Purpose: This study aims to provide an automatic strabismus screening method for people who live in remote areas with poor medical accessibility. Materials and methods: The proposed method first utilizes a pretrained convolutional neural network-based face-detection model and a detector for 68 facial landmarks to extract the eye region for a frontal facial image. Second, Otsu’s binarization and the HSV color model are applied to the image to eliminate the influence of eyelashes and canthi. Then, the method samples all of the pixel points on the limbus and applies the least square method to obtain the coordinate of the pupil center. Lastly, we calculated the distances from the pupil center to the medial and lateral canthus to measure the deviation of the positional similarity of two eyes for strabismus screening. Result: We used a total of 60 frontal facial images (30 strabismus images, 30 normal images) to validate the proposed method. The average value of the iris positional similarity of normal images was smaller than one of the strabismus images via the method (p-value<0.001). The sample mean and sample standard deviation of the positional similarity of the normal and strabismus images were 1.073 ± 0.014 and 0.039, as well as 1.924 ± 0.169 and 0.472, respectively. Conclusion: The experimental results of 60 images show that the proposed method is a promising automatic strabismus screening method for people living in remote areas with poor medical accessibility.

Simulation analysis has been performed for simulation experiments of all possible input combinations as a “what-if” analysis, which causes the simulation to be extremely time-consuming. To resolve this problem, this paper proposes a multi-fidelity modeling framework for enhancing simulation speed while minimizing simulation accuracy loss. A target system for this framework is a discrete event dynamic system. The dynamic property of the system facilitates the development of variable fidelity models for the target system due to its high computational cost; and the discrete event property allows for determining when to change the fidelity within a simulation scenario. For formal representation, the paper defines several key concepts such as an interest region, a fidelity change condition, and a selection model. These concepts are integrated into the framework to allow for the achievement of a condition-based disjunction of high- and low-fidelity simulations within a scenario. The proposed framework is applied to two case studies: unmanned underwater and urban transportation vehicles. The results show that simulation speed increases at least 1.21 times with a 5% accuracy loss. We expect that the proposed framework will resolve a computationally expensive problem in the simulation analysis of discrete event dynamic systems.

This paper proposes an efficient ranking and selection algorithm for a stochastic simulation model. The proposed algorithm evaluates an uncertainty to assess whether the observed best design is truly optimal, based on hypothesis test. Then, it conservatively allocates additional simulation resources to reduce uncertainty with an intuitive allocation rule in each iteration of a sequential procedure. This conservative allocation provides a high robustness to noise for the algorithm. The results of several experiments demonstrated its improved performance compared to the other algorithms in the literature. The algorithm can be an efficient way to solve optimization problems in real-world systems where significant noise exists.