10,863 research outputs found

    Integration of decision support systems to improve decision support performance

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    Decision support system (DSS) is a well-established research and development area. Traditional isolated, stand-alone DSS has been recently facing new challenges. In order to improve the performance of DSS to meet the challenges, research has been actively carried out to develop integrated decision support systems (IDSS). This paper reviews the current research efforts with regard to the development of IDSS. The focus of the paper is on the integration aspect for IDSS through multiple perspectives, and the technologies that support this integration. More than 100 papers and software systems are discussed. Current research efforts and the development status of IDSS are explained, compared and classified. In addition, future trends and challenges in integration are outlined. The paper concludes that by addressing integration, better support will be provided to decision makers, with the expectation of both better decisions and improved decision making processes

    CBR and MBR techniques: review for an application in the emergencies domain

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    The purpose of this document is to provide an in-depth analysis of current reasoning engine practice and the integration strategies of Case Based Reasoning and Model Based Reasoning that will be used in the design and development of the RIMSAT system. RIMSAT (Remote Intelligent Management Support and Training) is a European Commission funded project designed to: a.. Provide an innovative, 'intelligent', knowledge based solution aimed at improving the quality of critical decisions b.. Enhance the competencies and responsiveness of individuals and organisations involved in highly complex, safety critical incidents - irrespective of their location. In other words, RIMSAT aims to design and implement a decision support system that using Case Base Reasoning as well as Model Base Reasoning technology is applied in the management of emergency situations. This document is part of a deliverable for RIMSAT project, and although it has been done in close contact with the requirements of the project, it provides an overview wide enough for providing a state of the art in integration strategies between CBR and MBR technologies.Postprint (published version

    Emergent Frameworks for Decision Support Systems

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    Knowledge is generated and accessed from heterogeneous spaces. The recent advances in in-formation technologies provide enhanced tools for improving the efficiency of knowledge-based decision support systems. The purpose of this paper is to present the frameworks for developing the optimal blend of technologies required in order to better the knowledge acquisition and reuse in large scale decision making environments. The authors present a case study in the field of clinical decision support systems based on emerging technologies. They consider the changes generated by the upraising social technologies and the challenges brought by the interactive knowledge building within vast online communities.Knowledge Acquisition, CDDSS, 2D Barcodes, Mobile Interface

    Governance and Water Management: Progress and Tools in Mediterranean Countries

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    This paper reviews the progress with respect to Integrated Water Resource Management (IWRM) in Mediterranean countries, as addressed within the activities of the Nostrum-Dss project, a Coordination Action funded by the 6th Framework Programme of the EC, with a particular emphasis on the current use of decision support tools (DSS). The IWRM paradigm is a comprehensive management framework, which integrates the different aspects of water resources – from the underlying ecological and physical aspects, to the socio-economic values and needs (horizontal integration); and calls for increasing decentralisation and privatisation of water services (vertical integration), and the devolution of planning authority, without however forgetting the need to ensure equitable access to water resources. Substantial progress has been made in the last decades in Nostrum-Dss Partner countries, although a disparity can still be seen between the Northern and Southern banks. New institutions have been established for implementing IWRM, existing institutions have been reformed, and decision making processes increasingly require public participation. Decentralisation of decision making, implementation and monitoring are also well underway, although improvements are still needed to ensure that the traditional power structures do not prevail. More efficient technologies and infrastructures are in place, especially for the production of high value goods or in agriculture. Finally, several DSS have been developed: yet, while operational/technical DSS instruments have been successfully employed, DSSs tools developed in a participatory way, or tackling more complex, political as well as environmental and economic problems are still de-linked from actual decision making processes. Laws and regulations for water management in most Mediterranean countries embrace and support the paradigms of IWRM – and EU framework directives have played an important role in fostering this shift from more traditional, vertical governance to new, horizontal governance based on soft laws. Yet, the implementation of such laws and regulations is often only partial – often because of the lack of a clear monitoring and enforcement strategy, but also because of governments’ financial and human resources constraints. Strong overlaps of roles and competences among different government institutions remain, hampering effective implementation of water management. The tendency to centralisation of decision making persists, and actors’ involvement is scanty. The shift towards the use of demand side policies as opposed to supply side policies is not yet completed: yet, supply side policies are very costly, as they are based on greater mobilisation of financial resources. Full cost recovery pricing is not practiced widely. This reluctance to introduce full cost recovery pricing in developing countries may be due to ethical and moral considerations, but in developed countries it is often associated with strong lobbying power of interest groups. This study was supported by funding under the Sixth Research Framework of the European Union within the project "Network on Governance, Science and Technology for Sustainable Water Resource Management in the Mediterranean- The role of Dss tools” (NOSTRUM-Dss, contract number INCO-CT-2004-509158).Integrated Water Resources Management, Decision Support Systems, Environmental Governance

    Multi-Sectoral Uses of Water & Approaches to DSS in Water Management in the NOSTRUM Partner Countries of the Mediterranean

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    Agriculture contributes an average of about 10% to the GDP of the partner countries of the Mediterranean involved in the project NOSTRUM. On the other hand, industry contributes an average of about 30% in these countries. It is to remark that in almost all countries the weight of industry accounts between 20% and 30% of the national economy, with the exception of Algeria, where this weight is at about 60%, mainly imputable to the great development of oil extraction and energy sector. In the majority of participating countries, agriculture sector is the greatest consumer of water (more than 65% of total water consumption). Although the case from France where agriculture water use is only about 10% of total water consumption and Italy with around 45%, but this may be due to the fact that most countries reporting for their agricultural water consumption do not include the amount of rain-fed to cultivated lands as a part of their agriculture water use. Most agriculture water use is limited to irrigation water from streams/rivers and groundwater. Rain-fed cultivated-lands in France is almost 90% of its total cultivated area. For Croatia, data given in National Report indicate a 0% of water use for agriculture. The average of water use for agriculture for all the basin is of 62.3% but with a great scatter expressed by a high standard deviation (26.8%) that reflects a wide variation range of water use for agriculture among different countries. The average of water use for agriculture is weakly less on northern countries (52.7%) than on southern countries (75.2) but the twice values are still on the range of the average of the all basin and cannot be taken as indication of difference between north and south. Integrated Water Resources Management (IWRM) plans are currently developed and implemented by various countries to organize the multi-sectoral water uses. On the other hand, the need for Decision Support System (DSS) as a tool in developing and implementing Integrated Water Resources Management (IWRM) is in growing demand. In spite of the great potential for the research and the development of DSS, the utilization of DSS in water management is not widely spread in the partner countries. In some countries, DSS was planned and developed at the scale of territorial integrated water management. Integration of DSS application to the existing IWRM systems at the partner countries would assist in satisfying the water related Millennium Development Goals (MDGs).Integrated Water Resources Management, Decision Support Systems, Mediterranean Basin

    Improving Medicaid Managed Care for Youth With Serious Behavioral Health Needs: A Quality Improvement Toolkit

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    Profiles successful initiatives by Medicaid managed care organizations in a collaboration to implement systems of care emphasizing early identification, coordination and management, and various services and supports in the least restrictive settings
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