Applications of machine learning and artificial intelligence for Covid-19 (SARS-CoV-2) pandemic: A review

Bibliometric analysis of the use of artificial intelligence in COVID-19 based on scientific studies

Background and Aims

One such strategy is citation analysis used by researchers for research planning an article referred to by another article receives a "citation." By using bibliometric analysis, the development of research areas and authors' influence can be investigated. The current study aimed to identify and analyze the characteristics of 100 highly cited articles on the use of artificial intelligence concerning COVID-19.

Methods

On July 27, 2022, this database was searched using the keywords "artificial intelligence" and "COVID-19" in the topic. After extensive searching, all retrieved articles were sorted by the number of citations, and 100 highly cited articles were included based on the number of citations. The following data were extracted: year of publication, type of study, name of journal, country, number of citations, language, and keywords.

Results

The average number of citations for 100 highly cited articles was 138.54. The top three cited articles with 745, 596, and 549 citations. The top 100 articles were all in English and were published in 2020 and 2021. China was the most prolific country with 19 articles, followed by the United States with 15 articles and India with 10 articles.

Conclusion

The current bibliometric analysis demonstrated the significant growth of the use of artificial intelligence for COVID-19. Using these results, research priorities are more clearly defined, and researchers can focus on hot topics.

Artificial intelligence and discrete-event simulation for capacity management of intensive care units during the Covid-19 pandemic: A case study

The Covid-19 pandemic has pushed the Intensive Care Units (ICUs) into significant operational disruptions. The rapid evolution of this disease, the bed capacity constraints, the wide variety of patient profiles, and the imbalances within health supply chains still represent a challenge for policymakers. This paper aims to use Artificial Intelligence (AI) and Discrete-Event Simulation (DES) to support ICU bed capacity management during Covid-19. The proposed approach was validated in a Spanish hospital chain where we initially identified the predictors of ICU admission in Covid-19 patients. Second, we applied Random Forest (RF) to predict ICU admission likelihood using patient data collected in the Emergency Department (ED). Finally, we included the RF outcomes in a DES model to assist decision-makers in evaluating new ICU bed configurations responding to the patient transfer expected from downstream services. The results evidenced that the median bed waiting time declined between 32.42 and 48.03 min after intervention.

Application of nanotechnology in air purifiers as a viable approach to protect against Corona virus

The outbreak of COVID-19 disease, the cause of severe acute respiratory syndrome, is considered a worldwide public health concern. Although studies indicated that the virus could spread through respiratory particles or droplets in close contact, current research have revealed that the virus stays viable in aerosols for several hours. Numerous investigations have highlighted the protective role of air purifiers in the management of COVID-19 transmission, however, there are still some doubts regarding the efficiency and safety of these technologies. According to those observations, using a proper ventilation system can extensively decrease the spread of COVID-19. However, most of those strategies are currently in the experimental stages. This review aimed at summarising the safety and effectiveness of the recent approaches in this field including using nanofibres that prevent the spread of airborne viruses like SARS-CoV-2. Here, the efficacy of controlling COVID-19 by means of combining multiple strategies is comprehensively discussed.

Machine learning-based analytics of the impact of the Covid-19 pandemic on alcohol consumption habit changes among United States healthcare workers

The COVID-19 pandemic is a global health concern that has spread around the globe. Machine Learning is promising in the fight against the COVID-19 pandemic. Machine learning and artificial intelligence have been employed by various healthcare providers, scientists, and clinicians in medical industries in the fight against COVID-19 disease. In this paper, we discuss the impact of the Covid-19 pandemic on alcohol consumption habit changes among healthcare workers in the United States during the first wave of the Covid-19 pandemic. We utilize multiple supervised and unsupervised machine learning methods and models such as decision trees, logistic regression, support vector machines, multilayer perceptron, XGBoost, CatBoost, LightGBM, AdaBoost, Chi-Squared Test, mutual information, KModes clustering and the synthetic minority oversampling technique on a mental health survey data obtained from the University of Michigan Inter-University Consortium for Political and Social Research to investigate the links between COVID-19-related deleterious effects and changes in alcohol consumption habits among healthcare workers. Through the interpretation of the supervised and unsupervised methods, we have concluded that healthcare workers whose children stayed home during the first wave in the US consumed more alcohol. We also found that the work schedule changes due to the Covid-19 pandemic led to a change in alcohol use habits. Changes in food consumption, age, gender, geographical characteristics, changes in sleep habits, the amount of news consumption, and screen time are also important predictors of an increase in alcohol use among healthcare workers in the United States.

The role of machine learning in health policies during the COVID-19 pandemic and in long COVID management

The ongoing COVID-19 pandemic is arguably one of the most challenging health crises in modern times. The development of effective strategies to control the spread of SARS-CoV-2 were major goals for governments and policy makers. Mathematical modeling and machine learning emerged as potent tools to guide and optimize the different control measures. This review briefly summarizes the SARS-CoV-2 pandemic evolution during the first 3 years. It details the main public health challenges focusing on the contribution of mathematical modeling to design and guide government action plans and spread mitigation interventions of SARS-CoV-2. Next describes the application of machine learning methods in a series of study cases, including COVID-19 clinical diagnosis, the analysis of epidemiological variables, and drug discovery by protein engineering techniques. Lastly, it explores the use of machine learning tools for investigating long COVID, by identifying patterns and relationships of symptoms, predicting risk indicators, and enabling early evaluation of COVID-19 sequelae.

Data analysis for COVID-19 deaths using a novel statistical model: Simulation and fuzzy application

This paper provides a novel model that is more relevant than the well-known conventional distributions, which stand for the two-parameter distribution of the lifetime modified Kies Topp-Leone (MKTL) model. Compared to the current distributions, the most recent one gives an unusually varied collection of probability functions. The density and hazard rate functions exhibit features, demonstrating that the model is flexible to several kinds of data. Multiple statistical characteristics have been obtained. To estimate the parameters of the MKTL model, we employed various estimation techniques, including maximum likelihood estimators (MLEs) and the Bayesian estimation approach. We compared the traditional reliability function model to the fuzzy reliability function model within the reliability analysis framework. A complete Monte Carlo simulation analysis is conducted to determine the precision of these estimators. The suggested model outperforms competing models in real-world applications and may be chosen as an enhanced model for building a statistical model for the COVID-19 data and other data sets with similar features.

Physics-informed neural entangled-ladder network for inhalation impedance of the respiratory system

BACKGROUND AND OBJECTIVES

The use of machine learning methods for modelling bio-systems is becoming prominent which can further improve bio-medical technologies. Physics-informed neural networks (PINNs) can embed the knowledge of physical laws that govern a system during the model training process. PINNs utilise differential equations in the model which traditionally used numerical methods that are computationally complex.

METHODS

We integrate PINNs with an entangled ladder network for modelling respiratory systems by considering a lungs conduction zone to evaluate the respiratory impedance for different initial conditions. We evaluate the respiratory impedance for the inhalation phase of breathing for a symmetric model of the human lungs using entanglement and continued fractions.

RESULTS

We obtain the impedance of the conduction zone of the lungs pulmonary airways using PINNs for nine different combinations of velocity and pressure of inhalation. We compare the results from PINNs with the finite element method using the mean absolute error and root mean square error. The results show that the impedance obtained with PINNs contrasts with the conventional forced oscillation test used for deducing the respiratory impedance. The results show similarity with the impedance plots for different respiratory diseases.

CONCLUSION

We find a decrease in impedance when the velocity of breathing is lowered gradually by 20%. Hence, the methodology can be used to design smart ventilators to the improve flow of breathing.

Which COVID-19 information really impacts stock markets?

Information about the COVID-19 pandemic abounds, but which COVID-19 data actually impacts stock prices? We investigate which measures of COVID-19 matter most by applying elastic net regression for measure selection using a sample of the 35 largest stock markets. Out of 24 measures, COVID-19 related Google search trends, the stringency of government responses and media hype prevail during the height of the COVID-19 crisis. These measures proxy for COVID-19 related uncertainty, the economic impact of lockdowns and panic-driven media attention, respectively, summarizing key aspects of COVID-19 that move stock markets. Moreover, geographical proximity to the virus’s outbreak and a country’s development level also matter in terms of impact.

