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Development of a novel dental thermal imaging application 一种新型牙科热成像应用的开发
Pub Date : 2022-03-24 DOI: 10.15761/mri.1000184
Les Kalman
Thermography is a process where a thermal camera captures and generates an image by using infrared radiation, emitted from an object. Thermography has had limited use in dentistry, but with recent technological advances, thermography has been employed for the production of digital images. An Android software application was developed, called the Dental Thermal App (DTA), to facilitate a simple, cost-effective, systematic and clinically-based workflow. The application functions on a mobile device and requires the use of a connected Flir camera, which has 19 200 pixels of thermal image resolution, measures temperatures between -20 to 120ºC and can detect differences in heat as little as 0.01 ºC. Thermal imaging provides an alternative method for visualization for identification and assessment, with applications in patient records, documentation, infection control, education and laboratory clinical work. DTA has been developed, tested and launched and is a novel, low-cost, portable, non-invasive digital tool for dentistry. DTA provides an alternative mobile tool that provides improved accessibility for clinicians and patients.
热成像是一种利用物体发出的红外辐射,热成像相机捕捉并生成图像的过程。热成像技术在牙科方面的应用有限,但随着最近技术的进步,热成像技术已被用于生产数字图像。开发了一款名为牙科热应用程序(DTA)的Android软件应用程序,以促进简单、经济、系统和基于临床的工作流程。该应用程序在移动设备上运行,需要使用连接的Flir相机,该相机具有19200像素的热图像分辨率,可测量-20至120ºC之间的温度,并且可以检测到低至0.01ºC的热量差异。热成像为识别和评估提供了另一种可视化方法,应用于患者记录、文件、感染控制、教育和实验室临床工作。DTA已经开发、测试和推出,是一种新颖、低成本、便携式、非侵入性的牙科数字工具。DTA提供了另一种移动工具,为临床医生和患者提供了更好的可访问性。
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引用次数: 0
Covid-19 and Human Health Covid-19与人类健康
Pub Date : 2022-01-01 DOI: 10.15761/mri.1000186
Elida Cleyse Gomes da Mata Kanzaki, Isamu Kanzaki
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引用次数: 0
Catatonic stupor and seizures after open-heart surgery: Case report 心内直视手术后紧张性昏迷和癫痫发作1例
Pub Date : 2022-01-01 DOI: 10.15761/mri.1000183
M. Gaspar
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引用次数: 0
Parameter study of the J-integral over a craze line in a root-channelled tooth 根槽齿裂纹线上j积分的参数研究
Pub Date : 2022-01-01 DOI: 10.15761/mri.1000185
Abdollahzadeh Jamalabadi MY
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引用次数: 0
The durable socio-economic status in the COVID-19 outbreak in Bangladesh 孟加拉国COVID-19疫情中的持久社会经济地位
Pub Date : 2021-01-01 DOI: 10.15761/mri.1000181
Z. Mahal, Hasan M. Zahid
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引用次数: 0
People living with HIV infection and SARS-CoV-2: What do we really know? SARS-Cov-2 infection in HIV patients 艾滋病毒感染者和SARS-CoV-2:我们真正了解什么?HIV患者的SARS-Cov-2感染
Pub Date : 2021-01-01 DOI: 10.15761/mri.1000182
Capeless Ma, M. S., R. A., R. A, Rosario P, Palmiero G, Rizzo V, Esposito V
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引用次数: 0
Is there association between dislipidemia and diabetes type 2 in the population of Castilla-La Mancha? 在Castilla-La Mancha人群中,低脂血症和2型糖尿病之间是否存在关联?
