Software

软件
  • 文章类型: Journal Article
    形态计量学是研究和关联神经元形态与脑功能的基础。随着计算能力的提高,可以自动提取形态特征,包括长度等特征,volume,和神经元分支的数量。然而,据我们所知,还没有形态测量工具的绘图。在这种情况下,我们进行了系统的搜索和审查,以识别和分析神经元分析范围内的工具。因此,这项工作遵循了一个明确的协议,并试图回答以下研究问题:哪些开源工具可用于神经元形态分析?这些工具提取了哪些形态特征?为此,旨在提高鲁棒性和覆盖率,该研究基于论文分析以及使用存储库中可用工具对文档和测试的研究。我们分析了1586篇论文,绘制了23种工具,其中NeuroM,L-Measure,神经形态血管提取了最多的特征。此外,我们以前所未有的方式呈现150种独特的形态计量学特征,为知识体系做出了贡献,这些特征的术语被分类和标准化。总的来说,这项研究有助于提高对大脑复杂机制的理解。
    Morphometry is fundamental for studying and correlating neuronal morphology with brain functions. With increasing computational power, it is possible to extract morphometric characteristics automatically, including features such as length, volume, and number of neuron branches. However, to the best of our knowledge, there is no mapping of morphometric tools yet. In this context, we conducted a systematic search and review to identify and analyze tools within the scope of neuron analysis. Thus, the work followed a well-defined protocol and sought to answer the following research questions: What open-source tools are available for neuronal morphometric analysis? What morphometric characteristics are extracted by these tools? For this, aiming for greater robustness and coverage, the study was based on the paper analysis as well as the study of documentation and tests with the tools available in repositories. We analyzed 1,586 papers and mapped 23 tools, where NeuroM, L-Measure, and NeuroMorphoVis extract the most features. Furthermore, we contribute to the body of knowledge with the unprecedented presentation of 150 unique morphometric features whose terminologies were categorized and standardized. Overall, the study contributes to advancing the understanding of the complex mechanisms underlying the brain.
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  • 文章类型: Journal Article
    目的:根据数据采集方法和用于为部分或全部上颌骨和下颌骨缺损患者制造口内假体的软件工具,评估数字工作流程可行性的当前证据。
    方法:在PubMed中进行了电子搜索,Scopus,和WebofScience使用相关关键词的组合:数字工作流程,数字设计,计算机辅助设计-计算机辅助制造,3D打印,上颌骨切除术,和下颌骨切除术.JoannaBriggs研究所的关键评估工具用于评估所审查研究中的证据质量。
    结果:在总共542个参考文献中,共入选33篇,包括25个上颌假体和8个下颌假体。数字工作流程的使用仅限于制造假体的一个或两个步骤,只有四项研究描述了完整的数字工作流程。最优选的数据采集方法是有或没有锥形束计算机断层扫描组合的口内扫描。
    结论:目前,颌面假体的制造过程需要结合数字和常规方法。简化数据采集方法并提供用户友好且负担得起的软件可以鼓励临床医生更频繁地对需要颌面假体的患者使用数字工作流程。
    OBJECTIVE: To evaluate the current evidence of digital workflow feasibility based on the data acquisition methods and the software tools used to fabricate intraoral prostheses for patients with partial or total maxillary and mandibular defects.
    METHODS: An electronic search was performed in PubMed, SCOPUS, and Web of Science using a combination of relevant keywords: digital workflow, digital designing, computer-assisted design-computer aided manufacturing, 3D printing, maxillectomy, and mandibulectomy. The Joanna Briggs Institute Critical Appraisal Tool was used to assess the quality of evidence in the studies reviewed.
    RESULTS: From a total of 542 references, 33 articles were selected, including 25 on maxillary prostheses and 8 on mandibular prostheses. The use of digital workflows was limited to one or two steps of the fabrication of the prostheses, and only four studies described a complete digital workflow. The most preferred method for data acquisition was intraoral scanning with or without a cone beam computed tomography combination.
