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Dual-task interference in perceptual category learning.

The effect of a working-memory-demanding dual task on perceptual category learning was investigated. In Experiment 1, participants learned unidimensional rule-based or information integration category structures. In Experiment 2, participants learned a conjunctive rule-based category structure. In Experiment 1, unidimensional rule-based category learning was disrupted more by the dual working memory task than was information integration category learning. In addition, rule-based category learning differed qualitatively from information integration category learning in yielding a bimodal, rather than a normal, distribution of scores. Experiment 2 showed that rule-based learning can be disrupted by a dual working memory task even when both dimensions are relevant for optimal categorization. The results support the notion of at least two systems of category learning a hypothesis-testing system that seeks verbalizable rules and relies on working memory and selective attention, and an implicit system that is procedural-learning based and is essentially automatic.

Association Learning↗

Integrating speech information across talkers, gender, and sensory modality: female faces and male voices in the McGurk effect.

Studies of the McGurk effect have shown that when discrepant phonetic information is delivered to the auditory and visual modalities, the information is combined into a new percept not originally presented to either modality. In typical experiments, the auditory and visual speech signals are generated by the same talker. The present experiment examined whether a discrepancy in the gender of the talker between the auditory and visual signals would influence the magnitude of the McGurk effect. A male talker's voice was dubbed onto a videotape containing a female talker's face, and vice versa. The gender-incongruent videotapes were compared with gender-congruent videotapes, in which a male talker's voice was dubbed onto a male face and a female talker's voice was dubbed onto a female face. Even though there was a clear incompatibility in talker characteristics between the auditory and visual signals on the incongruent videotapes, the resulting magnitude of the McGurk effect was not significantly different for the incongruent as opposed to the congruent videotapes. The results indicate that the mechanism for integrating speech information from the auditory and the visual modalities is not disrupted by a gender incompatibility even when it is perceptually apparent. The findings are compatible with the theoretical notion that information about voice characteristics of the talker is extracted and used to normalize the speech signal at an early stage of phonetic processing, prior to the integration of the auditory and the visual information.

Adult↗

An initial assessment of the cost and utilization of the Integrated Academic Information System (IAIMS) at Columbia Presbyterian Medical Center.

The concept of "one stop information shopping" is becoming a reality at Columbia Presbyterian Medical Center (CPMC). The goal of our effort is to provide access to university and hospital administrative systems as well as clinical and library applications from a single workstation, which also provides utility functions such as word processing and mail. Since June 1987, CPMC has invested the equivalent of $23 million dollars to install a digital communications network that encompasses 18 buildings at seven geographically separate sites and to develop clinical and library applications that are integrated with the existing hospital and university administrative and research computing facilities. During June 1991, 2425 different individuals used the clinical information system, 425 different individuals used the library applications, and 900 different individuals used the hospital administrative applications via network access. If we were to freeze the system in its current state, amortize the development and network installation costs, and add projected maintenance costs for the clinical and library applications, our integrated information system would cost $2.8 million on an annual basis. This cost is 0.3% of the medical center's annual budget. These expenditures could be justified by very small improvements in time savings for personnel and/or decreased length of hospital stay and/or more efficient use of resources. In addition to the direct benefits which we detail, a major benefit is the ease with which additional computer-based applications can be added incrementally at an extremely modest cost.

Academic Medical Centers↗

An integrated, hospital information system based obstetrical medical record and database.

Described in this paper is the implementation and integration of an obstetrical medical record and database into an existing hospital information system. A unique feature of this system was the integration of existing data captured by the established hospital information systems with the newly implemented obstetrical database to form a complete patient data profile. This complete database integrated data from hospital functions such as demographic data obtained at patient registration, outpatient visits and tests, inpatient admission historical data, tests and procedures, newborn data and miscellaneous data required for birth registration. An important second feature was the utilization of physicians and nurses to enter the obstetrical data. This permitted immediate access to patient data from any hospital information system terminal, immediate retrieval for generating reports, and subsequently, ad hoc queries, statistical analysis and the electronic transfer of birth registration data to the State Vital Statistics Registry.

Academic Medical Centers↗

The integrated patient information system.

The complexity and potential impact of today's health care crisis requires a comprehensive approach to problem analysis and innovative thinking in developing solution strategies. Patient care, by its information-intensive nature, involves extensive information processing for decision-making, and requires the support of an effective and efficient information system. Therefore, information Technology must play a critical part in developing any solution strategy. Blue Chip, as an industry leader in leveraging information Technology to create innovative business processes, took the challenge and found a solution to the problem of comprehensive patient information processing. Through the generous support of the Agency for Health Care Policy and Research, a branch of the US Public Health Service, the company completed research and development under two Small Business Innovative Research grants. After 3 years of intensive study, design, and development, Blue Chip created an integrated Patient information System called Care-Centric.

Computer Communication Networks↗

Saccadic motor planning by integrating visual information and pre-information on neural dynamic fields.

