Deep deterministic policy gradient algorithm: A systematic review.

Deep Reinforcement Learning (DRL) has gained significant adoption in diverse fields and applications, mainly due to its proficiency in resolving complicated decision-making problems in spaces with high-dimensional states and actions. Deep Deterministic Policy Gradient (DDPG) is a well-known DRL algorithm that adopts an actor-critic approach, synthesizing the advantages of value-based and policy-based reinforcement learning methods. The aim of this study is to provide a thorough examination of the latest developments, patterns, obstacles, and potential opportunities related to DDPG. A systematic search was conducted using relevant academic databases (Scopus, Web of Science, and ScienceDirect) to identify 85 relevant studies published in the last five years (2018-2023). We provide a comprehensive overview of the key concepts and components of DDPG, including its formulation, implementation, and training. Then, we highlight the various applications and domains of DDPG, including Autonomous Driving, Unmanned Aerial Vehicles, Resource Allocation, Communications and the Internet of Things, Robotics, and Finance. Additionally, we provide an in-depth comparison of DDPG with other DRL algorithms and traditional RL methods, highlighting its strengths and weaknesses. We believe that this review will be an essential resource for researchers, offering them valuable insights into the methods and techniques utilized in the field of DRL and DDPG.

Towards Wearable Augmented Reality in Healthcare: A Comparative Survey and Analysis of Head-Mounted Displays.

Head-mounted displays (HMDs) have the potential to greatly impact the surgical field by maintaining sterile conditions in healthcare environments. Google Glass (GG) and Microsoft HoloLens (MH) are examples of optical HMDs. In this comparative survey related to wearable augmented reality (AR) technology in the medical field, we examine the current developments in wearable AR technology, as well as the medical aspects, with a specific emphasis on smart glasses and HoloLens. The authors searched recent articles (between 2017 and 2022) in the PubMed, Web of Science, Scopus, and ScienceDirect databases and a total of 37 relevant studies were considered for this analysis. The selected studies were divided into two main groups; 15 of the studies (around 41%) focused on smart glasses (e.g., Google Glass) and 22 (59%) focused on Microsoft HoloLens. Google Glass was used in various surgical specialities and preoperative settings, namely dermatology visits and nursing skill training. Moreover, Microsoft HoloLens was used in telepresence applications and holographic navigation of shoulder and gait impairment rehabilitation, among others. However, some limitations were associated with their use, such as low battery life, limited memory size, and possible ocular pain. Promising results were obtained by different studies regarding the feasibility, usability, and acceptability of using both Google Glass and Microsoft HoloLens in patient-centric settings as well as medical education and training. Further work and development of rigorous research designs are required to evaluate the efficacy and cost-effectiveness of wearable AR devices in the future.

Deep Neuro-Fuzzy System application trends, challenges, and future perspectives: a systematic survey.

Deep neural networks (DNN) have remarkably progressed in applications involving large and complex datasets but have been criticized as a black-box. This downside has recently become a motivation for the research community to pursue the ideas of hybrid approaches, resulting in novel hybrid systems classified as deep neuro-fuzzy systems (DNFS). Studies regarding the implementation of DNFS have rapidly increased in the domains of computing, healthcare, transportation, and finance with high interpretability and reasonable accuracy. However, relatively few survey studies have been found in the literature to provide a comprehensive insight into this domain. Therefore, this study aims to perform a systematic review to evaluate the current progress, trends, arising issues, research gaps, challenges, and future scope related to DNFS studies. A study mapping process was prepared to guide a systematic search for publications related to DNFS published between 2015 and 2020 using five established scientific directories. As a result, a total of 105 studies were identified and critically analyzed to address research questions with the objectives: (i) to understand the concept of DNFS; (ii) to find out DNFS optimization methods; (iii) to visualize the intensity of work carried out in DNFS domain; and (iv) to highlight DNFS application subjects and domains. We believe that this study provides up-to-date guidance for future research in the DNFS domain, allowing for more effective advancement in techniques and processes. The analysis made in this review proves that DNFS-based research is actively growing with a substantial implementation and application scope in the future.

Effectiveness of Using Augmented Reality for Training in the Medical Professions: Meta-analysis.

