Group decision making in health care : A case study of multidisciplinary meetings
- Authors: Sharma, Vishakha , Stranieri, Andrew , Burstein, Frada , Warren, Jim , Daly, Sharon , Patterson, Louise , Yearwood, John , Wolff, Alan
- Date: 2016
- Type: Text , Journal article
- Relation: Journal of Decision Systems Vol. 25, no. (2016), p. 476-485
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- Description: Abstract: Recent studies have demonstrated that Multi-Disciplinary Meetings (MDM) practiced in some medical contexts can contribute to positive health care outcomes. The group reasoning and decision-making in MDMs has been found to be most effective when deliberations revolve around the patient’s needs, comprehensive information is available during the meeting, core members attend and the MDM is effectively facilitated. This article presents a case study of the MDMs in cancer care in a region of Australia. The case study draws on a group reasoning model called the Reasoning Community model to analyse MDM deliberations to illustrate that many factors are important to support group reasoning, not solely the provision of pertinent information. The case study has implications for the use of data analytics in any group reasoning context. © 2016 Informa UK Limited, trading as Taylor & Francis Group.
A comparison of machine learning algorithms for multilabel classification of CAN
- Authors: Kelarev, Andrei , Stranieri, Andrew , Yearwood, John , Jelinek, Herbert
- Date: 2012
- Type: Text , Journal article
- Relation: Advances in Computer Science and Engineering Vol. 9, no. 1 (2012), p. 1-4
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- Description: This article is devoted to the investigation and comparison of several important machine learning algorithms in their ability to obtain multilabel classifications of the stages of cardiac autonomic neuropathy (CAN). Data was collected by the Diabetes Complications Screening Research Initiative at Charles Sturt University. Our experiments have achieved better results than those published previously in the literature for similar CAN identification tasks.
Approaches for community decision making and collective reasoning: Knowledge technology support
- Authors: Yearwood, John , Stranieri, Andrew
- Date: 2012
- Type: Text , Book
- Relation: Approaches for Community Decision Making and Collective Reasoning: Knowledge Technology Support
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- Description: Technology currently encourages the capture and storage of vast quantities of data and information and so thinkers, reasoners, and decision-makers have available large resources to support their tasks. At the same time, there is a need to engage with an enormous range of complex issues that require reasoning and decisions that are actionable to address them. Approaches for Community Decision Making and Collective Reasoning: Knowledge Technology Support acts to provide knowledge for each individual in a group with the broad structural wealth of reasoning. It also acts as an explicit structure that technological devices for supporting reasoning within a group can hook onto. If you are interested in how groups can structure their activities towards making better decisions or in developing technologies for the support of decision-making in groups, then this book is an excellent way to understand the state of the art and possible ways forward.
Detection of CAN by ensemble classifiers based on Ripple Down rules
- Authors: Kelarev, Andrei , Dazeley, Richard , Stranieri, Andrew , Yearwood, John , Jelinek, Herbert
- Date: 2012
- Type: Text , Book chapter
- Relation: Knowledge Management and Acquisition for Intelligent Systems p. 147-159
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- Description: It is well known that classification models produced by the Ripple Down Rules are easier to maintain and update. They are compact and can provide an explanation of their reasoning making them easy to understand for medical practitioners. This article is devoted to an empirical investigation and comparison of several ensemble methods based on Ripple Down Rules in a novel application for the detection of cardiovascular autonomic neuropathy (CAN) from an extensive data set collected by the Diabetes Complications Screening Research Initiative at Charles Sturt University. Our experiments included essential ensemble methods, several more recent state-of-the-art techniques, and a novel consensus function based on graph partitioning. The results show that our novel application of Ripple Down Rules in ensemble classifiers for the detection of CAN achieved better performance parameters compared with the outcomes obtained previously in the literature.
Empirical investigation of consensus clustering for large ECG data sets
- Authors: Kelarev, Andrei , Stranieri, Andrew , Yearwood, John , Jelinek, Herbert
- Date: 2012
- Type: Text , Conference proceedings
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- Description: This article investigates a novel machine learning approach applying consensus clustering in conjunction with classification for the data mining of very large and highly dimensional ECG data sets. To obtain robust and stable clusterings, consensus functions can be applied for clustering ensembles combining a multitude of independent initial clusterings. Direct applications of consensus functions to highly dimensional ECG data sets remain computationally expensive and impracticable. We introduce a multistage scheme including various procedures for dimensionality reduction, consensus clustering of randomized samples, followed by the use of a fast supervised classification algorithm. Applying the Hybrid Bipartite Graph Formulation combined with rank ordering and SMO we obtained an area under the receiver operating curve of 0.987. The performance of the classification algorithm at the final stage is crucial for the effectiveness of this technique. It can be regarded as an indication of the reliability, quality and stability of the combined consensus clustering. © 2012 IEEE.
