Search results for "decision"

showing 10 items of 2091 documents

Improved usability of the minimal model of insulin sensitivity based on an automated approach and genetic algorithms for parameter estimation.

2006

Minimal model analysis of glucose and insulin data from an IVGTT (intravenous glucose tolerance test) is widely used to estimate insulin sensitivity; however, the use of the model often requires intervention by a trained operator and some problems can occur in the estimation of model parameters. In the present study, a new method for minimal model analysis, termed GAMMOD, was developed based on genetic algorithms for the estimation of model parameters. Such an algorithm does not require the fixing of initial values for the parameters (that may lead to unreliable estimates). Our method also implements an automated weighting scheme not requiring manual intervention of the operator, thus impro…

AdultBlood GlucoseComputer scienceEstimation theorybusiness.industryDecision treeEvolutionary algorithmReproducibility of ResultsContext (language use)UsabilityGeneral MedicineGlucose Tolerance TestModels BiologicalWeightingMinimal modelDiabetes GestationalPregnancyGenetic algorithmHumansInsulinFemaleInsulin ResistancebusinessAlgorithmAlgorithmsClinical science (London, England : 1979)
researchProduct

ERP correlates of transposed-letter priming effects: The role of vowels versus consonants

2008

One key issue for any computational model of visual-word recognition is the choice of an input coding scheme for assigning letter position. Recent research has shown that pseudowords created by transposing two letters are very effective at activating the lexical representation of their base words (e.g., relovution activates REVOLUTION). We report a masked priming lexical decision experiment in which the pseudoword primes were created by transposing/replacing two consonants or two vowels while event-related potentials were recorded. The results showed a modulation of the amplitude at an early window (150-250 ms) and at the N400 component for vowels but not for consonant transpositions. In ad…

AdultConsonantAdolescentCognitive NeuroscienceSpeech recognitionExperimental and Cognitive PsychologyPsycholinguisticsYoung AdultDevelopmental NeuroscienceLexical decision taskHumansBiological PsychiatryVisual word recognitionCommunicationPsycholinguisticsEndocrine and Autonomic Systemsbusiness.industryGeneral NeuroscienceElectroencephalographyRecognition PsychologyLexical representationN400ElectrophysiologyPseudowordNeuropsychology and Physiological PsychologyReadingNeurologyFemaleCuesbusinessPsychologyPhotic StimulationPsychomotor PerformanceCoding (social sciences)Psychophysiology
researchProduct

Does the proportion of associatively related pairs modulate the associative priming effect at very brief stimulus-onset asynchronies?

2002

A number of experiments have shown that the magnitude of the associative priming effect increases substantially when there is a high proportion of associatively related pairs in the list when the stimulus-onset asynchrony (SOA) between prime and target is long (more than 400 ms). In the present series of experiments we manipulated the proportion of associatively related pairs when the SOA was very brief (less than 200 ms). If processing of a target word is facilitated automatically by the prior presentation of a related prime, the occurrence of priming should be unaffected by the proportion of related pairs in the list. Experiment 1 showed a robust relatedness proportion effect obtained in …

AdultDecision MakingExperimental and Cognitive PsychologyStimulus (physiology)behavioral disciplines and activitiesArts and Humanities (miscellaneous)Reaction TimeDevelopmental and Educational PsychologyLexical decision taskHumansStudentsAssociative propertyAnalysis of VarianceCommunicationbusiness.industryStimulus onset asynchronyCognitionGeneral MedicinePaired-Associate LearningSemanticsAssociative primingAnalysis of variancebusinessPsychologyPerceptual MaskingPriming (psychology)Photic StimulationCognitive psychologyActa Psychologica
researchProduct

