10 research outputs found

    Learning Bayesian Networks for Student Modeling

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    In the last decade, there has been a growing interest in using Bayesian Networks (BN) in the student modelling problem. This increased interest is probably due to the fact that BNs provide a sound methodology for this difficult task. In order to develop a Bayesian student model, it is necessary to define the structure (nodes and links) and the parameters. Usually the structure can be elicited with the help of human experts (teachers), but the difficulty of the problem of parameter specification is widely recognized in this and other domains. In the work presented here we have performed a set of experiments to compare the performance of two Bayesian Student Models, whose parameters have been specified by experts and learnt from data respectively. Results show that both models are able to provide reasonable estimations for knowledge variables in the student model, in spite of the small size of the dataset available for learning the parametersUniversidad de Málaga. Campus de Excelencia Internacional Andalucía Tec

    Using machine learning techniques for architectural design tracking: An experimental study of the design of a shelter

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    In this paper, we present a study aimed at tracking and analysing the design process. More concretely, we intend to explore whether some elements of the conceptual design stage in architecture might have an influence on the quality of the final project and to find and assess common solution pathways in problem-solving behaviour. In this sense, we propose a new methodology for design tracking, based on the application of data analysis and machine learning techniques to data obtained in snapshots of selected design instants. This methodology has been applied in an experimental study, in which fifty-two novice designers were required to design a shelter with the help of a specifically developed computer tool that allowed collecting snapshots of the project at six selected design instants. The snapshots were described according to nine variables. Data analysis and machine learning techniques were then used to extract the knowledge contained in the data. More concretely, supervised learning techniques (decision trees) were used to find strategies employed in higher-quality designs, while unsupervised learning techniques (clustering) were used to find common solution pathways. Results provide evidence that supervised learning techniques allow elucidating the class of the best projects by considering the order of some of the decisions taken. Also, unsupervised learning techniques can find several common problem-solving pathways by grouping projects into clusters that use similar strategies. In this way, our work suggests a novel approach to design tracking, using quantitative analysis methods that can complement and enrich the traditional qualitative approachThis work has been partially funded by the Spanish Government, Agencia Estatal de Investigación (AEI), and the European Union, Fondo Europeo de Desarrollo Regional (FEDER), grant TIN2016-80774-R (AEI/FEDER, UE). Funding for open access charge: Universidad de Málaga/CBUA

    Using machine learning techniques for architectural design tracking: an experimental study of the design of a shelter

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    In this paper, we present a study aimed at tracking and analysing the design process. More concretely, we intend to explore whether some elements of the conceptual design stage in architecture might have an influence on the quality of the final project and to find and assess common solution pathways in problem-solving behaviour. In this sense, we propose a new methodology for design tracking, based on the application of data analysis and machine learning techniques to data obtained in snapshots of selected design instants. This methodology has been applied in an experimental study, in which fifty-two novice designers were required to design a shelter with the help of a specifically developed computer tool that allowed collecting snapshots of the project at six selected design instants. The snapshots were described according to nine variables. Data analysis and machine learning techniques were then used to extract the knowledge contained in the data. More concretely, supervised learning techniques (decision trees) were used to find strategies employed in higher-quality designs, while unsupervised learning techniques (clustering) were used to find common solution pathways. Results provide evidence that supervised learning techniques allow elucidating the class of the best projects by considering the order of some of the decisions taken. Also, unsupervised learning techniques can find several common problem-solving pathways by grouping projects into clusters that use similar strategies. In this way, our work suggests a novel approach to design tracking, using quantitative analysis methods that can complement and enrich the traditional qualitative approach.This work has been partially funded by the Spanish Government, Agencia Estatal de Investigaci ́on (AEI), and the European Union, Fondo Europeo de Desarrollo Regional (FEDER), grant TIN2016-80774-R (AEI/FEDER, UE). Funding for open access charge: Universidad de Málaga/CBUA

