CWDM: A case-based diabetes management web system
- Authors: Nguyen, Linh Hoang , Sun, Zhaohao , Stranieri, Andrew , Firmin, Sally
- Date: 2013
- Type: Text , Conference paper
- Relation: 24th Australasian Conference on Information Systems, 4-6th December, 2013 p. 1-10
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- Description: Treatment refers to the therapy to treat a disease or a health issue. Treatment in this situation is similar to medical treatment which mainly uses medicines in an attempt to relieve the pain or even stop the disease. However, medicines themselves could not entirely cure the disease (in this case, diabetes), the patients will need more intervention which will be introduced in the next section. In most of documents for diabetic treatment, insulin therapy may be the main factor, however it would seem that diabetic patient needs more than just insulin. Therefore, TCM – traditional Chinese medicine – is recommended in the diabetic treatment as a lot of its remedies not only adjust insulin but also maintain good health for the patients. This section presents some of the TCM remedies to treat diabetes. As mentioned, diabetic patients are treated by lifestyle intervention and insulin therapy according to their diabetic status. The prevalence of diabetes and its complications leads to the requirement of treatment and care plan. Guidelines for T2D treatment indicated the following primary areas: lifestyle improvement which involves at least two and half hours of physical operations every week, dietary plan which decreases the fat intake, and weight management which requires weight loss approximately 7% of the baseline weight; cardiovascular risk factor reduction by managing blood pressure, cholesterol level, control smoking status, hypertension; and blood glucose management such as mono-therapy methods using oral medications to reduce A1c levels (Ripsin, Kang, & Urban, 2009). Self-monitoring of blood glucose levels for T2D treatment is also suggested. The self-monitoring of blood glucose method is recommended because it could enhance the patients’ self-consciousness of managing their diabetic status and require greater behaviours, responsibilities and efforts. Besides, this method is cost-effective in long term for diabetic complications treatment (Szymborska-Kajaneka, Psureka, Heseb, & Strojek, 2009). Another related study recommended that for T2D patients who are using insulin, self-monitoring of blood glucose should be carried out daily at least three times; and for patients without insulin usage the frequency of blood glucose self-monitoring should be adjusted individually (Varanauskiene, 2008). Both studies indicate that there have been controversies whether self-monitoring of blood glucose is useful for T2D patients without insulin treatment. We recommend traditional Chinese medicine (TCM) as the major medicine for treating diabetes according to a report of natural Chinese medicines (Li, Zheng, Bukuru, & Kimpe, 2004) which indicates the results from many cases in various research and medical activities.
Multivariate data-driven decision guidance for clinical scientists
- Authors: Burstein, Frada , De Silva, Daswin , Jelinek, Herbert , Stranieri, Andrew
- Date: 2013
- Type: Text , Conference paper
- Relation: 29th International Conference on Data Engineering Workshops, ICDEW 2013; Proceedings - International Conference on Data Engineering p. 193-199
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- Description: Clinical decision-support is gaining widespread attention as medical institutions and governing bodies turn towards utilising better information management for effective and efficient healthcare delivery and quality assured outcomes. Amass of data across all stages, from disease diagnosis to palliative care, is further indication of the opportunities and challenges created for effective data management, analysis, prediction and optimization techniques as parts of knowledge management in clinical environments. A Data-driven Decision Guidance Management System (DD-DGMS) architecture can encompass solutions into a single closed-loop integrated platform to empower clinical scientists to seamlessly explore a multivariate data space in search of novel patterns and correlations to inform their research and practice. The paper describes the components of such an architecture, which includes a robust data warehouse as an infrastructure for comprehensive clinical knowledge management. The proposed DD-DGMS architecture incorporates the dynamic dimensional data model as its elemental core. Given the heterogeneous nature of clinical contexts and corresponding data, the dimensional data model presents itself as an adaptive model that facilitates knowledge discovery, distribution and application, which is essential for clinical decision support. The paper reports on a trial of the DD-DGMS system prototype conducted on diabetes screening data which further establishes the relevance of the proposed architecture to a clinical context.
