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Petrušić I, Ha WS, Labastida-Ramirez A, Messina R, Onan D, Tana C, Wang W. Influence of next-generation artificial intelligence on headache research, diagnosis and treatment: the junior editorial board members' vision - part 1. J Headache Pain 2024; 25:151. [PMID: 39272003 PMCID: PMC11401391 DOI: 10.1186/s10194-024-01847-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2024] [Accepted: 08/18/2024] [Indexed: 09/15/2024] Open
Abstract
Artificial intelligence (AI) is revolutionizing the field of biomedical research and treatment, leveraging machine learning (ML) and advanced algorithms to analyze extensive health and medical data more efficiently. In headache disorders, particularly migraine, AI has shown promising potential in various applications, such as understanding disease mechanisms and predicting patient responses to therapies. Implementing next-generation AI in headache research and treatment could transform the field by providing precision treatments and augmenting clinical practice, thereby improving patient and public health outcomes and reducing clinician workload. AI-powered tools, such as large language models, could facilitate automated clinical notes and faster identification of effective drug combinations in headache patients, reducing cognitive burdens and physician burnout. AI diagnostic models also could enhance diagnostic accuracy for non-headache specialists, making headache management more accessible in general medical practice. Furthermore, virtual health assistants, digital applications, and wearable devices are pivotal in migraine management, enabling symptom tracking, trigger identification, and preventive measures. AI tools also could offer stress management and pain relief solutions to headache patients through digital applications. However, considerations such as technology literacy, compatibility, privacy, and regulatory standards must be adequately addressed. Overall, AI-driven advancements in headache management hold significant potential for enhancing patient care, clinical practice and research, which should encourage the headache community to adopt AI innovations.
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Affiliation(s)
- Igor Petrušić
- Laboratory for Advanced Analysis of Neuroimages, Faculty of Physical Chemistry, University of Belgrade, 12-16 Studentski Trg Street, Belgrade, 11000, Serbia.
| | - Woo-Seok Ha
- Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Alejandro Labastida-Ramirez
- Division of Neuroscience, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
| | - Roberta Messina
- Neuroimaging research unit and Neurology unit, IRCCS San Raffaele Scientific Institute, Milan, Italy
- Vita-Salute San Raffaele University, Milan, Italy
| | - Dilara Onan
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Yozgat Bozok University, Yozgat, Turkey
| | - Claudio Tana
- Center of Excellence on Headache, Geriatrics Unit, SS. University Hospital of Chieti, Chieti, Italy
| | - Wei Wang
- Department of Neurology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China
- Headache Center, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
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Bhadra R, Singh PK, Mahmud M. HyEpiSeiD: a hybrid convolutional neural network and gated recurrent unit model for epileptic seizure detection from electroencephalogram signals. Brain Inform 2024; 11:21. [PMID: 39167115 PMCID: PMC11339197 DOI: 10.1186/s40708-024-00234-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2024] [Accepted: 07/24/2024] [Indexed: 08/23/2024] Open
Abstract
Epileptic seizure (ES) detection is an active research area, that aims at patient-specific ES detection with high accuracy from electroencephalogram (EEG) signals. The early detection of seizure is crucial for timely medical intervention and prevention of further injuries of the patients. This work proposes a robust deep learning framework called HyEpiSeiD that extracts self-trained features from the pre-processed EEG signals using a hybrid combination of convolutional neural network followed by two gated recurrent unit layers and performs prediction based on those extracted features. The proposed HyEpiSeiD framework is evaluated on two public datasets, the UCI Epilepsy and Mendeley datasets. The proposed HyEpiSeiD model achieved 99.01% and 97.50% classification accuracy, respectively, outperforming most of the state-of-the-art methods in epilepsy detection domain.
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Affiliation(s)
- Rajdeep Bhadra
- Department of Information Technology, Jadavpur University, Jadavpur University Second Campus, Plot No. 8, Salt Lake Bypass, LB Block, Sector III, Salt Lake City, 700 106, Kolkata, West Bengal, India
| | - Pawan Kumar Singh
- Department of Information Technology, Jadavpur University, Jadavpur University Second Campus, Plot No. 8, Salt Lake Bypass, LB Block, Sector III, Salt Lake City, 700 106, Kolkata, West Bengal, India
- Metharath University, 99, Moo 10, Bang Toei, Sam Khok, 12160, Pathum Thani, Thailand
| | - Mufti Mahmud
- Department of Computer Science, Nottingham Trent University, Nottingham, NG11 8NS, UK.
