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  • 1
    Publication Date: 2015-08-12
    Description: We examine a distributed detection problem in a wireless sensor network, where sensor nodes collaborate to detect a Gaussian signal with an unknown change of power, i.e., a scale parameter. Due to power/bandwidth constraints, we consider the case where each sensor quantizes its observation into a binary digit. The binary data are then transmitted through error-prone wireless links to a fusion center, where a generalized likelihood ratio test (GLRT) detector is employed to perform a global decision. We study the design of a binary quantizer based on an asymptotic analysis of the GLRT. Interestingly, the quantization threshold of the quantizer is independent of the unknown scale parameter. Numerical results are included to illustrate the performance of the proposed quantizer and GLRT in binary symmetric channels (BSCs).
    Electronic ISSN: 1999-4893
    Topics: Computer Science
    Published by MDPI Publishing
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  • 2
    Publication Date: 2015-08-13
    Description: More and more hybrid electric vehicles are driven since they offer such advantages as energy savings and better active safety performance. Hybrid vehicles have two or more power driving systems and frequently switch working condition, so controlling stability is very important. In this work, a two-stage Kalman algorithm method is used to fuse data in hybrid vehicle stability testing. First, the RT3102 navigation system and Dewetron system are introduced. Second, a modeling of data fusion is proposed based on the Kalman filter. Then, this modeling is simulated and tested on a sample vehicle, using Carsim and Simulink software to test the results. The results showed the merits of this modeling.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
    Published by MDPI Publishing
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  • 3
    Publication Date: 2015-08-14
    Description: Background: With the introduction and implementation of a variety of government programs and policies to encourage adoption of electronic medical records (EMRs), EMRs are being increasingly adopted in North America. We sought to evaluate the completeness of a variety of EMR fields to determine if family physicians were comprehensively using their EMRs and the suitability of use of the data for secondary purposes in Ontario, Canada. Methods: We examined EMR data from a convenience sample of family physicians distributed throughout Ontario within the Electronic Medical Record Administrative data Linked Database (EMRALD) as extracted in the summer of 2012. We identified all physicians with at least one year of EMR use. Measures were developed and rates of physician documentation of clinical encounters, electronic prescriptions, laboratory tests, blood pressure and weight, referrals, consultation letters, and all fields in the cumulative patient profile were calculated as a function of physician and patient time since starting on the EMR. Results: Of the 167 physicians with at least one year of EMR use, we identified 186,237 patients. Overall, the fields with the highest level of completeness were for visit documentations and prescriptions (〉70 %). Improvements were observed with increasing trends of completeness overtime for almost all EMR fields according to increasing physician time on EMR. Assessment of the influence of patient time on EMR demonstrated an increasing likelihood of the population of EMR fields overtime, with the largest improvements occurring between the first and second years. Conclusions: All of the data fields examined appear to be reasonably complete within the first year of adoption with the biggest increase occurring the first to second year. Using all of the basic functions of the EMR appears to be occurring in the current environment of EMR adoption in Ontario. Thus the data appears to be suitable for secondary use.
    Electronic ISSN: 1472-6947
    Topics: Computer Science , Medicine
    Published by BioMed Central
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  • 4
    Publication Date: 2015-08-14
    Description: Background: Recognising the limitations of a paper-based approach to documenting vital sign observations and responding to national clinical guidelines, we have explored the use of an electronic solution that could improve the quality and safety of patient care. We have developed a system for recording vital sign observations at the bedside, automatically calculating an Early Warning Score, and saving data such that it is accessible to all relevant clinicians within a hospital trust. We have studied current clinical practice of using paper observation charts, and attempted to streamline the process. We describe our user-focussed design process, and present the key design decisions prior to describing the system in greater detail. Results: The system has been deployed in three pilot clinical areas over a period of 9 months. During this time, vital sign observations were recorded electronically using our system. Analysis of the number of observations recorded (21,316 observations) and the number of active users (111 users) confirmed that the system is being used for routine clinical observations. Feedback from clinical end-users was collected to assess user acceptance of the system. This resulted in a System Usability Scale score of 77.8, indicating high user acceptability. Conclusions: Our system has been successfully piloted, and is in the process of full implementation throughout adult inpatient clinical areas in the Oxford University Hospitals. Whilst our results demonstrate qualitative acceptance of the system, its quantitative effect on clinical care is yet to be evaluated.
    Electronic ISSN: 1472-6947
    Topics: Computer Science , Medicine
    Published by BioMed Central
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  • 5
    Publication Date: 2015-08-15
    Description: In the existing attribute-based encryption (ABE) scheme, the authority (i.e., private key generator (PKG)) is able to calculate and issue any user’s private key, which makes it completely trusted, which severely influences the applications of the ABE scheme. To mitigate this problem, we propose the black box traceable ciphertext policy attribute-based encryption (T-CP-ABE) scheme in which if the PKG re-distributes the users’ private keys for malicious uses, it might be caught and sued. We provide a construction to realize the T-CP-ABE scheme in a black box model. Our scheme is based on the decisional bilinear Diffie-Hellman (DBDH) assumption in the standard model. In our scheme, we employ a pair (ID, S) to identify a user, where ID denotes the identity of a user and S denotes the attribute set associated with her.
    Electronic ISSN: 2078-2489
    Topics: Computer Science
    Published by MDPI
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  • 6
    Publication Date: 2015-08-05
    Description: Currently deep learning has made great breakthroughs in visual and speech processing, mainly because it draws lessons from the hierarchical mode that brain deals with images and speech. In the field of NLP, a topic model is one of the important ways for modeling documents. Topic models are built on a generative model that clearly does not match the way humans write. In this paper, we propose Event Model, which is unsupervised and based on the language processing mechanism of neurolinguistics, to model documents. In Event Model, documents are descriptions of concrete or abstract events seen, heard, or sensed by people and words are objects in the events. Event Model has two stages: word learning and dimensionality reduction. Word learning is to learn semantics of words based on deep learning. Dimensionality reduction is the process that representing a document as a low dimensional vector by a linear mode that is completely different from topic models. Event Model achieves state-of-the-art results on document retrieval tasks.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
    Published by MDPI Publishing
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  • 7
    Publication Date: 2015-08-05
    Description: Digital publishing resources contain a lot of useful and authoritative knowledge. It may be necessary to reorganize the resources by concepts and recommend the related concepts for e-learning. A recommender system is presented in this paper based on the semantic relatedness of concepts computed by texts from digital publishing resources. Firstly, concepts are extracted from encyclopedias. Information in digital publishing resources is then reorganized by concepts. Secondly, concept vectors are generated by skip-gram model and semantic relatedness between concepts is measured according to the concept vectors. As a result, the related concepts and associated information can be recommended to users by the semantic relatedness for learning or reading. History data or users’ preferences data are not needed for recommendation in a specific domain. The technique may not be language-specific. The method shows potential usability for e-learning in a specific domain.
    Electronic ISSN: 2078-2489
    Topics: Computer Science
    Published by MDPI
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  • 8
    Publication Date: 2015-08-07
    Description: Background: According to the World Health Organization 130–150 million (according to WHO) of people globally are chronically infected with hepatitis C virus. The virus is responsible for chronic hepatitis that ultimately may cause liver cirrhosis and death. The disease is progressive, however antiviral treatment may slow down or stop its development. Therefore, it is important to estimate the severity of liver fibrosis for diagnostic, therapeutic and prognostic purposes.Liver biopsy provides a high accuracy diagnosis, however it is painful and invasive procedure. Recently, we witness an outburst of non-invasive tests (biological and physical ones) aiming to define severity of liver fibrosis, but commonly used FibroTest®, according to an independent research, in some cases may have accuracy lower than 50 %. In this paper a data mining and classification technique is proposed to determine the stage of liver fibrosis using easily accessible laboratory data. Methods: Research was carried out on archival records of routine laboratory blood tests (morphology, coagulation, biochemistry, protein electrophoresis) and histopathology records of liver biopsy as a reference value. As a result, the granular model was proposed, that contains a series of intervals representing influence of separate blood attributes on liver fibrosis stage. The model determines final diagnosis for a patient using aggregation method and voting procedure. The proposed solution is robust to missing or corrupted data. Results: The results were obtained on data from 290 patients with hepatitis C virus collected over 6 years. The model has been validated using training and test data. The overall accuracy of the solution is equal to 67.9 %. The intermediate liver fibrosis stages are hard to distinguish, due to effectiveness of biopsy itself. Additionally, the method was verified against dataset obtained from 365 patients with liver disease of various etiologies. The model proved to be robust to new data. What is worth mentioning, the error rate in misclassification of the first stage and the last stage is below 6.5 % for all analyzed datasets. Conclusions: The proposed system supports the physician and defines the stage of liver fibrosis in chronic hepatitis C. The biggest advantage of the solution is a human-centric approach using intervals, which can be verified by a specialist, before giving the final decision. Moreover, it is robust to missing data. The system can be used as a powerful support tool for diagnosis in real treatment.