- Description: E1
Improving classifications for cardiac autonomic neuropathy using multi-level ensemble classifiers and feature selection based on random forest
- Authors: Kelarev, Andrei , Stranieri, Andrew , Abawajy, Jemal , Yearwood, John , Jelinek, Herbert
- Date: 2012
- Type: Text , Conference paper
- Relation: Tenth Australasian Data Mining Conference Vol. 134, p. 93-101
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- Description: This paper is devoted to empirical investigation of novel multi-level ensemble meta classifiers for the detection and monitoring of progression of cardiac autonomic neuropathy, CAN, in diabetes patients. Our experiments relied on an extensive database and concentrated on ensembles of ensembles, or multi-level meta classifiers, for the classification of cardiac autonomic neuropathy progression. First, we carried out a thorough investigation comparing the performance of various base classifiers for several known sets of the most essential features in this database and determined that Random Forest significantly and consistently outperforms all other base classifiers in this new application. Second, we used feature selection and ranking implemented in Random Forest. It was able to identify a new set of features, which has turned out better than all other sets considered for this large and well-known database previously. Random Forest remained the very best classifier for the new set of features too. Third, we investigated meta classifiers and new multi-level meta classifiers based on Random Forest, which have improved its performance. The results obtained show that novel multi-level meta classifiers achieved further improvement and obtained new outcomes that are significantly better compared with the outcomes published in the literature previously for cardiac autonomic neuropathy.
The role of emotional intelligence on the resolution of disputes involving the electronic health record
- Authors: Bellucci, Emilia , Venkatraman, Sitalakshmi , Muecke, Nial , Stranieri, Andrew
- Date: 2012
- Type: Text , Conference paper
- Relation: Fifth Australasian workshop on health informatics and knowledge management p. 3-12
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A reasoning framework for decision making in water allocation: a tree for water
- Authors: Graymore, Michelle , Mays, Heather , Stranieri, Andrew , Lehmann, La Vergne , McRae-Williams, Pamela , Thoms, Gavin , Yearwood, John
- Date: 2011
- Type: Text , Conference paper
- Relation: Paper presented at International Conference on Integrated Water Management 2011
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Decision support based needs assessment for cancer patients
- Authors: Stranieri, Andrew , Kulkarni, Siddhivinayak , Macfadyen, Alyx , Love, Anthony , Vaughan, Stephen
- Date: 2011
- Type: Text , Conference paper
- Relation: Australasian workshop on health informatics and knowledge management (HIKM)
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- Description: Regular assessment of wellness or quality of life for patients throughout a cancer journey is important so as to identify aspects of life that could lead to distress and impede recovery or acceptance. The emerging trends in assessment are to deploy validated, quality of life instruments on touchscreen computers in medical waiting rooms. However, these add to workload of health care professionals and can be impersonal for patients to use. In this article, an alternate approach is presented that involves a decision support system with natural dialogue that elicits the patient's specific context in a far finer grained manner than is possible with questionnaire based instruments. The system includes a model of heuristics that health care professionals in a locality use to make inferences regarding a patient's quality of life and avenues for referral.
- Description: E1
Fault-tolerant data aggregation scheme for monitoring of critical events in grid based healthcare sensor networks
- Authors: Saeed, Ather , Stranieri, Andrew , Dazeley, Richard
- Date: 2011
- Type: Text , Conference paper
- Relation: Paper presented at 19th High Peformance Computing Symposium (HPC 2011) part of SCS Spring Simulation Multiconference (SpringSim'11)
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- Description: Wireless sensor devices are used for monitoring patients with serious medical conditions. Communication of content-sensitive and context sensitive datasets is crucial for the survival of patients so that informed decisions can be made. The main limitation of sensor devices is that they work on a fixed threshold to notify the relevant Healthcare Professional (HP) about the seriousness of a patient’s current state. Further, these sensor devices have limited processor, memory capabilities and battery. A new grid-based information monitoring architecture is proposed to address the issues of data loss and timely dissemination of critical information to the relevant HP. The proposed approach provides an opportunity to efficiently aggregate datasets of interest by reducing network overhead and minimizing data latency. To narrow down the problem domain, in-network processing of datasets with Grid monitoring capabilities is proposed for the efficient execution of the computational, resource and data intensive tasks. Interactive wireless sensor networks do not guarantee that data gathered from the heterogeneous sources will always arrive at the sink (base) node, but the proposed aggregation technique will provide a fault tolerant solution to the timely notification of a patient’s critical state. Experimental results received are encouraging and clearly show a reduction in the network latency rate.
