The limited volume of COVID‐19 data from Africa raises concerns for global genome research, which requires a diversity of genotypes for accurate disease prediction, including on the provenance of the new SARS‐CoV‐2 mutations. The Virus Outbreak Data Network (VODAN)‐Africa studied the possibility of increasing the production of clinical data, finding concerns about data ownership, and the limited use of health data for quality treatment at point of care. To address this, VODAN Africa developed an architecture to record clinical health data and research data collected on the incidence of COVID‐19, producing these as human‐ and machine‐readable data objects in a distributed architecture of locally governed, linked, human‐ and machine‐readable data. This architecture supports analytics at the point of care and—through data visiting, across facilities—for generic analytics. An algorithm was run across FAIR Data Points to visit the distributed data and produce aggregate findings. The FAIR data architecture is deployed in Uganda, Ethiopia, Liberia, Nigeria, Kenya, Somalia, Tanzania, Zimbabwe, and Tunisia.
predicting the occurrence of ventricular tachyarrhythmia (VtA) in advance is a matter of utmost importance for saving the lives of cardiac arrhythmia patients. Machine learning algorithms have been used to predict the occurrence of imminent VtA. in this study, we used a one-dimensional convolutional neural network (1-D CNN) to extract features from heart rate variability (HRV), thereby to predict the onset of VtA. We also compared the prediction performance of our cnn with other machine leaning (ML) algorithms such as an artificial neural network (ANN), a support vector machine (SVM), and a k-nearest neighbor (KNN), which used 11 HRV features extracted using traditional methods. The proposed CNN achieved relatively higher prediction accuracy of 84.6%, while the ANN, SVM, and KNN algorithms obtained prediction accuracies of 73.5%, 67.9%, and 65.9% using 11 HRV features, respectively. Our result showed that the proposed 1-D CNN could improve VTA prediction accuracy by integrating the data cleaning, preprocessing, feature extraction, and prediction. Heartbeat is regulated by electrical signals conducted across the four chambers of the heart: two atria and two ventricles. When electrical activity is normal, the heart beats approximately 60 to 100 times per minute. However, abnormal electrical signals in the heart lead to disorganized electrical activities such as ventricular tachyarrhythmia (VTA), which causes fast heart rate 1. Thus, early VTA prediction helps physicians to take immediate medical procedure to reduce the risk. Ventricular tachycardia (VT) and ventricular fibrillation (VF) are the most common VTAs. VT arises from improper electrical activity in the ventricles, and can cause sudden cardiac arrest. VF is caused by chaotic electrical activity in the ventricles, which is similar to VT, but is a fatal condition that requires immediate medical attention. In VF, the heart shivers instead of pumping blood. Developing earlier preventive interventions would reduce the risk of experiencing an imminent VT and VF events. Researchers used noninvasive tests by measuring and analyzing electrocardiograms (ECGs), where heart rate variability (HRV) is extracted to train machine learning (ML) algorithms for predicting VT or VF in advance 2. HRV is the most commonly employed biomarker for isolating VT or VF subject from the normal subject 3. It is a time variation of heartbeats among two successive QRS complexes (Q, R, and S waves in ECG). In recent years, HRV indices have been used as a noninvasive biomarkers to forecast life-threatening arrhythmias 4. Previous studies mainly used the three traditional analysis methods: time domain, frequency domain, and Poincare nonlinear analyses, to extract features from HRV. Furthermore, they used these features as input to machine learning algorithms to predict the occurrence of VT, VF, or both. The machine learning techniques are used to classify the complex feature patterns and enable early prediction of VT or VF events with high accuracy. Acharya et al. used features extracted fr...
Early prediction of the occurrence of ventricular tachyarrhythmia (VTA) has a potential to save patients’ lives. VTA includes ventricular tachycardia (VT) and ventricular fibrillation (VF). Several studies have achieved promising performances in predicting VT and VF using traditional heart rate variability (HRV) features. However, as VTA is a life-threatening heart condition, its prediction performance requires further improvement. To improve the performance of predicting VF, we used the QRS complex shape features, and traditional HRV features were also used for comparison. We extracted features from 120-s-long HRV and electrocardiogram (ECG) signals (QRS complex signed area and R-peak amplitude) to predict the VF onset 30 s before its occurrence. Two artificial neural network (ANN) classifiers were trained and tested with two feature sets derived from HRV and the QRS complex shape based on a 10-fold cross-validation. The prediction accuracy estimated using 11 HRV features was 72%, while that estimated using four QRS complex shape features yielded a high prediction accuracy of 98.6%. The QRS complex shape could play a significant role in performance improvement of predicting the occurrence of VF. Thus, the results of our study can be considered by the researchers who are developing an application for an implantable cardiac defibrillator (ICD) when to begin ventricular defibrillation.
Ventricular fibrillation (VF) is a cardiovascular disease that is one of the major causes of mortality worldwide, according to the World Health Organization. Heart rate variability (HRV) is a biomarker that is used for detecting and predicting life-threatening arrhythmias. Predicting the occurrence of VF in advance is important for saving patients from sudden death. We extracted features from seven HRV data lengths to predict the onset of VF before nine different forecast times and observed the prediction accuracies. By using only five features, an artificial neural network classifier was trained and validated based on 10-fold cross-validation. Maximum prediction accuracies of 88.18% and 88.64% were observed at HRV data lengths of 10 and 20 s, respectively, at a forecast time of 0 s. The worst prediction accuracy was recorded at an HRV data length of 70 s and a forecast time of 80 s. Our results showed that features extracted from HRV signals near the VF onset could yield relatively high VF prediction accuracies.
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