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Perspective: Is It Time to Rename MSC (Mesenchymal Stem Cells/Medicinal Signaling Cells) with a Name that Reflects Their Combined In Vivo Functions and Their In Vitro Abilities?—Possibly “Pluripotent Mesenchymal Regulatory Cells (PMRC)” 观点:是时候重新命名MSC(间充质干细胞/药物信号细胞),以反映其体内功能和体外能力的名称吗?-可能是“多能间充质调节细胞(PMRC)”
Pub Date : 2021-08-31 DOI: 10.4236/jbise.2021.148027
D. Hart
Over 30 years ago, it was reported by Caplan that cells could be found in various adult tissues and fluids of a variety of species that could be induced in vitro to progress towards lineages such as chondrogenesis, osteogenesis and adipogenesis with different “cocktails” of reagents. These cells were called Mesenchymal Stem Cells (MSC) to reflect this pluripotency. After 30 years of intense research effort to directly use such cells for the repair or regeneration of damaged or injured tissues, the effort has met with limited in vivo success, but their use for in vitro tissue engineering has met with some success. This failure to live up to expectations for in vivo differentiation success has led Caplan to recently rename these cells Medicinal Signaling Cells (MSC) to reflect other abilities of these cells to secrete mediators and release exosomes containing biologically active molecules that can influence their neighboring cells in a paracrine manner. However, neither of these names completely captures the combined apparent in vivo functioning of MSC and their in vitro abilities to exhibit pluripotent behavior. Thus, it is suggested, based on the attributes of these cells and their tissue and clonal heterogeneity, that an alternative name be applied to these cells and they be described as Pluripotent Mesenchymal Regulatory Cells (PMRC). This name reflects their regulatory function as pericytes in tissues, as well as their well-known immunoregulatory activity when injected into the intra-articular space and their influence on activities such as wound healing. It also reflects their ability to differentiate along several different lineages to facilitate tissue engineering approaches for tissue repair.
30多年前,Caplan报道,可以在各种物种的各种成人组织和液体中发现细胞,这些细胞可以通过不同的“鸡尾酒”试剂在体外诱导向软骨形成、成骨形成和脂肪形成等谱系发展。这些细胞被称为间充质干细胞(MSC),以反映这种多能性。经过30年的紧张研究,直接使用这些细胞来修复或再生受损或受伤的组织,这一努力在体内取得了有限的成功,但它们在体外组织工程中的应用取得了一些成功。由于未能达到体内分化成功的预期,Caplan最近将这些细胞重新命名为药物信号细胞(MSC),以反映这些细胞分泌介质和释放含有生物活性分子的外泌体的其他能力,这些外泌体可以以旁分泌方式影响邻近细胞。然而,这两个名称都不能完全描述MSC在体内的明显功能及其在体外表现出的多能性行为的能力。因此,根据这些细胞的性质及其组织和克隆异质性,建议将这些细胞命名为多能间充质调节细胞(PMRC)。这个名字反映了它们在组织中作为周细胞的调节功能,以及它们注射到关节内空间时众所周知的免疫调节活性,以及它们对伤口愈合等活动的影响。这也反映了它们沿几种不同谱系分化的能力,以促进组织修复的组织工程方法。
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引用次数: 3
Inverse Molecule Design with Invertible Neural Networks as Generative Models 以可逆神经网络为生成模型的逆分子设计
Pub Date : 2021-07-30 DOI: 10.4236/jbise.2021.147026
Wei Hu
Using neural networks for supervised learning means learning a function that maps input x to output y. However, in many applications, the inverse learning is also wanted, i.e., inferring y from x, which requires invertibility of the learning. Since the dimension of input is usually much higher than that of the output, there is information loss in the forward learning from input to output. Thus, creating invertible neural networks is a difficult task. However, recent development of invertible learning techniques such as normalizing flows has made invertible neural networks a reality. In this work, we applied flow-based invertible neural networks as generative models to inverse molecule design. In this context, the forward learning is to predict chemical properties given a molecule, and the inverse learning is to infer the molecules given the chemical properties. Trained on 100 and 1000 molecules, respectively, from a benchmark dataset QM9, our model identified novel molecules that had chemical property values well exceeding the limits of the training molecules as well as the limits of the whole QM9 of 133,885 molecules, moreover our generative model could easily sample many molecules (x values) from any one chemical property value (y value). Compared with the previous method in the literature that could only optimize one molecule for one chemical property value at a time, our model could be trained once and then be sampled any multiple times and for any chemical property values without the need of retraining. This advantage comes from treating inverse molecule design as an inverse regression problem. In summary, our main contributions were two: 1) our model could generalize well from the training data and was very data efficient, 2) our model could learn bidirectional correspondence between molecules and their chemical properties, thereby offering the ability to sample any number of molecules from any y values. In conclusion, our findings revealed the efficiency and effectiveness of using invertible neural networks as generative models in inverse molecule design.
