A Clinical Support System Based on Quality of Life Estimation

Quality of life is a concept influenced by social, economic, psychological, spiritual or medical state factors. More specifically, the perceived quality of an individual's daily life is an assessment of their well-being or lack of it. In this context, information technologies may help on the management of services for healthcare of chronic patients such as estimating the patient quality of life and helping the medical staff to take appropriate measures to increase each patient quality of life. This paper describes a Quality of Life estimation system developed using information technologies and the application of data mining algorithms to access the information of clinical data of patients with cancer from Otorhinolaryngology and Head and Neck services of an oncology institution. The system was evaluated with a sample composed of 3013 patients. The results achieved show that there are variables that may be significant predictors for the Quality of Life of the patient: years of smoking (p value 0.049) and size of the tumor (p value < 0.001). In order to assign the variables to the classification of the quality of life the best accuracy was obtained by applying the John Platt's sequential minimal optimization algorithm for training a support vector classifier. In conclusion data mining techniques allow having access to patients additional information helping the physicians to be able to know the quality of life and produce a well-informed clinical decision.

Gestão de carreiras dos profissionais de saúde

Com a reforma da Administração Pública, implementada de forma mais integrada e abrangente pelo Governo socialista de José Sócrates (XVII Governo Constitucional), foi iniciada a reformulação das carreiras dos profissionais de saúde, nomeadamente a carreira médica e a carreira de enfermagem, continuando-se a aguardar a reformulação das carreiras dos técnicos superiores de saúde e dos técnicos de diagnóstico e terapêutica. As inúmeras mudanças que decorrem destas reformulações têm criado por sua vez um clima de receio e expectativa junto dos profissionais de saúde, o que aliado a um período de contingência e recessão económica, tem causado uma certa instabilidade. Embora fosse de reconhecimento geral que a anterior forma como se geria as carreiras dos profissionais de saúde, utilizando como critérios de progressão mecanismos automatizados com foco na antiguidade, não fosse a mais correcta, uma vez que não cumpria princípios de justiça e meritocracia, são agora levantadas inúmeras dúvidas com estas reformulações. A questão principal é se efectivamente virão dar resposta à necessidade de uma maior flexibilidade na evolução profissional, mais adequada aos contributos de cada colaborador, potenciando o desenvolvimento de competências. Concluiu-se então que as reformulações efectuadas nas carreiras dos profissionais de saúde não incentivam totalmente o desenvolvimento de competências ao longo da carreira, mas permitem de alguma forma uma maior flexibilidade na evolução profissional; possibilitando que esta se desenvolva de acordo com os contributos de cada colaborador, apesar de grandes entraves na aplicação à prática. A verdade é que não se conseguem atingir resultados somente através de resoluções por decreto, falta a transformação deste sistema meritocrático, existente no plano formal, numa prática social meritocrática. Para isso em todas as reformulações que ocorram deve-se, primeiro de tudo, sensibilizar os colaboradores para essa necessidade, informar e esclarecer dúvidas, ouvir as suas sugestões e incluí-los no processo de mudança. Só dessa forma se irá conseguir a sua aceitação, o seu apoio e implementar efectivamente novas práticas. Nesse sentido, espera-se que este trabalho contribua para um maior conhecimento acerca da gestão de carreiras, gestão de competências, avaliação de desempenho e meritocracia, bem como das alterações legislativas que têm vindo a ocorrer, sensibilizando para a necessidade de se efectuarem realmente reformulações nas carreiras dos profissionais de saúde, mas também promovendo o desenvolvimento de uma atitude pró-activa para que estas sejam mais meritocráticas.

Analysis of ground reaction force and electromyographic activity of the gastrocnemius muscle during double support

O documento em anexo encontra-se na versão post-print (versão corrigida pelo editor).

