The GENIUS Automated Underwriting System is an expert advisor that has been in successful nationwide production by GE Mortgage Insurance Corporation for two years to underwrite mortgage insurance. The knowledge base was developed using a unique hybrid approach combining the best of traditional knowledge engineering and a novel machine learning method called Example Based Evidential Reasoning (E...

INTRODUCTION Exercise testing is a safe diagnostic procedure which is widely used in the evaluation of patients suspected of having coronary heart disease or for the assessment of the prognosis in patients with established disease. Its complications are mainly cardiac disorders. Here, we report a rectus sheath haematoma as a complication of this procedure in a patient with acute coronary syndro...

INTRODUCTION Atrial fibrillation (AF) is the most common cardiac arrhythmia in singapore. We describe a cohort of multi-ethnic Asian patients with AF, with the aim to evaluate anticoagulation use and to identify factors predictive of stroke, bleeding and all-cause mortality. MATERIALS AND METHODS this was a single centre, retrospective cohort study. All patients with an admission diagnosis of...

A critical review is given of the tests available for the assessment of the action of anticoagulants, such as heparins, oral anticoagulants and direct thrombin inhibitors, in patients under antithrombotic therapy. The principle of action and the performance of the thromboplastin time (PT), the activated partial thromboplastin time (aPTT), the whole blood clotting time, the thrombin time, the ec...

NATO’s Research and Technology Organization (RTO) Systems, Analysis, Studies Task Force (SAS-074) is currently developing a process to increase the utilization of human and social-science based Theories, Models and Methods (TM&Ms) by planners and operational researchers in support of these operations. The paper outlines the approach the group is taking. A two-stage process has been developed wh...

Rockfalls and landslides are major types of natural hazards worldwide that kill or injure a large number of individuals and cause very high costs every year. Risk assessment of such dangerous events requires an accurate evaluation of the geology, hydrogeology, morphology and interrelated factors such as environmental conditions and human activities. It is of particular importance for engineers ...

Generally, ERA, like most risk assessment methodology, is founded on the need to address uncertainty in the decision process. Management decisions regarding the aquatic ecosystem have to deal with both epistemic (knowledge base) uncertainty and innate variability pertaining to both the biotic and abiotic components of the ecosystem. Conventional ERA methodology depends on a statistical approach...

The follow-up of patients with acute pulmonary embolism is an essential component their comprehensive care. This manuscript will discuss the critical components involved in outpatient embolism, including development post hospitalization clinics, assessment functional capacity and residual right ventricular function, anticoagulation, recurrence risk venous thromboembolism, retrieval inferior ven...