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Even with more than 12 billion vaccine doses administered globally, the Covid-19 pandemic has caused several global economic, social, environmental, and healthcare impacts. Computer Aided Diagnostic (CAD) systems can serve as a complementary method to aid doctors in identifying regions of interest in images and help detect diseases. In addition, these systems can help doctors analyze the status of the disease and check for their progress or regression. To analyze the viability of using CNNs for differentiating Covid-19 CT positive images from Covid-19 CT negative images, we used a dataset collected by Union Hospital (HUST-UH) and Liyuan Hospital (HUST-LH) and made available at the Kaggle platform. The main objective of this chapter is to present results from applying two state-of-the-art CNNs on a Covid-19 CT Scan images database to evaluate the possibility of differentiating images with imaging features associated with Covid-19 pneumonia from images with imaging features irrelevant to Covid-19 pneumonia. Two pre-trained neural networks, ResNet50 and MobileNet, were fine-tuned for the datasets under analysis. Both CNNs obtained promising results, with the ResNet50 network achieving a Precision of 0.97, a Recall of 0.96, an F1-score of 0.96, and 39 false negatives. The MobileNet classifier obtained a Precision of 0.94, a Recall of 0.94, an F1-score of 0.94, and a total of 20 false negatives.
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Neuromarketing lies at the intersection of three main disciplines: psychology, neuroscience, and marketing, and it has been a successful neuroscientific approach for the study of real-life choices such as consumer behavior [1]. A current gap in the cosmetics field is the lack of published research studies, considering the marketing investment done yearly in this category. With the rapid economic expansion and the rise of social media in China, consumers' interest in beauty is growing. Even though the Chinese cosmetics sector is rapidly expanding, no studies have been done with Chinese consumers. This study aims to employ the same approach as previously done in consumer neuroscience studies to evaluate cosmetic brands' marketing strategy to understand better if immediate emotional responses can be measured using Electrodermal Activity (EDA). Here, we focus on cosmetics products advertisement as a model to understand consumer preference formation and choice. Eighteen Chinese female consumers were recruited between 19 and 37 years old. From the results obtained, it was understood that none of the participants have voted for the product advertisement for which they showed higher emotional arousal. However, it appears that the participants' preference is for the products for which the brand awareness is stronger since the product advertisements with more votes are the ones for the Korean brand used. The product advertisements with Asian faces were the ones with more votes, suggesting that Asian faces have engaged consumer preference. However, the product advertisements for the Brazilian brands, unknown to the Chinese public, were the ones with fewer votes, although, those product advertisements were the ones with more emotional arousal per minute. Those advertisements were also those with non-Asian faces, suggesting that this feature influenced voting decisions. From this study, it has been observed that Electrodermal Activity is a measure of emotional arousal that by itself cannot be translated into consumer engagement. Therefore, it is also proposed to evaluate brand awareness in future studies related to product advertisements. The physical features of the people included in the advertisements is also suggested to be further evaluated in future studies since a different cultural background seems to influence the consumers' engagement. Furthermore, using EDA to complement other neurophysiological tools like facial expression analysis is also suggested for future studies to have evidence about the nature of the emotions raised.
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Background and objective Intrauterine Growth Restriction (IUGR) is a condition in which a fetus does not grow to the expected weight during pregnancy. There are several well documented causes in the literature for this issue, such as maternal disorder, and genetic influences. Nevertheless, besides the risk during pregnancy and labour periods, in a long term perspective, the impact of IUGR condition during the child development is an area of research itself. The main objective of this work is to propose a machine learning solution to identify the most significant features of importance based on physiological, clinical or socioeconomic factors correlated with previous IUGR condition after 10 years of birth. Methods In this work, 41 IUGR (18 male) and 34 Non-IUGR (22 male) children were followed up 9 years after the birth, in average (9.1786 ± 0.6784 years old). A group of machine learning algorithms is proposed to classify children previously identified as born under IUGR condition based on 24-hours monitoring of ECG (Holter) and blood pressure (ABPM), and other clinical and socioeconomic attributes. In additional, an algorithm of relevance determination based on the classifier is also proposed, to determine the level of importance of the considered features. Results The proposed classification solution achieved accuracy up to 94.73%, and better performance than seven state-of-the-art machine learning algorithms. Also, relevant latent factors related to HRV and BP monitoring are proposed, such as: day-time heart rate (day-time HR), day-night systolic blood pressure (day-night SBP), 24-hour standard deviation (SD) of SBP, dropped, morning cortisol creatinine, 24-hour mean of SDs of all NN intervals for each 5 minutes segment (24-hour SDNNi), among others. Conclusion With outstanding accuracy of our proposed solutions, the classification system and the indication of relevant attributes may support medical teams on the clinical monitoring of IUGR children during their childhood development.