Coalescing medical systems: A challenge for health informatics
- Authors: Stranieri, Andrew , Vaughan, Stephen
- Date: 2010
- Type: Text , Conference paper
- Relation: Global Telehealth - Selected Papers from Global Telehealth 2010 (GT2010) – 15th International Conference of the International Society for Telemedicine and eHealth and 1st National Conference of the Australasian Telehealth Society
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- Description: Patients in many nations increasingly access diverse medical systems including Western medicine, Traditional Chinese Medicine, Homeopathy and Ayervedic medicine as globalisation advances. The trend toward co-existence of medical systems presents challenges for health informatics including the need to develop standards that can encompass the diversity required, the need to develop software applications that effectively inter-operate across diverse systems and the need to support patients when evaluating competing systems. This article advances the notion that the challenges can most effectively be met with the development of informatics approaches that do not assume the superiority of one medical system over another. Argument visualization to support patient decision making in selecting an appropriate medical system is presented as an application that exemplifies this stance
Exploring novel features and decision rules to identify cardiovascular autonomic neuropathy using a hybrid of wrapper-filter based feature selection
- Authors: Huda, Shamsul , Jelinek, Herbert , Ray, Biplob , Stranieri, Andrew , Yearwood, John
- Date: 2010
- Type: Text , Conference paper
- Relation: Paper presented at the 2010 6th International Conference on Intelligent Sensors, Sensor Networks and Information Processing, ISSNIP 2010 p. 297-302
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- Description: Cardiovascular autonomic neuropathy (CAN) is one of the important causes of mortality among diabetes patients. Statistics shows that more than 22% of people with type 2 diabetes mellitus suffer from CAN and which in turn leads to cardiovascular disease (heart attack, stroke). Therefore early detection of CAN could reduce the mortality. Traditional method for detection of CAN uses Ewing's algorithm where five noninvasive cardiovascular tests are used. Often for clinician, it is difficult to collect data from for the Ewing Battery patients due to onerous test conditions. In this paper, we propose a hybrid of wrapper-filter approach to find novel features from patients' ECG records and then generate decision rules for the new features for easier detection of CAN. In the proposed feature selection, a hybrid of filter (Maximum Relevance, MR) and wrapper (Artificial Neural Net Input Gain Measurement Approximation ANNIGMA) approaches (MR-ANNIGMA) would be used. The combined heuristics in the hybrid MRANNIGMA takes the advantages of the complementary properties of the both filter and wrapper heuristics and can find significant features. The selected features set are used to generate a new set of rules for detection of CAN. Experiments on real patient records shows that proposed method finds a smaller set of features for detection of CAN than traditional method which are clinically significant and could lead to an easier way to diagnose CAN. © 2010 IEEE.
A classification algorithm that derives weighted sum scores for insight into disease
- Authors: Quinn, Anthony , Stranieri, Andrew , Yearwood, John , Hafen, Gaudenz
- Date: 2009
- Type: Text , Conference paper
- Relation: Paper presented at Third Australasian Workshop on Health Informatics and Knowledge Management (HIKM 2009), Wellington, New Zealand : Vol. 97, p. 13-17
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- Description: Data mining is often performed with datasets associated with diseases in order to increase insights that can ultimately lead to improved prevention or treatment. Classification algorithms can achieve high levels of predictive accuracy but have limited application for facilitating the insight that leads to deeper understanding of aspects of the disease. This is because the representation of knowledge that arises from classification algorithms is too opaque, too complex or too sparse to facilitate insight. Clustering, association and visualisation approaches enable greater scope for clinicians to be engaged in a way that leads to insight, however predictive accuracy is compromised or non-existent. This research investigates the practical applications of Automated Weighted Sum, (AWSum), a classification algorithm that provides accuracy comparable to other techniques whilst providing some insight into the data. This is achieved by calculating a weight for each feature value that represents its influence on the class value. Clinicians are very familiar with weighted sum scoring scales so the internal representation is intuitive and easily understood. This paper presents results from the use of the AWSum approach with data from patients suffering from Cystic Fibrosis.
Inference of gene expression networks using memetic gene expression programming
- Authors: Zarnegar, Armita , Vamplew, Peter , Stranieri, Andrew
- Date: 2009
- Type: Text , Conference paper
- Relation: Paper presented at Thirty-Second Australasian Computer Science Conference (ACSC 2009), Wellington, New Zealand : Vol. 91, p. 17-23
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- Description: In this paper we aim to infer a model of genetic networks from time series data of gene expression profiles by using a new gene expression programming algorithm. Gene expression networks are modelled by differential equations which represent temporal gene expression relations. Gene Expression Programming is a new extension of genetic programming. Here we combine a local search method with gene expression programming to form a memetic algorithm in order to find not only the system of differential equations but also fine tune its constant parameters. The effectiveness of the proposed method is justified by comparing its performance with that of conventional genetic programming applied to this problem in previous studies.