Empirical study of decision trees and ensemble classifiers for monitoring of diabetes patients in pervasive healthcare
- Authors: Kelarev, Andrei , Stranieri, Andrew , Yearwood, John , Jelinek, Herbert
- Date: 2012
- Type: Text , Conference proceedings
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- Description: Diabetes is a condition requiring continuous everyday monitoring of health related tests. To monitor specific clinical complications one has to find a small set of features to be collected from the sensors and efficient resource-aware algorithms for their processing. This article is concerned with the detection and monitoring of cardiovascular autonomic neuropathy, CAN, in diabetes patients. Using a small set of features identified previously, we carry out an empirical investigation and comparison of several ensemble methods based on decision trees for a novel application of the processing of sensor data from diabetes patients for pervasive health monitoring of CAN. Our experiments relied on an extensive database collected by the Diabetes Complications Screening Research Initiative at Charles Sturt University and concentrated on the particular task of the detection and monitoring of cardiovascular autonomic neuropathy. Most of the features in the database can now be collected using wearable sensors. Our experiments included several essential ensemble methods, a few more advanced and recent techniques, and a novel consensus function. The results show that our novel application of the decision trees in ensemble classifiers for the detection and monitoring of CAN in diabetes patients achieved better performance parameters compared with the outcomes obtained previously in the literature. © 2012 IEEE.
- Description: 2003009675
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.
Rule-based classifiers and meta classifiers for identification of cardiac autonomic neuropathy progression
- Authors: Jelinek, Herbert , Kelarev, Andrei , Stranieri, Andrew , Yearwood, John
- Date: 2012
- Type: Text , Journal article
- Relation: International Journal of Information Science and Computer Mathematics Vol. 5, no. 2 (2012), p. 49-53
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- Description: We investigate and compare several rule-based classifiers and meta classifiers in their ability to obtain multi-class classifications of cardiac autonomic neuropathy (CAN) and its progression. The best results obtained in our experiments are significantly better than the outcomes published previously in the literature for analogous CAN identification tasks or simpler binary classification tasks.
Water allocation argument tree (WAAT): A tool for facilitating public participation in water allocation decisions
- Authors: Graymore, Michelle , Stranieri, Andrew , McRae-Williams, Pamela , Mays, Heather , Lehmann, La Vergne , Thoms, Gavin , Yearwood, John
- Date: 2012
- Type: Text , Book
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A case for the re-use of community reasoning
- Authors: Stranieri, Andrew , Yearwood, John
- Date: 2011
- Type: Text , Book chapter
- Relation: Technologies for supporting reasoning communities and collaborative decision making: Cooperative approaches p.
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- Description: In software engineering, the re-use concept is a design principle that improves efficency, quality and maintainability by ensuring that software artifacts are developed once and re-used may times. In an analogous way, a group's reasoning can be imagined to be re-used by that or another group to enhance efficiency, transparency and consistency in decison-making. However, the re-use of reasoning is difficult to achieve because group reasoning cannot easily be captured and the way in which a group reasoning artifact is subsequently used is not obvious. This chapter explores the case for the re-use of community reasoning and concludes that individuals can benefit from a representation of a previous groups's coalesced reasoning to be modeled and the scheme to represent the reasoning have been selected to suit the task. The authors contend that specifying the future community like to re-use the reasoning, called the intended audience, informs a decision regarding whether an exercise aimed at coalescing a group's reasoning is best performed verbally, in writing or with the use of more structured schemes such as Argument visualization.
A reasoning community perspective on deliberate democracy
- Authors: Yearwood, John , Stranieri, Andrew
- Date: 2011
- Type: Text , Book chapter
- Relation: Technologies for supporting reasoning communities and collaborative decision making: Cooperative approaches p.237-246
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- Description: This chapter describes some of the current approaches to delibertative democracy and the considers them from the perspective of a reasoning community framework. This approach highlights important tasks, process and structures that can be used to enhance the process of groups engaging in deliberative democracy approaches. In particular it focuses attention on the potential for technologies to support groups in achieving broad agreed structured reasoning bases that capture the scope of an issue from multiple perspectives.
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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Does the Delphi process lead to increased accuracy in group-based judgmental forecasts or does it simply induce consensus amongst judgmental forecasters?
- Authors: Bolger, Fergus , Stranieri, Andrew , Wright, George , Yearwood, John
- Date: 2011
- Type: Text , Journal article
- Relation: Technological Forecasting and Social Change Vol. , no. (2011), p.
