Artificial intelligence in public health: the potential of epidemic early warning systems

Artificial intelligence and sustainable development during the pandemic: An overview of the scientific debates

The current work aims to analyze the main themes related to artificial intelligence (AI) and sustainable development during the pandemic period. This study provides an overview of the specialized literature related to AI and sustainability from the beginning of the pandemic through 2023. The present paper analyses scientific literature emphasizing both artificial intelligence's positive and negative impacts on sustainable development objectives (SDGs). To conduct the research, we employed bibliometric analysis and text-mining techniques to identify the major themes in the literature indexed in the Web of Science and Scopus databases. Firstly, we used descriptive measures to identify the authors' impact, the article production by country, the main keywords used, and other descriptive data. We further used data reduction methods based on co-word analysis (such as multiple correspondence analysis) on authors' keywords to show patterns in the themes explored in the literature. Bibliometric analysis was supplemented by text mining using Latent Dirichlet allocation (LDA) and structural topic modeling on abstracts to provide a comprehensive view of scientific debates on AI and sustainable development. Our research has identified various themes in the literature related to AI and sustainable development. These themes include social sustainability, health-related issues, AI technologies for energy efficiency, sustainability in industry and innovation, IoT technologies for smart and sustainable cities, urban planning, technologies for education and knowledge production, and the impact of technologies on SDGs. We also found that there is a significant positivity bias in the literature when discussing the impact of AI on sustainable development. Despite acknowledging certain risks, the literature tends to focus on the potential benefits of AI across various sectors. In addition, the analysis shows a growing emphasis on energy efficiency, which is facilitated by the use of AI technologies. Our study contributes to a better understanding of current scholarly discussion trends and emerging scientific avenues regarding AI and sustainable development. It also highlights the areas where research is needed and the implications for practitioners and policymakers.

Artificial Intelligence in battling infectious diseases: A transformative role

It is widely acknowledged that infectious diseases have wrought immense havoc on human society, being regarded as adversaries from which humanity cannot elude. In recent years, the advancement of Artificial Intelligence (AI) technology has ushered in a revolutionary era in the realm of infectious disease prevention and control. This evolution encompasses early warning of outbreaks, contact tracing, infection diagnosis, drug discovery, and the facilitation of drug design, alongside other facets of epidemic management. This article presents an overview of the utilization of AI systems in the field of infectious diseases, with a specific focus on their role during the COVID-19 pandemic. The article also highlights the contemporary challenges that AI confronts within this domain and posits strategies for their mitigation. There exists an imperative to further harness the potential applications of AI across multiple domains to augment its capacity in effectively addressing future disease outbreaks.

Explainable artificial intelligence in emergency medicine: an overview

Artificial intelligence (AI) and machine learning (ML) have potential to revolutionize emergency medical care by enhancing triage systems, improving diagnostic accuracy, refining prognostication, and optimizing various aspects of clinical care. However, as clinicians often lack AI expertise, they might perceive AI as a "black box," leading to trust issues. To address this, "explainable AI," which teaches AI functionalities to end-users, is important. This review presents the definitions, importance, and role of explainable AI, as well as potential challenges in emergency medicine. First, we introduce the terms explainability, interpretability, and transparency of AI models. These terms sound similar but have different roles in discussion of AI. Second, we indicate that explainable AI is required in clinical settings for reasons of justification, control, improvement, and discovery and provide examples. Third, we describe three major categories of explainability: pre-modeling explainability, interpretable models, and post-modeling explainability and present examples (especially for post-modeling explainability), such as visualization, simplification, text justification, and feature relevance. Last, we show the challenges of implementing AI and ML models in clinical settings and highlight the importance of collaboration between clinicians, developers, and researchers. This paper summarizes the concept of "explainable AI" for emergency medicine clinicians. This review may help clinicians understand explainable AI in emergency contexts.

Prediction of Postoperative Creatinine Levels by Artificial Intelligence after Partial Nephrectomy

Background and Objectives: Multiple factors are associated with postoperative functional outcomes, such as acute kidney injury (AKI), following partial nephrectomy (PN). The pre-, peri-, and postoperative factors are heavily intertwined and change dynamically, making it difficult to predict postoperative renal function. Therefore, we aimed to build an artificial intelligence (AI) model that utilizes perioperative factors to predict residual renal function and incidence of AKI following PN. Methods and Materials: This retrospective study included 785 patients (training set 706, test set 79) from six tertiary referral centers who underwent open or robotic PN. Forty-four perioperative features were used as inputs to train the AI prediction model. XG-Boost and genetic algorithms were used for the final model selection and to determine feature importance. The primary outcome measure was immediate postoperative serum creatinine (Cr) level. The secondary outcome was the incidence of AKI (estimated glomerular filtration rate (eGFR) < 60 mL/h). The average difference between the true and predicted serum Cr levels was considered the mean absolute error (MAE) and was used as a model evaluation parameter. Results: An AI model for predicting immediate postoperative serum Cr levels was selected from 2000 candidates by providing the lowest MAE (0.03 mg/dL). The model-predicted immediate postoperative serum Cr levels correlated closely with the measured values (R2 = 0.9669). The sensitivity and specificity of the model for predicting AKI were 85.5% and 99.7% in the training set, and 100.0% and 100.0% in the test set, respectively. The limitations of this study included its retrospective design. Conclusions: Our AI model successfully predicted accurate serum Cr levels and the likelihood of AKI. The accuracy of our model suggests that personalized guidelines to optimize multidisciplinary plans involving pre- and postoperative care need to be developed.