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1.
J Biomed Inform ; 59: 42-8, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26610385

RESUMO

The timely and accurate identification of adverse drug reactions (ADRs) following drug approval is a persistent and serious public health challenge. Aggregated data drawn from anonymized logs of Web searchers has been shown to be a useful source of evidence for detecting ADRs. However, prior studies have been based on the analysis of established ADRs, the existence of which may already be known publically. Awareness of these ADRs can inject existing knowledge about the known ADRs into online content and online behavior, and thus raise questions about the ability of the behavioral log-based methods to detect new ADRs. In contrast to previous studies, we investigate the use of search logs for the early detection of known ADRs. We use a large set of recently labeled ADRs and negative controls to evaluate the ability of search logs to accurately detect ADRs in advance of their publication. We leverage the Internet Archive to estimate when evidence of an ADR first appeared in the public domain and adjust the index date in a backdated analysis. Our results demonstrate how search logs can be used to detect new ADRs, the central challenge in pharmacovigilance.


Assuntos
Sistemas de Notificação de Reações Adversas a Medicamentos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/classificação , Farmacovigilância , Bases de Dados Factuais , Humanos , Computação em Informática Médica , Estados Unidos
2.
IEEE Trans Image Process ; 17(11): 2186-200, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18972658

RESUMO

We propose a principled framework for recursively segmenting deformable objects across a sequence of frames. We demonstrate the usefulness of this method on left ventricular segmentation across a cardiac cycle. The approach involves a technique for learning the system dynamics together with methods of particle-based smoothing as well as nonparametric belief propagation on a loopy graphical model capturing the temporal periodicity of the heart. The dynamic system state is a low-dimensional representation of the boundary, and the boundary estimation involves incorporating curve evolution into recursive state estimation. By formulating the problem as one of state estimation, the segmentation at each particular time is based not only on the data observed at that instant, but also on predictions based on past and future boundary estimates. Although this paper focuses on left ventricle segmentation, the method generalizes to temporally segmenting any deformable object.


Assuntos
Algoritmos , Inteligência Artificial , Ventrículos do Coração/anatomia & histologia , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Reconhecimento Automatizado de Padrão/métodos , Elasticidade , Humanos , Aumento da Imagem/métodos , Movimento (Física) , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
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