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Computer Aided Diagnosis for Spitzoid lesions classification using Artificial Intelligence techniques 应用人工智能技术进行Spitzoid病变分类的计算机辅助诊断
Pub Date : 2020-03-10 DOI: 10.4018/ijhisi.2021010102
A. Belaala, L. Terrissa, N. Zerhouni, C. Devalland
Spitzoid lesions may be largely categorized into Spitz Nevus, Atypical Spitz Tumors, and Spitz Melanomas. Classifying a lesion precisely as Atypical Spitz Tumors or AST is challenging and often requires the integration of clinical, histological, and immunohistochemical features to differentiate AST from regular Spitz Nevus and malignant Spitz Melanomas. Specifically, this paper aims to test several artificial intelligence techniques so as to build a computer-aided diagnosis system. A proposed three-phase approach is being implemented. In Phase 1, collected data are preprocessed with an effective SMOTE-based method being implemented to treat the imbalance data problem. Then, a feature selection mechanism using genetic algorithm (GA) is applied in Phase 2. Finally, in Phase 3, a 10-fold cross-validation method is used to compare the performance of seven machine-learning algorithms for classification. Results obtained with SMOTE-Multilayer Perceptron with GA-based 14 features show the highest classification accuracy, specificity (0.98), and a sensitivity of 0.99.
Spitz样病变大致可分为Spitz痣、非典型Spitz肿瘤和Spitz黑色素瘤。准确地将病变分类为非典型Spitz肿瘤或AST是具有挑战性的,通常需要结合临床、组织学和免疫组织化学特征来区分AST与正常Spitz痣和恶性Spitz黑色素瘤。具体而言,本文旨在测试几种人工智能技术,以构建计算机辅助诊断系统。拟议的三阶段方法正在实施中。在阶段1中,使用基于smote的有效方法对收集的数据进行预处理,以处理数据不平衡问题。然后,在第二阶段采用了基于遗传算法的特征选择机制。最后,在阶段3中,使用10倍交叉验证方法来比较七种机器学习分类算法的性能。使用基于ga的SMOTE-Multilayer Perceptron获得的结果显示出最高的分类准确率、特异性(0.98)和灵敏度(0.99)。
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引用次数: 1
A Framework for Ranking Hospitals Based on Customer Perception Using Rough Set and Soft Set Techniques 基于粗糙集和软集技术的客户感知医院排名框架
Pub Date : 2020-01-01 DOI: 10.4018/ijhisi.2020010103
Arati Mohapatro, S. Mahendran, T. K. Das
Hospital ranking is a cumbersome task, as it involves dealing with a large volume of underlying data. Rankings are usually accomplished by comparing different dimensions of quality and services. Even the quality care measurement of a hospital is multi-dimensional: It includes the experience of both clinical care and patient care. In this research, however, the authors focus on ratings based only on customer perception. A framework which consists of two stages—Stage I and Stage II—is designed. In the first stage, the model uses a rough set in a fuzzy approximation space (RSFAS) technique to classify the data; whereas in the second stage, a fuzzy soft set (FSS) technique is employed to generate the rating score. The model is employed for comparing USA hospitals by region using annual HCAHPS survey data. This article shows how ranking of the healthcare institutions can be carried out using the RSFAS (rough set in a fuzzy approximation space) and fuzzy soft set techniques.
医院排名是一项繁琐的任务,因为它涉及到处理大量的基础数据。排名通常是通过比较不同维度的质量和服务来完成的。甚至医院的质量护理衡量也是多维的:它包括临床护理和患者护理的经验。然而,在这项研究中,作者只关注基于客户感知的评级。设计了一个由第一阶段和第二阶段组成的框架。在第一阶段,该模型使用模糊逼近空间(RSFAS)技术中的粗糙集对数据进行分类;在第二阶段,采用模糊软集(FSS)技术生成评级分数。该模型采用HCAHPS年度调查数据对美国各地区医院进行比较。本文展示了如何使用RSFAS(模糊近似空间中的粗糙集)和模糊软集技术对医疗机构进行排名。
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引用次数: 2
Human Factors Affecting HMS Impact on Nurses Jobs: HMS Impact in Nursing 影响HMS对护士工作影响的人为因素:HMS对护理的影响
Pub Date : 2020-01-01 DOI: 10.4018/ijhisi.2020010104
T. Guimaraes, M. C. Caccia-Bava, V. Guimaraes
To improve and facilitate patient care, hospital administrators have implemented healthcare management systems (HMS). Unfortunately, many hospitals have encountered HMS implementation problems. Some user-related factors have been proposed in the literature as important to system success. This study proposes an integrative model and empirically tests the importance of these variables as determinants of HMS impact on the jobs of nurses. Data from 213 nurses using their hospital HMS has been used to test the relationships between the independent variables and the HMS impact on the nurses' jobs. The results confirm the importance of nurse participation, training, good communication with developers, and lack of conflict regarding system implementation enabling a more desirable effect of HMS on nurses' jobs. Based on the results, recommendations are made for hospital administrators to improve the likelihood of HMS implementation success.
