Intelligent monitoring of business processes using case-based reasoning

The work in this thesis presents an approach towards the effective monitoring of business processes using Case-Based Reasoning (CBR). The rationale behind this research was that business processes constitute a fundamental concept of the modern world and there is a constantly emerging need for their efficient control. They can be efficiently represented but not necessarily monitored and diagnosed effectively via an appropriate platform. Motivated by the above observation this research pursued to which extent there can be efficient monitoring, diagnosis and explanation of the workflows. Workflows and their effective representation in terms of CBR were investigated as well as how similarity measures among them could be established appropriately. The monitoring results and their following explanation to users were questioned as well as which should be an appropriate software architecture to allow monitoring of workflow executions. Throughout the progress of this research, several sets of experiments have been conducted using existing enterprise systems which are coordinated via a predefined workflow business process. Past data produced over several years have been used for the needs of the conducted experiments. Based on those the necessary knowledge repositories were built and used afterwards in order to evaluate the suggesting approach towards the effective monitoring and diagnosis of business processes. The produced results show to which extent a business process can be monitored and diagnosed effectively. The results also provide hints on possible changes that would maximize the accuracy of the actual monitoring, diagnosis and explanation. Moreover the presented approach can be generalised and expanded further to enterprise systems that have as common characteristics a possible workflow representation and the presence of uncertainty. Further work motivated by this thesis could investigate how the knowledge acquisition can be transferred over workflow systems and be of benefit to large-scale multidimensional enterprises. Additionally the temporal uncertainty could be investigated further, in an attempt to address it while reasoning. Finally the provenance of cases and their solutions could be explored further, identifying correlations with the process of reasoning

Rapidly Growing Chondroid Syringoma of the External Auditory Canal: Report of a Rare Case

Introduction. Chondroid syrinoma of the external auditory canal is an extremely rare benign neoplasm representing the cutaneous counterpart of pleomorphic adenoma of salivary glands. Less than 35 cases have been reported in the international literature. Case Presentation. We report a case of a 34-year-old male in whom a rapidly growing, well-circumscribed tumor arising from the external auditory canal was presented. Otoscopy revealed a smooth, nontender lesion covered by normal skin that almost obstructs the external auditory meatus. MRI was performed to define the extension of the lesion. It confirmed the presence of a 1.5 × 0.8 cm T2 high-signal intensity lesion in the superior and posterior wall of EAC without signs of bone erosion. The patient underwent complete resection of the tumor. The diagnosis was confirmed by histopathologic examination. Conclusion. Although chondroid syringoma is extremely rare, it should always be considered in the differential diagnosis of an aural polyp. Chondroid syringomas are usually asymptomatic, slow-growing, single benign tumors in subcutaneous or intradermal location. In our case, the new information is that this benign tumor could present also as a rapidly growing lesion, arising the suspicion for malignancy

Formation of suprascapular foramen as a result of ossification of superior transverse scapular ligament: a case report and short review of the literature

Ossification of superior transverse scapular ligament resulting in a bony suprascapular foramen is of fundamental anatomical and clinical importance. In this case report, we describe a special case of a suprascapular foramen. Its specificity lies in foraminal dimensions, resulting in a unique morphometrical pattern in comparison with reported similar cases. This pattern is of great anatomical and clinical importance, because ossification of suprascapular foramen leads to limitation of suprascapular notch, over which suprascapular nerve passes. Ossification can consequently constitute a major predisposing factor for suprascapular nerve entrapment and subsequent neuropathy. Therefore, this anatomic variation should be considered from surgeons and other healthcare professionals

Transforaminal Percutaneous Endoscopic Discectomy for Lumbar Disc Herniation in Parkinson's Disease: A Case-Control Study

Study DesignA case-control study.PurposeTo investigate the effectiveness of transforaminal percutaneous endoscopic discectomy (TPED) in Parkinson's disease (PD).Overview of LiteraturePatients with PD frequently suffer from radiculopathy and low back pain. Additionally, they demonstrate higher complication rates after open spine surgery. However, the clinical outcome of minimally invasive techniques for lumbar discectomy, such as TPED, have not been established for this population.MethodsPatients diagnosed with lumbar disc hernia were divided into Group A (11 patients diagnosed with PD), and Group B (10 patients as the control, non-PD group). All patients underwent TPED. Indexes of visual analogue scale (VAS) for leg pain and Oswestry disability index (ODI) were assessed right before surgery and at six weeks, three months, six months and one year post-surgery.ResultsAt the baseline visit, groups did not differ significantly with age (p=0.724), gender (p=0.835), level of operation (p=0.407), ODI (p=0.497) and VAS (p=0.772). Parkinson's patients had higher scores in ODI at every visit, but the outcome was statistically significant only at 3 months (p=0.004) and one year (p=0.007). Similarly, VAS measurements were higher at each time point, with the difference being significant at 3 (p<0.001), 6 (0.021), and 12 (p<0.001) months after surgery. At the end of a year of follow up, ODI was reduced by 49.6% (±16.7) in Group A and 59.2% (±8.0) in Group B (p=0.111), translating to a 79.5% (±13.0) and 91.5% (±4.1) average improvement in daily functionality (p=0.024). VAS was reduced by 59.1 mm (±11.8) in Group A and 62.2 mm (±7.4) in Group B (p=0.485), leading to an 85.3 % (±4.0) and 91.9% (±2.6) general improvement in leg pain (p<0.001).ConclusionsOur data indicate that TPED led to satisfactory improvement in leg pain and daily living in PD patients a year after surgery