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| 2. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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A Three Phase Computer Assisted Biofeedback Training System Using Case-Based Reasoning
- 2008
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Ingår i: Proc. 9th European Conference on Case-based Reasoning. ; , s. 57-68
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Konferensbidrag (refereegranskat)abstract
- Biofeedback is a method gaining increased interest and showing good results for a number of physical and psychological problems. Biofeedback training is mostly guided by an experienced clinician and the results largely rely on the clinician's competence. In this paper we propose a three phase computer assisted sensor-based biofeedback decision support system assisting less experienced clinicians, acting as second opinion for experienced clinicians. The three phase CBR framework is deployed to classify a patient, estimate initial parameters and to make recommendations for biofeedback training by retrieving and comparing with previous similar cases in terms of features extracted. The three phases work independently from each other. Moreover, fuzzy techniques are incorporated into our CBR system to better accommodate uncertainty in clinicians reasoning as well as decision analysis. All parts in the proposed framework have been implemented and primarily validated in a prototypical system. The initial result shows how the three phases functioned with CBR technique to assist biofeedback training. Eventually the system enables the clinicians to allow a patient to train himself/herself unsupervised.
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| 3. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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Case-based Reasoning for Diagnosis of Stress using Enhanced Cosine and Fuzzy Similarity
- 2008
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Ingår i: Case-based Reasoning for Diagnosis of Stress using Enhanced Cosine and Fuzzy Similarity. - 1867-366X. ; 1, s. 3-19
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Tidskriftsartikel (refereegranskat)abstract
- Intelligent analysis of heterogeneous data and information sources for efficient decision support presents an interesting yet challenging task in clinical envi-ronments. This is particularly the case in stress medicine where digital patient re-cords are becoming popular which contain not only lengthy time series measurements but also unstructured textual documents expressed in form of natural languages. This paper develops a hybrid case-based reasoning system for stress di-agnosis which is capable of coping with both numerical signals and textual data at the same time. The total case index consists of two sub-parts corresponding to signal and textual data respectively. For matching of cases on the signal aspect we present a fuzzy similarity matching metric to accommodate and tackle the imprecision and uncertainty in sensor measurements. Preliminary evaluations have revealed that this fuzzy matching algorithm leads to more accurate similarity estimates for improved case ranking and retrieval compared with traditional distance-based matching crite-ria. For evaluation of similarity on the textual dimension we propose an enhanced cosine matching function augmented with related domain knowledge. This is im-plemented by incorporating Wordnet and domain specific ontology into the textual case-based reasoning process for refining weights of terms according to available knowledge encoded therein. Such knowledge-based reasoning for matching of tex-tual cases has empirically shown its merit in improving both precision and recall of retrieved cases with our initial medical databases. Experts in the domain are very positive to our system and they deem that it will be a valuable tool to foster wide-spread experience reuse and transfer in the area of stress diagnosis and treatment.
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| 4. |
- Ahmed, Mobyen Uddin, et al.
(författare)
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Intelligent Stress Management System
- 2009
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Ingår i: Medicinteknikdagarna 2009.
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Konferensbidrag (refereegranskat)abstract
- Today, in our daily life we are subjected to a wide range of pressures. When the pressures exceed the extent that we are able to deal with then stress is trigged. High level of stress may cause serious health problems i.e. it reduces awareness of bodily symptoms. So, people may first notice it weeks or months later meanwhile the stress could cause more serious effect in the body and health. A difficult issue in stress management is to use biomedical sensor signals in the diagnosis and treatment of stress. This paper presents a case-based system that assists a clinician in diagnosis and treatment of stress. The system uses a finger temperature sensor and the variation in the finger temperature is one of the key features in the system. Several artificial intelligence techniques such as textual information retrieval, rule-based reasoning (RBR), and fuzzy logic have been combined together with case-based reasoning to enable more reliable and efficient diagnosis and treatment of stress. The performance has been validated implementing a research prototype and close collaboration with experts.
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| 5. |
- Begum, Shahina, 1977-, et al.