Comparative analysis of the ground reaction forces, during the support phase, in a group of pregnant women on their 3rd trimester of pregnancy and in a group of not pregnant women

PURPOSE: To analyze and compare the Ground Reaction Forces (GRF), during the stance phase of walking in pregnant women in the 3rd trimester of pregnancy, and non pregnant women. METHODS: 20 women, 10 pregnant and 10 non pregnant, voluntarily took part in this study. GRF were measured (1000 Hz) using a force platform (BERTEC 4060-15), an amplifier (BERTEC AM 6300) and an analogical-digital converter of 16 Bits (Biopac). RESULTS: The study showed that there were significant differences among the two groups concerning absolute values of time of the stance phase. In what concerns to the normalized values the most significant differences were verified in the maximums values of vertical force (Fz3, Fz1) and in the impulse of the antero-posterior force (Fy2), taxes of growth of the vertical force, and in the period of time for the antero-posterior force (Fy) be null. CONCLUSIONS: It is easier for the pregnant to continue forward movement (push-off phase). O smaller growth rates in what concerns to the maximum of the vertical force (Fz1) for the pregnant, can be associated with a slower speed of gait, as an adaptation strategy to maintain the balance, to compensate the alterations in the position of her center of gravity due to the load increase. The data related to the antero-posterior component of the force (Fy), shows that there is a significant difference between the pregnant woman’s left foot and right foot, which accuses a different functional behavior in each one of the feet, during the propulsion phase (TS).

Data mining techniques contributions to support electrical vehicle demand response

The introduction of Electric Vehicles (EVs) together with the implementation of smart grids will raise new challenges to power system operators. This paper proposes a demand response program for electric vehicle users which provides the network operator with another useful resource that consists in reducing vehicles charging necessities. This demand response program enables vehicle users to get some profit by agreeing to reduce their travel necessities and minimum battery level requirements on a given period. To support network operator actions, the amount of demand response usage can be estimated using data mining techniques applied to a database containing a large set of operation scenarios. The paper includes a case study based on simulated operation scenarios that consider different operation conditions, e.g. available renewable generation, and considering a diversity of distributed resources and electric vehicles with vehicle-to-grid capacity and demand response capacity in a 33 bus distribution network.

Personalized sightseeing tours support using mobile devices

In this paper, we present PSiS (Personalized Sightseeing Tours Recommendation System) Mobile. PSiS Mobile is our proposal to a mobile recommendation and planning support system, which is designed to provide effective support during the tourist visit with context-aware information and recommendations about places of interest (POI), exploiting tourist preferences and context.

Agent-based simulation of electronic marketplaces with decision support

This paper presents a Multi-Agent Market simulator designed for analyzing agent market strategies based on a complete understanding of buyer and seller behaviors, preference models and pricing algorithms, considering user risk preferences and game theory for scenario analysis. The system includes agents that are capable of improving their performance with their own experience, by adapting to the market conditions, and capable of considering other agents reactions.

A multi-agent system for the support of producer coalition formation in electricity markets

All over the world Distributed Generation is seen as a valuable help to get cleaner and more efficient electricity. To get negotiation power and advantages of scale economy, distributed producers can be aggregated giving place to a new concept: the Virtual Power Producer. Virtual Power Producers are multitechnology and multi-site heterogeneous entities. Virtual Power Producers should adopt organization and management methodologies so that they can make Distributed Generation a really profitable activity, able to participate in the market. In this paper we address the development of a multi-agent market simulator – MASCEM – able to study alternative coalitions of distributed producers in order to identify promising Virtual Power Producers in an electricity market.

A decision-support system based on particle swarm optimization for multiperiod hedging in electricity markets

This paper proposes a particle swarm optimization (PSO) approach to support electricity producers for multiperiod optimal contract allocation. The producer risk preference is stated by a utility function (U) expressing the tradeoff between the expectation and variance of the return. Variance estimation and expected return are based on a forecasted scenario interval determined by a price range forecasting model developed by the authors. A certain confidence level is associated to each forecasted scenario interval. The proposed model makes use of contracts with physical (spot and forward) and financial (options) settlement. PSO performance was evaluated by comparing it with a genetic algorithm-based approach. This model can be used by producers in deregulated electricity markets but can easily be adapted to load serving entities and retailers. Moreover, it can easily be adapted to the use of other type of contracts.

Knowledge extraction from medium voltage load diagrams to support the definition of electrical tariffs

With the electricity market liberalization, distribution and retail companies are looking for better market strategies based on adequate information upon the consumption patterns of its electricity customers. In this environment all consumers are free to choose their electricity supplier. A fair insight on the customer´s behaviour will permit the definition of specific contract aspects based on the different consumption patterns. In this paper Data Mining (DM) techniques are applied to electricity consumption data from a utility client’s database. To form the different customer´s classes, and find a set of representative consumption patterns, we have used the Two-Step algorithm which is a hierarchical clustering algorithm. Each consumer class will be represented by its load profile resulting from the clustering operation. Next, to characterize each consumer class a classification model will be constructed with the C5.0 classification algorithm.

