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Spoladore D, Colombo V, Fumagalli A, Tosi M, Lorenzini EC, Sacco M. An Ontology-Based Decision Support System for Tailored Clinical Nutrition Recommendations for Patients With Chronic Obstructive Pulmonary Disease: Development and Acceptability Study. JMIR Med Inform 2024; 12:e50980. [PMID: 38922666 PMCID: PMC11237782 DOI: 10.2196/50980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 02/01/2024] [Accepted: 04/23/2024] [Indexed: 06/27/2024] Open
Abstract
BACKGROUND Chronic obstructive pulmonary disease (COPD) is a chronic condition among the main causes of morbidity and mortality worldwide, representing a burden on health care systems. Scientific literature highlights that nutrition is pivotal in respiratory inflammatory processes connected to COPD, including exacerbations. Patients with COPD have an increased risk of developing nutrition-related comorbidities, such as diabetes, cardiovascular diseases, and malnutrition. Moreover, these patients often manifest sarcopenia and cachexia. Therefore, an adequate nutritional assessment and therapy are essential to help individuals with COPD in managing the progress of the disease. However, the role of nutrition in pulmonary rehabilitation (PR) programs is often underestimated due to a lack of resources and dedicated services, mostly because pneumologists may lack the specialized training for such a discipline. OBJECTIVE This work proposes a novel knowledge-based decision support system to support pneumologists in considering nutritional aspects in PR. The system provides clinicians with patient-tailored dietary recommendations leveraging expert knowledge. METHODS The expert knowledge-acquired from experts and clinical literature-was formalized in domain ontologies and rules, which were developed leveraging the support of Italian clinicians with expertise in the rehabilitation of patients with COPD. Thus, by following an agile ontology engineering methodology, the relevant formal ontologies were developed to act as a backbone for an application targeted at pneumologists. The recommendations provided by the decision support system were validated by a group of nutrition experts, whereas the acceptability of such an application in the context of PR was evaluated by pneumologists. RESULTS A total of 7 dieticians (mean age 46.60, SD 13.35 years) were interviewed to assess their level of agreement with the decision support system's recommendations by evaluating 5 patients' health conditions. The preliminary results indicate that the system performed more than adequately (with an overall average score of 4.23, SD 0.52 out of 5 points), providing meaningful and safe recommendations in compliance with clinical practice. With regard to the acceptability of the system by lung specialists (mean age 44.71, SD 11.94 years), the usefulness and relevance of the proposed solution were extremely positive-the scores on each of the perceived usefulness subscales of the technology acceptance model 3 were 4.86 (SD 0.38) out of 5 points, whereas the score on the intention to use subscale was 4.14 (SD 0.38) out of 5 points. CONCLUSIONS Although designed for the Italian clinical context, the proposed system can be adapted for any other national clinical context by modifying the domain ontologies, thus providing a multidisciplinary approach to the management of patients with COPD.
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Affiliation(s)
- Daniele Spoladore
- Institute of Intelligent Industrial Technologies and Systems for Advanced Manufacturing, National Research Council of Italy, Lecco, Italy
- Department of Pure and Applied Sciences, Computer Science Division, Insubria University, Varese, Italy
| | - Vera Colombo
- Institute of Intelligent Industrial Technologies and Systems for Advanced Manufacturing, National Research Council of Italy, Lecco, Italy
| | - Alessia Fumagalli
- Unit of Pulmonary Rehabilitation, IRCCS, Italian National Research Center on Aging, Casatenovo, Italy
| | - Martina Tosi
- Institute of Agricultural Biology and Biotechnology, National Research Council of Italy, Milan, Italy
- Department of Health Science, University of Milan, Milan, Italy
| | - Erna Cecilia Lorenzini
- Institute of Agricultural Biology and Biotechnology, National Research Council of Italy, Milan, Italy
- Department of Biomedical Sciences for Health, Chair of Clinical Pathology, University of Milan, Milan, Italy
| | - Marco Sacco
- Institute of Intelligent Industrial Technologies and Systems for Advanced Manufacturing, National Research Council of Italy, Lecco, Italy
