Can ChatGPT provide appropriate meal plans for NCD patients?

OBJECTIVES: Dietary habits significantly affect health conditions and are closely related to the onset and progression of non-communicable diseases (NCDs). Consequently, a well-balanced diet plays an important role in lessening the effects of various disorders, including NCDs. Several artificial intelligence recommendation systems have been developed to propose healthy and nutritious diets. Most of these systems use expert knowledge and guidelines to provide tailored diets and encourage healthier eating habits. However, new advances in large language models such as ChatGPT, with their ability to produce human-like responses, have led individuals to search for advice in several tasks, including diet recommendations. This study aimed to determine the ability of ChatGPT models to generate appropriate personalized meal plans for patients with obesity, cardiovascular diseases, and type 2 diabetes. METHODS: Using a state-of-the-art knowledge-based recommendation system as a reference, we assessed the meal plans generated by two large language models in terms of energy intake, nutrient accuracy, and meal variability. RESULTS: Experimental results with different user profiles revealed the potential of ChatGPT models to provide personalized nutritional advice. CONCLUSION: Additional supervision and guidance by nutrition experts or knowledge-based systems are required to ensure meal appropriateness for users with NCDs.

PROTEIN AI Advisor: A Knowledge-Based Recommendation Framework Using Expert-Validated Meals for Healthy Diets.

AI-based software applications for personalized nutrition have recently gained increasing attention to help users follow a healthy lifestyle. In this paper, we present a knowledge-based recommendation framework that exploits an explicit dataset of expert-validated meals to offer highly accurate diet plans spanning across ten user groups of both healthy subjects and participants with health conditions. The proposed advisor is built on a novel architecture that includes (a) a qualitative layer for verifying ingredient appropriateness, and (b) a quantitative layer for synthesizing meal plans. The first layer is implemented as an expert system for fuzzy inference relying on an ontology of rules acquired by experts in Nutrition, while the second layer as an optimization method for generating daily meal plans based on target nutrient values and ranges. The system's effectiveness is evaluated through extensive experiments for establishing meal and meal plan appropriateness, meal variety, as well as system capacity for recommending meal plans. Evaluations involved synthetic data, including the generation of 3000 virtual user profiles and their weekly meal plans. Results reveal a high precision and recall for recommending appropriate ingredients in most user categories, while the meal plan generator achieved a total recommendation accuracy of 92% for all nutrient recommendations.

Automatic Ergonomic Risk Assessment Using a Variational Deep Network Architecture.

Ergonomic risk assessment is vital for identifying work-related human postures that can be detrimental to the health of a worker. Traditionally, ergonomic risks are reported by human experts through time-consuming and error-prone procedures; however, automatic algorithmic methods have recently started to emerge. To further facilitate the automatic ergonomic risk assessment, this paper proposes a novel variational deep learning architecture to estimate the ergonomic risk of any work-related task by utilizing the Rapid Entire Body Assessment (REBA) framework. The proposed method relies on the processing of RGB images and the extraction of 3D skeletal information that is then fed to a novel deep network for accurate and robust estimation of REBA scores for both individual body parts and the entire body. Through a variational approach, the proposed method processes the skeletal information to construct a descriptive skeletal latent space that can accurately model human postures. Moreover, the proposed method distills knowledge from ground truth ergonomic risk scores and leverages it to further enhance the discrimination ability of the skeletal latent space, leading to improved accuracy. Experiments on two well-known datasets (i.e., University of Washington Indoor Object Manipulation (UW-IOM) and Technische Universität München (TUM) Kitchen) validate the ability of the proposed method to achieve accurate results, overcoming current state-of-the-art methods.

Users' Perspective on the AI-Based Smartphone PROTEIN App for Personalized Nutrition and Healthy Living: A Modified Technology Acceptance Model (mTAM) Approach.

