Are case reports valuable?Exploring their role in evidence based medicine and patient care

Case reports,often overlooked in evidence-based medicine(EBM),play a pivotal role in healthcare research.They provide unique insights into rare conditions,novel treatments,and adverse effects,serving as valuable educational tools and generating new hypothesis.Despite their limitations in generalizability,case reports contribute significantly to evidence-based practice by offering detailed clinical information and fostering critical thinking among healthcare professionals.By acknowledging their limitations and adhering to reporting guidelines,case reports can contribute significantly to medical knowledge and patient care within the evolving landscape of EBM.This editorial explores the intrinsic value of case reports in EBM and patient care.

Case-Based Reasoning(CBR) Model for Ultra-Fast Cooling in Plate Mill

New generation thermo-mechanical control process（TMCP） based on ultra-fast cooling is being widely adopted in plate mill to product high-performance steel material at low cost. Ultra-fast cooling system is complex because of optimizing the temperature control error generated by heat transfer mathematical model and process parameters. In order to simplify the system and improve the temperature control precision in ultra-fast cooling process, several existing models of case-based reasoning（CBR） model are reviewed. Combining with ultra-fast cooling process, a developed R5 CBR model is proposed, which mainly improves the case representation, similarity relation and retrieval module. Certainty factor is defined in semantics memory unit of plate case which provides not only internal data reliability but also product performance reliability. Similarity relation is improved by defined power index similarity membership function. Retrieval process is simplified and retrieval efficiency is improved apparently by windmill retrieval algorithm. The proposed CBR model is used for predicting the case of cooling strategy and its capability is superior to traditional process model. In order to perform comprehensive investigations on ultra-fast cooling process, different steel plates are considered for the experiment. The validation experiment and industrial production of proposed CBR model are carried out, which demonstrated that finish cooling temperature（FCT） error is controlled within±25℃ and quality rate of product is more than 97%. The proposed CBR model can simplify ultra-fast cooling system and give quality performance for steel product.

A Teaching Case of Subject Clause Based on Implicit Learning

The New English curriculum criteria suggest teaching English grammar based on the students’cognitive characteristics and emotional needs,helping them discover the rules and encouraging them to master the grammar by using it.But due to the limited time in a lesson,many English teachers adopt a simple approach to teach grammar,in which students are required to memorize the rules first and then practice a lot.This approach is effec-

Imaging characteristics and treatment strategies for carotid artery occlusion caused by skull base fracture:Three case reports

BACKGROUND Traumatic internal carotid artery(ICA)occlusion is a rare complication of skull base fractures,characterized by high mortality and disability rates,and poor prognosis.Therefore,timely discovery and correct management are crucial for saving the lives of such patients and improving their prognosis.This article retrospectively analyzed the imaging and clinical data of three patients,to explore the imaging characteristics and treatment strategies for carotid artery occlusion,combined with severe skull base fractures.CASE SUMMARY This case included three patients,all male,aged 21,63,and 16 years.They underwent plain film skull computed tomography(CT)examination at the onset of their illnesses,which revealed fractures at the bases of their skulls.Ultimately,these cases were definitively diagnosed through CT angiography(CTA)examinations.The first patient did not receive surgical treatment,only anticoagulation therapy,and recovered smoothly with no residual limb dysfunction(Case 1).The other two patients both developed intracranial hypertension and underwent decompressive craniectomy.One of these patients had high intracranial pressure and significant brain swelling postoperatively,leading the family to choose to take him home(Case 2).The other patient also underwent decompressive craniectomy and recovered well postoperatively with only mild limb motor dysfunction(Case 3).We retrieved literature from PubMed on skull base fractures causing ICA occlusion to determine the imaging characteristics and treatment strategies for this type of disease.CONCLUSION For patients with cranial trauma combined with skull base fractures,it is essential to complete a CTA examination as soon as possible,to screen for blunt cerebrovascular injury.

Data Mining and Neural Network Techniques in Case Based System

This paper first puts forward a case based system framework based on data mining techniques. Then the paper examines the possibility of using neural networks as a method of retrieval in such a case based system. In this system we propose data mining algorithms to discover case knowledge and other algorithms.

