A graphic device used in decision analysis, series of decision options are represented as branches (hierarchical).
Woody, usually tall, perennial higher plants (Angiosperms, Gymnosperms, and some Pterophyta) having usually a main stem and numerous branches.
Mathematical or statistical procedures used as aids in making a decision. They are frequently used in medical decision-making.
The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.
Theory and development of COMPUTER SYSTEMS which perform tasks that normally require human intelligence. Such tasks may include speech recognition, LEARNING; VISUAL PERCEPTION; MATHEMATICAL COMPUTING; reasoning, PROBLEM SOLVING, DECISION-MAKING, and translation of language.
A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task.
A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.
Use of an interactive computer system designed to assist the physician or other health professional in choosing between certain relationships or variables for the purpose of making a diagnostic or therapeutic decision.
A computer architecture, implementable in either hardware or software, modeled after biological neural networks. Like the biological system in which the processing capability is a result of the interconnection strengths between arrays of nonlinear processing nodes, computerized neural networks, often called perceptrons or multilayer connectionist models, consist of neuron-like units. A homogeneous group of units makes up a layer. These networks are good at pattern recognition. They are adaptive, performing tasks by example, and thus are better for decision-making than are linear learning machines or cluster analysis. They do not require explicit programming.
Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care.
Use of sophisticated analysis tools to sort through, organize, examine, and combine large sets of information.
Statistical models of the production, distribution, and consumption of goods and services, as well as of financial considerations. For the application of statistics to the testing and quantifying of economic theories MODELS, ECONOMETRIC is available.
Penetrating and nonpenetrating traumatic injuries to an extracranial or intracranial blood vessel that supplies the brain. This includes the CAROTID ARTERIES; VERTEBRAL ARTERIES; MENINGEAL ARTERIES; CEREBRAL ARTERIES; veins, and venous sinuses.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
Learning algorithms which are a set of related supervised computer learning methods that analyze data and recognize patterns, and used for classification and regression analysis.
Application of computer programs designed to assist the physician in solving a diagnostic problem.
Shortened forms of written words or phrases used for brevity.
A measurement index derived from a modification of standard life-table procedures and designed to take account of the quality as well as the duration of survival. This index can be used in assessing the outcome of health care procedures or services. (BIOETHICS Thesaurus, 1994)
A field of biology concerned with the development of techniques for the collection and manipulation of biological data, and the use of such data to make biological discoveries or predictions. This field encompasses all computational methods and theories for solving biological problems including manipulation of models and datasets.
In INFORMATION RETRIEVAL, machine-sensing or identification of visible patterns (shapes, forms, and configurations). (Harrod's Librarians' Glossary, 7th ed)
A theorem in probability theory named for Thomas Bayes (1702-1761). In epidemiology, it is used to obtain the probability of disease in a group of people with some characteristic on the basis of the overall rate of that disease and of the likelihood of that characteristic in healthy and diseased individuals. The most familiar application is in clinical decision analysis where it is used for estimating the probability of a particular diagnosis given the appearance of some symptoms or test result.
Theoretical representations that simulate the behavior or activity of systems, processes, or phenomena. They include the use of mathematical equations, computers, and other electronic equipment.
Computer-based representation of physical systems and phenomena such as chemical processes.
Degeneration of white matter adjacent to the CEREBRAL VENTRICLES following cerebral hypoxia or BRAIN ISCHEMIA in neonates. The condition primarily affects white matter in the perfusion zone between superficial and deep branches of the MIDDLE CEREBRAL ARTERY. Clinical manifestations include VISION DISORDERS; CEREBRAL PALSY; PARAPLEGIA; SEIZURES; and cognitive disorders. (From Adams et al., Principles of Neurology, 6th ed, p1021; Joynt, Clinical Neurology, 1997, Ch4, pp30-1)
A graphic means for assessing the ability of a screening test to discriminate between healthy and diseased persons; may also be used in other studies, e.g., distinguishing stimuli responses as to a faint stimuli or nonstimuli.
A theoretical technique utilizing a group of related constructs to describe or prescribe how individuals or groups of people choose a course of action when faced with several alternatives and a variable amount of knowledge about the determinants of the outcomes of those alternatives.
Sequential operating programs and data which instruct the functioning of a digital computer.
The study of chance processes or the relative frequency characterizing a chance process.
Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.
The prices a hospital sets for its services. HOSPITAL COSTS (the direct and indirect expenses incurred by the hospital in providing the services) are one factor in the determination of hospital charges. Other factors may include, for example, profits, competition, and the necessity of recouping the costs of uncompensated care.
The relationships of groups of organisms as reflected by their genetic makeup.
The systematic arrangement of entities in any field into categories classes based on common characteristics such as properties, morphology, subject matter, etc.
A process that includes the determination of AMINO ACID SEQUENCE of a protein (or peptide, oligopeptide or peptide fragment) and the information analysis of the sequence.
Statistical formulations or analyses which, when applied to data and found to fit the data, are then used to verify the assumptions and parameters used in the analysis. Examples of statistical models are the linear model, binomial model, polynomial model, two-parameter model, etc.

An expert system for the evaluation of historical asbestos exposure as diagnostic criterion in asbestos-related diseases. (1/1082)

Compensation schemes for asbestos-related diseases have developed different strategies for attributing a specific disease to occupational exposure to asbestos in the past. In the absence of quantitative exposure information that allows a valid estimate of an individual's historical exposure, general guidelines are required to retrospectively evaluate asbestos exposure. A risk matrix has been developed that contains qualitative information on the proportion of workers exposed and the level of exposure in particular industries over time. Based on this risk matrix, stepwise decision trees were formulated for decisions regarding the decisive role of historical asbestos exposure in case ascertainment of asbestosis and mesothelioma. Application of decision schemes will serve to speed up the process of verifying compensation claims and also contribute to a uniform decision-making process in legal procedures.  (+info)

Development of a thyroid function strategy for general practice. (2/1082)