    Famílies botàniques de plantes medicinals

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    Facultat de Farmàcia, Universitat de Barcelona. Ensenyament: Grau de Farmàcia, Assignatura: Botànica Farmacèutica, Curs: 2013-2014, Coordinadors: Joan Simon, Cèsar Blanché i Maria Bosch.Els materials que aquí es presenten són els recull de 175 treballs d’una família botànica d’interès medicinal realitzats de manera individual. Els treballs han estat realitzat per la totalitat dels estudiants dels grups M-2 i M-3 de l’assignatura Botànica Farmacèutica durant els mesos d’abril i maig del curs 2013-14. Tots els treballs s’han dut a terme a través de la plataforma de GoogleDocs i han estat tutoritzats pel professor de l’assignatura i revisats i finalment co-avaluats entre els propis estudiants. L’objectiu principal de l’activitat ha estat fomentar l’aprenentatge autònom i col·laboratiu en Botànica farmacèutica

    Aprendizajes y prácticas educativas en las actuales condiciones de época: COVID-19

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    “Esta obra colectiva es el resultado de una convocatoria a docentes, investigadores y profesionales del campo pedagógico a visibilizar procesos investigativos y prácticas educativas situadas en el marco de COVI-19. La misma se inscribe en el trabajo llevado a cabo por el equipo de Investigación responsable del Proyecto “Sentidos y significados acerca de aprender en las actuales condiciones de época: un estudio con docentes y estudiantes de la educación secundarias en la ciudad de Córdoba” de la Facultad de Filosofía y Humanidades. Universidad Nacional de Córdoba. El momento excepcional que estamos atravesando, pero que también nos atraviesa, ha modificado la percepción temporal a punto tal que habitamos un tiempo acelerado y angustiante que nos exige la producción de conocimiento provisorio. La presente publicación surge como un espacio para detenernos a documentar lo que nos acontece y, a su vez, como oportunidad para atesorar y resguardar las experiencias educativas que hemos construido, inventado y reinventando en este contexto. En ella encontrarán pluralidad de voces acerca de enseñar y aprender durante la pandemia. Este texto es una pausa para reflexionar sobre el hacer y las prácticas educativas por venir”.Fil: Beltramino, Lucia (comp.). Universidad Nacional de Córdoba. Facultad de Filosofía y Humanidades. Escuela de Archivología; Argentina

    Intraoperative transfusion practices in Europe

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    © 2016 The Author. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.Background: Transfusion of allogeneic blood influences outcome after surgery. Despite widespread availability of transfusion guidelines, transfusion practices might vary among physicians, departments, hospitals and countries. Our aim was to determine the amount of packed red blood cells (pRBC) and blood products transfused intraoperatively, and to describe factors determining transfusion throughout Europe. Methods: We did a prospective observational cohort study enrolling 5803 patients in 126 European centres that received at least one pRBC unit intraoperatively, during a continuous three month period in 2013. Results: The overall intraoperative transfusion rate was 1.8%; 59% of transfusions were at least partially initiated as a result of a physiological transfusion trigger- mostly because of hypotension (55.4%) and/or tachycardia (30.7%). Haemoglobin (Hb)- based transfusion trigger alone initiated only 8.5% of transfusions. The Hb concentration [mean (sd)] just before transfusion was 8.1 (1.7) g dl-1 and increased to 9.8 (1.8) g dl-1 after transfusion. The mean number of intraoperatively transfused pRBC units was 2.5 (2.7) units (median 2). Conclusions: Although European Society of Anaesthesiology transfusion guidelines are moderately implemented in Europe with respect to Hb threshold for transfusion (7-9 g dl-1), there is still an urgent need for further educational efforts that focus on the number of pRBC units to be transfused at this threshold

    Intraoperative transfusion practices and perioperative outcome in the European elderly: A secondary analysis of the observational ETPOS study

