Computer-Based Medical Consultations: MYCIN focuses on MYCIN, a novel computer-based expert system designed to assist physicians with clinical decisions concerning the selection of appropriate therapy for patients with infections. It discusses medical computing, artificial intelligence, and the clinical problem areas for which the MYCIN program is designed, and it describes in detail how the MYCIN program helps physicians in making decisions. Comprised of seven chapters, this volume begins with an overview of MYCIN and the criteria used in its design. It then discusses data structures and control structures in the context of prior work regarding rule-based problem-solving, inferential model building and inexact reasoning in medicine. The book also explores MYCIN'S ability to answer questions with respect to its knowledge base and the details of a specific consultation, evaluation and future extensions of the MYCIN system, the limitations and accomplishments of MYCIN, and its contributions in artificial intelligence and computer-based medical decision making. This book is a valuable source of information for computer scientists and members of the medical community.

Computer technology has impacted the practice of medicine in dramatic ways. Imaging techniques provide noninvasive tools which alter the diag nostic process. Sophisticated monitoring equipment presents new levels of detail for both patient management and research. In most of these high technology applications, the computer is embedded in the device; its presence is transparent to the user. There is also a growing number of applications in which the health care provider directly interacts with a computer. In many cases, these appli cations are limited to administrative functions, e.g., office practice man agement, location of hospital patients, appointments, and scheduling. Nevertheless, there also are instances of patient care functions such as results reporting, decision support, surveillance, and reminders. This series, Computers and Medicine, will focus upon the direct use of information systems as it relates to the medical community. After twenty-five years of experimentation and experience, there are many tested applications which can be implemented economically using the current generation of computers. Moreover, the falling cost of computers suggests that there will be even more extensive use in the near future. Yet there is a gap between current practice and the state-of-the-art.

Computer technology has impacted the practice of medicine in dramatic ways. Imaging techniques provide noninvasive tools which alter the diag nostic process. Sophisticated monitoring equipment presents new levels of detail for both patient management and research. In most of these high technology applications, the computer is embedded in the device; its presence is transparent to the user. There is also a growing number of applications in which the health care provider directly interacts with a computer. In many cases, these applica tions are limited to administrative functions, e.g., office practice manage ment, location of hospital patients, appointments, and scheduling. Nev ertheless, there also are instances of patient care functions such as results reporting, decision support, surveillance, and reminders. This series, Computers and Medicine, focuses upon the direct use of information systems as it relates to the medical community. After twenty five years of experimentation and experience, there are many tested ap plications which can be implemented economically using the current gen eration of computers. Moreover, the falling cost of computers suggests that there will be even more extensive use in the near future. Yet there is a gap between current practice and the state-of-the-art.

This book focuses on the role of computers in the provision of medical services. It provides both a conceptual framework and a practical approach for the implementation and management of IT used to improve the delivery of health care. Inspired by a Stanford University training program, it fills the need for a high quality text in computers and medicine. It meets the growing demand by practitioners, researchers, and students for a comprehensive introduction to key topics in the field. Completely revised and expanded, this work includes several new chapters filled with brand new material.

The ability to learn is one of the most fundamental attributes of intelligent behavior. Consequently, progress in the theory and computer modeling of learn ing processes is of great significance to fields concerned with understanding in telligence. Such fields include cognitive science, artificial intelligence, infor mation science, pattern recognition, psychology, education, epistemology, philosophy, and related disciplines. The recent observance of the silver anniversary of artificial intelligence has been heralded by a surge of interest in machine learning-both in building models of human learning and in understanding how machines might be endowed with the ability to learn. This renewed interest has spawned many new research projects and resulted in an increase in related scientific activities. In the summer of 1980, the First Machine Learning Workshop was held at Carnegie-Mellon University in Pittsburgh. In the same year, three consecutive issues of the Inter national Journal of Policy Analysis and Information Systems were specially devoted to machine learning (No. 2, 3 and 4, 1980). In the spring of 1981, a special issue of the SIGART Newsletter No. 76 reviewed current research projects in the field. . This book contains tutorial overviews and research papers representative of contemporary trends in the area of machine learning as viewed from an artificial intelligence perspective. As the first available text on this subject, it is intended to fulfill several needs.

The essays in this book, written by researchers from both humanities and science, describe various theoretical and experimental approaches to adding medical ethics to a machine, what design features are necessary in order to achieve this, philosophical and practical questions concerning justice, rights, decision-making and responsibility in medical contexts, and accurately modeling essential physician-machine-patient relationships. In medical settings, machines are in close proximity with human beings: with patients who are in vulnerable states of health, who have disabilities of various kinds, with the very young or very old and with medical professionals. Machines in these contexts are undertaking important medical tasks that require emotional sensitivity, knowledge of medical codes, human dignity and privacy. As machine technology advances, ethical concerns become more urgent: should medical machines be programmed to follow a code of medical ethics? What theory or theories should constrain medical machine conduct? What design features are required? Should machines share responsibility with humans for the ethical consequences of medical actions? How ought clinical relationships involving machines to be modeled? Is a capacity for empathy and emotion detection necessary? What about consciousness? This collection is the first book that addresses these 21st-century concerns.