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  • 1
    Online Resource
    Online Resource
    Bentham Science Publishers Ltd. ; 2022
    In:  The Open Biotechnology Journal Vol. 16, No. 1 ( 2022-10-19)
    In: The Open Biotechnology Journal, Bentham Science Publishers Ltd., Vol. 16, No. 1 ( 2022-10-19)
    Abstract: Alzheimer’s disease (AD) is the most epidemic type of dementia. The cause and treatment of the disease remain unidentified. However, when the impairment is still at a preliminary stage or mild cognitive impairment (MCI), the symptoms might be more controlled, and the treatment can be more efficient. As a result, computational diagnosis of the disease based on brain medical images is crucial for early diagnosis. Methods: In this study, an efficient computational method was introduced to classify MRI brain scans for patients with Alzheimer’s disease (AD), mild cognitive impairment (MCI), and normal aging control (NC), comprising three main steps: I) feature extraction, II) feature selection III) classification. Although most of the current approaches utilize binary classification, the proposed model can differentiate between multiple stages of Alzheimer’s disease and achieve superior results in early-stage AD diagnosis. 158 magnetic resonance images (MRI) were taken from the Alzheimer’s Disease Neuroimaging Initiative database (ADNI), which were preprocessed and normalized to be suitable for extracting the volume, cortical thickness, sulci depth, and gyrification index measures for various brain regions of interest (ROIs), as they play a considerable role in the detection of AD. One of the embedded feature selection method was used to select the most informative features for AD diagnosis. Three models were used to classify AD based on the selected features: an extreme gradient boosting (XGBoost), support vector machine (SVM), and K-nearest neighborhood (KNN). Results and Discussion: XGBoost showed the highest accuracy of 92.31%, precision of 0.92, recall of 0.92, F1-score of 0.92, and AUC of 0.9543. Recent research has reported using multivariable data analysis to classify dementia stages such as MCI and AD and employing machine learning to predict dementia stages. Conclusion: In the proposed method, we achieved good performance for early-stage AD (MCI) detection, which is the most targeted stage to be identified. Moreover, we investigated the most reliable features for the diagnosis of AD.
    Type of Medium: Online Resource
    ISSN: 1874-0707
    Language: English
    Publisher: Bentham Science Publishers Ltd.
    Publication Date: 2022
    detail.hit.zdb_id: 2365009-6
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  • 2
    In: The Lancet, Elsevier BV, Vol. 398, No. 10297 ( 2021-07), p. 325-339
    Type of Medium: Online Resource
    ISSN: 0140-6736
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 2067452-1
    detail.hit.zdb_id: 3306-6
    detail.hit.zdb_id: 1476593-7
    SSG: 5,21
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  • 3
    In: Annals of Intensive Care, Springer Science and Business Media LLC, Vol. 13, No. 1 ( 2023-05-11)
    Abstract: To develop evidence-based clinical practice guidelines on venous thromboembolism (VTE) prevention in adults with trauma in inpatient settings. Methods The Saudi Critical Care Society (SCCS) sponsored guidelines development and included 22 multidisciplinary panel members who completed conflict-of-interest forms. The panel developed and answered structured guidelines questions. For each question, the literature was searched for relevant studies. To summarize treatment effects, meta-analyses were conducted or updated. Quality of evidence was assessed using the Grading Recommendations, Assessment, Development, and Evaluation (GRADE) approach, then the evidence-to-decision (EtD) framework was used to generate recommendations. Recommendations covered the following prioritized domains: timing of pharmacologic VTE prophylaxis initiation in non-operative blunt solid organ injuries; isolated blunt traumatic brain injury (TBI); isolated blunt spine trauma or fracture and/or spinal cord injury (SCI); type and dose of pharmacologic VTE prophylaxis; mechanical VTE prophylaxis; routine duplex ultrasonography (US) surveillance; and inferior vena cava filters (IVCFs). Results The panel issued 12 clinical practice recommendations—one, a strong recommendation, 10 weak, and one with no recommendation due to insufficient evidence. The panel suggests starting early pharmacologic VTE prophylaxis for non-operative blunt solid organ injuries, isolated blunt TBIs, and SCIs. The panel suggests using low molecular weight heparin (LMWH) over unfractionated heparin (UFH) and suggests either intermediate–high dose LMWH or conventional dosing LMWH. For adults with trauma who are not pharmacologic candidates, the panel strongly recommends using mechanical VTE prophylaxis with intermittent pneumatic compression (IPC). The panel suggests using either combined VTE prophylaxis with mechanical and pharmacologic methods or pharmacologic VTE prophylaxis alone. Additionally, the panel suggests routine bilateral lower extremity US in adults with trauma with elevated risk of VTE who are ineligible for pharmacologic VTE prophylaxis and suggests against the routine placement of prophylactic IVCFs. Because of insufficient evidence, the panel did not issue any recommendation on the use of early pharmacologic VTE prophylaxis in adults with isolated blunt TBI requiring neurosurgical intervention. Conclusion The SCCS guidelines for VTE prevention in adults with trauma were based on the best available evidence and identified areas for further research. The framework may facilitate adaptation of recommendations by national/international guideline policymakers.
    Type of Medium: Online Resource
    ISSN: 2110-5820
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2617094-2
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