Big data analytics for preventive medicine

© 2019, Springer-Verlag London Ltd., part of Springer Nature. Medical data is one of the most rewarding and yet most complicated data to analyze. How can healthcare providers use modern data analytics tools and technologies to analyze and create value from complex data? Data analytics, with its promise to efficiently discover valuable pattern by analyzing large amount of unstructured, heterogeneous, non-standard and incomplete healthcare data. It does not only forecast but also helps in decision making and is increasingly noticed as breakthrough in ongoing advancement with the goal is to improve the quality of patient care and reduces the healthcare cost. The aim of this study is to provide a comprehensive and structured overview of extensive research on the advancement of data analytics methods for disease prevention. This review first introduces disease prevention and its challenges followed by traditional prevention methodologies. We summarize state-of-the-art data analytics algorithms used for classification of disease, clustering (unusually high incidence of a particular disease), anomalies detection (detection of disease) and association as well as their respective advantages, drawbacks and guidelines for selection of specific model followed by discussion on recent development and successful application of disease prevention methods. The article concludes with open research challenges and recommendations

An alternative episode of care characterization for supporting the implementation of cluster-based bundled payment

In recent years, there has been a tremendous increase in health care expenditures in the United States. The most prevalent reimbursement system for health care expenses, Fee-for-service (FFS), has been deemed as one of the main reasons behind the high health care cost. Medicaid and Medicare have been exploring ways to transition from fee-for-service (FFS) to value-based-payment care plans, and Bundle Payments (BP) in particular. Adopting BPs can potentially improve the quality of care and efficiency by encouraging better coordination among the care providers. We propose a two-step methodology with clustering and classification to characterize episodes of care by fusing a process in which we first apply spectral clustering to the procedural and revenue codes associated with an encounter of interest, and to those codes associated with the encounters most likely to proceed and to follow such an encounter. Secondly, to enhance cluster homogeneity, we apply a set of supervised learning algorithms to the resulting clusters after fusing their non-procedural information with the cluster characterization. We compare the performance of the proposed methodology with a benchmark methodology over three encounters of interest: congestive heart failure (CHF), total knee replacement (TKR) and urinary tract infection (UTI) conditions. Our approach significantly reduces the variance of overpayment and underpayment associated with the variation resulting from the FFS payments per encounter and the reimbursement received as a consequence of a single payment per encounter in a cluster

Information Systems and Healthcare XXXIV: Clinical Knowledge Management Systems—Literature Review and Research Issues for Information Systems

Knowledge Management (KM) has emerged as a possible solution to many of the challenges facing U.S. and international healthcare systems. These challenges include concerns regarding the safety and quality of patient care, critical inefficiency, disparate technologies and information standards, rapidly rising costs and clinical information overload. In this paper, we focus on clinical knowledge management systems (CKMS) research. The objectives of the paper are to evaluate the current state of knowledge management systems diffusion in the clinical setting, assess the present status and focus of CKMS research efforts, and identify research gaps and opportunities for future work across the medical informatics and information systems disciplines. The study analyzes the literature along two dimensions: (1) the knowledge management processes of creation, capture, transfer, and application, and (2) the clinical processes of diagnosis, treatment, monitoring and prognosis. The study reveals that the vast majority of CKMS research has been conducted by the medical and health informatics communities. Information systems (IS) researchers have played a limited role in past CKMS research. Overall, the results indicate that there is considerable potential for IS researchers to contribute their expertise to the improvement of clinical process through technology-based KM approaches

Real-time Knowledge-based Fuzzy Logic Model for Soft Tissue Deformation

In this research, the improved mass spring model is presented to simulate the human liver deformation. The underlying MSM is redesigned where fuzzy knowledge-based approaches are implemented to determine the stiffness values. Results show that fuzzy approaches are in very good agreement to the benchmark model. The novelty of this research is that for liver deformation in particular, no specific contributions in the literature exist reporting on real-time knowledge-based fuzzy MSM for liver deformation

Faculty Publications and Creative Works 1999

One of the ways in which we recognize our faculty at the University of New Mexico is through Faculty Publications & Creative Works. An annual publication, it highlights our faculty\u27s scholarly and creative activities and achievements and serves as a compendium of UNM faculty efforts during the 1999 calendar year. Faculty Publications & Creative Works strives to illustrate the depth and breadth of research activities performed throughout our University\u27s laboratories, studios and classrooms. We believe that the communication of individual research is a significant method of sharing concepts and thoughts and ultimately inspiring the birth of new ideas. In support of this, UNM faculty during 1999 produced over 2,292 works, including 1,837 scholarly papers and articles, 78 books, 82 book chapters, 175 reviews, 113 creative works and 7 patented works. We are proud of the accomplishments of our faculty which are in part reflected in this book, which illustrates the diversity of intellectual pursuits in support of research and education at the University of New Mexico

