Medicine and Health Sciences Commons^™

An Evaluation Of Heart Rate Monitoring With In-Ear Microphones Under Motion, Kayla-Jade Butkow, Ting Dang, Andrea Ferlini, Dong Ma, Yang Liu, Cecilia Mascolo

Research Collection School Of Computing and Information Systems

With the soaring adoption of in-ear wearables, the research community has started investigating suitable in-ear heart rate detection systems. Heart rate is a key physiological marker of cardiovascular health and physical fitness. Continuous and reliable heart rate monitoring with wearable devices has therefore gained increasing attention in recent years. Existing heart rate detection systems in wearables mainly rely on photoplethysmography (PPG) sensors, however, these are notorious for poor performance in the presence of human motion. In this work, leveraging the occlusion effect that enhances low-frequency bone-conducted sounds in the ear canal, we investigate for the first time in-ear audio-based motion-resilient …

Transiam: Aggregating Multi-Modal Visual Features With Locality For Medical Image Segmentation, Xuejian Li, Shiqiang Ma, Junhai Xu, Jijun Tang, Shengfeng He, Fei Guo

Research Collection School Of Computing and Information Systems

Automatic segmentation of medical images plays an important role in the diagnosis of diseases. On single-modal data, convolutional neural networks have demonstrated satisfactory performance. However, multi-modal data encompasses a greater amount of information rather than single-modal data. Multi-modal data can be effectively used to improve the segmentation accuracy of regions of interest by analyzing both spatial and temporal information. In this study, we propose a dual-path segmentation model for multi-modal medical images, named TranSiam. Taking into account that there is a significant diversity between the different modalities, TranSiam employs two parallel CNNs to extract the features which are specific to …

Public Acceptance Of Using Artificial Intelligence-Assisted Weight Management Apps In High-Income Southeast Asian Adults With Overweight And Obesity: A Cross-Sectional Study, Han Shi Jocelyn Chew, Palakorn Achananuparp, Palakorn Achananuparp, Nicholas W. S. Chew, Yip Han Chin, Yujia Gao, Bok Yan Jimmy So, Asim Shabbir, Ee-Peng Lim, Kee Yuan Ngiam

Research Collection School Of Computing and Information Systems

Introduction: With in increase in interest to incorporate artificial intelligence (AI) into weight management programs, we aimed to examine user perceptions of AI-based mobile apps for weight management in adults with overweight and obesity. Methods: 280 participants were recruited between May and November 2022. Participants completed a questionnaire on sociodemographic profiles, Unified Theory of Acceptance and Use of Technology 2 (UTAUT2), and Self-Regulation of Eating Behavior Questionnaire. Structural equation modeling was performed using R. Model fit was tested using maximum-likelihood generalized unweighted least squares. Associations between influencing factors were analyzed using correlation and linear regression. Results: 271 participant responses were …

Remote Multi-Person Heart Rate Monitoring With Smart Speakers: Overcoming Separation Constraint, Ngoc Doan Thu Tran, Dong Ma, Rajesh Krishna Balan

Research Collection School Of Computing and Information Systems

Heart rate is a key vital sign that can be used to understand an individual’s health condition. Recently, remote sensing techniques, especially acoustic-based sensing, have received increasing attention for their ability to non-invasively detect heart rate via commercial mobile devices such as smartphones and smart speakers. However, due to signal interference, existing methods have primarily focused on monitoring a single user and required a large separation between them when monitoring multiple people. These limitations hinder many common use cases such as couples sharing the same bed or two or more people located in close proximity. In this paper, we present …

Spatial-Temporal Episodic Memory Modeling For Adls: Encoding, Retrieval, And Prediction, Xinjing Song, Di Wang, Chai Quek, Ah-Hwee Tan, Yanjiang Wang

Research Collection School Of Computing and Information Systems

Activities of daily living (ADLs) relate to people’s daily self-care activities, which reflect their living habits and lifestyle. A prior study presented a neural network model called STADLART for ADL routine learning. In this paper, we propose a cognitive model named Spatial-Temporal Episodic Memory for ADL (STEM-ADL), which extends STADLART to encode event sequences in the form of distributed episodic memory patterns. Specifically, STEM-ADL encodes each ADL and its associated contextual information as an event pattern and encodes all events in a day as an episode pattern. By explicitly encoding the temporal characteristics of events as activity gradient patterns, STEM-ADL …