A functional model of target selection in the saccadic system is presented, incorporating elements of visual processing, motor planning, and motor control. We address the integration of visual information with pre-information, which is provided by manipulating the probability that a target appears at a certain location. This integration is achieved within a dynamic representation of planned eye movement which is modeled through distributions of activation on a topographic field. Visual input evokes activation, which is also constrained by lateral interaction within the field and by preshaping input representing pre-information. The model describes target selection observable in paradigms in which visual goals are presented at more than one location. Specifically, we model the transition from averaging, where endpoints of first saccades fall between two visual target locations, to decision making, where endpoints of first saccades fall accurately onto one of two simultaneously presented visual targets. We make predictions about how metrical biases of first saccades are induced by pre-information about target locations acquired by learning. When coupled to a motor control stage, activation dynamics on the planning level contribute to stabilizing gaze under fixation conditions. The neurophysiological relevance of our functional model is discussed.

Computer Simulation↗

Integrating Hospital Information Systems. The challenges and advantages of (re-)starting now.

With the new technologies available today, more complex and useful Hospital Information Systems (HIS) can be designed and implemented. These new technologies have allowed that information from different sources and nature such as documents, images and signals be integrated within a single environment. Open standards, reliable networks, powerful hardware and software and lower prices are among the issues that make all this possible. One of the main issues is what to do with old systems that do not adhere to this new HIS concept. At the Heart Institute (InCor), a decision was made towards starting developing a new system called I3S. This paper gives a brief description of that system.

Brazil↗

[Experiments and models in sequential integration of information].

Using the example of bimodal temporal order judgments, we investigate and explain the transition from static designs mapping single stimulus presentations to single responses to designs which require some kind of integration of the processed information. First, we estimate the parameters of several well-known channel-oriented models (Baron, 1969; Gibbon & Rutschmann, 1969) for temporal order judgments. Subsequently, we generalize these models to explain the results of two more complex experimental designs and derive and test their predictions. Special concern is given to the question whether or not the models parameters remain invariant across the experiments. The basic assumptions of the channel-oriented models are confirmed by our data, they represent a well-suited platform to explain more complex integrative processes. Within a sequential decision design, where subjects are allowed to observe a stimulus arbitrarily often before their terminal decision, the individual representations of the stimuli are additively integrated. Hence, even information, which did not yet lead to a terminal decision, will generally influence the later outcome. This representation of the stimuli is accompanied by a dynamic decision rule, which is clearly time-dependent. Several too simplizistic alternative models can be rejected if (and only if) one derives their predictions in some detail and tests them with sufficient statistical power.

Attention↗

Integrating motion information across sensory modalities: the role of top-down factors.

Recent studies have highlighted the influence of multisensory integration mechanisms in the processing of motion information. One central issue in this research area concerns the extent to which the behavioral correlates of these effects can be attributed to late post-perceptual (i.e., response-related or decisional) processes rather than to perceptual mechanisms of multisensory binding. We investigated the influence of various top-down factors on the phenomenon of crossmodal dynamic capture, whereby the direction of motion in one sensory modality (audition) is strongly influenced by motion presented in another sensory modality (vision). In Experiment 1, we introduced extensive feedback in order to manipulate the motivation level of participants and the extent of their practice with the task. In Experiment 2, we reduced the variability of the irrelevant (visual) distractor stimulus by making its direction predictable beforehand. In Experiment 3, we investigated the effects of changing the stimulus-response mapping (task). None of these manipulations exerted any noticeable influence on the overall pattern of crossmodal dynamic capture that was observed. We therefore conclude that the integration of multisensory motion cues is robust to a number of top-down influences, thereby revealing that the crossmodal dynamic capture effect reflects the relatively automatic integration of multisensory motion information.

Acoustic Stimulation↗

Evidence for a procedural-learning-based system in perceptual category learning.

The consistency of the mapping from category to response location was investigated to test the hypothesis that abstract category labels are learned by the hypothesis testing system to solve rule-based tasks, whereas response position is learned by the procedural-learning system to solve information-integration tasks. Accuracy rates were examined to isolate global performance deficits, and model-based analyses were performed to identify the types of response strategies used by observers. A-B training (consistent mapping) led to more accurate responding relative to yes-no training (variable mapping) in the information-integration category learning task. Model-based analyses indicated that the yes-no accuracy decline was due to an increase in the use of rule-based strategies to solve the information-integration task. Yes-no training had no effect on the accuracy of responding or distribution of best-fitting models relative to A-B training in the rule-based category learning tasks. These results both provide support for a multiple-systems approach to category learning in which one system is procedural-learning-based and argue against the validity of single-system approaches.

Humans↗

Integrating cost information with health management support system: an enhanced methodology to assess health care quality drivers.

Changes in health care delivery, reimbursement schemes, and organizational structure have required health organizations to manage the costs of providing patient care while maintaining high levels of clinical and patient satisfaction outcomes. Today, cost information, clinical outcomes, and patient satisfaction results must become more fully integrated if strategic competitiveness and benefits are to be realized in health management decision making, especially in multi-entity organizational settings. Unfortunately, traditional administrative and financial systems are not well equipped to cater to such information needs. This article presents a framework for the acquisition, generation, analysis, and reporting of cost information with clinical outcomes and patient satisfaction in the context of evolving health management and decision-support system technology. More specifically, the article focuses on an enhanced costing methodology for determining and producing improved, integrated cost-outcomes information. Implementation issues and areas for future research in cost-information management and decision-support domains are also discussed.

