Scientific Publications

Sign In
Submit
Showing 6 results for Physician.

Filter options

Publication Date
From
to
Subjects
Journals
Article Types
Countries / Territories
Open Access June 28, 2025

Development of a Hemodialysis Data Collection and Clinical Information System and Establishment of an Intradialytic Blood Pressure/Pulse Rate Predictive Model

I-Hsuan Peng, Chen-Kang Tien, Pei-Chun Lee
Journal of Artificial Intelligence and Big Data 2025, 5(2), 1-23. DOI: 10.31586/jaibd.2025.6029
Abstract This research is a collaboration involving a university team, a partnering corporation, and a hemodialysis clinic, which is a cross-disciplinary research initiative in the field of Artificial Intelligence of Things (AIoT) within the medical informatics domain. The research has two objectives: (1) The development of an Internet of Things (IoT)-based Information System customized for the hemodialysis machines at the clinic, including transmission bridges, clinical personnel dedicated web/app, and a backend server. The system has been deployed at the clinic and is now officially operational; (2) The research also utilized de-identified, anonymous data (collected by the officially operational system) to train, evaluate, and compare Deep Learning-based Intradialytic Blood Pressure (BP)/Pulse Rate (PR) Predictive Models [...] Read more.
This research is a collaboration involving a university team, a partnering corporation, and a hemodialysis clinic, which is a cross-disciplinary research initiative in the field of Artificial Intelligence of Things (AIoT) within the medical informatics domain. The research has two objectives: (1) The development of an Internet of Things (IoT)-based Information System customized for the hemodialysis machines at the clinic, including transmission bridges, clinical personnel dedicated web/app, and a backend server. The system has been deployed at the clinic and is now officially operational; (2) The research also utilized de-identified, anonymous data (collected by the officially operational system) to train, evaluate, and compare Deep Learning-based Intradialytic Blood Pressure (BP)/Pulse Rate (PR) Predictive Models, with subsequent suggestions provided. Both objectives were executed under the supervision of the Institutional Review Board (IRB) at Mackay Memorial Hospital in Taiwan. The system completed for objective one has introduced three significant services to the clinic, including automated hemodialysis data collection, digitized data storage, and an information-rich human-machine interface as well as graphical data displays, which replaces traditional paper-based clinical administrative operations, thereby enhancing healthcare efficiency. The graphical data presented through web and app interfaces aids in real-time, intuitive comprehension of the patients’ conditions during hemodialysis. Moreover, the data stored in the backend database is available for physicians to conduct relevant analyses, unearth insights into medical practices, and provide precise medical care for individual patients. The training and evaluation of the predictive models for objective two, along with related comparisons, analyses, and recommendations, suggest that in situations with limited computational resources and data, an Artificial Neural Network (ANN) model with six hidden layers, SELU activation function, and a focus on artery-related features can be employed for hourly intradialytic BP/PR prediction tasks. It is believed that this contributes to the collaborating clinic and relevant research communities.
Figures
Figure 1
Figure 2
Figure 3 (a)
Figure 3 (b)
Figure 3 (c)
Figure 3 (d)
Figure 4 (a)
Figure 4 (b)
Figure 4 (c)
Figure 4 (d)
Figure 4 (e)
Figure 4 (f)
Figure 4 (g)
Figure 4 (h)
Figure 5 (a)
Figure 5 (b)
Figure 6 (a)
Figure 6 (b)
Figure 6 (c)
Figure 6 (d)
Figure 6 (e)
Figure 6 (f)
Figure 7 (a)
Figure 7 (b)
Figure 7 (c)
Figure 7 (d)
Figure 7 (e)
Figure 7 (f)
Figure 7 (g)
Figure 8 (a)
Figure 8 (b)
Figure 8 (c)
Figure 8 (d)
Figure 9 (a)
Figure 9 (b)
Figure 9 (c)
Figure 9 (d)
Figure 10 (a)
Figure 10 (b)
Figure 10 (c)
Figure 10 (d)
Figure 10 (e)
Figure 10 (f)
Figure 11 (a)
Figure 11 (b)
Figure 11 (c)
Figure 11 (d)
Figure 11 (e)
PDF Html Xml
Article
Open Access August 09, 2023

Anti-Cancer and Anti-Fungal Activities of Calotropis procera: a Narrative Review

Shafqat Rasul, Abid Rashid, Muhammad Akram, Umme Laila, Rida Zainab, Muhammad Talha Khalil, Hadji Seydou Mbaye, Mourad Ben Said, Hanan sneed Alharbi, Hanadi Husni Alabed, Mahmoud Abdel Hameed Shahin
World Journal of Cancer and Oncology Research 2023, 2(2), 102-121. DOI: 10.31586/wjcor.2023.727
Abstract Calotropis procera, a medicinally important plant found in Asia, was explored for its anticancer and antibacterial properties in this study. The leaves of C. procera were extracted using methanol and FTIR and UV-VIS spectrophotometry were used to characterize them. Using the MTT assay and the disc diffusion test, the extract was examined for anticancer activity against the MCF7 breast cancer cell [...] Read more.
Calotropis procera, a medicinally important plant found in Asia, was explored for its anticancer and antibacterial properties in this study. The leaves of C. procera were extracted using methanol and FTIR and UV-VIS spectrophotometry were used to characterize them. Using the MTT assay and the disc diffusion test, the extract was examined for anticancer activity against the MCF7 breast cancer cell line and antibacterial activity against methicillin-resistant Staphylococcus aureus (MRSA). The methanolic fraction of C. procera was found to be efficient against the MCF7 cell line and dramatically suppressed MRSA growth. The metabolic fraction of C. procera leaves is important in suppressing the growth of the MCF7 cell line, and it has the potential to be an effective antibacterial agent, according to our findings. The implications of Calotropis procera for all healthcare professionals including oncologists, physicians, pharmacists, nurses, and nutritional therapists are significant. With the increasing incidence of cancer and antibiotic-resistant bacterial infections, there is a growing need for new, effective, and safer herbal treatments.
PDF Html Xml
Review Article
Open Access February 23, 2022

