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2.
BMC Med Inform Decis Mak ; 24(1): 252, 2024 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-39267022

RESUMEN

This paper explores the potential of artificial intelligence, machine learning, and big data analytics in revolutionizing infection control. It addresses the challenges and innovative approaches in combating infectious diseases and antimicrobial resistance, emphasizing the critical role of interdisciplinary collaboration, ethical data practices, and integration of advanced computational tools in modern healthcare.


Asunto(s)
Inteligencia Artificial , Control de Infecciones , Aprendizaje Automático , Humanos , Control de Infecciones/métodos , Macrodatos
3.
Gigascience ; 132024 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-39250076

RESUMEN

Research on animal venoms and their components spans multiple disciplines, including biology, biochemistry, bioinformatics, pharmacology, medicine, and more. Manipulating and analyzing the diverse array of data required for venom research can be challenging, and relevant tools and resources are often dispersed across different online platforms, making them less accessible to nonexperts. In this article, we address the multifaceted needs of the scientific community involved in venom and toxin-related research by identifying and discussing web resources, databases, and tools commonly used in this field. We have compiled these resources into a comprehensive table available on the VenomZone website (https://venomzone.expasy.org/10897). Furthermore, we highlight the challenges currently faced by researchers in accessing and using these resources and emphasize the importance of community-driven interdisciplinary approaches. We conclude by underscoring the significance of enhancing standards, promoting interoperability, and encouraging data and method sharing within the venom research community.


Asunto(s)
Macrodatos , Biología Computacional , Internet , Ponzoñas , Animales , Biología Computacional/métodos , Bases de Datos Factuales
4.
BMC Med Res Methodol ; 24(1): 192, 2024 Aug 31.
Artículo en Inglés | MEDLINE | ID: mdl-39217327

RESUMEN

BACKGROUND: Many existing healthcare ranking systems are notably intricate. The standards for peer review and evaluation often differ across specialties, leading to contradictory results among various ranking systems. There is a significant need for a comprehensible and consistent mode of specialty assessment. METHODS: This quantitative study aimed to assess the influence of clinical specialties on the regional distribution of patient origins based on 10,097,795 outpatient records of a large comprehensive hospital in South China. We proposed the patient regional index (PRI), a novel metric to quantify the regional influence of hospital specialties, using the principle of representative points of a statistical distribution. Additionally, a two-dimensional measure was constructed to gauge the significance of hospital specialties by integrating the PRI and outpatient volume. RESULTS: We calculated the PRI for each of the 16 specialties of interest over eight consecutive years. The longitudinal changes in the PRI accurately captured the impact of the 2017 Chinese healthcare reforms and the 2020 COVID-19 pandemic on hospital specialties. At last, the two-dimensional assessment model we devised effectively illustrates the distinct characteristics across hospital specialties. CONCLUSION: We propose a novel, straightforward, and interpretable index for quantifying the influence of hospital specialties. This index, built on outpatient data, requires only the patients' origin, thereby facilitating its widespread adoption and comparison across specialties of varying backgrounds. This data-driven method offers a patient-centric view of specialty influence, diverging from the traditional reliance on expert opinions. As such, it serves as a valuable augmentation to existing ranking systems.


Asunto(s)
Macrodatos , COVID-19 , Humanos , China , COVID-19/epidemiología , SARS-CoV-2 , Instituciones de Atención Ambulatoria/estadística & datos numéricos , Instituciones de Atención Ambulatoria/normas , Pandemias , Medicina/estadística & datos numéricos , Especialización/estadística & datos numéricos , Pacientes Ambulatorios/estadística & datos numéricos , Reforma de la Atención de Salud
5.
J Environ Manage ; 368: 122125, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39121621

