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The knowledge base.

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Communication↗
PubMed1994

Parameters for a knowledge base for acute appendicitis.

Acute appendicitis is the most common cause of acute abdomen requiring surgical intervention. The clinical diagnosis of acute appendicitis is not always easy due to variable symptomatology, particularly at the onset. The contributions of history-taking and physical examination in the diagnosis of acute appendicitis was studied in connection with the Research Committee of the World Organization of Gastroenterology (OMGE) survey of acute abdominal pain. Especially the suitability of diagnostic parameters in the construction of an expert system for automatic decision making was studied. The results clearly show that it is possible to construct an expert system for automatic decision making in the diagnosis of acute appendicitis.

Abdomen, Acute↗
PubMed1993

Knowledge base for diagnostic gait assessments.

Clinical gait laboratories have proliferated over the past two decades and an increasing number of research papers are reporting 'assessments' of pathological gait. Some criticisms have been levied at the value of most of these assessments, and some of their arguments are justified. Unfortunately, their review of the pathological gait literature was too superficial for them to justify their main conclusions. The purpose of this review is three fold. The first goal is to show that clinical gait assessments, properly done, do yield valuable diagnostic information to assist surgeons in planning orthopaedic procedures, in the planning of rehabilitation and in the assessment of prosthetic devices. The second goal is to present specific examples of pathological gait assessment to demonstrate the need to understand the fundamental goals and sub-tasks involved in walking, normal gait synergies and the value of a normalized data base. Finally, a generalized strategy will be demonstrated through the use of a diagnostic checklist that has been developed for all gait pathologies. This latter goal is logistically and financially important when we consider the high equipment and personnel costs of running a diagnostic gait service.

Adult↗