Shehroz S. Khan

Pratik K. Mishra, Alex Mihailidis, Shehroz S. Khan · utoronto

The existing methods for video anomaly detection mostly utilize videos containing identifiable facial and appearance-based features. The use of videos with identifiable faces raises privacy concerns, especially when used in a hospital or community-based setting. Appearance-based features can also be sensitive to pixel-based noise, straining the anomaly detection methods to model the changes in the background and making it difficult to focus on the actions of humans in the foreground. Structural information in the form of skeletons describing the human motion in the videos is privacy-protecting and can overcome some of the problems posed by appearance-based features. In this paper, we present a survey of privacy-protecting deep learning anomaly detection methods using skeletons extracted from videos. We present a novel taxonomy of algorithms based on the various learning approaches. We conclude that skeleton-based approaches for anomaly detection can be a plausible privacy-protecting alternative for video anomaly detection. Lastly, we identify major open research questions and provide guidelines to address them.

Pratik K. Mishra, Andrea Iaboni, Bing Ye et al. · utoronto

People living with dementia often exhibit behavioural and psychological symptoms of dementia that can put their and others' safety at risk. Existing video surveillance systems in long-term care facilities can be used to monitor such behaviours of risk to alert the staff to prevent potential injuries or death in some cases. However, these behaviours of risk events are heterogeneous and infrequent in comparison to normal events. Moreover, analyzing raw videos can also raise privacy concerns. In this paper, we present two novel privacy-protecting video-based anomaly detection approaches to detect behaviours of risks in people with dementia. We either extracted body pose information as skeletons or used semantic segmentation masks to replace multiple humans in the scene with their semantic boundaries. Our work differs from most existing approaches for video anomaly detection that focus on appearance-based features, which can put the privacy of a person at risk and is also susceptible to pixel-based noise, including illumination and viewing direction. We used anonymized videos of normal activities to train customized spatio-temporal convolutional autoencoders and identify behaviours of risk as anomalies. We showed our results on a real-world study conducted in a dementia care unit with patients with dementia, containing approximately 21 hours of normal activities data for training and 9 hours of data containing normal and behaviours of risk events for testing. We compared our approaches with the original RGB videos and obtained a similar area under the receiver operating characteristic curve performance of 0.807 for the skeleton-based approach and 0.823 for the segmentation mask-based approach.

Stefan Denkovski, Shehroz S. Khan, Brandon Malamis et al. · utoronto

Falls are one of the leading cause of injury-related deaths among the elderly worldwide. Effective detection of falls can reduce the risk of complications and injuries. Fall detection can be performed using wearable devices or ambient sensors; these methods may struggle with user compliance issues or false alarms. Video cameras provide a passive alternative; however, regular RGB cameras are impacted by changing lighting conditions and privacy concerns. From a machine learning perspective, developing an effective fall detection system is challenging because of the rarity and variability of falls. Many existing fall detection datasets lack important real-world considerations, such as varied lighting, continuous activities of daily living (ADLs), and camera placement. The lack of these considerations makes it difficult to develop predictive models that can operate effectively in the real world. To address these limitations, we introduce a novel multi-modality dataset (MUVIM) that contains four visual modalities: infra-red, depth, RGB and thermal cameras. These modalities offer benefits such as obfuscated facial features and improved performance in low-light conditions. We formulated fall detection as an anomaly detection problem, in which a customized spatio-temporal convolutional autoencoder was trained only on ADLs so that a fall would increase the reconstruction error. Our results showed that infra-red cameras provided the highest level of performance (AUC ROC=0.94), followed by thermal (AUC ROC=0.87), depth (AUC ROC=0.86) and RGB (AUC ROC=0.83). This research provides a unique opportunity to analyze the utility of camera modalities in detecting falls in a home setting while balancing performance, passiveness, and privacy.

Zhidong Meng, Andrea Iaboni, Bing Ye et al. · utoronto

Agitation is one of the most prevalent symptoms in people with dementia (PwD) that can place themselves and the caregiver's safety at risk. Developing objective agitation detection approaches is important to support health and safety of PwD living in a residential setting. In a previous study, we collected multimodal wearable sensor data from 17 participants for 600 days and developed machine learning models for detecting agitation in one-minute windows. However, there are significant limitations in the dataset, such as imbalance problem and potential imprecise labelsas the occurrence of agitation is much rarer in comparison to the normal behaviours. In this paper, we first implemented different undersampling methods to eliminate the imbalance problem, and came to the conclusion that only 20% of normal behaviour data were adequate to train a competitive agitation detection model. Then, we designed a weighted undersampling method to evaluate the manual labeling mechanism given the ambiguous time interval assumption. After that, the postprocessing method of cumulative class re-decision (CCR) was proposed based on the historical sequential information and continuity characteristic of agitation, improving the decision-making performance for the potential application of agitation detection system. The results showed that a combination of undersampling and CCR improved F1-score and other metrics to varying degrees with less training time and data.

Reza Basiri, Milos R. Popovic, Shehroz S. Khan

Diabetic Foot Ulcer (DFU) is a condition requiring constant monitoring and evaluations for treatment. DFU patient population is on the rise and will soon outpace the available health resources. Autonomous monitoring and evaluation of DFU wounds is a much-needed area in health care. In this paper, we evaluate and identify the most accurate feature extractor that is the core basis for developing a deep-learning wound detection network. For the evaluation, we used mAP and F1-score on the publicly available DFU2020 dataset. A combination of UNet and EfficientNetb3 feature extractor resulted in the best evaluation among the 14 networks compared. UNet and Efficientnetb3 can be used as the classifier in the development of a comprehensive DFU domain-specific autonomous wound detection pipeline.

Zakary Georgis-Yap, Milos R. Popovic, Shehroz S. Khan

Epilepsy affects more than 50 million people worldwide, making it one of the world's most prevalent neurological diseases. The main symptom of epilepsy is seizures, which occur abruptly and can cause serious injury or death. The ability to predict the occurrence of an epileptic seizure could alleviate many risks and stresses people with epilepsy face. We formulate the problem of detecting preictal (or pre-seizure) with reference to normal EEG as a precursor to incoming seizure. To this end, we developed several supervised deep learning approaches to identify preictal EEG from normal EEG. We further develop novel unsupervised deep learning approaches to train the models on only normal EEG, and detecting pre-seizure EEG as an anomalous event. These deep learning models were trained and evaluated on two large EEG seizure datasets in a person-specific manner. We found that both supervised and unsupervised approaches are feasible; however, their performance varies depending on the patient, approach and architecture. This new line of research has the potential to develop therapeutic interventions and save human lives.

