A case for causal loop diagrams to model electronic health records ecosystems
- Authors: Hashmi, Mustafa , McInnes, Angelique , Sahama, Tony , Stranieri, Andrew
- Date: 2023
- Type: Text , Conference paper
- Relation: 2023 Australasian Computer Science Week, ACSW 2023, Melbourne, Australia, 31 January-3 February 2023, ACSW '23: Proceedings of the 2023 Australasian Computer Science Week p. 238-239
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- Description: Causal loop diagrams (CLD) that emerged from systems thinking disciplines have been used to simulate complex inter-dependencies between causal factors in diverse phenomena. This paper highlights a process for generating a casual loop diagrams to represent the quality of electronic health record (EHR) ecosystem in a medical context. The quality inherent in the use of electronic health records for specific clinical purposes is taken to depend on factors including data integrity, reliability, relevance, timeliness and completeness. By improving the electronic health record ecosystem quality, health care providers can enhance their data sharing practices, and personalised patient care, while reducing the probabilities of medical errors. Ultimately the CLD can be used to run multiple simulations for several clinical case scenarios to understand the impact of various case phenomena on the quality of the electronic health record ecosystem. © 2023 ACM.
A study into the impact of data breaches of electronic health records
- Authors: Pilla, Ravi , Oseni, Taiwo , Stranieri, Andrew
- Date: 2023
- Type: Text , Conference paper
- Relation: 2023 Australasian Computer Science Week, ACSW 2023, Melbourne Australia, 31 January-3 February 2023, ACSW '23: Proceedings of the 2023 Australasian Computer Science Week p. 252-254
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- Description: The research study deals with electronic health records (EHRs) data breaches, their impact., Electronic health records play an important role in digital healthcare services. However, confidentiality and integrity of sensitive EHRs are critical to ensure patient privacy. Although the existing traditional cybersecurity practices provide some protection, they cannot prevent EHRs data breaches. Therefore, this research's primary focus will be critically reviewing the impact of data breaches and current cybersecurity practices. Finally, the paper's key findings highlight the type of cyberattacks and options to reduce them. © 2023 ACM.
Clinically prioritized data visualization in remote patient monitoring
- Authors: Arora, Teena , Balasubramanian, Venki , Stranieri, Andrew , Neupane, Arun
- Date: 2023
- Type: Text , Conference paper
- Relation: 19th IEEE International Conference on Wireless and Mobile Computing, Networking and Communications, WiMob 2023, Montreal, Canada, 21-23 June 2023, International Conference on Wireless and Mobile Computing, Networking and Communications Vol. 2023-June, p. 5-12
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- Description: Understanding and integrating physiological data collected from wearable sensors in remote patient monitoring (RPM) is challenging. Data streams may be interrupted due to the sensor's sensitivity, movement, and electromagnetic interference leading to inconsistent, missing, and inaccurate data. Existing approaches to summarize data flows into a single score such as the traditional Modified early warning score (MEWS) is limited. Data visualization approaches have the potential to address this challenge, but few studies have focused on visualization of RPM streams. The study presents a transformation of observed raw RPM physiological data into parameters identified as trust, frequency, slope, and trend. This facilitated visualization and enabled automated assessments of prioritized alerts. Experimental results have shown that the transformations led to the prioritization of clinically significant conditions, and improved visualization has the potential to better support clinical decisions compared with traditional MEWS. © 2023 IEEE.
A secured real-time IoMT application for monitoring isolated COVID-19 patients using edge computing
- Authors: Balasubramanian, Venki , Sulthana, Rehena , Stranieri, Andrew , Manoharan, G. , Arora, Teena , Srinivasan, Ram , Mahalakshmi, K. , Menon, Varun
- Date: 2021
- Type: Text , Conference paper
- Relation: 20th IEEE International Conference on Trust, Security and Privacy in Computing and Communications, TrustCom 2021, Shenyang, China, 20-22 October 2021, Proceedings - 2021 IEEE 20th International Conference on Trust, Security and Privacy in Computing and Communications, TrustCom 2021 p. 1227-1234
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- Description: Internet of Medical Things (IoMT) is an emerging technology whose capabilities to self-organize itself on-the-fly, to monitor the patient's vital health data without any manual entry and assist early human intervention gave birth to smart healthcare applications. The smart applications can be used to remotely monitor isolated patients during this COVID-19 pandemic. Remote patient monitoring provides an opportunity for COVID-19 patients to have vital signs and other indicators recorded regularly and inexpensively to provide rapid and early warning of conditions that require medical attention using secured edge and cloud computing. However, to gain the confidence of the users over these applications, the performance of healthcare applications should be evaluated in real-time. Our real-time implementation of IoMT based remote monitoring application using edge and cloud computing, along with empirical evaluation, show that COVID-19 patients can be monitored effectively not only with mobility but also helps the health care professionals to generate consolidated health data of the patient that can guide them to obtain medical attention. © 2021 IEEE.
