Advanced Emergency Medicine (E-Journal)
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Application of Artificial Intelligence Technology in Radiotherapy to Delineate Endangered Organs
Get PDFWith the development of science and technology, artificial intelligence technology has been tried to be applied to all aspects of tumor radiotherapy, including respiratory motion prediction during simulated positioning, delineation of dangerous organs and tumor targets, and prediction of dose distribution. At present, clinical radiotherapy is mainly used in the automatic delineation of endangered organs, and artificial intelligence has demonstrated high accuracy in the delineation of dangerous organs, but there are also certain limitations. This article reviews the application and shortcomings of artificial systems in the automatic delineation of dangerous organs
A Forecasting Analysis of Health Technicians Demand in Hainan Province based on Several Combination Forecasting Models
No full textObjective:Several combination models were used to forecast the demand for health technicians in Hainan Province in order to find the best combination of forecasting models and thus provide the relevant departments with a more scientific basis for their planning. Methods:First using ARIMA method, GM(1,1) method and trend extrapolation method to establish single forecasting models, and then based on single models, adopt equal weight method , reciprocal  errors method ,odds-matrix method and artificial neural networks method to establish four kinds of combination forecasting models, finally evaluate all the prediction models and select the best model to make a short -term forecasting. Results:The combined forecasting model generally has a lower forecasting error than the single forecasting model. The combined artificial neural network model has the lowest forecasting error and is the relatively optimal model for forecasting health technicians. It is predicted that the demand for health technicians in Hainan Province will increase steadily from 2021 to 2023. Conclusion:The demand for health technicians in Hainan Province is still high, and training efforts should be further strengthened to lay a solid foundation of health care for the construction of the Hainan Free Trade Port
An Association Between Periodontal Disease and Ischemic Stroke with Specific Dental Therapy: An Integrated Review
Get PDFNumerous researches have mentioned the interaction between periodontal disease (PD) and ischemic stroke. However, whether treatment of PD reduces ischemic stroke remains controversial. In this study, we review how periodontitis is a risk factor for stroke among the identified inflammatory mechanisms and how different types of specific periodontal treatments reduce the hazard of ischemic stroke. Based on the concept of inflammatory mechanisms between two diseases, whether all types of dental treatment can be effective to interrupt ischemic stroke development or instead lead to an irritating effect. The possibility of preventing recurrent stroke by treating PD is present in the discussion
Influence of Section Orientation of Ultrasound Shear Wave Elastography on the Measurement of TI-RADS Category 4 Thyroid Nodules Stiffness
Get PDFThyroid shear wave elastography (SWE) is widely used as a noninvasive screening tool for thyroid nodules (TN) diagnosis. Herein, we assessed the effect of SWE section orientation on the stiffness measurement of TI-RADS category 4 TN. In this retrospective study, we followed up patients who had 2D ultrasound and elastography of the thyroid with pathological findings at our institution. The reliability and agreement between the aforementioned evaluations were further examined via calculation of the mean and maximum modulus values of the TN in both section orientations. As a result, there was good agreement in the measurement of the shear wave modulus of TN between the two different views, which provides relative flexibility for patients with anatomical or physiological defects
A Review on Biocompatibility of Graphene-Based Material
Get PDFThis review mainly focuses on the research of biocompatibility of graphene-based material in the past few years. As graphene-based material has been considered a great candidate for biomedical use, it attracts great interests of many researchers.It is not clear yet that whether the graphene and its derivatives are safe enough to be the biosensor in human’s body. Common graphene is always to have reaction with human’s substance inside and produce harmful substance. However, some of its derivatives may do not have the same problem. So, this research proposal wants to find out the cytotoxicity of the graphene and its derivatives. In addition, the review wants to conclude a standard about to what extent of cytotoxicity is the graphene-based material allowed to be used in human’s body and do not produce harm to our health.Therefore, biocompatibility of graphene-based material has gradually become the topic of various scientists. This review summarizes the latest researches in the past few years and different results. In conclusion, future path of the research is given and what has to be emphasized is that before graphene-based material is in vivo applications, its biocompatibility must be clearly examined