An overview of deep learning techniques for COVID-19 detection: methods, challenges, and future works

The World Health Organization (WHO) declared a pandemic in response to the coronavirus COVID-19 in 2020, which resulted in numerous deaths worldwide. Although the disease appears to have lost its impact, millions of people have been affected by this virus, and new infections still occur. Identifying COVID-19 requires a reverse transcription-polymerase chain reaction test (RT-PCR) or analysis of medical data. Due to the high cost and time required to scan and analyze medical data, researchers are focusing on using automated computer-aided methods. This review examines the applications of deep learning (DL) and machine learning (ML) in detecting COVID-19 using medical data such as CT scans, X-rays, cough sounds, MRIs, ultrasound, and clinical markers. First, the data preprocessing, the features used, and the current COVID-19 detection methods are divided into two subsections, and the studies are discussed. Second, the reported publicly available datasets, their characteristics, and the potential comparison materials mentioned in the literature are presented. Third, a comprehensive comparison is made by contrasting the similar and different aspects of the studies. Finally, the results, gaps, and limitations are summarized to stimulate the improvement of COVID-19 detection methods, and the study concludes by listing some future research directions for COVID-19 classification.

Global analysis and prediction scenario of infectious outbreaks by recurrent dynamic model and machine learning models: A case study on COVID-19

It is essential to evaluate patient outcomes at an early stage when dealing with a pandemic to provide optimal clinical care and resource management. Many methods have been proposed to provide a roadmap against different pandemics, including the recent pandemic disease COVID-19. Due to recurrent epidemic waves of COVID-19, which have been observed in many countries, mathematical modeling and forecasting of COVID-19 are still necessary as long as the world continues to battle against the pandemic. Modeling may aid in determining which interventions to try or predict future growth patterns. In this article, we design a combined approach for analyzing any pandemic in two separate parts. In the first part of the paper, we develop a recurrent SEIRS compartmental model to predict recurrent outbreak patterns of diseases. Due to its time-varying parameters, our model is able to reflect the dynamics of infectious diseases, and to measure the effectiveness of the restrictive measures. We discuss the stable solutions of the corresponding autonomous system with frozen parameters. We focus on the regime shifts and tipping points; then we investigate tipping phenomena due to parameter drifts in our time-varying parameters model that exhibits a bifurcation in the frozen-in case. Furthermore, we propose an optimal numerical design for estimating the system’s parameters. In the second part, we introduce machine learning models to strengthen the methodology of our paper in data analysis, particularly for prediction scenarios. We use MLP, RBF, LSTM, ANFIS, and GRNN for training and evaluation of COVID-19. Then, we compare the results with the recurrent dynamical system in the fitting process and prediction scenario. We also confirm results by implementing our methods on the released data on COVID-19 by WHO for Italy, Germany, Iran, and South Africa between 1/22/2020 and 7/24/2021, when people were engaged with different variants including Alpha, Beta, Gamma, and Delta. The results of this article show that the dynamic model is adequate for long-term analysis and data fitting, as well as obtaining parameters affecting the epidemic. However, it is ineffective in providing a long-term forecast. In contrast machine learning methods effectively provide disease prediction, although they do not provide analysis such as dynamic models. Finally, some metrics, including RMSE, R-Squared, and accuracy, are used to evaluate the machine learning models. These metrics confirm that ANFIS and RBF perform better than other methods in training and testing zones.

Artificial Intelligence: A Next-Level Approach in Confronting the COVID-19 Pandemic

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) which caused coronavirus diseases (COVID-19) in late 2019 in China created a devastating economical loss and loss of human lives. To date, 11 variants have been identified with minimum to maximum severity of infection and surges in cases. Bacterial co-infection/secondary infection is identified during viral respiratory infection, which is a vital reason for morbidity and mortality. The occurrence of secondary infections is an additional burden to the healthcare system; therefore, the quick diagnosis of both COVID-19 and secondary infections will reduce work pressure on healthcare workers. Therefore, well-established support from Artificial Intelligence (AI) could reduce the stress in healthcare and even help in creating novel products to defend against the coronavirus. AI is one of the rapidly growing fields with numerous applications for the healthcare sector. The present review aims to access the recent literature on the role of AI and how its subfamily machine learning (ML) and deep learning (DL) are used to curb the pandemic's effects. We discuss the role of AI in COVID-19 infections, the detection of secondary infections, technology-assisted protection from COVID-19, global laws and regulations on AI, and the impact of the pandemic on public life.

COVID-19 advising application development for Apple devices (iOS)

One of humanity's most devastating health crises was COVID-19. Billions of people suffered during this pandemic. In comparison with previous global pandemics that have been faced by the world before, societies were more accurate with the technical support system during this natural disaster. The intersection of data from healthcare units and the analysis of this data into various sophisticated systems were critical factors. Different healthcare units have taken special consideration to advance technical inputs to fight against such situations. The field of natural language processing (NLP) has dramatically supported this. Despite the primitive methods for monitoring the bio-metric factors of a person, the use of cognitive science has emerged as one of the most critical features during this pandemic era. One of the essential features is the potential to understand the data based on various texts and user inputs. The deployment of various NLP systems is one of the most challenging factors in handling the bulk amount of data flowing from multiple sources. This study focused on developing a powerful application to advise patients suffering from ailments related to COVID-19. The use of NLP refers to facilitating a user to identify the present critical situation and make necessary decisions while getting infected. This article also summarises the challenges associated with NLP and its usage for future NLP-based applications focusing on healthcare units. There are a couple of applications that reside for android-based systems as well as web-based chat-bot systems. In terms of security and safety, application development for iOS is more advanced. This study also explains the block meant of an application for advising COVID-19 infection. A natural language processing powered application for an iOS operating system is indeed one of its kind, which will help people who need to advise proper guidance. The article also portrays NLP-based application development for healthcare problems associated with personal reporting systems.

Artificial intelligence centric scientific research on COVID-19: an analysis based on scientometrics data

With the spread of the deadly coronavirus disease throughout the geographies of the globe, expertise from every field has been sought to fight the impact of the virus. The use of Artificial Intelligence (AI), especially, has been the center of attention due to its capability to produce trustworthy results in a reasonable time. As a result, AI centric based research on coronavirus (or COVID-19) has been receiving growing attention from different domains ranging from medicine, virology, and psychiatry etc. We present this comprehensive study that closely monitors the impact of the pandemic on global research activities related exclusively to AI. In this article, we produce highly informative insights pertaining to publications, such as the best articles, research areas, most productive and influential journals, authors, and institutions. Studies are made on top 50 most cited articles to identify the most influential AI subcategories. We also study the outcome of research from different geographic areas while identifying the research collaborations that have had an impact. This study also compares the outcome of research from the different countries around the globe and produces insights on the same.

The race to understand immunopathology in COVID-19: Perspectives on the impact of quantitative approaches to understand within-host interactions

The COVID-19 pandemic has revealed the need for the increased integration of modelling and data analysis to public health, experimental, and clinical studies. Throughout the first two years of the pandemic, there has been a concerted effort to improve our understanding of the within-host immune response to the SARS-CoV-2 virus to provide better predictions of COVID-19 severity, treatment and vaccine development questions, and insights into viral evolution and the impacts of variants on immunopathology. Here we provide perspectives on what has been accomplished using quantitative methods, including predictive modelling, population genetics, machine learning, and dimensionality reduction techniques, in the first 26 months of the COVID-19 pandemic approaches, and where we go from here to improve our responses to this and future pandemics.

