Provision of automated support for planning protocol-directed therapy requires a computer program to take as input clinical data stored in an electronic patient-record system and to generate as output recommendations for therapeutic interventions and laboratory testing that are defined by applicable protocols. This paper presents a synthesis of research carried out at Stanford University to model the therapy-planning task and to demonstrate a component-based architecture for building protocol-based decision-support systems. We have constructed general-purpose software components that (1) interpret abstract protocol specifications to construct appropriate patient-specific treatment plans; (2) infer from time-stamped patient data higher-level, interval-based, abstract concepts; (3) perform time-oriented queries on a time-oriented patient database; and (4) allow acquisition and maintenance of protocol knowledge in a manner that facilitates efficient processing both by humans and by computers. We have implemented these components in a computer system known as EON. Each of the components has been developed, evaluated, and reported independently. We have evaluated the integration of the components as a composite architecture by implementing T-HELPER, a computer-based patient-record system that uses EON to offer advice regarding the management of patients who are following clinical trial protocols for AIDS or HIV infection. A test of the reuse of the software components in a different clinical domain demonstrated rapid development of a prototype application to support protocol-based care of patients who have breast cancer. 相似文献
A stability-indicating reversed-phase high performance liquid chromatographic method was developed for the detection of mitoxantrone HC1 and its degradation products under accelerated degradation conditions. The degradation kinetics of mitoxantrone HC1 in aqueous solution over a pH range of 1.18 to 7.20 and its stability in propylene glycol-or polyethylene glycol 400-based solutions were investigated. The observed rate constants were shown to follow apparent first-order kinetics in all cases. The pH-rate profile shows that maximum stability of mitoxantrone HC1 was obtained at pH 4.01. No general acid or base catalysis from acetate or phosphate buffer species was observed. The catalysis rate constants on the protonated mitoxantrone imposed by hydrogen ion water and hydroxy ion were determined to be 3.72 × 10 min-1 5.64 × 10-min-1 and 1.108 × 10-2min-1, respectively. The degradation rate constants of mitoxantrone affected by different ionic strength systems. Irradiation with 254 nm UV light at 25±0.5°C was found when canpared with the light-protected controls. Incorporation of nonaqueous propylene glycol or polyethylene glycol in the pH 4.01 mitoxantrone solution shows an increase in its stability at 502±0.5°C. 相似文献
In this study, experimental and three-dimensional numerical studies were performed to investigate the effects of plate spacing and temperature difference on natural convection between isothermally heated upward-facing lower horizontal plate and externally insulated horizontal upper plate. Air is used as the heat transfer medium. Rayleigh number varied in the 1108–2.339 × 105 range. Several numerical simulations for three-dimensional steady laminar and turbulent flows heat transfer were carried out using a commercial CFD code Fluent 6.2. Results have shown that there is a good agreement between the numerical and present experimental results as well as with available data in literature. 相似文献
Due to the budget and environmental issues, adaptive energy efficiency receives a lot of attention these days, especially for cloud computing. In the previous research, we developed a combined methodology based on nonparametric prediction and convex optimization to produce proactive energy efficiency-oriented solution. In this work, the predictive analysis was further enhanced by deriving the mixture power spectral density to model the complex cloud monitoring statistics. By engaging the improved technique to the predictive analysis, the prediction process was more adaptive to handle the fluctuation in system utilization. As a consequence, the optimization process could subsequently produce more appropriate setting for energy savings. After the infrastructure setting has been made available, the instruction of virtual machine migration was created and implemented by the cloud orchestrator. This instruction condensed the services into the pool of active facilities, satisfying the objective of power efficiency. Eventually, any physical machine out of the power configuration would be gradually terminated. Compared to our former method, the effectiveness of the proposed technique has been proven by cutting down 4.92% of energy consumption, while still maintaining a similar quality of services.
Neural Computing and Applications - Renewable energy sources are installed into both distribution and transmission grids more and more with the introduction of smart grid concept. Hence, efficient... 相似文献
Advances in information technology (IT) have forced financial services firms to explore new organizational forms and deliver service innovation. Given the obvious differences in the business model in which the financial services sector provides online services, it is natural to ask whether the emergence of Internet channels leads to superior achievement. Using a sample of twenty-four Taiwanese publicly traded financial services firms from 1997 to 2003, this empirical study attempts to assess the Internet channel??s effect on firm performance by means of applying event study methodology and data envelopment analysis. Results show that the magnitudes of average abnormal returns are uniformly positive and increase the operating efficiency of firms following announcements via Internet channels. This work therefore concludes that Internet channels have positive influences on firm performance. 相似文献
Conventional constant false alarm rate (CFAR) methods use a fixed number of cells to estimate the background variance. For homogeneous environments, it is desirable to increase the number of cells, at the cost of increased computation and memory requirements, in order to improve the estimation performance. For nonhomogeneous environments, it is desirable to use less number of cells in order to reduce the number of false alarms around the clutter edges. In this work, we present a solution with two exponential smoothers (first order IIR filters) having different time-constants to leverage the conflicting requirements of homogeneous and nonhomogeneous environments. The system is designed to use the filter having the large time-constant in homogeneous environments and to promptly switch to the filter having the small time constant once a clutter edge is encountered. The main advantages of proposed Switching IIR CFAR method are computational simplicity, small memory requirement (in comparison to windowing based methods) and its good performance in homogeneous environments (due to the large time-constant smoother) and rapid adaptation to clutter edges (due to the small time-constant smoother). 相似文献