We present our work on leveraging low-frame-rate monochrome (blue light) videos of fingertips, captured with an off-the-shelf fingerprint capture device, to extract vital signs and identify users. These videos utilize photoplethysmography (PPG), commonly used to measure vital signs like heart rate. While prior research predominantly utilizes high-frame-rate, multi-wavelength PPG sensors (e.g., infrared, red, or RGB), our preliminary findings demonstrate that both user identification and vital sign extraction are achievable with the low-frame-rate data we collected. Preliminary results are promising, with low error rates for both heart rate estimation and user authentication. These results indicate promise for effective biometric systems. We anticipate further optimization will enhance accuracy and advance healthcare and security.

This paper presents the development of machine learning (ML) models to predict hypoxemia severity during emergency triage, especially in Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) events, using physiological data from medical-grade sensors. Gradient Boosting Models (XGBoost, LightGBM, CatBoost) and sequential models (LSTM, GRU) were trained on physiological and demographic data from the MIMIC-III and IV datasets. A robust preprocessing pipeline addressed missing data, class imbalances, and incorporated synthetic data flagged with masks. Gradient Boosting Models (GBMs) outperformed sequential models in terms of training speed, interpretability, and reliability, making them well-suited for real-time decision-making. While their performance was comparable to that of sequential models, the GBMs used score features from six physiological variables derived from the enhanced National Early Warning Score (NEWS) 2, which we termed NEWS2+. This approach significantly improved prediction accuracy. While sequential models handled temporal data well, their performance gains did not justify the higher computational cost. A 5-minute prediction window was chosen for timely intervention, with minute-level interpolations standardizing the data. Feature importance analysis highlighted the significant role of mask and score features in enhancing both transparency and performance. Temporal dependencies proved to be less critical, as Gradient Boosting Models were able to capture key patterns effectively without relying on them. This study highlights ML's potential to improve triage and reduce alarm fatigue. Future work will integrate data from multiple hospitals to enhance model generalizability across clinical settings.

This study introduces a transformative framework for medical education by integrating semi-structured data with Large Language Models (LLMs), primarily OpenAIs ChatGPT3.5, to automate the creation of medical simulation scenarios. Traditionally, developing these scenarios was a time-intensive process with limited flexibility to meet diverse educational needs. The proposed approach utilizes AI to efficiently generate detailed, clinically relevant scenarios that are tailored to specific educational objectives. This innovation has significantly reduced the time and resources required for scenario development, allowing for a broader variety of simulations. Preliminary feedback from educators and learners has shown enhanced engagement and improved knowledge acquisition, confirming the effectiveness of this AI-enhanced methodology in simulation-based learning. The integration of structured data with LLMs not only streamlines the creation process but also offers a scalable, dynamic solution that could revolutionize medical training, highlighting the critical role of AI in advancing educational outcomes and patient care standards.

Survival analysis serves as a fundamental component in numerous healthcare applications, where the determination of the time to specific events (such as the onset of a certain disease or death) for patients is crucial for clinical decision-making. Scoring systems are widely used for swift and efficient risk prediction. However, existing methods for constructing survival scores presume that data originates from a single source, posing privacy challenges in collaborations with multiple data owners. We propose a novel framework for building federated scoring systems for multi-site survival outcomes, ensuring both privacy and communication efficiency. We applied our approach to sites with heterogeneous survival data originating from emergency departments in Singapore and the United States. Additionally, we independently developed local scores at each site. In testing datasets from each participant site, our proposed federated scoring system consistently outperformed all local models, evidenced by higher integrated area under the receiver operating characteristic curve (iAUC) values, with a maximum improvement of 11.6%. Additionally, the federated score's time-dependent AUC(t) values showed advantages over local scores, exhibiting narrower confidence intervals (CIs) across most time points. The model developed through our proposed method exhibits effective performance on each local site, signifying noteworthy implications for healthcare research. Sites participating in our proposed federated scoring model training gained benefits by acquiring survival models with enhanced prediction accuracy and efficiency. This study demonstrates the effectiveness of our privacy-preserving federated survival score generation framework and its applicability to real-world heterogeneous survival data.