Generalizable machine learning approach for COVID-19 mortality risk prediction using on-admission clinical and laboratory features

We aimed to propose a mortality risk prediction model using on-admission clinical and laboratory predictors. We used a dataset of confirmed COVID-19 patients admitted to three general hospitals in Tehran. Clinical and laboratory values were gathered on admission. Six different machine learning models and two feature selection methods were used to assess the risk of in-hospital mortality. The proposed model was selected using the area under the receiver operator curve (AUC). Furthermore, a dataset from an additional hospital was used for external validation. 5320 hospitalized COVID-19 patients were enrolled in the study, with a mortality rate of 17.24% (N = 917). Among 82 features, ten laboratories and 27 clinical features were selected by LASSO. All methods showed acceptable performance (AUC > 80%), except for K-nearest neighbor. Our proposed deep neural network on features selected by LASSO showed AUC scores of 83.4% and 82.8% in internal and external validation, respectively. Furthermore, our imputer worked efficiently when two out of ten laboratory parameters were missing (AUC = 81.8%). We worked intimately with healthcare professionals to provide a tool that can solve real-world needs. Our model confirmed the potential of machine learning methods for use in clinical practice as a decision-support system.

Investigating the effect of vaccinated population on the COVID-19 prediction using FA and ABC-based feed-forward neural networks

Since 2019, the coronavirus outbreak has caused many catastrophic events all over the world. At the current time, the massive vaccination has been considered as the most efficient way to fight against the pandemic. This study schemes to explain and model COVID-19 cases by considering the vaccination rate. We utilized an amalgamation of neural network (NN) with two powerful optimization algorithms, i.e., firefly algorithm and artificial bee colony. For validating the models, we employed the COVID-19 datasets regarding the vaccination rate and the total confirmed cases for 51 states since the beginning of vaccination in the US. The numerical experiment indicated that by considering the vaccinated population, the accuracy of NN increases exponentially when compared with the same NN in the absence of the vaccinated population. During the next stage, the NN with vaccinated input data is elected for firefly and bee optimizing. Based upon the firefly optimizing, 93.75% of COVID-19 cases can be explained in all states. According to the bee optimizing, 92.3% of COVID-19 cases is explained since the massive vaccination. Overall, it can be concluded that the massive vaccination is the key predictor of COVID-19 cases on a grand scale.

Predicting Readmission or Death After Discharge From the ICU: External Validation and Retraining of a Machine Learning Model

OBJECTIVES

Many machine learning (ML) models have been developed for application in the ICU, but few models have been subjected to external validation. The performance of these models in new settings therefore remains unknown. The objective of this study was to assess the performance of an existing decision support tool based on a ML model predicting readmission or death within 7 days after ICU discharge before, during, and after retraining and recalibration.

DESIGN

A gradient boosted ML model was developed and validated on electronic health record data from 2004 to 2021. We performed an independent validation of this model on electronic health record data from 2011 to 2019 from a different tertiary care center.

SETTING

Two ICUs in tertiary care centers in The Netherlands.

PATIENTS

Adult patients who were admitted to the ICU and stayed for longer than 12 hours.

INTERVENTIONS

None.

MEASUREMENTS AND MAIN RESULTS

We assessed discrimination by area under the receiver operating characteristic curve (AUC) and calibration (slope and intercept). We retrained and recalibrated the original model and assessed performance via a temporal validation design. The final retrained model was cross-validated on all data from the new site. Readmission or death within 7 days after ICU discharge occurred in 577 of 10,052 ICU admissions (5.7%) at the new site. External validation revealed moderate discrimination with an AUC of 0.72 (95% CI 0.67-0.76). Retrained models showed improved discrimination with AUC 0.79 (95% CI 0.75-0.82) for the final validation model. Calibration was poor initially and good after recalibration via isotonic regression.

CONCLUSIONS

In this era of expanding availability of ML models, external validation and retraining are key steps to consider before applying ML models to new settings. Clinicians and decision-makers should take this into account when considering applying new ML models to their local settings.

Impedimetric Sensing: An Emerging Tool for Combating the COVID-19 Pandemic

The COVID-19 pandemic revealed a pressing need for the development of sensitive and low-cost point-of-care sensors for disease diagnosis. The current standard of care for COVID-19 is quantitative reverse transcriptase polymerase chain reaction (qRT-PCR). This method is sensitive, but takes time, effort, and requires specialized equipment and reagents to be performed correctly. This make it unsuitable for widespread, rapid testing and causes poor individual and policy decision-making. Rapid antigen tests (RATs) are a widely used alternative that provide results quickly but have low sensitivity and are prone to false negatives, particularly in cases with lower viral burden. Electrochemical sensors have shown much promise in filling this technology gap, and impedance spectroscopy specifically has exciting potential in rapid screening of COVID-19. Due to the data-rich nature of impedance measurements performed at different frequencies, this method lends itself to machine-leaning (ML) algorithms for further data processing. This review summarizes the current state of impedance spectroscopy-based point-of-care sensors for the detection of the SARS-CoV-2 virus. This article also suggests future directions to address the technology's current limitations to move forward in this current pandemic and prepare for future outbreaks.

Survey on public awareness, attitudes and self-protective behavior adoption in different periods of COVID-19

Introduction

The outbreak and spread of the pandemics have been an issue of critical concern globally, posing a significant threat to the health sector globally. This study aimed to examine the basic knowledge and attitudes toward the recommended protective measures at different times, respond to the COVID-19 pandemic, and provide recommendations for developing targeted strategies and measures for preventing and controlling public health emergencies.

Methods

The study used self-filled questionnaires to examine the public's knowledge, attitudes, and practices on COVID-19 at two different period, from 20 to 31 March 2020 (the beginning period) and 22-27 April 2022 (the regular epidemic prevention and control period). Descriptive and quantitative analyses were used for statistical analysis.

Results and discussion

The survey collected 2375 valid questionnaires. A comparison of the two periods reveals that as the epidemic continued over a long period, the level of knowledge, attitudes toward preventive measures, risk perceptions, and adoption behavior of the respondents at the beginning of the epidemic were significantly higher than during the regular epidemic prevention and control period. With the upsurge in the spread of the epidemic, the public needs a multi-channel, targeted, and all-round guidance and information on prevention and control of the COVID-19, and internalizes knowledge into individual's behavior of actively responding to diseases.When the epidemic lasts for a long time, the relevant agencies should strengthen their monitoring role to promote public compliance with the recommended measures.

An Effective Integrated Machine Learning Framework for Identifying Severity of Tomato Yellow Leaf Curl Virus and Their Experimental Validation

Tomato yellow leaf curl virus (TYLCV) dispersed across different countries, specifically to subtropical regions, associated with more severe symptoms. Since TYLCV was first isolated in 1931, it has been a menace to tomato industrial production worldwide over the past century. Three groups were newly isolated from TYLCV-resistant tomatoes in 2022; however, their functions are unknown. The development of machine learning (ML)-based models using characterized sequences and evaluating blind predictions is one of the major challenges in interdisciplinary research. The purpose of this study was to develop an integrated computational framework for the accurate identification of symptoms (mild or severe) based on TYLCV sequences (isolated in Korea). For the development of the framework, we first extracted 11 different feature encodings and hybrid features from the training data and then explored 8 different classifiers and developed their respective prediction models by using randomized 10-fold cross-validation. Subsequently, we carried out a systematic evaluation of these 96 developed models and selected the top 90 models, whose predicted class labels were combined and considered as reduced features. On the basis of these features, a multilayer perceptron was applied and developed the final prediction model (IML-TYLCVs). We conducted blind prediction on 3 groups using IML-TYLCVs, and the results indicated that 2 groups were severe and 1 group was mild. Furthermore, we confirmed the prediction with virus-challenging experiments of tomato plant phenotypes using infectious clones from 3 groups. Plant virologists and plant breeding professionals can access the user-friendly online IML-TYLCVs web server at https://balalab-skku.org/IML-TYLCVs, which can guide them in developing new protection strategies for newly emerging viruses.

