RESUMO
Objective: Regular check-up with ultrasound in underserved rural and/or remote areas is hampered due to the limited availability of sonologists and ultrasound devices. This study aimed to assess the feasibility and satisfaction of health check-ups with a 5G-based robotic teleultrasound diagnostic system. Methods: In this prospective study, sonologists from two hospitals manipulated the telerobotic ultrasound system to perform teleultrasound check-ups of the liver, gallbladder, pancreas, spleen, kidneys, bladder, prostate (male), uterus and ovaries (female) for the subjects. The feasibility and satisfaction of health check-ups with a 5G-based robotic teleultrasound diagnostic system were evaluated in terms of examination results, examination duration, and satisfaction questionnaire survey. Results: A total of 546 subjects were included with the most frequently diagnosed being abdominal disorders (n = 343) and male reproductive illnesses (n = 97), of which fatty liver (n = 204) and prostatic calcification (n = 54) were the most. The median teleultrasound examination duration (interquartile range) for men and women was 9 (9-11) min and 9 (7-11) min (p = 0.236), respectively. All the subjects were satisfied with this new type of telerobotic ultrasound check-ups and 96% reported no fear of the robotic arm during the examination. Conclusion: The 5G-based teleultrasound robotic diagnostic system in health check-ups is feasible and satisfactory, indicating that this teleultrasound robot system may have significant application value in underserved rural and/or remote areas to mitigate disparity in achieving health equity.
Assuntos
Procedimentos Cirúrgicos Robóticos , Humanos , Masculino , Feminino , Estudos Prospectivos , Estudos de Viabilidade , Ultrassonografia/métodos , FígadoRESUMO
Toilet revolution is driven by the urgent need for solutions to improve sanitation and access to high-quality organic fertilizer for rural areas, which is tagged "resource recovery from human waste." This study provides a possible solution via semi-solid anaerobic co-digestion (Aco-D) of source-separated fecal slag (SFS) and food waste (FW) (3:1). A comprehensive investigation of Aco-D at different inoculum/substrate ratios (ISR) was conducted. Results revealed that the reactor with ISR of 1:4 reached the highest methane yield (255.05 mL/gVS), which enhanced Methanosaetaceae, Methanomicrobiales, and Syntrophomonas. Additionally, the reactor with low feedstock (ISR of 1:2) showed higher removal efficiency of antibiotics (74.75%). The ecological risk of digestate decreased to an insignificant hazard quotient level, and the contents of nutrients and heavy metals were in line with the standard requirement for fertilizer. This study could serve as an alternative technology to support further research in SFS management and digestate utilization as fertilizer.
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Metais Pesados , Eliminação de Resíduos , Anaerobiose , Antibacterianos , Biocombustíveis , Reatores Biológicos , Digestão , Fertilizantes , Alimentos , Humanos , Metano , Medição de Risco , Esgotos/químicaRESUMO
Accessibility is a major method for evaluating the distribution of service facilities and identifying areas in shortage of service. Traditional accessibility methods, however, are largely model-based and do not consider the actual utilization of services, which may lead to results that are different from those obtained when people's actual behaviors are taken into account. Based on taxi GPS trajectory data, this paper proposed a novel integrated catchment area (ICA) that integrates actual human travel behavior to evaluate the accessibility to healthcare facilities in Shenzhen, China, using the enhanced two-step floating catchment area (E2SFCA) method. This method is called the E2SFCA-ICA method. First, access probability is proposed to depict the probability of visiting a healthcare facility. Then, integrated access probability (IAP), which integrates model-based access probability (MAP) and data-based access probability (DAP), is presented. Under the constraint of IAP, ICA is generated and divided into distinct subzones. Finally, the ICA and subzones are incorporated into the E2SFCA method to evaluate the accessibility of the top-tier hospitals in Shenzhen, China. The results show that the ICA not only reduces the differences between model-based catchment areas and data-based catchment areas, but also distinguishes the core catchment area, stable catchment area, uncertain catchment area and remote catchment area of healthcare facilities. The study also found that the accessibility of Shenzhen's top-tier hospitals obtained with traditional catchment areas tends to be overestimated and more unequally distributed in space when compared to the accessibility obtained with integrated catchment areas.