Accommodations for disabilities in dental education: A focus on technical standards and clinical skills.

Providing disability-based accommodations is a multifaceted process that must balance the needs of dental students and their institutions. Reasonable accommodations must not compromise patient safety or cause an undue burden on the student or institution. Therefore, more creative approaches must be considered as the number of individuals and the types of learning disabilities have increased in recent years. In the clinical setting, providing accommodations also requires detailed advanced planning and collaboration to maintain program quality. However, current technical standards (TS) may serve as a barrier to entry into the health professions for people with disabilities. These individuals remain substantially underrepresented in dentistry despite bringing unique perspectives and experiences that can contribute to a diverse workforce of culturally proficient practitioners. In response, many schools have adopted a "functional" approach to TS that emphasizes a student's abilities rather than their limitations. In addition, innovative assistive technologies coupled with the application of critical pedagogy and universal design learning practices that engage people with the widest possible range of capabilities allows equitable approaches for learning and assessment while maintaining professional standards.

Opportunity and challenges in recovering and functionalizing anode graphite from spent lithium-ion batteries: A review.

Recent concerns have emerged regarding the improper disposal of spent lithium-ion batteries (LIBs), which has garnered widespread societal attention. Graphite materials accounted for 12-21 wt % of LIBs' mass, typically contain heavy metals, binders, and residual electrolytes. Regenerating spent graphite not only alleviated the shortage of plumbago, but also contributed to the supports environmental protection as well as national carbon peak and neutrality ("dual carbon" goals). Despite significant advancements in recycling spent LIBs had been made, a comprehensive overview of the processes for pretreatment, regeneration, and functionalization of spent graphite from retired LIBs, along with the associated technical standards and industry regulations enabling their smooth implementation still needed to be mentioned. Hence, we conducted the following research work. Firstly, the pre-treatment process of spent graphite, including discharging, crushing, and screening was summed up. Next,. Subsequently, graphite recovery methods, such as acid leaching, pyrometallurgy, and combined methods were summarized. Moreover, the modification and doping approach was used to enhance the electrochemical properties of graphite. Afterwards, we reviewed the functionalization of anode graphite from an economically and environmentally friendly view. Meanwhile, the technical standards and industry regulations of spent LIBs in domestic and oversea industries were described. Finally, we provided an overview of the technical challenges and development bottlenecks in graphite recycling, along with future prospects Overall, this study outlined the opportunities and challenges in recovering and functionalizing of anode materials via a efficient and sustainable processes.

Routine and sleep EEG: Minimum recording standards of the International Federation of Clinical Neurophysiology and the International League Against Epilepsy.

This article provides recommendations on the minimum standards for recording routine ("standard") and sleep electroencephalography (EEG). The joint working group of the International Federation of Clinical Neurophysiology (IFCN) and the International League Against Epilepsy (ILAE) developed the standards according to the methodology suggested for epilepsy-related clinical practice guidelines by the Epilepsy Guidelines Working Group. We reviewed the published evidence using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. The quality of evidence for sleep induction methods was assessed by the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) method. A tool for Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) was used to assess the risk of bias in technical and methodological studies. Where high-quality published evidence was lacking, we used modified Delphi technique to reach expert consensus. The GRADE system was used to formulate the recommendations. The quality of evidence was low or moderate. We formulated 16 consensus-based recommendations for minimum standards for recording routine and sleep EEG. The recommendations comprise the following aspects: indications, technical standards, recording duration, sleep induction, and provocative methods.

Routine and sleep EEG: Minimum recording standards of the International Federation of Clinical Neurophysiology and the International League Against Epilepsy.

