Building an Expert Critiquing System: ESSENTIAL-ATTENDING

1986 ◽  
Vol 25 (02) ◽  
pp. 71-78 ◽  
Author(s):  
P. L. Miller
Keyword(s):  
Differential Diagnosis ◽  
Expert Systems ◽  
Patient Care ◽  
Medical Management ◽  
System Building ◽  
Building System ◽  
Critiquing Systems

SummaryThis paper describes a “system-building system”, ESSENTIAL-ATTENDING (E-ATTEND-ING), designed to assist in the implementation of expert systems which critique a physician’s plan for patient care. E-ATTENDING has been refined during the implementation of several developmental critiquing systems and may be applied in areas of medical management, patient workup, and differential diagnosis. E-ATTENDING is currently designed to help implement a class of critiquing systems in a subset of possible critiquing domains. It can also be augmented in various ways by interested users to accommodate critiquing domains with more complexity.

Building an Expert Critiquing System: ESSENTIAL-ATTENDING

1986 ◽  
Vol 25 (02) ◽  
pp. 71-78
Author(s):  
P. L. Miller
Keyword(s):  
Differential Diagnosis ◽  
Expert Systems ◽  
Patient Care ◽  
Medical Management ◽  
System Building ◽  
Building System ◽  
Critiquing Systems

SummaryThis paper describes a “system-building system”, ESSENTIAL-ATTENDING (E-ATTEND-ING), designed to assist in the implementation of expert systems which critique a physician’s plan for patient care. E-ATTENDING has been refined during the implementation of several developmental critiquing systems and may be applied in areas of medical management, patient workup, and differential diagnosis. E-ATTENDING is currently designed to help implement a class of critiquing systems in a subset of possible critiquing domains. It can also be augmented in various ways by interested users to accommodate critiquing domains with more complexity.

Mathematical Models for the Differential Diagnosis of Various Forms of Pyelonephritis by Expert Systems in Urology

2020 ◽  
Vol 53 (6) ◽  
pp. 437-439
Author(s):  
N. А. Korenevskiy ◽  
G. V. Siplivyi ◽  
D. S. Rodionov ◽  
T. N. Govorukhina ◽  
V. V. Dmitrieva
Keyword(s):  
Differential Diagnosis ◽  
Expert Systems ◽  
Mathematical Models

scholarly journals Iso-osmolar hyponatremia from polyethylene glycol

2020 ◽  
Author(s):  
Bryan M Tucker ◽  
James L Pirkle ◽  
Erinda Stefi ◽  
David Sheikh-Hamad ◽  
Thomas DuBose
Keyword(s):  
Differential Diagnosis ◽  
Polyethylene Glycol ◽  
Gastrointestinal Tract ◽  
Patient Care ◽  
Clinical Setting ◽  
Laboratory Data ◽  
Accurate Diagnosis ◽  
Therapeutic Interventions ◽  
Pathophysiological Mechanisms

Abstract Understanding and applying pathophysiological concepts to patient care is an important skill for physicians in the clinical setting. Here, we present a case that demonstrates how the application of common physiological concepts relating to the widely accepted hyponatremia algorithm led to an accurate diagnosis of hyponatremia. This case documents iso-osmolar hyponatremia caused by orally administered polyethylene glycol absorption in the gastrointestinal tract. Herein, we discuss the workup and differential diagnosis for iso-osmolar hyponatremia in juxtaposition with the pathophysiological mechanisms unique to this case. We discuss these pathophysiological mechanisms based on the patients’ laboratory data and responses to therapeutic interventions.

scholarly journals “Unexplained” Delayed Death From Fungal Meningitis After Meningioma Resection

1995 ◽  
Vol 22 (3) ◽  
pp. 239-243
Author(s):  
R. John Hurlbert ◽  
Juan M. Bilbao ◽  
William S. Tucker
Keyword(s):  
Differential Diagnosis ◽  
High Risk ◽  
Patient Care ◽  
Neurological Deterioration ◽  
Extensive Investigation ◽  
Review Of The Literature ◽  
Diagnostic Challenge ◽  
Neurosurgical Procedure ◽  
Fungal Meningitis ◽  
Risk Patients

AbstractBackgroundProgressive deterioration and ensuing death following a neurosurgical procedure often represents a diagnostic challenge to the team responsible for patient care. Many, but not all, causes are treatable if a diagnosis is made early.MethodsA 69-year-old woman who died 6 weeks post-operatively following a meningioma resection is reported. An initial routine post-operative course became complicated by progressive neurological deterioration 3–4 weeks later. Despite extensive investigation she died 6 weeks post-operatively without a diagnosis.ResultsAutopsy demonstrated extensive Candida meningitis. A review of the literature demonstrates this to be a reported complication in high risk patients, difficult to diagnose, but treatable when identified.ConclusionsFungal meningitis should be high in the differential diagnosis in the post-operative patient with delayed, unexplained neurological deterioration, especially when associated with negative CSF cultures.