RESUMEN

Digital industrialization represented by big data provides substantial support for the high-quality development of the digital economy, but its impact on urban energy conservation development requires further research. To this end, based on the panel data of Chinese cities from 2010 to 2019 and taking the establishment of the national big data comprehensive pilot zone (NBDCPZ) as a quasi-natural experiment, this paper explores the impact, mechanism, and spatial spillover effect of digital industrialization represented by big data on urban energy conservation development using the Difference-in-Differences (DID) method. The results show that digital industrialization can help achieve urban energy conservation development, which still holds after a series of robustness tests. Mechanism analysis reveals that digital industrialization impacts urban energy conservation development by driving industrial sector output growth, promoting industrial upgrading, stimulating green technology innovation, and alleviating resource misallocation. Heterogeneity analysis indicates that the energy conservation effect of digital industrialization is more significant in the central region, intra-regional demonstration comprehensive pilot zones, large cities, non-resource-based cities, and high-level digital infrastructure cities. Additionally, digital industrialization can promote energy conservation development in neighboring areas through spatial spillover effect. This paper enriches the theoretical framework concerning the relationship between digital industrialization and energy conservation development. The findings have significant implications for achieving the coordinated development of digitalization and conservation.


Asunto(s)
Macrodatos , Desarrollo Industrial , China , Conservación de los Recursos Energéticos , Ciudades , Conservación de los Recursos Naturales , Industrias
6.
J Environ Manage ; 368: 122178, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39128356

RESUMEN

As a strategic resource, big data has become a key force affecting carbon emission reduction in agriculture. However, its impacts remain controversial, and relevant empirical evidence remains to be explored. Based on quasi-natural experimental analysis, this study explored the impact and mechanism of the construction of the National Big Data Comprehensive Pilot Zone (NBDCPZ) on agricultural carbon emissions (ACE) in China and adopted a difference-in-difference (DID) model using China's provincial panel data from 2003 to 2020. The results showed that the ACE in the NBDCPZ establishment area was significantly reduced by 11.91%, a finding that remained robust following the parallel trend test and the placebo test, among others. Mechanism analysis showed that the ACE was reduced through industrial upgrading and technological innovation. Heterogeneity analysis showed that more pronounced policy gains were achieved in China's central-eastern regions as well as in non-major grain-producing areas compared to western and major grain-producing areas. This research provided supporting evidence for the prospect of big data application in ACE and provided useful guidance regarding the promotion of green and sustainable agricultural development.


Asunto(s)
Agricultura , Macrodatos , Carbono , China
7.
PLoS One ; 19(8): e0290803, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39186752

RESUMEN

Camoni, the largest digital health community in Israel, involves thousands of patients in the decision-making process concerning their illness and treatment. This approach reflects the recent global shift towards digital tools that combine professional information with social networking capabilities to enable problem-solving, emotional support, and knowledge sharing. Digital health communities serve as an invaluable resource for individuals seeking to learn more about their health, connect with others with shared experiences, and receive encouragement. Our research investigates user trends in digital health communities using the Camoni platform as a case study. To this end, we compile a comprehensive database of 12 years of site activity and conduct a large-scale analysis to identify and assess significant trends in user behavior. We observe several significant trends concerning different genders engagement and note a narrowing of gaps between men and women users' participation and publication volume. Furthermore, we find that younger users have become increasingly active on the platform over time. We also uncover unique gender-specific behavior patterns that we attempt to characterize and explain. Our findings suggest that the rise of digital health communities has accelerated in recent years, reflecting the public's growing preference to take a more active role in their medical care.


Asunto(s)
Minería de Datos , Humanos , Masculino , Femenino , Israel , Macrodatos , Red Social , Adulto , Salud Digital
8.
BMC Med Res Methodol ; 24(1): 172, 2024 Aug 06.
Artículo en Inglés | MEDLINE | ID: mdl-39107693

RESUMEN

We have introduced the R package jmBIG to facilitate the analysis of large healthcare datasets and the development of predictive models. This package provides a comprehensive set of tools and functions specifically designed for the joint modelling of longitudinal and survival data in the context of big data analytics. The jmBIG package offers efficient and scalable implementations of joint modelling algorithms, allowing for integrating large-scale healthcare datasets.By utilizing the capabilities of jmBIG, researchers and analysts can effectively handle the challenges associated with big healthcare data, such as high dimensionality and complex relationships between multiple outcomes.With the support of jmBIG, analysts can seamlessly fit Bayesian joint models, generate predictions, and evaluate the performance of the models. The package incorporates cutting-edge methodologies and harnesses the computational capabilities of parallel computing to accelerate the analysis of large-scale healthcare datasets significantly. In summary, jmBIG empowers researchers to gain deeper insights into disease progression and treatment response, fostering evidence-based decision-making and paving the way for personalized healthcare interventions that can positively impact patient outcomes on a larger scale.


