Healthcare analytics (New York, N.Y.)最新文献

Diabetes poses a global health challenge, demanding continuous monitoring and expert care for effective management. Conventional monitoring methods lack real-time insights and secure data-sharing capabilities, necessitating innovative solutions that leverage emerging technologies. Existing centralized monitoring systems often entail risks such as data breaches and single points of failure, emphasizing the necessity for a secure, decentralized approach that integrates the Internet of Things (IoT), blockchain, and machine learning for efficient and secure diabetes management. This paper introduces a decentralized, blockchain-based framework for remote diabetes monitoring, IoT sensors, machine learning models, and decentralized applications (DApps). The proposed framework comprises five layers: the IoT Sensor Layer, which collects real-time health data from patients; the Blockchain Layer, leveraging smart contracts on the Ethereum blockchain for secure data sharing and transactions; the machine learning Layer, analyzing patient data to detect diabetes; and the DApps Layer, facilitating interactions between patients, doctors, and hospitals. For intelligent decision-making regarding diabetes based on data collected from different sensors, nine machine learning algorithms, including logistic regression, K-nearest neighbors (KNN), support vector machine (SVM), Decision Tree, Random Forest, AdaBoost, stochastic gradient boosting (SGD), and Naive Bayes, were trained and tested on the PIMA dataset. Based on the performance evaluation parameters such as accuracy, recall, F1-score, and the area under the curve (AUC), it was found that the AdaBoost model achieved the highest predictive accuracy of 92.64%, followed by the Decision Tree with an accuracy of 92.21% in diabetes classification.

Lumpy skin disease (LSD) is an economically significant viral disease of cattle caused by the lumpy disease virus (LSDV) which is primarily spread mechanically by blood feeding vectors such as particular species in flies, mosquitoes and ticks. Despite efforts to control its spread, LSD has been expanding geographically, posing challenges for effective control measures. This study develops a Susceptible–Exposed–Infectious–Recovered–Susceptible (SEIRS) model that incorporates cattle and vector populations to investigate LSD transmission dynamics. The model considers the waning rate of natural active immunity in recovered cattle, disease-induced mortality, and the biting rate. Using a standard dynamical system approach, we conducted a qualitative analysis of the model, defining the invariant region, establishing conditions for solution positivity, computing the basic reproduction number, and examining the stability of disease-free and endemic equilibria. We employ a non-linear least squares method for model calibration, fitting it to a synthetic dataset. We subsequently test it with actual infectious cases data. Results from the calibration and testing phases demonstrate the model’s validity and reliability for diverse settings. Local and global sensitivity analyses were conducted to determine the model’s robustness to parameter values. The biting rate emerged as the most significant parameter, followed by the probabilities of infection from either population and the recovery rate. Additionally, the waning rate of LSD infection-induced immunity gained positive significance in LSD prevalence from the beginning of the infectious period onward. Simulation results suggest reducing the biting rate as the most effective LSD control measure, which can be achieved by applying vector repellents in cattle farms/herds, thereby mitigating the disease’s prevalence in both cattle and vector populations and reducing the chances of infection from either population. Furthermore, measures aiming to boost LSD infection-induced immunity upon recovery are recommended to preserve the immune systems of the cattle population.

Intensive Care Unit (ICU) capacity can be significantly affected by disease outbreaks, epidemics, and pandemics, impeding the operational efficiency of healthcare systems and compromising patient care. This paper presents a multi-stage optimization approach to planning the location and distribution of ICU beds to increase accessibility and reduce mortality caused by a shortage of beds in a geographic region during epidemic events. Using a Brazilian state monthly hospital admissions due to Covid-19 from October 2020 to April 2021, we show the amount and the allocation of extra ICU beds that could reduce mortality, minimize patient travel and transportation, and increase accessibility while considering budget limitations. Our findings show coverage for 21 previously underserved municipalities, providing extra ICU beds for 69 municipalities, ranging from 880 to 1670 beds across seven months. On average, patients are displaced 56% less and access ICUs within 17 ± 2.3 kilometres (CI 95%). The strategy contributes to public health planning and the equitable allocation of hospital resources among the population.

Data augmentation involves artificially expanding a dataset by applying various transformations to the existing data. Recent developments in deep learning have advanced data augmentation, enabling more complex transformations. Especially vital in the medical domain, deep learning-based data augmentation improves model robustness by generating realistic variations in medical images, enhancing diagnostic and predictive task performance. Therefore, to assist researchers and experts in their pursuits, there is a need for an extensive and informative study that covers the latest advancements in the growing domain of deep learning-based data augmentation in medical imaging. There is a gap in the literature regarding recent advancements in deep learning-based data augmentation. This study explores the diverse applications of data augmentation in medical imaging and analyzes recent research in these areas to address this gap. The study also explores popular datasets and evaluation metrics to improve understanding. Subsequently, the study provides a short discussion of conventional data augmentation techniques along with a detailed discussion on applying deep learning algorithms in data augmentation. The study further analyzes the results and experimental details from recent state-of-the-art research to understand the advancements and progress of deep learning-based data augmentation in medical imaging. Finally, the study discusses various challenges and proposes future research directions to address these concerns. This systematic review offers a thorough overview of deep learning-based data augmentation in medical imaging, covering application domains, models, results analysis, challenges, and research directions. It provides a valuable resource for multidisciplinary studies and researchers making decisions based on recent analytics.

