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A pilot study has been performed in order to evaluate the learn- ing effectiveness and usability of the proposal. Results support that playing the video games makes this tedious multiplication practice more enjoyable and attractive for children so they improve their math skills.Reliable data exchange and efficient image transfer are currently significant research challenges in health care systems. To incentivize data exchange within the Internet of Things (IoT) framework, we need to ensure data sovereignty by facilitating secure data exchange between trusted parties. The security and reliability of data-sharing infrastructure require a community of trust. Therefore, this paper introduces an encryption frame based on data fragmentation. It also presents a novel, deterministic grey-scale optical encryption scheme based on fundamental mathematics. The objective is to use encryption as the underlying measure to make the data unintelligible while exploiting fragmentation to break down sensitive relationships between attributes. Thus, sensitive data distributed in separate data repositories for decryption and reconstruction using interpolation by knowing polynomial coefficients and personal values from the DBMS Database Management System. Aims also to ensure the secure acquisition of diagnostic images, micrography, and all types of medical imagery based on probabilistic approaches. Visual sharing of confidential medical imageries based on implementing a novel method, where transparencies ≤k - 1 out of n cannot reveal the original image.Artificial intelligence is a future and valuable tool for early disease recognition and support in patient condition monitoring. It can increase the reliability of the cure and decision making by developing useful systems and algorithms. Healthcare workers, especially nurses and physicians, are overworked due to a massive and unexpected increase in the number of patients during the coronavirus pandemic. In such situations, artificial intelligence techniques could be used to diagnose a patient with life-threatening illnesses. In particular, diseases that increase the risk of hospitalization and death in coronavirus patients, such as high blood pressure, heart disease and diabetes, should be diagnosed at an early stage. This article focuses on diagnosing a diabetic patient through data mining techniques. If we are able to diagnose diabetes in the early stages of the disease, we can force patients to stay home and care for their health, so the risk of being infected with the coronavirus would be reduced. The proposed method has three steps preprocessing, feature selection and classification. Several combinations of Harmony search algorithm, genetic algorithm, and particle swarm optimization algorithm are examined with K-means for feature selection. read more The combinations have not examined before for diabetes diagnosis applications. K-nearest neighbor is used for classification of the diabetes dataset. Sensitivity, specificity, and accuracy have been measured to evaluate the results. The results achieved indicate that the proposed method with an accuracy of 91.65% outperformed the results of the earlier methods examined in this article.

Practice patterns for treatment of localized adult pleomorphic rhabdomyosarcoma (PRMS) remain quite variable given its rarity. Current national guidelines recommend management similar to that of other high-grade soft tissue sarcomas (STS), which include surgery with perioperative radiation (RT) with or without chemotherapy. Using the National Cancer Database (NCDB), we assessed practice patterns and overall outcomes of patients with localized PRMS.

. Patients with stage II/III PRMS treated with surgical resection from 2004 to 2015 were identified from the NCDB. Predictors of RT and chemotherapy use were assessed using multivariable logistic regression analysis. The association of radiation and chemotherapy status on overall survival was assessed using Kaplan-Meier and Cox proportional hazards analyses.

Of 243 total patients, RT and chemotherapy were not uniformly utilized, with 44% receiving chemotherapy and in those who did not undergo amputation 62% receiving RT. In those who did not undergo amputatiowarranted.

A significant proportion of patients with localized adult PRMS are not receiving RT. Likewise, use of chemotherapy was heterogeneous. Our findings note potential benefits and underutilization of RT, for which further investigation is warranted.

Traditionally, centralization of the fibula with fusion across the tibiotalar joint has been used to reconstruct distal tibial defects. Although effective, it requires long periods of protected weight-bearing. The fibula or the fixation often fails before fibular hypertrophy necessitating multiple additional surgeries. A method of using ECRT with the available ipsilateral fibula (nonvascularized) to reconstruct the distal tibia defect with the aim of early return to weight-bearing was evolved. This paper documents our early experience.

. Four patients; with the diagnosis of osteosarcoma in 3 patients and recurrent giant cell tumor of the bone in 1 patient, underwent resection of the distal tibia for tumors between 2017 and 2019. Extracorporeally irradiated (50 Gy) distal tibia along with ipsilateral nonvascularized fibula was used to bridge the defect and fuse the tibiotalar joint. A plate was used to rigidly hold the construct. The final outcome was compared to the historical control group that underwentan 80 weeks) in the control group.

We think that ECRT with ipsilateral vascularized fibula is a promising method of reconstructing the distal tibia. The recycled autograft tibia added strength to the distal tibia construct in our study and aided the anatomical reconstruction of the distal tibia. The patient-reported outcomes for cosmesis and acceptability add to the benefits of performing this procedure. Consistent early union across the proximal junction and earlier weight-bearing were clear advantages of this method.

We think that ECRT with ipsilateral vascularized fibula is a promising method of reconstructing the distal tibia. The recycled autograft tibia added strength to the distal tibia construct in our study and aided the anatomical reconstruction of the distal tibia. The patient-reported outcomes for cosmesis and acceptability add to the benefits of performing this procedure. Consistent early union across the proximal junction and earlier weight-bearing were clear advantages of this method.