68 research outputs found

    Behavior Recognition In Video Surveillance System For Indoor Public Areas Using Artificial Immune System

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    Behavior recognition and predicting the activities of people in public areas are still a major concern in image processing and artificial intelligence science. Artificial intelligence systems are widely used to extract and analyze the complicated human actions through logical and mathematical rules. This study has explored an intelligent video surveillance system, presented by real time moving detection, object classification and interpreting the activity of the people by employing image segmentation and new approach in artificial intelligence called artificial immune system. The new system was compared with the previous methods in two level processing such as preprocessing for pixel manipulation and high level processing for behavior description. It was discovered that the new system required less processing time to apply filters in pixel level and higher data accuracy with less time complexity to generate training data and monitoring phase. This study further improved the performance of object tracking. The improvement was achieved by simplifying the previous algorithm without applying mathematical or probabilistically formulas and selects the effective filters to create a clearer foreground pixel map. Also, the robust algorithm with hands of artificial immune system rules like binary hamming shape-space and advance detector structure with fast decision making to detect three abnormal behaviors such as entering the forbidden area, standing more than threshold and running was implemented The result obtained showed the improvement in the duration for each phase when compared with previous methods in image segmentation like mixture of Gaussian and behavior recognition like and/Or tree or neural networks

    Spontaneous Breathing in Early Acute Respiratory Distress Syndrome: Insights From the Large Observational Study to UNderstand the Global Impact of Severe Acute Respiratory FailurE Study

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    OBJECTIVES: To describe the characteristics and outcomes of patients with acute respiratory distress syndrome with or without spontaneous breathing and to investigate whether the effects of spontaneous breathing on outcome depend on acute respiratory distress syndrome severity. DESIGN: Planned secondary analysis of a prospective, observational, multicentre cohort study. SETTING: International sample of 459 ICUs from 50 countries. PATIENTS: Patients with acute respiratory distress syndrome and at least 2 days of invasive mechanical ventilation and available data for the mode of mechanical ventilation and respiratory rate for the 2 first days. INTERVENTIONS: Analysis of patients with and without spontaneous breathing, defined by the mode of mechanical ventilation and by actual respiratory rate compared with set respiratory rate during the first 48 hours of mechanical ventilation. MEASUREMENTS AND MAIN RESULTS: Spontaneous breathing was present in 67% of patients with mild acute respiratory distress syndrome, 58% of patients with moderate acute respiratory distress syndrome, and 46% of patients with severe acute respiratory distress syndrome. Patients with spontaneous breathing were older and had lower acute respiratory distress syndrome severity, Sequential Organ Failure Assessment scores, ICU and hospital mortality, and were less likely to be diagnosed with acute respiratory distress syndrome by clinicians. In adjusted analysis, spontaneous breathing during the first 2 days was not associated with an effect on ICU or hospital mortality (33% vs 37%; odds ratio, 1.18 [0.92-1.51]; p = 0.19 and 37% vs 41%; odds ratio, 1.18 [0.93-1.50]; p = 0.196, respectively ). Spontaneous breathing was associated with increased ventilator-free days (13 [0-22] vs 8 [0-20]; p = 0.014) and shorter duration of ICU stay (11 [6-20] vs 12 [7-22]; p = 0.04). CONCLUSIONS: Spontaneous breathing is common in patients with acute respiratory distress syndrome during the first 48 hours of mechanical ventilation. Spontaneous breathing is not associated with worse outcomes and may hasten liberation from the ventilator and from ICU. Although these results support the use of spontaneous breathing in patients with acute respiratory distress syndrome independent of acute respiratory distress syndrome severity, the use of controlled ventilation indicates a bias toward use in patients with higher disease severity. In addition, because the lack of reliable data on inspiratory effort in our study, prospective studies incorporating the magnitude of inspiratory effort and adjusting for all potential severity confounders are required

    Identifying associations between diabetes and acute respiratory distress syndrome in patients with acute hypoxemic respiratory failure: an analysis of the LUNG SAFE database

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    Background: Diabetes mellitus is a common co-existing disease in the critically ill. Diabetes mellitus may reduce the risk of acute respiratory distress syndrome (ARDS), but data from previous studies are conflicting. The objective of this study was to evaluate associations between pre-existing diabetes mellitus and ARDS in critically ill patients with acute hypoxemic respiratory failure (AHRF). Methods: An ancillary analysis of a global, multi-centre prospective observational study (LUNG SAFE) was undertaken. LUNG SAFE evaluated all patients admitted to an intensive care unit (ICU) over a 4-week period, that required mechanical ventilation and met AHRF criteria. Patients who had their AHRF fully explained by cardiac failure were excluded. Important clinical characteristics were included in a stepwise selection approach (forward and backward selection combined with a significance level of 0.05) to identify a set of independent variables associated with having ARDS at any time, developing ARDS (defined as ARDS occurring after day 2 from meeting AHRF criteria) and with hospital mortality. Furthermore, propensity score analysis was undertaken to account for the differences in baseline characteristics between patients with and without diabetes mellitus, and the association between diabetes mellitus and outcomes of interest was assessed on matched samples. Results: Of the 4107 patients with AHRF included in this study, 3022 (73.6%) patients fulfilled ARDS criteria at admission or developed ARDS during their ICU stay. Diabetes mellitus was a pre-existing co-morbidity in 913 patients (22.2% of patients with AHRF). In multivariable analysis, there was no association between diabetes mellitus and having ARDS (OR 0.93 (0.78-1.11); p = 0.39), developing ARDS late (OR 0.79 (0.54-1.15); p = 0.22), or hospital mortality in patients with ARDS (1.15 (0.93-1.42); p = 0.19). In a matched sample of patients, there was no association between diabetes mellitus and outcomes of interest. Conclusions: In a large, global observational study of patients with AHRF, no association was found between diabetes mellitus and having ARDS, developing ARDS, or outcomes from ARDS. Trial registration: NCT02010073. Registered on 12 December 2013