    CONCLUSIONS: Currently, the fabrication process of maxillofacial prostheses requires combining digital and conventional methods. Simplifying the data acquisition methods and providing user-friendly and affordable software may encourage clinicians to use the digital workflow more frequently for patients requiring maxillofacial prostheses.
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  • 文章类型: Journal Article
    背景:就患病率而言,慢性伤口护理仍然是一个关键的公共卫生挑战,全球范围内的生活质量和医疗保健成本。目前使用的评估伤口大小和内容的方法包括基于双层膜的直接接触技术,标尺测量,数码摄影和视觉检查。如今,尽管有这些评价,密切监测和跟踪这些慢性伤口仍然是一个巨大的挑战。通过数字测量工具使用远程监测可以提供改善愈合管理过程的潜在手段。许多研究已经通过数字设备(如手机和电脑)评估了伤口的大小和内容。然而,这些工具的临床准确性仍有待澄清.本系统评价的目的是评估和巩固当前最先进的数字设备的定量(长度,宽度,表面积,周边,体积和深度)和定性(造粒,纤维蛋白,坏死和腐烂)伤口护理的指标。
    方法:我们将包括使用来自EBSCO等数据库的数字测量方法的研究,科克伦图书馆,MEDLINE,WebofScience和EMBASE,限于法语和英语出版物,直到2023年11月15日。遵循系统评价和荟萃分析指南的首选报告项目,选择涉及两名独立的审稿人进行标题和摘要筛选,研究选择,使用QUADAS-2进行数据提取和偏倚风险评估。差异将通过讨论或第三审稿人解决。
    背景:本研究将不收集主要数据;因此,不需要道德批准。这项研究的结果将发表在同行评审的期刊上。
    CRD42023396642。
    BACKGROUND: Chronic wound care remains a critical public health challenge in terms of prevalence, quality of life and healthcare costs on a global scale. Currently used methods to assess the size and content of wounds include direct contact techniques based on double-layer film, ruler measurements, digital photography and visual examination. Nowadays, despite these evaluations, close monitoring and tracking of these chronic wounds remain a great challenge. The use of telemonitoring through digital measurement tools may offer a potential means of improving healing management processes. Many studies have evaluated the size and content of the wound through digital devices such as mobile phones and computers. However, the clinical accuracy of these tools remains to be clarified. The objective of this systematic review is to assess and consolidate the current state-of-the-art digital devices for both quantitative (length, width, surface area, perimeter, volume and depth) and qualitative (granulation, fibrin, necrosis and slough) indicators of wound care.
    METHODS: We will include studies using digital measurement methods from databases such as EBSCO, Cochrane Library, MEDLINE, Web of Science and EMBASE, limited to French and English publications until November 15, 2023. Following the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, selection involves two independent reviewers conducting title and abstract screenings, study selections, data extractions and risk-of-bias assessments using QUADAS-2. Discrepancies will be resolved through discussion or a third reviewer.
    BACKGROUND: Primary data will not be collected in this study; thus, ethical approval will not be required. The study\'s findings will be published in a peer-reviewed journal.
    UNASSIGNED: CRD42023396642.
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  • 文章类型: Journal Article
    在高通量测序时代,遗传变异的临床评估需要特殊的软件。我们开发了REEV(回顾,评估和解释变体),为罕见病遗传学领域的临床医生和研究人员提供了一个用户友好的平台。支持数据是从公共数据来源汇总的。我们将REEV与其他七种用于临床变异评估的工具进行了比较。REEV(半)自动填充各个ACMG标准,以促进变体解释。REEV可以存储与病例相关的疾病和表型数据,以将其用于表型相似性度量。用户可以为各个变体创建公共永久链接,这些链接可以保存为浏览器书签并共享。REEV可能有助于临床和研究环境中遗传变异的快速诊断评估。REEV(https://reev.bihealth.org/)是免费的,对所有用户开放,没有登录要求。
    In the era of high throughput sequencing, special software is required for the clinical evaluation of genetic variants. We developed REEV (Review, Evaluate and Explain Variants), a user-friendly platform for clinicians and researchers in the field of rare disease genetics. Supporting data was aggregated from public data sources. We compared REEV with seven other tools for clinical variant evaluation. REEV (semi-)automatically fills individual ACMG criteria facilitating variant interpretation. REEV can store disease and phenotype data related to a case to use these for phenotype similarity measures. Users can create public permanent links for individual variants that can be saved as browser bookmarks and shared. REEV may help in the fast diagnostic assessment of genetic variants in a clinical as well as in a research context. REEV (https://reev.bihealth.org/) is free and open to all users and there is no login requirement.