Tuberculosis is a pressing global health concern, particularly pervasive in many developing nations. This study investigates the influence of treatment failure on tuberculosis control strategies, incorporating vaccination interventions using a deterministic compartmental epidemiological model. Mathematical analysis unveils disease-free and endemic equilibrium points, with the control reproduction number determined using next-generation methods. Identifying endemic equilibrium points and determining the control reproduction number provide essential metrics for assessing the effectiveness of control strategies and guiding policy decisions. The model exhibits a backward bifurcation phenomenon, leading to multiple endemic equilibria despite a reproduction number below one due to reinfection. Sensitivity analysis using Latin Hypercube Sampling/Partial Rank Correlation Coefficient elucidates parameter impacts on the control reproduction number. Vaccination efficacy is crucial for quality and validity, with superior quality and longer validity yielding more significant effects. While reinfection may not directly affect the reproduction number, its influence is pivotal in determining tuberculosis persistence or extinction. This study underscores the intricate interplay of factors in tuberculosis control strategies, providing insights vital for effective interventions and policy formulation.

Population aging is a global challenge, leading to increased demand for health care and social services for the elderly. Home Health Care (HHC) is a vital solution to serve this segment of the population. Given the increasing demand for HHC, it is essential to coordinate and regulate caregiver allocation efficiently. This is crucial for both budget-optimized planning and ensuring the delivery of high-quality care. This research addresses a fundamental question in home health agencies (HHAs): “How can caregiver allocation be optimized, especially when caregivers prefer flexibility in their visit sequences?”. While earlier studies proposed rigid visiting sequences, our study introduces a decision support framework that allocates caregivers through a hybrid method that considers the flexibility in visiting sequences and aims to reduce travel mileage, increase the number of visits per planning period, and maintain the continuity of care – a critical metric for patient satisfaction. Utilizing data from an HHA in Tennessee, United States, our approach led to an impressive reduction in average travel mileage (up to 42%, depending on discipline) without imposing restrictions on caregivers. Furthermore, the proposed framework is used for caregivers’ supply analysis to provide valuable insights into caregiver resource management.

Diagnosing brain tumors is difficult, especially at an early stage of the disease. Conventional approaches often cause delays in providing required treatment to the patients and shorten their lifespan. This paper presents a novel integrated approach with advanced subsets of artificial intelligence, including deep learning and supervised learning algorithms. These new technologies have demonstrated outstanding potential due to their ability to capture the appropriate features based on the input data. They can assist medical experts in identifying abnormal growth of cells inside the brain. We use publicly available brain magnetic resonance imaging (MRI) datasets to diagnose brain tumors and develop an automated system. The proposed approach uses data augmentation to enhance the image sizes and maintain standardization. We then deploy a visual geometry group with 16 layers following transfer learning to help minimize the medical experts’ workload in making accurate decisions. We extract the most significant features and improve the diagnostic speed and accuracy using a supervised learning algorithm and linear support vector machines (SVM). The proposed model outperforms the existing approaches with an accuracy of 98.87%, precision of 99.09%, recall of 98.73%, specificity of 99.02%, and F1-score of 98.91%.

Understanding population migration is essential for controlling highly infectious diseases. This paper studies the global dynamics of an infectious disease epidemic model incorporating population migration and a stochastic transmission rate. Our findings demonstrate that in deterministic and stochastic environments, the models exhibit global Lyapunov stability near the disease-free equilibrium point, determined by a threshold parameter. Furthermore, we analyze the effect of migration on infectious diseases. We discover that the number of infections and the peak value of the infection curve increase with a higher level of population migration. These results are supported by numerical illustrations that hold epidemiological relevance. Additionally, the disease-free equilibrium of the associated time delay model is linearly asymptotically stable, and the endemic equilibrium exhibits more bifurcation for larger time delay values.

Efficiency is critical in allocating sustainable healthcare resources to ensure that hospitals can effectively care for patients while maintaining high-quality care delivery. Hence, it is necessary to monitor efficiency carefully. This study aims to assess hospital unit effectiveness through a novel comprehensive approach integrating Multiple-Criteria Decision Making (MCDM) with Data Envelopment Analysis (DEA). The proposed MCDM-DEA framework involves allocating varying weights to distinct data categories. It harnesses the capabilities of the q-rung orthopair fuzzy (q-ROF) methodology to address the inherent uncertainties in healthcare performance assessment. The experimental results provide a comprehensively structured ranking system for specific hospital departments. This ranking system allows decision-makers to identify the strengths and weaknesses of each department, enabling them to make informed decisions regarding resource allocation and improvement strategies. Furthermore, the integration of MCDM-DEA provides a robust and objective assessment tool for monitoring and evaluating the performance of hospital departments over time. These rankings offer invaluable insights to decision-makers, equipping them with the strategic information needed to enhance the overall performance of hospital units.

Pharmaceutical industries in most developing countries with limited resources are expected to encounter several barriers while incorporating Industry 4.0 to transform into Pharma 4.0. With limited resources, a developing country must prioritize the barriers consider their impacts, and make a resource utilization plan accordingly. In this study, We employed a hierarchical multiple criteria decision analysis (MCDM) technique to identify potential barriers to Pharma 4.0 in developing countries and examine their effects to generate a prioritization inventory. Firstly, we extracted the likely barriers using a systematic literature study and used an expert opinion-based Delphi Method to choose the most pertinent barriers. Subsequently, we analyzed the correlation and influence of the selected barriers on each other by formulating a hierarchical multi-criteria model integrating Interpretive Structural Modelling (ISM) and the Cross-Impact Matrix Multiplication Applied to Classification (MICMAC). As an outcome, we found three distinct categories of the selected 12 barriers: Prominent (4 of 12), Influencing (5 of 12), and Resulting (3 of 12). The results of this study are intended to assist the government in developing a solid adoption strategy for Pharma 4.0 and supply chain strategists in ensuring optimum resource utilization by resolving the examined barriers during the deployment of Pharma 4.0. The study is the first of its kind to discover barriers to Pharma 4.0 adoption and create hierarchical correlations within the context of the pharmaceutical sector from the perspective of a developing country.