Why Machine Learning Integrated Patient Flow Simulation?

Patient flow analysis can be studied from a clinical and or operational perspective using simulation. Traditional statistical methods such as stochastic distribution methods have been used to construct patient flow simulation submodels such as patient inflow, Length of Stay (LoS), Cost of Treatment (CoT) and Clinical Pathway (CP) models. However, patient inflow demonstrates seasonality, trend and variation over time. LoS, CoT and CP are significantly determined by attributes of patients and clinical and laboratory test results. For this reason, patient flow simulation models constructed using traditional statistical methods are criticized for ignoring heterogeneity and their contribution to personalized and value based healthcare. On the other hand, machine learning methods have proven to be efficient to study and predict admission rate, LoS, CoT, and CP. This paper, hence, describes why coupling machine learning with patient flow simulation is important and proposes a conceptual architecture that shows how to integrate machine learning with patient flow simulation.

Modified Segmentation Algorithm for Recognition of Older Geez Scripts Written on Vellum

Recognition of handwritten document aims at transforming document images into a machine understandable format. Handwritten document recognition is the most challenging area in the field of pattern recognition. It becomes more complex when a document was written on vellum before hundreds of years, like older Geez scripts. In this study, we introduced a modified segmentation approach to recognize older Geez scripts. We used adaptive filtering for noise reduction, Isodata iterative global thresholding for document image binarization, modified bounding box projection to segment distinct strokes between Geez characters, numbers, and punctuation marks. SVM multiclass classifier scored 79.32% recognition accuracy with the modified segmentation algorithm.