Patient autonomy and disclosure of material information about hospital-acquired infections.

Hospital-acquired infections are nowadays a major health care problem worldwide. The morbidity and mortality associated with them are highest in intensive care units, but their effects are identifiable in virtually any medical department. Information about hospital-acquired infections, especially about their preventive measures, are rarely presented nowadays in a correct fashion to patients. This article aims to present, in a structured manner, the theoretical and practical aspects related to disclosure of hospital-acquired infections-related information to patients and its importance in preventing their spread. We will analyze both the conceptual framework for disclosing medical information related to nosocomial infections (autonomy, veracity, social justice, the principle of double effect, the precautionary principle, and nonmaleficence) and the practicalities regarding the disclosure of proper information to patients.

Temporal ordering of cancer microarray data through a reinforcement learning based approach.

Temporal modeling and analysis and more specifically, temporal ordering are very important problems within the fields of bioinformatics and computational biology, as the temporal analysis of the events characterizing a certain biological process could provide significant insights into its development and progression. Particularly, in the case of cancer, understanding the dynamics and the evolution of this disease could lead to better methods for prediction and treatment. In this paper we tackle, from a computational perspective, the temporal ordering problem, which refers to constructing a sorted collection of multi-dimensional biological data, collection that reflects an accurate temporal evolution of biological systems. We introduce a novel approach, based on reinforcement learning, more precisely, on Q-learning, for the biological temporal ordering problem. The experimental evaluation is performed using several DNA microarray data sets, two of which contain cancer gene expression data. The obtained solutions are correlated either to the given correct ordering (in the cases where this is provided for validation), or to the overall survival time of the patients (in the case of the cancer data sets), thus confirming a good performance of the proposed model and indicating the potential of our proposal.