Generalizability and robustness evaluation of attribute-based zero-shot learning.

In the field of deep learning, large quantities of data are typically required to effectively train models. This challenge has given rise to techniques like zero-shot learning (ZSL), which trains models on a set of "seen" classes and evaluates them on a set of "unseen" classes. Although ZSL has shown considerable potential, particularly with the employment of generative methods, its generalizability to real-world scenarios remains uncertain. The hypothesis of this work is that the performance of ZSL models is systematically influenced by the chosen "splits"; in particular, the statistical properties of the classes and attributes used in training. In this paper, we test this hypothesis by introducing the concepts of generalizability and robustness in attribute-based ZSL and carry out a variety of experiments to stress-test ZSL models against different splits. Our aim is to lay the groundwork for future research on ZSL models' generalizability, robustness, and practical applications. We evaluate the accuracy of state-of-the-art models on benchmark datasets and identify consistent trends in generalizability and robustness. We analyze how these properties vary based on the dataset type, differentiating between coarse- and fine-grained datasets, and our findings indicate significant room for improvement in both generalizability and robustness. Furthermore, our results demonstrate the effectiveness of dimensionality reduction techniques in improving the performance of state-of-the-art models in fine-grained datasets.

A Decision Support System for Diabetes Chronic Care Models Based on General Practitioner Engagement and EHR Data Sharing.

Objective Decision support systems (DSS) have been developed and promoted for their potential to improve quality of health care. However, there is a lack of common clinical strategy and a poor management of clinical resources and erroneous implementation of preventive medicine. Methods To overcome this problem, this work proposed an integrated system that relies on the creation and sharing of a database extracted from GPs' Electronic Health Records (EHRs) within the Netmedica Italian (NMI) cloud infrastructure. Although the proposed system is a pilot application specifically tailored for improving the chronic Type 2 Diabetes (T2D) care it could be easily targeted to effectively manage different chronic-diseases. The proposed DSS is based on EHR structure used by GPs in their daily activities following the most updated guidelines in data protection and sharing. The DSS is equipped with a Machine Learning (ML) method for analyzing the shared EHRs and thus tackling the high variability of EHRs. A novel set of T2D care-quality indicators are used specifically to determine the economic incentives and the T2D features are presented as predictors of the proposed ML approach. Results The EHRs from 41237 T2D patients were analyzed. No additional data collection, with respect to the standard clinical practice, was required. The DSS exhibited competitive performance (up to an overall accuracy of 98%±2% and macro-recall of 96%±1%) for classifying chronic care quality across the different follow-up phases. The chronic care quality model brought to a significant increase (up to 12%) of the T2D patients without complications. For GPs who agreed to use the proposed system, there was an economic incentive. A further bonus was assigned when performance targets are achieved. Conclusions The quality care evaluation in a clinical use-case scenario demonstrated how the empowerment of the GPs through the use of the platform (integrating the proposed DSS), along with the economic incentives, may speed up the improvement of care.

Sharing health data among general practitioners: The Nu.Sa. project.

Today, e-health has entered the everyday work flow in the form of a variety of healthcare providers. General practitioners (GPs) are the largest category in the public sanitary service, with about 60,000 GPs throughout Italy. Here, we present the Nu.Sa. project, operating in Italy, which has established one of the first GP healthcare information systems based on heterogeneous data sources. This system connects all providers and provides full access to clinical and health-related data. This goal is achieved through a novel technological infrastructure for data sharing based on interoperability specifications recognised at the national level for messages transmitted from GP providers to the central domain. All data standards are publicly available and subjected to continuous improvement. Currently, the system manages more than 5,000 GPs with about 5,500,000 patients in total, with 4,700,000 pharmacological e-prescriptions and 1,700,000 e-prescriptions for laboratory exams per month. Hence, the Nu.Sa. healthcare system that has the capacity to gather standardised data from 16 different form of GP software, connecting patients, GPs, healthcare organisations, and healthcare professionals across a large and heterogeneous territory through the implementation of data standards with a strong focus on cybersecurity. Results show that the application of this scenario at a national level, with novel metrics on the architecture's scalability and the software's usability, affect the sanitary system and on GPs' professional activities.