Online group deliberation for the elicitation of shared values to underpin decision making
- Authors: Feldman, Yishai , Kraft, Donald , Kuflik, Tsvi , Afshar, Faezeh , Stranieri, Andrew , Yearwood, John
- Date: 2009
- Type: Text , Conference paper
- Relation: Paper presented at 7th International Conference, NGITS 2009, Next generation information technologies and systems, Haifa, Israel : 16th-18th June 2009 Vol. 5831, p. 158-168
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- Description: Values have been shown to underpin our attitudes, behaviour and motivate our decisions. Values do not exist in isolation but have meaning in relation to other values. However, values are not solely the purview of individuals as communities and organisations have core values implicit in their culture, policies and practices. Values for a group can be determined by a minority in power, derived by algorithmically merging values each group member holds, or set by deliberative consensus. The elicitation of values for the group by deliberation is likely to lead to widespread acceptance of values arrived at, however enticing individuals to engage in face to face discussion about values has been found to be very difficult. We present an online deliberative communication approach for the anonymous deliberation of values and claim that the framework has the elements required for the elicitation of shared values.
- Description: 2003007509
A web-based Narrative construction environment
- Authors: Yearwood, John , Stranieri, Andrew , Osman, Deanna
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at NILE 2008: 5th International Conference on Narrative and Interactive Learning Environments, Edinburgh, Scotland : 6th-8th August 2008 p. 78-81
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- Description: This paper describes a web-based environment for constructing narrative from story snippets contributed by a community of interest. The underlying model uses an argument based structure to infer the next event in the narrative sequence. The approach makes use of both events and higher level story elements derived from Polti’s dramatic situations. Dramatic situations used are consistent with a theme, and events are generally constrained by the dramatic situation. The narrative generated is a function of the event history, the dramatic situations chosen and the plausible inferences about next events that are contributed by a community of interest in the theme. At this stage, a player’s actions are simulated using a random selection from a set and the implementation of a nonsense filter. Example outputs from the system are provided and discussed.
- Description: 2003006499
An intelligent learning environment for traditional Chinese medicine practitioners and students
- Authors: Jia, Long , Stranieri, Andrew , Shen, J
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at HIC 2008 Australia's Health Informatics Conference; The Person in the Centre, Brunswick East, Victoria : 31st August - 2nd September 2008
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- Description: Objectives: This study aims to support the training of Traditional Chinese Medicine practitioners by embedding an expert diagnostic model for arthritis into an Intelligent Interactive Learning Environment (IILE). Background: The increasing prevalence of Traditional Chinese Medicine (TCM) outside China is characterised by the emergence of university level practitioner training and stringent regulatory requirements. TCM differential diagnosis is a difficult task that was traditionally taught by exposure to large numbers of patients in a master-apprentice context. In university degree programs, students and novice diagnosticians cannot have the exposure to cases possible in the traditional context. An online system that engages students in the interactive construction of a virtual case and provides immediate feedback on the appropriateness of student actions and the accuracy of diagnostic conclusions can enhance student learning. The system, an Intelligent Interactive Learning Environment (IILE) is based on an approach that has been shown to improve learning outcomes in intensive care nurse training. Methods: An expert model of diagnostic reasoning elicited from TCM expert practitioners lies at the core of the IILE. The knowledge acquisition is performed using an argumentation tree representation that has been shown to be effective in structuring complex knowledge and facilitating engineer - expert interactions. Problems associated with keeping knowledge bases up to date are mitigated with the use of a knowledge model known as ripple down rules permits dynamic updating of knowledge so that knowledge bases evolve over time. A simple narrative model builds up the virtual case study as user interaction proceeds. Results and discussion: This article reports preliminary results in the study that includes an overview of TCM differential diagnosis, the argument tree, the ripple down rule representation and the narrative based IILE. Segments of the knowledge model based solely on TCM literature are illustrated.
- Description: 2003006755
AWSum - applying data mining in a health care scenario
- Authors: Quinn, Anthony , Jelinek, Herbert , Stranieri, Andrew , Yearwood, John
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at International Conference on Intelligent Sensors, Sensor Networks and Information Processing, ISSNIP 2008, Sydney, New South Wales : 15th-18th December 2008 p. 291-296
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- Description: This paper investigates the application of a new data mining algorithm called Automated Weighted Sum, (AWSum), to diabetes screening data to explore its use in providing researchers with new insight into the disease and secondarily to explore the potential the algorithm has for the generation of prognostic models for clinical use. There are many data mining classifiers that produce high levels of predictive accuracy but their application to health research and clinical applications is limited because they are complex, produce results that are difficult to interpret and are difficult to integrate with current knowledge and practises. This is because most focus on accuracy at the expense of informing the user as to the influences that lead to their classification results. By providing this information on influences a researcher can be pointed to new potentially interesting avenues for investigation. AWSum measures influence by calculating a weight for each feature value that represents its influence on a class value relative to other class values. The results produced, although on limited data, indicated the approach has potential uses for research and has some characteristics that may be useful in the future development of prognostic models.
