A computational model for adaptive recording of vital signs through context histories

A survey on agents applications in healthcare: Opportunities, challenges and trends

BACKGROUND AND OBJECTIVE

The agent abstraction is a powerful one, developed decades ago to represent crucial aspects of artificial intelligence research. The meaning has transformed over the years and now there are different nuances across research communities. At its core, an agent is an autonomous computational entity capable of sensing, acting, and capturing interactions with other agents and its environment. This review examines how agent-based techniques have been implemented and evaluated in a specific and very important domain, i.e. healthcare research.

METHODS

We survey key areas of agent-based research in healthcare, e.g. individual and collective behaviours, communicable and non-communicable diseases, and social epidemiology. We propose a systematic search and critical review of relevant recent works, introduced by an exploratory network analysis.

RESULTS

Network analysis enables to devise out 5 main research clusters, the most active authors, and 4 main research topics.

CONCLUSIONS

Our findings support discussion of some future directions for increasing the value of agent-based approaches in healthcare.

Ubiquitous computing in light of human phenotypes: foundations, challenges, and opportunities

The interest in human phenotypes has leveraged interdisciplinary efforts encouraging a better understanding of the broad spectrum of psychological and behavioral disorders. Moreover, the usage of mobile and wearable devices along with unobtrusive computational capabilities provides an extensive amount of information that allows the characterization of phenotypes. This article describes the human phenotype through the lens of computational range and reviews state-of-the-art computational phenotyping. Furthermore, the article discusses computational phenotyping's extension concerning the combination of intelligent environments and personal mobile devices, addressing technical, managerial, and ethical challenges. This combination reinforces ubiquitous computational capabilities for phenotyping as a facilitator of interdisciplinary information convergence in favor of clinical and biomedical research.

Towards ubiquitous requirements engineering through recommendations based on context histories

The growing technological advance is causing constant business changes. The continual uncertainties in project management make requirements engineering essential to ensure the success of projects. The usual exponential increase of stakeholders throughout the project suggests the application of intelligent tools to assist requirements engineers. Therefore, this article proposes Nhatos, a computational model for ubiquitous requirements management that analyses context histories of projects to recommend reusable requirements. The scientific contribution of this study is the use of the similarity analysis of projects through their context histories to generate the requirement recommendations. The implementation of a prototype allowed to evaluate the proposal through a case study based on real scenarios from the industry. One hundred fifty-three software projects from a large bank institution generated context histories used in the recommendations. The experiment demonstrated that the model achieved more than 70% stakeholder acceptance of the recommendations.

Machine Learning and IoT Applied to Cardiovascular Diseases Identification through Heart Sounds: A Literature Review

This article presents a systematic mapping study dedicated to conduct a literature review on machine learning and IoT applied in the identification of diseases through heart sounds. This research was conducted between January 2010 and July 2021, considering IEEE Xplore, PubMed Central, ACM Digital Library, JMIR—Journal of Medical Internet Research, Springer Library, and Science Direct. The initial search resulted in 4372 papers, and after applying the inclusion and exclusion criteria, 58 papers were selected for full reading to answer the research questions. The main results are: of the 58 articles selected, 46 (79.31%) mention heart rate observation methods with wearable sensors and digital stethoscopes, and 34 (58.62%) mention care with machine learning algorithms. The analysis of the studies based on the bibliometric network generated by the VOSviewer showed in 13 studies (22.41%) a trend related to the use of intelligent services in the prediction of diagnoses related to cardiovascular disorders.

How Can Hybrid Simulation Support Organizations in Assessing COVID-19 Containment Measures?

Simulation models have always been an aid in epidemiology for understanding the spread of epidemics and evaluating their containment policies. This paper illustrates how hybrid simulation can support companies in assessing COVID-19 containment measures in indoor environments. In particular, a Hybrid Simulation (HS) is presented. The HS model consists of an Agent-Based Simulation (ABS) to simulate the virus contagion model and a Discrete Event Simulation (DES) model to simulate the interactions between flows of people in an indoor environment. Compared with previous works in the field of simulation and COVID-19, this study provides the possibility to model the specific behaviors of individuals moving in time and space and the proposed HS model could be adapted to several epidemiological conditions (just setting different parameters in the agent-based model) and different kinds of facilities. The HS approach has been developed and then successfully tested with a real case study related to a university campus in northern Italy. The case study highlights the potentials of hybrid simulation in assessing the effectiveness of the containment measures adopted during the period under examination in the pandemic context. From a managerial perspective, this study, exploiting the complementarity of the ABM and DES approaches in a HS model, provides a complete and usable tool to support decision-makers in evaluating different contagion containment measures.

