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1.
Surg Clin North Am ; 100(5): 909-920, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32882173

RESUMO

Advanced technology has resulted in major changes in surgery and medicine over the past three decades. There are many barriers to the adoption of advanced technologies, which can be more prevalent in rural hospitals and surgical practices. Despite barriers to implementation of new technologies in rural communities, many rural hospitals have endorsed and invested in these technologies for the benefit of the hospital and community. The rural surgeon is often the driving force in evaluating and deciding on new technologies for their surgical program. This article discusses advantages, challenges, and limitations in the use of advanced technologies in rural locations.


Assuntos
Tecnologia Biomédica , Cirurgia Geral/métodos , Serviços de Saúde Rural , Procedimentos Cirúrgicos Operatórios/métodos , Hospitais Rurais , Humanos , Procedimentos Cirúrgicos Robóticos , Telemedicina , Estados Unidos
2.
Cien Saude Colet ; 25(9): 3567-3571, 2020 Sep.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32876259

RESUMO

On February 3, 2020, the Brazilian Ministry of Health declared a state of emergency in public health of national relevance due to the pandemic caused by the new coronavirus SARS-CoV-2. As a result, IBGE postponed the 2020 Demographic Census and started to formulate a COVID-19 PNAD. The survey included a total sample of 349 thousand people in about 200 thousand households. Of the total Brazilian resident population, the IBGE estimated in May/2020 that 24.0 million (11.4%) had at least one of the flu-like syndrome symptoms. Of this contingent, 20.2 million (84.3% of all symptomatic patients) did not seek health care. The innovations brought to health surveillance and the IBGE's pioneering spirit show that it is possible, in a continental country that has been experiencing several local epidemics at different times in its territory, that other countries also develop similar household surveys, with weekly data collection (referred to epidemiological weeks) by telephone in an innovative and timely manner. The COVID-19 PNAD also brought new technology to the Institute, reviving its role as an external evaluator of the Unified Health System (SUS).


Assuntos
Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Vigilância em Saúde Pública/métodos , Saúde Pública , Inquéritos e Questionários , Betacoronavirus/isolamento & purificação , Tecnologia Biomédica , Brasil , Infecções por Coronavirus/terapia , Infecções por Coronavirus/virologia , Assistência à Saúde/organização & administração , Humanos , Pandemias , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Pneumonia Viral/terapia , Pneumonia Viral/virologia
3.
Cien Saude Colet ; 25(9): 3563-3566, 2020 Sep.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32876273

RESUMO

This paper discusses the understanding of complex health events, such as the pandemics involving SARS-CoV-2. It supports that simplifying the issue to the point of considering it just a consequence of contact between a pathogen and a susceptible human being overly weakens the effectiveness of the mitigation strategies. It sustains the need to emphasize the interfaces underpinning the construction of the pandemic complexity and considers them as central elements in its coping. It understands these interfaces as structuring elements of the process and relativizes the simplification strategies expressed in "silver bullets" - usually an industrial health product. Finally, it circumscribes this viewpoint by examining the interface between industrial health technologies and political variables that modulate people's access to them.


Assuntos
Tecnologia Biomédica , Infecções por Coronavirus/epidemiologia , Acesso aos Serviços de Saúde , Pneumonia Viral/epidemiologia , Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/terapia , Política de Saúde , Humanos , Pandemias , Pneumonia Viral/terapia
4.
Hu Li Za Zhi ; 67(5): 4-5, 2020 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-32978759

RESUMO

Taiwan officially entered the era of negative population growth in 2020, with the number of births falling below the number of deaths. Taiwan society is facing the severe problems of low birthrate and aging population, which will exacerbate the social gap in medical resources. Fortunately, rapid progress in developing smart technologies (Button et al., 2014) should bring new opportunities for healthcare. Therefore, the focus of and approach to healthcare should be adjusted (While & Dewsbury, 2011). On the one hand, applying smart technology in medical / nursing staff education offers myriad opportunities for improvement (Car et al., 2019), including using virtual reality in training, using mobile technology tools in education, and using Internet of Things technology to assist medical/nursing staff in the clinical-care process. Moreover, smart education technology will play an important, auxiliary role in the healthcare field in terms of mobile applications, robot practice, simulation experience, digital medicine, and telemedicine and influence the future of medical/nursing health care education (Bajpai et al., 2019). On the other hand, using smart technology to promote healthcare through various innovative healthcare design activities will help develop older-adult-friendly technology products, systems, services, and even living environments (Wang et al., 2015). These include remote home care systems, smart homes, rehabilitation systems, environment-assisted living, intelligent mobile assistance systems, communication platforms and social networks, accompanying robots, and interactive entertainment technology, among others. Smart technology will provide family members and professional medical staffs with more-convenient and efficient healthcare support, maximize the effectiveness of healthcare resources, and drive the development of related industries (Insel, 2017). The title of this column is interdisciplinary applications of healthcare and technology: education, research, and practice. In using smart technology to support healthcare, key research and practical issues will be how to apply related innovations to promote medical education, combine clinical research, and effectively integrate smart technology into healthcare.


