12 research outputs found
Evaluation of Drug-related Emergency Department Admissions in a Tertiary Care Hospital
Nail Disease Detection and Classification Using Deep Learning
Many disorders are identified in the early stages of diagnosis by analyzing the human hand’s nails. The colour of a person’s nails can aid in diagnosing certain medical conditions. The suggested approach, in this situation, leads to illness diagnosis decision-making. Human nail art is used to feed the system. The technology analyses nail photos and extracts disease-specific nail characteristics. The human nail has numerous characteristics, and the suggested system detects illness by changing the colour of the nail. The initial training set data is extracted from an image of a patient’s nails with a certain condition and processed with the Weka tool. Nail To obtain the desired results, the image’s feature results are compared to the training dataset. Deformation of the nail unit is referred to as nail disease. Nail units have their sickness class because of their distinct indications, symptoms, causes, and consequences that may or may not be related to other medical illnesses. Nail problems are still unknown and difficult to diagnose. This study proposes a fresh deep learning system for identifying and categorizing nail disorders from photos. CNN models (CNN) are combined in this framework to extract features. This research was also contrasted with certain other province algorithms (Support vector, ANN, K - nearest neighbors, and RF) evaluated on datasets and showed positive results
Pharmacotherapy Patient Counselling: Another feather in the cap for Clinical Pharmacology discipline in a resource-limited setting
Deep Learning Methods for the Detection and Classification of Nail Diseases
Nail analysis helps diagnose several illnesses early on. Nail colour can help diagnose medical disorders. This approach leads to sickness diagnosis decisions. Manicure feeds the system. The technology analyses nail pictures for disease-specific traits. The proposed technology detects disease by changing the nail's colour. Weka is used to extract initial training set data from a patient's nail image with a specified condition. Nail Image feature findings are compared to the training dataset to achieve the desired outcomes. Nail disease is nail deformation. Nail units have their own class of illness due to their specific symptoms, causes, and effects. It's hard to diagnose nail disorders. This work proposes a deep-learning approach to recognise nail diseases from pictures. In this framework, CNN models extract characteristics. This research compared several province techniques (Support vector, ANN, K-nearest neighbours, and RF) that demonstrated positive outcomes on datasets
Assessment of Appropriateness of Antimicrobial Therapy in Resource-Constrained Settings: Development and Piloting of a Novel Tool—AmRAT
Inappropriate antimicrobial prescribing is considered to be the leading cause of high burden of antimicrobial resistance (AMR) in resource-constrained lower- and middle-income countries. Under its global action plan, the World Health Organization has envisaged tackling the AMR threat through promotion of rational antibiotic use among prescribers. Given the lack of consensus definitions and other associated challenges, we sought to devise and validate an Antimicrobial Rationality Assessment Tool—AmRAT—for standardizing the assessment of appropriateness of antimicrobial prescribing. A consensus algorithm was developed by a multidisciplinary team consisting of intensivists, internal medicine practitioners, clinical pharmacologists, and infectious disease experts. The tool was piloted by 10 raters belonging to three groups of antimicrobial stewardship (AMS) personnel: Master of Pharmacology (M.Sc.) (n = 3, group A), Doctor of Medicine (MD) residents (n = 3, group B), and DM residents in clinical pharmacology (n = 4, group C) using retrospective patient data from 30 audit and feedback forms collected as part of an existing AMS program. Percentage agreement and the kappa (κ) coefficients were used to measure inter-rater agreements amongst themselves and with expert opinion. Sensitivity and specificity estimates were analyzed comparing their assessments against the gold standard. For the overall assessment of rationality, the mean percent agreement with experts was 76.7% for group A, 68.9% for group B, and 77.5% for group C. The kappa values indicated moderate agreement for all raters in group A (κ 0.47–0.57), and fair to moderate in group B (κ 0.22–0.46) as well as group C (κ 0.37–0.60). Sensitivity and specificity for the same were 80% and 68.6%, respectively. Though evaluated by raters with diverse educational background and variable AMS experience in this pilot study, our tool demonstrated high percent agreement and good sensitivity and specificity, assuring confidence in its utility for assessing appropriateness of antimicrobial prescriptions in resource-constrained healthcare environments
Assessment of Appropriateness of Antimicrobial Therapy in Resource-Constrained Settings: Development and Piloting of a Novel Tool—AmRAT
Inappropriate antimicrobial prescribing is considered to be the leading cause of high burden of antimicrobial resistance (AMR) in resource-constrained lower- and middle-income countries. Under its global action plan, the World Health Organization has envisaged tackling the AMR threat through promotion of rational antibiotic use among prescribers. Given the lack of consensus definitions and other associated challenges, we sought to devise and validate an Antimicrobial Rationality Assessment Tool—AmRAT—for standardizing the assessment of appropriateness of antimicrobial prescribing. A consensus algorithm was developed by a multidisciplinary team consisting of intensivists, internal medicine practitioners, clinical pharmacologists, and infectious disease experts. The tool was piloted by 10 raters belonging to three groups of antimicrobial stewardship (AMS) personnel: Master of Pharmacology (M.Sc.) (n = 3, group A), Doctor of Medicine (MD) residents (n = 3, group B), and DM residents in clinical pharmacology (n = 4, group C) using retrospective patient data from 30 audit and feedback forms collected as part of an existing AMS program. Percentage agreement and the kappa (κ) coefficients were used to measure inter-rater agreements amongst themselves and with expert opinion. Sensitivity and specificity estimates were analyzed comparing their assessments against the gold standard. For the overall assessment of rationality, the mean percent agreement with experts was 76.7% for group A, 68.9% for group B, and 77.5% for group C. The kappa values indicated moderate agreement for all raters in group A (κ 0.47–0.57), and fair to moderate in group B (κ 0.22–0.46) as well as group C (κ 0.37–0.60). Sensitivity and specificity for the same were 80% and 68.6%, respectively. Though evaluated by raters with diverse educational background and variable AMS experience in this pilot study, our tool demonstrated high percent agreement and good sensitivity and specificity, assuring confidence in its utility for assessing appropriateness of antimicrobial prescriptions in resource-constrained healthcare environments.</jats:p
