Recent studies have highlighted the critical roles of long non-coding RNAs (lncRNAs) in various biological processes, including but not limited to dosage compensation, epigenetic regulation, cell cycle regulation, and cell differentiation regulation. Consequently, lncRNAs have emerged as a central focus in genetic studies. The identification of the subcellular localization of lncRNAs is essential for gaining insights into crucial information about lncRNA interaction partners, post- or co-transcriptional regulatory modifications, and external stimuli that directly impact the function of lncRNA. Computational methods have emerged as a promising avenue for predicting the subcellular localization of lncRNAs. However, there is a need for additional enhancement in the performance of current methods when dealing with unbalanced data sets. To address this challenge, we propose a novel ensemble deep learning framework, termed lncLocator-imb, for predicting the subcellular localization of lncRNAs. To fully exploit lncRNA sequence information, lncLocator-imb integrates two base classifiers, including convolutional neural networks (CNN) and gated recurrent units (GRU). Additionally, it incorporates two distinct types of features, including the physicochemical pattern feature and the distributed representation of nucleic acids feature. To address the problem of poor performance exhibited by models when confronted with unbalanced data sets, we utilize the label-distribution-aware margin (LDAM) loss function during the training process. Compared with traditional machine learning models and currently available predictors, lncLocator-imb demonstrates more robust category imbalance tolerance. Our study proposes an ensemble deep learning framework for predicting the subcellular localization of lncRNAs. Additionally, a novel approach is presented for the management of different features and the resolution of unbalanced data sets. The proposed framework exhibits the potential to serve as a significant resource for various sequence-based prediction tasks, providing a versatile tool that can be utilized by professionals in the fields of bioinformatics and genetics.

The burgeoning domain of the metaverse has sparked significant interest from a diverse array of industries, including healthcare services. However, the metaverse and its associated applications present various challenges. This could strain the comprehensive capacity of existing networks. In this paper, we have investigated vital network demands of healthcare services within the metaverse. First, to meet the increasing demands of the metaverse, there is a need for enhanced bandwidth, reduced latency, and improved packet loss control. Furthermore, the transmission mechanism should exhibit flexibility to automatically adapt to the diverse hybrid needs of different healthcare services. Considering the aforementioned challenges, a transmission paradigm tailored for the metaverse-based healthcare services is developed. Multipath transmission has the potential to effectively enhance network performance in multiple aspects. Significantly, we devise an orchestration framework to reconcile edge-side subflow management with diverse healthcare applications. Using machine learning techniques, the framework can produce near-optimal subflow adjustment strategies for client nodes and miscellaneous services. Comprehensive experiments are performed on applications with diverse requirements to validate the adaptability of the framework to the application needs. The experimental results demonstrate that the proposed method enables the network to autonomously adapt to changing network conditions and service requirements. This includes applications' preferences for high throughput, low delay, and high stability. Moreover, the test results show that the proposed approach can notably decrease the occurrences of network quality falling below the minimum requirement. Given its adaptability and impact on network quality, this work paves the way for future metaverse-based healthcare services.

Neonatal pain can have long-term adverse effects on newborns' cognitive and neurological development. Video-based Neonatal Pain Assessment (NPA) method has gained increasing attention due to its performance and practicality. However, existing methods focus on assessment under controlled environments while ignoring real-life disturbances present in uncontrolled conditions. We propose a video-based NPA method, which is robust to four real-life disturbances and adaptively highlights keyframes. Our method involves a region-channel-attention module for extracting facial features under the disturbances of facial occlusion and pose variation; a body language analysis module robust to disturbances from body occlusion and movement interference, which utilizes skeleton sequences to represent the neonate's body; and a keyframes-aware convolution to get rid of information located at non-contributing moments. For evaluation, we built an NPA video dataset of 1091 neonates with disturbance annotations. The results show that our method consistently outperforms state-of-the-art methods on the full dataset and nine subsets, where it achieves an accuracy of 91.04% on the full dataset with an accuracy increment of 6.27%. Contributions: We present the problem of video-based NPA under uncontrolled conditions, propose a method robust to four disturbances, and construct a video NPA dataset, thus facilitating the practical applications of NPA.

