Publications by authors named "R R Cima"

Background: Current clinical decision support systems (DSS) are trained and validated on observational data from the clinic in which the DSS is going to be applied. This is problematic for treatments that have already been validated in a randomized clinical trial (RCT), but have not yet been introduced in any clinic. In this work, we report on a method for training and validating the DSS core before introduction to a clinic, using the RCT data themselves.

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Objectives: Hearing aids (HAs) are a widely accepted first-line treatment option for individuals suffering from both hearing loss and chronic tinnitus. Though HAs are highly effective at improving speech understanding, their effectiveness in ameliorating tinnitus symptoms is less clear. In recent years, several investigators have reported on attempts to predict HAs effectiveness on tinnitus symptoms using an array of variables.

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  • Restorative proctocolectomy with ileal pouch-anal anastomosis can lead to pouch failure, requiring pouch excision, with traditional open surgery having potential complications; robotic and laparoscopic methods are being explored but lack extensive comparative data.* -
  • A study at Mayo Clinic followed 123 patients who had pouch excision using robotic, laparoscopic, and open techniques between 2015 and 2023, focusing on various surgical outcomes and complications.* -
  • Findings showed that robotic surgery had longer operation times but significantly lower blood loss and postoperative complications compared to open surgery, along with fewer required preoperative ureteral stents and pelvic drainages.*
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  • The study focuses on differentiating perianal issues caused by hidradenitis suppurativa (HS) and perianal fistulizing inflammatory bowel disease (IBD), as they often present similar symptoms.
  • A retrospective review of patient data at the Mayo Clinic identified 15 key clinical features using machine learning to help distinguish between HS and IBD cases.
  • Findings revealed significant differences in symptoms, with HS patients showing more skin-related issues and IBD patients experiencing additional gastrointestinal symptoms, which may lead to better diagnosis and treatment strategies.
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