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Spoladore D, Tosi M, Lorenzini EC. Ontology-based decision support systems for diabetes nutrition therapy: A systematic literature review. Artif Intell Med 2024; 151:102859. [PMID: 38564880 DOI: 10.1016/j.artmed.2024.102859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 02/05/2024] [Accepted: 03/25/2024] [Indexed: 04/04/2024]
Abstract
Diabetes is a non-communicable disease that has reached epidemic proportions, affecting 537 million people globally. Artificial Intelligence can support patients or clinicians in diabetes nutrition therapy - the first medical therapy in most cases of Type 1 and Type 2 diabetes. In particular, ontology-based recommender and decision support systems can deliver a computable representation of experts' knowledge, thus delivering patient-tailored nutritional recommendations or supporting clinical personnel in identifying the most suitable diet. This work proposes a systematic literature review of the domain ontologies describing diabetes in such systems, identifying their underlying conceptualizations, the users targeted by the systems, the type(s) of diabetes tackled, and the nutritional recommendations provided. This review also delves into the structure of the domain ontologies, highlighting several aspects that may hinder (or foster) their adoption in recommender and decision support systems for diabetes nutrition therapy. The results of this review process allow to underline how recommendations are formulated and the role of clinical experts in developing domain ontologies, outlining the research trends characterizing this research area. The results also allow for identifying research directions that can foster a preeminent role for clinical experts and clinical guidelines in a cooperative effort to make ontologies more interoperable - thus enabling them to play a significant role in the decision-making processes about diabetes nutrition therapy.
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Affiliation(s)
- Daniele Spoladore
- Institute of Intelligent Industrial Technologies and Systems for Advanced Manufacturing - National Research Council, (CNR-STIIMA), Lecco, Italy.
| | - Martina Tosi
- Department of Health Sciences, University of Milan, 20142 Milan, Italy; Institute of Agricultural Biology and Biotechnology - National Research Council (CNR-IBBA), Milan, Italy.
| | - Erna Cecilia Lorenzini
- Department of Biomedical Sciences for Health, University of Milan, I-20133 Milan, Italy.
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Serna J, Gabriel A, Boly V, Falk V, Narváez-Rincón PC. An ontology for the design of emulsion-based cosmetic products: development and applications. Comput Chem Eng 2023. [DOI: 10.1016/j.compchemeng.2023.108213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023]
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Sinha PK, Dutta B, Varadarajan U. Ranking the ontology development methodologies using the weighted decision matrix. DATA TECHNOLOGIES AND APPLICATIONS 2022. [DOI: 10.1108/dta-05-2021-0123] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThe current work provides a framework for the ranking of ontology development methodologies (ODMs).Design/methodology/approachThe framework is a step-by-step approach reinforced by an array of ranking features and a quantitative tool, weighted decision matrix. An extensive literature investigation revealed a set of aspects that regulate ODMs. The aspects and existing state-of-the-art estimates facilitated in extracting the features. To determine weight to each of the features, an online survey was implemented to secure evidence from the Semantic Web community. To demonstrate the framework, the authors perform a pilot study, where a collection of domain ODMs, reported in 2000–2019, is used.FindingsState-of-the-art research revealed that ODMs have been accumulated, surveyed and assessed to prescribe the best probable ODM for ontology development. But none of the prevailing studies provide a ranking mechanism for ODMs. The recommended framework overcomes this limitation and gives a systematic and uniform way of ranking the ODMs. The pilot study yielded NeOn as the top-ranked ODM in the recent two decades.Originality/valueThere is no work in the literature that has investigated ranking the ODMs. Hence, this is a first of its kind work in the area of ODM research. The framework supports identifying the topmost ODMs from the literature possessing a substantial amount of features for ontology development. It also enables the selection of the best possible ODM for the ontology development.
