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1.
PM R ; 14(8): 1029-1030, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35920232
2.
Curr Opin Ophthalmol ; 33(5): 394-398, 2022 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-35916568

RESUMO

PURPOSE OF REVIEW: To describe the drivers, development, and current state of the American Academy of Ophthalmology IRIS Registry (Intelligent Research In Sight), and analytics involving deidentified aggregate IRIS Registry data. RECENT FINDINGS: The IRIS Registry has a core mission of quality improvement and reporting. In addition, analytic projects performed to date have included characterizing patient populations and diseases, incidence, and prevalence; clinical outcomes and complications; risk factors and effect modifiers; practice patterns; and trends over time. Pipeline projects include application of artificial intelligence and machine learning approaches for predictive modeling and analytics, disease mapping, detecting patterns and identifying cohorts, and optimizing treatment based on patient-specific characteristics. SUMMARY: The IRIS Registry is the nation's largest single specialty clinical registry, with unique data elements specific to ophthalmology. It offers a wealth of opportunities involving big data analytics, including traditional inferential statistics as well as machine learning and artificial intelligence approaches scalable on massive amounts of data.


Assuntos
Oftalmologia , Academias e Institutos , Inteligência Artificial , Ciência de Dados , Humanos , Sistema de Registros , Estados Unidos
3.
PM R ; 14(7): 892-893, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35866460
5.
J Biomol Tech ; 33(1)2022 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-35836997

RESUMO

Core facilities have a ubiquitous and increasingly valuable presence at research institutions. Although many shared cores were originally created to provide routine services and access to complex and expensive instrumentation for the research community, they are frequently called upon by investigators to design protocols and procedures to help answer complex research questions. For instance, shared microscopy resources are evolving from providing access to and training on complex imaging instruments to developing detailed innovative protocols and experimental strategies, including sample preparation techniques, staining, complex imaging parameters, and high-level image analyses. These approaches require close intellectual collaboration between core staff and research investigators to formulate and coordinate plans for protocol development suited to the research question. Herein, we provide an example of such coordinated collaboration between a shared microscopy facility and a team of scientists and clinician-investigators to approach a complex multiprobe immunostaining, imaging, and image analysis project investigating the tumor microenvironment from human breast cancer samples. Our hope is that this example may be used to convey to institute administrators the critical importance of the intellectual contributions of the scientific staff in core facilities to research endeavors.


Assuntos
Microscopia , Pesquisadores , Academias e Institutos , Instalações de Saúde , Humanos , Projetos de Pesquisa
8.
Rev Med Chil ; 150(1): 100-106, 2022 Jan.
Artigo em Espanhol | MEDLINE | ID: mdl-35856971

RESUMO

Dr. Vicente Izquierdo San Fuentes was the first professor of Histology at the Faculty of Medicine of the University of Chile. In that Chair, cell theory strongly radiated to new generations of health students. However, the conditions for the creation of the discipline of General or Cell Biology were not yet ripe. Almost three decades later, Dr. Juan Noé Crevani was hired in Italy to lead Medical Zoology in 1912. From the heterogeneous discipline of Medical Zoology, Dr. Noé managed to create in 1926 the new chairs of General Biology, Embryology-Comparative Anatomy and Parasitology. His vision of biology as an essentially dynamic and experimental science, contributed to modernize and encourage the development of different areas of biology in Chile. Retaining their full independence, these chairs met in 1931, in a new organization called the Juan Noé Institute of Biology, which lasted until the university reform of 1968. Afterwards, the departments of Biology and Genetics, Parasitology, Human Anatomy and Histology were created. In 1998, a new reorganization of the Faculty of Medicine of the University of Chile began, creating the so-called Institute of Biomedical Sciences (ICBM) that houses several disciplinary programs that replaced the old departments.