A Reliable And Secure Mobile Cyber-Physical Digital Microfluidic Biochip For Intelligent Healthcare, Yinan Yao, Decheng Qiu, Huangda Liu, Zhongliao Yang, Ximeng Liu, Yang Yang, Chen Dong

Research Collection School Of Computing and Information Systems

Digital microfluidic, as an emerging and potential technology, diversifies the biochemical applications platform, such as protein dilution sewage detection. At present, a vast majority of universal cyberphysical digital microfluidic biochips (DMFBs) transmit data through wires via personal computers and microcontrollers (like Arduino), consequently, susceptible to various security threats and with the popularity of wireless devices, losing competitiveness gradually. On the premise that security be ensured first and foremost, calls for wireless portable, safe, and economical DMFBs are imperative to expand their application fields, engage more users, and cater to the trend of future wireless communication. To this end, a new …

Mermaid: A Dataset And Framework For Multimodal Meme Semantic Understanding, Shaun Toh, Adriel Kuek, Wen Haw Chong, Roy Ka Wei Lee

Research Collection School Of Computing and Information Systems

Memes are widely used to convey cultural and societal issues and have a significant impact on public opinion. However, little work has been done on understanding and explaining the semantics expressed in multimodal memes. To fill this research gap, we introduce MERMAID, a dataset consisting of 3,633 memes annotated with their entities and relations, and propose a novel MERF pipeline that extracts entities and their relationships in memes. Our framework combines state-of-the-art techniques from natural language processing and computer vision to extract text and image features and infer relationships between entities in memes. We evaluate the proposed framework on a …

Self-Supervised Pseudo Multi-Class Pre-Training For Unsupervised Anomaly Detection And Segmentation In Medical Images, Yu Tian, Fengbei Liu, Guansong Pang, Yuanhong Chen, Yuyuan Liu, Johan W. Verjans, Rajvinder Singh, Gustavo Carneiro

Research Collection School Of Computing and Information Systems

Unsupervised anomaly detection (UAD) methods are trained with normal (or healthy) images only, but during testing, they are able to classify normal and abnormal (or disease) images. UAD is an important medical image analysis (MIA) method to be applied in disease screening problems because the training sets available for those problems usually contain only normal images. However, the exclusive reliance on normal images may result in the learning of ineffective low-dimensional image representations that are not sensitive enough to detect and segment unseen abnormal lesions of varying size, appearance, and shape. Pre-training UAD methods with self-supervised learning, based on computer …

Combat Covid-19 At National Level Using Risk Stratification With Appropriate Intervention, Xuan Jin, Kar Way Tan

Research Collection School Of Computing and Information Systems

In the national battle against COVID-19, harnessing population-level big data is imperative, enabling authorities to devise effective care policies, allocate healthcare resources efficiently, and enact targeted interventions. Singapore adopted the Home Recovery Programme (HRP) in September 2021, diverting low-risk COVID-19 patients to home care to ease hospital burdens amid high vaccination rates and mild symptoms. While a patient's suitability for HRP could be assessed using broad-based criteria, integrating machine learning (ML) model becomes invaluable for identifying high-risk patients prone to severe illness, facilitating early medical assessment. Most prior studies have traditionally depended on clinical and laboratory data, necessitating initial clinic …

Understanding The Effect Of Counterfactual Explanations On Trust And Reliance On Ai For Human-Ai Collaborative Clinical Decision Making, Min Hun Lee, Chong Jun Chew

Research Collection School Of Computing and Information Systems

Artificial intelligence (AI) is increasingly being considered to assist human decision-making in high-stake domains (e.g. health). However, researchers have discussed an issue that humans can over-rely on wrong suggestions of the AI model instead of achieving human AI complementary performance. In this work, we utilized salient feature explanations along with what-if, counterfactual explanations to make humans review AI suggestions more analytically to reduce overreliance on AI and explored the effect of these explanations on trust and reliance on AI during clinical decision-making. We conducted an experiment with seven therapists and ten laypersons on the task of assessing post-stroke survivors' quality …

