scholarly journals Toward Using Wearables to Remotely Monitor Cognitive Frailty in Community-Living Older Adults: An Observational Study

Sensors ◽  
2020 ◽  
Vol 20 (8) ◽  
pp. 2218 ◽  
Author(s):  
Javad Razjouyan ◽  
Bijan Najafi ◽  
Molly Horstman ◽  
Amir Sharafkhaneh ◽  
Mona Amirmazaheri ◽  
...  

Physical frailty together with cognitive impairment (Cog), known as cognitive frailty, is emerging as a strong and independent predictor of cognitive decline over time. We examined whether remote physical activity (PA) monitoring could be used to identify those with cognitive frailty. A validated algorithm was used to quantify PA behaviors, PA patterns, and nocturnal sleep using accelerometer data collected by a chest-worn sensor for 48-h. Participants (N = 163, 75 ± 10 years, 79% female) were classified into four groups based on presence or absence of physical frailty and Cog: PR-Cog-, PR+Cog-, PR-Cog+, and PR+Cog+. Presence of physical frailty (PR-) was defined as underperformance in any of the five frailty phenotype criteria based on Fried criteria. Presence of Cog (Cog-) was defined as a Mini-Mental State Examination (MMSE) score of less than 27. A decision tree classifier was used to identify the PR-Cog- individuals. In a univariate model, sleep (time-in-bed, total sleep time, percentage of sleeping on prone, supine, or sides), PA behavior (sedentary and light activities), and PA pattern (percentage of walk and step counts) were significant metrics for identifying PR-Cog- (p < 0.050). The decision tree classifier reached an area under the curve of 0.75 to identify PR-Cog-. Results support remote patient monitoring using wearables to determine cognitive frailty.

Author(s):  
Liju Joshua ◽  
Koshy Varghese

Purpose – Worker activity identification and classification is the most crucial and difficult stage in work sampling studies. Manual methods of recording are tedious and prone to error and, hence automating the task of observing and classifying worker activities is an important step towards improving the current practice. Very recently, accelerometer-based systems have been explored to automate activity recognition in construction, but it had been carried out in controlled environment. The purpose of this paper is to cover the evaluation of the system in field situations. Design/methodology/approach – Experimental investigation was carried out on crews of iron workers and carpenters with accelerometer data loggers worn at selected locations on the human body. The accelerometer data collection was spread over a time period of two weeks, and video recording of the worker activities was concurrently carried out to serve as ground truth, the reference used for comparison. The activity recognition analysis was carried out on accelerometer data features using a decision tree algorithm. Findings – It was found that the classification using the individual training scheme performed better when compared with the collective training scheme for both the trades. The field studies results showed that the classification accuracies for iron work and carpentry are 90.07 and 77.74 per cent, respectively, using decision tree classifier. It was found that similarities of movements were a major cause for lower accuracy of recognition. Research limitations/implications – The work being preliminary in nature has used the basic classifier and pre-processing methods and, standard settings of algorithms. Originality/value – The paper has investigated accelerometer-based method for construction labour activity classification in field situations.


2020 ◽  
Author(s):  
Qiao Yang ◽  
Jixi Li ◽  
Zhijia Zhang ◽  
Xiaocheng Wu ◽  
Tongquan Liao ◽  
...  

Abstract BackgroundThe novel coronavirus disease 2019 (COVID-19) spreads rapidly among people and causes a global pandemic. It is of great clinical significance to identify COVID-19 patients with high risk of death.MethodsA total of 2,169 adult COVID-19 patients were enrolled from Wuhan, China between February 10th and April 15th, 2020. Difference analyses of medical records were performed between severe and non-severe groups as well as between survivors and non-survivors. In addition, we developed a decision tree classifier to identify risk factors for death outcome.ResultsOf the 2,169 COVID-19 patients, the median age was 61 years and male patients accounted for 48%. A total of 646 patients were diagnosed with severe illness, and 75 patients died. The most common system symptoms were respiratory, systemic and digestive symptoms. Obvious differences in demographics, clinical characteristics and laboratory examinations were found between severe and non-severe groups, as well as between survivors and non-survivors. A machine learning model was developed to predict death outcome in severe patients. The decision tree classifier included three biomarkers, neutrophil-to-lymphocyte ratio, C-reactive protein and lactic dehydrogenase. The area under the curve of the receiver operating characteristic of this model was 0.96. This model performed well both in train dataset and test dataset. The accuracy of this model was 0.98 and 0.98, respectively.ConclusionThe machine learning model was robust and effective in predicting the death outcome in severe COVID-19 patients.


Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 169
Author(s):  
Sergi Gómez-Quintana ◽  
Christoph E. Schwarz ◽  
Ihor Shelevytsky ◽  
Victoriya Shelevytska ◽  
Oksana Semenova ◽  
...  

The current diagnosis of Congenital Heart Disease (CHD) in neonates relies on echocardiography. Its limited availability requires alternative screening procedures to prioritise newborns awaiting ultrasound. The routine screening for CHD is performed using a multidimensional clinical examination including (but not limited to) auscultation and pulse oximetry. While auscultation might be subjective with some heart abnormalities not always audible it increases the ability to detect heart defects. This work aims at developing an objective clinical decision support tool based on machine learning (ML) to facilitate differentiation of sounds with signatures of Patent Ductus Arteriosus (PDA)/CHDs, in clinical settings. The heart sounds are pre-processed and segmented, followed by feature extraction. The features are fed into a boosted decision tree classifier to estimate the probability of PDA or CHDs. Several mechanisms to combine information from different auscultation points, as well as consecutive sound cycles, are presented. The system is evaluated on a large clinical dataset of heart sounds from 265 term and late-preterm newborns recorded within the first six days of life. The developed system reaches an area under the curve (AUC) of 78% at detecting CHD and 77% at detecting PDA. The obtained results for PDA detection compare favourably with the level of accuracy achieved by an experienced neonatologist when assessed on the same cohort.


Author(s):  
P. Hamsagayathri ◽  
P. Sampath

Breast cancer is one of the dangerous cancers among world’s women above 35 y. The breast is made up of lobules that secrete milk and thin milk ducts to carry milk from lobules to the nipple. Breast cancer mostly occurs either in lobules or in milk ducts. The most common type of breast cancer is ductal carcinoma where it starts from ducts and spreads across the lobules and surrounding tissues. According to the medical survey, each year there are about 125.0 per 100,000 new cases of breast cancer are diagnosed and 21.5 per 100,000 women due to this disease in the United States. Also, 246,660 new cases of women with cancer are estimated for the year 2016. Early diagnosis of breast cancer is a key factor for long-term survival of cancer patients. Classification plays an important role in breast cancer detection and used by researchers to analyse and classify the medical data. In this research work, priority-based decision tree classifier algorithm has been implemented for Wisconsin Breast cancer dataset. This paper analyzes the different decision tree classifier algorithms for Wisconsin original, diagnostic and prognostic dataset using WEKA software. The performance of the classifiers are evaluated against the parameters like accuracy, Kappa statistic, Entropy, RMSE, TP Rate, FP Rate, Precision, Recall, F-Measure, ROC, Specificity, Sensitivity.


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