The detection of norm deviations is fundamental to clinical decision making and impacts our ability to diagnose and treat diseases effectively. Current normative modeling approaches rely on generic comparisons and quantify deviations in relation to the population average. However, generic models interpolate subtle nuances and risk the loss of critical information, thereby compromising effective personalization of health care strategies.
View Article and Find Full Text PDFObjectives: To compare the performance of the convolutional neural network (CNN) with the vision transformer (ViT) and the gated multilayer perceptron (gMLP) in the classification of radiographic images of dental structures.
Methods: Retrospectively collected 2-dimensional images derived from cone beam computed tomographic volumes were used to train CNN, ViT and gMLP architectures as classifiers for 4 different cases. Cases selected for training the architectures were the classification of the radiographic appearance of maxillary sinuses, maxillary and mandibular incisors, presence or absence of the mental foramen and the positional relationship of the mandibular third molar to the inferior alveolar nerve canal.
Excessive Smartphone Use (ESU) poses a significant challenge in contemporary society, yet its recognition as a distinct disorder remains ambiguous. This study aims to address this gap by leveraging functional magnetic resonance imaging (fMRI) data and machine learning techniques to classify ESU and non-excessive smartphone users (n-ESU) based on their neural Cue-Reactivity (CR) signatures. By conducting a CR task and analyzing brain activation patterns, we identified spatial similarities between addictive smartphone use and established addictive disorders.
View Article and Find Full Text PDFDeep learning-based models for predicting blood glucose levels in diabetic patients can facilitate proactive measures to prevent critical events and are essential for closed-loop control therapy systems. However, selecting appropriate models from the literature may not always yield conclusive results, as the choice could be influenced by biases or misleading evaluations stemming from different methodologies, datasets, and preprocessing techniques. This study aims to compare and comprehensively analyze the performance of various deep learning models across diverse datasets to assess their applicability and generalizability across a broader spectrum of scenarios.
View Article and Find Full Text PDFStud Health Technol Inform
August 2024
Digital Health Twins (DHTs) hold immense potential to revolutionize healthcare by providing personalized virtual models of individual patients and their health conditions. This position paper discusses about the needs to overcoming the challenges in standardization and information models for data integration, collection, and visualization for realizing the full potential with digital twin technology. By addressing these challenges, digital health twins can enable better decision-making, enhance patient care, and contribute to the advancement of personalized healthcare solutions.
View Article and Find Full Text PDFJ Racial Ethn Health Disparities
July 2024
The electronic health record (EHR) should contain information to support culturally responsive care and research; however, the widely used default "Asian" demographic variable in most US social systems (including EHRs) lacks information to describe the diverse experience within the Asian diaspora (e.g., ethnicities, languages).
View Article and Find Full Text PDFAim: The primary purpose of this study was to explore relationships between self-efficacy, peer support, coping style, intent to work at the bedside, and resilience in nursing students.
Background: Resilience correlates with one-year retention at the bedside. Retention of bedside nurses improves patient outcomes.
Importance: Neurodevelopmental outcomes for children with congenital heart defects (CHD) have improved minimally over the past 20 years.
Objectives: To assess the feasibility and tolerability of maternal progesterone therapy as well as the magnitude of the effect on neurodevelopment for fetuses with CHD.
Design, Setting, And Participants: This double-blinded individually randomized parallel-group clinical trial of vaginal natural progesterone therapy vs placebo in participants carrying fetuses with CHD was conducted between July 2014 and November 2021 at a quaternary care children's hospital.
Up to 56 million young and adult women of African origin suffer from Female Genital Schistosomiasis (FGS). The transmission of schistosomiasis happens through contact with schistosomiasis infested fresh water in rivers and lakes. The transmission vector is the snail that releases immature worms capable of penetrating the human skin.
View Article and Find Full Text PDFProblem/condition: Public health agencies in U.S. states, territories, and freely associated states investigate and voluntarily report waterborne disease outbreaks to CDC through the National Outbreak Reporting System (NORS).
View Article and Find Full Text PDFThe widespread use of devices like mobile phones and wearables allows for automatic monitoring of human daily activities, generating vast datasets that offer insights into long-term human behavior. A structured and controlled data collection process is essential to unlock the full potential of this information. While wearable sensors for physical activity monitoring have gained significant traction in healthcare, sports science, and fitness applications, securing diverse and comprehensive datasets for research and algorithm development poses a notable challenge.
