keyword
https://read.qxmd.com/read/38685951/development-and-performance-assessment-of-novel-machine-learning-models-for-predicting-postoperative-pneumonia-in-aneurysmal-subarachnoid-hemorrhage-patients-external-validation-in-mimic-iv
#1
JOURNAL ARTICLE
Xinbo Li, Chengwei Zhang, Jiale Wang, Chengxing Ye, Jiaqian Zhu, Qichuan Zhuge
BACKGROUND: Postoperative pneumonia (POP) is one of the primary complications after aneurysmal subarachnoid hemorrhage (aSAH) and is associated with postoperative mortality, extended hospital stay, and increased medical fee. Early identification of pneumonia and more aggressive treatment can improve patient outcomes. We aimed to develop a model to predict POP in aSAH patients using machine learning (ML) methods. METHODS: This internal cohort study included 706 patients with aSAH undergoing intracranial aneurysm embolization or aneurysm clipping...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38684858/importance-of-cd8-tex-cell-associated-gene-signatures-in-the-prognosis-and-immunology-of-osteosarcoma
#2
JOURNAL ARTICLE
Yining Lu, Nana Cao, Ming Zhao, Guochuan Zhang, Qi Zhang, Ling Wang
As a highly aggressive bone malignancy, osteosarcoma poses a significant therapeutic challenge, especially in the setting of metastasis or recurrence. This study aimed to investigate the potential of CD8-Tex cell-associated genes as prognostic biomarkers to reveal the immunogenomic profile of osteosarcoma and guide therapeutic decisions. mRNA expression data and clinical details of osteosarcoma patients were obtained from the TCGA database (TARGET-OS dataset). The GSE21257 dataset (from the GEO database) was used as an external validation set to provide additional information on osteosarcoma specimens...
April 29, 2024: Scientific Reports
https://read.qxmd.com/read/38684578/two-headed-unetefficientnets-for-parallel-execution-of-segmentation-and-classification-of-brain-tumors-incorporating-postprocessing-techniques-with-connected-component-labelling
#3
JOURNAL ARTICLE
Hari Mohan Rai, Joon Yoo, Serhii Dashkevych
PURPOSE: The purpose of this study is to develop accurate and automated detection and segmentation methods for brain tumors, given their significant fatality rates, with aggressive malignant tumors like Glioblastoma Multiforme (GBM) having a five-year survival rate as low as 5 to 10%. This underscores the urgent need to improve diagnosis and treatment outcomes through innovative approaches in medical imaging and deep learning techniques. METHODS: In this work, we propose a novel approach utilizing the two-headed UNetEfficientNets model for simultaneous segmentation and classification of brain tumors from Magnetic Resonance Imaging (MRI) images...
April 29, 2024: Journal of Cancer Research and Clinical Oncology
https://read.qxmd.com/read/38681465/physiotherapeutic-approach-toward-restoring-upper-limb-function-post-the-surgical-excision-of-desmoid-fibromatosis-tumor-over-the-right-upper-arm
#4
Grisha R Ratnani, Vrushali Athawale, Harsh R Nathani
Desmoid fibromatosis is an uncommon soft tissue tumor that is locally aggressive and can result in both pain and limited range of motion (ROM). The rehabilitation protocol is designed to promote optimal recovery and functional outcomes by following a phased approach. Initially, the focus is on managing pain and performing passive ROM exercises immediately after surgery. As the weeks progress, the exercises transition to active-assisted and then active ROM exercises. Additionally, strengthening exercises, manual therapy techniques, and functional training are incorporated to improve muscle strength, flexibility, and coordination...
March 2024: Curēus
https://read.qxmd.com/read/38680278/trans-narratives-on-school-experiences-this-is-how-we-feel
#5
JOURNAL ARTICLE
Olatz Etxebarria-Perez-de-Nanclares, Maria Teresa Vizcarra Morales, Ana Luisa López-Vélez, Rakel Gamito Gómez
INTRODUCTION: The school environment remains unsafe for many trans people, where they are victims of discrimination, aggression, and bullying, resulting in socioemotional and physical harm to trans individuals. Intersectionality and minority stress are contributing factors in this already challenging education environment. In many cases, the voices of trans people are not heard or listened to at school; therefore, this study aims to listen to their school experiences in order to identify key areas for improvement...
