2022, Article / Letter to editor (BMC Musculoskeletal Disorders, (2022))Background
While low back pain occurs in nearly everybody and is the leading cause of disability worldwide, we lack instruments to accurately predict persistence of acute low back pain. We aimed to develop and internally validate a machine learning model predicting non-recovery in acute low back pain and to compare this with current practice and ‘traditional’ prediction modeling.
Methods
Prognostic cohort-study in primary care physiotherapy. Patients (n = 247) with acute low back pain (≤ one month) consulting physiotherapists were included. Candidate predictors were assessed by questionnaire at baseline and (to capture early recovery) after one and two weeks. Primary outcome was non-recovery after three months, defined as at least mild pain (Numeric Rating Scale > 2/10). Machine learning models to predict non-recovery were developed and internally validated, and compared with two current practices in physiotherapy (STarT Back tool and physiotherapists’ expectation) and ‘traditional’ logistic regression analysis.
Results
Forty-seven percent of the participants did not recover at three months. The best performing machine learning model showed acceptable predictive performance (area under the curve: 0.66). Although this was no better than a’traditional’ logistic regression model, it outperformed current practice.
Conclusions
We developed two prognostic models containing partially different predictors, with acceptable performance for predicting (non-)recovery in patients with acute LBP, which was better than current practice. Our prognostic models have the potential of integration in a clinical decision support system to facilitate data-driven, personalized treatment of acute low back pain, but needs external validation first.
2021, Article in monograph or in proceedings (ACL Anthology -- proceedings of the Seventh International Workshop on Controlled Natural Language (CNL'21))
2019, Article in monograph or in proceedings (Christophe Debruyne, Hervé Panetto, Wided Guédria, Peter Bollen, Ioana Ciuciu, and Robert Meersman (ed.), On the Move to Meaningful Internet Systems: OTM 2018 Workshops Confederated International Workshops: EI2N, FBM, ICSP, and Meta4eS 2018. Valletta, Malta)
2018, Article in monograph or in proceedings (Proceedings of S-BPM ONE 2018 ; 10th International Conference on Subject-Oriented Business Process Management)In this paper, we describe the development of a collaborative approach to elicit and analyse service process experience as part of a project commissioned by the Dutch Ministry of Infrastructure and Environment. We designed and deployed a model-based instrument for measuring the experiences of both the general public and the civil servants, involved in information sharing, delivery and use and execution of environmental permit application services. In addition, information on the case-specific process structure that is underlying the service delivery was to be gathered with the instrument. We combined a collaborative, stakeholder-oriented process modelling technique with workshops, inspired by the CoMPArE method, with detailed service experience-oriented probing questions focusing on interactions, roles and process ‘bottlenecks’. We carried out a first, baseline measurement on the information, processes and experiences around environmental permit services through 6 identical six-hour workshop sessions with 67 civil servants. Our experiences in executing the baseline measurement are reported, as well as some main results, and lessons learned in developing and applying the workshop approach.
2018, Article in monograph or in proceedings (Buchmann, R.; Karagiannis, D.; Kirikova, M. (ed.), PoEM 2018. Lecture Notes in Business Information Processing)
2018, Article in monograph or in proceedings (Joint Proceedings of REFSQ-2018 Workshops, Doctoral Symposium, Live Studies Track, and Poster Trackco-located with the 23rd International Conference on Requirements Engineering: Foundation for Software Quality (REFSQ 2018))
2018, Article in monograph or in proceedings (a Case Study, pp. 383-393)In this practice paper, we report the outcomes of a case study in a new Dutch hospital, where enterprise architects are working toward a 'lean' and 'simplified' EA model to align existing IT systems to new requirements. The objective of the case study was to examine if the developed EA model could support architects in selecting components of an existing IT infrastructure for re-use, with regard to radically new requirements. We have developed an EA model in close collaboration with enterprise architects. This study reflects on the use of this model in the hospital. The approach combines analysis of the content in the model, a study of documents in the organization, and communication with the architects. We signal that the existence of an integrated suite for an Electronic Health Record system largely determined how the model was used. Reflection disclosed that a lack of information on requirements and applications, as well as low adaptability of existing systems, negatively affected the flexibility of IT in the organization.
2017, Article / Letter to editor (NTZ. Nederlands Tijdschrift voor de zorg aan mensen met verstandelijke beperkingen, iss. nr. 2, (2017), pp. 108-124)Dit artikel behandelt de problematiek van transities en continuïteit van ondersteuning bij mensen met een verstandelijke beperking. Het onderzoek kijkt naar de vraag welke wensen en behoeften mensen met een lichte en matige verstandelijke beperking (of gezinnen met één of meerdere gezinsleden met een verstandelijke beperking) hebben ten aanzien van flexibele levensloopondersteuning. Deze wensen en behoeften zijn in samenwerking met de doelgroep vertaald in een prototype van een applicatie voor het signaleren van transities en het bevorderen van ondersteuning.
2017, Article in monograph or in proceedings (Metzger, A.; Person, A. (ed.), Advanced Information Systems Engineering Workshops CAiSE 2017, pp. 110-132)
2014, Article in monograph or in proceedings (NordiCHI'14)In this paper we discuss mixed-method research in HCI. We report on an empirical literature study of the NordiCHI 2012 proceedings which aimed to uncover and describe common mixed-method approaches, and to identify good practices for mixed-methods research in HCI. We present our results as mixed-method research design patterns, which can be used to design, discuss and evaluate mixed-method research. Three dominant patterns are identified and fully described and three additional pattern candidates are proposed. With our pattern descriptions we aim to lay a foundation for a more thoughtful application of, and a stronger discourse about, mixed-method approaches in HCI.