The ubiquitous nature of smartphone ownership, its broad application and usage, along with its interactive delivery of timely feedback are appealing for health-related behavior change interventions via mobile apps. However, users' perspectives about such apps are vital in better bridging the gap between their design intention and effective practical usage. In this vein, a modified technology acceptance model (mTAM) is proposed here, to explain the relationship between users' perspectives when using an AI-based smartphone app for personalized nutrition and healthy living, namely, PROTEIN, and the mTAM constructs toward behavior change in their nutrition and physical activity habits. In particular, online survey data from 85 users of the PROTEIN app within a period of 2 months were subjected to confirmatory factor analysis (CFA) and regression analysis (RA) to reveal the relationship of the mTAM constructs, i.e., perceived usefulness (PU), perceived ease of use (PEoU), perceived novelty (PN), perceived personalization (PP), usage attitude (UA), and usage intention (UI) with the users' behavior change (BC), as expressed via the acceptance/rejection of six related hypotheses (H1-H6), respectively. The resulted CFA-related parameters, i.e., factor loading (FL) with the related p-value, average variance extracted (AVE), and composite reliability (CR), along with the RA results, have shown that all hypotheses H1-H6 can be accepted (p < 0.001). In particular, it was found that, in all cases, FL > 0.5, CR > 0.7, AVE > 0.5, indicating that the items/constructs within the mTAM framework have good convergent validity. Moreover, the adjusted coefficient of determination (R 2) was found within the range of 0.224-0.732, justifying the positive effect of PU, PEoU, PN, and PP on the UA, that in turn positively affects the UI, leading to the BC. Additionally, using a hierarchical RA, a significant change in the prediction of BC from UA when the UI is used as a mediating variable was identified. The explored mTAM framework provides the means for explaining the role of each construct in the functionality of the PROTEIN app as a supportive tool for the users to improve their healthy living by adopting behavior change in their dietary and physical activity habits. The findings herein offer insights and references for formulating new strategies and policies to improve the collaboration among app designers, developers, behavior scientists, nutritionists, physical activity/exercise physiology experts, and marketing experts for app design/development toward behavior change.

Artificial Intelligence Technologies for Sign Language.

AI technologies can play an important role in breaking down the communication barriers of deaf or hearing-impaired people with other communities, contributing significantly to their social inclusion. Recent advances in both sensing technologies and AI algorithms have paved the way for the development of various applications aiming at fulfilling the needs of deaf and hearing-impaired communities. To this end, this survey aims to provide a comprehensive review of state-of-the-art methods in sign language capturing, recognition, translation and representation, pinpointing their advantages and limitations. In addition, the survey presents a number of applications, while it discusses the main challenges in the field of sign language technologies. Future research direction are also proposed in order to assist prospective researchers towards further advancing the field.

Recurrent neural network pruning using dynamical systems and iterative fine-tuning.

Network pruning techniques are widely employed to reduce the memory requirements and increase the inference speed of neural networks. This work proposes a novel RNN pruning method that considers the RNN weight matrices as collections of time-evolving signals. Such signals that represent weight vectors can be modelled using Linear Dynamical Systems (LDSs). In this way, weight vectors with similar temporal dynamics can be pruned as they have limited effect on the performance of the model. Additionally, during the fine-tuning of the pruned model, a novel discrimination-aware variation of the L2 regularization is introduced to penalize network weights (i.e., reduce the magnitude), whose impact on the output of an RNN network is minimal. Finally, an iterative fine-tuning approach is proposed that employs a bigger model to guide an increasingly smaller pruned one, as a steep decrease of the network parameters can irreversibly harm the performance of the pruned model. Extensive experimentation with different network architectures demonstrates the potential of the proposed method to create pruned models with significantly improved perplexity by at least 0.62% on the PTB dataset and improved F1-score by 1.39% on the SQuAD dataset, contrary to other state-of-the-art approaches that slightly improve or even deteriorate models' performance.

Continuous Sign Language Recognition through a Context-Aware Generative Adversarial Network.

