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Current advancements in application of artificial intelligence in clinical decision-making by gastroenterologists in gastrointestinal bleeding

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Artificial Intelligence in Gastroenterology 2022年第1期3卷 13-20页

作者： hasan maulahela Nagita Gianty Annisa Department of Internal Medicine Gastroenterology DivisionFaculty of Medicine University of Indonesia-Cipto Mangunkusumo General Central National HospitalJakarta 10430Indonesia Faculty of Medicine University of IndonesiaJakarta 10430Indonesia

Artificial Intelligence(AI)is a type of intelligence that comes from machines or computer systems that mimics human cognitive ***,AI has been utilized in medicine and helped clinicians make clinical *** gastroenterology,AI has assisted colon polyp detection,optical biopsy,and diagnosis of Helicobacter pylori *** also has a broad role in the clinical prediction and management of gastrointestinal *** learning can determine the clinical risk of upper and lower gastrointestinal *** can assist the management of gastrointestinal bleeding by identifying high-risk patients who might need urgent endoscopic treatment or blood transfusion,determining bleeding stigmata during endoscopy,and predicting recurrence of gastrointestinal *** present review will discuss the role of AI in the clinical prediction and management of gastrointestinal bleeding,primarily on how it could assist gastroenterologists in their clinical decision-making compared to conventional *** review will also discuss challenges in implementing AI in routine practice.

关键词： Gastrointestinal bleeding Artificial intelligence Machine learning Artificial neural networks Clinical decision making

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Colorectal cancer patients in a tertiary hospital in Indonesia: Prevalence of the younger population and associated factors

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World Journal of Clinical Cases 2021年第32期9卷 9804-9814页

作者： Dadang Makmun Marcellus Simadibrata Murdani Abdullah Ari F Syam Hamzah Shatri Achmad Fauzi KakaRenaldi hasan maulahela Amanda P Utari Rabbinu R Pribadi Virly N Muzellina Saskia A Nursyirwan Division of Gastroenterology Pancreatobiliary&Digestive EndoscopyDepartment of Internal MedicineFaculty of Medicine Universitas Indonesia-Cipto Mangunkusumo National General HospitalJakarta 10430Indonesia Clinical Epidemiology Unit Department of Internal MedicineFaculty of Medicine Universitas Indonesia-Cipto Mangunkusumo National General HospitalJakarta 10430Indonesia

BACKGROUND An increasing trend in colorectal cancer(CRC)occurring at younger ages has been observed worldwide,even though incidence is declining in the general *** currently available guidelines still recommend CRC screening for older populations,despite an alarming rise in early-onset CRC *** stratification is necessary to further determine the population most at risk for early-onset ***,epidemiological data on related clinical characteristics and potential risk factors,especially in developing countries,have not been widely *** To investigate the prevalence,demographics,clinicopathologic features,and associated factors of young-onset CRC patients in a tertiary hospital in *** Patients undergoing colonoscopy examination between 2008 and 2019,yielding a diagnosis of CRC were identified from medical *** subjects were classified into two groups according to their age at diagnosis,namely early-onset(18-49 years old)and late-onset(≥50-years-old).Demographic data,characteristics,and risk factors of both onset age groups were evaluated using the chisquare and Fisher’s exact *** Among 495 CRC patients confirmed by histopathology,205(41.4%)were classified as early-onset and 290(58.6%)as *** subjects in the earlyonset CRC group were male(53.7%),with 89.8%displaying adenocarcinoma histopathology.A majority(78%)of the early-onset CRC patients had left-sided tumors,with the rectum(41%)and rectosigmoid(17.6%)being the most common *** pain was the most frequent symptom in the early-onset CRC patients(55.6%),which was significantly higher than that in the late-onset CRC patients(43.8%,P<0.05).Early-onset CRC cases were more likely to be underweight(34.6%vs 20.0%,P<0.001)compared to late-onset CRC *** proportion of subjects with suspected hereditary nonpolyposis colorectal cancer(HNPCC)was also higher in the early-onset CRC group than in the late-onset age group(9.3%vs 4.1%,P<0.05).

关键词： Colorectal cancer Early onset Epidemiology Associated factors Tertiary hospital Indonesia

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Simulation-based mastery learning in gastrointestinal endoscopy training

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World Journal of Gastrointestinal Endoscopy 2022年第9期14卷 512-523页

作者： hasan maulahela Nagita Gianty Annisa Tiffany Konstantin Ari Fahrial Syam Roy Soetikno Department of Internal Medicine Gastroenterology DivisionFaculty of Medicine University of Indonesia-Cipto Mangunkusumo General Central National HospitalJakarta 10430Indonesia Tiffany Konstantin Faculty of MedicineUniversity of IndonesiaJakarta 10430Indonesia

Simulation-based mastery learning(SBML)is an emerging form of competencybased training that has been proposed as the next standard method for procedural task training,including that in gastr-ointestinal *** basic gastrointestinal endoscopy training relies on the number of procedures performed,and it has been criticized for its lack of objective standards that result in variable skills among trainees and its association with patient safety ***,incorporating simulators into a competency-based curriculum seems ideal for gastrointestinal endoscopy *** curriculum for SBML in gastrointestinal endoscopy is currently being developed and has promising potential to translate into the clinical *** the present apprenticeship model of“see one,do one,teach one,”SBML integrates a competency-based curriculum with specific learning objectives alongside simulation-based *** allows trainees to practice essential skills repeatedly,receive feedback from experts,and gradually develop their abilities to achieve ***,trainees and trainers need to understand the learning targets of the program so that trainees can focus their learning on the necessary skills and trainers can provide structured feedback based on the expected *** addition to learning targets,an assessment plan is essential to provide trainees with future directions for their improvement and ensure patient safety by issuing a passing ***,the SBML program should be planned and managed by a specific team and conducted within a developed and tested *** review discusses the current state of gastr-ointestinal endoscopy training and the role of SBML in that field.

关键词： Simulation training Education Endoscopy Mastery learning Competency-based education Curriculum

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