Search results for: B. Van Kessel

Authors: Jeugert Kujtila, Kristi Hoxhalli, Ramazan Dalipi, Erjon Cota, Ardit Murati, Erind Bedalli

Abstract:

Clustering is a versatile instrument in the analysis of collections of data providing insights of the underlying structures of the dataset and enhancing the modeling capabilities. The fuzzy approach to the clustering problem increases the flexibility involving the concept of partial memberships (some value in the continuous interval [0, 1]) of the instances in the clusters. Several fuzzy clustering algorithms have been devised like FCM, Gustafson-Kessel, Gath-Geva, kernel-based FCM, PCM etc. Each of these algorithms has its own advantages and drawbacks, so none of these algorithms would be able to perform superiorly in all datasets. In this paper we will experimentally compare FCM, GK, GG algorithm and a hybrid two-stage fuzzy clustering model combining the FCM and Gath-Geva algorithms. Firstly we will theoretically dis-cuss the advantages and drawbacks for each of these algorithms and we will describe the hybrid clustering model exploiting the advantages and diminishing the drawbacks of each algorithm. Secondly we will experimentally compare the accuracy of the hybrid model by applying it on several benchmark and synthetic datasets.

Keywords: fuzzy clustering, fuzzy c-means algorithm (FCM), Gustafson-Kessel algorithm, hybrid clustering model

Procedia PDF Downloads 514

Authors: B. Van Kessel, P. T. Kockelkorn, T. R. Speelman, T. C. Wierikx, C. Mai Van, T. A. Bogaard

Abstract:

Saltwater intrusion is a common problem in estuaries around the world, as it could hinder the freshwater supply of coastal zones. This problem is likely to grow due to climate change and sea-level rise. The influence of these factors on the saltwater intrusion was investigated for the Cai River in the Khanh Hoa province in Vietnam. In addition, the Cai River has high seasonal fluctuations in discharge, leading to increased saltwater intrusion during the dry season. Sea level rise, river discharge changes, river mouth widening and a proposed saltwater intrusion prevention dam can have influences on the saltwater intrusion but have not been quantified for the Cai River estuary. This research used both an analytical and numerical model to investigate the effect of the aforementioned factors. The analytical model was based on a model proposed by Savenije and was calibrated using limited in situ data. The numerical model was a 3D hydrodynamic model made using the Delft3D4 software. The analytical model and numerical model agreed with in situ data, mostly for tidally average data. Both models indicated a roughly similar dependence on discharge, also agreeing that this parameter had the most severe influence on the modeled saltwater intrusion. Especially for discharges below 10 m/s3, the saltwater was predicted to reach further than 10 km. In the models, both sea-level rise and river widening mainly resulted in salinity increments up to 3 kg/m3 in the middle part of the river. The predicted sea-level rise in 2070 was simulated to lead to an increase of 0.5 km in saltwater intrusion length. Furthermore, the effect of the saltwater intrusion dam seemed significant in the model used, but only for the highest position of the gate.

Keywords: Cai River, hydraulic models, river discharge, saltwater intrusion, tidal barriers

Procedia PDF Downloads 111

Authors: Rinat Gabbay-Benziv, Merav Ben-Natan, Ariel Roguin, Benyamine Abbou, Anna Ofir, Adi Klein, Dikla Dahan-Shriki, Mordechai Hallak, Boris Kessel, Mickey Dudkiewicz

Abstract:

Introduction: Over recent decades, technology has become integral to healthcare, with electronic health records and advanced medical equipment now standard. However, this reliance has made healthcare systems increasingly vulnerable to ransomware attacks. On October 13, 2021, Hillel Yaffe Medical Center experienced a severe ransomware attack that disrupted all IT systems, including electronic health records, laboratory services, and staff communications. The attack, carried out by the group DeepBlueMagic, utilized advanced encryption to lock the hospital's systems and demanded a ransom. This incident caused significant operational and patient care challenges, particularly impacting the obstetrics department. Objective: The objective is to describe the challenges facing the obstetric division following a cyberattack and discuss ways of preparing for and overcoming another one. Methods: A retrospective descriptive study was conducted in a mid-sized medical center. Division activities, including the number of deliveries, cesarean sections, emergency room visits, admissions, maternal-fetal medicine department occupancy, and ambulatory encounters, from 2 weeks before the attack to 8 weeks following it (a total of 11 weeks), were compared with the retrospective period in 2019 (pre-COVID-19). In addition, we present the challenges and adaptation measures taken at the division and hospital levels leading up to the resumption of full division activity. Results: On the day of the cyberattack, critical decisions were made. The media announced the event, calling on patients not to come to our hospital. Also, all elective activities other than cesarean deliveries were stopped. The number of deliveries, admissions, and both emergency room and ambulatory clinic visits decreased by 5%–10% overall for 11 weeks, reflecting the decrease in division activity. Nevertheless, in all stations, there were sufficient activities and adaptation measures to ensure patient safety, decision-making, and workflow of patients were accounted for. Conclusions: The risk of ransomware cyberattacks is growing. Healthcare systems at all levels should recognize this threat and have protocols for dealing with them once they occur.

Keywords: ransomware attack, healthcare cybersecurity, obstetrics challenges, IT system disruption

Procedia PDF Downloads 24