- Medical Technologies Innovation Facility, Nottingham Trent University, Nottingham, NG11 8NS, UK.
- Computing and Informatics Research Centre, Nottingham Trent University, Nottingham, NG11 8NS, UK.
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Alhammad N, Alajlani M, Abd-Alrazaq A, Epiphaniou G, Arvanitis T. Patients' Perspectives on the Data Confidentiality, Privacy, and Security of mHealth Apps: Systematic Review. J Med Internet Res 2024; 26:e50715. [PMID: 38820572 PMCID: PMC11179037 DOI: 10.2196/50715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Revised: 09/03/2023] [Accepted: 01/25/2024] [Indexed: 06/02/2024] Open
Abstract
BACKGROUND Mobile health (mHealth) apps have the potential to enhance health care service delivery. However, concerns regarding patients' confidentiality, privacy, and security consistently affect the adoption of mHealth apps. Despite this, no review has comprehensively summarized the findings of studies on this subject matter. OBJECTIVE This systematic review aims to investigate patients' perspectives and awareness of the confidentiality, privacy, and security of the data collected through mHealth apps. METHODS Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a comprehensive literature search was conducted in 3 electronic databases: PubMed, Ovid, and ScienceDirect. All the retrieved articles were screened according to specific inclusion criteria to select relevant articles published between 2014 and 2022. RESULTS A total of 33 articles exploring mHealth patients' perspectives and awareness of data privacy, security, and confidentiality issues and the associated factors were included in this systematic review. Thematic analyses of the retrieved data led to the synthesis of 4 themes: concerns about data privacy, confidentiality, and security; awareness; facilitators and enablers; and associated factors. Patients showed discordant and concordant perspectives regarding data privacy, security, and confidentiality, as well as suggesting approaches to improve the use of mHealth apps (facilitators), such as protection of personal data, ensuring that health status or medical conditions are not mentioned, brief training or education on data security, and assuring data confidentiality and privacy. Similarly, awareness of the subject matter differed across the studies, suggesting the need to improve patients' awareness of data security and privacy. Older patients, those with a history of experiencing data breaches, and those belonging to the higher-income class were more likely to raise concerns about the data security and privacy of mHealth apps. These concerns were not frequent among patients with higher satisfaction levels and those who perceived the data type to be less sensitive. CONCLUSIONS Patients expressed diverse views on mHealth apps' privacy, security, and confidentiality, with some of the issues raised affecting technology use. These findings may assist mHealth app developers and other stakeholders in improving patients' awareness and adjusting current privacy and security features in mHealth apps to enhance their adoption and use. TRIAL REGISTRATION PROSPERO CRD42023456658; https://tinyurl.com/ytnjtmca.
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Affiliation(s)
- Nasser Alhammad
- Institute of Digital Healthcare, WMG, University of Warwick, Coventry, United Kingdom
- Health Informatics, Saudi Electronic University, Jeddah, Saudi Arabia
| | - Mohannad Alajlani
- Institute of Digital Healthcare, WMG, University of Warwick, Coventry, United Kingdom
| | - Alaa Abd-Alrazaq
- AI Center for Precision Health, Weill Cornell Medicine, Doha, Qatar
| | - Gregory Epiphaniou
- Institute of Digital Healthcare, WMG, University of Warwick, Coventry, United Kingdom
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Giebel GD, Abels C, Plescher F, Speckemeier C, Schrader NF, Börchers K, Wasem J, Neusser S, Blase N. Problems and Barriers Related to the Use of mHealth Apps From the Perspective of Patients: Focus Group and Interview Study. J Med Internet Res 2024; 26:e49982. [PMID: 38652508 PMCID: PMC11077409 DOI: 10.2196/49982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 10/24/2023] [Accepted: 01/31/2024] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND Since fall 2020, mobile health (mHealth) apps have become an integral part of the German health care system. The belief that mHealth apps have the potential to make the health care system more efficient, close gaps in care, and improve the economic outcomes related to health is unwavering and already partially confirmed. Nevertheless, problems and barriers in the context of mHealth apps usually remain unconsidered. OBJECTIVE The focus groups and interviews