This article provides recommendations on the minimum standards for recording routine ("standard") and sleep electroencephalography (EEG). The joint working group of the International Federation of Clinical Neurophysiology (IFCN) and the International League Against Epilepsy (ILAE) developed the standards according to the methodology suggested for epilepsy-related clinical practice guidelines by the Epilepsy Guidelines Working Group. We reviewed the published evidence using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement. The quality of evidence for sleep induction methods was assessed by the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) method. A tool for Quality Assessment of Diagnostic Studies (QUADAS-2) was used to assess the risk of bias in technical and methodological studies. Where high-quality published evidence was lacking, we used modified Delphi technique to reach expert consensus. The GRADE system was used to formulate the recommendations. The quality of evidence was low or moderate. We formulated 16 consensus-based recommendations for minimum standards for recording routine and sleep EEG. The recommendations comprise the following aspects: indications, technical standards, recording duration, sleep induction, and provocative methods.

Estructuración y aplicación de la norma UNE 66177 para la integración de las normas ISO 9001 e ISO 45001 en estaciones de servicio de gasolina en Boyacá (Colombia) / Structuring and Application of the UNE 66177 standard for Integration of ISO 9001 and ISO 45001 in Boyacá - Colombia Gasoline Service Stations / Estruturação e aplicação da norma UNE 66177 para a integração das normas ISSO 9001 e ISSO 45001 em postos de gasolina em Boyacá (Colômbia)

Introducción: Las estaciones de servicio de gasolina actualmente tienen dificultad en certificar sus procesos de funcionamiento ante los entes correspondientes; por tal motivo, surgió el interés de cumplir con estándares inter-nacionales mediante la aplicación integral de dos normas técnicas colombianas, como lo son la ISO 9001:2015 y la ISO 45001:2018. Objetivo: Diseñar y aplicar un modelo integrado de gestión de la calidad y seguridad y salud en el trabajo bajo los requisitos de las normas técnicas colombianas ISO 9001 e ISO 45001 para las estaciones de servicio de gasolina de Boyacá, con aplicación en una empresa piloto. Metodología: Se desarrolló en tres fases. Inicialmente, se diagnosticaron las condiciones actuales de las estaciones de servicio de gasolina; posteriormente, se diseñó un modelo de integración bajo las normas objeto de estudio, y, por último, se aplicó dicho modelo a la empresa piloto. Resultados: Se obtuvo el diseño de un sistema de gestión integral basado en calidad, seguridad y salud en el trabajo mediante la aplicación de dos normas técnicas como lo son la ISO 9001:2015 e ISO 45001:2018, respec-tivamente. Conclusiones: Este sistema integrado de gestión es el primer paso para que las estaciones de servicio de gasolina puedan ofrecer calidad en la venta de combustible, alineado con las exigencias normativas expuestas en la Resolu-ción 0312 de 2019, y para cumplir los requisitos técnicos de la Resolución 40405 de 2020

Introduction: Gasoline service stations currently have difficulty certifying their operating processes by corresponding entities, for this reason there is an interest in complying these standards through the comprehensive application of two technical standards such as ISO 9001: 2015 and ISO 45001:2018. Objective: Design and apply an integrated model of quality management and occupational health and safety, under requirements of the Colombian technical standard ISO 9001 and ISO 45001 for ga-soline service stations in Boyacá, with a pilot company.Methodology: It was developed in three phases, initially it was discovered in the current conditions of gasoline service stations, later an integration model was started under the standards and finally the model was applied to the pilot Company. Results: The design of a comprehensive management system based on quality, safety and health at work was obtained through the application of two technical standards such as ISO 9001:2015 and ISO 45001:2018 respectively. Conclusions: An integrated management system based on ISO 9001:2015 and ISO 45001:2018 stan-dards was designed, which is the first step to gasoline service stations can offer quality in the sale of fuel aligned with the regulatory requirements in resolution 0312 of 2019 and to meet the technical requirements of resolution 40405 of 2020