Continuous sign language recognition is a weakly supervised task dealing with the identification of continuous sign gestures from video sequences, without any prior knowledge about the temporal boundaries between consecutive signs. Most of the existing methods focus mainly on the extraction of spatio-temporal visual features without exploiting text or contextual information to further improve the recognition accuracy. Moreover, the ability of deep generative models to effectively model data distribution has not been investigated yet in the field of sign language recognition. To this end, a novel approach for context-aware continuous sign language recognition using a generative adversarial network architecture, named as Sign Language Recognition Generative Adversarial Network (SLRGAN), is introduced. The proposed network architecture consists of a generator that recognizes sign language glosses by extracting spatial and temporal features from video sequences, as well as a discriminator that evaluates the quality of the generator's predictions by modeling text information at the sentence and gloss levels. The paper also investigates the importance of contextual information on sign language conversations for both Deaf-to-Deaf and Deaf-to-hearing communication. Contextual information, in the form of hidden states extracted from the previous sentence, is fed into the bidirectional long short-term memory module of the generator to improve the recognition accuracy of the network. At the final stage, sign language translation is performed by a transformer network, which converts sign language glosses to natural language text. Our proposed method achieved word error rates of 23.4%, 2.1% and 2.26% on the RWTH-Phoenix-Weather-2014 and the Chinese Sign Language (CSL) and Greek Sign Language (GSL) Signer Independent (SI) datasets, respectively.

A Review on Early Forest Fire Detection Systems Using Optical Remote Sensing.

The environmental challenges the world faces nowadays have never been greater or more complex. Global areas covered by forests and urban woodlands are threatened by natural disasters that have increased dramatically during the last decades, in terms of both frequency and magnitude. Large-scale forest fires are one of the most harmful natural hazards affecting climate change and life around the world. Thus, to minimize their impacts on people and nature, the adoption of well-planned and closely coordinated effective prevention, early warning, and response approaches are necessary. This paper presents an overview of the optical remote sensing technologies used in early fire warning systems and provides an extensive survey on both flame and smoke detection algorithms employed by each technology. Three types of systems are identified, namely terrestrial, airborne, and spaceborne-based systems, while various models aiming to detect fire occurrences with high accuracy in challenging environments are studied. Finally, the strengths and weaknesses of fire detection systems based on optical remote sensing are discussed aiming to contribute to future research projects for the development of early warning fire systems.

Validation of a Deep Learning System for the Full Automation of Bite and Meal Duration Analysis of Experimental Meal Videos.

Eating behavior can have an important effect on, and be correlated with, obesity and eating disorders. Eating behavior is usually estimated through self-reporting measures, despite their limitations in reliability, based on ease of collection and analysis. A better and widely used alternative is the objective analysis of eating during meals based on human annotations of in-meal behavioral events (e.g., bites). However, this methodology is time-consuming and often affected by human error, limiting its scalability and cost-effectiveness for large-scale research. To remedy the latter, a novel "Rapid Automatic Bite Detection" (RABiD) algorithm that extracts and processes skeletal features from videos was trained in a video meal dataset (59 individuals; 85 meals; three different foods) to automatically measure meal duration and bites. In these settings, RABiD achieved near perfect agreement between algorithmic and human annotations (Cohen's kappa κ = 0.894; F1-score: 0.948). Moreover, RABiD was used to analyze an independent eating behavior experiment (18 female participants; 45 meals; three different foods) and results showed excellent correlation between algorithmic and human annotations. The analyses revealed that, despite the changes in food (hash vs. meatballs), the total meal duration remained the same, while the number of bites were significantly reduced. Finally, a descriptive meal-progress analysis revealed that different types of food affect bite frequency, although overall bite patterns remain similar (the outcomes were the same for RABiD and manual). Subjects took bites more frequently at the beginning and the end of meals but were slower in-between. On a methodological level, RABiD offers a valid, fully automatic alternative to human meal-video annotations for the experimental analysis of human eating behavior, at a fraction of the cost and the required time, without any loss of information and data fidelity.