conducted in this study aim to shed light on problems and barriers in the context of mHealth apps from the perspective of patients. METHODS Guided focus groups and individual interviews were conducted with patients with a disease for which an approved mHealth app was available at the time of the interviews. Participants were recruited via self-help groups. The interviews were recorded, transcribed, and subjected to a qualitative content analysis. The content analysis was based on 10 problem categories ("validity," "usability," "technology," "use and adherence," "data privacy and security," "patient-physician relationship," "knowledge and skills," "individuality," "implementation," and "costs") identified in a previously conducted scoping review. Participants were asked to fill out an additional questionnaire about their sociodemographic data and about their use of technology. RESULTS A total of 38 patients were interviewed in 5 focus groups (3 onsite and 2 web-based) and 5 individual web-based interviews. The additional questionnaire was completed by 32 of the participants. Patients presented with a variety of different diseases, such as arthrosis, tinnitus, depression, or lung cancer. Overall, 16% (5/32) of the participants had already been prescribed an app. During the interviews, all 10 problem categories were discussed and considered important by patients. A myriad of problem manifestations could be identified for each category. This study shows that there are relevant problems and barriers in the context of mHealth apps from the perspective of patients, which warrant further attention. CONCLUSIONS There are essentially 3 different areas of problems in the context of mHealth apps that could be addressed to improve care: quality of the respective mHealth app, its integration into health care, and the expandable digital literacy of patients.
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Affiliation(s)
- Godwin Denk Giebel
- Institute for Health Care Management and Research, Universität Duisburg-Essen, Essen, Germany
| | - Carina Abels
- Institute for Health Care Management and Research, Universität Duisburg-Essen, Essen, Germany
| | - Felix Plescher
- Institute for Health Care Management and Research, Universität Duisburg-Essen, Essen, Germany
| | - Christian Speckemeier
- Institute for Health Care Management and Research, Universität Duisburg-Essen, Essen, Germany
| | - Nils Frederik Schrader
- Institute for Health Care Management and Research, Universität Duisburg-Essen, Essen, Germany
| | | | - Jürgen Wasem
- Institute for Health Care Management and Research, Universität Duisburg-Essen, Essen, Germany
| | - Silke Neusser
- Institute for Health Care Management and Research, Universität Duisburg-Essen, Essen, Germany
| | - Nikola Blase
- Institute for Health Care Management and Research, Universität Duisburg-Essen, Essen, Germany
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Vimbi V, Shaffi N, Mahmud M. Interpreting artificial intelligence models: a systematic review on the application of LIME and SHAP in Alzheimer's disease detection. Brain Inform 2024; 11:10. [PMID: 38578524 PMCID: PMC10997568 DOI: 10.1186/s40708-024-00222-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2023] [Accepted: 03/04/2024] [Indexed: 04/06/2024] Open
Abstract
Explainable artificial intelligence (XAI) has gained much interest in recent years for its ability to explain the complex decision-making process of machine learning (ML) and deep learning (DL) models. The Local Interpretable Model-agnostic Explanations (LIME) and Shaply Additive exPlanation (SHAP) frameworks have grown as popular interpretive tools for ML and DL models. This article provides a systematic review of the application of LIME and SHAP in interpreting the detection of Alzheimer's disease (AD). Adhering to PRISMA and Kitchenham's guidelines, we identified 23 relevant articles and investigated these frameworks' prospective capabilities, benefits, and challenges in depth. The results emphasise XAI's crucial role in strengthening the trustworthiness of AI-based AD predictions. This review aims to provide fundamental capabilities of LIME and SHAP XAI frameworks in enhancing fidelity within clinical decision support systems for AD prognosis.
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Affiliation(s)
- Viswan Vimbi
- College of Computing and Information Sciences, University of Technology and Applied Sciences, OM 311, Sohar, Sultanate of Oman
| | - Noushath Shaffi
- College of Computing and Information Sciences, University of Technology and Applied Sciences, OM 311, Sohar, Sultanate of Oman
| | - Mufti Mahmud
- Department of Computer Science, Nottingham Trent University, Nottingham, NG11 8NS, UK.
