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2025Amel ZIDI, Rayen Jemili, Issam Nouaouri, Ines Ben Jaafar
Optimizing Emergency Department Patient Flow Forecasting: A Hybrid VAE-GRU Model
11th International Conference on Control, Decision and Information Technologies, 2025
Résumé
Emergency departments (EDs) face increasing
patient demand, leading to overcrowding and resource strain.
Accurate forecasting of ED visits is critical for optimizing
hospital operations and ensuring efficient resource allocation.
This paper proposes a hybrid model combining Variational
Autoencoder (VAE) and Gated Recurrent Unit (GRU) to enhance
patient flow predictions. The VAE extracts meaningful
latent features while handling missing data, whereas the GRU
captures complex temporal dependencies, improving forecasting
accuracy. Compared to traditional models such as LSTM,
GRU, and 1D CNN, our hybrid VAE-GRU model demonstrates
superior predictive performance. Experimental results, based
on real-world hospital data, highlight the model’s effectiveness
in reducing prediction errors and improving decision-making
in dynamic ED environments. Additionally, we compare the
proposed model with ARIMA-ML, emphasizing the tradeoffs
between computational efficiency and prediction accuracy.
The findings suggest that hybrid deep learning approaches
can significantly enhance healthcare resource management,
reducing patient waiting times and improving overall hospital
efficiency.Amel ZIDI, Issam Nouaouri, Ines Ben JaafarImproving Emergency Triage in Crisis Situations: A Hybrid GAN-Boosting Approach with Machine Learning
Second Edition IEEE Afro-Mediterranean Conference on Artificial Intelligence 2025 IEEE AMCAI IEEE AMCAI 2025, 2025
Résumé
Emergency departments (EDs) must quickly assess
and prioritize patients, especially during crises when demandexceeds capacity. Traditional triage methods, such as the Jump-
START protocol for pediatric cases and the START (SimpleTriage and Rapid Treatment) method for adults, are commonly
used but may lack precision under high-pressure situations.
This paper proposes a hybrid approach combining ensemble
models—XGBoost, AdaBoost, and CatBoost—with synthetic data
augmentation using Generative Adversarial Networks (GANs) to
enhance triage accuracy for critically ill patients.
Models were trained on real-world ED data, including vital
signs, symptoms, medical history, and demographics. GANs
generated synthetic critical cases to address class imbalance,
improving model sensitivity to high-risk profiles.Results show that GAN-augmented models outperform base-
line models, with CatBoost offering the best balance betweenaccuracy and computational efficiency. This approach improves
patient prioritization, reduces delays, and supports better clinical
decision-making in resource-limited environments.
Index Terms—Emergency Department (ED), Patient Triage,Machine Learning (ML), AdaBoost, XGBoost, CatBoost, Genera-
tive Adversarial Networks (GANs), Urgency Classification, CrisisSituations.
Hana Mechria, Khaled Hassine, Mohamed Salah GouiderMammogram images denoising based on deep convolutional neural network
Imapct Factor 2024: 3.6, 2025
Résumé
Mammogram images are subject to various types of noise, which restricts the analysis of images and diagnosis. Mammogram image denoising is very important to improve image quality and to make the segmentation and classification results more correct. In this work, we propose a Deep Convolutional Neural Network (DCNN) to denoise the mammogram images in order to improve the image quality by handling Gaussian, Speckle, Poisson, and Salt and Pepper noise. The main objective of this study is to remove different types of noises from mammogram images and to maximize the quantity of information content in the enhanced images. We first add noise models to mammogram images and then enhance the image by removing the noise using DCNN. Furthermore, we compare our results with state-of-the-art denoising methods, such as the Adaptive Median filter, Wiener filter, Gaussian filter, Median filter, and Mean. Three datasets have been used, including Digital Database for Screening Mammography (DDSM), mini-Mammographic Image Analysis Society (mini-MIAS), and a local Tunisian dataset. The experimental results show that DCNN has a better denoising performance than the other methods, with an average PSNR range of 46.0-51.83 dB and an average SSIM range of 0.988-99.83, which may suggest its adaptability to different models of noise.
