Dynamic Bayesian Networks and Variable Length Genetic Algorithm for Dialogue Act Recognition

The recognition of dialogue act is a task of crucial importance for the processing of natural language in many applications such as dialogue system. However, it is one of the most challenging problems. The current dialogue act recognition models, namely cue-based models, are based on machine learning techniques, particularly statistical ones. Despite the success of the cue-based models, they still have serious drawbacks. Among them are, inadequate representation of dialogue context, intra-utterance and inter-utterances independencies assumptions, inaccurate estimation of the recognition accuracy and suboptimality of the lexical cues selection approaches. Motivating by these drawbacks, this research proposes a new model of dialogue act recognition in which dynamic Bayesian machine learning is applied to induce dynamic Bayesian networks models from task-oriented dialogue corpus using sets of lexical cues selected automatically by means of new variable length genetic algorithm. In achieving this, the research is planned in three main stages. In the initial stage, the dynamic Bayesian networks models are constructed based on a set of lexical cues selected tentatively from the dialogue corpus. The results are compared with the results of static Bayesian networks and naïve bayes. The results confirm the merits of using dynamic Bayesian networks for dialogue act recognition. In the second stage, the previous ranking approaches are investigated for the selection of lexical cues. The main drawbacks of these approaches are highlighted, and based on that an alternative approach is proposed. The proposed approach consists of preparation phase and selection phase. The preparation phase transforms the original dialogue corpus into phrases space. In the selection phase, a new variable length genetic algorithm is applied to select the lexical cues. The results of the proposed approach are compared with the results of the ranking approaches. The results provide experimental evidences on the ability of the proposed approach to avoid the drawbacks of the ranking approaches. In the final stage; the dynamic Bayesian networks models are redesigned using the lexical cues generated from the proposed lexical cues selection approaches. The results confirm the effectiveness of proposed approaches for the design of dialogue act recognition model

Dynamic Bayesian networks and variable length genetic algorithm for designing cue-based model for dialogue act recognition

The automatic recognition of dialogue act is a task of crucial importance for the processing of natural language dialogue at discourse level. It is also one of the most challenging problems as most often the dialogue act is not expressed directly in speaker's utterance. In this paper, a new cue-based model for dialogue act recognition is presented. The model is, essentially, a dynamic Bayesian network induced from manually annotated dialogue corpus via dynamic Bayesian machine learning algorithms. Furthermore, the dynamic Bayesian network's random variables are constituted from sets of lexical cues selected automatically by means of a variable length genetic algorithm, developed specifically for this purpose. To evaluate the proposed approaches of design, three stages of experiments have been conducted. In the initial stage, the dynamic Bayesian network model is constructed using sets of lexical cues selected manually from the dialogue corpus. The model is evaluated against two previously proposed models and the results confirm the potentiality of dynamic Bayesian networks for dialogue act recognition. In the second stage, the developed variable length genetic algorithm is used to select different sets of lexical cues to constitute the dynamic Bayesian networks' random variables. The developed approach is evaluated against some of the previously used ranking approaches and the results provide experimental evidences on its ability to avoid the drawbacks of the ranking approaches. In the third stage, the dynamic Bayesian networks model is constructed using random variables constituted from the sets of lexical cues generated in the second stage and the results confirm the effectiveness of the proposed approaches for designing dialogue act recognition model

Feature selection for high dimensional data: An evolutionary filter approach.

