Abstract: Psoriasis is a chronic inflammatory skin condition
which affects 2-3% of population around the world. Psoriasis Area
and Severity Index (PASI) is a gold standard to assess psoriasis
severity as well as the treatment efficacy. Although a gold standard,
PASI is rarely used because it is tedious and complex. In practice,
PASI score is determined subjectively by dermatologists, therefore
inter and intra variations of assessment are possible to happen even
among expert dermatologists. This research develops an algorithm to
assess psoriasis lesion for PASI scoring objectively. Focus of this
research is thickness assessment as one of PASI four parameters
beside area, erythema and scaliness. Psoriasis lesion thickness is
measured by averaging the total elevation from lesion base to lesion
surface. Thickness values of 122 3D images taken from 39 patients
are grouped into 4 PASI thickness score using K-means clustering.
Validation on lesion base construction is performed using twelve
body curvature models and show good result with coefficient of
determinant (R2) is equal to 1.
Abstract: Leprosy is an infectious disease caused by
Mycobacterium Leprae, this disease, generally, compromises
the neural fibers, leading to the development of disability.
Disabilities are changes that limit daily activities or social life
of a normal individual. When comes to leprosy, the study of
disability considered the functional limitation (physical
disabilities), the limitation of activity and social participation,
which are measured respectively by the scales: EHF, SALSA
and PARTICIPATION SCALE. The objective of this work is
to propose an on-line monitoring of leprosy patients, which is
based on information scales EHF, SALSA and
PARTICIPATION SCALE. It is expected that the proposed
system is applied in monitoring the patient during treatment
and after healing therapy of the disease. The correlations that
the system is between the scales create a variety of
information, presented the state of the patient and full of
changes or reductions in disability. The system provides
reports with information from each of the scales and the
relationships that exist between them. This way, health
professionals, with access to patient information, can
intervene with techniques for the Prevention of Disability.
Through the automated scale, the system shows the level of
the patient and allows the patient, or the responsible, to take a
preventive measure. With an online system, it is possible take
the assessments and monitor patients from anywhere.
Abstract: In this paper as showed a non-invasive 3D eye tracker
for optometry clinical applications. Measurements of biomechanical
variables in clinical practice have many font of errors associated with
traditional procedments such cover test (CT), near point of
accommodation (NPC), eye ductions (ED), eye vergences (EG) and,
eye versions (ES). Ocular motility should always be tested but all
evaluations have a subjective interpretations by practitioners, the
results is based in clinical experiences, repeatability and accuracy
don-t exist. Optometric-lab is a tool with 3 (tree) analogical video
cameras triggered and synchronized in one acquisition board AD.
The variables globe rotation angle and velocity can be quantified.
Data record frequency was performed with 27Hz, camera calibration
was performed in a know volume and image radial distortion
adjustments.
Abstract: This paper presents the development of a Bayesian
belief network classifier for prediction of graft status and survival
period in renal transplantation using the patient profile information
prior to the transplantation. The objective was to explore feasibility
of developing a decision making tool for identifying the most suitable
recipient among the candidate pool members. The dataset was
compiled from the University of Toledo Medical Center Hospital
patients as reported to the United Network Organ Sharing, and had
1228 patient records for the period covering 1987 through 2009. The
Bayes net classifiers were developed using the Weka machine
learning software workbench. Two separate classifiers were induced
from the data set, one to predict the status of the graft as either failed
or living, and a second classifier to predict the graft survival period.
The classifier for graft status prediction performed very well with a
prediction accuracy of 97.8% and true positive values of 0.967 and
0.988 for the living and failed classes, respectively. The second
classifier to predict the graft survival period yielded a prediction
accuracy of 68.2% and a true positive rate of 0.85 for the class
representing those instances with kidneys failing during the first year
following transplantation. Simulation results indicated that it is
feasible to develop a successful Bayesian belief network classifier for
prediction of graft status, but not the graft survival period, using the
information in UNOS database.