Balancing Privacy And Flexibility Of Cloud-Based Personal Health Records Sharing System, Yudi Zhang, Fuchun Guo, Willy Susilo, Guomin Yang

Research Collection School Of Computing and Information Systems

The Internet of Things and cloud services have been widely adopted in many applications, and personal health records (PHR) can provide tailored medical care. The PHR data is usually stored on cloud servers for sharing. Weighted attribute-based encryption (ABE) is a practical and flexible technique to protect PHR data. Under a weighted ABE policy, the data user's attributes will be “scored”, if and only if the score reaches the threshold value, he/she can access the data. However, while this approach offers a flexible access policy, the data owners have difficulty controlling their privacy, especially sharing PHR data in collaborative e-health …

Singapore's Hospital To Home Program: Raising Patient Engagement Through Ai, John Abisheganaden, Kheng Hock Lee, Lian Leng Low, Eugene Shum, Han Leong Goh, Christine Gian Lee Ang, Andy Wee An Ta, Steven M. Miller

Research Collection School Of Computing and Information Systems

Because of their complex care needs, many elderly patients are discharged from hospitals only to be readmitted for multiple stays within the following twelve months. John Abisheganaden and his fellow authors describe Singapore’s Hospital to Home program, a community care initiative fueled by artificial intelligence.

Tracing The Twenty-Year Evolution Of Developing Ai For Eye Screening In Singapore: A Master Chronology Of Sidrp, Selena+ And Eyris, Steven M. Miller

Research Collection School Of Computing and Information Systems

This working paper is entirely comprised of a timeline table that begins in 2002 and runs through mid-2023. Across these two decades, this timeline traces the evolutionary development of the following:

• The early Singapore R&D efforts to apply software-based image analysis algorithms and methods to analyse eye retina images for diabetic retinopathy and other eye diseases. This was based on a collaboration between the Singapore Eye Research Institute (SERI) and its parent organization, the Singapore National Eye Centre (SNEC), with faculty from the School of Computing at National University of Singapore.
• The establishment and operation of the Singapore Integrated Diabetic …

Lessons Learned From The Hospital To Home Community Care Program In Singapore And The Supporting Ai Multiple Readmissions Prediction Model, John Abisheganaden, Kheng Hock Lee, Lian Leng Low, Eugene Shum, Han Leong Goh, Christine Gia Lee Ang, Adny An Ta Wee, Steven M. Miller

Research Collection School Of Computing and Information Systems

In a prior practice and policy article published in Healthcare Science, we introduced the deployed application of an artificial intelligence (AI) model to predict longer-term inpatient readmissions to guide community care interventions for patients with complex conditions in the context of Singapore's Hospital to Home (H2H) program that has been operating since 2017. In this follow on practice and policy article, we further elaborate on Singapore's H2H program and care model, and its supporting AI model for multiple readmission prediction, in the following ways: (1) by providing updates on the AI and supporting information systems, (2) by reporting on customer …

Exploring A Gradient-Based Explainable Ai Technique For Time-Series Data: A Case Study Of Assessing Stroke Rehabilitation Exercises, Min Hun Lee, Yi Jing Choy

Research Collection School Of Computing and Information Systems

Explainable artificial intelligence (AI) techniques are increasingly being explored to provide insights into why AI and machine learning (ML) models provide a certain outcome in various applications. However, there has been limited exploration of explainable AI techniques on time-series data, especially in the healthcare context. In this paper, we describe a threshold-based method that utilizes a weakly supervised model and a gradient-based explainable AI technique (i.e. saliency map) and explore its feasibility to identify salient frames of time-series data. Using the dataset from 15 post-stroke survivors performing three upper-limb exercises and labels on whether a compensatory motion is observed or …

