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1.
PLoS One ; 19(3): e0298588, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38457427

RESUMEN

Vessel electronic monitoring (EM) systems used in fisheries around the world apply a variety of cameras to record catch as it is brought on deck and during fish processing activities. In EM work conducted by the Center for Fisheries Electronic Monitoring at Mote (CFEMM) in the Gulf of Mexico commercial reef fish fishery, there was a need to improve upon current technologies to enhance camera views for accurate species identification of large sharks, particularly those that were released while underwater at the vessel side or underneath the hull. This paper describes how this problem was addressed with the development of the first known EM system integrated underwater camera (UCAM) with a specialized vessel-specific deployment device on a bottom longline reef fish vessel. Data are presented based on blind video reviews from CFEMM trained reviewers of the resulting UCAM video footage compared with video from only the overhead EM cameras from 68 gear retrievals collected from eight fishing trips. Results revealed that the UCAM was a successful tool for capturing clear underwater video footage of released large (>2m) sharks to enable reviewers to improve individual species identification, determination, and fate by 34.4%. This was particularly important for obtaining data on incidental catches of large protected shark species. It also provided clear underwater imagery of the presence of potential predators such as marine mammals close to the vessel, more specifically bottlenose dolphin (Tursiops truncatus) during gear retrieval, which often damaged or removed catch. This information is intended to assist researchers in need of gathering critical data on bycatch in close proximity to a vessel in which conventional overhead EM cameras are limited.


Asunto(s)
Caniformia , Tiburones , Animales , Conservación de los Recursos Naturales/métodos , Explotaciones Pesqueras , Golfo de México , Electrónica
2.
OTO Open ; 8(1): e109, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38282795

RESUMEN

The COVID-19 pandemic led to increased telehealth utilization in outpatient otolaryngology settings. While other studies on telehealth usage in otolaryngology settings have focused on demographic disparities during the pandemic, none have yet assessed how these demographic disparities have evolved from before versus after the pandemic. This study examines 4 recent consecutive years of demographic and clinical data from a large hospital system to investigate how the COVID-19 pandemic has changed demographic patterns in telehealth utilization. We demonstrate substantial increases in the number of otolaryngology patients participating in telehealth since the beginning of the COVID-19 pandemic but with no differences in patient distributions by race or ethnicity over time. We also found that telehealth patients, on average, were younger, more likely to be English-speaking, and more likely to be female. While these disparities widened slightly after the start of the pandemic, they were also present prior to the pandemic.

3.
Curr Oncol ; 31(6): 3579-3590, 2024 Jun 19.
Artículo en Inglés | MEDLINE | ID: mdl-38920746

RESUMEN

The COVID-19 pandemic caused major disruptions to healthcare services in 2020, delaying cancer diagnosis and treatment. While early-stage thyroid cancer often progresses slowly, it is crucial to determine whether treatment delays associated with the pandemic have impacted the clinical presentation and management of advanced-stage thyroid cancer. The purpose of our study was to determine the impact of the early COVID-19 pandemic on thyroid cancer presentation and treatment times. Utilizing the National Cancer Database, chi-squared tests and regression analyses were performed to compare patient demographic and clinical characteristics over time for 56,011 patients diagnosed with primary thyroid cancer who were treated at the Commission on Cancer-accredited sites in 2019 and 2020. We found that thyroid cancer diagnoses decreased between 2019 and 2020, with the biggest drop among patients with cT1 disease relative to other T stages. We also found that patients diagnosed with thyroid cancer in 2020 had similar treatment times to patients diagnosed in 2019, as measured by both the time between diagnosis and start of treatment and the time between surgery and start of radioactive iodine therapy. Overall, our study suggests that resources during the pandemic were allocated to patients with advanced thyroid disease, despite a decrease in diagnoses.


Asunto(s)
COVID-19 , Neoplasias de la Tiroides , Humanos , Neoplasias de la Tiroides/cirugía , Neoplasias de la Tiroides/epidemiología , COVID-19/epidemiología , Femenino , Masculino , Persona de Mediana Edad , Anciano , SARS-CoV-2 , Adulto , Pandemias , Tiempo de Tratamiento/estadística & datos numéricos , Tiroidectomía
4.
Biomolecules ; 14(3)2024 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-38540803

RESUMEN

Max L. Lee was not included as an author in the original publication [...].

5.
J Biomed Mater Res A ; 2024 Jul 04.
Artículo en Inglés | MEDLINE | ID: mdl-38963690

RESUMEN

Approximately 5%-10% of fractures go on to delayed healing and nonunion, posing significant clinical, economic, and social challenges. Current treatment methods involving open bone harvesting and grafting are associated with considerable pain and potential morbidity at the donor site. Hence, there is growing interest in minimally invasive approaches such as bone marrow aspirate concentrate (BMAC), which contains mesenchymal stromal cells (MSCs), macrophages (Mφ), and T cells. However, the use of cultured or activated cells for treatment is not yet FDA-approved in the United States, necessitating further exploration of optimal cell types and proportions for effective bone formation. As our understanding of osteoimmunology advances, it has become apparent that factors from anti-inflammatory Mφ (M2) promote bone formation by MSCs. Additionally, M2 Mφ promote T helper 2 (Th2) cells and Treg cells, both of which enhance bone formation. In this study, we investigated the interactions among MSCs, Mφ, and T cells in bone formation and explored the potential of subsets of BMAC. Coculture experiments were conducted using primary MSCs, Mφ, and CD4+ T cells at specific ratios. Our results indicate that nonactivated T cells had no direct influence on osteogenesis by MSCs, while coculturing MSCs with Mφ and T cells at a ratio of 1:5:10 positively impacted bone formation. Furthermore, higher numbers of T cells led to increased M2 polarization and a higher proportion of Th2 cells in the early stages of coculture. These findings suggest the potential for enhancing bone formation by adjusting immune and mesenchymal cell ratios in BMAC. By understanding the interactions and effects of immune cells on bone formation, we can develop more effective strategies and protocols for treating bone defects and nonunions. Further studies are needed to investigate these interactions in vivo and explore additional factors influencing MSC-based therapies.

6.
Biomolecules ; 14(1)2023 12 30.
Artículo en Inglés | MEDLINE | ID: mdl-38254652

RESUMEN

Joint replacement is a common surgery and is predominantly utilized for treatment of osteoarthritis in the aging population. The longevity of many of these implants depends on bony ingrowth. Here, we provide an overview of current techniques in osteogenesis (inducing bone growth onto an implant), which is affected by aging and inflammation. In this review we cover the biologic underpinnings of these processes as well as the clinical applications. Overall, aging has a significant effect at the cellular and macroscopic level that impacts osteosynthesis at bone-metal interfaces after joint arthroplasty; potential solutions include targeting prolonged inflammation, preventing microbial adhesion, and enhancing osteoinductive and osteoconductive properties.


Asunto(s)
Interfase Hueso-Implante , Longevidad , Humanos , Anciano , Desarrollo Óseo , Inflamación
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