A study was carried out to investigate a thyroid stimulating hormone (TSH) frontline strategy that could potentially result in a more straightforward interpretation of thyroid function tests, a reduction in the number of inappropriate referrals to medical outpatients, an improvement in the 'turnaround time' of results, and a reduction in the number of unnecessary tests carried out, thereby reducing costs.  (+info)

Radon and lung cancer: a cost-effectiveness analysis. (3/1082)

OBJECTIVES: This study examined the cost-effectiveness of general and targeted strategies for residential radon testing and mitigation in the United States. METHODS: A decision-tree model was used to perform a cost-effectiveness analysis of preventing radon-associated deaths from lung cancer. RESULTS: For a radon threshold of 4 pCi/L, the estimated costs to prevent 1 lung cancer death are about $3 million (154 lung cancer deaths prevented), or $480,000 per life-year saved, based on universal radon screening and mitigation, and about $2 million (104 lung cancer deaths prevented), or $330,000 per life-year saved, if testing and mitigation are confined to geographic areas at high risk for radon exposure. For mitigation undertaken after a single screening test and after a second confirmatory test, the estimated costs are about $920,000 and $520,000, respectively, to prevent a lung cancer death with universal screening and $130,000 and $80,000 per life-year for high risk screening. The numbers of preventable lung cancer deaths are 811 and 527 for universal and targeted approaches, respectively. CONCLUSIONS: These data suggest possible alternatives to current recommendations.  (+info)

Combined molecular and clinical approaches for the identification of families with familial adenomatous polyposis coli. (4/1082)

OBJECTIVE: Using an interdisciplinary clinical and molecular approach, the authors identified APC germline mutations in families with familial adenomatous polyposis (FAP). Correlation of mutation site with disease manifestation and the impact of molecular data on clinical proceedings were examined. SUMMARY BACKGROUND DATA: Germline mutations in the APC gene predispose to FAP. Established and proposed genotype-phenotype correlations as well as the influence of mutation site on surgical procedures have been reported. The predictive value of APC mutation analysis for disease manifestation and therapeutic decision making needs to be investigated further. METHODS: One hundred twenty-three kindreds of the local FAP registry were included in this study. CHRPE phenotype was defined as at least one large characteristic lesion or a total of four lesions in both eyes. APC mutations were identified by protein truncation test and automated DNA sequencing from patient lymphocyte DNA and RNA. RESULTS: APC germline mutations were identified in 85/123 families with FAP. They were located between codons 213 and 1581 of the APC gene and displayed distinct genotype-phenotype correlations. CHRPE status facilitated mutation analysis by discriminating regions of interest within the APC coding region. Severe manifestations of desmoids were restricted to mutations between codons 1444 through 1581. Whereas 91% (75/82) of at-risk persons were excluded as mutation carriers, APC germline mutations were detected before clinical examination in 9% (7/82) of at-risk persons. One patient agreed to endoscopy only after mutation detection. CONCLUSIONS: This study supports the feasibility of combined molecular and clinical screening of families with FAP and may provide a guideline for routine presymptomatic molecular diagnostics in a clinical laboratory.  (+info)

Does over-the-counter nicotine replacement therapy improve smokers' life expectancy? (5/1082)

OBJECTIVE: To determine the public health benefits of making nicotine replacement therapy available without prescription, in terms of number of quitters and life expectancy. DESIGN: A decision-analytic model was developed to compare the policy of over-the-counter (OTC) availability of nicotine replacement therapy with that of prescription ([symbol: see text]) availability for the adult smoking population in the United States. MAIN OUTCOME MEASURES: Long-term (six-month) quit rates, life expectancy, and smoking attributable mortality (SAM) rates. RESULTS: OTC availability of nicotine replacement therapy would result in 91,151 additional successful quitters over a six-month period, and a cumulative total of approximately 1.7 million additional quitters over 25 years. All-cause SAM would decrease by 348 deaths per year and 2940 deaths per year at six months and five years, respectively. Relative to [symbol: see text] nicotine replacement therapy availability, OTC availability would result in an average gain in life expectancy across the entire adult smoking population of 0.196 years per smoker. In sensitivity analyses, the benefits of OTC availability were evident across a wide range of changes in baseline parameters. CONCLUSIONS: Compared with [symbol: see text] availability of nicotine replacement therapy, OTC availability would result in more successful quitters, fewer smoking-attributable deaths, and increased life expectancy for current smokers.  (+info)

Cost implications of selective preoperative risk screening in the care of candidates for peripheral vascular operations. (6/1082)

The preoperative identification that patients are at high risk for adverse postoperative outcomes is the first step toward preventing costly in-hospital complications. The economic implications of noninvasive screening strategies in the care of patients undergoing peripheral vascular operations must be clarified. A decision model was developed from the peer-reviewed literature on patients undergoing preoperative screening by means of dipyridamole myocardial perfusion imaging, dobutamine echocardiography, or cardiac catheterization before vascular operations (n = 23 studies). Routine versus selective screening strategies were compared for patients with an intermediate likelihood of having coronary artery disease on the basis of clinical history of coronary disease or typical symptoms. Median costs (1994 US dollars) of preoperative screening strategies were derived with two microcosting approaches: adjusted Medicare charges (top-down approach) and a bottom-up approach with Duke University Center direct cost estimate data. In-hospital cost was 11% higher for preoperative screening by means of routine cardiac catheterization ($27,760) than for routine pharmacologic stress imaging ($24,826, P = 0.001). The total cost of a do-nothing strategy, that is, no preoperative testing, was 5.9% less than that of routine preoperative pharmacologic stress imaging and 15.9% lower than that of cardiac catheterization (P = 0.001). Selective screening among patients with a history of coronary disease or typical angina resulted in further reduction of the cost of care to a level comparable with that of a do-nothing strategy (52.5% reduction in cost with pharmacologic stress imaging, P > 0.20). Use of noninvasive testing for preoperative risk stratification was cost effective for patients 60 to 80 years of age. Cost per life saved ranged from $33,338 to $21,790. However, coronary revascularization after an abnormal noninvasive test was cost effective only for patients older than 70 years. In this economic decision model, substantial cost savings were predicted when selective noninvasive stress imaging was added to preoperative screening for patients about to undergo vascular operations. With a selective screening approach, the economic impact of initial diagnostic testing may be minimized without compromising patient outcomes.  (+info)

