Artificial intelligence (AI)-based diagnostic algorithms have achieved ambitious aims through automated image pattern recognition. For neurological disorders, this includes neurodegeneration and inflammation. Scalable imaging technology for big data in neurology is optical coherence tomography (OCT). We highlight that OCT changes observed in the retina, as a window to the brain, are small, requiring rigorous quality control pipelines. There are existing tools for this purpose. Firstly, there are human-led validated consensus quality control criteria (OSCAR-IB) for OCT. Secondly, these criteria are embedded into OCT reporting guidelines (APOSTEL). The use of the described annotation of failed OCT scans advances machine learning. This is illustrated through the present review of the advantages and disadvantages of AI-based applications to OCT data. The neurological conditions reviewed here for the use of big data include Alzheimer disease, stroke, multiple sclerosis (MS), Parkinson disease, and epilepsy. It is noted that while big data is relevant for AI, ownership is complex. For this reason, we also reached out to involve representatives from patient organizations and the public domain in addition to clinical and research centers. The evidence reviewed can be grouped in a five-point expansion of the OSCAR-IB criteria to embrace AI (OSCAR-AI). The review concludes by specific recommendations on how this can be achieved practically and in compliance with existing guidelines.
This paper examines one aspect of the two-way cultural traffic between London and Padua: how the city of Padua figured in debates about the nature of masculinity in early modern London, especially its theatres. Invariably known primarily for its university—noted by Coryat and Moryson, a tourist attraction for Chaucer, Sidney, and Milton—the name “Padua” became synonymous with “erudition.” While learnedness was in theory a positive quality, the place of learnedness in a declining honor culture and its complex role in constituting masculinity remained a contentious subject. English writers by turns envied or scorned the learning acquired in Italy, and invocations of Padua and its link to rapier fencing resulted in a series of contradictory figures in the drama of Shakespeare and Webster: doctors, pedants, enlightened philosophers, lovers, murderers for hire.
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