Introducing expert critiquing systems

1993 ◽  
Vol 8 (4) ◽  
pp. 281-284 ◽  
Author(s):  
Sture Hägglund
Keyword(s):  
Decision Making ◽  
Problem Solving ◽  
Expert Systems ◽  
Course Of Action ◽  
Critiquing Systems

Expert critiquing systems present an interesting and important complement to conventional expert systems. The basic idea is to emphasize the support for the user's own decision making rather than to let the system independently suggest a solution to a given problem. Thus it is assumed that the user initially proposes a decision or course of action. The system then reviews this suggestion relative to known circumstance, tries to evaluate the proposed solution, provides suggestions for improvements, draws attention to possible risks, indicates alternatives, and evaluates their merits, etc. A critiquing system is characterized both by its approach to problem solving and by its style of interaction with the user, as will be detailed below.

scholarly journals Methodology of expert system building

2020 ◽  
Vol 2 (3) ◽  
pp. 140-146
Author(s):  
Nazila Rahimova Ali ◽  
Vugar Abdullayev Hacimahmud
Keyword(s):  
Expert System ◽  
Expert Systems ◽  
Scientific Research ◽  
Stages Of Development ◽  
System Building

The object of scientific research is the methodology of construction of expert systems. In this article the main aspects and principles of expert systems. After that, the stages of development of expert systems are considered.

scholarly journals When to worry about inherited bone marrow failure and myeloid malignancy predisposition syndromes in the setting of a hypocellular marrow

Hematology ◽  
2021 ◽  
Vol 2021 (1) ◽  
pp. 153-156
Author(s):  
Anupama Narla
Keyword(s):  
Bone Marrow ◽  
Differential Diagnosis ◽  
Family Planning ◽  
Cancer Screening ◽  
Myelodysplastic Syndrome ◽  
Medical Management ◽  
Bone Marrow Failure ◽  
Correct Diagnosis ◽  
Myeloid Malignancy ◽  
Phenotypic Spectrum

Abstract With our increasing understanding of inherited marrow failure and myeloid malignancy predisposition syndromes, it has become clear that there is a wide phenotypic spectrum and that these diseases must be considered in the differential diagnosis of both children and adults with unexplained defects in hematopoiesis. Moreover, these conditions are not as rare as previously believed and may present as aplastic anemia, myelodysplastic syndrome, or malignancy over a range of ages. Establishing the correct diagnosis is essential because it has implications for treatment, medical management, cancer screening, and family planning. Our goal is to highlight insights into the pathophysiology of these diseases, review cryptic presentations of these syndromes, and provide useful references for the practicing hematologist.

Síndrome de Ogilvie asociado a hospitalización prolongada en un paciente con evento vascular cerebral isquémico. Reporte de un caso

2020 ◽  
Vol 63 (5) ◽  
pp. 38-42
Author(s):  
Lino Enrique Ramírez Sosa ◽  
Víctor Samuel Mora Muñoz ◽  
María Fernanda Chimal Juárez ◽  
Juan Manuel Martin Bufajer ◽  
Omar González Méndez
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Medical Management ◽  
Emergency Service ◽  
Cerebral Stroke ◽  
Mechanical Obstruction ◽  
Motor Innervation ◽  
Prolonged Intubation ◽  
High Index Of Suspicion

Introduction: Ogilvie’s syndrome or acute colonic pseudo-obstruction is the acute dilation of the colon without evidence of mechanical obstruction and is attributed to an autonomic imbalance of motor innervation of the colon. It is common in hospitalized patients with significant comorbidities. Its management is staggered, reserving surgical management for cases refractory to initial medical management or with the presence of complications such as perforation and sepsis data. Case report: We present the case of a 69-year-old male patient who went to the emergency service in the context of a cerebral vascular event. He underwent prolonged intubation, which began 17 days after his admission with abdominal distention refractory to medical management, with significant colonic dilation corroborated by abdominal tomography, so it was decided to manage it surgically. Conclusions: It is important to make an early diagnosis of this syndrome to avoid complications of the disease, as well as surgery. It is important to make a differential diagnosis with other causes of occlusion and have a high index of suspicion since it is a diagnosis of exclusion. Keywords: Colonic pseudo-obstruction; colectomy; cerebral stroke; megacolon

Applications of expert system building tools in structural design

1991 ◽  
Vol 18 (3) ◽  
pp. 493-503
Author(s):  
K. M. Sakr ◽  
M. U. Hosain
Keyword(s):  
Expert System ◽  
Expert Systems ◽  
Knowledge Base ◽  
Structural Design ◽  
Simple Design ◽  
Inference Mechanism ◽  
System Building ◽  
Knowledge Based ◽  
Real World Applications ◽  
Basic Concepts

This paper summarizes the basic concepts of expert systems and describes some of the applications of three commercially available expert system tools. The function of the various components of the tools is explained using simple design examples. It is concluded that a tool can be employed to develop useful expert systems for real-world applications, provided factual and heuristic material is available for creating a knowledge base. Key words: artificial intelligence, knowledge-based expert systems, knowledge base, inference mechanism, expert system building tools, structural design, applications of expert system building tools.

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