Multiple system atrophy. (7/1082)

Multiple system atrophy is a neurological disorder that has gone unrecognized for too long due to its involvement across multiple regions of the central nervous system. This disorder is finally being unveiled through increased reporting in the scientific literature. Further research will enhance our understanding of this disease and lead to more effective treatment regimens as well as an improved quality of life for patients with MSA.  (+info)

The cost effectiveness of vaccinating against Lyme disease. (8/1082)

To determine the cost effectiveness of vaccinating against Lyme disease, we used a decision tree to examine the impact on society of six key components. The main measure of outcome was the cost per case averted. Assuming a 0.80 probability of diagnosing and treating early Lyme disease, a 0.005 probability of contracting Lyme disease, and a vaccination cost of $50 per year, the mean cost of vaccination per case averted was $4,466. When we increased the probability of contracting Lyme disease to 0.03 and the cost of vaccination to $100 per year, the mean net savings per case averted was $3,377. Since few communities have average annual incidences of Lyme disease >0. 005, economic benefits will be greatest when vaccination is used on the basis of individual risk, specifically, in persons whose probability of contracting Lyme disease is >0.01.  (+info)

A decision tree is a graphical representation of possible solutions to a decision based on certain conditions. It is a predictive modeling tool commonly used in statistics, data mining, and machine learning. In the medical field, decision trees can be used for clinical decision-making and predicting patient outcomes based on various factors such as symptoms, test results, or demographic information.

In a decision tree, each internal node represents a feature or attribute, and each branch represents a possible value or outcome of that feature. The leaves of the tree represent the final decisions or predictions. Decision trees are constructed by recursively partitioning the data into subsets based on the most significant attributes until a stopping criterion is met.

Decision trees can be used for both classification and regression tasks, making them versatile tools in medical research and practice. They can help healthcare professionals make informed decisions about patient care, identify high-risk patients, and develop personalized treatment plans. However, it's important to note that decision trees are only as good as the data they are trained on, and their accuracy may be affected by biases or limitations in the data.

I'm sorry for any confusion, but "trees" is not a medical term. It is a common term used in various fields, including biology, ecology, and dendrology, to refer to a woody perennial plant with a single stem or trunk that supports branches and leaves in most species.

If you have any questions related to medical terminology or health-related topics, please provide more context so I can offer an accurate and helpful response.

Decision support techniques are methods used to help individuals or groups make informed and effective decisions in a medical context. These techniques can involve various approaches, such as:

1. **Clinical Decision Support Systems (CDSS):** Computerized systems that provide clinicians with patient-specific information and evidence-based recommendations to assist in decision-making. CDSS can be integrated into electronic health records (EHRs) or standalone applications.

2. **Evidence-Based Medicine (EBM):** A systematic approach to clinical decision-making that involves the integration of best available research evidence, clinician expertise, and patient values and preferences. EBM emphasizes the importance of using high-quality scientific studies to inform medical decisions.

3. **Diagnostic Reasoning:** The process of formulating a diagnosis based on history, physical examination, and diagnostic tests. Diagnostic reasoning techniques may include pattern recognition, hypothetico-deductive reasoning, or a combination of both.

4. **Predictive Modeling:** The use of statistical models to predict patient outcomes based on historical data and clinical variables. These models can help clinicians identify high-risk patients and inform treatment decisions.

5. **Cost-Effectiveness Analysis (CEA):** An economic evaluation technique that compares the costs and benefits of different medical interventions to determine which option provides the most value for money. CEA can assist decision-makers in allocating resources efficiently.

6. **Multicriteria Decision Analysis (MCDA):** A structured approach to decision-making that involves identifying, evaluating, and comparing multiple criteria or objectives. MCDA can help clinicians and patients make complex decisions by accounting for various factors, such as efficacy, safety, cost, and patient preferences.

7. **Shared Decision-Making (SDM):** A collaborative approach to decision-making that involves the clinician and patient working together to choose the best course of action based on the available evidence, clinical expertise, and patient values and preferences. SDM aims to empower patients to participate actively in their care.

These techniques can be used individually or in combination to support medical decision-making and improve patient outcomes.

Decision-making is the cognitive process of selecting a course of action from among multiple alternatives. In a medical context, decision-making refers to the process by which healthcare professionals and patients make choices about medical tests, treatments, or management options based on a thorough evaluation of available information, including the patient's preferences, values, and circumstances.

The decision-making process in medicine typically involves several steps:

1. Identifying the problem or issue that requires a decision.
2. Gathering relevant information about the patient's medical history, current condition, diagnostic test results, treatment options, and potential outcomes.
3. Considering the benefits, risks, and uncertainties associated with each option.
4. Evaluating the patient's preferences, values, and goals.
5. Selecting the most appropriate course of action based on a careful weighing of the available evidence and the patient's individual needs and circumstances.
6. Communicating the decision to the patient and ensuring that they understand the rationale behind it, as well as any potential risks or benefits.
7. Monitoring the outcomes of the decision and adjusting the course of action as needed based on ongoing evaluation and feedback.

Effective decision-making in medicine requires a thorough understanding of medical evidence, clinical expertise, and patient preferences. It also involves careful consideration of ethical principles, such as respect for autonomy, non-maleficence, beneficence, and justice. Ultimately, the goal of decision-making in healthcare is to promote the best possible outcomes for patients while minimizing harm and respecting their individual needs and values.

Artificial Intelligence (AI) in the medical context refers to the simulation of human intelligence processes by machines, particularly computer systems. These processes include learning (the acquisition of information and rules for using the information), reasoning (using the rules to reach approximate or definite conclusions), and self-correction.