Pub Date : 2020-01-01 DOI: 10.15761/mri.1000174
David Oliver Tébar
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引用次数: 1
A modern surgical smoke evacuator for the challenges of today’s operating room 现代手术烟雾疏散器,应对当今手术室的挑战
Pub Date : 2020-01-01 DOI: 10.15761/MRI.1000176
Crystal D. Ricketts, Shawn K. Horner, J. Clymer, P. R. Borgmeier
Background: In the current conditions of the COVID-19 pandemic, it is imperative that surgical plume be effectively removed from both open and laparoscopic procedures, especially when energized devices are being utilized. This study evaluated a new Megadyne Smoke Evacuator, to establish its performance in removing smoke, while improving visibility at the surgical site and lessening the risk of staff exposure to the components of surgical smoke, such as chemicals, particulates, viruses and bacteria. Methods: The smoke evacuator was evaluated by nurses and surgeons in both open and laparoscopic simulated procedures. Nurses were asked to setup and operate the smoke evacuator, and surgeons performed a variety of electrosurgery procedures in an animate porcine model. Both groups were then asked to evaluate the device via a questionnaire. Results: Over 90% of the nurses (n=18) agreed that the Megadyne Smoke Evacuator was easy to set up, understand the settings and change the filter. Surgeons agreed that the smoke evacuator operated effectively in open (94%, 17/18) and laparoscopic (100%, 16/16) procedures. Conclusion: Given the risks inherent in performing surgery today, it is more important than ever to use an effective method of smoke evacuation. With an ULPA filter capable of blocking particles as small as 20 nm with high efficiency, the Megadyne Smoke Evacuator lowers the risk of exposure to small viruses, cellular debris, bacteria and other particles. In addition to having a range of flow rates amenable to open procedures, the device can be used in all steps of laparoscopy, including the process of desufflation. *Correspondence to: Jeffrey W Clymer, Ethicon Inc., 4545 Creek Rd, Cincinnati OH 45424, USA, E-mail: jclymer@its.jnj.com
背景:在COVID-19大流行的当前情况下,必须有效清除开放和腹腔镜手术中的手术羽流,特别是在使用通电装置时。本研究评估了一种新的Megadyne烟雾疏散器,以确定其在清除烟雾方面的性能,同时提高手术现场的能见度,降低工作人员接触手术烟雾成分(如化学物质、颗粒、病毒和细菌)的风险。方法:由护士和外科医生在开放和腹腔镜模拟手术中对排烟器进行评价。护士被要求设置和操作烟雾疏散器,外科医生在一个有生命的猪模型上进行各种电手术。然后两组都被要求通过问卷来评估该设备。结果:超过90%的护士(n=18)认为Megadyne烟雾疏散器易于设置、理解设置和更换过滤器。外科医生一致认为烟雾疏散器在开放式手术(94%,17/18)和腹腔镜手术(100%,16/16)中有效。结论:考虑到当今外科手术固有的风险,使用有效的排烟方法比以往任何时候都更重要。Megadyne烟雾疏散器采用ULPA过滤器,能够高效地阻挡小至20纳米的颗粒,降低了暴露于小病毒、细胞碎片、细菌和其他颗粒的风险。除了具有一定范围的流量适合开放程序,该设备可用于腹腔镜检查的所有步骤,包括消胀过程。*通讯:Jeffrey W . Clymer, Ethicon Inc, 4545 Creek Rd, Cincinnati OH 45424, USA, E-mail: jclymer@its.jnj.com
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引用次数: 3
Evaluation of portable ultrasound machine contamination in a community emergency department 某社区急诊科便携式超声机污染评价
Pub Date : 2020-01-01 DOI: 10.15761/mri.1000173
Andrew Kiraly, A. Stedford, Emad Awad, G. Adam, F. Besserer
Objectives: The aim of this study was to explore the gross contamination rate of a portable ultrasound (US) machine in a community Emergency Department (ED) and to examine whether there is an association between the time of the day and the frequency of contamination. Methods: A total of 61 photographic samples of the US machine were collected over 23 days to capture visible contamination. Collection times were evenly distributed over three blocks of time: day, evening, and night. Each sample consisted of six photos of the US machine and were categorized into three groups: (1) transducers, (2) touch screen, and (3) other areas. Samples were assessed for contamination on a three-point scale by three independent reviewers. Descriptive statistics and Chi Square test were used to describe the frequency of contamination, and relationship between time of day and frequency of contamination, respectively. Results : The transducers were contaminated with blood and body fluid in 2/62 (4%) and ultrasound gel in 52/61 (85%) samples. Gel contamination was found on the touchscreen in 52 (85%) samples, and 42 (69%) samples on the other areas. No significant association between time of day and contamination was found. Conclusions: The findings of this study demonstrate various levels of gross visual contamination of the sole ultrasound machine in a community emergency department. We feel that this study provides a foundation for the development of local QI processes for US decontamination procedures as well as a platform for knowledge translation and future study.
