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Keywords = health administration and big data

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23 pages, 13510 KiB  
Article
Assessing the Role of Energy Mix in Long-Term Air Pollution Trends: Initial Evidence from Poland
by Mateusz Zareba
Energies 2025, 18(5), 1211; https://doi.org/10.3390/en18051211 - 1 Mar 2025
Cited by 2 | Viewed by 735
Abstract
Air pollution remains a critical environmental and public health issue, requiring diverse research perspectives, including those related to energy production and consumption. This study examines the relationship between Poland’s energy mix and air pollution trends by integrating national statistical data on primary energy [...] Read more.
Air pollution remains a critical environmental and public health issue, requiring diverse research perspectives, including those related to energy production and consumption. This study examines the relationship between Poland’s energy mix and air pollution trends by integrating national statistical data on primary energy consumption and renewable energy sources over the past 15 years with air pollution measurements from the last eight years. The air pollution data, obtained from reference-grade monitoring stations, focus on particulate matter (PM). To address discrepancies in temporal resolution between daily PM measurements and annual energy sector reports, a bootstrapping method was applied within a regression framework to assess the overall impact of individual energy components on national air pollution levels. Seasonal decomposition techniques were employed to analyze the temporal dynamics of specific energy sources and their contributions to pollution variability. A key aspect of this research is the role of renewable energy sources in air quality trends. This study also investigates regional variations in pollution levels by analyzing correlations between geographic location, industrialization intensity, and the proportion of green areas across Poland’s administrative regions (Voivodeships). This spatially explicit approach provides deeper insights into the linkages between energy production and pollution distribution at a national scale. Poland presents a unique case due to its distinct energy mix, which differs significantly from the EU average, its persistently high air pollution levels, and recent regulatory changes. These factors create an ideal setting to assess the impact of energy sector transitions on environmental quality. By employing high-resolution spatiotemporal big data analysis, this study leverages measurements from over 100 monitoring stations and applies advanced statistical methodologies to integrate multi-scale energy and pollution datasets. From a PM perspective, the regression analysis showed that High-Methane Gas had a neutral impact on PM concentrations, making it a suitable transition energy source, while renewables exhibited negative regression coefficients and coal-based sources showed positive coefficients. The findings offer new perspectives on the long-term environmental effects of shifts in national energy policies. Full article
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17 pages, 1622 KiB  
Article
Investigating the Role of Urban Factors in COVID-19 Transmission During the Pre- and Post-Omicron Periods: A Case Study of South Korea
by Seongyoun Shin and Jaewoong Won
Sustainability 2025, 17(5), 2005; https://doi.org/10.3390/su17052005 - 26 Feb 2025
Viewed by 646
Abstract
While the literature has investigated the associations between urban environments and COVID-19 infection, most studies primarily focused on urban density factors and early outbreaks, often reporting mixed results. We examined how diverse urban factors impact COVID-19 cases across 229 administrative districts in South [...] Read more.
While the literature has investigated the associations between urban environments and COVID-19 infection, most studies primarily focused on urban density factors and early outbreaks, often reporting mixed results. We examined how diverse urban factors impact COVID-19 cases across 229 administrative districts in South Korea during Pre-Omicron and Post-Omicron periods. Real-time big data (Wi-Fi, GPS, and credit card transactions) were integrated to capture dynamic mobility and economic activities. Using negative binomial regression and random forest modeling, we analyzed urban factors within the D-variable framework: density (e.g., housing density), diversity (e.g., land-use mix), design (e.g., street connectivity), and destination accessibility (e.g., cultural and community facilities). The results revealed the consistent significance of density and destination-related factors across analytic approaches and transmission phases, but specific factors of significance varied over time. Residential and population densities were more related in the early phase, while employment levels and cultural and community facilities became more relevant in the later phase. Traffic volume and local consumption appeared important, though their significance is not consistent across the models. Our findings highlight the need for adaptive urban planning strategies and public health policies that consider both static and dynamic urban factors to minimize disease risks while sustaining urban vitality and health in the evolving pandemic. Full article
(This article belongs to the Section Health, Well-Being and Sustainability)
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25 pages, 2893 KiB  
Review
Research Hotspots and Knowledge Framework of Digital Healthcare Service Management from the Perspective of the Silver Economy
by Yangyan Zeng, Jiaojuan Fu, Wenzhi Cao, Yang Chen and Zhihui Yang
Sustainability 2024, 16(22), 9735; https://doi.org/10.3390/su16229735 - 8 Nov 2024
Viewed by 2101
Abstract
Over the next three decades, it is anticipated that China’s aging population will propel steady growth in elderly healthcare and senior care technologies. With its broad consumer base, long industrial chain, and variety of needs, the silver economy will provide the digital healthcare [...] Read more.