Assuntos
Tecnologia Biomédica , Assistência à Saúde/organização & administração , Humanos , Taiwan
5.
Hu Li Za Zhi ; 67(5): 19-25, 2020 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-32978762

RESUMO

People have traditionally associated being 'not ill' with being 'healthy'. This concept has changed due to the improvement of Taiwan's population structure, advances in medical care, and better education. The word 'health' is defined by the World Health Organization as a state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity. In the future, people in Taiwan must address the challenges of population aging and create a society oriented to the long-term care needs of its citizens. People have different healthcare requirements during the respective stages of healthy, sub-healthy, and disability. Advancing technology has allowed the creation of many healthcare applications such as "health big data" that incorporate Internet of things (IoT) capabilities. Applying artificial intelligence opens many new possibilities and solutions. This article was written to introduce the application of big data techniques in smart healthcare that are appropriate to the three stages of healthy, sub-healthy, and disability.


Assuntos
Inteligência Artificial , Big Data , Tecnologia Biomédica , Assistência à Saúde/organização & administração , Humanos , Taiwan
8.
Value Health ; 23(7): 831-841, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32762984

RESUMO

OBJECTIVE: This study examines European decision makers' consideration and use of quantitative preference data. METHODS: The study reviewed quantitative preference data usage in 31 European countries to support marketing authorization, reimbursement, or pricing decisions. Use was defined as: agency guidance on preference data use, sponsor submission of preference data, or decision-maker collection of preference data. The data could be collected from any stakeholder using any method that generated quantitative estimates of preferences. Data were collected through: (1) documentary evidence identified through a literature and regulatory websites review, and via key opinion leader outreach; and (2) a survey of staff working for agencies that support or make healthcare technology decisions. RESULTS: Preference data utilization was identified in 22 countries and at a European level. The most prevalent use (19 countries) was citizen preferences, collected using time-trade off or standard gamble methods to inform health state utility estimation. Preference data was also used to: (1) value other impact on patients, (2) incorporate non-health factors into reimbursement decisions, and (3) estimate opportunity cost. Pilot projects were identified (6 countries and at a European level), with a focus on multi-criteria decision analysis methods and choice-based methods to elicit patient preferences. CONCLUSION: While quantitative preference data support reimbursement and pricing decisions in most European countries, there was no utilization evidence in European-level marketing authorization decisions. While there are commonalities, a diversity of usage was identified between jurisdictions. Pilots suggest the potential for greater use of preference data, and for alignment between decision makers.


Assuntos
Pesquisa sobre Serviços de Saúde/organização & administração , Preferência do Paciente , Mecanismo de Reembolso , Projetos de Pesquisa , Avaliação da Tecnologia Biomédica/métodos , Tecnologia Biomédica/economia , Comportamento de Escolha , Custos e Análise de Custo , Tomada de Decisões , Técnicas de Apoio para a Decisão , Europa (Continente) , Humanos , Projetos Piloto , Inquéritos e Questionários
9.
Nat Commun ; 11(1): 4000, 2020 08 10.
Artigo em Inglês | MEDLINE | ID: mdl-32778657

RESUMO

Additive manufacturing permits innovative soft device architectures with micron resolution. The processing requirements, however, restrict the available materials, and joining chemically dissimilar components remains a challenge. Here we report silicone double networks (SilDNs) that participate in orthogonal crosslinking mechanisms-photocurable thiol-ene reactions and condensation reactions-to exercise independent control over both the shape forming process (3D printing) and final mechanical properties. SilDNs simultaneously possess low elastic modulus (E100% < 700kPa) as well as large ultimate strains (dL/L0 up to ~ 400 %), toughnesses (U ~ 1.4 MJ·m-3), and strengths (σ ~ 1 MPa). Importantly, the latent condensation reaction permits cohesive bonding of printed objects to dissimilar substrates with modulus gradients that span more than seven orders of magnitude. We demonstrate soft devices relevant to a broad range of disciplines: models that simulate the geometries and mechanical properties of soft tissue systems and multimaterial assemblies for next generation wearable devices and robotics.