Decision support system with incomplete and domain incoherent information management

Many of the most common human functions such as temporal and non-monotonic reasoning have not yet been fully mapped in developed systems, even though some theoretical breakthroughs have already been accomplished. This is mainly due to the inherent computational complexity of the theoretical approaches. In the particular area of fault diagnosis in power systems however, some systems which tried to solve the problem, have been deployed using methodologies such as production rule based expert systems, neural networks, recognition of chronicles, fuzzy expert systems, etc. SPARSE (from the Portuguese acronym, which means expert system for incident analysis and restoration support) was one of the developed systems and, in the sequence of its development, came the need to cope with incomplete and/or incorrect information as well as the traditional problems for power systems fault diagnosis based on SCADA (supervisory control and data acquisition) information retrieval, namely real-time operation, huge amounts of information, etc. This paper presents an architecture for a decision support system, which can solve the presented problems, using a symbiosis of the event calculus and the default reasoning rule based system paradigms, insuring soft real-time operation with incomplete, incorrect or domain incoherent information handling ability. A prototype implementation of this system is already at work in the control centre of the Portuguese Transmission Network.

An intelligent tutoring approach to support students and technicians in electrical installation design

Designing electric installation projects, demands not only academic knowledge, but also other types of knowledge not easily acquired through traditional instructional methodologies. A lot of additional empirical knowledge is missing and so the academic instruction must be completed with different kinds of knowledge, such as real-life practical examples and simulations. On the other hand, the practical knowledge detained by the most experienced designers is not formalized in such a way that is easily transmitted. In order to overcome these difficulties present in the engineers formation, we are developing an Intelligent Tutoring System (ITS), for training and support concerning the development of electrical installation projects to be used by electrical engineers, technicians and students.

Data mining techniques to support the classification of MV electricity customers

This paper describes a methodology that was developed for the classification of Medium Voltage (MV) electricity customers. Starting from a sample of data bases, resulting from a monitoring campaign, Data Mining (DM) techniques are used in order to discover a set of a MV consumer typical load profile and, therefore, to extract knowledge regarding to the electric energy consumption patterns. In first stage, it was applied several hierarchical clustering algorithms and compared the clustering performance among them using adequacy measures. In second stage, a classification model was developed in order to allow classifying new consumers in one of the obtained clusters that had resulted from the previously process. Finally, the interpretation of the discovered knowledge are presented and discussed.

Using data mining techniques to support DR programs definition in smart grids

In recent years, Power Systems (PS) have experimented many changes in their operation. The introduction of new players managing Distributed Generation (DG) units, and the existence of new Demand Response (DR) programs make the control of the system a more complex problem and allow a more flexible management. An intelligent resource management in the context of smart grids is of huge important so that smart grids functions are assured. This paper proposes a new methodology to support system operators and/or Virtual Power Players (VPPs) to determine effective and efficient DR programs that can be put into practice. This method is based on the use of data mining techniques applied to a database which is obtained for a large set of operation scenarios. The paper includes a case study based on 27,000 scenarios considering a diversity of distributed resources in a 32 bus distribution network.

ANN based support for distributed energy resources scheduling in smart grids

The future scenarios for operation of smart grids are likely to include a large diversity of players, of different types and sizes. With control and decision making being decentralized over the network, intelligence should also be decentralized so that every player is able to play in the market environment. In the new context, aggregator players, enabling medium, small, and even micro size players to act in a competitive environment, will be very relevant. Virtual Power Players (VPP) and single players must optimize their energy resource management in order to accomplish their goals. This is relatively easy to larger players, with financial means to have access to adequate decision support tools, to support decision making concerning their optimal resource schedule. However, the smaller players have difficulties in accessing this kind of tools. So, it is required that these smaller players can be offered alternative methods to support their decisions. This paper presents a methodology, based on Artificial Neural Networks (ANN), intended to support smaller players’ resource scheduling. The used methodology uses a training set that is built using the energy resource scheduling solutions obtained with a reference optimization methodology, a mixed-integer non-linear programming (MINLP) in this case. The trained network is able to achieve good schedule results requiring modest computational means.