LSGDM with Biogeography-Based Optimization (BBO) Model for Healthcare Applications.

Several studies aimed at improving healthcare management have shown that the importance of healthcare has grown in recent years. In the healthcare industry, effective decision-making requires multicriteria group decision-making. Simultaneously, big data analytics could be used to help with disease detection and healthcare delivery. Only a few previous studies on large-scale group decision-making (LSDGM) in the big data-driven healthcare Industry 4.0 have focused on this topic. The goal of this work is to improve healthcare management decision-making by developing a new MapReduce-based LSDGM model (MR-LSDGM) for the healthcare Industry 4.0 context. Clustering decision-makers (DM), modelling DM preferences, and classification are the three stages of the MR-LSDGM technique. Furthermore, the DMs are subdivided using a novel biogeography-based optimization (BBO) technique combined with fuzzy C-means (FCM). The subgroup preferences are then modelled using the two-tuple fuzzy linguistic representation (2TFLR) technique. The final classification method also includes a feature extractor based on long short-term memory (LSTM) and a classifier based on an ideal extreme learning machine (ELM). MapReduce is a data management platform used to handle massive amounts of data. A thorough set of experimental analyses is carried out, and the results are analysed using a variety of metrics.

Chaotic Salp Swarm Optimization-Based Energy-Aware VMP Technique for Cloud Data Centers.

The amount of energy required by Cloud Data Centers (CDCs) has increased significantly in this digital age, and as a result, there is a pressing need to reduce CDC energy ingesting. Consolidation of virtual machines (VMs) and effective virtual machine placement (VMP) techniques are commonly employed in large data middles to reduce energy consumption. The VMP is an NP-hard subject with infeasible optimum explanations even for tiny data middles, and it is dealt with using the Metaheuristic Optimization Algorithm, which is an experiential approach to optimization. With this in mind, this study introduces a novel energy-aware VMP technique for CDCs that is founded on the Disordered Salp Swarm Optimization Algorithm (EAVMP-CSSA) and is enhanced for energy efficiency (EAVMP-CSSA). The EAVMP-CSSA technique attempts to reduce CDC energy ingesting by dropping the quantity of active servers supporting virtual machines. The recommended EAVMP-CSSA strategy also aims to balance the resource operation of active servers (i.e., CPU, RAM, and Bandwidth), hence reducing waste and increasing efficiency. Furthermore, by combining the ideas of chaotic maps with the standard Salp Swarm Optimization Algorithm (SSA), the CSSA is intended to improve overall performance and reduce computational costs (SSA). A comprehensive range of experimental analyses are performed to ensure that the EAVMP-CSSA technique performs better, and the findings are compared to current VMP techniques. The EAVMP-CSSA approach achieves an effective outcome with a maximum service rate of 98.12%, whereas the Random, FFD, ACO, and AP-ACO procedures achieve a minimum service rate of 74.40%, 78.80%, 90.70%, and 96.31%, respectively. The experimental results demonstrate that the EAVMP-CSSA approach outperforms other assessment metrics.

Impact of nationwide lockdown on cancer care during COVID-19 pandemic: A retrospective analysis from western India.

BACKGROUND AND AIMS: COVID-19 has impacted healthcare system worldwide including cancer case. Aim of this study was to describe the experience of lockdown on cancer care concerning patient's visit and reception of treatment in western India. METHODS: This is a retrospective observational study conducted in patients with cancer attending a tertiary care center pre-lockdown and during lockdown (from January to May 2020). Data related to demographic parameters, type of tumor, type of treatment received and functional status of patients were retrieved from hospital medical records of patients. RESULTS: Of the 5258 patients included, 4363 visited hospital pre-lockdown (median age, 50 years) and 895 visited during the lockdown period (median age, 47 years). A total of 1168 and 106 patients visiting hospital before and during lockdown, respectively, had comorbidities. Breast cancer (25.6% and 29.7%), head and neck cancer (21.3% and 16.9%) were the most common type of solid tumors; leukemia (58.0% and 73.0%), lymphoma (18.8% and 13.5%) and multiple myeloma (18.6% and 12.2%) were the most common type of hematological malignancies observed in patients visiting pre-lockdown and during lockdown, respectively. Chemotherapy was most commonly received treatment (pre-lockdown, 71.8%; during lockdown, 45.9%). Other therapies reported includes supportive/palliative, targeted, hormonal, and immunotherapy. The majority of patients who visited the hospital pre-lockdown (68.4%) and during lockdown (62.8%) had 0 or 1 Eastern Cooperative Oncology Group (ECOG) score. CONCLUSION: Overall observations highlight a substantial impact of an imposed nationwide lockdown during COVID-19 pandemic on cancer care of patients in terms of reduced patient visits and number of treatments received.