Pratik K. Mishra, Irene Ballester, Andrea Iaboni et al. · utoronto

The behavioural and psychological symptoms of dementia, such as agitation and aggression, present a significant health and safety risk in residential care settings. Many care facilities have video cameras in place for digital monitoring of public spaces, which can be leveraged to develop an automated behaviours of risk detection system that can alert the staff to enable timely intervention and prevent the situation from escalating. However, one of the challenges in our previous study was the presence of false alarms due to disparate importance of events based on distance. To address this issue, we proposed a novel depth-weighted loss to enforce equivalent importance to the events happening both near and far from the cameras; thus, helping to reduce false alarms. We further propose to utilize the training outliers to determine the anomaly threshold. The data from nine dementia participants across three cameras in a specialized dementia unit were used for training. The proposed approach obtained the best area under receiver operating characteristic curve performance of 0.852, 0.81 and 0.768, respectively, for the three cameras. Ablation analysis was conducted for the individual components of the proposed approach and effect of frame size and frame rate. The performance of the proposed approach was investigated for cross-camera, participant-specific and sex-specific behaviours of risk detection. The proposed approach performed reasonably well in reducing false alarms. This motivates further research to make the system more suitable for deployment in care facilities.

Ali Abedi, Faranak Dayyani, Charlene Chu et al.

There is a global aging population requiring the need for the right tools that can enable older adults' greater independence and the ability to age at home, as well as assist healthcare workers. It is feasible to achieve this objective by building predictive models that assist healthcare workers in monitoring and analyzing older adults' behavioral, functional, and psychological data. To develop such models, a large amount of multimodal sensor data is typically required. In this paper, we propose MAISON, a scalable cloud-based platform of commercially available smart devices capable of collecting desired multimodal sensor data from older adults and patients living in their own homes. The MAISON platform is novel due to its ability to collect a greater variety of data modalities than the existing platforms, as well as its new features that result in seamless data collection and ease of use for older adults who may not be digitally literate. We demonstrated the feasibility of the MAISON platform with two older adults discharged home from a large rehabilitation center. The results indicate that the MAISON platform was able to collect and store sensor data in a cloud without functional glitches or performance degradation. This paper will also discuss the challenges faced during the development of the platform and data collection in the homes of older adults. MAISON is a novel platform designed to collect multimodal data and facilitate the development of predictive models for detecting key health indicators, including social isolation, depression, and functional decline, and is feasible to use with older adults in the community.

Ali Abedi, Chinchu Thomas, Dinesh Babu Jayagopi et al.

Automatic measurement of student engagement provides helpful information for instructors to meet learning program objectives and individualize program delivery. Students' behavioral and emotional states need to be analyzed at fine-grained time scales in order to measure their level of engagement. Many existing approaches have developed sequential and spatiotemporal models, such as recurrent neural networks, temporal convolutional networks, and three-dimensional convolutional neural networks, for measuring student engagement from videos. These models are trained to incorporate the order of behavioral and emotional states of students into video analysis and output their level of engagement. In this paper, backed by educational psychology, we question the necessity of modeling the order of behavioral and emotional states of students in measuring their engagement. We develop bag-of-words-based models in which only the occurrence of behavioral and emotional states of students is modeled and analyzed and not the order in which they occur. Behavioral and affective features are extracted from videos and analyzed by the proposed models to determine the level of engagement in an ordinal-output classification setting. Compared to the existing sequential and spatiotemporal approaches for engagement measurement, the proposed non-sequential approach improves the state-of-the-art results. According to experimental results, our method significantly improved engagement level classification accuracy on the IIITB Online SE dataset by 26% compared to sequential models and achieved engagement level classification accuracy as high as 66.58% on the DAiSEE student engagement dataset.

Ali Abedi, Paritosh Bisht, Riddhi Chatterjee et al.

Physical exercise is an essential component of rehabilitation programs that improve quality of life and reduce mortality and re-hospitalization rates. In AI-driven virtual rehabilitation programs, patients complete their exercises independently at home, while AI algorithms analyze the exercise data to provide feedback to patients and report their progress to clinicians. To analyze exercise data, the first step is to segment it into consecutive repetitions. There has been a significant amount of research performed on segmenting and counting the repetitive activities of healthy individuals using raw video data, which raises concerns regarding privacy and is computationally intensive. Previous research on patients' rehabilitation exercise segmentation relied on data collected by multiple wearable sensors, which are difficult to use at home by rehabilitation patients. Compared to healthy individuals, segmenting and counting exercise repetitions in patients is more challenging because of the irregular repetition duration and the variation between repetitions. This paper presents a novel approach for segmenting and counting the repetitions of rehabilitation exercises performed by patients, based on their skeletal body joints. Skeletal body joints can be acquired through depth cameras or computer vision techniques applied to RGB videos of patients. Various sequential neural networks are designed to analyze the sequences of skeletal body joints and perform repetition segmentation and counting. Extensive experiments on three publicly available rehabilitation exercise datasets, KIMORE, UI-PRMD, and IntelliRehabDS, demonstrate the superiority of the proposed method compared to previous methods. The proposed method enables accurate exercise analysis while preserving privacy, facilitating the effective delivery of virtual rehabilitation programs.

Ali Abedi, Shehroz S. Khan

Student engagement is an important factor in meeting the goals of virtual learning programs. Automatic measurement of student engagement provides helpful information for instructors to meet learning program objectives and individualize program delivery. Many existing approaches solve video-based engagement measurement using the traditional frameworks of binary classification (classifying video snippets into engaged or disengaged classes), multi-class classification (classifying video snippets into multiple classes corresponding to different levels of engagement), or regression (estimating a continuous value corresponding to the level of engagement). However, we observe that while the engagement behaviour is mostly well-defined (e.g., focused, not distracted), disengagement can be expressed in various ways. In addition, in some cases, the data for disengaged classes may not be sufficient to train generalizable binary or multi-class classifiers. To handle this situation, in this paper, for the first time, we formulate detecting disengagement in virtual learning as an anomaly detection problem. We design various autoencoders, including temporal convolutional network autoencoder, long-short-term memory autoencoder, and feedforward autoencoder using different behavioral and affect features for video-based student disengagement detection. The result of our experiments on two publicly available student engagement datasets, DAiSEE and EmotiW, shows the superiority of the proposed approach for disengagement detection as an anomaly compared to binary classifiers for classifying videos into engaged versus disengaged classes (with an average improvement of 9% on the area under the curve of the receiver operating characteristic curve and 22% on the area under the curve of the precision-recall curve).

