PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Knowledge base”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 541 records · Page 30Linked to original sources

Knowledge-based interpolation of curves: application to femoropopliteal arterial centerline restoration.

We present a novel algorithm, Partial Vector Space Projection (PVSP), for estimation of missing data given a database of similar datasets, and demonstrate its use in restoring the centerlines through simulated occlusions of femoropopliteal arteries, derived from CT angiography data. The algorithm performs Principal Component Analysis (PCA) on a database of centerlines to obtain a set of orthonormal basis functions defined in a scaled and oriented frame of reference, and assumes that any curve not in the database can be represented as a linear combination of these basis functions. Using a database of centerlines derived from 30 normal femoropopliteal arteries, we evaluated the algorithm, and compared it to a correlation-based linear Minimum Mean Squared Error (MMSE) method, by deleting portions of a centerline for several occlusion lengths (OL: 10 mm, 25 mm, 50 mm, 75 mm, 100 mm, 125 mm, 150 mm, 175 mm and 200 mm). For each simulated occlusion, we projected the partially known dataset on the set of basis functions derived from the remaining 29 curves to restore the missing segment. We calculated the maximum point-wise distance (Maximum Departure or MD) between the actual and estimated centerline as the error metric. Mean (standard deviation) of MD increased from 0.18 (0.14) to 4.35 (2.23) as OL increased. The results were fairly accurate even for large occlusion lengths and are clinically useful. The results were consistently better than those using the MMSE method. Multivariate regression analysis found that OL and the root-mean-square error in the 2 cm proximal and distal to the occlusion accounted for most of the error.

Algorithms↗

GEDA: new knowledge base of gene expression in drug addiction.

Abuse of drugs can elicit compulsive drug seeking behaviors upon repeated administration, and ultimately leads to the phenomenon of addiction. We developed a procedure for the standardization of microarray gene expression data of rat brain in drug addiction and stored them in a single integrated database system, focusing on more effective data processing and interpretation. Another characteristic of the present database is that it has a systematic flexibility for statistical analysis and linking with other databases. Basically, we adopt an intelligent SQL querying system, as the foundation of our DB, in order to set up an interactive module which can automatically read the raw gene expression data in the standardized format. We maximize the usability of this DB, helping users study significant gene expression and identify biological function of the genes through integrated up-to-date gene information such as GO annotation and metabolic pathway. For collecting the latest information of selected gene from the database, we also set up the local BLAST search engine and nonredundant sequence database updated by NCBI server on a daily basis. We find that the present database is a useful query interface and data-mining tool, specifically for finding out the genes related to drug addiction. We apply this system to the identification and characterization of methamphetamine-induced genes' behavior in rat brain.

Animals↗

Knowledge-based fuzzy system for diagnosis and control of an integrated biological wastewater treatment process.

A supervisory expert system based on fuzzy logic rules was developed for diagnosis and control of a laboratory- scale plant comprising anaerobic digestion and anoxic/aerobic modules for combined high rate biological N and C removal. The design and implementation of a computational environment in LabVIEW for data acquisition, plant operation and distributed equipment control is described. A step increase in ammonia concentration from 20 to 60 mg N/L was applied during a trial period of 73 h. Recycle flow rate from the aerobic to the anoxic module and bypass flow rate from the influent directly to the anoxic reactor were the output variables of the fuzzy system. They were automatically changed (from 34 to 111 L/day and from 8 to 13 L/day, respectively), when new plant conditions were recognised by the expert system. Denitrification efficiency higher than 85% was achieved 30 h after the disturbance and 15 h after the system response at an HRT as low as 1.5 h. Nitrification efficiency gradually increased from 12 to 50% at an HRT of 3 h. The system proved to react properly in order to set adequate operating conditions that led to timely and efficient recovery of N and C removal rates.

Ammonia↗

Knowledge-based computer-aided decision support in prenatal toxoplasmosis screening (TempToxopert).

