Fraud in health insurance claims has become a significant problem whose rampant growth has deeply affected the global delivery of health services. In addition to financial losses incurred, patients who genuinely need medical care suffer because service providers are not paid on time as a result of delays in the manual vetting of their claims and are therefore unwilling to continue offering their services. Health insurance claims fraud is committed through service providers, insurance subscribers, and insurance companies. The need for the development of a decision support system (DSS) for accurate, automated claim processing to offset the attendant challenges faced by the National Health Insurance Scheme cannot be overstated. This paper utilized the National Health Insurance Scheme claims dataset obtained from hospitals in Ghana for detecting health insurance fraud and other anomalies. Genetic support vector machines (GSVMs), a novel hybridized data mining and statistical machine learning tool, which provide a set of sophisticated algorithms for the automatic detection of fraudulent claims in these health insurance databases are used. The experimental results have proven that the GSVM possessed better detection and classification performance when applied using SVM kernel classifiers. Three GSVM classifiers were evaluated and their results compared. Experimental results show a significant reduction in computational time on claims processing while increasing classification accuracy via the various SVM classifiers (linear (80.67%), polynomial (81.22%), and radial basis function (RBF) kernel (87.91%).
Several mathematical and standard epidemiological models have been proposed in studying infectious disease dynamics. These models help to understand the spread of disease infections. However, most of these models are not able to estimate other relevant disease metrics such as probability of first infection and recovery as well as the expected time to infection and recovery for both susceptible and infected individuals. That is, most of the standard epidemiological models used in estimating transition probabilities (TPs) are not able to generalize the transition estimates of disease outcomes at discrete time steps for future predictions. This paper seeks to address the aforementioned problems through a discrete-time Markov chain model. Secondary datasets from cohort studies were collected on HIV, tuberculosis (TB), and hepatitis B (HB) cases from a regional hospital in Ghana. The Markov chain model revealed that hepatitis B was more infectious over time than tuberculosis and HIV even though the probability of first infection of these diseases was relatively low within the study population. However, individuals infected with HIV had comparatively lower life expectancies than those infected with tuberculosis and hepatitis B. Discrete-time Markov chain technique is recommended as viable for modeling disease dynamics in Ghana.
16 April 2021 in Applied Computational Intelligence and Soft Computing
In spite of the differences in visual stimulus of human beings such as ageing, changing conditions of a person, and occlusion, recognition can even be done at a glance by the human eye many years after the previous encounter. It has been established that facial differences like the hairstyle changes, growing of one’s beard, wearing of glasses, and other forms of occlusions can hardly hinder the power of the human brain from making a face recognition. However, the same cannot easily be said about automated intelligent systems which have been developed to mimic the skill of the human brain to aid in recognition. There have been growing interests in developing a resilient and efficient recognition system mainly because of its numerous application areas (access control, entertainment/leisure, security system based on biometric data, and user-friendly human-machine interfaces). Although there have been numerous researches on face recognition under varying pose, illumination, expression, and image degradations, problems caused by occlusions are mostly ignored. This study thus focuses on facial occlusions and proposes an enhancement mechanism through face image augmentation to improve the recognition of occluded face images. This study assessed the performance of Principal Component Analysis with Singular Value Decomposition using Fast Fourier Transform (FFT-PCA/SVD) for preprocessing face recognition algorithm on face images with missingness and augmented face image database. It was found that the average recognition rates for the FFT-PCA/SVD algorithm were the same () when face images with missingness and augmented face images were used as test images, respectively. The statistical evaluation revealed that there exists a significant difference in the average recognition distances for the face images with missingness and augmented face images when FFT-PCA/SVD is used for recognition. Augmented face images tend to have a relatively lower average recognition distance when used as test images. This finding is contrary to the equal performance assessment by the adopted numerical technique. The MICE algorithm is therefore recommended as a suitable imputation mechanism for enhancing/improving the performance of the face recognition system.
14 August 2021 in Journal of Environmental and Public Health
Waste can be defined as solids or liquids unwanted by members of the society and meant to be disposed. In developing countries such as Ghana, the management of waste is the responsibility of the metropolitan authorities. These authorities do not seem to have effective management of the waste situation, and therefore, it is not unusual to see waste clog the drains and litter the streets of the capital city, Accra. The impact of waste on the environment, along with its associated health-related problems, cannot be overemphasized. The Joint Monitoring Programme report in 2015 ranked Ghana as the seventh dirtiest country in the world. The lack of effective waste management planning is evident in the large amount of waste dumped in open areas and gutters that remains uncollected. In planning for solid waste management, reliable data concerning waste generation, influencing factors on waste generation, and a reliable forecast of waste quantities are required. This study used two algorithms, namely, Levenberg–Marquardt and the Bayesian regularization, to estimate the parameters of an artificial neural network model fitted to predict the average monthly waste generated and critically assess the factors that influence solid waste generation in some selected districts of the Greater Accra region. The study found Bayesian regularization algorithm to be suitable with the minimum mean square error of 104.78559 on training data and 217.12465 on test data and higher correlation coefficients (0.99801 on training data, 0.99570 on test data, and 0.99767 on the overall data) between the target variables (average monthly waste generated) and the predicted outputs. House size, districts, employment category, dominant religion, and house type with respective importance of 0.56, 0.172, 0.061, 0.027, and 0.026 were found to be the top five important input variables required for forecasting household waste. It is recommended that efforts of the government and its stakeholders to reduce the amount of waste generated by households be directed at providing bins, increasing the frequency of waste collection (especially in highly populated areas), and managing the economic activities in the top five selected districts (Ledzekuku Krowor, Tema West, Asheidu Keteke, Ashaiman, and Ayawaso West), amongst others.