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  • 文章类型: Journal Article
    这是对使用数字工具评估巴西食品消费情况的范围审查。在九个电子数据库中进行了搜索(Medline,丁香花,Scopus,Embase,WebofScience,科学直接,奥维德,免费医学杂志和Crossref)选择2020年10月至2023年12月发表的研究。这篇评论在分析的94种出版物中确定了48种数字工具,最常见的是基于网络的技术(60%)和移动设备(40%)。在这些研究中,55%(n=52)采用了基于人群的方法,45%(n=42)关注特定区域。观察到的主要研究设计是横截面(n=63)。观察到的一个显著趋势是近年来验证研究的频率增加。尽管近年来在巴西食品消费评估中使用数字工具的情况有所增加,研究没有描述创建和验证工具的过程,这将有助于提高数据质量。允许扩大互联网和移动设备使用的投资;提高数字素养;以及开发开放获取工具,尤其是在北部和东北地区,是需要共同努力提供平等机会的挑战,促进鼓励,并在与巴西食品消费有关的研究中更深入地研究数字工具的潜力。
    This is a scoping review on mapping the use of digital tools to assess food consumption in Brazil. Searches were carried out in nine electronic databases (Medline, Lilacs, Scopus, Embase, Web of Science, Science Direct, Ovid, Free Medical Journal and Crossref) to select studies published from October 2020 to December 2023. This review identified forty-eight digital tools in the 94 publications analyzed, the most frequent being web-based technologies (60%) and mobile devices (40%). Among these studies, 55% (n = 52) adopted a population-based approach, while 45% (n = 42) focused on specific regions. The predominant study design observed was cross-sectional (n = 63). A notable trend observed was the increasing frequency of validation studies in recent years. Although the use of digital tools in the assessment of food consumption in Brazil has grown in recent years, studies did not describe the process of creating and validating the tools, which would contribute to the improvement of data quality. Investments that allow the expansion of the use of the internet and mobile devices; the improvement of digital literacy; and the development of open-access tools, especially in the North and Northeast regions, are challenges that require a concerted effort towards providing equal opportunities, fostering encouragement, and delving deeper into the potential of digital tools within studies pertaining to food consumption in Brazil.
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  • 文章类型: Systematic Review
    这项研究的目的是评估基于人工智能(AI)的算法用于分析白内障手术视频的当前使用和可靠性。
    对有关使用机器学习技术的白内障手术视频的术中分析的文献进行了系统回顾。排除白内障诊断和检测算法。结果算法进行了比较,描述性分析,和度量汇总或直观报告。使用修改版本的医学图像计算和计算机辅助(MICCAI)检查表评估方法和结果的可重复性和可靠性。
    纳入了550项筛选研究中的38项,20解决了仪器检测或跟踪的挑战,9专注于相位区分,和8个预测的技能和并发症。仪器检测使受试者操作员特征曲线下面积(ROCAUC)在0.976和0.998之间,仪器跟踪mAP在0.685和0.929之间,相位识别ROCAUC在0.773和0.990之间,并发症或手术技巧在ROCAUC在0.570和0.970之间。
    这些研究表明,质量差异很大,并且由于公共数据集的数量很少(对于手动小切口白内障手术没有)和很少发布的源代码,对复制提出了挑战。报告的结果指标没有标准,外部数据集上的模型验证很少,这使得比较困难。数据表明,仪器和相位检测的跟踪效果很好,但手术技能和并发症识别仍然是深度学习的挑战。
    使用AI模型进行白内障手术分析的概述通过确定成功和挑战,为改善临床医生的培训提供了转化价值。
    UNASSIGNED: The purpose of this study was to assess the current use and reliability of artificial intelligence (AI)-based algorithms for analyzing cataract surgery videos.