Advanced Machine Learning-Based Analytics on COVID-19 Data Using Generative Adversarial Networks.

The domain of medical diagnosis and predictive analytics is one of the key domains of research with enormous dimensions whereby the diseases of different types can be predicted. Nowadays, there is a huge panic of impact and rapid mutation of the COVID-19 virus impression. The world is getting affected by this virus to a huge extent and there is no vaccine developed so far. India is also having more than 10,000 patients with than 300 deceased. The global human community is having around 20 lacs of Coronavirus patients. The Generative Adversarial Network (GAN) is the contemporary high-performance approach in which the use of advanced neural networks is done for the cavernous analytics of the images and multimedia data. In this research work, the analytics of key points from medical images of the COVID-19 dataset is to be presented using which the diagnosis and predictions can be done for the patients. The GANs are used for the generation, transformation as well as presentation of the dataset and key points using advanced deep learning models which can analyze the patterns in the medical images including X-Ray, CT Scan, and many others. Using such approaches with the integration of GANs, the overall predictive analytics can be made high performance aware as compared to the classical neural networks with multiple layers. In this research manuscript, the inscription of work is projected on the benchmark datasets with the advanced scripting so that the predictive mining and knowledge discovery can be done effectively with more accuracy.

Global cortical activity predicts shape of hand during grasping.

Recent studies show that the amplitude of cortical field potentials is modulated in the time domain by grasping kinematics. However, it is unknown if these low frequency modulations persist and contain enough information to decode grasp kinematics in macro-scale activity measured at the scalp via electroencephalography (EEG). Further, it is unclear as to whether joint angle velocities or movement synergies are the optimal kinematics spaces to decode. In this offline decoding study, we infer from human EEG, hand joint angular velocities as well as synergistic trajectories as subjects perform natural reach-to-grasp movements. Decoding accuracy, measured as the correlation coefficient (r) between the predicted and actual movement kinematics, was r = 0.49 ± 0.02 across 15 hand joints. Across the first three kinematic synergies, decoding accuracies were r = 0.59 ± 0.04, 0.47 ± 0.06, and 0.32 ± 0.05. The spatial-temporal pattern of EEG channel recruitment showed early involvement of contralateral frontal-central scalp areas followed by later activation of central electrodes over primary sensorimotor cortical areas. Information content in EEG about the grasp type peaked at 250 ms after movement onset. The high decoding accuracies in this study are significant not only as evidence for time-domain modulation in macro-scale brain activity, but for the field of brain-machine interfaces as well. Our decoding strategy, which harnesses the neural "symphony" as opposed to local members of the neural ensemble (as in intracranial approaches), may provide a means of extracting information about motor intent for grasping without the need for penetrating electrodes and suggests that it may be soon possible to develop non-invasive neural interfaces for the control of prosthetic limbs.

Decoding repetitive finger movements with brain activity acquired via non-invasive electroencephalography.

We investigated how well repetitive finger tapping movements can be decoded from scalp electroencephalography (EEG) signals. A linear decoder with memory was used to infer continuous index finger angular velocities from the low-pass filtered fluctuations of the amplitude of a plurality of EEG signals distributed across the scalp. To evaluate the accuracy of the decoder, the Pearson's correlation coefficient (r) between the observed and predicted trajectories was calculated in a 10-fold cross-validation scheme. We also assessed attempts to decode finger kinematics from EEG data that was cleaned with independent component analysis (ICA), EEG data from peripheral sensors, and EEG data from rest periods. A genetic algorithm (GA) was used to select combinations of EEG channels that maximized decoding accuracies. Our results (lower quartile r = 0.18, median r = 0.36, upper quartile r = 0.50) show that delta-band EEG signals contain useful information that can be used to infer finger kinematics. Further, the highest decoding accuracies were characterized by highly correlated delta band EEG activity mostly localized to the contralateral central areas of the scalp. Spectral analysis of EEG also showed bilateral alpha band (8-13 Hz) event related desynchronizations (ERDs) and contralateral beta band (20-30 Hz) event related synchronizations (ERSs) localized over central scalp areas. Overall, this study demonstrates the feasibility of decoding finger kinematics from scalp EEG signals.