Design System of the Two-step Gear Reducer on Case-based Reasoning

The design of the two-step gear reducer is a tedious and time-consuming process. For the purpose of improving the efficiency and intelligence of design process, case-based reasoning（CBR） technology was applied to the design of the two-step gear reducer. Firstly, the current design method for the two-step gear reducer was analyzed and the principle of CBR was described. Secondly, according to the characteristics of the reducer, three key technologies of CBR were studied and the corresponding methods were provided, which are as follows： （a） an object-oriented knowledge representation method, （b） a retrieval method combining the nearest neighbor with the induction indexing, and （c） a case adaptation algorithm combining the revision based on rule with artificial revision. Also, for the purpose of improving the credibility of case retrieval, a new method for determining the weights of characteristics and a similarity formula were presented, which is a combinatorial weighting method with the analytic hierarchy process（AHP） and roughness set theory. Lastly, according to the above analytic results, a design system of the two-step gear reducer on CBR was developed by VC＋＋, UG and Access 2003. A new method for the design of the two-step gear reducer is provided in this study. If the foregoing developed system is applied to design the two-step gear reducer, design efficiency is improved, which enables the designer to release from the tedious design process of the gear reducer so as to put more efforts on innovative design. The study result fully reflects the feasibility and validity of CBR technology in the process of the design of the mechanical parts.

CASE-BASED PRODUCT CONFIGURATION AND REUSE IN MASS CUSTOMIZATION

The increasing complexity and size of configuration knowledge bases requres the provisionof advanced methods supporting the development of the actual configuration process and design reuse.A new framework to find a feasible and practical product configuration method is presented in masscustomization. The basic idea of the appoach is to integrate case-based reasoning (CBR) with a con-straint satisfaction problem(CSP). The similarity measure between a crisp and range is also given,which is common in case retrieves. Based on the configuration model, a product platform and customerneeds, case adaptation is carried out with the repair-based algorithm. Lastly, the methodology in theelevator configuration design domain is tested.

Case-based Agile Fixture Design

In order to realize the agility of the fixture design, such as reconfigurability, rescalability and reusability, fixture structure is function unit based decomposed from a fire new point of view. Which makes it easy for agile fixture to be reconfigured and modified. Thereby, the base of case based agile fixture design system info is established.Whole case based agile fixture design model is presented. In which, three modules are added relative to the other models, including case matching of fixture planning module, conflict arbitration module and agile fixture case modify module. The three modules could solve the previous problem that the experience and result are difficult to be reused in the process of design.Two key techniques in the process of the agile fixture design, the evaluation of case similarity, and restriction based conflict arbitration, are listed. And some methods are presented to evaluate the similarity and clear up the conflict.

Case-Based Reasoning for Reducing Software Development Effort

How can we best find project changes that most improve project estimates? Prior solutions to this problem required the use of standard software process models that may not be relevant to some new project. Also, those prior solutions suffered from limited verification (the only way to assess the results of those studies was to run the recommendations back through the standard process models). Combining case-based reasoning and contrast set learning, the W system requires no underlying model. Hence, it is widely applicable (since there is no need for data to conform to some software process models). Also, W’s results can be verified (using holdout sets). For example, in the experiments reported here, W found changes to projects that greatly reduced estimate median and variance by up to 95% and 83% (respectively).

CASE-BASED CONCEPTUAL DESIGN

The current method of case-based design (CBD) can be well practiced forconfiguration design in which design experience knowledge is involved. However, since the designcase is confined to a certain application domain, it is difficult for CBD to be applied toconceptual design process that develops concepts to meet design specifications. Firstly, a functionfactor description space is erected to provide an exhibition room for all functions of design cases.Next, the approach for identifying the space state of function factor in description space isproposed, including the determination of the similarities between function factors of design case.And then a general object-oriented representation for design case is presented by bringing the classof function and in-out flow into the current case representation. Finally, a living example forelectro-pet design that illustrates the implementation of the method for case-based conceptualdesign based on distributed design case repositories is described.