An Exploratory Study on the Employers' Perceptions of ICT Graduate work-readiness
- Authors: Faisal, Nadia , Chadhar, Mehmood , Goriss-Hunter, Anitra , Stranieri, Andrew
- Date: 2021
- Type: Conference paper
- Relation: Pacific Asia Conference on Information Systems (PACIS 2021) 12th to 14th July 2021
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- Description: Drawing on information gathered from scoping interviews with graduate recruiters and industry experts in Australia, this study extends our understanding of how employers, rather than researchers, describe the desired work-ready skills for graduate/entry level roles in the Australian information and communication technology (ICT) industry. Contrary to the developing literature on work-readiness, the findings showed that the skills which contribute to work-readiness should not be limited to field-specific knowledge, skills and cognitive skills, but that they should be extended to include affective skills or personal attributes and behaviors, such as selfefficacy, willingness to learn, disposition, tolerance and integrity. Results have practical implications for developing academic programs aimed at enhancing cognitive and affective skills among IT graduates for employment potential and successful transition into work.
Non-invasive smartphone use monitoring to assess cognitive impairment
- Authors: Thang, Nguyen , Oatley, Giles , Stranieri, Andrew , Walker, Darren
- Date: 2021
- Type: Text , Conference paper
- Relation: 13th International Conference on Computer and Automation Engineering, ICCAE 2021 p. 64-67
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- Description: Background: There are many tests for the early detection of Mild Cognitive Impairment (MCI) to prevent or delay the development of dementia, particularly amongst the elderly. However, many tests are complex and are required to be performed repeatedly. Cognitive assessment apps for a smartphone have emerged, but like other tests, they require the user to perform complex tasks like drawing time on a clock. Few studies have explored non-invasive ways of tracking and assessing MCI without having the user perform specific tests. Objective: This research ultimately aims to develop an app that runs in the background and collects smartphone usage data that correlates well with MCI test results. The focus of this preliminary study was to develop an app that collects usage data and common MCI questionnaires to see if usage data between people varied, and to establish associations between phone usage and cognitive tests results. Method: An android application was developed to gather data over three weeks by three volunteers (authors). Usage data collected included: SMS and call log, accelerometer, location, app usage, self-report. Cognitive tests implemented were Stroop, Go/No Go tests and absent-mindedness questionnaires. Due to the small sample size and Covid-19 restrictions (October 2020), location data was not reliable. SMS text was not collected for privacy reasons. Results: App categories can differentiate people, but the app usage cannot be used to distinguish people. © 2021 IEEE.
Rethinking IS Graduates Work-readiness: Employers' perspectives
- Authors: Faisal, Nadia , Chadhar, Mehmood , Goriss-Hunter, Anitra , Stranieri, Andrew
- Date: 2021
- Type: Text , Conference paper
- Relation: 27th Annual Americas Conference on Information Systems (AMCIS)
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- Description: Being a significant stakeholder in the graduates' employment outcomes, it is vital to understand employers' perceptions of graduates' work-readiness. However, existing information systems (IS) literature focuses mainly on the perceptions of students or universities. This paper aims to fill this gap by analysing scoping interviews conducted with graduate recruiters and industry experts in Australia regarding attributes that can improve graduates' employment prospects in the information and communication technology industry. A preliminary investigation based on grounded theory identified three emergent themes from the data: behaviors, skills, and knowledge levels. Based on the findings, this study proposes an IS graduate work-readiness framework that can help universities to develop academic programs aimed at enhancing desirable skills and attitudes among IS graduates' employment.