Asunto(s)
Algoritmos , Teorema de Bayes , Macrodatos , Medicina de Precisión , Humanos , Medicina de Precisión/métodos , Medicina de Precisión/estadística & datos numéricos , Estudios Longitudinales , Análisis de Supervivencia , Medición de Riesgo/métodos , Medición de Riesgo/estadística & datos numéricos , Modelos Estadísticos , Programas Informáticos
9.
Lung Cancer ; 195: 107920, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39137596

RESUMEN

OBJECTIVES: Lung Cancer (LC) is a multifactorial disease for which the role of genetic susceptibility has become increasingly relevant. Our aim was to use artificial intelligence (AI) to analyze differences between patients with LC based on family history of cancer (FHC). MATERIALS AND METHODS: From August 2016 to June 2020 clinical information was obtained from Thoracic Tumors Registry (TTR), a nationwide database sponsored by the Spanish Lung Cancer Group. In addition to descriptive statistical analysis, an AI-assisted analysis was performed. The German Technical Information Library supported the merging of data from the electronic medical records and database of the TTR. The results of the AI-assisted analysis were reported using Knowledge Graph, Unified Schema and descriptive and predictive analyses. RESULTS: Analyses were performed in two phases: first, conventional statistical analysis including 11,684 patients of those 5,806 had FHC. Median overall survival (OS) for the global population was 23 months (CI 95 %: 21.39-24.61) in patients with FHC versus 21 months (CI 95 %: 19.53-22.48) in patients without FHC (NFHC), p < 0.001. The second AI-assisted analysis included 5,788 patients of those 939 had FHC. 58.48 % of women with FHC had LC. 9.53 % of patients had an EGFR or HER2 mutation or ALK translocation and at least one relative with cancer. A family history of LC was associated with an increased risk of smoking-related LC. Non-smokers with a family history of LC were more likely to have an EGFR mutation in NSCLC. In Bayesian network analysis, 55 % of patients with a family history of LC and never-smokers had an EGFR mutation. CONCLUSION: In our population, the incidence of LC in patients with a FHC is higher in women and younger patients. FHC is a risk factor and predictor of LC development, especially in people ≤ 50 years. These results were confirmed by conventional statistics and AI-assisted analysis.


Asunto(s)
Inteligencia Artificial , Macrodatos , Predisposición Genética a la Enfermedad , Neoplasias Pulmonares , Humanos , Neoplasias Pulmonares/genética , Neoplasias Pulmonares/epidemiología , Neoplasias Pulmonares/mortalidad , Femenino , Masculino , Persona de Mediana Edad , Anciano , Factores de Riesgo , Adulto , Sistema de Registros
10.
Nat Food ; 5(8): 656-660, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39147913

RESUMEN

Monitoring systems that incentivize, track and verify compliance with social and environmental standards are widespread in food systems. In particular, digital monitoring approaches using remote sensing, machine learning, big data, smartphones, platforms and blockchain are proliferating. The increasing use and availability of these technologies put us at a critical juncture to leverage these innovations for enhanced transparency, fairness and open access, rather than descending into a dystopian landscape of digital surveillance and division perpetuated by a powerful few. Here we discuss opportunities and risks, and highlight research gaps linked to the ongoing digitalization of monitoring approaches.