Spatio-Temporal Heterogeneity In The International Trade Resilience During Covid-19, Wei Luo, Lingfeng He, Zihui Yang, Shirui Zhang, Yong Wang, Dianbo Liu, Sheng Hu, Li He, Jizhe Xia, Min Chen

Research Collection School Of Computing and Information Systems

The COVID-19 pandemic and subsequent lockdowns have created immeasurable health and economic crises, leading to unprecedented disruptions to world trade. The COVID-19 pandemic shows diverse impacts on different economies that suffer and recover at different rates and degrees. This research aims to evaluate the spatio-temporal heterogeneity of international trade network vulnerabilities in the current crisis to understand the global production resilience and prepare for the future crisis. We applied a series of complex network analysis approaches to the monthly international trade networks at the world, regional, and country scales for the pre- and post- COVID-19 outbreak period. The spatio-temporal patterns …

A Fair Incentive Scheme For Community Health Workers, Avinandan Bose, Tracey Li, Arunesh Sinha, Tien Mai

Research Collection School Of Computing and Information Systems

Community health workers (CHWs) play a crucial role in the last mile delivery of essential health services to under-served populations in low-income countries. Many non-governmental organizations (NGOs) provide training and support to enable CHWs to deliver health services to their communities, with no charge to the recipients of the services. This includes monetary compensation for the work that CHWs perform, which is broken down into a series of well-defined tasks. In this work, we partner with a NGO D-Tree International to design a fair monetary compensation scheme for tasks performed by CHWs in the semi-autonomous region of Zanzibar in Tanzania, …

A Secure Emr Sharing System With Tamper Resistance And Expressive Access Control, Shengmin Xu, Jianting Ning, Yingjiu Li, Yinghui Zhang, Guowen Xu, Xinyi Huang, Robert H. Deng

Research Collection School Of Computing and Information Systems

To reduce the cost of human and material resources and improve the collaborations among medical systems, research laboratories and insurance companies for healthcare researches and commercial activities, electronic medical records (EMRs) have been proposed to shift from paperwork to friendly shareable electronic records. To take advantage of EMRs efficiently and reduce the cost of local storage, EMRs are usually outsourced to the remote cloud for sharing medical data with authorized users. However, cloud service providers are untrustworthy. In this paper, we propose an efficient, secure, and flexible EMR sharing system by introducing a novel cryptosystem called dual-policy revocable attribute-based encryption …

Predictive Self-Organizing Neural Networks For In-Home Detection Of Mild Cognitive Impairment, Seng Khoon Teh, Iris Rawtaer, Ah-Hwee Tan

Research Collection School Of Computing and Information Systems

In-home sensing of daily living patterns from older adults coupled with machine learning is a promisingapproach to detect Mild Cognitive Impairment (MCI), a potentially reversible condition with early detectionand appropriate intervention. However, the number of subjects involved in such real-world studies istypically limited, posing the so-called small data problem to most predictive models which rely on a sizablenumber of labeled data. In this work, a predictive self-organizing neural network known as fuzzy AdaptiveResonance Associate Map (fuzzy ARAM) is proposed to detect MCI using in-home sensor data collected from aunique Singapore cross-sectional study. Specifically, mean and standard deviation of nine in-home …

Two Singapore Public Healthcare Ai Applications For National Screening Programs And Other Examples, Andy Wee An Ta, Han Leong Goh, Christine Ang, Lian Yeow Koh, Ken Poon, Steven M. Miller

Research Collection School Of Computing and Information Systems

This article explains how two AI systems have been incorporated into the everyday operations of two Singapore public healthcare nation-wide screening programs. The first example is embedded within the setting of a national level population health screening program for diabetes related eye diseases, targeting the rapidly increasing number of adults in the country with diabetes. In the second example, the AI assisted screening is done shortly after a person is admitted to one of the public hospitals to identify which inpatients—especially which elderly patients with complex conditions—have a high risk of being readmitted as an inpatient multiple times in the …

Analyzing The Impact Of Covid-19 Control Policies On Campus Occupancy And Mobility Via Wifi Sensing, Camellia Zakaria, Amee Trivedi, Emmanuel Cecchet, Michael Chee, Prashant Shenoy, Rajesh Krishna Balan