Endpoint temperature prediction of molten steel in RH using improved case-based reasoning

An improved case-based reasoning （CBR） method was proposed to predict the endpoint temperature of molten steel in Ruhrstahl Heraeus （RH） process. Firstly, production data were analyzed by multiple linear regressions and a pairwise comparison matrix in analytic hierarchy process （AHP） was determined by this linear regression＇s coefficient. The weights of various influencing factors were obtained by AHP. Secondly, the dividable principles of case base including ＂0-1＂ and ＂breakpoint＂ were proposed, and the case base was divided into several homogeneous parts. Finally, the improved CBR was compared with ordinary CBR, which is based on the even weight and the single base. The results show that the improved CBR has a higher hit rate for predicting the endpoint temperature of molten steel in RH.

Case-based retrieval approach for machining fixture design utilizingontology

In order to develop an intelligent case-based reasoning （CBR） system to reuse fixture de- sign knowledge, ontology technology was integrated in CBR system by semantic annotation of fixture design case. Domain ontology of fixture design was constructed; concepts and relations were de- fined and represented. The 2-level similarity evaluation approach of domain ontology was presented. The concept similarity of cases was calculated as the first grade case retrieval. Numerical measure- ment was the second grade case retrieval, which adopted various methods to calculate different types of attribute values. The problem of similarity measurement of fixture design case was resolved. Pro- totype system based on the proposed method was illustrated and the retrieval approach was proved to be efficient.

HYBRID STRATIFIED ATMS AND ANN FOR CASE-BASED REASONING

Case Based Reasoning (CBR) is a powerful problem solving technique in AI, but the traditional CBR techniques have its limitations. We hybridized stratified ATMS and ANN for CBR which can deal with case representation, case retrieving, case adapting, learning from failure more effectively. The structure of our CBR system and algorithms of case base reasoning in our CBR system were presented.

DESIGN TECHNOLOGY FOR INJECTION MOLD PARTING SURFACE BASED ON CASES AND KNOWLEDGE

On the basis of the comprehensive analysis about the automatic generation of the injection mold parting surface, the parting surface design method which introduces knowledge and case-based reasoning （CBR） into the computer-aided design is described by combining with the actual characteristic in injection mold design, and the design process of case-based reasoning method is also given. A case library including the information of parting surface is built with the index of main shape features, The automatic design of the mold parting surface is realized combined with the forward-reasoning method and the similarity solution procedure. The rule knowledge library is also founded including the knowledge, principles and experiences for parting surface design. An example is used to show the validity of the method, and the quality and the efficiency of the mold design are improved.

Case Based Reasoning Intelligent System for Network Computer Aided Process Planning

Computer aided process planning system played a key role for integrating design and manufacturing or assembly systems properly considering available resources and design constraints.To take advantage of the enterprise resource,the web CAPP framework was established.Case based reasoning and multi agent system were integrated in the system.The multi agent mecha- nism was discussed in the paper.And an instance of case base was introduced.They made the system run independently and contin- uously in the network environment of process planning problems.

Case-Based Reasoning for Slope Stability Evaluation and Its Application

Slope is a non-linear and uncertain kinetic system affected by many factors. In view of the incompleteness and uncertainty of the information of slope stability evaluation, a new method of slop stability evaluation by using case-based reasoning is presented. Considering the sensitivity of attribute weights to the environment, the algorithm of attribute weights is set up on the basis of the concept of changeable weights. Calculating the similarity between target case of the slope and base case, the stability of target case is evaluated. It is shown from examples that the method is simple, visual, practical, and convenient for use.

CASE STORAGE BASED ON RELATIONAL DATABASE

This paper focused on the integration of case base and relational database management system (RDBMS). The organizational and commercial impact will be far greater if the case based reasoning (CBR) system is integrated with main stream information system, which is exemplified by RDBMS. The scalability, security and robustness provided by a commercial RDBMS facilitate the CBR system to manage the case base. The virtual table in relational database (RDB) is important for CBR systems to implement the flexibility of case template. It was discussed how to implement a flexible and succinct case template, and a mapping model between case template and RDB was proposed. The key idea is to build the case as the virtual view of underlying data.

