Improving the learning of clinical reasoning through computer-based cognitive representation

Objective: Clinical reasoning is usually taught using a problem-solving approach, which is widely adopted in medical education. However, learning through problem solving is difficult as a result of the contextualization and dynamic aspects of actual problems. Moreover, knowledge acquired from problem-solving practice tends to be inert and fragmented. This study proposed a computer-based cognitive representation approach that externalizes and facilitates the complex processes in learning clinical reasoning. The approach is operationalized in a computer-based cognitive representation tool that involves argument mapping to externalize the problem-solving process and concept mapping to reveal the knowledge constructed from the problems. Methods: Twenty-nine Year 3 or higher students from a medical school in east China participated in the study. Participants used the proposed approach implemented in an e-learning system to complete four learning cases in 4 weeks on an individual basis. For each case, students interacted with the problem to capture critical data, generate and justify hypotheses, make a diagnosis, recall relevant knowledge, and update their conceptual understanding of the problem domain. Meanwhile, students used the computer-based cognitive representation tool to articulate and represent the key elements and their interactions in the learning process. Results: A significant improvement was found in students’ learning products from the beginning to the end of the study, consistent with students’ report of close-to-moderate progress in developing problem-solving and knowledge-construction abilities. No significant differences were found between the pretest and posttest scores with the 4-week period. The cognitive representation approach was found to provide more formative assessment. Conclusions: The computer-based cognitive representation approach improved the learning of clinical reasoning in both problem solving and knowledge construction

The place of expert systems in a typology of information systems

This article considers definitions and claims of Expert Systems ( ES) and analyzes them in view of traditional Information systems (IS). It is argued that the valid specifications for ES do not differ fran those for IS. Consequently the theoretical study and the practical development of ES should not be a monodiscipline. Integration of ES development in classical mathematics and computer science opens the door to existing knowledge and experience. Aspects of existing ES are reviewed from this interdisciplinary point of view

A Fuzzy Association Rule Mining Expert-Driven (FARME-D) approach to Knowledge Acquisition

Fuzzy Association Rule Mining Expert-Driven (FARME-D) approach to knowledge acquisition is proposed in this paper as a viable solution to the challenges of rule-based unwieldiness and sharp boundary problem in building a fuzzy rule-based expert system. The fuzzy models were based on domain experts’ opinion about the data description. The proposed approach is committed to modelling of a compact Fuzzy Rule-Based Expert Systems. It is also aimed at providing a platform for instant update of the knowledge-base in case new knowledge is discovered. The insight to the new approach strategies and underlining assumptions, the structure of FARME-D and its practical application in medical domain was discussed. Also, the modalities for the validation of the FARME-D approach were discussed

KBS for Desktop PC Troubleshooting

Abstract: Background: In spite of the fact that computers continue to improve in speed and functions operation, they remain complex to use. Problems frequently happen, and it is hard to resolve or find solutions for them. This paper outlines the significance and feasibility of building a desktop PC problems diagnosis system. The system gathers problem symptoms from users’ desktops, rather than the user describes his/her problems to primary search engines. It automatically searches global databases of problem symptoms and solutions, and also allows ordinary users to contribute exact problem reports in a structured manner. Objectives: The main goal of this Knowledge Based System is to get the suitable problem desktop PC symptoms and the correct way to solve the errors. Methods: In this paper the design of the proposed Knowledge Based System which was produced to help users of desktop PC in knowing many of the problems and error such as : Power supply problems, CPU errors, RAM dumping error, hard disk errors and bad sectors and suddenly restarting PC. The proposed Knowledge Based System presents an overview about desktop PC hardware errors are given, the cause of fault are outlined and the solution to the problems whenever possible is given out. CLIPS Knowledge Based System language was used for designing and implementing the proposed expert system. Results: The proposed PC desktop troubleshooting Knowledge Based System was evaluated by IT students and they were satisfied with its performance

Enhancing Attention’s Explanation Using Interpretable Tsetlin Machine

Explainability is one of the key factors in Natural Language Processing (NLP) specially for legal documents, medical diagnosis, and clinical text. Attention mechanism has been a popular choice for such explainability recently by estimating the relative importance of input units. Recent research has revealed, however, that such processes tend to misidentify irrelevant input units when explaining them. This is due to the fact that language representation layers are initialized by pretrained word embedding that is not context-dependent. Such a lack of context-dependent knowledge in the initial layer makes it difficult for the model to concentrate on the important aspects of input. Usually, this does not impact the performance of the model, but the explainability differs from human understanding. Hence, in this paper, we propose an ensemble method to use logic-based information from the Tsetlin Machine to embed it into the initial representation layer in the neural network to enhance the model in terms of explainability. We obtain the global clause score for each word in the vocabulary and feed it into the neural network layer as context-dependent information. Our experiments show that the ensemble method enhances the explainability of the attention layer without sacrificing any performance of the model and even outperforming in some datasets.publishedVersio