Background: Pressure injury (PI) is a common and preventable problem, yet it is a challenge for at least two reasons. First, the nurse shortage is a worldwide phenomenon. Second, the majority of nurses have insufficient PI-related knowledge. Machine learning (ML) technologies can contribute to lessening the burden on medical staff by improving the prognosis and diagnostic accuracy of PI. To the best of our knowledge, there is no existing systematic review that evaluates how the current ML technologies are being used in PI management. Objective: The objective of this review was to synthesize and evaluate the literature regarding the use of ML technologies in PI management, and identify their strengths and weaknesses, as well as to identify improvement opportunities for future research and practice. Methods: We conducted an extensive search on PubMed, EMBASE, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, China National Knowledge Infrastructure (CNKI), the Wanfang database, the VIP database, and the China Biomedical Literature Database (CBM) to identify relevant articles. Searches were performed in June 2020. Two independent investigators conducted study selection, data extraction, and quality appraisal. Risk of bias was assessed using the Prediction model Risk Of Bias ASsessment Tool (PROBAST). Results: A total of 32 articles met the inclusion criteria. Twelve of those articles (38%) reported using ML technologies to develop predictive models to identify risk factors, 11 (34%) reported using them in posture detection and recognition, and 9 (28%) reported using them in image analysis for tissue classification and measurement of PI wounds. These articles presented various algorithms and measured outcomes. The overall risk of bias was judged as high. Conclusions: There is an array of emerging ML technologies being used in PI management, and their results in the laboratory show great promise. Future research should apply these technologies on a large scale with clinical data to further verify and improve their effectiveness, as well as to improve the methodological quality.

Edge Computing has emerged as a new computing paradigm dedicated for mobile performance enhancement and energy efficiency purposes. Specifically, it benefits today’s interactive applications on power-constrained devices by offloading compute-intensive tasks to the edge nodes in close proximity. Meanwhile, FPGA is well known for its excellence in accelerating (domain-specific) compute-intensive tasks such as deep learning algorithms in a high performance and energy-efficient manner due to its hardware-customizable nature. In this paper, we make the first attempt to leverage and combine the advantages of these two, and proposed a new network-assisted computing model, namely FPGA-based edge computing. As a case study, we choose three computer vision (CV)-based mobile interactive applications, and implement their back-end computation engines on FPGA. By deploying such application-customized accelerator modules for computation offloading at the network edge, we experimentally demonstrate that this approach can effectively reduce response time for the applications and energy consumption for the entire system in comparison with traditional CPU-based edge/cloud offloading approach.

Journal of Medical Internet Research - International Scientific Journal for Medical Research, Information and Communication on the Internet