The development of TempToxopert aimed at assisting clinicians in analysing the results of prenatal toxoplasmosis screening tests. Expert knowledge about diagnostics, screening strategies, and treatment of toxoplasmosis during pregnancy was collected and represented as a rule-based decision graph. Based on actual and past individual findings, the system generates case-specific interpretative reports consisting of a diagnostic hypothesis, recommendations for further treatment, and interpretations of specific test results.

Animals↗

Representation requirements for supporting knowledge-based construction of decision models in medicine.

This paper analyzes the medical knowledge required for formulating decision models in the domain of pulmonary infectious diseases (PIDs) with acquired immunodeficiency syndrome (AIDS). Aiming to support dynamic decision-modeling, the knowledge characterization focuses on the ontology of the clinical decision problem. Relevant inference patterns and knowledge types are identified.

Acquired Immunodeficiency Syndrome↗

An e-learning platform for guideline implementation--evidence- and case-based knowledge translation via the Internet.

OBJECTIVES: Effective knowledge translation in medicine is an essential element of a modern health care system. Evidence-based clinical practice guidelines (CPGs) are considered relevant instruments for the transfer of knowledge into clinical practice. To improve this transfer we have created Internet-based continuing medical education (CME) modules and online case-based learning objects. METHODS: Building upon existing CPGs, an e-learning platform including a multi-step review process was developed to generate CME modules. These CME modules were presented through a modified content management system (CMS) that fulfils specific requirements of CME. An online questionnaire using a four-point Likert scale was designed to receive mandatory feedback from participating physicians. In the second step of development, case-based learning objects were added to the CMS. RESULTS: Existing clinical practice guidelines allowed a rapid development of CME modules specific to individual clinical indications. The modified CMS proved to be technically stable but also resource-intensive. 3105 physicians registered and used the platform between June 2003 and April 2005. 95% of the physicians expressed positive feedback in an evaluation questionnaire; only 35% of physicians actually used the corresponding CPGs in practice. Suggestions from the CME users led to the development of interactive medical case-based learning objects related to the main topics of the CPGs. CONCLUSIONS: To support the implementation of CPGs, an Internet platform for CME including case-based learning objects and examination tests was developed. An interactive online CME platform can support active learning and may establish an additional stimulus for knowledge translation into daily medical practice.

Computer-Assisted Instruction↗

The CAREPLAN knowledge base. A prototype expert system for postpartum nursing care.

With the growth of scientific knowledge in the health care disciplines, it has become increasingly difficult for practicing health care professionals to store and manipulate the information required to make clinical decisions. Where the decision making process can be defined and validated, expert systems will be able to assist beginning professionals to learn appropriate patterns of decision making. This article discusses the rationale for utilization of expert systems in a nursing environment. A prototype expert system called CAREPLAN, developed for use in an obstetrical environment, was built using Personal Consultant Plus, a software tool based on the LISP language. The project demonstrates that it is feasible to develop and validate an expert system for a specialized clinical environment in a relatively short period of time in comparison to traditional development methods. Graphics were used to enhance textual information and to increase user appeal. Strategies for future implementation and evaluation are outlined.

Expert Systems↗

Bidirectional mereological reasoning in anatomical knowledge bases.

Mereological relationships--relationships between parts and wholes--are essential for ontological engineering in the anatomical domain. We propose a knowledge engineering approach that emulates mereological reasoning by taxonomic reasoning based on SEP triplets, a special data structure for the encoding of part-whole relations, which is fully embedded in the formal framework of standard description logics. We extend the SEP formalism in order to account not only for the part-of but also for the has-part relation, both being considered transitive in our domain. Furthermore we analyze the distinction between the ontological primitives singletons, collections and mass concepts in the anatomy domain and sketch how reasoning about these kinds of concepts can be accounted for in a knowledge representation language, using the extended SEP formalism.

Anatomy↗

Inductive bias strength in knowledge-based neural networks: application to magnetic resonance spectroscopy of breast tissues.

