Despite advancements in the Internet of Things (IoT) and social networks, developing an intelligent service discovery and composition framework in the Social IoT (SIoT) domain remains a challenge. In the IoT, a large number of things are connected together according to the different objectives of their owners. Due to this extensive connection of heterogeneous objects, generating a suitable recommendation for users becomes very difficult. The complexity of this problem exponentially increases when additional issues, such as user preferences, autonomous settings, and a chaotic IoT environment, must be considered. For the aforementioned reasons, this paper presents an SIoT architecture with a personalized recommendation framework to enhance service discovery and composition. The novel contribution of this study is the development of a unique personalized recommender engine that is based on the knowledge-desire-intention model and is suitable for service discovery in a smart community. Our algorithm provides service recommendations with high satisfaction by analyzing data concerning users' beliefs and surroundings. Moreover, the algorithm eliminates the prevalent cold start problem in the early stage of recommendation generation. Several experiments and benchmarking on different datasets are conducted to investigate the performance of the proposed personalized recommender engine. The experimental precision and recall results indicate that the proposed approach can achieve up to an approximately 28% higher F-score than conventional approaches. In general, the proposed hybrid approach outperforms other methods.
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http://dx.doi.org/10.3390/s20072098 | DOI Listing |
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Division of Endocrine Surgery, Department of Surgery, Queen Mary Hospital, The University of Hong Kong, Hong Kong, Hong Kong.
Cytologically indeterminate thyroid nodules (Bethesda class III or IV) carry a 10-40% risk of malignancy. Diagnostic lobectomies are frequently performed but negative surgeries incur unnecessary costs on the healthcare system, potential complications, and negative impacts on quality of life. Molecular tests (MTs) have been developed to reduce unnecessary surgeries.
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Department of Anesthesiology and Perioperative Medicine, Riverside University Health System Medical Center, Moreno Valley, USA.
The perioperative surgical home (PSH) is a care delivery model designed to improve the perioperative and long-term outcomes of patients undergoing surgery by promoting holistic care and seamless cooperation between different services and subspecialties. An aging population and increased surgical complexity have led to renewed interest in PSH models. An 86-year-old female with diabetes and critical limb ischemia presented with sepsis due to right calcaneal gangrene.
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January 2025
Clinical Epidemiology Center, Research and Development Service, VA St. Louis Health Care System, St. Louis, MO, USA.
Glucagon-like peptide 1 receptor agonists (GLP-1RAs) are increasingly being used to treat diabetes and obesity. However, their effectiveness and risks have not yet been systematically evaluated in a comprehensive set of possible health outcomes. Here, we used the US Department of Veterans Affairs databases to build a cohort of people with diabetes who initiated GLP-1RA (n = 215,970) and compared them to those who initiated sulfonylureas (n = 159,465), dipeptidyl peptidase 4 (DPP4) inhibitors (n = 117,989) or sodium-glucose cotransporter-2 (SGLT2) inhibitors (n = 258,614), a control group composed of an equal proportion of individuals initiating sulfonylureas, DPP4 inhibitors and SGLT2 inhibitors (n = 536,068), and a control group of 1,203,097 individuals who continued use of non-GLP-1RA antihyperglycemics (usual care).
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Neurology Service, Lille Catholic Institute Hospital Group, (Groupe Hospitalier de l'Institut Catholique de Lille), GHICL, Lomme cedex, France.
The legacy of Santiago Ramón y Cajal, Spain's first Nobel laureate neuroscientist recognized as the founding father of modern neuroscience, is to be preserved in a new museum in Madrid: the National Museum of Natural Sciences (MNCN), one of the most important scientific research institutes in the country sciences in the scope of natural sciences of the Spanish National Research Council. For a boy who dreamed of being an artist but started his career apprenticed to first a barber and then a cobbler, Santiago Ramón y Cajal made a distinguished mark in science. One of Cajal's most important contributions to our understanding of the brain was his discovery of the direction of the information flow within neurons and in neural circuits, which he called the "dynamic polarization law," without a doubt the founding principle of neurosciences.
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January 2025
Department of Biomedical Data Science, Stanford, CA, USA.
Large language models (LLMs) with retrieval-augmented generation (RAG) have improved information extraction over previous methods, yet their reliance on embeddings often leads to inefficient retrieval. We introduce CLinical Entity Augmented Retrieval (CLEAR), a RAG pipeline that retrieves information using entities. We compared CLEAR to embedding RAG and full-note approaches for extracting 18 variables using six LLMs across 20,000 clinical notes.
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