2,092 research outputs found

    A Generic Approach to Supporting the Management of Computerised Clinical Guidelines and Protocols

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    Clinical guidelines or protocols (CGPs) are statements that are systematically developed for the purpose of guiding the clinician and the patient in making decisions about appropriate healthcare for specific clinical problems. Using CGPs is one of the most effective and proven ways to attaining improved quality, optimised resource utilisation, cost containment and reduced variation in healthcare practice. CGPs exist mainly as paper-based natural language statements, but are increasingly being computerised. Supporting computerised CGPs in a healthcare environment so that they are incorporated into the routine used daily by clinicians is complex and presents major information management challenges. This thesis contends that the management of computerised CGPs should incorporate their manipulation (operations and queries), in addition to their specification and execution, as part of a single unified management framework. The thesis applies modern advanced database technology to the task of managing computerised CGPs. The event-condition-action (ECA) rule paradigm is recognised to have a huge potential in supporting computerised CGPs. In this thesis, a unified generic framework, called SpEM and an approach, called MonCooS, were developed for enabling computerised CGPs, to be specified by using a specification language, called PLAN, which follows the ECA rule paradigm; executed by using a software mechanism based on the ECA mechanism within a modern database system, and manipulated by using a manipulation language, called TOPSQL. The MonCooS approach focuses on providing clinicians with assistance in monitoring and coordinating clinical interventions while leaving the reasoning task to domain experts. A proof-of-concepts system, TOPS, was developed to show that CGP management can be easily attained, within the SpEM framework, by using the MonCooS approach. TOPS is used to evaluate the framework and approach in a case study to manage a microalbuminuria protocol for diabetic patients. SpEM and MonCooS were found to be promising in supporting the full-scale management of information and knowledge for the computerised clinical protocol. Active capability within modern DBMS is still experiencing significant limitations in supporting some requirements of this application domain. These limitations lead to pointers for further improvements in database management system (DBMS) functionality for ECA rule support. The main contributions of this thesis are: a generic and unified framework for the management of CGPs; a general platform and an advanced software mechanism for the manipulation of information and knowledge in computerised CGPs; a requirement for further development of the active functionality within modern DBMS; and a case study for the computer-based management of microalbuminuria in diabetes patients

    OCL2Trigger: Deriving active mechanisms for relational databases using Model-Driven Architecture

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    16 pages, 10 figures.-- Issue title: "Best papers from the 2007 Australian Software Engineering Conference (ASWEC 2007), Melbourne, Australia, April 10-13, 2007, Australian Software Engineering Conference 2007".Transforming integrity constraints into active rules or triggers for verifying database consistency produces a serious and complex problem related to real time behaviour that must be considered for any implementation. Our main contribution to this work is to provide a complete approach for deriving the active mechanisms for Relational Databases from the specification of the integrity constraints by using OCL. This approach is designed in accordance with the MDA approach which consists of transforming the specified OCL clauses into a class diagram into SQL:2003 standard triggers, then transforming the standard triggers into target DBMS triggers. We believe that developing triggers and plugging them into a given model is insufficient because the behaviour of such triggers is invisible to the developers, and therefore not controllable. For this reason, a DBMS trigger verification model is used in our approach, in order to ensure the termination of trigger execution. Our approach is implemented as an add-in tool in Rational Rose called OCL2Trigger.This work is part of the "Software Process Management Platform: Modelling, reuse and measurement" TIN2004/07083 project.Publicad

    Performance Evaluation for Clustering Algorithms in Object-Oriented Database Systems

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    International audienceIt is widely acknowledged that good object clustering is critical to the performance of object-oriented databases. However, object clustering always involves some kind of overhead for the system. The aim of this paper is to propose a modelling methodology in order to evaluate the performances of different clustering policies. This methodology has been used to compare the performances of three clustering algorithms found in the literature (Cactis, CK and ORION) that we considered representative of the current research in the field of object clustering. The actual performance evaluation was performed using simulation. Simulation experiments we performed showed that the Cactis algorithm is better than the ORION algorithm and that the CK algorithm totally outperforms both other algorithms in terms of response time and clustering overhead

    Active databases, business rules and reactive agents - what is the connection?

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    These three technologies were and still are mainly treated separately. Since not much work has been carried out in defining and combining them together, we are going to present what has been done and put accent on what could be done. Namely, they rely upon similar paradigms and concepts, as will be shown later on, and can be treated as complementary technologies. In this paper we will show that reactive agents react according to some set of business rules and active databases can be used as a suitable means for implementing business rules and in those way reactive agents as well. Since reactive agents have been well defined, recent improvements in the fields of active databases technology and especially business rules provide the reason to consider the benefits to be achieved from combining these fields

    Active databases, business rules and reactive agents - what is the connection?

    Get PDF
    These three technologies were and still are mainly treated separately. Since not much work has been carried out in defining and combining them together, we are going to present what has been done and put accent on what could be done. Namely, they rely upon similar paradigms and concepts, as will be shown later on, and can be treated as complementary technologies. In this paper we will show that reactive agents react according to some set of business rules and active databases can be used as a suitable means for implementing business rules and in those way reactive agents as well. Since reactive agents have been well defined, recent improvements in the fields of active databases technology and especially business rules provide the reason to consider the benefits to be achieved from combining these fields
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