A Reinforcement Learning Approach for Intelligent Conversational Chatbot For Enhancing Mental Health Therapy
Procedia Computer Science,
Год журнала:
2024,
Номер
235, С. 916 - 925
Опубликована: Янв. 1, 2024
Язык: Английский
Exploration of clinical ethics consultation in Uganda: a case study of Uganda Cancer Institute
BMC Medical Ethics,
Год журнала:
2024,
Номер
25(1)
Опубликована: Авг. 9, 2024
Globally,
healthcare
providers
(HCPs),
hospital
administrators,
patients
and
their
caretakers
are
increasingly
confronted
with
complex
moral,
social,
cultural,
ethical,
legal
dilemmas
during
clinical
care.
In
high-income
countries
(HICs),
formal
informal
ethics
support
services
(CESSs)
have
been
used
to
resolve
bioethical
conflicts
among
HCPs,
patients,
families.
There
is
limited
evidence
about
mechanisms
these
issues
as
well
experiences
perspectives
of
the
stakeholders
that
utilize
them
in
most
African
including
Uganda.
Язык: Английский
Nanomedicine mediated thyroid cancer diagnosis and treatment: an approach from generalized to personalized medicine
Discover Oncology,
Год журнала:
2024,
Номер
15(1)
Опубликована: Дек. 18, 2024
Thyroid
cancer
(TC)
being
the
common
endocrine
malignancy
is
glooming
steadily
due
to
its
poor
prognosis.
The
treatment
strategies
of
surgery,
radiotherapy,
and
conventional
chemotherapy
are
providing
unsatisfactory
output.
However,
combination
therapy
can
negotiate
worse
prognosis
better,
where
chemoradiotherapy,
radiotherapy
with
or
dual
chemotherapeutic
drugs
glorified.
Chemotherapy
includes
use
doxorubicin
taxanes
generally
platinum-based
viz.
cisplatin
carboplatin
that
administered
alone
along
multitarget
tyrosine
kinase
inhibitors
Lenvatinib,
Sorafenib,
Sunitinib,
Vandetanib,
Pyrazolo-pyrimidine
compounds,
etc.,
single
target
like
Dabrafenib
plus
Trametinib
Vemurafenib
against
BRAF,
Gefitinib
EGFR,
Everolimus
mTOR,
vascular
disruptors
Fosbretabulin,
immunotherapy
Spartalizumab
Pembrolizumab,
anti-PD-1/PD-L1
molecules.
Hence,
several
trials
currently
evaluating
possible
beneficial
role
combinatorial
in
TC.
Since
TC
outcome
multiple
genetic
alterations,
it
necessitates
targeting
factors
a
shot.
These
for
systemically
delivering
therapeutic
seem
feasible
only
help
theranostic.
To
date,
nanoparticle-based
drug
delivery
systems
(NDDS)
have
devoted
themselves
diagnosis,
bioimaging,
imaging-assisted
high
success
rates.
ease
handling
hybrid
technologies
also
selectively
admirable.
this
review,
we
summarized
sequential
progression
NDDS
designed
Personalized
Medicine
(PM)
medicine
an
ever-growing
field
will
be
explored
future
discoveries
biomedicine,
particularly
theranostics.
our
review
presents
closer
view
as
personalized
We
discussed
primary
challenges
facing
meeting
excellence
PM.
Язык: Английский
Emotional Meanings of Clinical Practice with Head and Neck Cancer Patients: a qualitative study with Brazilian professionals
Research Square (Research Square),
Год журнала:
2024,
Номер
unknown
Опубликована: Март 22, 2024
Abstract
Objective
To
interpret
emotional
meanings
attributed
by
healthcare
professionals
to
the
clinical
management
of
patients
with
Head
and
Neck
Cancer,
in
a
university-specialised
outpatient
service
at
public
general
hospital.
Method
A
qualitative
study
was
carried
out
using
semi-directed
interviews
open-ended
questions
in-depth.
The
sample
closed
saturation
strategy.
Data
treatment
conducted
Clinical-Qualitative
Content
Analysis
technique
under
theoretical
framework
psychodynamic
concepts
from
Medical
Psychology,
validation
peers
research
group.
Results
Ten
were
interviewed:
four
physicians
six
nurses.
From
analysis
interviews,
three
categories
are
constructed
for
this
article:
(01)
–
An
Instituted
Stigmatization;
(02)
Wide-Open
Reality;
(03)
Naturalization
without
Trivialization.
aggressivity
these
tumours,
association
harmful
lifestyle
habits,
great
concern
family
members
call
clinical-psychological
management,
which
subjective
mechanisms
such
as
denial
or
other
more
primitive
psychological
defences
have
no
sufficient
resolution.
Conclusions
stigma
is
symbolic
entity
that
takes
distress
clinicians,
but
also
seems
highlight
higher
level
awareness
reflection.
This
can
be
starting
point
development
healthier
strategies
coping,
contributing
balanced
work
personal
harmonic
relationship
care.
Язык: Английский
Mediating Mechanism of Burnout in the Effect of Stress on Turnover Intention and Service Quality of Employees
Journal of Development and Social Sciences,
Год журнала:
2023,
Номер
4(III)
Опубликована: Сен. 8, 2023
This
study
was
conducted
to
examine
the
effect
of
stress
on
turnover
intention
and
service
quality
employees.
The
further
probed
mediating
role
burnout
in
hypothesized
effects.
researchers
took
a
sample
nursing
administrative
staff
from
AJ&K.
applied
dyadic
approach
collected
time
lagged
data
avoid
common
method
biases.
Data
stress,
were
health
workers
while
patients
attendants.
For
analysis,
used
AMOS
SPSS.
direct
effects
checked
by
applying
SEM.
PROCESS
macro
Hayes
(2013)
then
for
probing
mechanism.
results
show
positive
(negative)
(service
quality)
mediated
burnout.
suggested
interventions
manage
issue
better
retention
Язык: Английский