Czech medical coding assistant based on transformer networks.

The International Classification of Diseases (ICD) hierarchical taxonomy is used for so-called clinical coding of medical reports, typically presented in unstructured text. In the Czech Republic, it is currently carried out manually by a so-called clinical coder. However, due to the human factor, this process is error-prone and expensive. The coder needs to be properly trained and spends significant effort on each report, leading to occasional mistakes. The main goal of this paper is to propose and implement a system that serves as an assistant to the coder and automatically predicts diagnosis codes. These predictions are then presented to the coder for approval or correction, aiming to enhance efficiency and accuracy. We consider two classification tasks: main (principal) diagnosis; and all diagnoses. Crucial requirements for the implementation include minimal memory consumption, generality, ease of portability, and sustainability. The main contribution lies in the proposal and evaluation of ICD classification models for the Czech language with relatively few training parameters, allowing swift utilisation on the prevalent computer systems within Czech hospitals and enabling easy retraining or fine-tuning with newly available data. First, we introduce a small transformer-based model for each task followed by the design of a transformer-based "Four-headed" model incorporating four distinct classification heads. This model achieves comparable, sometimes even better results, against four individual models. Moreover this novel model significantly economises memory usage and learning time. We also show that our models achieve comparable results against state-of-the-art English models on the Mimic IV dataset even though our models are significantly smaller.

Perspectives on Using Alder, Larch, and Birch Wood Species to Maintain the Increasing Particleboard Production Flow.

Particleboard, engineered wood products as part of a large family of wood composite materials, developed in use mainly in the 1950s and 1960s to utilize inferior wood and wood waste when good-quality wood was in short supply; the annual production capacity worldwide is over 100 million m3. It is also necessary to have a lot of wood raw material for its production, although raw material resources are limited on our planet. In addition to the main wood species, it is therefore possible to think about the wider use of alternative, lesser-known European species of alder, larch, and birch in particleboard production. These three wood species represent an eco-friendly and sustainable wood alternative to the conventional wood raw materials used. This review confirms the diversity of the use of these three species in different fields and proves their suitability in relation to particleboard production. Fundamental research is ongoing in certain universities to determine the proportional shares of use of these tree species in particleboard (in a certain weight proportion in their core layers) for the purpose of formulating the correct technology shares and rules for their application in the wood-based panel industry.

Recommendations for psychological assessment before bariatric surgery.

This document was created based on the need to standardize the psychological examination procedure prior to bariatric surgery. A valuable inspiration was the recommendations issued by the American Society for Metabolic and Bariatric Surgery. Bariatric or metabolic surgery has an undeniable positive effect in the treatment of obesity, in terms of improving somatic diseases, psychological disorders and psychosocial functioning. At the same time, it introduces major changes in the individual's life to which he or she must adapt. The treatment of obesity by surgery requires a fundamental change in lifestyle and the lifelong cooperation of the patient with the entire therapeutic team. Psychological care is a standard part of the entire treatment process. The role of the psychologist is not exclusively diagnostic. In indicated cases, it offers preoperative and postoperative psychological intervention, education and cooperation in the development of an individual treatment plan. Its aim is to deepen the patient's motivation to comply with dietary and regimen recommendations and to provide psychological support in the event of worsening psychological difficulties.

Quebracho Tannin Bio-Based Adhesives for Plywood.

Wood-based products are traditionally bonded with synthetic adhesives. Resources availability and ecological concerns have drawn attention to bio-based sources. The use of tannin-based adhesives for engineered wood products has been known for decades, however, these formulations were hardly used for the gluing of solid wood because their rigidity involved low performance. In this work, a completely bio-based formulation consisting of Quebracho (Schinopsis balancae) extract and furfural is characterized in terms of viscosity, gel time, and FT-IR spectroscopy. Further, the usability as an adhesive for beech (Fagus sylvatica) plywood with regard to press parameters (time and temperature) and its influence on physical (density and thickness) and mechanical properties (modulus of elasticity, modulus of rupture and tensile shear strength) were determined. These polyphenolic adhesives presented non-Newtonian behavior but still good spreading at room temperature as well as evident signs of crosslinking when exposed to 100 °C. Within the press temperature, a range of 125 °C to 140 °C gained suitable results with regard to mechanical properties. The modulus of elasticity of five layered 10 mm beech plywood ranged between 9600 N/mm2 and 11,600 N/mm2, respectively, with 66 N/mm2 to 100 N/mm2 for the modulus of rupture. The dry state tensile shear strength of ~2.2 N/mm2 matched with other tannin-based formulations, but showed delamination after 24 h of water storage. The proposed quebracho tannin-furfural formulation can be a bio-based alternative adhesive for industrial applicability for special plywood products in a dry environment, and it offers new possibilities in terms of recyclability.

Mechanical Properties of Cellulose and Flax Fiber Unidirectional Reinforced Plywood.