Shehroz S. Khan, Ali Abedi

Physical activity is recognized as an essential component of overall health. One measure of physical activity, the step count, is well known as a predictor of long-term morbidity and mortality. Step Counting (SC) is the automated counting of the number of steps an individual takes over a specified period of time and space. Due to the ubiquity of smartphones and smartwatches, most current SC approaches rely on the built-in accelerometer sensors on these devices. The sensor signals are analyzed as multivariate time series, and the number of steps is calculated through a variety of approaches, such as time-domain, frequency-domain, machine-learning, and deep-learning approaches. Most of the existing approaches rely on dividing the input signal into windows, detecting steps in each window, and summing the detected steps. However, these approaches require the determination of multiple parameters, including the window size. Furthermore, most of the existing deep-learning SC approaches require ground-truth labels for every single step, which can be arduous and time-consuming to annotate. To circumvent these requirements, we present a novel SC approach utilizing many-to-one attention-based LSTM. With the proposed LSTM network, SC is solved as a regression problem, taking the entire sensor signal as input and the step count as the output. The analysis shows that the attention-based LSTM automatically learned the pattern of steps even in the absence of ground-truth labels. The experimental results on three publicly available SC datasets demonstrate that the proposed method successfully counts the number of steps with low values of mean absolute error and high values of SC accuracy.

Shehroz S. Khan, Ali Abedi, Tracey Colella

Background: Student engagement (SE) in virtual learning can have a major impact on meeting learning objectives and program dropout risks. Developing Artificial Intelligence (AI) models for automatic SE measurement requires annotated datasets. However, existing SE datasets suffer from inconsistent definitions and annotation protocols mostly unaligned with the definition of SE in educational psychology. This issue could be misleading in developing generalizable AI models and make it hard to compare the performance of these models developed on different datasets. The objective of this critical review was to explore the existing SE datasets and highlight inconsistencies in terms of differing engagement definitions and annotation protocols. Methods: Several academic databases were searched for publications introducing new SE datasets. The datasets containing students' single- or multi-modal data in online or offline computer-based virtual learning sessions were included. The definition and annotation of SE in the existing datasets were analyzed based on our defined seven dimensions of engagement annotation: sources, data modalities, timing, temporal resolution, level of abstraction, combination, and quantification. Results: Thirty SE measurement datasets met the inclusion criteria. The reviewed SE datasets used very diverse and inconsistent definitions and annotation protocols. Unexpectedly, very few of the reviewed datasets used existing psychometrically validated scales in their definition of SE. Discussion: The inconsistent definition and annotation of SE are problematic for research on developing comparable AI models for automatic SE measurement. Some of the existing SE definitions and protocols in settings other than virtual learning that have the potential to be used in virtual learning are introduced.

Ali Abedi, Mobin Malmirian, Shehroz S. Khan

Exercise-based rehabilitation programs have been shown to enhance quality of life and reduce mortality and rehospitalizations. AI-driven virtual rehabilitation programs enable patients to complete exercises independently at home while AI algorithms can analyze exercise data to provide feedback to patients and report their progress to clinicians. This paper introduces a novel approach to assessing the quality of rehabilitation exercises using RGB video. Sequences of skeletal body joints are extracted from consecutive RGB video frames and analyzed by many-to-one sequential neural networks to evaluate exercise quality. Existing datasets for exercise rehabilitation lack adequate samples for training deep sequential neural networks to generalize effectively. A cross-modal data augmentation approach is proposed to resolve this problem. Visual augmentation techniques are applied to video data, and body joints extracted from the resulting augmented videos are used for training sequential neural networks. Extensive experiments conducted on the KInematic assessment of MOvement and clinical scores for remote monitoring of physical REhabilitation (KIMORE) dataset, demonstrate the superiority of the proposed method over previous baseline approaches. The ablation study highlights a significant enhancement in exercise quality assessment following cross-modal augmentation.

Stefan Denkovski, Shehroz S. Khan, Alex Mihailidis

Falls are a major cause of injuries and deaths among older adults worldwide. Accurate fall detection can help reduce potential injuries and additional health complications. Different types of video modalities can be used in a home setting to detect falls, including RGB, Infrared, and Thermal cameras. Anomaly detection frameworks using autoencoders and their variants can be used for fall detection due to the data imbalance that arises from the rarity and diversity of falls. However, the use of reconstruction error in autoencoders can limit the application of networks' structures that propagate information. In this paper, we propose a new multi-objective loss function called Temporal Shift, which aims to predict both future and reconstructed frames within a window of sequential frames. The proposed loss function is evaluated on a semi-naturalistic fall detection dataset containing multiple camera modalities. The autoencoders were trained on normal activities of daily living (ADL) performed by older adults and tested on ADLs and falls performed by young adults. Temporal shift shows significant improvement to a baseline 3D Convolutional autoencoder, an attention U-Net CAE, and a multi-modal neural network. The greatest improvement was observed in an attention U-Net model improving by 0.20 AUC ROC for a single camera when compared to reconstruction alone. With significant improvement across different models, this approach has the potential to be widely adopted and improve anomaly detection capabilities in other settings besides fall detection.

Muhammad Tahir, Shehroz S. Khan, James Davie et al.

In mammalian and vertebrate genomes, the promoter regions of the gene and their distal enhancers may be located millions of base-pairs from each other, while a promoter may not interact with the closest enhancer. Since base-pair proximity is not a good indicator of these interactions, there is considerable work toward developing methods for predicting Enhancer-Promoter Interactions (EPI). Several machine learning methods have reported increasingly higher accuracies for predicting EPI. Typically, these approaches randomly split the dataset of Enhancer-Promoter (EP) pairs into training and testing subsets followed by model training. However, the aforementioned random splitting causes information leakage by assigning EP pairs from the same genomic region to both testing and training sets, leading to performance overestimation. In this paper we propose to use a more thorough training and testing paradigm i.e., Leave-one-chromosome-out (LOCO) cross-validation for EPI-prediction. We demonstrate that a deep learning algorithm, which gives higher accuracies when trained and tested on random-splitting setting, drops drastically in performance under LOCO setting, confirming overestimation of performance. We further propose a novel hybrid deep neural network for EPI-prediction that fuses k-mer features of the nucleotide sequence. We show that the hybrid architecture performs significantly better in the LOCO setting, demonstrating it can learn more generalizable aspects of EP interactions. With this paper we are also releasing the LOCO splitting-based EPI dataset. Research data is available in this public repository: https://github.com/malikmtahir/EPI

Reza Basiri, Karim Manji, Francois Harton et al.

Diabetic Foot Ulcer (DFU) is a serious skin wound requiring specialized care. However, real DFU datasets are limited, hindering clinical training and research activities. In recent years, generative adversarial networks and diffusion models have emerged as powerful tools for generating synthetic images with remarkable realism and diversity in many applications. This paper explores the potential of diffusion models for synthesizing DFU images and evaluates their authenticity through expert clinician assessments. Additionally, evaluation metrics such as Frechet Inception Distance (FID) and Kernel Inception Distance (KID) are examined to assess the quality of the synthetic DFU images. A dataset of 2,000 DFU images is used for training the diffusion model, and the synthetic images are generated by applying diffusion processes. The results indicate that the diffusion model successfully synthesizes visually indistinguishable DFU images. 70% of the time, clinicians marked synthetic DFU images as real DFUs. However, clinicians demonstrate higher unanimous confidence in rating real images than synthetic ones. The study also reveals that FID and KID metrics do not significantly align with clinicians' assessments, suggesting alternative evaluation approaches are needed. The findings highlight the potential of diffusion models for generating synthetic DFU images and their impact on medical training programs and research in wound detection and classification.

Ali Abedi, Charlene H. Chu, Shehroz S. Khan

Older adults commonly experience chronic conditions such as pain and sleep disturbances and may consider cannabidiol for symptom management. Safe use requires appropriate dosing, careful titration, and awareness of drug interactions, yet stigma and limited health literacy often limit understanding. Conversational artificial intelligence systems based on large language models and retrieval-augmented generation may support cannabidiol education, but their safety and reliability remain insufficiently evaluated. This study developed a retrieval-augmented large language model framework that combines structured prompt engineering with curated cannabidiol evidence to generate context-aware guidance for older adults, including those with cognitive impairment. We also proposed an automated, annotation-free evaluation framework to benchmark leading standalone and retrieval-augmented models in the absence of standardized benchmarks. Sixty-four diverse user scenarios were generated by varying symptoms, preferences, cognitive status, demographics, comorbidities, medications, cannabis history, and caregiver support. Multiple state-of-the-art models were evaluated, including a novel ensemble retrieval architecture that integrates multiple retrieval systems. Across three automated evaluation strategies, retrieval-augmented models consistently produced more cautious and guideline-aligned recommendations than standalone models, with the ensemble approach performing best. These findings demonstrate that structured retrieval improves the reliability and safety of AI-driven cannabidiol education and provide a reproducible framework for evaluating AI tools used in sensitive health contexts.

Muhammad Tahir, Mahboobeh Norouzi, Shehroz S. Khan et al.

Epigenetics encompasses mechanisms that can alter the expression of genes without changing the underlying genetic sequence. The epigenetic regulation of gene expression is initiated and sustained by several mechanisms such as DNA methylation, histone modifications, chromatin conformation, and non-coding RNA. The changes in gene regulation and expression can manifest in the form of various diseases and disorders such as cancer and congenital deformities. Over the last few decades, high throughput experimental approaches have been used to identify and understand epigenetic changes, but these laboratory experimental approaches and biochemical processes are time-consuming and expensive. To overcome these challenges, machine learning and artificial intelligence (AI) approaches have been extensively used for mapping epigenetic modifications to their phenotypic manifestations. In this paper we provide a narrative review of published research on AI models trained on epigenomic data to address a variety of problems such as prediction of disease markers, gene expression, enhancer promoter interaction, and chromatin states. The purpose of this review is twofold as it is addressed to both AI experts and epigeneticists. For AI researchers, we provided a taxonomy of epigenetics research problems that can benefit from an AI-based approach. For epigeneticists, given each of the above problems we provide a list of candidate AI solutions in the literature. We have also identified several gaps in the literature, research challenges, and recommendations to address these challenges.

Mark Karlov, Ali Abedi, Shehroz S. Khan

Exercise-based rehabilitation programs have proven to be effective in enhancing the quality of life and reducing mortality and rehospitalization rates. AI-driven virtual rehabilitation, which allows patients to independently complete exercises at home, utilizes AI algorithms to analyze exercise data, providing feedback to patients and updating clinicians on their progress. These programs commonly prescribe a variety of exercise types, leading to a distinct challenge in rehabilitation exercise assessment datasets: while abundant in overall training samples, these datasets often have a limited number of samples for each individual exercise type. This disparity hampers the ability of existing approaches to train generalizable models with such a small sample size per exercise type. Addressing this issue, this paper introduces a novel supervised contrastive learning framework with hard and soft negative samples that effectively utilizes the entire dataset to train a single model applicable to all exercise types. This model, with a Spatial-Temporal Graph Convolutional Network (ST-GCN) architecture, demonstrated enhanced generalizability across exercises and a decrease in overall complexity. Through extensive experiments on three publicly available rehabilitation exercise assessment datasets, UI-PRMD, IRDS, and KIMORE, our method has proven to surpass existing methods, setting a new benchmark in rehabilitation exercise quality assessment.

Ali Abedi, Shehroz S. Khan

Engagement in virtual learning is crucial for a variety of factors including student satisfaction, performance, and compliance with learning programs, but measuring it is a challenging task. There is therefore considerable interest in utilizing artificial intelligence and affective computing to measure engagement in natural settings as well as on a large scale. This paper introduces a novel, privacy-preserving method for engagement measurement from videos. It uses facial landmarks, which carry no personally identifiable information, extracted from videos via the MediaPipe deep learning solution. The extracted facial landmarks are fed to Spatial-Temporal Graph Convolutional Networks (ST-GCNs) to output the engagement level of the student in the video. To integrate the ordinal nature of the engagement variable into the training process, ST-GCNs undergo training in a novel ordinal learning framework based on transfer learning. Experimental results on two video student engagement measurement datasets show the superiority of the proposed method compared to previous methods with improved state-of-the-art on the EngageNet dataset with a 3.1% improvement in four-class engagement level classification accuracy and on the Online Student Engagement dataset with a 1.5% improvement in binary engagement classification accuracy. Gradient-weighted Class Activation Mapping (Grad-CAM) was applied to the developed ST-GCNs to interpret the engagement measurements obtained by the proposed method in both the spatial and temporal domains. The relatively lightweight and fast ST-GCN and its integration with the real-time MediaPipe make the proposed approach capable of being deployed on virtual learning platforms and measuring engagement in real-time.

Ali Abedi, Charlene H. Chu, Shehroz S. Khan

Lower-Limb Fractures (LLF) are a major health concern for older adults, often leading to reduced mobility and prolonged recovery, potentially impairing daily activities and independence. During recovery, older adults frequently face social isolation and functional decline, complicating rehabilitation and adversely affecting physical and mental health. Multi-modal sensor platforms that continuously collect data and analyze it using machine-learning algorithms can remotely monitor this population and infer health outcomes. They can also alert clinicians to individuals at risk of isolation and decline. This paper presents a new publicly available multi-modal sensor dataset, MAISON-LLF, collected from older adults recovering from LLF in community settings. The dataset includes data from smartphone and smartwatch sensors, motion detectors, sleep-tracking mattresses, and clinical questionnaires on isolation and decline. The dataset was collected from ten older adults living alone at home for eight weeks each, totaling 560 days of 24-hour sensor data. For technical validation, supervised machine-learning and deep-learning models were developed using the sensor and clinical questionnaire data, providing a foundational comparison for the research community.

Sadaf Safa, Ali Abedi, Shehroz S. Khan

Student engagement plays a crucial role in the successful delivery of educational programs. Automated engagement measurement helps instructors monitor student participation, identify disengagement, and adapt their teaching strategies to enhance learning outcomes effectively. This paper identifies two key challenges in this problem: class imbalance and incorporating order into engagement levels rather than treating it as mere categories. Then, a novel approach to video-based student engagement measurement in virtual learning environments is proposed that utilizes supervised contrastive learning for ordinal classification of engagement. Various affective and behavioral features are extracted from video samples and utilized to train ordinal classifiers within a supervised contrastive learning framework (with a sequential classifier as the encoder). A key step involves the application of diverse time-series data augmentation techniques to these feature vectors, enhancing model training. The effectiveness of the proposed method was evaluated using a publicly available dataset for engagement measurement, DAiSEE, containing videos of students who participated in virtual learning programs. The results demonstrate the robust ability of the proposed method for the classification of the engagement level. This approach promises a significant contribution to understanding and enhancing student engagement in virtual learning environments.

Jessica Tang, Ali Abedi, Tracey J. F. Colella et al.

Exercise-based rehabilitation improves quality of life and reduces morbidity, mortality, and rehospitalization, though transportation constraints and staff shortages lead to high dropout rates from rehabilitation programs. Virtual platforms enable patients to complete prescribed exercises at home, while AI algorithms analyze performance, deliver feedback, and update clinicians. Although many studies have developed machine learning and deep learning models for exercise quality assessment, few have explored the use of large language models (LLMs) for feedback and are limited by the lack of rehabilitation datasets containing textual feedback. In this paper, we propose a new method in which exercise-specific features are extracted from the skeletal joints of patients performing rehabilitation exercises and fed into pre-trained LLMs. Using a range of prompting techniques, such as zero-shot, few-shot, chain-of-thought, and role-play prompting, LLMs are leveraged to evaluate exercise quality and provide feedback in natural language to help patients improve their movements. The method was evaluated through extensive experiments on two publicly available rehabilitation exercise assessment datasets (UI-PRMD and REHAB24-6) and showed promising results in exercise assessment, reasoning, and feedback generation. This approach can be integrated into virtual rehabilitation platforms to help patients perform exercises correctly, support recovery, and improve health outcomes.

Ali Nawaz, Amir Ahmad, Shehroz S. Khan

Class imbalance poses a significant challenge to supervised classification, particularly in critical domains like medical diagnostics and anomaly detection where minority class instances are rare. While numerous studies have explored rebalancing techniques to address this issue, less attention has been given to evaluating the performance of binary classifiers under imbalance when no such techniques are applied. Therefore, the goal of this study is to assess the performance of binary classifiers "as-is", without performing any explicit rebalancing. Specifically, we systematically evaluate the robustness of a diverse set of binary classifiers across both real-world and synthetic datasets, under progressively reduced minority class sizes, using one-shot and few-shot scenarios as baselines. Our approach also explores varying data complexities through synthetic decision boundary generation to simulate real-world conditions. In addition to standard classifiers, we include experiments using undersampling, oversampling strategies, and one-class classification (OCC) methods to examine their behavior under severe imbalance. The results confirm that classification becomes more difficult as data complexity increases and the minority class size decreases. While traditional classifiers deteriorate under extreme imbalance, advanced models like TabPFN and boosting-based ensembles retain relatively higher performance and better generalization compared to traditional classifiers. Visual interpretability and evaluation metrics further validate these findings. Our work offers valuable guidance on model selection for imbalanced learning, providing insights into classifier robustness without dependence on explicit rebalancing techniques.

Ali Abedi, Sadaf Safa, Tracey J. F. Colella et al.

Engagement in virtual learning is essential for participant satisfaction, performance, and adherence, particularly in online education and virtual rehabilitation, where interactive communication plays a key role. Yet, accurately measuring engagement in virtual group settings remains a challenge. There is increasing interest in using artificial intelligence (AI) for large-scale, real-world, automated engagement recognition. While engagement has been widely studied in younger academic populations, research and datasets focused on older adults in virtual and telehealth learning settings remain limited. Existing methods often neglect contextual relevance and the longitudinal nature of engagement across sessions. This paper introduces OPEN (Older adult Patient ENgagement), a novel dataset supporting AI-driven engagement recognition. It was collected from eleven older adults participating in weekly virtual group learning sessions over six weeks as part of cardiac rehabilitation, producing over 35 hours of data, making it the largest dataset of its kind. To protect privacy, raw video is withheld; instead, the released data include facial, hand, and body joint landmarks, along with affective and behavioral features extracted from video. Annotations include binary engagement states, affective and behavioral labels, and context-type indicators, such as whether the instructor addressed the group or an individual. The dataset offers versions with 5-, 10-, 30-second, and variable-length samples. To demonstrate utility, multiple machine learning and deep learning models were trained, achieving engagement recognition accuracy of up to 81 percent. OPEN provides a scalable foundation for personalized engagement modeling in aging populations and contributes to broader engagement recognition research.

Shehroz S. Khan, Petar Przulj, Ahmed Ashraf et al.

The global demand for radiologists is increasing rapidly due to a growing reliance on medical imaging services, while the supply of radiologists is not keeping pace. Advances in computer vision and image processing technologies present significant potential to address this gap by enhancing radiologists' capabilities and improving diagnostic accuracy. Large language models (LLMs), particularly generative pre-trained transformers (GPTs), have become the primary approach for understanding and generating textual data. In parallel, vision transformers (ViTs) have proven effective at converting visual data into a format that LLMs can process efficiently. In this paper, we present ChestGPT, a deep-learning framework that integrates the EVA ViT with the Llama 2 LLM to classify diseases and localize regions of interest in chest X-ray images. The ViT converts X-ray images into tokens, which are then fed, together with engineered prompts, into the LLM, enabling joint classification and localization of diseases. This approach incorporates transfer learning techniques to enhance both explainability and performance. The proposed method achieved strong global disease classification performance on the VinDr-CXR dataset, with an F1 score of 0.76, and successfully localized pathologies by generating bounding boxes around the regions of interest. We also outline several task-specific prompts, in addition to general-purpose prompts, for scenarios radiologists might encounter. Overall, this framework offers an assistive tool that can lighten radiologists' workload by providing preliminary findings and regions of interest to facilitate their diagnostic process.

Shehroz S. Khan, Ali Abedi, Charlene H. Chu

Interpreting large volumes of high-dimensional, unlabeled data in a manner that is comprehensible to humans remains a significant challenge across various domains. In unsupervised healthcare data analysis, interpreting clustered data can offer meaningful insights into patients' health outcomes, which hold direct implications for healthcare providers. This paper addresses the problem of interpreting clustered sensor data collected from older adult patients recovering from lower-limb fractures in the community. A total of 560 days of multimodal sensor data, including acceleration, step count, ambient motion, GPS location, heart rate, and sleep, alongside clinical scores, were remotely collected from patients at home. Clustering was first carried out separately for each data modality to assess the impact of feature sets extracted from each modality on patients' recovery trajectories. Then, using context-aware prompting, a large language model was employed to infer meaningful cluster labels for the clusters derived from each modality. The quality of these clusters and their corresponding labels was validated through rigorous statistical testing and visualization against clinical scores collected alongside the multimodal sensor data. The results demonstrated the statistical significance of most modality-specific cluster labels generated by the large language model with respect to clinical scores, confirming the efficacy of the proposed method for interpreting sensor data in an unsupervised manner. This unsupervised data analysis approach, relying solely on sensor data, enables clinicians to identify at-risk patients and take timely measures to improve health outcomes.

Ali Abedi, Charlene H. Chu, Shehroz S. Khan

Agitation is one of the most common responsive behaviors in people living with dementia, particularly among those residing in community settings without continuous clinical supervision. Timely prediction of agitation can enable early intervention, reduce caregiver burden, and improve the quality of life for both patients and caregivers. This study aimed to develop and benchmark machine learning approaches for the early prediction of agitation in community-dwelling older adults with dementia using multimodal sensor data. A new set of agitation-related contextual features derived from activity data was introduced and employed for agitation prediction. A wide range of machine learning and deep learning models was evaluated across multiple problem formulations, including binary classification for single-timestamp tabular sensor data and multi-timestamp sequential sensor data, as well as anomaly detection for single-timestamp tabular sensor data. The study utilized the Technology Integrated Health Management (TIHM) dataset, the largest publicly available dataset for remote monitoring of people living with dementia, comprising 2,803 days of in-home activity, physiology, and sleep data. The most effective setting involved binary classification of sensor data using the current 6-hour timestamp to predict agitation at the subsequent timestamp. Incorporating additional information, such as time of day and agitation history, further improved model performance, with the highest AUC-ROC of 0.9720 and AUC-PR of 0.4320 achieved by the light gradient boosting machine. This work presents the first comprehensive benchmarking of state-of-the-art techniques for agitation prediction in community-based dementia care using privacy-preserving sensor data. The approach enables accurate, explainable, and efficient agitation prediction, supporting proactive dementia care and aging in place.

Shehroz S. Khan, Ziting Shen, Haoying Sun et al.

Distracted driving is one of the major reasons for vehicle accidents. Therefore, detecting distracted driving behaviors is of paramount importance to reduce the millions of deaths and injuries occurring worldwide. Distracted or anomalous driving behaviors are deviations from 'normal' driving that need to be identified correctly to alert the driver. However, these driving behaviors do not comprise one specific type of driving style and their distribution can be different during the training and test phases of a classifier. We formulate this problem as a supervised contrastive learning approach to learn a visual representation to detect normal, and seen and unseen anomalous driving behaviors. We made a change to the standard contrastive loss function to adjust the similarity of negative pairs to aid the optimization. Normally, in a (self) supervised contrastive framework, the projection head layers are omitted during the test phase as the encoding layers are considered to contain general visual representative information. However, we assert that for a video-based supervised contrastive learning task, including a projection head can be beneficial. We showed our results on a driver anomaly detection dataset that contains 783 minutes of video recordings of normal and anomalous driving behaviors of 31 drivers from the various top and front cameras (both depth and infrared). Out of 9 video modalities combinations, our proposed contrastive approach improved the ROC AUC on 6 in comparison to the baseline models (from 4.23% to 8.91% for different modalities). We performed statistical tests that showed evidence that our proposed method performs better than the baseline contrastive learning setup. Finally, the results showed that the fusion of depth and infrared modalities from the top and front views achieved the best AUC ROC of 0.9738 and AUC PR of 0.9772.

Ali Abedi, Shehroz S. Khan

Automatic detection of students' engagement in online learning settings is a key element to improve the quality of learning and to deliver personalized learning materials to them. Varying levels of engagement exhibited by students in an online classroom is an affective behavior that takes place over space and time. Therefore, we formulate detecting levels of students' engagement from videos as a spatio-temporal classification problem. In this paper, we present a novel end-to-end Residual Network (ResNet) and Temporal Convolutional Network (TCN) hybrid neural network architecture for students' engagement level detection in videos. The 2D ResNet extracts spatial features from consecutive video frames, and the TCN analyzes the temporal changes in video frames to detect the level of engagement. The spatial and temporal arms of the hybrid network are jointly trained on raw video frames of a large publicly available students' engagement detection dataset, DAiSEE. We compared our method with several competing students' engagement detection methods on this dataset. The ResNet+TCN architecture outperforms all other studied methods, improves the state-of-the-art engagement level detection accuracy, and sets a new baseline for future research.

Shehroz S. Khan, Thaejaesh Sooriyakumaran, Katherine Rich et al.