为了改善和促进患者护理,医院管理人员实施了医疗保健管理系统(HMS)。不幸的是,许多医院都遇到了HMS的实施问题。文献中提出了一些与用户相关的因素对系统的成功很重要。本研究提出了一个综合模型,并实证检验了这些变量作为HMS对护士工作影响的决定因素的重要性。本文利用213名护士使用医院人力资源管理系统的数据来检验自变量与人力资源管理系统对护士工作的影响之间的关系。结果证实了护士参与、培训、与开发人员良好沟通以及在系统实施方面缺乏冲突的重要性,从而使HMS对护士工作产生更理想的影响。基于研究结果,本文为医院管理者提供了提高HMS成功实施可能性的建议。
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引用次数: 2
A Novel Hybrid Approach for Chronic Disease Classification 一种新的慢性病分类混合方法
Pub Date : 2020-01-01 DOI: 10.4018/ijhisi.2020010101
Divya Jain, Singh Vijendra
A two-phase diagnostic framework based on hybrid classification for the diagnosis of chronic disease is proposed. In the first phase, feature selection via ReliefF method and feature extraction via PCA method are incorporated. In the second phase, efficient optimization of SVM parameters via grid search method is performed. The proposed hybrid classification approach is then tested with seven popular chronic disease datasets using a cross-validation method. Experiments are then conducted to evaluate the presented classification method vis-à-vis four other existing classifiers that are applied on the same chronic disease datasets. Results show that the presented approach reduces approximately 40% of the extraneous and surplus features with substantial reduction in the execution time for mining all datasets, achieving the highest classification accuracy of 98.5%. It is concluded that with the presented approach, excellent classification accuracy is achieved for each chronic disease dataset while irrelevant and redundant features may be eliminated, thereby substantially reducing the diagnostic complexity and resulting computational time.
提出了一种基于混合分类的两阶段慢性疾病诊断框架。第一阶段结合ReliefF方法进行特征选择和PCA方法进行特征提取。第二阶段,采用网格搜索方法对支持向量机参数进行高效优化。然后使用交叉验证方法对七种流行的慢性病数据集进行了混合分类方法的测试。然后进行实验,对比-à-vis应用于相同慢性病数据集的其他四个现有分类器来评估所提出的分类方法。结果表明,该方法减少了大约40%的多余和多余的特征,大大减少了挖掘所有数据集的执行时间,达到了98.5%的最高分类准确率。结果表明,该方法在剔除不相关和冗余特征的同时,对每个慢性疾病数据集的分类精度都很高,从而大大降低了诊断复杂性和计算时间。
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引用次数: 9
An Integrated Structural Equation Model of eHealth Behavioral Intention 电子健康行为意愿的集成结构方程模型
Pub Date : 2020-01-01 DOI: 10.4018/ijhisi.2020010102
Gayle L. Prybutok, Anh Ta, Xiaotong Liu, V. Prybutok
eHealth offers promising tools and services to manage and improve the quality of health as well as the potential to provide accessible health information all over the world. The relatively low adoption rates among eHealth users motivates us to develop an integrated model to explain the learning process and provide essential antecedents of eHealth behavioral intention. The integrated model is empirically tested by using different structural equation modeling (SEM) methods, including partial least squares SEM (PLS-SEM), PLSc, and covariance-based SEM (CB-SEM). The model successfully explains the learning process and provides essential antecedents of eHealth behavioral intention. The findings support the interplay of social, cognitive, and personal factors that impact 18-30-year-old users' learning process related to eHealth behavioral intention. The results empirically show that these three types of SEM techniques provide consistent results with respect to path coefficients and coefficients of determination. The findings indicate that CB-SEM and PLS-SEM provide adverse consequences of interaction-term path coefficients.