Over the next three decades, it is anticipated that China’s aging population will propel steady growth in elderly healthcare and senior care technologies. With its broad consumer base, long industrial chain, and variety of needs, the silver economy will provide the digital healthcare sector with a lot of prospects and enhance the well-being of the elderly while also promoting the sustainable development of the socio-economic environment. Research on digital healthcare services for the elderly is gaining traction in the digital economy era, although thorough studies in this area are still very uncommon. Therefore, in order to investigate potential future trends in digital healthcare services from the perspective of the silver economy, this research uses the visualization tool CiteSpace6.3.R1 to perform descriptive statistics, clustering analysis, and co-occurrence analysis on 639 relevant papers. The findings indicate that although China’s research in this field began later than that of other nations, it offers distinct benefits and enormous potential. Due to the irreversibility of population aging, digital health management in the context of the silver economy is likely to become a focal point of future digital society research. Innovation in the field of digital healthcare is being driven by the proper integration of advanced digital technologies like artificial intelligence and big data. In conclusion, this paper develops a research paradigm for the administration of digital healthcare services from the standpoint of the silver economy. This study offers cutting-edge insights and theoretical references, giving academics insightful advice on current research trends and possible future approaches. Full article
(This article belongs to the Special Issue Healthy Aging and Sustainable Development Goals)
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25 pages, 9394 KiB  
Article
Microscale Temperature-Humidity Index (THI) Distribution Estimated at the City Scale: A Case Study in Maebashi City, Gunma Prefecture, Japan
by Kotaro Iizuka, Yuki Akiyama, Minaho Takase, Toshikazu Fukuba and Osamu Yachida
Remote Sens. 2024, 16(17), 3164; https://doi.org/10.3390/rs16173164 - 27 Aug 2024
Cited by 2 | Viewed by 2216
Abstract
Global warming and climate change are significantly impacting local climates, causing more intense heat during the summer season, which poses risks to individuals with pre-existing health conditions and negatively affects overall human health. While various studies have examined the Surface Urban Heat Island [...] Read more.
Global warming and climate change are significantly impacting local climates, causing more intense heat during the summer season, which poses risks to individuals with pre-existing health conditions and negatively affects overall human health. While various studies have examined the Surface Urban Heat Island (SUHI) phenomenon, these studies often focus on small to large geographic regions using low-to-moderate-resolution data, highlighting general thermal trends across large administrative areas. However, there is a growing need for methods that can detect microscale thermal patterns in environments familiar to urban residents, such as streets and alleys. The temperature-humidity index (THI), which incorporates both temperature and humidity data, serves as a critical measure of human-perceived heat. However, few studies have explored microscale THI variations within urban settings and identified potential THI hotspots at a local level where SUHI effects are pronounced. This research aims to address this gap by estimating THI at a finer resolution scale using data from multiple sensor platforms. We developed a model with the random forest algorithm to assess THI trends at a resolution of 0.5 m, utilizing various variables from different sources, including Landsat 8 land surface temperature (LST), unmanned aerial system (UAS)-derived LST, Sentinel-2 NDVI and NDMI, a wind exposure index, solar radiation modeled from aircraft and UAS-derived Digital Surface Models, and vehicle density and building floor area from social big data. Two models were constructed with different variables: Modelnatural, which includes variables related to only natural factors, and Modelmix, which includes all variables, including anthropogenic factors. The two models were compared to reveal how each source contributes to the model development and SUHI effects. The results show significant improvements, as Modelnatural had a fitting R2 = 0.5846, a root mean square error (RMSE) = 0.5936 and a mean absolute error (MAE) = 0.4294. Moreover, when anthropogenic factors were introduced, Modelmix performed even better, with R2 = 0.9638, RMSE = 0.1751, and MAE = 0.1065 (n = 923). This study contributes to the future of microscale SUHI analysis and offers important insights into urban planning and smart city development. Full article
(This article belongs to the Special Issue Remote Sensing: 15th Anniversary)
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21 pages, 362 KiB  
Review
Genomics of Shrimp Allergens and Beyond
by Shanshan Li, Ka Hou Chu and Christine Yee Yan Wai
Genes 2023, 14(12), 2145; https://doi.org/10.3390/genes14122145 - 27 Nov 2023
Cited by 8 | Viewed by 2908
Abstract
Allergy to shellfishes, including mollusks and crustaceans, is a growing health concern worldwide. Crustacean shellfish is one of the “Big Eight” allergens designated by the U.S. Food and Drug Administration and is the major cause of food-induced anaphylaxis. Shrimp is one of the [...] Read more.
