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Lumbar disc herniation is a common and frequently-occurring disease in pain clinics. The incidence rate of affliction is increasing with every passing year. Besides the aged, young people also suffer from long-term pain, which not only affects their daily routines but may also lead to serious impairment. The causes of chronic low back and leg pain caused by lumbar disc herniation are mainly related to mechanical compression, the adhesion of epidural space, intervertebral space, and aseptic inflammatory reaction. The treatment of lumbar disc herniation should follow the principle of step-by-step treatment. An appropriate treatment scheme needs to be adopted according to the patient's condition. About 80% of patients received nonsurgical treatment to get relief from the pain symptoms. However, 10% to 15% of patients still need traditional open surgery. Spinal foraminal surgery is a new method for the treatment of lumbar disc herniation, lumbar surgery failure syndrome, and lumbar spinal stenosis. However, there are only scattered clinical reports on the efficacy of spinal foraminal surgery. Based on it, this paper proposes a method to explore the efficacy of spinal foraminal mirror surgery in the treatment of lumbar disc herniation. Besides, postoperative wearable lumbar protective equipment is proposed to ensure a seamless rehabilitation effect on the patients. Statistical analysis performed using a t-test revealed that there was a significant difference between the visual analog scales (VAS) scores of the two groups after 3 and 6 months of treatment (P less then 0.05). The paper analyzes and summarizes the cases with definite and poor curative effects, which not only provides the basis for clinical practice but also paves the way to multicenter clinical research.Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are effective methods for the treatment of end-stage osteoarthritis. Furthermore, rehabilitation training and psychological interventions play significant roles in the recovery of hip and knee joint function after THA and TKA. A total of 46 patients who received hip replacement and knee replacement are equally divided into two groups, with the control group being prescribed routine rehabilitation intervention and the observation group prescribed an early rehabilitation pathway with Morita therapy intervention. According to the results, the observation group displayed a significantly decreased incidence of deep venous thrombosis, while simultaneously reducing the recovery time of lower limb function (P less then 0.05), including straight leg raising time, walking time, and vertical knee flexion time. In addition, the treatment program demonstrates a significant ability to improve the joint function score, pain score, quality of life score, and range of motion score (P less then 0.05). Moreover, serum D-dimer, fibrin degradation products (FDP), and femoral vein blood flow peak also are significantly reduced (P less then 0.05). Therefore, we have determined that an early rehabilitation pathway combined with Morita therapy can effectively reduce stress pain, improve the recovery process of joint motor function, and reduce the incidence of thrombosis. However, an increased sample size would facilitate the confirmation of the safety and efficacy of the program. In addition, the overall financial expenditure and feasibility of the treatment need to be considered.The nursing work in the operating room has the characteristics of long time, strong technicality, and heavy work, which have an important influence on the quality of the operation. Operating room nursing recommendations based on data mining technology can solve a series of practical problems in clinical nursing and nursing management. This paper selects the clustering algorithm in commonly used data mining technology as the research object and actually analyzes the impact of this algorithm in operating room nursing recommendations. At this stage, there is little research on data mining technology in the field of nursing in China. This paper aims to provide new ideas for the field of nursing research by exploring the actual application in the field of nursing.
Hyperplasia of mammary glands (HMG) is the breast disease with the highest clinical incidence. Many traditional Chinese medicine (TCM) doctors suggest that the treatment of HMG should be based on the left and right breast pain difference. However, these views are based on case reports, and an objective basis has not been established for treatment according to left-side and right-side differences.
We enrolled 150 patients who met the clinical diagnostic criteria of HMG. The incidence bias was determined according to the score difference between bilateral breast pain and mass in patients with HMG. A left group, right group, and bilateral group were included, and TCM constitution was investigated in each group. Blood biochemical indicators were measured for 120 fasting patients. We conducted a network pharmacology study of the key herb qingpi and chenpi, which are used by TCM doctors to treat different lateral HMG.