In healthcare, AI is increasingly being used to analyze large amounts of data, identify patterns, make decisions, and perform tasks that would normally require human intelligence. This can include tasks such as diagnosing diseases, recommending treatments, personalizing patient care, and improving clinical workflows.

Examples of AI in medicine include machine learning algorithms that analyze medical images to detect signs of disease, natural language processing tools that extract relevant information from electronic health records, and robot-assisted surgery systems that enable more precise and minimally invasive procedures.

An algorithm is not a medical term, but rather a concept from computer science and mathematics. In the context of medicine, algorithms are often used to describe step-by-step procedures for diagnosing or managing medical conditions. These procedures typically involve a series of rules or decision points that help healthcare professionals make informed decisions about patient care.

For example, an algorithm for diagnosing a particular type of heart disease might involve taking a patient's medical history, performing a physical exam, ordering certain diagnostic tests, and interpreting the results in a specific way. By following this algorithm, healthcare professionals can ensure that they are using a consistent and evidence-based approach to making a diagnosis.

Algorithms can also be used to guide treatment decisions. For instance, an algorithm for managing diabetes might involve setting target blood sugar levels, recommending certain medications or lifestyle changes based on the patient's individual needs, and monitoring the patient's response to treatment over time.

Overall, algorithms are valuable tools in medicine because they help standardize clinical decision-making and ensure that patients receive high-quality care based on the latest scientific evidence.

Cost-benefit analysis (CBA) is a systematic process used to compare the costs and benefits of different options to determine which one provides the greatest net benefit. In a medical context, CBA can be used to evaluate the value of medical interventions, treatments, or policies by estimating and monetizing all the relevant costs and benefits associated with each option.

The costs included in a CBA may include direct costs such as the cost of the intervention or treatment itself, as well as indirect costs such as lost productivity or time away from work. Benefits may include improved health outcomes, reduced morbidity or mortality, and increased quality of life.

Once all the relevant costs and benefits have been identified and quantified, they are typically expressed in monetary terms to allow for a direct comparison. The option with the highest net benefit (i.e., the difference between total benefits and total costs) is considered the most cost-effective.

It's important to note that CBA has some limitations and can be subject to various biases and assumptions, so it should be used in conjunction with other evaluation methods to ensure a comprehensive understanding of the value of medical interventions or policies.

Computer-assisted decision making in a medical context refers to the use of computer systems and software to support and enhance the clinical decision-making process. These systems can analyze patient data, such as medical history, laboratory results, and imaging studies, and provide healthcare providers with evidence-based recommendations for diagnosis and treatment.

Computer-assisted decision making tools may include:

1. Clinical Decision Support Systems (CDSS): CDSS are interactive software programs that analyze patient data and provide healthcare providers with real-time clinical guidance based on established best practices and guidelines.
2. Artificial Intelligence (AI) and Machine Learning (ML) algorithms: AI and ML can be used to analyze large datasets of medical information, identify patterns and trends, and make predictions about individual patients' health outcomes.
3. Telemedicine platforms: Telemedicine platforms enable remote consultations between healthcare providers and patients, allowing for real-time decision making based on shared data and clinical expertise.
4. Electronic Health Records (EHRs): EHRs provide a centralized repository of patient information that can be accessed and analyzed by healthcare providers to inform clinical decision making.

Overall, computer-assisted decision making has the potential to improve the quality and safety of medical care by providing healthcare providers with timely and accurate information to support their clinical judgments. However, it is important to note that these tools should always be used in conjunction with clinical expertise and human judgment, as they are not a substitute for the knowledge and experience of trained healthcare professionals.

Decision Support Systems (DSS), Clinical are interactive computer-based information systems that help health care professionals and patients make informed clinical decisions. These systems use patient-specific data and clinical knowledge to generate patient-centered recommendations. They are designed to augment the decision-making abilities of clinicians, providing evidence-based suggestions while allowing for the integration of professional expertise, patient preferences, and values. Clinical DSS can support various aspects of healthcare delivery, including diagnosis, treatment planning, resource allocation, and quality improvement. They may incorporate a range of technologies, such as artificial intelligence, machine learning, and data analytics, to facilitate the processing and interpretation of complex clinical information.

Data mining, in the context of health informatics and medical research, refers to the process of discovering patterns, correlations, and insights within large sets of patient or clinical data. It involves the use of advanced analytical techniques such as machine learning algorithms, statistical models, and artificial intelligence to identify and extract useful information from complex datasets.

The goal of data mining in healthcare is to support evidence-based decision making, improve patient outcomes, and optimize resource utilization. Applications of data mining in healthcare include predicting disease outbreaks, identifying high-risk patients, personalizing treatment plans, improving clinical workflows, and detecting fraud and abuse in healthcare systems.

Data mining can be performed on various types of healthcare data, including electronic health records (EHRs), medical claims databases, genomic data, imaging data, and sensor data from wearable devices. However, it is important to ensure that data mining techniques are used ethically and responsibly, with appropriate safeguards in place to protect patient privacy and confidentiality.

Economic models in the context of healthcare and medicine are theoretical frameworks used to analyze and predict the economic impact and cost-effectiveness of healthcare interventions, treatments, or policies. These models utilize clinical and epidemiological data, as well as information on resource use and costs, to estimate outcomes such as quality-adjusted life years (QALYs) gained, incremental cost-effectiveness ratios (ICERs), and budget impacts. The purpose of economic models is to inform decision-making and allocate resources in an efficient and evidence-based manner. Examples of economic models include decision tree analysis, Markov models, and simulation models.

Cerebrovascular trauma refers to an injury or damage to the blood vessels of the brain. This type of trauma can include things like carotid artery dissection, vertebral artery dissection, and intracranial hemorrhage (bleeding in the brain). These types of injuries can be caused by blunt force trauma, penetrating trauma, or iatrogenic causes (caused unintentionally during medical procedures). Symptoms of cerebrovascular trauma can include headache, neck pain, altered level of consciousness, weakness or numbness in the face or extremities, and difficulty speaking or understanding speech. Treatment for cerebrovascular trauma depends on the severity and location of the injury, and may include medications to control blood pressure and prevent seizures, surgery to repair damaged blood vessels, or endovascular procedures to treat aneurysms or blockages in the blood vessels.