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It is argued that the role of the Chinese government to support the cross-border operations of Chinese firms is to assist these firms in overcoming their limited established brands, and their disadvantages in technology and managerial resources, which were also the reasons why such firms decided to enter emerging markets instead of developed markets. This strategic choice is preferred to avoid direct confrontation with established firms from developed countries endowed with superior ownership advantages. Therefore, Chinese resources seeking firms innovate by increasing investment in developing and emerging markets to develop unique ownership advantages for sustainable market development and competitive advantage. This research investigates the ownership advantages of resources seeking Chinese firms in these markets using the OLI theory. The paper contributes to explaining the specific advantages of Chinese MNEs when entering emerging markets. The study applied a two-stage qualitative methodology to examine Chinese firms operating in Nigeria. The first stage included an exploratory study based on interviews with key informants and experts while the second stage included a case study methodology. The study focused on resources seeking Chinese MNEs operating in Nigeria.
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Macao is well known for its gaming industry. However, there are also many traditional small-to-medium enterprises which are family-owned and run. There is no doubt that social capital is one of the key competitive advantages that family businesses possess, particularly when it comes to Chinese businesses with strong family values that emphasize the importance of trustworthiness and guanxi (relationships). As opposed to other forms of capital, social capital cannot be passed from one generation to another through the will of the incumbents. So, how is social capital passed on in family businesses from one generation to the next? Based on an in-depth study of five cases of successful family businesses in Macao, this research identified the forms of social capital present in business families and the succession process of these firms. From the generalizations drawn from the five cases, a theoretical framework is proposed to understand the intergenerational transmission of social capital in Chinese family businesses
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In recent years, entrepreneurship and innovation have been highly propagandised for Macau's economic development, diversification, and the Greater Bay Area (GBA). Since 2013, efforts have been exerted by the Macau government to encourage and support entrepreneurship, from the launching of the Young Entrepreneurs' Aid Scheme in 2013 and the Macau Young Entrepreneur Incubation Centre in 2015. While the failure rate of startups has been considered high in most parts of the world, the rate was only as low as 14% in Macau, with many businesses created every year. This research aims to study the unique entrepreneurial environment for small-to-medium enterprises (SMEs) starting up in Macau from the experience of local entrepreneurs who are benefactors of government support. In-depth interviews were conducted to understand the experience and perceptions of these entrepreneurs as they go through each stage of the entrepreneurial process. Existing research on entrepreneurial processes varies from the two-stage process, which focuses on the beginning of an enterprise, to the different models of various stages from ideas generation to exit or long-term development. From the consolidation of the literature on the entrepreneurial process, five key stages were taken to guide this qualitative research. Findings suggested that idea validation at the start of the entrepreneurial process is almost non-existent amongst our research subjects. Yet it does not affect the implementation and growth of these SMEs. The growth strategies tend to be steady and for the long term, with most SMEs having no consideration of an exit plan.
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The COVID-19 pandemic has posed a significant public health challenge on a global scale. It is imperative that we continue to undertake research in order to identify early markers of disease progression, enhance patient care through prompt diagnosis, identification of high-risk patients, early prevention, and efficient allocation of medical resources. In this particular study, we obtained 100 5-min electrocardiograms (ECGs) from 50 COVID-19 volunteers in two different positions, namely upright and supine, who were categorized as either moderately or critically ill. We used classification algorithms to analyze heart rate variability (HRV) metrics derived from the ECGs of the volunteers with the goal of predicting the severity of illness. Our study choose a configuration pro SVC that achieved 76% of accuracy, and 0.84 on F1 Score in predicting the severity of Covid-19 based on HRV metrics.
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The continuous development of robust machine learning algorithms in recent years has helped to improve the solutions of many studies in many fields of medicine, rapid diagnosis and detection of high-risk patients with poor prognosis as the coronavirus disease 2019 (COVID-19) spreads globally, and also early prevention of patients and optimization of medical resources. Here, we propose a fully automated machine learning system to classify the severity of COVID-19 from electrocardiogram (ECG) signals. We retrospectively collected 100 5-minute ECGs from 50 patients in two different positions, upright and supine. We processed the surface ECG to obtain QRS complexes and HRV indices for RR series, including a total of 43 features. We compared 19 machine learning classification algorithms that yielded different approaches explained in a methodology session.