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2024Abir Chaabani, Sarra Jeddi, Lamjed Ben Said
A New Bi-level Modeling for the Home Health Care Problem Considering Patients Preferences
International Conference on Control Decision and Information Technology Codit’10, Vallette, Malta, 2721-2726, 2024
Résumé
Home Health Care (HHC) aims to provide medical care and support services directly to patients in their own homes. The demand for HHC services is steadily increasing due to demographic trends, with a growing preference for receiving care in the home. This trend pushes organizations providing home health care services, to optimize their activities in order to meet this increasing demand efficiently. For this purpose, we propose in this work a new bi-level modeling of the problem, that we termed Bi-level Home Health Care Problem Considering Patients Preferences (Bi-HHCPP) aiming to find an efficient solution corresponding to this design. Existing research studies have focused on optimizing the problem considering only one decision-maker that optimizes both routing and scheduling entities imposed by the problem. This paper is the first to shed light on a new bi-level modeling of the problem involving two hierarchical decision entities: (1) a scheduling entity, and (2) a routing one. The proposed model primarily accounts for nurse qualification, travel costs, and patient preferences on visited nurses. Besides, the proposed mathematical formulation of the problem is tested using the CBC (Coin-or Branch and Cut) optimization solver.
Ghofrane Ben Hammouda, Lilia Rejeb, Lamjed Ben SaidEnsemble learning for multi-channel sleep stage classification
Biomedical Signal Processing and Control, 93, 106184., 2024
Résumé
Sleep is a vital process for human well-being. Sleep scoring is performed by experts using polysomnograms, that record several body activities, such as electroencephalograms (EEG), electrooculograms (EOG), and electromyograms (EMG). This task is known to be exhausting, biased, time-consuming, and prone to errors. Current automatic sleep scoring approaches are mostly based on single-channel EEG and do not produce explainable results. Therefore, we propose a heterogeneous ensemble learning-based approach where we combine accuracy-based learning classifier systems with different algorithms to produce a robust, explainable, and enhanced classifier. The efficiency of our approach was evaluated using the Sleep-EDF benchmark dataset. The proposed models have reached an accuracy of 89.2% for the stacking model and 87.9% for the voting model, on a multi-class classification task based on the R&K guidelines.
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2022Nada Mohammed Murad, Lilia Rejeb, Lamjed Ben Said
Computing driver tiredness and fatigue in automobile via eye tracking and body movements
Periodicals of Engineering and Natural Sciences (PEN), 10(1), 573. doi:10.21533/pen.v10i1.2705., 2022
Résumé
The aim of this paper is to classify the driver tiredness and fatigue in automobile via eye tracking and body movements using deep learning based Convolutional Neural Network (CNN) algorithm. Vehicle driver face localization serves as one of the most widely used real-world applications in fields like toll control, traffic accident scene analysis, and suspected vehicle tracking. The research proposed a CNN classifier for simultaneously localizing the region of human face and eye positioning. The classifier, rather than bounding rectangles, gives bounding quadrilaterals, which gives a more precise indication for vehicle driver face localization. The adjusted regions are preprocessed to remove noise and passed to the CNN classifier for real time processing. The preprocessing of the face features extracts connected components, filters them by size, and groups them into face expressions. The employed CNN is the well-known technology for human face recognition. One we aim to extract the facial landmarks from the frames, we will then leverage classification models and deep learning based convolutional neural networks that predict the state of the driver as 'Alert' or 'Drowsy' for each of the frames extracted. The CNN model could predict the output state labels (Alert/Drowsy) for each frame, but we wanted to take care of sequential image frames as that is extremely important while predicting the state of an individual. The process completes, if all regions have a sufficiently high score or a fixed number of retries are exhausted. The output consists of the detected human face type, the list of regions including the extracted mouth and eyes with recognition reliability through CNN with an accuracy of 98.57% with 100 epochs of training and testing.