Introdução: Atualmente, os postos de gasolina têm dificuldade para certificar seus processos ope-racionais perante as entidades correspondentes; por esse motivo, surgiu o interesse em cumprir as normas internacionais por meio da aplicação integral de duas normas técnicas colombianas, como a ISSO 9001:2015 e a ISSO 45001:2018. Objetivo: projetar e implementar um modelo integrado de gestão de qualidade e saúde e segurança ocupacional de acordo com os requisitos das normas técnicas colombianas ISO 9001 e ISO 45001 para postos de gasolina em Boyacá, com aplicação em uma empresa piloto. Metodologia: foi desenvolvida em três fases. Inicialmente, foram diagnosticadas as condições atuais dos postos de gasolina; em seguida, foi projetado um modelo de integração de acordo com os padrões em estudo e, por fim, o modelo foi aplicado à empresa piloto. Resultados: o projeto de um sistema de gestão integrado baseado em qualidade, segurança e saúde no trabalho foi obtido por meio da aplicação de duas normas técnicas, como a ISO 9001:2015 e a ISO 45001:2018, respectivamente. Conclusões: Esse sistema de gerenciamento integrado é o primeiro passo para que os postos de combustíveis ofereçam qualidade na venda de combustíveis, alinhados com os requisitos regulatórios estabelecidos na Resolução 0312 de 2019, e atendam aos requisitos técnicos da Resolução 40405 de 2020

Wheels of Injustice: How Medical Schools Retained the Power to Discriminate Against Applicants in Wheelchairs in the Era of Disability Rights.

In the era of disability rights, medical schools retained the power to discriminate against applicants in wheelchairs. This article explores how medical schools set boundaries for admission into the profession, remained intransigent in their discrimination, and persuaded courts to side with them. Interviews with physicians in wheelchairs, legal documents, medical journal articles, and white papers demonstrate how medical schools established physical standards for entry into the profession specifically in response to applicants with disabilities. In the 1970s, medical schools created exclusionary physical requirements and persuaded the Supreme Court that these "technical standards" preserved patient safety. In the 1980s, schools asserted that students with disabilities would require expensive accommodations and lower educational standards. In the 1990s, medical schools strategically interpreted vague language in the Americans with Disabilities Act to justify continuing to exclude applicants with disabilities. This article complicates triumphalist histories of disability activism and reveals the continuation of exclusion in medical education, which had historically occurred based on race and gender. Interviews with successful applicants in wheelchairs provide powerful testimony against medical school policies and offer a clear path forward. Technical standards should change to value compassion and critical thinking over physical fitness. Physicians in wheelchairs perform most medical tasks and bring unique perspectives to a historically homogenous profession.

Call to Action: Eliminate Barriers Faced by Medical Students With Disabilities.

When physicians have a disability or chronic condition, they can offer deeper insight and ability into managing the needs of patients with similar conditions. Yet an alarming 2021 survey found that only 40.7% of physicians feel confident that they provide the same level of care to people with disabilities (PWD) as those without. This may contribute to troubling health care disparities for the over 61 million Americans living with disabilities. In a recent report, The American Medical Association (AMA) recognized that increased concordance between patients and physicians with disabilities is key to resolving health care inequities for PWD, yet although 1 in 5 patients reports a disability, only 1 in 33 physicians identifies as such. This is because prospective medical students with disabilities face many barriers in medical education and practice. We call for specific changes to medical school admission processes and curricula to promote a more just and diverse workforce which includes more physicians with disabilities.

Adaptation of ACMG-ClinGen Technical Standards for Copy Number Variant Interpretation Concordance.

This study aimed to evaluate inter-laboratory classification concordance for copy number variants (CNVs) with a semiquantitative point-based scoring metric recommended by the American College of Medical Genetics and Genomics (ACMG) and Clinical Genome Resources (ClinGen). A total of 234 CNVs distributed by the National Center of Clinical Laboratories (NCCLs), and 72 CNVs submitted by different laboratories, were distributed to nine clinical laboratories performing routine clinical CNV testing in China and independently classified across laboratories. The overall inter-laboratory complete classification concordance rate of the 234 distributed CNVs increased from 18% (41/234) to 76% (177/234) using the scoring metric compared to the laboratory's previous method. The overall inter-laboratory complete classification concordance rate of the 72 submitted CNVs was 65% (47/72) using the scoring metrics. The 82 variants that initially did not reach complete concordance classification and 1 additional CNV deletion were reviewed; 34 reached complete agreement, and the overall post-review complete concordance rate was 85% (260/306). Additionally, the overall percentage of classification discordance possibly impacting medical management [i.e., pathogenic (P) or likely pathogenic (LP) vs. variant of uncertain significance (VUS)] was 11% (35/306). The causes of initial and final discordance in the classification were identified. The ACMG-ClinGen framework has promoted consistency in interpreting the clinical significance of CNVs. Continuous training among laboratories, further criteria and additional clarification of the standards, sharing classifications and supporting evidence through public database, and ongoing work for dosage sensitive genes/regions curation will be beneficial for harmonization of CNVs classification.

