Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.821
Filtrar
1.
Instr Course Lect ; 69: 393-404, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32017741

RESUMO

Orthopaedic surgeons have a strong legacy for the early of adoption of new technologies that promise to advance patient care. Such technologies are being developed at an extraordinary pace, leveraging advances in orthobiologics and cartilage restoration, surgical navigation, robotic surgery, 3-D printing, and manufacturing of customized implants and sensors. The functionality provided by this revolution is impressive, promising substantial benefits for patients. However, the value of these technologies resides not in their "newness" but in the ability to improve outcomes for patients and reduce overall costs of care. Deciding whether a new technology brings value to an orthopaedic practice can be difficult, especially in an environment of rising health care costs, abundant choice, competition, consumer pressures, variable quality in supporting data, and a shifting regulatory landscape. In this article, we explore the drivers for orthopaedic companies, institutions, and care providers to develop, evaluate, and incorporate new technology. We outline the technology innovation cycle and the major demographic and psychosocial characteristics of adopter groups. We introduce factors considered in evaluating new technologies, such as patient safety, product efficacy, regulatory issues, and their value. Finally, we summarize the ethical concerns associated with new technology, alongside education and training, network security, financial remuneration and informed consent. This article aims to empower orthopaedic surgeons with a balanced and critical approach to ensure the adoption of new technologies in a safe, effective, and ethical manner.


Assuntos
Ortopedia , Custos de Cuidados de Saúde , Humanos , Consentimento Livre e Esclarecido , Invenções , Segurança do Paciente
2.
J Nurs Adm ; 50(2): 63-65, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31977943

RESUMO

The 2019 Association for Leadership Science in Nursing International Conference, Disruptive Innovation, was held in Los Angeles, California, with attendees from 30 US states, Canada, Brazil, and China. Presenters discussed the need for nurse leaders to advocate for health equity, lead evidence-based innovation, how robots and other technology are generating disruptive innovations in healthcare, and building strong academic-practice partnerships to address nursing workforce challenges. This article will report on these important insights.


Assuntos
Enfermagem Baseada em Evidências/organização & administração , Equidade em Saúde/organização & administração , Invenções , Enfermeiras Administradoras/organização & administração , Recursos Humanos de Enfermagem/organização & administração , Inovação Organizacional , Brasil , Canadá , China , Humanos , Liderança , Estados Unidos
4.
Nihon Hoshasen Gijutsu Gakkai Zasshi ; 75(12): 1420-1425, 2019.
Artigo em Japonês | MEDLINE | ID: mdl-31866640

RESUMO

In radiography with anti-scatter grid, it is important to make sure that the X-ray beam direct exactly perpendicular to the grid plane. However, it is so difficult to ensure in mobile radiography. An optical sight to ensure X-ray alignment in mobile radiography with anti-scatter grid was devised. The device measures the X-ray beam angle respect to the grid plane by utilizing collimator-lamp. Computed radiography of water phantom on inclined bedding with anti-scatter grid (6 : 1) were done by aid of devised optical sight 20 times. The result showed that the average alignment error of the radiographies by aid of devised optical sight was within 1°, and the maximum error was<2°.


Assuntos
Invenções , Intensificação de Imagem Radiográfica , Imagens de Fantasmas , Radiografia , Radiografia Torácica , Espalhamento de Radiação , Raios X
5.
Am J Law Med ; 45(2-3): 130-170, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-31722626