2024: Frontiers in Psychology
https://read.qxmd.com/read/38675778/vaccines-induce-homeostatic-immunity-generating-several-secondary-benefits
#6
REVIEW
Arun B Arunachalam
The optimal immune response eliminates invading pathogens, restoring immune equilibrium without inflicting undue harm to the host. However, when a cascade of immunological reactions is triggered, the immune response can sometimes go into overdrive, potentially leading to harmful long-term effects or even death. The immune system is triggered mostly by infections, allergens, or medical interventions such as vaccination. This review examines how these immune triggers differ and why certain infections may dysregulate immune homeostasis, leading to inflammatory or allergic pathology and exacerbation of pre-existing conditions...
April 9, 2024: Vaccines
https://read.qxmd.com/read/38672870/incorporation-of-sea-spaghetti-himanthalia-elongata-in-low-salt-beef-patties-effect-on-sensory-profile-and-consumer-hedonic-and-emotional-response
#7
JOURNAL ARTICLE
Artur Głuchowski, Emily Crofton, Elena S Inguglia, Maurice G O'Sullivan, Joe P Kerry, Ruth M Hamill
Seaweed is a naturally rich source of nutrients and exhibits techno-functional properties that are under study for their potential as ingredients in meat products. However, seaweed is associated with a particular flavor profile, and optimization of the sensory profile should be conducted alongside technical performance. This study investigated the feasibility of the application of sea spaghetti ( Himanthalia elongata ) in the production of low-salt beef patties and recorded the associated sensory profile and consumer hedonic-emotional response...
April 15, 2024: Foods (Basel, Switzerland)
https://read.qxmd.com/read/38672689/effects-of-adjuvant-exercise-and-nutrition-therapy-on-muscle-fibre-biomechanics-in-gastrointestinal-cancer-patients
#8
JOURNAL ARTICLE
Michael Haug, Raphaela Schwappacher, Charlotte Pollmann, Paul Ritter, Mena Michael, Hans Joachim Hermann, Robert Grützmann, Anke Mittelstädt, Markus Friedrich Neurath, Yurdagül Zopf, Oliver Friedrich
Patients with aggressive cancer, e.g., gastrointestinal cancer, are prone (≥50% chance) to developing cancer cachexia (CC). Little is known about the effects of CC on the biomechanical function of muscle. A promising prevention strategy was found in the form of a multi-modal therapy combining mild resistance exercise (e.g., whole-body electro-myostimulation, WB-EMS) and a protein-rich diet. In a previous study of ours, this was effective in counteracting the loss of muscle mass, yet a systematic and comprehensive assessment of active and passive single muscle fibre functions was so far absent...
April 22, 2024: Cancers
https://read.qxmd.com/read/38670874/automated-detection-and-grading-of-extraprostatic-extension-of-prostate-cancer-at-mri-via-cascaded-deep-learning-and-random-forest-classification
#9
JOURNAL ARTICLE
Benjamin D Simon, Katie M Merriman, Stephanie A Harmon, Jesse Tetreault, Enis C Yilmaz, Zoë Blake, Maria J Merino, Julie Y An, Jamie Marko, Yan Mee Law, Sandeep Gurram, Bradford J Wood, Peter L Choyke, Peter A Pinto, Baris Turkbey
RATIONALE AND OBJECTIVES: Extraprostatic extension (EPE) is well established as a significant predictor of prostate cancer aggression and recurrence. Accurate EPE assessment prior to radical prostatectomy can impact surgical approach. We aimed to utilize a deep learning-based AI workflow for automated EPE grading from prostate T2W MRI, ADC map, and High B DWI. MATERIAL AND METHODS: An expert genitourinary radiologist conducted prospective clinical assessments of MRI scans for 634 patients and assigned risk for EPE using a grading technique...
April 25, 2024: Academic Radiology
https://read.qxmd.com/read/38666027/machine-learning-based-identification-of-a-consensus-immune-derived-gene-signature-to-improve-head-and-neck-squamous-cell-carcinoma-therapy-and-outcome
#10
JOURNAL ARTICLE
Xueying Hu, Haiqun Dong, Wen Qin, Ying Bin, Wenhua Huang, Min Kang, Rensheng Wang
BACKGROUND: Head and neck squamous cell carcinoma (HNSCC), an extremely aggressive tumor, is often associated with poor outcomes. The standard anatomy-based tumor-node-metastasis staging system does not satisfy the requirements for screening treatment-sensitive patients. Thus, an ideal biomarker leading to precise screening and treatment of HNSCC is urgently needed. METHODS: Ten machine learning algorithms-Lasso, Ridge, stepwise Cox, CoxBoost, elastic network (Enet), partial least squares regression for Cox (plsRcox), random survival forest (RSF), generalized boosted regression modelling (GBM), supervised principal components (SuperPC), and survival support vector machine (survival-SVM)-as well as 85 algorithm combinations were applied to construct and identify a consensus immune-derived gene signature (CIDGS)...
