Chronic Lymphocytic Inflammation With Pontine Perivascular Enhancement Responsive to Steroids: An Acute Presentation.

Chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids (CLIPPERS) is a rare disease with an unknown etiology which most commonly results in subacute diplopia and ataxia. Diagnosis is achieved through a triad of the following findings: lymphocytic pleocytosis with increased CD4+ T cells on cerebrospinal fluid (CSF) analysis; perivascular punctate and curvilinear hemorrhages in the pons, medulla, or cerebellum on magnetic resonance imaging (MRI) with contrast; and the cessation of symptoms after the initiation of corticosteroids. Here, we report the case of a 23-year-old male who presented with non-specific signs and symptoms, including diffuse weakness in all limbs, ataxia, and slurred speech. The diagnosis was achieved through a contrast MRI of the brain, suggestive of brainstem encephalitis, and a CSF analysis, which revealed elevated glucose and protein levels. Intravenous methylprednisolone was administered for five days and resulted in acute improvement of the patient's clinical status. Repeat CSF analysis and MRI of the brain with contrast two weeks later showed resolution of previous findings. CLIPPERS syndrome is a newly identified disease thought to cause a predominantly inflammatory reaction in the pons, medulla, cerebellum, and supratentorial region. MRI with contrast tends to reveal a "salt and pepper appearance" in a punctate and curvilinear fashion. The hallmark of treatment is corticosteroid therapy, and discontinuation of therapy should be done with caution as relapse of the syndrome with corticosteroid withdrawal has been documented.

Using a Deep Learning Model to Explore the Impact of Clinical Data on COVID-19 Diagnosis Using Chest X-ray.

The coronavirus pandemic (COVID-19) is disrupting the entire world; its rapid global spread threatens to affect millions of people. Accurate and timely diagnosis of COVID-19 is essential to control the spread and alleviate risk. Due to the promising results achieved by integrating machine learning (ML), particularly deep learning (DL), in automating the multiple disease diagnosis process. In the current study, a model based on deep learning was proposed for the automated diagnosis of COVID-19 using chest X-ray images (CXR) and clinical data of the patient. The aim of this study is to investigate the effects of integrating clinical patient data with the CXR for automated COVID-19 diagnosis. The proposed model used data collected from King Fahad University Hospital, Dammam, KSA, which consists of 270 patient records. The experiments were carried out first with clinical data, second with the CXR, and finally with clinical data and CXR. The fusion technique was used to combine the clinical features and features extracted from images. The study found that integrating clinical data with the CXR improves diagnostic accuracy. Using the clinical data and the CXR, the model achieved an accuracy of 0.970, a recall of 0.986, a precision of 0.978, and an F-score of 0.982. Further validation was performed by comparing the performance of the proposed system with the diagnosis of an expert. Additionally, the results have shown that the proposed system can be used as a tool that can help the doctors in COVID-19 diagnosis.

Sentiment Analysis of Arabic Tweets Regarding Distance Learning in Saudi Arabia during the COVID-19 Pandemic.

The COVID-19 pandemic has greatly impacted the normal life of people worldwide. One of the most noticeable impacts is the enforcement of social distancing to reduce the spread of the virus. The Ministry of Education in Saudi Arabia implemented social distancing measures by enforcing distance learning at all educational stages. This measure brought about new experiences and challenges to students, parents, and teachers. This research measures the acceptance rate of this way of learning by analysing people's tweets regarding distance learning in Saudi Arabia. All the tweets analysed were written in Arabic and collected within the boundary of Saudi Arabia. They date back to the day that the distance learning announcement was made. The tweets were pre-processed, and labelled positive, or negative. Machine learning classifiers with different features and extraction techniques were then built to analyse the sentiment. The accuracy results for the different models were then compared. The best accuracy achieved (0.899) resulted from the Logistic regression classifier with unigram and Term Frequency-Inverse Document Frequency as a feature extraction approach. This model was then applied on a new unlabelled dataset and classified to different educational stages; results demonstrated generally positive opinions regarding distance learning for general education stages (kindergarten, intermediate, and high schools), and negative opinions for the university stage. Further analysis was applied to identify the main topics related to the positive and negative sentiment. This result can be used by the Ministry of Education to further improve the distance learning educational system.

A Sentiment Analysis Approach to Predict an Individual's Awareness of the Precautionary Procedures to Prevent COVID-19 Outbreaks in Saudi Arabia.

In March 2020, the World Health Organization (WHO) declared the outbreak of Coronavirus disease 2019 (COVID-19) as a pandemic, which affected all countries worldwide. During the outbreak, public sentiment analyses contributed valuable information toward making appropriate public health responses. This study aims to develop a model that predicts an individual's awareness of the precautionary procedures in five main regions in Saudi Arabia. In this study, a dataset of Arabic COVID-19 related tweets was collected, which fell in the period of the curfew. The dataset was processed, based on several machine learning predictive models: Support Vector Machine (SVM), K-nearest neighbors (KNN), and Naïve Bayes (NB), along with the N-gram feature extraction technique. The results show that applying the SVM classifier along with bigram in Term Frequency-Inverse Document Frequency (TF-IDF) outperformed other models with an accuracy of 85%. The results of awareness prediction showed that the south region observed the highest level of awareness towards COVID-19 containment measures, whereas the middle region was the least. The proposed model can support the medical sectors and decision-makers to decide the appropriate procedures for each region based on their attitudes towards the pandemic.