(författare)
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A Case-Based Decision Support System for Individual Stress Diagnosis Using Fuzzy Similarity Matching
- 2009
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Ingår i: Computational intelligence. - : Blackwell Publishing. - 0824-7935 .- 1467-8640. ; 25:3, s. 180-195
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Tidskriftsartikel (refereegranskat)abstract
- Stress diagnosis based on finger temperature signals is receiving increasing interest in the psycho-physiological domain. However, in practice, it is difficult and tedious for a clinician and particularly less experienced clinicians to understand, interpret and analyze complex, lengthy sequential measurements in order to make a diagnosis and treatment plan. The paper presents a case-based decision support system to assist clinicians in performing such tasks. Case-based reasoning is applied as the main methodology to facilitate experience reuse and decision explanation by retrieving previous similar temperature profiles. Further fuzzy techniques are also employed and incorporated into the case-based reasoning system to handle vagueness, uncertainty inherently existing in clinicians reasoning as well as imprecision of feature values. Thirty nine time series from 24 patients have been used to evaluate the approach (matching algorithms) and an expert has ranked and estimated similarity. On average goodness-of-fit for the fuzzy matching algorithm is 90% in ranking and 81% in similarity estimation which shows a level of performance close to an experienced expert. Therefore, we have suggested that a fuzzy matching algorithm in combination with case-based reasoning is a valuable approach in domains where the fuzzy matching model similarity and case preference is consistent with the views of domain expert. This combination is also valuable where domain experts are aware that the crisp values they use have a possibility distribution that can be estimated by the expert and is used when experienced experts reason about similarity. This is the case in the psycho-physiological domain and experienced experts can estimate this distribution of feature values and use them in their reasoning and explanation process.
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| 6. |
- Begum, Shahina, et al.
(författare)
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A computer-based system for the assessment and diagnosis of individual sensitivity to stress in Psychophysiology
- 2007
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Konferensbidrag (refereegranskat)abstract
- Increased exposure to stress may cause serious health problems leading to long term sick leave if undiagnosed and untreated. The practice amongst clinicians' to use a standardized procedure measuring blood pressure, ECG, finger temperature, breathing speed etc. to make a reliable diagnosis of stress and stress sensitivity is increasing. But even with these measurements it is still difficult to diagnose due to large individual variations. A computer-based system as a second option for the assessment and diagnosis of individual stress level is valuable in this domain.A combined approach based on a calibration phase and case-based reasoning is proposed exploiting data from finger temperature sensor readings from 24 individuals. In calibration phase, a standard clinical procedure with six different steps helps to establish a person's stress profile and set up a number of individual parameters. When acquiring a new case, patients are also asked to provide a fuzzy evaluation on how reliable was the procedure to define the case itself. Such a reliability "level" could be used to further discriminate among similar cases. The system extracts key features from the signal and classifies individual sensitivity to stress. These features are stored into a case library and similarity measurements are taken to assess the degrees of matching and create a ranked list containing the most similar cases retrieved by using the nearest-neighbor algorithm.A current case (CC) is compared with two other stored cases (C_92 and C_115) in the case library. The global similarity between the case CC and case C_92 is 67% and case CC and case C_115 is 80% shown by the system. So the case C_115 has ranked higher than the case C_92 and is more similar to current case CC. If necessary, the solution for the best matching case can be revised by the clinician to fit the new patient. The current problem with confirmed solution is then retained as a new case and added to the case library for future use.The system allows us to utilize previous experience and at the same time diagnose stress along with a stress sensitivity profile. This information enables the clinician to make a more informed decision of treatment plan for the patients. Such a system may also be used to actively notify a person's stress levels even in the home environment.
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| 7. |
- Begum, Shahina, et al.