    Electronic ISSN: 1472-6947
    Topics: Computer Science , Medicine
    Published by BioMed Central
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  • 9
    Publication Date: 2015-08-20
    Description: Background: Health decision-making requires evidence from high-quality data. As one example, the Discharge Abstract Database (DAD) compiles data from the majority of Canadian hospitals to form one of the most comprehensive and highly regarded administrative health databases available for health research, internationally. However, despite the success of this and other administrative health data resources, little is known about their history or the factors that have led to their success. The purpose of this paper is to provide an historical overview of Canadian administrative health data for health research to contribute to the institutional memory of this field. Methods: We conducted a qualitative content analysis of approximately 20 key sources to construct an historical narrative of administrative health data in Canada. Specifically, we searched for content related to key events, individuals, challenges, and successes in this field over time. Results: In Canada, administrative health data for health research has developed in tangent with provincial research centres. Interestingly, the lessons learned from this history align with the original recommendations of the 1964 Royal Commission on Health Services: (1) standardization, and (2) centralization of data resources, that is (3) facilitated through governmental financial support. Conclusions: The overview history provided here illustrates the need for longstanding partnerships between government and academia, for classification, terminology and standardization are time-consuming and ever-evolving processes. This paper will be of interest to those who work with administrative health data, and also for countries that are looking to build or improve upon their use of administrative health data for decision-making.
    Electronic ISSN: 1472-6947
    Topics: Computer Science , Medicine
    Published by BioMed Central
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  • 10
    Publication Date: 2015-08-22
    Description: Community detection in a complex network is an important problem of much interest in recent years. In general, a community detection algorithm chooses an objective function and captures the communities of the network by optimizing the objective function, and then, one uses various heuristics to solve the optimization problem to extract the interesting communities for the user. In this article, we demonstrate the procedure to transform a graph into points of a metric space and develop the methods of community detection with the help of a metric defined for a pair of points. We have also studied and analyzed the community structure of the network therein. The results obtained with our approach are very competitive with most of the well-known algorithms in the literature, and this is justified over the large collection of datasets. On the other hand, it can be observed that time taken by our algorithm is quite less compared to other methods and justifies the theoretical findings.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
    Published by MDPI Publishing
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  • 11
    Publication Date: 2015-08-21
    Description: A three-step iterative method with fifth-order convergence as a new modification of Newton’s method was presented. This method is for finding multiple roots of nonlinear equation with unknown multiplicity m whose multiplicity m is the highest multiplicity. Its order of convergence is analyzed and proved. Results for some numerical examples show the efficiency of the new method.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
    Published by MDPI Publishing
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  • 12
    Publication Date: 2015-08-23
    Description: Background: There is general consensus that appropriate development and use of information and communication technologies (ICT) are crucial in the delivery of effective primary care (PC). Several countries are defining policies to support and promote a structural change of the health care system through the introduction of ICT. This study analyses the state of development of basic ICT in PC systems of 31 European countries with the aim to describe the extent of, and main purposes for, computer use by General Practitioners (GPs) across Europe. Additionally, trends over time have been analysed. Methods: Descriptive statistical analysis was performed on data from the QUALICOPC (Quality and Costs of Primary Care in Europe) survey, to describe the geographic differences in the general use of computer, and in specific computerized clinical functions for different health-related purposes such as prescribing, medication checking, generating health records and research for medical information on the Internet. Results: While all the countries have achieved a near-universal adoption of a computer in their primary care practices, with only a few countries near or under the boundary of 90 %, the computerisation of primary care clinical functions presents a wide variability of adoption within and among countries and, in several cases (such as in the southern and central-eastern Europe), a large room for improvement. Conclusions: At European level, more efforts could be done to support southern and central-eastern Europe in closing the gap in adoption and use of ICT in PC. In particular, more attention seems to be need on the current usages of the computer in PC, by focusing policies and actions on the improvement of the appropriate usages that can impact on quality and costs of PC and can facilitate an interconnected health care system. However, policies and investments seem necessary but not sufficient to achieve these goals. Organizational, behavioural and also networking aspects should be taken in consideration.
    Electronic ISSN: 1472-6947
    Topics: Computer Science , Medicine
    Published by BioMed Central
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  • 13
    Publication Date: 2015-08-06
    Description: Background: Bangladesh is facing serious shortage of trained health professionals. In the pluralistic healthcare system of Bangladesh, formal health care providers constitute only 5 % of the total workforce; the rest are informal health care providers. Information Communication Technologies (ICTs) are increasingly seen as a powerful tool for linking the community with formal healthcare providers. Our study assesses an intervention that linked village doctors (a cadre of informal health care providers practising modern medicine) to formal doctors through call centres from the perspective of the village doctors who participated in the intervention. Methods: The study was conducted in Chakaria, a remote rural area in south-eastern Bangladesh during April–May 2013. Twelve village doctors were selected purposively from a pool of 55 village doctors who participated in the mobile health (mHealth) intervention. In depth interviews were conducted to collect data. The data were manually analysed using themes that emerged.ResultThe village doctors talked about both business benefits (access to formal doctors, getting support for decision making, and being entitled to call trained doctors) and personal benefits (both financial and non-financial). Some of the major barriers mentioned were technical problems related to accessing the call centre, charging consultation fees, and unfamiliarity with the call centre physicians. Conclusion: Village doctors saw many benefits to having a business relationship with the trained doctors that the mHealth intervention provided. mHealth through call centres has the potential to ensure consultation services to populations through existing informal healthcare providers in settings with a shortage of qualified healthcare providers.
    Electronic ISSN: 1472-6947
    Topics: Computer Science , Medicine
    Published by BioMed Central
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  • 14
    Publication Date: 2015-08-06
    Description: Background: Choosing the most appropriate family physician (FP) for the individual, plays a fundamental role in primary care. The aim of this study is to determine the selection criteria for the patients in choosing their family doctors and priority ranking of these criteria by using the multi-criteria decision-making method of the Analytic Hierarchy Process (AHP) model. Methods: The study was planned and conducted in two phases. In the first phase, factors affecting the patients’ decisions were revealed with a qualitative research. In the next phase, the priorities of FP selection criteria were determined by using AHP model. Criteria were compared in pairs. 96 patient were asked to fill the information forms which contains comparison scores in the Family Health Centres. Results: According to the analysis of focus group discussions FP selection criteria were congregated in to five groups: Individual Characteristics, Patient-Doctor relationship, Professional characteristics, the Setting, and Ethical Characteristics.For each of the 96 participants, comparison matrixes were formed based on the scores of their information forms. Of these, models of only 5 (5.2 %) of the participants were consistent, in other words, they have been able to score consistent ranking. The consistency ratios (CR) were found to be smaller than 0.10. Therefore the comparison matrix of this new model, which was formed based on the medians of scores only given by these 5 participants, was consistent (CR = 0.06 
    Electronic ISSN: 1472-6947
    Topics: Computer Science , Medicine
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  • 15
    Publication Date: 2015-08-08
    Description: This article discusses the problem of user identification and psychophysiological state assessment while writing a signature using a graphics tablet. The solution of the problem includes the creation of templates containing handwriting signature features simultaneously with the hidden registration of physiological parameters of a person being tested. Heart rate variability description in the different time points is used as a physiological parameter. As a result, a signature template is automatically generated for psychophysiological states of an identified person. The problem of user identification and psychophysiological state assessment is solved depending on the registered value of a physiological parameter.
