The clinical interpretation of fetal heart rate traces is a difficult task that has led to the development computerised assessment systems. These systems are limited by their inability to represent uncertainty. This paper describes the first stage in the development of a fu2zy expert system for fetal heart rate assessment. A preliminary evaluation study comparing the initial fuzzy system with t...

Exploration into the concept of "medical expert" dates back to more than 50 years ago, yet yielding three leading theories in the area of clinical reasoning, namely, knowledge structure, hypotheticdeductive, and dual process. Each theory defines "medical expert" in a dissimilar way. Therefore, the methods of assessment through which the experts are identified have been changed during the time. ...

Status epilepticus (SE) treatment strategies vary substantially from one institution to another due to the lack of data to support one treatment over another. To provide guidance for the acute treatment of SE in critically ill patients, the Neurocritical Care Society organized a writing committee to evaluate the literature and develop an evidence-based and expert consensus practice guideline. L...

This paper discusses an application of practical expert system development in the finance industry. In particular, it describes the development of an expert system for credit card application assessment. In the problem domain of credit assessment, the method of ’credit scoring’ has been widely used, but this system uses a ’profiling’ method to simulate more closely the human process of decision...

This article presents the concept and development steps towards a conversational expert system for rhetorical and vocal quality assessment in call center talks. At first the state of the art in quality assessment is discussed. The influencing rhetorical and vocal factors are introduced. In our novel approach, the recognition of vocal factors is modeled by competing classification systems and co...

BACKGROUND Objective quantification of surgical skill is imperative as we enter a healthcare environment of quality improvement and performance-based reimbursement. The gold standard tools are infrequently used due to time-intensiveness, cost inefficiency, and lack of standard practices. We hypothesized that valid performance scores of surgical skill can be obtained through crowdsourcing. MET...

Disciple is a shell for developing intelligent agents where an expert teaches the agent how to perform domain-specific tasks in a way that resembles the way the expert would teach an apprentice. This paper discusses the application of Disciple to the development of educational agents that generate test questions for students, together with hints, answers and explanations, and assist in the asse...

Experiments were carried out to determine whether log-likelihood ratios (LRs) can be employed to improve automatic assessment of Dutch pronunciation. Read speech of natives and non-natives was judged by three groups of expert raters and was then analyzed by means of a continuous speech recognizer. Three automatic measures were calculated, two LRs and rate of speech (ros), and then compared with...

This paper describes an experiment aimed at determining whether speech. automatic assessment of second language learners’ fluency in This experiment produced interesting results in two respects, spontaneous speech is feasible and whether it differs from a. fluency assessment by expert raters and b. the relationship automatic fluency assessment in read speech. Spontaneous speech between expert f...