Abstract: Understanding patient factors related to physical activity behavior is important in the management of Type 2 Diabetes. This study applied the Theory of Planned Behavior model to understand physical activity behavior among sampled Type 2 diabetics in Kenya. The study was conducted within the diabetic clinic at Kisii Level 5 Hospital and adopted sequential mixed methods design beginning with qualitative phase and ending with quantitative phase. Qualitative data was analyzed using grounded theory analysis method. Structural equation modeling using maximum likelihood was used to analyze quantitative data. The common fit indices revealed that the theory of planned behavior fitted the data acceptably well among the Type 2 diabetes and within physical activity behavior {¤ç2 = 213, df = 84, n=230, p = .061, ¤ç2/df = 2.53; TLI = .97; CFI =.96; RMSEA (90CI) = .073(.029, .08)}. This theory proved to be useful in understanding physical activity behavior among Type 2 diabetics.
Abstract: The introduction of mass-customization has enabled
new ways to treat patients within medicine. However, the
introduction of industrialized treatments has also meant new
obstacles. The purpose of this study was to introduce and
theoretically test a method for improving dental crown fit. The
optimization method allocates support points in order to check the
final variation for dental crowns. Three different types of geometries
were tested and compared. The three geometries were also divided
into three sub-geometries: Current method, Optimized method and
Feasible method. The Optimized method, using the whole surface for
support points, provided the best results. The results support the
objective of the study. It also seems that the support optimization
method can dramatically improve the robustness of dental crown
treatments.
Abstract: This study describes the methodology for the development of a validated in-vitro in-vivo correlation (IVIVC) for metoprolol tartrate modified release dosage forms with distinctive release rate characteristics. Modified release dosage forms were formulated by microencapsulation of metoprolol tartrate into different amounts of ethylcellulose by non-solvent addition technique. Then in-vitro and in-vivo studies were conducted to develop and validate level A IVIVC for metoprolol tartrate. The values of regression co-efficient (R2-values) for IVIVC of T2 and T3 formulations were not significantly (p
Abstract: Selecting the data modeling technique for an
information system is determined by the objective of the resultant
data model. Dimensional modeling is the preferred modeling
technique for data destined for data warehouses and data mining,
presenting data models that ease analysis and queries which are in
contrast with entity relationship modeling. The establishment of data
warehouses as components of information system landscapes in
many organizations has subsequently led to the development of
dimensional modeling. This has been significantly more developed
and reported for the commercial database management systems as
compared to the open sources thereby making it less affordable for
those in resource constrained settings. This paper presents
dimensional modeling of HIV patient information using open source
modeling tools. It aims to take advantage of the fact that the most
affected regions by the HIV virus are also heavily resource
constrained (sub-Saharan Africa) whereas having large quantities of
HIV data. Two HIV data source systems were studied to identify
appropriate dimensions and facts these were then modeled using two
open source dimensional modeling tools. Use of open source would
reduce the software costs for dimensional modeling and in turn make
data warehousing and data mining more feasible even for those in
resource constrained settings but with data available.
Abstract: Psoriasis is a widespread skin disease affecting up to 2% population with plaque psoriasis accounting to about 80%. It can be identified as a red lesion and for the higher severity the lesion is usually covered with rough scale. Psoriasis Area Severity Index (PASI) scoring is the gold standard method for measuring psoriasis severity. Scaliness is one of PASI parameter that needs to be quantified in PASI scoring. Surface roughness of lesion can be used as a scaliness feature, since existing scale on lesion surface makes the lesion rougher. The dermatologist usually assesses the severity through their tactile sense, therefore direct contact between doctor and patient is required. The problem is the doctor may not assess the lesion objectively. In this paper, a digital image analysis technique is developed to objectively determine the scaliness of the psoriasis lesion and provide the PASI scaliness score. Psoriasis lesion is modelled by a rough surface. The rough surface is created by superimposing a smooth average (curve) surface with a triangular waveform. For roughness determination, a polynomial surface fitting is used to estimate average surface followed by a subtraction between rough and average surface to give elevation surface (surface deviations). Roughness index is calculated by using average roughness equation to the height map matrix. The roughness algorithm has been tested to 444 lesion models. From roughness validation result, only 6 models can not be accepted (percentage error is greater than 10%). These errors occur due the scanned image quality. Roughness algorithm is validated for roughness measurement on abrasive papers at flat surface. The Pearson-s correlation coefficient of grade value (G) of abrasive paper and Ra is -0.9488, its shows there is a strong relation between G and Ra. The algorithm needs to be improved by surface filtering, especially to overcome a problem with noisy data.