DeepReco: Deep Learning Based Health Recommender System Using Collaborative Filtering

An Integrative Framework for Healthcare Recommendation Systems: Leveraging the Linear Discriminant Wolf-Convolutional Neural Network (LDW-CNN) Model

In the evolving healthcare landscape, recommender systems have gained significant importance due to their role in predicting and anticipating a wide range of health-related data for both patients and healthcare professionals. These systems are crucial for delivering precise information while adhering to high standards of quality, reliability, and authentication. Objectives: The primary objective of this research is to address the challenge of class imbalance in healthcare recommendation systems. This is achieved by improving the prediction and diagnostic capabilities of these systems through a novel approach that integrates linear discriminant wolf (LDW) with convolutional neural networks (CNNs), forming the LDW-CNN model. Methods: The LDW-CNN model incorporates the grey wolf optimizer with linear discriminant analysis to enhance prediction accuracy. The model's performance is evaluated using multi-disease datasets, covering heart, liver, and kidney diseases. Established error metrics are used to compare the effectiveness of the LDW-CNN model against conventional methods, such as CNNs and multi-level support vector machines (MSVMs). Results: The proposed LDW-CNN system demonstrates remarkable accuracy, achieving a rate of 98.1%, which surpasses existing deep learning approaches. In addition, the model improves specificity to 99.18% and sensitivity to 99.008%, outperforming traditional CNN and MSVM techniques in terms of predictive performance. Conclusions: The LDW-CNN model emerges as a robust solution for multidisciplinary disease prediction and recommendation, offering superior performance in healthcare recommender systems. Its high accuracy, alongside its improved specificity and sensitivity, positions it as a valuable tool for enhancing prediction and diagnosis across multiple disease domains.

Rethinking Health Recommender Systems for Active Aging: An Autonomy-Based Ethical Analysis

Health Recommender Systems are promising Articial-Intelligence-based tools endowing healthy lifestyles and therapy adherence in healthcare and medicine. Among the most supported areas, it is worth mentioning active aging. However, current HRS supporting AA raise ethical challenges that still need to be properly formalized and explored. This study proposes to rethink HRS for AA through an autonomy-based ethical analysis. In particular, a brief overview of the HRS' technical aspects allows us to shed light on the ethical risks and challenges they might raise on individuals' well-being as they age. Moreover, the study proposes a categorization, understanding, and possible preventive/mitigation actions for the elicited risks and challenges through rethinking the AI ethics core principle of autonomy. Finally, elaborating on autonomy-related ethical theories, the paper proposes an autonomy-based ethical framework and how it can foster the development of autonomy-enabling HRS for AA.

Robust diagnosis recommendation system for Primary Care Telemedicine using long short-term memory multi-class sequence classification

Background

Telemedicine offers opportunity for robust diagnoses recommendations to support healthcare providers intra-consultation in a way that does not limit providers ability to explore diagnostic codes and make the most appropriate selection for each consultation.

Objective

The objective of this work was to develop a recommendation system for ICD-10 coding using multiclass sequence classification and deep learning. The recommendations are intended to support telemedicine clinicians in making timely and appropriate diagnosis selections. The recommendations allow clinicians to find and select the best diagnosis code much quicker and without leaving the telemedicine platform to search codes and code descriptions.

Methods

We developed an LSTM model for multi-class text sequence classification to make diagnosis recommendations. The LSTM recommender used text-based symptoms, complaints, and consultation request reasons as model inputs. Data were extracted from a live telemedicine platform which spans general medicine, dermatology, and mental health clinical specialties. A popularity-based model was used for baseline comparison.

Results

Using over 2.8 MM telemedicine consultations during 2021 and 2022, our LSTM recommender average accuracy was 31.7%. LSTM recommender average coverage in the top 20 recommended diagnoses was 85.8% with an average personalization score of 0.87.

Conclusions

LSTM multi-class sequence classification recommends diagnoses specific to individual consultations, is retrainable on regular intervals, and could improve diagnoses recommendations such that providers require less time and resources searching for diagnosis codes. In addition, the LSTM recommender is robust enough to make recommendations across clinical specialties such as general medicine, dermatology, and mental health.

