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Recent advances in pediatric telemedicine 儿科远程医疗的最新进展
Pub Date : 2023-05-05 DOI: 10.46439/biomedres.4.032
Bittmann S, Luchter E, Bittmann L, Moschüring-Alieva E, Villalon G
Telemedicine is a medical service, which is offered across a spatial distance. Doctors and patients use digital tools such as apps, teleconsultation platforms or video technology. There is currently no uniform and generally applicable definition of telemedicine. In the broadest sense it is understood to mean the overcoming of temporal and spatial distances in the context of medical issues. This mainly includes the measurement, recording and transmission of information or the application of medical procedures with the help of information and communication technology between physicians, or between physicians and patients, possibly with the involvement of non-medical personnel. Pediatric telemedicine was performed yet in different pediatric subspecialties. The focus of this manuscript is based on pediatric telemedicine performed in general by two persons, the virtual acting doctor and an experienced telemedical assistant in the pediatric emergency department. The telemedical examination technique will be presented in children and discussed with special relation to current knowledge in medical literature.
远程医疗是一种跨越空间距离提供的医疗服务。医生和患者使用数字工具,如应用程序、远程咨询平台或视频技术。目前还没有统一的、普遍适用的远程医疗定义。在最广泛的意义上,它被理解为在医疗问题的背景下克服时间和空间距离。这主要包括在医生之间或医生与患者之间,可能有非医务人员参与的情况下,借助信息和通信技术测量、记录和传输信息或应用医疗程序。儿科远程医疗在不同的儿科亚专科开展。这份手稿的重点是基于儿科远程医疗一般执行两个人,虚拟代理医生和经验丰富的远程医疗助理在儿科急诊科。将介绍儿童远程医疗检查技术,并与当前医学文献中的知识进行特别讨论。
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引用次数: 0
Digital workflow for high-risk, low-volume procedure simulation 用于高风险、低容量程序模拟的数字化工作流程
Pub Date : 2023-05-05 DOI: 10.46439/biomedres.4.27
Nicholas M. Jacobson, Hayden McClain, M. New
Introduction: The effectiveness of simulation in medicine for teaching and assessing procedural skills is well documented; however, simulation technologies are not always available due to the high cost of simulators and lack of specific training. With the advances in digital modeling and 3D printing, we can create less expensive, more specific, and more readily available models to represent these tricky procedures, allowing for more robust training of our medical professionals.Methods: The process begins with a radiological scan that is segmented to capture the anatomies associated with the desired condition. We tested two different methods for fabrication; one made on a multi-material poly jet printer and the other using a selective laser sintering (SLS) TPU printer.Results: Our first method produced a model that was not adequate for our use case. The second method produced a model that worked for our use case and captured the geometry well. The SLS printer proved more durable, mechanically accurate, and feasible for simulating massive hemoptysis than method 1. This model was used in the airway management simulations with the PCCM Fellows and was deemed exempt by COMIRB 21-3067, the institutional review board of the University of Colorado Denver | Anschutz Medical Campus.Conclusion: Our method proved to be successful in producing models that are high-detailed, inexpensive, and reproducible to teach specific medical procedures.
医学模拟在教学和评估程序技能方面的有效性已得到充分证明;然而,由于模拟器的高成本和缺乏专门的培训,模拟技术并不总是可用的。随着数字建模和3D打印技术的进步,我们可以创建更便宜、更具体、更容易获得的模型来代表这些棘手的过程,从而允许对我们的医疗专业人员进行更有力的培训。方法:该过程从放射扫描开始,该扫描被分割以捕获与所需条件相关的解剖结构。我们测试了两种不同的制造方法;一种是用多材料聚喷射打印机,另一种是用选择性激光烧结(SLS) TPU打印机。结果:我们的第一个方法产生了一个不适合我们用例的模型。第二种方法生成了一个适用于我们用例的模型,并很好地捕获了几何图形。事实证明,SLS打印机比方法1更耐用,机械精度更高,在模拟大咯血方面也更可行。该模型与PCCM研究员一起用于气道管理模拟,并被COMIRB 21-3067(科罗拉多大学丹佛分校安舒茨医学院机构审查委员会)视为豁免。结论:该方法可以成功地制作出高精细度、低成本、可复制的模型来教授特定的医疗程序。
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引用次数: 0
Chronic fluoride poisoning in domestic equines, horses (Equus caballus) and donkeys (Equus asinus 家马、马(Equus caballus)和驴(Equus asinus)慢性氟化物中毒
Pub Date : 2023-05-05 DOI: 10.46439/biomedres.4.034
S. L. Choubisa
Repeated chronic fluoride (F) exposure for prolonged duration through water, air, and food causes F poisoning in the form of fluorosis in both humans and domestic and wild animals. However, among domestic equine animals, horses (Equus caballus) and donkeys (Equus asinus), chronic F poisoning caused by industrial fluoride pollution and fluoridated drinking water has been well studied. But these studies in these animals are still very limited. On the other hand, the sample size of these animals in these studies is also very small. Nevertheless, these studies are important from the point of view of veterinary medicine and toxicology. In these animals, F-induced diverse toxic effects or pathognomonic signs such as dental mottling or light to deep brownish staining on enamel surface of teeth, lameness, stiffness, skeletal abnormalities, crooked legs, hoof deformities, pain in joints, weight loss, unthriftiness, poor health, standing with an arched back, difficulty eating, rough hair coats, allergy or urticaria, anaemia, colic, diarrhoea, constipation, retention of urine, repeated abortions, and sterility have been reported. At the mean F concentration, in the range of 1.4 to 3.3 ppm in the drinking water, the prevalence of osteo-dental fluorosis in horses and donkeys has been found to be 78.7% and 100%, respectively. In present communication, chronic F poisoning in domesticated equine animals, horses and donkeys and its prevention in these animals have been focused. Simultaneously, research gaps have also been highlighted for researchers and veterinary scientists to do some advanced research works on these animals.