Agitation is a symptom that communicates distress in people living with dementia (PwD), and that can place them and others at risk. In a long term care (LTC) environment, care staff track and document these symptoms as a way to detect when there has been a change in resident status to assess risk, and to monitor for response to interventions. However, this documentation can be time-consuming, and due to staffing constraints, episodes of agitation may go unobserved. This brings into question the reliability of these assessments, and presents an opportunity for technology to help track and monitor behavioural symptoms in dementia. In this paper, we present the outcomes of a 2 year real-world study performed in a dementia unit, where a multi-modal wearable device was worn by $20$ PwD. In line with a commonly used clinical documentation tool, this large multi-modal time-series data was analyzed to track the presence of episodes of agitation in 8-hour nursing shifts. The development of a baseline classification model (AUC=0.717) on this dataset and subsequent improvement (AUC= 0.779) lays the groundwork for automating the process of annotating agitation events in nursing charts.

Ali Abedi, Shehroz S. Khan

Federated Learning (FL) and Split Learning (SL) are privacy-preserving Machine-Learning (ML) techniques that enable training ML models over data distributed among clients without requiring direct access to their raw data. Existing FL and SL approaches work on horizontally or vertically partitioned data and cannot handle sequentially partitioned data where segments of multiple-segment sequential data are distributed across clients. In this paper, we propose a novel federated split learning framework, FedSL, to train models on distributed sequential data. The most common ML models to train on sequential data are Recurrent Neural Networks (RNNs). Since the proposed framework is privacy-preserving, segments of multiple-segment sequential data cannot be shared between clients or between clients and server. To circumvent this limitation, we propose a novel SL approach tailored for RNNs. A RNN is split into sub-networks, and each sub-network is trained on one client containing single segments of multiple-segment training sequences. During local training, the sub-networks on different clients communicate with each other to capture latent dependencies between consecutive segments of multiple-segment sequential data on different clients, but without sharing raw data or complete model parameters. After training local sub-networks with local sequential data segments, all clients send their sub-networks to a federated server where sub-networks are aggregated to generate a global model. The experimental results on simulated and real-world datasets demonstrate that the proposed method successfully trains models on distributed sequential data, while preserving privacy, and outperforms previous FL and centralized learning approaches in terms of achieving higher accuracy in fewer communication rounds.

Shehroz S. Khan, Faraz Khoshbakhtian, Ahmed Bilal Ashraf

The current COVID-19 pandemic is now getting contained, albeit at the cost of morethan2.3million human lives. A critical phase in any pandemic is the early detection of cases to develop preventive treatments and strategies. In the case of COVID-19,several studies have indicated that chest radiography images of the infected patients show characteristic abnormalities. However, at the onset of a given pandemic, such asCOVID-19, there may not be sufficient data for the affected cases to train models for their robust detection. Hence, supervised classification is ill-posed for this problem because the time spent in collecting large amounts of data from infected persons could lead to the loss of human lives and delays in preventive interventions. Therefore, we formulate the problem of identifying early cases in a pandemic as an anomaly detection problem, in which the data for healthy patients is abundantly available, whereas no training data is present for the class of interest (COVID-19 in our case). To solve this problem, we present several unsupervised deep learning approaches, including convolutional and adversarially trained autoencoder. We tested two settings on a publicly available dataset (COVIDx)by training the model on chest X-rays from (i) only healthy adults, and (ii) healthy and other non-COVID-19 pneumonia, and detected COVID-19 as an anomaly. Afterperforming3-fold cross validation, we obtain a ROC-AUC of0.765. These results are very encouraging and pave the way towards research for ensuring emergency preparedness in future pandemics, especially the ones that could be detected from chest X-rays

Vineet Mehta, Abhinav Dhall, Sujata Pal et al.

Automatic fall detection is a vital technology for ensuring the health and safety of people. Home-based camera systems for fall detection often put people's privacy at risk. Thermal cameras can partially or fully obfuscate facial features, thus preserving the privacy of a person. Another challenge is the less occurrence of falls in comparison to the normal activities of daily living. As fall occurs rarely, it is non-trivial to learn algorithms due to class imbalance. To handle these problems, we formulate fall detection as an anomaly detection within an adversarial framework using thermal imaging. We present a novel adversarial network that comprises of two-channel 3D convolutional autoencoders which reconstructs the thermal data and the optical flow input sequences respectively. We introduce a technique to track the region of interest, a region-based difference constraint, and a joint discriminator to compute the reconstruction error. A larger reconstruction error indicates the occurrence of a fall. The experiments on a publicly available thermal fall dataset show the superior results obtained compared to the standard baseline.

Shehroz S. Khan, Jacob Nogas, Alex Mihailidis

Fall detection is an important problem from both the health and machine learning perspective. A fall can lead to severe injuries, long term impairments or even death in some cases. In terms of machine learning, it presents a severely class imbalance problem with very few or no training data for falls owing to the fact that falls occur rarely. In this paper, we take an alternate philosophy to detect falls in the absence of their training data, by training the classifier on only the normal activities (that are available in abundance) and identifying a fall as an anomaly. To realize such a classifier, we use an adversarial learning framework, which comprises of a spatio-temporal autoencoder for reconstructing input video frames and a spatio-temporal convolution network to discriminate them against original video frames. 3D convolutions are used to learn spatial and temporal features from the input video frames. The adversarial learning of the spatio-temporal autoencoder will enable reconstructing the normal activities of daily living efficiently; thus, rendering detecting unseen falls plausible within this framework. We tested the performance of the proposed framework on camera sensing modalities that may preserve an individual's privacy (fully or partially), such as thermal and depth camera. Our results on three publicly available datasets show that the proposed spatio-temporal adversarial framework performed better than other baseline frame based (or spatial) adversarial learning methods.

Amir Ahmad, Shehroz S. Khan

Mixed datasets consist of both numeric and categorical attributes. Various k-means-based clustering algorithms have been developed for these datasets. Generally, these algorithms use random partition as a starting point, which tends to produce different clustering results for different runs. In this paper, we propose, initKmix, a novel algorithm for finding an initial partition for k-means-based clustering algorithms for mixed datasets. In the initKmix algorithm, a k-means-based clustering algorithm is run many times, and in each run, one of the attributes is used to create initial clusters for that run. The clustering results of various runs are combined to produce the initial partition. This initial partition is then used as a seed to a k-means-based clustering algorithm to cluster mixed data. Experiments with various categorical and mixed datasets showed that initKmix produced accurate and consistent results, and outperformed the random initial partition method and other state-of-the-art initialization methods. Experiments also showed that k-means-based clustering for mixed datasets with initKmix performed similar to or better than many state-of-the-art clustering algorithms for categorical and mixed datasets.