Technical Standards from Newly Established Medical Schools: A Review of Disability Inclusive Practices.

INTRODUCTION: Technical standards document US medical school's nonacademic criteria necessary for admission, persistence, and graduation and communicate the school's commitment to disability inclusion and accommodation but are considered one of the largest barriers for students with disabilities. Calls for more inclusive technical standards have increased in recent years, yet the impact of this work on changing technical standards has not been measured.The establishment of 15 new US MD- and DO-granting medical schools between 2017 to 2020 offered a unique opportunity to evaluate differences in the inclusive nature of newly developed technical standards. METHOD: We conducted a document analysis of 15 newly formed medical schools' technical standards to determine the availability and inclusive nature of the standards as they pertain to students with sensory and mobility disabilities. Technical standards were coded for: ease of obtaining technical standards, the school's stated willingness to provide reasonable accommodations, the origin of responsibility for accommodation request and implementation, and the school's openness to intermediaries or auxiliary aids. RESULTS: Of the 15 schools, 73% of the technical standards were not easy to locate online. Few (13%) included language that support disability accommodations. Most (73%) used language that was coded as 'restrictive' for students with physical or sensory disabilities. Coding of the newly accredited US MD and DO medical schools suggests that newly created technical standards are more restrictive than those in previous studies. CONCLUSIONS: Efforts to create more inclusive technical standards have not yet been realized. Newly formed US MD- and DO-granting medical schools may perpetuate historically restrictive technical standards that serve as barriers to applicants with disabilities. Future research should evaluate the role of medical school accrediting bodies to go beyond simply requiring technical standards to ensuring that the standards are readily available and appropriately convey the availability of reasonable accommodations for students with disabilities.

Are biodegradable plastics an environmental rip off?

While the use of biodegradable polymers is recognized as a global strategy to minimize plastic pollution, the technical standards (TS) used to attest their biodegradability may not be in compliance with most environmental parameters observed aquatic ecosystems. Indeed, through a careful assessment of the TS currently in use, this study evidenced that these guidelines cover only a fraction of the biogeochemical parameters seen in nature and largely disregard those that occur in the deep-sea. Thus, these TS may not be able to ensure the degradation of such polymers in natural environments, where microbial activity, pH, temperature, salinity, UV radiation and pressure are highly variable. This raises environmental concern, since relevant parcel of plastic ends up in the oceans reaching deep zones. Therefore, there is an urgent need to revise these TS, which must consider the actual fate of most plastic debris and include assessments under the challenging conditions found at these types of environment, alongside microplastic formation and ecotoxicology effects. Moreover, the next generation of biodegradability tests must be designed to enable a cost-effective implementation and incorporate accurate analytical techniques to assess polymer transformation. Furthermore, certification should provide information on time scale and degradation rates and, preferably, be globally harmonized.

Technical standards in allergen exposure chambers worldwide - an EAACI Task Force Report.

