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An investigation of income inequality through autoregressive integrated moving average and regression analysis 通过自回归综合移动平均数和回归分析调查收入不平等问题
Pub Date : 2023-12-02 DOI: 10.1016/j.health.2023.100287
John Wang , Zhi Kacie Pei , Yawei Wang , Zhaoqiong Qin

Income inequality is a prominent contributor to health disparities in the U.S. As a leading capitalist nation, the U.S. registers the highest healthcare expenditure among developed countries yet grapples with widening income disparities. The chasm between the rich and the underprivileged has expanded significantly in recent decades, profoundly impacting American society. This study explores the nuances of income inequality, its ramifications, and potential remedies, analyzed through the Gini Coefficient. Advanced forecasting models, including AutoRegressive Integrated Moving Average and Regression Analysis, are employed to anticipate future patterns. The research highlights the value of healthcare analytics in understanding the complexities of income inequality. The findings underscore the pressing need for effective policies to address this mounting challenge.

作为一个主要的资本主义国家,美国是发达国家中医疗支出最高的国家,但却面临着收入差距不断扩大的问题。近几十年来,富人与弱势群体之间的鸿沟显著扩大,对美国社会产生了深远影响。本研究通过对基尼系数的分析,探讨了收入不平等的细微差别、其影响以及潜在的补救措施。研究采用了先进的预测模型,包括自回归综合移动平均法和回归分析法,以预测未来的模式。研究强调了医疗保健分析在了解收入不平等的复杂性方面的价值。研究结果强调,迫切需要制定有效的政策来应对这一日益严峻的挑战。
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引用次数: 0
An explainable artificial intelligence model for identifying local indicators and detecting lung disease from chest X-ray images 一个可解释的人工智能模型,用于从胸部x射线图像中识别局部指标和检测肺部疾病
Pub Date : 2023-12-01 DOI: 10.1016/j.health.2023.100206
Shiva prasad Koyyada , Thipendra P. Singh
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引用次数: 2
A Medical Cyber-physical system for predicting maternal health in developing countries using machine learning 利用机器学习预测发展中国家孕产妇健康状况的网络物理医疗系统
Pub Date : 2023-11-28 DOI: 10.1016/j.health.2023.100285
Mohammad Mobarak Hossain , Mohammod Abdul Kashem , Nasim Mahmud Nayan , Mohammad Asaduzzaman Chowdhury

It is essential to monitor any health issues during pregnancy to ensure a safe delivery because pregnancy is crucial for both mother and child. However, developing countries have poor access to healthcare, making managing possible health risks during pregnancy challenging. An Internet of Things (IoT)-based Medical Cyber-Physical System (MCPS) can offer a valuable and affordable solution for anticipating and controlling health hazards during pregnancy to solve this issue. This paper presents the design and development of an MCPS for recognizing health risks in pregnant women in developing countries. The system collects key health metrics using temperature, blood pressure, glucose levels, and heart rate sensors. It automatically considers risk factors to predict health risks using Machine Learning (ML) and sends them to the nearest clinic or hospital. Patients can manually enter their risk factors into the program and talk with a doctor through it. The efficacy of the proposed MCPS is evaluated using a dataset of pregnant women, and the results demonstrate that the system can accurately detect health issues during pregnancy. Medical experts can.

enhance maternal and fetal health outcomes using the systems real-time data collecting and processing capabilities. Despite restricted access to healthcare in developing countries, the proposed MCPS provides a valuable and economical method of addressing pregnancy-related health risks. The MCPS can assist medical personnel in making quick and informed choices, enhancing the level of care provided to expectant mothers and their unborn children.

由于怀孕对母婴都至关重要,因此必须监测孕期的任何健康问题,以确保安全分娩。然而,发展中国家的医疗条件很差,因此管理孕期可能出现的健康风险具有挑战性。为解决这一问题,基于物联网(IoT)的医疗网络物理系统(MCPS)可为预测和控制孕期健康危害提供有价值且经济实惠的解决方案。本文介绍了用于识别发展中国家孕妇健康风险的 MCPS 的设计和开发。该系统利用体温、血压、血糖水平和心率传感器收集关键的健康指标。它自动考虑风险因素,利用机器学习(ML)预测健康风险,并将其发送到最近的诊所或医院。患者可以手动将自己的风险因素输入程序,并通过程序与医生交流。我们使用一个孕妇数据集对所提议的 MCPS 的功效进行了评估,结果表明该系统能准确检测出孕期的健康问题。医学专家可以利用该系统的实时数据收集和处理能力,提高孕产妇和胎儿的健康水平。尽管发展中国家的医疗条件有限,但拟议的 MCPS 为解决与妊娠有关的健康风险提供了一种有价值且经济的方法。MCPS 可以帮助医务人员迅速做出明智的选择,从而提高为准妈妈及其胎儿提供的护理水平。
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引用次数: 0
An analytical investigation of body parts more susceptible to aging and composition changes using statistical hypothesis testing 使用统计假设检验对易受老化和成分变化影响的身体部位进行分析研究
Pub Date : 2023-11-28 DOI: 10.1016/j.health.2023.100284
Masaya Mori , Roberto Gonzalez Flores , Hiroteru Kamimura , Kentaro Yamaura , Hirofumi Nonaka

