5 research outputs found

    Understanding how Knowledge is exploited in Ant Algorithms

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    Centre for Intelligent Systems and their ApplicationsAnt algorithms were first written about in 1991 and since then they have been applied to many problems with great success. During these years the algorithms themselves have been modified for improved performance and also been influenced by research in other fields. Since the earliest Ant algorithms, heuristics and local search have been the primary knowledge sources. This thesis asks the question "how is knowledge used in Ant algorithms?" To answer this question three Ant algorithms are implemented. The first is the Graph based Ant System (GBAS), a theoretical model not yet implemented, and the others are two influential algorithms, the Ant System and Max-Min Ant System. A comparison is undertaken to show that the theoretical model empirically models what happens in the other two algorithms. Therefore, this chapter explores whether different pheromone matrices (representing the internal knowledge) have a significant effect on the behaviour of the algorithm. It is shown that only under extreme parameter settings does the behaviour of Ant System and Max-Min Ant System differ from that of GBAS. The thesis continues by investigating how inaccurate knowledge is used when it is the heuristic that is at fault. This study reveals that Ant algorithms are not good at dealing with this information, and if they do use a heuristic they must rely on it relating valid guidance. An additional benefit of this study is that it shows heuristics may offer more control over the exploration-exploitation trade-off than is afforded by other parameters. The second point where knowledge enters the algorithm is through the local search. The thesis looks at what happens to the performance of the Ant algorithms when a local search is used and how this affects the parameters of the algorithm. It is shown that the addition of a local search method does change the behaviour of the algorithm and that the strength of the method has a strong influence on how the parameters are chosen. The final study focuses on whether Ant algorithms are effective for driving a local search method. The thesis demonstrates that these algorithms are not as effective as some simpler fixed and variable neighbourhood search methods

    The development and validation of a scoring tool to predict the operative duration of elective laparoscopic cholecystectomy

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    Background: The ability to accurately predict operative duration has the potential to optimise theatre efficiency and utilisation, thus reducing costs and increasing staff and patient satisfaction. With laparoscopic cholecystectomy being one of the most commonly performed procedures worldwide, a tool to predict operative duration could be extremely beneficial to healthcare organisations. Methods: Data collected from the CholeS study on patients undergoing cholecystectomy in UK and Irish hospitals between 04/2014 and 05/2014 were used to study operative duration. A multivariable binary logistic regression model was produced in order to identify significant independent predictors of long (> 90 min) operations. The resulting model was converted to a risk score, which was subsequently validated on second cohort of patients using ROC curves. Results: After exclusions, data were available for 7227 patients in the derivation (CholeS) cohort. The median operative duration was 60 min (interquartile range 45–85), with 17.7% of operations lasting longer than 90 min. Ten factors were found to be significant independent predictors of operative durations > 90 min, including ASA, age, previous surgical admissions, BMI, gallbladder wall thickness and CBD diameter. A risk score was then produced from these factors, and applied to a cohort of 2405 patients from a tertiary centre for external validation. This returned an area under the ROC curve of 0.708 (SE = 0.013, p  90 min increasing more than eightfold from 5.1 to 41.8% in the extremes of the score. Conclusion: The scoring tool produced in this study was found to be significantly predictive of long operative durations on validation in an external cohort. As such, the tool may have the potential to enable organisations to better organise theatre lists and deliver greater efficiencies in care

    Utilisation of an operative difficulty grading scale for laparoscopic cholecystectomy (vol 33, pg 110, 2019)

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    Preoperative risk factors for conversion from laparoscopic to open cholecystectomy: a validated risk score derived from a prospective U.K. database of 8820 patients

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