Sensitivity and specificity are statistical measures used to describe the performance of a diagnostic test or screening tool in identifying true positive and true negative results.

* Sensitivity refers to the proportion of people who have a particular condition (true positives) who are correctly identified by the test. It is also known as the "true positive rate" or "recall." A highly sensitive test will identify most or all of the people with the condition, but may also produce more false positives.
* Specificity refers to the proportion of people who do not have a particular condition (true negatives) who are correctly identified by the test. It is also known as the "true negative rate." A highly specific test will identify most or all of the people without the condition, but may also produce more false negatives.

In medical testing, both sensitivity and specificity are important considerations when evaluating a diagnostic test. High sensitivity is desirable for screening tests that aim to identify as many cases of a condition as possible, while high specificity is desirable for confirmatory tests that aim to rule out the condition in people who do not have it.

It's worth noting that sensitivity and specificity are often influenced by factors such as the prevalence of the condition in the population being tested, the threshold used to define a positive result, and the reliability and validity of the test itself. Therefore, it's important to consider these factors when interpreting the results of a diagnostic test.

Reproducibility of results in a medical context refers to the ability to obtain consistent and comparable findings when a particular experiment or study is repeated, either by the same researcher or by different researchers, following the same experimental protocol. It is an essential principle in scientific research that helps to ensure the validity and reliability of research findings.

In medical research, reproducibility of results is crucial for establishing the effectiveness and safety of new treatments, interventions, or diagnostic tools. It involves conducting well-designed studies with adequate sample sizes, appropriate statistical analyses, and transparent reporting of methods and findings to allow other researchers to replicate the study and confirm or refute the results.

The lack of reproducibility in medical research has become a significant concern in recent years, as several high-profile studies have failed to produce consistent findings when replicated by other researchers. This has led to increased scrutiny of research practices and a call for greater transparency, rigor, and standardization in the conduct and reporting of medical research.

Support Vector Machines (SVM) is not a medical term, but a concept in machine learning, a branch of artificial intelligence. SVM is used in various fields including medicine for data analysis and pattern recognition. Here's a brief explanation of SVM:

Support Vector Machines is a supervised learning algorithm which analyzes data and recognizes patterns, used for classification and regression analysis. The goal of SVM is to find the optimal boundary or hyperplane that separates data into different classes with the maximum margin. This margin is the distance between the hyperplane and the nearest data points, also known as support vectors. By finding this optimal boundary, SVM can effectively classify new data points.

In the context of medical research, SVM has been used for various applications such as:

* Classifying medical images (e.g., distinguishing between cancerous and non-cancerous tissues)
* Predicting patient outcomes based on clinical or genetic data
* Identifying biomarkers associated with diseases
* Analyzing electronic health records to predict disease risk or treatment response

Therefore, while SVM is not a medical term per se, it is an important tool in the field of medical informatics and bioinformatics.

Computer-assisted diagnosis (CAD) is the use of computer systems to aid in the diagnostic process. It involves the use of advanced algorithms and data analysis techniques to analyze medical images, laboratory results, and other patient data to help healthcare professionals make more accurate and timely diagnoses. CAD systems can help identify patterns and anomalies that may be difficult for humans to detect, and they can provide second opinions and flag potential errors or uncertainties in the diagnostic process.

CAD systems are often used in conjunction with traditional diagnostic methods, such as physical examinations and patient interviews, to provide a more comprehensive assessment of a patient's health. They are commonly used in radiology, pathology, cardiology, and other medical specialties where imaging or laboratory tests play a key role in the diagnostic process.

While CAD systems can be very helpful in the diagnostic process, they are not infallible and should always be used as a tool to support, rather than replace, the expertise of trained healthcare professionals. It's important for medical professionals to use their clinical judgment and experience when interpreting CAD results and making final diagnoses.

'Abbreviations as Topic' in medical terms refers to the use and interpretation of abbreviated words or phrases that are commonly used in the field of medicine. These abbreviations can represent various concepts, such as medical conditions, treatments, procedures, diagnostic tests, and more.

Medical abbreviations are often used in clinical documentation, including patient records, progress notes, orders, and medication administration records. They help healthcare professionals communicate efficiently and effectively, reducing the need for lengthy descriptions and improving clarity in written communication.

However, medical abbreviations can also be a source of confusion and error if they are misinterpreted or used incorrectly. Therefore, it is essential to use standardized abbreviations that are widely recognized and accepted within the medical community. Additionally, healthcare professionals should always ensure that their use of abbreviations does not compromise patient safety or lead to misunderstandings in patient care.

Examples of commonly used medical abbreviations include:

* PT: Physical Therapy
* BP: Blood Pressure
* HR: Heart Rate
* Rx: Prescription
* NPO: Nothing by Mouth
* IV: Intravenous
* IM: Intramuscular
* COPD: Chronic Obstructive Pulmonary Disease
* MI: Myocardial Infarction (Heart Attack)
* Dx: Diagnosis

It is important to note that some medical abbreviations can have multiple meanings, and their interpretation may depend on the context in which they are used. Therefore, it is essential to use caution when interpreting medical abbreviations and seek clarification if necessary to ensure accurate communication and patient care.

Quality-Adjusted Life Years (QALYs) is a measure of health outcomes that combines both the quality and quantity of life lived in a single metric. It is often used in economic evaluations of healthcare interventions to estimate their value for money. QALYs are calculated by multiplying the number of years of life gained by a weighting factor that reflects the quality of life experienced during those years, typically on a scale from 0 (representing death) to 1 (representing perfect health). For example, if a healthcare intervention extends a person's life by an additional five years but they experience only 80% of full health during that time, the QALY gain would be 4 (5 x 0.8). This measure allows for comparisons to be made between different interventions and their impact on both length and quality of life.