Assistive HCI-Serious Games Co-design Insights: The Case Study of i-PROGNOSIS Personalized Game Suite for Parkinson's Disease.

Human-Computer Interaction (HCI) and games set a new domain in understanding people's motivations in gaming, behavioral implications of game play, game adaptation to player preferences and needs for increased engaging experiences in the context of HCI serious games (HCI-SGs). When the latter relate with people's health status, they can become a part of their daily life as assistive health status monitoring/enhancement systems. Co-designing HCI-SGs can be seen as a combination of art and science that involves a meticulous collaborative process. The design elements in assistive HCI-SGs for Parkinson's Disease (PD) patients, in particular, are explored in the present work. Within this context, the Game-Based Learning (GBL) design framework is adopted here and its main game-design parameters are explored for the Exergames, Dietarygames, Emotional games, Handwriting games, and Voice games design, drawn from the PD-related i-PROGNOSIS Personalized Game Suite (PGS) (www.i-prognosis.eu) holistic approach. Two main data sources were involved in the study. In particular, the first one includes qualitative data from semi-structured interviews, involving 10 PD patients and four clinicians in the co-creation process of the game design, whereas the second one relates with data from an online questionnaire addressed by 104 participants spanning the whole related spectrum, i.e., PD patients, physicians, software/game developers. Linear regression analysis was employed to identify an adapted GBL framework with the most significant game-design parameters, which efficiently predict the transferability of the PGS beneficial effect to real-life, addressing functional PD symptoms. The findings of this work can assist HCI-SG designers for designing PD-related HCI-SGs, as the most significant game-design factors were identified, in terms of adding value to the role of HCI-SGs in increasing PD patients' quality of life, optimizing the interaction with personalized HCI-SGs and, hence, fostering a collaborative human-computer symbiosis.

Grading of invasive breast carcinoma through Grassmannian VLAD encoding.

In this paper we address the problem of automated grading of invasive breast carcinoma through the encoding of histological images as VLAD (Vector of Locally Aggregated Descriptors) representations on the Grassmann manifold. The proposed method considers each image as a set of multidimensional spatially-evolving signals that can be efficiently modeled through a higher-order linear dynamical systems analysis. Subsequently, each H&E (Hematoxylin and Eosin) stained breast cancer histological image is represented as a cloud of points on the Grassmann manifold, while a vector representation approach is applied aiming to aggregate the Grassmannian points based on a locality criterion on the manifold. To evaluate the efficiency of the proposed methodology, two datasets with different characteristics were used. More specifically, we created a new medium-sized dataset consisting of 300 annotated images (collected from 21 patients) of grades 1, 2 and 3, while we also provide experimental results using a large dataset, namely BreaKHis, containing 7,909 breast cancer histological images, collected from 82 patients, of both benign and malignant cases. Experimental results have shown that the proposed method outperforms a number of state of the art approaches providing average classification rates of 95.8% and 91.38% with our dataset and the BreaKHis dataset, respectively.

Morphological and textural analysis of centroblasts in low-thickness sliced tissue biopsies of follicular lymphoma.

This paper presents a new method for discriminating centroblast (CB) from non-centroblast cells in microscopic images acquired from tissue biopsies of follicular lymphoma. In the proposed method tissue sections are sliced at a low thickness level, around 1-1.5 µm, which provides a more detailed depiction of the nuclei and other textural information of cells usually not distinguishable in thicker specimens, such as 4-5 µm, that have been used in the past by other researchers. To identify CBs, a morphological and textural analysis is applied in order to extract various features related to their nuclei, nucleoli and cytoplasm. The generated feature vector is then used as input in a two-class SVM classifier with ε-Support Vector Regression and radial basis kernel function. Experimental results with an annotated dataset consisting of 300 images of centroblasts and non-centroblasts, derived from high-power field images of follicular lymphoma stained with Hematoxylin and Eosin, have shown the great potential of the proposed method with an average detection rate of 97.44%.