(författare)
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Classify and Diagnose Individual Stress Using Calibration and Fuzzy Case-Based Reasoning
- 2007
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Ingår i: Case-Based Reasoning Research and Development. - Berlin, Heidelberg : Springer. - 9783540741381 ; , s. 478-491
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Bokkapitel (refereegranskat)abstract
- Increased exposure to stress may cause health problems. An experi-enced clinician is able to diagnose a person's stress level based on sensor read-ings. Large individual variations and absence of general rules make it difficult to diagnose stress and the risk of stress-related health problems. A decision sup-port system providing clinicians with a second opinion would be valuable. We propose a novel solution combining case-based reasoning and fuzzy logic along with a calibration phase to diagnose individual stress. During calibration a num-ber of individual parameters are established. The system also considers the feedback from the patient on how well the test was performed. The system uses fuzzy logic to incorporating the imprecise characteristics of the domain. The cases are also used for the individual treatment process and transfer experience between clinicians. The validation of the approach is based on close collabora-tion with experts and measurements from 24 persons used as reference.
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| 8. |
- Begum, Shahina, et al.
(författare)
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Diagnosis and Biofeedback System for Stress
- 2009
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Ingår i: Proceedings of the 6th International Workshop on Wearable, Micro, and Nano Technologies for Personalized Health: "Facing Future Healthcare Needs", pHealth 2009. - 9781424452538 ; , s. 17-20
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Konferensbidrag (refereegranskat)abstract
- Today, everyday life for many people contain many situations that may trigger stress or result in an individual living on an increased stress level under long time. High level of stress may cause serious health problems. It is known that respiratory rate is an important factor and can be used in diagnosis and biofeedback training, but available measurement of respiratory rate are not especially suitable for home and office use. The aim of this project is to develop a portable sensor system that can measure the stress level, during everyday situations e.g. at home and in work environment and can help the person to change the behaviour and decrease the stress level. The sensor explored is a finger temperature sensor. Clinical studies show that finger temperature, in general, decreases with stress; however this change pattern shows large individual variations. Diagnosing stress level from the finger temperature is difficult even for clinical experts. Therefore a computer-based stress diagnosis system is important. In this system, case-based reasoning and fuzzy logic have been applied to assists in stress diagnosis and biofeedback treatment utilizing the finger temperature sensor signal. An evaluation of the system with an expert in stress diagnosis shows promising result.
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| 9. |
- Begum, Shahina, et al.
(författare)
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Individualized Stress Diagnosis Using Calibration and Case-Based Reasoning
- 2007
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Ingår i: Proceedings of the 24th annual workshop of the Swedish Artificial Intelligence Society, Borås, Sweden. ; , s. 59-69
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Konferensbidrag (refereegranskat)abstract
- Diagnosing stress is difficult even for experts due to large individual variations. Clinician's use today manual test procedures where they measure blood pressure, ECG, finger temperature and breathing speed during a number of exercises. An experienced clinician makes diagnosis on different readings shown in a computer screen. There are only very few experts who are able to diagnose and predict stress-related problems. In this paper we have proposed a combined approach based on a calibration phase and case-based reasoning to provide assistance in diagnosing stress, using data from the finger temperature sensor readings. The calibration phase helps to establish a number of individual parameters. The system uses a case-based reasoning approach and also feedback on how well the patient succeeded with the different test, used for giving similar cases reliability estimates.
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| 10. |
- Begum, Shahina, et al.
(författare)
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Similarity of Medical Cases in Health Care Using Cosine Similarity and Ontology
- 2007
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Konferensbidrag (refereegranskat)abstract
- The increasing use of digital patient records in hospital saves both time and reduces risks wrong treatments caused by lack of information. Digital patient records also enable efficient spread and transfer of experience gained from diagnosis and treatment of individual patient. This is today mostly manual (speaking with col-leagues) and rarely aided by computerized system. Most of the content in patient re-cords is semi-structured textual information. In this paper we propose a hybrid tex-tual case-based reasoning system promoting experience reuse based on structured or unstructured patient records, case-based reasoning and similarity measurement based on cosine similarity metric improved by a domain specific ontology and the nearest neighbor method. Not only new cases are learned, hospital staff can also add comments to existing cases and the approach enables prototypical cases.
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