电子保健为管理和提高卫生质量提供了有前途的工具和服务,并有可能在全世界提供可获得的卫生信息。电子健康用户中相对较低的采用率促使我们开发一个综合模型来解释学习过程,并提供电子健康行为意愿的基本前提。采用不同的结构方程建模(SEM)方法,包括偏最小二乘SEM (PLS-SEM)、PLSc和基于协方差的SEM (CB-SEM),对集成模型进行了实证检验。该模型成功地解释了学习过程,并提供了电子健康行为意愿的基本前提。研究结果支持社会、认知和个人因素的相互作用,这些因素会影响18-30岁用户与电子健康行为意愿相关的学习过程。实验结果表明,这三种类型的扫描电镜技术在通径系数和确定系数方面提供了一致的结果。结果表明,CB-SEM和PLS-SEM提供了相互作用项路径系数的不利影响。
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引用次数: 1
Analyzing Intraductal Papillary Mucinous Neoplasms Using Artificial Neural Network Methodologic Triangulation 用人工神经网络三角法分析导管内乳头状粘液瘤
Pub Date : 2019-10-01 DOI: 10.4018/ijhisi.2019100102
S. Walczak, J. Permuth, V. Velanovich
Intraductal papillary mucinous neoplasms (IPMN) are a type of mucinous pancreatic cyst. IPMN have been shown to be pre-malignant precursors to pancreatic cancer, which has an extremely high mortality rate with average survival less than 1 year. The purpose of this analysis is to utilize methodological triangulation using artificial neural networks and regression to examine the impact and effectiveness of a collection of variables believed to be predictive of malignant IPMN pathology. Results indicate that the triangulation is effective in both finding a new predictive variable and possibly reducing the number of variables needed for predicting if an IPMN is malignant or benign.
导管内乳头状粘液瘤(IPMN)是胰腺粘液囊肿的一种。IPMN已被证明是胰腺癌的恶性前体,胰腺癌的死亡率极高,平均生存期不到1年。本分析的目的是利用人工神经网络和回归的方法学三角测量来检查被认为可以预测恶性IPMN病理的一系列变量的影响和有效性。结果表明,三角测量在发现新的预测变量和可能减少预测IPMN是恶性还是良性所需的变量数量方面是有效的。
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引用次数: 2
Demystifying the Communication-Driven Usefulness Hypothesis: The Case of Healthcare Insurance Applications 揭示沟通驱动的有用性假说:以医疗保险应用为例
Pub Date : 2019-10-01 DOI: 10.4018/ijhisi.2019100104
M. Nakayama, Steven Leon
Healthcare insurance applications are increasingly vital to and have gained popularity with consumers. Previous information systems research featured perceived ease of use and perceived usefulness as key independent variables to explain behavioural intention impacting the use of information systems. In today's environment, however, many consumers already rely on websites and mobile applications as a key means of communication with healthcare insurance providers. Examining the data from 333 survey respondents, this study reports that perceived ease of use and perceived usefulness are strongly influenced by three communication content variables (information quality, interaction ease, and provider competence). Importantly, consumers may judge applications' ease of use based on the quality of communication contents. Once applications reach some maturity, the prominence of communication quality may drive their use more significantly than before.
医疗保险应用程序对消费者越来越重要,也越来越受欢迎。以往的信息系统研究将感知易用性和感知有用性作为解释影响信息系统使用的行为意向的关键独立变量。然而,在今天的环境中,许多消费者已经依赖网站和移动应用程序作为与医疗保险提供商沟通的关键手段。通过对333名调查对象的数据分析,本研究发现,感知易用性和感知有用性受到三个通信内容变量(信息质量、交互易用性和提供商能力)的强烈影响。重要的是,消费者可能会根据通信内容的质量来判断应用程序的易用性。一旦应用程序达到一定的成熟度,突出的通信质量可能会比以前更显著地推动它们的使用。
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引用次数: 2
Factors Impacting Use of Health IT Applications: Predicting Nurses' Perception of Performance 影响医疗信息技术应用的因素:预测护士对绩效的感知
Pub Date : 2019-10-01 DOI: 10.4018/ijhisi.2019100103
Sadaf Ashtari, A. Bellamy
Nowadays, information technology tools are widely used in the healthcare industry to record and integrate medical data so as to provide complete access to patients' information for coordinated healthcare delivery. Yet, the efficacy of these technologies depends on their successful implementation for, adoption by and/or adaptation to support health professional workers such as physicians and nurses. This study addresses the impact of specific factors including result observability, autonomy, perceived barriers, task structure, privacy and security anxiety on the nurses' perception of their performance using health information technologies. Additionally, the effects of nurses' personality factors are examined as moderating factors on the relationships between the organizational factors and nurses' perception of performance. Multiple linear regression was applied to validate the proposed research model and professional autonomy, result observability, privacy and security anxiety were found to be key factors predicting the nurses' perception of performance.
