Construals as a complement to intelligent tutoring systems in medical education

This is a preliminary version of a report prepared by Meurig and Will Beynon in conjunction with a poster paper "Mediating Intelligence through Observation, Dependency and Agency in Making Construals of Malaria" at the 11th International Conference on Intelligent Tutoring Systems (ITS 2012) and a paper "Construals to Support Exploratory and Collaborative Learning in Medicine" at the associated workshop on Intelligent Support for Exploratory Environments (ISEE 2012). A final version of the report will be published at a later stage after feedback from presentations at these events has been taken into account, and the experimental versions of the JS-EDEN interpreter used in making construals have been developed to a more mature and stable form

Building a Computer-Based Expert System for Malaria Environmental Diagnosis: An Alternative Malaria Control Strategy

As a predominant environmental health problem in Africa, malaria constitutes a great threat to the existence of many communities. The harmful effects of malaria parasites to the human body cannot be underestimated. In this paper, an expert system for malaria environmental diagnosis was presented for providing decision support to malaria researchers, institutes and other healthcare practitioners in malaria endemic regions of the world. The motivation behind this work was due to the insufficient malaria control measures in existence and the need to provide novel approaches towards malaria control. A malaria expert system prototype was developed that involved a knowledge component, the application component (AC), the database system component (DC), the Graphical User Interface (GUI) component and the User component (UC). The User interface component was implemented using the Java Programming language. The application component was implemented using the Java Expert System Shell (JESS) and the Java IDE of Netbeans while the database component was implemented using SQL Server

Mass campaigns with antimalarial drugs: a modelling comparison of artemether-lumefantrine and DHA-piperaquine with and without primaquine as tools for malaria control and elimination

Antimalarial drugs are a powerful tool for malaria control and elimination. Artemisinin-based combination therapies (ACTs) can reduce transmission when widely distributed in a campaign setting. Modelling mass antimalarial campaigns can elucidate how to most effectively deploy drug-based interventions and quantitatively compare the effects of cure, prophylaxis, and transmission-blocking in suppressing parasite prevalence. A previously established agent-based model that includes innate and adaptive immunity was used to simulate malaria infections and transmission. Pharmacokinetics of artemether, lumefantrine, dihydroartemisinin, piperaquine, and primaquine were modelled with a double-exponential distribution-elimination model including weight-dependent parameters and age-dependent dosing. Drug killing of asexual parasites and gametocytes was calibrated to clinical data. Mass distribution of ACTs and primaquine was simulated with seasonal mosquito dynamics at a range of transmission intensities. A single mass campaign with antimalarial drugs is insufficient to permanently reduce malaria prevalence when transmission is high. Current diagnostics are insufficiently sensitive to accurately identify asymptomatic infections, and mass-screen-and-treat campaigns are much less efficacious than mass drug administrations. Improving campaign coverage leads to decreased prevalence one month after the end of the campaign, while increasing compliance lengthens the duration of protection against reinfection. Use of a long-lasting prophylactic as part of a mass drug administration regimen confers the most benefit under conditions of high transmission and moderately high coverage. Addition of primaquine can reduce prevalence but exerts its largest effect when coupled with a long-lasting prophylactic.Comment: 14 pages, 5 figure