The design of a smartbrush oral health installation for aged care centres in Australia
- Authors: Grzegorz Broda, Lukasz , Oseni, Taiwo , Stranieri, Andrew , Marino, Rodrigo , Robinson, Jodie , Yates, Mark
- Date: 2021
- Type: Text , Conference paper
- Relation: 5th International Conference on Medical and Health Informatics, ICMHI 2021 p. 176-180, virtual online, 14-16 May 2021, ICMHI '21: Proceedings of the 5th International Conference on Medical and Health Informatics
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- Description: The oral health of residents in aged care centres in Australia is poor, contributing to infections, hospital admissions, and increased suffering. Although the use of electric toothbrushes has been deployed in many centres, smartbrushes that record and transmit information about brushing patterns and duration are not routinely deployed. Yet, the use of smartbrushes for aged care residents promises better oral care. Thus, a study aimed at investigating the appropriateness and suitability of a smartbrush for aged care residents is currently underway. Due to the peculiarity of the aged care setting, the incorporation of smartbrushes into residents' care does require careful planning and design considerations. This paper describes an initial design process undertaken through the use of an actor to understand the important elements to be incorporated whilst installing a smartbrush for use in aged care settings. The design covers configuration settings of the brush and app, including ergonomic factors related to brush and smartphone placement. A design science approach led to an installation re-design and a revised protocol for the planned study, the ultimate aim being to design installations to enhance perceived usefulness, ease of use, and attitudes towards the incorporation of smartbrushes for improving oral health care for aged care residents. © 2021 ACM.
Understanding the gap between academics and game developers : an analysis of gamasutra blogs
- Authors: Greenwood, Jordan , Achterbosch, Leigh , Stranieri, Andrew , Meredith, Grang
- Date: 2021
- Type: Conference paper
- Relation: 15th International Conference on Interfaces and Human Computer Interaction, IHCI 2021 and 14th International Conference on Game and Entertainment Technologies, GET 2021 - Held at the 15th Multi-Conference on Computer Science and Information Systems, MCCSIS 2021 p. 141-148
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- Description: Communication between industry and academia in the fields of game development to date has been limited to the detriment of both groups. This lack of communication is more commonly known as the academia-industry divide. Blogs have been advanced as a good medium to reduce the divide because they allow academics to practice presenting their knowledge to different audiences and allows them to get suggestions and feedback from game developers. This study analyzed all blogs posted by members of Gamasutra.com in a 13-month span between March 2020 and April 2021. Forty-four of the 767 blogs were found to be referencing academic sources. Using Walton and Krabbe’s dialogue types, we discovered how academia was trying to communicate their knowledge relevant to game development and report on the extent to which academia had tried to influence game design and development. Results showed that the divide is real and that access to research information for the public is still quite difficult. The results also illustrate that academia only have had a small influence on the gaming industry and that only a small amount of gaming researchers were communicating their theories of game development. © MCCSIS 2021.All right reserved.
Gestalt based evaluation of health information diagrams
- Authors: Sharma, Vishakha , Stranieri, Andrew , Burstein, Frada , Warren, Jim , Firmin, Sally
- Date: 2020
- Type: Text , Conference paper
- Relation: 24th International Conference Information Visualisation, IV 2020 Vol. 2020-September, p. 195-201
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- Description: Diagrams for four different health care settings have been proposed: Snapshot Diagram, Diagnosis Diagram, Strength of Evidence Diagram and Patient Pathway Diagram The availability of large amount of digital health care data and potential to utilize its benefits led to the development of these diagrams. This paper presents an analysis of the diagrams based on the selection of a subset of Gestalt principles deemed relevant for each diagram. Although Gestalt and human-computer interaction principles are advanced to apply to all diagrams or user interfaces, in practice a sub-set of principles must be selected to evaluate a diagram or interface The selection of a subset of principles to use on a diagram has not been widely studied. This paper presents an approach for identifying a subset of relevant Gestalt principles tailored for each of the four diagrams advanced for health care settings. © 2020 IEEE.
Towards smart online dispute resolution for medical disputes
- Authors: Bellucci, Emilia , Stranieri, Andrew , Venkatraman, Sitalakshmi
- Date: 2020
- Type: Text , Conference proceedings , Conference paper
- Relation: Proceedings of the Australasian Computer Science Week Multiconference (ACSW 2020); Melbourne, Australia; 3rd-7th February 2020. p. 1-5
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- Description: With the advancements in technologies, digitization of health records in the healthcare industry is undertaking a rapid revolution. This is further fueled with the entrance of Internet of Things (IoT), where mobile health devices have resulted in an explosion of health data and increased accessibility via wireless communications and sensor networks. With the introduction of an Electronic Health Record (EHR) system as an important venture for the general health and wellbeing of a country's citizens, privacy issues and medical disputes are expected to rise. In addition to critical health information being documented and shared electronically, integrating data from diverse smart medical IoT devices are leading towards increasingly more complex disputes that require immense time and effort to resolve. Online dispute resolution (ODR) programs have been successfully applied to cost-effectively help disputants resolve commercial, insurance and other legal disputes, but as yet have not been applied to healthcare. This paper takes a modest step in this direction, firstly to identify the drivers of medical disputes that include patient empowerment and technology advancements and trends. Secondly, we explore dispute resolution models and identify the status and limitations of current ODR systems.
