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The use of abnormal milk mid-infrared (MIR) spectrum strongly affects prediction quality, even if the prediction equations used are accurate. So, this record must be detected after or before the prediction process to avoid erroneous spectral extrapolation or the use of poor-quality spectral data by dairy herd improvement (DHI) organizations. For financial or practical reasons, adapting the quality protocol currently used to improve the accuracy of fat and protein contents is unfeasible. This study proposed three different statistical methods that would be easy to implement by DHI organizations to solve this issue: the deletion of 1% of the extreme high and low predictive values (M1), the deletion of records based on the Global-H (GH) distance (M2), and the deletion of records based on the absolute fat residual value (M3). Additionally, the combinations of these three methods were investigated. A total of 346,818 milk samples were analyzed by MIR spectrometry to predict the contents of fat, protein, and fatty acids. Then, the same traits were also predicted externally using their corresponded standardized MIR spectra. The interest in cleaning procedures was assessed by estimating the root mean square differences (RMSDs) between those internal and external predicted phenotypes. All methods allowed for a decrease in the RMSD, with a gain ranging from 0.32% to 41.39%. Based on the obtained results, the "M1 and M2" combination should be preferred to be more parsimonious in the data loss, as it had the higher ratio of RMSD gain to data loss. This method deleted the records based on the 2% extreme predictions and a GH threshold set at 5. However, to ensure the lowest RMSD, the "M2 or M3" combination, considering a GH threshold of 5 and an absolute fat residual difference set at 0.30 g/dL of milk, was the most relevant. Both combinations involved M2 confirming the high interest of calculating the GH distance for all samples to predict. However, if it is impossible to estimate the GH distance due to a lack of relevant information to compute this statistical parameter, the obtained results recommended the use of M1 combined with M3. The limitation used in M3 must be adapted by the DHI, as this will depend on the spectral data and the equation used. The methodology proposed in this study can be generalized for other MIR-based phenotypes.
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http://dx.doi.org/10.3390/ani11020533 | DOI Listing |
JMIR Cancer
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iCARE Secure Data Environment & Digital Collaboration Space, NIHR Imperial Biomedical Research Centre, London, United Kingdom.
Background: Electronic health records (EHRs) are a cornerstone of modern health care delivery, but their current configuration often fragments information across systems, impeding timely and effective clinical decision-making. In gynecological oncology, where care involves complex, multidisciplinary coordination, these limitations can significantly impact the quality and efficiency of patient management. Few studies have examined how EHR systems support clinical decision-making from the perspective of end users.
View Article and Find Full Text PDFCardiol Rev
September 2025
Departments of Cardiology and Medicine, Westchester Medical Center and New York Medical College, Valhalla, NY.
Heart failure (HF) remains one of the leading causes of 30-day hospital readmissions, presenting a major challenge to healthcare systems worldwide. This comprehensive review synthesizes recent evidence on effective strategies to reduce readmission rates through patient education, self-care interventions, and systemic reforms. Structured education-particularly when reinforced postdischarge through methods like teach-back, tele-coaching, and home visits-has consistently demonstrated improved self-management, symptom recognition, and quality of life.
View Article and Find Full Text PDFJMIR Public Health Surveill
September 2025
Hospital Israelita Albert Einstein, 755 Comendador Elias Jafet Street, L1 Floor, Room 134, São Paulo, 05653-000, Brazil.
Background: The Brazilian project, launched in 2021, aims to establish a nationwide injury registry that systematically collects detailed information on incidents and individuals across the country, regardless of injury severity. The registry integrates information from prehospital and hospital care, various health systems lacking interoperability, and data from sectors such as firefighters and police. Its primary aim is to enhance health surveillance by providing timely, high-quality information that guides prevention strategies and informs policymaking.
View Article and Find Full Text PDFJMIR Med Inform
September 2025
College of Medical Informatics, Chongqing Medical University, 1 Yixueyuan Road, Yuzhong District, Chongqing, 400016, China, 86 13500303273.
Background: Cirrhosis is a leading cause of noncancer deaths in gastrointestinal diseases, resulting in high hospitalization and readmission rates. Early identification of high-risk patients is vital for proactive interventions and improving health care outcomes. However, the quality and integrity of real-world electronic health records (EHRs) limit their utility in developing risk assessment tools.
View Article and Find Full Text PDFEpidemiol Serv Saude
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Universidade Federal de Minas Gerais, Escola de Enfermagem,Departamento de Gestão em Saúde, Belo Horizonte, MG, Brasil.
Objective: To analyze the sociodemographic profile of elderly individuals hospitalized in a medium and high complexity hospital in Belo Horizonte, with emphasis on reasons for hospitalization, length of hospital stay, and factors associated with risk of death.
Methods: This is a descriptive, quantitative, cross-sectional study based on data from electronic medical records of elderly individuals (≥60 years) treated between 2015 and 2019 at a referral hospital for multiple trauma in Belo Horizonte. The variables investigated included age, sex, marital status, municipality of origin, reason for hospitalization, and length of stay.