Federated Few-shot Learning for Cough Classification with Edge Devices

Automatically classifying cough sounds is one of the most critical tasks for the diagnosis and treatment of respiratory diseases. However, collecting a huge amount of labeled cough dataset is challenging mainly due to high laborious expenses, data scarcity, and privacy concerns. In this work, our aim is to develop a framework that can effectively perform cough classification even in situations when enormous cough data is not available, while also addressing privacy concerns. Specifically, we formulate a new problem to tackle these challenges and adopt few-shot learning and federated learning to design a novel framework, termed F2LCough, for solving the newly formulated problem. We illustrate the superiority of our method compared with other approaches on COVID-19 Thermal Face & Cough dataset, in which F2LCough achieves an average F1-Score of 86%. Our results show the feasibility of few-shot learning combined with federated learning to build a classification model of cough sounds. This new methodology is able to classify cough sounds in data-scarce situations and maintain privacy properties. The outcomes of this work can be a fundamental framework for building support systems for the detection and diagnosis of cough-related diseases.Comment: 21 pages, 5 figure

Current advances in seagrass research: A review from Viet Nam

Seagrass meadows provide valuable ecosystem services but are fragile and threatened ecosystems all over the world. This review highlights the current advances in seagrass research from Viet Nam. One goal is to support decision makers in developing science-based conservation strategies. In recent years, several techniques were applied to estimate the size of seagrass meadows. Independent from the method used, there is an alarming decline in the seagrass area in almost all parts of Viet Nam. Since 1990, a decline of 46.5% or 13,549 ha was found. Only in a few protected and difficult-to-reach areas was an increase observed. Conditions at those sites could be investigated in more detail to make suggestions for conservation and recovery of seagrass meadows. Due to their lifestyle and morphology, seagrasses take up compounds from their environment easily. Phytoremediation processes of Thalassia hemprichii and Enhalus acoroides are described exemplarily. High accumulation of heavy metals dependent on their concentration in the environment in different organs can be observed. On the one hand, seagrasses play a role in phytoremediation processes in polluted areas; on the other hand, they might suffer at high concentrations, and pollution will contribute to their overall decline. Compared with the neighboring countries, the total Corg stock from seagrass beds in Viet Nam was much lower than in the Philippines and Indonesia but higher than that of Malaysia and Myanmar. Due to an exceptionally long latitudinal coastline of 3,260 km covering cool to warm water environments, the seagrass species composition in Viet Nam shows a high diversity and a high plasticity within species boundaries. This leads to challenges in taxonomic issues, especially with the Halophila genus, which can be better deduced from genetic diversity/population structures of members of Hydrocharitaceae. Finally, the current seagrass conservation and management efforts in Viet Nam are presented and discussed. Only decisions based on the interdisciplinary cooperation of scientists from all disciplines mentioned will finally lead to conserve this valuable ecosystem for mankind and biodiversity

Safety and efficacy of fluoxetine on functional outcome after acute stroke (AFFINITY): a randomised, double-blind, placebo-controlled trial

Background Trials of fluoxetine for recovery after stroke report conflicting results. The Assessment oF FluoxetINe In sTroke recoverY (AFFINITY) trial aimed to show if daily oral fluoxetine for 6 months after stroke improves functional outcome in an ethnically diverse population. Methods AFFINITY was a randomised, parallel-group, double-blind, placebo-controlled trial done in 43 hospital stroke units in Australia (n=29), New Zealand (four), and Vietnam (ten). Eligible patients were adults (aged ≥18 years) with a clinical diagnosis of acute stroke in the previous 2–15 days, brain imaging consistent with ischaemic or haemorrhagic stroke, and a persisting neurological deficit that produced a modified Rankin Scale (mRS) score of 1 or more. Patients were randomly assigned 1:1 via a web-based system using a minimisation algorithm to once daily, oral fluoxetine 20 mg capsules or matching placebo for 6 months. Patients, carers, investigators, and outcome assessors were masked to the treatment allocation. The primary outcome was functional status, measured by the mRS, at 6 months. The primary analysis was an ordinal logistic regression of the mRS at 6 months, adjusted for minimisation variables. Primary and safety analyses were done according to the patient's treatment allocation. The trial is registered with the Australian New Zealand Clinical Trials Registry, ACTRN12611000774921. Findings Between Jan 11, 2013, and June 30, 2019, 1280 patients were recruited in Australia (n=532), New Zealand (n=42), and Vietnam (n=706), of whom 642 were randomly assigned to fluoxetine and 638 were randomly assigned to placebo. Mean duration of trial treatment was 167 days (SD 48·1). At 6 months, mRS data were available in 624 (97%) patients in the fluoxetine group and 632 (99%) in the placebo group. The distribution of mRS categories was similar in the fluoxetine and placebo groups (adjusted common odds ratio 0·94, 95% CI 0·76–1·15; p=0·53). Compared with patients in the placebo group, patients in the fluoxetine group had more falls (20 [3%] vs seven [1%]; p=0·018), bone fractures (19 [3%] vs six [1%]; p=0·014), and epileptic seizures (ten [2%] vs two [<1%]; p=0·038) at 6 months. Interpretation Oral fluoxetine 20 mg daily for 6 months after acute stroke did not improve functional outcome and increased the risk of falls, bone fractures, and epileptic seizures. These results do not support the use of fluoxetine to improve functional outcome after stroke