Fusing clinical and image data for detecting the severity level of hospitalized symptomatic COVID-19 patients using hierarchical model

Purpose

Based on medical reports, it is hard to find levels of different hospitalized symptomatic COVID-19 patients according to their features in a short time. Besides, there are common and special features for COVID-19 patients at different levels based on physicians’ knowledge that make diagnosis difficult. For this purpose, a hierarchical model is proposed in this paper based on experts’ knowledge, fuzzy C-mean (FCM) clustering, and adaptive neuro-fuzzy inference system (ANFIS) classifier.

Methods

Experts considered a special set of features for different groups of COVID-19 patients to find their treatment plans. Accordingly, the structure of the proposed hierarchical model is designed based on experts’ knowledge. In the proposed model, we applied clustering methods to patients’ data to determine some clusters. Then, we learn classifiers for each cluster in a hierarchical model. Regarding different common and special features of patients, FCM is considered for the clustering method. Besides, ANFIS had better performances than other classification methods. Therefore, FCM and ANFIS were considered to design the proposed hierarchical model. FCM finds the membership degree of each patient’s data based on common and special features of different clusters to reinforce the ANFIS classifier. Next, ANFIS identifies the need of hospitalized symptomatic COVID-19 patients to ICU and to find whether or not they are in the end-stage (mortality target class). Two real datasets about COVID-19 patients are analyzed in this paper using the proposed model. One of these datasets had only clinical features and another dataset had both clinical and image features. Therefore, some appropriate features are extracted using some image processing and deep learning methods.

Results

According to the results and statistical test, the proposed model has the best performance among other utilized classifiers. Its accuracies based on clinical features of the first and second datasets are 92% and 90% to find the ICU target class. Extracted features of image data increase the accuracy by 94%.

Conclusion

The accuracy of this model is even better for detecting the mortality target class among different classifiers in this paper and the literature review. Besides, this model is compatible with utilized datasets about COVID-19 patients based on clinical data and both clinical and image data, as well.

Highlights

• A new hierarchical model is proposed using ANFIS classifiers and FCM clustering method in this paper. Its structure is designed based on experts’ knowledge and real medical process. FCM reinforces the ANFIS classification learning phase based on the features of COVID-19 patients.

• Two real datasets about COVID-19 patients are studied in this paper. One of these datasets has both clinical and image data. Therefore, appropriate features are extracted based on its image data and considered with available meaningful clinical data. Different levels of hospitalized symptomatic COVID-19 patients are considered in this paper including the need of patients to ICU and whether or not they are in end-stage.

• Well-known classification methods including case-based reasoning (CBR), decision tree, convolutional neural networks (CNN), K-nearest neighbors (KNN), learning vector quantization (LVQ), multi-layer perceptron (MLP), Naive Bayes (NB), radial basis function network (RBF), support vector machine (SVM), recurrent neural networks (RNN), fuzzy type-I inference system (FIS), and adaptive neuro-fuzzy inference system (ANFIS) are designed for these datasets and their results are analyzed for different random groups of the train and test data;

• According to unbalanced utilized datasets, different performances of classifiers including accuracy, sensitivity, specificity, precision, F-score, and G-mean are compared to find the best classifier. ANFIS classifiers have the best results for both datasets.

• To reduce the computational time, the effects of the Principal Component Analysis (PCA) feature reduction method are studied on the performances of the proposed model and classifiers. According to the results and statistical test, the proposed hierarchical model has the best performances among other utilized classifiers.

Graphical Abstract

Supplementary Information

The online version contains supplementary material available at 10.1007/s42600-023-00268-w.

The role of uncertainty and affect in decision-making on the adoption of AI-based contact-tracing technology during the COVID-19 pandemic

Objective

This study explores how negative affect, perceived net equity, and uncertainty influence the public's privacy decision-making regarding the adoption of contact-tracing technology based on artificial intelligence (AI) during the COVID-19 pandemic.

Methods

Four hundred and eighteen adults in the US participated in the study via Amazon Mechanical Turk in August 2020. Statistical analyses were performed using the PROCESS macro. Indirect effects and their significance were estimated using bias-corrected bootstrap confidence intervals (CIs) with resampling set to n = 5000.

Results

Perceived net equity was positively associated with low levels of perceived uncertainty regarding a COVID-19 contact-tracing application and intention to adopt it. Low levels of perceived uncertainty were positively associated with intentions to adopt such an application, thereby suggesting that a perceived level of uncertainty mediates the association between perceived net equity and adoption intentions. Anxieties regarding AI technology and COVID-19 risks both moderate the associations among perceived net equity, perceived level of uncertainty, and intentions to adopt the contact-tracing technology.

Conclusions

Our findings highlight how the differing sources of emotion influence the associations among rational judgment, perceptions, and decision-making about new contact-tracing technology. Overall, the results suggest that both rational judgments and affective reactions to risks are important influencers of individuals' perceptions and privacy-related decision-making regarding a new health technology during the pandemic.

IoT-cloud based healthcare model for COVID-19 detection: an enhanced k-Nearest Neighbour classifier based approach

COVID - 19 affected severely worldwide. The pandemic has caused many causalities in a very short span. The IoT-cloud-based healthcare model requirement is utmost in this situation to provide a better decision in the covid-19 pandemic. In this paper, an attempt has been made to perform predictive analytics regarding the disease using a machine learning classifier. This research proposed an enhanced KNN (k NearestNeighbor) algorithm eKNN, which did not randomly choose the value of k. However, it used a mathematical function of the dataset’s sample size while determining the k value. The enhanced KNN algorithm eKNN has experimented on 7 benchmark COVID-19 datasets of different size, which has been gathered from standard data cloud of different countries (Brazil, Mexico, etc.). It appeared that the enhanced KNN classifier performs significantly better than ordinary KNN. The second research question augmented the enhanced KNN algorithm with feature selection using ACO (Ant Colony Optimization). Results indicated that the enhanced KNN classifier along with the feature selection mechanism performed way better than enhanced KNN without feature selection. This paper involves proposing an improved KNN attempting to find an optimal value of k and studying IoT-cloud-based COVID - 19 detection.

In Silico Identification of Anti-SARS-CoV-2 Medicinal Plants Using Cheminformatics and Machine Learning

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative pathogen of COVID-19, is spreading rapidly and has caused hundreds of millions of infections and millions of deaths worldwide. Due to the lack of specific vaccines and effective treatments for COVID-19, there is an urgent need to identify effective drugs. Traditional Chinese medicine (TCM) is a valuable resource for identifying novel anti-SARS-CoV-2 drugs based on the important contribution of TCM and its potential benefits in COVID-19 treatment. Herein, we aimed to discover novel anti-SARS-CoV-2 compounds and medicinal plants from TCM by establishing a prediction method of anti-SARS-CoV-2 activity using machine learning methods. We first constructed a benchmark dataset from anti-SARS-CoV-2 bioactivity data collected from the ChEMBL database. Then, we established random forest (RF) and support vector machine (SVM) models that both achieved satisfactory predictive performance with AUC values of 0.90. By using this method, a total of 1011 active anti-SARS-CoV-2 compounds were predicted from the TCMSP database. Among these compounds, six compounds with highly potent activity were confirmed in the anti-SARS-CoV-2 experiments. The molecular fingerprint similarity analysis revealed that only 24 of the 1011 compounds have high similarity to the FDA-approved antiviral drugs, indicating that most of the compounds were structurally novel. Based on the predicted anti-SARS-CoV-2 compounds, we identified 74 anti-SARS-CoV-2 medicinal plants through enrichment analysis. The 74 plants are widely distributed in 68 genera and 43 families, 14 of which belong to antipyretic detoxicate plants. In summary, this study provided several medicinal plants with potential anti-SARS-CoV-2 activity, which offer an attractive starting point and a broader scope to mine for potentially novel anti-SARS-CoV-2 drugs.

