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

Intelligent multimedia communication for enhanced medical e-collaboration in back pain treatment

This is the post-print version of the Article. The official published version can be accessed from the link below - Copyright @ 2004 SAGE PublicationsRemote, multimedia-based, collaboration in back pain treatment is an option which only recently has come to the attention of clinicians and IT providers. The take-up of such applications will inevitably depend on their ability to produce an acceptable level of service over congested and unreliable public networks. However, although the problem of multimedia application-level performance is closely linked to both the user perspective of the experience as well as to the service provided by the underlying network, it is rarely studied from an integrated viewpoint. To alleviate this problem, we propose an intelligent mechanism that integrates user-related requirements with the more technical characterization of quality of service, obtaining a priority order of low-level quality of service parameters, which would ensure that user-centred quality of perception is maintained at an optimum level. We show how our framework is capable of suggesting appropriately tailored transmission protocols, by incorporating user requirements in the remote delivery of e-health solutions

Understanding inter-organizational decision coordination

This article develops a theoretical framework to investigate the interaction and coordination of decision-making processes in a supply chain with multiple and inter-dependent suppliers and customers. Design/Methodology/Approach: Three longitudinal case studies on the decision coordination processes between a European toy supplier and three retailers. Findings: The case studies found different mental models, decision-making behaviours, coordination behaviours and ordering behaviours even though the toy supplier and the three retailers observed quite the same material flow behaviours. The study found explanations for these diverse behaviours by analyzing the mental models and decision-making behaviours of each involved party. Originality/value: The findings explain the conditions which lead to undesirable mental models and decision-making behaviours which affect the coordination of decisions among supply chain members

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

Dynamic deployment of context-aware access control policies for constrained security devices

Securing the access to a server, guaranteeing a certain level of protection over an encrypted communication channel, executing particular counter measures when attacks are detected are examples of security requirements. Such requirements are identi ed based on organizational purposes and expectations in terms of resource access and availability and also on system vulnerabilities and threats. All these requirements belong to the so-called security policy. Deploying the policy means enforcing, i.e., con guring, those security components and mechanisms so that the system behavior be nally the one speci ed by the policy. The deployment issue becomes more di cult as the growing organizational requirements and expectations generally leave behind the integration of new security functionalities in the information system: the information system will not always embed the necessary security functionalities for the proper deployment of contextual security requirements. To overcome this issue, our solution is based on a central entity approach which takes in charge unmanaged contextual requirements and dynamically redeploys the policy when context changes are detected by this central entity. We also present an improvement over the OrBAC (Organization-Based Access Control) model. Up to now, a controller based on a contextual OrBAC policy is passive, in the sense that it assumes policy evaluation triggered by access requests. Therefore, it does not allow reasoning about policy state evolution when actions occur. The modi cations introduced by our work overcome this limitation and provide a proactive version of the model by integrating concepts from action speci cation languages