- Medical Technologies Innovation Facility, Nottingham Trent University, Nottingham, NG11 8NS, UK.
- Computing and Informatics Research Centre, Nottingham Trent University, Nottingham, NG11 8NS, UK.
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Piamjariyakul U, McKenrick SR, Smothers A, Giolzetti A, Melnick H, Beaver M, Shafique S, Wang K, Carte KJ, Grimes B, Haut MW, Navia RO, Patrick JH, Wilhelmsen K. Developing, implementing, and evaluating the visiting Neighbors' program in rural Appalachia: A quality improvement protocol. PLoS One 2024; 19:e0296438. [PMID: 38166130 PMCID: PMC10760886 DOI: 10.1371/journal.pone.0296438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 12/12/2023] [Indexed: 01/04/2024] Open
Abstract
INTRODUCTION Older adults living alone in rural areas frequently experience health declines, social isolation, and limited access to services. To address these challenges, our medical academic university supported a quality improvement project for developing and evaluating the Visiting Neighbors program in two rural Appalachian counties. Our Visiting Neighbors program trained local volunteers to visit and guide rural older adults in healthy activities. These age-appropriate activities (Mingle, Manage, and Move- 3M's) were designed to improve the functional health of older adults. The program includes four in-home visits and four follow-up telephone calls across three months. PURPOSE The purpose of this paper was to describe the 3M's Visiting Neighbors protocol steps guiding the quality improvement procedures relating to program development, implementation, and evaluation. METHODS AND MATERIALS This Visiting Neighbors study used a single-group exploratory quality improvement design. This program was tested using quality improvement standards, including collecting participant questionnaires and visit observations. RESULTS Older adults (> 65 years) living alone (N = 30) participants were female (79%) with a mean age of 82.96 (SD = 7.87) years. Volunteer visitor participants (N = 10) were older adult females. Two volunteer visitors implemented each visit, guided by the 3M's activities manual. All visits were verified as being consistently delivered (fidelity). Enrollment and retention data found the program was feasible to conduct. The older adult participants' total program helpfulness ratings (1 to 5) were high (M = 51.27, SD = 3.77). All volunteer visitor's program helpfulness ratings were also high (M = 51.78, SD = 3.73). DISCUSSION The Visiting Neighbors program consistently engaged older Appalachian adults living alone in the 3M's activities. The feasibility and fidelity of the 3M's home visits were verified. The quality improvement processes included engaging the expert advisory committee and rural county stakeholders to ensure the quality of the program development, implementation, and evaluation.
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Affiliation(s)
- Ubolrat Piamjariyakul
- West Virginia University School of Nursing, Morgantown, WV, United States of America
| | - Susan R. McKenrick
- West Virginia University School of Nursing, Morgantown, WV, United States of America
| | - Angel Smothers
- West Virginia University School of Nursing, Morgantown, WV, United States of America
| | - Angelo Giolzetti
- West Virginia University School of Medicine, Morgantown, WV, United States of America
| | - Helen Melnick
- West Virginia University School of Nursing, Morgantown, WV, United States of America
| | - Molly Beaver
- West Virginia University School of Nursing, Morgantown, WV, United States of America
| | - Saima Shafique
- West Virginia University School of Nursing, Morgantown, WV, United States of America
| | - Kesheng Wang
- West Virginia University School of Nursing, Morgantown, WV, United States of America
| | - Kerri J. Carte
- Family & Community Development, West Virginia University-Extension, Kanawha County, Charleston, WV, United States of America
| | - Brad Grimes
- Meredith Center for Career Services and Professional Development, West Virginia University College of Law, Morgantown, WV, United States of America
| | - Marc W. Haut
- West Virginia University School of Medicine, Morgantown, WV, United States of America
- Department of Behavioral Medicine/Psychiatry, Director, Memory Health Clinic, Rockefeller Neuroscience Institute, Morgantown, WV, United States of America
| | - R. Osvaldo Navia
- West Virginia University School of Medicine, Morgantown, WV, United States of America
- Division Chief of Geriatrics, Palliative Medicine & Hospice and Grace Kinney Mead Chair of Geriatrics, West Virginia University School of Medicine, Morgantown, WV, United States of America
| | - Julie Hicks Patrick
- Life-Span Developmental Psychology, West Virginia University, Morgantown, WV, United States of America
| | - Kirk Wilhelmsen
- West Virginia University School of Medicine, Morgantown, WV, United States of America
- Chief Cognitive Neurology, Rockefeller Neuroscience Institute, Morgantown, WV, United States of America