COVIDAL: A machine learning classifier for digital COVID-19 diagnosis in German hospitals

For the fight against the COVID-19 pandemic, it is particularly important to map the course of infection, in terms of patients who have currently tested SARS-CoV-2 positive, as accurately as possible. In hospitals, this is even more important because resources have become scarce. Although polymerase chain reaction (PCR) and point of care (POC) antigen testing capacities have been massively expanded, they are often very time-consuming and cost-intensive and, in some cases, lack appropriate performance. To meet these challenges, we propose the COVIDAL classifier for AI-based diagnosis of symptomatic COVID-19 subjects in hospitals based on laboratory parameters. We evaluate the algorithm's performance by unique multicenter data with approx. 4,000 patients and an extraordinary high ratio of SARS-CoV-2 positive patients. We analyze the influence of data preparation, flexibility in optimization targets as well as the selection of the test set on the COVIDAL outcome. The algorithm is compared with standard AI, PCR, POC antigen testing and manual classifications of seven physicians by a decision theoretic scoring model including performance metrics, turnaround times and cost. Thereby, we define health care settings in which a certain classifier for COVID-19 diagnosis is to be applied. We find sensitivities, specificities and accuracies of the COVIDAL algorithm of up to 90 percent. Our scoring model suggests using PCR testing for a focus on performance metrics. For turnaround times, POC antigen testing should be used. If balancing performance, turnaround times and cost is of interest, as, for example, in the emergency department, COVIDAL is superior based on the scoring model.

Interactive framework for Covid-19 detection and segmentation with feedback facility for dynamically improved accuracy and trust

Due to the severity and speed of spread of the ongoing Covid-19 pandemic, fast but accurate diagnosis of Covid-19 patients has become a crucial task. Achievements in this respect might enlighten future efforts for the containment of other possible pandemics. Researchers from various fields have been trying to provide novel ideas for models or systems to identify Covid-19 patients from different medical and non-medical data. AI-based researchers have also been trying to contribute to this area by mostly providing novel approaches of automated systems using convolutional neural network (CNN) and deep neural network (DNN) for Covid-19 detection and diagnosis. Due to the efficiency of deep learning (DL) and transfer learning (TL) models in classification and segmentation tasks, most of the recent AI-based researches proposed various DL and TL models for Covid-19 detection and infected region segmentation from chest medical images like X-rays or CT images. This paper describes a web-based application framework for Covid-19 lung infection detection and segmentation. The proposed framework is characterized by a feedback mechanism for self learning and tuning. It uses variations of three popular DL models, namely Mask R-CNN, U-Net, and U-Net++. The models were trained, evaluated and tested using CT images of Covid patients which were collected from two different sources. The web application provide a simple user friendly interface to process the CT images from various resources using the chosen models, thresholds and other parameters to generate the decisions on detection and segmentation. The models achieve high performance scores for Dice similarity, Jaccard similarity, accuracy, loss, and precision values. The U-Net model outperformed the other models with more than 98% accuracy.

Simulating and Forecasting the COVID-19 Spread in a U.S. Metropolitan Region with a Spatial SEIR Model

The global COVID-19 pandemic has taken a heavy toll on health, social, and economic costs since the end of 2019. Predicting the spread of a pandemic is essential to developing effective intervention policies. Since the beginning of this pandemic, many models have been developed to predict its pathways. However, the majority of these models assume homogeneous dynamics over the geographic space, while the pandemic exhibits substantial spatial heterogeneity. In addition, spatial interaction among territorial entities and variations in their magnitude impact the pandemic dynamics. In this study, we used a spatial extension of the SEIR-type epidemiological model to simulate and predict the 4-week number of COVID-19 cases in the Charlotte-Concord-Gastonia Metropolitan Statistical Area (MSA), USA. We incorporated a variety of covariates, including mobility, pharmaceutical, and non-pharmaceutical interventions, demographics, and weather data to improve the model's predictive performance. We predicted the number of COVID-19 cases for up to four weeks in the 10 counties of the studied MSA simultaneously over the time period 29 March 2020 to 13 March 2021, and compared the results with the reported number of cases using the root-mean-squared error (RMSE) metric. Our results highlight the importance of spatial heterogeneity and spatial interactions among locations in COVID-19 pandemic modeling.

The Capacity of Artificial Intelligence in COVID-19 Response: A Review in Context of COVID-19 Screening and Diagnosis

Artificial intelligence (AI) has been shown to solve several issues affecting COVID-19 diagnosis. This systematic review research explores the impact of AI in early COVID-19 screening, detection, and diagnosis. A comprehensive survey of AI in the COVID-19 literature, mainly in the context of screening and diagnosis, was observed by applying the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Data sources for the years 2020, 2021, and 2022 were retrieved from google scholar, web of science, Scopus, and PubMed, with target keywords relating to AI in COVID-19 screening and diagnosis. After a comprehensive review of these studies, the results found that AI contributed immensely to improving COVID-19 screening and diagnosis. Some proposed AI models were shown to have comparable (sometimes even better) clinical decision outcomes, compared to experienced radiologists in the screening/diagnosing of COVID-19. Additionally, AI has the capacity to reduce physician work burdens and fatigue and reduce the problems of several false positives, associated with the RT-PCR test (with lower sensitivity of 60-70%) and medical imaging analysis. Even though AI was found to be timesaving and cost-effective, with less clinical errors, it works optimally under the supervision of a physician or other specialists.

A multistage multimodal deep learning model for disease severity assessment and early warnings of high-risk patients of COVID-19

The outbreak of coronavirus disease 2019 (COVID-19) has caused massive infections and large death tolls worldwide. Despite many studies on the clinical characteristics and the treatment plans of COVID-19, they rarely conduct in-depth prognostic research on leveraging consecutive rounds of multimodal clinical examination and laboratory test data to facilitate clinical decision-making for the treatment of COVID-19. To address this issue, we propose a multistage multimodal deep learning (MMDL) model to (1) first assess the patient's current condition (i.e., the mild and severe symptoms), then (2) give early warnings to patients with mild symptoms who are at high risk to develop severe illness. In MMDL, we build a sequential stage-wise learning architecture whose design philosophy embodies the model's predicted outcome and does not only depend on the current situation but also the history. Concretely, we meticulously combine the latest round of multimodal clinical data and the decayed past information to make assessments and predictions. In each round (stage), we design a two-layer multimodal feature extractor to extract the latent feature representation across different modalities of clinical data, including patient demographics, clinical manifestation, and 11 modalities of laboratory test results. We conduct experiments on a clinical dataset consisting of 216 COVID-19 patients that have passed the ethical review of the medical ethics committee. Experimental results validate our assumption that sequential stage-wise learning outperforms single-stage learning, but history long ago has little influence on the learning outcome. Also, comparison tests show the advantage of multimodal learning. MMDL with multimodal inputs can beat any reduced model with single-modal inputs only. In addition, we have deployed the prototype of MMDL in a hospital for clinical comparison tests and to assist doctors in clinical diagnosis.

Future behaviours decision-making regarding travel avoidance during COVID-19 outbreaks

Human behavioural changes are poorly understood, and this limitation has been a serious obstacle to epidemic forecasting. It is generally understood that people change their respective behaviours to reduce the risk of infection in response to the status of an epidemic or government interventions. We must first identify the factors that lead to such decision-making to predict these changes. However, due to an absence of a method to observe decision-making for future behaviour, understanding the behavioural responses to disease is limited. Here, we show that accommodation reservation data could reveal the decision-making process that underpins behavioural changes, travel avoidance, for reducing the risk of COVID-19 infections. We found that the motivation to avoid travel with respect to only short-term future behaviours dynamically varied and was associated with the outbreak status and/or the interventions of the government. Our developed method can quantitatively measure and predict a large-scale population's behaviour to determine the future risk of COVID-19 infections. These findings enable us to better understand behavioural changes in response to disease spread, and thus, contribute to the development of reliable long-term forecasting of disease spread.