2024: Frontiers in Pharmacology
https://read.qxmd.com/read/38660169/the-effect-of-hair-removal-and-filtering-on-melanoma-detection-a-comparative-deep-learning-study-with-alexnet-cnn
#11
JOURNAL ARTICLE
Angélica Quishpe-Usca, Stefany Cuenca-Dominguez, Araceli Arias-Viñansaca, Karen Bosmediano-Angos, Fernando Villalba-Meneses, Lenin Ramírez-Cando, Andrés Tirado-Espín, Carolina Cadena-Morejón, Diego Almeida-Galárraga, Cesar Guevara
Melanoma is the most aggressive and prevalent form of skin cancer globally, with a higher incidence in men and individuals with fair skin. Early detection of melanoma is essential for the successful treatment and prevention of metastasis. In this context, deep learning methods, distinguished by their ability to perform automated and detailed analysis, extracting melanoma-specific features, have emerged. These approaches excel in performing large-scale analysis, optimizing time, and providing accurate diagnoses, contributing to timely treatments compared to conventional diagnostic methods...
2024: PeerJ. Computer Science
https://read.qxmd.com/read/38659560/a-multidisciplinary-approach-to-a-complex-fatal-attack-due-to-a-pack-of-maremma-sheepdogs-is-it-always-an-accident
#12
Matteo Antonio Sacco, Francesco Maria Galassi, Elena Varotto, Laura Landini, Saverio Gualtieri, Wandamaria Mazzuca, Pietrantonio Ricci, Giuseppe Chiaravalloti, Isabella Aquila
Deaths due to dog attacks are a worldwide issue. Fatal dog attacks may occur in various environments, including the dog owner's property. A lot of difficulties emerge when the attack involves a pack of dogs, of different species and sizes. In this case, it becomes much more difficult for forensic investigators to evaluate the event, especially regarding the identification of the dog or dogs that caused the death as well as the identification of the owner and the reconstruction of the dynamics for forensic purposes...
March 2024: Curēus
https://read.qxmd.com/read/38653511/web-based-cognitive-rehabilitation-intervention-for-cancer-related-cognitive-impairment-following-chemotherapy-for-aggressive-lymphoma-protocol-for-a-randomised-pilot-trial
#13
JOURNAL ARTICLE
Priscilla Gates, Heather J Green, Karla Gough, Haryana Dhillon, Janette L Vardy, Michael Dickinson, Jade Guarnera, Meinir Krishnasamy, Patricia M Livingston, Victoria White, Anna Ugalde, Karen Caeyenberghs
INTRODUCTION: Cancer-related cognitive impairment is common among people diagnosed with and treated for cancer. This can be a distressing and disabling side effect for impacted individuals. Interventions to mitigate cognitive dysfunction are available, but, to date, most have been trialled in samples that are largely or exclusively composed of people with solid tumours. Intervention strategies to support cognitive functioning are needed, but there is a paucity of research in this area...
April 22, 2024: BMJ Open
https://read.qxmd.com/read/38650741/investigating-causal-genetic-effects-on-overall-survival-of-glioblastoma-patients-using-normalizing-flow-and-structural-causal-model
#14
JOURNAL ARTICLE
Fanyang Yu, Rongguang Wang, Pratik Chaudhari, Christos Davatzikos
Glioblastoma (GBM) is the most common and aggressive brain tumor with short overall survival (OS) of about 15 months. Understanding the causal factors affecting the patient survival is crucial for disease prognosis and treatment planning. Although previous efforts on survival prediction using multi-omics data has yielded useful predictive models, the causation of the correlated genetic risk factors has not been addressed. Recent advances in causal deep learning models enable the study of causality from complex dataset...
February 2024: Proceedings of SPIE
https://read.qxmd.com/read/38649982/optimizing-evidence-based-practice-implementation-a-case-study-on-simulated-patient-protocols-in-long-term-opioid-therapy
#15
JOURNAL ARTICLE
Ellen Green, Megan Hamm, Catherine Gowl, Reed Van Deusen, Jane M Liebschutz, J Deanna Wilson, Jessica Merlin
BACKGROUND: Substantial work has been done to update or create evidence-based practices (EBPs) in the changing health care landscape. However, the success of these EBPs is limited by low levels of clinician implementation. OBJECTIVE: The goal of this study is to describe the use of standardized/simulated patient/person (SP) methodology as a framework to develop implementation bundles to increase the effectiveness, sustainability, and reproducibility of EBPs across health care clinicians...
