The paper is focused on the application of Long Short-Term Memory (LSTM) neural network enabling patient health status prediction focusing the attention on diabetes. The proposed topic is an upgrade of a Multi-Layer Perceptron (MLP) algorithm that can be fully embedded into an Enterprise Resource Planning (ERP) platform. The LSTM approach is applied for multi-attribute data processing and it is integrated into an information system based on patient management. To validate the proposed model, we have adopted a typical dataset used in the literature for data mining model testing. The study is focused on the procedure to follow for a correct LSTM data analysis by using artificial records (LSTM-AR-), improving the training dataset stability and test accuracy if compared with traditional MLP and LSTM approaches. The increase of the artificial data is important for all cases where only a few data of the training dataset are available, as for more practical cases. The paper represents a practical application about the LSTM approach into the decision support systems (DSSs) suitable for homecare assistance and for de-hospitalization processes. The paper goal is mainly to provide guidelines for the application of LSTM neural network in type I and II diabetes prediction adopting automatic procedures. A percentage improvement of test set accuracy of 6.5% has been observed by applying the LSTM-AR- approach, comparing results with up-to-date MLP works. The LSTM-AR- neural network can be applied as an alternative approach for all homecare platforms where not enough training sequential dataset is available.
Abstract:The proposed paper is related to a case of study of an e-health telemedicine system oriented on homecare assistance and suitable for de-hospitalization processes. The proposed platform is able to transfer efficiently the patient analyses from home to a control room of a clinic, thus potentially reducing costs and providing high-quality assistance services. The goal is to propose an innovative resources management platform (RMP) integrating an innovative homecare decision support system (DSS) based on a multilayer perceptron (MLP) artificial neural network (ANN). The study is oriented in predictive diagnostics by proposing an RMP integrating a KNIME (Konstanz Information Miner) MLP-ANN workflow experimented on blood pressure systolic values. The workflow elaborates real data transmitted via the cloud by medical smart sensors and provides a prediction of the patient status. The innovative RMP-DSS is then structured to enable three main control levels. The first one is a real-time alerting condition triggered when real-time values exceed a threshold. The second one concerns preventative action based on the analysis of historical patient data, and the third one involves alerting due to patient status prediction. The proposed study combines the management of processes with DSS outputs, thus optimizing the homecare assistance activities.
In this paper are discussed some results related to an industrial project oriented on the integration of data mining tools into Enterprise Service Bus (ESB) platform. WSO2 ESB has been implemented for data transaction and to interface a client web service connected to a KNIME workflow behaving as a flexible data mining engine. In order to validate the implementation two test have been performed: the first one is related to the data management of two relational database management system (RDBMS) merged into one database whose data have been processed by KNIME dashboard statistical tool thus proving the data transfer of the prototype system; the second one is related to a simulation of two sensor data belonging to two distinct production lines connected to the same ESB. Specifically in the second example has been developed a practical case by processing by a Multilayered Perceptron (MLP) neural networks the temperatures of two milk production lines and by providing information about predictive maintenance. The platform prototype system is suitable for data automatism and Internet of Thing (IoT) related to Industry 4.0, and it is suitable for innovative hybrid system embedding different hardware and software technologies integrated with ESB, data mining engine and client web-services.
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