The Role of Natural Language Processing during the COVID-19 Pandemic: Health Applications, Opportunities, and Challenges

The COVID-19 pandemic is the most devastating public health crisis in at least a century and has affected the lives of billions of people worldwide in unprecedented ways. Compared to pandemics of this scale in the past, societies are now equipped with advanced technologies that can mitigate the impacts of pandemics if utilized appropriately. However, opportunities are currently not fully utilized, particularly at the intersection of data science and health. Health-related big data and technological advances have the potential to significantly aid the fight against such pandemics, including the current pandemic's ongoing and long-term impacts. Specifically, the field of natural language processing (NLP) has enormous potential at a time when vast amounts of text-based data are continuously generated from a multitude of sources, such as health/hospital systems, published medical literature, and social media. Effectively mitigating the impacts of the pandemic requires tackling challenges associated with the application and deployment of NLP systems. In this paper, we review the applications of NLP to address diverse aspects of the COVID-19 pandemic. We outline key NLP-related advances on a chosen set of topics reported in the literature and discuss the opportunities and challenges associated with applying NLP during the current pandemic and future ones. These opportunities and challenges can guide future research aimed at improving the current health and social response systems and pandemic preparedness.

Interpretable Machine Learning for Inpatient COVID-19 Mortality Risk Assessments: Diabetes Mellitus Exclusive Interplay

People with diabetes mellitus (DM) are at elevated risk of in-hospital mortality from coronavirus disease-2019 (COVID-19). This vulnerability has spurred efforts to pinpoint distinctive characteristics of COVID-19 patients with DM. In this context, the present article develops ML models equipped with interpretation modules for inpatient mortality risk assessments of COVID-19 patients with DM. To this end, a cohort of 156 hospitalised COVID-19 patients with pre-existing DM is studied. For creating risk assessment platforms, this work explores a pool of historical, on-admission, and during-admission data that are DM-related or, according to preliminary investigations, are exclusively attributed to the COVID-19 susceptibility of DM patients. First, a set of careful pre-modelling steps are executed on the clinical data, including cleaning, pre-processing, subdivision, and feature elimination. Subsequently, standard machine learning (ML) modelling analysis is performed on the cured data. Initially, a classifier is tasked with forecasting COVID-19 fatality from selected features. The model undergoes thorough evaluation analysis. The results achieved substantiate the efficacy of the undertaken data curation and modelling steps. Afterwards, SHapley Additive exPlanations (SHAP) technique is assigned to interpret the generated mortality risk prediction model by rating the predictors' global and local influence on the model's outputs. These interpretations advance the comprehensibility of the analysis by explaining the formation of outcomes and, in this way, foster the adoption of the proposed methodologies. Next, a clustering algorithm demarcates patients into four separate groups based on their SHAP values, providing a practical risk stratification method. Finally, a re-evaluation analysis is performed to verify the robustness of the proposed framework.

Homogeneous ensemble models for predicting infection levels and mortality of COVID-19 patients: Evidence from China

Background

Persistence of long-term COVID-19 pandemic is putting high pressure on healthcare services worldwide for several years. This article aims to establish models to predict infection levels and mortality of COVID-19 patients in China.

Methods

Machine learning models and deep learning models have been built based on the clinical features of COVID-19 patients. The best models are selected by area under the receiver operating characteristic curve (AUC) scores to construct two homogeneous ensemble models for predicting infection levels and mortality, respectively. The first-hand clinical data of 760 patients are collected from Zhongnan Hospital of Wuhan University between 3 January and 8 March 2020. We preprocess data with cleaning, imputation, and normalization.

Results

Our models obtain AUC = 0.7059 and Recall (Weighted avg) = 0.7248 in predicting infection level, while AUC=0.8436 and Recall (Weighted avg) = 0.8486 in predicting mortality ratio. This study also identifies two sets of essential clinical features. One is C-reactive protein (CRP) or high sensitivity C-reactive protein (hs-CRP) and the other is chest tightness, age, and pleural effusion.

Conclusions

Two homogeneous ensemble models are proposed to predict infection levels and mortality of COVID-19 patients in China. New findings of clinical features for benefiting the machine learning models are reported. The evaluation of an actual dataset collected from January 3 to March 8, 2020 demonstrates the effectiveness of the models by comparing them with state-of-the-art models in prediction.

How Can Reasoned Transparency Enhance Co-Creation in Healthcare and Remedy the Pitfalls of Digitization in Doctor-Patient Relationships?

This article addresses transparency in the current era of digital co-creation between healthcare professionals and patients. The concept of reasoned transparency is presented as a potential tool to guide the development of digital co-creation that is rapidly growing. The aim was to reflect on how doctors can apply transparency in their daily practice, following the shift from paternalistic to more collaborative relationships. On the one hand, our contribution indicates ways to take advantage of the existing digital tools to improve efficiency and increase patient trust, including the latest trend of artificial intelligence. On the other hand, this article identifies pitfalls of digitization and proposes reasoned transparency as remedy for the challenges rose by artificial intelligence. As a result, this perspective article tackles the issue of maintaining trustful and high-quality relationships between doctors and patients, increasingly challenged by the dissemination of online information and the pressures on healthcare professionals' accountability towards patients and the general public.

Artificial Intelligence and Deep Learning Assisted Rapid Diagnosis of COVID-19 from Chest Radiographical Images: A Survey

Artificial Intelligence (AI) has been applied successfully in many real-life domains for solving complex problems. With the invention of Machine Learning (ML) paradigms, it becomes convenient for researchers to predict the outcome based on past data. Nowadays, ML is acting as the biggest weapon against the COVID-19 pandemic by detecting symptomatic cases at an early stage and warning people about its futuristic effects. It is observed that COVID-19 has blown out globally so much in a short period because of the shortage of testing facilities and delays in test reports. To address this challenge, AI can be effectively applied to produce fast as well as cost-effective solutions. Plenty of researchers come up with AI-based solutions for preliminary diagnosis using chest CT Images, respiratory sound analysis, voice analysis of symptomatic persons with asymptomatic ones, and so forth. Some AI-based applications claim good accuracy in predicting the chances of being COVID-19-positive. Within a short period, plenty of research work is published regarding the identification of COVID-19. This paper has carefully examined and presented a comprehensive survey of more than 110 papers that came from various reputed sources, that is, Springer, IEEE, Elsevier, MDPI, arXiv, and medRxiv. Most of the papers selected for this survey presented candid work to detect and classify COVID-19, using deep-learning-based models from chest X-Rays and CT scan images. We hope that this survey covers most of the work and provides insights to the research community in proposing efficient as well as accurate solutions for fighting the pandemic.

P. On computational analysis of nonlinear regression models addressing heteroscedasticity and autocorrelation issues: An application to COVID-19 data

This paper develops a method for nonlinear regression models estimation that is robust to heteroscedasticity and autocorrelation of errors. Using nonlinear least squares estimation, four popular growth models (Exponential, Gompertz, Verhulst, and Weibull) were computed. Some assumptions on the errors of these models (independence, normality, and homoscedasticity) being violated, the estimates are improved by modeling the residuals using the ETS method. For an application purpose, this approach has been used to predict the daily cumulative number of novel coronavirus (COVID-19) cases in Africa for the study period, from March 13, 2020, to June 26, 2021. The comparison of the proposed model to the competitors was done using statistical metrics such as MAPE, MAE, RMSE, AIC, BIC, and AICc. The findings revealed that the modified Gompertz model is the most accurate in forecasting the total number of COVID-19 cases in Africa. Moreover, the developed approach will be useful for researchers and policymakers for predicting purpose and for better decision making in different fields of its applications.