In patients with biased onset of HMG, the results showed that the frequency and constitutionb of activating Qi and eliminating phlegm, such as chenpi.Chest X-ray (CXR) imaging is one of the most widely used and economical tests to diagnose a wide range of diseases. However, even for expert radiologists, it is a challenge to accurately diagnose diseases from CXR samples. check details Furthermore, there remains an acute shortage of trained radiologists worldwide. In the present study, a range of machine learning (ML), deep learning (DL), and transfer learning (TL) approaches have been evaluated to classify diseases in an openly available CXR image dataset. A combination of the synthetic minority over-sampling technique (SMOTE) and weighted class balancing is used to alleviate the effects of class imbalance. A hybrid Inception-ResNet-v2 transfer learning model coupled with data augmentation and image enhancement gives the best accuracy. The model is deployed in an edge environment using Amazon IoT Core to automate the task of disease detection in CXR images with three categories, namely pneumonia, COVID-19, and normal. Comparative analysis has been given in various metrics such as precision, recall, accuracy, AUC-ROC score, etc. The proposed technique gives an average accuracy of 98.66%. The accuracies of other TL models, namely SqueezeNet, VGG19, ResNet50, and MobileNetV2 are 97.33%, 91.66%, 90.33%, and 76.00%, respectively. Further, a DL model, trained from scratch, gives an accuracy of 92.43%. Two feature-based ML classification techniques, namely support vector machine with local binary pattern (SVM + LBP) and decision tree with histogram of oriented gradients (DT + HOG) yield an accuracy of 87.98% and 86.87%, respectively.Early and accurate detection of COVID-19 is an essential process to curb the spread of this deadly disease and its mortality rate. Chest radiology scan is a significant tool for early management and diagnosis of COVID-19 since the virus targets the respiratory system. Chest X-ray (CXR) images are highly useful in the effective detection of COVID-19, thanks to its availability, cost-effective means, and rapid outcomes. In addition, Artificial Intelligence (AI) techniques such as deep learning (DL) models play a significant role in designing automated diagnostic processes using CXR images. With this motivation, the current study presents a new Quantum Seagull Optimization Algorithm with DL-based COVID-19 diagnosis model, named QSGOA-DL technique. The proposed QSGOA-DL technique intends to detect and classify COVID-19 with the help of CXR images. In this regard, the QSGOA-DL technique involves the design of EfficientNet-B4 as a feature extractor, whereas hyperparameter optimization is carried out with the help of QSGOA technique. Moreover, the classification process is performed by a multilayer extreme learning machine (MELM) model. The novelty of the study lies in the designing of QSGOA for hyperparameter optimization of the EfficientNet-B4 model. An extensive series of simulations was carried out on the benchmark test CXR dataset, and the results were assessed under different aspects. The simulation results demonstrate the promising performance of the proposed QSGOA-DL technique compared to recent approaches.Spontaneous intracerebral hemorrhage (sICH) has many predisposing/risk factors. Lag sequential analysis (LSA) is a method of analyzing sequential patterns and their associations within categorical data in different system states. The results of this study will assist in preventing sICH and improving the patient outcome after sICH. The correlations between a first sICH and previous clinic visits were examined using LSA with data obtained from the Taiwan National Health Insurance Research Database (NHIRD). In this study, LSA was employed to examine the data in the Taiwan NHIRD in order to identify predisposing and risk factors related to sICH, and the results increased our knowledge of the temporal relationships between diseases. This study employed LSA to identify predisposing/risk factors prior to the first occurrence of sICH using a healthcare administrative database in Taiwan. The data were managed using the clinical classification software (CCS). All cases of traumatic ICH were excluded. Ten disease groups were identified using CCS. Hypertension and dizziness/vertigo were identified as two important predisposing/risk factors for sICH, and early treatment of hypertension resulted in a greater survival rate. Five disease groups were found to have occurred prior to other diseases and affected mostly the elderly, resulting in subsequent sICH. The results of this study also showed that nutritional status and tooth health were highly associated with the occurrence of sICH owing to a poor state of the digestive system. In conclusion, there are many diseases that influence the risk of a subsequent sICH. This study demonstrated that LSA is a very useful tool for future study of healthcare administrative databases.This article addresses automated segmentation and classification of COVID-19 and normal chest CT scan images. Segmentation is the preprocessing step for classification, and 12 DWT-PCA-based texture features extracted from the segmented image are utilized as input for the random forest machine-learning algorithm to classify COVID-19/non-COVID-19 disease. Diagnosing COVID-19 disease through an RT-PCR test is a time-consuming process. Sometimes, the RT-PCR test result is not accurate; that is, it has a false negative, which can cause a threat to the person's life due to delay in starting the specified treatment. At this moment, there is an urgent need to develop a reliable automatic COVID-19 detection tool that can detect COVID-19 disease from chest CT scan images within a shorter period and can help doctors to start COVID-19 treatment at the earliest. In this article, a variant of the whale optimization algorithm named improved whale optimization algorithm (IWOA) is introduced. The efficiency of the IWOA is tes extracted from each of the 160 IWOA-, WOA-, SSA-, and SCA-based segmented images are fed into random forest for training, and random forest is tested with DWT-PCA-based texture features extracted from each of the 40 IWOA-, WOA-, SSA-, and SCA-based segmented images. Random forest has reported a promising classification accuracy of 97.49% for the DWT-PCA-based texture features, which are extracted from IWOA-based segmented images.
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