使用神经网络进行监督学习意味着学习一个将输入x映射到输出y的函数。然而,在许多应用中,也需要逆学习,即从x推断y,这需要学习的可逆性。由于输入的维数通常远高于输出的维数,因此在从输入到输出的前向学习中存在信息损失。因此,创建可逆神经网络是一项艰巨的任务。然而,最近发展的可逆学习技术,如归一化流,使可逆神经网络成为现实。在这项工作中,我们将基于流的可逆神经网络作为生成模型应用于逆分子设计。在这种情况下,正向学习是预测给定分子的化学性质,而反向学习是推断给定化学性质的分子。从基准数据集QM9中分别训练100和1000个分子,我们的模型识别出具有化学性质值的新分子,这些新分子的化学性质值远远超过训练分子的极限,以及整个QM9的133,885个分子的极限,此外,我们的生成模型可以轻松地从任何一个化学性质值(y值)中采样许多分子(x值)。与以往文献中每次只能对一个分子的一个化学性质值进行优化的方法相比,我们的模型可以训练一次,然后对任何化学性质值进行任意多次采样,而无需再训练。这种优势来自于将反分子设计作为逆回归问题来处理。综上所述,我们的主要贡献有两点:1)我们的模型可以很好地从训练数据中泛化,并且数据效率很高;2)我们的模型可以学习分子及其化学性质之间的双向对应关系,从而提供从任何y值中采样任意数量分子的能力。总之,我们的研究结果揭示了在反分子设计中使用可逆神经网络作为生成模型的效率和有效性。
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引用次数: 5
Demonstration of the Source of Motor Program Signal: Study on the Correlation between Muscle Strength and sEMG Signal in Normal Children and Adults 运动程序信号来源的论证:正常儿童和成人肌肉力量与肌电信号的相关性研究
Pub Date : 2021-06-08 DOI: 10.4236/JBISE.2021.146020
Ming Qi, Xiujuan Xie, Haiying Pang, Y. Sun, Chengqian Fang, Wenru Zhao
To investigate the relationship between muscle strength and sEMG of biceps brachii during elbow flexion by measuring the maximum muscle strength and sEMG value of normal children and adults, and to analyze their sources, so as to lay a theoretical foundation for the method of motor program reconstruction to restore the function after brain injury, 30 healthy children aged 9 - 10 years and 30 adults aged 20 - 30 years were randomly selected. The muscle strength and sEMG of biceps brachii during elbow flexion were detected and recorded, and the data were statistically analyzed. The muscle strength of children was significantly lower than that of adults (P
通过测量正常儿童和成人的最大肌力和肌电图值,探讨屈肘过程中肱二头肌肌力与肌电图的关系,并分析其来源,为脑损伤后运动程序重建恢复功能的方法奠定理论基础,随机选取30名9 - 10岁健康儿童和30名20 - 30岁成人。检测并记录屈肘过程中肱二头肌的肌力和肌电图,并对数据进行统计学分析。儿童肌肉力量显著低于成人(P
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引用次数: 0
Investigating Neural Representation of Finger-Movement Directions Using Electroencephalography Independent Components 利用脑电图独立分量研究手指运动方向的神经表征
Pub Date : 2021-06-08 DOI: 10.4236/JBISE.2021.146021
M. Tellache, H. Kambara, Y. Koike, M. Miyakoshi, N. Yoshimura
There are few EEG studies on finger movement directions because ocular artifacts also convey directional information, which makes it hard to separate the contribution of EEG from that of the ocular artifacts. To overcome this issue, we designed an experiment in which EEG’s temporal dynamics and spatial information are evaluated together to improve the performance of brain-computer interface (BCI) for classifying finger movement directions. Six volunteers participated in the study. We examined their EEG using decoding analyses. Independent components (ICs) that represented brain-source signals successfully classified the directions of the finger movements with higher rates than chance level. The weight analyses of the classifiers revealed that maximal performance of the classification was recorded at the latencies prior to the onset of finger movements. The weight analyses also revealed the relevant cortical areas including the right lingual, left posterior cingulate, left inferior temporal gyrus, and right precuneus, which indicated the involvement of the visuospatial processing. We concluded that combining spatial distribution and temporal dynamics of the scalp EEG may improve BCI performance.
