scholarly journals Decision tree as a tool for implementing a scenario approach for multi-level predictive models

2021 ◽  
Vol 839 (3) ◽  
pp. 032050
Author(s):  
A M Kumratova ◽  
E V Popova ◽  
V V Aleshchenko ◽  
A A Bykov ◽  
A K Bashieva
2020 ◽  
Author(s):  
Sanya B. Taneja ◽  
Gerald P. Douglas ◽  
Gregory F. Cooper ◽  
Marian G. Michaels ◽  
Marek J. Druzdzel ◽  
...  

Abstract Background: Malaria is a major cause of death in children under five years old in low- and middle-income countries such as Malawi. Accurate diagnosis and management of malaria can help reduce the global burden of childhood morbidity and mortality. Trained healthcare workers in rural health centers manage malaria with limited supplies of malarial diagnostic tests and drugs for treatment. A clinical decision support system that integrates predictive models to provide an accurate prediction of malaria based on clinical features could aid healthcare worker in judicious use of testing and treatment. We developed Bayesian network (BN) models to predict the probability of malaria from clinical features and an illustrative decision tree to model the decision to use or not use a malaria rapid diagnostic test (mRDT).Methods: We developed two BN models from data that were collected in a national survey of outpatient encounters of children in Malawi. The target diagnosis is taken as the result of mRDT. The first BN model was created manually with expert knowledge, and the second model was derived using an automated method followed by modifications guided by expert knowledge. The performance of the BN models was compared to other statistical models on a range of performance metrics. We developed a decision tree that integrates predictions from these predictive models with the costs of mRDT and a course of recommended treatment. Results: Compared to the logistic regression and random forest models, the BN models had similar accuracy of 64% but had higher sensitivity at the cost of lower specificity at the default threshold. Sensitivity analysis of the decision tree showed that at low (below 0.04) and high (above 0.4) probabilities of malaria in a child, the preferred decision that minimizes expected costs is not to perform mRDT.Conclusion: In resource-constrained settings, judicious use of mRDT is important. Predictive models in combination with decision analysis can provide personalized guidance on when to use mRDT in the management of childhood malaria. BN models can be efficiently derived from data to support such clinical decision making.


2018 ◽  
Vol 39 (9) ◽  
pp. 094008 ◽  
Author(s):  
Minggang Shao ◽  
Guangyu Bin ◽  
Shuicai Wu ◽  
Guanghong Bin ◽  
Jiao Huang ◽  
...  

2021 ◽  
pp. 1-20
Author(s):  
Anthony Frazier ◽  
Joethi Silva ◽  
Rachel Meilak ◽  
Indranil Sahoo ◽  
Michael Broda ◽  
...  

Today over 2.5 quintillion bytes of data is being created every single day where 753 crore people on this planet are creating 1.7mb of data each second. Most often than not, Researchers only scratch the surface when it comes to analyzing which algorithm will be best suited with their dataset and which one will give the highest efficiency. Sometimes, this analysis takes more computational time than the actual execution itself. Aim of this paper is to understand and solve this dilemma by applying different predictions models like Neural Networks, Regression and Decision Tree algorithms to different datasets where their performance was measured using ROC Index, Average Square Error and Misclassification Rate. A comparative analysis is done to show their best performance in different scopes and conditions. All data sets and results were compared and analyzed using SAS tool.


2021 ◽  
Author(s):  
Sanya B. Taneja ◽  
Gerald P. Douglas ◽  
Gregory F. Cooper ◽  
Marian G. Michaels ◽  
Marek J. Druzdzel ◽  
...  