Allergy to shellfishes, including mollusks and crustaceans, is a growing health concern worldwide. Crustacean shellfish is one of the “Big Eight” allergens designated by the U.S. Food and Drug Administration and is the major cause of food-induced anaphylaxis. Shrimp is one of the most consumed crustaceans triggering immunoglobulin E (IgE)-mediated allergic reactions. Over the past decades, the allergen repertoire of shrimp has been unveiled based on conventional immunodetection methods. With the availability of genomic data for penaeid shrimp and other technological advancements like transcriptomic approaches, new shrimp allergens have been identified and directed new insights into their expression levels, cross-reactivity, and functional impact. In this review paper, we summarize the current knowledge on shrimp allergens, as well as allergens from other crustaceans and mollusks. Specific emphasis is put on the genomic information of the shrimp allergens, their protein characteristics, and cross-reactivity among shrimp and other organisms. Full article
(This article belongs to the Special Issue Penaeid Shrimp Genomics and Post-Genomics)
21 pages, 4915 KiB  
Article
Public Opinion Mining on Construction Health and Safety: Latent Dirichlet Allocation Approach
by Liyun Zeng, Rita Yi Man Li, Tan Yigitcanlar and Huiling Zeng
Buildings 2023, 13(4), 927; https://doi.org/10.3390/buildings13040927 - 31 Mar 2023
Cited by 21 | Viewed by 4892
Abstract
The construction industry has been experiencing many occupational accidents as working on construction sites is dangerous. To reduce the likelihood of accidents, construction companies share the latest construction health and safety news and information on social media. While research studies in recent years [...] Read more.
The construction industry has been experiencing many occupational accidents as working on construction sites is dangerous. To reduce the likelihood of accidents, construction companies share the latest construction health and safety news and information on social media. While research studies in recent years have explored the perceptions towards these companies’ social media pages, there are no big data analytic studies conducted on Instagram about construction health and safety. This study aims to consolidate public perceptions of construction health and safety by analyzing Instagram posts. The study adopted a big data analytics approach involving visual, content, user, and sentiment analyses of Instagram posts (n = 17,835). The study adopted the Latent Dirichlet Allocation, a kind of machine learning approach for generative probabilistic topic extraction, and the five most mentioned topics were: (a) training service, (b) team management, (c) training organization, (d) workers’ work and family, and (e) users’ action. Besides, the Jaccard coefficient co-occurrence cluster analysis revealed: (a) the most mentioned collocations were ‘construction safety week’, ‘safety first’, and ‘construction team’, (b) the largest clusters were ‘safety training’, ‘occupational health and safety administration’, and ‘health and safety environment’, (c) the most active users were ‘Parallel Consultancy Ltd.’, ‘Pike Consulting Group’, and ‘Global Training Canada’, and (d) positive sentiment accounted for an overwhelming figure of 85%. The findings inform the industry on public perceptions that help create awareness and develop preventative measures for increased health and safety and decreased incidents. Full article
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23 pages, 6473 KiB  
Review
Enhancing Digital Health Services with Big Data Analytics
by Nisrine Berros, Fatna El Mendili, Youness Filaly and Younes El Bouzekri El Idrissi
Big Data Cogn. Comput. 2023, 7(2), 64; https://doi.org/10.3390/bdcc7020064 - 30 Mar 2023
Cited by 34 | Viewed by 10258
Abstract
Medicine is constantly generating new imaging data, including data from basic research, clinical research, and epidemiology, from health administration and insurance organizations, public health services, and non-conventional data sources such as social media, Internet applications, etc. Healthcare professionals have gained from the integration [...] Read more.