如今,信息技术工具被广泛应用于医疗行业,用于记录和整合医疗数据,从而提供对患者信息的完整访问,以协调医疗服务。然而,这些技术的有效性取决于它们的成功实施、采用和/或适应,以支持医生和护士等卫生专业人员。本研究探讨结果可观察性、自主性、感知障碍、任务结构、隐私和安全焦虑等具体因素对护士使用健康信息技术绩效感知的影响。此外,还考察了护士人格因素对组织因素与护士绩效感知之间关系的调节作用。采用多元线性回归对研究模型进行验证,发现专业自主性、结果可观察性、隐私和安全焦虑是预测护士绩效感知的关键因素。
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引用次数: 6
Using Data Analytics to Predict Hospital Mortality in Sepsis Patients 使用数据分析预测败血症患者的住院死亡率
Pub Date : 2019-07-01 DOI: 10.4018/IJHISI.2019070104
Yazan Alnsour, R. Hadidi, N. Singh
Predictive analytics can be used to anticipate the risks associated with some patients, and prediction models can be employed to alert physicians and allow timely proactive interventions. Recently, health care providers have been using different types of tools with prediction capabilities. Sepsis is one of the leading causes of in-hospital death in the United States and worldwide. In this study, the authors used a large medical dataset to develop and present a model that predicts in-hospital mortality among Sepsis patients. The predictive model was developed using a dataset of more than one million records of hospitalized patients. The independent predictors of in-hospital mortality were identified using the chi-square automatic interaction detector. The authors found that adding hospital attributes to the predictive model increased the accuracy from 82.08% to 85.3% and the area under the curve from 0.69 to 0.84, which is favorable compared to using only patients' attributes. The authors discuss the practical and research contributions of using a predictive model that incorporates both patient and hospital attributes in identifying high-risk patients.
预测分析可用于预测与某些患者相关的风险,预测模型可用于提醒医生并允许及时的主动干预。最近,医疗保健提供者一直在使用具有预测功能的不同类型的工具。脓毒症是美国乃至全世界院内死亡的主要原因之一。在这项研究中,作者使用大型医学数据集开发并提出了一个预测败血症患者住院死亡率的模型。该预测模型是使用超过100万住院患者记录的数据集开发的。使用卡方自动相互作用检测器确定住院死亡率的独立预测因子。作者发现,在预测模型中加入医院属性后,准确率从82.08%提高到85.3%,曲线下面积从0.69提高到0.84,与仅使用患者属性相比,这是有利的。作者讨论了在识别高风险患者时使用结合患者和医院属性的预测模型的实际和研究贡献。
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引用次数: 2
Design and Implementation of Digital Asthma Diagnosis System 数字化哮喘诊断系统的设计与实现
Pub Date : 2019-07-01 DOI: 10.4018/IJHISI.2019070101
Q. Yao, Xiantao Yang
In this article, the MSP430F149 is the microcontroller (MCU), and a pressure sensor, MPX5100AP, is used to measure body measurement of maximal forced expiratory volume (FEV) and peak expiratory flow rate (PEFR). The two analog signals are processed by the signal conditioning circuit, and then the corresponding digital signals are acquired by the MCU. With the related operations of multiple respiratory parameters, a built-up time of respiration signal mutation rate values and the determination of the mutation rate, a mathematical model is built among FEV, PEFR and the rate of variation. The mathematical model of the system is analyzed, and the relationship between the detection results and the degree of airway obstruction is established. Finally, the patient's condition analysis results are given directly on the LCD, which provided the objective indicators for the medical treatment of the disease.
本文以MSP430F149为微控制器(MCU), MPX5100AP为压力传感器,测量人体最大用力呼气量(FEV)和呼气峰值流量(PEFR)。这两个模拟信号经过信号调理电路处理后,再由单片机获取相应的数字信号。通过多个呼吸参数的相关运算、呼吸信号突变率值的累积时间和突变率的确定,建立了FEV、PEFR和变化率之间的数学模型。分析了系统的数学模型,建立了检测结果与气道阻塞程度的关系。最后将患者的病情分析结果直接显示在LCD上,为疾病的医疗提供了客观的指标。
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引用次数: 0
期刊
Int. J. Heal. Inf. Syst. Informatics
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