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Sarpourian F, Ahmadi Marzaleh M, Fatemi Aghda SA, Zare Z. Application of Telemedicine in the Ambulance for Stroke Patients: A Systematic Review. Prehosp Disaster Med 2023; 38:774-779. [PMID: 37877359 DOI: 10.1017/s1049023x23006519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2023]
Abstract
INTRODUCTION The use of telemedicine for the prehospital management of emergency conditions, especially stroke, is increasing day by day. Few studies have investigated the applications of telemedicine in Emergency Medical Services (EMS). A comprehensive study of the applications of this technology in stroke patients in ambulances can help to build a better understanding. Therefore, this systematic review was conducted to investigate the use of telemedicine in ambulances for stroke patients in 2023. METHODS A systematic search was conducted in PubMed, Cochrane, Scopus, ProQuest, Science Direct, and Web of Science from 2013 through March 1, 2023. The authors selected the articles based on keywords and criteria and reviewed them in terms of title, abstract, and full text. Finally, the articles that were related to the study aim were evaluated. RESULTS The initial search resulted in the extraction of 2,795 articles. After review of the articles, and applying the inclusion and exclusion criteria, seven articles were selected for the final analysis. Three (42.85%) studies were on the feasibility and intervention types. Also, randomized trials, feasibility, feasibility and prospective-observational, and feasibility and retrospective-interventional studies were each one (14.28%). Six (85.71%) of the studies were conducted in the United States. The National Institutes of Health Stroke Scale (NIHSS) and RP-Xpress were the most commonly used tools for neurological evaluations and teleconsultations. CONCLUSION Remote prehospital consultations, triage, and sending patient data before they go to the emergency department can be provided through telemedicine in ambulances. Neurological evaluations via telemedicine are reliable and accurate, and they are almost equal to in-person evaluations by a neurologist.
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Affiliation(s)
- Fatemeh Sarpourian
- PhD Candidate of Health Information Management, Student Research Committee, Department of Health Information Technology, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Milad Ahmadi Marzaleh
- Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Seyed Ali Fatemi Aghda
- PhD Candidate of Medical Informatics, Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Zahra Zare
- PhD Candidate in Health Care Management, Department of Health Care Management, School of Health Management and Information Sciences, Shiraz University of Medical Science, Shiraz, Iran
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Rahman MA, Brown DJ, Mahmud M, Harris M, Shopland N, Heym N, Sumich A, Turabee ZB, Standen B, Downes D, Xing Y, Thomas C, Haddick S, Premkumar P, Nastase S, Burton A, Lewis J. Enhancing biofeedback-driven self-guided virtual reality exposure therapy through arousal detection from multimodal data using machine learning. Brain Inform 2023; 10:14. [PMID: 37341863 DOI: 10.1186/s40708-023-00193-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 05/15/2023] [Indexed: 06/22/2023] Open
Abstract
Virtual reality exposure therapy (VRET) is a novel intervention technique that allows individuals to experience anxiety-evoking stimuli in a safe environment, recognise specific triggers and gradually increase their exposure to perceived threats. Public-speaking anxiety (PSA) is a prevalent form of social anxiety, characterised by stressful arousal and anxiety generated when presenting to an audience. In self-guided VRET, participants can gradually increase their tolerance to exposure and reduce anxiety-induced arousal and PSA over time. However, creating such a VR environment and determining physiological indices of anxiety-induced arousal or distress is an open challenge. Environment modelling, character creation and animation, psychological state determination and the use of machine learning (ML) models for anxiety or stress detection are equally important, and multi-disciplinary expertise is required. In this work, we have explored a series of ML models with publicly available data sets (using electroencephalogram and heart rate variability) to predict arousal states. If we can detect anxiety-induced arousal, we can trigger calming activities to allow individuals to cope with and overcome distress. Here, we discuss the means of effective selection of ML models and parameters in arousal detection. We propose a pipeline to overcome the model selection problem with different parameter settings in the context of virtual reality exposure therapy. This pipeline can be extended to other domains of interest where arousal detection is crucial. Finally, we have implemented a biofeedback framework for VRET where we successfully provided feedback as a form of heart rate and brain laterality index from our acquired multimodal data for psychological intervention to overcome anxiety.