RESUMO

In many areas of innovation, the United States is a leader, but this characterization does not apply to the United States' position in assisted reproductive technology innovation and clinical use. This article uses a political science concept, the idea of the "democratic deficit" to examine the lack of American public discourse on innovations in ART. In doing so, the article focuses on America's missing public consultation in health care innovation. This missing discourse is significant, as political and ethical considerations may impact regulatory decisions. Thus, to the extent that these considerations are influencing the decisions of federal agency employees, namely those who work within the U.S. Food and Drug Administration, the public is unable to participate in the decision-making process. This lack of a public discourse undermines the goals of the administrative state, which include democratic participation, transparency, and accountability. The United Kingdom, on the other hand, has had a markedly divergent experience with assisted reproductive technology innovation. Instead of ignoring the various ethical, social, and legal issues surrounding assisted reproductive technology innovation, the United Kingdom engaged in a five-strand public consultation on the topic of mitochondrial transfer, a form of assisted reproductive technology that uses genetic modification in order to prevent disease transmission. This article argues that after a multi-decade standstill in terms of the public discourse related to ethical issues associated with assisted reproductive technology and germline modification, it is time for the United States to institute a more democratic inquiry into the scientific, ethical, and social implications of new forms of assisted reproductive technology and ultimately, forthcoming medical innovations that involve genetic modification.


Assuntos
Democracia , Invenções/legislação & jurisprudência , Formulação de Políticas , Técnicas de Reprodução Assistida/legislação & jurisprudência , Participação da Comunidade , Governo Federal , Fertilização In Vitro/ética , Fertilização In Vitro/legislação & jurisprudência , Política de Saúde/legislação & jurisprudência , Humanos , Invenções/ética , Técnicas de Reprodução Assistida/ética , Responsabilidade Social , Participação dos Interessados , Governo Estadual , Inquéritos e Questionários , Reino Unido , Estados Unidos , United States Food and Drug Administration/legislação & jurisprudência
9.
Pflege ; 32(6): 324-333, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31576771

RESUMO

The potential of technological assistance to support distance caregiving - literature review and empirical results Abstract. Background: Due to demographic change, increasing labour mobility and changing family patterns, social relationships often exist over long distances. Supporting relatives over a distance is therefore a highly topical issue but still little discussed, also in Germany and Switzerland. Aim: The project "DiCa" (2016 - 2019) with an interdisciplinary research team from Germany (EH Ludwigsburg) and Switzerland (Careum School of Health, Zurich) aims to investigate different dimensions of "Distance Caregiving". This paper deals with the possible use of new technologies to support these care arrangements. Methods: Based on a literature review, qualitative interviews were conducted with "Distance Carers" and partner companies in Germany to investigate the use of new technologies in the context of "Distance Caregiving". Results: There are initial approaches concerning technical solutions in home care and in companies. So far communication options via telephone and smartphone and flexible working time and workplace regulations have played an important role. However, the potential of new technologies does not seem to be fully explored. Conclusions: In order to make the most of the various possibilities of innovative technologies in the context of "Distance Caregiving" for those affected but also for companies, well-researched information and independent advice and counseling are required for all parties involved in the care process.


Assuntos
Tecnologia Biomédica , Cuidadores , Invenções , Telemedicina/instrumentação , Humanos
10.
J Drugs Dermatol ; 18(9): 904-908, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31524346

RESUMO

Dermatologists are among the most inventive physicians, trained in the multiple disciplines of medical dermatology, surgical dermatology, and dermatopathology. Many of the advances in dermatology practice have been derived from inventive colleagues who identify opportunities for improvement in practice, develop viable prototypes to address these practice opportunities, and persevere through the hard work of developing new technologies to advance the practice of dermatology. In this article, we will review the basic elements of invention, patents, and the range of outcomes associated with the pursuit of invention. Examples of innovative dermatologic technologies and approaches will be reviewed. Opportunities abound for dermatologists to contribute to the advancement of medical care through invention in our specialty. J Drugs Dermatol. 2019;18(9):904-908.


