Modelling Events in Biomedical Decision Support Systems Using Ontologies.

Biomedical decision support systems play a crucial role in modern healthcare by assisting clinicians in making informed decisions. Events, such as physiological changes or drug reactions, are integral components of these systems, influencing patient outcomes and treatment strategies. However, effectively modeling events within these systems presents significant challenges due to the complexity and dynamic nature of medical data. Especially the differentiation between events and processes as well as the nature of events is often unclear. This paper explores approaches to modeling events in biomedical decision support systems, considering factors such as ontology-based representation. By addressing these challenges, we strive to provide the means for enhancing the functionality and interpretability of biomedical decision support systems concerning events.

An ontology-based tool for modeling and documenting events in neurosurgery.

BACKGROUND: Intraoperative neurophysiological monitoring (IOM) plays a pivotal role in enhancing patient safety during neurosurgical procedures. This vital technique involves the continuous measurement of evoked potentials to provide early warnings and ensure the preservation of critical neural structures. One of the primary challenges has been the effective documentation of IOM events with semantically enriched characterizations. This study aimed to address this challenge by developing an ontology-based tool. METHODS: We structured the development of the IOM Documentation Ontology (IOMDO) and the associated tool into three distinct phases. The initial phase focused on the ontology's creation, drawing from the OBO (Open Biological and Biomedical Ontology) principles. The subsequent phase involved agile software development, a flexible approach to encapsulate the diverse requirements and swiftly produce a prototype. The last phase entailed practical evaluation within real-world documentation settings. This crucial stage enabled us to gather firsthand insights, assessing the tool's functionality and efficacy. The observations made during this phase formed the basis for essential adjustments to ensure the tool's productive utilization. RESULTS: The core entities of the ontology revolve around central aspects of IOM, including measurements characterized by timestamp, type, values, and location. Concepts and terms of several ontologies were integrated into IOMDO, e.g., the Foundation Model of Anatomy (FMA), the Human Phenotype Ontology (HPO) and the ontology for surgical process models (OntoSPM) related to general surgical terms. The software tool developed for extending the ontology and the associated knowledge base was built with JavaFX for the user-friendly frontend and Apache Jena for the robust backend. The tool's evaluation involved test users who unanimously found the interface accessible and usable, even for those without extensive technical expertise. CONCLUSIONS: Through the establishment of a structured and standardized framework for characterizing IOM events, our ontology-based tool holds the potential to enhance the quality of documentation, benefiting patient care by improving the foundation for informed decision-making. Furthermore, researchers can leverage the semantically enriched data to identify trends, patterns, and areas for surgical practice enhancement. To optimize documentation through ontology-based approaches, it's crucial to address potential modeling issues that are associated with the Ontology of Adverse Events.

Establishment of a Mass Concrete Strength-Monitoring Method Using Barium Titanate-Bismuth Ferrite/Polyvinylidene Fluoride Nanocomposite Piezoelectric Sensors with Temperature Stability.

Mass concrete is widely used in large-scale projects, including metro upper cover structures, water conservancy dams, and heavy equipment foundations, among others, necessitating the process of health monitoring in mass concrete construction. The development of reliable and simple strength-monitoring methods for mass concrete is challenging because the inner temperature of mass concrete is high and changes a lot. This study proposes a strength-monitoring approach for mass concrete using barium titanate-bismuth ferrite/polyvinylidene fluoride (BT-BFO/PVDF) nanocomposite piezoelectric sensors, wherein the new sensors are embedded as actuators and sensors in mass concrete. The stress wave generated by the BT-BFO/PVDF piezoelectric sensors is used to monitor the specimen's strength for 28 days. The piezoelectric voltage received by the sensors in mass concrete is analyzed. The experimental results indicate that the signal received by the BT-BFO/PVDF sensors is not easily affected by the internal temperature of mass concrete compared with that of the traditional PVDF piezoelectric sensors. The signal parameters sensitive to concrete strength variation and the change trend of concrete strength are closely related to the piezoelectric voltage. Therefore, the proposed approach using BT-BFO/PVDF nanocomposite piezoelectric sensors is efficient (error < 10%) in mass concrete monitoring. Moreover, the monitoring results do not need temperature compensation. The physical meaning of the obtained strength prediction formula is proposed. An experimental system based on PVDF dynamic strain-sensing characteristics is established.

