Effective Patient Similarity Computation for Clinical Decision Support Using Time Series and Static Data

© 2020 ACM. This paper presents a technique for computing patient similarity using time series data effectively combined with static data. Time series data of inpatients, such as heart rate, blood pressure, Oxygen saturation, respiration are measured at regular intervals, especially for inpatients in intensive care unit (ICU). The static data are mainly patient background and demographic data, including age, weight, height and gender. The similarity computation is done in unsupervised way. It is therefore free from data labeling requirement. However, such patient similarity can be very useful in developing various clinical decision support systems including treatment, medication, hospital admission and diagnosis. Our proposed technique works in three main steps. First, patient similarity is computed for each individual time series. Second, patients are grouped by clustering the static data. Finally, similarities from individual time series are combined and effectively blended with the patient group information to create a nearest neighborhood model. This model consists of a collection of the nearest neighbors for a given patient. We encounter several challenges for this task, including dealing with multi-variate time series data, variable sampling quantities and rates, missing values, and combining time-series with static data. We evaluate the proposed technique on a real patient database on two target features, namely, \u27diagnosis\u27 and \u27admission type\u27. Notable performance is recorded for both targets, achieving f1-score as high as 0.8. We believe this technique can effectively combine different types of clinical data and develop an efficient unsupervised framework for computing patient similarity to be utilized for clinical decision support systems

How experiences and attitudes relating to female circumcision vary according to age on arrival in Britain: a study among young Somalis in London.

OBJECTIVE: To examine the association between age on arrival in Britain and experiences and attitudes relating to female circumcision among young, single Somalis living in London. DESIGN: The study population consisted of single male and female Somalis aged 16-22 years living in the Greater London area. Quantitative data were collected using a cross-sectional survey based on snowball sampling aiming to obtain data on 100 males and 100 females. Qualitative data were collected from 10 males and 10 infibulated females. RESULTS: Quantitative data were obtained for 94 females and 80 males. Living in Britain from a younger age was associated with increased assimilation in terms of language, dress and socialising. Seventy per cent of the females reported being circumcised with two-thirds of operations being infibulation. Those who were living in Britain before the usual age range for circumcision (before age six) were less likely to be circumcised (42%) than those who arrived after the usual age range for circumcision (11 or older) (91%). During in-depth interviews, health and sexual problems due to female circumcision were described with great emotion and interviewees acknowledged the association between the importance of virginity for marriage and circumcision. Half of males who arrived aged 11 or older wanted a circumcised wife compared with less than a quarter of those who arrived at a younger age. Eighteen per cent of female respondents and 43% of males intended to circumcise any daughters. Females were less likely than males to agree with the assumptions about sexuality and religion that underpin the practice. Substantial proportions of respondents perceived that their parents' expectations in terms of marriage and circumcision were more traditional than their own. CONCLUSION: Living in Britain from a younger age appears to be associated with abandonment of female circumcision and with changes in the underlying beliefs on sexuality, marriage and religion that underpin it. Groups identified with more traditional views towards female circumcision include males, older generations, new arrivals and those who show few signs of social assimilation

Quadrotor object tracking using real-time motion sensing

International audienc

An Advanced Deep Learning Approach for Multi-Object Counting in Urban Vehicular Environments

Object counting is an active research area that gained more attention in the past few years. In smart cities, vehicle counting plays a crucial role in urban planning and management of the Intelligent Transportation Systems (ITS). Several approaches have been proposed in the literature to address this problem. However, the resulting detection accuracy is still not adequate. This paper proposes an efficient approach that uses deep learning concepts and correlation filters for multi-object counting and tracking. The performance of the proposed system is evaluated using a dataset consisting of 16 videos with different features to examine the impact of object density, image quality, angle of view, and speed of motion towards system accuracy. Performance evaluation exhibits promising results in normal traffic scenarios and adverse weather conditions. Moreover, the proposed approach outperforms the performance of two recent approaches from the literature