2013, Article in monograph or in proceedings (Conceptual Modeling - 32th International Conference, ER 2013, Hong-Kong, China, November 11-13, 2013, Proceedings)
2012, Article / Letter to editor (The Practice of Enterprise Modeling, vol. 2012, iss. 134, (2012), pp. 16-30)In this paper we explore the subject of question asking as an inherent driver of enterprise modelling sessions, within the narrower context of the ‘dialogue game’ approach to collaborative modelling. We explain the context, but mostly report on matters directly concerning question asking and answer pre-structuring as a central issue in an ongoing effort aiming for the practice-oriented development of a series of dialogue games for collaborative modelling. We believe that our findings can be relevant and helpful to anyone concerned with planning, executing or facilitating collaborative modelling sessions, in particular when involving stakeholders untrained in systems thinking and modelling.
2012, Article in monograph or in proceedings (Emerging Topics in the Practice of Enterprise Modeling)In this paper, we describe our study on the relation between formation of abstractions and aspects of executive control in the context of process modeling. We have observed and recorded three business process
modeling projects in different companies. We report on the findings resulting from the analysis of the first project. We find evidence that certain traits related to high-quality abstraction formation contribute to more structured modeling performance. Through our analysis we gain more insight in the cognitive mechanisms involved in modeling, which provides us with another step towards design of effective modeling support.
2012, Article / Letter to editor (The Practice of Enterprise Modeling, vol. 2012, iss. 134, (2012), pp. 160-171)In this paper we discuss the use and challenges of identifying communities with shared semantics in Enterprise Modeling. People tend to understand modeling meta-concepts (i.e., a modeling language’s constructs or types) in a certain way and can be grouped by this understanding. Having an insight into the typical communities and their composition (e.g., what kind of people constitute a semantic community) would make it easier to predict how a conceptual modeler with a certain background will generally understand the meta-concepts he uses, which is useful for e.g., validating model semantics and improving the efficiency of the modeling process itself. We demonstrate the use of psychometric data from two studies involving experienced (enterprise) modeling practitioners and computing science students to find such communities, discuss the challenge that arises in finding common real-world factors shared between their members to identify them by and conclude that the common (often implicit) grouping properties such as similar background, focus and modeling language are not supported by empirical data.
2012, Part of book or chapter of book ()Economies around the globe have evolved into being largely service-oriented economies. Consumers no longer just want a printer or a car, they rather ask for a printing service or a mobility service. In addition, service-oriented organizations increasingly exploit new devices, technologies and infrastructures. Agility is the ability to deal with such changing requirements and environments. Agile ways of working embrace change as a positive force and harness it to the organizations competitive advantage. The approach described in this book focuses on the notion of a service as a piece of functionality that offers value to its customers. Instead of solely looking at agility in the context of system or software development, agility is approached in a broader context. The authors illustrate three kinds of agility that can be found in an agile enterprise: business, process and system agility. These three types of agility reinforce each other and establish the foundation for the agile enterprise. Architecture, patterns, models, and all of the best practices in system development contribute to agile service development and building agile applications. This book addresses two audiences. On the one hand, it aims at agile and architecture practitioners who are looking for more agile ways of working in designing and building business services or who are interested in extending and improving their agile methods by using models and model-based architectures. On the other hand, it addresses students of (enterprise) architecture and software development or service science courses, both in computer science and in business administration.
2012, Part of book or chapter of book ()Onbekend.Economies around the globe have evolved into being largely service-oriented economies. Consumers no longer just want a printer or a car, they rather ask for a printing service or a mobility service. In addition, service-oriented organizations increasingly exploit new devices, technologies and infrastructures. Agility is the ability to deal with such changing requirements and environments. Agile ways of working embrace change as a positive force and harness it to the organizations competitive advantage. The approach described in this book focuses on the notion of a service as a piece of functionality that offers value to its customers. Instead of solely looking at agility in the context of system or software development, agility is approached in a broader context. The authors illustrate three kinds of agility that can be found in an agile enterprise: business, process and system agility. These three types of agility reinforce each other and establish the foundation for the agile enterprise. Architecture, patterns, models, and all of the best practices in system development contribute to agile service development and building agile applications. This book addresses two audiences. On the one hand, it aims at agile and architecture practitioners who are looking for more agile ways of working in designing and building business services or who are interested in extending and improving their agile methods by using models and model-based architectures. On the other hand, it addresses students of (enterprise) architecture and software development or service science courses, both in computer science and in business administration.
2011, Article in monograph or in proceedings (EEVC)The objective of an energy management strategy for fuel cell hybrid propulsion systems is to minimize the fuel needed to provide the required power demand. This minimization is defined as an optimization problem. Methods such as dynamic programming numerically solve this optimization problem. Strategies such as the equivalent consumption minimization strategy derive an analytical solution based on low-order models that approximate fuel cell stack and battery behavior. This paper presents an analytical solution based on models of the fuel cell system and battery close to physics. Apart from an analytical solution, this solution provides a fundamental understanding of the energy management problem. Because the solution is analytic and does not need a priori knowledge, the computation time is limited, and real-time implementation is possible. The solution presented is validated against existing optimizing energy management strategies in both simulations and experiments. For simulations, a midsize distribution truck is chosen. Experiments are carried out on a 10-kW scale test facility that comprises a fuel cell system, a battery, a motor with load, and an electronic load. In both simulations and measurements, the solution presented in this paper performs best compared to the equivalent consumption minimization strategy and a range-extender strategy, although the differences are within 3%. In the simulations, the solution presented approaches a minimum in fuel consumption, derived offline using dynamic programming, within 1%.
2010, Part of book or chapter of book (Aalst, Will; Mylopoulos, John; Sadeh, Norman M. (ed.), Enterprise, business-process and information systems modeling, pp. 301-313)