Abstract Background: Malaria is a major cause of death in children under five years old in low- and middle-income countries such as Malawi. Accurate diagnosis and management of malaria can help reduce the global burden of childhood morbidity and mortality. Trained healthcare workers in rural health centers manage malaria with limited supplies of malarial diagnostic tests and drugs for treatment. A clinical decision support system that integrates predictive models to provide an accurate prediction of malaria based on clinical features could aid healthcare workers in the judicious use of testing and treatment. We developed Bayesian network (BN) models to predict the probability of malaria from clinical features and an illustrative decision tree to model the decision to use or not use a malaria rapid diagnostic test (mRDT).Methods: We developed two BN models to predict malaria from a dataset of outpatient encounters of children in Malawi. The first BN model was created manually with expert knowledge, and the second model was derived using an automated method. The performance of the BN models was compared to other statistical models on a range of performance metrics at multiple thresholds. We developed a decision tree that integrates predictions with the costs of mRDT and a course of recommended treatment. Results: The manually created BN model achieved an area under the ROC curve (AUC) equal to 0.60 that was statistically significantly higher than the other models. The BN models had high sensitivity and specificity values (0.74 and 0.42 respectively for the manual BN model, 0.45 and 0.68 respectively for the automated BN model) at the optimal threshold for classification. The balanced accuracy values were similar across all the models. Sensitivity analysis of the decision tree showed that at low (below 0.04) and high (above 0.40) probabilities of malaria in a child, the preferred decision that minimizes expected costs is not to perform mRDT.Conclusion: In resource-constrained settings, judicious use of mRDT is important. Predictive models in combination with decision analysis can provide personalized guidance on when to use mRDT in the management of childhood malaria. BN models can be efficiently derived from data to support such clinical decision making.


Data Mining ◽  
2013 ◽  
pp. 1819-1834
Author(s):  
Alan Olinsky ◽  
Phyllis A. Schumacher ◽  
John Quinn

One way to enhance the likelihood that more students will graduate within the specific major that they begin with is to attract the type of students who have typically (historically) done well in that field of study. This chapter details a study that utilizes data mining techniques to analyze the characteristics of students who enroll as actuarial students and then either drop out of the major or graduate as actuarial students. Several predictive models including logistic regression, neural networks and decision trees are obtained. The models are then compared and the best fitting model is determined. The regression model turns out to be the best predictor. Since this is a very well understood method, it can easily be explained. The decision tree, although its underpinnings are somewhat difficult to explain, gives a clear and well understood output. Not only is the resulting model a good one for predicting success in the major, it also allows us the ability to better counsel students.


2017 ◽  
Vol 44 (2) ◽  
pp. 285-302 ◽  
Author(s):  
Duane Windsor

An identifiable research gap in extant literature concerns how social institutions can develop more pro-sustainability attributes. Better collaboration is vital to enabling institutions to function effectively for sustainability. A conceptual scenario approach illustrates how multi-level institutions can be in fundamental conflict concerning sustainable development. A rich complexity of formal and informal institutions functions at global, regional, national, and local levels of human interaction in ways that influence both anti-sustainability and pro-sustainability behaviors, practices, and outcomes. The scenario approach underscores that the balance of anti-sustainability and pro-sustainability attributes is not readily assessed theoretically or empirically as a basis for improving social justice outcomes.


2007 ◽  
Vol 46 (05) ◽  
pp. 523-529 ◽  
Author(s):  
M. Saraee ◽  
B. Theodoulidis ◽  
J. A. Keane ◽  
C. Tjortjis

Summary Objectives: Medical data are a valuable resource from which novel and potentially useful knowledge can be discovered by using data mining. Data mining can assist and support medical decision making and enhance clinical managementand investigative research. The objective of this work is to propose a method for building accurate descriptive and predictive models based on classification of past medical data. We also aim to compare this method with other well established data mining methods and identify strengths and weaknesses. Method: We propose T3, a decision tree classifier which builds predictive models based on known classes, by allowing for a certain amount of misclassification error in training in order to achieve better descriptive and predictive accuracy. We then experiment with a real medical data set on stroke, and various subsets, in order to identify strengths and weaknesses. We also compare performance with a very successful and well established decision tree classifier. Results: T3 demonstrated impressive performance when predicting unseen cases of stroke resulting in as little as 0.4% classification error while the state of the art decision tree classifier resulted in 33.6% classification error respectively. Conclusions: This paper presents and evaluates T3, a classification algorithm that builds decision trees of depth at most three, and results in high accuracy whilst keeping the tree size reasonably small. T3 demonstrates strong descriptive and predictive power without compromising simplicity and clarity. We evaluate T3 based on real stroke register data and compare it with C4.5, a well-known classification algorithm, showing that T3 produces significantly more accurate and readable classifiers.


2021 ◽  
Vol 242 ◽  
pp. 112622
Author(s):  
Zetao Wang ◽  
Jun Chen ◽  
Jiaxu Shen

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