RESUMO
BACKGROUND: Automatic lancets have been reported to be superior to manual lancets in terms of pain and treatment time. However, no studies have yet been published comparing automatic lancet and needle puncture heel-prick blood sampling. The objective of this study was to compare the pain response and efficiency between the automatic lancet and needle at the time of heel blood sampling. The design was a randomized controlled trial. The inclusion criteria for the participants were a birthweight of â§1,500 g and a gestational age of â§30 weeks. METHODS: The study examined a total of 105 neonates who were randomized into an automatic lancet group (n = 53) and a needle group (n = 52). The parameters measured included blood collection time, number of calf squeezes, duration of audible crying, and the Neonatal Infant Pain Scale (NIPS) score. The main outcome measure was audible crying duration. RESULTS: The duration of audible crying was significantly shorter in the automatic lancet group when compared to the needle group (median 3 s, interquartile range (IQR) 0-33 s vs median 39 s, IQR 5-91.5 s, P = 0.0023). The NIPS score at the time of puncture was significantly lower in the automatic lancet group than in the needle group (median 1, IQR 0-5 vs median 5, IQR 3-6, P = 0.0060). There was no significant difference in the blood collection time and the number of calf squeezes between the two groups. The automatic lancet was found to be less painful than the needle puncture in neonatal heel-prick blood sampling with no significant difference in blood sampling time. CONCLUSION: The automatic lancet was found to be less painful than the needle puncture in neonatal heel-prick blood sampling with no significant difference in blood sampling time.
Assuntos
Coleta de Amostras Sanguíneas/métodos , Calcanhar , Agulhas , Medição da Dor/métodos , Coleta de Amostras Sanguíneas/efeitos adversos , Coleta de Amostras Sanguíneas/instrumentação , Choro , Feminino , Humanos , Recém-Nascido , Masculino , Dor/etiologia , Dor/prevenção & controle , Estudos ProspectivosRESUMO
A blind student writes and submits reports in Braille word processor, which is difficult for teachers to read. This study's purpose is to make a translator from Braille into mixed Kana-Kanji sentences for such teachers. Because Kanji has homonyms, it is not always possible to get correct results when converting. To overcome this difficulty, we used deep learning for translation. We built a training dataset composed from 15,000 pairs of Braille codes and mixed Kana-Kanji sentences, and a validation dataset. In training, we got an accuracy of 0.906 and a good Bleu score of 0.600. In validation, we found 5 mistaken words in selecting homonymous Kanji by examining translation mistakes from 100 pairs of the verification sentences. The choice of homonymous Kanji depends on the context. For decreasing such type of errors, it is necessary to introduce of translation of paragraphs by increasing the scale of the network model in deep learning, and to expand the network structure.
Assuntos
Cegueira , Aprendizado Profundo , Idioma , Leitura , Auxiliares Sensoriais , Humanos , Fonética , Traduções , Japão , EnsinoRESUMO
As it is an urgent issue to contain increasing healthcare expenditures, unlimited reimbursement of pharmaceuticals continues to be controversial. The objective of this study is to identify acceptable incremental cost effectiveness ratios between new and conventional therapies. Clinical study data for five statin therapies were used to indicate treatment effectiveness and incremental costs were indicated by price premiums at price listing. The incremental cost effectiveness ratios to pravastatin were 0 yen/patient with response, 1,475.1 yen/patient with response, 3,033.3 yen/patient with response, and 3,032.4 yen/patient with response. By conducting further analyses in various pharmaceuticals and categorizing acceptable incremental cost effectiveness ratios based on the disease severity and expected level of improvement in disease condition, drug prices that reflect the value of new pharmaceuticals and that are reasonable to be reimbursed can be suggested.
Assuntos
Análise Custo-Benefício/economia , Uso de Medicamentos/economia , Inibidores de Hidroximetilglutaril-CoA Redutases/economia , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Reembolso de Seguro de Saúde/economia , Seguro de Serviços Farmacêuticos/economia , Pravastatina/economia , Gastos em Saúde , Humanos , Cobertura do Seguro/economia , Mecanismo de ReembolsoRESUMO
We propose a new approach for analysis of Auger electron spectra (AES) of polymers by density functional theory (DFT) calculations with the Slater's transition-state concept. Simulated AES and X-ray photoelectron spectra (XPS) of four polymers [(CH2CH2)n (PE), (CH2CH(CH3))n (PP), (CH2CH(OCH3))n (PVME), and (CH2CH(COCH3))n (PVMK)] by DFT calculations using model dimers are in a good accordance with the experimental ones. The experimental AES of the polymers can be classified in each range of 1s-2p2p, 1s-2s2p, and 1s-2s2s transitions for C KVV and O KVV spectra, and in individual contributions of the functional groups from the theoretical analysis.