    Electronic ISSN: 2078-2489
    Topics: Computer Science
    Published by MDPI
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  • 16
    Publication Date: 2015-07-30
    Description: In this paper, we present three improvements to a three-point third order variant of Newton’s method derived from the Simpson rule. The first one is a fifth order method using the same number of functional evaluations as the third order method, the second one is a four-point 10th order method and the last one is a five-point 20th order method. In terms of computational point of view, our methods require four evaluations (one function and three first derivatives) to get fifth order, five evaluations (two functions and three derivatives) to get 10th order and six evaluations (three functions and three derivatives) to get 20th order. Hence, these methods have efficiency indexes of 1.495, 1.585 and 1.648, respectively which are better than the efficiency index of 1.316 of the third order method. We test the methods through some numerical experiments which show that the 20th order method is very efficient.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
    Published by MDPI Publishing
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  • 17
    Publication Date: 2015-07-30
    Description: Robust small target detection of low signal-to-noise ratio (SNR) is very important in infrared search and track applications for self-defense or attacks. Due to the complex background, current algorithms have some unsolved issues with false alarm rate. In order to reduce the false alarm rate, an infrared small target detection algorithm based on saliency detection and support vector machine was proposed. Firstly, we detect salient regions that may contain targets with phase spectrum Fourier transform (PFT) approach. Then, target recognition was performed in the salient regions. Experimental results show the proposed algorithm has ideal robustness and efficiency for real infrared small target detection applications.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
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  • 18
    Publication Date: 2015-08-06
    Description: In dynamic propagation environments, beamforming algorithms may suffer from strong interference, steering vector mismatches, a low convergence speed and a high computational complexity. Reduced-rank signal processing techniques provide a way to address the problems mentioned above. This paper presents a low-complexity robust data-dependent dimensionality reduction based on an iterative optimization with steering vector perturbation (IOVP) algorithm for reduced-rank beamforming and steering vector estimation. The proposed robust optimization procedure jointly adjusts the parameters of a rank reduction matrix and an adaptive beamformer. The optimized rank reduction matrix projects the received signal vector onto a subspace with lower dimension. The beamformer/steering vector optimization is then performed in a reduced dimension subspace. We devise efficient stochastic gradient and recursive least-squares algorithms for implementing the proposed robust IOVP design. The proposed robust IOVP beamforming algorithms result in a faster convergence speed and an improved performance. Simulation results show that the proposed IOVP algorithms outperform some existing full-rank and reduced-rank algorithms with a comparable complexity.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
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  • 19
    Publication Date: 2015-08-07
    Description: Recently, wireless sensor networks (WSNs) have drawn great interest due to their outstanding monitoring and management potential in medical, environmental and industrial applications. Most of the applications that employ WSNs demand all of the sensor nodes to run on a common time scale, a requirement that highlights the importance of clock synchronization. The clock synchronization problem in WSNs is inherently related to parameter estimation. The accuracy of clock synchronization algorithms depends essentially on the statistical properties of the parameter estimation algorithms. Recently, studies dedicated to the estimation of synchronization parameters, such as clock offset and skew, have begun to emerge in the literature. The aim of this article is to provide an overview of the state-of-the-art clock synchronization algorithms for WSNs from a statistical signal processing point of view. This article focuses on describing the key features of the class of clock synchronization algorithms that exploit the traditional two-way message (signal) exchange mechanism. Upon introducing the two-way message exchange mechanism, the main clock offset estimation algorithms for pairwise synchronization of sensor nodes are first reviewed, and their performance is compared. The class of fully-distributed clock offset estimation algorithms for network-wide synchronization is then surveyed. The paper concludes with a list of open research problems pertaining to clock synchronization of WSNs.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
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  • 20
    Publication Date: 2015-08-14
    Description: Background: Non-adherence to Antiretroviral Treatment (ART) is strongly associated with virologic rebound and drug resistance. Studies have shown that the most frequently mentioned reason for missing ART doses is the forgetfulness of patients to take their medications on time. Therefore using communication devices as reminder tools, for example alarms, pagers, text messages and telephone calls could improve adherence to ART. The aim of this study is to measure access to cellphones, willingness to receive text message medication reminders and to identify associated factors of ART patients at the University of Gondar Hospital, in North West Ethiopia. Methods: An institution based cross sectional quantitative study was conducted among 423 patients on ART during April 2014. Data were collected using structured interviewer-administered questionnaires. Data entry and analysis were done using Epi-Info version 7 and SPSS version 20 respectively. Descriptive statistics and multivariable logistic regression analysis were used to describe the characteristic of the sample and identify factors associated with the willingness to receive text message medication reminders. Results: A total of 415 (98 % response rate) respondents participated in the interview. The majority of respondents 316 (76.1 %) owned a cellphone, and 161(50.9 %) were willing to receive text message medication reminders. Positively associated factors to the willingness were the following: Younger age group (AOR = 5.18, 95 % CI: [1.69, 15.94]), having secondary or higher education (AOR = 4.61, 95 % CI: [1.33, 16.01]), using internet (AOR = 3.94, 95 % CI: [1.67, 9.31]), not disclosing HIV status to anyone other than HCP (Health Care Provider) (AOR = 3.03, 95 % CI: [1.20, 7.61]), availability of radio in dwelling (AOR = 2.74 95 % CI: [1.27, 5.88]), not answering unknown calls (AOR = 2.67, 95 % CI: [1.34, 5.32]), use of cellphone alarm as medication reminder (AOR = 2.22, 95%CI [1.09, 4.52]), and forgetting to take medications (AOR = 2.13, 95 % CI: [1.14, 3.96]). Conclusions: A high proportion of respondents have a cell phone and are willing to use it as medication reminders. Age, educational status and using internet were the main factors that are significantly associated with the willingness of patients to receive text message medication reminders.
    Electronic ISSN: 1472-6947
    Topics: Computer Science , Medicine
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  • 21
    Publication Date: 2015-08-13
    Description: Taking into consideration both shipping and pipeline transport, this paper first analysed the risk factors for different modes of crude oil import transportation. Then, based on the minimum of both transportation cost and overall risk, a multi-objective programming model was established to optimize the transportation network of crude oil import, and the genetic algorithm and ant colony algorithm were employed to solve the problem. The optimized result shows that VLCC (Very Large Crude Carrier) is superior in long distance sea transportation, whereas pipeline transport is more secure than sea transport. Finally, this paper provides related safeguard suggestions on crude oil import transportation.
    Electronic ISSN: 2078-2489
    Topics: Computer Science
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  • 22
    Publication Date: 2015-08-15
    Description: This paper presents a new biometric score fusion approach in an identification system using the upper integral with respect to Sugeno’s fuzzy measure. First, the proposed method considers each individual matcher as a fuzzy set in order to handle uncertainty and imperfection in matching scores. Then, the corresponding fuzzy entropy estimates the reliability of the information provided by each biometric matcher. Next, the fuzzy densities are generated based on rank information and training accuracy. Finally, the results are aggregated using the upper fuzzy integral. Experimental results compared with other fusion methods demonstrate the good performance of the proposed approach.
    Electronic ISSN: 2078-2489
    Topics: Computer Science
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  • 23
    Publication Date: 2015-09-16
    Description: In this paper we investigate some parallel variants of Broyden’s method and, for the basic variant, we present its convergence properties. The main result is that the behavior of the considered parallel Broyden’s variants is comparable with the classical parallel Newton method, and significantly better than the parallel Cimmino method, both for linear and nonlinear cases. The considered variants are also compared with two more recently proposed parallel Broyden’s method. Some numerical experiments are presented to illustrate the advantages and limits of the proposed algorithms.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
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  • 24
    Publication Date: 2015-09-25
    Description: Background: Prenatal screening tests for Down syndrome (DS) are routine in many developed countries and new tests are rapidly becoming available. Decisions about prenatal screening are increasingly complex with each successive test, and pregnant women need information about risks and benefits as well as clarity about their values. Decision aids (DAs) can help healthcare providers support women in this decision. Using an environmental scan, we aimed to identify publicly available DAs focusing on prenatal screening/diagnosis for Down syndrome that provide effective support for decision making. Methods: Data sources searched were the Decision Aids Library Inventory (DALI) of the Ottawa Patient Decision Aids Research Group at the Ottawa Health Research Institute; Google searches on the internet; professional organizations, academic institutions and other experts in the field; and references in existing systematic reviews on DAs. Eligible DAs targeted pregnant women, focused on prenatal screening and/or diagnosis, applied to tests for fetal abnormalities or aneuploidies, and were in French, English, Spanish or Portuguese. Pairs of reviewers independently identified eligible DAs and extracted characteristics including the presence of practical decision support tools and features to aid comprehension. They then performed quality assessment using the 16 minimum standards established by the International Patient Decision Aids Standards (IPDASi v4.0). Results: Of 543 potentially eligible DAs (512 in DALI, 27 from experts, and four on the internet), 23 were eligible and 20 were available for data extraction. DAs were developed from 1996 to 2013 in six countries (UK, USA, Canada, Australia, Sweden, and France). Five DAs were for prenatal screening, three for prenatal diagnosis and 12 for both). Eight contained values clarification methods (personal worksheets). The 20 DAs scored a median of 10/16 (range 6–15) on the 16 IPDAS minimum standards.DiscussionNone of the 20 included DAs met all 16 IPDAS minimum standards, and few included practical decision support tools or aids to comprehension. Conclusions: Our results indicate there is a need for DAs that effectively support decision making regarding prenatal testing for Down syndrome, especially in light of the recently available non-invasive prenatal screening tests.
