EXPERT SYSTEM MODELING FOR THE MULTIDIMENSIONAL EVALUATION OF AGED PEOPLE

Objective: to describe the modeling of an Expert System for the Multidimensional Evaluation of aged people.Method: the study was carried out from April 2021 to September 2022 by researchers from universities in the inland of Minas Gerais - Brazil. The following stages were conducted: literature review; survey of the System requirements; modeling; and implementation.Results: the System makes it possible to assess the physical, psychosocial and functional aspects; it identifies the geriatric-gerontological needs and classifies them according to severity levels, in addition to offering suggestions for therapeutic interventions. The diverse information generated can be shared through instant messengers via apps, providing the basis for the development of a monitoring panel for aged people assisted in the municipality.Conclusion: the System presents itself as a technological solution given the importance of the multidimensional evaluation of aged people within the scope of care for this population segment and the lack of technological solutions to carry out the assessment

Diagnostic Value of Non-stress Test Interpreted by Smart Interpretive Software

Background and aim: Using appropriate methods for the assessment of fetal health including non-stress test during high-risk pregnancies due to possible placental insufficiency is of paramount importance. Due to complexity in medical decisions, using information systems is being increased to support complex medical decisions. We conducted this study to measure the diagnostic value of non-stress test interpreted by smart interpretive software. Materials and Methods: This study was carried out on 400 non-stress tests obtained from patients’ records regardless of the results of tests in Bent-Ul-Hoda Hospital, Bojnord, Iran. Then, to increase the accuracy of tests, they were interpreted by two specialists with Master’s degree in Midwifery. Finally, the tests were interpreted by the given software. The diagnostic test accuracy was measured using sensitivity and specificity of the software. Results: Out of 400 selected tests, experts interpreted 126 tests with reaction and 274 cases without reaction. The diagnostic accuracy, sensitivity, and specificity of the software were 92.45%, 94.07, and 88.40, respectively. Conclusion: According to the results, the use of this software for interpreting non-stress test results, reduce false- positive and false-negative diagnoses

A classification framework for drug relapse prediction

This paper proposes a framework for relapse prediction using Artificial Neural Networkalgorithms among drug addicts at Pusat Rawatan Inabah. The data collected will be miningthrough Artificial Neural Network algorithms to generate patterns and useful knowledge andthen automatically classifying the relapse possibility. This research collaborates with PusatRawatan Inabah, which is one of the rehabilitation centers that provide a specific treatment torehabilitate the drug addicts from addiction. We expect that among the classification datamining algorithms, Artificial Intelligence Neural Network (ANN) is one of the bestalgorithms to predict relapse among drug addicts. This may help the rehabilitation center topredict relapse individually and the prediction result is hoped to prevent drug addicts fromrelapse.Keywords: classification; artificial neural network; drug addiction; Inabah rehabilitation

MODELAGEM DE SISTEMA ESPECIALISTA PARA AVALIAÇÃO MULTIDIMENSIONAL DE PESSOAS IDOSAS

Objetivo: descrever a modelagem de um Sistema Especialista para Avaliação Multidimensional de pessoas idosas.Método: realizado no período de abril de 2021 a setembro de 2022, sendo conduzido por pesquisadores de universidades do interior de Minas Gerais - Brasil. Percorreu-se pelas etapas: revisão de literatura, levantamento dos requisitos para o Sistema, modelagem e implementação.Resultados: o Sistema possibilita avaliação dos aspectos físico, psicossocial e funcional, identifica as necessidades geriátrico-gerontológicas e as classifica de acordo com níveis de gravidade, além de oferecer sugestões de intervenções terapêuticas. As informações geradas podem ser compartilhadas por meio de mensageiros instantâneos através de aplicativos, dando base para o desenvolvimento de um painel de monitoramento das pessoas idosas assistidas no município.Conclusão: o Sistema se apresenta como uma solução tecnológica dada a importância da avaliação multidimensional da pessoa idosa no âmbito do cuidado a essa população e a carência de soluções tecnológicas para realizar a avaliação

DISEÑO DE UN SISTEMA EXPERTO PARA LA EVALUACIÓN MULTIDIMENSIONAL DEL ADULTO MAYOR

Objetivo: describir el diseño de un Sistema Experto para la Evaluación Multidimensional del adulto mayor.Método: estudio realizado, de abril de 2021 a septiembre de 2022, por investigadores de universidades del interior de Minas Gerais, Brasil. Pasó por los pasos: revisión de la literatura, relevamiento de los requisitos del Sistema, diseño e implementación.Resultados: el Sistema permite evaluar aspectos físicos, psicosociales y funcionales, identifica necesidades geriátrico-gerontológicas y las clasifica según el nivel de gravedad, además ofrece sugerencias de intervenciones terapéuticas. La información generada podrá ser compartida a través de mensajería instantánea mediante aplicaciones, y sentará las bases para el desarrollo de un panel de seguimiento de los adultos mayores atendidos en el municipio.Conclusión: el Sistema es una solución tecnológica dada la importancia que tiene la evaluación multidimensional del adulto mayor en el ámbito de la atención de esta población y la falta de soluciones tecnológicas para realizar la evaluación

Visual dysfunction : a contributing factor in memory deficits, and therefore learning difficulties?

