Search Results (5)

One difficulty that arises in tracking and forecasting real-time epidemics is reporting delays, which are defined as the inherent delay between the time of symptom onset and the time a case is reported. Reporting delays can be caused by delays in case detection, symptom onset after infection, seeking medical care, or diagnostics, and they distort the accurate forecasting of diseases during epidemics and pandemics. To address this, we introduce a practical nowcasting approach grounded in survival analysis and actuarial science, explicitly allowing for non-stationarity in reporting delay patterns to better capture real-world variability. Despite its relevance, no flexible and accessible toolbox currently exists for non-stationary delay adjustment. Here, we present Nowcast-It, a tutorial-based toolbox that includes two components: (1) an R code base for delay adjustment and (2) a user-friendly R-Shiny application to enable interactive visualization and reporting delay correction without prior coding expertise. The toolbox supports daily, weekly, or monthly resolution data and enables model performance assessment using metrics such as mean absolute error, mean squared error, and 95% prediction interval coverage. We demonstrate the utility of Nowcast-It toolbox using publicly available weekly Ebola case data from the Democratic Republic of Congo. We and others have adjusted for reporting delays in real-time analyses (e.g., Singapore) and produced early COVID-19 forecasts; here, we package those delay adjustment routines into an accessible toolbox. It is designed for researchers, students, and policymakers alike, offering a scalable and accessible solution for addressing reporting delays during outbreaks. Full article

Ultrasound (US) imaging is one of the most accessible, non-invasive, and real-time diagnostic techniques in clinical medicine. However, conventional B-mode US suffers from intrinsic limitations such as speckle noise, operator dependence, and variability in image interpretation, which reduce diagnostic reproducibility and hinder skill acquisition. Because accurate image acquisition and interpretation rely heavily on the operator’s experience, mastering ultrasound requires extensive hands-on training under diverse anatomical and pathological conditions. Yet, traditional educational settings rarely provide consistent exposure to such variability, making simulation-based environments essential for developing and standardizing operator expertise. This scoping review synthesizes advances from 2014 to 2024 in B-mode ultrasound simulation, identifying 80 studies through structured searches in PubMed, Scopus, Web of Science, and IEEE. Simulation methods were organized into interpolative, wave-based, ray-based, and convolution-based models, as well as emerging Artificial Intelligence (AI)-driven approaches. The review emphasizes recent simulation engines and toolboxes reported in this period and highlights the growing role of learning-based pipelines (e.g., Generative Adversarial Networks (GANs) and diffusion) for realism, scalability, and data augmentation. The results show steady progress toward high realism and computational efficiency, including Graphics Processing Unit (GPU)-accelerated transport models, physics-informed convolution, and AI-enhanced translation and synthesis. Remaining challenges include the modeling of nonlinear and dynamic effects at scale, standardizing evaluation across tasks, and integrating physics with learning to balance fidelity and speed. These findings outline current capabilities and future directions for training, validation, and diagnostic support in ultrasound imaging. Full article

Transformer winding faults (TWFs) can lead to insulation breakdown, internal short circuits, and catastrophic transformer failure. Due to their low current magnitude—particularly at early stages such as inter-turn short circuits, axial or radial displacement, or winding looseness—TWFs often induce minimal impedance changes and generate fault currents that remain within normal operating thresholds. As a result, conventional protection schemes like overcurrent relays, which are tuned for high-magnitude faults, fail to detect such internal anomalies. Moreover, frequency response deviations caused by TWFs often resemble those introduced by routine phenomena such as tap changer operations, load variation, or core saturation, making accurate diagnosis difficult using traditional FRA interpretation techniques. This paper presents a novel diagnostic framework combining Discrete Wavelet Transform (DWT) and Support Vector Machine (SVM) classification to improve the detection of TWFs. The proposed system employs region-based statistical deviation labeling to enhance interpretability across five well-defined frequency bands. It is validated on five real FRA datasets obtained from operating transformers in Gauteng Province, South Africa, covering a range of MVA ratings and configurations, thereby confirming model transferability. The system supports post-processing but is lightweight enough for near real-time diagnostic use, with average execution time under 12 s per case on standard hardware. A custom graphical user interface (GUI), developed in MATLAB R2022a, automates the diagnostic workflow—including region identification, wavelet-based decomposition visualization, and PDF report generation. The complete framework is released as an open-access toolbox for transformer condition monitoring and predictive maintenance. Full article

The rise in cardiovascular diseases necessitates accurate electrocardiogram (ECG) diagnostics, making high-quality ECG recordings essential. Our CNN-LSTM model, embedded in an open-access GUI and trained on balanced datasets collected in clinical settings, excels in automating ECG quality assessment. When tested across three datasets featuring varying ratios of acceptable to unacceptable ECG signals, it achieved an F1 score ranging from 95.87% to 98.40%. Training the model on real noise sources significantly enhances its applicability in real-life scenarios, compared to simulations. Integrated into a user-friendly toolbox, the model offers practical utility in clinical environments. Furthermore, our study underscores the importance of balanced class representation during training and testing phases. We observed a notable F1 score change from 98.09% to 95.87% when the class ratio shifted from 85:15 to 50:50 in the same testing dataset with equal representation. This finding is crucial for future ECG quality assessment research, highlighting the impact of class distribution on the reliability of model training outcomes. Full article

Results of laboratory investigations of ovine and caprine cases of abortion in the lambing season 2015–2016 were analyzed, using pathology records of submissions to Royal GD (Deventer, the Netherlands) from January until and including April 2016, in comparison with the results of two accessible alternative techniques for sampling aborted lambs and kids, swabbing the fetal oropharynx and puncture of the fetal lung. Chlamydia abortus was the main cause of abortion in sheep as well as in goats. Other causes of abortion were Campylobacter spp., Listeria spp., Escherichia coli, and Yersinia enterocolitica. Ovine pathological submissions resulted more often in detecting an infectious agent compared to caprine submissions. For the three main bacterial causes of abortion, Campylobacter spp., Listeria spp., and Chlamydia spp., compared to results of the pathological examination, oropharynx mucus, and fetal lung puncture samples showed an observed agreement of 0.87 and 0.89, an expected agreement of 0.579 and 0.584, and a kappa value of 0.691 and 0.737 (95% CI: 0.561–0.82 and 0.614–0.859), respectively. The agreement between the results of the pathological examination and both fetal lung puncture and oropharynx mucus samples was classified as good. In conclusion, although a full step-wise post-mortem examination remains the most proper way of investigating small ruminant abortions, the easily accessible, low-threshold tools for practitioners and farmers as described in this paper not only provide reliable results compared to results of the post-mortem examination but also stimulates farmers and veterinarians to submit fetuses and placentas if necessary. Suggestions for further improvement of both alternatives have been summarized. Both alternatives could also be tailor-made for specific regions with their specific causes of abortion. Full article