Background Coronavirus disease (COVID-19) has spread explosively worldwide since the beginning of 2020. According to a multinational consensus statement from the Fleischner Society, computed tomography (CT) is a relevant screening tool due to its higher sensitivity for detecting early pneumonic changes. However, physicians are extremely occupied fighting COVID-19 in this era of worldwide crisis. Thus, it is crucial to accelerate the development of an artificial intelligence (AI) diagnostic tool to support physicians. Objective We aimed to rapidly develop an AI technique to diagnose COVID-19 pneumonia in CT images and differentiate it from non–COVID-19 pneumonia and nonpneumonia diseases. Methods A simple 2D deep learning framework, named the fast-track COVID-19 classification network (FCONet), was developed to diagnose COVID-19 pneumonia based on a single chest CT image. FCONet was developed by transfer learning using one of four state-of-the-art pretrained deep learning models (VGG16, ResNet-50, Inception-v3, or Xception) as a backbone. For training and testing of FCONet, we collected 3993 chest CT images of patients with COVID-19 pneumonia, other pneumonia, and nonpneumonia diseases from Wonkwang University Hospital, Chonnam National University Hospital, and the Italian Society of Medical and Interventional Radiology public database. These CT images were split into a training set and a testing set at a ratio of 8:2. For the testing data set, the diagnostic performance of the four pretrained FCONet models to diagnose COVID-19 pneumonia was compared. In addition, we tested the FCONet models on an external testing data set extracted from embedded low-quality chest CT images of COVID-19 pneumonia in recently published papers. Results Among the four pretrained models of FCONet, ResNet-50 showed excellent diagnostic performance (sensitivity 99.58%, specificity 100.00%, and accuracy 99.87%) and outperformed the other three pretrained models in the testing data set. In the additional external testing data set using low-quality CT images, the detection accuracy of the ResNet-50 model was the highest (96.97%), followed by Xception, Inception-v3, and VGG16 (90.71%, 89.38%, and 87.12%, respectively). Conclusions FCONet, a simple 2D deep learning framework based on a single chest CT image, provides excellent diagnostic performance in detecting COVID-19 pneumonia. Based on our testing data set, the FCONet model based on ResNet-50 appears to be the best model, as it outperformed other FCONet models based on VGG16, Xception, and Inception-v3.

Background COVID-19, which is accompanied by acute respiratory distress, multiple organ failure, and death, has spread worldwide much faster than previously thought. However, at present, it has limited treatments. Objective To overcome this issue, we developed an artificial intelligence (AI) model of COVID-19, named EDRnet (ensemble learning model based on deep neural network and random forest models), to predict in-hospital mortality using a routine blood sample at the time of hospital admission. Methods We selected 28 blood biomarkers and used the age and gender information of patients as model inputs. To improve the mortality prediction, we adopted an ensemble approach combining deep neural network and random forest models. We trained our model with a database of blood samples from 361 COVID-19 patients in Wuhan, China, and applied it to 106 COVID-19 patients in three Korean medical institutions. Results In the testing data sets, EDRnet provided high sensitivity (100%), specificity (91%), and accuracy (92%). To extend the number of patient data points, we developed a web application (BeatCOVID19) where anyone can access the model to predict mortality and can register his or her own blood laboratory results. Conclusions Our new AI model, EDRnet, accurately predicts the mortality rate for COVID-19. It is publicly available and aims to help health care providers fight COVID-19 and improve patients’ outcomes.

Despite of various benefits such as a convenience and efficiency, home healthcare systems have some inherent security risks that may cause a serious leak on personal health information. This work presents a Secure User Profiling Structure which has the patient information including their health information. A patient and a hospital keep it at that same time, they share the updated data. While they share the data and communicate, the data can be leaked. To solve the security problems, a secure communication channel with a hash function and an One-Time Password between a client and a hospital should be established and to generate an input value to an OTP, it uses a dual hash-function. This work presents a dual hash function-based approach to generate the One-Time Password ensuring a secure communication channel with the secured key. In result, attackers are unable to decrypt the leaked information because of the secured key; in addition, the proposed method outperforms the existing methods in terms of computation cost.