Asunto(s)
Aprendizaje Automático , Humanos , Aprendizaje Automático/tendencias , Teléfono Inteligente , Abastecimiento de Alimentos , Tecnología de Sensores Remotos/instrumentación , Tecnología de Sensores Remotos/métodos , Macrodatos , Tecnología Digital , Cadena de Bloques , Desarrollo Sostenible/tendencias
11.
Medicine (Baltimore) ; 103(33): e39370, 2024 Aug 16.
Artículo en Inglés | MEDLINE | ID: mdl-39151500

RESUMEN

With the rapid development of emerging information technologies such as artificial intelligence, cloud computing, and the Internet of Things, the world has entered the era of big data. In the face of growing medical big data, research on the privacy protection of personal information has attracted more and more attention, but few studies have analyzed and forecasted the research hotspots and future development trends on the privacy protection. Presently, to systematically and comprehensively summarize the relevant privacy protection literature in the context of big healthcare data, a bibliometric analysis was conducted to clarify the spatial and temporal distribution and research hotspots of privacy protection using the information visualization software CiteSpace. The literature papers related to privacy protection in the Web of Science were collected from 2012 to 2023. Through analysis of the time, author and countries distribution of relevant publications, we found that after 2013, research on the privacy protection has received increasing attention and the core institution of privacy protection research is the university, but the countries show weak cooperation. Additionally, keywords like privacy, big data, internet, challenge, care, and information have high centralities and frequency, indicating the research hotspots and research trends in the field of the privacy protection. All the findings will provide a comprehensive privacy protection research knowledge structure for scholars in the field of privacy protection research under the background of health big data, which can help them quickly grasp the research hotspots and choose future research projects.


Asunto(s)
Macrodatos , Seguridad Computacional , Confidencialidad , Privacidad , Humanos , Bibliometría
12.
Nat Methods ; 21(9): 1597-1602, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39174710

RESUMEN

Over the last decade, biology has begun utilizing 'big data' approaches, resulting in large, comprehensive atlases in modalities ranging from transcriptomics to neural connectomics. However, these approaches must be complemented and integrated with 'small data' approaches to efficiently utilize data from individual labs. Integration of smaller datasets with major reference atlases is critical to provide context to individual experiments, and approaches toward integration of large and small data have been a major focus in many fields in recent years. Here we discuss progress in integration of small data with consortium-sized atlases across multiple modalities, and its potential applications. We then examine promising future directions for utilizing the power of small data to maximize the information garnered from small-scale experiments. We envision that, in the near future, international consortia comprising many laboratories will work together to collaboratively build reference atlases and foundation models using small data methods.


Asunto(s)
Genómica , Humanos , Genómica/métodos , Macrodatos , Animales , Conectoma/métodos , Biología Computacional/métodos
13.
Arq Neuropsiquiatr ; 82(10): 1-13, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-39216487

RESUMEN

BACKGROUND: While bibliometric analyses are prevalent in the medical field, few have focused on ther endovascular treatment for acute ischemic stroke (AIS). OBJECTIVE: To employ big data analysis to examine the research status, trends, and hotspots in endovascular treatment for AIS. METHODS: We conducted a comprehensive search using the Web of Science (WOS) database to identify relevant articles on the endovascular treatment for AIS from 1980 to the present. We used various tools for data analysis, including an online platform (https://bibliometric.com/app), the Citespace software, the Vosviewer software, and the ArcMap software, version 10.8. A number of bibliometric indicators were collected and analyzed, such as publication date, country where the studies were conducted, institutions to which the authors were affiliated, authors, high-frequency keywords, cooperative relationship etc. RESULTS: A total of 5,576 articles were retrieved. A substantial increase in the number of articles occurred after 2010. High-frequency keywords included terms such as large vessel occlusion, reperfusion, outcome, and basilar artery occlusion. Among the top 10 most productive authors, Raul G. Nogueira ranked first, with 136 published articles. Among the journals, The New England Journal of Medicine ranked first, with 5,631 citations. The United States has the closest collaborative ties with other nations. CONCLUSION: In the present study, we found that the reports of endovascular treatment for AIS gradually increased after 2010. Among them, Raul G. Nogueira was the most productive author in this field. The New England Journal of Medicine was the most cited, and it had the greatest impact. The Multicenter Randomized Clinical Trial of Endovascular Treatment of Acute Ischemic Stroke in the Netherlands (MR CLEAN) trial study was the most cited, and it was a landmark study. There are many interesting studies on endovascular treatment for AIS, such as ischemic penumbra, collateral circulation, bridging therapy etc.