Sub-clustering based recommendation system for stroke patient: Identification of a specific drug class for a given patient

Stroke is one of the leading causes of death worldwide. Previous studies have explored machine learning techniques for early detection of stroke patients using content-based recommendation systems. However, these models often struggle with timely detection of medications, which can be critical for patient management and decision-making regarding the prescription of new drugs. In this study, we developed a content-based recommendation model using three machine learning algorithms: Gaussian Mixture Model (GMM), Affinity Propagation (AP), and K-Nearest Neighbors (KNN), to aid Healthcare Professionals (HCP) in quickly detecting medications based on the symptoms of a patient with stroke. Our model focused on three classes of drugs: antihypertensive, anticoagulant, and fibrate. Each machine learning algorithm was used to accomplish specific tasks, thereby reducing the partial search space, computational cost, and accurately detecting a primary drug class without loss of precision and accuracy. Our proposed model, called CRGANNC (Clustering Recommendation Gaussian Affinity Nearest Neighbors Classifier), effectively addresses the sparsity and scalability issues faced by content-based recommendation models. The CRGANNC model dynamically partition clusters into sub-clusters with variable numbers based on the group, and can diagnose healthy, sick, and at-risk patients, and recommend drugs to the HCP. In addition to our analysis, we developed a semi-artificial dataset with new features such as weakness, dizziness, headache, nausea, and vomiting, using a pipeline. This dataset serves as a valuable resource for researchers in the sensitive domain of stroke, providing a starting point for building and testing models when real data is often restricted. Our work not only contributes to the development of predictive models for stroke but also establishes a framework for creating similar datasets in other sensitive domains, accelerating research efforts and improving patient care. Our experiments were conducted on our dataset consisting of 9691 patient records, with 1206 records for stroke attacks and 8485 healthy patients. The CRGANNC model achieved an average precision of 0.98, recall of 0.95 and F1-score of 0.96 across all three drugs classes. Furthermore, our model demonstrated significant improvement in computational efficiency compared to existing content-based recommendation models, reducing the processing time by 25.80% . This results indicate the effectiveness of our model in accurately detecting medications for stroke patients based on their symptoms.

Delighting Palates with AI: Reinforcement Learning's Triumph in Crafting Personalized Meal Plans with High User Acceptance

Eating, central to human existence, is influenced by a myriad of factors, including nutrition, health, personal taste, cultural background, and flavor preferences. The challenge of devising personalized meal plans that effectively encompass these dimensions is formidable. A crucial shortfall in many existing meal-planning systems is poor user adherence, often stemming from a disconnect between the plan and the user's lifestyle, preferences, or unseen eating patterns. Our study introduces a pioneering algorithm, CFRL, which melds reinforcement learning (RL) with collaborative filtering (CF) in a unique synergy. This algorithm not only addresses nutritional and health considerations but also dynamically adapts to and uncovers latent user eating habits, thereby significantly enhancing user acceptance and adherence. CFRL utilizes Markov decision processes (MDPs) for interactive meal recommendations and incorporates a CF-based MDP framework to align with broader user preferences, translated into a shared latent vector space. Central to CFRL is its innovative reward-shaping mechanism, rooted in multi-criteria decision-making that includes user ratings, preferences, and nutritional data. This results in versatile, user-specific meal plans. Our comparative analysis with four baseline methods showcases CFRL's superior performance in key metrics like user satisfaction and nutritional adequacy. This research underscores the effectiveness of combining RL and CF in personalized meal planning, marking a substantial advancement over traditional approaches.

Forecasting User Interests Through Topic Tag Predictions in Online Health Communities

The increasing reliance on online communities for healthcare information by patients and caregivers has led to the increase in the spread of misinformation, or subjective, anecdotal and inaccurate or non-specific recommendations, which, if acted on, could cause serious harm to the patients. Hence, there is an urgent need to connect users with accurate and tailored health information in a timely manner to prevent such harm. This article proposes an innovative approach to suggesting reliable information to participants in online communities as they move through different stages in their disease or treatment. We hypothesize that patients with similar histories of disease progression or course of treatment would have similar information needs at comparable stages. Specifically, we pose the problem of predicting topic tags or keywords that describe the future information needs of users based on their profiles, traces of their online interactions within the community (past posts, replies) and the profiles and traces of online interactions of other users with similar profiles and similar traces of past interaction with the target users. The result is a variant of the collaborative information filtering or recommendation system tailored to the needs of users of online health communities. We report results of our experiments on two unique datasets from two different social media platforms which demonstrates the superiority of the proposed approach over the state of the art baselines with respect to accurate and timely prediction of topic tags (and hence information sources of interest).