Allergen exposure chambers (AECs) can be used for controlled exposure to allergenic and non-allergenic airborne particles in an enclosed environment, in order to (i) characterize the pathological features of respiratory diseases and (ii) contribute to and accelerate the clinical development of pharmacological treatments and allergen immunotherapy for allergic disease of the respiratory tract (such as allergic rhinitis, allergic rhinoconjunctivitis, and allergic asthma). In the guidelines of the European Medicines Agency for the clinical development of products for allergen immunotherapy (AIT), the role of AECs in determining primary endpoints in dose-finding Phase II trials is emphasized. Although methodologically insulated from the variability of natural pollen exposure, chamber models remain confined to supporting secondary, rather than primary, endpoints in Phase III registration trials. The need for further validation in comparison with field exposure is clearly mandated. On this basis, the European Academy of Allergy and Clinical Immunology (EAACI) initiated a Task Force in 2015 charged to gain a better understanding of how AECs can generate knowledge about respiratory allergies and can contribute to the clinical development of treatments. Researchers working with AECs worldwide were asked to provide technical information in eight sections: (i) dimensions and structure of the AEC, (ii) AEC staff, (iii) airflow, air processing, and operating conditions, (iv) particle dispersal, (v) pollen/particle counting, (vi) safety and non-contamination measures, (vii) procedures for symptom assessments, (viii) tested allergens/substances and validation procedures. On this basis, a minimal set of technical requirements for AECs applied to the field of allergology is proposed.

Standardization of Spirometry 2019 Update. An Official American Thoracic Society and European Respiratory Society Technical Statement.

Background: Spirometry is the most common pulmonary function test. It is widely used in the assessment of lung function to provide objective information used in the diagnosis of lung diseases and monitoring lung health. In 2005, the American Thoracic Society and the European Respiratory Society jointly adopted technical standards for conducting spirometry. Improvements in instrumentation and computational capabilities, together with new research studies and enhanced quality assurance approaches, have led to the need to update the 2005 technical standards for spirometry to take full advantage of current technical capabilities.Methods: This spirometry technical standards document was developed by an international joint task force, appointed by the American Thoracic Society and the European Respiratory Society, with expertise in conducting and analyzing pulmonary function tests, laboratory quality assurance, and developing international standards. A comprehensive review of published evidence was performed. A patient survey was developed to capture patients' experiences.Results: Revisions to the 2005 technical standards for spirometry were made, including the addition of factors that were not previously considered. Evidence to support the revisions was cited when applicable. The experience and expertise of task force members were used to develop recommended best practices.Conclusions: Standards and consensus recommendations are presented for manufacturers, clinicians, operators, and researchers with the aims of increasing the accuracy, precision, and quality of spirometric measurements and improving the patient experience. A comprehensive guide to aid in the implementation of these standards was developed as an online supplement.

Evolution of Electronic Noses from Research Objects to Engineered Environmental Odour Monitoring Systems: A Review of Standardization Approaches.

Since electronic noses are used more and more for air quality monitoring purposes, and in some countries are starting to have a legal value, there is a need for standardization and programs for the quality verification of instruments. Such quality programs have the aim to guarantee the main characteristics of the instrument for both the final user and local authorities, let the user establish a suitable maintenance procedure and give information on measurement uncertainty. One critical aspect when dealing with electronic noses for environmental odour monitoring is that environmental odours are complex mixtures that are not repeatable nor reproducible, giving that they are not suitable for quality verifications. This paper aims to review and discuss the different approaches that can be adopted in order to perform quality checks on electronic noses (e-noses) used for environmental odour monitoring, thereby referring to existing technical standards, such as the Dutch NTA 9055:2012, the new German VDI 3518-3:2018, and the Italian UNI 1605848 project, which directly refer to electronic noses. Moreover, also the European technical standards that are prescriptive for automatic measuring systems (AMSs) are taken into consideration (i.e., EN 14181:2014 and EN 15267:2009), and their possible applicability to electronic noses is investigated. Finally, the pros and cons of the different approaches are presented and discussed in the conclusions section.

Laboratory analysis of amino acids, 2018 revision: a technical standard of the American College of Medical Genetics and Genomics (ACMG).

