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Responsive rationing: insights and strategies for goal setters in health care.
Retinopathy of prematurity (ROP), a proliferative vascular eye disease, is one of the leading causes of blindness in childhood and prevails in premature infants with low-birth-weight. The recent progress in digital image analysis offers novel strategies for ROP diagnosis. This paper provides a comprehensive review on the development of digital diagnosing systems for ROP to software researchers. It may also be adopted as a guide to ophthalmologists for selecting the most suitable diagnostic software in the clinical setting, particularly for the remote ophthalmic support.

We review the latest literatures concerning the application of digital diagnosing systems for ROP. The diagnosing systems are analyzed and categorized. Articles published between 1998 and 2020 were screened with the two searching engines Pubmed and Google Scholar.

Telemedicine is a method of remote image interpretation that can provide medical service to remote regions, and yet requires training to local operators. On the basis of image the detection, supervision and in-time treatment of ROP for the preterm babies.
Lung cancer is a worldwide high-risk disease, and lung nodules are the main manifestation of early lung cancer. Automatic detection of lung nodules reduces the workload of radiologists, the rate of misdiagnosis and missed diagnosis. For this purpose, we propose a Faster R-CNN algorithm for the detection of these lung nodules.

Faster R-CNN algorithm can detect lung nodules, and the training set is used to prove the feasibility of this technique. In theory, parameter optimization can improve network structure, as well as detection accuracy.

Through experiments, the best parameters are that the basic learning rate is 0.001, step size is 70,000, attenuation coefficient is 0.1, the value of Dropout is 0.5, and the value of Batch Size is 64. Compared with other networks for detecting lung nodules, the optimized and improved algorithm proposed in this paper generally improves detection accuracy by more than 20% when compared with the other traditional algorithms.

Our experimental results have proved that the method of detecting lung nodules based on Faster R-CNN algorithm has good accuracy and therefore, presents potential clinical value in lung disease diagnosis. This method can further assist radiologists, and also for researchers in the design and development of the detection system for lung nodules.
Our experimental results have proved that the method of detecting lung nodules based on Faster R-CNN algorithm has good accuracy and therefore, presents potential clinical value in lung disease diagnosis. This method can further assist radiologists, and also for researchers in the design and development of the detection system for lung nodules.
Accurate prediction of acute hypotensive episodes (AHE) is fundamentally important for timely and appropriate clinical decision-making, as it can provide medical professionals with sufficient time to accurately select more efficient therapeutic interventions for each specific condition. However, existing methods are invasive, easily affected by artifacts and can be difficult to acquire in a pre-hospital setting.

In this study, 1055 patients' records were extracted from the Multiparameter Intelligent Monitoring in Intensive Care II database (MIMIC II), comprising of 388 AHE records and 667 non-AHE records. Six commonly used machine learning algorithms were selected and used to develop an AHE prediction model based on features extracted from seven types of non-invasive physiological parameters.

The optimal observation window and prediction gap were selected as 300 minutes and 60 minutes, respectively. For GBDT, XGB and AdaBoost, the optimal feature subsets contained only 39% of the overall features. An ensemble prediction model was developed using the voting method to achieve a more robust performance with an accuracy (ACC) of 0.822 and area under the receiver operating characteristic curve (AUC) of 0.878.

A novel machine learning method that uses only noninvasive physiological parameters offers a promising solution for easy and prompt AHE prediction in widespread scenario applications, including pre-hospital and in-hospital care.
A novel machine learning method that uses only noninvasive physiological parameters offers a promising solution for easy and prompt AHE prediction in widespread scenario applications, including pre-hospital and in-hospital care.
Magnetic resonance imaging (MRI) has been known to replace computed tomography (CT) for bone and skeletal joint examination. JUN04542 The accurate automatic segmentation of bone structure in shoulder MRI is important for the measurement and diagnosis of bone injury and disease. Existing bone segmentation algorithms cannot achieve automatic segmentation without any prior knowledge, and their versatility and accuracy are relatively low. Therefore, an automatic segmentation combining pulse coupled neural network (PCNN) and full convolutional neural networks (FCN) is proposed.

By constructing the block-based AlexNet segmentation model and U-Net-based bone segmentation module, we implemented the humeral segmentation model, articular bone segmentation model, humeral head and articular bone segmentation model synthesis model. We use this four kinds of segmentation models to obtain candidate bone regions, and accurately detect the positions of humerus and articular bone by voting. Finally, we perform an AlexNet segmentatithe experiment needs to be performed through 2D medical images. The shoulder segmentation data obtained in this way can be very accurate.
Laparoscopic inguinal repair use is rapidly growing because it is a minimally invasive surgery (MIS) technique. However, there is insufficient evidence to support the use of one MIS over others. We compared laparoscopic intracorporeal suture (LIS) and laparoscopic percutaneous extraperitoneal closure (LPEC) to determine which technique is superior.

Between February 2017 and December 2019, 260 children who underwent LPEC and 214 children who underwent LIS were enrolled. Operative time, recovery score, and patient cosmetic satisfaction were compared. A total of 108 propensity score-matched pairs were analyzed using paired t-test for continuous measurements and McNemar test for categorical variables.

The mean surgery time was lower in the LPEC group for both unilateral (15.76±5.35vs. 19±5.71min; p=0.04) and bilateral (21.56±5.7vs. 26.38±6.94min; p=0.01) surgeries. The LPEC group required shorter time for complete recovery (p=0.017). The mean rating for scar visibility was higher in the LIS group (p=0.02); however, both groups had high levels of cosmetic satisfaction (p=0.
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