Background and purpose: Several variables have been reported to be associated with anti-calcitonin gene-related peptide (CGRP) receptor or ligand antibody response, but with differing results. Our objective was to determine whether machine-learning (ML)based models can predict 6-, 9-and 12-month responses to anti-CGRP receptor or ligand therapies among migraine patients.
Methods:We performed a multicenter analysis of prospectively collected data from patients with migraine receiving anti-CGRP therapies. Demographic and clinical variables were collected. Response rates in the 30% to 50% range, or at least 30%, in the 50% to 75% range, or at least 50%, and response rate of at least 75% regarding the reduction in the number of headache days per month at 6, 9 and 12 months were calculated. A sequential forward feature selector was used for variable selection and ML-based predictive models for the response to anti-CGRP therapies at 6, 9 and 12 months, with model accuracy not less than 70%, were generated.
Activity recognition, as an important component of behavioral monitoring and intervention, has attracted enormous attention, especially in Mobile Cloud Computing (MCC) and Remote Health Monitoring (RHM) paradigms. While recently resource constrained wearable devices have been gaining popularity, their battery life is limited and constrained by the frequent wireless transmission of data to more computationally powerful back-ends. This paper proposes an ultra-low power activity recognition system using a novel adaptive compressed sensing technique that aims to minimize transmission costs. Coarse-grained on-body sensor localization and unsupervised clustering modules are devised to autonomously reconfigure the compressed sensing module for further power saving. We perform a thorough heuristic optimization using Grammatical Evolution (GE) to ensure minimal computation overhead of the proposed methodology. Our evaluation on a real-world dataset and a low power wearable sensing node demonstrates that our approach can reduce the energy consumption of the wireless data transmission up to 81.2% and 61.5%, with up to 60.6% and 35.0% overall power savings in comparison with baseline and a naive state-of-the-art approaches, respectively. These solutions lead to an average activity recognition accuracy of 89.0%-only 4.8% less than the baseline accuracy-while having a negligible energy overhead of on-node computation.
Migraine is one of the most wide-spread neurological disorders, and its medical treatment represents a high percentage of the costs of health systems. In some patients, characteristic symptoms that precede the headache appear. However, they are nonspecific, and their prediction horizon is unknown and pretty variable; hence, these symptoms are almost useless for prediction, and they are not useful to advance the intake of drugs to be effective and neutralize the pain. To solve this problem, this paper sets up a realistic monitoring scenario where hemodynamic variables from real patients are monitored in ambulatory conditions with a wireless body sensor network (WBSN). The acquired data are used to evaluate the predictive capabilities and robustness against noise and failures in sensors of several modeling approaches. The obtained results encourage the development of per-patient models based on state-space models (N4SID) that are capable of providing average forecast windows of 47 min and a low rate of false positives.
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