Search results for "decision support"
showing 10 items of 377 documents
Requirements Analysis and Specification for a Molecular Tumor Board Platform Based on cBioPortal
2020
Clinicians in molecular tumor boards (MTB) are confronted with a growing amount of genetic high-throughput sequencing data. Today, at German university hospitals, these data are usually handled in complex spreadsheets from which clinicians have to obtain the necessary information. The aim of this work was to gather a comprehensive list of requirements to be met by cBioPortal to support processes in MTBs according to clinical needs. Therefore, oncology experts at nine German university hospitals were surveyed in two rounds of interviews. To generate an interview guideline a scoping review was conducted. For visual support in the second round, screenshot mockups illustrating the requirements …
An Interactive Framework for Offline Data-Driven Multiobjective Optimization
2020
We propose a framework for solving offline data-driven multiobjective optimization problems in an interactive manner. No new data becomes available when solving offline problems. We fit surrogate models to the data to enable optimization, which introduces uncertainty. The framework incorporates preference information from a decision maker in two aspects to direct the solution process. Firstly, the decision maker can guide the optimization by providing preferences for objectives. Secondly, the framework features a novel technique for the decision maker to also express preferences related to maximum acceptable uncertainty in the solutions as preferred ranges of uncertainty. In this way, the d…
Decision support system to design feasible high-frequency Motorways of the Sea: A new perspective for public commitment
2016
ABSTRACTThe implementation of Motorways of the Sea (MoS) within the framework of European Union aid programs experiences a period of relative stagnation. This article analyzes the suitability of current short-term nonrepayable subsidy policy and develops a decision support system (DSS) that allows a medium- and long-term feasibility analysis of MoS proposals. One significant conclusion drawn from the application of the proposed DSS to a prototypical high-frequency MoS provides that the period of initial losses prior to achievement of both modal shift and accounting profits might last 10 years. Moreover, the entire duration of the period that includes prior objectives as well as the recoveri…
Using AHP methodology for prioritizing the actions in the transport sector in the frame of SECAPs
2020
The drafting of the Sustainable Energy and Climate Action Plan, required for the local authorities joining the Covenant of Mayors initiative, is an opportunity to plan actions reducing greenhouse gas emissions in the transport sector. Choosing the measures to implement requires the application of a methodology that compares them, considering costs and impacts in terms of energy consumption, emissions reduction, and social benefits. The paper aims to develop a method based on the typical approach of the Analytical Hierarchy Process, supporting decisions in the transport sector in the frame of the drafting of SECAP. The method allows determining the priority actions and the optimal allocation…
A GIS-Based Methodology to Estimate the Potential Demand of an Integrated Transport System
2017
In the design of a new public transport system or of an extension of an existing system, the choice of a suitable placement of stations and stops in the territory and the definition of the main axes are very important. The different choice in the number and distribution of the stops of a road transport system or of a railway transport system, in fact, makes the system more or less widespread and affects the consistency of the catchment area and the attractiveness of the system. The accessibility of a system, add to the reliability in providing the service, is the fundamental parameter influencing the modal split of the users. Therefore, the Public Administration must have tools able to eval…
Middleware with QoS Support to Control Intelligent Systems
2008
This paper presents the architecture of a middleware for control component-based distributed systems. The fundamental idea underlying this architecture is the use of a hierarchical communications structure called "logical namespace tree" and a structured set of control processes interconnected, called "logical sensors graph". This architecture is named frame sensor adapter control (FSA-Ctrl). The aim of FSA-Ctrl is to provide a simple interface to specify the control actions and ensure a communication with some specified QoS parameters restrictions. In this architecture both systems, communication and control, manages the QoS policies. The communication system is based on the data distribut…
Economic evaluation of azoles as primary prophylaxis for the prevention of invasive fungal infections in Spanish patients undergoing allogeneic haema…
2016
Patients undergoing allogeneic haematopoietic stem cell transplantation (alloHSCT) are at risk of developing invasive fungal infections (IFIs). Even with introduction of oral triazole antifungal agents (fluconazole, itraconazole, posaconazole and voriconazole) IFI-associated morbidity and mortality rates and economic burden remain high. Despite their proven efficacy, it is currently unknown which is the most cost-effective antifungal prophylaxis (AFP) agent. To determine the costs and outcomes associated with AFP, a decision-analytic model was used to simulate treatment in a hypothetical cohort of 1000 patients undergoing alloHSCT from the perspective of the Spanish National Health System. …
Advancing beyond the system: telemedicine nurses' clinical reasoning using a computerised decision support system for patients with COPD - an ethnogr…
2017
Abstract Background Telemedicine is changing traditional nursing care, and entails nurses performing advanced and complex care within a new clinical environment, and monitoring patients at a distance. Telemedicine practice requires complex disease management, advocating that the nurses’ reasoning and decision-making processes are supported. Computerised decision support systems are being used increasingly to assist reasoning and decision-making in different situations. However, little research has focused on the clinical reasoning of nurses using a computerised decision support system in a telemedicine setting. Therefore, the objective of the study is to explore the process of telemedicine …
Development and Validation of Hepamet Fibrosis Scoring System-A Simple, Noninvasive Test to Identify Patients With Nonalcoholic Fatty Liver Disease W…
2020
HEPAmet Registry.
Are student nurses ready for new technologies in mental health? Mixed-methods study
2020
Abstract Background Technical innovations such as ecological momentary assessment (EMA), machine learning (ML), computerized adaptive testing (CAT), Digital Phenotyping, Clinical Decision Support Systems (CDSS), Algorithms, and Biomarkers have caused a paradigm shift in psychiatric care. The aim of the present study was to explore how student nurses view this paradigm shift, by assessing the acceptability of smartphone-based EMA, CAT, and biosensor-based Digital Phenotyping. We also investigated the factors affecting this acceptability. Method Student nurses recruited via nursing schools participated in a quantitative study involving the screenplay method, in which they were exposed to two …