    Electronic ISSN: 1472-6947
    Topics: Computer Science , Medicine
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  • 25
    Publication Date: 2015-09-26
    Description: The sign least mean square with reweighted L1-norm constraint (SLMS-RL1) algorithm is an attractive sparse channel estimation method among Gaussian mixture model (GMM) based algorithms for use in impulsive noise environments. The channel sparsity can be exploited by SLMS-RL1 algorithm based on appropriate reweighted factor, which is one of key parameters to adjust the sparse constraint for SLMS-RL1 algorithm. However, to the best of the authors’ knowledge, a reweighted factor selection scheme has not been developed. This paper proposes a Monte-Carlo (MC) based reweighted factor selection method to further strengthen the performance of SLMS-RL1 algorithm. To validate the performance of SLMS-RL1 using the proposed reweighted factor, simulations results are provided to demonstrate that convergence speed can be reduced by increasing the channel sparsity, while the steady-state MSE performance only slightly changes with different GMM impulsive-noise strengths.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
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  • 26
    Publication Date: 2015-10-01
    Description: Background: A plethora of publicly available biomedical resources do currently exist and are constantly increasing at a fast rate. In parallel, specialized repositories are been developed, indexing numerous clinical and biomedical tools. The main drawback of such repositories is the difficulty in locating appropriate resources for a clinical or biomedical decision task, especially for non-Information Technology expert users. In parallel, although NLP research in the clinical domain has been active since the 1960s, progress in the development of NLP applications has been slow and lags behind progress in the general NLP domain.The aim of the present study is to investigate the use of semantics for biomedical resources annotation with domain specific ontologies and exploit Natural Language Processing methods in empowering the non-Information Technology expert users to efficiently search for biomedical resources using natural language. Methods: A Natural Language Processing engine which can “translate” free text into targeted queries, automatically transforming a clinical research question into a request description that contains only terms of ontologies, has been implemented. The implementation is based on information extraction techniques for text in natural language, guided by integrated ontologies. Furthermore, knowledge from robust text mining methods has been incorporated to map descriptions into suitable domain ontologies in order to ensure that the biomedical resources descriptions are domain oriented and enhance the accuracy of services discovery. The framework is freely available as a web application at (http://calchas.ics.forth.gr/). Results: For our experiments, a range of clinical questions were established based on descriptions of clinical trials from the ClinicalTrials.gov registry as well as recommendations from clinicians. Domain experts manually identified the available tools in a tools repository which are suitable for addressing the clinical questions at hand, either individually or as a set of tools forming a computational pipeline. The results were compared with those obtained from an automated discovery of candidate biomedical tools. For the evaluation of the results, precision and recall measurements were used. Our results indicate that the proposed framework has a high precision and low recall, implying that the system returns essentially more relevant results than irrelevant. Conclusions: There are adequate biomedical ontologies already available, sufficiency of existing NLP tools and quality of biomedical annotation systems for the implementation of a biomedical resources discovery framework, based on the semantic annotation of resources and the use on NLP techniques. The results of the present study demonstrate the clinical utility of the application of the proposed framework which aims to bridge the gap between clinical question in natural language and efficient dynamic biomedical resources discovery.
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    Topics: Computer Science , Medicine
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  • 27
    Publication Date: 2015-11-21
    Description: We present a local convergence analysis of an eighth order three step methodin order to approximate a locally unique solution of nonlinear equation in a Banach spacesetting. In an earlier study by Sharma and Arora (2015), the order of convergence wasshown using Taylor series expansions and hypotheses up to the fourth order derivative oreven higher of the function involved which restrict the applicability of the proposed scheme.However, only first order derivative appears in the proposed scheme. In order to overcomethis problem, we proposed the hypotheses up to only the first order derivative. In this way,we not only expand the applicability of the methods but also propose convergence domain.Finally, where earlier studies cannot be applied, a variety of concrete numerical examplesare proposed to obtain the solutions of nonlinear equations. Our study does not exhibit thistype of problem/restriction.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
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  • 28
    Publication Date: 2015-11-21
    Description: Lung cancer continues to rank as the leading cause of cancer deaths worldwide. One of the most promising techniques for early detection of cancerous cells relies on sputum cell analysis. This was the motivation behind the design and the development of a new computer aided diagnosis (CAD) system for early detection of lung cancer based on the analysis of sputum color images. The proposed CAD system encompasses four main processing steps. First is the preprocessing step which utilizes a Bayesian classification method using histogram analysis. Then, in the second step, mean shift segmentation is applied to segment the nuclei from the cytoplasm. The third step is the feature analysis. In this step, geometric and chromatic features are extracted from the nucleus region. These features are used in the diagnostic process of the sputum images. Finally, the diagnosis is completed using an artificial neural network and support vector machine (SVM) for classifying the cells into benign or malignant. The performance of the system was analyzed based on different criteria such as sensitivity, specificity and accuracy. The evaluation was carried out using Receiver Operating Characteristic (ROC) curve. The experimental results demonstrate the efficiency of the SVM classifier over other classifiers, with 97% sensitivity and accuracy as well as a significant reduction in the number of false positive and false negative rates.
    Electronic ISSN: 1999-4893
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  • 29
    Publication Date: 2015-11-20
    Description: Near-infrared spectroscopy (NIRS) enables the non-invasive measurement of changes in hemodynamics and oxygenation in tissue. Changes in light-coupling due to movement of the subject can cause movement artifacts (MAs) in the recorded signals. Several methods have been developed so far that facilitate the detection and reduction of MAs in the data. However, due to fixed parameter values (e.g., global threshold) none of these methods are perfectly suitable for long-term (i.e., hours) recordings or were not time-effective when applied to large datasets. We aimed to overcome these limitations by automation, i.e., data adaptive thresholding specifically designed for long-term measurements, and by introducing a stable long-term signal reconstruction. Our new technique (“acceleration-based movement artifact reduction algorithm”, AMARA) is based on combining two methods: the “movement artifact reduction algorithm” (MARA, Scholkmann et al. Phys. Meas. 2010, 31, 649–662), and the “accelerometer-based motion artifact removal” (ABAMAR, Virtanen et al. J. Biomed. Opt. 2011, 16, 087005). We describe AMARA in detail and report about successful validation of the algorithm using empirical NIRS data, measured over the prefrontal cortex in adolescents during sleep. In addition, we compared the performance of AMARA to that of MARA and ABAMAR based on validation data.
    Electronic ISSN: 1999-4893
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  • 30
    Publication Date: 2015-08-27
    Description: This paper focuses on the parameter identification problem for Wiener nonlinear dynamic systems with moving average noises. In order to improve the convergence rate, the gradient-based iterative algorithm is presented by replacing the unmeasurable variables with their corresponding iterative estimates, and to compute iteratively the noise estimates based on the obtained parameter estimates. The simulation results show that the proposed algorithm can effectively estimate the parameters of Wiener systems with moving average noises.
    Electronic ISSN: 1999-4893
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  • 31
    Publication Date: 2015-08-29
    Description: Background: Although evidence has suggested that computerized drug-drug interaction alert systems may reduce the occurrence of drug-drug interactions, the numerous reminders and alerts generated by such systems could represent an excessive burden for clinicians, resulting in a high override rate of not only unimportant, but also important alerts. Methods: We analyzed physicians’ responses to alerts of relative contraindications and contraindications for coadministration in a computerized drug-drug interaction alert system at Hokkaido University Hospital. In this system, the physician must enter a password to override an alert and continue an order. All of the drug-drug interaction alerts generated between December 2011 and November 2012 at Hokkaido University Hospital were included in this study. Results: The system generated a total of 170 alerts of relative contraindications and contraindication for coadministration; 59 (34.7 %) of the corresponding orders were cancelled after the alert was accepted, and 111 (65.3 %) were overridden. The most frequent contraindication alert was for the combination of 3-hydroxy-3-methylglutaryl–coenzyme A reductase inhibitors and fibrates. No incidents involving drug-drug interactions were reported among patients who were prescribed contraindicated drug pairs after an override. Conclusions: Although computerized drug-drug interaction alert systems that require password overrides appear useful for promoting medication safety, having to enter passwords to override alerts may represent an excessive burden for the prescribing physician. Therefore, both patient safety and physicians’ workloads should be taken into consideration in future designs of computerized drug-drug interaction alert systems.
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  • 32
    Publication Date: 2015-05-31
    Description: Background: When new pharmaceutical products appear on the market, physicians need to know whether they are likely to be useful in their practices. Physicians currently obtain most of their information about the market release and properties of new drugs from pharmaceutical industry representatives. However, the official information contained in the summary of product characteristics (SPCs) and evaluation reports from health agencies, provide a more complete view of the potential value of new drugs, although they can be long and difficult to read. The main objective of this work was to design a prototype computer program to facilitate the objective appraisal of the potential value of a new pharmaceutical product by physicians. This prototype is based on the modeling of pharmaceutical innovations described in a previous paper. Methods: The interface was designed to allow physicians to develop a rapid understanding of the value of a new drug for their practices. We selected five new pharmaceutical products, to illustrate the function of this prototype. We considered only the texts supplied by national or international drug agencies at the time of market release. The perceived usability of the prototype was evaluated qualitatively, except for the System Usability Scale (SUS) score evaluation, by 10 physicians differing in age and medical background. Results: The display is based on the various axes of the conceptual model of pharmaceutical innovations. The user can select three levels of detail when consulting this information (highly synthetic, synthetic and detailed). Tables provide a comparison of the properties of the new pharmaceutical product with those of existing drugs, if available for the same indication, in terms of efficacy, safety and ease of use.The interface was highly appreciated by evaluators, who found it easy to understand and suggested no other additions of important, internationally valid information. The mean System Usability Scale score for the 10 physicians was 82, corresponding to a “good” user interface. Conclusions: This work led us to propose the selection, grouping, and mode of presentation for various types of knowledge on pharmaceutical innovations in a way that was appreciated by evaluators. It provides physicians with readily accessible objective information about new drugs.
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  • 33
    Publication Date: 2015-06-02
    Description: In this paper, the dynamical behavior of different optimal iterative schemes for solving nonlinear equations with increasing order, is studied. The tendency of the complexity of the Julia set is analyzed and referred to the fractal dimension. In fact, this fractal dimension can be shown to be a powerful tool to compare iterative schemes that estimate the solution of a nonlinear equation. Based on the box-counting algorithm, several iterative derivative-free methods of different convergence orders are compared.