ADL-CDF: A Deep Learning Framework for COVID-19 Detection from CT Scans Towards an Automated Clinical Decision Support System

The emergence of deep learning has paved to solve many problems in the real world. COVID-19 pandemic, since the late 2019, has been affecting lives of people across the globe. Chest CT scan images are used to detect it and know its severity in patients. The problem with many existing solutions in COVID-19 detection using CT scan images is that inability to detect the infection when it is in initial stages. As the infection can exist on varied scales, there is need for more comprehensive approach that can ascertain the disease at all scales. Towards this end, we proposed a deep learning-based framework known as Automated Deep Learning-based COVID-19 Detection Framework (ADL-CDF). It does not need a human medical expert in diagnosis as it is capable of detecting automatically. The framework is assisted by two algorithms that involve image processing and deep learning. The first algorithm known as Region of Interest (ROI)-based Image Filtering (ROI-IF) which analyses given input CT scan images of a patient and discards the ones where ROI is missing. This algorithm minimizes time taken for processing besides reducing false positive rate. The second algorithm is known as Multi-Scale Feature Selection algorithm that fits into the deep learning framework's pipeline to leverage detection performance of the ADL-CDF. The proposed framework is evaluated against ResNet50V2 and Xception. Our empirical study revealed that our model outperforms the state of the art.

AI for COVID-19 Detection from Radiographs: Incisive Analysis of State of the Art Techniques, Key Challenges and Future Directions

Background and objective

In recent years, Artificial Intelligence has had an evident impact on the way research addresses challenges in different domains. It has proven to be a huge asset, especially in the medical field, allowing for time-efficient and reliable solutions. This research aims to spotlight the impact of deep learning and machine learning models in the detection of COVID-19 from medical images. This is achieved by conducting a review of the state-of-the-art approaches proposed by the recent works in this field.

Methods

The main focus of this study is the recent developments of classification and segmentation approaches to image-based COVID-19 detection. The study reviews 140 research papers published in different academic research databases. These papers have been screened and filtered based on specified criteria, to acquire insights prudent to image-based COVID-19 detection.

Results

The methods discussed in this review include different types of imaging modality, predominantly X-rays and CT scans. These modalities are used for classification and segmentation tasks as well. This review seeks to categorize and discuss the different deep learning and machine learning architectures employed for these tasks, based on the imaging modality utilized. It also hints at other possible deep learning and machine learning architectures that can be proposed for better results towards COVID-19 detection. Along with that, a detailed overview of the emerging trends and breakthroughs in Artificial Intelligence-based COVID-19 detection has been discussed as well.

Conclusion

This work concludes by stipulating the technical and non-technical challenges faced by researchers and illustrates the advantages of image-based COVID-19 detection with Artificial Intelligence techniques.

Toward a fractalomic idiotype/anti-idiotypic paradigm

The CoViD-19 pandemic has demonstrated the need for future developments in anti-viral immunology. We propose that artificial intelligence (AI) and machine learning, and in particular fractal analysis could play a crucial role in that context. Fractals - never-ending repeats of self-similar shapes whose composite tend to resemble the whole - are found in most natural biological structures including immunoglobulin and antigenic epitopes. Increased knowledge of the fractalomic properties of the idiotype/anti-idiotypic paradigm should help develop a novel and improved simplified artificial model of the immune system. Case in point, the regulation and dampening of antibodies as well as the synergetic recognition of an antigen by multiple idiotypes are both immune mechanisms that require further analysis. An enhanced understanding of these complexities could lead to better data analysis for novel vaccines to improve their sensitivity and specificity as well as open other new doors in the field of immunology.

A machine learning algorithm to analyse the effects of vaccination on COVID-19 mortality

The coronavirus disease 2019 (COVID-19), with new variants, continues to be a constant pandemic threat that is generating socio-economic and health issues in manifold countries. The principal goal of this study is to develop a machine learning experiment to assess the effects of vaccination on the fatality rate of the COVID-19 pandemic. Data from 192 countries are analysed to explain the phenomena under study. This new algorithm selected two targets: the number of deaths and the fatality rate. Results suggest that, based on the respective vaccination plan, the turnout in the participation in the vaccination campaign, and the doses administered, countries under study suddenly have a reduction in the fatality rate of COVID-19 precisely at the point where the cut effect is generated in the neural network. This result is significant for the international scientific community. It would demonstrate the effective impact of the vaccination campaign on the fatality rate of COVID-19, whatever the country considered. In fact, once the vaccination has started (for vaccines that require a booster, we refer to at least the first dose), the antibody response of people seems to prevent the probability of death related to COVID-19. In short, at a certain point, the fatality rate collapses with increasing doses administered. All these results here can help decisions of policymakers to prepare optimal strategies, based on effective vaccination plans, to lessen the negative effects of the COVID-19 pandemic crisis in socioeconomic and health systems.

Effect of heat inactivation and bulk lysis on real-time reverse transcription PCR detection of the SARS-COV-2: an experimental study

Objective

This study aimed to investigate the effect of heat inactivation and chemical bulklysis on SARS-CoV-2 detection.

Results

About 6.2% (5/80) of samples were changed to negative results in heat inactivation at 60 °C and about 8.7% (7/80) of samples were changed to negative in heat inactivation at 100 °C. The Ct values of heat-inactivated samples (at 60 °C, at 100 °C, and bulk lysis) were significantly different from the temperature at 56 °C. The effect of heat on Ct value should be considered when interpreting diagnostic PCR results from clinical samples which could have an initial low virus concentration. The efficacy of heat-inactivation varies greatly depending on temperature and duration. Local validation of heat-inactivation and its effects is therefore essential for molecular testing.

Artificial Intelligence and COVID-19: A Systematic umbrella review and roads ahead

Artificial Intelligence (AI) has played a substantial role in the response to the challenges posed by the current pandemic. The growing interest in using AI to handle Covid-19 issues has accelerated the pace of AI research and resulted in an exponential increase in articles and review studies within a very short period of time. Hence, it is becoming challenging to explore the large corpus of academic publications dedicated to the global health crisis. Even with the presence of systematic review studies, given their number and diversity, identifying trends and research avenues beyond the pandemic should be an arduous task. We conclude therefore that after the one-year mark of the declaration of Covid-19 as a pandemic, the accumulated scientific contribution lacks two fundamental aspects: Knowledge synthesis and Future projections. In contribution to fill this void, this paper is a (i) synthesis study and (ii) foresight exercise. The synthesis study aims to provide the scholars a consolidation of findings and a knowledge synthesis through a systematic review of the reviews (umbrella review) studying AI applications against Covid-19. Following the PRISMA guidelines, we systematically searched PubMed, Scopus, and other preprint sources from 1st December 2019 to 1st June 2021 for eligible reviews. The literature search and screening process resulted in 45 included reviews. Our findings reveal patterns, relationships, and trends in the AI research community response to the pandemic. We found that in the space of few months, the research objectives of the literature have developed rapidly from identifying potential AI applications to evaluating current uses of intelligent systems. Only few reviews have adopted the meta-analysis as a study design. Moreover, a clear dominance of the medical theme and the DNN methods has been observed in the reported AI applications. Based on its constructive systematic umbrella review, this work conducts a foresight exercise that tries to envision the post-Covid-19 research landscape of the AI field. We see seven key themes of research that may be an outcome of the present crisis and which advocate a more sustainable and responsible form of intelligent systems. We set accordingly a post-pandemic research agenda articulated around these seven drivers. The results of this study can be useful for the AI research community to obtain a holistic view of the current literature and to help prioritize research needs as we are heading toward the new normal.

