64 research outputs found
Measuring the impact of COVID-19 on hospital care pathways
Care pathways in hospitals around the world reported significant disruption during the recent COVID-19 pandemic but measuring the actual impact is more problematic. Process mining can be useful for hospital management to measure the conformance of real-life care to what might be considered normal operations. In this study, we aim to demonstrate that process mining can be used to investigate process changes associated with complex disruptive events. We studied perturbations to accident and emergency (A &E) and maternity pathways in a UK public hospital during the COVID-19 pandemic. Co-incidentally the hospital had implemented a Command Centre approach for patient-flow management affording an opportunity to study both the planned improvement and the disruption due to the pandemic. Our study proposes and demonstrates a method for measuring and investigating the impact of such planned and unplanned disruptions affecting hospital care pathways. We found that during the pandemic, both A &E and maternity pathways had measurable reductions in the mean length of stay and a measurable drop in the percentage of pathways conforming to normative models. There were no distinctive patterns of monthly mean values of length of stay nor conformance throughout the phases of the installation of the hospital’s new Command Centre approach. Due to a deficit in the available A &E data, the findings for A &E pathways could not be interpreted
Jornadas Nacionales de Investigación en Ciberseguridad: actas de las VIII Jornadas Nacionales de Investigación en ciberseguridad: Vigo, 21 a 23 de junio de 2023
Jornadas Nacionales de Investigación en Ciberseguridad (8ª. 2023. Vigo)atlanTTicAMTEGA: Axencia para a modernización tecnolóxica de GaliciaINCIBE: Instituto Nacional de Cibersegurida
Data Management for Dynamic Multimedia Analytics and Retrieval
Multimedia data in its various manifestations poses a unique challenge from a data storage and data management perspective, especially if search, analysis and analytics in large data corpora is considered. The inherently unstructured nature of the data itself and the curse of dimensionality that afflicts the representations we typically work with in its stead are cause for a broad range of issues that require sophisticated solutions at different levels. This has given rise to a huge corpus of research that puts focus on techniques that allow for effective and efficient multimedia search and exploration. Many of these contributions have led to an array of purpose-built, multimedia search systems.
However, recent progress in multimedia analytics and interactive multimedia retrieval, has demonstrated that several of the assumptions usually made for such multimedia search workloads do not hold once a session has a human user in the loop. Firstly, many of the required query operations cannot be expressed by mere similarity search and since the concrete requirement cannot always be anticipated, one needs a flexible and adaptable data management and query framework. Secondly, the widespread notion of staticity of data collections does not hold if one considers analytics workloads, whose purpose is to produce and store new insights and information. And finally, it is impossible even for an expert user to specify exactly how a data management system should produce and arrive at the desired outcomes of the potentially many different queries.
Guided by these shortcomings and motivated by the fact that similar questions have once been answered for structured data in classical database research, this Thesis presents three contributions that seek to mitigate the aforementioned issues. We present a query model that generalises the notion of proximity-based query operations and formalises the connection between those queries and high-dimensional indexing. We complement this by a cost-model that makes the often implicit trade-off between query execution speed and results quality transparent to the system and the user. And we describe a model for the transactional and durable maintenance of high-dimensional index structures.
All contributions are implemented in the open-source multimedia database system Cottontail DB, on top of which we present an evaluation that demonstrates the effectiveness of the proposed models. We conclude by discussing avenues for future research in the quest for converging the fields of databases on the one hand and (interactive) multimedia retrieval and analytics on the other
LIPIcs, Volume 274, ESA 2023, Complete Volume
LIPIcs, Volume 274, ESA 2023, Complete Volum
Fundamentals
Volume 1 establishes the foundations of this new field. It goes through all the steps from data collection, their summary and clustering, to different aspects of resource-aware learning, i.e., hardware, memory, energy, and communication awareness. Machine learning methods are inspected with respect to resource requirements and how to enhance scalability on diverse computing architectures ranging from embedded systems to large computing clusters
Data-Driven Methods for Data Center Operations Support
During the last decade, cloud technologies have been evolving at
an impressive pace, such that we are now living in a cloud-native
era where developers can leverage on an unprecedented landscape
of (possibly managed) services for orchestration, compute, storage,
load-balancing, monitoring, etc. The possibility to have on-demand
access to a diverse set of configurable virtualized resources allows
for building more elastic, flexible and highly-resilient distributed
applications. Behind the scenes, cloud providers sustain the heavy
burden of maintaining the underlying infrastructures, consisting in
large-scale distributed systems, partitioned and replicated among
many geographically dislocated data centers to guarantee scalability,
robustness to failures, high availability and low latency. The larger the
scale, the more cloud providers have to deal with complex interactions
among the various components, such that monitoring, diagnosing and
troubleshooting issues become incredibly daunting tasks.