由于眼伪影也传递方向信息,因此对手指运动方向的EEG研究很少,很难将EEG的贡献与眼伪影的贡献区分开来。为了克服这一问题,我们设计了一种同时评估EEG时间动态和空间信息的实验,以提高脑机接口(BCI)在手指运动方向分类中的性能。6名志愿者参加了这项研究。我们用解码分析检查了他们的脑电图。代表脑源信号的独立分量(ic)以高于随机水平的速率成功地对手指运动方向进行了分类。分类器的权重分析显示,在手指运动开始前的潜伏期记录了最大的分类性能。重量分析还揭示了右侧舌区、左侧后扣带区、左侧颞下回区和右侧楔前叶区等相关皮质区域,提示了视觉空间加工的参与。我们认为,结合头皮脑电的空间分布和时间动态可以改善脑机接口的性能。
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引用次数: 0
The Use of Artificial Intelligence on Colposcopy Images, in the Diagnosis and Staging of Cervical Precancers: A Study Protocol for a Randomized Controlled Trial 人工智能在阴道镜图像上的应用,在宫颈癌前病变的诊断和分期:一项随机对照试验的研究方案
Pub Date : 2021-06-08 DOI: 10.4236/jbise.2021.146022
A. Luca, Tudor Florin Ursuleanu, L. Gheorghe, Roxana Grigorovici, Stefan Iancu, Maria Hlusneac, C. Preda, A. Grigorovici
Rationale and Objectives: Accurate diagnosis and staging of cervical precancers is essential for practical medicine in determining the extent of the lesion extension and determines the most correct and effective therapeutic approach. For accurate diagnosis and staging of cervical precancers, we aim to create a diagnostic method optimized by artificial intelligence (AI) algorithms and validated by achieving accurate and favorable results by conducting a clinical trial, during which we will use the diagnostic method optimized by artificial intelligence (AI) algorithms, to avoid errors, to increase the understanding on interpretation of colposcopy images and improve therapeutic planning. Materials and Methods: The optimization of the method will consist in the development and formation of artificial intelligence models, using complicated convolutional neural networks (CNN) to identify precancers and cancers on colposcopic images. We will use topologies that have performed well in similar image recognition projects, such as Visual Geometry Group Network (VGG16), Inception deep neural network with an architectural design that consists of repeating components referred to as Inception modules (Inception), deeply separable convolutions that significantly reduce the number of parameters (MobileNet) that is a class of Convolutional Neural Network (CNN), Return of investment for machine Learning (ROI), Fully Convolutional Network (U-Net) and Overcomplete Convolutional Network Kite-Net (KiU-Net). Validation of the diagnostic method, optimized by algorithm of artificial intelligence will consist of achieving accurate results on diagnosis and staging of cervical precancers by conducting a randomized, controlled clinical trial, for a period of 17 months. Results: We will validate the computer assisted diagnostic (CAD) method through a clinical study and, secondly, we use various network topologies specified above, which have produced promising results in the tasks of image model recognition and by using this mixture. By using this method in medical practice, we aim to avoid errors, provide precision in diagnosing, staging and establishing the therapeutic plan in cervical precancers using AI. Conclusion: This diagnostic method, optimized by artificial intelligence algorithms and validated by the clinical trial, which we consider “second opinion”, improves the quality standard in diagnosing, staging and establishing therapeutic conduct in cervical precancer.