The generation of synthetic medical records using Generative Adversarial Networks (GANs) is becoming crucial for addressing privacy concerns and facilitating data sharing in the medical domain. In this paper, we introduce a novel method to create synthetic hybrid medical records that combine both image and non-image data, utilizing an auto-encoding GAN (alphaGAN) and a conditional tabular GAN (CTGAN). Our methodology encompasses three primary steps: I) Dimensional reduction of images in a private dataset (pDS) using the pretrained encoder of the {\alpha}GAN, followed by integration with the remaining non-image clinical data to form tabular representations; II) Training the CTGAN on the encoded pDS to produce a synthetic dataset (sDS) which amalgamates encoded image features with non-image clinical data; and III) Reconstructing synthetic images from the image features using the alphaGAN's pretrained decoder. We successfully generated synthetic records incorporating both Chest X-Rays (CXRs) and thirteen non-image clinical variables (comprising seven categorical and six numeric variables). To evaluate the efficacy of the sDS, we designed classification and regression tasks and compared the performance of models trained on pDS and sDS against the pDS test set. Remarkably, by leveraging five times the volume of sDS for training, we achieved classification and regression results that were comparable, if slightly inferior, to those obtained using the native pDS. Our method holds promise for publicly releasing synthetic datasets without undermining the potential for secondary data usage.

When we face patients arriving to a hospital suffering from the effects of some illness, one of the main problems we can encounter is evaluating whether or not said patients are going to require intensive care in the near future. This intensive care requires allotting valuable and scarce resources, and knowing beforehand the severity of a patients illness can improve both its treatment and the organization of resources. We illustrate this issue in a dataset consistent of Spanish COVID-19 patients from the sixth epidemic wave where we label patients as critical when they either had to enter the intensive care unit or passed away. We then combine the use of dynamic Bayesian networks, to forecast the vital signs and the blood analysis results of patients over the next 40 hours, and neural networks, to evaluate the severity of a patients disease in that interval of time. Our empirical results show that the transposition of the current state of a patient to future values with the DBN for its subsequent use in classification obtains better the accuracy and g-mean score than a direct application with a classifier.

We propose FedScore, a privacy-preserving federated learning framework for scoring system generation across multiple sites to facilitate cross-institutional collaborations. The FedScore framework includes five modules: federated variable ranking, federated variable transformation, federated score derivation, federated model selection and federated model evaluation. To illustrate usage and assess FedScore's performance, we built a hypothetical global scoring system for mortality prediction within 30 days after a visit to an emergency department using 10 simulated sites divided from a tertiary hospital in Singapore. We employed a pre-existing score generator to construct 10 local scoring systems independently at each site and we also developed a scoring system using centralized data for comparison. We compared the acquired FedScore model's performance with that of other scoring models using the receiver operating characteristic (ROC) analysis. The FedScore model achieved an average area under the curve (AUC) value of 0.763 across all sites, with a standard deviation (SD) of 0.020. We also calculated the average AUC values and SDs for each local model, and the FedScore model showed promising accuracy and stability with a high average AUC value which was closest to the one of the pooled model and SD which was lower than that of most local models. This study demonstrates that FedScore is a privacy-preserving scoring system generator with potentially good generalizability.

With the increasing popularity of telehealth, it becomes critical to ensure that basic physiological signals can be monitored accurately at home, with minimal patient overhead. In this paper, we propose a contactless approach for monitoring patients' blood oxygen at home, simply by analyzing the radio signals in the room, without any wearable devices. We extract the patients' respiration from the radio signals that bounce off their bodies and devise a novel neural network that infers a patient's oxygen estimates from their breathing signal. Our model, called \emph{Gated BERT-UNet}, is designed to adapt to the patient's medical indices (e.g., gender, sleep stages). It has multiple predictive heads and selects the most suitable head via a gate controlled by the person's physiological indices. Extensive empirical results show that our model achieves high accuracy on both medical and radio datasets.

We all love to have a cuddle with our furry friends, and now a new study has shed light on exactly why that is. Researchers at the University of Basel in Switzerland compared brain scans of study participants while they were stroking a pooch and a cuddly toy. They found that viewing, feeling, and touching the dog engaged the part of the brain that regulates and processes social or emotional interactions - known as the prefrontal cortex - in a way that petting the cuddly toy didn't. It is hoped their findings will improve treatments in animal-assisted clinical therapy for patients who struggle with motivation and attention. 'Prefrontal brain activity in healthy subjects increased with a rise in interactional closeness with a dog or a plush animal, but especially in contact with the dog the activation is stronger,' the authors concluded.

The pandemic that has raged across the globe over the past year has shone a cold, hard light on many things--the varied levels of preparedness to respond; collective attitudes toward health, technology, and science; and vast financial and social inequities. As the world continues to navigate the covid-19 health crisis, and some places even begin a gradual return to work, school, travel, and recreation, it's critical to resolve the competing priorities of protecting the public's health equitably while ensuring privacy. The extended crisis has led to rapid change in work and social behavior, as well as an increased reliance on technology. The expanded and rapid adoption of artificial intelligence (AI) demonstrates how adaptive technologies are prone to intersect with humans and social institutions in potentially risky or inequitable ways. "Our relationship with technology as a whole will have shifted dramatically post-pandemic," says Yoav Schlesinger, principal of the ethical AI practice at Salesforce.