Assuntos
Tecnologia Biomédica/métodos , Dermatologia/métodos , Invenções/legislação & jurisprudência , Dermatopatias/terapia , Tecnologia Biomédica/legislação & jurisprudência , Fármacos Dermatológicos/uso terapêutico , Dermatologistas , Dermatologia/instrumentação , Dermatologia/legislação & jurisprudência , Desenho de Equipamento , Humanos , Patentes como Assunto , Dermatopatias/diagnóstico
12.
BMC Health Serv Res ; 19(1): 648, 2019 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-31492139

RESUMO

BACKGROUND: Commissioning innovative health technologies is typically complex and multi-faceted. Drawing on the negotiated order perspective, we explore the process by which commissioning organisations make their decisions to commission innovative health technologies. The empirical backdrop to this discussion is provided by a case study exploring the commissioning considerations for a new photoplethysmography-based diagnostic technology for peripheral arterial disease in primary care in the UK. METHODS: The research involved an empirical case study of four Clinical Commissioning Groups (CCGs) involved in the commissioning of services in primary and secondary care. Semi-structured in-depth interviews (16 in total) and two focus groups (a total of eight people participated, four in each group) were conducted with key individuals involved in commissioning services in the NHS including (i) senior NHS clinical leaders and directors (ii) commissioners and health care managers across CCGs and (iii) local general practitioners. RESULTS: Commissioning of a new diagnostic technology for peripheral arterial disease in primary care involves high levels of protracted negotiations over funding between providers and commissioners, alliance building, conflict resolution and compromise of objectives where the outcomes of change are highly contingent upon interventions made across different care settings. Our evidence illustrates how reconfigurations of inter-organisational relations, and of clinical and related work practices required for the successful implementation of a new technology could become the major challenge in commissioning negotiations. CONCLUSIONS: Innovative health technologies such as the diagnostic technology for peripheral arterial disease are commissioned in care pathways where the value of such technology is realised by those delivering care to patients. The detail of how care pathways are commissioned is complex and involves high degrees of uncertainty concerning such issues as prioritisation decisions, patient benefits, clinical buy-in, value for money and unintended consequences. Recent developments in the new care models and integrated care systems (ICSs) in the UK offer a unique opportunity for the successful commissioning arrangements of innovative health technologies in primary care such as the new diagnostic technology for peripheral arterial disease.


Assuntos
Tecnologia Biomédica/estatística & dados numéricos , Medicina Geral/estatística & dados numéricos , Invenções , Tecnologia Biomédica/organização & administração , Difusão de Inovações , Grupos Focais , Medicina Geral/organização & administração , Clínicos Gerais/organização & administração , Clínicos Gerais/estatística & dados numéricos , Administração de Serviços de Saúde , Humanos , Negociação , Atenção Primária à Saúde/organização & administração , Atenção Primária à Saúde/estatística & dados numéricos , Medicina Estatal
13.
Pharm Pat Anal ; 8(4): 91-107, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31414965

RESUMO

Nonobviousness is the most critical patentability criterion. Patents covering new molecular entities and second-generation molecules in the pharmaceutical industry are often challenged for prima facie obviousness during prosecution and/or litigation. In such situations, the patentee has to either reject or rebut the same by clear and convincing evidence or demonstrate unexpected results, to establish nonobviousness. This paper tries to show how the lead compound requirement is consistent with 35 U.S.C. § 103; the prima facie obviousness challenge can be overcome; the two-prong approach is consistent with the Supreme Court's KSR v. Teleflex, 2007 (KSR) decision. The showing is illustrated with the analysis of new molecular entities in the proton-pump inhibitor family.


Assuntos
Indústria Farmacêutica/legislação & jurisprudência , Invenções/legislação & jurisprudência , Patentes como Assunto/legislação & jurisprudência , Descoberta de Drogas , Preparações Farmacêuticas
14.
Ann Biol Clin (Paris) ; 77(4): 429-435, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31418704