- Description: This work was funded by the University of Ballarat Deakin University Collaborative Fund. 160134
Integrating biological heuristics and gene expression data for gene regulatory network inference
- Authors: Zarnegar, Armita , Jelinek, Herbert , Vamplew, Peter , Stranieri, Andrew
- Date: 2019
- Type: Text , Conference proceedings , Conference paper
- Relation: 2019 Australasian Computer Science Week Multiconference, ACSW 2019; Sydney, Australia; 29th-31st January 2019 p. 1-10
- Full Text: false
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- Description: Gene Regulatory Networks (GRNs) offer enhanced insight into the biological functions and biochemical pathways of cells associated with gene regulatory mechanisms. However, obtaining accurate GRNs that explain gene expressions and functional associations remains a difficult task. Only a few studies have incorporated heuristics into a GRN discovery process. Doing so has the potential to improve accuracy and reduce the search space and computational time. A technique for GRN discovery that integrates heuristic information into the discovery process is advanced. The approach incorporates three elements: 1) a novel 2D visualized coexpression function that measures the association between genes; 2) a post-processing step that improves detection of up, down and self-regulation and 3) the application of heuristics to generate a Hub network as the backbone of the GRN. Using available microarray and next generation sequencing data from Escherichia coli, six synthetic benchmark GRN datasets were generated with the neighborhood addition and cluster addition methods available in SynTReN. Results of the novel 2D-visualization co-expression function were compared with results obtained using Pearson's correlation and mutual information. The performance of the biological genetics-based heuristics consisting of the 2D-Visualized Co-expression function, post-processing and Hub network was then evaluated by comparing the performance to the GRNs obtained by ARACNe and CLR. The 2D-Visualized Co-expression function significantly improved gene-gene association matching compared to Pearson's correlation coefficient (t = 3.46, df = 5, p = 0.02) and Mutual Information (t = 4.42, df = 5, p = 0.007). The heuristics model gave a 60% improvement against ARACNe (p = 0.02) and CLR (p = 0.019). Analysis of Escherichia coli data suggests that the GRN discovery technique proposed is capable of identifying significant transcriptional regulatory interactions and the corresponding regulatory networks.
Semi-invasive system for detecting and monitoring dementia patients
- Authors: Yamsanwar, Yash , Patankar, Amol , Kulkarni, Siddhivinayak , Stratton, David , Stranieri, Andrew
- Date: 2019
- Type: Text , Conference proceedings , Conference paper
- Relation: 5th IEEE International Conference for Convergence in Technolog, I2CT 2019
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- Description: Dementia is one of the most prevalent conditions faced by the elderly caused by specific brain cell damage. Various effects of dementia include a loss of memory, reduction in problem solving ability, analytical skills, and decision making capability. Few systems have been developed for the early detection of dementia. Existing systems depend largely on hardware e.g. sensors, gateways. Factors like maintainability and sustainability compromise the efficiency of such systems. This paper presents a novel approach towards the early detection of dementia and aims at eliminating some of the challenges posed by these systems. It also provides a comparati ve study of the cognitive abilities of healthy old-age people and those afflicted by dementia. © 2019 IEEE.
- Description: E1
Medical system choice: Information that affects the selection of healthcare provider in Australia?
- Authors: Sahama, Tony , Stranieri, Andrew , Butler-Henderson, Kerryn , Golden, Isaac
- Date: 2018
- Type: Text , Conference paper
- Relation: 40th Medical Informatics in Europe Conference MIE 2018 Vol. 247, p. 596
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- Description: Many complementary and alternative medical practices (CAM) are readily assessable in Australia alongside Allopathic practitioners. Although CAM practices are prevalent, little is known about how patients seek and use information when deciding which system to consult. We report some preliminary findings of a longitudinal study, designed to solicit factors that influence the Australian public when selecting from diverse medical systems. Fifty-four general public participants, willing to provide their confidential and anonymous opinion were included. The magnitudes of importance, critical in influencing factors, were screened. Results indicated a medical system was selected for its effectiveness, safety, credentials and care (p<0.001). Consultation time, convenience, cost, empowerment and rapport were less important factors (p<0.001) influencing selection of a medical system. The level of choices by participants [χ2 (1, N=54) = 53.445, p<0.001] follow similar trends found for those in conventional medical systems. This contrasts with findings in other locations, where cost and time were major contributing factors when selecting medical systems.
