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Since the description of sepsis by Schottmüller in 1914, the amount on knowledge available on sepsis and its underlying pathophysiology has substantially increased. Epidemiologic examinations of abdominal septic shock patients show the potential for high risk posed by and the extensive therapy situation in the intensive care unit (ICU) (5). Unfortunately, until now it has not been possible to significantly reduce the mortality rate of septic shock, which is as high as 50-60% worldwide, although PROWESS' results (1) are encouraging. This paper summarizes the main results of the MEDAN project and their medical impacts. Several aspects are already published, see the references. The heterogeneity of patient groups and the variations in therapy strategies is seen as one of the main problems for sepsis trials. In the MEDAN multi-center study of 71 intensive care units in Germany, a group of 382 patients made up exclusively of abdominal septic shock patients who met the consensus criteria for septic shock (3) was analysed. For use within scores or stand-alone experiments variables are often studied as isolated variables, not as a multidimensional whole, e.g. a recent study takes a look at the role thrombocytes play (15). To avoid this limitation, our study compares several established scores (SOFA, APACHE II, SAPS II, MODS) by a multi-dimensional neuronal network analysis. For outcome prediction the data of 382 patients was analysed by using most of the commonly documented vital parameters and doses of medicine (metric variables). Data was collected in German hospitals from 1998 to 2001. The 382 handwritten patient records were transferred to an electronic database giving the amount of 2.5 million data entries. The metric data contained in the database is composed of daily measurements and doses of medicine. We used range and plausibility checks to allow no faulty data in the electronic database. 187 of the 382 patients are deceased (49 %).
At present, there are no quantitative, objective methods for diagnosing the Parkinson disease. Existing methods of quantitative analysis by myograms suffer by inaccuracy and patient strain; electronic tablet analysis is limited to the visible drawing, not including the writing forces and hand movements. In our paper we show how handwriting analysis can be obtained by a new electronic pen and new features of the recorded signals. This gives good results for diagnostics. Keywords: Parkinson diagnosis, electronic pen, automatic handwriting analysis
Attraction and commercial success of web sites depend heavily on the additional values visitors may find. Here, individual, automatically obtained and maintained user profiles are the key for user satisfaction. This contribution shows for the example of a cooking information site how user profiles might be obtained using category information provided by cooking recipes. It is shown that metrical distance functions and standard clustering procedures lead to erroneous results. Instead, we propose a new mutual information based clustering approach and outline its implications for the example of user profiling.
The Internet as the biggest human library ever assembled keeps on growing. Although all kinds of information carriers (e.g. audio/video/hybrid file formats) are available, text based documents dominate. It is estimated that about 80% of all information worldwide stored electronically exists in (or can be converted into) text form. More and more, all kinds of documents are generated by means of a text processing system and are therefore available electronically. Nowadays, many printed journals are also published online and may even discontinue to appear in print form tomorrow. This development has many convincing advantages: the documents are both available faster (cf. prepress services) and cheaper, they can be searched more easily, the physical storage only needs a fraction of the space previously necessary and the medium will not age. For most people, fast and easy access is the most interesting feature of the new age; computer-aided search for specific documents or Web pages becomes the basic tool for information-oriented work. But this tool has problems. The current keyword based search machines available on the Internet are not really appropriate for such a task; either there are (way) too many documents matching the specified keywords are presented or none at all. The problem lies in the fact that it is often very difficult to choose appropriate terms describing the desired topic in the first place. This contribution discusses the current state-of-the-art techniques in content-based searching (along with common visualization/browsing approaches) and proposes a particular adaptive solution for intuitive Internet document navigation, which not only enables the user to provide full texts instead of manually selected keywords (if available), but also allows him/her to explore the whole database.
Data driven automatic model selection and parameter adaptation – a case study for septic shock
(2004)
In bioinformatics, biochemical pathways can be modeled by many differential equations. It is still an open problem how to fit the huge amount of parameters of the equations to the available data. Here, the approach of systematically learning the parameters is necessary. This paper propose as model selection criterion the least complex description of the observed data by the model, the minimum description length. For the small, but important example of inflammation modeling the performance of the approach is evaluated.
