Background Surgery is the main modality of cure for solid cancers and was prioritised to continue during COVID-19 outbreaks. This study aimed to identify immediate areas for system strengthening by comparing the delivery of elective cancer surgery during the COVID-19 pandemic in periods of lockdown versus light restriction. Methods This international, prospective, cohort study enrolled 20 006 adult (≥18 years) patients from 466 hospitals in 61 countries with 15 cancer types, who had a decision for curative surgery during the COVID-19 pandemic and were followed up until the point of surgery or cessation of follow-up (Aug 31, 2020). Average national Oxford COVID-19 Stringency Index scores were calculated to define the government response to COVID-19 for each patient for the period they awaited surgery, and classified into light restrictions (index <20), moderate lockdowns (20–60), and full lockdowns (>60). The primary outcome was the non-operation rate (defined as the proportion of patients who did not undergo planned surgery). Cox proportional-hazards regression models were used to explore the associations between lockdowns and non-operation. Intervals from diagnosis to surgery were compared across COVID-19 government response index groups. This study was registered at ClinicalTrials.gov , NCT04384926 . Findings Of eligible patients awaiting surgery, 2003 (10·0%) of 20 006 did not receive surgery after a median follow-up of 23 weeks (IQR 16–30), all of whom had a COVID-19-related reason given for non-operation. Light restrictions were associated with a 0·6% non-operation rate (26 of 4521), moderate lockdowns with a 5·5% rate (201 of 3646; adjusted hazard ratio [HR] 0·81, 95% CI 0·77–0·84; p<0·0001), and full lockdowns with a 15·0% rate (1775 of 11 827; HR 0·51, 0·50–0·53; p<0·0001). In sensitivity analyses, including adjustment for SARS-CoV-2 case notification rates, moderate lockdowns (HR 0·84, 95% CI 0·80–0·88; p<0·001), and full lockdowns (0·57, 0·54–0·60; p<0·001), remained independently associated with non-operation. Surgery beyond 12 weeks from diagnosis in patients without neoadjuvant therapy increased during lockdowns (374 [9·1%] of 4521 in light restrictions, 317 [10·4%] of 3646 in moderate lockdowns, 2001 [23·8%] of 11 827 in full lockdowns), although there were no differences in resectability rates observed with longer delays. Interpretation Cancer surgery systems worldwide were fragile to lockdowns, with one in seven patients who were in regions with full lockdowns not undergoing planned surgery and experiencing longer preoperative delays. Although short-term oncological outcomes were not compromised in those selected for surgery, delays and non-operations might lead to long-term reductions in survival. During current and future periods of societal restriction, the resilience of elective surgery systems requires strengthening, which might include...

Human motion detection is getting considerable attention in the field of Artificial Intelligence (AI) driven healthcare systems. Human motion can be used to provide remote healthcare solutions for vulnerable people by identifying particular movements such as falls, gait and breathing disorders. This can allow people to live more independent lifestyles and still have the safety of being monitored if more direct care is needed. At present wearable devices can provide real-time monitoring by deploying equipment on a person’s body. However, putting devices on a person’s body all the time makes it uncomfortable and the elderly tend to forget to wear them, in addition to the insecurity of being tracked all the time. This paper demonstrates how human motions can be detected in a quasi-real-time scenario using a non-invasive method. Patterns in the wireless signals present particular human body motions as each movement induces a unique change in the wireless medium. These changes can be used to identify particular body motions. This work produces a dataset that contains patterns of radio wave signals obtained using software-defined radios (SDRs) to establish if a subject is standing up or sitting down as a test case. The dataset was used to create a machine learning model, which was used in a developed application to provide a quasi-real-time classification of standing or sitting state. The machine-learning model was able to achieve 96.70% accuracy using the Random Forest algorithm using 10 fold cross-validation. A benchmark dataset of wearable devices was compared to the proposed dataset and results showed the proposed dataset to have similar accuracy of nearly 90%. The machine-learning models developed in this paper are tested for two activities but the developed system is designed and applicable for detecting and differentiating x number of activities.

