Risultati della ricerca - "Clinical algorithms"
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Reconsidering the use of race, sex, and age in clinical algorithms to address bias in practice: A discussion paper
Pubblicazione 2025-12-01“...Clinical algorithms are commonly used as decision-support tools, incorporating patient-specific characteristics to predict health outcomes. ...”Clinical algorithms are commonly used as decision-support tools, incorporating patient-specific characteristics to predict health outcomes. Risk calculators are clinical algorithms particularly suited for resource allocation based on risk estimation. Although these calculators typically use physiolo...
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Clinical Algorithms and the Legacy of Race-Based Correction: Historical Errors, Contemporary Revisions and Equity-Oriented Methodologies for Epidemiologists
Pubblicazione 2025-07-01Soggetti: “...Clinical algorithms...”Laura J Horsfall, Paulina Bondaronek, Julia Ive, Shoba Poduval Institute of Health Informatics, University College London, London, UKCorrespondence: Laura J Horsfall, Email laura.horsfall@ucl.ac.ukAbstract: Clinical algorithms are widely used tools for predicting, diagnosing, and managing diseases....
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Differential diagnosis of monoarthritis
Pubblicazione 2013-12-01Soggetti: TestoThe paper describes a wide range of diseases that can involve one joint – monoarthritis. It characterizes different types of acute and chronic monoarthritis and its causes. Criteria for the differential diagnosis of different monoarticular lesions, a clinical algorithm, and current treatment policy...
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RANDOMIZED COMPARISON OF TWO APPROACHES TO WARFARIN DOSAGE IN CARDIOVASCULAR HOSPITAL SECTION
Pubblicazione 2015-08-01Soggetti: TestoAim. To compare two approaches to warfarin dosage formulation: the standard and with the clinical algorithm.Material and methods. As an approach to warfarin dosage, we have used the method that included clinical properties of the patients. Into the group of the studied approach (intervention group),...
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NOVEL METHODS FOR AUTOANTIBODY DETECTION IN LABORATORY DIAGNOSTICS OF AUTOIMMUNE RHEUMATIC DISEASES
Pubblicazione 2014-08-01“...However, the currently existing variety of laboratory tests and methods as well as different diagnostic and clinical algorithms of autoimmune testing is the reason for lack of reproducibility and harmonization across immunological laboratories. ...”Autoantibodies are well-established biomarkers of autoimmune rheumatic diseases. Their detection in the routine clinical laboratory provides key information for early and differential diagnosis, prognosis, and monitoring of disease-activity. However, the currently existing variety of laboratory test...
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A Cautionary Perspective on Artificial Intelligence and Novel Imaging Technologies in Patient Selection for Retrograde Intrarenal Surgery
Pubblicazione 2025-08-01“...This commentary critically examines these clinical algorithms, highlighting the absence of prospective validation, the potential for overreliance, and the possible limitations of their clinical applicability. ...”The advancement of retrograde intrarenal surgery (RIRS) has been accompanied by the evolution of many promising tools that aim at improving patient selection and predicting surgery outcomes in terms of stone fragmentation and expected complications. The incorporation of artificial intelligence (AI)...
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Lipoprotein(a) levels in a sample of 115,197 subjects from the largest Brazilian private laboratory.
Pubblicazione 2025-01-01“...Lipoprotein(a) (Lp(a)) is an independent risk factor for atherosclerotic disease and is increasingly being incorporated into clinical algorithms of cardiovascular risk prediction. However, the epidemiology of Lp(a) in Brazil remains unknown. ...”Lipoprotein(a) (Lp(a)) is an independent risk factor for atherosclerotic disease and is increasingly being incorporated into clinical algorithms of cardiovascular risk prediction. However, the epidemiology of Lp(a) in Brazil remains unknown. The objective of this study was to describe the distributi...
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Targeted Interventional Therapies for the Management of Postamputation Pain: A Comprehensive Review
Pubblicazione 2025-06-01“...Nevertheless, further research is required to standardize clinical algorithms, optimize therapeutic decision-making and improve long-term outcomes and quality of life for individuals with PAP....”Postamputation pain (PAP), including residual limb pain (RLP) and phantom limb pain (PLP), remains a significant and debilitating complication after limb loss. Despite advances in pharmacological management, many patients experience inadequate pain relief, underscoring the need for alternative thera...
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Evaluating ChatGPT-4o for ophthalmic image interpretation: From in-context learning to code-free clinical tool generation
Pubblicazione 2025-09-01“...Additionally, the model successfully translated schematic clinical algorithms into functional, browser-based diagnostic tools using natural language prompts alone. ...”Background: Large language models (LLMs) such as ChatGPT-4o have demonstrated emerging capabilities in medical reasoning and image interpretation. However, their diagnostic applicability in ophthalmology, particularly across diverse imaging modalities, remains insufficiently characterized. This stud...
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A Conversational Agent Using Natural Language Processing for Postpartum Care for New Mothers: Development and Engagement Analysis
Pubblicazione 2025-04-01“...Content for the program was developed using patient- and provider-based input and clinical algorithms. Our program offered 2-way communication to patients and details on physical recovery, lactation support, infant care, and warning signs for problems. ...”Abstract BackgroundThe “fourth trimester,” or postpartum time period, remains a critical phase of pregnancy that significantly impacts parents and newborns. Care poses challenges due to complex individual needs as well as low attendance rates at routine appointments. A compreh...
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Right ventricular mechanical support as a bridge to lung transplantation: A literature review of current practices
Pubblicazione 2025-08-01“...We aim to synthesize current evidence on RVD/RVF assessment and management in BTT patients requiring ECLS, providing a foundation to aid development of standardized clinical algorithms.A scoping literature search across PubMed, Embase, Web of Science, Cochrane Library, and grey literature was performed. ...”Extracorporeal life support (ECLS) serves as a bridge to lung transplantation (BTT) for patients with acute respiratory failure (ARF) or right ventricular (RV) dysfunction/failure (RVD/RVF). Proper assessment and management of RV function in BTT patients are crucial for successful outcomes. However,...