Computational biology is a branch of biology that uses mathematical and computational methods to study biological data, models, and processes. It involves the development and application of algorithms, statistical models, and computational approaches to analyze and interpret large-scale molecular and phenotypic data from genomics, transcriptomics, proteomics, metabolomics, and other high-throughput technologies. The goal is to gain insights into biological systems and processes, develop predictive models, and inform experimental design and hypothesis testing in the life sciences. Computational biology encompasses a wide range of disciplines, including bioinformatics, systems biology, computational genomics, network biology, and mathematical modeling of biological systems.

Automated Pattern Recognition in a medical context refers to the use of computer algorithms and artificial intelligence techniques to identify, classify, and analyze specific patterns or trends in medical data. This can include recognizing visual patterns in medical images, such as X-rays or MRIs, or identifying patterns in large datasets of physiological measurements or electronic health records.

The goal of automated pattern recognition is to assist healthcare professionals in making more accurate diagnoses, monitoring disease progression, and developing personalized treatment plans. By automating the process of pattern recognition, it can help reduce human error, increase efficiency, and improve patient outcomes.

Examples of automated pattern recognition in medicine include using machine learning algorithms to identify early signs of diabetic retinopathy in eye scans or detecting abnormal heart rhythms in electrocardiograms (ECGs). These techniques can also be used to predict patient risk based on patterns in their medical history, such as identifying patients who are at high risk for readmission to the hospital.

Bayes' theorem, also known as Bayes' rule or Bayes' formula, is a fundamental principle in the field of statistics and probability theory. It describes how to update the probability of a hypothesis based on new evidence or data. The theorem is named after Reverend Thomas Bayes, who first formulated it in the 18th century.

In mathematical terms, Bayes' theorem states that the posterior probability of a hypothesis (H) given some observed evidence (E) is proportional to the product of the prior probability of the hypothesis (P(H)) and the likelihood of observing the evidence given the hypothesis (P(E|H)):

Posterior Probability = P(H|E) = [P(E|H) x P(H)] / P(E)

Where:

* P(H|E): The posterior probability of the hypothesis H after observing evidence E. This is the probability we want to calculate.
* P(E|H): The likelihood of observing evidence E given that the hypothesis H is true.
* P(H): The prior probability of the hypothesis H before observing any evidence.
* P(E): The marginal likelihood or probability of observing evidence E, regardless of whether the hypothesis H is true or not. This value can be calculated as the sum of the products of the likelihood and prior probability for all possible hypotheses: P(E) = Σ[P(E|Hi) x P(Hi)]

Bayes' theorem has many applications in various fields, including medicine, where it can be used to update the probability of a disease diagnosis based on test results or other clinical findings. It is also widely used in machine learning and artificial intelligence algorithms for probabilistic reasoning and decision making under uncertainty.

The term "Theoretical Models" is used in various scientific fields, including medicine, to describe a representation of a complex system or phenomenon. It is a simplified framework that explains how different components of the system interact with each other and how they contribute to the overall behavior of the system. Theoretical models are often used in medical research to understand and predict the outcomes of diseases, treatments, or public health interventions.

A theoretical model can take many forms, such as mathematical equations, computer simulations, or conceptual diagrams. It is based on a set of assumptions and hypotheses about the underlying mechanisms that drive the system. By manipulating these variables and observing the effects on the model's output, researchers can test their assumptions and generate new insights into the system's behavior.

Theoretical models are useful for medical research because they allow scientists to explore complex systems in a controlled and systematic way. They can help identify key drivers of disease or treatment outcomes, inform the design of clinical trials, and guide the development of new interventions. However, it is important to recognize that theoretical models are simplifications of reality and may not capture all the nuances and complexities of real-world systems. Therefore, they should be used in conjunction with other forms of evidence, such as experimental data and observational studies, to inform medical decision-making.

A computer simulation is a process that involves creating a model of a real-world system or phenomenon on a computer and then using that model to run experiments and make predictions about how the system will behave under different conditions. In the medical field, computer simulations are used for a variety of purposes, including:

1. Training and education: Computer simulations can be used to create realistic virtual environments where medical students and professionals can practice their skills and learn new procedures without risk to actual patients. For example, surgeons may use simulation software to practice complex surgical techniques before performing them on real patients.
2. Research and development: Computer simulations can help medical researchers study the behavior of biological systems at a level of detail that would be difficult or impossible to achieve through experimental methods alone. By creating detailed models of cells, tissues, organs, or even entire organisms, researchers can use simulation software to explore how these systems function and how they respond to different stimuli.
3. Drug discovery and development: Computer simulations are an essential tool in modern drug discovery and development. By modeling the behavior of drugs at a molecular level, researchers can predict how they will interact with their targets in the body and identify potential side effects or toxicities. This information can help guide the design of new drugs and reduce the need for expensive and time-consuming clinical trials.
4. Personalized medicine: Computer simulations can be used to create personalized models of individual patients based on their unique genetic, physiological, and environmental characteristics. These models can then be used to predict how a patient will respond to different treatments and identify the most effective therapy for their specific condition.

Overall, computer simulations are a powerful tool in modern medicine, enabling researchers and clinicians to study complex systems and make predictions about how they will behave under a wide range of conditions. By providing insights into the behavior of biological systems at a level of detail that would be difficult or impossible to achieve through experimental methods alone, computer simulations are helping to advance our understanding of human health and disease.

Periventricular leukomalacia (PVL) is a medical condition that refers to the damage and softening (leukomalacia) of white matter in the brain around the ventricles, which are fluid-filled spaces near the center of the brain. This damage primarily affects the preterm infants, particularly those born before 32 weeks of gestation and weighing less than 1500 grams.

PVL is caused by a decrease in blood flow and oxygen to the periventricular area of the brain, leading to the death of brain cells (infarction) and subsequent scarring (gliosis). The damage to the white matter can result in various neurological problems such as cerebral palsy, developmental delays, visual impairments, and hearing difficulties.

