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51.
This research proposes a machine learning approach using fuzzy logic to build an information retrieval system for the next crop rotation. In case-based reasoning systems, case representation is critical, and thus, researchers have thoroughly investigated textual, attribute-value pair, and ontological representations. As big databases result in slow case retrieval, this research suggests a fast case retrieval strategy based on an associated representation, so that, cases are interrelated in both either similar or dissimilar cases. As soon as a new case is recorded, it is compared to prior data to find a relative match. The proposed method is worked on the number of cases and retrieval accuracy between the related case representation and conventional approaches. Hierarchical Long Short-Term Memory (HLSTM) is used to evaluate the efficiency, similarity of the models, and fuzzy rules are applied to predict the environmental condition and soil quality during a particular time of the year. Based on the results, the proposed approaches allows for rapid case retrieval with high accuracy.  相似文献   
52.
Pulmonary diseases caused by dust occupy a leading place in occupational morbidity structure. Those diseases inspire much attention due to their high prevalence, especially in ecologically hazardous regions where the workers are under "double exposure". Upper respiratory tract diseases serve as a trigger for all respiratory disorders in workers exposed to dust. Early diagnosis of respiratory disorders includes history, clinical data, X-ray examination and assessment of pulmonary ventilation and together with concurrent cardiovascular diagnosis is necessary for well-justified prophylaxis.  相似文献   
53.
When initiating monotherapy for the treatment of essential hypertension, multiple determinants factor into the decision. The goal of treatment is to lower blood pressure and lessen the likelihood of progression to target organ failure. Physicians frequently prioritize these determinants and make decisions to initiate monotherapy based on the race of an individual. All too often, however, the black/white issue is overstated and given too much consideration. The overall goal of this review is to suggest the appropriate "role" for racial profiling in the initial selection of an antihypertensive agent.  相似文献   
54.
Chronic pelvic pain in the absence of organic pathology identifiable in medical terms is considered one of the most perplexing conditions that gynecologists confront. A critical analysis of the medical, psychiatric, and psychological literature on chronic pelvic pain without organic pathology reveals that the dichotomous construct of mind and body underpinning medical research and understanding is a barrier to the successful diagnosis and treatment of this condition, and indeed to the productive engagement of the health professional with the patient. The strict duality of the condition's etiology being understood in either physiological or psychogenic terms has been questioned at times over the last 40 years, but only recently has an "integrative model" been proposed. However, it is argued here that although the development of a multidisciplinary approach is important, only a radical deconstruction of the medical paradigm will truly address the problem and enable a real change in practice.  相似文献   
55.
The aim of the study was TPS diagnostic value determination in the serum of women with breast cancer as compared with MCA and CA 15-3. The relationship between the serum concentration of these antigens and patient age, clinical stage, histological grade, presence of metastases to lymph nodes and histological type of neoplasm was evaluated. Studies were conducted on the sera of 139 women before surgical procedure aged 28-81, treated in the Clinic of Oncology, at Karol Marcinkowski University of Medical Sciences in Poznań. The TPS concentration was determined using the "BEKI Diagnostics" immunoenzymatic method, MCA - by the "Roche" test and CA 15-3 concentration was determined by the "Abbott" immunofluorescent test. The study showed significantly higher levels of TPS, CA 15-3 and MCA in women with cancer, compared with values in healthy women and women with mastopathy. The highest median of concentration and frequency of occurrence was obtained for TPS. A correlation between enhancement of TPS and CA 15-3 concentration with clinical stage was observed. A similar connection was noted in women with metastases to the lymph nodes. Serum MCA concentration results did not demonstrate the above effects. The study suggests, that in estimating the clinical condition of women with breast cancer, the simultaneous determination of TPS with CA 15-3 seems to be a more useful prognostic factor than TPS or CA 15-3 with MCA.  相似文献   
56.
Personal clinical observations during the recent years allow the authors to confirm the indisputable value of surgical experience got during the Great Patriotic War (1941-1945) and in particular, the "fourfold" scheme proposed by V. I. Voiachek for the diagnosis and treatment of blind gunshot wounds to the skull base. Computed tomography considerably increases the probability of detection of the exact localization of foreign bodies in complex anatomical structures of the skull and thus facilitates choosing the most rational surgical management. The use of the electro-optical transducer for the extraction of foreign bodies from almost inaccessible areas of the skull base decreases the risk of operation.  相似文献   
57.
