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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Machine Learning Algorithms for Predicting the Results of COVID-19 Coronavirus Infection</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Yuri Kravchenko</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Nataliia Dakhno</string-name>
          <email>nataly.dakhno@ukr.net</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Olga Leshchenko</string-name>
          <email>lesolga@ukr.net</email>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Anastasiia Tolstokorova</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Taras Shevchenko National University of Kyiv</institution>
          ,
          <addr-line>Volodymyrs'ka str. 64/13, Kyiv, 01601</addr-line>
          ,
          <country country="UA">Ukraine</country>
        </aff>
      </contrib-group>
      <fpage>371</fpage>
      <lpage>381</lpage>
      <abstract>
        <p>The paper analyzes data collected from around the world on patients with COVID-19. The patients studied were of different ages, with different chronic diseases and symptoms, men and women. A binary classifier has been developed that considers data on a person's health, symptoms, patient's age, and other properties and determines the patient's disease outcome by assigning it to one of two categories: fatal or not. The work's practical value is to help hospitals and health facilities decide who needs care in the first place when the system is overcrowded and to eliminate delays in providing the necessary care.</p>
      </abstract>
      <kwd-group>
        <kwd>1 supervised learning</kwd>
        <kwd>classification problem</kwd>
        <kwd>model fitting</kwd>
        <kwd>feature selection</kwd>
        <kwd>feature engineering</kwd>
        <kwd>data normalization</kwd>
        <kwd>model validation</kwd>
        <kwd>confusion matrix</kwd>
        <kwd>logistic regression</kwd>
        <kwd>Naive Bayes</kwd>
        <kwd>Decision tree</kwd>
        <kwd>random forest</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>In March 2020, the World Health Organization officially declared the Covid-19 coronavirus a
global pandemic. COVID-19 coronavirus disease is an infectious disease caused by the recently
discovered coronavirus SARS-CoV-2. The danger of this disease lies not so much in its lethality but
the rate of its spread after a long incubation period. The infected person does not yet experience any
symptoms and continues to contact people, spreading the infection. The best way to prevent and slow
down infection transmission is to be well informed about the COVID-19 virus, the disease it causes,
and how it spreads. By visualizing the development of the disease in other countries where the
outbreak has passed, it is possible to build a truly effective behavior strategy that will save lives while
minimally harming the economy, if possible, in these circumstances.</p>
      <p>The coronavirus outbreak originated in the Chinese city of Wuhan but has now spread to the rest
of the world. Cases of infection continue to grow exponentially. As a result, workers are transferred to
telecommuting, pupils and students begin to study at home, conferences are canceled, store shelves
are devastated, and the global economy is under serious threat. It is undeniable that coronavirus
infection has irreparably affected all spheres of human life - from education to global economic
change. It is safe to say that this is one of the most severe health crises in decades, if not centuries.</p>
      <p>However, there are currently almost no systematic reviews in the available literature that describe
the accumulated data on COVID-19 and suggest methods for their analysis.</p>
      <p>
        Data analysis will help to understand the basic patterns of data behavior better. Furthermore, a
more thorough analysis based on data and sound forecasts can be useful for decision-making and
policy-making [
        <xref ref-type="bibr" rid="ref1 ref2 ref3">1,2,3</xref>
        ]. To analyze and build the optimal strategy, you need to use a decision support
system. (DSS) [
        <xref ref-type="bibr" rid="ref4 ref5 ref6 ref7">4,5,6,7</xref>
        ]. DSS is an automated expert-assistant in selecting decisions by the operator at
the stages of analysis, forming possible scenarios, selecting the best of them, and evaluating the
results of the decision [
        <xref ref-type="bibr" rid="ref10 ref8 ref9">8,9,10</xref>
        ]. There are currently significant advances in the development and
widespread practical application of mathematical models and methods for different classes of
problems [
        <xref ref-type="bibr" rid="ref11 ref12 ref13 ref14">11,12,13,14</xref>
        ]. The rapid development of information technology, in particular, advances in
data collection, storage, and processing methods, have allowed many organizations to collect vast
amounts of data that need to be analyzed [
        <xref ref-type="bibr" rid="ref15 ref16 ref17">15,16,17</xref>
        ]. Also, the development of technology entails
increasing the requirements for quality and accuracy of decision-making. It makes it necessary to
develop further and improve methods in DSS. In this work, a DSS model was developed to help
identify patterns between the characteristics of the patient (sex, age, types of symptoms, and chronic
diseases) who contracted COVID-19 and mortality. This study offers a model of artificial intelligence
that can provide hospitals and medical facilities with the information they need to address congestion.
It will also allow developing a patient sorting strategy to address hospitalization priorities and
eliminate delays in providing the necessary care.
      </p>
    </sec>
    <sec id="sec-2">
      <title>2. Main part</title>
      <p>To get started, we need to form a training set that meets the criteria of the goal. The training set is
the data on which the algorithm is trained. The training looks different, depending on which algorithm
is used. After training the model it is necessary to determine its effectiveness according to certain
metrics.
2.1.</p>
    </sec>
    <sec id="sec-3">
      <title>Input data</title>
      <p>
        Before the study, relevant data were found that meet the criteria for the work [
        <xref ref-type="bibr" rid="ref18">18</xref>
        ]. They contain a
set of characteristics of patients with coronavirus. This data is sufficient to be able to divide them into
training and test kits. They also have information about the disease's outcome, which will be a vector
of labels of the binary classifier. This dataset collects data from more than 920,000 patients from
around the world of all ages, with various chronic diseases and symptoms, including men and women.
      </p>
      <p>
        The dataset's information has a lot of gaps and redundant data, so they were cleared before using
them [
        <xref ref-type="bibr" rid="ref19">19</xref>
        ]. At the stage of data cleansing, all redundant and useless signs of patients are removed.
Only gender, age, information on symptoms, chronic diseases, and treatment outcomes are used for
the classification. Also, all data that does not contain information about the patient's illness's outcome
is deleted from the dataset. In order to use binary classification, all the necessary features were coded.
Each symptom was highlighted and marked with the number 1 or 0, if it is present or absent in each
patient, respectively. The result was a dataset of the following form (Figure1).
      </p>
      <p>
        In the input data, age differs in its scale. Different scales of data can negatively affect the gradient
descent method's convergence because the cost function will be very stretched [
        <xref ref-type="bibr" rid="ref20">20</xref>
        ]. Therefore, the
minimax method was applied to the data. To do this, use the formula:
      </p>
      <p>x  xmin ;
xmax  xmin
where xn – normalized value of the feature, x – the current value of the feature, xmin – the minimum
value for this characteristic, xmax – the maximum value for this characteristic.</p>
      <p>
        With the help of trait normalization by the minimax method, the values were set in the range [
        <xref ref-type="bibr" rid="ref1">0,1</xref>
        ],
because other traits lie in this range. After normalization, the data were obtained as follows (Figure 2).
      </p>
      <p>
        After obtaining the required data, several algorithms were selected that are most suitable for
achieving this goal. In this study, five classification algorithms were selected that had previously
proven to be the best in this type of problem [
        <xref ref-type="bibr" rid="ref21">21</xref>
        ]. These are the following algorithms: Logistic
regression, K -nearest neighbors algorithm, Decision trees, Reference vector method, Naive Bayesian
classifier. For data analysis, we will use the Python programming language along with packages for
data visualization and analysis. To accomplish this task, the Anaconda distribution kit was used as a
software environment, which allows you to immediately install Python and the necessary libraries.
Jupyter Notebook was chosen as the environment for the task execution. The main packages used
during the research: Pandas, Numpy, Matplotlib, Seaborn, Scipy, Scikit-Learn.
      </p>
      <p>The results of solving the binary classification problem were presented in the Confusion Matrix,
which consists of four cells: TP - True Positive, objects that have been classified as positive and are
actually positive (belonging to this class); FP - False Positive, which were classified as positive but in
fact negative; FN - False Negative, which were classified as negative but actually positive; TN - True
Negative, which were classified as negative and actually negative (do not belong to this class).</p>
      <p>Logistic regression:</p>
      <p>Logistic regression is a well-known statistical method for determining several factors' influence on
a logical pair of results. The name "logistic regression" reflects the fact that the data curve is
compressed by applying a logistic transformation to reduce the effect of extreme values.</p>
      <p>
        In order to solve the regression problem instead of predicting a binary variable, a continuous
variable with values on the interval [
        <xref ref-type="bibr" rid="ref1">0,1</xref>
        ] is assumed for any values of independent variables. This is
achieved by applying the regression equation:
      </p>
      <p>P </p>
      <p>1
1  e y ,
where P – the probability that an event of interest will occur, y – standard regression equation.
The normalized error matrix for the implemented logistic regression is presented in Figure 3.</p>
      <p>Algorithm of K-nearest neighbors:</p>
      <p>The method of K--nearest neighbors, or KNN -classification, defines the dividing boundaries
locally. In the first variation of the 1NN , each attribute belongs to a particular class depending on its
nearest neighbor's information. In the KNN variant, each attribute belongs to the nearest neighbors'
preferred class, where the k is the parameter of the method.</p>
      <p>Consider some of the pros and cons of using the KNN algorithm. One of the advantages of KNN
is that it is a straightforward algorithm. This makes the KNN algorithm much faster than other
algorithms. One of the disadvantages of KNN - the algorithm does not work well with extensive data.
With a large number of sizes of the algorithm, it becomes difficult to calculate the distance in each
dimension. The KNN algorithm has a high prediction cost for large data sets. The normalized error
matrix for the implemented K–nearest neighbor algorithm is presented in Figure 4.</p>
      <p>Decision trees:</p>
      <p>The decision tree is one of the most common and widely used machine learning algorithms with a
teacher who can perform regression and classification tasks. For each attribute in the data set, the
decision tree algorithm forms a node where the essential attribute is located in the root node. To
evaluate, we start at the root node and work down the tree, following the appropriate node that
matches our condition or "solution." This process continues until a sheet node is reached containing
the forecast or result of the decision tree. The normalized error matrix for the implemented decision
tree method is presented in Figure 5.</p>
      <p>Method of reference vectors:</p>
      <p>If the training set contains two classes of data that allow linear division, then there are many linear
classifiers with which you can divide this data. The reference vectors method looks for a dividing
surface (hyperplane) as far as possible from any data points. The dividing hyperplane is given by the
offset parameter b (the point of intersection with the x -axis) and the normal vector w to the
dividing hyperplane. Since the dividing hyperplane is perpendicular to the vector of the normal w , all
points x on the hyperplane satisfy the equation:</p>
      <p>T
w  x  b  0 .</p>
      <p>Now suppose we have a learning set D  { xi , yi } in which each element is a pair consisting of a
point x and the corresponding class label yi . In the method of reference vectors, two classes are
always called +1 and -1 (not 1 and 0). Therefore, the linear classifier is described by the following
formula:
which maximize the distance to each class. We can calculate that this distance is equal
A value of -1 indicates one class and +1 indicates another. Next, we want to choose such w и b
1
w
. The
problem of finding the maximum
2
is equivalent to the problem of finding the minimum w .</p>
      <p>The normalized error matrix for the implemented method of reference vectors is presented in
Figure 6.</p>
      <p>If we classify an object that is a vector x  (x1, x2 ,..., xn ) with n properties, then the classifier will
find the probability of k possible classes for this object. If we take into account the "naive"
assumptions about the conditional independence of the features, the numerator of the Bayesian
formula will take the form:
n</p>
      <p>P(Ck )   P( xi | Ck )
P(Ck | x1, x2 ,..., xn )  i1 .</p>
      <p> P(Ck )P( x | Ck )
k</p>
      <p>The corresponding classifier is a function that assigns a class label Ck for some k in the following
way:
n