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The classification of emotions based on facial expressions have been a new topic of research in recent years, especially in marketing and consumer behavior areas. However, there is lack of studies to understand how the research topic is developed in terms of bibliometric data. Therefore, the purpose of this work is to provide a bibliometric analysis of the research on the analysis of facial expressions for marketing and consumer behavior, identifying the state of the art, the latest research direction, and other indicators. We extracted data from Web of Science (WOS) platform, considering its core database, resulting in a total of 117 articles. The software Vosviewer was used to analyze the data and graphically visualize the results. This study indicates some of the most influential authors citations and coupling analysis in this specific field, identifies journals with the most published articles, and provide trends of the research area based on the analysis of keywords and corresponding number of articles per year. The results shows that 11 articles (9.4%) were cited more than 100 times, and the two most prolific authors published 5 articles, and the two most influential authors are Bouaziz Sofien and Pauly mark(270 citations) in this field. Of the 117 articles retrieved by WOS, more than 70% were published in high impact journals. The bibliometric analysis of the existing work in this study provides a valuable and reliable reference for researchers in this field and makes a reasonable prediction of the research direction trends.
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Objective: This study highlights the potential of an Electrocardiogram (ECG) as a powerful tool for early diagnosis of COVID-19 in critically ill patients with limited access to CT–Scan rooms. Methods: In this investigation, 3 categories of patient status were considered: Low, Moderate, and Severe. For each patient, 2 different body positions have been used to collect 2 ECG signals. Then, from each collected signal, 10 non-linear features (Energy, Approximate Entropy, Logarithmic Entropy, Shannon Entropy, Hurst Exponent, Lyapunov Exponent, Higuchi Fractal Dimension, Katz Fractal Dimension, Correlation Dimension and Detrended Fluctuation Analysis) were extracted every 1s ECG time-series length to serve as entries for 19 Machine learning classifiers within a leave-one-out cross-validation procedure. Four different classification scenarios were tested: Low vs. Moderate, Low vs. Severe, Moderate vs. Severe and one Multi-class comparison (All vs. All). Results: The classification report results were: (1) Low vs. Moderate - 100% of Accuracy and 100% of F1–Score; (2) Low vs. Severe - Accuracy of 91.67% and an F1–Score of 94.92%; (3) Moderate vs. Severe - Accuracy of 94.12% and an F1–Score of 96.43%; and (4) All vs All - 78.57% of Accuracy and 84.75% of F1–Score. Conclusion: The results indicate that the applied methodology could be considered a good tool for distinguishing COVID-19’s different severity stages using ECG signals. Significance: The findings highlight the potential of ECG as a fast and effective tool for COVID-19 examination. In comparison to previous studies using the same database, this study shows a 7.57% improvement in diagnostic accuracy for the All vs All comparison.
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Since the beginning of 2020, Coronavirus Disease 19 (COVID-19) has attracted the attention of the World Health Organization (WHO). This paper looks into the infection mechanism, patient symptoms, and laboratory diagnosis, followed by an extensive assessment of different technologies and computerized models (based on Electrocardiographic signals (ECG), Voice, and X-ray techniques) proposed as a diagnostic tool for the accurate detection of COVID-19. The found papers showed high accuracy rate results, ranging between 85.70% and 100%, and F1-Scores from 89.52% to 100%. With this state-of-the-art, we concluded that the models proposed for the detection of COVID-19 already have significant results, but the area still has room for improvement, given the vast symptomatology and the better comprehension of individuals’ evolution of the disease.
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In 2020, the World Health Organization declared the Coronavirus Disease 19 a global pandemic. While detecting COVID-19 is essential in controlling the disease, prognosis prediction is crucial in reducing disease complications and patient mortality. For that, standard protocols consider adopting medical imaging tools to analyze cases of pneumonia and complications. Nevertheless, some patients develop different symptoms and/or cannot be moved to a CT-Scan room. In other cases, the devices are not available. The adoption of ambulatory monitoring examinations, such as Electrocardiography (ECG), can be considered a viable tool to address the patient’s cardiovascular condition and to act as a predictor for future disease outcomes. In this investigation, ten non-linear features (Energy, Approximate Entropy, Logarithmic Entropy, Shannon Entropy, Hurst Exponent, Lyapunov Exponent, Higuchi Fractal Dimension, Katz Fractal Dimension, Correlation Dimension and Detrended Fluctuation Analysis) extracted from 2 ECG signals (collected from 2 different patient’s positions). Windows of 1 second segments in 6 ways of windowing signal analysis crops were evaluated employing statistical analysis. Three categories of outcomes are considered for the patient status: Low, Moderate, and Severe, and four combinations for classification scenarios are tested: (Low vs. Moderate, Low vs. Severe, Moderate vs. Severe) and 1 Multi-class comparison (All vs. All)). The results indicate that some statistically significant parameter distributions were found for all comparisons. (Low vs. Moderate—Approximate Entropy p-value = 0.0067 < 0.05, Low vs. Severe—Correlation Dimension p-value = 0.0087 < 0.05, Moderate vs. Severe—Correlation Dimension p-value = 0.0029 < 0.05, All vs. All—Correlation Dimension p-value = 0.0185 < 0.05. The non-linear analysis of the time-frequency representation of the ECG signal can be considered a promising tool for describing and distinguishing the COVID-19 severity activity along its different stages.