目的:本研究的目的是探讨社区急诊科(ED)便携式超声(US)机的总污染率,并检查一天中的时间与污染频率之间是否存在关联。方法:在23天的时间里,共收集了61张美国机器的照片样本,以捕捉可见的污染。收集时间平均分布在三个时间段:白天、晚上和晚上。每个样本由美国机器的六张照片组成,并分为三组:(1)传感器,(2)触摸屏和(3)其他区域。样品的污染程度由三名独立的审稿人按三分制进行评估。用描述性统计和卡方检验分别描述污染频率和一天中的时间与污染频率的关系。结果:换能器有2/62(4%)被血液和体液污染,52/61(85%)被超声凝胶污染。在52个(85%)样本的触摸屏上发现了凝胶污染,42个(69%)样本在其他区域发现了凝胶污染。在一天中的时间和污染之间没有发现明显的联系。结论:本研究结果表明,在社区急诊科的鞋底超声机的不同程度的肉眼污染。我们认为本研究为美国净化程序的本地QI流程的发展提供了基础,也为知识转化和未来的研究提供了平台。
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引用次数: 1
Investigation on hepatitis B surface antigen among exit personnel at Tianjin port of China in 2019 2019年天津口岸出境人员乙型肝炎表面抗原调查
Pub Date : 2020-01-01 DOI: 10.15761/MRI.1000179
Shao Cuicui, C. Xiaojun, Wang Chunqi, Niu Guoyu
Objective: To investigate the hepatitis B infection situation of exit physical examination personnel at Tianjin port in 2019, so as to provide data support and theoretical guarantee for disease prevention and dynamic monitoring of hepatitis B infection among physical examination population at Tianjin port. Methods: The venous blood samples of exit personnel at Tianjin port in 2019 were collected, and the hepatitis B antigen in the samples were detected by Electrochemiluminescence technology. According to the collected passenger information, combined with the experimental results, a database of entry-exit medical examination personnel was established and the epidemiological characteristics of hepatitis B were analyzed by statistical method. Results: A total of 3469 people were involved in this study, 134 of them were HBsAg positive, the positive rate was 3.90%. From the perspective of gender, the positive rate of male was 5.51% (127/2303) and that of female was 0.60% (7/1166). The difference of HBV infection level between male and female was statistically significant (x 2 = 50.62, P < 0.001). According to the analysis of different occupations, the positive rate of public servants was the highest, up to 69.10% (85/123); the rest were labor service personnel, pilgrims, crew members and overseas students. The difference of hepatitis B infection level among different occupational groups was statistically significant (x 2 = 1451.82, P < 0.001). The data were divided into 4 groups according to their ages. No positive results were found in 0-20 years old people. The positive rate of 21-40 years old group was 3.23% (84/2597). The positive rate of 41-60 years old group was 10.62% (50/471); the positive rate of people older than 60 years old was not detected, and the difference of hepatitis B infection level among different age groups was statistically significant (x 2 <76.16, P <0.001). Conclusions: There are significant differences between the positive detection rate of hepatitis B surface antigen and the gender, age and occupation category of the subjects in the exit population at Tianjin port in 2019. Men, young adults and civil servants are more likely to be infected with hepatitis B. Therefore, we should focus on prevention and monitoring of the key population.
目的:了解2019年天津港出境体检人员乙型肝炎感染情况,为天津港体检人群乙型肝炎感染的疾病预防和动态监测提供数据支持和理论保障。方法:采集2019年天津口岸出境人员静脉血样本,采用电化学发光技术检测样本中的乙型肝炎抗原。根据收集到的旅客信息,结合实验结果,建立出入境体检人员数据库,采用统计学方法分析乙型肝炎流行病学特征。结果:本研究共纳入3469人,其中HBsAg阳性134人,阳性率为3.90%。从性别上看,男性阳性率为5.51%(127/2303),女性阳性率为0.60%(7/1166)。男女患者HBV感染水平差异有统计学意义(χ 2 = 50.62, P < 0.001)。根据不同职业的分析,公务员的检出率最高,达69.10% (85/123);其余是劳务人员、朝圣者、船员和留学生。不同职业组乙型肝炎感染水平差异有统计学意义(χ 2 = 1451.82, P < 0.001)。数据按年龄分为4组。在0-20岁的人群中没有发现阳性结果。21 ~ 40岁组阳性率为3.23%(84/2597)。41 ~ 60岁组阳性率为10.62% (50/471);60岁以上人群未见阳性率,不同年龄组间乙肝感染水平差异有统计学意义(χ 2 <76.16, P <0.001)。结论:2019年天津口岸出境人口乙型肝炎表面抗原阳性检出率与受试者性别、年龄、职业类别存在显著差异。男性、青壮年和公务员更容易感染乙肝。因此,应重点对重点人群进行预防和监测。
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