An intelligent medical guidance and recommendation model driven by patient-physician communication data

Based on the online patient-physician communication data, this study used natural language processing and machine learning algorithm to construct a medical intelligent guidance and recommendation model. First, based on 16,935 patient main complaint data of nine diseases, this study used the word2vec, long-term and short-term memory neural networks, and other machine learning algorithms to construct intelligent department guidance and recommendation model. Besides, taking ophthalmology as an example, it also used the word2vec, TF-IDF, and cosine similarity algorithm to construct an intelligent physician recommendation model. Furthermore, to recommend physicians with better service quality, this study introduced the information amount of physicians' feedback to the recommendation evaluation indicator as the text and voice service quality. The results show that the department guidance model constructed by long-term and short-term memory neural networks has the best effect. The precision is 82.84%, and the F1-score is 82.61% in the test set. The prediction effect of the LSTM model is better than TextCNN, random forest, K-nearest neighbor, and support vector machine algorithms. In the intelligent physician recommendation model, under certain parameter settings, the recommendation effect of the hybrid recommendation model based on similar patients and similar physicians has certain advantages over the model of similar patients and similar physicians.

Computational Model of Recommender System Intervention

A recommender system is an information selection system that offers preferences to users and enhances their decision-making. This system is commonly implemented in human-computer-interaction (HCI) intervention because of its information filtering and personalization. However, its success rate in decision-making intervention is considered low and the rationale for this is associated with users’ psychological reactance which is causing unsuccessful recommender system interventions. This paper employs a computational model to depict factors that lead to recommender system rejection by users and how these factors can be enhanced to achieve successful recommender system interventions. The study made use of design science research methodology by executing a computational analysis based on an agent-based simulation approach for the model development and implementation. A total of sixteen model concepts were identified and formalized which were implemented in a Matlab environment using three major case conditions as suggested in previous studies. The result of the study provides an explicit comprehension on interplaying of recommender system that generate psychological reactance which is of great importance to recommender system developers and designers to depict how successful recommender system interventions can be achieved without users experiencing reactance and rejection on the system.

Health Recommender Systems Development, Usage, and Evaluation from 2010 to 2022: A Scoping Review

A health recommender system (HRS) provides a user with personalized medical information based on the user's health profile. This scoping review aims to identify and summarize the HRS development in the most recent decade by focusing on five key aspects: health domain, user, recommended item, recommendation technology, and system evaluation. We searched PubMed, ACM Digital Library, IEEE Xplore, Web of Science, and Scopus databases for English literature published between 2010 and 2022. Our study selection and data extraction followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. The following are the primary results: sixty-three studies met the eligibility criteria and were included in the data analysis. These studies involved twenty-four health domains, with both patients and the general public as target users and ten major recommended items. The most adopted algorithm of recommendation technologies was the knowledge-based approach. In addition, fifty-nine studies reported system evaluations, in which two types of evaluation methods and three categories of metrics were applied. However, despite existing research progress on HRSs, the health domains, recommended items, and sample size of system evaluation have been limited. In the future, HRS research shall focus on dynamic user modelling, utilizing open-source knowledge bases, and evaluating the efficacy of HRSs using a large sample size. In conclusion, this study summarized the research activities and evidence pertinent to HRSs in the most recent ten years and identified gaps in the existing research landscape. Further work shall address the gaps and continue improving the performance of HRSs to empower users in terms of healthcare decision making and self-management.

Clustering-Based Recommendation System for Preliminary Disease Detection

The catastrophic outbreak COVID-19 has brought threat to the society and also placed severe stress on the healthcare systems worldwide. Different segments of society are contributing to their best effort to curb the spread of COVID-19. As a part of this contribution, in this research, a clustering-based recommender system is proposed for early detection of COVID-19 based on the symptoms of an individual. For this, the suspected patient's symptoms are compared with the patient who has already contracted COVID-19 by computing similarity between symptoms. Based on this, the suspected person is classified into either of the three risk categories: high, medium, and low. This is not a confirmed test but only a mechanism to alert the suspected patient. The accuracy of the algorithm is more than 85%.