RESUMO

Training in biology, pharmacy and medicine are essential in laboratory medicine in faculty and especially with recent residency modifications. Active learning improves critical thinking and is an essential component of health education. Interactive assessment systems for the interactive participation of students have emerged. Recently, many offers of audience response system (ARS) accessible by personal electronic devices such as smartphone, tablet or computer are available. These systems seem to be an effective teaching innovation according to students. We aimed to evaluate three pedagogical tools during real school lectures in order to be able to select them according to the needs: Votar, Socrative and Wooclap. Methods: Three connected participation tools will be tested during teaching at Lille University, faculty of pharmacy by 3 different teachers. 75 fifth-year pharmacy students divided into 2 groups of students will have attended at least one session using each of the systems studied. After lessons, an online questionnaire with 9 questions was submitted to students on their interest in each system. Questions measured student perception using a 1 to 10 scale. Results and discussion: 62 of 75 students completed online surveys and were included in the study. According students, ARS by smartphone or computer improve their education. Favorite application seems to be Socrative and Wooclap. This study provides student perception comparison of ARS. To complete, additional studies are needed to establish their efficacy after several month.


Assuntos
Educação Médica , Avaliação Educacional/métodos , Aprendizagem Baseada em Problemas , Treinamento por Simulação , Interface Usuário-Computador , Telefone Celular , Educação Médica/métodos , Educação Médica/normas , Avaliação Educacional/normas , Humanos , Invenções , Aprendizagem Baseada em Problemas/métodos , Aprendizagem Baseada em Problemas/normas , Treinamento por Simulação/métodos , Treinamento por Simulação/normas , Estudantes de Medicina , Estudantes de Farmácia , Inquéritos e Questionários , Realidade Virtual
15.
Zhonghua Wei Chang Wai Ke Za Zhi ; 22(8): 715-718, 2019 Aug 25.
Artigo em Chinês | MEDLINE | ID: mdl-31422607

RESUMO

With the development in the past 20 years, minimally invasive gastrointestinal and colorectal surgery is now in its prime of life, with a high level in terms of surgical technique, surgical standardization, innovative technology and technical training. However, in the prime of life, in order to avoid the decline, we must meet new challenges. With the advent of the era of 5G and artificial intelligence, plus a series of changes in the internal and external environment, minimally invasive surgery, and even the entire surgery will have a major impact, including changes in treatment patterns, emphasis of multidisciplinary comprehensive treatment, changes in disease spectrum, and except neoplasms, more benign and functional diseases may require minimally invasive surgery. The gastrointestinal surgery specialist relying on "craft" will likely be replaced by an artificial intelligence surgical system. In the face of challenges, we should not forget our initial intentions, and should diligently reflect on ourselves, keeping the patient-centered minimally invasive treatment concept. Meanwhile, we should go to the basic hospitals to further establish a standardized training system, continue to maintain innovative thinking and keep pace with the times, so that we can grasp the prime of life for minimally invasive gastrointestinal and colorectal surgery.


Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/normas , Gastroenteropatias/cirurgia , Trato Gastrointestinal/cirurgia , Procedimentos Cirúrgicos Minimamente Invasivos/normas , Cirurgia Assistida por Computador/normas , Inteligência Artificial , Humanos , Invenções , Assistência Centrada no Paciente
16.
Stud Health Technol Inform ; 264: 1911-1912, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438403

RESUMO

Evaluators need to measure whether innovations help patients and staff, but have lacked the tools needed to do this as part of routine care. We provide a taxonomy for the classification of survey measures, which can be used together on a pick and mix basis. These are described in the context of the evaluation of digital health innovations.


Assuntos
Inquéritos e Questionários , Humanos , Invenções
17.
Artigo em Inglês | MEDLINE | ID: mdl-31438575

RESUMO

Based on the data of green credit (GC), environmental regulation (ER) and green technology innovation (GTI) in 30 provinces and cities of China from 2007 to 2016, this study investigated the relationship between green credit and green technology innovation development and analyzed the adjustment effect of ER on GC to promote GTI using Geoda and Matlab2016 software, so as to further guide and encourage GC. The results show that GTI in 30 provinces and municipalities in China has a significant spatial agglomeration effect. Single GC plays a certain role in promoting local technology innovation, but it fails to influences the surrounding areas. Environmental regulation has a certain regulatory effect on the relationship between green credit and green technology innovation in the province but also fails to influences the surrounding areas.