Highly efficient piezocatalytic composite with chitosan biopolymeric membranes and bismuth ferrite nanoparticles for dye decomposition and pathogenic S. aureus bacteria killing.

Untreated wastewater harbors dangerous pathogens, chemicals, and pollutants, posing grave public health threats. Nowadays, there is a rising demand for eco-friendly technologies for wastewater treatment. Recently, piezoelectric materials-based wastewater treatment technology has captured considerable interest among researchers because of its noninvasiveness and rapidity. Herein, a highly efficient piezoelectric composite material is designed with chitosan-incorporated bismuth ferrite (BFO) nanocrystals, to decompose pollutants and ablate bacteria in wastewater. On one hand, piezoelectric BFO has shown exclusive piezo-coefficient for ultrasound-mediated reactive oxygen species (ROS) production. On the other hand, chitosan depicts its biocompatible nature, which not only promotes cellular adhesion but also significantly elevates the ROS production capabilities of BFO under ultrasound. The synergistic effect of these two piezoelectric units in one composite entity shows an improved ROS production, eradicating ∼87.8% of Rhodamine B within 80 min under soft ultrasound treatment (rate constant, k ≈ 0.02866 min-1). After performing the scavenger experiment, it has been found that hydroxyl radicals are the dominating factor in this case. Further, the reusability of the composite piezocatalyst is confirmed through multiple cycles (five times) of the same experiment. The high polarizability of the composite material facilitates the generation of piezoelectric power through finger tapping (∼12.05 V), producing substantial instantaneous piezo-voltage. Moreover, the sample exhibits remarkable antibacterial activity, with nearly 99% bacterial eradication within 30 min. This indicates a significant advancement in utilizing biopolymeric composites incorporated with BFO for fabricating versatile devices with multidimensional applications.

Promising photocatalytic activity of Ag2SO4-modified BiOCl/BFO heterostructures under visible light.

In this work, a simple co-precipitation method for the preparation of Ag2SO4@BiOCl@Bi25FeO40 (BFO) was developed. Ultraviolet-visible spectrophotometric analysis, X-ray diffraction patterns, Fourier transform infrared spectroscopy (FT-IR), and scanning field emission electron microscopy (FESEM) were performed to characterize the newly synthesized nanocomposite. In addition, the EDX method was used to determine the actual material quantities. The synthesized samples of Bi25FeO40 and Ag2SO4 Bi25FeO40 showed high absorption in the visible region. Furthermore, the photocatalytic activity was significantly improved by the addition of Ag2SO4. The results showed photcatalytic efficiency was reached to about 99% with 0.01 g of Ag2SO4@BiOCl@Bi25FeO40 in pH 4 under visible light. The isoelectric pH of the photocatalayst was obtained 5. Also, kinetic study showed a first order mechanism for photodegradation. Moreover, a mechanistic study was proposed for the newly synthesized heterostructures.

What Kind of Ontologies Do We Need in the Biomedical Domain?

We tackle the question as to what sort of ontologies we primarily need in the biomedical domain. For this purpose, we will first provide a simple categorization of ontologies and describe an important use case related to modeling and documenting events. Then, the impact of using upper-level ontologies as a basis to address our use case will be shown in order to derive an answer to our research question. Although formal ontologies can serve as a starting point to understand conceptualization in a domain and facilitate interesting inferences, it is even more important to account for the dynamic and changing nature of knowledge. Being unconstrained by pre-defined categories and relationships can facilitate timely enrichment of a conceptual scheme and provide links and dependency structures in an informal manner. Semantic enrichment can be achieved by other mechanisms such as tagging or the creation of synsets as, for example, provided in WordNet.

An Extendible Realism-Based Ontology for Kinship.