Medicine is constantly generating new imaging data, including data from basic research, clinical research, and epidemiology, from health administration and insurance organizations, public health services, and non-conventional data sources such as social media, Internet applications, etc. Healthcare professionals have gained from the integration of big data in many ways, including new tools for decision support, improved clinical research methodologies, treatment efficacy, and personalized care. Finally, there are significant advantages in saving resources and reallocating them to increase productivity and rationalization. In this paper, we will explore how big data can be applied to the field of digital health. We will explain the features of health data, its particularities, and the tools available to use it. In addition, a particular focus is placed on the latest research work that addresses big data analysis in the health domain, as well as the technical and organizational challenges that have been discussed. Finally, we propose a general strategy for medical organizations looking to adopt or leverage big data analytics. Through this study, healthcare organizations and institutions considering the use of big data analytics technology, as well as those already using it, can gain a thorough and comprehensive understanding of the potential use, effective targeting, and expected impact. Full article
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16 pages, 1215 KiB  
Article
Vaccine Vigilance System: Considerations on the Effectiveness of Vigilance Data Use in COVID-19 Vaccination
by Diana Araja, Angelika Krumina, Zaiga Nora-Krukle, Uldis Berkis and Modra Murovska
Vaccines 2022, 10(12), 2115; https://doi.org/10.3390/vaccines10122115 - 10 Dec 2022
Cited by 6 | Viewed by 3193
Abstract
(1) Background: The safety of medicines has been receiving increased attention to ensure that the risks of taking medicines do not outweigh the benefits. This is the reason why, over several decades, the pharmacovigilance system has been developed. The post-authorization pharmacovigilance system is [...] Read more.
(1) Background: The safety of medicines has been receiving increased attention to ensure that the risks of taking medicines do not outweigh the benefits. This is the reason why, over several decades, the pharmacovigilance system has been developed. The post-authorization pharmacovigilance system is based on reports from healthcare professionals and patients on observed adverse reactions. The reports are collected in databases and progressively evaluated. However, there are emerging concerns about the effectiveness of the established passive pharmacovigilance system in accelerating circumstances, such as the COVID-19 pandemic, when billions of doses of new vaccines were administered without a long history of use. Currently, health professionals receive fragmented new information on the safety of medicines from competent authorities after a lengthy evaluation process. Simultaneously, in the context of accelerated mass vaccination, health professionals need to have access to operational information—at least on organ systems at higher risk. Therefore, the aim of this study was to perform a primary data analysis of publicly available data on suspected COVID-19 vaccine-related adverse reactions in Europe, in order to identify the predominant groups of reported medical conditions after vaccination and their association with vaccine groups, as well as to evaluate the data accessibility on specific syndromes. (2) Methods: To achieve the objectives, the data publicly available in the EudraVigilance European Database for Suspected Adverse Drug Reaction Reports were analyzed. The following tasks were defined to: (1) Identify the predominant groups of medical conditions mentioned in adverse reaction reports; (2) determine the relative frequency of reports within vaccine groups; (3) assess the feasibility of obtaining information on a possibly associated syndrome—myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). (3) Results: The data obtained demonstrate that the predominant medical conditions induced after vaccination are relevant to the following categories: (1) “General disorders and administration site conditions”, (2) “nervous system disorders”, and (3) “musculoskeletal and connective tissue disorders”. There are more reports for mRNA vaccines, but the relative frequency of reports per dose administered, is lower for this group of vaccines. Information on ME/CFS was not available, but reports of “chronic fatigue syndrome” are included in the database and accessible for primary analysis. (4) Conclusions: The information obtained on the predominantly reported medical conditions and the relevant vaccine groups may be useful for health professionals, patients, researchers, and medicine manufacturers. Policymakers could benefit from reflecting on the design of an active pharmacovigilance model, making full use of modern information technologies, including big data analysis of social media and networks for the detection of primary signals and building an early warning system. Full article
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17 pages, 1859 KiB  
Article
Income-Related Mortality Inequalities and Its Social Factors among Middle-Aged and Older Adults at the District Level in Aging Seoul: An Ecological Study Using Administrative Big Data
by Minhye Kim, Suzin You, Jong-sung You, Seung-Yun Kim and Jong Heon Park
Int. J. Environ. Res. Public Health 2022, 19(1), 383; https://doi.org/10.3390/ijerph19010383 - 30 Dec 2021
Cited by 10 | Viewed by 2217
Abstract
This study investigated income-related health inequality at sub-national level, focusing on mortality inequality among middle-aged and older adults (MOAs). Specifically, we examined income-related mortality inequality and its social factors among MOAs across 25 districts in Seoul using administrative big data from the National [...] Read more.