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- Description: We investigate the relative impact of internal Delphi process factors - including panelists' degree of confidence, expertise, majority/minority positioning - and an external factor, richness of feedback - on opinion change and subsequent accuracy of judgmental forecasts. We found that panelists who had low confidence in their judgmental forecast and/or who were in a minority were more likely to change their opinion than those who were more confident and/or in a majority. The addition of rationales, or reasons, to the numeric feedback had little impact upon panelists' final forecasts, despite the quality of panelists' rationales being significantly positively correlated with accurate forecasts and thus of potential use to aid forecast improvement over Delphi rounds. Rather, the effect of rationales was similar to that of confidence: to pull panelists towards the majority opinion regardless of its correctness. We conclude that majority opinion is the strongest influence on panelists' opinion change in both the 'standard' Delphi, and Delphi-with-reasons. We make some suggestions for improved variants of the Delphi-with-reasons technique that should help reduce majority influence and thereby permit reasoned arguments to exert their proper pull on opinion change, resulting in forecast accuracy improvements over Delphi rounds. © 2011.
Technologies for supporting reasoning communities and collaborative decision making: Cooperative approaches
- Authors: Yearwood, John , Stranieri, Andrew
- Date: 2011
- Type: Text , Book
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- Description: The information age has enabled unprecedented levels of data to be collected and stored. At the same time, society and organizations have become increasingly complex. Consequently, decisions in many facets have become increasingly complex but have the potential to be better informed. Technologies for Supporting Reasoning Communities and Collaborative Decision Making: Cooperative Approaches includes chapters from diverse fields of enquiry including decision science, political science, argumentation, knowledge management, cognitive psychology and business intelligence. Each chapter illustrates a perspective on group reasoning that ultimately aims to lead to a greater understanding of reasoning communities and inform technological developments.
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.
Hybrid wrapper-filter approaches for input feature selection using maximum relevance and Artificial Neural Network Input Gain Measurement Approximation (ANNIGMA)
- Authors: Huda, Shamsul , Yearwood, John , Stranieri, Andrew
- Date: 2010
- Type: Text , Conference proceedings
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- Description: Feature selection is an important research problem in machine learning and data mining applications. This paper proposes a hybrid wrapper and filter feature selection algorithm by introducing the filter's feature ranking score in the wrapper stage to speed up the search process for wrapper and thereby finding a more compact feature subset. The approach hybridizes a Mutual Information (MI) based Maximum Relevance (MR) filter ranking heuristic with an Artificial Neural Network (ANN) based wrapper approach where Artificial Neural Network Input Gain Measurement Approximation (ANNIGMA) has been combined with MR (MR-ANNIGMA) to guide the search process in the wrapper. The novelty of our approach is that we use hybrid of wrapper and filter methods that combines filter's ranking score with the wrapper-heuristic's score to take advantages of both filter and wrapper heuristics. Performance of the proposed MRANNIGMA has been verified using bench mark data sets and compared to both independent filter and wrapper based approaches. Experimental results show that MR-ANNIGMA achieves more compact feature sets and higher accuracies than both filter and wrapper approaches alone. © 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.
Deliberative discourse and reasoning from generic argument structures
- Authors: Yearwood, John , Stranieri, Andrew
- Date: 2009
- Type: Text , Journal article
- Relation: AI and Society Vol. 23, no. 3 (2009), p. 353-377
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- Description: In this article a dialectical model for practical reasoning within a community, based on the Generic/Actual Argument Model (GAAM) is advanced and its application to deliberative dialogue discussed. The GAAM, offers a dynamic template for structuring knowledge within a domain of discourse that is connected to and regulated by a community. The paper demonstrates how the community accepted generic argument structure acts to normatively influence both admissible reasoning and the progression of dialectical reasoning between participants. It is further demonstrated that these types of deliberation dialogues supported by the GAAM comply with criteria for normative principles for deliberation, specifically, Alexy's rules for discourse ethics and Hitchcock's Principles of Rational Mutual Inquiry. The connection of reasoning to the community in a documented and transparent structure assists in providing best justified reasons, principles of deliberation and ethical discourse which are important advantages for reasoning communities. © Springer-Verlag London Limited 2006.
Group structured reasoning for coalescing group decisions
- Authors: Yearwood, John , Stranieri, Andrew
- Date: 2009
- Type: Text , Journal article
- Relation: Group Decision and Negotiation Vol. , no. (2009), p. 1-29
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- Description: In this paper we present the notion of structured reasoning through a model, called the Generic/Actual Argument Model (GAAM). The model which has been used as a computational representation for machine modelling of reasoning and for hybrid combinations of human and machine reasoning can be used as a coalescent framework for decision making. Whilst the notion of structuring reasoning is not new, structured reasoning is advanced as a technique where group consensus on reasoning structures at various levels can be used to facilitate the comprehension of complex reasoning particularly where there are multiple perspectives. For an issue, the approach provides a scaffolding structure for cognitive co-operation and a normative reasoning structure against which group participants can identify points of difference and points in common as well as the nature of the differences and similarities. Intra-group transparency characterized by the ability to recognise points in common and understand the nature of differences is important to the process of coalescing group decisions that carry maximum group support. © 2009 Springer Science+Business Media B.V.
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