Grid data mining for outcome prediction in intensive care medicine

This paper introduces a distributed data mining approach suited to grid computing environments based on a supervised learning classifier system. Specific Classifier and Majority Voting methods for Distributed Data Mining (DDM) are explored and compared with the Centralized Data Mining (CDM) approach. Experimental tests were conducted considering a real world data set from the intensive care medicine in order to predict the outcome of the patients. The results demonstrate that the performance of the DDM methods are better than the CDM method.Fundação para a Ciência e a Tecnologia (FCT

Pervasive business intelligence platform to improve the quality of decision process in primary and secondary education – A Portuguese case study

Business Intelligence (BI) can be seen as a method that gathers information and data from information systems in order to help companies to be more accurate in their decision-making process. Traditionally BI systems were associated with the use of Data Warehouses (DW). The prime purpose of DW is to serve as a repository that stores all the relevant information required for making the correct decision. The necessity to integrate streaming data became crucial with the need to improve the efficiency and effectiveness of the decision process. In primary and secondary education, there is a lack of BI solutions. Due to the schools reality the main purpose of this study is to provide a Pervasive BI solution able to monitoring the schools and student data anywhere and anytime in real-time as well as disseminating the information through ubiquitous devices. The first task consisted in gathering data regarding the different choices made by the student since his enrolment in a certain school year until the end of it. Thereafter a dimensional model was developed in order to be possible building a BI platform. This paper presents the dimensional model, a set of pre-defined indicators, the Pervasive Business Intelligence characteristics and the prototype designed. The main contribution of this study was to offer to the schools a tool that could help them to make accurate decisions in real-time. Data dissemination was achieved through a localized application that can be accessed anywhere and anytime.This work has been supported by FCT - Fundação para a Ciência e Tecnologia within the Project Scope UID/CEC/00319/2013

Enabling ubiquitous data mining in intensive care: Features selection and data pre-processing

Ubiquitous Data Mining and Intelligent Decision Support Systems are gaining interest by both computer science researchers and intensive care doctors. Previous work contributed with Data Mining models to predict organ failure and outcome of patients in order to support and guide the clinical decision based on the notion of critical events and the data collected from monitors in real-time. This paper addresses the study of the impact of the Modified Early Warning Score, a simple physiological score that may allow improvements in the quality and safety of management provided to surgical ward patients, in the prediction sensibility. The feature selection and data pre-processing are also detailed. Results show that for some variables associated to this score the impact is minimal.Fundação para a Ciência e a Tecnologia (FCT

INTCARE: multi-agent approach for real-time intelligent decision support in intensive medicine

For an Intelligent Decision Support System to work in real-time, it is of great value the use of intelligent agents that cooperate with each other to accomplish their tasks. In a critical environment like an Intensive Care Unit, doctors should have the right information, at the right time, to better assist their patients. In this paper we present an architecture for a Multi-Agents System that will support doctors’ decision by in real-time, guaranteeing that all required clinical data is available and capable of predicting the patients’ condition for the next hour.Fundação para a Ciência e a Tecnologia (FCT

Future challenges in intelligent tutoring systems: a framework

Intelligent Tutoring Systems (ITS) provide the benefits of one-on-one instruction in an automatic way and cost effectively, keeping in mind their multidisciplinary nature. The challenge remains on transporting to com-puters the expertise, skills and mode of action of the human tutor, overcoming space, time, socio-economical and environmental restrictions. ITS appear as a form of deployment of this issue and have been object of an increasing research. This paper aims to establish some characteristics, properties and functions that an ITS should provide, and the possible contributions that the different fields of research can make, proposing a multi-domain and multidisciplinary framework to address the research in this field. The framework incorpo-rates a knowledge base where data and knowledge related to the problem are maintained and a model base re-lated to student, teaching and environmental issues together with pedagogical perspectives

Multichannel interaction for healthcare intelligent decision support

Hospital 4.0 enables the paradigm of personalized healthcare services to be increasingly easy and more effective by using emerging technologies. Multichannel interaction services aim precisely to take advantage of this trend by introducing a multichannel interaction model that enables interaction between different health service actors (patients, nurses, doctors, administrative staff, pharmaceutics, technicians) across multiple channels and in different contexts without losing information. In this article, a model is idealized and proposed in which all main the actors that belong to health service are identified. The model aims to present what would be the multichannel interaction in a health context to improve the services provided to patients as well as their relationship with a health organization.The work has been supported by FCT - Fundacao para a Cienciae Tecnologia within the Project Scope: UID/CEC/00319/2020

Data mining models to predict patient's readmission in intensive care units

Decision making is one of the most critical activities in Intensive Care Units (ICU). Moreover, it is extremely difficult for health professionals to interpret in real time all the available data. In order to improve the decision process, classification models have been developed to predict patient’s readmission in ICU. Knowing the probability of readmission in advance will allow for a more efficient planning of discharge. Consequently, the use of these models results in a lower rates of readmission and a cost reduction, usually associated with premature discharges and unplanned readmissions. In this work was followed a numerical index, called Stability and Workload Index for Transfer (SWIFT). The data used to induce the classification models are from ICU of Centro Hospitalar do Porto, Portugal. The results obtained so far, in terms of accuracy, were very satisfactory (98.91%). Those results were achieved through the use of Naïve Bayes technique. The models will allow health professionals to have a better perception on patient’s future condition in the moment of the hospital discharge. Therefore it will be possible to know the probability of a patient being readmitted into the ICU.(undefined

Predicting type of delivery by identification of obstetric risk factors through data mining

In Maternity Care, a quick decision has to be made about the most suitable delivery type for the current patient. Guidelines are followed by physicians to support that decision; however, those practice recommendations are limited and underused. In the last years, caesarean delivery has been pursued in over 28% of pregnancies, and other operative techniques regarding specific problems have also been excessively employed. This study identifies obstetric and pregnancy factors that can be used to predict the most appropriate delivery technique, through the induction of data mining models using real data gathered in the perinatal and maternal care unit of Centro Hospitalar of Oporto (CHP). Predicting the type of birth envisions high-quality services, increased safety and effectiveness of specific practices to help guide maternity care decisions and facilitate optimal outcomes in mother and child. In this work was possible to acquire good results, achieving sensitivity and specificity values of 90.11% and 80.05%, respectively, providing the CHP with a model capable of correctly identify caesarean sections and vaginal deliveries

Predicting preterm birth in maternity care by means of data mining

Worldwide, around 9% of the children are born with less than 37 weeks of labour, causing risk to the premature child, whom it is not prepared to develop a number of basic functions that begin soon after the birth. In order to ensure that those risk pregnancies are being properly monitored by the obstetricians in time to avoid those problems, Data Mining (DM) models were induced in this study to predict preterm births in a real environment using data from 3376 patients (women) admitted in the maternal and perinatal care unit of Centro Hospitalar of Oporto. A sensitive metric to predict preterm deliveries was developed, assisting physicians in the decision-making process regarding the patients’ observation. It was possible to obtain promising results, achieving sensitivity and specificity values of 96% and 98%, respectively