The severity of PVL can vary from mild to severe, with more severe cases resulting in significant neurological deficits. The diagnosis is typically made through imaging techniques like ultrasound, CT, or MRI scans. Currently, there is no specific treatment for PVL, and management focuses on addressing the symptoms and preventing further complications.

A Receiver Operating Characteristic (ROC) curve is a graphical representation used in medical decision-making and statistical analysis to illustrate the performance of a binary classifier system, such as a diagnostic test or a machine learning algorithm. It's a plot that shows the tradeoff between the true positive rate (sensitivity) and the false positive rate (1 - specificity) for different threshold settings.

The x-axis of an ROC curve represents the false positive rate (the proportion of negative cases incorrectly classified as positive), while the y-axis represents the true positive rate (the proportion of positive cases correctly classified as positive). Each point on the curve corresponds to a specific decision threshold, with higher points indicating better performance.

The area under the ROC curve (AUC) is a commonly used summary measure that reflects the overall performance of the classifier. An AUC value of 1 indicates perfect discrimination between positive and negative cases, while an AUC value of 0.5 suggests that the classifier performs no better than chance.

ROC curves are widely used in healthcare to evaluate diagnostic tests, predictive models, and screening tools for various medical conditions, helping clinicians make informed decisions about patient care based on the balance between sensitivity and specificity.

Decision theory is a branch of mathematical and philosophical study that deals with the principles and methods for making decisions under uncertainty. It provides a framework for analyzing and comparing different decision alternatives based on their potential outcomes, risks, and uncertainties. Decision theory takes into account various factors such as probabilities, utilities, values, and preferences to help individuals or organizations make rational and informed choices.

In medical context, decision theory is often applied to clinical decision-making, where healthcare providers need to evaluate different treatment options for patients based on their individual needs, risks, and benefits. Decision theory can help clinicians to weigh the potential outcomes of different treatments, consider the patient's values and preferences, and make evidence-based decisions that maximize the overall health and well-being of the patient.

Decision theory can also be used in public health policy, healthcare management, and medical research to evaluate the effectiveness and efficiency of different interventions, programs, or policies. By providing a systematic and rigorous approach to decision-making, decision theory can help to improve the quality and transparency of healthcare decisions, reduce uncertainty and bias, and promote better outcomes for patients and populations.

I am not aware of a widely accepted medical definition for the term "software," as it is more commonly used in the context of computer science and technology. Software refers to programs, data, and instructions that are used by computers to perform various tasks. It does not have direct relevance to medical fields such as anatomy, physiology, or clinical practice. If you have any questions related to medicine or healthcare, I would be happy to try to help with those instead!

In the context of medicine and healthcare, 'probability' does not have a specific medical definition. However, in general terms, probability is a branch of mathematics that deals with the study of numerical quantities called probabilities, which are assigned to events or sets of events. Probability is a measure of the likelihood that an event will occur. It is usually expressed as a number between 0 and 1, where 0 indicates that the event is impossible and 1 indicates that the event is certain to occur.

In medical research and statistics, probability is often used to quantify the uncertainty associated with statistical estimates or hypotheses. For example, a p-value is a probability that measures the strength of evidence against a hypothesis. A small p-value (typically less than 0.05) suggests that the observed data are unlikely under the assumption of the null hypothesis, and therefore provides evidence in favor of an alternative hypothesis.

Probability theory is also used to model complex systems and processes in medicine, such as disease transmission dynamics or the effectiveness of medical interventions. By quantifying the uncertainty associated with these models, researchers can make more informed decisions about healthcare policies and practices.

A factual database in the medical context is a collection of organized and structured data that contains verified and accurate information related to medicine, healthcare, or health sciences. These databases serve as reliable resources for various stakeholders, including healthcare professionals, researchers, students, and patients, to access evidence-based information for making informed decisions and enhancing knowledge.

Examples of factual medical databases include:

1. PubMed: A comprehensive database of biomedical literature maintained by the US National Library of Medicine (NLM). It contains citations and abstracts from life sciences journals, books, and conference proceedings.
2. MEDLINE: A subset of PubMed, MEDLINE focuses on high-quality, peer-reviewed articles related to biomedicine and health. It is the primary component of the NLM's database and serves as a critical resource for healthcare professionals and researchers worldwide.
3. Cochrane Library: A collection of systematic reviews and meta-analyses focused on evidence-based medicine. The library aims to provide unbiased, high-quality information to support clinical decision-making and improve patient outcomes.
4. OVID: A platform that offers access to various medical and healthcare databases, including MEDLINE, Embase, and PsycINFO. It facilitates the search and retrieval of relevant literature for researchers, clinicians, and students.
5. ClinicalTrials.gov: A registry and results database of publicly and privately supported clinical studies conducted around the world. The platform aims to increase transparency and accessibility of clinical trial data for healthcare professionals, researchers, and patients.
6. UpToDate: An evidence-based, physician-authored clinical decision support resource that provides information on diagnosis, treatment, and prevention of medical conditions. It serves as a point-of-care tool for healthcare professionals to make informed decisions and improve patient care.
7. TRIP Database: A search engine designed to facilitate evidence-based medicine by providing quick access to high-quality resources, including systematic reviews, clinical guidelines, and practice recommendations.
8. National Guideline Clearinghouse (NGC): A database of evidence-based clinical practice guidelines and related documents developed through a rigorous review process. The NGC aims to provide clinicians, healthcare providers, and policymakers with reliable guidance for patient care.
9. DrugBank: A comprehensive, freely accessible online database containing detailed information about drugs, their mechanisms, interactions, and targets. It serves as a valuable resource for researchers, healthcare professionals, and students in the field of pharmacology and drug discovery.
10. Genetic Testing Registry (GTR): A database that provides centralized information about genetic tests, test developers, laboratories offering tests, and clinical validity and utility of genetic tests. It serves as a resource for healthcare professionals, researchers, and patients to make informed decisions regarding genetic testing.