Assuntos
Teste de Materiais , Impressão Tridimensional , Silicones/química , Tecnologia Biomédica , Módulo de Elasticidade , Fenômenos Mecânicos , Polímeros , Reologia , Robótica , Resistência à Tração , Fatores de Tempo , Dispositivos Eletrônicos Vestíveis
10.
Front Health Serv Manage ; 37(1): 4-9, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32842082

RESUMO

The story of COVID-19 at Montefiore Health System is not really a story about a virus or a pandemic. It is a story about innovation-accelerating innovation. Indeed, the COVID-19 crisis has spurred innovation at healthcare organizations across the country, helping them respond to unprecedented times. The pandemic radically disrupted the entire healthcare sector as demand and supply shocks simultaneously affected established processes and supply chains. Similarly, patients' demands for healthcare drastically changed. Nothing could be taken for granted-not even the health of employees or their ability to come to provide care. In this new reality, digital innovation is fundamental for healthcare organizations as they make their transition into recovery. The Montefiore experience exemplifies how the COVID-19 pandemic can serve as the catalyst for digital innovation.


Assuntos
Tecnologia Biomédica , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/terapia , Assistência à Saúde/organização & administração , Invenções , Pneumonia Viral/diagnóstico , Pneumonia Viral/terapia , Betacoronavirus , Humanos , Cidade de Nova Iorque , Pandemias
11.
Rev. argent. salud publica ; 12: 1-5, 1 de Julio 2020.
Artigo em Espanhol | LILACS, BINACIS, ARGMSAL | ID: biblio-1102393

RESUMO

La Evaluación de Tecnologías Sanitarias (ETESA) es una herramienta técnica que intenta reducir la incertidumbre a la hora de tomar decisiones de cobertura en salud. Métodos: el presente trabajo es una revisión narrativa sobre el proceso de ETESA en un grupo de países de Europa y Latinoamérica a fin de realizar un análisis comparativo de una serie de variables que resultan relevantes para brindar solidez al proceso. Resultados: se encontraron similitudes y diferencias entre los países, tanto en el número de entidades participantes como en el foco de la decisión y hasta la dependencia del poder político. Discusión: los hallazgos han permitido identificar una serie de lecciones aprendidas que merecerían ser consideradas a la hora de avanzar en la creación de una Agencia Nacional de ETESA en Argentina


Assuntos
Avaliação da Tecnologia Biomédica , Tecnologia Biomédica
12.
Int J Nanomedicine ; 15: 3983-3999, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32606660

RESUMO

Introduction: In recent years, the use of cost-effective, multifunctional, environmentally friendly and simple prepared nanomaterials/nanoparticles have been emerged considerably. In this manner, different synthesizing methods were reported and optimized, but there is still lack of a comprehensive method with multifunctional properties. Materials and Methods: In this study, we aim to synthesis the copper oxide nanoparticles using Achillea millefolium leaf extracts for the first time. Catalytic activity was investigated by in situ azide alkyne cycloaddition click and also A3 coupling reaction, and optimized in terms of temperature, solvent, and time of the reaction. Furthermore, the photocatalytic activity of the synthesized nanoparticles was screened in terms of degradation methylene blue dye. Biological activity of the synthesized nanoparticles was evaluated in terms of antibacterial and anti-fungal assessments against Staphylococcus aureus, M. tuberculosis, E. coli, K. pneumoniae, P. mirabili, C. diphtheriae and S. pyogenes bacteria's and G. albicans, A. flavus, M. canis and G. glabrata fungus. In the next step, the biosynthesized CuO-NPs were screened by MTT and NTU assays. Results: Based on our knowledge, this is a comprehensive study on the catalytic and biological activity of copper oxide nanoparticles synthesizing from Achillea millefolium, which presents great and significant results (in both catalytic and biological activities) based on a simple and green procedure. Conclusion: Comprehensive biomedical and catalytic investigation of the biosynthesized CuO-NPs showed the mentioned method leads to synthesis of more eco-friendly nanoparticles. The in vitro studies showed promising and considerable results, and due to the great stability of these nanoparticles in a green media, effective biological activity considered as an advantageous.