Toward Point-of-Interest Recommendation Systems: A Critical Review on Deep-Learning Approaches

In recent years, location-based social networks (LBSNs) that allow members to share their location and provide related services, and point-of-interest (POIs) recommendations which suggest attractive places to visit, have become noteworthy and useful for users, research areas, industries, and advertising companies. The POI recommendation system combines different information sources and creates numerous research challenges and questions. New research in this field utilizes deep-learning techniques as a solution to the issues because it has the ability to represent the nonlinear relationship between users and items more effectively than other methods. Despite all the obvious improvements that have been made recently, this field still does not have an updated and integrated view of the types of methods, their limitations, features, and future prospects. This paper provides a systematic review focusing on recent research on this topic. First, this approach prepares an overall view of the types of recommendation methods, their challenges, and the various influencing factors that can improve model performance in POI recommendations, then it reviews the traditional machine-learning methods and deep-learning techniques employed in the POI recommendation and analyzes their strengths and weaknesses. The recently proposed models are categorized according to the method used, the dataset, and the evaluation metrics. It found that these articles give priority to accuracy in comparison with other dimensions of quality. Finally, this approach introduces the research trends and future orientations, and it realizes that POI recommender systems based on deep learning are a promising future work.

Assessing E-Health adoption readiness using diffusion of innovation theory and the role mediated by each adopter's category in a Mauritian context

BACKGROUND

The preparedness of healthcare institutes for the foreseen changes expected to arise through the implementation of E-Health is a significant turning point in determining its success. This should be evaluated through the awareness and readiness of healthcare workers to adopt E-Health technology to reduce health information technology failures.

METHODS

This study investigated the relationship between the perceived attributes of innovation and E-Health adoption decisions of healthcare workers as part of a preimplementation process. Using a cross-sectional quantitative approach, the dimensions of the diffusion of innovation (DOI) theory were used to assess the E-Health readiness of 110 healthcare workers in a Mauritian specialized hospital.

RESULTS

A strong inclination towards E-Health adoption was observed, where the prime stimulators were perceived as modernization of healthcare management (84.1%, ẋ=4.19), increased work efficiency through reduction of duplication (77.6%, ẋ=4.10) and faster generation of results (71.1%, ẋ=4.07). The findings of this study also validated the use of five DOI dimensions (i.e. relative advantage, compatibility, complexity, trialability and observability) in a predictability model (F(5, 101)=17.067, p<0.001) towards E-Health adoption. A significant association between 'adopter category' and 'willingness to recommend E-Health adoption' (χ2(8)=74.89, p<0.001) endorsed the fact that physicians and nursing managers have central roles within a social ecosystem to facilitate the diffusion of technology and influence the adoption of innovation.

CONCLUSION

This is the first study of its kind in Mauritius to successfully characterize each adopter's profile and demonstrate the applicability of the DOI framework to predict the diffusion rate of E-Health platforms, while also highlighting the importance of identifying key opinion leaders who can be primed by innovators regarding the benefits of E-Health platforms, thus ensuring non-disruptive evolutionary innovation in the Mauritian healthcare sector.

Applying Collective Intelligence in Health Recommender Systems for Smoking Cessation: A Comparison Trial

Background: Health recommender systems (HRSs) are intelligent systems that can be used to tailor digital health interventions. We compared two HRSs to assess their impact providing smoking cessation support messages. Methods: Smokers who downloaded a mobile app to support smoking abstinence were randomly assigned to two interventions. They received personalized, ratable motivational messages on the app. The first intervention had a knowledge-based HRS (n = 181): it selected random messages from a subset matching the users’ demographics and smoking habits. The second intervention had a hybrid HRS using collective intelligence (n = 190): it selected messages applying the knowledge-based filter first, and then chose the ones with higher ratings provided by other similar users in the system. Both interventions were compared on: (a) message appreciation, (b) engagement with the system, and (c) one’s own self-reported smoking cessation status, as indicated by the last seven-day point prevalence report in different time intervals during a period of six months. Results: Both interventions had similar message appreciation, number of rated messages, and abstinence results. The knowledge-based HRS achieved a significantly higher number of active days, number of abstinence reports, and better abstinence results. The hybrid algorithm led to more quitting attempts in participants who completed their user profiles.