Research Collection School Of Computing and Information Systems

Mobile sensing has played a key role in providing digital solutions to aid with COVID-19 containment policies, primarily to automate contact tracing and social distancing measures. As more and more countries reopen from lockdowns, there remains a pressing need to minimize crowd movements and interactions, particularly in enclosed spaces. Many COVID-19 technology solutions leverage positioning systems, generally using Bluetooth and GPS, and can theoretically be adapted to monitor safety compliance within dedicated environments. However, they may not be the ideal modalities for indoor positioning. This article conjectures that analyzing user occupancy and mobility via deployed WiFi infrastructure can help institutions …

Contrastive Transformer-Based Multiple Instance Learning For Weakly Supervised Polyp Frame Detection, Tian Yu, Guansong Pang, Fengbei Liu, Yuyuan Liu, Chong Wang, Yuanhong Chen, Johan Verjans, Gustavo Carneiro

Research Collection School Of Computing and Information Systems

Current polyp detection methods from colonoscopy videos use exclusively normal (i.e., healthy) training images, which i) ignore the importance of temporal information in consecutive video frames, and ii) lack knowledge about the polyps. Consequently, they often have high detection errors, especially on challenging polyp cases (e.g., small, flat, or partially visible polyps). In this work, we formulate polyp detection as a weakly-supervised anomaly detection task that uses video-level labelled training data to detect frame-level polyps. In particular, we propose a novel convolutional transformer-based multiple instance learning method designed to identify abnormal frames (i.e., frames with polyps) from anomalous videos (i.e., …

Mobile Health With Head-Worn Devices: Challenges And Opportunities, Andrea Ferlini, Dong Ma, Lorena Qendro, Cecilia Mascolo

Research Collection School Of Computing and Information Systems

Monitoring human behavior and health status using mobile devices, a.k.a. Mobile Health, has gained increasing attention from both academia and industry in recent years. It allows imperceptible health tracking from the users and remote health management from the healthcare service providers. Headworn devices, such as earbuds, glasses, and BCIs (Brain Computer Interfaces), exhibit great potential for mobile health due to their advantageous wearing position, the human head, which is motion-resilient and full of human bio-signals. Although initial attempts have been conducted for different healthcare applications with head-worn devices, this fast-growing area is still under-explored and retains great promises. With this …

A Low-Cost Virtual Coach For 2d Video-Based Compensation Assessment Of Upper Extremity Rehabilitation Exercises, Ana Rita Coias, Min Hun Lee, Alexandre Bernardino

Research Collection School Of Computing and Information Systems

Background: The increasing demands concerning stroke rehabilitation and in-home exercise promotion grew the need for affordable and accessible assistive systems to promote patients' compliance in therapy. These assistive systems require quantitative methods to assess patients' quality of movement and provide feedback on their performance. However, state-of-the-art quantitative assessment approaches require expensive motion-capture devices, which might be a barrier to the development of low-cost systems.Methods: In this work, we develop a low-cost virtual coach (VC) that requires only a laptop with a webcam to monitor three upper extremity rehabilitation exercises and provide real-time visual and audio feedback on compensatory motion patterns …

Enabling Ai And Robotic Coaches For Physical Rehabilitation Therapy: Iterative Design And Evaluation With Therapists And Post-Stroke Survivors, Min Hun Lee, Asim Smailagic, Alexandre Bernardino, Sergi Bermúdez I Badia

Research Collection School Of Computing and Information Systems

Artificial intelligence (AI) and robotic coaches promise the improved engagement of patients on rehabilitation exercises through social interaction. While previous work explored the potential of automatically monitoring exercises for AI and robotic coaches, the deployment of these systems remains a challenge. Previous work described the lack of involving stakeholders to design such functionalities as one of the major causes. In this paper, we present our efforts on eliciting the detailed design specifications on how AI and robotic coaches could interact with and guide patient’s exercises in an effective and acceptable way with four therapists and five post-stroke survivors. Through iterative …