COVID-19, caused by SARS-CoV-2, has resulted in a global pandemic recently. With no approved vaccination or treatment, governments around the world have issued guidance to their citizens to remain at home in efforts to control the spread of the disease. The goal of controlling the spread of the virus is to prevent strain on hospitals. In this paper, we focus on how non-invasive methods are being used to detect COVID-19 and assist healthcare workers in caring for COVID-19 patients. Early detection of COVID-19 can allow for early isolation to prevent further spread. This study outlines the advantages and disadvantages and a breakdown of the methods applied in the current state-of-the-art approaches. In addition, the paper highlights some future research directions, which need to be explored further to produce innovative technologies to control this pandemic.

The health status of an elderly person can be identified by examining the additive effects of aging along with disease linked to it and can lead to ‘unstable incapacity’. This health status is determined by the apparent decline of independence in activities of daily living (ADLs). Detecting ADLs provides possibilities of improving the home life of elderly people as it can be applied to fall detection systems. This paper presents fall detection in elderly people based on radar image classification by examining their daily routine activities, using radar data that were previously collected for 99 volunteers. Machine learning techniques are used classify six human activities, namely walking, sitting, standing, picking up objects, drinking water and fall events. Different machine learning algorithms, such as random forest, K-nearest neighbours, support vector machine, long short-term memory, bi-directional long short-term memory and convolutional neural networks, were used for data classification. To obtain optimum results, we applied data processing techniques, such as principal component analysis and data augmentation, to the available radar images. The aim of this paper is to improve upon the results achieved using a publicly available dataset to further improve upon research of fall detection systems. It was found out that the best results were obtained using the CNN algorithm with principal component analysis and data augmentation together to obtain a result of 95.30% accuracy. The results also demonstrated that principal component analysis was most beneficial when the training data were expanded by augmentation of the available data. The results of our proposed approach, in comparison to the state of the art, have shown the highest accuracy.

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The field of Artificial Intelligence (AI) being applied to human motion detection is a field with considerable interest in recent years. Human motion detection deliverers the possibilities of improving the home life of elderly people as it can be applied to fall detection systems. This paper will look at Radar images to detect large scale body movements.

Wireless sensing is the state-of-the-art technique for next generation health activity monitoring. Smart homes and healthcare centres have a demand for multi-subject health activity monitoring to cater for future requirements. 5G-sensing coupled with deep learning models has enabled smart health monitoring systems, which have the potential to classify multiple activities based on variations in channel state information (CSI) of wireless signals. Proposed is the first 5G-enabled system operating at 3.75 GHz for multi-subject, in-home health activity monitoring, to the best of the authors’ knowledge. Classified are activities of daily life performed by up to 4 subjects, in 16 categories. The proposed system combines subject count and activities performed in different classes together, resulting in simultaneous identification of occupancy count and activities performed. The CSI amplitudes obtained from 51 subcarriers of the wireless signal are processed and combined to capture variations due to simultaneous multi-subject movements. A deep learning convolutional neural network is engineered and trained on the CSI data to differentiate multi-subject activities. The proposed system provides a high average accuracy of 91.25% for single subject movements and an overall high multi-class accuracy of 83% for 4 subjects and 16 classification categories. The proposed system can potentially fulfill the needs of future in-home health activity monitoring and is a viable alternative for monitoring public health and well being.

The more information which can be fed into a computer the greater its power; similarly we are more efficient as individuals the finer our sense of touch, the greater the range of sounds we can hear, or the closer that two points can be detected separately by the eyes. The finer the discrimination the wider is the information available for action by the intellect. This then is the measure of the value of a fully developed colour sense.So far as colour is concerned, a majority of people (the trichromats) are able to judge its hue by reference to a three-point standard which allows accurate discrimination of a large variety of hues. A small number*, however, just over 2 per cent. of boys and about o-I per cent. of girls (the dichromats) have only a two-point standard, and as a result the number of hues that can be discriminated is greatly reduced.There is also another group, perhaps 4-5 per cent. of boys and o03 per cent of girls (simple anomalous trichromats) who, although possessing three-point standards, have these in unusuLal combination; so that, while perceiving a wide range of hues, they see them differently from the generality. Figs I, 2, and 3 (after Farnsworth, I947) express these differences diagrammatically. Such persons also find themselves unable to agree with colour matches accepted by most people, and in their turn make matches inacceptable to thze majority. R R R Ye .