ANTECEDENTES: Embora as análises bibliométricas sejam predominantes na área médica, poucas se concentraram no tratamento endovascular para acidente vascular cerebral isquêmico (AVCI) agudo. OBJETIVO: Empregar análise de big data para examinar o status da pesquisa, tendências e pontos críticos no tratamento endovascular para AVCI. MéTODOS: Realizamos uma pesquisa abrangente usando o banco de dados Web of Science (WOS) para identificar artigos relevantes sobre o tratamento endovascular para AVCI de 1980 até o presente. Usamos várias ferramentas para análise de dados, incluindo uma plataforma on-line (https://bibliometric.com/app), os softwares Citespace, Vosviewer e ArcMap, versão 10.8. Vários indicadores bibliométricos foram coletados e analisados, como data de publicação, país onde os estudos foram conduzidos, instituições às quais os autores eram afiliados, autores, palavras-chave de alta frequência, relacionamento cooperativo etc. RESULTADOS: Um total de 5.576 artigos foram coletados. Um aumento substancial no número de artigos ocorreu após 2010. Palavras-chave de alta frequência incluíram termos como oclusão de grandes vasos, reperfusão, desfecho e oclusão da artéria basilar. Entre os dez autores mais produtivos, Raul G. Nogueira ficou em primeiro lugar, com 136 artigos publicados. Entre os periódicos, The New England Journal of Medicine ficou em primeiro lugar, com 5.631 citações. Os Estados Unidos têm os laços de colaboração mais próximos com outras nações. CONCLUSãO: No presente estudo, descobrimos que os relatos de tratamento endovascular para AVCI aumentaram gradualmente após 2010. Entre eles, Raul G. Nogueira foi o autor mais produtivo neste campo. A revista The New England Journal of Medicine foi a mais citada e teve o maior impacto. O estudo clínico Multicenter Randomized Clinical Trial of Endovascular Treatment of Acute Ischemic Stroke in the Netherlands (MR CLEAN) foi o mais citado e foi um estudo de destaque. Existem muitos estudos interessantes sobre tratamento endovascular para AVCI, como penumbra isquêmica, circulação colateral, terapia de ponte etc.


Asunto(s)
Bibliometría , Procedimientos Endovasculares , Accidente Cerebrovascular Isquémico , Procedimientos Endovasculares/métodos , Humanos , Accidente Cerebrovascular Isquémico/cirugía , Macrodatos
14.
BMC Med Educ ; 24(1): 941, 2024 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-39198809

RESUMEN

Simulation in healthcare, empowered by big data analytics and artificial intelligence (AI), has the potential to drive transformative innovations towards enhanced interprofessional collaboration (IPC). This convergence of technologies revolutionizes medical education, offering healthcare professionals (HCPs) an immersive, iterative, and dynamic simulation platform for hands-on learning and deliberate practice. Big data analytics, integrated in modern simulators, creates realistic clinical scenarios which mimics real-world complexities. This optimization of skill acquisition and decision-making with personalized feedback leads to life-long learning. Beyond clinical training, simulation-based AI, virtual reality (VR), and augmented reality (AR) automated tools offer avenues for quality improvement, research and innovation, and team working. Additionally, the integration of VR and AR enhances simulation experience by providing realistic environments for practicing high-risk procedures and personalized learning. IPC, crucial for patient safety and quality care, finds a natural home in simulation-based education, fostering teamwork, communication, and shared decision-making among diverse HCP teams. A thoughtful integration of simulation-based medical education into curricula requires overcoming its barriers such as professional silos and stereo-typing. There is a need for a cautious implantation of technology in clinical training without overly ignoring the real patient-based medical education.