In bioinformatics, biochemical signal pathways can be modeled by many differential equations. It is still an open problem how to fit the huge amount of parameters of the equations to the available data. Here, the approach of systematically obtaining the most appropriate model and learning its parameters is extremely interesting. One of the most often used approaches for model selection is to choose the least complex model which “fits the needs”. For noisy measurements, the model which has the smallest mean squared error of the observed data results in a model which fits too accurately to the data – it is overfitting. Such a model will perform good on the training data, but worse on unknown data. This paper propose as model selection criterion the least complex description of the observed data by the model, the minimum description length. For the small, but important example of inflammation modeling the performance of the approach is evaluated. Keywords: biochemical pathways, differential equations, septic shock, parameter estimation, overfitting, minimum description length.
In bioinformatics, biochemical pathways can be modeled by many differential equations. It is still an open problem how to fit the huge amount of parameters of the equations to the available data. Here, the approach of systematically learning the parameters is necessary. In this paper, for the small, important example of inflammation modeling a network is constructed and different learning algorithms are proposed. It turned out that due to the nonlinear dynamics evolutionary approaches are necessary to fit the parameters for sparse, given data. Proceedings of the 15th IEEE International Conference on Tools with Artificial Intelligence - ICTAI 2003
The early prediction of mortality is one of the unresolved tasks in intensive care medicine. This contribution models medical symptoms as observations cased by transitions between hidden markov states. Learning the underlying state transition probabilities results in a prediction probability success of about 91%. The results are discussed and put in relation to the model used. Finally, the rationales for using the model are reflected: Are there states in the septic shock data?
In intensive care units physicians are aware of a high lethality rate of septic shock patients. In this contribution we present typical problems and results of a retrospective, data driven analysis based on two neural network methods applied on the data of two clinical studies. Our approach includes necessary steps of data mining, i.e. building up a data base, cleaning and preprocessing the data and finally choosing an adequate analysis for the medical patient data. We chose two architectures based on supervised neural networks. The patient data is classified into two classes (survived and deceased) by a diagnosis based either on the black-box approach of a growing RBF network and otherwise on a second network which can be used to explain its diagnosis by human-understandable diagnostic rules. The advantages and drawbacks of these classification methods for an early warning system are discussed.
In bioinformatics, biochemical pathways can be modeled by many differential equations. It is still an open problem how to fit the huge amount of parameters of the equations to the available data. Here, the approach of systematically learning the parameters is necessary. In this paper, for the small, important example of inflammation modeling a network is constructed and different learning algorithms are proposed. It turned out that due to the nonlinear dynamics evolutionary approaches are necessary to fit the parameters for sparse, given data. Keywords: model parameter adaption, septic shock. coupled differential equations, genetic algorithm.
The selection of features for classification, clustering and approximation is an important task in pattern recognition, data mining and soft computing. For real-valued features, this contribution shows how feature selection for a high number of features can be implemented using mutual in-formation. Especially, the common problem for mutual information computation of computing joint probabilities for many dimensions using only a few samples is treated by using the Rènyi mutual information of order two as computational base. For this, the Grassberger-Takens corre-lation integral is used which was developed for estimating probability densities in chaos theory. Additionally, an adaptive procedure for computing the hypercube size is introduced and for real world applications, the treatment of missing values is included. The computation procedure is accelerated by exploiting the ranking of the set of real feature values especially for the example of time series. As example, a small blackbox-glassbox example shows how the relevant features and their time lags are determined in the time series even if the input feature time series determine nonlinearly the output. A more realistic example from chemical industry shows that this enables a better ap-proximation of the input-output mapping than the best neural network approach developed for an international contest. By the computationally efficient implementation, mutual information becomes an attractive tool for feature selection even for a high number of real-valued features.