理由与目的:宫颈癌前病变的准确诊断和分期对于确定病变扩展程度和确定最正确有效的治疗方法至关重要。为了对宫颈癌前病变进行准确的诊断和分期,我们的目标是创建一种通过人工智能算法优化的诊断方法,并通过临床试验获得准确和有利的结果进行验证,在临床试验中,我们将使用人工智能算法优化的诊断方法,避免错误,增加对阴道镜图像解释的理解,改进治疗计划。材料和方法:该方法的优化将包括开发和形成人工智能模型,使用复杂卷积神经网络(CNN)识别阴道镜图像上的癌前病变和癌症。我们将使用在类似的图像识别项目中表现良好的拓扑结构,如视觉几何组网络(VGG16),盗梦深度神经网络,其架构设计由重复的组件组成,称为盗梦模块(盗梦),深度可分离卷积,显着减少参数数量(MobileNet),这是卷积神经网络(CNN)的一类,机器学习的投资回报(ROI),全卷积网络(U-Net)和超完全卷积网络风筝网(KiU-Net)。通过人工智能算法优化的诊断方法的验证将包括通过进行为期17个月的随机对照临床试验,获得宫颈癌前病变的准确诊断和分期结果。结果:我们将通过临床研究验证计算机辅助诊断(CAD)方法,其次,我们使用上述指定的各种网络拓扑,这些拓扑在图像模型识别任务和使用这种混合物中产生了有希望的结果。将该方法应用于医疗实践,目的是避免错误,利用人工智能对宫颈癌前病变进行准确的诊断、分期和制定治疗方案。结论:该诊断方法经人工智能算法优化,经临床试验验证,考虑“第二意见”,提高了宫颈癌前病变的诊断、分期和建立治疗行为的质量标准。
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引用次数: 2
Analysis of the Influence of Parafunctional Loads on the Bone-Prosthesis System: A Non-Linear Finite Element Analysis 副功能载荷对骨-假体系统影响的非线性有限元分析
Pub Date : 2021-06-08 DOI: 10.4236/JBISE.2021.146019
H. Losada, E. Gonçalves, J. Valin, Luis Ide
The present study evaluates the effects of occlusal loading on an implant-supported dental implant with external hexagon dental implant-abutment systems, using the finite element method analysis. Tensile analyses were performed to simulate different axial and obliquous masticatory loads. The influence of the variations in the contouring conditions of the interfaces was analyzed to weigh the osseointegration with linear and non-linear cases, by means of a parametric design. The geometry selected to place the prostheses was a jaw section, considering the properties of the set of cortical and trabecular bones. The results show that for non-linear contour conditions, the stress presents smaller value distributions and signals a different place in the screw-implant interface as the factor of the greater weight in this study. The location indicated that von Mises stress concentrations are not exclusive to the contact regions studied, moving to an area that is not in direct contact with the non-linear contact interfaces. In addition, the direction of load with an angle of 15 degrees presented the highest values of von Mises stress.
本研究采用有限元分析方法,评估了咬合载荷对具有外六角种植体-基牙系统的种植体支撑种植体的影响。进行拉伸分析以模拟不同的轴向和倾斜咀嚼负荷。通过参数设计,分析了界面轮廓条件变化的影响,以衡量线性和非线性情况下的骨整合。考虑到皮质骨和小梁骨的特性,选择放置假体的几何形状是颌骨截面。结果表明,在非线性轮廓条件下,应力呈现较小的值分布,并表明螺钉-植入物界面中的不同位置是本研究中较大重量的因素。该位置表明,von Mises应力集中并非仅限于所研究的接触区域,而是移动到与非线性接触界面不直接接触的区域。此外,角度为15度的荷载方向呈现出最大的von Mises应力值。
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引用次数: 1
Optimization of Maturation of Radio-Cephalic Arteriovenous Fistula Using a Model Relating Energy Loss Rate and Vascular Geometric Parameters 用能量损失率和血管几何参数相关模型优化头桡动静脉瘘的成熟度
Pub Date : 2021-06-08 DOI: 10.4236/jbise.2021.146023
Yang Yang, N. D. Schiava, P. Kulisa, M. Hajem, B. Bou-Saïd, S. Simoëns, P. Lermusiaux
The main reason for the early failure of radio-cephalic arteriovenous fistula (RCAVF) is non-maturity, which means that the blood flow rate in the fistula cannot increase to the expected value for dialysis. From a mechanical perspective, the vascular resistance at the artificially designed anastomosis causes an energy loss that affects blood flow rate growth and leads to early failure. This research studied how to maximize the RCAVF maturity and primary patency by controlling the energy loss rate. We theoretically analyzed and derived a model that evaluates the energy loss rate Eavf in RCAVF as a function of its blood vessel geometric parameters (GPs) for given flow rates. There was an aggregate of five controllable GPs in RCAVF: radial artery diameter (Dra), cephalic vein diameter (Dcv), blood vessel distance between artery and vein (h), anastomotic diameter (Da), and anastomotic angle (θ). Through this analysis, it was found that Eavf was inversely proportional to Dra, Dcv, Da, and θ, whereas proportional to h. Therefore, we recommended surgeons choose the vessels with large diameters, close distance, and increase the diameter and angle of the anastomosis to decrease the early failure of RCAVF. Simultaneously, we could explain the results of many clinical empiricisms with our formula. We found that increasing Dcv and θ was more significant in reducing Eavf than increasing Dra and Da. Based on our model, we could define two critical energy loss rates (CELa, CELb) to help surgeons evaluate the blood vessels and choose the ideal range of θ, and help them design the preoperative RCAVF plan for each patient to increase the maturity and the primary patency of RCAVF.
