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.
Since December 2019, the world healthcare community faced Coronavirus Disease 2019 (COVID-19) caused by a novel coronavirus (SARS-CoV-2).Due to the high viral contagiousness and the possible transmission during the pre-symptomatic phase, SARS-CoV-2 progressively spread to several countries.The worldwide outbreak of SARS-CoV-2 infection raised concern that people living with HIV infection (PLHIV) may be at high risk of infection and developing severe clinical manifestations.Currently, PLHIV patients could be considered particularly vulnerable to COVID-19 due to their immune-compromised status and their susceptibility to even opportunist pathogens.However, little is known about the impact of SARS-CoV-2 in PLHIV, particularly about pathogenesis and clinical outcomes, because, to the best of our knowledge, only case reports or small case series have so far been published.The aim of this narrative review, based on a retrospective analysis of literature data, was to describe the epidemiological, clinical characteristics, diagnostic and therapeutical aspects, and possible outcomes of PLHIV with SARS-CoV-2 infection.Despite the lack of specific studies, PLHIV should not be considered protected from SARS-CoV-2 infection or as having a lower risk of severe disease.Indeed, it is unclear if those with low CD4 cell counts, such as naïve HIV-patients, might have worse outcomes than individuals with restored immunity.Moreover, the clinicians should pay attention to uncommon clinical onset, manifestation and diagnosis in this cluster of patients.Because neither drug can be considered the first-line choice for treating SARS-CoV-2 infection, PLHIV should receive the same treatment approach as the general population.
COVID-19, along with the associated mandated stay at home orders and social distancing, has affected all facets of society, including medical education. Although this is an unwelcomed pandemic, medical educators have been afforded a unique opportunity to investigate virtual learning options to deliver their customarily in-person curricula. The following is an insight from clinical educators about the adoption, transition, and challenges of clinical medical education in the virtual space.
In this article, we describe how fermentation of hemp seed proteins leads to formation of peptides that share sequence similarities with human vitamin D-binding protein. We compared the amino acid sequence of edestin, the major hexameric globular protein from hemp protein isolates, with that of human vitamin D-binding protein, and we found significant functional similarities. Among the different peptides formed during the process of fermentation, we identified the peptide VLANAFQ of edestin as a promising candidate showing a high degree of functional similarity as well a common pattern of hydrophobicity with the TPTELAKLVNKRSE peptide that is the active site of human vitamin D-binding protein as far as it immune-stimulating, anti-proliferative and anti-migration properties are concerned.
Thyroid disorders are one of the most common endocrine problems seen at primary care. Role of dietary factors in their management and prevention is largely unknown with inadequate scientific evidences. In this review, we examine the scientific evidence of the role of various dietary elements in causation, prevention and management of thyroid disorders. meats. Typical sources in the diet are breads, grains, meat, poultry, fish, and eggs.
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
Material and methods: It are a longitudinal study made in centers of Attention Primaria of the Service of Health of Castilla-La Mancha (n=70).It selected a representative sample of the population with DM2 of 18 to 85 years by means of a procedure polyetapic.They obtained the clinical history and by means of interview the data of the factors of risk to study.It analyzed the association with the dislipidemia by means of linear regression.Results: 52.1% were men, the half age was of 69-84 years, the evolution of the diabetes of 999 years, 84.3% had HTA, 76.6% sobrepeso/obesigive and the HbA1c half was of 69.6%.The prevalence of dislipidemia was of 85.3% and in the analysis bivariado associated with antecedent of peripheral vascular illness, diabetes controlled, treatment antihypertensive, filtered glomerular, HbA1c>7%, grasto corporal estimated in sobrepeso and obesity, antecedent of cardiovascular illness, age and HbA1c.In the univariant analysis the independent factors were the feminine sex and the antecedent of cardiovascular illness. Conclusion:The prevalence of dislipidemia in our study was of 85.3%.The factors of risk associated of independent form were the feminine sex and the personal antecedent of cardiovascular illness.
Background: Because of the COVID-19 pandemic, education and learning processes have been shifted to a completely virtual, online format. Students' satisfaction has been linked to better learning outcomes. Purpose: The purpose was to determine factors associated with students' satisfaction with e-learning among Saudi nursing students. Methods: A cross-sectional, correlational descriptive study was conducted among 139 nursing students from different nursing programs in Saudi Arabia using a self-reported online survey. Results: Previous experience with and readiness for e-learning influenced students' overall satisfaction with e-learning and satisfaction with assessment. Only readiness for e-learning was associated with satisfaction with teaching and generic skills and learning experiences. Conclusions: This study may enhance faculty members' understandings of factors influencing students' satisfaction with e-learning. Therefore, the urgent national distance education plan may need further development to meet students' needs.
We present a short paper based on a doctoral dissertation [1] and supplementary articles. Despite the long and successful patient care history of primary care in Sweden, a research-oriented attitude has been more or less limited in this context [2,3]. At the same time the patient ́s access to information has been simplified which in turn has contributed to an essential influence on the patients' demand for upto-date healthcare. This situation has increased the demand for staff ́s updated professional scientific knowledge and willingness to change significantly. One way to promote this situation goes through a research and development interest (R&D) in the context, by means of strategic communication, which is a relatively new interdisciplinary field.
Innovation in healthcare is a much-desired goal, however, unless the culture and environment are right and leaders proactively plan for innovation, not a lot changes. Both scientific and lay literature contains useful commentary on Innovation. It is useful to consider facilitators and barriers for innovation within healthcare systems, especially public health systems. The public healthcare system has some unique characteristics that can sometimes impede innovation. It is important to understand these complexities to be able to implement innovative solutions. Some strategies to implement innovation within the public health system are identified.
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.
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.
The silicone ring of Roux-en-Y Gastric Bypass can determine benefits in long-term weight loss [1], but complications occur in about 1% of cases [2]. For example, ring slip, which consists of distal displacement, outside the gastric pouch towards the jejunum, causes secondary compression and symptoms such as post-eating vomiting, food intolerance and even malnutrition [3,4]. The technique for removing the ring by surgery is more frequently used [5], but in this case-report we will describe an endoscopic approach of removal [6,7]. The objective of this case report is to demonstrate the endoscopic technique of gastric ring removal through the use of self-expanding plastic prosthesis.