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Mora M, Wang F, Gómez JM, Phillips‐Wren G. Development methodologies for ontology‐based knowledge management systems: A review. EXPERT SYSTEMS 2022; 39. [DOI: 10.1111/exsy.12851] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 09/03/2021] [Indexed: 01/04/2025]
Abstract
AbstractKnowledge management systems (KMS) are computer‐based systems highly valued in business organizations because they support knowledge management (KM) processes. Most KMS have been developed using non‐intelligent computer technology—that is, DMS, CMS, DBMS, and CIS—, and thus, they cannot provide advanced capabilities. Consequently, enhanced KMS using intelligent technologies of ontologies with inference engines—called ontology‐based knowledge management systems (OKMS)—have been proposed in the last three decades. Nowadays, however, the implementation of OKMS in real‐world settings is still scarce. Lack of comprehensive and systematic development methodologies including Project Management and Technical Systems Engineering processes—as the Systems and Software Systems Engineering standards propose—have been suggested as a factor that inhibits OKMS implementations. In this study, we review the OKMS literature (1990–2021 period)—from six seminal studies located using a research search engine—to assess OKMS development methodologies that can be considered comprehensive and systematic. Five methodologies were identified and assessed using an evaluation subset from the ISO/IEC/IEEE 15288:2015 Systems and Software Engineering standard. Two of them—CommonKADS and NeON—were found with a high comprehensive and systematic level and both are suggested for organizations interested in OKMS implementations, but none of them qualified as agile, which is a current development approach for systems and software systems. Hence, further empirical research toward the realization of comprehensive and systematic OKMSs development methodologies, including agile versions, is suggested for fostering the implementation of OKMS in real‐world settings.
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Affiliation(s)
- Manuel Mora
- Department of Information Systems Autonomous University of Aguascalientes Aguascalientes Mexico
| | - Fen Wang
- Information Technology & Administrative Management Department Central Washington University Ellensburg Washington USA
| | - Jorge Marx Gómez
- Department of Informatics Carl von Ossietzky University of Oldenburg Oldenburg Germany
| | - Gloria Phillips‐Wren
- Information Systems and Operations Management Loyola University Maryland Baltimore Maryland USA
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Exploiting an Ontological Model to Study COVID-19 Contagion Chains in Sustainable Smart Cities. INFORMATION 2022. [DOI: 10.3390/info13010040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
The COVID-19 pandemic has caused the deaths of millions of people around the world. The scientific community faces a tough struggle to reduce the effects of this pandemic. Several investigations dealing with different perspectives have been carried out. However, it is not easy to find studies focused on COVID-19 contagion chains. A deep analysis of contagion chains may contribute new findings that can be used to reduce the effects of COVID-19. For example, some interesting chains with specific behaviors could be identified and more in-depth analyses could be performed to investigate the reasons for such behaviors. To represent, validate and analyze the information of contagion chains, we adopted an ontological approach. Ontologies are artificial intelligence techniques that have become widely accepted solutions for the representation of knowledge and corresponding analyses. The semantic representation of information by means of ontologies enables the consistency of the information to be checked, as well as automatic reasoning to infer new knowledge. The ontology was implemented in Ontology Web Language (OWL), which is a formal language based on description logics. This approach could have a special impact on smart cities, which are characterized as using information to enhance the quality of basic services for citizens. In particular, health services could take advantage of this approach to reduce the effects of COVID-19.
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A Framework for Supporting Well-being using the Character Computing Ontology - Anxiety and Sleep Quality during COVID-19. OPEN PSYCHOLOGY 2022. [DOI: 10.1515/psych-2022-0011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
The COVID-19 pandemic is affecting human behavior, increasing the demand for the cooperation between psychologists and computer scientists to develop technology solutions that can help people in order to promote well-being and behavior change. According to the conceptual Character-Behavior-Situation (CBS) triad of Character Computing, behavior is driven by an individual’s character (trait and state markers) and the situation. In previous work, a computational ontology for Character Computing (CCOnto) has been introduced. The ontology can be extended with domain-specific knowledge for developing applications for inferring certain human behaviors to be leveraged for different purposes. In this paper, we present a framework for developing applications for dealing with changes in well-being during the COVID-19 pandemic. The framework can be used by psychology domain experts and application developers. The proposed model allows the input of heuristic rules as well as data-based rule extraction for inferring behavior. In this paper, we present how CCOnto is extended with components of physical and mental well-being and how the framework uses the extended domain ontologies in applications for evaluating sleep habits, anxiety, and depression predisposition during the COVID-19 pandemic based on user-input data.
