Clinical decision support system for point of care use: ontology driven design and software implementation

OBJECTIVES: The objective of this research was to design a clinical decision support system (CDSS) that supports heterogeneous clinical decision problems and runs on multiple computing platforms. Meeting this objective required a novel design to create an extendable and easy to maintain clinical CDSS for point of care support. The proposed solution was evaluated in a proof of concept implementation. METHODS: Based on our earlier research with the design of a mobile CDSS for emergency triage we used ontology-driven design to represent essential components of a CDSS. Models of clinical decision problems were derived from the ontology and they were processed into executable applications during runtime. This allowed scaling applications' functionality to the capabilities of computing platforms. A prototype of the system was implemented using the extended client-server architecture and Web services to distribute the functions of the system and to make it operational in limited connectivity conditions. RESULTS: The proposed design provided a common framework that facilitated development of diversified clinical applications running seamlessly on a variety of computing platforms. It was prototyped for two clinical decision problems and settings (triage of acute pain in the emergency department and postoperative management of radical prostatectomy on the hospital ward) and implemented on two computing platforms-desktop and handheld computers. CONCLUSIONS: The requirement of the CDSS heterogeneity was satisfied with ontology-driven design. Processing of application models described with the help of ontological models allowed having a complex system running on multiple computing platforms with different capabilities. Finally, separation of models and runtime components contributed to improved extensibility and maintainability of the system.

The design and implementation of a computer-assisted instruction system in a university environment

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The design and evaluation of an automated drug partitioning system for thermodynamic studies

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Design, synthesis and evaluation of dipeptides as probes for studies of gastrointestinal tract dipeptide transport system

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A study of the behaviour of the single phase induction type energy meter and the design of an instrumentation system for its calibration

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Design of a dynamic test system for traction batteries

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Basic principles of design and functioning of multifunctional laser diagnostic system for non-invasive medical spectrophotometry

The devising of a general engineering theory of multifunctional diagnostic systems for non-invasive medical spectrophotometry is an important and promising direction of modern biomedical engineering. We aim in this study to formalize in scientific engineering terms objectives for multifunctional laser non-invasive diagnostic system (MLNDS). The structure-functional model as well as a task-function of generalized MLNDS was formulated and developed. The key role of the system software for MLNDS general architecture at steps of ideological-technical designing has been proved. The basic principles of block-modules composition of MLNDS hardware are suggested as well. © 2011 Copyright Society of Photo-Optical Instrumentation Engineers (SPIE).

Span design for reduced noise and nonlinear impairments in a dispersion-managed Raman amplified system

We study a periodic Raman amplified dispersion-managed system with backward-pumping configuration, considering noise and nonlinear impairments. A general optimization method based on nonlinearity management is applied in order to find the configuration that maximizes the system performance. The system is later tested using a full numerical implementation of the nonlinear Schrödinger equation and shown to effectively deliver its longest propagation distance in the same optimal region.

Design of multilevel amplitude regenerative system

We propose a scheme for multilevel (nine or more) amplitude regeneration based on a nonlinear optical loop mirror (NOLM) and demonstrate through numerical modeling its efficiency and cascadability on circular 16-, 64-, and 256- symbol constellations. We show that the amplitude noise is efficiently suppressed. The design is flexible and enables variation of the number of levels and their positioning. The scheme is compatible with phase regenerators. Also, compared to the traditional single-NOLM configuration scheme, new features, such as reduced and sign-varied power-dependent phase shift, are available. The model is simple to implement, as it requires only two couplers in addition to the traditional NOLM, and offers a vast range of optimization parameters. © 2014 Optical Society of America.

Impact of design of sharp non-uniform fibre Bragg gratings on system performance

The impact of design of sharp non-uniform fiber Bragg gratings on system performance was presented. The evolution of the Q-value of the worst channel against the propagation distance was shown. The results suggested that to apply approximated flat-dispersion gratings as inline filters in a periodic system, some post-compensation was included to account for the extra dispersion introduced by the gratings.

Information-Analytical System for Design of New Inorganic Compounds

The principles of design of information-analytical system (IAS) intended for design of new inorganic compounds are considered. IAS includes the integrated system of databases on properties of inorganic substances and materials, the system of the programs of pattern recognition, the knowledge base and managing program. IAS allows a prediction of inorganic compounds not yet synthesized and estimation of their some properties.

The design and validation of an optical coherence tomography-based classification system for focal vitreomacular traction

PurposeTo develop and validate a classification system for focal vitreomacular traction (VMT) with and without macular hole based on spectral domain optical coherence tomography (SD-OCT), intended to aid in decision-making and prognostication.MethodsA panel of retinal specialists convened to develop this system. A literature review followed by discussion on a wide range of cases formed the basis for the proposed classification. Key features on OCT were identified and analysed for their utility in clinical practice. A final classification was devised based on two sequential, independent validation exercises to improve interobserver variability.ResultsThis classification tool pertains to idiopathic focal VMT assessed by a horizontal line scan using SD-OCT. The system uses width (W), interface features (I), foveal shape (S), retinal pigment epithelial changes (P), elevation of vitreous attachment (E), and inner and outer retinal changes (R) to give the acronym WISPERR. Each category is scored hierarchically. Results from the second independent validation exercise indicated a high level of agreement between graders: intraclass correlation ranged from 0.84 to 0.99 for continuous variables and Fleiss' kappa values ranged from 0.76 to 0.95 for categorical variables.ConclusionsWe present an OCT-based classification system for focal VMT that allows anatomical detail to be scrutinised and scored qualitatively and quantitatively using a simple, pragmatic algorithm, which may be of value in clinical practice as well as in future research studies.

ASIC microcontroller design of a radiation monitoring system using VHDL modeling and FPGA implementation

Three new technologies have been brought together to develop a miniaturized radiation monitoring system. The research involved (1) Investigation a new HgI$\sb2$ detector. (2) VHDL modeling. (3) FPGA implementation. (4) In-circuit Verification. The packages used included an EG&G's crystal(HgI$\sb2$) manufactured at zero gravity, the Viewlogic's VHDL and Synthesis, Xilinx's technology library, its FPGA implementation tool, and a high density device (XC4003A). The results show: (1) Reduced cycle-time between Design and Hardware implementation; (2) Unlimited Re-design and implementation using the static RAM technology; (3) Customer based design, verification, and system construction; (4) Well suited for intelligent systems. These advantages excelled conventional chip design technologies and methods in easiness, short cycle time, and price in medium sized VLSI applications. It is also expected that the density of these devices will improve radically in the near future. ^