Assuntos
Docentes , Medicina , Academias e Institutos , Chile , História do Século XX , Humanos , Universidades/história
9.
J Am Acad Orthop Surg ; 30(14): 637-640, 2022 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-35797678
10.
Gac Med Mex ; 158(3): 160-167, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35894741

RESUMO

INTRODUCTION: The decision to get involved in the study and practice of medicine is not easy. Within the scientific environment, achieving both professional and personal success requires a strict discipline, where effort becomes an essential part of daily life; in addition, having family support becomes crucial in order for not to lose hope when confronting the different adversities that arise during medical training. OBJECTIVE: To identify families where at least two members belong to the Academia Nacional de Medicina de México (ANMM). METHODS: A cross-sectional study was carried out to identify families of Mexican doctors where at least two members, consanguineous or in-laws, have been or are ANMM members through a review of 2017 ANMM Directory and personal contact with the different academics. RESULTS: Information on 45 families belonging to the ANMM was collected. CONCLUSIONS: From this study, it is possible to show the great influence that some doctors have in their family environment, which makes the study of medicine attractive as a life project.


INTRODUCCIÓN: La decisión de involucrarse en el estudio y la práctica de la medicina no es fácil. Dentro del ambiente científico, alcanzar el éxito tanto profesional como personal requiere de una disciplina estricta en donde el esfuerzo se vuelve parte esencial de la vida diaria, además, el tener el apoyo familiar se vuelve un pilar para no perder la ilusión ante las distintas adversidades que se presentan en la formación médica. OBJETIVO: Identificar a las familias donde mínimo dos miembros pertenecen a la Academia Nacional de Medicina. MÉTODOS: Se llevó a cabo un estudio transversal para analizar las familias de médicos mexicanos en las que por lo menos dos miembros, consanguíneos o políticos, han sido o son miembros de la Academia Nacional de Medicina de México por medio de la consulta del Directorio de la Academia Nacional de Medicina del año 2017 y el contacto de manera personal con los distintos académicos. RESULTADOS: Se recolectó información de 45 familias pertenecientes a la Academia Nacional de Medicina de México. CONCLUSIONES: A partir de este estudio es posible evidenciar la gran influencia que emiten algunos médicos en su entorno familiar, que hace que el estudio de la medicina sea atractivo como proyecto de vida.


Assuntos
Academias e Institutos , Médicos , Estudos Transversais , Humanos , México
11.
J Biomol Tech ; 33(1)2022 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-35837002

RESUMO

Financial sustainability in biobanks has recently become a key issue globally, as biorepositories struggle to balance limited external funding and high operating costs. To maximize governance and operational efficiency, the Pathology Facility and the University College London (UCL)/UCL Hospitals Biobank for Studying Health and Disease ("the Biobank") have been grouped together under the same management at the UCL Cancer Institute. This paper explores the operational and financial interaction between the Pathology Facility and the Biobank over a period of 3 years (2017-2019). Since 2017, only a minority of the requests included collection of samples from the archive or molecular biology services, and most of the requests included histology services. Our data confirmed the difficulty for a biobank to achieve financial sustainability. The integration of the Pathology Facility with the Biobank within a single laboratory management and delivery infrastructure was shown to be an effective management option and presented a unique opportunity to overcome financial and operational challenges, thus improving efficiency and lowering costs for both parties.


Assuntos
Academias e Institutos , Bancos de Espécimes Biológicos , Custos e Análise de Custo , Humanos , Londres , Universidades
12.
Epidemiol Prev ; 46(3): 192-203, 2022.
Artigo em Italiano | MEDLINE | ID: mdl-35775297

RESUMO

Environmental pollution in the site of the high school 'Rolando da Piazzola' in Piazzola sul Brenta (Padua, Veneto Region, Northern Italy) was discovered by chance in 2020. Since then, investigations on the environmental damage have been ongoing, while the school is anyway working. The purpose of this article is twofold. On the one hand, to narrate the stratification uses in the area from 1891 to nowadays: a story accounting for both the processing of chemical fertilizers at the origin of pollution and its oblivion between the 1960s and 1980s. On the other hand, to shed light on such forgotten memories by recovering last-century narratives and current voices on the past, thus providing a first assessment of a work in progress. The industrial legacy and the sudden change of use of the area itself exhibit a 'cognitive dissonance' between the harmfulness of the place, known to the population since the factory was active, and the inertia of top-down projects, passed in the name of interests and variously conceived notion of development. Such dissonance is now to be grasped by the school, in the light of an ecological view. The participatory reasoning on the environmental and health risks alludes to the civic mission of the school and calls for a syntonic relationship with the territory. These operations require a resonance inside and outside the institute, which has still not been found. What is at stake is the need to reconnect the memory between generations and the relationships between human and non-human entities (i.e., the environment). On these basis, it would be possible to build some scientific citizenship that can face uncertainty without paralyzing effect, but in a new, transparent, and horizontal narrative about the sense of a place and of itself.