Implementation of One Key Question? at an Urban Teaching Hospital: Challenges and Lessons Learned

Alejandrina Canelo Villafana, Ashley Leto, Katherine Chung, Jeanette Rios, Theodore Barrett, Uchenna Nwobu, Kristyn Brandi
Universal Journal of Obstetrics and Gynecology 2022, 1(1), 1-9. DOI: 10.31586/ujog.2022.222
Abstract Introduction: One Key Question® is a patient-centered tool that seeks to understand patient pregnancy intention and counseling. This pilot study aimed to assess implementation of OKQ at an urban healthcare facility and improve understanding of short interpregnancy intervals (IPI). Methods: We describe the implementation of OKQ in our setting using the Diffusion of Innovation Theory [...] Read more.
Introduction: One Key Question® is a patient-centered tool that seeks to understand patient pregnancy intention and counseling. This pilot study aimed to assess implementation of OKQ at an urban healthcare facility and improve understanding of short interpregnancy intervals (IPI). Methods: We describe the implementation of OKQ in our setting using the Diffusion of Innovation Theory as a framework. We broke this up into two phases – the first to assess provider acceptance of the OKQ integration into the clinic workflow and the second to assess how well documentation of OKQ answers occurred in our EMR. Results: Most providers in the first phase reported awareness of the inclusion of OKQ in the EHR, yet most physician providers reported only using OKQ at “some visits” (n=5) compared to the MAs, who reported using OKQ at “every visit” (n=8). Most providers felt that OKQ was an effective method of providing preconception and contraception care for women of reproductive age (n=10). Sixty-four patients completed a survey on OKQ after their visit who identified as young (mean age 28.7), either Black (46.9%) or Hispanic (51.6%) and pregnant (61%). Of those, 83% reported that they were not asked OKQ and 42% reported receiving counseling on optimal IPI. In those patients, 78% had documentation of usage of OKQ in the medical record. Discussion: The implementation of OKQ provided an opportunity to provide standardized preconception and contraception care to our patient population and improve information regarding short IPI. However, challenges existed in implementation which much be overcome to benefit from OKQ. Significance: OKQ has been used successfully in primary care and other settings to assess pregnancy intentions. This article adds to the literature by investigating the implementation of OKQ in a low-resource setting during prenatal and gynecology care. It shares struggles of implementing OKQ in an electronic medical record and how to roll out this program in a setting where pregnancy intention already is including in various forms by our providers.
Figures
Figure 1
Figure 2
PDF Html Xml
Project Report
Open Access November 05, 2021

Cerebral Palsy and Heterotaxy Syndrome: A Case Report

Abba Musa Abdullahi, Ibrahim Muhammad Abdullahi
Global Journal of Medical Case Reports 2021, 1(1), 13-18. DOI: 10.31586/gjmcr.2021.172
Abstract Background: Cerebral palsy is not only a serious neurodevelopmental disease causing significant morbidity in children, but also a traumatic experience leading to psychosocial trauma to the parents/caregivers of the affected children. It is usually caused by prenatal or early post-natal insults to the newborn brain which may be associated with some congenital syndromes like congenital heart [...] Read more.
Background: Cerebral palsy is not only a serious neurodevelopmental disease causing significant morbidity in children, but also a traumatic experience leading to psychosocial trauma to the parents/caregivers of the affected children. It is usually caused by prenatal or early post-natal insults to the newborn brain which may be associated with some congenital syndromes like congenital heart disease with transposition of the viscera but rarely a heterotaxy syndrome, a condition characterized with congenitally abnormal arrangement of the thoracic and abdominal viscera. Method: We present a case report of a 12-month-old boy with neurodevelopmental delay, recurrent episodes of non-mucoid and non-bloody diarhoea, occasional constipation, bilious vomiting, abdominal distension and fever with associated cough and difficulty in breathing. Results: We discuss an unusual presentation of cerebral palsy and heterotaxy syndrome diagnosed clinically with supporting evidence from both laboratory and radiological tests. Cerebral palsy was diagnosed from the history of birth asphyxia, delayed developmental milestone, limb spasticity and low values for all sub-scores of Bayley-III scale. Heterotaxy syndrome was diagnosed from the radiologic evidence of dextrocardia, left-sided stomach, centrally located liver and malrotation of gut with volvulus. We also provide a brief literature review of the incidence and prevalence, causes and risk factors, classification, clinical presentation and associated co-morbidities of heterotaxy syndrome. Conclusion: Diagnosis of heterotaxy syndrome in a child with background cerebral palsy is a great challenge to both physicians and radiologists. This is more so in developing countries due to poor availability of good diagnostic apparatus, therefore, a high index of suspicion is needed. A clear understanding of the clinical features, comprehensive history taking and thorough physical examination are important in making prompt diagnosis. Timely and appropriate imaging is necessary to prevent delays in diagnosis and treatment which lead to poor outcomes.
Figures
Figure 1
Figure 2
PDF Html Xml
Case Report

Query parameters

Keyword:  Physician

View options

Order results
Result details
Results per page

Citations of

Views of

Downloads of