Adequately representing kinship relations is crucial for a variety of medical and biomedical applications. Several kinship ontologies have been proposed but none of them have been designed thus far in line with the Basic Formal Ontology. In this paper, we propose a novel kinship ontology that exhibits the following characteristics: (1) it is fully axiomatized in First Order Logic following the rules governing predicate formation as proposed in BFO2020-FOL, (2) it is modularized in 6 separate files written in the Common Logic Interface Format (CLIF) each one of which can be imported based on specific needs, (3) it provides bridging axioms to and from SNOMED CT, and (4) it contains an extra module with axioms which would not be literally true when phrased naively but are crafted in such a way that they highlight the unusual kinship relations they represent and can be used to generate alerts on possible data entry mistakes. We describe design considerations and challenges encountered.

Photocatalytic degradation of bisphenol a from aqueous solution using bismuth ferric magnetic nanoparticle: synthesis, characterization and response surface methodology-central composite design modeling.

Purpose: Bisphenol A (BPA), as endocrine-disrupting compound (EDC), is extensively used as an important chemical in the synthesis of polycarbonate polymers and epoxy resins. BPA absorption into the body can result in the development of metabolic disorders such as low sex-specific neurodevelopment, immune toxicity, neurotoxicity and interference of cellular pathway. Therefore, the presence of BPA in the body and the environment can create hazards that must reach standards before being discharged into the environment. Methods: In this study, bismuth ferric nanomagnetic (BFO NMPs) were successfully synthesized via sol-gel method and developed as photocatalysts for BPA removal under visible light irradiation. FE-SEM, TEM, PL, XRD, UV-Vis DRS, VSM, EDX, and FTIR were used to characterize the BFO NMPs. Results: RSM model (R2 = 0.9745) showed a good correlation between experimental and predicted removal efficiency of BPA. The investigation of four independent variables indicated that pH had the most significant positive effect on the degradation of BPA. Under optimal conditions (pH = 4.042, catalyst dose = 7.617 mg, contact time = 122.742 min and BPA concentration = 15.065 mg/L), maximum degradation was calculated to be 98.7%. After five recycles, the removal of BPA remained >82%, which indicated the proper ability to reuse the catalyst. Conclusion: In conclusion, it can be stated like BPA, the prepared BFO NMPs is a promising photocatalyst for practical application in organic pollutant decomposition.

Tunable Optical and Multiferroic Properties of Zirconium and Dysprosium Substituted Bismuth Ferrite Thin Films.

This work presents optical and multiferroic properties of bismuth ferrite thin films that are affected by zirconium and dysprosium substitution. Non-centrosymmetric BiFeO3,Bi0.95Zr0.05FeO3, and Bi0.95Dy0.05FeO3 thin films were coated on Pt/TiO2/SiO2/Si substrates using the spin coating method. The crystal structure, optical properties, microstructural, ferromagnetic, and ferroelectric properties of doped bismuth ferrite thin films were systematically investigated. From the XRD patterns, all the prepared thin films matched well with the rhombohedral structure with R3c space group with no observed impurity phases. The average crystallite size of the bismuth ferrite thin films were between 35 and 47 nm, and the size depended on the type of dopant. The determined energy band gap values of BiFeO3, Bi0.95Dy0.05FeO3, and Bi0.95Zr0.05FeO3 thin films were 2.32 eV, 2.3 eV, and 2 eV, respectively. Doping of Dy and Zr at the Bi site led to reduced surface roughness. The prepared thin films exhibited enhanced ferromagnetic and ferroelectric properties. The remnant magnetization of Zr-doped BiFeO3 was greater than that of the BiFeO3 and Dy-doped BiFeO3 thin films. From the obtained results, it was concluded that Zr-doped BiFeO3 thin films are suitable for solar cell fabrication.

Morphotropic Phase Boundary Enhanced Photocatalysis in Sm Doped BiFeO3.

This paper presents the results of the synthesis of samarium-doped bismuth ferrite (BFO) nanoparticles by the solution combustion method. The dependence of BFO properties on the amount of the samarium (Sm) in the composition was studied. The synthesized nanocomposites were characterized by scanning electron microscopy SEM), X-ray diffractometry (XRD), Raman, Electron Diffuse Reflectance Spectroscopy (EDRS) and Electron Magnetic Resonance (EMR). The photocatalytic (PC) measurements showed the absence of a strict correlation between the PC activity and the crystallite size and band gap. An increase in the PC activity of BFO samples with 10 and 15% doping was observed and it was concluded that in controlling the PC properties in doped BFO, the processes of interfacial polarization at the boundaries of the morphotropic phase transition are of decisive importance. It was supposed that the internal electric field formed at these boundaries contributes to the efficient separation of photogenerated charge carriers.