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 …

AdultDecision support systemTelemedicineProcess (engineering)Clinical Decision-MakingEthnographyHealth InformaticsNursinglcsh:Computer applications to medicine. Medical informaticsHealth informatics03 medical and health sciencesNursing careInformationSystems_GENERALPulmonary Disease Chronic Obstructive0302 clinical medicineHumans030212 general & internal medicineAnthropology CulturalQualitative ResearchMedical educationData collection030504 nursingbusiness.industryNorwayHealth PolicyChronic obstructive pulmonary diseaseCitizen journalismReasoningMiddle AgedDecision Support Systems ClinicalComputerised decision support systemFocus groupTelemedicineComputer Science Applicationslcsh:R858-859.7Female0305 other medical sciencebusinessPsychologyQualitativeResearch ArticleDecision-makingBMC medical informatics and decision making
researchProduct

A finite element-based machine learning approach for modeling the mechanical behavior of the breast tissues under compression in real-time

2017

[EN] This work presents a data-driven method to simulate, in real-time, the biomechanical behavior of the breast tissues in some image-guided interventions such as biopsies or radiotherapy dose delivery as well as to speed up multimodal registration algorithms. Ten real breasts were used for this work. Their deformation due to the displacement of two compression plates was simulated off-line using the finite element (FE) method. Three machine learning models were trained with the data from those simulations. Then, they were used to predict in real-time the deformation of the breast tissues during the compression. The models were a decision tree and two tree-based ensemble methods (extremely…

AdultFinite element methodsMean squared errorComputer scienceQuantitative Biology::Tissues and OrgansINGENIERIA MECANICAFinite Element AnalysisPhysics::Medical PhysicsDecision treeBreast compressionHealth Informatics02 engineering and technologyMachine learningcomputer.software_genreModels Biological030218 nuclear medicine & medical imagingSet (abstract data type)03 medical and health sciencesImaging Three-Dimensional0302 clinical medicineMachine learning0202 electrical engineering electronic engineering information engineeringHumansBreastbusiness.industryModelingEnsemble learningFinite element methodComputer Science ApplicationsRandom forestEuclidean distanceTree (data structure)Female020201 artificial intelligence & image processingArtificial intelligenceBreast biomechanicsbusinesscomputerLENGUAJES Y SISTEMAS INFORMATICOS
researchProduct

Conservative vs. Surgical Management of Post-Traumatic Epidural Hematoma: A Case and Review of Literature

2015

Patient: Male, 30 Final Diagnosis: Acute epidural hematoma Symptoms: — Medication: — Clinical Procedure: Observation Specialty: Neurosurgery Objective: Unusual clinical course Background: Trauma is the leading cause of death in people younger than 45 years and head injury is the main cause of trauma mortality. Although epidural hematomas are relatively uncommon (less than 1% of all patients with head injuries and fewer than 10% of those who are comatose), they should always be considered in evaluation of a serious head injury. Patients with epidural hematomas who meet surgical criteria and receive prompt surgical intervention can have an excellent prognosis, presumably owing to limited unde…

AdultHematoma Epidural CranialMalemedicine.medical_specialtyDecision MakingSpecialtyNeurosurgical ProceduresHematomaEpidural hematomaImaging Three-DimensionalX ray computedmedicineCerebral Hemorrhage TraumaticHematoma Subdural AcuteCraniocerebral TraumaHumansbusiness.industryClinical courseDisease ManagementGeneral MedicineArticlesmedicine.diseaseCraniocerebral traumaSurgeryTomography x ray computedBrain InjuriesNeurosurgerybusinessTomography X-Ray ComputedThe American Journal of Case Reports
researchProduct

Family members’ experiences of being cared for by nurses and physicians in Norwegian intensive care units: A phenomenological hermeneutical study

2014

Summary Objectives When patients are admitted to intensive care units, families are affected. This study aimed to illuminate the meaning of being taken care of by nurses and physicians for relatives in Norwegian intensive care units. Research methodology/design Thirteen relatives of critically ill patients treated in intensive care units in southern Norway were interviewed in autumn 2013. Interview data were analysed using a phenomenological hermeneutical method inspired by the philosopher Paul Ricoeur. Results Two main themes emerged: being in a receiving role and being in a participating role. The receiving role implies experiences of informational and supportive care from nurses and phys…