This study investigated income-related health inequality at sub-national level, focusing on mortality inequality among middle-aged and older adults (MOAs). Specifically, we examined income-related mortality inequality and its social factors among MOAs across 25 districts in Seoul using administrative big data from the National Health Insurance Service (NHIS). We obtained access to the NHIS’s full-population micro-data on both incomes and demographic variables for the entire residents of Seoul. Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were calculated. The effects of social attributes of districts on SIIs and RIIs were examined through ordinary least squares and spatial regressions. There were clear income-related mortality gradients. Cross-district variance of mortality rates was greater among the lowest income group. SIIs were smaller in wealthier districts. Weak spatial correlation was found in SIIs among men. Lower RIIs were linked to lower Gini coefficients of income for both genders. SIIs (men) were associated with higher proportions of special occupational pensioners and working population. Lower SIIs and RIIs (women) were associated with higher proportions of female household heads. The results suggest that increasing economic activities, targeting households with female heads, reforming public pensions, and reducing income inequality among MOAs can be good policy directions. Full article
(This article belongs to the Special Issue Tackling Health Inequalities in Ageing Societies)
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12 pages, 651 KiB  
Article
Mobility in Blue-Green Spaces Does Not Predict COVID-19 Transmission: A Global Analysis
by Zander S. Venter, Adam Sadilek, Charlotte Stanton, David N. Barton, Kristin Aunan, Sourangsu Chowdhury, Aaron Schneider and Stefano Maria Iacus
Int. J. Environ. Res. Public Health 2021, 18(23), 12567; https://doi.org/10.3390/ijerph182312567 - 29 Nov 2021
Cited by 10 | Viewed by 3896
Abstract
Mobility restrictions during the COVID-19 pandemic ostensibly prevented the public from transmitting the disease in public places, but they also hampered outdoor recreation, despite the importance of blue-green spaces (e.g., parks and natural areas) for physical and mental health. We assess whether restrictions [...] Read more.
Mobility restrictions during the COVID-19 pandemic ostensibly prevented the public from transmitting the disease in public places, but they also hampered outdoor recreation, despite the importance of blue-green spaces (e.g., parks and natural areas) for physical and mental health. We assess whether restrictions on human movement, particularly in blue-green spaces, affected the transmission of COVID-19. Our assessment uses a spatially resolved dataset of COVID-19 case numbers for 848 administrative units across 153 countries during the first year of the pandemic (February 2020 to February 2021). We measure mobility in blue-green spaces with planetary-scale aggregate and anonymized mobility flows derived from mobile phone tracking data. We then use machine learning forecast models and linear mixed-effects models to explore predictors of COVID-19 growth rates. After controlling for a number of environmental factors, we find no evidence that increased visits to blue-green space increase COVID-19 transmission. By contrast, increases in the total mobility and relaxation of other non-pharmaceutical interventions such as containment and closure policies predict greater transmission. Ultraviolet radiation stands out as the strongest environmental mitigant of COVID-19 spread, while temperature, humidity, wind speed, and ambient air pollution have little to no effect. Taken together, our analyses produce little evidence to support public health policies that restrict citizens from outdoor mobility in blue-green spaces, which corroborates experimental studies showing low risk of outdoor COVID-19 transmission. However, we acknowledge and discuss some of the challenges of big data approaches to ecological regression analyses such as this, and outline promising directions and opportunities for future research. Full article
(This article belongs to the Special Issue COVID-19 Pandemic and the Environment)
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19 pages, 718 KiB  
Article
Multi-View Data Integration Methods for Radiotherapy Structure Name Standardization
by Khajamoinuddin Syed, William C. Sleeman, Michael Hagan, Jatinder Palta, Rishabh Kapoor and Preetam Ghosh
Cancers 2021, 13(8), 1796; https://doi.org/10.3390/cancers13081796 - 9 Apr 2021
Cited by 8 | Viewed by 2706
Abstract
Standardization of radiotherapy structure names is essential for developing data-driven personalized radiotherapy treatment plans. Different types of data are associated with radiotherapy structures, such as the physician-given text labels, geometric (image) data, and Dose-Volume Histograms (DVH). Prior work on structure name standardization used [...] Read more.