射频-头侧动静脉瘘(RCAVF)早期失败的主要原因是未成熟,即瘘内的血流量不能增加到透析的期望值。从力学角度看,人工设计的吻合口处的血管阻力造成能量损失,影响血流速率的增长,导致早期衰竭。本研究研究了如何通过控制能量损失率来最大化RCAVF的成熟度和初级通畅。我们从理论上分析并推导了一个模型,该模型评估了RCAVF中的能量损失率Eavf作为给定流速下其血管几何参数(GPs)的函数。RCAVF有5个可控制的GPs:桡动脉直径(Dra)、头静脉直径(Dcv)、动静脉间血管距离(h)、吻合口直径(Da)、吻合角(θ)。通过分析发现,Eavf与Dra、Dcv、Da、θ成反比,与h成正比。因此,我们建议外科医生选择直径大、距离近的血管,增加吻合口直径和吻合角度,以减少RCAVF的早期衰竭。同时,我们可以用我们的公式来解释许多临床经验的结果。我们发现增加Dcv和θ比增加Dra和Da更能降低Eavf。基于我们的模型,我们可以定义两个临界能量损失率(CELa, CELb),以帮助外科医生评估血管和选择理想的θ范围,并帮助他们为每位患者设计术前RCAVF计划,以提高RCAVF的成熟度和初级通畅度。
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引用次数: 1
Obesity, the Obesity Epidemic, and Metabolic Dysfunction: The Conundrum Presented by the Disconnect between Evolution and Modern Societies 肥胖、肥胖流行病和代谢功能障碍:进化与现代社会脱节带来的难题
Pub Date : 2021-05-14 DOI: 10.4236/JBISE.2021.145017
D. Hart
Currently, there is an obesity epidemic in the developed world, with both adults and children being affected. The consequences of this epidemic on health and health outcomes have impact at multiple levels, and it is increasing. The basis for this epidemic, which appears to have emerged with significance ~40 - 50 years ago, is unknown but is believed by many to have much of its basis in poor diets and inactivity/sedentary behaviour. Analysis of the human genome has revealed >100 loci which exhibit risk for development of obesity. Why there are so many loci, and how they benefited humans evolutionarily are unknown. In spite of these limitations, there are urgent needs for effective short-term interventions to assist those with obesity, as well as longer-term needs to effectively prevent development of obesity. For the former, personalized exercise programs, use of prebiotics, optimal nutrition and surgical interventions can be effective for some individuals but more interventions that address cause are also needed. For longer term solutions more detailed genetic and epigenetic understanding of risk will be required. An attractive speculation is that the genomic risk factors for obesity (>100 identified) have been retained evolutionarily to address acute metabolic needs and current conditions have converted such risks to a chronic state, making reversal more difficult and with more consequences, including possible epigenetic modifications of risk genes. Other contributing factors to chronic obesity could also relate to chemical disruptors in the environment over the past 50+ years which may impact metabolic regulation via the established risk genomic risk factors or new variants. Therefore, to effectively control this high impact epidemic of obesity likely requires a more detailed genetic and epigenetic analysis of families with obesity and analysis of isolated populations, as well as a more thorough investigation of chemicals capable of being metabolic disruptors in this regard. Thus, the long-term solution(s) to the obesity epidemic will require a concerted multidisciplinary approach that may be more complex than just becoming more active and avoiding sedentary behavior.