View Article and Find Full Text PDFSensory processing dysfunction not only affects most individuals with autism spectrum disorder (ASD), but at least 5% of children without ASD also experience dysfunctional sensory processing. Our understanding of the relationship between sensory dysfunction and resting state brain activity is still emerging. This study compared long-range resting state functional connectivity of neural oscillatory behavior in children aged 8-12 years with autism spectrum disorder (ASD; N=18), those with sensory processing dysfunction (SPD; N=18) who do not meet ASD criteria, and typically developing control participants (TDC; N=24) using magnetoencephalography (MEG).
View Article and Find Full Text PDFOlfactory disorders are common and have consequences for the quality of life of patients. The main causes are post viral upper respiratory tract infections, head trauma and sinonasal disease. However, there are many more less frequent causes which we illustrate by showing three different rare cases.
View Article and Find Full Text PDFAs climate change and population growth increasingly stress freshwater resources, government agencies and scientists have recognized the importance of water reuse (the beneficial use of reclaimed or recycled water). While end users (municipalities and farmers) are largely open to exploring water reuse, a barrier to using this water source is the public's negative perception, or the 'yuck factor'. Recognizing that water reuse is becoming a necessity, there is an urgent need to determine how to improve public acceptance of this water source.
View Article and Find Full Text PDFSoc Sci Med
November 2023
Rationale: Gun sales spike after mass shooting incidents. As firearm presence is associated with numerous health and safety risks, it is imperative to understand what catalyzes gun ownership. Despite evidence that Americans' fear of mass shootings is increasing at a pace that exceeds their likelihood of victimization, the relationship between fear of mass shootings and gun ownership has received minimal attention.
View Article and Find Full Text PDFObjective: Individuals with neurodevelopmental disorders often report disturbances in the autonomic nervous system (ANS)-related behavioral regulation, such as sensory sensitivity, anxiety, and emotion dysregulation. Cranial electrotherapy stimulation (CES) is a method of non-invasive neuromodulation presumed to modify behavioral regulation abilities via ANS modulation. Here we examined the feasibility and preliminary effects of a 4-week CES intervention on behavioral regulation in a mixed neurodevelopmental cohort of children, adolescents, and young adults.
View Article and Find Full Text PDFRadiotherapy is a key pillar of solid cancer treatment. Despite a high level of conformal dose deposition, radiotherapy is limited due to co-irradiation of organs at risk and subsequent normal tissue toxicities. Nanotechnology offers an attractive opportunity for increasing the efficacy and safety of cancer radiotherapy.
View Article and Find Full Text PDFBackground: Children undergoing complex cardiac surgery are exposed to substantial cumulative doses of sedative medications and volatile anesthetics and are more frequently anesthetized with ketamine, compared with healthy children. This study hypothesized that greater exposure to sedation and anesthesia in this population is associated with lower neurodevelopmental scores at 18 months of age.
Methods: A secondary analysis was conducted of infants with congenital heart disease who participated in a prospective observational study of environmental exposures and neurodevelopmental outcomes to assess the impact of cumulative volatile anesthetic agents and sedative medications.
Innate mononuclear phagocytic system (MPS) cells preserve mucosal immune homeostasis. We investigated their role at nasal mucosa following allergen challenge with house dust mite. We combined single-cell proteome and transcriptome profiling on nasal immune cells from nasal biopsies cells from 30 allergic rhinitis and 27 non-allergic subjects before and after repeated nasal allergen challenge.
View Article and Find Full Text PDFMore than 7.15 million cases of domestically acquired infectious waterborne illnesses occurred in the United States in 2014, causing 120,000 hospitalizations and 6,600 deaths. We estimated disease incidence for 17 pathogens according to recreational, drinking, and nonrecreational nondrinking (NRND) water exposure routes by using previously published estimates.
View Article and Find Full Text PDFMost types of dementia, including Alzheimer's disease, are not curable. However, there are risk factors, such as obesity or hypertension, that can promote the development of dementia. Holistic treatment of these risk factors can prevent the onset of dementia or delay it in its early stages.
View Article and Find Full Text PDFHistorically, children from non-Hispanic Black and Hispanic backgrounds, those from lower-income families, and girls are less likely to be diagnosed with autism spectrum disorder. Under-identification among these historically and contemporaneously marginalized groups can limit their access to early, autism spectrum disorder-specific interventions, which can have long-term negative impacts. Recent data suggest that some of these trends may be narrowing, or even reversing.
View Article and Find Full Text PDFIntroduction: Exploitation of telehealth in prenatal care has the potential to reduce the access barrier to care and empower women to participate in their own care. This review aims to assess the practical implications of virtual prenatal care and identify the needs and experiences associated with it.
Methods: A systematic literature review was conducted in four electronic databases: PubMed, Web of Science, Scopus, and Cochrane.