This paper proposes a system for the early automatic recognition of health problems that manifest themselves in distinctive form of gait. Purpose of the system is to prolong the autonomous living of the elderly at home. When the system identifies a health problem, it automatically notifies a physician and provides an explanation of the automatic diagnosis. The gait of the elderly user is captured using a motion-capture system, which consists of body-worn tags and wall-mounted sensors. The positions of the tags are acquired by the sensors and the resulting time series of position coordinates are analyzed with machine-learning algorithms in order to recognize a specific health problem. Novel semantic features based on medical knowledge for training a machine-learning classifier are proposed in this paper. The classifier classifies the user’s gait into: 1) normal, 2) with hemiplegia, 3) with Parkinson’s disease, 4) with pain in the back and 5) with pain in the leg. The studies of 1) the feasibility of automatic recognition and 2) the impact of tag placement and noise level on the accuracy of the recognition of health problems are presented. The experimental results of the first study (12 tags, no noise) showed that the k-nearest neighbors and neural network algorithms achieved classification accuracies of 100%. The experimental results of the second study showed that classification accuracy of over 99% is achievable using several machine-learning algorithms and 8 or more tags with up to 15 mm standard deviation of noise. The results show that the proposed approach achieves high classification accuracy and can be used as a guide for further studies in the increasingly important area of Ambient Assisted Living. Since the system uses semantic features and an artificial-intelligence approach to interpret the health state, provides a natural explanation of the hypothesis and is embedded in the domestic environment of the elderly person; it is an example of the semantic ambient media for Ambient Assisted Living.

Machine learning (ML) and artificial intelligence are emerging as important components of precision medicine that enhance diagnosis and risk stratification. Risk stratification tools for hypertrophic cardiomyopathy (HCM) exist, but they are based on traditional statistical methods. The aim was to develop a novel machine learning risk stratification tool for the prediction of 5-year risk in HCM. The goal was to determine if its predictive accuracy is higher than the accuracy of the state-of-the-art tools. Data from a total of 2302 patients were used. The data were comprised of demographic characteristics, genetic data, clinical investigations, medications, and disease-related events. Four classification models were applied to model the risk level, and their decisions were explained using the SHAP (SHapley Additive exPlanations) method. Unwanted cardiac events were defined as sustained ventricular tachycardia occurrence (VT), heart failure (HF), ICD activation, sudden cardiac death (SCD), cardiac death, and all-cause death. The proposed machine learning approach outperformed the similar existing risk-stratification models for SCD, cardiac death, and all-cause death risk-stratification: it achieved higher AUC by 17%, 9%, and 1%, respectively. The boosted trees achieved the best performing AUC of 0.82. The resulting model most accurately predicts VT, HF, and ICD with AUCs of 0.90, 0.88, and 0.87, respectively. The proposed risk-stratification model demonstrates high accuracy in predicting events in patients with hypertrophic cardiomyopathy. The use of a machine-learning risk stratification model may improve patient management, clinical practice, and outcomes in general.

In Machine Learning, estimation of the predictive accuracy for a given model is most commonly approached by analyzing the average accuracy of the model. In general, the predictive models do not provide accuracy estimates for their individual predicti

Background: Cardiovascular disorders in general are responsible for 30% of deaths worldwide. Among them, hypertrophic cardiomyopathy (HCM) is a genetic cardiac disease that is present in about 1 of 500 young adults and can cause sudden cardiac death (SCD). Objective: Although the current state-of-the-art methods model the risk of SCD for patients, to the best of our knowledge, no methods are available for modeling the patient's clinical status up to 10 years ahead. In this paper, we propose a novel machine learning (ML)-based tool for predicting disease progression for patients diagnosed with HCM in terms of adverse remodeling of the heart during a 10-year period. Methods: The method consisted of 6 predictive regression models that independently predict future values of 6 clinical characteristics: left atrial size, left atrial volume, left ventricular ejection fraction, New York Heart Association functional classification, left ventricular internal diastolic diameter, and left ventricular internal systolic diameter. We supplemented each prediction with the explanation that is generated using the Shapley additive explanation method. Results: The final experiments showed that predictive error is lower on 5 of the 6 constructed models in comparison to experts (on average, by 0.34) or a consortium of experts (on average, by 0.22). The experiments revealed that semisupervised learning and the artificial data from virtual patients help improve predictive accuracies. The best-performing random forest model improved R2 from 0.3 to 0.6. Conclusions: By engaging medical experts to provide interpretation and validation of the results, we determined the models' favorable performance compared to the performance of experts for 5 of 6 targets.

When programmers need to modify third‐party applications, they frequently do not have access to their source code. In such cases, DLL injection and API hooking are techniques that can be used to modify applications without intervening into their source code. The commonly used varieties of injection and hooking approaches have many practical limitations: they are inconvenient for a programmer to implement, do not work reliably in conjunction with all applications and with certain low‐level machine instructions. In this paper we present two novel approaches to DLL injection and API hooking, which we callDebugger‐aided DLL injectionandSingle Instruction Hooking. Our approaches overcome the limitations of the state‐of‐the art approaches. Despite incurring greater execution times, our approach allows extending of the applications in situations where the comparable approaches fail. As such, it has a notable practical value for beneficial practical applications of injection and hooking approaches, which are present in malware detection programs and computer security tools. Copyright © 2010 John Wiley & Sons, Ltd.