A Literature Review on Intelligent Services Applied to Distance Learning

Distance learning has assumed a relevant role in the educational scenario. The use of Virtual Learning Environments contributes to obtaining a substantial amount of educational data. In this sense, the analyzed data generate knowledge used by institutions to assist managers and professors in strategic planning and teaching. The discovery of students’ behaviors enables a wide variety of intelligent services for assisting in the learning process. This article presents a literature review in order to identify the intelligent services applied in distance learning. The research covers the period from January 2010 to May 2021. The initial search found 1316 articles, among which 51 were selected for further studies. Considering the selected articles, 33% (17/51) focus on learning systems, 35% (18/51) propose recommendation systems, 26% (13/51) approach predictive systems or models, and 6% (3/51) use assessment tools. This review allowed for the observation that the principal services offered are recommendation systems and learning systems. In these services, the analysis of student profiles stands out to identify patterns of behavior, detect low performance, and identify probabilities of dropouts from courses.

A Multi-Start Algorithm for Solving the Capacitated Vehicle Routing Problem with Two-Dimensional Loading Constraints

This work presents a multistart algorithm for solving the capacitated vehicle routing problem with 2D loading constraints (2L-CVRP) allowing for the rotation of goods. Research dedicated to graph theory and symmetry considered the vehicle routing problem as a classical application. This problem has complex aspects that stimulate the use of advanced algorithms and symmetry in graphs. The use of graph modeling of the 2L-CVRP problem by undirected graph allowed the high performance of the algorithm. The developed algorithm is based on metaheuristics, such as the Constructive Genetic Algorithm (CGA) to construct promising initial solutions; a Tabu Search (TS) to improve the initial solutions on the routing problem, and a Large Neighborhood Search (LNS) for the loading subproblem. Although each one of these algorithms allowed to solve parts of the 2L-CVRP, the combination of these three algorithms to solve this problem was unprecedented in the scientific literature. In our approach, a parallel mechanism for checking the loading feasibility of routes was implemented using multithreading programming to improve the performance. Additionally, memory structures such as hash-tables were implemented to save time by storing and querying previously evaluated results for the loading feasibility of routes. For benchmarks, tests were done on well-known instances available in the literature. The results proved that the framework matched or outperformed most of the previous approaches. As the main contribution, this work brings higher quality solutions for large-size instances of the pure CVRP. This paper involves themes related to the symmetry journal, mainly complex algorithms, graphs, search strategies, complexity, graph modeling, and genetic algorithms. In addition, the paper especially focuses on topic-related aspects of special interest to the community involved in symmetry studies, such as graph algorithms and graph theory.

Multispectral Cameras and Machine Learning Integrated into Portable Devices as Clay Prediction Technology

The present work proposed a low-cost portable device as an enabling technology for agriculture using multispectral imaging and machine learning in soil texture. Clay is an important factor for the verification and monitoring of soil use due to its fast reaction to chemical and surface changes. The system developed uses the analysis of reflectance in wavebands for clay prediction. The selection of each wavelength is performed through an LED lamp panel. A NoIR microcamera controlled by a Raspberry Pi device is employed to acquire the image and unfold it in RGB histograms. Results showed a good prediction performance with R2 of 0.96, RMSEC of 3.66% and RMSECV of 16.87%. The high portability allows the equipment to be used in a field providing strategic information related to soil sciences.

Ambient Intelligence Based on IoT for Assisting People with Alzheimer’s Disease Through Context Histories

New Internet of Things (IoT) applications are enabling the development of projects that help with monitoring people with different diseases in their daily lives. Alzheimer’s is a disease that affects neurological functions and needs support to maintain maximum independence and security of patients during this stage of life, as the cure and reversal of symptoms have not yet been discovered. The IoT-based monitoring system provides the caregivers’ support in monitoring people with Alzheimer’s disease (AD). This paper presents an ontology-based computational model that receives physiological data from external IoT applications, allowing identification of potentially dangerous behaviors for patients with AD. The main scientific contribution of this work is the specification of a model focusing on Alzheimer’s disease using the analysis of context histories and context prediction, which, considering the state of the art, is the only one that uses analysis of context histories to perform predictions. In this research, we also propose a simulator to generate activities of the daily life of patients, allowing the creation of data sets. These data sets were used to evaluate the contributions of the model and were generated according to the standardization of the ontology. The simulator generated 1026 scenarios applied to guide the predictions, which achieved average accurary of 97.44%. The experiments also allowed the learning of 20 relevant lessons on technological, medical, and methodological aspects that are recorded in this article.