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A systematic review of outcome reporting in laser treatments for dermatological diseases
摘要： The standardization of outcome reporting is crucial for interpretation and comparison of studies related to laser treatment of skin disorders. In collaboration with the Cochrane Skin-Core Outcome Set Initiative (CS-COUSIN), a procedure has been proposed to find consensus on the most important generic outcome domains (what to measure) for implementation in the international Laser TrEAtment in Dermatology (LEAD) registry. As the first step in the development of a generic outcome set for the LEAD registry, we undertook a systematic review to identify outcomes, outcome measurement instruments, methods and definitions reported in recently published literature of laser treatments for skin disorders. A systematic search was conducted and generated a total of 707 papers. We assessed 150 studies including all types of studies involving laser treatments for the skin. Two researchers independently extracted the type, definition and frequency of all outcomes and used outcome measurement instruments. We identified 105 verbatim outcomes that were categorized into eight domains recommended by the COMET framework: appearance, long-term effects, physician and patient-reported physical signs, satisfaction, health-related quality of life, psychological functioning and adverse events. Heterogeneity in outcome reporting (e.g. categories and outcome measurement instruments) was high, and definitions were insufficiently reported. There was a clear under representation of life impact domains, including satisfaction (23%) quality of life (3%) and psychological functioning (1%). Outcome reporting concerning laser treatments for the skin is heterogeneous. Standardized outcomes are needed for improving evidence synthesis. Results of this review will be used in the next step to reach consensus between stakeholders on the outcome domains to be implemented in the LEAD registry.
关键词： laser treatments,dermatological diseases,systematic review,LEAD registry,outcome reporting
更新于2025-09-11 14:15:04
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Laser treatment for onychomycosis
摘要： Background: Laser systems are a common treatment choice for onychomycosis. They exert their effects on inhibiting the growth of the fungus by selective photothermolysis but efficacy is dependent on the specific type of apparatus used. To systematically review the available published literature on the curative effects and safety of laser treatment for onychomycosis. Methods: Databases including PubMed, web of science, China National Knowledge Internet (CNKI), WanFang Database and VIP were searched systematically to identify relevant articles published up to July 2018. Potentially relevant articles were sourced, assessed against eligibility criteria by 2 researchers independently and data were extracted from included studies. A meta-analysis was performed using R software. Results: Thirty-five articles involving 1723 patients and 4278 infected nails were included. Meta-analysis of data extracted from these studies revealed that: the overall mycological cure rate was 63.0% (95%CI 0.53-0.73); the mycological cure rate associated with the 1064-nm Nd: YAG laser was 63.0% (95%CI 0.51-0.74); and that of CO2 lasers was 74.0% (95%CI 0.37-0.98). The published data indicate that laser treatment is relatively safe, but can cause tolerable pain and occasionally lead to bleeding after treatment. Conclusion: Laser treatment of onychomycosis is effective and safe. The cumulative cure rate of laser treatment was significantly higher for CO2 lasers than other types of laser. Laser practitioners should be made aware of potential adverse effects such as pain and bleeding.
关键词： onychomycosis,CO2 laser,single rate,systematic review,laser,Nd-YAG laser
更新于2025-09-11 14:15:04
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Femtosecond Laser-Assisted Cataract Surgery, Technology, Outcome, Future Directions and Modern Applications
摘要： Since its introduction in 2009, femtosecond laser?assisted cataract surgery (FLACS) has promised to revolutionize cataract surgery. Despite its promise, the assessment of FLACS’s perceived benefits has proven to be far more complicated than initially might have been thought. Most studies to date have not provided validation of FLACS technology as a clinically significant advancement on our current techniques. We review FLACS technology and outcomes, including detailed analysis of safety, efficacy, cost?effectiveness, and future prospects using data from the literature and our own published clinical experience.
关键词： phacoemulsification,femtosecond,review,cataract
更新于2025-09-11 14:15:04
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Technical and clinical overview of deep learning in radiology
摘要： Deep learning has been applied to clinical applications in not only radiology, but also all other areas of medicine. This review provides a technical and clinical overview of deep learning in radiology. To gain a more practical understanding of deep learning, deep learning techniques are divided into five categories: classification, object detection, semantic segmentation, image processing, and natural language processing. After a brief overview of technical network evolutions, clinical applications based on deep learning are introduced. The clinical applications are then summarized to reveal the features of deep learning, which are highly dependent on training and test datasets. The core technology in deep learning is developed by image classification tasks. In the medical field, radiologists are specialists in such tasks. Using clinical applications based on deep learning would, therefore, be expected to contribute to substantial improvements in radiology. By gaining a better understanding of the features of deep learning, radiologists could be expected to lead medical development.
关键词： Radiology,Deep learning,Artificial intelligence,AI,Review,Neural network
更新于2025-09-10 09:29:36
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Approaching Green BPM characterisation
摘要： Sustainable development is a type of development that meets the needs of the present without compromising the ability of future generations to meet their own needs. Sustainability has recently become more and more important for businesses. This has led to what is known as Green BPM (Green business process management), in which sustainability is considered to be a business objective. The objective of this work was to carry out a systematic literature review in order to evaluate how the subject of Green BPM has evolved and how the term “Green BPM” has been conceptualised so as to propose a new definition compiled from those previously formulated; identify the impact of the incorporation of Green aspects into the BPM life cycle stages; and discover the impact of Green BPM research efforts by means of the PDCA (plan‐do‐check‐act) model, thus identifying (1) the goals that have been proposed when Green initiatives are carried out in BPM, (2) the context in which this has been applied, and (3) the performance indicators considered. Finally, we propose a new characteristic, Process Greenability, together with its subcharacteristics, in addition to identifying the relationship between these subcharacteristics and the indicators identified to make them measurable.
关键词： SLR,Green BPM,systematic literature review,BPM,Green business process management
更新于2025-09-10 09:29:36
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Asymmetric photic driving response: importance of reviewing the video
摘要： Intermittent photic stimulation (IPS) is commonly used during electroencephalography to detect abnormal epileptogenic sensitivity to flickering light. In practice, substantial variability is found depending on the practice of the laboratory. We report a patient who had inadvertent medical investigations due to inappropriate photic stimulation.
关键词： intermittent photic stimulation,video review,photic driving response,epilepsy,electroencephalography
更新于2025-09-10 09:29:36
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[IEEE 2018 Second International Conference on Computing Methodologies and Communication (ICCMC) - Erode (2018.2.15-2018.2.16)] 2018 Second International Conference on Computing Methodologies and Communication (ICCMC) - A Review on various Speckle Filters used for despeckling SAR images
摘要： Nowadays Synthetic Aperture Radar (SAR) images are used extensively for various important applications like terrain navigation, land cover classification, environment monitoring like oil spill detection, flood detection, military surveillance etc. SAR images get corrupted by the speckle noise, which appears as bright and dark spots on images and hence the visual quality of the images get degraded. This leads to the improper functioning of various feature extraction and classification algorithms which are used to classify SAR images into desired classes depending on the nature of applications. So removal of speckle noise from SAR images is one of the crucial steps in the pre-processing of SAR images. Although many despeckling filters have been proposed by various researchers working in this field till date but still there is a need for a filter that can deal with all the constraints associated with the process. In this paper we have discussed and summarized all the advantages and technicalities associated with various filters and have also performed a comparative study of the results obtained by performing qualitative and quantitative analyses of output images generated by applying various filtering algorithms on same set of noisy SAR images.
关键词： despeckeling,quantitative,SAR images,qualitative,review
更新于2025-09-04 15:30:14