Hospital charges refer to the total amount that a hospital charges for providing medical and healthcare services, including room and board, surgery, laboratory tests, medications, and other related expenses. These charges are typically listed on a patient's bill or invoice and can vary widely depending on the type of care provided, the complexity of the treatment, and the specific hospital or healthcare facility. It is important to note that hospital charges may not reflect the actual cost of care, as many hospitals negotiate discounted rates with insurance companies and government payers. Additionally, patients may be responsible for paying a portion of these charges out-of-pocket, depending on their insurance coverage and other factors.

Phylogeny is the evolutionary history and relationship among biological entities, such as species or genes, based on their shared characteristics. In other words, it refers to the branching pattern of evolution that shows how various organisms have descended from a common ancestor over time. Phylogenetic analysis involves constructing a tree-like diagram called a phylogenetic tree, which depicts the inferred evolutionary relationships among organisms or genes based on molecular sequence data or other types of characters. This information is crucial for understanding the diversity and distribution of life on Earth, as well as for studying the emergence and spread of diseases.

In the context of medicine, classification refers to the process of categorizing or organizing diseases, disorders, injuries, or other health conditions based on their characteristics, symptoms, causes, or other factors. This helps healthcare professionals to understand, diagnose, and treat various medical conditions more effectively.

There are several well-known classification systems in medicine, such as:

1. The International Classification of Diseases (ICD) - developed by the World Health Organization (WHO), it is used worldwide for mortality and morbidity statistics, reimbursement systems, and automated decision support in health care. This system includes codes for diseases, signs and symptoms, abnormal findings, social circumstances, and external causes of injury or diseases.
2. The Diagnostic and Statistical Manual of Mental Disorders (DSM) - published by the American Psychiatric Association, it provides a standardized classification system for mental health disorders to improve communication between mental health professionals, facilitate research, and guide treatment.
3. The International Classification of Functioning, Disability and Health (ICF) - developed by the WHO, this system focuses on an individual's functioning and disability rather than solely on their medical condition. It covers body functions and structures, activities, and participation, as well as environmental and personal factors that influence a person's life.
4. The TNM Classification of Malignant Tumors - created by the Union for International Cancer Control (UICC), it is used to describe the anatomical extent of cancer, including the size of the primary tumor (T), involvement of regional lymph nodes (N), and distant metastasis (M).

These classification systems help medical professionals communicate more effectively about patients' conditions, make informed treatment decisions, and track disease trends over time.

Protein sequence analysis is the systematic examination and interpretation of the amino acid sequence of a protein to understand its structure, function, evolutionary relationships, and other biological properties. It involves various computational methods and tools to analyze the primary structure of proteins, which is the linear arrangement of amino acids along the polypeptide chain.

Protein sequence analysis can provide insights into several aspects, such as:

1. Identification of functional domains, motifs, or sites within a protein that may be responsible for its specific biochemical activities.
2. Comparison of homologous sequences from different organisms to infer evolutionary relationships and determine the degree of similarity or divergence among them.
3. Prediction of secondary and tertiary structures based on patterns of amino acid composition, hydrophobicity, and charge distribution.
4. Detection of post-translational modifications that may influence protein function, localization, or stability.
5. Identification of protease cleavage sites, signal peptides, or other sequence features that play a role in protein processing and targeting.

Some common techniques used in protein sequence analysis include:

1. Multiple Sequence Alignment (MSA): A method to align multiple protein sequences to identify conserved regions, gaps, and variations.
2. BLAST (Basic Local Alignment Search Tool): A widely-used tool for comparing a query protein sequence against a database of known sequences to find similarities and infer function or evolutionary relationships.
3. Hidden Markov Models (HMMs): Statistical models used to describe the probability distribution of amino acid sequences in protein families, allowing for more sensitive detection of remote homologs.
4. Protein structure prediction: Methods that use various computational approaches to predict the three-dimensional structure of a protein based on its amino acid sequence.
5. Phylogenetic analysis: The construction and interpretation of evolutionary trees (phylogenies) based on aligned protein sequences, which can provide insights into the historical relationships among organisms or proteins.

Statistical models are mathematical representations that describe the relationship between variables in a given dataset. They are used to analyze and interpret data in order to make predictions or test hypotheses about a population. In the context of medicine, statistical models can be used for various purposes such as:

1. Disease risk prediction: By analyzing demographic, clinical, and genetic data using statistical models, researchers can identify factors that contribute to an individual's risk of developing certain diseases. This information can then be used to develop personalized prevention strategies or early detection methods.

2. Clinical trial design and analysis: Statistical models are essential tools for designing and analyzing clinical trials. They help determine sample size, allocate participants to treatment groups, and assess the effectiveness and safety of interventions.

3. Epidemiological studies: Researchers use statistical models to investigate the distribution and determinants of health-related events in populations. This includes studying patterns of disease transmission, evaluating public health interventions, and estimating the burden of diseases.

4. Health services research: Statistical models are employed to analyze healthcare utilization, costs, and outcomes. This helps inform decisions about resource allocation, policy development, and quality improvement initiatives.

5. Biostatistics and bioinformatics: In these fields, statistical models are used to analyze large-scale molecular data (e.g., genomics, proteomics) to understand biological processes and identify potential therapeutic targets.

In summary, statistical models in medicine provide a framework for understanding complex relationships between variables and making informed decisions based on data-driven insights.

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There are many methods to prune decision trees, but the idea of cost-sensitive pruning and use of expert knowledge for decision ... CC4.5 uses the same method as C4.5 to construct the original decision tree, but the pruning methods in CC4.5 are different from ... In this paper, we introduce a cost-sensitive decision tree pruning algorithm called CC4.5 based on the C4.5 algorithm and ... CC4.5 includes three cost-sensitive pruning methods to deal with misclassification cost in the decision tree. Unlike other ...
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A detailed look at decision trees, how they work, how they are made, and are combined to make random forests. ... Decision trees A detailed look at decision trees, how they work, how they are made, and are combined to make random forests. ... They are called trees as they organise sets of smaller decisions in a hierarchical structure which physically resembles a tree ... Decision trees are a commonly used method for classification problems, though they may also be used for regression. ...
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