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Affiliation(s)
- Muhammad Arifur Rahman
- Department of Computer Science, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK
| | - David J Brown
- Department of Computer Science, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK
| | - Mufti Mahmud
- Department of Computer Science, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK.
- Medical Technologies Innovation Facility, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK.
- Computing and Informatics Research Centre, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK.
| | - Matthew Harris
- Department of Computer Science, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK
| | - Nicholas Shopland
- Department of Computer Science, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK
| | - Nadja Heym
- School of Social Sciences, Nottingham Trent University, Shakespeare St, Nottingham, NG1 4FQ, UK
| | - Alexander Sumich
- School of Social Sciences, Nottingham Trent University, Shakespeare St, Nottingham, NG1 4FQ, UK
| | - Zakia Batool Turabee
- School of Social Sciences, Nottingham Trent University, Shakespeare St, Nottingham, NG1 4FQ, UK
| | - Bradley Standen
- Department of Computer Science, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK
| | - David Downes
- Nottingham School of Art & Design, Nottingham Trent University, Shakespeare St, Nottingham, NG1 4FQ, UK
| | - Yangang Xing
- School of ADBE, Nottingham Trent University, Shakespeare St, Nottingham, NG1 4FQ, UK
| | - Carolyn Thomas
- Nottingham School of Art & Design, Nottingham Trent University, Shakespeare St, Nottingham, NG1 4FQ, UK
| | - Sean Haddick
- Department of Computer Science, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK
| | - Preethi Premkumar
- Division of Psychology, London South Bank University, London, SE1 0AA, UK
| | | | - Andrew Burton
- Department of Computer Science, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK
| | - James Lewis
- Department of Computer Science, Nottingham Trent University, Clifton Lane, Nottingham, NG11 8NS, UK
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Hajamohideen F, Shaffi N, Mahmud M, Subramanian K, Al Sariri A, Vimbi V, Abdesselam A. Four-way classification of Alzheimer's disease using deep Siamese convolutional neural network with triplet-loss function. Brain Inform 2023; 10:5. [PMID: 36806042 PMCID: PMC9937523 DOI: 10.1186/s40708-023-00184-w] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 01/03/2023] [Indexed: 02/19/2023] Open
Abstract
Alzheimer's disease (AD) is a neurodegenerative disease that causes irreversible damage to several brain regions, including the hippocampus causing impairment in cognition, function, and behaviour. Early diagnosis of the disease will reduce the suffering of the patients and their family members. Towards this aim, in this paper, we propose a Siamese Convolutional Neural Network (SCNN) architecture that employs the triplet-loss function for the representation of input MRI images as k-dimensional embeddings. We used both pre-trained and non-pretrained CNNs to transform images into the embedding space. These embeddings are subsequently used for the 4-way classification of Alzheimer's disease. The model efficacy was tested using the ADNI and OASIS datasets which produced an accuracy of 91.83% and 93.85%, respectively. Furthermore, obtained results are compared with similar methods proposed in the literature.