Amino acid abnormalities are observed in a broad spectrum of inherited metabolic diseases, such as disorders of amino acid metabolism and transport, organic acidemias, and ureagenesis defects. Comprehensive analysis of physiologic amino acids in blood, urine, and cerebrospinal fluid is typically performed in the following clinical settings: evaluation of symptomatic patients in whom a diagnosis is not known; evaluation of previously diagnosed patients to monitor treatment efficacy; evaluation of asymptomatic or presymptomatic (at-risk) relatives of known patients; follow-up testing for an abnormal newborn screen; and assessment of dietary protein adequacy or renal function in general patient populations. Currently, the most common analytical method to quantify amino acids is based on ion exchange chromatography using post-column derivatization with ninhydrin and spectrophotometric detection. Newer methodologies are based on liquid chromatographic separation with detection by mass spectrometry or spectrophotometry. Amino acid analysis by nonseparation methods, such as the flow injection-tandem mass spectrometric (MS/MS) method used for newborn screening, is considered inadequate for the diagnosis of at-risk patients. The purpose of this document is to provide a technical standard for amino acid analysis as applied to the diagnosis and management of inborn errors of metabolism.

A Review of Legal Decisions Relevant to Technical Standards Used in Pharmacy School Admissions.

The implementation of an effective and legally sound technical standards procedure for pharmacy schools requires a proactive approach by admissions officers. Applicants with disabilities are accorded significant rights that must not be infringed during the admissions process in order to ensure compliance with applicable law. This article provides a review of applicable state cases, federal cases, and OCR decisions and guidance to help pharmacy schools identify procedures and implement technical standards into their admissions processes as required by ACPE Standards 2016.

Using Competency-Based Digital Open Learning Activities to Facilitate and Promote Health Professions Education (OLAmeD): A Proposal.

BACKGROUND: Traditional learning in medical education has been transformed with the advent of information technology. We have recently seen global initiatives to produce online activities in an effort to scale up learning opportunities through learning management systems and massive open online courses for both undergraduate and continued professional education. Despite the positive impact of such efforts, factors such as cost, time, resources, and the specificity of educational contexts restrict the design and exchange of online medical educational activities. OBJECTIVE: The goal is to address the stated issues within the health professions education context while promoting learning by proposing the Online Learning Activities for Medical Education (OLAmeD) concept which builds on unified competency frameworks and generic technical standards for education. METHODS: We outline how frameworks used to describe a set of competencies for a specific topic in medical education across medical schools in the United States and Europe can be compared to identify commonalities that could result in a unified set of competencies representing both contexts adequately. Further, we examine how technical standards could be used to allow standardization, seamless sharing, and reusability of educational content. RESULTS: The entire process of developing and sharing OLAmeD is structured and presented in a set of steps using as example Urology as a part of clinical surgery specialization. CONCLUSIONS: Beyond supporting the development, sharing, and repurposing of educational content, we expect OLAmeD to work as a tool that promotes learning and sets a base for a community of medical educational content developers across different educational contexts.

Inquérito sobre nível de conhecimento e participação em Normas Brasileiras de Informática em Saúde / Survey about knowledge level and participation in Brazilian Health Standards / Encuesta de nivel de conocimiento y la participación en las Normas Brasileñas de Informática de la Salud

A padronização por meio de normas técnicas ABNT/CEE-78 representa uma forma de incrementar a adoção de tecnologias da informação e comunicação na área da saúde. Entretanto, parte dos profissionais e estudantes de áreas relacionadas à informática em saúde ainda desconhecem esse tema. Objetivo: identificar o nível de conhecimento das normas técnicas ABNT/CEE-78 por profissionais e estudantes de Informática em saúde. Método: foi elaborado um inquérito seguindo as etapas de pesquisa bibliográfica e construção de um questionário online. Resultados: 110 participantes responderam ao questionário, sendo 64% com idade entre 20 e 40 anos e 47% da área de exatas. Apesar de 77% apontarem conhecer a ABNT, somente 2% participam das atividades da ABNT/CEE-78, mas 58% demonstraram interesse em participar e promovê-las. Conclusão: Foi possível identificar que embora a grande maioria dos participantes conheça a ABNT, poucos possuem conhecimento sobre normas da área da Informática em Saúde.