Asunto(s)
Inteligencia Artificial , Macrodatos , Humanos , Relaciones Interprofesionales , Entrenamiento Simulado , Realidad Virtual , Grupo de Atención al Paciente , Educación Médica/métodos , Conducta Cooperativa
15.
PLoS One ; 19(8): e0307381, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39178296

RESUMEN

Big data pertains to extensive and intricate compilations of information that necessitate the implementation of proficient and cost-effective evaluation and analysis tools to derive insights and support decision making. The Fermatean fuzzy set theory possesses remarkable capability in capturing imprecision due to its capacity to accommodate complex and ambiguous problem descriptions. This paper presents the study of the concepts of dynamic ordered weighted aggregation operators in the context of Fermatean fuzzy environment. In numerous practical decision making scenarios, the term "dynamic" frequently denotes the capability of obtaining decision-relevant data at various time intervals. In this study, we introduce two novel aggregation operators: Fermatean fuzzy dynamic ordered weighted averaging and geometric operators. We investigate the attributes of these operators in detail, offering a comprehensive description of their salient features. We present a step-by-step mathematical algorithm for decision making scenarios in the context of proposed methodologies. In addition, we highlight the significance of these approaches by presenting the solution to the decision making problem and determining the most effective big data analytics platform for YouTube data analysis. Finally, we perform a thorough comparative analysis to assess the effectiveness of the suggested approaches in comparison to a variety of existing techniques.


Asunto(s)
Algoritmos , Macrodatos , Lógica Difusa , Medios de Comunicación Sociales , Humanos , Toma de Decisiones
16.
Stud Health Technol Inform ; 316: 1704-1708, 2024 Aug 22.
Artículo en Inglés | MEDLINE | ID: mdl-39176538

RESUMEN

In the light of big data driven clinical research, fair access to real world clinical health data enables evidence to improve patient care. Germany's healthcare system provides an abundant data resource but unique challenges due to its federated nature, heterogeneity and high data-protection standards. The Medical Informatics Initiative (MII) developed concepts that are being implemented in the German Portal for Medical Research Data (FDPG) to grant access to distributed data-sources across state borders. The portal currently provides access to more than 10 million patient resources containing hundreds of millions of laboratory parameters, diagnostic reports, administered medications, procedures and specimens. Upcoming datasets include among others oncological data, molecular analysis results and microbiological findings. Here, we describe the philosophy, implementation and experience behind the framework: standardized access processes, interoperable fair data, software for in depth feasibility requests, tools to support researchers and hospital stakeholders alike as well as transparency measures to provide data use information for patients. Challenges remain to improve data quality and automatization of technical and organizational processes.


Asunto(s)
Investigación Biomédica , Alemania , Humanos , Portales del Paciente , Macrodatos , Registros Electrónicos de Salud
17.
Stud Health Technol Inform ; 316: 1385-1389, 2024 Aug 22.
Artículo en Inglés | MEDLINE | ID: mdl-39176639

RESUMEN

Interoperability is crucial to overcoming various challenges of data integration in the healthcare domain. While OMOP and FHIR data standards handle syntactic heterogeneity among heterogeneous data sources, ontologies support semantic interoperability to overcome the complexity and disparity of healthcare data. This study proposes an ontological approach in the context of the EUCAIM project to support semantic interoperability among distributed big data repositories that have applied heterogeneous cancer image data models using a semantically well-founded Hyperontology for the oncology domain.


Asunto(s)
Semántica , Humanos , Ontologías Biológicas , Interoperabilidad de la Información en Salud , Oncología Médica , Neoplasias , Macrodatos
18.
Stud Health Technol Inform ; 316: 362-366, 2024 Aug 22.
Artículo en Inglés | MEDLINE | ID: mdl-39176752

RESUMEN

Biobanks serve as vital repositories for human biospecimens and clinical data, promoting biomedical and clinical research. The integration of electronic health records particularly enhances research opportunities in the era of genomics and personalized medicine, improving understanding of tumor development and disease progression. Based on the Korea Biobank Network Common Data Model, it is possible to expand data collection across various diseases. We have developed an innovative big data platform designed to efficiently collect large-scale clinical information within the KBN. By implementing the system structure, data quality management processes, and basic statistical preprocessing functionalities, we have collected data from 136,473 individuals from 2021 to 2023, demonstrating the platform's continuous and efficient data collection capabilities. Integration with hospital systems and robust quality management ensure the acquisition of high-quality data.