The emerging Internet of Things (IoTs) and cloud technologies spark dramatic growth in efficiency and productivity for the conventional e-health sector. However, the extensive applications of the communication network also expose the sensitive medical data to the unprecedented cyber threats. To protect the data privacy in IoTs-based e-health cloud environments, we propose an adaptively secure data sharing scheme with traceability and equality test (T-ABEET). The T-ABEET not only allows flexible access control to the massive data but also provides the functionality of traitor tracing to identity the users who leak their decryption keys. Meanwhile, through carrying out the equality test, the target ciphertext can be retrieved efficiently without revealing anything about the plaintext. Particularly, distinct from previous traceable ABE works, the tracing cost in our T-ABEET scheme keeps constant even with the increasing number of users. Also, by introducing the multi-authority mechanism, our T-ABEET can avoid the inherent key escrow problem of ABE. Furthermore, our T-ABEET is demonstrated adaptively secure under subgroup decision assumption. Finally, performance comparison reveals that our T-ABEET has superior practicality, efficiency, and security in cloud-enabled e-health systems.

This study presents three deidentified large medical text datasets, named DISCHARGE, ECHO and RADIOLOGY, which contain 50 K, 16 K and 378 K pairs of report and summary that are derived from MIMIC-III, respectively. We implement convincing baselines of automated abstractive summarization on the created datasets with pre-trained encoder-decoder language models, including BERT2BERT, BERTShare, RoBERTaShare, Pegasus, ProphetNet, T5-large, BART and GSUM. Further, based on the BART model, we leverage the sampled summaries from the training set as prior knowledge guidance, for encoding additional contextual representations of the guidance with the encoder and enhancing the decoding representations in the decoder. The experimental results confirm the improvement of ROUGE scores and BERTScore made by the proposed method.

Time series data generated by continuous glucose monitoring sensors offer unparalleled opportunities for developing data-driven approaches, especially deep learning-based models, in diabetes management. Although these approaches have achieved state-of-the-art performance in various fields such as glucose prediction in type 1 diabetes (T1D), challenges remain in the acquisition of large-scale individual data for personalized modeling due to the elevated cost of clinical trials and data privacy regulations. In this work, we introduce GluGAN, a framework specifically designed for generating personalized glucose time series based on generative adversarial networks (GANs). Employing recurrent neural network (RNN) modules, the proposed framework uses a combination of unsupervised and supervised training to learn temporal dynamics in latent spaces. Aiming to assess the quality of synthetic data, we apply clinical metrics, distance scores, and discriminative and predictive scores computed by post-hoc RNNs in evaluation. Across three clinical datasets with 47 T1D subjects (including one publicly available and two proprietary datasets), GluGAN achieved better performance for all the considered metrics when compared with four baseline GAN models. The performance of data augmentation is evaluated by three machine learning-based glucose predictors. Using the training sets augmented by GluGAN significantly reduced the root mean square error for the predictors over 30 and 60-minute horizons. The results suggest that GluGAN is an effective method in generating high-quality synthetic glucose time series and has the potential to be used for evaluating the effectiveness of automated insulin delivery algorithms and as a digital twin to substitute for pre-clinical trials.

Human sleep is cyclical with a period of approximately 90 minutes, implying long temporal dependency in the sleep data. Yet, exploring this long-term dependency when developing sleep staging models has remained untouched. In this work, we show that while encoding the logic of a whole sleep cycle is crucial to improve sleep staging performance, the sequential modelling approach in existing state-of-the-art deep learning models are inefficient for that purpose. We thus introduce a method for efficient long sequence modelling and propose a new deep learning model, L-SeqSleepNet, which takes into account whole-cycle sleep information for sleep staging. Evaluating L-SeqSleepNet on four distinct databases of various sizes, we demonstrate state-of-the-art performance obtained by the model over three different EEG setups, including scalp EEG in conventional Polysomnography (PSG), in-ear EEG, and around-the-ear EEG (cEEGrid), even with a single EEG channel input. Our analyses also show that L-SeqSleepNet is able to alleviate the predominance of N2 sleep (the major class in terms of classification) to bring down errors in other sleep stages. Moreover the network becomes much more robust, meaning that for all subjects where the baseline method had exceptionally poor performance, their performance are improved significantly. Finally, the computation time only grows at a sub-linear rate when the sequence length increases.

