9 research outputs found
A pervasive approach to a real-time intelligent decision support system in intensive medicine
The decision on the most appropriate procedure to provide to the
patients the best healthcare possible is a critical and complex task in Intensive
Care Units (ICU). Clinical Decision Support Systems (CDSS) should deal with
huge amounts of data and online monitoring, analyzing numerous parameters
and providing outputs in a short real-time. Although the advances attained in
this area of knowledge new challenges should be taken into account in future
CDSS developments, principally in ICUs environments. The next generation of
CDSS will be pervasive and ubiquitous providing the doctors with the
appropriate services and information in order to support decisions regardless the
time or the local where they are. Consequently new requirements arise namely
the privacy of data and the security in data access. This paper will present a
pervasive perspective of the decision making process in the context of INTCare
system, an intelligent decision support system for intensive medicine. Three
scenarios are explored using data mining models continuously assessed and
optimized. Some preliminary results are depicted and discussed.Fundação para a Ciência e a Tecnologia (FCT
Auroral Processes at the Giant Planets: Energy Deposition, Emission Mechanisms, Morphology and Spectra
Depression in Epilepsy: Mechanisms and Therapeutic Approach
In patients with epilepsy, mood disorders represent a frequent psychiatric
comorbidity but they often remain unrecognized and untreated. However, comorbid
depression may have a major impact on the quality of life of patients with
epilepsy, sometimes even more than the seizures. Among the potential
neurobiological and psychosocial determinants, epilepsy-related variables (age
at onset of seizures, temporal lobe epilepsy and frequency of seizures) and the
antiepileptic drug treatment have been associated with depression. Nonetheless,
data on treatment strategies are still limited with a lack of controlled trials
on the use of antidepressant drugs. Moreover, the issue of psychotropic drug
treatment of depression in epilepsy is interlinked with that of worsening
seizures. This paper is aimed at discussing all these subjects in the light of
current literature on the neurobiology of depression in epilepsy