1
|
Albuquerque G, Fernandes F, Barbalho IMP, Barros DMS, Morais PSG, Morais AHF, Santos MM, Galvão-Lima LJ, Sales-Moioli AIL, Santos JPQ, Gil P, Henriques J, Teixeira C, Lima TS, Coutinho KD, Pinto TKB, Valentim RAM. Computational methods applied to syphilis: where are we, and where are we going? Front Public Health 2023; 11:1201725. [PMID: 37680278 PMCID: PMC10481400 DOI: 10.3389/fpubh.2023.1201725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 08/07/2023] [Indexed: 09/09/2023] Open
Abstract
Syphilis is an infectious disease that can be diagnosed and treated cheaply. Despite being a curable condition, the syphilis rate is increasing worldwide. In this sense, computational methods can analyze data and assist managers in formulating new public policies for preventing and controlling sexually transmitted infections (STIs). Computational techniques can integrate knowledge from experiences and, through an inference mechanism, apply conditions to a database that seeks to explain data behavior. This systematic review analyzed studies that use computational methods to establish or improve syphilis-related aspects. Our review shows the usefulness of computational tools to promote the overall understanding of syphilis, a global problem, to guide public policy and practice, to target better public health interventions such as surveillance and prevention, health service delivery, and the optimal use of diagnostic tools. The review was conducted according to PRISMA 2020 Statement and used several quality criteria to include studies. The publications chosen to compose this review were gathered from Science Direct, Web of Science, Springer, Scopus, ACM Digital Library, and PubMed databases. Then, studies published between 2015 and 2022 were selected. The review identified 1,991 studies. After applying inclusion, exclusion, and study quality assessment criteria, 26 primary studies were included in the final analysis. The results show different computational approaches, including countless Machine Learning algorithmic models, and three sub-areas of application in the context of syphilis: surveillance (61.54%), diagnosis (34.62%), and health policy evaluation (3.85%). These computational approaches are promising and capable of being tools to support syphilis control and surveillance actions.
Collapse
Affiliation(s)
- Gabriela Albuquerque
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Felipe Fernandes
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Ingridy M. P. Barbalho
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Daniele M. S. Barros
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Philippi S. G. Morais
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Antônio H. F. Morais
- Advanced Nucleus of Technological Innovation (NAVI), Federal Institute of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Marquiony M. Santos
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Leonardo J. Galvão-Lima
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Ana Isabela L. Sales-Moioli
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - João Paulo Q. Santos
- Advanced Nucleus of Technological Innovation (NAVI), Federal Institute of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Paulo Gil
- Department of Informatics Engineering, Center for Informatics and Systems of the University of Coimbra, Universidade de Coimbra, Coimbra, Portugal
| | - Jorge Henriques
- Department of Informatics Engineering, Center for Informatics and Systems of the University of Coimbra, Universidade de Coimbra, Coimbra, Portugal
| | - César Teixeira
- Department of Informatics Engineering, Center for Informatics and Systems of the University of Coimbra, Universidade de Coimbra, Coimbra, Portugal
| | - Thaisa Santos Lima
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
- Ministry of Health, Esplanada dos Ministérios, Brasília, Brazil
| | - Karilany D. Coutinho
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Talita K. B. Pinto
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Ricardo A. M. Valentim
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| |
Collapse
|
2
|
Carvalho RMS, Oliveira D, Pesquita C. Knowledge Graph Embeddings for ICU readmission prediction. BMC Med Inform Decis Mak 2023; 23:12. [PMID: 36658526 PMCID: PMC9850812 DOI: 10.1186/s12911-022-02070-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 11/28/2022] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Intensive Care Unit (ICU) readmissions represent both a health risk for patients,with increased mortality rates and overall health deterioration, and a financial burden for healthcare facilities. As healthcare became more data-driven with the introduction of Electronic Health Records (EHR), machine learning methods have been applied to predict ICU readmission risk. However, these methods disregard the meaning and relationships of data objects and work blindly over clinical data without taking into account scientific knowledge and context. Ontologies and Knowledge Graphs can help bridge this gap between data and scientific context, as they are computational artefacts that represent the entities of a domain and their relationships to each other in a formalized way. METHODS AND RESULTS We have developed an approach that enriches EHR data with semantic annotations to ontologies to build a Knowledge Graph. A patient's ICU stay is represented by Knowledge Graph embeddings in a contextualized manner, which are used by machine learning models to predict 30-days ICU readmissions. This approach is based on several contributions: (1) an enrichment of the MIMIC-III dataset with patient-oriented annotations to various biomedical ontologies; (2) a Knowledge Graph that defines patient data with biomedical ontologies; (3) a predictive model of ICU readmission risk that uses Knowledge Graph embeddings; (4) a variant of the predictive model that targets different time points during an ICU stay. Our predictive approaches outperformed both a baseline and state-of-the-art works achieving a mean Area Under the Receiver Operating Characteristic Curve of 0.827 and an Area Under the Precision-Recall Curve of 0.691. The application of this novel approach to help clinicians decide whether a patient can be discharged has the potential to prevent the readmission of [Formula: see text] of Intensive Care Unit patients, without unnecessarily prolonging the stay of those who would not require it. CONCLUSION The coupling of semantic annotation and Knowledge Graph embeddings affords two clear advantages: they consider scientific context and they are able to build representations of EHR information of different types in a common format. This work demonstrates the potential for impact that integrating ontologies and Knowledge Graphs into clinical machine learning applications can have.
Collapse
Affiliation(s)
- Ricardo M. S. Carvalho
- grid.9983.b0000 0001 2181 4263LASIGE, Faculty of Sciences, University of Lisbon, Lisbon, Portugal
| | - Daniela Oliveira
- grid.9983.b0000 0001 2181 4263LASIGE, Faculty of Sciences, University of Lisbon, Lisbon, Portugal
| | - Catia Pesquita
- grid.9983.b0000 0001 2181 4263LASIGE, Faculty of Sciences, University of Lisbon, Lisbon, Portugal
| |
Collapse
|
3
|
Risk Assessment of Alpine Skiing Events Based on Knowledge Graph: A Focus on Meteorological Conditions. ISPRS INTERNATIONAL JOURNAL OF GEO-INFORMATION 2021. [DOI: 10.3390/ijgi10120835] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The alpine skiing event is particularly vulnerable to changes in meteorological conditions as a winter sport held outdoors. The commonly used risk assessment methods cannot be inflexible and cannot be dynamically adjusted to combine multiple risk factors and actual conditions. A knowledge graph can organize data resources in the risk domain as structured knowledge systems. This paper combines a knowledge graph and risk assessment to effectively assess the risk status. First of all, we introduce the relevant literature review of sports event risk assessment, combining the characteristics of alpine skiing events. Then, we summarize the risk types of alpine skiing events and related risk knowledge. Secondly, a model is proposed to introduce an event risk assessment model based on the RippleNet framework combined with the characteristics of large-scale sports events. Moreover, the validity of the model is verified. The results show that the RippleNet-based event risk assessment model can be used to assess the risk of alpine skiing events. In order to effectively deal with the large-scale sports events that occur with a variety of risks, the smooth implementation of large-scale sports events provides a strong guarantee.
Collapse
|