- Description: 2003006660
Dramatic level analysis for interactive narrative
- Authors: Macfadyen, Alyx , Stranieri, Andrew , Yearwood, John
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at NILE 2008: 5th International Conference on Narrative and Interactive Learning Environments, Edinburgh, Scotland : 6th-8th August 2008 p. 17-22
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- Description: In interactive 3D narratives, a user’s narrative emerges through interactions with the system and embodied agencies (characters) mediated through the 3D environment. We present a methodology that identifies and measures four factors in interactive narrative where agency is present. We describe a technique for measuring drama, agency and engagement and compare the centrality of a designed interactive narrative with the emergent participatory narrative. This methodology has application as an analytic device for any interactive narrative where agency is fundamental. The adoption of the FrameNet semantic resource and the interpretation of interaction in narrative, situate this work in the domain of 3D interactive narratives, mixed and augmented realities and polymorphic narratives that cross forms of media.
- Description: 2003006540
Re-consider : The integration of online dispute resolution and decision support systems
- Authors: Muecke, Nial , Stranieri, Andrew , Miller, Charlynn
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at 5th International Workshop on Online Dispute Resolution, in conjunction with the 21st International Conference on Legal Knowledge and Information Systems (JURIX 2008), Firenze, Italy : 13th December 2008
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- Description: Current approaches for the design of Online Dispute Resolution (ODR) systems involve the replication of Alternative Dispute Resolution practices such as mediation and negotiation. Though such systems have been found to be popular, there are concerns that these systems fail to take into account judicial practices. In this paper a system that supports disputants' decisions making when engaged in an online dispute is advanced. The system, Re-Consider, is an Australia Family Law ODR system, that is based on judicial reasoning modelled with Bayesian belief networks and provides disputants with decision support in the dispute. It is believed that this approach provides disputants with an online resolution process that will help them to reach outcomes that take judicial practices into account and presents a step toward more deliberative form of online dispute resolution.
- Description: 2003006782
Toward computer mediated elicitation of a community's core values for sustainable decision making
- Authors: Stranieri, Andrew , Yearwood, John , Afshar, Faye
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at 11th Annual Australian Conference on Knowledge Management and Intelligent Decision Support ACKMIDS 2008 p. 1-14
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Classification for accuracy and insight : A weighted sum approach
- Authors: Quinn, Anthony , Stranieri, Andrew , Yearwood, John
- Date: 2007
- Type: Text , Conference paper
- Relation: Paper presented at Sixth Australasian Data Mining Conference, AusDM 2007, Gold Coast, Queensland, Victoria : 3rd-4th December 2007 p. 203-208
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- Description: This research presents a classifier that aims to provide insight into a dataset in addition to achieving classification accuracies comparable to other algorithms. The classifier called, Automated Weighted Sum (AWSum) uses a weighted sum approach where feature values are assigned weights that are summed and compared to a threshold in order to classify an example. Though naive, this approach is scalable, achieves accurate classifications on standard datasets and also provides a degree of insight. By insight we mean that the technique provides an appreciation of the influence a feature value has on class values, relative to each other. AWSum provides a focus on the feature value space that allows the technique to identify feature values and combinations of feature values that are sensitive and important for a classification. This is particularly useful in fields such as medicine where this sort of micro-focus and understanding is critical in classification.
- Description: 2003005504
Dramatic flow in interactive 3D narrative
- Authors: Macfadyen, Alyx , Stranieri, Andrew , Yearwood, John
- Date: 2007
- Type: Text , Conference paper
- Relation: Paper presented at Fourth Australiasian Conference on Interactive Entertainment, IE2007, RMIT University, Melbourne, Victoria : 3rd-5th December 2007
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- Description: The concept of dramatic level is crucial for a model of dramatic flow. We present a framework to maintain optimal dramatic flow in an interactive 3D environment where both linear and emergent narratives co-exist. Unlike all other interactive narrative prototypes the framework advanced focuses on the optimal dramatic flow of the emerging user narrative so that although fragmented, it can be engaging and make sense. Using a sample narrative from Ovid’s Metamorphoses [18] we demonstrate a method to evaluate dramatic levels as plot points so that movement across narratives retains a strong dramatic flow. Although users may never choose to explore any given linear narrative in its entirety, the result is an engaging and rich narrative experience.
- Description: 2003004706