AdultHermeneuticsMaleCritical Caremedia_common.quotation_subjectResearch methodologyDecision MakingNursesNorwegianCritical Care NursingHermeneutic phenomenologylaw.inventionInterview dataNursingProfessional-Family RelationslawPhysiciansIntensive careGratitudeHumansMedicineFamilyAgedmedia_commonAged 80 and overNorwaybusiness.industryCommunicationMiddle AgedIntensive care unitlanguage.human_languageIntensive Care UnitsFeelinglanguageFemalebusinessIntensive and Critical Care Nursing
researchProduct

Negative biopsy of focal hepatic lesions: Decision tree model for patient management

2019

OBJECTIVE. The purpose of this study was to investigate patient- and procedure-related variables affecting the false-negative rate of ultrasound (US)-guided liver biopsy and to develop a standardized patient-tailored predictive model for the management of negative biopsy results. MATERIALS AND METHODS. We retrospectively included 389 patients (mean age ± SD, 62 ± 12 years old) who had undergone US-guided liver biopsy of 405 liver lesions between January 1, 2013, and June 30, 2015. We collected multiple patient- and procedure-related variables. By comparing pathology reports of biopsy and the reference standard (further histology or imaging follow-up), we were able to categorize the biopsy r…

AdultImage-Guided BiopsyMalemedicine.medical_specialtyRadiology Nuclear Medicine and ImagingFalse Negative Result030218 nuclear medicine & medical imaging03 medical and health sciencesCore biopsyFalse-negative result0302 clinical medicineBiopsymedicineHumansFalse Negative ReactionsUltrasonography InterventionalAgedRetrospective StudiesAged 80 and overFine-needle aspirationmedicine.diagnostic_testUS-guided liver biopsybusiness.industryLiver DiseasesDecision TreesUltrasoundnutritional and metabolic diseasesGeneral MedicineMiddle AgedPatient managementDiagnostic errorFine-needle aspiration030220 oncology & carcinogenesisLiver biopsyFemaleRadiologybusinessCore biopsyDecision tree model
researchProduct

Development and Validation of Hepamet Fibrosis Scoring System-A Simple, Noninvasive Test to Identify Patients With Nonalcoholic Fatty Liver Disease W…

2020

HEPAmet Registry.

AdultLiver CirrhosisMalemedicine.medical_specialtySteatosis[SDV]Life Sciences [q-bio]BiopsyLikelihood ratios in diagnostic testingGastroenterologySeverity of Illness IndexDecision Support Techniques03 medical and health sciences0302 clinical medicineFibrosisNon-alcoholic Fatty Liver DiseasePositive predicative valueInternal medicineNonalcoholic fatty liver diseaseHOMAMedicineHumansComputingMilieux_MISCELLANEOUSAged2. Zero hungerNASH FIBROSISHepatologymedicine.diagnostic_testReceiver operating characteristicbusiness.industryPrognostic FactorGastroenterologyOdds ratioMiddle Agedmedicine.diseasePrognosis3. Good healthCross-Sectional StudiesDiagnostic ToolCirrhosisLiver030220 oncology & carcinogenesisLiver biopsyDiagnostic odds ratio030211 gastroenterology & hepatologyFemalebusinessClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
researchProduct

Decision-Making Skills Moderate the Relationship between Psychological and Physical Pain with Suicidal Behavior in Depressed Patients

2019

International audience

AdultMale050103 clinical psychologyAdolescentDecision MakingMEDLINEPainSuicide AttemptedYoung Adult03 medical and health sciences[SCCO]Cognitive science0302 clinical medicineHumansMedicine0501 psychology and cognitive sciencesYoung adultApplied PsychologyComputingMilieux_MISCELLANEOUSAged[SDV.NEU.PC]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Psychology and behaviorDepressionbusiness.industry05 social sciencesGeneral MedicineMiddle Aged16. Peace & justice030227 psychiatryPsychiatry and Mental healthClinical PsychologySuicidal behaviorPain psychologyFemalebusinessClinical psychologyMESH: Decision making; Depression/psychology; Pain/psychology; Suicide Attempt/psychology; Young Adult
researchProduct