Prediction and recommendation by machine learning through repetitive internal validation for hepatic veno-occlusive disease/sinusoidal obstruction syndrome and early death after allogeneic hematopoietic cell transplantation

Using traditional statistical methods, we previously analyzed the risk factors and treatment outcomes of veno-occlusive disease/sinusoidal obstruction syndrome (VOD/SOS) after allogeneic hematopoietic cell transplantation. Within the same cohort, we applied machine learning to create prediction and recommendation models. We analyzed 2572 transplants using eXtreme Gradient Boosting (XGBoost) to predict post-transplant VOD/SOS and early death. Using the XGBoost and SHapley Additive exPlanations (SHAP), we found influential factors and devised recommendation models, which were internally verified by repetitive ten-fold cross-validation. SHAP values suggested that gender, busulfan dosage, age, forced expiratory volume, and Disease Risk Index were significant factors for VOD/SOS. The areas under the receiver operating characteristic curves and the areas under the precision-recall curve of the models were 0.740, 0.144 for all VOD/SOS, 0.793, 0.793 for severe to very severe VOD/SOS, and 0.746, 0.304 for early death. According to our single feature recommendation, following the busulfan dosage was the most effective for preventing VOD/SOS. The recommendation method for six adjustable feature sets was also validated, and a subgroup corresponding to five to six features showed significant preventive power for VOD/SOS and early death. Our personalized treatment set recommendation showed reproducibility in repetitive internal validation, but large external cohorts should prospectively validate our model.

Quantitative estimation of soil properties using hybrid features and RNN variants

Estimating soil properties is important for maximizing the production of crops in sustainable agriculture. The hyperspectral data next input depends upon the previous one, and the current techniques do not take advantage of this sequential nature of hyperspectral signatures. The variants of RNN can learn the short-term and long-term dependencies between data. This paper proposes a deep learning hybrid framework for quantifying the soil minerals like Clay, CEC, pH of H₂O, Nitrogen, Organic Carbon, Sand of European Union from the LUCAS library. The hyperspectral signatures contain the data in the range of 400-2500 nm captured from the FOSS spectroscope in the laboratory. As hyperspectral data is high dimensional, Principal Component Analysis and Locality Preserving Projections are utilized to form the hybrid features, which have low dimensions containing the local and global information of the original dataset. These hybrid features are passed on to Long Short Term Memory Networks, a deep learning framework for building an effective prediction model. The effectiveness of the prepared models is demonstrated by comparing it to existing state-of-the-art techniques.

Multitask Healthcare Management Recommendation System Leveraging Knowledge Graph

In this paper, a novel multitask healthcare management recommendation system leveraging the knowledge graph is proposed, which is based on deep neural network and 5G network, and it can be applied in mobile and terminal device to free up medical resources and provide treatment programs. The technique we applied is referred to as KG-based recommendation system. When several experiments have been carried out, it is demonstrated that it is more intelligent and precise in disease prediction and treatment recommendation, similar to the state of the art. Also, it works well in the accuracy and comprehension, which is much higher and highly consistent with the predictions of the theoretical model. The fact that our work involves studies of multitask healthcare management recommendation system, which can contribute to the smart healthcare development, proves to be promising and encouraging.

Blockchain-Secured Recommender System for Special Need Patients Using Deep Learning

Recommender systems offer several advantages to hospital data management units and patients with special needs. These systems are more dependent on the extreme subtle hospital-patient data. Thus, disregarding the confidentiality of patients with special needs is not an option. In recent times, several proposed techniques failed to cryptographically guarantee the data privacy of the patients with special needs in the diet recommender systems (RSs) deployment. In order to tackle this pitfall, this paper incorporates a blockchain privacy system (BPS) into deep learning for a diet recommendation system for patients with special needs. Our proposed technique allows patients to get notifications about recommended treatments and medications based on their personalized data without revealing their confidential information. Additionally, the paper implemented machine and deep learning algorithms such as RNN, Logistic Regression, MLP, etc., on an Internet of Medical Things (IoMT) dataset acquired via the internet and hospitals that comprises the data of 50 patients with 13 features of various diseases and 1,000 products. The product section has a set of eight features. The IoMT data features were analyzed with BPS and further encoded prior to the application of deep and machine learning-based frameworks. The performance of the different machine and deep learning methods were carried out and the results verify that the long short-term memory (LSTM) technique is more effective than other schemes regarding prediction accuracy, precision, F1-measures, and recall in a secured blockchain privacy system. Results showed that 97.74% accuracy utilizing the LSTM deep learning model was attained. The precision of 98%, recall, and F1-measure of 99% each for the allowed class was also attained. For the disallowed class, the scores were 89, 73, and 80% for precision, recall, and F1-measure, respectively. The performance of our proposed BPS is subdivided into two categories: the secured communication channel of the recommendation system and an enhanced deep learning approach using health base medical dataset that spontaneously identifies what food a patient with special needs should have based on their disease and certain features including gender, weight, age, etc. The proposed system is outstanding as none of the earlier revised works of literature described a recommender system of this kind.