Customer's adoption intention of Hotel X's Mobile Reservation Application

Diffusion process is how an innovation is adopted and communicated within a social society. Hotel Mobile Reservation Application is a necessary step for a brand to establish connection with customers, develop brand attachment and brand identity. Hotel X's newly introduced its own branded mobile application targeted exclusively to their Loyalty Program’s members. As a significant innovation, researchers chose Hotel X as the targeted subject for this re-search. The aim of the research is to study Hotel X’s customers attitude toward adopting mobile app and identify attributes that influent this attitude. Since the loyalty program targets directly to Finnish business travellers, the research is conducted to Finnish customers solely. In order to measure customers’ attitude, the research uses quantitative research and Likert-scale questions regarding 6 characteristics of an innovation and attitude. In addition, there are multiple choice questions to distinguish demographics and specify mobile app usage behaviour. Among 6 characteristics, Compatibility, Perceived Usefulness, Risk, Perceived Ease of Use and Observability are found to have significant relationship with customers’ attitude toward using mobile app. Meanwhile Image is the only attribute with no significant relationship. The research also analyses customer’s decision based on 3 categories: adopter, postponer and rejecter. Demographics also able to justify the difference in decision regarding mobile app’s usage. A few suggestions are also made on communication channels of the mobile apps, pull and push effect and improving the perceived value of the mobile apps

Routine Medical Check-Up and Self-Treatment Practices among Community-Dwelling Living in a Mountainous Area of Northern Vietnam

This study was conducted to evaluate the routine medical check-up and self-treatment behaviors of people living in a remote and mountainous setting in Northern Vietnam and identify their associations. A cross-sectional study was conducted on 175 people in August 2018 in Cao Son commune, Da Bac district, Hoa Binh. Information regarding routine medical check-ups and self-treatment behaviors was collected by using a structured questionnaire. Multivariate logistic regression was used to examine the associations. Results show that 24% of the mountainous people had routine medical check-ups in the last 12 months. The rate of self-treatment in the past three months was 33.7%. The number of chronic diseases (OR=1.5, 95% CI=1.0‐2.3), health information sources from radio/television (OR=3.3, 95% CI=1.2‐9.5), or social media (OR=24.8, 95% CI=1.2‐512.4) was related to routine medical check-up. People who did not have routine medical check-up were more likely to have self-treatment practice (OR=6.3, 95% CI=1.9‐21.1) than those who had a regular health check. Promoting health education and communication through mass media to raise people’s awareness about regular health check-ups is a promising way to improve people’s self-treatment status

Association of self-reported allergic rhinitis with dengue severity: A case-control study

BackgroundThe severity of dengue infection has been reportedly associated with patients’ allergic reactions. To further elucidate the role of allergy in dengue severity, we conducted a matched case-control study to assess the association between allergic background and dengue shock syndrome.MethodsThis is a matched case-control study that was carried out in the Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam from January to December 2017. Dengue infection was determined by non-structure protein 1 (NS1) diagnostic quick test or anti-dengue antibodies (IgM). The total and dengue-specific IgE levels were measured using ELISA. Patients’ demographics, clinical, and allergic profiles were collected using a structured questionnaire.ResultsA total of 572 dengue patients with positive NS1 (92.7%) or IgM antibodies (7.3%) results were included in this study. Of these patients, 143 patients developed dengue shock syndrome (case group) while the other 429 patients did not (control group). None of the baseline characteristics including age, sex, or being overweight was significantly different between the two groups (p>0.05). In multivariable analysis, having a history of dengue infection (OR=3.35, 95% CI: 1.8–6.17, p<0.001) and allergic rhinitis (OR=1.95, 95% CI: 1.11–3.4, p = 0.019) were found to be associated with dengue shock syndrome. Higher levels of dengue-specific IgE were not associated with worse outcomes in patients with allergies (p = 0.204) or allergic rhinitis (p = 0.284).ConclusionDengue patients presenting with a history of a previous dengue infection or allergic rhinitis should be considered high-risk patients for the development of dengue shock syndrome