Federated learning (FL) is receiving much attention in the Healthcare Internet of Things (H-IoT) to support various instantaneous E-health services. Today, the deployment of FL suffers from several challenges, such as high training latency and data privacy leakage risks, especially for resource-constrained medical devices. In this article, we develop a three-layer FL architecture to decrease training latency by introducing split learning into FL. We formulate a long-term optimization problem to minimize the local model training latency while preserving the privacy of the original medical data in H-IoT. Specially, a Privacy-ware Model Partitioning Algorithm (PMPA) is proposed to solve the formulated problem based on the Lyapunov optimization theory. In PMPA, the local model is partitioned properly between a resource-constrained medical end device and an edge server, which meets privacy requirements and energy consumption constraints. The proposed PMPA is separated into two phases. In the first phase, a partition point set is obtained using Kullback-Leibler (KL) divergence to meet the privacy requirement. In the second phase, we employ the model partitioning function, derived through Lyapunov optimization, to select the partition point from the partition point set that that satisfies the energy consumption constraints. Simulation results show that compared with traditional FL, the proposed algorithm can significantly reduce the local training latency. Moreover, the proposed algorithm improves the efficiency of medical image classification while ensuring medical data security.

Assessments of multiple clinical indicators based on radiomic analysis of magnetic resonance imaging (MRI) are beneficial to the diagnosis, prognosis and treatment of breast cancer patients. Many machine learning methods have been designed to jointly predict multiple indicators for more accurate assessments while using original clinical labels directly without considering the noisy and redundant information among them. To this end, we propose a multilabel learning method based on label space dimensionality reduction (LSDR), which learns common and task-specific features via graph regularized nonnegative matrix factorization (CTFGNMF) for the joint prediction of multiple indicators in breast cancer. A nonnegative matrix factorization (NMF) is adopted to map original clinical labels to a low-dimensional latent space. The latent labels are employed to exploit task correlations by using a least square loss function with l2,1-norm regularization to identify common features, which help to improve the generalization performance of correlated tasks. Furthermore, task-specific features were retained by a multitask regression formulation to increase the discrimination power for different tasks. Common and task-specific features are incorporated by dynamic graph Laplacian regularization into a unified model to learn complementary features. Then, a multilabel classification is built to predict multiple clinical indicators including human epidermal growth factor receptor 2 (HER2), Ki-67, and histological grade. Experimental results show that CTFGNMF achieves AUCs of 0.823, 0.691 and 0.776 in the three indicator predictions, outperforming other counterparts that consider only task-independent features or common features. It indicates CTFGNMF is a promising application for multiple classification tasks in breast cancer.

The ever-growing aging population has led to an increasing need for removable partial dentures (RPDs) since they are typically the least expensive treatment options for partial edentulism. However, the digital design of RPDs remains challenging for dental technicians due to the variety of partially edentulous scenarios and complex combinations of denture components. To accelerate the design of RPDs, we propose a U-shape network incorporated with Transformer blocks to automatically generate RPD clasps, one of the most frequently used RPD components. Unlike existing dental restoration design algorithms, we introduce the voxel-based truncated signed distance field (TSDF) as an intermediate representation, which reduces the sensitivity of the network to resolution and contributes to more smooth reconstruction. Besides, a selective insertion scheme is proposed for solving the memory issue caused by Transformer blocks and enables the algorithm to work well in scenarios with insufficient data. We further design two weighted loss functions to filter out the noisy signals generated from the zero-gradient areas in TSDF. Ablation and comparison studies demonstrate that our algorithm outperforms state-of-the-art reconstruction methods by a large margin and can serve as an intelligent auxiliary in denture design.