Introduction: Needless to say that correct and real-time detection and effective prognosis of the COVID-19 are necessary to deliver the best possible care for patients and, accordingly, diminish the pressure on the healthcare industries. Hence our paper aims to present an intelligent algorithm for selecting the best features from the dataset and developing Machine Learning(ML) based models to predict the COVID-19 and finally opted for the best-performing algorithm. Methods: In this developmental study, the clinical data of 1703 COVID-19 and non-COVID-19 patients Using a single-center registry from February 9, 2020, to December 20, 2020, were used. The Minimum Redundancy Maximum Relevance (mRMR) feature selection algorithm identified the most relevant variables. Then, chosen features feed into the several data mining methods, including K-Nearest Neighbors, AdaBoost Classifier, Decision Tree, HistGradient Boosting Classifier, and Support Vector Machine. A 10-fold cross-validation method and six performance evaluation metrics were used to evaluate and compare these implemented algorithms, and finally, the best model was implemented. Results: Out of the 34 included features, 11 variables were selected as the essential features. The results of using ML algorithms indicated that the best performance belongs to the AdaBoost classifier with mean accuracy = 92.9%, mean specificity = 89.3%, mean sensitivity = 94.2%, mean F-measure = 91.6 %, mean KAPA = 94.3% and mean ROC = 92.1 %. Conclusion: The empirical results reveal that the Adaboost model yielded higher performance than other classification models and developed our Clinical Decision Support Systems (CDSS) interface to discriminate positive COVID-19 from negative cases.
Background Predicting severe respiratory failure due to COVID-19 can help triage patients to higher levels of care, resource allocation and decrease morbidity and mortality. The need for this research derives from the increasing demand for innovative technologies to overcome complex data analysis and decision-making tasks in critical care units. Hence the aim of our paper is to present a new algorithm for selecting the best features from the dataset and developing Machine Learning(ML) based models to predict the intubation risk of hospitalized COVID-19 patients. Methods In this retrospective single-center study, the data of 1225 COVID-19 patients from February 9, 2020, to July 20, 2021, were analyzed by several ML algorithms which included, Decision Tree(DT), Support Vector Machine (SVM), Multilayer perceptron (MLP), and K-Nearest Neighbors(K-NN). First, the most important predictors were identified using the Horse herd Optimization Algorithm (HOA). Then, by comparing the ML algorithms' performance using some evaluation criteria, the best performing one was identified. Results Predictive models were trained using 12 validated features. Also, it found that proposed DT-based predictive model enables a reasonable level of accuracy (=93%) in predicting the risk of intubation among hospitalized COVID-19 patients. Conclusions The experimental results demonstrate the effectiveness of the proposed meta-heuristic feature selection technique in combining with DT model in predicting intubation risk for hospitalized patients with COVID-19. The proposed model have the potential to inform frontline clinicians with quantitative and non-invasive tool to assess illness severity and identifying high risk patients .
Objectives The current research aimed to develop a questionnaire for the evaluation of the staff viewpoints in mobile phone use in the delivery of their services and then to assess the primary health center staff attitudes toward this area. Methods This was a two-stage cross-sectional study. In the initial stage, a questionnaire was constructed that tested their reliability and validity through Cronbach’s alpha coefficient, multitrait/multi-item correlation matrix and multivariate method of factor analysis. In the second phase, we computed the raw score of each construct which was calculated by taking the mean of the responses of all the items in a particular construct. The normality of the scores for each construct was tested via Kolmogorov-Smirnov and various parametric/non-parametric statistical tests were applied to compare the responses of the subjects. After statistical tests, the final questionnaire was confirmed, including 28 items. Results The final questionnaires’ five main axes consisted of health services efficiency, education, notices, consultation, as well as follow-up. Personnel perspective assessment indicates that there is no difference of view among individuals coming from various demographic features, including gender, age, work experience, as well as education level, to mobile phone use in their services. Conclusion The attitude of public health center staff to mobile phone use in providing health services was positive in general, which would be an influential context for the effective application of mobile phones in public health; such a context would result in users' intentions to use and accept m-Health.
The present study is conducted to determine the status of e-learning, student satisfaction and the relationship between these two variables in Zahedan University of Medical Sciences (ZAUMS). According to a descriptive study, there was just a significant difference between the mean score of e-Learning experience and student satisfaction, and a positive correlation between the education level and student satisfaction. Also, there was a positive correlation between all variables of e-learning and student satisfaction The findings showed that the more capable learners were outcome of better educational content, stronger e-learning infrastructure, better support and assessment of e-learning quality, which, in turn, resulted in the greater the students’ satisfaction. As a result, the experiences from the evaluation of e-learning in the Covid-19 pandemic period may be regarded a good guide in improving the course during the Covid-19 pandemic, and also it can be considered a key factor in providing educations in the post-Covid-19 period.
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