目前,肥胖在发达国家流行,成人和儿童都受到影响。这一流行病对健康和健康结果的影响在多个层面上产生,而且还在增加。这种流行病似乎在大约40-50年前就已经出现,其基础尚不清楚,但许多人认为其很大程度上是基于不良饮食和不活动/久坐行为。对人类基因组的分析显示,超过100个基因座具有发展为肥胖的风险。为什么有这么多基因座,以及它们如何在进化上造福于人类,都是未知的。尽管存在这些局限性,但迫切需要有效的短期干预措施来帮助肥胖者,也迫切需要长期干预措施来有效预防肥胖的发展。对于前者,个性化的锻炼计划、益生元的使用、最佳营养和手术干预对一些人来说可能是有效的,但还需要更多的干预措施来解决病因。对于长期解决方案,需要对风险进行更详细的遗传和表观遗传学理解。一个有吸引力的猜测是,肥胖的基因组风险因素(>100个已确定)在进化上被保留下来,以满足急性代谢需求,而当前的条件已将这种风险转化为慢性状态,使逆转变得更加困难,并产生更多后果,包括风险基因可能的表观遗传学修饰。慢性肥胖的其他促成因素也可能与过去50多年环境中的化学干扰因素有关,这些化学干扰因素可能通过已确定的风险基因组风险因素或新的变体影响代谢调节。因此,要有效控制这种影响巨大的肥胖流行病,可能需要对肥胖家庭进行更详细的遗传和表观遗传学分析,对孤立人群进行分析,并对这方面可能成为代谢破坏者的化学物质进行更彻底的调查。因此,肥胖流行病的长期解决方案将需要一种协调一致的多学科方法,这种方法可能比变得更加活跃和避免久坐行为更复杂。
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引用次数: 5
Design and Evaluation of a Vision-Based UI for People with Large Cognitive-Motor Disabilities 基于视觉的重度认知运动障碍用户界面设计与评价
Pub Date : 2021-04-30 DOI: 10.4236/JBISE.2021.144016
S. Martinez, A. P. Benavent, Juan Martinez
,
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引用次数: 0
Risk Evaluation in Blood Donation Using Failure Mode and Effective Analysis 失败模式在献血风险评估中的应用及有效性分析
Pub Date : 2021-04-12 DOI: 10.4236/JBISE.2021.144015
Razaz M. Salih, Eltahir M. Husein, E. Hassan
The recognition and management of risk in donation process and blood product is critical to ensure donor and patient safety. To achieve this goal, the failure mode and effects analysis (FMEA) is a convenient method; moreover it was used to prevent the occurrence of adverse events and look at what could go strong at each step. This study aimed to utilize FMEA in central blood bank in Khartoum to evaluate the potential risk and adverse event that may occur during the donation process. According to the severity, occurrence and the detection of each failure mode, the risk priority number (RPN) was calculated to determine which of the failures should take priority to find a solution and applying corrective action to reduce the failure risk. The statistical package for social sciences (SPSS) version 11 was used as descriptive and analytical statistics tool. The FMEA technique provides a systematic method for finding vulnerabilities in a process before they result in an error, and in this study a satisfactory outcome was reached.
对献血过程和血液制品风险的认识和管理对于确保献血者和患者的安全至关重要。为了实现这一目标,故障模式和影响分析(FMEA)是一种方便的方法;此外,它还被用来防止不良事件的发生,并观察每一步都会发生什么。本研究旨在利用喀土穆中央血库的FMEA来评估捐赠过程中可能发生的潜在风险和不良事件。根据每个故障模式的严重程度、发生情况和检测情况,计算风险优先级数(RPN),以确定哪些故障应优先找到解决方案并采取纠正措施来降低故障风险。社会科学统计软件包(SPSS)第11版被用作描述性和分析性统计工具。FMEA技术提供了一种系统的方法,可以在过程中的漏洞导致错误之前发现它们,在本研究中,达到了令人满意的结果。
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引用次数: 0
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生物医学工程(英文)
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