    UNASSIGNED: A systematic review of the literature about intra-operative analysis of cataract surgery videos with machine learning techniques was performed. Cataract diagnosis and detection algorithms were excluded. Resulting algorithms were compared, descriptively analyzed, and metrics summarized or visually reported. The reproducibility and reliability of the methods and results were assessed using a modified version of the Medical Image Computing and Computer-Assisted (MICCAI) checklist.
    UNASSIGNED: Thirty-eight of the 550 screened studies were included, 20 addressed the challenge of instrument detection or tracking, 9 focused on phase discrimination, and 8 predicted skill and complications. Instrument detection achieves an area under the receiver operator characteristic curve (ROC AUC) between 0.976 and 0.998, instrument tracking an mAP between 0.685 and 0.929, phase recognition an ROC AUC between 0.773 and 0.990, and complications or surgical skill performs with an ROC AUC between 0.570 and 0.970.
    UNASSIGNED: The studies showed a wide variation in quality and pose a challenge regarding replication due to a small number of public datasets (none for manual small incision cataract surgery) and seldom published source code. There is no standard for reported outcome metrics and validation of the models on external datasets is rare making comparisons difficult. The data suggests that tracking of instruments and phase detection work well but surgical skill and complication recognition remains a challenge for deep learning.
    UNASSIGNED: This overview of cataract surgery analysis with AI models provides translational value for improving training of the clinician by identifying successes and challenges.
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  • 文章类型: Systematic Review
    寻求电子健康应用的临床医生和患者在选择有效解决方案方面面临挑战,因为市场失败率很高。对话式代理应用程序(“聊天机器人”)通过在应用程序和用户之间建立纽带,有望提高医疗保健用户的参与度。目前尚不清楚聊天机器人是否提高了患者的依从性,或者过去将聊天机器人纳入电子健康应用的趋势是否是由于技术炒作动态和创新的竞争压力。我们使用首选报告项目对健康聊天机器人随机对照试验进行系统评价和荟萃分析方法进行了系统文献综述。这篇评论的目的是确定用户参与度指标是否在eHealth聊天机器人研究中发布。一项荟萃分析检查了患者对聊天机器人应用程序的临床试验保留率。结果显示没有chatbot手臂患者的保留效果。少量的研究表明,需要正在进行的eHealth聊天机器人研究,特别是考虑到有关其有效性的主张在科学文献之外。
    Clinicians and patients seeking electronic health applications face challenges in selecting effective solutions due to a high market failure rate. Conversational agent applications (\"chatbots\") show promise in increasing healthcare user engagement by creating bonds between the applications and users. It is unclear if chatbots improve patient adherence or if past trends to include chatbots in electronic health applications were due to technology hype dynamics and competitive pressure to innovate. We conducted a systematic literature review using Preferred Reporting Items for Systematic reviews and Meta-Analyses methodology on health chatbot randomized control trials. The goal of this review was to identify if user engagement indicators are published in eHealth chatbot studies. A meta-analysis examined patient clinical trial retention of chatbot apps. The results showed no chatbot arm patient retention effect. The small number of studies suggests a need for ongoing eHealth chatbot research, especially given the claims regarding their effectiveness made outside the scientific literatures.
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  • 文章类型: Journal Article
    对于时间到事件数据的分析,经常使用的方法如对数秩检验或Cox比例风险模型是基于比例风险假设,这通常是有争议的。尽管已经提出了针对非比例危险的各种参数和非参数方法,对最佳方法没有共识。为了缩小这个差距,我们进行了系统的文献检索,以确定适用于非比例风险的统计方法和软件.我们的文献检索确定了907篇摘要,其中我们收录了211篇文章,主要是方法论。评论文章和应用程序的识别频率较低。文章讨论了效果措施,效果估计和回归方法,假设检验,和样本量计算方法,通常是针对特定的非比例危险情况而定制的。使用统一的符号,我们提供了可用方法的概述。此外,我们从确定的文章中得到一些指导。
    For the analysis of time-to-event data, frequently used methods such as the log-rank test or the Cox proportional hazards model are based on the proportional hazards assumption, which is often debatable. Although a wide range of parametric and non-parametric methods for non-proportional hazards has been proposed, there is no consensus on the best approaches. To close this gap, we conducted a systematic literature search to identify statistical methods and software appropriate under non-proportional hazard. Our literature search identified 907 abstracts, out of which we included 211 articles, mostly methodological ones. Review articles and applications were less frequently identified. The articles discuss effect measures, effect estimation and regression approaches, hypothesis tests, and sample size calculation approaches, which are often tailored to specific non-proportional hazard situations. Using a unified notation, we provide an overview of methods available. Furthermore, we derive some guidance from the identified articles.