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Affiliation(s)
- Faizal Hajamohideen
- College of Computing and Information Sciences, University of Technology and Applied Sciences, Jamia Street, 311 Sohar, Sultanate of Oman
| | - Noushath Shaffi
- College of Computing and Information Sciences, University of Technology and Applied Sciences, Jamia Street, 311 Sohar, Sultanate of Oman
| | - Mufti Mahmud
- Department of Computer Science, Nottingham Trent University, Clifton Lane, NG11 8NS Nottingham, UK
- Medical Technologies Innovation Facility, Nottingham Trent University, Clifton Lane, NG11 8NS Nottingham, UK
- Computing and Informatics Research Centre, Nottingham Trent University, Clifton Lane, NG11 8NS Nottingham, UK
| | - Karthikeyan Subramanian
- College of Computing and Information Sciences, University of Technology and Applied Sciences, Jamia Street, 311 Sohar, Sultanate of Oman
| | - Arwa Al Sariri
- College of Computing and Information Sciences, University of Technology and Applied Sciences, Jamia Street, 311 Sohar, Sultanate of Oman
| | - Viswan Vimbi
- College of Computing and Information Sciences, University of Technology and Applied Sciences, Jamia Street, 311 Sohar, Sultanate of Oman
| | - Abdelhamid Abdesselam
- Department of Computer Science, Sultan Qaboos University, 123 Muscat, Sultanate of Oman
| | - for the Alzheimer’s Disease Neuroimaging Initiative
- College of Computing and Information Sciences, University of Technology and Applied Sciences, Jamia Street, 311 Sohar, Sultanate of Oman
- Department of Computer Science, Nottingham Trent University, Clifton Lane, NG11 8NS Nottingham, UK
- Medical Technologies Innovation Facility, Nottingham Trent University, Clifton Lane, NG11 8NS Nottingham, UK
- Computing and Informatics Research Centre, Nottingham Trent University, Clifton Lane, NG11 8NS Nottingham, UK
- Department of Computer Science, Sultan Qaboos University, 123 Muscat, Sultanate of Oman
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Pal S, Biswas B, Gupta R, Kumar A, Gupta S. Exploring the factors that affect user experience in mobile-health applications: A text-mining and machine-learning approach. JOURNAL OF BUSINESS RESEARCH 2023; 156:113484. [PMID: 36475057 PMCID: PMC9715352 DOI: 10.1016/j.jbusres.2022.113484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 11/18/2022] [Accepted: 11/19/2022] [Indexed: 05/03/2023]
Abstract
Recent years have witnessed an increased demand for mobile health (mHealth) platforms owing to the COVID-19 pandemic and preference for doorstep delivery. However, factors impacting user experiences and satisfaction levels across these platforms, using customer reviews, are still largely unexplored in academic research. The empirical framework we proposed in this paper addressed this research gap by analysing unmonitored user comments for some popular mHealth platforms. Using topic-modelling techniques, we identified the impacting factors (predictors) and categorised them into two major dimensions based on strategic adoption and motivational association. Findings from our study suggest that time and money, convenience, responsiveness, and availability emerge as significant predictors for delivering a positive user experience on m-health platforms. Next, we identified substantial moderating effects of review polarity on the predictors related to brand association and hedonic motivation, such as online booking and video consultation. Further, we also identified the top predictors for successful user experience across these platforms. Recommendations from our study will benefit business managers by offering an improved service design leading to higher user satisfaction across these m-health platforms.
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Affiliation(s)
- Shounak Pal
- PricewaterhouseCoopers Private Limited, India
| | - Baidyanath Biswas
- Enterprise and Innovation Group, DCU Business School, Dublin City University, Ireland
| | - Rohit Gupta
- Operations Management Area, Indian Institute of Management, Ranchi, India
| | - Ajay Kumar
- AIM Research Center on Artificial Intelligence in Value Creation, EMLYON Business School, Ecully, France
| | - Shivam Gupta
- Department of Information Systems, Supply Chain Management & Decision Support, NEOMA Business School, Reims, France
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Ghose P, Alavi M, Tabassum M, Ashraf Uddin M, Biswas M, Mahbub K, Gaur L, Mallik S, Zhao Z. Detecting COVID-19 infection status from chest X-ray and CT scan via single transfer learning-driven approach. Front Genet 2022; 13:980338. [PMID: 36212141 PMCID: PMC9533058 DOI: 10.3389/fgene.2022.980338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Accepted: 08/18/2022] [Indexed: 11/17/2022] Open
Abstract
COVID-19 has caused over 528 million infected cases and over 6.25 million deaths since its outbreak in 2019. The uncontrolled transmission of the SARS-CoV-2 virus has caused human suffering and the death of uncountable people. Despite the continuous effort by the researchers and laboratories, it has been difficult to develop reliable efficient and stable vaccines to fight against the rapidly evolving virus strains. Therefore, effectively preventing the transmission in the community and globally has remained an urgent task since its outbreak. To avoid the rapid spread of infection, we first need to identify the infected individuals and isolate them. Therefore, screening computed tomography (CT scan) and X-ray can better separate the COVID-19 infected patients from others. However, one of the main challenges is to accurately identify infection from a medical image. Even experienced radiologists often have failed to do it accurately. On the other hand, deep learning algorithms can tackle this task much easier, faster, and more accurately. In this research, we adopt the transfer learning method to identify the COVID-19 patients from normal individuals when there is an inadequacy of medical image data to save time by generating reliable results promptly. Furthermore, our model can perform both X-rays and CT scan. The experimental results found that the introduced model can achieve 99.59% accuracy for X-rays and 99.95% for CT scan images. In summary, the proposed method can effectively identify COVID-19 infected patients, could be a great way which will help to classify COVID-19 patients quickly and prevent the viral transmission in the community.