Asunto(s)
Macrodatos , Bancos de Muestras Biológicas , Registros Electrónicos de Salud , República de Corea , Humanos
19.
BMC Musculoskelet Disord ; 25(1): 654, 2024 Aug 21.
Artículo en Inglés | MEDLINE | ID: mdl-39169349

RESUMEN

BACKGROUND: Patients surgically treated for lumbar spinal stenosis or cervical radiculopathy report improvement in approximately two out of three cases. Advancements in Machine Learning and the utility of large datasets have enabled the development of prognostic prediction models within spine surgery. This trial investigates if the use of the postoperative outcome prediction model, the Dialogue Support, can alter patient-reported outcome and satisfaction compared to current practice. METHODS: This is a prospective, multicenter clinical trial. Patients referred to a spine clinic with cervical radiculopathy or lumbar spinal stenosis will be screened for eligibility. Participants will be assessed at baseline upon recruitment and at 12 months follow-up. The Dialogue Support will be used on all participants, and they will thereafter be placed into either a surgical or a non-surgical treatment arm, depending on the decision made between patient and surgeon. The surgical treatment group will be studied separately based on diagnosis of either cervical radiculopathy or lumbar spinal stenosis. Both the surgical and the non-surgical group will be compared to a retrospective matched control group retrieved from the Swespine register, on which the Dialogue Support has not been used. The primary outcome measure is global assessment regarding leg/arm pain in the surgical treatment group. Secondary outcome measures include patient satisfaction, Oswestry Disability Index (ODI), EQ-5D, and Numeric Rating Scales (NRS) for pain. In the non-surgical treatment group primary outcome measures are EQ-5D and mortality, as part of a selection bias analysis. DISCUSSION: The findings of this study may provide evidence on whether the use of an advanced digital decision tool can alter patient-reported outcomes after surgery. TRIAL REGISTRATION: The trial was retrospectively registered at ClinicalTrials.gov on April 17th, 2023, NCT05817747. PROTOCOL VERSION: 1. TRIAL DESIGN: Clinical multicenter trial.


Asunto(s)
Macrodatos , Vértebras Lumbares , Medición de Resultados Informados por el Paciente , Radiculopatía , Estenosis Espinal , Humanos , Estudios Prospectivos , Estenosis Espinal/cirugía , Vértebras Lumbares/cirugía , Radiculopatía/cirugía , Resultado del Tratamiento , Satisfacción del Paciente , Vértebras Cervicales/cirugía , Estudios Multicéntricos como Asunto , Masculino , Femenino , Dimensión del Dolor
20.
Gigascience ; 132024 Jan 02.
Artículo en Inglés | MEDLINE | ID: mdl-39172543

RESUMEN

BACKGROUND: The advent of high-throughput technologies, including cutting-edge sequencing devices, has revolutionized biomedical data generation and processing. Nevertheless, big data applications require novel hardware and software for parallel computing and management to handle the ever-growing data size and analysis complexity. On-premise, high-performance computing (HPC) is increasingly used in biomedical research for big data stewardship. FINDINGS: In this work, we present Tunisia's first high-performance computational infrastructure for omics research. METHOD: We highlight measurements and recommendations that may help institutions in other low- and middle-income countries that are eager to implement local HPC in facilities for bioinformatics research and omics data analyses.


Asunto(s)
Biología Computacional , Programas Informáticos , Biología Computacional/métodos , Países en Desarrollo , Humanos , Genómica/métodos , Macrodatos , Análisis de Datos
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