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Cancer incidence in young adults aged 20 to 44 years old in the Siberian Federal District
Pubblicazione 2025-05-01“...The results of the study update the development of new organizational and clinical algorithms for medical observation of young men and women for the purpose of prevention or early diagnosis of tumor pathology, including for creating the feasibility of performing organpreserving treatment while preserving the reproductive potential of young patients....”Background. The cancer incidence in young adults has been steadily rising worldwide and in Russia. According to Globocan, the number of cancer cases in both men and women aged 20–44 years is expected to increase by 14 % in 2045 compared to 2022. Given the decline in the number of young adults in Rus...
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Age-dependent root canal instrumentation techniques: a comprehensive narrative review
Pubblicazione 2020-05-01“...Based on the evidence found through the narrative review, an age-related clinical algorithm for choosing appropriate instrumentation during root canal treatment was proposed. ...”The aim of this article was to review age-dependent clinical recommendations for appropriate root canal instrumentation techniques. A comprehensive narrative review of canal morphology, the structural characteristics of dentin, and endodontic outcomes at different ages was undertaken instead of a sy...
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EXPERIENCE OF CLINICAL DIAGNOSIS OF PERSISTENT POSTURAL-PERCEPTUAL VERTIGO AT AN OUTPATIENT APPOINTMENT
Pubblicazione 2021-06-01“...At a specialized neurovestibular reception, the doctor's task becomes to establish whether dizziness is systemic (vestibular) or not systemic, which determines the further tactics of patient management. The existing clinical algorithm for studies of the vestibular system, including oculomotor reactions, as well as standing and walking, can reliably establish the nature of the subjective phenomenon of dizziness. ...”Dizziness, as a clinical symptom, is a subjective phenomenon, which determines the complexity of objective diagnosis. At a specialized neurovestibular reception, the doctor's task becomes to establish whether dizziness is systemic (vestibular) or not systemic, which determines the further tacti...
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A pediatrician's guide to gastrointestinal allergies
Pubblicazione 2024-01-01“...The elimination diet is the main tool for diagnosis and dietary therapy of these allergic conditions.Objective. To provide a clinical algorithm for outpatient pediatricians on the management of children with non-IgE-mediated gastrointestinal food allergy....”Background. Cow's milk allergy is one of the most common food allergies in children. Gastrointestinal forms of food allergy require special attention from the pediatrician, but they still remain poorly recognized. Mostly, gastrointestinal forms of food allergies occur in children of the first y...
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Long-term follow-up of patients with arterial hypertension and ischemic stroke
Pubblicazione 2009-06-01“...To study the features of arterial hypertension (AH) clinical course predisposing to ischemic stroke (IS) development; to evaluate hemodynamic changes after IS; to develop a clinical algorithm for long-term follow-up and IS prevention in AH patients.Material and methods. ...”Aim. To study the features of arterial hypertension (AH) clinical course predisposing to ischemic stroke (IS) development; to evaluate hemodynamic changes after IS; to develop a clinical algorithm for long-term follow-up and IS prevention in AH patients.Material and methods. In total, 198 AH individ...
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MODERN VIEW OF NOCTURIA IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA
Pubblicazione 2017-07-01“...There is currently no symptom-specific clinical algorithm for all-cause diagnosis of nocturia. ...”Nocturia, awaking from sleep to void, has a negative impact on health and well-being. Nocturia traditionally has been regarded as a predominantly male condition, but it is just as prevalent in women as in men. Urologists and general practitioners are becoming increasingly aware of and interested in...
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Algorithm for assigning different 6-month short-term chemotherapy regimens in patients with drug-resistant tuberculosis: how to make the right choice for the clinician
Pubblicazione 2025-06-01“...OBJECTIVE. To develop a clinical algorithm for selecting the optimal 6-month treatment regimen for patients with multidrugresistant TB (MDR-TB) and pre-extensively drug-resistant TB (pre-XDR-TB) based on an analysis of efficacy, safety, and costeffectiveness. ...”BACKGROUND. Six-month short-term treatment regimens for drug-resistant tuberculosis (DR-TB) are more effective and better tolerated compared to longer regimens. There is a need to develop a clear algorithm for their prescription. OBJECTIVE. To develop a clinical algorithm for selecting the optima...
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Expert Recommendations on Antithrombotic Management of Peripheral Artery Disease: Perspectives from Indian Interventional Radiologists
Pubblicazione 2025-08-01“...Clinical evidence, clinical expertise, and real-world practice were integrated to form expert opinions and a clinical algorithm for using DPI as antithrombotic management in patients with PAD. ...”Peripheral artery disease (PAD) imposes a heavy burden of major adverse cardiovascular events (MACE) that are associated with considerable mortality and morbidity and major adverse limb events (MALE) (e.g., thrombectomy, revascularization, amputation) that can substantially impact patients' dai...
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Analysis of phenotypic manifestations of connective tissue dysplasia in adult patients with osteogenesis imperfecta and development of a diagnostic algorithm
Pubblicazione 2025-05-01“...In type III, spinal deformities are characteristic, chest deformities were more often observed in patients with type V OI. A clinical algorithm for determining OI types was developed to optimize diagnostics and genotyping....”Connective tissue dysplasia (CTD) is a genetically determined disorder of the development of connective tissue in the embryonic and postnatal periods, which is characterized by defects in the structure of the fibers and basic substance of the connective tissue, which can cause a variety of disorders...
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