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Fine-tuning a local LLaMA-3 large language model for automated privacy-preserving physician letter generation in radiation oncology.
Front Artif Intell
January 2025
Department of Radiation Oncology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Introduction: Generating physician letters is a time-consuming task in daily clinical practice.
Methods: This study investigates local fine-tuning of large language models (LLMs), specifically LLaMA models, for physician letter generation in a privacy-preserving manner within the field of radiation oncology.
Results: Our findings demonstrate that base LLaMA models, without fine-tuning, are inadequate for effectively generating physician letters.
Transforming the tradition of discrete milk yield correction factors: A continuous 1-step DeLorenzo-Wiggans method.
JDS Commun
January 2025
Council on Dairy Cattle Breeding, Bowie, MD 20716.
Over the past decades, various methods have been proposed to estimate daily milk yields from partial yields. Many of these methods divide milking interval time into varied classes, assuming that the yield correction factors are constant within classes but vary between classes. The DeLorenzo and Wiggans (D-W) method has been widely used in the United States, typically following a 2-step process.
View Article and Find Full Text PDFRationale and design of the FAIR-HF2-DZHK05 trial: Ferric carboxymaltose assessment of morbidity and mortality in patients with iron deficiency and chronic heart failure.
Eur J Heart Fail
January 2025
Department of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Aims: While it is widely accepted that intravenous (IV) iron improves functional capacity, symptoms, and cardiovascular outcomes in patients with heart failure (HF) with reduced ejection fraction (HFrEF) diagnosed with iron deficiency (ID), three recently published cardiovascular outcome trials (AFFIRM-AHF, IRONMAN and HEART-FID) of IV iron supplementation in HF failed to demonstrate a significant benefit on their respective primary endpoints. Dosing of IV iron after the initial correction of baseline ID - by design or as a result of trial circumstances - was relatively low (i.e.
View Article and Find Full Text PDFA silicon photonics optical phased array with a two-dimensional matrix of antennas is experimentally demonstrated in which the unitary antennas are optimized such that light can be emitted over a high fraction of the overall array surface. This design strategy can be used to obtain a low divergence emitted beam containing a significant fraction of the total emitted power, at the expense of a reduced beam steering range. This type of device can be suited to phase front correction in optical wireless communications systems.
View Article and Find Full Text PDFAtmospheric refraction imposes a fundamental limitation on the accuracy and precision of geodetic measurements that utilize electromagnetic waves. For terrestrial observations at optical wavelengths recorded over flat terrain, the vertical temperature gradient controls the bending of the rays thus affecting mostly the vertical angle measurement. The rules of thumb for mitigating these effects (variation ranges and short-term fluctuations) are based on intuition and practitioner experience.
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