Significance level of a big data query by exploiting business processes and strategies
- Authors: Dinh, Loan , Karmakar, Gour , Kamruzzaman, Joarder , Stranieri, Andrew
- Date: 2018
- Type: Text , Conference paper
- Relation: 13th Joint International Baltic Conference on Databases and Information Systems Forum and Doctoral Consortium, Baltic-DB and IS Forum-DC 2018 Vol. 2158, p. 63-73
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- Description: Querying data is one of the most frequent activities in business organisations. The tasks involving queries for big data collection, extraction and analysis have never been easy, because to obtain the high quality responses, the expected outcome from these tasks need to be more accurate and highly relevant to a business organisation. The emergence of big data era has further complicated the task. The enormous volume of data from diverse sources and the variety of queries impose a big challenge on business organisations on how to extract deep insight from big data within acceptable time. Determining significance levels of queries based on their relevance to business organisations is able to deal with such challenge. To address this issue, up to our knowledge, there exists only one approach in the literature to calculate the significance level of a query. However, in this approach, only business processes are considered by manually selecting weights for core and non-core business processes. As the significance level of a query must express the importance of that query to a business organisation, it has to be calculated based on the consideration of business strategic direction, which requires the consideration of both business processes and strategies. This paper proposes an approach for the first time where the significance level of a query is determined by exploiting process contributions and strategy priorities. The results produced by our proposed approach using a business case study show the queries that are associated with more important business processes and higher priority strategies have higher significance levels. This vindicates the application of the significance level in a query to dynamically scale the semantic information use in capturing the appropriate level of deep insight and relevant information required for a business organisation. Copyright © 2018 for this paper by the papers' authors.
Supporting regional aged care nursing staff to manage residents’ behavioural and psychological symptoms of dementia, in real time, using the nurses’ behavioural assistant (NBA) : A pilot site 'end-user attitudes’ trial
- Authors: Klein, Britt , Clinnick, Lisa , Chesler, Jessica , Stranieri, Andrew , Bignold, Adam , Dazeley, Richard , McLaren, Suzanne , Lauder, Sue , Balasubramanian, Venki
- Date: 2018
- Type: Text , Conference paper
- Relation: 2017 Global Telehealth Meeting, GT 201; Adelaide, Australia; 22nd-24th November 2017; published in Telehealth for our Ageing Society (part of the Studies in Health Technology and Informatics series) Vol. 246, p. 24-28
- Full Text: false
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- Description: Background: This regional pilot site ‘end-user attitudes’ study explored nurses’ experiences and impressions of using the Nurses’ Behavioural Assistant (NBA) (a knowledge-based, interactive ehealth system) to assist them to better respond to behavioural and psychological symptoms of dementia (BPSD) and will be reported here. Methods: Focus groups were conducted, followed by a four-week pilot site ‘end-user attitudes’ trial of the NBA at a regional aged care residential facility (ACRF). Brief interviews were conducted with consenting nursing staff. Results: Focus group feedback (N = 10) required only minor cosmetic changes to the NBA prototype. Post pilot site end-user interview data (N = 10) indicated that the regional ACRF nurses were positive and enthusiastic about the NBA, however several issues were also identified. Conclusions: Overall the results supported the utility of the NBA to promote a person centred care approach to managing BPSD. Slight modifications may be required to maximise its uptake across all ACRF nursing staff.