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    The demographic development suggests a dramatic growth in the number of elderly patients undergoing surgery in Europe. Most red blood cell transfusions (RBCT) are administered to older people, but little is known about perioperative transfusion practices in this population. In this secondary analysis of the prospective observational multicentre European Transfusion Practice and Outcome Study (ETPOS), we specifically evaluated intraoperative transfusion practices and the related outcomes of 3149 patients aged 65 years and older. Enrolled patients underwent elective surgery in 123 European hospitals, received at least one RBCT intraoperatively and were followed up for 30 days maximum. The mean haemoglobin value at the beginning of surgery was 108 (21) g/l, 84 (15) g/l before transfusion and 101 (16) g/l at the end of surgery. A median of 2 [1–2] units of RBCT were administered. Mostly, more than one transfusion trigger was present, with physiological triggers being preeminent. We revealed a descriptive association between each intraoperatively administered RBCT and mortality and discharge respectively, within the first 10 postoperative days but not thereafter. In our unadjusted model the hazard ratio (HR) for mortality was 1.11 (95% CI: 1.08–1.15) and the HR for discharge was 0.78 (95% CI: 0.74–0.83). After adjustment for several variables, such as age, preoperative haemoglobin and blood loss, the HR for mortality was 1.10 (95% CI: 1.05–1.15) and HR for discharge was 0.82 (95% CI: 0.78–0.87). Preoperative anaemia in European elderly surgical patients is undertreated. Various triggers seem to support the decision for RBCT. A closer monitoring of elderly patients receiving intraoperative RBCT for the first 10 postoperative days might be justifiable. Further research on the causal relationship between RBCT and outcomes and on optimal transfusion strategies in the elderly population is warranted. A thorough analysis of different time periods within the first 30 postoperative days is recommended

    Post-anaesthesia pulmonary complications after use of muscle relaxants (POPULAR): a multicentre, prospective observational study

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    Background Results from retrospective studies suggest that use of neuromuscular blocking agents during general anaesthesia might be linked to postoperative pulmonary complications. We therefore aimed to assess whether the use of neuromuscular blocking agents is associated with postoperative pulmonary complications. Methods We did a multicentre, prospective observational cohort study. Patients were recruited from 211 hospitals in 28 European countries. We included patients (aged ≥18 years) who received general anaesthesia for any in-hospital procedure except cardiac surgery. Patient characteristics, surgical and anaesthetic details, and chart review at discharge were prospectively collected over 2 weeks. Additionally, each patient underwent postoperative physical examination within 3 days of surgery to check for adverse pulmonary events. The study outcome was the incidence of postoperative pulmonary complications from the end of surgery up to postoperative day 28. Logistic regression analyses were adjusted for surgical factors and patients’ preoperative physical status, providing adjusted odds ratios (ORadj) and adjusted absolute risk reduction (ARRadj). This study is registered with ClinicalTrials.gov, number NCT01865513. Findings Between June 16, 2014, and April 29, 2015, data from 22803 patients were collected. The use of neuromuscular blocking agents was associated with an increased incidence of postoperative pulmonary complications in patients who had undergone general anaesthesia (1658 [7·6%] of 21694); ORadj 1·86, 95% CI 1·53–2·26; ARRadj –4·4%, 95% CI –5·5 to –3·2). Only 2·3% of high-risk surgical patients and those with adverse respiratory profiles were anaesthetised without neuromuscular blocking agents. The use of neuromuscular monitoring (ORadj 1·31, 95% CI 1·15–1·49; ARRadj –2·6%, 95% CI –3·9 to –1·4) and the administration of reversal agents (1·23, 1·07–1·41; –1·9%, –3·2 to –0·7) were not associated with a decreased risk of postoperative pulmonary complications. Neither the choice of sugammadex instead of neostigmine for reversal (ORadj 1·03, 95% CI 0·85–1·25; ARRadj –0·3%, 95% CI –2·4 to 1·5) nor extubation at a train-of-four ratio of 0·9 or more (1·03, 0·82–1·31; –0·4%, –3·5 to 2·2) was associated with better pulmonary outcomes. Interpretation We showed that the use of neuromuscular blocking drugs in general anaesthesia is associated with an increased risk of postoperative pulmonary complications. Anaesthetists must balance the potential benefits of neuromuscular blockade against the increased risk of postoperative pulmonary complications

    Post-anaesthesia pulmonary complications after use of muscle relaxants (POPULAR): a multicentre, prospective observational study

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