Hana Mechria, Khaled Hassine, Mohamed Salah GouiderEffect of Denoising on Performance of Deep Convolutional Neural Network For Mammogram Images Classification
KES, 2022
Résumé
Digital mammograms are an important imaging modality for breast cancer screening and diagnosis. Several types of noise appear in mammograms and make the job of detecting breast cancer even more challenging due to missing details in the information of the image.In this study, we analyze the effect of mammogram images quality on the performance of the Deep Convolutional Neural Network on a mammogram images classification task. Thus, our objective is to show how the classification accuracy varies with the application of a denoising step.Indeed, we investigated two different approaches to breast cancer detection. The first is the classification of the original mammo-gram images without being denoised, and the second is the classification of mammogram images that are denoised using a Deep Convolutional Neural Network, Wiener filter and Median filter. Therefore, the mammogram images are first denoised using each of the three denoising methods and then, classified into two classes: cancer and normal, using AlexNet, a pre-trained Deep Convo-lutional Neural Network in order to show whether the denoising method used is effective when grafted onto a Deep Convolutional Neural Network by measuring accuracy, sensitivity, and specificity.Interesting results are achieved where the DCNN denoising step improved the Deep Convolutional Neural Network classification task with an increase of 3.47% for overall accuracy, 5.34% for overall specificity, and 0.56% for overall sensitivity. -
2019Hana Mechria, Mohamed Salah Gouider, Khaled Hassine
Breast Cancer Detection using Deep Convolutional Neural Network
ICAART, 2019
Résumé
Deep Convolutional Neural Network (DCNN) is considered as a popular and powerful deep learning algorithm in image classification. However, there are not many DCNN applications used in medical imaging, because large dataset for medical images is not always available. In this paper, we present two DCNN architectures, a shallow DCNN and a pre-trained DCNN model: AlexNet, to detect breast cancer from 8000 mammographic images extracted from the Digital Database for Screening Mammography. In order to validate the performance of DCNN in breast cancer detection using a big data , we carried out a comparative study with a second deep learning algorithm Stacked AutoEncoders (SAE) in terms accuracy, sensitivity and specificity. The DCNN method achieved the best results with 89.23% of accuracy, 91.11% of sensitivity and 87.75% of specificity.
BibTeX
@inproceedings{chaabani2024new, title={A New Bi-level Modeling for the Home Health Care Problem Considering Patients Preferences}, author={Chaabani, Abir and Jeddi, Sarra and Said, Lamjed Ben}, booktitle={2024 10th International Conference on Control, Decision and Information Technologies (CoDIT)}, pages={2721--2726}, year={2024}, organization={IEEE} }
BibTeX
@article{Computing driver tiredness and fatigue in automobile via eye tracking and body movements_2022, volume={10}, url={https://pen.ius.edu.ba/index.php/pen/article/view/560}, DOI={10.21533/pen.v10.i1.560}, abstractNote={
The aim of this paper is to classify the driver tiredness and fatigue in automobile via eye tracking and body movements using deep learning based Convolutional Neural Network (CNN) algorithm. Vehicle driver face localization serves as one of the most widely used real-world applications in fields like toll control, traffic accident scene analysis, and suspected vehicle tracking. The research proposed a CNN classifier for simultaneously localizing the region of human face and eye positioning. The classifier, rather than bounding rectangles, gives bounding quadrilaterals, which gives a more precise indication for vehicle driver face localization. The adjusted regions are preprocessed to remove noise and passed to the CNN classifier for real time processing. The preprocessing of the face features extracts connected components, filters them by size, and groups them into face expressions. The employed CNN is the well-known technology for human face recognition. One we aim to extract the facial landmarks from the frames, we will then leverage classification models and deep learning based convolutional neural networks that predict the state of the driver as ’Alert’ or ’Drowsy’ for each of the frames extracted. The CNN model could predict the output state labels (Alert/Drowsy) for each frame, but we wanted to take care of sequential image frames as that is extremely important while predicting the state of an individual. The process completes, if all regions have a sufficiently high score or a fixed number of retries are exhausted. The output consists of the detected human face type, the list of regions including the extracted mouth and eyes with recognition reliability through CNN with an accuracy of 98.57% with 100 epochs of training and testing.
}, number={1}, journal={Periodicals of Engineering and Natural Sciences}, year={2022}, month={Feb.}, pages={573–586} }
BibTeX
@article{hamouda2024ensemble, title={Ensemble learning for multi-channel sleep stage classification}, author={Hamouda, Ghofrane Ben and Rejeb, Lilia and Said, Lamjed Ben}, journal={Biomedical Signal Processing and Control}, volume={93}, pages={106184}, year={2024}, publisher={Elsevier} }
BibTeX
Hana Mechria, Mohamed Salah Gouider, Khaled Hassine:
Breast Cancer Detection using Deep Convolutional Neural Network. ICAART (2) 2019: 655-660
BibTeX
Hana Mechria, Khaled Hassine, Mohamed Salah Gouider:
Effect of Denoising on Performance of Deep Convolutional Neural Network For Mammogram Images Classification. KES 2022: 2345-2352
BibTeX
Mechria, H., Hassine, K. & Gouider, M.S. Mammogram images denoising based on deep convolutional neural network. Multimed Tools Appl (2025). https://doi.org/10.1007/s11042-024-20569-1