Standardization of radiotherapy structure names is essential for developing data-driven personalized radiotherapy treatment plans. Different types of data are associated with radiotherapy structures, such as the physician-given text labels, geometric (image) data, and Dose-Volume Histograms (DVH). Prior work on structure name standardization used just one type of data. We present novel approaches to integrate complementary types (views) of structure data to build better-performing machine learning models. We present two methods, namely (a) intermediate integration and (b) late integration, to combine physician-given textual structure name features and geometric information of structures. The dataset consisted of 709 prostate cancer and 752 lung cancer patients across 40 radiotherapy centers administered by the U.S. Veterans Health Administration (VA) and the Department of Radiation Oncology, Virginia Commonwealth University (VCU). We used randomly selected data from 30 centers for training and ten centers for testing. We also used the VCU data for testing. We observed that the intermediate integration approach outperformed the models with a single view of the dataset, while late integration showed comparable performance with single-view results. Thus, we demonstrate that combining different views (types of data) helps build better models for structure name standardization to enable big data analytics in radiation oncology. Full article
(This article belongs to the Special Issue Preoperative Radiotherapy in Cancers)
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14 pages, 2067 KiB  
Article
Effects of COVID-19 on Urban Population Flow in China
by Xiaorong Jiang, Wei Wei, Shenglan Wang, Tao Zhang and Chengpeng Lu
Int. J. Environ. Res. Public Health 2021, 18(4), 1617; https://doi.org/10.3390/ijerph18041617 - 8 Feb 2021
Cited by 12 | Viewed by 3592
Abstract
The COVID-19 epidemic has become a Public Health Emergency of International Concern. Thus, this sudden health incident has brought great risk and pressure to the city with dense population flow. A deep understanding of the migration characteristics and laws of the urban population [...] Read more.
The COVID-19 epidemic has become a Public Health Emergency of International Concern. Thus, this sudden health incident has brought great risk and pressure to the city with dense population flow. A deep understanding of the migration characteristics and laws of the urban population in China will play a very positive role in the prevention and control of the epidemic situation. Based on Baidu location-based service (LBS) big data, using complex networks method and geographic visualization tools, this paper explores the spatial structure evolution of population flow network (PFN) in 368 cities of China under different traffic control situations. Effective distance models and linear regression models were established to analyze how the population flow across cities affects the spread of the epidemic. Our findings show that: (1) the scope of population flow is closely related to the administrative level of the city and the traffic control policies in various cities which adjust with the epidemic situation; The PFN mainly presents the hierarchical structure dominated by the urban hierarchy and the regional isolation structure adjacent to the geographical location.(2) through the analysis network topology structure of PFN, it is found that only the first stage has a large clustering coefficient and a relatively short average path length, which conforms to the characteristics of small world network. The epidemic situation has a great impact on the network topology in other stages, and the network structure tends to be centralized. (3) The overall migration scale of the whole country decreased by 36.85% compared with the same period of last year’s lunar calendar, and a further reduction of 78.52% in the nationwide traffic control stage after the festival. (4) Finally, based on the comparison of the effective distance and the spatial distance from the Wuhan to other destination cities, it is demonstrated that there is a higher correlation between the effective distance and the epidemic spread both in Hubei province and the whole country. Full article
(This article belongs to the Special Issue Smart Mobility in Smart City)
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16 pages, 1655 KiB  
Article
What Caused the Outbreak of COVID-19 in China: From the Perspective of Crisis Management
by Ziheng Shangguan, Mark Yaolin Wang and Wen Sun
Int. J. Environ. Res. Public Health 2020, 17(9), 3279; https://doi.org/10.3390/ijerph17093279 - 8 May 2020
Cited by 50 | Viewed by 11743
Abstract
Since the first known case of a COVID-19 infected patient in Wuhan, China on 8 December 2019, COVID-19 has spread to more than 200 countries, causing a worldwide public health crisis. The existing literature fails to examine what caused this sudden outbreak from [...] Read more.