The integration of symbolic knowledge with artificial neural networks is becoming an increasingly popular paradigm for solving real-world applications. The paradigm provides means for using prior knowledge to determine the network architecture, to program a subset of weights to induce a learning bias which guide network training, and to extract knowledge from trained networks. The role of neural networks then becomes that of knowledge refinement. It thus provides a methodology for dealing with uncertainty in the prior knowledge. We address the open question of how to determine the strength of the inductive bias of programmed weights; we present a quantitative solution which takes the network architecture, the prior knowledge, and the training data into consideration. We apply our solution to the difficult problem of analyzing breast tissue from magnetic resonance spectroscopy (MRS); the available database is extremely limited and cannot be adequately explained by expert knowledge alone.

Adult↗

Sexual abuse knowledge base among residents in family practice, obstetrics/gynecology, and pediatrics.

STUDY OBJECTIVE: To investigate resident physician knowledge about sexual abuse prevalence and understanding about potential perpetrators. DESIGN: Questionnaires were mailed to program directors in family practice, obstetrics and gynecology, and pediatric residency programs. PARTICIPANTS: The questionnaires were distributed to senior residents in their final months prior to graduation. INTERVENTIONS: Residents were asked to fill out the questionnaire anonymously and return it to our institution in the prepaid envelope provided. MAIN OUTCOME MEASURES: Demographic characteristics and knowledge of sexual abuse prevalence and perpetrator characteristics were assessed. Chi-square contingency table analysis was used to compare responses of the three specialties. RESULTS: The overwhelming majority (98.8%) of residents correctly identified a family member as the individual most likely to sexually abuse a child. Approximately half of the residents knew the correct prevalence of sexual abuse among females and among males. There was a weak understanding of the potential youthfulness of juvenile offenders. CONCLUSION: We believe that resident understanding of sexual abuse prevalence and about the youthfulness of juvenile offenders can be improved in all three specialties.

Adult↗

Development of an on-line mastitis detection system within an integrated knowledge-based system for dairy farm management support.

Some aspects of automated clinical mastitis detection and diagnosis are discussed. Knowledge representation techniques for the different steps in the diagnostic process are presented. The main focus of this paper is on automated early detection, based on data that are automatically collected in the milking parlour. Principal component analysis, logistic regression and back-propagation neural networks were used in the analysis of the automatically collected data. The 3 techniques did not differ greatly in performance. All the techniques performed better when data from milking with observed clinical signs were used, compared with data from milking before clinical symptoms were noticed. Healthy quarters were mostly correctly classified by all techniques. It seems unlikely that all clinical mastitis cases can be detected at milking before visible clinical signs occur.

Animals↗

Problems with solutions: drowning in the brine of an inadequate knowledge base.

BACKGROUND & AIMS: We undertook a telephone questionnaire to determine current fluid prescribing practices and relevant knowledge among surgical preregistration house officers (PRHOs) and senior house officers (SHOs) working in 25 British hospitals. METHODS: One hundred PRHOs were surveyed within 10 days of starting their first job (Group A). Fifty other PRHOs were surveyed 6-8 weeks after starting their first job(Group B) along with 50 surgical SHOs (Group C). Outcome measures included responsibility for prescribing, knowledge of the composition of common intravenous fluids and the principles governing their use. RESULTS: PRHOs were responsible for prescribing in 89% of instances. Only 56% of respondents stated that fluid balance charts were checked on morning ward rounds. Less than half were aware of the sodium content of 0.9% saline or the daily sodium requirement. Although potassium supplements were usually correct, 25% of respondents prescribed two or more litres of 0.9% saline per day, which is far in excess of normal requirements. Although SHOs were more confident (P<0.0001), there was no significant difference between the three groups for most responses. CONCLUSIONS: Inadequate knowledge and suboptimal prescribing of fluid and electrolytes is common. Undergraduate and postgraduate training in this basic patient management skill needs improvement, with particular emphasis on the practical aspects.

Clinical Competence↗

Nurse prescribing--the knowledge base.

This article sets the scene for a new Nursing Times series that looks at the knowledge needed for nurses to prescribe from the nurse prescribers' formulary. Although nurse prescribing is still in its infancy, nurses with prescription pads may soon become the norm. We will be looking at the knowledge needed to prescribe laxatives and rectal preparations, wound dressings, skin preparations, oral analgesics, insecticides and anthelmintics.

Clinical Competence↗