In its first part, this contribution reviews shortly the application of neural network methods to medical problems and characterizes its advantages and problems in the context of the medical background. Successful application examples show that human diagnostic capabilities are significantly worse than the neural diagnostic systems. Then, paradigm of neural networks is shortly introduced and the main problems of medical data base and the basic approaches for training and testing a network by medical data are described. Additionally, the problem of interfacing the network and its result is given and the neuro-fuzzy approach is presented. Finally, as case study of neural rule based diagnosis septic shock diagnosis is described, on one hand by a growing neural network and on the other hand by a rule based system. Keywords: Statistical Classification, Adaptive Prediction, Neural Networks, Neurofuzzy, Medical Systems
In contrast to the symbolic approach, neural networks seldom are designed to explain what they have learned. This is a major obstacle for its use in everyday life. With the appearance of neuro-fuzzy systems which use vague, human-like categories the situation has changed. Based on the well-known mechanisms of learning for RBF networks, a special neuro-fuzzy interface is proposed in this paper. It is especially useful in medical applications, using the notation and habits of physicians and other medically trained people. As an example, a liver disease diagnosis system is presented.
The prevention of credit card fraud is an important application for prediction techniques. One major obstacle for using neural network training techniques is the high necessary diagnostic quality: Since only one financial transaction of a thousand is invalid no prediction success less than 99.9% is acceptable. Due to these credit card transaction proportions complete new concepts had to be developed and tested on real credit card data. This paper shows how advanced data mining techniques and neural network algorithm can be combined successfully to obtain a high fraud coverage combined with a low false alarm rate.
This paper describes the use of a Radial Basis Function (RBF) neural network in the approximation of process parameters for the extrusion of a rubber profile in tyre production. After introducing the rubber industry problem, the RBF network model and the RBF net learning algorithm are developed, which uses a growing number of RBF units to compensate the approximation error up to the desired error limit. Its performance is shown for simple analytic examples. Then the paper describes the modelling of the industrial problem. Simulations show good results, even when using only a few training samples. The paper is concluded by a discussion of possible systematic error influences, improvements and potential generalisation benefits. Keywords: Adaptive process control; Parameter estimation; RBF-nets; Rubber extrusion
The encoding of images by semantic entities is still an unresolved task. This paper proposes the encoding of images by only a few important components or image primitives. Classically, this can be done by the Principal Component Analysis (PCA). Recently, the Independent Component Analysis (ICA) has found strong interest in the signal processing and neural network community. Using this as pattern primitives we aim for source patterns with the highest occurrence probability or highest information. For the example of a synthetic image composed by characters this idea selects the salient ones. For natural images it does not lead to an acceptable reproduction error since no a-priori probabilities can be computed. Combining the traditional principal component criteria of PCA with the independence property of ICA we obtain a better encoding. It turns out that the Independent Principal Components (IPC) in contrast to the Principal Independent Components (PIC) implement the classical demand of Shannon’s rate distortion theory.
This paper proposes a new approach for the encoding of images by only a few important components. Classically, this is done by the Principal Component Analysis (PCA). Recently, the Independent Component Analysis (ICA) has found strong interest in the neural network community. Applied to images, we aim for the most important source patterns with the highest occurrence probability or highest information called principal independent components (PIC). For the example of a synthetic image composed by characters this idea selects the salient ones. For natural images it does not lead to an acceptable reproduction error since no a-priori probabilities can be computed. Combining the traditional principal component criteria of PCA with the independence property of ICA we obtain a better encoding. It turns out that this definition of PIC implements the classical demand of Shannon’s rate distortion theory.
This paper describes the problems and an adaptive solution for process control in rubber industry. We show that the human and economical benefits of an adaptive solution for the approximation of process parameters are very attractive. The modeling of the industrial problem is done by the means of artificial neural networks. For the example of the extrusion of a rubber profile in tire production our method shows good results even using only a few training samples.
In this paper we regard first the situation where parallel channels are disturbed by noise. With the goal of maximal information conservation we deduce the conditions for a transform which "immunizes" the channels against noise influence before the signals are used in later operations. It shows up that the signals have to be decorrelated and normalized by the filter which corresponds for the case of one channel to the classical result of Shannon. Additional simulations for image encoding and decoding show that this constitutes an efficient approach for noise suppression. Furthermore, by a corresponding objective function we deduce the stochastic and deterministic learning rules for a neural network that implements the data orthonormalization. In comparison with other already existing normalization networks our network shows approximately the same in the stochastic case but, by its generic deduction ensures the convergence and enables the use as independent building block in other contexts, e.g. whitening for independent component analysis. Keywords: information conservation, whitening filter, data orthonormalization network, image encoding, noise suppression.