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  • 文章类型: Journal Article
    使用全基因组序列数据进行大规模关联分析已经变得可行,但理解这些关联的功能影响仍然具有挑战性.尽管许多工具可用于预测遗传变异的功能影响,尚不清楚在实践中应使用哪种工具。这项工作提供了一个实用的指南,以帮助选择适当的工具进行变体注释。我们进行了MEDLINE搜索,直到2023年11月10日,并包括适用于广泛表型的工具,可以在当地使用,最近更新了。工具根据他们接受的变体类型和他们预测的功能影响进行分类。序列本体术语用于标准化。我们确定了118个数据库和软件包,包括36种变体类型和161种功能影响。只结合了三个工具,即SnpEff,FAVOR,和SparkINFERNO,允许预测99(61%)不同的功能影响。37种工具预测了89种其他工具不支持的功能影响,75种工具可预测致病性,可用于ACMG/AMP指南中的临床应用。我们推出了一个网站,允许研究人员根据所需的变体和影响选择工具。总之,已经有100多种工具可用于预测约160种功能影响。大约60%的功能影响可以通过三种工具的组合来预测。出乎意料的是,最近的工具并没有比旧的工具预测更多的影响。未来的研究应该允许预测到目前为止不支持的变体类型的功能,比如基因融合。URL:https://cardio-care。shinyapps.io/VEP_Finder/.注册:2023年11月10日OSF注册,https://osf.io/s2gct。
    Large-scale association analyses using whole-genome sequence data have become feasible, but understanding the functional impacts of these associations remains challenging. Although many tools are available to predict the functional impacts of genetic variants, it is unclear which tool should be used in practice. This work provides a practical guide to assist in selecting appropriate tools for variant annotation. We conducted a MEDLINE search up to November 10, 2023, and included tools that are applicable to a broad range of phenotypes, can be used locally, and have been recently updated. Tools were categorized based on the types of variants they accept and the functional impacts they predict. Sequence Ontology terms were used for standardization. We identified 118 databases and software packages, encompassing 36 variant types and 161 functional impacts. Combining only three tools, namely SnpEff, FAVOR, and SparkINFERNO, allows predicting 99 (61%) distinct functional impacts. Thirty-seven tools predict 89 functional impacts that are not supported by any other tool, while 75 tools predict pathogenicity and can be used within the ACMG/AMP guidelines in a clinical context. We launched a website allowing researchers to select tools based on desired variants and impacts. In summary, more than 100 tools are already available to predict approximately 160 functional impacts. About 60% of the functional impacts can be predicted by the combination of three tools. Unexpectedly, recent tools do not predict more impacts than older ones. Future research should allow predicting the functionality of so far unsupported variant types, such as gene fusions.URL: https://cardio-care.shinyapps.io/VEP_Finder/ .Registration: OSF Registries on November 10, 2023, https://osf.io/s2gct .