Atrial fibrillation analysis for real time patient monitoring
- Authors: Allami, Ragheed , Stranieri, Andrew , Marzbanrad, Faezeh , Balasubramanian, Venki , Jelinek, Herbert
- Date: 2017
- Type: Text , Conference proceedings , Conference paper
- Relation: 44th Computing in Cardiology Conference, CinC 2017 Vol. 44, p. 1-4
- Full Text: false
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- Description: Atrial Fibrillation (AF) can lead to life-threatening conditions such as stroke and heart failure. The instant recognition of life-threatening cardiac arrhythmias based on a 3-lead ECG to record a Lead II configuration for a few seconds is a challenging problem of clinical significance. Five consecutive ECG beats that were identified by a cardiologist to characterise an AF episode and five consecutive heartbeat intervals representing an irregular RR intervals episode were analysed. The detection and analysis of P waves as the morphological features of AF was executed based on two template matching methods. An AF detector was developed by combining the correlation coefficients based on the template matching methods and the standard deviation of the RR intervals. The AF detector was then applied to classify 5 consecutive beats as AF or non-AF based on thresholding the calculated irregularity. The proposed algorithm was tested on the MIT-BIH Atrial Fibrillation and the Challenge 2017 databases. The proposed method resulted in an improved sensitivity, specificity and accuracy of 97.60%, 98.20% and 99% respectively compared to recent published methods. In addition, the proposed method is suitable for real-time patient monitoring as it is computationally simple and requires only a few seconds of ECG recording to detect an AF rhythm. © 2017 IEEE Computer Society. All rights reserved.
A genetic algorithm-neural network wrapper approach for bundle branch block detection
- Authors: Allami, Ragheed , Stranieri, Andrew , Balasubramanian, Venki
- Date: 2016
- Type: Text , Conference paper
- Relation: Computing in Cardiology Conference (CinC), 2016; Vancouver, BC ;11-14 Sept. 2016, published in Computing in Cardiology p. 461-464
- Full Text: false
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- Description: An Electrocardiogram (ECG) records the electrical impulses of the heart and indicates rhythm anomalies for diagnostic purposes [1], [2]. A typical ECG tracing of the cardiac cycle consists of a P wave, QRS complex, and T wave [3]. Good performance of an ECG analyzing system depends heavily upon the accurate and reliable detection of the QRS complex, as well as the T and P waves [4]. A Bundle Branch Block (BBB) is a delay or obstruction along electrical impulse pathways of the heart manifesting in a prolonged QRS interval usually greater than 120ms. The automated detection and classification of a BBB is important for prompt, accurate diagnosis and treatment to reduce morbidity and mortality.
Missing data imputation for individualised CVD diagnostic and treatment
- Authors: Venkatraman, Sitalakshmi , Yatsko, Andrew , Stranieri, Andrew , Jelinek, Herbert
- Date: 2016
- Type: Text , Conference paper
- Relation: Computing in Cardiology, 2016 Vol. 43 I E E E Computer Society
- Full Text: false
- Reviewed:
- Description: Cardiac health screening standards require increasingly more clinical tests consisting of blood, urine and anthropometric measures as well as an extensive clinical and medication history. To ensure optimal screening referrals, diagnostic determinants need to be highly accurate to reduce false positives and ensuing stress to individual patients. However, the data from individual patients partaking in population screening is often incomplete. The current study provides an imputation algorithm that has been applied to patientcentered cardiac health screening. Missing values are iteratively imputed in conjunction with combinations of values on subsets of selected features. The approach was evaluated on the DiabHealth dataset containing 2800 records with over 180 attributes. The results for predicting CVD after data completion showed sensitivity and specificity of 94% and 99% respectively. Removing variables that define cardiac events and associated conditions directly, left ‘age’ followed by ‘use’ of antihypertensive and anti-cholesterol medication, especially statins among the best predictors.
Analysis and comparison of co-occurrence matrix and pixel n-gram features for mammographic images
- Authors: Kulkarni, Pradnya , Stranieri, Andrew , Kulkarni, Sid , Ugon, Julien , Mittal, Manish
- Date: 2015
- Type: Text , Conference paper
- Relation: International Conference on Communication and Computing p. 7-14
- Full Text: false
- Reviewed:
- Description: Mammography is a proven way of detecting breast cancer at an early stage. Various feature extraction techniques such as histograms, co-occurrence matrix, local binary patterns, Gabor filters, wavelet transforms are used for analysing mammograms. The novel pixel N-gram feature extraction technique has been inspired from the character N-gram concept of text retrieval. In this paper, we have compared the novel N-gram feature extraction technique with the co-occurrence matrix feature extraction technique. The experiments were conducted on the benchmark miniMIAS mammography database. Classification of mammograms into normal and abnormal category using N-gram features showed promising results with greater classification accuracy, sensitivity and specificity compared to classification using co-occurrence matrix features. Moreover, N-gram features computation are found to be considerably faster than co-occurrence matrix feature computation