    Electronic ISSN: 1999-4893
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  • 34
    Publication Date: 2015-05-27
    Description: Background: Clinical trials apply standards approved by regulatory agencies for Electronic Data Capture (EDC). Operational Data Model (ODM) from Clinical Data Interchange Standards Consortium (CDISC) is commonly used. Electronic Health Record (EHR) systems for patient care predominantly apply HL7 standards, specifically Clinical Document Architecture (CDA). In recent years more and more patient data is processed in electronic form. Results: An open source reference implementation was designed and implemented to convert forms between ODM and CDA format. There are limitations of this conversion method due to different scope and design of ODM and CDA. Specifically, CDA has a multi-level hierarchical structure and CDA nodes can contain both XML values and XML attributes. Conclusions: Automated transformation of ODM files to CDA and vice versa is technically feasible in principle.
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  • 35
    Publication Date: 2015-05-29
    Description: Background: An academic, community medicine partnership was established to build a phenotype-to-outcome model targeting chronic pain. This model will be used to drive clinical decision support for pain medicine in the community setting. The first step in this effort is an examination of the electronic health records (EHR) from clinics that treat chronic pain. The biopsychosocial components provided by both patients and care providers must be of sufficient scope to populate the spectrum of patient types, treatment modalities, and possible outcomes. Methods: The patient health records from a large Midwest pain medicine practice (Michigan Pain Consultants, PC) contains physician notes, administrative codes, and patient-reported outcomes (PRO) on over 30,000 patients during the study period spanning 2010 to mid-2014. The PRO consists of a regularly administered Pain Health Assessment (PHA), a biopsychosocial, demographic, and symptomology questionnaire containing 163 items, which is completed approximately every six months with a compliance rate of over 95 %. The biopsychosocial items (74 items with Likert scales of 0–10) were examined by exploratory factor analysis and descriptive statistics to determine the number of independent constructs available for phenotypes and outcomes. Pain outcomes were examined both in the aggregate and the mean of longitudinal changes in each patient. Results: Exploratory factor analysis of the intake PHA revealed 15 orthogonal factors representing pain levels; physical, social, and emotional functions; the effects of pain on these functions; vitality and health; and measures of outcomes and satisfaction. Seven items were independent of the factors, offering unique information. As an exemplar of outcomes from the follow-up PHAs, patients reported approximately 60 % relief in their pain. When examined in the aggregate, patients showed both a decrease in pain levels and an increase in coping skills with an increased number of visits. When examined individually, 80-85 % of patients presenting with the highest pain levels reported improvement by approximately two points on an 11-point pain scale. Conclusions: We conclude that the data available in a community practice can be a rich source of biopsychosocial information relevant to the phenotypes of chronic pain. It is anticipated that phenotype linkages to best treatments and outcomes can be constructed from this set of records.
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  • 36
    Publication Date: 2016-07-10
    Description: This paper considers the relationship between information and meaning through an analysis of a set of measures of information. Since meaning is expressed using information the analysis of the measures illuminates the relationship. The conventions that govern the production and exchange of information are the outcome of selection processes, so the quality of information (as expressed in the measures) is subject to limitations caused by selection. These limitations are analysed using a technique called viewpoint analysis that enables the measures and their relationship with meaning to be examined. Viewpoint analysis is applied to several logical paradoxes and resolves them in a manner consistent with common sense. Finally, the approach is used to address Floridi’s questions about the philosophy of information associated with meaning.
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  • 37
    Publication Date: 2016-07-13
    Description: More and more functions are performed automatically with the use of various electrical appliances and sophisticated control systems in all spheres of human life. In this regard, the demand for reliable and quality power supply is increasing. To date, low power quality, in particular unacceptable voltage levels, is an important deterrent for introducing technologies of smart electricity consumers (smart homes, smart companies, smart cities). This paper presents a comprehensive solution of this problem with the use of a voltage control system in the distribution grids, which is oriented on grids with a large number of heterogeneous loads and low level of Information Technology (IT) penetration. It is proposed to be installed on distribution substation special devices that perform continuous measurements of voltage levels, produce short-term forecasts and transmit the permissible ranges of voltage control to the power supply centers. The computing unit at the primary substation analyzes the data received from all distribution substations, and determines the optimum control actions to meet the requirements of all consumers. The proposed system was compared with conventional voltage control methods. The results have proved the effectiveness of the proposed approach.
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  • 38
    Publication Date: 2016-07-13
    Description: Health information is increasingly being digitally stored and exchanged. The public is regularly collecting and storing health-related data on their own electronic devices and in the cloud. Diabetes prevention...
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  • 39
    Publication Date: 2016-07-15
    Description: Electronic medical records (EMR) offer a major potential for secondary use of data for research which can improve the safety, quality and efficiency of healthcare. They also enable the measurement of disease b...
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  • 40
    Publication Date: 2016-07-22
    Description: Clustering is a fundamental task in data mining. Affinity propagation clustering (APC) is an effective and efficient clustering technique that has been applied in various domains. APC iteratively propagates information between affinity samples, updates the responsibility matrix and availability matrix, and employs these matrices to choose cluster centers (or exemplars) of respective clusters. However, since it mainly uses negative Euclidean distance between exemplars and samples as the similarity between them, it is difficult to identify clusters with complex structure. Therefore, the performance of APC deteriorates on samples distributed with complex structure. To mitigate this problem, we propose an improved APC based on a path-based similarity (APC-PS). APC-PS firstly utilizes negative Euclidean distance to find exemplars of clusters. Then, it employs the path-based similarity to measure the similarity between exemplars and samples, and to explore the underlying structure of clusters. Next, it assigns non-exemplar samples to their respective clusters via that similarity. Our empirical study on synthetic and UCI datasets shows that the proposed APC-PS significantly outperforms original APC and other related approaches.
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  • 41
    Publication Date: 2016-07-23
    Description: Graph-based semi-supervised classification uses a graph to capture the relationship between samples and exploits label propagation techniques on the graph to predict the labels of unlabeled samples. However, it is difficult to construct a graph that faithfully describes the relationship between high-dimensional samples. Recently, low-rank representation has been introduced to construct a graph, which can preserve the global structure of high-dimensional samples and help to train accurate transductive classifiers. In this paper, we take advantage of low-rank representation for graph construction and propose an inductive semi-supervised classifier called Semi-Supervised Classification based on Low-Rank Representation (SSC-LRR). SSC-LRR first utilizes a linearized alternating direction method with adaptive penalty to compute the coefficient matrix of low-rank representation of samples. Then, the coefficient matrix is adopted to define a graph. Finally, SSC-LRR incorporates this graph into a graph-based semi-supervised linear classifier to classify unlabeled samples. Experiments are conducted on four widely used facial datasets to validate the effectiveness of the proposed SSC-LRR and the results demonstrate that SSC-LRR achieves higher accuracy than other related methods.
    Electronic ISSN: 1999-4893
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  • 42
    Publication Date: 2016-07-23
    Description: This research proposes a two-stage user-based collaborative filtering process using an artificial immune system for the prediction of student grades, along with a filter for professor ratings in the course recommendation for college students. We test for cosine similarity and Karl Pearson (KP) correlation in affinity calculations for clustering and prediction. This research uses student information and professor information datasets of Yuan Ze University from the years 2005–2009 for the purpose of testing and training. The mean average error and confusion matrix analysis form the testing parameters. A minimum professor rating was tested to check the results, and observed that the recommendation systems herein provide highly accurate results for students with higher mean grades.
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  • 43
    Publication Date: 2016-07-23
    Description: Epileptic seizure is a serious health problem in the world and there is a huge population suffering from it every year. If an algorithm could automatically detect seizures and deliver the patient therapy or no...
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  • 44
    Publication Date: 2016-07-23
    Description: Learning deep representations of clinical events based on their distributions in electronic health records has been shown to allow for subsequent training of higher-performing predictive models compared to the...
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  • 45
    Publication Date: 2016-07-23
    Description: Glands are vital structures found throughout the human body and their structure and function are affected by many diseases. The ability to segment and detect glands among other types of tissues is important fo...
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  • 46
    Publication Date: 2016-07-23
    Description: People want to live independently, but too often disabilities or advanced age robs them of the ability to do the necessary activities of daily living (ADLs). Finding relationships between electromyograms measu...
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  • 47
    Publication Date: 2016-07-23
    Description: Cancer is a disease characterized as an uncontrolled growth of abnormal cells that invades neighboring tissues and destroys them. Lung cancer is the primary cause of cancer-related deaths in the world, and it ...
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  • 48
    Publication Date: 2016-07-27
    Description: Healthcare researchers often use multiple healthcare survey instruments to examine a particular patient symptom. The use of multiple instruments can pose some interesting research questions, such as whether th...
