2023
Authors
Fritzsch, J; Correia, FF; Bogner, J; Wagner, S;
Publication
CoRR
Abstract
2023
Authors
Duarte, M; Pereira-Rodrigues, P; Ferreira-Santos, D;
Publication
Abstract Clinical digital tools are an up-and-coming new technology that can be used in the screening or diagnosis of obstructive sleep apnea (OSA) patients, notwithstanding the crucial role of polysomnography (PSG) – the gold standard. The aim of our study was to identify, gather, and analyze existing digital tools and smartphone-based health platforms that are being used for this disease’s screening or diagnosis in the adult population. We performed a comprehensive literature search in MEDLINE, Scopus, and Web of Science databases for studies evaluating the validity of digital tools in OSA screening or diagnosis until November 2022. The risk of bias was assessed using JBI Critical Appraisal Tool for Diagnostic Test Accuracy Studies. Sensitivity, specificity, and area under the receiver-operating curve (AUC) were used as discrimination measures. We retrieved 1714 articles, 41 of which were included. We found 7 smartphone-based tools, 10 wearables, 11 bed/mattress sensors, 5 nasal airflow devices, and 8 other sensors that did not fit the previous categories. Only 8 (20%) studies performed external validation of their developed tool. Of those, the highest reported values for AUC, sensitivity, and specificity were 0.99, 96%, and 92%, respectively, for a clinical cutoff of apnea-hypopnea index (AHI) = 30 and correspond to a non-contact audio recorder that records sleep sounds, which are then analyzed by a deep learning technique that automatically detects sleep apnea events, calculates the AHI, and identifies OSA. Looking at the studies that only internally validated their models, the work that reported the highest accuracy measures showed AUC, sensitivity, and specificity values of 1.00, 100%, and 96%, respectively, for a clinical cutoff AHI = 30. It uses the Sonomat – a foam mattress that, aside from recording breath sounds, has pressure sensors that generate voltage when deformed, thus detecting respiratory movements, and using it to classify OSA events. These clinical tools presented promising results, showing high discrimination measures (best results reaching AUC > 0.99). However, there is still a need for quality studies, comparing the developed tools with the gold standard and validating them in external populations and other environments before they can be used in a clinical setting. This systematic review was registered in PROSPERO under reference CRD42023387748.
2023
Authors
Ferreira, JS; Rodrigues, AM; Ozturk, EG;
Publication
International Journal of Multicriteria Decision Making
Abstract
2023
Authors
Ozturk, ME; Poinhos, R; Afonso, C; Ayhan, NY; de Almeida, MDV; Oliveira, BMPM;
Publication
NUTRIENTS
Abstract
Malnutrition is widespread among older adults, and its determinants may differ between countries. We compared Portuguese and Turkish non-institutionalized older adults regarding nutritional status, sociodemographic, health and anthropometric characteristics and studied the relationships between nutritional status and those characteristics. This cross-sectional study analyzed data from 430 Portuguese and 162 Turkish non-institutionalized older adults regarding sociodemographics, health conditions, the Mini-Nutritional Assessment (MNA-FF) and anthropometry. Turkish older adults were more likely to be malnourished or at risk of malnutrition and had lower average BMI but a higher calf circumference. A higher proportion of the Portuguese sample had tooth loss, diabetes, hypertension, oncologic diseases, kidney diseases, osteoarticular problems or eye problems, while less had anemia. A better nutritional status (higher MNA-FF score) was found among the Portuguese, males, people using dentures, those without tooth loss, hypertension, cardiovascular diseases, anemia or oncological diseases and was related to younger age, higher BMI and a higher calf circumference. Malnutrition and its risk were higher among older adults from Turkey, despite Portuguese older adults presenting a higher prevalence of chronic diseases. Being female, older age, tooth loss, hypertension, anemia, CVD or oncological disorders and having a lower BMI or CC were associated with higher rates of malnutrition among older adults from Portugal and Turkey.
2023
Authors
Silva, M; Pedroso, JP; Viana, A;
Publication
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH
Abstract
In this work, we study last-mile delivery with the option of crowd shipping. A company uses occasional drivers to complement its fleet in the activity of delivering products to its customers. We model it as a variant of the stochastic capacitated vehicle routing problem. Our approach is data-driven, where not only customer orders but also the availability of occasional drivers are uncertain. It is assumed that marginal distributions of the uncertainty vector are known, but the joint distribution is difficult to estimate. We optimize considering a worst-case joint distribution and model with a strategic planning perspective, where we calculate an optimal a priori solution before the uncertainty is revealed. A limit on the infea-sibility of the routes due to the capacity is imposed using probabilistic constraints. We propose an extended formulation for the problem using column-dependent rows and implement a branch-price-and-cut algorithm to solve it. We also develop a heuristic approximation to cope with larger instances of the problem. Through computational experiments, we analyze the solution and performance of the implemented algorithms.
2023
Authors
Maksimenko, J; Rodrigues, PP; Nakazawa-Miklasevica, M; Pinto, D; Miklasevics, E; Trofimovics, G; Gardovskis, J; Cardoso, F; Cardoso, MJ;
Publication
JMIR FORMATIVE RESEARCH
Abstract
In “Effectiveness of Secondary Risk–Reducing Strategies in Patients With Unilateral Breast Cancer With Pathogenic Variants of BRCA1 and BRCA2 Subjected to Breast-Conserving Surgery: Evidence-Based Simulation Study” (JMIR Form Res 2022;6(12):e37144) the authors noted one error. In the originally published article Figure 6 appeared as a duplicate of Figure 5. Figure 6 has been corrected as follows: (Figure Presented) The correction version appeared in the online version of the paper on the JMIR Publications website on January 18, 2023. Because this was made after submission to full-text repositories, the corrected article has also been resubmitted to those repositories. © Jelena Maksimenko, Pedro Pereira Rodrigues, Miki Nakazawa-Miklaševica, David Pinto, Edvins Miklaševics, Genadijs Trofimovics, Janis Gardovskis, Fatima Cardoso, Maria João Cardoso.
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