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An Ontology-Based Approach to Enable Data-Driven Research in the Field of NDT in Civil Engineering. REMOTE SENSING 2021. [DOI: 10.3390/rs13122426] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Although measurement data from the civil engineering sector are an important basis for scientific analyses in the field of non-destructive testing (NDT), there is still no uniform representation of these data. An analysis of data sets across different test objects or test types is therefore associated with a high manual effort. Ontologies and the semantic web are technologies already used in numerous intelligent systems such as material cyberinfrastructures or research databases. This contribution demonstrates the application of these technologies to the case of the 1H nuclear magnetic resonance relaxometry, which is commonly used to characterize water content and porosity distribution in solids. The methodology implemented for this purpose was developed specifically to be applied to materials science (MS) tests. The aim of this paper is to analyze such a methodology from the perspective of data interoperability using ontologies. Three benefits are expected from this approach to the study of the implementation of interoperability in the NDT domain: First, expanding knowledge of how the intrinsic characteristics of the NDT domain determine the application of semantic technologies. Second, to determine which aspects of such an implementation can be improved and in what ways. Finally, the baselines of future research in the field of data integration for NDT are drawn.
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Abstract
The Semantic Web emerged as an extension to the traditional Web, adding meaning (semantics) to a distributed Web of structured and linked information. At its core, the concept of ontology provides the means to semantically describe and structure information, and expose it to software and human agents in a machine and human-readable form. For software agents to be realized, it is crucial to develop powerful artificial intelligence and machine-learning techniques, able to extract knowledge from information sources, and represent it in the underlying ontology. This survey aims to provide insight into key aspects of ontology-based knowledge extraction from various sources such as text, databases, and human expertise, realized in the realm of feature selection. First, common classification and feature selection algorithms are presented. Then, selected approaches, which utilize ontologies to represent features and perform feature selection and classification, are described. The selective and representative approaches span diverse application domains, such as document classification, opinion mining, manufacturing, recommendation systems, urban management, information security systems, and demonstrate the feasibility and applicability of such methods. This survey, in addition to the criteria-based presentation of related works, contributes a number of open issues and challenges related to this still active research topic.
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Collaborative Ontology Engineering Methodologies for the Development of Decision Support Systems: Case Studies in the Healthcare Domain. ELECTRONICS 2021. [DOI: 10.3390/electronics10091060] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
New models and technological advances are driving the digital transformation of healthcare systems. Ontologies and Semantic Web have been recognized among the most valuable solutions to manage the massive, various, and complex healthcare data deriving from different sources, thus acting as backbones for ontology-based Decision Support Systems (DSSs). Several contributions in the literature propose Ontology engineering methodologies (OEMs) to assist the formalization and development of ontologies, by providing guidelines on tasks, activities, and stakeholders’ participation. Nevertheless, existing OEMs differ widely according to their approach, and often lack of sufficient details to support ontology engineers. This paper performs a meta-review of the main criteria adopted for assessing OEMs, and major issues and shortcomings identified in existing methodologies. The key issues requiring specific attention (i.e., the delivery of a feasibility study, the introduction of project management processes, the support for reuse, and the involvement of stakeholders) are then explored into three use cases of semantic-based DSS in health-related fields. Results contribute to the literature on OEMs by providing insights on specific tools and approaches to be used when tackling these issues in the development of collaborative OEMs supporting DSS.
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Internet of Everything (IoE) Taxonomies: A Survey and a Novel Knowledge-Based Taxonomy. SENSORS 2021; 21:s21020568. [PMID: 33466895 PMCID: PMC7829822 DOI: 10.3390/s21020568] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Revised: 01/07/2021] [Accepted: 01/08/2021] [Indexed: 12/24/2022]
Abstract
The paradigm of the Internet of everything (IoE) is advancing toward enriching people’s lives by adding value to the Internet of things (IoT), with connections among people, processes, data, and things. This paper provides a survey of the literature on IoE research, highlighting concerns in terms of intelligence services and knowledge creation. The significant contributions of this study are as follows: (1) a systematic literature review of IoE taxonomies (including IoT); (2) development of a taxonomy to guide the identification of critical knowledge in IoE applications, an in-depth classification of IoE enablers (sensors and actuators); (3) validation of the defined taxonomy with 50 IoE applications; and (4) identification of issues and challenges in existing IoE applications (using the defined taxonomy) with regard to insights about knowledge processes. To the best of our knowledge, and taking into consideration the 76 other taxonomies compared, this present work represents the most comprehensive taxonomy that provides the orchestration of intelligence in network connections concerning knowledge processes, type of IoE enablers, observation characteristics, and technological capabilities in IoE applications.
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