BACKGROUND: Augmented reality (AR) is an interactive technology that uses persuasive digital data and real-world surroundings to expand the user's reality, wherein objects are produced by various computer applications. It constitutes a novel advancement in medical care, education, and training. OBJECTIVE: The aim of this work was to assess how effective AR is in training medical students when compared to other educational methods in terms of skills, knowledge, confidence, performance time, and satisfaction. METHODS: We performed a meta-analysis on the effectiveness of AR in medical training that was constructed by using the Cochrane methodology. A web-based literature search was performed by using the Cochrane Library, Web of Science, PubMed, and Embase databases to find studies that recorded the effect of AR in medical training up to April 2021. The quality of the selected studies was assessed by following the Cochrane criteria for risk of bias evaluations. RESULTS: In total, 13 studies with a total of 654 participants were included in the meta-analysis. The findings showed that using AR in training can improve participants' performance time (I2=99.9%; P<.001), confidence (I2=97.7%; P=.02), and satisfaction (I2=99.8%; P=.006) more than what occurs under control conditions. Further, AR did not have any effect on the participants' knowledge (I2=99.4%; P=.90) and skills (I2=97.5%; P=.10). The meta-regression plot shows that there has been an increase in the number of articles discussing AR over the years and that there is no publication bias in the studies used for the meta-analysis. CONCLUSIONS: The findings of this work suggest that AR can effectively improve performance time, satisfaction, and confidence in medical training but is not very effective in areas such as knowledge and skill. Therefore, more AR technologies should be implemented in the field of medical training and education. However, to confirm these findings, more meticulous research with more participants is needed.

Effectiveness of Artificial Intelligence Models for Cardiovascular Disease Prediction: Network Meta-Analysis.

Heart failure is the most common cause of death in both males and females around the world. Cardiovascular diseases (CVDs), in particular, are the main cause of death worldwide, accounting for 30% of all fatalities in the United States and 45% in Europe. Artificial intelligence (AI) approaches such as machine learning (ML) and deep learning (DL) models are playing an important role in the advancement of heart failure therapy. The main objective of this study was to perform a network meta-analysis of patients with heart failure, stroke, hypertension, and diabetes by comparing the ML and DL models. A comprehensive search of five electronic databases was performed using ScienceDirect, EMBASE, PubMed, Web of Science, and IEEE Xplore. The search strategy was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. The methodological quality of studies was assessed by following the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) guidelines. The random-effects network meta-analysis forest plot with categorical data was used, as were subgroups testing for all four types of treatments and calculating odds ratio (OR) with a 95% confidence interval (CI). Pooled network forest, funnel plots, and the league table, which show the best algorithms for each outcome, were analyzed. Seventeen studies, with a total of 285,213 patients with CVDs, were included in the network meta-analysis. The statistical evidence indicated that the DL algorithms performed well in the prediction of heart failure with AUC of 0.843 and CI [0.840-0.845], while in the ML algorithm, the gradient boosting machine (GBM) achieved an average accuracy of 91.10% in predicting heart failure. An artificial neural network (ANN) performed well in the prediction of diabetes with an OR and CI of 0.0905 [0.0489; 0.1673]. Support vector machine (SVM) performed better for the prediction of stroke with OR and CI of 25.0801 [11.4824; 54.7803]. Random forest (RF) results performed well in the prediction of hypertension with OR and CI of 10.8527 [4.7434; 24.8305]. The findings of this work suggest that the DL models can effectively advance the prediction of and knowledge about heart failure, but there is a lack of literature regarding DL methods in the field of CVDs. As a result, more DL models should be applied in this field. To confirm our findings, more meta-analysis (e.g., Bayesian network) and thorough research with a larger number of patients are encouraged.

Customer relationship management systems (CRMS) in the healthcare environment: A systematic literature review.

Customer relationship management (CRM) is an innovative technology that seeks to improve customer satisfaction, loyalty, and profitability by acquiring, developing, and maintaining effective customer relationships and interactions with stakeholders. Numerous researches on CRM have made significant progress in several areas such as telecommunications, banking, and manufacturing, but research specific to the healthcare environment is very limited. This systematic review aims to categorise, summarise, synthesise, and appraise the research on CRM in the healthcare environment, considering the absence of coherent and comprehensive scholarship of disparate data on CRM. Various databases were used to conduct a comprehensive search of studies that examine CRM in the healthcare environment (including hospitals, clinics, medical centres, and nursing homes). Analysis and evaluation of 19 carefully selected studies revealed three main research categories: (i) social CRM 'eCRM'; (ii) implementing CRMS; and (iii) adopting CRMS; with positive outcomes for CRM both in terms of patients relationship/communication with hospital, satisfaction, medical treatment/outcomes and empowerment and hospitals medical operation, productivity, cost, performance, efficiency and service quality. This is the first systematic review to comprehensively synthesise and summarise empirical evidence from disparate CRM research data (quantitative, qualitative, and mixed) in the healthcare environment. Our results revealed that substantial gaps exist in the knowledge of using CRM in the healthcare environment. Future research should focus on exploring: (i) other potential factors, such as patient characteristics, culture (of both the patient and hospital), knowledge management, trust, security, and privacy for implementing and adopting CRMS and (ii) other CRM categories, such as mobile CRM (mCRM) and data mining CRM.