Assuntos
Conservação dos Recursos Naturais , Política Ambiental , Invenções , Carbono , China , Cidades , Regulamentação Governamental
18.
Med Ref Serv Q ; 38(3): 287-292, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31379291

RESUMO

Portable document format (PDF) electronic files are by far the most popular format used to publish, store, and share scholarly journal articles. Recently, new tools for quickly finding and linking to journal article PDFs have been developed. These tools integrate into the researcher's web browser and scan for unique identifiers associated with a journal article. When a unique identifier is found, the tool attempts to locate a PDF copy of the associated article and provide a link. This article will explore how these full-text finders work and discuss the advantages and disadvantages of these tools. Descriptions of several of the most popular tools are provided, and a short discussion of how librarians can facilitate the use of these tools at their institutions is included.


Assuntos
Armazenamento e Recuperação da Informação/métodos , Internet , Invenções , Software , Navegador , Humanos
19.
World J Gastroenterol ; 25(27): 3538-3545, 2019 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-31367155

RESUMO

The advent of video capsule endoscopy into clinical routine more than 15 years ago led to a substantial change in the diagnostic approach to patients with suspected small bowel diseases, often indicating a deep enteroscopy procedure for diagnostical confirmation or endoscopic treatment. Device assisted enteroscopy was developed in 2001 and for the first time established a practicable, safe and effective method for evaluation of the small bowel. Currently with double-balloon enteroscopy, single-balloon enteroscopy and spiral enteroscopy three different platforms are available in clinical routine. Summarizing, double-balloon enteroscopy seems to offer the deepest insertion depth to the small bowel going hand in hand with the disadvantage of a longer procedural duration. Manual spiral enteroscopy seems to be a faster procedure but without reaching the depth of the DBE in currently available data. Finally, single-balloon enteroscopy seems to be the least complicated procedure to perform. Despite substantial improvements in the field of direct enteroscopy, even nowadays deep endoscopic access to the small bowel with all available methods is still a complex procedure, cumbersome and time-consuming and requires high endoscopic skills. This review will give an overview of the currently available techniques and will further discuss the role of the upcoming new technology of the motorized spiral enteroscopy (PowerSpiral).


Assuntos
Enteroscopia de Balão/instrumentação , Endoscopia por Cápsula/instrumentação , Endoscópios Gastrointestinais , Enteropatias/diagnóstico por imagem , Enteroscopia de Balão/efeitos adversos , Enteroscopia de Balão/métodos , Tecnologia Biomédica/tendências , Endoscopia por Cápsula/efeitos adversos , Endoscopia por Cápsula/métodos , Humanos , Enteropatias/cirurgia , Intestino Delgado/diagnóstico por imagem , Intestino Delgado/cirurgia , Invenções/tendências
20.
Ann Acad Med Singapore ; 48(6): 188-194, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31377763

RESUMO

It has been about 100 years since the Spanish influenza pandemic of 1918-19 that killed an estimated 50 million individuals globally. While we have made remarkable progress in reducing infection-related mortality, infections still account for 13 to 15 million deaths annually. This estimate is projected to remain unchanged until 2050. We have identified 4 megatrends in infectious diseases and these are "emerging and re-emerging infections", "antimicrobial resistance", "demographic changes" and "technological advances". Understanding these trends and challenges should lead to opportunites for the medical community to reshape the future. Further inroads will also require broad approaches involving surveillance, public health and translating scientific discoveries into disease control efforts.


Assuntos
Doenças Transmissíveis Emergentes/epidemiologia , Resistência Microbiana a Medicamentos , Controle de Infecções/tendências , Invenções/tendências , Dinâmica Populacional/tendências , Doenças Transmissíveis Emergentes/prevenção & controle , Doenças Transmissíveis Emergentes/terapia , Humanos , /terapia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA