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ohiou1258132492.pdf (354.06 KB)
ETD Abstract Container
Abstract Header
Clinical Evaluation and Enhancement of a Medical Case-Based Decision Support System
Author Info
Vernier, Stanley J.
Permalink:
http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1258132492
Abstract Details
Year and Degree
2009, Master of Science (MS), Ohio University, Computer Science (Engineering and Technology).
Abstract
This thesis presents work evaluating and enhancing the Data Driven Diabetes Decision Support System (4 Diabetes Support System). Diabetes aects 23 million Americans and has severe long term consequences such as heart disease, amputation or premature death. The 4 Diabetes Support System is a prototypical case-based medical decision support system previously developed at Ohio University. It detects problems in blood glucose control and suggests solutions to these problems based on similar past cases. The system was evaluated in a clinical study involving 30 patients. Physicians veried that detected problems were correct 97.65% of the time and were useful 95.97% of the time. The cases retrieved for the problems were found to be similar 79% of the time, and the suggested solutions were judged to be benecial for the patients with the problems 82% of the time. The system was enhanced in three ways. Enhancements to reduce the time required for data entry were designed and implemented. A novel variability metric, including two new measures of variability, was proposed to measure long term improvement in blood glucose control, and ve new problem detection routines were developed. The evaluation and enhancement are important steps toward making the 4 Diabetes Support System a clinically viable system.
Committee
Cynthia Marling, PhD (Advisor)
David Chelberg, PhD (Committee Member)
Jundong Liu, PhD (Committee Member)
Frank Schwartz, MD (Committee Member)
Pages
99 p.
Subject Headings
Computer Science
Keywords
Decision Support
;
Diabetes
;
case-based reasoning
;
glycemic variability
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Citations
Vernier, S. J. (2009).
Clinical Evaluation and Enhancement of a Medical Case-Based Decision Support System
[Master's thesis, Ohio University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1258132492
APA Style (7th edition)
Vernier, Stanley.
Clinical Evaluation and Enhancement of a Medical Case-Based Decision Support System.
2009. Ohio University, Master's thesis.
OhioLINK Electronic Theses and Dissertations Center
, http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1258132492.
MLA Style (8th edition)
Vernier, Stanley. "Clinical Evaluation and Enhancement of a Medical Case-Based Decision Support System." Master's thesis, Ohio University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1258132492
Chicago Manual of Style (17th edition)
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Document number:
ohiou1258132492
Download Count:
667
Copyright Info
© 2009, all rights reserved.
This open access ETD is published by Ohio University and OhioLINK.