Fuzzy ARTMAP and a hybrid chaos genetic algorithm for medical pattern classification

In this paper, an Evolutionary Artificial Neural Network (EANN), which combines the Fuzzy ARTMAP (FAM) neural network and a hybrid Chaos Genetic Algorithm (CGA), is proposed for undertaking pattern classification tasks. The hybrid CGA is a modified version of the hybrid real-coded genetic algorithms that includes a Chaotic Mapping Operator (CMO) in its search and adaptation process. It is used to evolve the connection weights in FAM, and the resulting EANN is known as FAM-hybrid CGA. The CMO in the hybrid CGA is used to generate a group of chromosomes that incorporates the characteristics of chaos. The chromosomes are then adapted with an arbitrary small amount of variation in every generation. As the evolution procedure proceeds, chromosomes with considerable differences are produced. Such chromosomes, which are located at different regions of interest in the solution space, are able to provide good solutions to undertake search and adaption problems. The effectiveness of the proposed FAM-hybrid CGA model is first evaluated using benchmark medical data sets from the UCI machine learning repository. Its applicability to medical decision support is then demonstrated using a real database of patient records with suspected Acute Coronary Syndrome. The results indicate that FAM-hybrid CGA is able to outperform its neural network counterpart (i.e., FAM), and it can be employed as a useful pattern classification tool for tackling medical decision support tasks.

Portfolio careers for medical graduates: implications for postgraduate training and workforce planning.

Portfolio careers in medicine can be defined as significant involvement in one or more portfolios of activity beyond a practitioner's primary clinical role, either concurrently or in sequence. Portfolio occupations may include medical education, research, administration, legal medicine, the arts, engineering, business and consulting, leadership, politics and entrepreneurship. Despite significant interest among junior doctors, portfolios are poorly integrated with prevocational and speciality training programs in Australia. The present paper seeks to explore this issue. More formal systems for portfolio careers in Australia have the potential to increase job satisfaction, flexibility and retention, as well as diversify trainee skill sets. Although there are numerous benefits from involvement in portfolio careers, there are also risks to the trainee, employing health service and workforce modelling. Formalising pathways to portfolio careers relies on assessing stakeholder interest, enhancing flexibility in training programs, developing support programs, mentorship and coaching schemes and improving support structures in health services.

Aggregating privatized medical data for secure querying applications

 This thesis analyses and examines the challenges of aggregation of sensitive data and data querying on aggregated data at cloud server. This thesis also delineates applications of aggregation of sensitive medical data in several application scenarios, and tests privatization techniques to assist in improving the strength of privacy and utility.

Learning vector representation of medical objects via EMR-driven nonnegative restricted Boltzmann machines (eNRBM)

Electronic medical record (EMR) offers promises for novel analytics. However, manual feature engineering from EMR is labor intensive because EMR is complex - it contains temporal, mixed-type and multimodal data packed in irregular episodes. We present a computational framework to harness EMR with minimal human supervision via restricted Boltzmann machine (RBM). The framework derives a new representation of medical objects by embedding them in a low-dimensional vector space. This new representation facilitates algebraic and statistical manipulations such as projection onto 2D plane (thereby offering intuitive visualization), object grouping (hence enabling automated phenotyping), and risk stratification. To enhance model interpretability, we introduced two constraints into model parameters: (a) nonnegative coefficients, and (b) structural smoothness. These result in a novel model called eNRBM (EMR-driven nonnegative RBM). We demonstrate the capability of the eNRBM on a cohort of 7578 mental health patients under suicide risk assessment. The derived representation not only shows clinically meaningful feature grouping but also facilitates short-term risk stratification. The F-scores, 0.21 for moderate-risk and 0.36 for high-risk, are significantly higher than those obtained by clinicians and competitive with the results obtained by support vector machines.

Biocompatible and biodegradable Mg/Mg composite foam for bone tissue engineering.

This thesis focuses on studying solid and porous Magnesium-composite structures. Magnesium is attracting increasing interest as promising biodegradable material for medical applications; however, suffering from low mechanical properties. This thesis suggests the manufacturing and application of a new approach that is high str

Securely sharing dynamic medical information in e-health

This thesis has introduced an infrastructure to share dynamic medical data between mixed health care providers in a secure way, which could benefit the health care system as a whole. The study results of the universally data sharing into a varied patient information system prototypes.