West African donkey's liveweight estimation using body measurements

Aim: The objective of this study was to determine a formula for estimating the liveweight in West African donkeys. Materials and Methods: Liveweight and a total of 6 body measurements were carried out on 1352 donkeys from Burkina Faso, Mali, Niger, and Senegal. The correlations between liveweight and body measurements were determined, and the most correlated body measurements with liveweight were used to establish regression lines. Results: The average weight of a West African donkey was 126.0±17.1 kg, with an average height at the withers of 99.5±3.67 cm; its body length was 104.4±6.53 cm, and a heart girth (HG) of 104.4±6.53 cm. After analyzing the various regression lines and correlations, it was found that the HG could better estimate the liveweight of West African donkeys by simple linear regression method. Indeed, the liveweight (LW) showed a better correlation with the HG (R2=0.81). The following formulas (Equations 1 and 2) could be used to estimate the LW of West Africa donkeys. Equation 1: Estimated LW (kg) = 2.55 x HG (cm) - 153.49; Equation 2: Estimated LW (kg) = Heart girth (cm)2.68 / 2312.44. Conclusion: The above formulas could be used to manufacture weighing tape to be utilized by veterinary clinicians and farmers to estimate donkey's weight in the view of medication and adjustment of load

Geochemical study of the Sakalol-Harralol geothermal field (Republic of Djibouti): Evidences of a low enthalpy aquifer between Manda-Inakir and Asal rift settings

Eighty-six sodium bicarbonate to sodium chloride hot springs and four water wells in the Tadjourah Region of Djibouti were investigated for major, minor (B, Br, F, Sr, Li) chemistry and isotope composition of water and dissolved components (87Sr/86Sr, 11B/10B, 13C/12C and 14C of DIC, 34S/32S and 18O/16O of sulfate). The deep saline Na-Cl reservoir at 143C shows affinity with the shallow geothermal water from the active Asal rift. Asal water is a diluted and recycled seawater component with the major cation composition obliterated by equilibration with Stratoid basalt. Locally, the deep reservoir is differentiated in term of recharge, and re-equilibration with rocks and mixing. In particular, two spring groups reveal contributions from evaporites typical of the passive graben setting of the Afar. A model on 34S/32S and 18O/16O demonstrates the isotope imprint of magmatic SO2 disproportionation on dissolved and solid sulfate, whose values probably persists in a sedimentary environment without trace of seawater. On the other hand a seawater signature, modified by mixing and secondary fractionation effects, is partially maintained according to the boron isotope composition (up to +27.4‰). Temperature estimation in low-enthalpy geothermal reservoirs is notoriously difficult, especially where mixing with fluids of differing genesis and/or conduction cooling take place. From a geothermometric point of view, the multi-method approach followed in this study (up-to-date theoretical and thermodynamic equations, ad-hoc silica geothermometers inferred from local rocks, checking of the results on a 18Oαsulfate-water vs. temperature diagram) provides some insights and perspectives on how to tackle the problem

Geochemical, multi-isotopic studies and geothermal potential evaluation of the complex Djibouti volcanic aquifer (Republic of Djibouti)