    Epidemiology and patterns of tracheostomy practice in patients with acute respiratory distress syndrome in ICUs across 50 countries

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    Background: To better understand the epidemiology and patterns of tracheostomy practice for patients with acute respiratory distress syndrome (ARDS), we investigated the current usage of tracheostomy in patients with ARDS recruited into the Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG-SAFE) study. Methods: This is a secondary analysis of LUNG-SAFE, an international, multicenter, prospective cohort study of patients receiving invasive or noninvasive ventilation in 50 countries spanning 5 continents. The study was carried out over 4 weeks consecutively in the winter of 2014, and 459 ICUs participated. We evaluated the clinical characteristics, management and outcomes of patients that received tracheostomy, in the cohort of patients that developed ARDS on day 1-2 of acute hypoxemic respiratory failure, and in a subsequent propensity-matched cohort. Results: Of the 2377 patients with ARDS that fulfilled the inclusion criteria, 309 (13.0%) underwent tracheostomy during their ICU stay. Patients from high-income European countries (n = 198/1263) more frequently underwent tracheostomy compared to patients from non-European high-income countries (n = 63/649) or patients from middle-income countries (n = 48/465). Only 86/309 (27.8%) underwent tracheostomy on or before day 7, while the median timing of tracheostomy was 14 (Q1-Q3, 7-21) days after onset of ARDS. In the subsample matched by propensity score, ICU and hospital stay were longer in patients with tracheostomy. While patients with tracheostomy had the highest survival probability, there was no difference in 60-day or 90-day mortality in either the patient subgroup that survived for at least 5 days in ICU, or in the propensity-matched subsample. Conclusions: Most patients that receive tracheostomy do so after the first week of critical illness. Tracheostomy may prolong patient survival but does not reduce 60-day or 90-day mortality. Trial registration: ClinicalTrials.gov, NCT02010073. Registered on 12 December 2013

    Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

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    Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

    Geoeconomic variations in epidemiology, ventilation management, and outcomes in invasively ventilated intensive care unit patients without acute respiratory distress syndrome: a pooled analysis of four observational studies

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    Background: Geoeconomic variations in epidemiology, the practice of ventilation, and outcome in invasively ventilated intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) remain unexplored. In this analysis we aim to address these gaps using individual patient data of four large observational studies. Methods: In this pooled analysis we harmonised individual patient data from the ERICC, LUNG SAFE, PRoVENT, and PRoVENT-iMiC prospective observational studies, which were conducted from June, 2011, to December, 2018, in 534 ICUs in 54 countries. We used the 2016 World Bank classification to define two geoeconomic regions: middle-income countries (MICs) and high-income countries (HICs). ARDS was defined according to the Berlin criteria. Descriptive statistics were used to compare patients in MICs versus HICs. The primary outcome was the use of low tidal volume ventilation (LTVV) for the first 3 days of mechanical ventilation. Secondary outcomes were key ventilation parameters (tidal volume size, positive end-expiratory pressure, fraction of inspired oxygen, peak pressure, plateau pressure, driving pressure, and respiratory rate), patient characteristics, the risk for and actual development of acute respiratory distress syndrome after the first day of ventilation, duration of ventilation, ICU length of stay, and ICU mortality. Findings: Of the 7608 patients included in the original studies, this analysis included 3852 patients without ARDS, of whom 2345 were from MICs and 1507 were from HICs. Patients in MICs were younger, shorter and with a slightly lower body-mass index, more often had diabetes and active cancer, but less often chronic obstructive pulmonary disease and heart failure than patients from HICs. Sequential organ failure assessment scores were similar in MICs and HICs. Use of LTVV in MICs and HICs was comparable (42\ub74% vs 44\ub72%; absolute difference \u20131\ub769 [\u20139\ub758 to 6\ub711] p=0\ub767; data available in 3174 [82%] of 3852 patients). The median applied positive end expiratory pressure was lower in MICs than in HICs (5 [IQR 5\u20138] vs 6 [5\u20138] cm H2O; p=0\ub70011). ICU mortality was higher in MICs than in HICs (30\ub75% vs 19\ub79%; p=0\ub70004; adjusted effect 16\ub741% [95% CI 9\ub752\u201323\ub752]; p&lt;0\ub70001) and was inversely associated with gross domestic product (adjusted odds ratio for a US$10 000 increase per capita 0\ub780 [95% CI 0\ub775\u20130\ub786]; p&lt;0\ub70001). Interpretation: Despite similar disease severity and ventilation management, ICU mortality in patients without ARDS is higher in MICs than in HICs, with a strong association with country-level economic status. Funding: No funding