Data Collection↗

A guide on integrating clinical information.

Clear action plans can guide nurse executives toward creating an integrated clinical environment. A guide identifies how each environment is affected by changing delivery models.

Delivery of Health Care, Integrated↗

Image fusion for dynamic contrast enhanced magnetic resonance imaging.

BACKGROUND: Multivariate imaging techniques such as dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) have been shown to provide valuable information for medical diagnosis. Even though these techniques provide new information, integrating and evaluating the much wider range of information is a challenging task for the human observer. This task may be assisted with the use of image fusion algorithms. METHODS: In this paper, image fusion based on Kernel Principal Component Analysis (KPCA) is proposed for the first time. It is demonstrated that a priori knowledge about the data domain can be easily incorporated into the parametrisation of the KPCA, leading to task-oriented visualisations of the multivariate data. The results of the fusion process are compared with those of the well-known and established standard linear Principal Component Analysis (PCA) by means of temporal sequences of 3D MRI volumes from six patients who took part in a breast cancer screening study. RESULTS: The PCA and KPCA algorithms are able to integrate information from a sequence of MRI volumes into informative gray value or colour images. By incorporating a priori knowledge, the fusion process can be automated and optimised in order to visualise suspicious lesions with high contrast to normal tissue. CONCLUSION: Our machine learning based image fusion approach maps the full signal space of a temporal DCE-MRI sequence to a single meaningful visualisation with good tissue/lesion contrast and thus supports the radiologist during manual image evaluation.

Algorithms↗

Semantic integration of information in a physician's workstation.

Patient care is an information-intensive activity, yet physicians have few tools to effectively access and manage patient data. We studied physicians' information needs in an outpatient clinic, and developed a prototype physician's workstation (PWS) to address those needs. The PWS provides integrated access to patient information and uses embedded domain knowledge to enhance the presentation of clinical information to the physician. All the applications in the PWS share a common patient context, defined by the state of the internal patient model--semantic integration. Relevant data are presented together and higher-order alerts are generated by combining notable events with relevant data from the patient context. Semantic integration allows us to present and to operate on all patient data in a given patient's context, significantly enhancing the effectiveness with which information is presented to the physician.

Computer Communication Networks↗

Designing new methodologies for integrating biomedical information in clinical trials.

OBJECTIVES: To propose a modification to current methodologies for clinical trials, improving data collection and cost-efficiency. To describe a system to integrate distributed and heterogeneous medical and genetic databases for improving information access, retrieval and analysis of biomedical information. METHODS: Data for clinical trials can be collected from remote, distributed and heterogeneous data sources. In this distributed scenario, we propose an ontologybased approach, with two basic operations: mapping and unification. Mapping outputs the semantic model of a virtual repository with the information model of a specific database. Unification provides a single schema for two or more previously available virtual repositories. In both processes, domain ontologies can improve other traditional approaches. RESULTS: Private clinical databases and public genomic and disease databases (e.g., OMIM, Prosite and others) were integrated. We successfully tested the system using thirteen databases containing clinical and biological information and biomedical vocabularies. CONCLUSIONS: We present a domain-independent approach to biomedical database integration, used in this paper as a reference for the design of future models of clinico-genomic trials where information will be integrated, retrieved and analyzed. Such an approach to biomedical data integration has been one of the goals of the IST INFOBIOMED Network of Excellence in Biomedical Informatics, funded by the European Commission, and the new ACGT (Advanced Clinico-Genomic Trials on Cancer) project, where the authors will apply these methods to research experiments.

Clinical Trials as Topic↗

Development of an integrated laboratory information management system for the maize mapping project.

MOTIVATION: The development of an integrated genetic and physical map for the maize genome involves the generation of an enormous amount of data. Managing this data requires a system to aid in genotype scoring for different types of markers coming from both local and remote users. In addition, researchers need an efficient way to interact with genetic mapping software and with data files from automated DNA sequencing. They also need ways to manage primer data for mapping and sequencing and provide views of the integrated physical and genetic map and views of genetic map comparisons. RESULTS: The MMP-LIMS system has been used successfully in a high-throughput mapping environment. The genotypes from 957 SSR, 1023 RFLP, 189 SNP, and 177 InDel markers have been entered and verified via MMP-LIMS. The system is flexible, and can be easily modified to manage data for other species. The software is freely available. AVAILABILITY: To receive a copy of the iMap or cMap software, please fill out the form on our website. The other MMP-LIMS software is freely available at http://www.maizemap.org/bioinformatics.htm.

Chromosome Mapping↗

The University Integrated Automated Information System at the Uniformed Services University of the Health Sciences.

The Integrated Automation System put into place at the University Services University of the Health Sciences has been said to be 5 years ahead of those employing the most advanced comparable configurations. This automated data processing creation was accomplished without augmentation of manpower or funding. A brief history of this development and some of its features are presented.

Computer Communication Networks↗