Assuntos
Poluição Ambiental , Indústrias , Academias e Institutos , Poluição Ambiental/efeitos adversos , Humanos , Itália
14.
J Contemp Dent Pract ; 23(1): 95-99, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-35656665

RESUMO

AIM: To evaluate the awareness among the patients visiting a dental college in replacing the missing teeth. MATERIALS AND METHODS: A cross-sectional survey was conducted to know the patient's awareness and preference for the treatment options. A list of the closed-ended questionnaire was used to record the patient's response about being edentulous. The collected data were statistically analyzed. SPSS, Version 2.1, statistical software was used. The descriptive statistics were done using frequency and percentage. Bar graphs and pie graphs were used wherever applicable. RESULTS: Maximum patients reported to dental treatment with less than 1 year period of edentulousness. This directly indicates an increased awareness among the patients (77.5%). The need to replace the missing teeth was a function such as mastication of food for 42.6% of the patients and 36.6% of the patients wanted to replace their missing teeth for improving their appearance. The most preferred method of the replacement is fixed partial denture (FPD) as it was cost-effective and affordable for them. Only 22% of the patients wanted an implant as a treatment option as it did not involve the adjacent teeth. CONCLUSION: The awareness and knowledge about the treatment options among the patients visiting the dental college have increased, but still, the awareness about the consequences of being edentulous for a long time should be improved through social media by the dentists. CLINICAL SIGNIFICANCE: The replacement of missing teeth is important in rehabilitating the form, function, esthetics, and integrity of the stomatognathic system. There are various treatment options available for replacing missing teeth. Very few patients are aware of all the options and the consequences of not replacing the posterior teeth.


Assuntos
Anodontia , Boca Edêntula , Perda de Dente , Academias e Institutos , Estudos Transversais , Estética Dentária , Humanos
15.
Rev Med Inst Mex Seguro Soc ; 60(2): 104-106, 2022 Mar 01.
Artigo em Espanhol | MEDLINE | ID: mdl-35704950

RESUMO

The creation of an institution as large as the Instituto Mexicano del Seguro Social (IMSS) required a lot of planning to manage all the benefits provided to the population. Thus, it is necessary to have health personnel with knowledge and experience in health services administration. This manuscript is an acknowledgment to doctors Manuel Barquín Calderón, Antonio Ríos Vargas and Carlos Zamarripa Torres, pioneers and recognized protagonists in the planning and organization (administration) of the IMSS medical services between 1945 and 1955, who also had rational initiatives and constructive, doing their duty. On the other hand, the Institute exposed and projected that medical-administrative activities were a complex task, and that its practice required specialized knowledge that could not be left to chance, empiricism, good will, beliefs or nonobjective imagination.


La creación de una organización tan grande como el Instituto Mexicano del Seguro Social (IMSS) requirió de mucha planeación para lograr administrar todas las prestaciones que se brindan a la población. Siendo así una necesidad contar con personal de salud con conocimientos y experiencia en administración en servicios de salud. El presente manuscrito es un reconocimiento a los doctores Manuel Barquín Calderón, Antonio Ríos Vargas y Carlos Zamarripa Torres, pioneros y protagonistas reconocidos en la planeación y organización (administración) de los servicios médicos del IMSS entre 1945 y 1955, quienes además tuvieron iniciativas racionales y constructivas, cumpliendo con su deber. Por otro lado, el Instituto expuso y proyectó que las actividades médico-administrativas eran una tarea compleja, y que su práctica necesitaba conocimientos especializados que no podían dejarse al azahar, al empirismo, a la buena voluntad, a las creencias o a la imaginación no objetiva.