To keep up with these challenges, development and operations
practices have undergone significant transformations, especially in
terms of improving the automations that make releasing new software,
and responding to unforeseen issues, faster and sustainable at scale.
The resulting paradigm is nowadays referred to as DevOps. However,
while such automations can be very sophisticated, traditional DevOps
practices fundamentally rely on reactive mechanisms, that typically
require careful manual tuning and supervision from human experts.
To minimize the risk of outages—and the related costs—it is crucial to
provide DevOps teams with suitable tools that can enable a proactive
approach to data center operations.
This work presents a comprehensive data-driven framework to address
the most relevant problems that can be experienced in large-scale
distributed cloud infrastructures. These environments are indeed characterized
by a very large availability of diverse data, collected at each
level of the stack, such as: time-series (e.g., physical host measurements,
virtual machine or container metrics, networking components
logs, application KPIs); graphs (e.g., network topologies, fault graphs
reporting dependencies among hardware and software components,
performance issues propagation networks); and text (e.g., source code,
system logs, version control system history, code review feedbacks).
Such data are also typically updated with relatively high frequency,
and subject to distribution drifts caused by continuous configuration
changes to the underlying infrastructure. In such a highly dynamic scenario,
traditional model-driven approaches alone may be inadequate
at capturing the complexity of the interactions among system components. DevOps teams would certainly benefit from having robust
data-driven methods to support their decisions based on historical
information. For instance, effective anomaly detection capabilities may
also help in conducting more precise and efficient root-cause analysis.
Also, leveraging on accurate forecasting and intelligent control
strategies would improve resource management.
Given their ability to deal with high-dimensional, complex data,
Deep Learning-based methods are the most straightforward option for
the realization of the aforementioned support tools. On the other hand,
because of their complexity, this kind of models often requires huge
processing power, and suitable hardware, to be operated effectively
at scale. These aspects must be carefully addressed when applying
such methods in the context of data center operations. Automated
operations approaches must be dependable and cost-efficient, not to
degrade the services they are built to improve.
i
Research Paper: Process Mining and Synthetic Health Data: Reflections and Lessons Learnt
Analysing the treatment pathways in real-world health data can provide valuable insight for clinicians and decision-makers. However, the procedures for acquiring real-world data for research can be restrictive, time-consuming and risks disclosing identifiable information. Synthetic data might enable representative analysis without direct access to sensitive data. In the first part of our paper, we propose an approach for grading synthetic data for process analysis based on its fidelity to relationships found in real-world data. In the second part, we apply our grading approach by assessing cancer patient pathways in a synthetic healthcare dataset (The Simulacrum provided by the English National Cancer Registration and Analysis Service) using process mining. Visualisations of the patient pathways within the synthetic data appear plausible, showing relationships between events confirmed in the underlying non-synthetic data. Data quality issues are also present within the synthetic data which reflect real-world problems and artefacts from the synthetic dataset’s creation. Process mining of synthetic data in healthcare is an emerging field with novel challenges. We conclude that researchers should be aware of the risks when extrapolating results produced from research on synthetic data to real-world scenarios and assess findings with analysts who are able to view the underlying data
Diffeomorphic Transformations for Time Series Analysis: An Efficient Approach to Nonlinear Warping
The proliferation and ubiquity of temporal data across many disciplines has
sparked interest for similarity, classification and clustering methods
specifically designed to handle time series data. A core issue when dealing
with time series is determining their pairwise similarity, i.e., the degree to
which a given time series resembles another. Traditional distance measures such
as the Euclidean are not well-suited due to the time-dependent nature of the
data. Elastic metrics such as dynamic time warping (DTW) offer a promising
approach, but are limited by their computational complexity,
non-differentiability and sensitivity to noise and outliers. This thesis
proposes novel elastic alignment methods that use parametric \& diffeomorphic
warping transformations as a means of overcoming the shortcomings of DTW-based
metrics. The proposed method is differentiable \& invertible, well-suited for
deep learning architectures, robust to noise and outliers, computationally
efficient, and is expressive and flexible enough to capture complex patterns.
Furthermore, a closed-form solution was developed for the gradient of these
diffeomorphic transformations, which allows an efficient search in the
parameter space, leading to better solutions at convergence. Leveraging the
benefits of these closed-form diffeomorphic transformations, this thesis
proposes a suite of advancements that include: (a) an enhanced temporal
transformer network for time series alignment and averaging, (b) a
deep-learning based time series classification model to simultaneously align
and classify signals with high accuracy, (c) an incremental time series
clustering algorithm that is warping-invariant, scalable and can operate under
limited computational and time resources, and finally, (d) a normalizing flow
model that enhances the flexibility of affine transformations in coupling and
autoregressive layers.Comment: PhD Thesis, defended at the University of Navarra on July 17, 2023.
277 pages, 8 chapters, 1 appendi
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