Scarce healthcare resources require carefully made policies ensuring optimal bed allocation, quality healthcare service, and adequate financial support. This paper proposes a complex analysis of the resource allocation in a hospital department by integrating in the same framework a queuing system, a compartmental model, and an evolutionary-based optimization. The queuing system shapes the flow of patients through the hospital, the compartmental model offers a feasible structure of the hospital department in accordance to the queuing characteristics, and the evolutionary paradigm provides the means to optimize the bed-occupancy management and the resource utilization using a genetic algorithm approach. The paper also focuses on a "What-if analysis" providing a flexible tool to explore the effects on the outcomes of the queuing system and resource utilization through systematic changes in the input parameters. The methodology was illustrated using a simulation based on real data collected from a geriatric department of a hospital from London, UK. In addition, the paper explores the possibility of adapting the methodology to different medical departments (surgery, stroke, and mental illness). Moreover, the paper also focuses on the practical use of the model from the healthcare point of view, by presenting a simulated application.

Genetic algorithms (GAs) and neural networks (NNs) are both inspired by computation in biological systems and many attempts have been made to combine the two methodologies to boost the NNs performance. This paper deals with the evolutionary training of a feedforward NN for both breast cancer detection and recurrence. A multi‐layer perceptron (MLP) has been designed for this purpose, using a GA routine to set weights, and a Java implementation of this hybrid model has been made. Four databases concerning cancer detection and recurrence have been used, two databases containing numerical attributes only, one database containing ordinal (categorical) attributes solely and one database with mixed attributes. In comparison to some standard NNs, the performance of this approach using the same databases is shown to be superior. Moreover, this hybrid MLP/GA model is very flexible in terms of providing accurate classification, even with different types of attributes, which is usually found in medical studies.

Transabdominal real-time elastography is certainly a very useful method in depicting liver hardness, although it is incompletely tested in large multicenter studies.

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Automated medical diagnosis models are now ubiquitous, and research for developing new ones is constantly growing. They play an important role in medical decision-making, helping physicians to provide a fast and accurate diagnosis. Due to their adaptive learning and nonlinear mapping properties, the artificial neural networks are widely used to support the human decision capabilities, avoiding variability in practice and errors based on lack of experience. Among the most common learning approaches, one can mention either the classical back-propagation algorithm based on the partial derivatives of the error function with respect to the weights, or the Bayesian learning method based on posterior probability distribution of weights, given training data. This paper proposes a novel training technique gathering together the error-correction learning, the posterior probability distribution of weights given the error function, and the Goodman-Kruskal Gamma rank correlation to assembly them in a Bayesian learning strategy. This study had two main purposes; firstly, to develop anovel learning technique based on both the Bayesian paradigm and the error back-propagation, and secondly,to assess its effectiveness. The proposed model performance is compared with those obtained by traditional machine learning algorithms using real-life breast and lung cancer, diabetes, and heart attack medical databases. Overall, the statistical comparison results indicate that thenovellearning approach outperforms the conventional techniques in almost all respects.