Academic discussions on cultural intelligence (CQ) are now paying attention to their potential utilization from various angles. The field of study is expanded not only in business administration but also in psychology, education, tourism, communication, and arts. This is due to the widespread study of global communication competence in multicultural situations because of the deepening of globalization. In this paper, we try to find a way to utilize cultural intelligence model proposed by David Livermore. The aim is to develop education contents for the improvement of cultural intelligence of university students. The target is limited to university students and aims to develop education contents to enhance their cultural intelligence. The main purpose of the study was to measure and analyze the cultural intelligence of university students. For that, the level of cultural intelligence of Korean university freshmen was measured and analyzed. The individual level of the four areas constituting the cultural intelligence was identified, and the difference between the male and female was examined. At the same time, the differences in cultural intelligence were analyzed according to the duration of multicultural contact and experience in the case of foreign language lectures taught by foreigners. Finally, we analyzed how the correlation between the four areas that comprise cultural intelligence is occurring, and as a result, the content and results of this study are expected to be an important foundation for the direction of future development of education contents in universities.

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Although biometrics systems using an electrocardiogram (ECG) have been actively researched, there is a characteristic that the morphological features of the ECG signal are measured differently depending on the measurement environment. In general, post-exercise ECG is not matched with the morphological features of the pre-exercise ECG because of the temporary tachycardia. This can degrade the user recognition performance. Although normalization studies have been conducted to match the post- and pre-exercise ECG, limitations related to the distortion of the P wave, QRS complexes, and T wave, which are morphological features, often arise. In this paper, we propose a method for matching pre- and post-exercise ECG cycles based on time and frequency fusion normalization in consideration of morphological features and classifying users with high performance by an optimized system. One cycle of post-exercise ECG is expanded by linear interpolation and filtered with an optimized frequency through the fusion normalization method. The fusion normalization method aims to match one post-exercise ECG cycle to one pre-exercise ECG cycle. The experimental results show that the average similarity between the pre- and post-exercise states improves by 25.6% after normalization, for 30 ECG cycles. Additionally, the normalization algorithm improves the maximum user recognition performance from 96.4 to 98%.

The risk of tampering exists for conventional user recognition methods based on biometrics such as face and fingerprint. Recently, research on user recognition using biometric signals such as electrocardiogram (ECG), electroencephalogram (EEG), and electromyogram (EMG) has been actively performed to overcome this issue. We herein propose a user recognition method applying a deep learning technique based on ensemble networks after transforming ECG signals into two-dimensional (2D) images. A preprocessing process for one-dimensional ECG signals is performed to remove noise or distortion; subsequently, they are projected onto a 2D image space and transformed into image data. For the proposed algorithm, we designed deep learning-based ensemble networks to improve the degraded performance arising from overfitting in a single network. Our experimental results demonstrate that the proposed ensemble networks exhibit an accuracy that is 1.7% higher than that of the single network. In particular, the performance of the ensemble networks is up to 13% higher compared to the single network that degrades the recognition rate by displaying similar features between classes.

Objective: chest computed tomography (CT) images and their quantitative analyses have become increasingly important for a variety of purposes, including lung parenchyma density analysis, airway analysis, diaphragm mechanics analysis, and nodule detection for cancer screening. Lung segmentation is an important prerequisite step for automatic image analysis. We propose a novel lung segmentation method to minimize the juxta-pleural nodule issue, a notorious challenge in the applications. Method: we initially used the Chan–Vese (CV) model for active lung contours and adopted a Bayesian approach based on the CV model results, which predicts the lung image based on the segmented lung contour in the previous frame image or neighboring upper frame image. Among the resultant juxta-pleural nodule candidates, false positives were eliminated through concave points detection and circle/ellipse Hough transform. Finally, the lung contour was modified by adding the final nodule candidates to the area of the CV model results. Results: to evaluate the proposed method, we collected chest CT digital imaging and communications in medicine images of 84 anonymous subjects, including 42 subjects with juxta-pleural nodules. There were 16 873 images in total. Among the images, 314 included juxta-pleural nodules. Our method exhibited a disc similarity coefficient of 0.9809, modified hausdorff distance of 0.4806, sensitivity of 0.9785, specificity of 0.9981, accuracy of 0.9964, and juxta-pleural nodule detection rate of 96%. It outperformed existing methods, such as the CV model used alone, the normalized CV model, and the snake algorithm. Clinical impact: the high accuracy with the juxta-pleural nodule detection in the lung segmentation can be beneficial for any computer aided diagnosis system that uses lung segmentation as an initial step.