The two stage case-based reasoning technology research on the basis of the expert decision

In some domain expert's decision-making is intelligent output by comprehensive analysis and reasoning for the numerous decision-making factors,constraints and the goal in their domain,it is the concentrated expression of domain knowledge.Be aimed at field knowledge induction;sum up the exploration with systematization method,the two stages case-based reasoning(CBR) technology on the basis of the expert decision cased is present.The main idea,according to the characteristic of problem,analysis and decision process of field expert is carried out case-reasoning by two steps,and the field knowledge can be classified,induction and accumulated from different angles by multi case libraries.This technology includes two aspects,first,through two state case-based reasoning mechanisms to achieve area of decision-making process simulation;second,the CBR service in two more cases of library design process.First,two stage case-based reasoning mechanism,the first stage case-based reasoning to analyze the main level,clear nature of the problem,type,degree and character as the main content;the second stage case reasoning takes first order case reasoning result as basis then,the case reasoning,gives to making policy holding out being that purpose is in progress to out a decision-making suggestion once again.Secondly,in many cases the design of the library,to serve two-stage case-based reasoning process,the design of the four case libraries:First, property type case library,is a static case base can be modified,the effect is to performance differences between actual case and plan case of the qualitative distinction,indicate difference type attribute;Second, hierarchic quantization case library,is a static case base can be modified,the effect is to performance differences between actual case and plan case the quantitative distinction between the scope,indicate degree, size that the type issues in some difference etc.Three are that decision-making supports case library,is a static case base can be modified,the effect is similar enumeration all possible decision-makings content, indicate the decision-making that field expert possibility carries out;Four are decision match case library,is a self-study and dynamic case library,the effect is the library recording history decision-making case,is used to gain the decision-making scheme specifically for current reality achievement case is similar,to provide the support making policy,to learn composing in reply the case accumulating the new decision-making at the same time.The method is based on real business needs for research and development obtained after the conclusion,the paper shows through examples of the technology industry has a good adaptability,practicality and effectiveness.

Mineral Prospectivity Mapping Method Integrating Multi-Sources Geology Spatial Data Sets and Case-Based Reasoning

Extracting and synthesizing information from existing and massive amounts of geology spatial data sets is of great scientific significance and has considerable value in its applications. To make mineral exploration less expensive, more efficient, and more accurate, it is important to move beyond traditional concepts and establish a rapid, efficient, and intelligent method of predicting the existence and location of minerals. This paper describes a case-based reasoning (CBR) method for mineral prospectivity mapping that takes spatial features of geology data into account and offers an intelligent approach. This method include a metallogenic case representation that combines spatial and attribute features, metallogenic case-based storage organization, and a metallogenic case similarity retrieval model. The experiments were performed in the eastern Kunlun Mountains, China using CBR and weights-of-evidence (WOE), respectively. The results show that the prediction accuracy of the CBR is higher than that of the WOE.

An E-Negotiation Agent Using Rule Based and Case Based Approaches: A Comparative Study with Bilateral E-Negotiation with Prediction

The research in the area of automated negotiation systems is going on in many universities. This research is mainly focused on making a practically feasible, faster and reliable E-negotiation system. The ongoing work in this area is happening in the laboratories of the universities mainly for training and research purpose. There are number of negotiation systems such as Henry, Kasbaah, Bazaar, Auction Bot, Inspire, and Magnet. Our research is based on making an agent software for E-negotiation which will give faster results and also is secure and flexible. The negotiation partners and contents between the service providers change frequently. The negotiation process can be transformed into rules and cases. Using these features, a new automated negotiation model for agent integrating rule based and case based reasoning can be derived. We propose an E-negotiation system, in which all product information and multiple agent details are stored on the cloud. An E-negotiation agent acts as a negotiator. Agent has user’s details and their requirements for a particular product. It will check rules based data whether any rule is matching with the user requirement. An agent will see case based data to check any similar negotiation case matching to the user requirement. If a case matches with user requirement, then agent will start the negotiation process using case based data. If any rule related requirement is found in the rule base data, then agent will start the negotiation process using rule based data. If both rules based data and cases based data are not matching with the user requirement, then agent will start the negotiation process using Bilateral Negotiation model. After completing negotiation process, agent gives feedback to the user about whether negotiation is successful or not. The product details, rule based data, and case based data will be stored on the cloud. So that system automatically becomes flexible. We also compare E-negotiation agent automated negotiation and behavior prediction system to prove that using rule based and case based approaches system should become fast.