In recent years, age-related changes in body composition in the elderly are attracting attention. This is associated with a decline in physical functions and an increased risk of disease development. In general, age-related changes in body composition can be minimized with appropriate exercise. However, there are no studies that investigate body parts susceptibility to aging and changes in body composition of those parts. Therefore, devising exercise programs and advising daily life while taking these into account becomes difficult. This study aims to identify body parts that are more susceptible to aging and their body composition changes. The body composition was obtained with a Direct Segmental Multi-frequency Bioelectrical Impedance Analysis using InBody770 in 8 male elderly patients who had been shortly hospitalized. Statistical hypothesis testing was used to determine whether site-specific body composition changed significantly between hospital discharge and 1 year, 1 year and 2 years, and hospital discharge and 2 years. The results showed that Lean body mass, Total Body Water, Intracellular Water, Extracellular Water in the right arm; Lean body mass and Total Body Water in the left arm and trunk are more sensitive to aging.

近年来,老年人身体成分与年龄相关的变化引起了人们的关注。这与身体功能下降和疾病发展风险增加有关。一般来说,通过适当的锻炼,可以将与年龄相关的身体成分变化降到最低。然而,没有研究调查身体部位对衰老的易感性以及这些部位的身体成分的变化。因此,在考虑这些因素的同时制定锻炼计划和建议日常生活变得很困难。这项研究的目的是找出更容易衰老的身体部位及其身体成分的变化。采用InBody770进行直接节段多频生物电阻抗分析,获得8例短期住院的老年男性患者的体成分。采用统计假设检验确定部位特异性体成分在出院至1年、1年至2年、出院至2年之间是否有显著变化。结果表明:右臂瘦体质量、总体水、细胞内水、细胞外水;左臂和躯干的瘦体重和总身体水分对衰老更敏感。
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引用次数: 0
An evaluation of multispecies population dynamics models through numerical simulations using the new iterative method 用新的迭代方法对多物种种群动态模型进行数值模拟
Pub Date : 2023-11-19 DOI: 10.1016/j.health.2023.100283
Indranil Ghosh , Muhammad Mahbubur Rashid , Shukranul Mawa

This study explores the multispecies Lotka-Volterra population dynamics models, a captivating nonlinear mathematical framework with significant applications in natural sciences and environmental studies. The primary objective is to deliver precise solutions for these models using the New Iterative Method (NIM). Numerical simulations are conducted on three distinct types of nonlinear dynamic problems, comparing the accuracy of the NIM with that of the Perturbation Iteration Algorithm (PIA), existing exact solutions, and the traditional fourth-order Runge–Kutta method. A continuous step time of Δ = 0.001 was used for the Runge–Kutta method in all computations. Notably, the NIM's solutions for the nonlinear multispecies Lotka-Volterra models demonstrate very good accuracy, achieving convergence to the Runge–Kutta method's solutions within five iterations. The correctness of the NIM is found to be better than the other existing solutions. Its distinctive attribute lies in its computational efficiency, providing high accuracy without necessitating linearization, discretization, multipliers, or polynomials for nonlinear terms. This leads to simpler solution procedures while maintaining commendable accuracy. The findings underscore NIM's reliability and broad applicability in both linear and nonlinear models, highlighting its potential as an invaluable tool in numerical computation.

本研究探讨了Lotka-Volterra多物种种群动态模型,这是一个迷人的非线性数学框架,在自然科学和环境研究中具有重要应用。主要目标是使用新迭代方法(NIM)为这些模型提供精确的解决方案。对三种不同类型的非线性动力学问题进行了数值模拟,比较了NIM与摄动迭代算法(PIA)、现有精确解和传统四阶龙格-库塔法的精度。龙格-库塔法在所有计算中均采用连续步长Δ = 0.001。值得注意的是,非线性多物种Lotka-Volterra模型的NIM解显示出非常好的精度,在5次迭代内实现了与龙格-库塔方法解的收敛。发现NIM的正确性优于其他现有的解决方案。其独特的属性在于其计算效率,在不需要线性化、离散化、乘法器或多项式的情况下提供高精度的非线性项。这导致更简单的解决过程,同时保持值得称赞的准确性。这些发现强调了NIM在线性和非线性模型中的可靠性和广泛适用性,突出了它作为数值计算中宝贵工具的潜力。
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引用次数: 0
A comprehensive survey of deep learning algorithms and applications in dental radiograph analysis 深度学习算法及其在牙科x光片分析中的应用综述
Pub Date : 2023-11-14 DOI: 10.1016/j.health.2023.100282
Suvarna Bhat, Gajanan K. Birajdar, Mukesh D. Patil

The Integration of machine learning and traditional image processing in dentistry has resulted in many applications like automatic teeth identification and numbering, caries, anomaly, disease detection, and dental treatment prediction. They have a broad scope in different applications observed in the dentistry literature review. This study reviews the literature on deep learning and dental radiograph analysis. We present an overview of machine learning algorithms in different areas of dentistry: tooth identification and numbering, Dental disease detection, and dental predictive treatment models. The methods under each area are briefly discussed. The dental radiograph data set required for performing experiments is summarized from the available literature. The study concludes by discussing new research opportunities and initiatives in this field. This paper offers a comprehensive overview of this innovative, challenging, and growing area in dentistry.

机器学习和传统图像处理在牙科领域的集成已经产生了许多应用,如自动牙齿识别和编号,龋齿,异常,疾病检测和牙科治疗预测。在牙科文献综述中观察到,它们在不同的应用中具有广泛的范围。本研究回顾了深度学习和牙科x光片分析的文献。我们介绍了机器学习算法在牙科不同领域的概述:牙齿识别和编号,牙科疾病检测和牙科预测治疗模型。简要讨论了各个领域的方法。从现有文献中总结了进行实验所需的牙科x光片数据集。研究最后讨论了该领域的新研究机会和举措。本文提供了一个全面的概述,这一创新,具有挑战性,并在牙科领域不断发展。
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引用次数: 0
A dynamic Bayesian network model for resilience assessment in blockchain-based internet of medical things with time variation 基于区块链的时变医疗物联网弹性评估动态贝叶斯网络模型
Pub Date : 2023-11-14 DOI: 10.1016/j.health.2023.100280
Chiranjibi Shah , Niamat Ullah Ibne Hossain , Md Muzahid Khan , Shahriar Tanvir Alam

Blockchain technology and the Internet of Medical Things (IoMT) have garnered increased attention recently due to their growing application in effectively managing data security, storage, and transmission concerns within healthcare organizations. However, integrating various advancements, such as coordination, adaptivity, and automated responses, within the framework of blockchain-based IoMT has amplified its susceptibility to a range of attacks and vulnerabilities. Assessing and enhancing the resilience of blockchain-based IoMT is of utmost importance, particularly in anticipation of potential disruptions, to ensure its continuous and sustainable functionality. The stochastic nature of risks adds complexity to evaluating the resilience of blockchain-based IoMT, given that resilience in this domain may fluctuate over time. This study employs a dynamic Bayesian network (DBN) method to address the evolving characteristics of pertinent variables, capturing their temporal dependencies and demonstrating how the resilience capabilities of blockchain-based IoMT may evolve across different time intervals. Additionally, an information theory approach is adopted to mitigate uncertainty regarding the resilience performance of blockchain-based IoMT and its crucial subcomponents. This research showcases the effectiveness and adaptability of the DBN methodology in healthcare systems, offering insights for shaping appropriate and essential strategies for decision-makers to establish a highly resilient framework for blockchain-based IoMT.

由于区块链技术和医疗物联网(IoMT)在医疗机构内有效管理数据安全、存储和传输问题方面的应用越来越多,最近引起了越来越多的关注。然而,在基于区块链的IoMT框架内整合各种进步,如协调、适应性和自动响应,放大了其对一系列攻击和漏洞的敏感性。评估和增强基于区块链的IoMT的弹性至关重要,特别是在预期潜在中断的情况下,以确保其持续和可持续的功能。风险的随机性增加了评估基于区块链的IoMT弹性的复杂性,因为该领域的弹性可能会随着时间的推移而波动。本研究采用动态贝叶斯网络(DBN)方法来解决相关变量的演变特征,捕获它们的时间依赖性,并展示基于区块链的IoMT的弹性能力如何在不同的时间间隔内演变。此外,采用信息理论方法来减轻基于区块链的IoMT及其关键子组件的弹性性能的不确定性。本研究展示了DBN方法在医疗保健系统中的有效性和适应性,为决策者制定适当和必要的战略提供了见解,从而为基于区块链的IoMT建立高度弹性的框架。
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引用次数: 0
A deterministic mathematical model for optimal control of diphtheria disease with booster vaccination 白喉疾病强化疫苗最优控制的确定性数学模型
Pub Date : 2023-11-10 DOI: 10.1016/j.health.2023.100281
Chinwendu E. Madubueze , Kazeem A. Tijani , Fatmawati

Diphtheria is an infectious disease caused by a strain of Corynebacterium diphtheria and forms part of the childhood vaccine-preventable diseases. The Diphtheria vaccine is a component of one of the routine vaccines given to children thrice before their first birthday. The protection against diphtheria derived from the diphtheria vaccine in infancy wanes in later childhood, necessitating a booster dose to protect the child as they grow older. To determine the impact of a booster dose of the diphtheria vaccine amidst a contaminated environment, a diphtheria model that incorporates a vaccine booster and a contaminated environment is formulated. The reproduction number R0 is computed and used to prove the local and global stability of the disease-free equilibrium. Global sensitivity analysis is conducted via the application of Latin Hypercube Sampling (LHS) with a Partial Rank Correlation coefficient on the infected humans and the contaminated environment to deduce the most sensitive parameters of the dynamics of diphtheria disease. Then, the model is further extended based on the result of the global sensitivity analysis by introducing four time-dependent controls, disinfection, screening/treatment, booster vaccination, and hygiene practice, to form an optimal control model. The control model is analyzed using Pontryagin’s maximum principle. The numerical simulation shows that diphtheria disease will reduce drastically in the community if any control combination involves booster vaccination since the diphtheria vaccine in infancy wanes after ten years. In a situation where there are limited resources to implement all the controls simultaneously, it is recommended to implement any two of the combined controls: disinfection of the environment and administration of booster vaccination or screening/treatment of the asymptomatic infected and administration of booster vaccination. The study shows that the best combination is to disinfect the environment, screen/treat the asymptomatic infected humans, and administer booster vaccination to the community.

白喉是一种由白喉棒状杆菌引起的传染病,是儿童疫苗可预防疾病的一部分。白喉疫苗是一种常规疫苗的组成部分,在儿童一岁生日之前给他们接种三次。婴儿期白喉疫苗对白喉的保护作用在儿童后期逐渐减弱,因此随着儿童年龄的增长,需要加强剂量来保护他们。为了确定白喉疫苗加强剂在受污染环境中的影响,制定了一个包括疫苗加强剂和受污染环境的白喉模型。计算了繁殖数R0,并用它来证明无病平衡的局部稳定性和全局稳定性。应用带有偏秩相关系数的拉丁超立方抽样(LHS)对感染人群和污染环境进行全局敏感性分析,推导出白喉疾病动态的最敏感参数。然后,在全局敏感性分析结果的基础上,通过引入消毒、筛查/治疗、加强疫苗接种和卫生实践四个时变控制因素,对模型进行进一步扩展,形成最优控制模型。利用庞特里亚金极大值原理对控制模型进行了分析。数值模拟表明,由于婴儿期的白喉疫苗在10年后逐渐减弱,如果任何控制组合包括加强疫苗接种,白喉疾病将在社区中急剧减少。在资源有限,无法同时实施所有控制措施的情况下,建议实施任意两种联合控制措施:环境消毒和加强疫苗接种,或筛查/治疗无症状感染者和加强疫苗接种。研究表明,最佳的组合是对环境进行消毒,对无症状感染者进行筛查/治疗,并对社区进行加强疫苗接种。
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引用次数: 0
A deep convolution neural network for automated COVID-19 disease detection using chest X-ray images 基于胸部x射线图像的COVID-19疾病自动检测的深度卷积神经网络
Pub Date : 2023-11-08 DOI: 10.1016/j.health.2023.100278
Rajasekaran Thangaraj , Pandiyan P , Jayabrabu Ramakrishnan , Nallakumar R , Sivaraman Eswaran