Amir Ahmad, Shehroz S. Khan

Mixed data comprises both numeric and categorical features, and mixed datasets occur frequently in many domains, such as health, finance, and marketing. Clustering is often applied to mixed datasets to find structures and to group similar objects for further analysis. However, clustering mixed data is challenging because it is difficult to directly apply mathematical operations, such as summation or averaging, to the feature values of these datasets. In this paper, we present a taxonomy for the study of mixed data clustering algorithms by identifying five major research themes. We then present a state-of-the-art review of the research works within each research theme. We analyze the strengths and weaknesses of these methods with pointers for future research directions. Lastly, we present an in-depth analysis of the overall challenges in this field, highlight open research questions and discuss guidelines to make progress in the field.

Jacob Nogas, Shehroz S. Khan, Alex Mihailidis

Human falls rarely occur; however, detecting falls is very important from the health and safety perspective. Due to the rarity of falls, it is difficult to employ supervised classification techniques to detect them. Moreover, in these highly skewed situations it is also difficult to extract domain specific features to identify falls. In this paper, we present a novel framework, \textit{DeepFall}, which formulates the fall detection problem as an anomaly detection problem. The \textit{DeepFall} framework presents the novel use of deep spatio-temporal convolutional autoencoders to learn spatial and temporal features from normal activities using non-invasive sensing modalities. We also present a new anomaly scoring method that combines the reconstruction score of frames across a temporal window to detect unseen falls. We tested the \textit{DeepFall} framework on three publicly available datasets collected through non-invasive sensing modalities, thermal camera and depth cameras and show superior results in comparison to traditional autoencoder methods to identify unseen falls.

Shehroz S. Khan, Amir Ahmad, Alex Mihailidis

Presence of missing values in a dataset can adversely affect the performance of a classifier. Single and Multiple Imputation are normally performed to fill in the missing values. In this paper, we present several variants of combining single and multiple imputation with bootstrapping to create ensembles that can model uncertainty and diversity in the data, and that are robust to high missingness in the data. We present three ensemble strategies: bootstrapping on incomplete data followed by (i) single imputation and (ii) multiple imputation, and (iii) multiple imputation ensemble without bootstrapping. We perform an extensive evaluation of the performance of the these ensemble strategies on 8 datasets by varying the missingness ratio. Our results show that bootstrapping followed by multiple imputation using expectation maximization is the most robust method even at high missingness ratio (up to 30%). For small missingness ratio (up to 10%) most of the ensemble methods perform quivalently but better than single imputation. Kappa-error plots suggest that accurate classifiers with reasonable diversity is the reason for this behaviour. A consistent observation in all the datasets suggests that for small missingness (up to 10%), bootstrapping on incomplete data without any imputation produces equivalent results to other ensemble methods.

Shehroz S. Khan, Babak Taati

A fall is an abnormal activity that occurs rarely, so it is hard to collect real data for falls. It is, therefore, difficult to use supervised learning methods to automatically detect falls. Another challenge in using machine learning methods to automatically detect falls is the choice of engineered features. In this paper, we propose to use an ensemble of autoencoders to extract features from different channels of wearable sensor data trained only on normal activities. We show that the traditional approach of choosing a threshold as the maximum of the reconstruction error on the training normal data is not the right way to identify unseen falls. We propose two methods for automatic tightening of reconstruction error from only the normal activities for better identification of unseen falls. We present our results on two activity recognition datasets and show the efficacy of our proposed method against traditional autoencoder models and two standard one-class classification methods.

Shehroz S. Khan, Jesse Hoey

A fall is an abnormal activity that occurs rarely; however, missing to identify falls can have serious health and safety implications on an individual. Due to the rarity of occurrence of falls, there may be insufficient or no training data available for them. Therefore, standard supervised machine learning methods may not be directly applied to handle this problem. In this paper, we present a taxonomy for the study of fall detection from the perspective of availability of fall data. The proposed taxonomy is independent of the type of sensors used and specific feature extraction/selection methods. The taxonomy identifies different categories of classification methods for the study of fall detection based on the availability of their data during training the classifiers. Then, we present a comprehensive literature review within those categories and identify the approach of treating a fall as an abnormal activity to be a plausible research direction. We conclude our paper by discussing several open research problems in the field and pointers for future research.

Shehroz S. Khan, Amir Ahmad

In one-class classification problems, only the data for the target class is available, whereas the data for the non-target class may be completely absent. In this paper, we study one-class nearest neighbour (OCNN) classifiers and their different variants. We present a theoretical analysis to show the relationships among different variants of OCNN that may use different neighbours or thresholds to identify unseen examples of the non-target class. We also present a method based on inter-quartile range for optimising parameters used in OCNN in the absence of non-target data during training. Then, we propose two ensemble approaches based on random subspace and random projection methods to create accurate OCNN ensembles. We tested the proposed methods on 15 benchmark and real world domain-specific datasets and show that random-projection ensembles of OCNN perform best.

Shehroz S. Khan, Michelle E. Karg, Dana Kulic et al.

Identification of falls while performing normal activities of daily living (ADL) is important to ensure personal safety and well-being. However, falling is a short term activity that occurs infrequently. This poses a challenge to traditional classification algorithms, because there may be very little training data for falls (or none at all). This paper proposes an approach for the identification of falls using a wearable device in the absence of training data for falls but with plentiful data for normal ADL. We propose three `X-Factor' Hidden Markov Model (XHMMs) approaches. The XHMMs model unseen falls using "inflated" output covariances (observation models). To estimate the inflated covariances, we propose a novel cross validation method to remove "outliers" from the normal ADL that serve as proxies for the unseen falls and allow learning the XHMMs using only normal activities. We tested the proposed XHMM approaches on two activity recognition datasets and show high detection rates for falls in the absence of fall-specific training data. We show that the traditional method of choosing a threshold based on maximum of negative of log-likelihood to identify unseen falls is ill-posed for this problem. We also show that supervised classification methods perform poorly when very limited fall data are available during the training phase.

Shehroz S. Khan, Michael G. Madden

One-class classification (OCC) algorithms aim to build classification models when the negative class is either absent, poorly sampled or not well defined. This unique situation constrains the learning of efficient classifiers by defining class boundary just with the knowledge of positive class. The OCC problem has been considered and applied under many research themes, such as outlier/novelty detection and concept learning. In this paper we present a unified view of the general problem of OCC by presenting a taxonomy of study for OCC problems, which is based on the availability of training data, algorithms used and the application domains applied. We further delve into each of the categories of the proposed taxonomy and present a comprehensive literature review of the OCC algorithms, techniques and methodologies with a focus on their significance, limitations and applications. We conclude our paper by discussing some open research problems in the field of OCC and present our vision for future research.