An E-Commerce Recommendation System Based on Dynamic Analysis of Customer Behavior

The technological development in the devices and services provided via the Internet and the availability of modern devices and their advanced applications, for most people, have led to an increase in the expansion and a trend towards electronic commerce. The large number and variety of goods offered on e-commerce websites sometimes make the customers feel overwhelmed and sometimes make it difficult to find the right product. These factors increase the amount of competition between global commercial sites, which increases the need to work efficiently to increase financial profits. The recommendation systems aim to improve the e-commerce systems performance by facilitating the customers to find the appropriate products according to their preferences. There are lots of recommendation system algorithms that are implemented for this purpose. However, most of these algorithms suffer from several problems, including: cold start, sparsity of user-item matrix, scalability, and changes in user interest. This paper aims to develop a recommendation system to solve the problems mentioned before and to achieve high realistic prediction results this is done by building the system based on the customers’ behavior and cooperating with the statistical analysis to support decision making, to be employed on an e-commerce site and increasing its performance. The project contribution can be shown by the experimental results using precision, recall, F-function, mean absolute error (MAE), and root mean square error (RMSE) metrics, which are used to evaluate system performance. The experimental results showed that using statistical methods improves the decision-making that is employed to increase the accuracy of recommendation lists suggested to the customers.

Recommender systems in the healthcare domain: state-of-the-art and research issues

Nowadays, a vast amount of clinical data scattered across different sites on the Internet hinders users from finding helpful information for their well-being improvement. Besides, the overload of medical information (e.g., on drugs, medical tests, and treatment suggestions) have brought many difficulties to medical professionals in making patient-oriented decisions. These issues raise the need to apply recommender systems in the healthcare domain to help both, end-users and medical professionals, make more efficient and accurate health-related decisions. In this article, we provide a systematic overview of existing research on healthcare recommender systems. Different from existing related overview papers, our article provides insights into recommendation scenarios and recommendation approaches. Examples thereof are food recommendation, drug recommendation, health status prediction, healthcare service recommendation, and healthcare professional recommendation. Additionally, we develop working examples to give a deep understanding of recommendation algorithms. Finally, we discuss challenges concerning the development of healthcare recommender systems in the future.

Challenges and issues in the development of the human healthcare system

The social health care system is a single-stop solution for overseas patients seeking worldwide. Human is linked to globally certified healthcare companies, clinics, dental centers, and allows patients to access the best medical care. The significant challenges in developing the human healthcare system include efficiency, security, and sustainable medical devices linked to the Internet. A healthcare system usually includes different intelligent technologies from various disciplines. This manuscript proposed a Virtual reality-based Integrated delivery model (VRIDS) for the healthcare system to minimize the challenges. This paper uses Exclusive Provider Organizations’ methods, Point-of-Service methods, for developing the human health system. VRIDS provides a Higher quality of care with more efficiency in tracking the body’s movements to view the human’s inner body and allow an immersion sensation. Finally, results from various patients and doctors are highly recommended in these techniques to improve the human healthcare system and a cost-effective system and convenience to patients and doctors. The experimental results have been performed, and the suggested VRIDS model enhances the accuracy ratio of 97.8%, sensitivity ratio of 98.2%, decision-making level 96.5%, network performance ratio of 97.1%, and quality of service of 98.3% compared to other existing methods.