The standardization of technical standards by ABNT/CEE-78 is a way to increase the adoption of information and communication technologies in health area. However, the professionals and students related to health informatics areas are still unaware of this issue. Objective: Identify the level of knowledge of technical standards ABNT / CEE-78 for professionals and students in health informatics. Method:  a survey was prepared following the steps of bibliographic research and building an online questionnaire. Results: 110 participants completed the survey, with 64% between 20 and 40 years old and 47% in the exact sciences area. Although 77% know about ABNT, only 2% participate in ABNT/CEE-78 activities, but 58% expressed interest in participating and promoting them. Conclusion: It was possible to identify that despite a mojority of participants knows about ABNT, only few have knoldgement about health informatics standards.

La estandarización de las normas técnicas a través de la ABNT / CEE-78 es una forma de aumentar la adopción de tecnologías de la información y de la comunicación en la asistencia sanitaria. Sin embargo, los profesionales y estudiantes de las áreas de informática relacionados con la salud todavía no son conscientes de este problema. Objetivo: Identificar el nivel de conocimiento de las normas técnicas ABNT / CEE-78 para profesionales y estudiantes de informática de la salud. Método: una encuesta se desarrolló siguiendo los pasos de la investigación bibliográfica y la construcción de un cuestionario en línea. Resultados: 110 participantes completaron el cuestionario, 64% tenían edad entre 20 y 40 años y 47% son de las ciencias exactas. A pesar de que 77% indicaron conocer la ABNT, sólo 2% participa en actividades de ABNT / CEE-78, pero 58% expresó su interés en participacion y promoción de las mismas. Conclusión: El estudio identificó que aunque la gran mayoría de los participantes sabe ABNT, pocos tienen conocimiento de las normas en el campo de la Informática de la Salud.

[Technical standards for the interventional treatment of acute ischemic stroke]. / Technische Standards bei der interventionellen Behandlung des akuten ischämischen Schlaganfalls.

Acute ischemic stroke is the leading cause of acquired disability and its treatment is still a major challenge. For more than a decade, various mechanical devices have been developed for the recanalization of proximal artery occlusions in acute ischemic stroke but most of them have been approved for clinical use, only on the basis of uncontrolled case series. Intravenous thrombolysis with recombinant tissue-specific plasminogen activator administered (iv rtPA) within 4.5 h of symptom onset is so far the only approved medicinal treatment in the acute phase of cerebral infarction. With the introduction of stent retrievers, mechanical thrombectomy has demonstrated substantial rates of partial or complete arterial recanalization and improved outcomes compared with iv rtPA and best medical treatment alone in multiple randomized clinical trials in select patients with acute ischemic stroke and proximal artery occlusions. This review discusses the evolution of endovascular stroke therapy followed by a discussion of the current technical standards of mechanical thrombectomy that have to be considered during endovascular stroke therapy and the updated treatment recommendations of the ESO Karolinska stroke update.

A repository of codes of ethics and technical standards in health informatics.

We present a searchable repository of codes of ethics and standards in health informatics. It is built using state-of-the-art search algorithms and technologies. The repository will be potentially beneficial for public health practitioners, researchers, and software developers in finding and comparing ethics topics of interest. Public health clinics, clinicians, and researchers can use the repository platform as a one-stop reference for various ethics codes and standards. In addition, the repository interface is built for easy navigation, fast search, and side-by-side comparative reading of documents. Our selection criteria for codes and standards are two-fold; firstly, to maintain intellectual property rights, we index only codes and standards freely available on the internet. Secondly, major international, regional, and national health informatics bodies across the globe are surveyed with the aim of understanding the landscape in this domain. We also look at prevalent technical standards in health informatics from major bodies such as the International Standards Organization (ISO) and the U. S. Food and Drug Administration (FDA). Our repository contains codes of ethics from the International Medical Informatics Association (IMIA), the iHealth Coalition (iHC), the American Health Information Management Association (AHIMA), the Australasian College of Health Informatics (ACHI), the British Computer Society (BCS), and the UK Council for Health Informatics Professions (UKCHIP), with room for adding more in the future. Our major contribution is enhancing the findability of codes and standards related to health informatics ethics by compilation and unified access through the health informatics ethics repository.