长期通过水、空气和食物反复慢性接触氟化物(F)会导致人类、家畜和野生动物氟中毒。然而,在家养马、马(Equus caballus)和驴(Equus asinus)中,工业氟化物污染和加氟饮用水引起的慢性氟中毒已得到充分研究。但是在这些动物身上的研究仍然非常有限。另一方面,这些研究中这些动物的样本量也非常小。然而,从兽医学和毒理学的角度来看,这些研究是重要的。在这些动物中,f引起的各种毒性作用或病理症状,如牙齿牙釉质表面斑斑或浅至深褐色染色,跛行,僵硬,骨骼异常,腿弯曲,蹄畸形,关节痛,体重减轻,不节俭,健康状况不佳,站立时弓背,进食困难,毛糙,过敏或荨麻疹,贫血,绞痛,腹泻,便秘,尿潴积,反复流产和不育已被报道。在饮用水中氟的平均浓度为1.4至3.3 ppm范围内,马和驴的骨牙氟中毒患病率分别为78.7%和100%。目前主要关注家养马、马和驴的慢性氟中毒及其预防。同时,研究空白也被凸显出来,研究人员和兽医科学家可以对这些动物进行一些先进的研究工作。
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引用次数: 1
Comparative study on chitin content of Bangladeshi edible and medicinal mushrooms 孟加拉食用菌与药用菌几丁质含量的比较研究
Pub Date : 2023-05-05 DOI: 10.46439/biomedres.4.033
M. Rahman, Shimul Bhuiyan, S. Shakil, S. Hossain
Chitin provides immense beneficial roles to the humanity and environment. Most of the chitin extracted worldwide are from the shell of the crustaceans. An alternative source of chitin has been observed as the number of crustaceans has been dilapidating. Here, extraction of chitin from the edible and medicinal macrofungi, mushrooms, have been described. This is a novel approach to meet the ever increasing chitin demand worldwide. Among four mushroom species (Pleurotus ostreatus, Agaricus bisporus, Lentinula edodes and Ganoderma lucidum), the reishi mushroom or ling zhi (G. lucidum) had been found containing the highest amount of chitin on percentage basis of dried mushroom powder. Chitin content trend observed in this study was: G. lucidum (44%) > L. edodes (35%) > A. bisporus (18%) > P. ostreatus (10%). Thus, mushrooms could be considered as important source of chitin and its deacetylated product, chitosan. In this way, mushrooms could aid in biomedical and environmental intervention through suppliance of chitin and chitosan.