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In recent years, the integration of Machine Learning (ML) techniques in the field of healthcare and public health has emerged as a powerful tool for improving decision-making processes [...]
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In the paper carried out by Wenjun et al. [Phys. Rev. A 95, 032124 (2017)], a generalization of the James effective dynamics theory based on a first version of the James method was presented. However, we contend that this is not a very rigorous way of deriving the effective third-order expansion for an interaction Hamiltonian with harmonic time-dependence. In fact, here we show that the third-order Hamiltonian obtained by Wenjun et al. is not Hermitian for general situations when we consider time dependence. Its non-Hermitian nature arises from the foundation of the theory itself. In this comment paper, the most general expression of the effective Hamiltonian expanded up to third order is obtained. Our derived effective Hamiltonian is Hermitian even in situations where we have time dependence.
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In the last few years, the tourism industry has experienced rapid expansion and diversification, making it one of the fastest-growing financial industries in the world. Consequently, the hotel industry has significantly affected the environment's long-term viability. Many hotels have begun voluntarily implementing environmentally sustainable practices as they become more aware of their ecological footprint. There has been a great deal of discussion about the effects of hotel operations on the environment and tourism sustainability in Macau. It is because of these negative impacts that hoteliers have adopted green practices in an attempt to minimize them. By developing sustainability reports, hotels can set goals, measure performance, and manage change, resulting in better sustainability. It could also be viewed as a strategy to enhance the company’s sustainability reporting to ensure stakeholders know what the company does. The objective of this study is twofold based on the analysis of the official sustainability reports of four major hotel chains. Firstly, seven categories of sustainable practices effectively adopted by these chain hotels are identified and clusterized. Second, it is presented in which areas some hotels performed more efficiently than others, considering the UN Sustainable Development Goals (SDGs) as a reference. The results allow a comprehensive clusterized analysis of the industry in a highly developed gaming and entertainment area of South China and create a clear comparison between relevant players and their concerns about sustainability practices.
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Objective: Over the past decade, arbitration has grown in popularity as a method of resolving commercial disputes worldwide. However, this practice is relatively new in Macao SAR. Recently, official plans were announced to make Macao as a seat of arbitration for commercial disputes between China and Portuguese-speaking countries (Hereinafter PSCs). This article is dedicated to explores the possibility of Macao undertaking and implementing such a role. Accordingly, this article addresses the following issues: What are the strengths and weaknesses of Macao as a seat and eventually as venue for hosting international commercial arbitration between Chinese and PSCs entrepreneurs?Methodology: A mixed-method approach of legal doctrinal and empirical research was used in this article. We first included a thorough study of the concept of arbitration followed by analysis of various legal journals and legislations, including Macao, China, and PSCs’ arbitration laws. An empirical research was then used to collect data by surveying and interviewing with both lawyers and arbitration practitioners from Macao, China and PSCs.Results: This article argues that the strength of Macao resides in the similarities between its legal system and that of the China and PSCs and the languages advantage (Chinese and Portuguese both official languages). In spite of this, arbitration is still relatively underutilized in the region, and there is a limited number of arbitrators and legal professionals with bilingual proficiency.Contributions: This article contributes to the identification of the opportunities and challenges that Macao faces in its potential future development as a seat/venue of arbitration between China and the PSCs.
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Monitoring signals such as fetal heart rate (FHR) are important indicators of fetal well-being. Computer-assisted analysis of FHR patterns has been successfully used as a decision support tool. However, the absence of a gold standard for the building blocks decision-making in the systems design process impairs the development of new solutions. Here we propose a prognostic model based on advanced signal processing techniques and machine learning algorithms for the fetal state assessment within a comprehensive evaluation process. Feature-engineering-based and time-series-based machine learning classifiers were modeled into three data segmentation schemas for CTU-UHB, HUFA, and DB-TRIUM datasets and the generalization performance was assessed by a two-way cross-dataset evaluation. It has been shown that the feature-based algorithms outperformed the time-series ones on data-limited scenarios. The Support Vector Machines (SVM) obtained the best results on the datasets individually: specificity (85.6% ) and sensitivity (67.5%). On the other hand, the most effective generalization results were achieved by the Multi-layer perceptron (MLP) with a specificity of 71.6% and sensitivity of 61.7%. The overall process provided a combination of techniques and methods that increased the final prognostic model performance, achieving relevant results and requiring a smaller amount of data when compared to the state-of-the-art fetal status assessment solutions.
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