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  • 49
    Publication Date: 2016-07-31
    Description: This paper is concerned with the application of computational intelligence techniques to the conceptual design and development of a large-scale floating settlement. The settlement in question is a design for the area of Urla, which is a rural touristic region located on the west coast of Turkey, near the metropolis of Izmir. The problem at hand includes both engineering and architectural aspects that need to be addressed in a comprehensive manner. We thus adapt the view as a multi-objective constrained real-parameter optimization problem. Specifically, we consider three objectives, which are conflicting. The first one aims at maximizing accessibility of urban functions such as housing and public spaces, as well as special functions, such as a marina for yachts and a yacht club. The second one aims at ensuring the wind protection of the general areas of the settlement, by adequately placing them in between neighboring land masses. The third one aims at maximizing visibility of the settlement from external observation points, so as to maximize the exposure of the settlement. To address this complex multi-objective optimization problem and identify lucrative alternative design solutions, a multi-objective harmony search algorithm (MOHS) is developed and applied in this paper. When compared to the Differential Evolution algorithm developed for the problem in the literature, we demonstrate that MOHS achieves competitive or slightly better performance in terms of hyper volume calculation, and gives promising results when the Pareto front approximation is examined.
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  • 50
    Publication Date: 2016-07-14
    Description: The physical security strategy in the wireless network with a single-antenna eavesdropper is studied. The information transmits from a single-antenna source to a single-antenna destination, and an energy-limited multi-antenna relay is employed to forward information. The antennas of the relay are divided into two groups. One group receives and forwards information, and the other converts the received signal into energy. Beamforming is used by the relay to prevent the eavesdropper from intercepting confidential information. For the purpose of maximizing the secrecy rate, antenna grouping and beamforming vectors are designed. A low complexity scheme of antenna grouping is presented. The simulation results show that the secrecy rate can be significantly improved by arranging part of the antennas for energy harvesting, and part for forwarding and optimizing the beamforming vector at the relay. The antenna grouping scheme significantly reduces the computational complexity at the cost of acceptable performance loss.
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  • 51
    Publication Date: 2016-07-14
    Description: The actual bus headway often deviates from the planned departure frequency because of external factors, such as traffic conditions and public transport demand, leading to transit resource waste and reducing the quality of service. In view of the existing shortcomings of the current dispatching strategy, a mixed integer programming model, integrating a bus-holding and stop-skipping strategy, is constructed to improve transit service with a minimum cost. The real-time optimal holding and stop-skipping strategies can be obtained by solving the proposed model using the Lagrangian relaxation algorithm. A numerical example is conducted using real transit GPS (Global Position System) and IC (Intelligent Card) data in Harbin. The results show that compared to a single control strategy, the proposed hybrid model is a better trade-off between the quality of the transit service and the operation cost. Notably, such a strategy would produce a minimal passengers’ average travel time coefficient. It is a great help for promoting the transit service level and increasing competitiveness.
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  • 52
    Publication Date: 2016-07-17
    Description: The study investigated the feasibility of conducting a future Randomised Controlled Trial (RCT) of a mobile health (mHealth) intervention for weight loss and HbA1c reduction in Type 2 Diabetes Mellitus (T2DM).
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  • 53
    Publication Date: 2016-07-17
    Description: A growing number of physicians are using social media as a professional platform for health communication. The purpose of this study was to understand perspectives and experiences of these “early adopter” phys...
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  • 54
    Publication Date: 2016-07-19
    Description: During a construction project life cycle, project costs and time estimations contribute greatly to baseline scheduling. Besides, schedule risk analysis and project control are also influenced by the above factors. Although many papers have offered estimation techniques, little attempt has been made to generate project time series data as daily progressive estimations in different project environments that could help researchers in generating general and customized formulae in further studies. This paper, however, is an attempt to introduce a new simulation approach to reflect the data regarding time series progress of the project, considering the specifications and the complexity of the project and the environment where the project is performed. Moreover, this simulator can equip project managers with estimated information, which reassures them of the execution stages of the project although they lack historical data. A case study is presented to show the usefulness of the model and its applicability in practice. In this study, singular spectrum analysis has been employed to analyze the simulated outputs, and the results are separated based on their signal and noise trends. The signal trend is used as a point-of-reference to compare the outputs of a simulation employing S-curve technique results and the formulae corresponding to earned value management, as well as the life of a given project.
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  • 55
    Publication Date: 2016-07-19
    Description: The volume of research published in the biomedical domain has increasingly lead to researchers focussing on specific areas of interest and connections between findings being missed. Literature based discovery ...
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  • 56
    Publication Date: 2016-07-19
    Description: To facilitate long-term safety surveillance of marketing drugs, many spontaneously reporting systems (SRSs) of ADR events have been established world-wide. Since the data collected by SRSs contain sensitive pe...
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  • 57
    Publication Date: 2016-07-19
    Description: Recent security breaches show the need to secure large, distributed, complex systems. A fundamental, but little discussed aspect of security is how to evaluate when a complete system is secure. Purely formal methods cannot handle this level of complexity. Code checking does not consider the interaction of separate modules working together and is hard to scale. Model-based approaches, such as patterns and problem frames, can be effective for handling large systems. Their use in evaluating security appears promising. A few works in this direction exist, but there is a need for more ideas. This Special Issue focuses on global, model-based, architectural, and systems-oriented evaluation methods.
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  • 58
    Publication Date: 2016-07-19
    Description: The assessment of mobility and functional impairments in the elderly is important for early detection and prevention of fall conditions. Falls create serious threats to health by causing disabling fractures that reduce independence in the elderly. Moreover, they exert heavy economic burdens on society due to high treatment costs. Modern smartphones enable the development of innovative mobile health (mHealth) applications by integrating a growing number of inertial and environmental sensors along with the ever-increasing data processing and communication capabilities. Mobility assessment is one of the promising mHealth application domains. In this paper, we introduce a suite of smartphone applications for assessing mobility in the elderly population. The suite currently includes smartphone applications that automate and quantify the following standardized medical tests for assessing mobility: Timed Up and Go (TUG), 30-Second Chair Stand Test (30SCS), and 4-Stage Balance Test (4SBT). For each application, we describe its functionality and a list of parameters extracted by processing signals from smartphone’s inertial sensors. The paper shows the results from studies conducted on geriatric patients for TUG tests and from experiments conducted in the laboratory on healthy subjects for 30SCS and 4SBT tests.
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  • 59
    Publication Date: 2016-07-20
    Description: Cardiac rehabilitation (CR) can slow or reverse the progression of cardiovascular disease (CVD). However, uptake of community-based CR is very low. E-cardiology, e-health and technology solutions for physical ...
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  • 60
    Publication Date: 2016-07-21
    Description: Risk prediction models have been proposed for various diseases and are being improved as new predictors are identified. A major challenge is to determine whether the newly discovered predictors improve risk pr...
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  • 61
    Publication Date: 2016-07-24
    Description: Despite considerable international eHealth impetus, there is no guidance on the development of online clinical care pathways. Advances in diagnostics now enable self-testing with home diagnosis, to which compr...
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  • 62
    Publication Date: 2016-07-26
    Description: Nearest neighbor (NN) imputation algorithms are efficient methods to fill in missing data where each missing value on some records is replaced by a value obtained from related cases in the whole set of records...
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  • 63
    Publication Date: 2016-07-26
    Description: In biomedical research, data sharing and information exchange are very important for improving quality of care, accelerating discovery, and promoting the meaningful secondary use of clinical data. A big concer...
    Electronic ISSN: 1472-6947
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  • 64
    Publication Date: 2016-07-26
    Description: The study on disease-disease association has been increasingly viewed and analyzed as a network, in which the connections between diseases are configured using the source information on interactome maps of bio...
    Electronic ISSN: 1472-6947
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  • 65
    Publication Date: 2016-07-26
    Description: Accurately assessing pain for those who cannot make self-report of pain, such as minimally responsive or severely brain-injured patients, is challenging. In this paper, we attempted to address this challenge b...
    Electronic ISSN: 1472-6947
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  • 66
    Publication Date: 2016-07-27
    Description: This paper discusses the parameter estimation problems of multi-input output-error autoregressive (OEAR) systems. By combining the auxiliary model identification idea and the data filtering technique, a data filtering based recursive generalized least squares (F-RGLS) identification algorithm and a data filtering based iterative least squares (F-LSI) identification algorithm are derived. Compared with the F-RGLS algorithm, the proposed F-LSI algorithm is more effective and can generate more accurate parameter estimates. The simulation results confirm this conclusion.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
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  • 67
    Publication Date: 2016-07-30
    Description: Is it possible to quantify the information content of accounting reports? If possible, then how? This study examines accounting as a classical communication system with the purpose of providing a framework with which to approach these fundamentally important questions. Information theory was established in the early-mid 20th century to describe the properties of classical communication systems. Applying concepts from this theory to an accounting context provides insight into the questions asked above. Specifically, a measure of the information content of financial statement numbers is developed from these information theory concepts. The measure is also applied to several large companies’ earnings numbers and aids in predicting their price movements.
    Electronic ISSN: 2078-2489
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  • 68
    Publication Date: 2016-08-03
    Description: A problem-oriented approach is one of the possibilities to organize a medical record. The problem-oriented medical record (POMR) - a structured organization of patient information per presented medical problem...
    Electronic ISSN: 1472-6947
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  • 69
    Publication Date: 2016-08-03
    Description: Web-based interventions for smoking cessation available in Portuguese do not adhere to evidence-based treatment guidelines. Besides, all existing web-based interventions are built on proprietary platforms that...