[Exploration of the construction of semantic framework of meridians and acupoints based on top-level ontology].

Based on the top-level ontology and the existing ontology methodology, the related concepts of meridians and acupoints were discriminated, defined and classified; the relationship of core concepts were established, e.g. meridians, acupoints and zangfu. It was attempted to build an ontological semantic framework of meridians and acupoints. Through the investigation on the classification mode of the top-level ontology, it is proposed that the meridians and acupoints, as the unique concepts of traditional Chinese medicine, exist in the form of "emptiness" and belong to "immaterial entity". Meridians refer to the three-dimensional channels in the human body, and acupoints are divided into ontological acupoints and body surface ones. Ontological acupoints are regarded as a three-dimensional structure within the human body, whereas, body surface ones are the optimal sites for acupuncture needle insertion on the body surface, meaning, the zero-dimensional point on the body surface. The main relationships between meridians and acupoints include is-a, exterior-interior, located-in, correspondent-to, mapping, etc. The exploration of the semantic framework of meridians and acupoints is conductive to understanding the connotation of meridians, acupoints and their relationship.

The Effect of Bi2O3 and Fe2O3 Impurity Phases in BiFeO3 Perovskite Materials on Some Electrical Properties in the Low-Frequency Field.

Pure bismuth ferrite (BFO) and BFO with impurity phases (Bi2O3 or Fe2O3) were synthesized by the hydrothermal method. Complex dielectric permittivity (ε) and electrical conductivity (σ) were determined by complex impedance measurements at different frequencies (200 Hz-2 MHz) and temperatures (25-290) °C. The conductivity spectrum of samples, σ(f), complies with Jonscher's universal law and the presence of impurity phases leads to a decrease in the static conductivity (σDC); this result is correlated with the increased thermal activation energy of the conduction in impure samples compared to the pure BFO sample. The conduction mechanism in BFO and the effect of impurity phases on σ and ε were analyzed considering the variable range hopping model (VRH). Based on the VRH model, the hopping length (Rh), hopping energy (Wh) and the density of states at the Fermi level (N(EF)) were determined for the first time, for these samples. In addition, from ε(T) dependence, a transition in the electronic structure of samples from a semiconductor-like to a conductor-like behavior was highlighted around 465-490 K for all samples. The results obtained are useful to explain the conduction mechanisms from samples of BFO type, offering the possibility to develop a great variety of electrical devices with novel functions.

Pattern-Based Logical Definitions of Prenatal Disorders Grounded on Dispositions.

Biomedical ontologies define concepts having biomedical significance and the semantic relations among them. Developing high-quality and reusable ontologies in the biomedical domain is a challenging task. Pattern-based ontology design is considered a promising approach to overcome the challenges. Ontology Design Patterns (ODPs) are reusable modeling solutions to facilitate ontology development. This study relies on ODPs to semantically enrich biomedical ontologies by assigning logical definitions to ontological entities. Specifically, pattern-based logical definitions grounded on dispositions are given to prenatal disorders. The proposed approach is performed under the supervision of fetal domain experts.

Excellent Energy Storage Performance in Bi(Fe0.93Mn0.05Ti0.02)O3 Modified CaBi4Ti4O15 Thin Film by Adjusting Annealing Temperature.

