Using Machine Learning Classifiers to Assist Healthcare-Related Decisions: Classification of Electronic Patient Records

Surveillance Levels (SLs) are categories for medical patients (used in Brazil) that represent different types of medical recommendations. SLs are defined according to risk factors and the medical and developmental history of patients. Each SL is associated with specific educational and clinical measures. The objective of the present paper was to verify computer-aided, automatic assignment of SLs. The present paper proposes a computer-aided approach for automatic recommendation of SLs. The approach is based on the classification of information from patient electronic records. For this purpose, a software architecture composed of three layers was developed. The architecture is formed by a classification layer that includes a linguistic module and machine learning classification modules. The classification layer allows for the use of different classification methods, including the use of preprocessed, normalized language data drawn from the linguistic module. We report the verification and validation of the software architecture in a Brazilian pediatric healthcare institution. The results indicate that selection of attributes can have a great effect on the performance of the system. Nonetheless, our automatic recommendation of surveillance level can still benefit from improvements in processing procedures when the linguistic module is applied prior to classification. Results from our efforts can be applied to different types of medical systems. The results of systems supported by the framework presented in this paper may be used by healthcare and governmental institutions to improve healthcare services in terms of establishing preventive measures and alerting authorities about the possibility of an epidemic.

New genera and species of Neotropical Rhinotragini (Coleoptera, Cerambycidae, Cerambycinae)

Giesberteclipta and Thomasella, two new genera of Rhinotragini Thomson, 1861 (Coleoptera: Cerambycidae: Cerambycinae), are described and illustrated. Six new species are also described and illustrated: Acyphoderes violaceus from Costa Rica; Ischasioides giesberti from Ecuador, and Oxylymma pallida, Pseudagaone williamsi, Stultutragus tippmanni and S. ventriguttatus from Brazil. Keys are provided for the known species of Pseudagaone Tippmann, 1960, Giesberteclipta, and Oxylymma Pascoe, 1859 and for parts of Ischasioides Tavakilian & Penaherrera-Leiva, 2003 and Stultutragus Clarke, 2010. The following new combinations are proposed: Giesberteclipta costipennis (Giesbert, 1991); G. monteverdensis (Giesbert, 1991); Thomasella igniventris (Giesbert, 1991), and Stultutragus romani (Aurivillius, 1919). The following three new country records are reported: Oxylymma durantoni Penaherrera-Leiva & Tavakilian, 2003 (Brazil), Oxylymma sudrei Penaherrera-Leiva & Tavakilian, 2003 (Brazil), and Ommata (Eclipta) faurei Penaherrera-Leiva & Tavakilian, 2003, all from Brazil.

The Global Paleomonsoon as seen through speleothem records from Asia and the Americas

The regional monsoons of the world have long been viewed as seasonal atmospheric circulation reversal-analogous to a thermally-driven land-sea breeze on a continental scale. This conventional view of monsoons is now being integrated at a global scale and accordingly, a new paradigm has emerged which considers regional monsoons to be manifestations of global-scale seasonal changes in response to overturning of atmospheric circulation in the tropics and subtropics, and henceforth, interactive components of a singular Global Monsoon (GM) system. The paleoclimate community, however, tends to view 'paleomonsoon' (PM), largely in terms of regional circulation phenomena. In the past decade, many high-quality speleothem oxygen isotope (delta O-18) records have been established from the Asian Monsoon and the South American Monsoon regions that primarily reflect changes in the integrated intensities of monsoons on orbital-to-decadal timescales. With the emergence of these high-resolution and absolute-dated records from both sides of the Equator, it is now possible to test a concept of the 'Global-Paleo-Monsoon' (GPM) on a wide-range of timescales. Here we present a comprehensive synthesis of globally-distributed speleothem delta O-18 records and highlight three aspects of the GPM that are comparable to the modern GM: (1) the GPM intensity swings on different timescales; (2) their global extent; and (3) an anti-phased inter-hemispheric relationship between the Asian and South American monsoon systems on a wide range of timescales.

Two New Species of Stenophragma Skuse from Western Australia (Diptera, Mycetophilidae, Sciophilinae)

Stenophragma Skuse was originally described for S. meridianum (Skuse), from Australia. Since then seventeen species have been added to the genus-from Brazil, Ecuador, Peru, Bolivia, Paraguay, Chile, Argentina, and Canada. We add two new species to the genus Stenophragma-S. bickeli n.sp. and S. collessi n.sp.-from Western Australia. An identification key for the Australian species of Stenophragma is provided. Comments are made about possible relationships among these new species and the remaining Australasian species of the genus. OLIVEIRA, SARAH SIQUEIRA, AND DALTON DE SOUZA AMORIM. 2012. Two new species of Stenophragma Skuse from Western Australia (Diptera, Mycetophilidae, Sciophilinae). Records of the Australian Museum 64(2): 149-158.

On Tetragonicipitidae (Crustacea, Copepoda) from the Channel of São Sebastião, Brazil, with description of their nauplii and two new species of Phyllopodopsyllus

Phyllopodopsyllus iuanamai sp. nov. and Phyllopodopsyllus pseudokunzi sp. nov. are described from specimens collected in the Channel of São Sebastião (State of São Paulo, Brazil). The nauplii of P. iuanamai, P. pseudokunzi, P. aegypticus Nicholls, 1944 are described, additional information is given on nauplii and morphology of the adult P. setouchiensis Kitazima, 1981, and on the nauplius of Laophontella horrida (Por, 1964). These represent first records of P. aegypticus and L. horrida in Brazilian waters.