailty: an exploratory study

This study aims to explore the use of force vs. time data obtained from an isometric handgrip test to match a frailty state based on the TFI score. BodyGrip, a novel prototype system, is used for handgrip strength over 10 s time interval tests. A cross-sectional study with a non-probabilistic sample of community-dwelling elderly women was conducted. The force/time data collected from the dominant handgrip strength test, together with the Tilburg Frailty Indicator (TFI) test results, were used to train artificial neural networks. Different models were tested, and the frailty matching of TFI scores reached a minimum accuracy of 75%. Despite the small sample size, the BodyGrip system appears to be a promising tool for exploring new frailty-related features. The adopted strategy foresees ultimately configuring the system to be used as an expedite mode for identifying individuals at risk, allowing an easy, quick, and frequent person-centered care approach. Additionally, it is suitable for following up of the elderly in particular, and it may assume a relevant role in the mitigation of the increase in frailty evolution during and after the imposed isolation of the COVID-19 pandemic. Further use of the system will improve the robustness of the artificial neural network algorithm.info:eu-repo/semantics/publishedVersio

座位中の圧力中心変化の動的時系列信号解析を通じたモチーフ認識による腰痛増悪の予測

Tohoku University永富良一課

Development of a real-time classifier for the identification of the Sit-To-Stand motion pattern

The Sit-to-Stand (STS) movement has significant importance in clinical practice, since it is an indicator of lower limb functionality. As an optimal trade-off between costs and accuracy, accelerometers have recently been used to synchronously recognise the STS transition in various Human Activity Recognition-based tasks. However, beyond the mere identification of the entire action, a major challenge remains the recognition of clinically relevant phases inside the STS motion pattern, due to the intrinsic variability of the movement. This work presents the development process of a deep-learning model aimed at recognising specific clinical valid phases in the STS, relying on a pool of 39 young and healthy participants performing the task under self-paced (SP) and controlled speed (CT). The movements were registered using a total of 6 inertial sensors, and the accelerometric data was labelised into four sequential STS phases according to the Ground Reaction Force profiles acquired through a force plate. The optimised architecture combined convolutional and recurrent neural networks into a hybrid approach and was able to correctly identify the four STS phases, both under SP and CT movements, relying on the single sensor placed on the chest. The overall accuracy estimate (median [95% confidence intervals]) for the hybrid architecture was 96.09 [95.37 - 96.56] in SP trials and 95.74 [95.39 \u2013 96.21] in CT trials. Moreover, the prediction delays ( 4533 ms) were compatible with the temporal characteristics of the dataset, sampled at 10 Hz (100 ms). These results support the implementation of the proposed model in the development of digital rehabilitation solutions able to synchronously recognise the STS movement pattern, with the aim of effectively evaluate and correct its execution

Feasibility of using floor vibration to detect human falls

With the increasing aging population in modern society, falls as well as fall-induced injuries in elderly people become one of the major public health problems. This study proposes a classification framework that uses floor vibrations to detect fall events as well as distinguish different fall postures. A scaled 3D-printed model with twelve fully adjustable joints that can simulate human body movement was built to generate human fall data. The mass proportion of a human body takes was carefully studied and was reflected in the model. Object drops, human falling tests were carried out and the vibration signature generated in the floor was recorded for analyses. Machine learning algorithms including K-means algorithm and K nearest neighbor algorithm were introduced in the classification process. Three classifiers (human walking versus human fall, human fall versus object drop, human falls from different postures) were developed in this study. Results showed that the three proposed classifiers can achieve the accuracy of 100, 85, and 91%. This paper developed a framework of using floor vibration to build the pattern recognition system in detecting human falls based on a machine learning approach