Problem statement: Feature selection is a task of crucial importance for the application of machine learning in various domains. In addition, the recent increase of data dimensionality poses a severe challenge to many existing feature selection approaches with respect to efficiency and effectiveness. As an example, genetic algorithm is an effective search algorithm that lends itself directly to feature selection; however this direct application is hindered by the recent increase of data dimensionality. Therefore adapting genetic algorithm to cope with the high dimensionality of the data becomes increasingly appealing. Approach: In this study, we proposed an adapted version of genetic algorithm that can be applied for feature selection in high dimensional data. The proposed approach is based essentially on a variable length representation scheme and a set of modified and proposed genetic operators. To assess the effectiveness of the proposed approach, we applied it for cues phrase selection and compared its performance with a number of ranking approaches which are always applied for this task. Results and Conclusion: The results provide experimental evidences on the effectiveness of the proposed approach for feature selection in high dimensional data

The Development of Mobile Learning (M-Learning) Apps Adik-Adik Solat to Enhance Learning Experience in Solat: Pembangunan Aplikasi Pembelajaran Mudah Alih (M-Learning) Adik-Adik Solat untuk Meningkatkan Pengalaman Pembelajaran dalam Solat

Prayer (Solat) is an act of worship that is a pillar of Islam. It is an obligation for a Muslim that must be performed. Many verses of the Qur'an and hadith emphasize the importance of educating prayer from an early age. The learning of prayer is learned starting at the pre-school level and usually using the face-to-face method. However, at this time with the diversity of the latest technology and the experience of the effects of the COVID-19 pandemic, a learning method that is more innovative and can be implemented independently is very desirable to be implemented. This also gives a new breath to the teaching and learning of prayer. This paper would like to discuss the development of the Adik-Adik Solat M-Learning Application. The ADDIE methodology is used in the application development cycle process. To identify the level of acceptance of the application as well as to know the characteristics of the application that contribute to the improvement of the learning experience, a survey was conducted on a group of school students. The application of learning methods that emphasize visual, audio, and kinesthetic (VAK) approaches was identified to provide an enhancement to the learning experience. This application has great potential to be commercialized and expanded to other fields in the future

Managing Chronic Diseases in Family Medicine: Best practices and Evidence-Based Approaches

The management of chronic diseases within the realm of family medicine presents a multifaceted challenge with profound implications for healthcare systems and patients alike. Chronic diseases, such as diabetes, hypertension, and cardiovascular conditions, are prevalent and impose a significant burden on individuals, families, and society as a whole. This article explores best practices and evidence-based approaches for managing chronic diseases in family medicine. It delves into the epidemiological landscape of chronic illnesses, emphasizing the need for effective prevention and management strategies. Evidence-based Models, such as The Chronic Care Model (CCM), Patient-Centered Medical Home (PCMH), and Self-assessment models are discussed in the context of family medicine. The importance of comprehensive, coordinated, and patient-centric approaches is underscored, highlighting the pivotal role of primary care physicians in the ongoing battle against chronic diseases. It is clear, that development in the field of family medicine underscores the importance of patient involvement in diseases management process through shared-decision making model. Although such model require physicans to spend more time educating patients so they can make informed decisions and implement self-management strategies, it has overall better health outcomes and eventually needs to requiring less intervention by physicians

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Genetic-based approach for cue phrase selection in dialogue act recognition

Automatic cue phrase selection is a crucial step for designing a dialogue act recognition model using machine learning techniques. The approaches, currently used, are based on specific type of feature selection approaches, called ranking approaches. Despite their computational efficiency for high dimensional domains, they are not optimal with respect to relevance and redundancy. In this paper we propose a genetic-based approach for cue phrase selection which is, essentially, a variable length genetic algorithm developed to cope with the high dimensionality of the domain. We evaluate the performance of the proposed approach against several ranking approaches. Additionally, we assess its performance for the selection of cue phrases enriched by phrase’s type and phrase’s position. The results provide experimental evidences on the ability of the genetic-based approach to handle the drawbacks of the ranking approaches and to exploit cue’s type and cue’s position information to improve the selection. Furthermore, we validate the use of the genetic-based approach for machine learning applications. We use selected sets of cue phrases for building a dynamic Bayesian networks model for dialogue act recognition. The results show its usefulness for machine learning applications

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017

A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1–70.8) million) to 6.4% (58.3 (47.6–70.7) million), but is predicted to remain above the World Health Organization’s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8–38.5) million) in 2000 to 6.0% (55.5 (44.8–67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic