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2021 IEEE International Conference on Digital Health (ICDH)最新文献

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Architecture of an Intelligent Personal Health Library for Improved Health Outcomes 改善健康结果的智能个人健康图书馆架构
Pub Date : 2021-09-01 DOI: 10.1109/icdh52753.2021.00012
H. Jamil
Personal health libraries (PHL) are increasingly becoming the mainstay as a single point for patient centered health information management and services. However, the transition to a solely PHL based health information management (HIM) will, at the very least, take a very long time. It is more likely therefore to co-evolve with our current systems for HIMs. In this emerging scenario, the traditional obstacles of data integration among autonomous HIMs face novel challenges. Additionally, the goal to make PHLs responsive to open-ended and personalized health information needs adds unknown wrinkles to current challenges. In this paper, we propose a new architecture, and a knowledge-based information retrieval and processing model for PHLs. We show that by using a declarative data integration language, a knowledge representation scheme and knowledge graph induction technique from health information texts, we are able to respond to patient queries in unprecedented ways in the context of their PHLs.
个人健康图书馆(PHL)作为以患者为中心的健康信息管理和服务的单一点,正日益成为主流。然而,向完全基于PHL的健康信息管理(HIM)的过渡至少需要很长时间。因此,它更有可能与我们目前的HIMs系统共同发展。在这种新情况下,自主医疗设备之间数据集成的传统障碍面临着新的挑战。此外,使phl响应开放式和个性化健康信息需求的目标给当前的挑战增加了未知的皱纹。在本文中,我们提出了一种新的体系结构和基于知识的phl信息检索处理模型。我们表明,通过使用声明性数据集成语言、知识表示方案和来自健康信息文本的知识图归纳技术,我们能够以前所未有的方式在他们的博士学位背景下响应患者的查询。
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引用次数: 1
Engineering Continuous Monitoring of Intrinsic Capacity for Elderly People 老年人内在能力的工程连续监测
Pub Date : 2021-09-01 DOI: 10.1007/s40747-022-00775-w
V. Bellandi, P. Ceravolo, E. Damiani, S. Maghool, M. Cesari, Ioannis Basdekis, Eleftheria Iliadou, Mircea Mărzan
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引用次数: 6
Deep Learning Anomaly Detection methods to passively detect COVID-19 from Audio 深度学习异常检测方法被动检测音频中的COVID-19
Pub Date : 2021-09-01 DOI: 10.1109/icdh52753.2021.00023
Shreesha Narasimha Murthy, E. Agu
The world has been severely affected by COVID-19, an infectious disease caused by the SARS-Cov-2 coronavirus. COVID-19 incubates in a patient for 7 days before symptoms manifest. The identification of the presence of COVID-19 is challenging as its symptoms are similar to influenza symptoms such as cough, cold, runny nose, and chills. COVID-19 affects human speech sub-systems involved in respiration, phonation, and articulation. We propose a deep anomaly detection framework for passive, speech-based detection of COVID-related anomalies in voice samples of COVID-19 affected individuals. The low percentage of positive cases and extreme imbalance in available COVID audio datasets present a challenge to machine learning classifiers but create an opportunity to utilize anomaly detection techniques. We investigate COVID detection from audio using various types of deep anomaly detectors and convolutional autoencoders. Contrastive loss methods are also explored to force our models to learn discrepancies between COVID and non-COVID cough data representations. In contrast with prior work that controlled data collection, our work focuses on crowdsourced datasets that are true representatives of the general population. In rigorous evaluation, the variational autoencoder with the elliptic envelope as the anomaly detector analyzing Mel Filterbanks audio representations performed best with an AUC of 0.65, outperforming the state of the art.
由新型冠状病毒引起的新型冠状病毒肺炎疫情对全球造成严重影响。COVID-19在出现症状之前在患者体内潜伏期为7天。COVID-19的存在具有挑战性,因为其症状与咳嗽、感冒、流鼻涕和发冷等流感症状相似。COVID-19影响涉及呼吸、发声和发音的人类语言子系统。我们提出了一种深度异常检测框架,用于被动地、基于语音的检测COVID-19感染者语音样本中的COVID-19相关异常。在可用的COVID音频数据集中,阳性病例的低百分比和极端不平衡对机器学习分类器提出了挑战,但也为利用异常检测技术创造了机会。我们研究了使用各种类型的深度异常检测器和卷积自编码器从音频中检测COVID。我们还探索了对比损失方法,以迫使我们的模型学习COVID和非COVID咳嗽数据表示之间的差异。与之前控制数据收集的工作相比,我们的工作侧重于真正代表一般人群的众包数据集。在严格的评估中,使用椭圆包络作为异常检测器的变分自编码器在分析Mel filterbank音频表示时表现最佳,AUC为0.65,优于目前的技术水平。
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引用次数: 3
Analyzing Security and Privacy Concerns of Contact Tracing Applications 分析接触者追踪应用的安全和隐私问题
Pub Date : 2021-09-01 DOI: 10.1109/ICDH52753.2021.00052
L. Migiro, H. Shahriar, S. Sneha
The spread of COVD-19 has affected normal life like no other pandemic in the 21 st century. This has seen the evolution and adoption of digital contact tracing applications, majority of which rely on google and apple exposure notification and can easily be downloaded for use in any smartphone. It is imperative to protect personal health information transmitted in these apps. Developers have been criticized for slacking in protecting personal health information and on being non-compliant to HIPAA. Using MobSF, we interact with these apps to detect security vulnerabilities and demonstrate whether they are complying with their privacy policies. Our analysis showed that contact tracing applications have poor security features and not safe.
covid -19的传播对正常生活的影响是21世纪其他大流行无法比拟的。这见证了数字接触追踪应用程序的发展和采用,其中大多数依赖于谷歌和苹果的曝光通知,可以很容易地下载到任何智能手机上使用。保护在这些应用程序中传输的个人健康信息是当务之急。开发人员因在保护个人健康信息方面懈怠以及不遵守HIPAA而受到批评。使用MobSF,我们与这些应用程序进行交互,以检测安全漏洞并证明它们是否遵守其隐私政策。我们的分析表明,接触追踪应用程序的安全功能很差,不安全。
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引用次数: 2
BIOCAD: Bio-Inspired Optimization for Classification and Anomaly Detection in Digital Healthcare Systems BIOCAD:基于生物的数字医疗系统分类和异常检测优化
Pub Date : 2021-09-01 DOI: 10.1109/icdh52753.2021.00017
Nur Imtiazul Haque, Alvi Ataur Khalil, M. Rahman, M. Amini, Sheikh Iqbal Ahamed
The modern smart digital healthcare system (SDHS) is leaning towards automation of patient disease monitoring and treatment with the advent of wireless body sensor networks (WBSN) and the internet of medical things (IoMT). However, the open communication network for sensitive medical data transfer is giving rise to vulnerabilities and security concerns. To prevent adversarial manipulation of sensor measurements, SDHS IoMT controllers leverage anomaly detection systems on top of the disease classification systems. Machine learning (ML) is one of the most effective techniques for providing experience-based automated decision-making models. These models generalize well to produce the expected output for the unseen inputs from the learned patterns. Therefore, ML-based models are currently being adopted to automate the anomaly detection and disease classification tasks of SDHS. In this work, we consider a SDHS that uses supervised ML models for patient status/disease classification and unsupervised ML models for anomaly detection. However, the performance of the ML models largely depends on hyper-parameter tuning. Finding the optimal hyper-parameter is a challenging task, and it becomes more difficult and time-consuming in high-dimensional feature space. In this work, we propose BIOCAD, a comprehensive bio-inspired optimization framework for SDHS data classification and anomaly detection. The framework leverages a novel fitness function for unsu-pervised anomaly detection ML models. We experiment with state-of-the-art datasets - the Pima Indians diabetes dataset, the Parkinson dataset, and the University of Queensland vital signs (UQVS) dataset for validating our proposed strategy.
随着无线身体传感器网络(WBSN)和医疗物联网(IoMT)的出现,现代智能数字医疗系统(SDHS)正倾向于患者疾病监测和治疗的自动化。然而,用于敏感医疗数据传输的开放式通信网络正在产生漏洞和安全问题。为了防止对传感器测量的对抗性操纵,SDHS IoMT控制器在疾病分类系统之上利用异常检测系统。机器学习(ML)是提供基于经验的自动决策模型的最有效技术之一。这些模型可以很好地泛化,从学习模式中产生未知输入的预期输出。因此,目前正在采用基于ml的模型来自动化SDHS的异常检测和疾病分类任务。在这项工作中,我们考虑使用监督ML模型进行患者状态/疾病分类,使用无监督ML模型进行异常检测的SDHS。然而,机器学习模型的性能在很大程度上取决于超参数调优。寻找最优超参数是一项具有挑战性的任务,在高维特征空间中变得更加困难和耗时。在这项工作中,我们提出了BIOCAD,一个全面的生物启发的优化框架,用于SDHS数据分类和异常检测。该框架为无监督异常检测ML模型利用了一种新的适应度函数。我们用最先进的数据集——皮马印第安人糖尿病数据集、帕金森数据集和昆士兰大学生命体征(UQVS)数据集进行实验,以验证我们提出的策略。
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引用次数: 5
Passive COVID-19 Assessment using Machine Learning on Physiological and Activity Data from Low End Wearables 基于低端可穿戴设备生理和活动数据的机器学习被动COVID-19评估
Pub Date : 2021-09-01 DOI: 10.1109/icdh52753.2021.00020
Atifa Sarwar, E. Agu
COVID-19 has now infected over 165 million people and killed over 3.5 million people. While public health interventions have reduced its spread and vaccines are being deployed, passive detection methods are needed to detect infections and early track its resurgence. Wearables that are widely owned can gather various physiological and activity data, presenting an opportunity to detect COVID-19 unobtrusively. COVID-19 infection causes deviations in the vital physiological signs and activity patterns of infected users. However, similar deviations of these same variables can also be affected by non-COVID factors, confounding the signals. In this paper, we investigate the feasibility of predicting COVID-19 infection to detect abnormalities in heart rate, activity (steps), and sleep data available on low-end wearables by using machine learning. Prior work utilized data such as oxygen saturation that is only available on clinical-grade equipment or expensive wearables. We extracted 43 statistical features (standard deviation, mean, slope) and behavioral (min/max/avg length of sedentary and active bouts, sleep duration, no. of awake/asleep/restless samples) from wearable sensor data. We classified these features using machine learning classification and anomaly detection algorithms. Physical activity features were the most predictive (min length of the sedentary and active bout), yielding an AUC-ROC of 78% [specificity=74%, sensitivity=69%] when classified using Gradient Boosting Machines (GBMs). We also found that sleep irregularities had low discriminative performance. COVID-19 detection using inexpensive wearables can facilitate population-level interventions.
COVID-19目前已感染超过1.65亿人,造成350多万人死亡。虽然公共卫生干预措施减少了其传播,并正在部署疫苗,但仍需要被动检测方法来发现感染并早期追踪其死灰复燃。广泛拥有的可穿戴设备可以收集各种生理和活动数据,为不显眼地检测COVID-19提供了机会。COVID-19感染导致受感染用户生命体征和活动模式发生偏差。然而,这些相同变量的类似偏差也可能受到非covid因素的影响,从而混淆信号。在本文中,我们研究了利用机器学习预测COVID-19感染的可行性,以检测低端可穿戴设备上可用的心率、活动(步数)和睡眠数据的异常。之前的工作使用的数据,如氧饱和度,只能在临床级设备或昂贵的可穿戴设备上获得。我们提取了43个统计特征(标准差、平均值、斜率)和行为特征(久坐和活动的最小/最大/平均长度、睡眠持续时间、睡眠时间、睡眠时间和睡眠时间)。(醒着/睡着/不安分的样本)从可穿戴传感器数据。我们使用机器学习分类和异常检测算法对这些特征进行分类。当使用梯度增强机(GBMs)分类时,身体活动特征最具预测性(久坐和活动的最小长度),AUC-ROC为78%[特异性=74%,敏感性=69%]。我们还发现,睡眠不规律的人的辨别能力很低。使用廉价的可穿戴设备检测COVID-19可以促进人群层面的干预。
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引用次数: 3
Intelligent Health Information Services Requirements Revisited from an Actor's Perspective 从参与者的角度重新审视智能健康信息服务需求
Pub Date : 2021-09-01 DOI: 10.1109/ICDH52753.2021.00047
Zhanqiang Cao, Lin Liu, Jianmin Wang
For the continuous improvement of healthcare quality and efficiency, much research efforts have been spent on adding intelligent modules in hospital information systems to ensure timely access to health data, monitor the quality of health care services, continuously improve service outcomes. This paper reports our experience in analyzing and implementing intelligent health data services based on actor model. The key lessons are 1) To adapt to the continuously changing health information needs, a system instrumented with actor-based conceptual model is a natural fit; 2) A dedicated domain actor-based data model provides the foundation for streamlining the stakeholders' needs and effective management of information systems assets of a hospital, and the key is bridging the gaps between the different levels of abstraction and the multi-perspectives of actors; 3) actors with learning ability can help the continuous observation and optimization of system-level qualities. Regardless of the discrepancies in medical processes and IT maturity, the evolution of hospital information systems to intelligent and learning organizations based on actor model can help provide clinical data collection services on demand, account for different types of medical events, and build a closed-loop management process.
为了不断提高医疗质量和效率,在医院信息系统中增加智能模块,以确保及时访问健康数据,监控医疗服务质量,不断提高服务效果,已经投入了大量的研究工作。本文介绍了基于参与者模型的智能健康数据服务分析与实现的经验。主要的经验教训是:1)为了适应不断变化的卫生信息需求,一个基于行动者的概念模型的系统是一个自然的选择;2)基于专用领域行为体的数据模型为医院信息系统资产的利益相关者需求流程化和有效管理提供了基础,关键是弥合不同抽象层次和行为体多角度之间的差距;3)具有学习能力的行动者有助于系统级质量的持续观察和优化。尽管医疗流程和IT成熟度存在差异,但医院信息系统向基于参与者模型的智能化学习型组织的演进,有助于按需提供临床数据收集服务,考虑不同类型的医疗事件,构建闭环管理流程。
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引用次数: 2
Framework for Collecting Data from specialized IoT devices - An application to enhance Healthcare Systems 从专用物联网设备收集数据的框架——增强医疗保健系统的应用程序
Pub Date : 2021-09-01 DOI: 10.1109/icdh52753.2021.00045
Md. Saiful Islam, Shahriar Sobhan, Maria Valero, H. Shahriar, Liang Zhao, S. Ahamed
The Internet of Things (IoT) is the most significant and blooming technology in the 21st century while rapidly developed by covering hundreds of applications in the civil, health, military, and agriculture areas. IoT is based on the collection of sensor data through an embedded system, and this embedded system uploads the data on the internet. Devices and sensor technologies connected over a network can monitor and measure data in real-time. The main challenge is to collect data from IoT devices, transmit them to store in the Cloud, and later retrieve them at any time for visualization and data analysis. All these phases need to be secure by following security protocol to ensure data integrity. In this paper, we present the design of a lightweight and easy-to-use data collection framework for IoT devices, that can potentially be applied to sensors that monitor healthcare. This framework consists of collecting data from sensors and sending them to Cloud storage securely and in realtime for further processing and visualization. Our main objective is to make a data-collecting platform that will be plug-and-play and secure so that any healthcare organization or research team can use it to collect data from any IoT device for further data analysis.
物联网(Internet of Things, IoT)是21世纪最重要、最蓬勃发展的技术,在民用、卫生、军事和农业等领域得到了广泛的应用。物联网是基于通过嵌入式系统收集传感器数据,该嵌入式系统将数据上传到互联网上。通过网络连接的设备和传感器技术可以实时监控和测量数据。主要的挑战是从物联网设备收集数据,将其传输到云中存储,然后随时检索它们以进行可视化和数据分析。所有这些阶段都需要遵循安全协议来确保数据的完整性。在本文中,我们为物联网设备设计了一个轻量级且易于使用的数据收集框架,该框架可以潜在地应用于监控医疗保健的传感器。该框架包括从传感器收集数据并将其安全实时地发送到云存储,以便进一步处理和可视化。我们的主要目标是制作一个即插即用且安全的数据收集平台,以便任何医疗机构或研究团队都可以使用它从任何物联网设备收集数据以进行进一步的数据分析。
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引用次数: 2
A Decision Support System in the Context of an Applied Game for Telerehabilitation 远程康复应用博弈环境下的决策支持系统
Pub Date : 2021-09-01 DOI: 10.1109/ICDH52753.2021.00036
M. M. Baldi, Petar Aleksandrov Mavrodiev, B. Galuzzi, F. Mantovani, O. Realdon, E. Messina
Telerehabilitation is a growing area of research and clinical practice which attempts to mitigate some of the major problems in chronic disease rehabilitation programs: short-staffed clinical care teams, great demand for complex face-to-face treatments, and lack of tools for reaching, monitoring and aiding target clinical populations. Telerehabilitation attempts to solve this through the use of easily accessible digital tools such as mobile and web-based applications which often rely on some form of data collection and analysis. Empirically tested perspectives on the integration of those data-driven tools in the real-time decision-making process of clinical care practitioners are still lacking. In this paper, we present a Decision Support System prototype, designed in the context of an applied game as a part of a comprehensive telerehabilitation software system, with the purpose of supporting real-time dynamic data visualization, understanding of patient gameplay and care routine patterns and, ultimately, enhancing the clinical care and design teams' decision- making processes.
远程康复是一个不断发展的研究和临床实践领域,它试图缓解慢性疾病康复计划中的一些主要问题:人手不足的临床护理团队,对复杂面对面治疗的巨大需求,以及缺乏达到、监测和帮助目标临床人群的工具。远程康复试图通过使用易于获取的数字工具来解决这个问题,例如移动和基于网络的应用程序,这些工具通常依赖于某种形式的数据收集和分析。在临床护理从业者的实时决策过程中整合这些数据驱动工具的经验检验观点仍然缺乏。在本文中,我们提出了一个决策支持系统原型,在应用游戏的背景下设计,作为综合远程康复软件系统的一部分,目的是支持实时动态数据可视化,了解患者的游戏玩法和护理常规模式,并最终提高临床护理和设计团队的决策过程。
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引用次数: 1
A Novel Pre-processing Method for Classification Problems in Medical Intelligent Tasks 一种新的医疗智能任务分类问题预处理方法
Pub Date : 2021-09-01 DOI: 10.1109/icdh52753.2021.00032
Haochen Jiang, Ziqi Wei, Jun Chen
In the industry of medical intelligence, classification is one of the most common tasks. It appears in various medical jobs, such as triage, diagnosis, and pathologic analysis. Many classification algorithms studied in machine learning can be chosen to help solve these tasks. However, due to the special nature of the medical industry, its data sets show a character of imbalance. Namely, the data are skewed distributed in different classes. Unfortunately, the classification problem of imbalanced data has a reputation of classic and hard-to-solve in data mining and artificial intelligence research community. What's worse, most proposed classification methods are designed to deal with binary classification case, while the common scenario in medical intelligence applications is multi-classification. To deal with this, a pre-processing structure called Cost-Sensitive Variable Neighbour Search (CSVNS) is proposed in this paper. It combines the ideas of sampling and cost-sensitive, which are two most commonly used strategies for multi-class imbalanced data classification tasks. As for the sampling process, a double-stack Variable Neighbour Search (VNS) structure is introduced and 15 different neighborhood structures are designed to help optimizing the process. Also, the classes are allocated different weights to improve the classifier's classification capacity. In the experiment part, the proposed method is evaluated on 4 medical data sets. $G$ - mean and mAUC are selected to represent the method's performance in medical classification tasks. Experimental results show the proposed method outperforms the classic methods in most situations. In the end, 3 extra data sets are tested to demonstrate the algorithms' scalability.
在医疗智能行业中,分类是最常见的任务之一。它出现在各种医疗工作中,如分诊、诊断和病理分析。可以选择机器学习中研究的许多分类算法来帮助解决这些任务。然而,由于医疗行业的特殊性,其数据集呈现出不平衡的特征。也就是说,数据在不同的类别中是倾斜分布的。不幸的是,不平衡数据的分类问题在数据挖掘和人工智能研究界一直被认为是经典而难以解决的问题。更糟糕的是,大多数提出的分类方法都是针对二元分类情况设计的,而医疗智能应用中常见的场景是多重分类。为了解决这一问题,本文提出了一种代价敏感变量邻居搜索(CSVNS)预处理结构。它结合了采样和成本敏感的思想,这是多类不平衡数据分类任务中最常用的两种策略。在采样过程中,引入了一种双叠可变邻域搜索(VNS)结构,并设计了15种不同的邻域结构来优化采样过程。同时,为分类器分配不同的权重,以提高分类器的分类能力。在实验部分,对所提出的方法在4个医疗数据集上进行了评估。选择$G$ - mean和mAUC来表示该方法在医学分类任务中的性能。实验结果表明,该方法在大多数情况下都优于经典方法。最后,对3个额外的数据集进行了测试,以证明算法的可扩展性。
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引用次数: 1
期刊
2021 IEEE International Conference on Digital Health (ICDH)
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