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1.
J Maxillofac Oral Surg ; 23(3): 503-508, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38911418

RESUMO

Background: Due to the anatomical intricacy of the region and the possibility of psychological as well as physical damage, maxillofacial injuries are unusual. Studies have shown that general psychological morbidity is more prevalent following maxillofacial trauma leading to post-traumatic stress disorder and behavioural changes at various times. Purpose: To evaluate the quality of life and levels of stress, depression and anxiety in patients following facial trauma. Methodology: Prospective research including 30 patients with maxillofacial injuries was conducted. Based on the requirements for inclusion and exclusion, these patients were included in the trial and were provided with psychological counselling and guidance from their time of admission till the follow-up period. The baseline levels of quality of life, depression, anxiety and stress symptoms were assessed at the time of presentation (T0), 1 month (T1) and 3 months (T2), using the Depression Anxiety Stress Scale-21 and World Health Organization Quality of Life-BREF questionnaire. Results: The levels of stress, anxiety and depression, as well as quality of life, did not differ significantly (p > 0.05). Conclusion: There is no correlation between maxillofacial trauma and levels of anxiety, depression, stress and quality of life if the subjects are exposed to psychotherapy and guidance.

2.
Crit Care ; 28(1): 180, 2024 05 28.
Artigo em Inglês | MEDLINE | ID: mdl-38802973

RESUMO

BACKGROUND: Sepsis, an acute and potentially fatal systemic response to infection, significantly impacts global health by affecting millions annually. Prompt identification of sepsis is vital, as treatment delays lead to increased fatalities through progressive organ dysfunction. While recent studies have delved into leveraging Machine Learning (ML) for predicting sepsis, focusing on aspects such as prognosis, diagnosis, and clinical application, there remains a notable deficiency in the discourse regarding feature engineering. Specifically, the role of feature selection and extraction in enhancing model accuracy has been underexplored. OBJECTIVES: This scoping review aims to fulfill two primary objectives: To identify pivotal features for predicting sepsis across a variety of ML models, providing valuable insights for future model development, and To assess model efficacy through performance metrics including AUROC, sensitivity, and specificity. RESULTS: The analysis included 29 studies across diverse clinical settings such as Intensive Care Units (ICU), Emergency Departments, and others, encompassing 1,147,202 patients. The review highlighted the diversity in prediction strategies and timeframes. It was found that feature extraction techniques notably outperformed others in terms of sensitivity and AUROC values, thus indicating their critical role in improving sepsis prediction models. CONCLUSION: Key dynamic indicators, including vital signs and critical laboratory values, are instrumental in the early detection of sepsis. Applying feature selection methods significantly boosts model precision, with models like Random Forest and XG Boost showing promising results. Furthermore, Deep Learning models (DL) reveal unique insights, spotlighting the pivotal role of feature engineering in sepsis prediction, which could greatly benefit clinical practice.


Assuntos
Aprendizado de Máquina , Sepse , Humanos , Sepse/diagnóstico , Sepse/terapia , Aprendizado de Máquina/tendências , Aprendizado de Máquina/normas
3.
Methods Protoc ; 6(6)2023 Nov 23.
Artigo em Inglês | MEDLINE | ID: mdl-38133133

RESUMO

Rice is one of the apex food crops in terms of meeting the daily calorific and dietary requirement of the majority of the world population. However, rice productivity is severely limited by various biotic and abiotic attributes, causing a severe threat to global food security. In the use of functional genomics and genome editing for the generation of trait-enhanced genotypes, it is necessary to have an efficient genetic transformation and regeneration protocol. The recalcitrant nature and paucity of efficient and versatile genetic transformation and regeneration protocols for indica cultivars remains a constraint. In the present study, we have optimized a tissue culture method for MTU1010, a mega indica rice variety. We conducted a combinatorial analysis of different plant growth regulators on embryogenic callus induction efficiency, and it was observed that MSB5 medium supplemented with 2.5 mg/L 2-4D and 0.25 mg/L 6-BAP results in maximum embryogenic callus induction, i.e., 92%. The regeneration efficiency of a transformed callus can be enhanced by up to 50% with the supplementation of 1 mg/L kinetin alongside 2.5 mg/L BAP and 0.5 mg/L NAA in the shooting medium. Furthermore, our results unveiled that the pre-activation of Agrobacterium culture for 30 min with 150 µM acetosyringone significantly increased the transformation efficiency of calli. Additionally, descaling the salt concentration to half strength in resuspension and co-cultivation increased the efficiency of transformation up to 33%. Thus, the protocol developed in this study will be instrumental for the genome editing and genetic engineering of indica rice cultivars for functional genomics studies and crop improvement.

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