Assuntos
Academias e Institutos , Previdência Social , Pessoal de Saúde , Humanos , Conhecimento , México/epidemiologia
18.
Indian J Med Ethics ; VII(1): 1, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35712839

RESUMO

Dr Ramalingam, lovingly known to all of us as Ram, an eminent clinical pharmacologist and bioethicist, excelled in his role of Principal and Dean of PSG Institute of Medical Sciences and Research, (PSGIMSR) Coimbatore, and as a human being, in his dealings with his peers and students.


Assuntos
Saúde da População , Academias e Institutos , Humanos
19.
BMC Pregnancy Childbirth ; 22(1): 507, 2022 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-35739463

RESUMO

BACKGROUND: According to the World Health Organization about 2.6 million deaths were reported worldwide in 2015. More than 98% of stillbirths occur in developing countries. At present, the causes of many cases of stillbirth are unknown due to the lack of necessary data and autopsies in Iran. The aim of this study was to investigate the most plausible cause of stillbirth by evaluating clinical records and autopsies. METHODS: A cross-sectional study of 42 stillbirth autopsies in Avicenna Research Institute from 2012 to 2019, was conducted. Data were extracted from a checklist prepared by the project researchers. The checklist contains maternal demographic information, medical history and maternal illness, pregnancy risk factors, placenta and stillbirth information. Collected data were reviewed and classified according to the ReCoDe (Relevant Condition at Death) system. RESULTS: In the present study, based on ReCoDe classification, related causes of 95.2% of stillbirths were identified and 4.8% were in the unclassified group. The most common causes were: Fetal causes (64.3%), umbilical cord (14.3%), placenta (7.1%), amniotic fluid (4.8%), maternal medical conditions (2.4%). The causes of about 70% of stillbirth in Iran are unexplained, but in this study, using autopsy results and ReCoDe classification, only 4.8% of stillbirth causes remained unexplained. CONCLUSIONS: In our study, unknown cases were rare after autopsy. But considering the limitations and costs of autopsy, we need to design the guideline to specify cases who need an autopsy. Fetal autopsy, placental examination and clinical information could reduce the proportion of stillbirths that remain unexplained.


Assuntos
Placenta , Natimorto , Academias e Institutos , Autopsia , Causas de Morte , Estudos Transversais , Feminino , Humanos , Gravidez , Estudos Retrospectivos , Natimorto/epidemiologia
20.
BMC Health Serv Res ; 22(1): 756, 2022 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-35672735

RESUMO

BACKGROUND: Health care coverage decisions deal with health care technology provision or reimbursement at a national level. The coverage decision report, i.e., the publicly available document giving reasons for the decision, may contain various elements: quantitative calculations like cost and clinical effectiveness analyses and formalised and non-formalised qualitative considerations. We know little about the process of combining these heterogeneous elements into robust decisions. METHODS: This study describes a model for combining different elements in coverage decisions. We build on two qualitative cases of coverage appraisals at the Dutch National Health Care Institute, for which we analysed observations at committee meetings (n = 2, with field notes taken) and the corresponding audio files (n = 3), interviews with appraisal committee members (n = 10 in seven interviews) and with Institute employees (n = 5 in three interviews), and relevant documents (n = 4). RESULTS: We conceptualise decisions as combinations of elements, specifically (quantitative) findings and (qualitative) arguments and values. Our model contains three steps: 1) identifying elements; 2) designing the combinations of elements, which entails articulating links, broadening the scope of designed combinations, and black-boxing links; and 3) testing these combinations and choosing one as the final decision. CONCLUSIONS: Based on the proposed model, we suggest actively identifying a wider variety of elements and stepping up in terms of engaging patients and the public, including facilitating appeals. Future research could explore how different actors perceive the robustness of decisions and how this relates to their perceived legitimacy.


Assuntos
Tecnologia Biomédica , Atenção à Saúde , Academias e Institutos , Instalações de Saúde , Humanos
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