This research presents the influence of two different cellulose (hydrophobic pretreated/non-pretreated) and one flax-fiber unidirectional nonwoven low areal weight fiber reinforcements on the mechanical properties of urea-formaldehyde bonded five layered beech (Fagus sylvatica L.) plywood as an alternative to commonly used synthetic fiber reinforcements. The results display divergent trends regarding the improvement of the mechanical properties-modulus of elasticity, modulus of rupture, tensile strength, shear strength, and screw withdrawal resistance. The non-treated cellulose and flax reinforcing nonwoven fabrics revealed similar mechanical behaviors. The hydrophobic pretreatment of cellulose nonwovens improved the performance of plywood regarding tensile strength (10-11%), shear strength (7-16%), screw withdrawal resistance (11-15%), and modulus of rupture (0-2%), but lowered modulus of elasticity (2-3%) compared to the reference.

Influence of Adhesive Systems on the Mechanical and Physical Properties of Flax Fiber Reinforced Beech Plywood.

In order to improve the acceptance of broader industrial application of flax fiber reinforced beech (Fagus sylvatica L.) plywood, five different industrial applicated adhesive systems were tested. Epoxy resin, urea-formaldehyde, melamine-urea formaldehyde, isocyanate MDI prepolymer, and polyurethane displayed a divergent picture in improving the mechanical properties-modulus of elasticity, modulus of rupture, tensile strength, shear strength and screw withdrawal resistance-of flax fiber-reinforced plywood. Epoxy resin is well suited for flax fiber reinforcement, whereas urea-formaldehyde, melamine urea-formaldehyde, and isocyanate prepolymer improved modulus of elasticity, modulus of rupture, shear strength, and screw withdrawal resistance, but lowered tensile strength. Polyurethane lowered the mechanical properties of flax fiber reinforced plywood. Flax fiber reinforced epoxy resin bonded plywood exceeded glass fiber reinforced plywood in terms of shear strength, modulus of elasticity, and modulus of rupture.

Basalt-Fiber-Reinforced Polyvinyl Acetate Resin: A Coating for Ductile Plywood Panels.

The aim of this study was to create a reinforced composite wood-based panel that would be leaned towards the environment Plywood was used as a core material and fiber-reinforced polymer was used as a reinforcement. Conventional resin for the fiber-reinforced polymer was substituted with polyvinyl acetate (PVAC), which has several advantages, such as a lower price, easier handling, and better degradability. The second chosen component, basalt fiber, is cost attractive and environmentally friendly. The combination of one and two layers of fabric with three fiber fractions and 4 mm thick plywood was investigated. The best results were achieved with two layers of fabric and the highest fiber fraction. The improvements of the ultimate bending load and bending stiffness of the plywood in the perpendicular direction were 305% and 325%, respectively. The ultimate load and stiffness of the parallel direction were improved by 31% and 35%, respectively. However, specimens always failed in the compressional zone. The highest reinforcing effect was found with the impact test: The energy required to fracture specimens increased by 4213% and 6150% for one and two layers of fabric, respectively. In conclusion, specimens exhibited high ductility due to the PVAC and basalt fiber. The amount of work and energy required to cause fractures was extensive.

Encephalitis with Prolonged but Reversible Splenial Lesion.

INTRODUCTION: The splenium of the corpus callosum has a specific structure of blood supply with a tendency towards blood-brain barrier breakdown, intramyelinic edema, and damage due to hypoxia or toxins. Signs and symptoms of reversible syndrome of the splenium of the corpus callosum typically include disorientation, confusion, impaired consciousness, and epileptic seizures. CASE REPORT: A previously healthy 32-year-old man suffered from weakness, headache, and fever. Subsequently, he developed apathy, ataxia, and inability to walk, and therefore was admitted to the hospital. Cerebrospinal fluid showed protein elevation (0.9 g/l) and pleocytosis (232/1 ul). A brain MRI showed hyperintense lesions in the middle of the corpus callosum. The patient was treated with antibiotics, and subsequently, in combination with steroids. Two months later, the hyperintense lesions in the splenium and the basal ganglia had disappeared. Almost seven months since his hospitalization in the Department of Neurology, the patient has returned to his previous employment. He now does not exhibit any mental changes, an optic edema and urological problems have improved. In addition, he is now actively engaged in sports. CONCLUSION: We have described a case of a 32-year-old man with confusion, ataxia, and inability to stand and walk. The man developed a febrile meningeal syndrome and a hyperintense lesion of the splenium, which lasted for two months. Neurological changes, optic nerve edema, and urinary retention have resolved over the course of seven months. We think that the prolonged but transient lesion of the splenium may have been caused by encephalitis of viral origin.

NATO survey of mental health training in army recruits.

To-date, there has been no international review of mental health resilience training during Basic Training nor an assessment of what service members perceive as useful from their perspective. In response to this knowledge gap, the North Atlantic Treaty Organization (NATO) Human Factors & Medicine Research & Technology Task Group "Mental Health Training" initiated a survey and interview with seven to twenty recruits from nine nations to inform the development of such training (N = 121). All nations provided data from soldiers joining the military as volunteers, whereas two nations also provided data from conscripts. Results from the volunteer data showed relatively consistent ranking in terms of perceived demands, coping strategies, and preferences for resilience skill training across the nations. Analysis of data from conscripts identified a select number of differences compared to volunteers. Subjects also provided examples of coping with stress during Basic Training that can be used in future training; themes are presented here. Results are designed to show the kinds of demands facing new recruits and coping methods used to overcome these demands to develop relevant resilience training for NATO nations.