During a six-month period 2,221 haemocultures obtained from patients hospitalized in the Faculty Hospital Olomouc were examined. In all 304 isolated bacteria the sensitivity was assessed by the standard dilution micromethod and moreover all positive haemocultures were examined the "direct" disc method. Agreement between the results of the two methods was proved in 84% of pairs of tests and within a range from 67 to 100%, depending on the type of antimicrobial preparation. Based on these findings it may be stated that assessment of the sensitivity by the "direct" method agrees significantly with assessment of the sensitivity according to minimal inhibitory concentrations (MIC). In patients with septicaemia this procedure makes it possible to change empirical antibiotherapy by 24 hours sooner to aimed therapy.  相似文献   
58.
OBJECTIVES: To i) document the sensitivity and specificity of a combined scintigraphic/lactulose breath hydrogen test for small intestinal bacterial overgrowth and ii) investigate the validity of currently accepted definitions of an abnormal lactulose breath hydrogen test based on "double peaks" in breath hydrogen concentrations. METHODS: Twenty-eight subjects were investigated with culture of proximal small intestinal aspirate and a 10-g lactulose breath hydrogen test combined with scintigraphy. Gastroduodenal pH, the presence or absence of gastric bacterial overgrowth, and the in vitro capability of overgrowth flora to ferment lactulose were determined. RESULTS: Sensitivity (16.7%) and specificity (70.0%) of the lactulose breath hydrogen test alone for small intestinal bacterial overgrowth were poor. Combination with scintigraphy resulted in 100% specificity, because double peaks in serial breath hydrogen concentrations may occur as a result of lactulose fermentation by cecal bacteria. Sensitivity increased to 38.9% with scintigraphy, because a single rise in breath hydrogen concentrations, commencing before the test meal reaches the cecum, may occur in this disorder. Sensitivity remained suboptimal irrespective of the definition of small intestinal bacterial overgrowth used, the nature of the overgrowth flora, favorable luminal pH, the presence of concurrent gastric bacterial overgrowth, or the in vitro ability of the overgrowth flora to ferment lactulose. CONCLUSIONS: Definitions of an abnormal lactulose breath hydrogen test based on the occurrence of double peaks in breath hydrogen concentrations are inappropriate. Not even the addition of scintigraphy renders this test a clinically useful alternative to culture of aspirate for diagnosing small intestinal bacterial overgrowth.  相似文献   
59.
This paper focuses on developing a simulation model for the analysis of transmission pipeline network system (TPNS) with detailed characteristics of compressor stations. Compressor station is the key element in the TPNS since it provides energy to keep the gas moving. The simulation model is used to create a system that simulates TPNS with different configurations to get pressure and flow parameters. The mathematical formulations for the TPNS simulation were derived from the principles of flow of fluid through pipe, mass balance and compressor characteristics. In order to determine the unknown pressure and flow parameters, a visual C++ code was developed based on Newton–Raphson solution technique. Using the parameters obtained, the model evaluates the energy consumption for various configurations in order to guide for the selection of optimal TPNS. Results from the evaluations of the model with the existing TPNS and comparison with the existing approaches showed that the developed simulation model enabled to determine the operational parameters with less than 10 iterations. Hence, the simulation model could assist in decisions regarding the design and operations of the TPNS.  相似文献   
60.
Radio Frequency Identification (RFID) based systems have been used in different applications in the Architecture, Engineering, Construction, Owner and Operator (AECOO) industry. Applications are mainly designed for specific lifecycle stage of the facility and serve the needs of only one of the stakeholders. This would increase the cost and the labor for adding and removing tags and eliminate the chance of using shared resources. In this paper, the usage of tags permanently attached to components is proposed where the memory of the tags is used during the lifecycle by different stakeholders for data storage and handover. A Building Information Model (BIM) database is used for tackling the interoperability issues allowing different users to access and share the data. To securely and efficiently store data on RFID tags in ifcXML format, multi-level encryption together with role-based access control is applied on the data stored on RFID tags. Each user is assigned a certain role and can only access the part of data for which he has authorization according to a predefined role and the Access Control Policy. To explore the technical feasibility of the proposed approach, a case study considering both facilities management and emergency management has been implemented and tested at Concordia University.  相似文献   
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