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- Liability for Environmental Damage in Portugal – A Short OverviewPublication . Jorge Barros MendesThe environmental law enshrined as a fundamental principle in article 66 of the Portuguese Constitution. The Environmental Liability Directive establishes a framework of environmental liability, based on the “polluter-pays” principle, to prevent and remedy environmental damage. The Decree-Law 147/2008, of 29th July came transpose into Portuguese law Directive 2004/35/EC of the European Parliament and of the Council of 21st April 2004. The Law 67/2007, of 31st December, establishing in Portugal the regime for tort liability arising from losses caused by third parties, due to the acts of public management in relation to all the functions of the State, i.e. i) administrative, ii) legislative, and iii) jurisdictional.
- Implementing a Pervasive Real-Time Intelligent System for Tracking Critical Events with Intensive Care PatientsPublication . Portela, Filipe; Gago, Pedro; Santos, Manuel Filipe; Machado, José; Abelha, António; Silva, Álvaro; Rua, FernandoNowadays, it is increasingly important to utilize intelligent systems to support the decision making process (DMP) in challenging areas such as Intensive Medicine. In Intensive Care Units (ICU), some of the biggest challenges relate both to the number and the different types of available data sources. Even though in such a setting the values for some variables are easy to collect, data collection is still performed manually in particular instances. In order to improve the DMP in ICU, a Pervasive Intelligent Decision Support System, called INTCare was deployed in the ICU of Centro Hospitalar do Porto in Portugal. This system altered the way information is collected and presented. Moreover, the tracking system deployed as a specific module of INTCare – Electronic Nursing Record (ENR) is made accessible anywhere and anytime. The system allows for the calculation of the critical events regarding five variables that are typically monitored in an ICU. Specifically, the INTCare tracking system characterizes a grid that shows the events by type and duration, empowers a warning system to alert the doctors and promotes intuitive graphics that allow care providers to follow the patient care journey. User acceptance was measured through a questionnaire designed in accordance with the Technology Acceptance Model (TAM) and results of implementing the INTCare tracking system, and its interface are reported.
- Multiple Approaches to the Diagnosis of Attention Deficit Hyperactivity DisorderPublication . Rijo, Rui; Martinho, Ricardo; Ge, XiaochengStudies indicate that about 3-7% of school-age children have attention deficit hyperactivity disorder (ADHD). If these disorders are not diagnosed and treated early, its consequences can harshly impair the adult life of the individual. In this context, early diagnosis is critical. Clinical reasoning is a key contributor to the quality of health care. Clinical decisions at the policy level are made within a stochastic domain; decisions for individuals are usually more qualitative. In both cases, poor reasoning can result in an undesirable outcome. Clinical decisions are most typically communicated in a document through free text. Text has significant limitations (particularly ambiguity and poor structuring) whether used for analysis, or to explain the decision-making process. In safety engineering, similar problems are faced in conveying safety arguments to support certification. As a result, approaches have been developed to conveying arguments in ways which improve communication and which are more amenable to analysis. The Goal Structuring Notation (GSN) – a graphical argumentation notation for safety – was developed for those reasons. It has evolved to be one of the most widely used techniques for representing safety arguments. The use of text-mining techniques is another approach in the process of achieving or suggesting a diagnosis to the physician. This paper investigates the relative feasibility of these two approaches and discuss their complementation. Based on a case example, the benefits and problems of adopting GSN and ontology approach in clinical decision-making for ADHD are discussed and illustrated.