Observation-based training for neuroprosthetic control of grasping by amputees.

Current brain-machine interfaces (BMIs) allow upper limb amputees to position robotic arms with a high degree of accuracy, but lack the ability to control hand pre-shaping for grasping different objects. We have previously shown that low frequency (0.1-1 Hz) time domain cortical activity recorded at the scalp via electroencephalography (EEG) encodes information about grasp pre-shaping. To transfer this technology to clinical populations such as amputees, the challenge lies in constructing BMI models in the absence of overt training hand movements. Here we show that it is possible to train BMI models using observed grasping movements performed by a robotic hand attached to amputees' residual limb. Three transradial amputees controlled the grasping motion of an attached robotic hand via their EEG, following the action-observation training phase. Over multiple sessions, subjects successfully grasped the presented object (a bottle or a credit card) in 53±16 % of trials, demonstrating the validity of the BMI models. Importantly, the validation of the BMI model was through closed-loop performance, which demonstrates generalization of the model to unseen data. These results suggest `mirror neuron system' properties captured by delta band EEG that allows neural representation for action observation to be used for action control in an EEG-based BMI system.

Decoding the evolving grasping gesture from electroencephalographic (EEG) activity.

Shared control is emerging as a likely strategy for controlling neuroprosthetic devices, in which users specify high level goals but the low-level implementation is carried out by the machine. In this context, predicting the discrete goal is necessary. Although grasping various objects is critical in determining independence in daily life of amputees, decoding of different grasp types from noninvasively recorded brain activity has not been investigated. Here we show results suggesting electroencephalography (EEG) is a feasible modality to extract information on grasp types from the user's brain activity. We found that the information about the intended grasp increases over the grasping movement, and is significantly greater than chance up to 200 ms before movement onset.

Empirical relationship between Kubelka-Munk and radiative transfer coefficients for extracting optical parameters of tissues in diffusive and nondiffusive regimes.

Kubelka­Munk (K-M) theory is a phenomenological light transport theory that provides analytical expressions for reflectance and transmittance of diffusive substrates such as tissues. Many authors have derived relations between coefficients of K-M theory and that of the more fundamental radiative transfer equations. These relations are valid only in diffusive light transport regime where scattering dominates over absorption. They also fail near boundaries where incident beams are not diffusive. By measuring total transmittance and total reflectance of tissue phantoms with varying optical parameters, we have obtained empirical relations between K-M coefficients and the radiative transport coefficients for integrating sphere-based spectrophotometers that use uniform, nondiffusive incident beams. Our empirical relations show that the K-M scattering coefficients depend only on reduced scattering coefficient (µ's), whereas the K-M absorption coefficient depends on both absorption (µa ) and reduced scattering (µs' ) coefficients of radiative transfer theory. We have shown that these empirical relations are valid in both the diffusive and nondiffusive regimes and can predict total reflectance within an error of 10%. They also can be used to solve the inverse problem of obtaining multiple optical parameters such as chromophore concentration and tissue thickness from the measured reflectance spectra with a maximum accuracy of 90% to 95%.

Reconstructing hand kinematics during reach to grasp movements from electroencephalographic signals.

With continued research on brain machine interfaces (BMIs), it is now possible to control prosthetic arm position in space to a high degree of accuracy. However, a reliable decoder to infer the dexterous movements of fingers from brain activity during a natural grasping motion is still to be demonstrated. Here, we present a methodology to accurately predict and reconstruct natural hand kinematics from non-invasively recorded scalp electroencephalographic (EEG) signals during object grasping movements. The high performance of our decoder is attributed to a combination of the correct input space (time-domain amplitude modulation of delta-band smoothed EEG signals) and an optimal subset of EEG electrodes selected using a genetic algorithm. Trajectories of the joint angles were reconstructed for metacarpo-phalangeal (MCP) joints of the fingers as well as the carpo-metacarpal (CMC) and MCP joints of the thumb. High decoding accuracy (Pearson's correlation coefficient, r) between the predicted and observed trajectories (r = 0.76 ± 0.01; averaged across joints) indicate that this technique may be suitable for use with a closed-loop real-time BMI to control grasping motion in prosthetics with high degrees of freedom. This demonstrates the first successful decoding of hand pre-shaping kinematics from noninvasive neural signals.