This thesis is based on Educational Therapy (ET) practice which has found eye muscle imbalance is a key factor to be addressed in management of learning difficulties (LD). This level of oculo-motor (o-m) function is a \u27hidden\u27 handicap as individuals are unaware of the problem; it is not routinely tested; and is not generally included in learning difficulties research. O-m function is omitted in standard paediatric optometry tests, and in school vision screening. Eye exercises increase the range of binocular fields of vision by employing stereopsis glasses and red/green slides. Central vision loss was uncovered when students reported words, seen by only the right eye, disappear or switch on and off . When the left eye was covered, right eye vision returned but was lost again with binocular vision, even though larger shapes on the screen remained complete. In effect, global vision was unaffected while right eye central (foveal) vision was suppressed. This is considered significant because students attending ET have learning difficulties with phonemic memory, spelling and reading deficits, which are predominantly left hemisphere processes. The aim of this three-part study, consisting of School Survey, ET Intervention study and Case studies, was to: a) determine whether o-m dysfunction was found in a girls\u27 school population and/or was associated with LD; b) set up an Intervention study to explore the effects of vision training on the outcomes of a subsequent week-long word-skills programme in the ET practice. Two case studies we\u27re also examined, that of matched senior school boys whose outcomes were significantly different; and c) examine more closely the common pattern of muscle imbalance in two case studies of current junior school students. This tested the therapy assumption that mal-adaptive sensory feedback was contributing to o-m dysfunction. This notion is based on the Luria (1973) Model of Levels of Neural Function which provides the framework for ET practice, and the Developmental Model of LD that has evolved in application and explanation. Part 1 School Survey. This exploratory, cross-sectional study included a randomised sample of 277 participants in a private girl\u27s school. A 7-10 minute screening was provided by five optometrists, with an expanded protocol including o-m function. Also assessed were academic standards of reading comprehension and spelling, reasoning, visual perception, phonological skills, auditory, visual and phonemic memory, and arm dominance. Results showed visual dysfunction and mixed eye dominance in approximately equal numbers. Of the 47% girls with visual dysfunction, not all had literacy problems; however, LD students had corresponding degrees of o-m dysfunction, memory deficit and mixed hand / arm dominance. Part 2 Intervention study. The Research Question for the Intervention Study was: Does the difference in learning standards depend on which eye is disadvantaged in the case of weak binocularity? This question was answered by determining the outcomes to literacy levels once normal binocular o-m function and stable eye dominance were established. Twenty-four students (6 to 18 years) had Behavioural Optometry assessment prior to commencing therapy and were found to have o-m dysfunction, undetected by previous standard optometry tests. Eye exercise results showed 62.5% of the group had changed from left to right eye dominance. The dominance criterion was set by this group, indicated by the right eye holding fixation through full range of fusional reserves (binocular overlap), together with superior eye-tracking speed \u3e20% by the right, compared to the left, eye. Associated significant gains in literacy and phonemic memory were also achieved by the newly established \u27right-eyed\u27 group. In spite of undergoing identical treatment, the \u27left-eyed\u27 group retained limited foveal binocularity, and made less progress in literacy outcomes. Part 3 Two current Case Studies. Present ET practice benefited from insights gained from the 36% \u27unsuccessful\u27 participants of the previous study. Better therapy outcomes are achieved from an integrative motor-sensory approach, supported by Podiatry and Cranial Osteopathy. This detailed study involved two junior school boys who exemplified a common pattern of physical anomalies. For example, RW (8-year old male) had \u27minimal brain damage\u27 and LD that co-occur with unstable feet and o-m control, postural muscle imbalance, poor balance, motor co-ordination and dyspraxia. After 18, two-hour therapy sessions over nine months, he is now reading well, his motor co-ordination, eye tracking and writing are within the ‘low normal range’, and he is interacting competently with his peers. Learning difficulties can be conceptualised as a profile of immaturities. The results of this three part study have shown that once the \u27hidden\u27 handicap of right eye suppression is overcome with balanced binocular fields of vision, learning difficulties arc ameliorated. This is affirmed by the positive gains achieved by these students, not only in literacy skills but also \u27outgrowing\u27 immaturity in motor-sensory-perceptual development

Defense Technical Information Center thesaurus

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