Rhythmedge: Enabling Contactless Heart Rate Estimation On The Edge, Zahid Hasan, Emon Dey, Sreenivasan Ramasamy Ramamurthy, Nirmalya Roy, Archan Misra

Research Collection School Of Computing and Information Systems

The primary contribution of this paper is designing and prototyping a real-time edge computing system, RhythmEdge, that is capable of detecting changes in blood volume from facial videos (Remote Photoplethysmography; rPPG), enabling cardio-vascular health assessment instantly. The benefits of RhythmEdge include non-invasive measurement of cardiovascular activity, real-time system operation, inexpensive sensing components, and computing. RhythmEdge captures a short video of the skin using a camera and extracts rPPG features to estimate the Photoplethysmography (PPG) signal using a multi-task learning framework while offloading the edge computation. In addition, we intelligently apply a transfer learning approach to the multi-task learning framework to …

Codem: Conditional Domain Embeddings For Scalable Human Activity Recognition, Abu Zaher Md Faridee, Avijoy Chakma, Zahid Hasan, Nirmalya Roy, Archan Misra

Research Collection School Of Computing and Information Systems

We explore the effect of auxiliary labels in improving the classification accuracy of wearable sensor-based human activity recognition (HAR) systems, which are primarily trained with the supervision of the activity labels (e.g. running, walking, jumping). Supplemental meta-data are often available during the data collection process such as body positions of the wearable sensors, subjects' demographic information (e.g. gender, age), and the type of wearable used (e.g. smartphone, smart-watch). This information, while not directly related to the activity classification task, can nonetheless provide auxiliary supervision and has the potential to significantly improve the HAR accuracy by providing extra guidance on how …

Who Are The 'Silent Spreaders'?: Contact Tracing In Spatio-Temporal Memory Models, Yue Hu, Budhitama Subagdja, Ah-Hwee Tan, Chai Quek, Quanjun Yin

Research Collection School Of Computing and Information Systems

The COVID-19 epidemic has swept the world for over two years. However, a large number of infectious asymptomatic COVID-19 cases (ACCs) are still making the breaking up of the transmission chains very difficult. Efforts by epidemiological researchers in many countries have thrown light on the clinical features of ACCs, but there is still a lack of practical approaches to detect ACCs so as to help contain the pandemic. To address the issue of ACCs, this paper presents a neural network model called Spatio-Temporal Episodic Memory for COVID-19 (STEM-COVID) to identify ACCs from contact tracing data. Based on the fusion Adaptive …

Tatl: Task Agnostic Transfer Learning For Skin Attributes Detection, Duy M.H. Nguyen, Thu T. Nguyen, Huong Vu, Hong Quang Pham, Manh-Duy Nguyen, Binh T. Nguyen, Daniel Sonntag

Research Collection School Of Computing and Information Systems

Existing skin attributes detection methods usually initialize with a pre-trained Imagenet network and then fine-tune on a medical target task. However, we argue that such approaches are suboptimal because medical datasets are largely different from ImageNet and often contain limited training samples. In this work, we propose Task Agnostic Transfer Learning (TATL), a novel framework motivated by dermatologists’ behaviors in the skincare context. TATL learns an attribute-agnostic segmenter that detects lesion skin regions and then transfers this knowledge to a set of attribute-specific classifiers to detect each particular attribute. Since TATL’s attribute-agnostic segmenter only detects skin attribute regions, it enjoys …

Exploring And Evaluating The Impact Of Covid-19 On Mobility Changes In Singapore, Aldy Gunawan, Linh Chi Tran, Kar Way Tan, I-Lin Wang

Research Collection School Of Computing and Information Systems

This paper analyzes the changes in mobility trends due to the impact of the COVID-19 pandemic in Singapore in the six different sectors: Retail and Recreation, Grocery and Pharmacy, Parks, Transit Stations, Workplaces and Residential. The period of observation is from 15 February 2020 to 18 August 2021. The observed patterns obtained from the descriptive data analysis sheds light on the effectiveness of social distancing measures in Singapore as well as the level of compliance among the country’s residents. Correlation analysis is used to explore the relationship between different sectors during the pandemic period. The results reveal a strong sense …