M is addressed within cancer care settings.
As a result of technological developments in healthcare services, telemedicine is becoming widespread. We aimed to determine the effect of COVID-19 on Turkish medical oncologists' opinions of telemedicine through a survey.
This study was conducted using an online questionnaire linked to an invitation e-mail sent to the members of the Turkish Medical Oncology Association mailing group between May and July 2020.
Of the 110 (73 males and 37 females) medical oncologists who answered the questionnaire, the average age was 43.9 ± 7.29 (range 31-64) years, and the majority of the respondents were academics. The most commonly used telemedicine method was store and forward (69.7%). Telemedicine use during clinical visits and multidisciplinary councils increased significantly during the COVID-19 pandemic (p < 0.001 in both cases).
The use of telemedicine increased during the COVID-19 pandemic, and the pandemic has led oncologists to view telemedicine more positively.
The use of telemedicine increased during the COVID-19 pandemic, and the pandemic has led oncologists to view telemedicine more positively.
Diagnosis of Parkinson's disease (PD) is informed by the presence of progressive motor and non-motor symptoms and by imaging dopamine transporter with [
I]ioflupane (DaTscan). Deep learning and ensemble methods have recently shown promise in medical image analysis. Therefore, this study aimed to develop a three-stage, deep learning, ensemble approach for prognosis in patients with PD.
Retrospective data of 198 patients with PD were retrieved from the Parkinson's Progression Markers Initiative database and randomly partitioned into the training, validation, and test sets with 118, 40, and 40 patients, respectively. The first and second stages of the approach extracted features from DaTscan and clinical measures of motor symptoms, respectively. The third stage trained an ensemble of deep neural networks on different subsets of the extracted features to predict patient outcome 4years after initial baseline screening. The approach was evaluated by assessing mean absolute percentage error (MAPE), mean absolute error (MAE), Pearson's correlation coefficient, and bias between the predicted and observed motor outcome scores. The approach was compared to individual networks given different data subsets as inputs.
The ensemble approach yielded a MAPE of 18.36%, MAE of 4.70, a Pearson's correlation coefficient of 0.84, and had no significant bias indicating accurate outcome prediction. The approach outperformed individual networks not given DaTscan imaging or clinical measures of motor symptoms as inputs, respectively.
The approach showed promise for longitudinal prognostication in PD and demonstrated the synergy of imaging and non-imaging information for the prediction task.
The approach showed promise for longitudinal prognostication in PD and demonstrated the synergy of imaging and non-imaging information for the prediction task.The rates of ecosystem degradation and biodiversity loss are alarming and current conservation efforts are not sufficient to stop them. The need for new tools is urgent. One approach is biodiversity offsetting a developer causing habitat degradation provides an improvement in biodiversity so that the lost ecological value is compensated for. Accurate and ecologically meaningful measurement of losses and estimation of gains are essential in reaching the no net loss goal or any other desired outcome of biodiversity offsetting. The chosen calculation method strongly influences biodiversity outcomes. We compare a multiplicative method, which is based on a habitat condition index developed for measuring the state of ecosystems in Finland to two alternative approaches for building a calculation method an additive function and a simpler matrix tool. We examine the different logic of each method by comparing the resulting trade ratios and examine the costs of offsetting for developers, which allows us to compare the cost-effectiveness of different types of offsets. The results show that the outcomes of the calculation methods differ in many aspects. The matrix approach is not able to consider small changes in the ecological state. The additive method gives always higher biodiversity values compared to the multiplicative method. The multiplicative method tends to require larger trade ratios than the additive method when trade ratios are larger than one. Using scoring intervals instead of using continuous components may increase the difference between the methods. In addition, the calculation methods have differences in dealing with the issue of substitutability.Due to the environmental consequences corresponding to leachate penetration, a sequence of inexpensive conventional processes proposed leachate treatment. The main objective was maximizing the COD and heavy metal removal efficiencies while minimizing generated sludge volume and material consumption rate. Walnut-shell adsorption complements lime treatment by eliminating heavy metals and low molecular-weight organic compounds. Samples gathered from Nazlou-landfill, Urmia, Iran. Proteasome purification The relative significance of independent variables (lime and walnut-shell dosages and pH) on the removal efficiency was investigated using response surface methodology. By estimating the gradient of relative equations of the experimental results, the ideal direction of independent variable change was found as such increasing COD removal. A new variable called OSVLDR was utilized for measuring the ratio of the observed sludge volume to used lime dosage. The proposed sequence resulted in 43.24% COD removal under optimal conditions (i.e., 6.83, and 25 g/L of lime and walnut-shell dosage and pH values of 6, and 4 for two sets). Furthermore, effective removal in heavy metal concentrations was observed, i.e., 98.17, 67.45, 91.03, and 88.02% for nickel, cadmium, zinc, and lead, respectively. The results showed that a change in variables' amount affects associated costs while making a variation at removal efficiency. Reducing the initial pH value of leachate to 3.50 might decrease the consumed raw materials and OSVLDR value, resulting in a considerable decline in material costs (by 10%). Also, the inactive walnut-shell surface with a more crushing degree was used to reduce costs in walnut-shell set experiments rather than the activated surface.Proteasome purification
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