7 resultados para evidence-based approach

em Repositório Científico da Universidade de Évora - Portugal


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The nosocomial infections are a growing concern because they affect a large number of people and they increase the admission time in healthcare facilities. Additionally, its diagnosis is very tricky, requiring multiple medical exams. So, this work is focused on the development of a clinical decision support system to prevent these events from happening. The proposed solution is unique once it caters for the explicit treatment of incomplete, unknown, or even contradictory information under a logic programming basis, that to our knowledge is something that happens for the first time.

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Waiting time at an intensive care unity stands for a key feature in the assessment of healthcare quality. Nevertheless, its estimation is a difficult task, not only due to the different factors with intricate relations among them, but also with respect to the available data, which may be incomplete, self-contradictory or even unknown. However, its prediction not only improves the patients’ satisfaction but also enhance the quality of the healthcare being provided. To fulfill this goal, this work aims at the development of a decision support system that allows one to predict how long a patient should remain at an emergency unit, having into consideration all the remarks that were just stated above. It is built on top of a Logic Programming approach to knowledge representation and reasoning, complemented with a Case Base approach to computing.

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It is well known that the dimensions of the pelvic bones depend on the gender and vary with the age of the individual. Indeed, and as a matter of fact, this work will focus on the development of an intelligent decision support system to predict individual’s age based on pelvis’ dimensions criteria. On the one hand, some basic image processing technics were applied in order to extract the relevant features from pelvic X-rays. On the other hand, the computational framework presented here was built on top of a Logic Programming approach to knowledge representation and reasoning, that caters for the handling of incomplete, unknown, or even self-contradictory information, complemented with a Case Base approach to computing.

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Modifications in vegetation cover can have an impact on the climate through changes in biogeochemical and biogeophysical processes. In this paper, the tree canopy cover percentage of a savannah-like ecosystem (montado/dehesa) was estimated at Landsat pixel level for 2011, and the role of different canopy cover percentages on land surface albedo (LSA) and land surface temperature (LST) were analysed. A modelling procedure using a SGB machine-learning algorithm and Landsat 5-TM spectral bands and derived vegetation indices as explanatory variables, showed that the estimation of montado canopy cover was obtained with good agreement (R2 = 78.4%). Overall, montado canopy cover estimations showed that low canopy cover class (MT_1) is the most representative with 50.63% of total montado area. MODIS LSA and LST products were used to investigate the magnitude of differences in mean annual LSA and LST values between contrasting montado canopy cover percentages. As a result, it was found a significant statistical relationship between montado canopy cover percentage and mean annual surface albedo (R2 = 0.866, p < 0.001) and surface temperature (R2 = 0.942, p < 0.001). The comparisons between the four contrasting montado canopy cover classes showed marked differences in LSA (χ2 = 192.17, df = 3, p < 0.001) and LST (χ2 = 318.18, df = 3, p < 0.001). The highest montado canopy cover percentage (MT_4) generally had lower albedo than lowest canopy cover class, presenting a difference of −11.2% in mean annual albedo values. It was also showed that MT_4 and MT_3 are the cooler canopy cover classes, and MT_2 and MT_1 the warmer, where MT_1 class had a difference of 3.42 °C compared with MT_4 class. Overall, this research highlighted the role that potential changes in montado canopy cover may play in local land surface albedo and temperature variations, as an increase in these two biogeophysical parameters may potentially bring about, in the long term, local/regional climatic changes moving towards greater aridity.

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Nowadays, World Heritage Sites (WHS) have been facing new challenges, partially due to a different tourism consumption patterns. As it is highlighted in a considerable amount of studies, visits to these sites are almost justified by this prestigious classification and motivations are closely associated with their cultural aspects and quality of the overall environment (among others, Marujo et al, 2012). However, a diversity of tourists’ profiles have been underlined in the literature. Starting from the results obtained in a previous study about cultural tourists’ profile, conducted during the year 2009 in the city of Évora, Portugal, it is our intend to compare the results with a recent survey applied to the visitors of the same city. Recognition of Évora by UNESCO in 1986 as “World Heritage” has fostered not only the preservation of heritage but also the tourist promotion of the town. This study compares and examined tourists’ profile, regarding from the tourists’ expenditure patterns in Évora. A total of 450 surveys were distributed in 2009, and recently, in 2015, the same numbers of surveys were collected. Chi-squared Automatic Interaction Detection (CHAID) was applied to model consumer patterns of domestic and international visitors, based on socio demographic, trip characteristics, length of stay and the degree of satisfaction of pull factors. CHAID allowed find a population classification in groups that able to describe the dependent variable, average daily tourist expenditure. Results revealed different patterns of daily average expenditure amongst the years, 2009 and 2015, even if primarily results not revealed significant variations in socio-demographic and trip characteristics among the visitors’ core profile. Local authorities should be aware of this changing expensive behavior of cultural visitors and should formulate strategies accordingly. Policy and managerial recommendations are discussed.

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This study investigates tourists’ expenditure patterns in the city of Évora, a world heritage site (WHS) classified by UNESCO. The use of chi-squared automatic interaction detection (CHAID) was chosen, allowing the identification of distinct segments based on expenditure patterns. Visitors’ expenditure patterns have proven to be a pertinent element for a broader understanding of visitors’ behaviour at cultural destinations. Visitors’ expenditure patterns were revealed to be increasing within years studied.

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This paper describes our semi-automatic keyword based approach for the four topics of Information Extraction from Microblogs Posted during Disasters task at Forum for Information Retrieval Evaluation (FIRE) 2016. The approach consists three phases.