Human falls are a global public health issue resulting in over 37.3 million severe injuries and 646,000 deaths yearly. Falls result in direct financial cost to health systems and indirectly to society productivity. Unsurprisingly, human fall detection and prevention are a major focus of health research. In this article, we consider deep learning for fall detection in an IoT and fog computing environment. We propose a Convolutional Neural Network composed of three convolutional layers, two maxpool, and three fully-connected layers as our deep learning model. We evaluate its performance using three open data sets and against extant research. Our approach for resolving dimensionality and modelling simplicity issues is outlined. Accuracy, precision, sensitivity, specificity, and the Matthews Correlation Coefficient are used to evaluate performance. The best results are achieved when using data augmentation during the training process. The paper concludes with a discussion of challenges and future directions for research in this domain.

Background: Care during pregnancy, childbirth and puerperium are fundamental to avoid pathologies for the mother and her baby. However, health issues can occur during this period, causing misfortunes, such as the death of the fetus or neonate. Predictive models of fetal and infant deaths are important technological tools that can help to reduce mortality indexes. The main goal of this work is to present a systematic review of literature focused on computational models to predict mortality, covering stillbirth, perinatal, neonatal, and infant deaths, highlighting their methodology and the description of the proposed computational models. Methods: We conducted a systematic review of literature, limiting the search to the last 10 years of publications considering the five main scientific databases as source. Results: From 671 works, 18 of them were selected as primary studies for further analysis. We found that most of works are focused on prediction of neonatal deaths, using machine learning models (more specifically Random Forest). The top five most common features used to train models are birth weight, gestational age, sex of the child, Apgar score and mother’s age. Having predictive models for preventing mortality during and post-pregnancy not only improve the mother’s quality of life, as well as it can be a powerful and low-cost tool to decrease mortality ratios. Conclusion: Based on the results of this SRL, we can state that scientific efforts have been done in this area, but there are many open research opportunities to be developed by the community.

Tuberculosis (TB) is an airborne infectious disease caused by organisms in the Mycobacterium tuberculosis (Mtb) complex. In many low and middle-income countries, TB remains a major cause of morbidity and mortality. Once a patient has been diagnosed with TB, it is critical that healthcare workers make the most appropriate treatment decision given the individual conditions of the patient and the likely course of the disease based on medical experience. Depending on the prognosis, delayed or inappropriate treatment can result in unsatisfactory results including the exacerbation of clinical symptoms, poor quality of life, and increased risk of death. This work benchmarks machine learning models to aid TB prognosis using a Brazilian health database of confirmed cases and deaths related to TB in the State of Amazonas. The goal is to predict the probability of death by TB thus aiding the prognosis of TB and associated treatment decision making process. In its original form, the data set comprised 36,228 records and 130 fields but suffered from missing, incomplete, or incorrect data. Following data cleaning and preprocessing, a revised data set was generated comprising 24,015 records and 38 fields, including 22,876 reported cured TB patients and 1139 deaths by TB. To explore how the data imbalance impacts model performance, two controlled experiments were designed using (1) imbalanced and (2) balanced data sets. The best result is achieved by the Gradient Boosting (GB) model using the balanced data set to predict TB-mortality, and the ensemble model composed by the Random Forest (RF), GB and Multi-Layer Perceptron (MLP) models is the best model to predict the cure class.

Introduction: Dental segmentation in panoramic radiograph has become very relevant in dentistry, since it allows health professionals to carry out their assessments more clearly and helps them to define the best possible treatment plan for their patients. Objectives: In this work, a comparative study is carried out with four segmentation algorithms (U-Net, DCU-Net, DoubleU-Net and Nano-Net) that are prominent in the medical literature on segmentation and we evaluate their results with the current state of the art of dental segmentation in panoramic radiograph. Methods: These algorithms were tested with a dataset consisting of 1500 images, considering experiment scenarios with and without augmentation data. Results: DoubleU-Net was the model that presented the best results among the analyzed models, reaching 96.591% accuracy and 92.886% Dice using the dataset with data augmentation. Another model that stood out was Nano-Net using the dataset without data augmentation; this model achieved results close to that of the literature with only 235 thousand trainable parameters, while the literature model (TSASNet) contains 78 million. Conclusions: The results obtained in this work are satisfactory and present paths for a better and more effective dental segmentation process.

Premature birth can be defined as birth before 37 weeks of gestation, which is a significant global health issue, being the main cause for neonatal deaths. In this work, we evaluate machine learning models for predicting premature birth using Brazilian sociodemographic and obstetric data, focusing on the challenge of data imbalance, a common problem that can lead to biased predictions. We evaluate five data balancing techniques: Undersampling, Oversampling, and three Hybridsampling configurations where the minority class was increased by factors 2, 3, and 4. The machine learning models, including Decision Tree, Random Forest, and AdaBoost, are trained and evaluated on a dataset of over 483,000 cases. The use of the Hybridsampling approach resulted in an accuracy of 70%, a recall of 64%, and a precision of 74% in the Decision Tree model. Results show that Hybridsampling techniques significantly improves models’ performance compared to Undersampling and Oversampling, highlighting the importance of a proper data balancing in predictive models for preterm birth. The relevance of our work is particularly significant for the Brazilian Unified Health System (SUS). By improving the accuracy of premature birth predictions, our models could assist healthcare providers in identifying at-risk pregnancies earlier, allowing for timely interventions. This integration could enhance maternal and neonatal care, reduce the incidence of preterm births, and potentially decrease neonatal mortality, especially in underserved regions.