Person Re-Identification with RGB-D Camera in Top-View Configuration through Multiple Nearest Neighbor Classifiers and Neighborhood Component Features Selection.

Person re-identification is an important topic in retail, scene monitoring, human-computer interaction, people counting, ambient assisted living and many other application fields. A dataset for person re-identification TVPR (Top View Person Re-Identification) based on a number of significant features derived from both depth and color images has been previously built. This dataset uses an RGB-D camera in a top-view configuration to extract anthropometric features for the recognition of people in view of the camera, reducing the problem of occlusions while being privacy preserving. In this paper, we introduce a machine learning method for person re-identification using the TVPR dataset. In particular, we propose the combination of multiple k-nearest neighbor classifiers based on different distance functions and feature subsets derived from depth and color images. Moreover, the neighborhood component feature selection is used to learn the depth features' weighting vector by minimizing the leave-one-out regularized training error. The classification process is performed by selecting the first passage under the camera for training and using the others as the testing set. Experimental results show that the proposed methodology outperforms standard supervised classifiers widely used for the re-identification task. This improvement encourages the application of this approach in the retail context in order to improve retail analytics, customer service and shopping space management.

HDOMO: Smart Sensor Integration for an Active and Independent Longevity of the Elderly.

The aim of this paper is to present the main results of HDOMO, an Ambient Assisted Living (AAL) project that involved 16 Small and Medium Enterprises (SMEs) and 2 research institutes. The objective of the project was to create an autonomous and automated domestic environment, primarily for elderly people and people with physical and motor disabilities. A known and familiar environment should help users in their daily activities and it should act as a virtual caregiver by calling, if necessary, relief efforts. Substantially, the aim of the project is to simplify the life of people in need of support, while keeping them autonomous in their private environment. From a technical point of view, the project provides the use of different Smart Objects (SOs), able to communicate among each other, in a cloud base infrastructure, and with the assisted users and their caregivers, in a perspective of interoperability and standardization of devices, usability and effectiveness of alarm systems. In the state of the art there are projects that achieve only a few of the elements listed. The HDOMO project aims to achieve all of them in one single project effectively. The experimental trials performed in a real scenario demonstrated the accuracy and efficiency of the system in extracting and processing data in real time to promptly acting, and in providing timely response to the needs of the user by integrating and confirming main alarms with different interoperable smart sensors. The article proposes a new technique to improve the accuracy of the system in detecting alarms using a multi-SO approach with information fusion between different devices, proving that this architecture can provide robust and reliable results on real environments.

Embedded Vision Sensor Network for Planogram Maintenance in Retail Environments.

A planogram is a detailed visual map that establishes the position of the products in a retail store. It is designed to supply the best location of a product for suppliers to support an innovative merchandising approach, to increase sales and profits and to better manage the shelves. Deviating from the planogram defeats the purpose of any of these goals, and maintaining the integrity of the planogram becomes a fundamental aspect in retail operations. We propose an embedded system, mainly based on a smart camera, able to detect and to investigate the most important parameters in a retail store by identifying the differences with respect to an "approved" planogram. We propose a new solution that allows concentrating all the surveys and the useful measures on a limited number of devices in communication among them. These devices are simple, low cost and ready for immediate installation, providing an affordable and scalable solution to the problem of planogram maintenance. Moreover, over an Internet of Things (IoT) cloud-based architecture, the system supplies many additional data that are not concerning the planogram, e.g., out-of-shelf events, promptly notified through SMS and/or mail. The application of this project allows the realization of highly integrated systems, which are economical, complete and easy to use for a large number of users. Experimental results have proven that the system can efficiently calculate the deviation from a normal situation by comparing the base planogram image with the images grabbed.