While healthcare is the biggest service industry on the globe it has yet to realize the full potential of the e-business revolution in the form of e-health. This is due to many reasons including the fact that the healthcare industry is faced with many complex challenges in trying to deliver cost-effective, high-value, accessible healthcare and has traditionally been slow to embrace new business techniques and technologies. Given that e-health to a great extent is a macro level concern that has far reaching micro level implications, this paper firstly develops a framework to assess a country's preparedness with respect to embracing e-health (the application of e-commerce to healthcare) and from this an e-health preparedness grid to facilitate the assessment of any e-health initiative. Taken together the integrative framework and preparedness grid provide useful and necessary tools to enable successful e-health initiatives to ensue by helping country and/or organization within a country to identify and thus address areas that require further attention in order for it to undertake a successful e-health initiative.
Over the last 10 years, neural networks have been increasingly applied to various areas of finance. Neural networks are more often applied on the assets side than on the liabilities side of the balance sheet. Some major characteristics of the areas of these applications are their data intensity, unstructured nature, high degree of uncertainty, and hidden relationships. Most of the applications use the backpropagation model with one hidden layer. In most of these applications, neural networks out-performed traditional statistical models, such as discriminant and regression analysis. Furthermore, these applications have shown significant success in financial practice, for example, in forecasting T-bills, in asset management, in portfolio selection, and in fraud detection.
Background
The study aimed to introduce a machine learning model that predicts in-hospital mortality in patients on mechanical ventilation (MV) following moderate to severe traumatic brain injury (TBI).
Methods
A retrospective analysis was conducted for all adult patients who sustained TBI and were hospitalized at the trauma center from January 2014 to February 2019 with an abbreviated injury severity score for head region (HAIS) ≥ 3. We used the demographic characteristics, injuries and CT findings as predictors. Logistic regression (LR) and Artificial neural networks (ANN) were used to predict the in-hospital mortality. Accuracy, area under the receiver operating characteristics curve (AUROC), precision, negative predictive value (NPV), sensitivity, specificity and F-score were used to compare the models` performance.
Results
Across the study duration; 785 patients met the inclusion criteria (581 survived and 204 deceased). The two models (LR and ANN) achieved good performance with an accuracy over 80% and AUROC over 87%. However, when taking the other performance measures into account, LR achieved higher overall performance than the ANN with an accuracy and AUROC of 87% and 90.5%, respectively compared to 80.9% and 87.5%, respectively. Venous thromboembolism prophylaxis, severity of TBI as measured by abbreviated injury score, TBI diagnosis, the need for blood transfusion, heart rate upon admission to the emergency room and patient age were found to be the significant predictors of in-hospital mortality for TBI patients on MV.
Conclusions
Machine learning based LR achieved good predictive performance for the prognosis in mechanically ventilated TBI patients. This study presents an opportunity to integrate machine learning methods in the trauma registry to provide instant clinical decision-making support.
Background: The use of machine learning techniques to predict diseases outcomes has grown significantly in the last decade. Several studies prove that the machine learning predictive techniques outperform the classical multivariate techniques. We aimed to build a machine learning predictive model to predict the in-hospital mortality for patients who sustained Traumatic Brain Injury (TBI). Methods: Adult patients with TBI who were hospitalized in the level 1 trauma center in the period from January 2014 to February 2019 were included in this study. Patients' demographics, injury characteristics and CT findings were used as predictors. The predictive performance of Artificial Neural Networks (ANN) and Support Vector Machines (SVM) was evaluated in terms of accuracy, Area Under the Curve (AUC), sensitivity, precision, Negative Predictive Value (NPV), specificity and F-score. Results: A total of 1620 eligible patients were included in the study (1417 survival and 203 non-survivals). Both models achieved accuracy over 91% and AUC over 93%. SVM achieved the optimal performance with accuracy 95.6% and AUC 96%. Conclusions: for prediction of mortality in patients with TBI, SVM outperformed the well-known classical models that utilized the conventional multivariate analytical techniques.
Accurate prediction of stock market price is of great importance to many stakeholders. Artificial neural networks (ANNs) have shown robust capability in predicting stock price return, future stock price and the direction of stock market movement. The major aim of this study is to predict the next trading day closing price of the Qatar Exchange (QE) Index using historical data from 3 January 2010 to 31 December 2012. A multilayer perceptron ANN architecture was used as a prediction model with 10 market technical indicators as input variables. The experimental results indicate that ANNs are an effective modelling technique for predicting the QE Index with high accuracy, outperforming the well-established autoregressive integrated moving average models. To the best of our knowledge, this is the first attempt to use ANNs to predict the QE Index, and its performance results are comparable to, and sometimes better than, many stock market predictions reported in the literature. The ANN model also revealed that the weighted and simple moving averages are the most important technical indicators in predicting the QE Index, and the accumulation/distribution oscillator is the least important such indicator. The analysis results also indicated that the ANNs are resilient to stock market volatility.
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