    Electronic ISSN: 1472-6947
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  • 70
    Publication Date: 2016-08-03
    Description: Despite international initiatives like Orphanet, it remains difficult to find up-to-date information about rare diseases. The aim of this study is to propose an exhaustive set of queries for PubMed based on te...
    Electronic ISSN: 1472-6947
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  • 71
    Publication Date: 2016-08-03
    Description: This paper deals with the problem of securing the configuration phase of an Internet of Things (IoT) system. The main drawbacks of current approaches are the focus on specific techniques and methods, and the lack of a cross layer vision of the problem. In a smart environment, each IoT device has limited resources and is often battery operated with limited capabilities (e.g., no keyboard). As a consequence, network security must be carefully analyzed in order to prevent security and privacy issues. In this paper, we will analyze the IoT threats, we will propose a security framework for the device initialization and we will show how physical layer security can effectively boost the security of IoT systems.
    Electronic ISSN: 2078-2489
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  • 72
    Publication Date: 2016-08-05
    Description: The force-directed paradigm is one of the few generic approaches to drawing graphs. Since force-directed algorithms can be extended easily, they are used frequently. Most of these algorithms are, however, quite slow on large graphs, as they compute a quadratic number of forces in each iteration. We give a new algorithm that takes only O ( m + n log n ) time per iteration when laying out a graph with n vertices and m edges. Our algorithm approximates the true forces using the so-called well-separated pair decomposition. We perform experiments on a large number of graphs and show that we can strongly reduce the runtime, even on graphs with less than a hundred vertices, without a significant influence on the quality of the drawings (in terms of the number of crossings and deviation in edge lengths).
    Electronic ISSN: 1999-4893
    Topics: Computer Science
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  • 73
    Publication Date: 2016-08-06
    Description: In communicating chronic risks, there is increasing use of a metaphor that can be termed ‘effective-age’: the age of a ‘healthy’ person who has the same risk profile as the individual in question. Popular meas...
    Electronic ISSN: 1472-6947
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  • 74
    Publication Date: 2016-07-08
    Description: Administrative health care data are frequently used to study disease burden and treatment outcomes in many conditions including osteoarthritis (OA). OA is a chronic condition with significant disease burden af...
    Electronic ISSN: 1472-6947
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  • 75
    Publication Date: 2016-07-08
    Description: Passive positioning systems with a small aperture array exhibit poor accuracy of target estimation under strong interference in near-field environments. To improve this accuracy, we propose a novel cross localization algorithm for direction-finding using the orientation angle. Improved geometric and numerical target-positioning models are constructed after analyzing the mechanism of the conventional positioning algorithm. The target prediction equation is then derived using the constructed models, and the equation for nonlinear estimation is linearized using the Taylor series. An unbiased estimation of the target is obtained by optimizing the control of the iteration process, thus achieving an accurate positioning of the target. The performance of the proposed algorithm was evaluated in terms of its effectiveness and positioning accuracy under varying signal-to-noise conditions and orientation angle-measurement errors. Simulation results show that the proposed algorithm is capable of positioning the target effectively, and offers better positioning accuracy than traditional algorithms under the conditions of large orientation angle measurement errors or high-level background noise.
    Electronic ISSN: 2078-2489
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  • 76
    Publication Date: 2016-07-08
    Description: The Teaching-Learning-Based Optimization (TLBO) algorithm has been proposed in recent years. It is a new swarm intelligence optimization algorithm simulating the teaching-learning phenomenon of a classroom. In this paper, a novel global path planning method for mobile robots is presented, which is based on an improved TLBO algorithm called Nonlinear Inertia Weighted Teaching-Learning-Based Optimization (NIWTLBO) algorithm in our previous work. Firstly, the NIWTLBO algorithm is introduced. Then, a new map model of the path between start-point and goal-point is built by coordinate system transformation. Lastly, utilizing the NIWTLBO algorithm, the objective function of the path is optimized; thus, a global optimal path is obtained. The simulation experiment results show that the proposed method has a faster convergence rate and higher accuracy in searching for the path than the basic TLBO and some other algorithms as well, and it can effectively solve the optimization problem for mobile robot global path planning.
    Electronic ISSN: 2078-2489
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  • 77
    Publication Date: 2016-07-09
    Description: Mobile phone technology is utilized for better delivery of health services worldwide. In low-and-middle income countries mobile phones are now ubiquitous. Thus leveraging mHealth applications in health sector ...
    Electronic ISSN: 1472-6947
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  • 78
    Publication Date: 2016-06-22
    Description: Sentiment analysis of online social media has attracted significant interest recently. Many studies have been performed, but most existing methods focus on either only textual content or only visual content. In this paper, we utilize deep learning models in a convolutional neural network (CNN) to analyze the sentiment in Chinese microblogs from both textual and visual content. We first train a CNN on top of pre-trained word vectors for textual sentiment analysis and employ a deep convolutional neural network (DNN) with generalized dropout for visual sentiment analysis. We then evaluate our sentiment prediction framework on a dataset collected from a famous Chinese social media network (Sina Weibo) that includes text and related images and demonstrate state-of-the-art results on this Chinese sentiment analysis benchmark.
    Electronic ISSN: 1999-4893
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  • 79
    Publication Date: 2016-06-24
    Description: The automotive industry has successfully collaborated to release the ISO 26262 standard for developing safe software for cars. The standard describes in detail how to conduct hazard analysis and risk assessments to determine the necessary safety measures for each feature. However, the standard does not concern threat analysis for malicious attackers or how to select appropriate security countermeasures. We propose the application of ISO 27001 for this purpose and show how it can be applied together with ISO 26262. We show how ISO 26262 documentation can be re-used and enhanced to satisfy the analysis and documentation demands of the ISO 27001 standard. We illustrate our approach based on an electronic steering column lock system.
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  • 80
    Publication Date: 2016-06-23
    Description: We investigate the problem of minimizing the total power consumption under the constraint of the signal-to-noise ratio (SNR) requirement for the physical layer multicasting system with large-scale antenna arrays. In contrast with existing work, we explicitly consider both the transmit power and the circuit power scaling with the number of antennas. The joint antenna selection and beamforming technique is proposed to minimize the total power consumption. The problem is a challenging one, which aims to minimize the linear combination of ℓ 0 -norm and ℓ 2 -norm. To our best knowledge, this minimization problem has not yet been well solved. A random decremental antenna selection algorithm is designed, which is further modified by an approximation of the minimal transmit power based on the asymptotic orthogonality of the channels. Then, a more efficient decremental antenna selection algorithm is proposed based on minimizing the ℓ 0 norm. Performance results show that the ℓ 0 norm minimization algorithm greatly outperforms the random selection algorithm in terms of the total power consumption and the average run time.
    Electronic ISSN: 1999-4893
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  • 81
    Publication Date: 2016-06-28
    Description: The use of telemonitoring is a promising approach to optimizing outcomes in the treatment of heart failure (HF) for patients living in the community. HF telemonitoring interventions, however, have not been tes...
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  • 82
    Publication Date: 2016-05-06
    Description: While, lost to follow-up (LTFU) from antiretroviral therapy (ART) can be considered a catch-all category for patients who miss scheduled visits or medication pick-ups, operational definitions and methods for d...
    Electronic ISSN: 1472-6947
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  • 83
    Publication Date: 2016-05-27
    Description: As an important part of knowledge management (KM), the KM performance evaluation tries to find out the key factors restraining the enhancement of the enterprises' performance. This paper investigates the feasibility of the balanced scorecard (BSC) method in enterprise knowledge management and then proposes a simplified and applicable performance evaluation model based on the BSC approach. Finally, fuzzy comprehensive evaluation (FCE) is used to evaluate the effectiveness and applicability of the proposed model. The result shows that the model is useful for evaluating the performance of KM in enterprises.
    Electronic ISSN: 2078-2489
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  • 84
    Publication Date: 2016-05-27
    Description: Privacy is a software quality that is closely related to security. The main difference is that security properties aim at the protection of assets that are crucial for the considered system, and privacy aims at the protection of personal data that are processed by the system. The identification of privacy protection needs in complex systems is a hard and error prone task. Stakeholders whose personal data are processed might be overlooked, or the sensitivity and the need of protection of the personal data might be underestimated. The later personal data and the needs to protect them are identified during the development process, the more expensive it is to fix these issues, because the needed changes of the system-to-be often affect many functionalities. In this paper, we present a systematic method to identify the privacy needs of a software system based on a set of functional requirements by extending the problem-based privacy analysis (ProPAn) method. Our method is tool-supported and automated where possible to reduce the effort that has to be spent for the privacy analysis, which is especially important when considering complex systems. The contribution of this paper is a semi-automatic method to identify the relevant privacy requirements for a software-to-be based on its functional requirements. The considered privacy requirements address all dimensions of privacy that are relevant for software development. As our method is solely based on the functional requirements of the system to be, we enable users of our method to identify the privacy protection needs that have to be addressed by the software-to-be at an early stage of the development. As initial evaluation of our method, we show its applicability on a small electronic health system scenario.
