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1.
Comput Biol Med ; 153: 106393, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36586232

RESUMO

Injury prediction models enables to improve trauma outcomes for motor vehicle occupants in accurate decision-making and early transport to appropriate trauma centers. This study aims to investigate the injury severity prediction (ISP) capability in machine-learning analytics based on five-different regional Level 1 trauma center enrolled patients in Korea. We study car crash-related injury data of 1417 patients enrolled in the Korea In-Depth Accident Study database from January 2011 to April 2021. Severe injury classification was defined using an Injury Severity Score of 15 or greater. A planar crash was considered by excluding rollovers to compromise an accurate prediction. Furthermore, dissimilarities of the collision partner component based on vehicle segmentation were assumed for crash incompatibility. To handle class-imbalanced clinical datasets, we used four data-sampling techniques (i.e., class-weighting, resampling, synthetic minority oversampling, and adaptive synthetic sampling). Machine-learning analytics based on logistic regression, extreme gradient boosting (XGBoost), and a multilayer perceptron model were used for the evaluations. Each model was executed using five-fold cross-validation to solve overfitting consistent with the hyperparameters tuned to improve model performance. The area under the receiver operating characteristic curve of 0.896. Additionally, the present ISP model showed an under-triage rate of 6.1%. The Delta-V, age, and Principal ~ were significant predictors. The results demonstrated that the data-balanced XGBoost model achieved a reliable performance on injury severity classification of emergency department patients. This finding considers ISP model selection, which affected prediction performance based on overall predictor variables.


Assuntos
Acidentes de Trânsito , Ferimentos e Lesões , Humanos , Centros de Traumatologia , Automóveis , Veículos Automotores , República da Coreia , Ferimentos e Lesões/epidemiologia
2.
Artigo em Inglês | MEDLINE | ID: mdl-35682349

RESUMO

Following the outbreak of the COVID-19 pandemic, the continued emergence of major variant viruses has caused enormous damage worldwide by generating social and economic ripple effects, and the importance of PHSMs (Public Health and Social Measures) is being highlighted to cope with this severe situation. Accordingly, there has also been an increase in research related to a decision support system based on simulation approaches used as a basis for PHSMs. However, previous studies showed limitations impeding utilization as a decision support system for policy establishment and implementation, such as the failure to reflect changes in the effectiveness of PHSMs and the restriction to short-term forecasts. Therefore, this study proposes an LSTM-Autoencoder-based decision support system for establishing and implementing PHSMs. To overcome the limitations of existing studies, the proposed decision support system used a methodology for predicting the number of daily confirmed cases over multiple periods based on multiple output strategies and a methodology for rapidly identifying varies in policy effects based on anomaly detection. It was confirmed that the proposed decision support system demonstrated excellent performance compared to models used for time series analysis such as statistical models and deep learning models. In addition, we endeavored to increase the usability of the proposed decision support system by suggesting a transfer learning-based methodology that can efficiently reflect variations in policy effects. Finally, the decision support system proposed in this study provides a methodology that provides multi-period forecasts, identifying variations in policy effects, and efficiently reflects the effects of variation policies. It was intended to provide reasonable and realistic information for the establishment and implementation of PHSMs and, through this, to yield information expected to be highly useful, which had not been provided in the decision support systems presented in previous studies.


Assuntos
COVID-19 , Aprendizado Profundo , COVID-19/epidemiologia , Surtos de Doenças , Humanos , Pandemias/prevenção & controle
3.
Artigo em Inglês | MEDLINE | ID: mdl-32512935

RESUMO

Various simulation studies for wireless body area networks (WBANs) based on the IEEE 802.15.6 standard have recently been carried out. However, most of these studies have applied a simplified model without using any major components specific to IEEE 802.15.6, such as connection-oriented link allocations, inter-WBAN interference mitigation, or a two-hop star topology extension. Thus, such deficiencies can lead to an inaccurate performance analysis. To solve these problems, in this study, we conducted a comprehensive review of the major components of the IEEE 802.15.6 standard and herein present modeling strategies for implementing IEEE 802.15.6 MAC on an NS-3 simulator. In addition, we configured realistic network scenarios for a performance evaluation in terms of throughput, average delay, and power consumption. The simulation results prove that our simulation system provides acceptable levels of performance for various types of medical applications, and can support the latest research topics regarding the dynamic resource allocation, inter-WBAN interference mitigation, and intra-WBAN routing.


Assuntos
Redes de Comunicação de Computadores , Tecnologia sem Fio , Alocação de Recursos
4.
Sensors (Basel) ; 20(6)2020 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-32183403

RESUMO

Many applications are able to obtain enriched information by employing a wireless multimedia sensor network (WMSN) in industrial environments, which consists of nodes that are capable of processing multimedia data. However, as many aspects of WMSNs still need to be refined, this remains a potential research area. An efficient application needs the ability to capture and store the latest information about an object or event, which requires real-time multimedia data to be delivered to the sink timely. Motivated to achieve this goal, we developed a new adaptive QoS routing protocol based on the (m,k)-firm model. The proposed model processes captured information by employing a multimedia stream in the (m,k)-firm format. In addition, the model includes a new adaptive real-time protocol and traffic handling scheme to transmit event information by selecting the next hop according to the flow status as well as the requirement of the (m,k)-firm model. Different from the previous approach, two level adjustment in routing protocol and traffic management are able to increase the number of successful packets within the deadline as well as path setup schemes along the previous route is able to reduce the packet loss until a new path is established. Our simulation results demonstrate that the proposed schemes are able to improve the stream dynamic success ratio and network lifetime compared to previous work by meeting the requirement of the (m,k)-firm model regardless of the amount of traffic.

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