How artificial intelligence can help us 'Choose Wisely'

The overuse of low value medical tests and treatments drives costs and patient harm. Efforts to address overuse, such as Choosing Wisely campaigns, typically rely on passive implementation strategies- a form of low reliability system change. Embedding guidelines into clinical decision support (CDS) software is a higher leverage approach to provide ordering suggestions through an interface embedded within the clinical workflow. Growth in computing power is increasingly enabling artificial intelligence (AI) to augment such decision making tools. This article offers a roadmap of opportunities for AI-enabled CDS to reduce overuse, which are presented according to a patient’s journey of care.

Security and Privacy of Cloud- and IoT-Based Medical Image Diagnosis Using Fuzzy Convolutional Neural Network

In recent times, security in cloud computing has become a significant part in healthcare services specifically in medical data storage and disease prediction. A large volume of data are produced in the healthcare environment day by day due to the development in the medical devices. Thus, cloud computing technology is utilised for storing, processing, and handling these large volumes of data in a highly secured manner from various attacks. This paper focuses on disease classification by utilising image processing with secured cloud computing environment using an extended zigzag image encryption scheme possessing a greater tolerance to different data attacks. Secondly, a fuzzy convolutional neural network (FCNN) algorithm is proposed for effective classification of images. The decrypted images are used for classification of cancer levels with different layers of training. After classification, the results are transferred to the concern doctors and patients for further treatment process. Here, the experimental process is carried out by utilising the standard dataset. The results from the experiment concluded that the proposed algorithm shows better performance than the other existing algorithms and can be effectively utilised for the medical image diagnosis.

AnkFall-Falls, Falling Risks and Daily-Life Activities Dataset with an Ankle-Placed Accelerometer and Training Using Recurrent Neural Networks

Falls are one of the leading causes of permanent injury and/or disability among the elderly. When these people live alone, it is convenient that a caregiver or family member visits them periodically. However, these visits do not prevent falls when the elderly person is alone. Furthermore, in exceptional circumstances, such as a pandemic, we must avoid unnecessary mobility. This is why remote monitoring systems are currently on the rise, and several commercial solutions can be found. However, current solutions use devices attached to the waist or wrist, causing discomfort in the people who wear them. The users also tend to forget to wear the devices carried in these positions. Therefore, in order to prevent these problems, the main objective of this work is designing and recollecting a new dataset about falls, falling risks and activities of daily living using an ankle-placed device obtaining a good balance between the different activity types. This dataset will be a useful tool for researchers who want to integrate the fall detector in the footwear. Thus, in this work we design the fall-detection device, study the suitable activities to be collected, collect the dataset from 21 users performing the studied activities and evaluate the quality of the collected dataset. As an additional and secondary study, we implement a simple Deep Learning classifier based on this data to prove the system’s feasibility.

A systematic review of emerging information technologies for sustainable data-centric health-care

BACKGROUND

Of the Sustainable Development Goals (SDGs), the third presents the opportunity for a predictive universal digital healthcare ecosystem, capable of informing early warning, assisting in risk reduction and guiding management of national and global health risks. However, in reality, the existing technology infrastructure of digital healthcare systems is insufficient, failing to satisfy current and future data needs.

OBJECTIVE

This paper systematically reviews emerging information technologies for data modelling and analytics that have potential to achieve Data-Centric Health-Care (DCHC) for the envisioned objective of sustainable healthcare. The goal of this review is to: 1) identify emerging information technologies with potential for data modelling and analytics, and 2) explore recent research of these technologies in DCHC.

FINDINGS

A total of 1619 relevant papers have been identified and analysed in this review. Of these, 69 were probed deeply. Our analysis found that the extant research focused on elder care, rehabilitation, chronic diseases, and healthcare service delivery. Use-cases of the emerging information technologies included providing assistance, monitoring, self-care and self-management, diagnosis, risk prediction, well-being awareness, personalized healthcare, and qualitative and/or quantitative service enhancement. Limitations identified in the studies included vendor hardware specificity, issues with user interface and usability, inadequate features, interoperability, scalability, and compatibility, unjustifiable costs and insufficient evaluation in terms of validation.

CONCLUSION

Achievement of a predictive universal digital healthcare ecosystem in the current context is a challenge. State-of-the-art technologies demand user centric design, data privacy and protection measures, transparency, interoperability, scalability, and compatibility to achieve the SDG objective of sustainable healthcare by 2030.

Effect of Personalized Incentives on Dietary Quality of Groceries Purchased: A Randomized Crossover Trial

Importance

Many factors are associated with food choice. Personalized interventions could help improve dietary intake by using individual purchasing preferences to promote healthier grocery purchases.