甲壳素为人类和环境提供了巨大的有益作用。世界上大多数的几丁质都是从甲壳类动物的壳中提取的。随着甲壳类动物数量的减少,人们发现了甲壳素的另一种来源。本文介绍了从药用和食用大型真菌蘑菇中提取甲壳素的方法。这是满足世界范围内日益增长的甲壳素需求的新途径。在平菇、双孢蘑菇、香菇和灵芝4种蘑菇中,灵芝和灵芝的几丁质含量最高。几丁质含量的变化趋势为:灵芝(44%)>香茅(35%)>双孢子囊(18%)>黄樟(10%)。因此,蘑菇可以被认为是甲壳素及其去乙酰化产物壳聚糖的重要来源。因此,蘑菇可以通过提供几丁质和壳聚糖来辅助生物医学和环境干预。
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引用次数: 0
A brief review of industrial fluorosis in domesticated bovines in India: Focus on its socio-economic impacts on livestock farmers 简要回顾印度驯养牛的工业氟中毒:重点关注其对畜牧农民的社会经济影响
Pub Date : 2023-05-05 DOI: 10.46439/biomedres.4.028
S. L. Choubisa
An excessive and repeated high fluoride exposure over a long period of time is harmful to the health of humans and domestic animals and causes several toxic effects in the form of fluorosis disease. If fluoride exposure is due to industrial fluoride, the disease is known as industrial fluorosis. In recent years, due to rapid industrialization in India, various health problems are increasing continuously among domesticated bovine animals, cattle (Bos taurus) feed and water buffalo (Bubalus bubalis) living and grazing in industrial areas due to industrial fluoride pollution. In fact, many coal-burning and industrial activities, such as power generating stations and the manufacturing of steel, iron, aluminum, zinc, phosphorus, chemical fertilizers, bricks, cement, hydrofluoric acid, etc are generally discharging fluoride into their surrounding areas which create industrial fluoride pollution. An industrially emitted fluoride not only contaminates the surrounding environment including soil, air and fresh water reservoirs, but also contaminates vegetation, agricultural crops, and many other biological communities on which bovines generally survive. These animals develop a number of toxic effects on their teeth (dental fluorosis), bones (skeletal fluorosis) and soft organs (non-skeletal fluorosis) due to chronic industrial fluoride intoxication. Due to industrial fluorosis, bovine animals become physically weak and lame, and diverse health problems, such as anemia, gastrointestinal discomforts, polyuria, polydipsia, impaired reproduction, etc. are also found in them. In the country, many domesticated bovines are suffering with industrial fluorosis. In these animals, the maximum prevalence, 84.11% of industrial dental fluorosis and 72.0% of skeletal fluorosis has been reported. In the country, the research works done so far on industrial fluorosis in bovines are briefly and critically reviewed in the present communication. Along with this, the focus has also been on the adverse socio-economic impacts of industrial fluorosis on livestock farmers and how to prevent this disease in these animals.
长期过量和反复接触高氟化物对人类和家畜的健康有害,并以氟中毒疾病的形式造成几种毒性影响。如果氟暴露是由于工业氟化物,这种疾病被称为工业氟中毒。近年来,由于印度工业化的快速发展,由于工业氟化物污染,在工业区生活和放牧的家畜、牛(Bos taurus)饲料和水牛(Bubalus bubalis)的各种健康问题不断增加。事实上,许多燃煤和工业活动,如发电厂和制造钢、铁、铝、锌、磷、化肥、砖、水泥、氢氟酸等,一般都向周围地区排放氟化物,造成工业氟化物污染。工业排放的氟化物不仅污染了周围的环境,包括土壤、空气和淡水水库,而且还污染了植被、农作物和牛通常赖以生存的许多其他生物群落。由于慢性工业氟中毒,这些动物的牙齿(氟牙症)、骨骼(氟骨症)和软组织(非氟骨症)出现了许多毒性影响。由于工业氟中毒,牛的身体变得虚弱和跛行,并出现各种健康问题,如贫血、胃肠不适、多尿、烦渴、生殖障碍等。在这个国家,许多驯养的牛患有工业氟中毒。在这些动物中,工业氟牙症和氟骨症的发病率最高,分别为84.11%和72.0%。在该国,本通讯简要和严格地审查了迄今为止在牛的工业氟中毒方面所做的研究工作。与此同时,重点还放在工业氟中毒对畜牧农民的不利社会经济影响以及如何在这些动物中预防这种疾病。
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引用次数: 1
Human and Earth Evolution through CO2: Perspective for Climate Crisis 人类和地球通过二氧化碳的进化:气候危机的视角
Pub Date : 2023-01-01 DOI: 10.46439/biomedres.3.020
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引用次数: 0
Syndrome similar to Familial Hypocalciuric Hypercalcemia (FHH) produced in mice deleted of the gene encoding transient receptor potential canonical channel 1 (TRPC1) 基因编码瞬时受体电位规范通道1 (TRPC1)缺失小鼠产生类似家族性低钙血症(FHH)的综合征
Pub Date : 2022-12-31 DOI: 10.46439/biomedres.3.016
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引用次数: 0
A longing for flawless awakening from general anesthesia 渴望从全身麻醉中完美地醒来
Pub Date : 2022-12-31 DOI: 10.46439/biomedres.3.017
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引用次数: 0
Utilizing wheat arabinoxylans as a potent functional biomaterial for fabrication of hydrogels: A mini review 利用小麦阿拉伯木聚糖作为一种有效的功能性生物材料制备水凝胶:综述
Pub Date : 2022-12-31 DOI: 10.46439/biomedres.3.023
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引用次数: 0
Prognostic impact of mildly decreased renal function after multivessel coronary revascularization: A mini-review 冠状动脉多支血管重建术后轻度肾功能下降对预后的影响:一项小型综述
Pub Date : 2022-12-31 DOI: 10.46439/biomedres.3.022
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引用次数: 0
期刊
Journal of biomed research
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