April 22, 2024: Implementation science communications
https://read.qxmd.com/read/38647041/diagnostic-model-for-proliferative-hcc-using-li-rads-assessing-therapeutic-outcomes-in-hepatectomy-and-tki-ici-combination
#16
JOURNAL ARTICLE
Mengtian Lu, Zuyi Yan, Qi Qu, Guodong Zhu, Lei Xu, Maotong Liu, Jifeng Jiang, Chunyan Gu, Ying Chen, Tao Zhang, Xueqin Zhang
BACKGROUND: Proliferative hepatocellular carcinoma (HCC), aggressive with poor prognosis, and lacks reliable MRI diagnosis. PURPOSE: To develop a diagnostic model for proliferative HCC using liver imaging reporting and data system (LI-RADS) and assess its prognostic value. STUDY TYPE: Retrospective. POPULATION: 241 HCC patients underwent hepatectomy (90 proliferative HCCs: 151 nonproliferative HCCs), divided into the training (N = 167) and validation (N = 74) sets...
April 22, 2024: Journal of Magnetic Resonance Imaging: JMRI
https://read.qxmd.com/read/38646033/intraosseous-access-in-the-resuscitation-of-patients-with-trauma-the-good-the-bad-the-future
#17
REVIEW
Zaffer A Qasim, Bellal Joseph
The timely restoration of lost blood in hemorrhaging patients with trauma, especially those who are hemodynamically unstable, is of utmost importance. While intravenous access has traditionally been considered the primary method for vascular access, intraosseous (IO) access is gaining popularity as an alternative for patients with unsuccessful attempts. Previous studies have highlighted the higher success rate and easier training process associated with IO access compared with peripheral intravenous (PIV) and central intravenous access...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38639614/identification-of-prognostic-markers-of-glioblastoma-through-bioinformatics-analysis
#18
JOURNAL ARTICLE
Jieying Wen, Haojie Zheng, Xi Yuan, Cuilan Huang, Xiaogang Yang, Zhiying Lin, Guanglong Huang
OBJECTIVE: Glioblastoma is the most common and aggressive type of the central nervous system cancers. Although radiotherapy and chemotherapy are used in the treatment of glioblastoma, survival rates remain unsatisfactory. This study aimed to explore differentially expressed genes (DEGs) based on the survival prognosis of patients with glioblastoma and to establish a model for classifying patients into different risk groups for overall survival. METHODS: DEGs from 160 tumor samples from patients with glioblastoma and 5 nontumor samples from other patients in The Cancer Genome Atlas database were identified...
April 18, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38638522/treatment-of-aggression-regulation-problems-with-virtual-reality-study-protocol-for-a-randomized-controlled-trial
#19
JOURNAL ARTICLE
Bas R van Wolffelaar, Joan E van Horn, Larissa M Hoogsteder
BACKGROUND: Aggressive conduct among delinquents presents a pervasive issue, bearing substantial implications for not only society at large but also for the victims and the individuals displaying the aggression. Traditional approaches to treating aggression regulation deficiencies generally employ Cognitive Behavioral Therapy (CBT) in conjunction with analog role-playing exercises. A body of research supports the efficacy of various therapeutic models for aggression regulation, including Responsive Aggression Regulation Therapy (Re-ART)...
2024: Frontiers in Psychology
https://read.qxmd.com/read/38633778/an-atlas-of-causal-and-mechanistic-drivers-of-interpatient-heterogeneity-in-glioma
#20
Serdar Turkarslan, Yu He, Parvinder Hothi, Carl Murie, Abran Nicolas, Kavya Kannan, James H Park, Min Pan, Alaa Awawda, Zachariah D Cole, Mark A Shapiro, Timothy J Stuhlmiller, Hwahyung Lee, Anoop P Patel, Charles Cobbs, Nitin S Baliga
Grade IV glioma, formerly known as glioblastoma multiforme (GBM) is the most aggressive and lethal type of brain tumor, and its treatment remains challenging in part due to extensive interpatient heterogeneity in disease driving mechanisms and lack of prognostic and predictive biomarkers. Using mechanistic inference of node-edge relationship (MINER), we have analyzed multiomics profiles from 516 patients and constructed an atlas of causal and mechanistic drivers of interpatient heterogeneity in GBM (gbmMINER)...
April 7, 2024: medRxiv
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