The complex Djibouti volcanic aquifer system was studied to improve understanding of the recharge conditions of the Awrlofoul low-enthalpy geothermal system located in the middle of the aquifer. Forty-four thermal and non-thermal groundwater samples were analyzed to determine their major chemical compositions, trace element compositions, and multi-isotopic compositions (δ2H(H2O), δ18O(H2O), δ18O(SO4), δ34S(SO4), δ13C(DIC), 14C, 87Sr/86Sr, δ11B, δ15N(NO3−), and δ18O(NO3−)). Statistical analysis (Hierarchical Cluster Analysis and Principal Component Analysis) of chemical composition identified three main water groups, two affected by salinization (C1 and C2) and one fresh water group useful for drinking (C3). The latter group includes thermal water from the Awrlofoul geothermal field. This separation into three different water groups is also clear on a Langelier-Ludwig plot and is confirmed by analysis of historical chemical data over the last 30 years. The main causes of salinization are contamination of the fresh groundwater either by recent seawater intrusions (C2) or mixing with Ca-Cl fossil saline water (C1). The C1 waters are also highly affected by Mg/Ca-Na clay exchange. As expected, the 11B/10B isotope ratio of the intruded salt water, both recent and fossil, was much higher than that of seawater (δ11B up to +55‰). Unexpectedly, groundwater of meteoric origin (i.e., unaffected by a seawater intrusion), also showed a δ11B higher than that of seawater (46.3‰ < δ11B < 51.3‰). That the unexpectedly high δ11B values are likely due to 10B sequestration resulting from interaction with clay and/or carbonate precipitation is demonstrated by activity diagrams and saturation indices. The C1 water group is also affected by nitrate contamination (56.8 ± 19.2 mg/l). That the nitrate contamination is likely due to manure contamination is indicated by comparing the dual isotopic composition of nitrate to the boron isotope ratios. The isotopic composition of sulfate highlighted the importance of SO2-disproportionation to the local sulfate minerals that interacted with the meteoric recharge, while the strontium isotope ratios showed the importance of the seawater-basalt interaction with the fossil saline water component. The results of the mixing analysis using chemical composition, δ13C(DIC), and 14C data by geochemical software (NetpathXL) confirmed the presence of ternary mixing with at least three sources (seawater, meteoric, and fossil) in the waters with the highest chloride concentrations. The estimation of groundwater age by 14C was complicated by overexploitation (as testified by the lumped parameters approach). However, the fossil saline water component was dated back to the Holocene Humid Period. To estimate the temperature of the Awrlofoul low-enthalpy geothermal system, a multi-method geothermometric approach was applied. Chemical (mainly SiO2) and isotope (sulfate-water oxygen fractionation) geothermometers were employed together with multiple mineral equilibria. These different geothermometric approaches estimated a temperature range of 102 °C–140 °C for the geothermal reservoir, with a mean temperature of about 110 °C. Finally, a conceptual model was proposed for the Awrlofoul low-enthalpy geothermal system on the basis of the geochemical and isotopic data of the thermal and non-thermal groundwaters combined with the geology and hydrogeology of the study area

Origin of nitrate and sulfate sources in volcano-sedimentary aquifers of the East Africa Rift System: An example of the Ali-Sabieh groundwater (Republic of Djibouti)

Within the East African Rift System (EARS), the complex Ali-Sabieh aquifers system, located in the south of the Republic of Djibouti, was overexploited and subjected to anthropogenic and/or geogenic pollution with high concentrations of dissolved nitrate (up to 181&nbsp;mg/l) and sulfates (up to 1540&nbsp;mg/l). This study is the first undertaken on the hydrochemistry of this aquifer system, combining geochemical tools and multi-isotope - δ2H(H2O), δ18O(H2O), δ18O(SO4), δ34S(SO4), δ15N(NO3), δ18O(NO3), δ13C(DIC), and 14C- was used to decipher the origin and fate of different nitrate and sulfate sources to groundwater. The groundwater samples of the region show a chemical evolution from fresh Ca(Na)-bicarbonate to brackish Na-Cl , mainly due to water-rock interaction. The combined chloride and water isotope data show that evaporation and transpiration are present, with the latter occurring primarily in the shallow alluvial aquifer waters. Inspection of δ15N(NO3) vs. δ18O(NO3) and NO3/Cl vs. Cl diagrams show that dissolved nitrates are primarily of anthropogenic origin. In particular, higher nitrate concentrations may be related to animal manure used as organic fertilizers during agricultural activities. Sulfates are from a natural origin related to the interaction of water with gypsum of hydrothermal or sedimentary origin. SO4/Cl ratio and isotopic composition show that dissolved sulfates in saline and ancient groundwater of the Cretaceous sandstone aquifer (between 7.4&nbsp;±&nbsp;2.2 and 5.8&nbsp;±&nbsp;1.4&nbsp;k-years before the present) are generated by interaction with gypsum from oxidation of pre-existing (Jurassic?) sulfides. This work highlight that isotopic ratios of the two molecules -δ18O(SO4), δ34S(SO4), δ15N(NO3), δ18O(NO3)- are not sufficient for tracing the origin of nitrate and sulfates in groundwater, but that a complete hydrogeochemical study is needed. In the absence of this, the relatively high concentration of chloride and sulfates could be wrongly linked to the anthropogenic source of nitrate (manure or sewage)