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  • 文章类型: Review
    背景:医疗机构数据是监测服务提供和指导实现健康目标的主要来源。地区卫生信息软件(DHIS2)是一个免费的开放软件,主要用于低收入和中等收入国家,用于管理基于设施的数据并监控计划明智的服务交付。证据表明,常规母婴健康信息缺乏质量,然而,没有可靠的分析来评估其不准确的程度。我们的目标是通过获取医疗机构报告的DHIS2数据的质量来弥合这一差距,以监测优先孕产妇,蓝毗尼省的新生儿和儿童健康指标,尼泊尔。
    方法:基于设施的描述性研究设计,涉及对产妇,使用新生儿和儿童健康(MNCH)数据。在2021/22年度,DHIS2共包含12873份关于安全孕产的报告,12182份免疫报告,蓝毗尼省的营养报告为12673,IMNCI计划报告为12568。其中,每月一次下载DHIS2汇总数据,其中包括23个与母婴健康相关的优先数据项.在这23个项目中,选择9个用于评估随时间的一致性,并确定参考年中的异常值.选择了12个项目来检查相关数据之间的一致性,同时选择了五个项目来评估覆盖率的外部一致性。我们审查了完整性,这些数据项的及时性和一致性,并考虑了改进的前景。
    结果:发现设施报告的总体完整性在98%至100%之间,而每个产妇的设施报告及时性在94%至96%之间。新生儿和儿童健康(MNCH)数据集。DHIS2报告的所有9个MNCH数据项的数据在12个地区中的4个地区中随着时间的推移是一致的,因为所有选定的数据项与省级比率相差在±33%以内。在评估的八个MNCH数据项中,四个地区报告的月值≥5%,在参考年为中度异常值,任何地区均无极端异常值.比较了预期显示相似模式的六对数据项之间的一致性,发现在所有12个地区中,三对数据项彼此相差在±10%以内。选定示踪指标的覆盖率之间的比较在DHS调查结果的±33%范围内。
    结论:根据世卫组织数据质量指南和国家基准,蓝毗尼省的设施很好地维护了MNCH数据集的完整性和及时性。然而,随着时间的推移,在保持一致性方面还有改进的空间,报告数据的合理性和预测关系。鼓励通过数据管理委员会促进数据审查,应大力加强DHIS2中系统内置的数据验证机制,并推广常规数据质量评估系统。
    BACKGROUND: Health-facility data serves as a primary source for monitoring service provision and guiding the attainment of health targets. District Health Information Software (DHIS2) is a free open software predominantly used in low and middle-income countries to manage the facility-based data and monitor program wise service delivery. Evidence suggests the lack of quality in the routine maternal and child health information, however there is no robust analysis to evaluate the extent of its inaccuracy. We aim to bridge this gap by accessing the quality of DHIS2 data reported by health facilities to monitor priority maternal, newborn and child health indicators in Lumbini Province, Nepal.
    METHODS: A facility-based descriptive study design involving desk review of Maternal, Neonatal and Child Health (MNCH) data was used. In 2021/22, DHIS2 contained a total of 12873 reports in safe motherhood, 12182 reports in immunization, 12673 reports in nutrition and 12568 reports in IMNCI program in Lumbini Province. Of those, monthly aggregated DHIS2 data were downloaded at one time and included 23 priority maternal and child health related data items. Of these 23 items, nine were chosen to assess consistency over time and identify outliers in reference years. Twelve items were selected to examine consistency between related data, while five items were chosen to assess the external consistency of coverage rates. We reviewed the completeness, timeliness and consistency of these data items and considered the prospects for improvement.
    RESULTS: The overall completeness of facility reporting was found within 98% to 100% while timeliness of facility reporting ranged from 94% to 96% in each Maternal, Newborn and Child Health (MNCH) datasets. DHIS2 reported data for all 9 MNCH data items are consistent over time in 4 of 12 districts as all the selected data items are within ±33% difference from the provincial ratio. Of the eight MNCH data items assessed, four districts reported ≥5% monthly values that were moderate outliers in a reference year with no extreme outliers in any districts. Consistency between six-pairs of data items that are expected to show similar patterns are compared and found that three pairs are within ±10% of each other in all 12 districts. Comparison between the coverage rates of selected tracer indicators fall within ±33% of the DHS survey result.
    CONCLUSIONS: Given the WHO data quality guidance and national benchmark, facilities in the Lumbini province well maintained the completeness and timeliness of MNCH datasets. Nevertheless, there is room for improvement in maintaining consistency over time, plausibility and predicted relationship of reported data. Encouraging the promotion of data review through the data management committee, strengthening the system inbuilt data validation mechanism in DHIS2, and promoting routine data quality assessment systems should be greatly encouraged.
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