User-centered visual analysis using a hybrid reasoning architecture for intensive care units

One problem pertaining to Intensive Care Unit information systems is that, in some cases, a very dense display of data can result. To ensure the overview and readability of the increasing volumes of data, some special features are required (e.g., data prioritization, clustering, and selection mechanisms) with the application of analytical methods (e.g., temporal data abstraction, principal component analysis, and detection of events). This paper addresses the problem of improving the integration of the visual and analytical methods applied to medical monitoring systems. We present a knowledge- and machine learning-based approach to support the knowledge discovery process with appropriate analytical and visual methods. Its potential benefit to the development of user interfaces for intelligent monitors that can assist with the detection and explanation of new, potentially threatening medical events. The proposed hybrid reasoning architecture provides an interactive graphical user interface to adjust the parameters of the analytical methods based on the users' task at hand. The action sequences performed on the graphical user interface by the user are consolidated in a dynamic knowledge base with specific hybrid reasoning that integrates symbolic and connectionist approaches. These sequences of expert knowledge acquisition can be very efficient for making easier knowledge emergence during a similar experience and positively impact the monitoring of critical situations. The provided graphical user interface incorporating a user-centered visual analysis is exploited to facilitate the natural and effective representation of clinical information for patient care

Integrating formal methods into medical software development : the ASM approach

Medical devices are safety-critical systems since their malfunctions can seriously compromise human safety. Correct operation of a medical device depends upon the controlling software, whose development should adhere to certification standards. However, these standards provide general descriptions of common software engineering activities without any indication regarding particular methods and techniques to assure safety and reliability. This paper discusses how to integrate the use of a formal approach into the current normative for the medical software development. The rigorous process is based on the Abstract State Machine (ASM) formal method, its refinement principle, and model analysis approaches the method supports. The hemodialysis machine case study is used to show how the ASM-based design process covers most of the engineering activities required by the related standards, and provides rigorous approaches for medical software validation and verification

Heuristic Approaches for Generating Local Process Models through Log Projections

Local Process Model (LPM) discovery is focused on the mining of a set of process models where each model describes the behavior represented in the event log only partially, i.e. subsets of possible events are taken into account to create so-called local process models. Often such smaller models provide valuable insights into the behavior of the process, especially when no adequate and comprehensible single overall process model exists that is able to describe the traces of the process from start to end. The practical application of LPM discovery is however hindered by computational issues in the case of logs with many activities (problems may already occur when there are more than 17 unique activities). In this paper, we explore three heuristics to discover subsets of activities that lead to useful log projections with the goal of speeding up LPM discovery considerably while still finding high-quality LPMs. We found that a Markov clustering approach to create projection sets results in the largest improvement of execution time, with discovered LPMs still being better than with the use of randomly generated activity sets of the same size. Another heuristic, based on log entropy, yields a more moderate speedup, but enables the discovery of higher quality LPMs. The third heuristic, based on the relative information gain, shows unstable performance: for some data sets the speedup and LPM quality are higher than with the log entropy based method, while for other data sets there is no speedup at all.Comment: paper accepted and to appear in the proceedings of the IEEE Symposium on Computational Intelligence and Data Mining (CIDM), special session on Process Mining, part of the Symposium Series on Computational Intelligence (SSCI

Integration of decision support systems to improve decision support performance

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

MODELFY: A Model-driven Solution for Decision Making based on Fuzzy Information

There exist areas, such as the disease prevention or inclement weather protocols, in which the analysis of the information based on strict protocols require a high level of rigor and security. In this situation, it would be desirable to apply formal methodologies that provide these features. In this scope, recently, it has been proposed a formalism, fuzzy automaton, that captures two relevant aspects for fuzzy information analysis: imprecision and uncertainty. However, the models should be designed by domain experts, who have the required knowledge for the design of the processes, but do not have the necessary technical knowledge. To address this limitation, this paper proposes MODELFY, a novel model-driven solution for designing a decision-making process based on fuzzy automata that allows users to abstract from technical complexities. With this goal in mind, we have developed a framework for fuzzy automaton model design based on a Domain- Specific Modeling Language (DSML) and a graphical editor. To improve the interoperability and functionality of this framework, it also includes a model-to-text transformation that translates the models designed by using the graphical editor into a format that can be used by a tool for data analysis. The practical value of this proposal is also evaluated through a non-trivial medical protocol for detecting potential heart problems. The results confirm that MODELFY is useful for defining such a protocol in a user-friendly and rigorous manner, bringing fuzzy automata closer to domain expert

Thirty years of artificial intelligence in medicine (AIME) conferences: A review of research themes

Over the past 30 years, the international conference on Artificial Intelligence in MEdicine (AIME) has been organized at different venues across Europe every 2 years, establishing a forum for scientific exchange and creating an active research community. The Artificial Intelligence in Medicine journal has published theme issues with extended versions of selected AIME papers since 1998

Aerospace medicine and biology: A continuing bibliography with indexes (supplement 346)

This bibliography lists 134 reports, articles and other documents introduced into the NASA Scientific and Technical Information System during Jan. 1991. Subject coverage includes: aerospace medicine and psychology, life support systems and controlled environments, safety equipment, exobiology and extraterrestrial life, and flight crew behavior and performance