    Electronic ISSN: 2078-2489
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  • 85
    Publication Date: 2016-05-28
    Description: With rapid development and application of mobile internet, geographic information in the field of business process is now more widely used. There are more and more researches in the field of the relationships between geographic information and workflow modeling. According to the workflow with geospatial constraints, this paper first discusses the geospatial constraints theory deeply, proposes a new concept of geospatial constraints unit, and then designs a geospatial constraint net model (GCNet). Secondly, this paper designs a new workflow model with geospatial constraints (GCWF-net) based on GCNet and workflow net (WF-net), and then analyzes some properties of the model. Finally, this paper discusses how to put GCWF-net into application practice from three aspects: extending PNML (Petri Net Markup Language) labels for GCWF-net, converting PNML to BPEL (Business Process Execution Language) and implementing BPEL.
    Electronic ISSN: 2078-2489
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  • 86
    Publication Date: 2016-05-27
    Description: Recently manifold learning has received extensive interest in the community of pattern recognition. Despite their appealing properties, most manifold learning algorithms are not robust in practical applications. In this paper, we address this problem in the context of the Hessian locally linear embedding (HLLE) algorithm and propose a more robust method, called RHLLE, which aims to be robust against both outliers and noise in the data. Specifically, we first propose a fast outlier detection method for high-dimensional datasets. Then, we employ a local smoothing method to reduce noise. Furthermore, we reformulate the original HLLE algorithm by using the truncation function from differentiable manifolds. In the reformulated framework, we explicitly introduce a weighted global functional to further reduce the undesirable effect of outliers and noise on the embedding result. Experiments on synthetic as well as real datasets demonstrate the effectiveness of our proposed algorithm.
    Electronic ISSN: 1999-4893
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  • 87
    Publication Date: 2016-02-07
    Description: A new orthogonal projection method for computing the minimum distance between a point and a spatial parametric curve is presented. It consists of a geometric iteration which converges faster than the existing Newton’s method, and it is insensitive to the choice of initial values. We prove that projecting a point onto a spatial parametric curve under the method is globally second-order convergence.
    Electronic ISSN: 1999-4893
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  • 88
    Publication Date: 2016-05-13
    Description: Routing Protocol for Low power and Lossy network (RPL) topology attacks can downgrade the network performance significantly by disrupting the optimal protocol structure. To detect such threats, we propose a RPL-specification, obtained by a semi-auto profiling technique that constructs a high-level abstract of operations through network simulation traces, to use as reference for verifying the node behaviors. This specification, including all the legitimate protocol states and transitions with corresponding statistics, will be implemented as a set of rules in the intrusion detection agents, in the form of the cluster heads propagated to monitor the whole network. In order to save resources, we set the cluster members to report related information about itself and other neighbors to the cluster head instead of making the head overhearing all the communication. As a result, information about a cluster member will be reported by different neighbors, which allow the cluster head to do cross-check. We propose to record the sequence in RPL Information Object (DIO) and Information Solicitation (DIS) messages to eliminate the synchronized issue created by the delay in transmitting the report, in which the cluster head only does cross-check on information that come from sources with the same sequence. Simulation results show that the proposed Intrusion Detection System (IDS) has a high accuracy rate in detecting RPL topology attacks, while only creating insignificant overhead (about 6.3%) that enable its scalability in large-scale network.
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  • 89
    Publication Date: 2016-05-13
    Description: The wiretap channel models secure communication between two users in the presence of an eavesdropper who must be kept ignorant of transmitted messages. This communication scenario is studied for arbitrarily varying channels (AVCs), in which the legitimate users know only that the true channel realization comes from a pre-specified uncertainty set and that it varies from channel use to channel use in an arbitrary and unknown manner. This concept not only captures the case of channel uncertainty, but also models scenarios in which malevolent adversaries influence or jam the transmission of the legitimate users. For secure communication over orthogonal arbitrarily varying wiretap channels (AVWCs) it has been shown that the phenomenon of super-activation occurs; that is, there are orthogonal AVWCs, each having zero secrecy capacity, which allow for transmission with positive rate if they are used together. It is shown that for such orthogonal AVWCs super-activation is generic in the sense that whenever super-activation is possible, it is possible for all AVWCs in a certain neighborhood as well. As a consequence, a super-activated AVWC is robust and continuous in the uncertainty set, although a single AVWC might not be. Moreover, it is shown that the question of super-activation and the continuity of the secrecy capacity solely depends on the legitimate link. Accordingly, the single-user AVC is subsequently studied and it is shown that in this case, super-activation for non-secure message transmission is not possible making it a unique feature of secure communication over AVWCs. However, the capacity for message transmission of the single-user AVC is shown to be super-additive including a complete characterization. Such knowledge is important for medium access control and in particular resource allocation as it determines the overall performance of a system.
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  • 90
    Publication Date: 2016-07-13
    Description: Improving retention in prevention of mother to child transmission (PMTCT) of HIV programs is critical to optimize maternal and infant health outcomes, especially now that lifelong treatment is immediate regard...
    Electronic ISSN: 1472-6947
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  • 91
    Publication Date: 2016-07-14
    Description: Often the Internet of Things (IoT) is considered as a single problem domain, with proposed solutions intended to be applied across a wide range of applications. However, the privacy and security needs of critical engineering infrastructure or sensitive commercial operations are very different to the needs of a domestic Smart Home environment. Additionally, the financial and human resources available to implement security and privacy vary greatly between application domains. In domestic environments, human issues may be as important as technical issues. After surveying existing solutions for enhancing IoT security, the paper identifies key future requirements for trusted Smart Home systems. A gateway architecture is selected as the most appropriate for resource-constrained devices, and for high system availability. Two key technologies to assist system auto-management are identified. Firstly, support for system auto-configuration will enhance system security. Secondly, the automatic update of system software and firmware is needed to maintain ongoing secure system operation.
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  • 92
    Publication Date: 2016-07-16
    Description: Image sizes have increased exponentially in recent years. The resulting high-resolution images are often viewed via remote image browsing. Zooming and panning are desirable features in this context, which result in disparate spatial regions of an image being displayed at a variety of (spatial) resolutions. When an image is displayed at a reduced resolution, the quantization step sizes needed for visually lossless quality generally increase. This paper investigates the quantization step sizes needed for visually lossless display as a function of resolution, and proposes a method that effectively incorporates the resulting (multiple) quantization step sizes into a single JPEG 2000 codestream. This codestream is JPEG 2000 Part 1 compliant and allows for visually lossless decoding at all resolutions natively supported by the wavelet transform as well as arbitrary intermediate resolutions, using only a fraction of the full-resolution codestream. When images are browsed remotely using the JPEG 2000 Interactive Protocol (JPIP), the required bandwidth is significantly reduced, as demonstrated by extensive experimental results.
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  • 93
    Publication Date: 2016-07-18
    Description: As health care becomes more complex, it becomes more important for clinicians and patients to share information. Electronic health information exchange can help address this need. To this end, all provinces an...
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  • 94
    Publication Date: 2016-07-19
    Description: The survival of patients with breast cancer is highly sporadic, from a few months to more than 15 years. In recent studies, the gene expression profiling of tumors has been used as a promising means of predict...
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  • 95
    Publication Date: 2016-07-19
    Description: Identifying subtypes of complex diseases such as cancer is the very first step toward developing highly customized therapeutics on such diseases, as their origins significantly vary even with similar physiolog...
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  • 96
    Publication Date: 2016-07-19
    Description: The Variome corpus, a small collection of published articles about inherited colorectal cancer, includes annotations of 11 entity types and 13 relation types related to the curation of the relationship between...
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  • 97
    Publication Date: 2016-07-22
    Description: Risk calculation is increasingly used in lipid management, congestive heart failure, and atrial fibrillation. The risk scores are then used for decisions about statin use, anticoagulation, and implantable defi...
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  • 98
    Publication Date: 2016-07-22
    Description: The utilization of routine health information systems (HIS) for surveillance of assisted partner services (aPS) for HIV in sub-Saharan is sub-optimal, in part due to poor data quality and limited use of inform...
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  • 99
    Publication Date: 2016-07-28
    Description: A specific Electronic Health Record (EHR) for ophthalmology was introduced in an academic center in Germany. As diagnoses coding corresponding to the International Classification of Diseases Version 10 (ICD-10...
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  • 100
    Publication Date: 2016-07-30
    Description: We consider the problem of estimating the measure of subsets in very large networks. A prime tool for this purpose is the Markov Chain Monte Carlo (MCMC) algorithm. This algorithm, while extremely useful in many cases, still often suffers from the drawback of very slow convergence. We show that in a special, but important case, it is possible to obtain significantly better bounds on the convergence rate. This special case is when the huge state space can be aggregated into a smaller number of clusters, in which the states behave approximately the same way (but their behavior still may not be identical). A Markov chain with this structure is called quasi-lumpable. This property allows the aggregation of states (nodes) into clusters. Our main contribution is a rigorously proved bound on the rate at which the aggregated state distribution approaches its limit in quasi-lumpable Markov chains. We also demonstrate numerically that in certain cases this can indeed lead to a significantly accelerated way of estimating the measure of subsets. The result can be a useful tool in the analysis of complex networks, whenever they have a clustering that aggregates nodes with similar (but not necessarily identical) behavior.
    Electronic ISSN: 1999-4893
    Topics: Computer Science
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