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Biomedical subjects

J Grzymala-Busse

Publications and source records attributed to J Grzymala-Busse.

4 recordsLinked to original sources

Data mining issues for improved birth outcomes.

Issues obstructing progress in data mining for improved health outcomes include data quality problems, data redundancy, data inconsistency, repeated measures, temporal (time-contextual) measures, and data volume. Related issues involve theoretical and technical problems involving uncertainty management, missing data and missing values, and matching appropriate data mining techniques to patient data sets. Results of data mining research in progress are reported for Duke University's perinatal database that contains nearly a decade of clinical patient data, 71,753 database (patient) records and 4-5000 variables per patient.

Artificial Intelligence↗

Machine learning for development of an expert system to predict premature birth.

Normal pregnancy involves a term of 40 weeks gestation. Problems associated with low birthweight and prematurity continue to plague childbearing families and the healthcare system because 8-12% of all newborns in the United States deliver prior to 37 weeks gestation. The high cost of caring for premature babies increasingly treats all pregnant women as if they are 'high risk' for preterm birth. Artificial intelligence techniques used a machine learning program named LERS1 with large datasets (n = 18,890; 214 variables), statistical analysis, expert verification techniques, and a prototype expert system2 that yielded improved accuracy (53-90%) over existing manual techniques (17-38%) for predicting preterm birth.

Adult↗

Machine learning for an expert system to predict preterm birth risk.

OBJECTIVE: Develop a prototype expert system for preterm birth risk assessment of pregnant women. Normal gestation involves a term of 40 weeks, but because 8-12% of the newborns in the United States are delivered prior to 37 weeks' gestation, problems associated with prematurity continue to plague individuals, families, and the health care system. DESIGN: A knowledge-base development methodology used machine learning, statistical analysis, and validation techniques to analyze three large datasets (18,890 subjects and 214 variables). The dependent (i.e., decision) variable studied was weeks of gestation at delivery, with dichotomous coding of preterm delivery (prior to 37 weeks) and full-term delivery (37+ weeks). RESULTS: Machine learning with a program named Learning from Examples using Rough Sets (LERS) induced 520 usable rules that were entered into a prototype expert system. The prototype expert system was 53-88% accurate in predicting preterm delivery for 9,419 patients. CONCLUSION: The prototype expert system was more accurate than traditional manual techniques in predicting preterm birth.

Adult↗

The use of machine learning program LERS-LB 2.5 in knowledge acquisition for expert system development in nursing.

LERS-LB (Learning from Examples using Rough Sets Lower Boundaries) is a computer program based on rough set theory for knowledge acquisition, which extracts patterns from real-world data in generating production rules for expert system development. From LERS-LB evaluation of an SPSS-X data file containing data for recovery room patients, it was concluded that both statistical data files and existing databases can be converted to decision-table format needed by LERS-LB, but it is less desirable to work with statistical files than a well-developed database. It was also concluded that choosing a well-developed database and checking it thoroughly for accuracy and completeness should be done before running LERS-LB, or other learning programs, to avoid problems with data errors. Using rough set theory and a technique called 'dropping conditions' LERS-LB offers, at least in theory, a possible method for identifying which data items are critical to nursing practice. Further research and continued LERS-LB program enhancements still may help with identifying critical data items versus redundant data for nursing practice. LERS-LB, and other learning programs, offer techniques which will help reduce the knowledge acquisition bottleneck in nursing expert system development. It is doubtful, however, that learning programs will eliminate the need for involving domain experts in evaluating rules and expert systems for clinical decision support.

Artificial Intelligence↗