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6 result(s) for "Romano, Roni"
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AI driven decision support reduces antibiotic mismatches and inappropriate use in outpatient urinary tract infections
Urinary tract infections (UTIs) often prompt empiric outpatient antibiotic prescriptions, risking mismatches. This study evaluates the impact of “UTI Smart-Set” (UTIS), an AI-driven decision-support tool, on prescribing patterns and mismatches in a large outpatient organization. UTIS integrates machine learning forecasts of antibiotic resistance, patient data, and guidelines into a user-friendly order set for UTI management. From 6/1/2021–8/31/2022, 171,010 UTI diagnoses were recorded, with UTIS used in 75,630 cases involving antibiotic prescriptions. Overall acceptance rate of UTIS recommendations was 66.0%. Among 19,287 cases with urine cultures, antibiotic mismatch rate was significantly lower when UTIS recommendations were followed (8.9% vs. 14.2%, p  < 0.0001). Among women over 18, mismatch rate was 47.5% lower, and among women over 50, 55.6% lower ( p  < 0.001). Additionally, an overall reduction of 80.5% in ciprofloxacin usage (6.4% vs 32.9%, p  < 0.0001) was observed. UTIS improved prescribing accuracy, reduced mismatches, and minimized quinolone use, highlighting AI’s potential for personalized infection management.
Visual analysis of quality-related manufacturing data using fractal geometry
Improving manufacturing quality is an important challenge in various industrial settings. Data mining methods mostly approach this challenge by examining the effect of operation settings on product quality. We analyze the impact of operational sequences on product quality. For this purpose, we propose a novel method for visual analysis and classification of operational sequences. The suggested framework is based on an Iterated Function System (IFS), for producing a fractal representation of manufacturing processes. We demonstrate our method with a software application for visual analysis of quality-related data. The proposed method offers production engineers an effective tool for visual detection of operational sequence patterns influencing product quality, and requires no understanding of mathematical or statistical algorithms. Moreover, it enables to detect faulty operational sequence patterns of any length, without predefining the sequence pattern length. It also enables to visually distinguish between different faulty operational sequence patterns in cases of recurring operations within a production route. Our proposed method provides another significant added value by enabling the visual detection of rare and missing operational sequences per product quality measure. We demonstrate cases in which previous methods fail to provide these capabilities.
Predictive Toxicology of cobalt ferrite nanoparticles: comparative in-vitro study of different cellular models using methods of knowledge discovery from data
Background Cobalt-ferrite nanoparticles (Co-Fe NPs) are attractive for nanotechnology-based therapies. Thus, exploring their effect on viability of seven different cell lines representing different organs of the human body is highly important. Methods The toxicological effects of Co-Fe NPs were studied by in-vitro exposure of A549 and NCIH441 cell-lines (lung), precision-cut lung slices from rat, HepG2 cell-line (liver), MDCK cell-line (kidney), Caco-2 TC7 cell-line (intestine), TK6 (lymphoblasts) and primary mouse dendritic-cells. Toxicity was examined following exposure to Co-Fe NPs in the concentration range of 0.05 -1.2 mM for 24 and 72 h, using Alamar blue, MTT and neutral red assays. Changes in oxidative stress were determined by a dichlorodihydrofluorescein diacetate based assay. Data analysis and predictive modeling of the obtained data sets were executed by employing methods of Knowledge Discovery from Data with emphasis on a decision tree model (J48). Results Different dose–response curves of cell viability were obtained for each of the seven cell lines upon exposure to Co-Fe NPs. Increase of oxidative stress was induced by Co-Fe NPs and found to be dependent on the cell type. A high linear correlation (R 2 =0.97) was found between the toxicity of Co-Fe NPs and the extent of ROS generation following their exposure to Co-Fe NPs. The algorithm we applied to model the observed toxicity belongs to a type of supervised classifier. The decision tree model yielded the following order with decrease of the ranking parameter: NP concentrations (as the most influencing parameter), cell type (possessing the following hierarchy of cell sensitivity towards viability decrease: TK6 > Lung slices > NCIH441 > Caco-2 = MDCK > A549 > HepG2 = Dendritic) and time of exposure, where the highest-ranking parameter (NP concentration) provides the highest information gain with respect to toxicity. The validity of the chosen decision tree model J48 was established by yielding a higher accuracy than that of the well-known “naive bayes” classifier. Conclusions The observed correlation between the oxidative stress, caused by the presence of the Co-Fe NPs, with the hierarchy of sensitivity of the different cell types towards toxicity, suggests that oxidative stress is one possible mechanism for the toxicity of Co-Fe NPs.
Mining manufacturing databases to discover the effect of operation sequence on the product quality
Data mining techniques can be used for discovering interesting patterns in complicated manufacturing processes. These patterns are used to improve manufacturing quality. Classical representations of quality data mining problems usually refer to the operations settings and not to their sequence. This paper examines the effect of the operation sequence on the quality of the product using data mining techniques. For this purpose a novel decision tree framework for extracting sequence patterns is developed. The proposed method is capable to mine sequence patterns of any length with operations that are not necessarily immediate precedents. The core induction algorithmic framework consists of four main steps. In the first step, all manufacturing sequences are represented as string of tokens. In the second step a large set of regular expression-based patterns are induced by employing a sequence patterns. In the third step we use feature selection methods to filter out the initial set, and leave only the most useful patterns. In the last stage, we transform the quality problem into a classification problem and employ a decision tree induction algorithm. A comparative study performed on benchmark databases illustrates the capabilities of the proposed framework.
Negation recognition in medical narrative reports
Substantial medical data, such as discharge summaries and operative reports are stored in electronic textual form. Databases containing free-text clinical narratives reports often need to be retrieved to find relevant information for clinical and research purposes. The context of negation, a negative finding, is of special importance, since many of the most frequently described findings are such. When searching free-text narratives for patients with a certain medical condition, if negation is not taken into account, many of the documents retrieved will be irrelevant. Hence, negation is a major source of poor precision in medical information retrieval systems. Previous research has shown that negated findings may be difficult to identify if the words implying negations (negation signals) are more than a few words away from them. We present a new pattern learning method for automatic identification of negative context in clinical narratives reports. We compare the new algorithm to previous methods proposed for the same task, and show its advantages: accuracy improvement compared to other machine learning methods, and much faster than manual knowledge engineering techniques with matching accuracy. The new algorithm can be applied also to further context identification and information extraction tasks.