COVID-19 is a virus that can cause severe pneumonia, and the severity varies based on the patient's immune system. The rapid spread of the disease can be mitigated through automated detection, addressing the shortage of radiologists in medicine. This paper introduces the Modified-Inception V3 (MIn-V3) model, which utilizes feature fusion from the internal layers of Inception V3 to classify different diseases, including normal cases, COVID-19 positivity, viral pneumonia, and bacterial pneumonia. Additionally, transfer learning and fine-tuning techniques are applied to enhance accuracy. The performance of MIn-V3 is assessed by comparing it with pre-trained Deep Learning (DL) models, such as Inception-ResNet V2 (InRN-V2), Inception V3, and MobileNet V2. Experimental results demonstrate that the MIn-V3 model surpasses other pre-trained models with a classification accuracy of 96.33 %. Furthermore, integrating the MIn-V3 model into a mobile application enables rapid and accurate detection of COVID-19, thus playing a crucial role in advancing early diagnostics, which is essential for timely intervention and effective disease management.

COVID-19是一种可导致严重肺炎的病毒,其严重程度取决于患者的免疫系统。这种疾病的迅速传播可以通过自动检测得到缓解,解决了医学上放射科医生的短缺问题。本文介绍了Modified-Inception V3 (MIn-V3)模型,该模型利用Inception V3内层的特征融合对不同的疾病进行分类,包括正常病例、COVID-19阳性、病毒性肺炎和细菌性肺炎。此外,迁移学习和微调技术的应用,以提高准确性。MIn-V3的性能通过与预训练的深度学习(DL)模型(如Inception- resnet V2 (InRN-V2)、Inception V3和MobileNet V2)进行比较来评估。实验结果表明,MIn-V3模型的分类准确率达到96.33%,优于其他预训练模型。此外,将MIn-V3模型集成到移动应用程序中可以快速准确地检测COVID-19,从而在推进早期诊断方面发挥关键作用,这对于及时干预和有效的疾病管理至关重要。
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引用次数: 0
An age-structured differential equations model for transmission dynamics of pneumonia with treatment and nutrition intervention 治疗和营养干预下肺炎传播动力学的年龄结构微分方程模型
Pub Date : 2023-11-07 DOI: 10.1016/j.health.2023.100279
Dickson W. Bahaye, Theresia Marijani, Goodluck Mlay

Pneumonia is the leading infectious disease that threatens the lives of children under five and elders over 65. It is an infection that is commonly caused by Streptococcus pneumoniae. In this study, an age-structured (children and elders) model for pneumonia was formulated and analyzed to determine the impact of treatment and proper nutrition on the transmission dynamics of the disease in the two age groups. The effective reproduction number (Re) was determined using the next-generation method. The disease-free equilibrium point was determined and found locally and globally asymptotically stable if Re<1. Sensitivity analysis of the model parameters was performed using the normalized forward sensitivity index method, and the findings show that transmission rates are the most positive parameters to the effective reproduction number, while proper nutrition was the most negatively sensitive parameter. Additionally, numerical simulations were performed, and it was observed that the combination of proper nutrition and treatment was more effective in reducing the number of pneumonia-infected individuals. The study encourages the joint use of proper nutrition and treatment to control pneumonia transmission among children and elders, especially in the developing world, where economic constraints, infrastructure, and distribution challenges limit vaccine availability.

肺炎是威胁五岁以下儿童和65岁以上老年人生命的主要传染病。这是一种通常由肺炎链球菌引起的感染。在这项研究中,制定了一个年龄结构(儿童和老年人)肺炎模型,并对其进行了分析,以确定治疗和适当的营养对两个年龄组中疾病传播动态的影响。采用新一代方法测定有效繁殖数(Re)。确定无病平衡点,并发现当relt;1时,无病平衡点局部和全局渐近稳定。采用归一化正向敏感性指数法对模型参数进行敏感性分析,结果表明,传输率是对有效繁殖数最正的参数,而适当营养是对有效繁殖数最负敏感的参数。此外,还进行了数值模拟,观察到适当的营养和治疗相结合在减少肺炎感染者人数方面更为有效。该研究鼓励联合使用适当的营养和治疗来控制儿童和老年人之间的肺炎传播,特别是在经济限制、基础设施和分配挑战限制疫苗供应的发展中国家。
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引用次数: 0
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Healthcare analytics (New York, N.Y.)
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