Study on the Effect of Fuzi Rhubarb Xanxin Decoction Combined with Qinghua Decoction on Periodontitis
Get PDFMany reasons may lead to the occurrence of periodontitis disease in the human body, especially the people who often get overheated. If they do not pay much attention to oral hygiene, and even like to eat some spicy and stimulating food, the probability of periodontitis will increase. Fuzi Rhubarb Xanxin decoction is a traditional Chinese medicine prescription, because the prescription is warm and dissipates cold, so it has the effect of relieving pain. In the treatment of patients with periodontitis, the application of Fuzi Rhubarb Xanxin decoction can improve the disease through recuperation.Qinghua decoction mainly had clear heat, detoxification, analgesic effect, so as to improve the effect of the further consolidated. In this paper, the causes of periodontitis and the application of Fuzi Rhubarb Xasimin decoction were analyzed to explore the role of Fuzi Rhubarb Xasimin decoction in the treatment of periodontitis
Practical Application of Bayesian Network and Genetic Algorithm for Optimizing Antibiotic Management in Hospital Settings
Get PDFWith the widespread use and misuse of antibiotics, there’s a lot of talk about antibiotic resistance crisis these days. Researching the antibiotic resistance crisis have become pressing. In the first five years, the market share of antibiotics and anti-drugs increases, while that of other drugs declines. However, after the first five years, the trend of anti-drugs and other drugs decreases, that of antibiotics blooms up meanwhile. If development of market is supported , early rising share of antibiotics and other drugs, not containing antibiotics continue to decline, in twentieth years the market is stable, with antibiotics having the advantage over others
Application of Multi-State Markov Models to Alzheimer's Disease Data
Get PDFObjective: To explore the impact of the probability of metastasis between stages, mean residence time and APOE4 allele count on disease progression during the progression of Alzheimer's disease. Methods: 3191 patients initially diagnosed with Alzheimer's disease in the Uniform Data Set UDS maintained by the National Alzheimer's Collaborative Center (NACC) were selected, and a multi-state Markov model with death as the outcome was developed based on the MMSE standard cut-off point delineation criteria with three stages of Alzheimer's disease: mild, moderate and severe. Results: The metastatic intensity and probability of metastatic death gradually increased as the disease progressed through mild, moderate and severe stages; the mean length of stay in mild, moderate and severe Alzheimer's disease patients was 2.905, 1.875 and 1.819 years, respectively; with one APOE4 allele [HR 1.176, 95% CI (1.031,1.340)] and [HR 1.426, 95%CI(1.202,1.693)] were risk factors for mild to moderate transfer. Conclusions: Alzheimer's disease has a long course with multi-stage progression, risk factors affecting disease progression are more complex, the APOE4 allele is a risk factor for Alzheimer's disease, and having 2 APOE4 alleles is a greater risk than 1 APOE4 allele
Experience of Comprehensive Nursing Intervention in Perioperative Period of total Endoscopic Radical Thyroidectomy
Get PDFObjective To summarize the perioperative nursing experience of comprehensive nursing intervention in 53 patients who underwent radical thyroidectomy under complete endoscopy in our department. Methods A retrospective analysis was made of the perioperative nursing points of 53 patients with total endoscopic radical thyroidectomy. Including preoperative psychological care, neck back position training, postoperative observation of changes in the condition, neck and shoulder function exercise, local cold compress, keep drainage tube unobstructed, complications prevention, observation and nursing. Results All the 53 patients were cured and discharged without hyperthyroidism crisis and parathyroid injury. Conclusion Perioperative implementation of comprehensive nursing intervention measures, close observation of the condition changes, patient guidance, seriously answer the doubts of patients so that patients actively cooperate with nursing treatment, can effectively reduce complications, reduce patient pain, improve patient satisfaction
Risk Factors for Death in Patients with Atrial Fibrillation
Get PDFWith the aging society and increasing risk factors for cardiovascular diseases, the incidence of atrial fbrillation is gradually in-creasing, seriously afecting human health. Previous studies have shown that hypertension, diabetes, heart failure, chronic kidney disease, etc, increase the risk of death of patients with atrial fbrillation. Research has shown that cardiac pathological remodeling is the fundamental pathophysiological mechanism for atrial fbrillation, which is closely related to thromboembolism and death in patients with atrial fbrillation. At present, there is limited research on the risk factors for increased mortality in patients with atrial fbrillation. Therefore, this article will review the related factors that increase the risk of death in patients with atrial fbrillation