    Controlling the effect of crowd noisy annotations in NLP Tasks

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    Natural Language Processing (NLP) is a sub-field of Artificial Intelligence and Linguistics, with the aim of studying problems in the automatic generation and understanding of natural language. It involves identifying and exploiting linguistic rules and variation with code to translate unstructured language data into information with a schema. Empirical methods in NLP employ machine learning techniques to automatically extract linguistic knowledge from big textual data instead of hard-coding the necessary knowledge. Such intelligent machines require input data to be prepared in such a way that the computer can more easily find patterns and inferences. This is feasible by adding relevant metadata to a dataset. Any metadata tag used to mark up elements of the dataset is called an annotation over the input. In order for the algorithms to learn efficiently and effectively, the annotation done on the data must be accurate, and relevant to the task the machine is being asked to perform. In other words, the supervised machine learning methods intrinsically can not handle the inaccurate and noisy annotations and the performance of the learners have a high correlation with the quality of the input data labels. Hence, the annotations have to be prepared by experts. However, collecting labels for large dataset is impractical to perform by a small group of qualified experts or when the experts are unavailable. This is special crucial for the recent deep learning methods which the algorithms are starving for big supervised data. Crowdsourcing has emerged as a new paradigm for obtaining labels for training machine learning models inexpensively and for high level of data volume. The rationale behind this concept is to harness the “wisdom of the crowd” where groups of people pool their abilities to show collective intelligence. Although crowdsourcing is cheap and fast but collecting high quality data from the non-expert crowd requires careful attention to the task quality control management. The quality control process consists of selection of appropriately qualified workers, providing a clear instruction or training that are understandable to non-experts and performing sanitation on the results to reduce the noise in annotations or eliminate low quality workers. This thesis is dedicated to control the effect of crowd noisy annotations use for training the machine learning models in variety of natural language processing tasks namely: relation extraction, question answering and recognizing textual entailment. The first part of the thesis deals with design a benchmark for evaluation Distant Supervision (DS) for relation extraction task. We propose a baseline which involves training a simple yet accurate one-vs-all strategy using SVM classifier. Moreover, we exploit automatic feature extraction technique using convolutional tree kernels and study several example filtering techniques for improving the quality of the DS output. In the second part, we focused on the problem of the crowd noisy annotations in training two important NLP tasks, i.e., question answering and recognizing textual entailment. We propose two learning methods to handle the noisy labels by (i) taking into account the disagreement between crowd annotators as well as their skills for weighting instances in learning algorithms; and (ii) learning an automatic label selection model based on combining annotators characteristic and the task syntactic structure representation as features in a joint manner. Finally, we observe that in fine-grained tasks like relation extraction where the annotators need to have some deeper expertise, training the crowd workers has more impact on the results than simply filter-out the low quality crowd workers. Training crowd workers often requires high-quality labeled data (namely, gold standard) to provide the instruction and feedback to the crowd workers. We conversely, introduce a self-training strategy for crowd workers where the training examples are automatically selected via a classifier. Our study shows that even without using any gold standard, we still can train workers which open doors toward inexpensive crowd training procedure for different NLP tasks

    Appetitoso: A Search Engine for Restaurant Retrieval based on Dishes

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    Recent years have seen an impressive development and diffusion of web applications to food domains, e.g., Yelp, TripAdvisors. These mainly exploit text for searching and retrieving food facilities, e.g., restaurants, caffe´, pizzerias. The main features of such applications are: the location and quality of the facilities, where quality is extrapolated by the users’ reviews. More recent options also enable search based on restaurant categorization, e.g., Japanese, Italian, Mexican. In this work, we introduce Appetitoso, an innovative approach for finding restaurants based on the dishes a user would like to taste rather than using the name of food facilities or their general categories.Recentemente si è assistito ad un impressionante sviluppo e diffusione di applicazioni web per il dominio del cibo, e.g., Yelp, TripAdvisors. Queste sfruttano principalmente il testo per la ricerca e il recupero di punti di ristoro, e.g., ristoranti, bar, pizzerie. Le caratteristiche principali usate dalle applicazioni sono: la posizione e la qualità delle strutture che servono il cibo, dove la qualità è estrapolata dalle recensioni degli utenti. Opzioni più recenti consentono anche la ricerca in base alla categoria del ristorante, e.g., Giapponese, Italiano, Messicano. Questo articolo introduce Appetitoso, un nuovo modo di trovare punti di ristoro sulla base dei piatti che il cliente vuole gustare invece che sul nome del ristorante o su categories generali
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