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Affiliation(s)
- Partho Ghose
- Department of Computer Science and Engineering, Bangladesh University of Business and Technology, Dhaka, Bangladesh
| | - Muhaddid Alavi
- Department of Computer Science and Engineering, Jagannath University, Dhaka, Bangladesh
| | - Mehnaz Tabassum
- Center for Health Informatics, Macquarie University, Sydney, NSW, Australia
| | - Md. Ashraf Uddin
- Department of Computer Science and Engineering, Jagannath University, Dhaka, Bangladesh
| | - Milon Biswas
- Department of Computer Science and Engineering, Bangladesh University of Business and Technology, Dhaka, Bangladesh
| | - Kawsher Mahbub
- Department of Computer Science and Engineering, Bangladesh University of Business and Technology, Dhaka, Bangladesh
| | - Loveleen Gaur
- Amity International Business School, Amity University, Noida, India
| | - Saurav Mallik
- Department of Environmental Health, Harvard T H Chan School of Public Health, Boston, MA, United States
| | - Zhongming Zhao
- Department of Environmental Health, Harvard T H Chan School of Public Health, Boston, MA, United States
- Human Genetics Center, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, United States
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Napolitano L, Fusco GM, Cirillo L, Abate M, Mirone C, Barone B, Celentano G, La Rocca R, Mirone V, Creta M, Capece M. Erectile dysfunction and mobile phone applications: Quality, content and adherence to European Association guidelines on male sexual dysfunction. Arch Ital Urol Androl 2022; 94:211-216. [PMID: 35775349 DOI: 10.4081/aiua.2022.2.211] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 05/20/2022] [Indexed: 12/18/2022] Open
Abstract
INTRODUCTION Nowadays numerous mobile health applications (MHA) have been developed to assist and simplify the life of patients affected by erectile dysfunction (ED), however the scientific quality and the adherence to guidelines are not yet addressed and solved. MATERIALS AND METHODS On 17 January 2022, we conducted a search in the Apple App Store and Google Play Store.We reviewed all mobile apps from iTunes App Store and Google Play Store for ED and evaluated different aspects as well as their usage in screening, prevention, management, and their adherence to EAU guidelines. RESULTS A total of 18 apps were reviewed. All apps are geared towards the patient and provide information about diagnoses and treatment of ED. CONCLUSIONS MHA represent an integral part of patients' lives, and apps providing services for male sexual dysfunction are constantly increasing. Despite this the overall quality is still low. Although many of these devices are useful in ED, the problems of scientific validation, content, and quality are not yet solved. Further work is needed to improve the quality of apps and developing new accessible, user designed, and high-quality apps.
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Affiliation(s)
- Luigi Napolitano
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
| | - Giovanni Maria Fusco
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
| | - Luigi Cirillo
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
| | - Marco Abate
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
| | - Claudia Mirone
- Multidisciplinary Department of Medical, Surgical and Dental Sciences, University of Campania "Luigi Vanvitelli".
| | - Biagio Barone
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
| | - Giuseppe Celentano
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
| | - Roberto La Rocca
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
| | - Vincenzo Mirone
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
| | - Massimiliano Creta
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
| | - Marco Capece
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples.
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Maaß L, Freye M, Pan CC, Dassow HH, Niess J, Jahnel T. Definitions of Health Apps & Medical Apps in the Perspectives of Public Health and Law: Qualitative Analysis of an Interdisciplinary Literature Overview (Preprint). JMIR Mhealth Uhealth 2022; 10:e37980. [DOI: 10.2196/37980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Revised: 05/30/2022] [Accepted: 06/30/2022] [Indexed: 11/13/2022] Open
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