Since the first known case of a COVID-19 infected patient in Wuhan, China on 8 December 2019, COVID-19 has spread to more than 200 countries, causing a worldwide public health crisis. The existing literature fails to examine what caused this sudden outbreak from a crisis management perspective. This article attempts to fill this research gap through analysis of big data, officially released information and other social media sources to understand the root cause of the crisis as it relates to China’s current management system and public health policy. The article draws the following conclusions: firstly, strict government control over information was the main reason for the early silencing of media announcements, which directly caused most people to be unprepared and unaware of COVID-19. Secondly, a choice between addressing a virus with an unknown magnitude and nature, and mitigating known public panic during a politically and culturally sensitive time, lead to falsehood and concealment. Thirdly, the weak autonomous management power of local public health management departments is not conducive for providing a timely response to the crisis. Finally, the privatization of many state-owned hospitals led to the unavailability of public health medical resources to serve affected patients in the Wuhan and Hubei Province. This article suggests that China should adopt a Singaporean-style public health crisis information management system to ensure information disclosure and information symmetry and should use it to monitor public health crises in real time. In addition, the central government should adopt the territorial administration model of a public health crisis and increase investment in public health in China. Full article
(This article belongs to the Section Global Health)
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22 pages, 1337 KiB  
Article
Integrated Natural Language Processing and Machine Learning Models for Standardizing Radiotherapy Structure Names
by Khajamoinuddin Syed, William Sleeman IV, Kevin Ivey, Michael Hagan, Jatinder Palta, Rishabh Kapoor and Preetam Ghosh
Healthcare 2020, 8(2), 120; https://doi.org/10.3390/healthcare8020120 - 30 Apr 2020
Cited by 23 | Viewed by 4580
Abstract
The lack of standardized structure names in radiotherapy (RT) data limits interoperability, data sharing, and the ability to perform big data analysis. To standardize radiotherapy structure names, we developed an integrated natural language processing (NLP) and machine learning (ML) based system that can [...] Read more.
The lack of standardized structure names in radiotherapy (RT) data limits interoperability, data sharing, and the ability to perform big data analysis. To standardize radiotherapy structure names, we developed an integrated natural language processing (NLP) and machine learning (ML) based system that can map the physician-given structure names to American Association of Physicists in Medicine (AAPM) Task Group 263 (TG-263) standard names. The dataset consist of 794 prostate and 754 lung cancer patients across the 40 different radiation therapy centers managed by the Veterans Health Administration (VA). Additionally, data from the Radiation Oncology department at Virginia Commonwealth University (VCU) was collected to serve as a test set. Domain experts identified as anatomically significant nine prostate and ten lung organs-at-risk (OAR) structures and manually labeled them according to the TG-263 standards, and remaining structures were labeled as Non_OAR. We experimented with six different classification algorithms and three feature vector methods, and the final model was built with fastText algorithm. Multiple validation techniques are used to assess the robustness of the proposed methodology. The macro-averaged F1 score was used as the main evaluation metric. The model achieved an F1 score of 0.97 on prostate structures and 0.99 for lung structures from the VA dataset. The model also performed well on the test (VCU) dataset, achieving an F1 score of 0.93 for prostate structures and 0.95 on lung structures. In this work, we demonstrate that NLP and ML based approaches can used to standardize the physician-given RT structure names with high fidelity. This standardization can help with big data analytics in the radiation therapy domain using population-derived datasets, including standardization of the treatment planning process, clinical decision support systems, treatment quality improvement programs, and hypothesis-driven clinical research. Full article
(This article belongs to the Section Health Informatics and Big Data)
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12 pages, 266 KiB  
Article
Key Points for an Ethical Evaluation of Healthcare Big Data
by Pilar Leon-Sanz
Processes 2019, 7(8), 493; https://doi.org/10.3390/pr7080493 - 1 Aug 2019
Cited by 12 | Viewed by 7888
Abstract
Background: The article studies specific ethical issues arising from the use of big data in Life Sciences and Healthcare. Methods: Main consensus documents, other studies, and particular cases are analyzed. Results: New concepts that emerged in five key areas for the bioethical debate [...] Read more.
Background: The article studies specific ethical issues arising from the use of big data in Life Sciences and Healthcare. Methods: Main consensus documents, other studies, and particular cases are analyzed. Results: New concepts that emerged in five key areas for the bioethical debate on big data and health are identified—the accuracy and validity of data and algorithms, questions related to transparency and confidentiality in the use of data; aspects that raise the coding or pseudonymization and the anonymization of data, and also problems derived from the possible individual or group identification; the new ways of obtaining consent for the transfer of personal data; the relationship between big data and the responsibility of professional decision; and the commitment of the Institutions and Public Administrations. Conclusions: Good practices in the management of big data related to Life Sciences and Healthcare depend on respect for the rights of individuals, the improvement that these practices can introduce in assistance to individual patients, the promotion of society’s health in general and the advancement of scientific knowledge. Full article
(This article belongs to the Special Issue Big Data in Biology, Life Sciences and Healthcare)
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