The applications of MCDM methods in COVID-19 pandemic: A state of the art review

Likened to the economic calamity of World War Two, the COVID-19 pandemic has sparked fears of a deep economic crisis, killed more than six million people worldwide and had a ripple effect on all aspects of life. MCDM (multi-criteria decision making) methods have become increasingly popular in modeling COVID-19 problems owing to the multi-dimensionality of this crisis and the complexity of health and socio-economic systems. This paper is aimed to review 72 papers published in 37 leading peer-reviewed journals indexed in Web of Science that used MCDM methods in different areas of COVID-19 pandemic. In this paper, data retrieval follows the PRISMA protocol for systematic literature reviews. 35 countries have contributed to this multidisciplinary research and India is identified as the leading country in this field followed by Turkey and China. Also 36 articles, namely 50% of papers are presented in the form of international cooperation. "Applied Soft Computing" is the journal with the highest number of articles whereas "Journal of infection and public health" and "Operations Management Research" are ranked in the second place. The results indicate that AHP (including fuzzy AHP) is the most popular MCDM method applied in 37.5% of papers followed by TOPSIS and VIKOR. This review reveals that the use of MCDM methods is one of the most attractive research areas in the field of COVID-19. As a result, one of the main purposes of this work is to identify diverse applications of MCDM methods in the COVID-19 pandemic. Most studies i.e. 69% (49 papers) of the papers combined various fuzzy sets with MCDM methods to overcome the problem of uncertainty and ambiguity while analyzing information. Nevertheless, the main drawback of those papers has been the lack of theoretical justifications. In fact, fuzzy MCDM methods impose heavy computational load and there is no general consensus on the clear advantage of fuzzy methods over crisp methods in terms of the solution quality. We hope the researchers who applied fuzzy MCDM methods to COVID-19-related research understand the theoretical basis of MCDM methods and the serious challenges associated with basic operations of fuzzy numbers to avoid potential disadvantages. This paper contributes to the body of knowledge via suggesting a deep vision to critique the fuzzy MCDM methods from mathematical perspective.

Selective Electrochemical Detection of SARS-CoV-2 Using Deep Learning

COVID-19 has been in the headlines for the past two years. Diagnosing this infection with minimal false rates is still an issue even with the advent of multiple rapid antigen tests. Enormous data are being collected every day that could provide insight into reducing the false diagnosis. Machine learning (ML) and deep learning (DL) could be the way forward to process these data and reduce the false diagnosis rates. In this study, ML and DL approaches have been applied to the data set collected using an ultra-fast COVID-19 diagnostic sensor (UFC-19). The ability of ML and DL to specifically detect SARS-CoV-2 signals against SARS-CoV, MERS-CoV, Human CoV, and Influenza was investigated. UFC-19 is an electrochemical sensor that was used to test these virus samples and the obtained current response dataset was used to diagnose SARS-CoV-2 using different algorithms. Our results indicate that the convolution neural networks algorithm could diagnose SARS-CoV-2 samples with a sensitivity of 96.15%, specificity of 98.17%, and accuracy of 97.20%. Combining this DL model with the existing UFC-19 could selectively identify SARS-CoV-2 presence within two minutes.

Determinants of coronavirus disease 2019 infection by artificial intelligence technology: A study of 28 countries

Objectives

The coronavirus disease 2019 pandemic has affected countries around the world since 2020, and an increasing number of people are being infected. The purpose of this research was to use big data and artificial intelligence technology to find key factors associated with the coronavirus disease 2019 infection. The results can be used as a reference for disease prevention in practice.

Methods

This study obtained data from the "Imperial College London YouGov Covid-19 Behaviour Tracker Open Data Hub", covering a total of 291,780 questionnaire results from 28 countries (April 1~August 31, 2020). Data included basic characteristics, lifestyle habits, disease history, and symptoms of each subject. Four types of machine learning classification models were used, including logistic regression, random forest, support vector machine, and artificial neural network, to build prediction modules. The performance of each module is presented as the area under the receiver operating characteristics curve. Then, this study further processed important factors selected by each module to obtain an overall ranking of determinants.

Results

This study found that the area under the receiver operating characteristics curve of the prediction modules established by the four machine learning methods were all >0.95, and the RF had the highest performance (area under the receiver operating characteristics curve is 0.988). Top ten factors associated with the coronavirus disease 2019 infection were identified in order of importance: whether the family had been tested, having no symptoms, loss of smell, loss of taste, a history of epilepsy, acquired immune deficiency syndrome, cystic fibrosis, sleeping alone, country, and the number of times leaving home in a day.

Conclusions

This study used big data from 28 countries and artificial intelligence methods to determine the predictors of the coronavirus disease 2019 infection. The findings provide important insights for the coronavirus disease 2019 infection prevention strategies.

Deep Convolutional Neural Network Mechanism Assessment of COVID-19 Severity

As an epidemic, COVID-19's core test instrument still has serious flaws. To improve the present condition, all capabilities and tools available in this field are being used to combat the pandemic. Because of the contagious characteristics of the unique coronavirus (COVID-19) infection, an overwhelming comparison with patients queues up for pulmonary X-rays, overloading physicians and radiology and significantly impacting the quality of care, diagnosis, and outbreak prevention. Given the scarcity of clinical services such as intensive care and motorized ventilation systems in the aspect of this vastly transmissible ailment, it is critical to categorize patients as per their risk categories. This research describes a novel use of the deep convolutional neural network (CNN) technique to COVID-19 illness assessment seriousness. Utilizing chest X-ray images as contribution, an unsupervised DCNN model is constructed and suggested to split COVID-19 individuals into four seriousness classrooms: low, medium, serious, and crucial with an accuracy level of 96 percent. The efficiency of the DCNN model developed with the proposed methodology is demonstrated by empirical findings on a suitably huge sum of chest X-ray scans. To the evidence relating, it is the first COVID-19 disease incidence evaluation research with four different phases, to use a reasonably high number of X-ray images dataset and a DCNN with nearly all hyperparameters dynamically adjusted by the variable selection optimization task.

PCovNet: A presymptomatic COVID-19 detection framework using deep learning model using wearables data

While the advanced diagnostic tools and healthcare management protocols have been struggling to contain the COVID-19 pandemic, the spread of the contagious viral pathogen before the symptom onset acted as the Achilles' heel. Although reverse transcription-polymerase chain reaction (RT-PCR) has been widely used for COVID-19 diagnosis, they are hardly administered before any visible symptom, which provokes rapid transmission. This study proposes PCovNet, a Long Short-term Memory Variational Autoencoder (LSTM-VAE)-based anomaly detection framework, to detect COVID-19 infection in the presymptomatic stage from the Resting Heart Rate (RHR) derived from the wearable devices, i.e., smartwatch or fitness tracker. The framework was trained and evaluated in two configurations on a publicly available wearable device dataset consisting of 25 COVID-positive individuals in the span of four months including their COVID-19 infection phase. The first configuration of the framework detected RHR abnormality with average Precision, Recall, and F-beta scores of 0.946, 0.234, and 0.918, respectively. However, the second configuration detected aberrant RHR in 100% of the subjects (25 out of 25) during the infectious period. Moreover, 80% of the subjects (20 out of 25) were detected during the presymptomatic stage. These findings prove the feasibility of using wearable devices with such a deep learning framework as a secondary diagnosis tool to circumvent the presymptomatic COVID-19 detection problem.

Supervised Learning Models for the Preliminary Detection of COVID-19 in Patients Using Demographic and Epidemiological Parameters

The World Health Organization labelled the new COVID-19 breakout a public health crisis of worldwide concern on 30 January 2020, and it was named the new global pandemic in March 2020. It has had catastrophic consequences on the world economy and well-being of people and has put a tremendous strain on already-scarce healthcare systems globally, particularly in underdeveloped countries. Over 11 billion vaccine doses have already been administered worldwide, and the benefits of these vaccinations will take some time to appear. Today, the only practical approach to diagnosing COVID-19 is through the RT-PCR and RAT tests, which have sometimes been known to give unreliable results. Timely diagnosis and implementation of precautionary measures will likely improve the survival outcome and decrease the fatality rates. In this study, we propose an innovative way to predict COVID-19 with the help of alternative non-clinical methods such as supervised machine learning models to identify the patients at risk based on their characteristic parameters and underlying comorbidities. Medical records of patients from Mexico admitted between 23 January 2020 and 26 March 2022, were chosen for this purpose. Among several supervised machine learning approaches tested, the XGBoost model achieved the best results with an accuracy of 92%. It is an easy, non-invasive, inexpensive, instant and accurate way of forecasting those at risk of contracting the virus. However, it is pretty early to deduce that this method can be used as an alternative in the clinical diagnosis of coronavirus cases.