Dielectric capacitors with ultrahigh power density are highly desired in modern electrical and electronic systems. However, their comprehensive performances still need to be further improved for application, such as recoverable energy storage density, efficiency and temperature stability. In this work, new lead-free bismuth layer-structured ferroelectric thin films of CaBi4Ti4O15-Bi(Fe0.93Mn0.05Ti0.02)O3 (CBTi-BFO) were prepared via chemical solution deposition. The CBTi-BFO film has a small crystallization temperature window and exhibits a polycrystalline bismuth layered structure with no secondary phases at annealing temperatures of 500-550 °C. The effects of annealing temperature on the energy storage performances of a series of thin films were investigated. The lower the annealing temperature of CBTi-BFO, the smaller the carrier concentration and the fewer defects, resulting in a higher intrinsic breakdown field strength of the corresponding film. Especially, the CBTi-BFO film annealed at 500 °C shows a high recoverable energy density of 82.8 J·cm-3 and efficiency of 78.3%, which can be attributed to the very slim hysteresis loop and a relatively high electric breakdown strength. Meanwhile, the optimized CBTi-BFO film capacitor exhibits superior fatigue endurance after 107 charge-discharge cycles, a preeminent thermal stability up to 200 °C, and an outstanding frequency stability in the range of 500 Hz-20 kHz. All these excellent performances indicate that the CBTi-BFO film can be used in high energy density storage applications.

New insight into the regulation mechanism of visible light in naproxen degradation via activation of peroxymonosulfate by MOF derived BiFeO3.

BiFeO3 (BFO) nanocage prepared by metal-organic-framework derivatization (MOF-d) was adopted as activator to first investigate the effect mechanism of visible-light on naproxen-degradation via peroxymonosulfate (PMS) activation. MOF-d BFO expressed more excellent PMS activation ability than hydrothermal-synthetic BFO, due to highly ordered mesopores. A 3.0 times higher pseudo-first-order degradation rate constant was achieved after visible-light introduced. The quenching experiments indicated that the contribution of ROS in naproxen degradation followed the order of SO4•->1O2 ≈ â€¢OH in MOF-d BFO/PMS/dark system, while changed into h+>1O2 > >O2•-≈SO4•-> â€¢OH after visible-light introduced. EPR tests first revealed that visible-light promoted 1O2 yield (non-radical pathway) but suppressed •OH and SO4•- generation (free-radical pathways). N2-purging experiments further proved that 1O2 primarily originates from the reaction between h+ and PMS, equivalently to that between O2 and e--h+ in MOF-d BFO/PMS/vis system. Under visible-light, PMS activation via Fe (III) might be hindered by e- filling on Fe 3d orbital and anion PMS preferred to approach h+ rather than e-, resulting in the decrease of •OH and SO4•- yields. Moreover, PMS faces competition from adsorbed-O2 and oxygen-vacancies for e- capture. The degradation-pathways for naproxen in dark and under visible light were both proposed in MOF-d BFO/PMS system.

Developing an Ontology for Documenting Adverse Events While Avoiding Pitfalls.

Ontologies promise more benefits than terminologies in terms of data annotation and computer-assisted reasoning, by defining a hierarchy of terms and their relations within a domain. Here, we present central insights related to the development of an ontology for documenting events during interoperative neuromonitoring (IOM), for which we used the Basic Formal Ontology (BFO) as an upper-level ontology. This work has the following two goals: to describe the development of the IOM ontology and to guide the practice with respect to documenting of biomedical events, as available ontologies pose difficulties on certain issues. We address the following issues: (i) differentiate between the sets documentation, identification, continuant and explanation, understanding, occurrent as we had problems in applying the available ontology of adverse events, (ii) covering diseases and injuries in a consistent way, and (iii) deciding on which level to define relations.

Exotic Quad-Domain Textures and Transport Characteristics of Self-Assembled BiFeO3 Nanoislands on Nb-Doped SrTiO3.

Topological quad-domain textures with interesting cross-shaped buffer domains (walls) have been recently observed in BiFeO3 (BFO) nanoislands, indicating a new platform for exploring topological defects and multilevel memories. Such domain textures have nevertheless only been limited in BFO nanoislands grown on LaAlO3 substrates with a large lattice mismatch of ∼-4.4%. Here, we report that such exotic domain textures could also form in BFO nanoislands directly grown on a conductive substrate with a much smaller lattice mismatch and the local transport characteristics of the BFO nanoislands are distinct from the previously reported ones. The angle-resolved piezoresponse force images verify that the domain textures consist of center-divergent quad-domains with upward polarizations and cross-shaped buffer domains with downward polarizations. Interestingly, textures with multiple crosses are also observed in nanoislands of larger sizes, besides the previously reported ones with a single cross. The nanoislands exhibit strong diodelike rectifying characteristics and the quad-domains show a higher average conductance than the cross-shaped buffer domains, indicating that there is a certain correlation between the local conductance of the nanoislands and the domain textures. This transport behavior is attributed to the effect of the depolarization field on the Schottky barriers at both the substrate/BFO interface and the tip/BFO junction. Our findings extend the current understanding of the exotic quad-domain textures of ferroelectric nanoislands and shed light on their potential applications for configurable electronic devices.