Objective

To test whether a healthy food incentive intervention using an algorithm incorporating customer preferences, purchase history, and baseline diet quality improves grocery purchase dietary quality and spending on healthy foods.

Design, Setting, and Participants

This was a 9-month randomized clinical crossover trial (AB-BA) with a 2- to 4-week washout period between 3-month intervention periods. Participants included 224 loyalty program members at an independent Rhode Island supermarket who completed baseline questionnaires and were randomized from July to September 2018 to group 1 (AB) or group 2 (BA). Data analysis was performed from September 2019 to May 2020.

Intervention

Participants received personalized weekly coupons with nutrition education during the intervention period (A) and occasional generic coupons with nutrition education during the control period (B). An automated study algorithm used customer data to allocate personalized healthy food incentives to participant loyalty cards. All participants received a 5% grocery discount.

Main Outcomes and Measures

Grocery Purchase Quality Index-2016 (GPQI-16) scores (range, 0-75, with higher scores denoting healthier purchases) and percentage spending on targeted foods were calculated from cumulative purchasing data. Participants in the top and bottom 1% of spending were excluded. Paired t tests examined between-group differences.

Results

The analytical sample included 209 participants (104 in group 1 and 105 in group 2), with a mean (SD) age of 55.4 (14.0) years. They were predominantly non-Hispanic White (193 of 206 participants [94.1%]) and female (187 of 207 participants [90.3%]). Of 161 participants with income data, 81 (50.3%) had annual household incomes greater than or equal to $100 000. Paired t tests showed that the intervention increased GPQI-16 scores (between-group difference, 1.06; 95% CI, 0.27-1.86; P = .01) and percentage spending on targeted foods (between-group difference, 1.38%; 95% CI, 0.08%-2.69%; P = .04). During the initial intervention period, group 1 (AB) and group 2 (BA) had similar mean (SD) GPQI-16 scores (41.2 [6.6] vs 41.0 [7.5]) and mean (SD) percentage spending on targeted healthy foods (32.0% [10.8%] vs 31.0% [10.5%]). During the crossover intervention period, group 2 had a higher mean (SD) GPQI-16 score than group 1 (42.9 [7.7] vs 41.0 [6.8]) and mean (SD) percentage spending on targeted foods (34.0% [12.1%] vs 32.0% [13.1%]).

Conclusions and Relevance

This pilot trial demonstrated preliminary evidence for the effectiveness of a novel personalized healthy food incentive algorithm to improve grocery purchase dietary quality.

Trial Registration

ClinicalTrials.gov Identifier: NCT03748056.

Recommender systems in the healthcare domain: state-of-the-art and research issues

Nowadays, a vast amount of clinical data scattered across different sites on the Internet hinders users from finding helpful information for their well-being improvement. Besides, the overload of medical information (e.g., on drugs, medical tests, and treatment suggestions) have brought many difficulties to medical professionals in making patient-oriented decisions. These issues raise the need to apply recommender systems in the healthcare domain to help both, end-users and medical professionals, make more efficient and accurate health-related decisions. In this article, we provide a systematic overview of existing research on healthcare recommender systems. Different from existing related overview papers, our article provides insights into recommendation scenarios and recommendation approaches. Examples thereof are food recommendation, drug recommendation, health status prediction, healthcare service recommendation, and healthcare professional recommendation. Additionally, we develop working examples to give a deep understanding of recommendation algorithms. Finally, we discuss challenges concerning the development of healthcare recommender systems in the future.

Recommendation Systems: Algorithms, Challenges, Metrics, and Business Opportunities

Recommender systems are widely used to provide users with recommendations based on their preferences. With the ever-growing volume of information online, recommender systems have been a useful tool to overcome information overload. The utilization of recommender systems cannot be overstated, given its potential influence to ameliorate many over-choice challenges. There are many types of recommendation systems with different methodologies and concepts. Various applications have adopted recommendation systems, including e-commerce, healthcare, transportation, agriculture, and media. This paper provides the current landscape of recommender systems research and identifies directions in the field in various applications. This article provides an overview of the current state of the art in recommendation systems, their types, challenges, limitations, and business adoptions. To assess the quality of a recommendation system, qualitative evaluation metrics are discussed in the paper.