Evolution and challenges in the design of computational systems for triage assistance

AbstractCompared with expert systems for specific disease diagnosis, knowledge-based systems to assist decision making in triage usually try to cover a much wider domain but can use a smaller set of variables due to time restrictions, many of them subjective so that accurate models are difficult to build. In this paper, we first study criteria that most affect the performance of systems for triage assistance. Such criteria include whether principled approaches from machine learning can be used to increase accuracy and robustness and to represent uncertainty, whether data and model integration can be performed or whether temporal evolution can be modeled to implement retriage or represent medication responses. Following the most important criteria, we explore current systems and identify some missing features that, if added, may yield to more accurate triage systems

Special oils for halal and safe cosmetics

Three types of non conventional oils were extracted, analyzed and tested for toxicity. Date palm kernel oil (DPKO), mango kernel oil (MKO) and Ramputan seed oil (RSO). Oil content for tow cultivars of dates Deglect Noor and Moshkan was 9.67% and 7.30%, respectively. The three varieties of mango were found to contain about 10% oil in average. The red yellow types of Ramputan were found to have 11 and 14% oil, respectively. The phenolic compounds in DPKO, MKO and RSO were 0.98, 0.88 and 0.78 mg/ml Gallic acid equivalent, respectively. Oils were analyzed for their fatty acid composition and they are rich in oleic acid C18:1 and showed the presence of (dodecanoic acid) lauric acid C12:0, which reported to appear some antimicrobial activities. All extracted oils, DPKO, MKO and RSO showed no toxic effect using prime shrimp bioassay. Since these oils are stable, melt at skin temperature, have good lubricity and are great source of essential fatty acids; they could be used as highly moisturizing, cleansing and nourishing oils because of high oleic acid content. They are ideal for use in such halal cosmetics such as Science, Engineering and Technology 75 skin care and massage, hair-care, soap and shampoo products

Efficient Process Data Warehousing

This dissertation presents a data processing architecture for efficient data warehousing from historical data sources. The present work has three primary contributions. The first contribution is the development of a generalized process data warehousing (PDW) architecture that includes multilayer data processing steps to transform raw data streams into useful information that facilitates data-driven decision making. The second contribution is exploring the applicability of the proposed architecture to the case of sparse process data. We have tested the proposed approach in a medical monitoring system, which takes physiological data and predicts the clinical setting in which the data is most likely to be seen. We have performed a set of experiments with real clinical data (from Children’s Hospital of Pittsburgh) that demonstrate the high utility of the present approach. The third contribution is exploring the applicability of the proposed PDW architecture to the case of redundant process data. We have designed and developed a conflict-aware data fusion strategy for the efficient aggregation of historical data. We have elaborated a simulation-based study of the tradeoffs between the data fusion solutions and data accuracy, and have also evaluated the solutions to a large-scale integrated framework (Tycho data) that includes historical data from heterogeneous sources in different subject areas. Finally, we propose and have evaluated a state sequence recovery (SSR) framework, which integrates work from two previous studies, which are both sparse and redundant studies. Our experimental results are based on several algorithms that have been developed and tested in different simulation set-up scenarios under both normal and exponential data distributions

The Effect of Malaysia General Election on Financial Network: An Evidence from Shariah-Compliant Stocks on Bursa Malaysia

Instead of focusing the volatility of the market, the market participants should consider on how the general election affects the correlation between the stocks during 14th general election Malaysia. The 14th general election of Malaysia was held on 9th May 2018. This event has a great impact towards the stocks listed on Bursa Malaysia. Thus, this study investigates the effect of 14th general election Malaysia towards the correlation between stock in Bursa Malaysia specifically the shariah-compliant stock. In addition, this paper examines the changes in terms of network topology for the duration, sixth months before and after the general election. The minimum spanning tree was used to visualize the correlation between the stocks. Also, the centrality measure, namely degree, closeness and betweenness were computed to identify if any changes of stocks that plays a crucial role in the network for the duration of before and after 14th general election Malaysia