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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

520
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
520
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

299
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
299
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

364
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
364
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

436
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
436
Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

652
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
652
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

437
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
437

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Updated: Jan 7, 2026

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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临床表现 临床表现

Michael J Kleiman1, Katana Rader1, Simone Camacho2

  • 1University of Miami Miller School of Medicine, Boca Raton, FL, USA.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
概括
此摘要是机器生成的。

大型语言模型 (LLM) 在评分叙事回忆测试方面表现有前途,与人类评分器相对应,并改善认知状态歧视. 虽然对研究来说很有前途,但LLM在临床使用之前需要进一步开发,因为它们的可变性.

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科学领域:

  • 神经科学是一个神经科学.
  • 人工智能的人工智能
  • 认知心理学 认知心理学

背景情况:

  • 临床神经心理评估,特别是叙事回忆测试,对于实时评分具有挑战性.
  • 后期评分可以提高准确性,但耗时.
  • 大型语言模型 (LLM) 提供了可靠和一致的口头答案评分的潜力.

研究的目的:

  • 为了评估ChatGPT-4o在Craft Story 21评估中得分的有效性.
  • 为了将LLM评分与人类评分器的表现进行比较.
  • 探索LLMs作为神经心理评估评分的可靠和经济有效的替代方案的潜力.

主要方法:

  • 28名参与者 (14名MCI,14名CN) 完成了Craft Story 21评估 (立即和延迟召回).
  • 聊天GPT-4o提供了人为纠正的成绩单和两套评分标准 (标准和新).
  • 采用了少量射击和连锁思维促使的策略.

主要成果:

  • 在立即回忆 (r=0.654) 和延迟回忆 (r=0.655) 两方面,LLM评分与人类评分器显示了中等的相关性.
  • 在LLM (ICC2k=0.580) 和人类评分器 (ICC2k=0.574) 之间,评分器间的可靠性是可比的.
  • 与人类评分 (AUC=0.638) 相比,LLM评分显示了对即时回忆的认知状态的优越歧视 (AUC=0.765).

结论:

  • 在研究目的中,LLM显示出作为人类评分的可靠,经济有效的替代品的潜力.
  • 目前的LLM技术是过早的临床设置,由于幻觉和得分的变化.
  • 在不久的将来,LLM的进步可能会导致可行的临床应用.