Electrocatalytic performance of Sb-modified Bi25FeO40 for nitrogen fixation.

The Haber-Bosch N2 fixation method suffers from the power-consuming and harsh conditions. In contrast, the electrochemical conversion of N2 (NRR) at room temperature and atmospheric pressure is considered a promising alternative route. In this study, we synthesized Sb-modified with Bi25FeO40 (BFSO/BFO) by using one-step hydrothermal treatment. The BFSO/BFO catalyst has higher selectivity to NRR than Bi25FeO40 (BFO) under the same applied voltage. Such large interfacial interaction area plays a critical role in transfer electron and enhances the density of current. The resulting BFSO/BFO heterojunction showed significant electrocatalytic activity under controllable voltage, which exhibited favorable average ammonia (NH3) yield as high as 2.62 µg·h-1·cm-2 at -0.2 V versus RHE. Moreover, the stability of the BFSO/BFO composite was evaluated for six cycles and the results were desirable. This study provides a new insight into the design of composite catalysts using BFO, which has high activity and selectivity toward NRR.

Associations between baseline opioid use disorder severity, mental health and biopsychosocial functioning, with clinical responses to computer-assisted therapy treatment.

Background: Increasing rates of opioid-related overdose have been identified globally. Treatment for opioid use disorders (OUD) includes medications for opioid use disorder (MOUD) alongside behavioral support. Novel approaches to behavioral support should be explored, including computer-assisted therapy (CAT) programs.Objectives: Examine differences between baseline and post-treatment measures of opioid use and biopsychosocial functioning for individuals with OUD engaging with the CAT program 'Breaking Free Online,' and the extent to which participant characteristics may be associated with post-treatment measures.Methods: 1107 individuals engaged with CAT and provided baseline and post-treatment data - 724 (65.4%) were male, 383 (34.6%) were female.Results: Significant differences between baseline and post-treatment measures were identified (all p <.0001, effect sizes range:15 -.50). Participant characteristics were associated with post-treatment measures of opioid use, opioid dependence, mental health issues, quality of life, and biopsychosocial impairment (all p <.0001). An aggregated consensus measure of clinical impairment was found to be associated with changes in opioid use and post-treatment biopsychosocial functioning measures, with those participants with greater baseline clinical impairment demonstrating a greater magnitude of improvement from baseline to post-treatment than those with lower clinical impairment.Conclusion: CAT may reduce opioid use and improve biopsychosocial functioning in individuals with OUD. CAT could therefore provide a solution to the global opioid crisis if delivered as combination behavioral support alongside MOUD. Findings also indicate that it may be important for treatment systems to identify individuals with psychosocial complexity who might require behavioral support and MOUD.

Auto-combustion synthesis of narrow band-gap bismuth ferrite nanoparticles for solar photocatalysis to remediate azo dye containing water.

Narrow band gap of ferrites makes it a good photocatalyst, and it plays very prominent role in the level of degradation of organic dyes by photocatalysis. In the current study, bismuth ferrite (BFO) nanoparticles were synthesized by auto-combustion technique. The synthesized BFO particles have the average crystallite size of 33 nm and band gap energy of 1.9 eV. As revealed by microscopic images, uniform, distinct, and hexahedral shaped BFO nanoparticles of 42.7 nm are formed. The BFO nanoparticles exhibited visible and solar light-mediated photocatalytic activity in degrading Acid Yellow-17. The optimum pH and catalyst loading were found to be pH 5 and 0.2 g/L respectively. Around complete degradation under solar and 95% degradation under visible light could be achieved within 135 min of irradiation. Around 85% and 83% chemical oxygen demand (COD) removal could also be achieved under solar and visible light respectively. The degradation followed first-order kinetics in terms of COD removal. The BFO nanoparticles are promising as solar light active catalysts for wastewater treatment.