yˆ  arg max P(Ck | x1, x2,..., xn )  arg max P(Ck )   P(xi | Ck ) .</p>
      <p>k k i1
accuracy </p>
      <p>The normalized error matrix for the implemented naive Bayesian classifier is presented in Figure
7. To assess the quality of classification models that will solve this problem, the following metrics
were chosen: accuracy, precision, recall, f-measure, logarithmic loss (logloss), area under the ROC
curve. After evaluating the models, the classification report was analyzed by each of the metrics
(Figure 3–7). The measure of accuracy is intuitive and obvious:</p>
      <p>TP  TN
TP  TN  FP  FN</p>
      <p>
        Since the accuracy metric does not work well on unbalanced data, it was decided to allocate a
separate sample for correct evaluation of the algorithms. Table 1 shows how the accuracy result
differs in different models. After analyzing the work of different algorithms, we can conclude that the
classifier of decision trees was the most accurate in this metric. Precision can be interpreted as the
proportion of objects called positive by the classifier and at the same time actually positive [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ]:
TP
      </p>
      <p>TP  FP</p>
      <p>
        Table 2 shows how the precision of the results differs in different models. According to the
precision score metric, the best decision was again made by the classifier of decision trees, having the
highest possible accuracy. Recall shows what proportion of positive class objects out of all positive
class objects the algorithm found [
        <xref ref-type="bibr" rid="ref22">22</xref>
        ]:
      </p>
      <p>TP  FN</p>
      <p>Table 3 shows how the recall results differ in different models. According to this metric, the most
complete was the classifier of decision trees, having a completeness of 0.8.</p>
      <p>
        There are several different ways to combine precision and recall into an aggregate quality
criterion. F -measure - average harmonic precision and recall [
        <xref ref-type="bibr" rid="ref23">23</xref>
        ]:
2 precision  recall
precision  recall
      </p>
      <p>Table 4 shows how the F -measure of the results differs in different models. According to this
metric, the most effective classifier was the classifier by the decision tree method. The logarithmic
precision 
F 
recall </p>
      <p>
        TP  TN
loss metric was also chosen to study the efficiency of classification models [
        <xref ref-type="bibr" rid="ref24">24</xref>
        ]. The logloss metric
assigns the weight of each predicted probability. The farther the probability from the actual value, the
greater the weight. The goal is to minimize the total amount of all error weights.
      </p>
      <p>1 n
logloss    yi log( yˆi )  (1 yi )log(1 yˆi ) .</p>
      <p>n i1</p>
      <p>The results of calculations on this metric for each of the studied algorithms are given in Table 5.</p>
      <p>
        One way to estimate the model as a whole without being tied to a specific threshold is the area
under the ROC error curve [
        <xref ref-type="bibr" rid="ref25">25</xref>
        ]. This curve is a line from (0,0) to (1,1) in the coordinates True
Positive Rate (TPR) and False Positive Rate (FPR):
      </p>
      <p>The area under the curve in this case shows the quality of the algorithm. The closer the area is to 1,
the more accurately the model works. Figure 8 shows a graph of ROC-curves for each of the selected
models, which can clearly see the efficiency of the algorithms.</p>
      <p>To compare the created classifiers by the area under the ROC curve, it is necessary to calculate it
for each of the algorithms. The results of the calculations are given in Table 6. According to the
classifiers' evaluation, the decision tree algorithm has the largest share of correctly classified objects
with a balanced data set. Besides, this method has the lowest logarithmic loss and the largest area
under the ROC curve, which indicates the harmony of sensitivity and specificity.</p>
    </sec>
    <sec id="sec-4">
      <title>3. Conclusions</title>
      <p>After analyzing each of the algorithms and comparing the results, we can say that in this study,
among all the proposed methods of machine learning to solve problems of binary classification, the
algorithm of decision-making trees best coped. Evaluating it according to the selected metrics and
comparing the results with other algorithms, we can talk about its most significant effectiveness in
DSS. The developed classifier and its application in DSS can help hospitals and health facilities
decide who needs attention in the first place when the system is overcrowded, as well as eliminate
delays in providing the necessary care. This study could be scaled up to other diseases to help the
health care system respond more effectively to an outbreak or pandemic.</p>
    </sec>
    <sec id="sec-5">
      <title>4. References</title>
    </sec>
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