Assuntos
Tecnologia Biomédica , Cobre/farmacologia , Nanopartículas Metálicas/química , Achillea/química , Antibacterianos/síntese química , Antibacterianos/farmacologia , Antifúngicos/farmacologia , Bactérias/efeitos dos fármacos , Catálise , Sobrevivência Celular/efeitos dos fármacos , Reação de Cicloadição , Fungos/efeitos dos fármacos , Células Hep G2 , Humanos , Nanopartículas Metálicas/ultraestrutura , Testes de Sensibilidade Microbiana , Extratos Vegetais/química , Solventes/química , Espectrofotometria Ultravioleta , Espectroscopia de Infravermelho com Transformada de Fourier , Temperatura , Fatores de Tempo , Difração de Raios X
13.
Sr Care Pharm ; 35(8): 338-344, 2020 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-32718389

RESUMO

Digital therapeutics (DTx)-treatment or therapy that uses digital health technologies to spur changes in patient behavior-increasingly are making their way into the health care environment. This evolution is especially apparent as health care moves to valuebased care, silos between settings are breaking down, and data collection/analysis and teamwork play key roles. These technologies, whether they are apps, software programs, or sensors, are helping patients adhere to treatments and lifestyle changes, set and meet viable care goals, and avoid costly emergency department visits and hospitalizations. At the same time, DTx are helping practitioners ensure the best possible outcomes; streamline costs; monitor patient progress; and receive, analyze, and share data.


Assuntos
Tecnologia Biomédica , Assistência à Saúde , Humanos , Monitorização Fisiológica , Software
14.
Int J Nanomedicine ; 15: 3447-3470, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32523343

RESUMO

Titanium dioxide (TiO2) nanostructures are one of the most plentiful compounds that have emerged in various fields of technology such as medicine, energy and biosensing. Various TiO2 nanostructures (nanotubes [NTs] and nanowires) have been employed in photoelectrochemical (PEC) biosensing applications, greatly enhancing the detection of targets. TiO2 nanostructures, used as reinforced material or coatings for the bare surface of titanium implants, are excellent additive materials to compensate titanium implants deficiencies-like poor surface interaction with surrounding tissues-by providing nanoporous surfaces and hierarchical structures. These nanostructures can also be loaded by diversified drugs-like osteoporosis drugs, anticancer and antibiotics-and used as local drug delivery systems. Furthermore, TiO2 nanostructures and their derivatives are new emerging antimicrobial agents to overcome human pathogenic microorganisms. However, like all other nanomaterials, toxicity and biocompatibility of TiO2 nanostructures must be considered. This review highlights recent advances, along with the properties and numerous applications of TiO2-based nanostructure compounds in nano biosensing, medical implants, drug delivery and antibacterial fields. Moreover, in the present study, some recent advances accomplished on the pharmaceutical applications of TiO2 nanostructures, as well as its toxicity and biocompatibility, are presented.


Assuntos
Tecnologia Biomédica/métodos , Nanoestruturas/química , Titânio/química , Anti-Infecciosos/farmacologia , Sistemas de Liberação de Medicamentos , Humanos , Próteses e Implantes , Titânio/toxicidade
17.
Stud Health Technol Inform ; 271: 69-76, 2020 Jun 23.
Artigo em Inglês | MEDLINE | ID: mdl-32578544

RESUMO

BACKGROUND: Information and communications technologies (ICTs) may facilitate shorting length of stay (LOS) of patients through the optimization of processes and delivery services. OBJECTIVES: This study aims to provide technology-based solutions and interventions based on health information technology (HIT) that have optimization potentials of patients' LOS. METHODS: This review study searched papers in PubMed, Scopus as well as Google Scholar without presuming time limits by the end of 2019. English and Persian Papers were included, which addressed an association between the ICT and LOS as well as its positive effect in shortening LOS. RESULTS: Identified technologies were finally classified into eleven groups. Based on the findings, common health technologies such as health information systems, telemedicine especially tele-consultation, electronic discharge planning tools, and visual analytical dashboards in order to expedite the process and help to optimize LOS seem appropriate. CONCLUSIONS: HIT-based interventions have potential that may support better management of processes related to patients' admission, hospitalization, and discharge. However consistently evaluation along with using any new technology is necessary.


Assuntos
Tempo de Internação , Informática Médica , Telemedicina , Tecnologia Biomédica , Humanos
19.
Zhonghua Liu Xing Bing Xue Za Zhi ; 41(6): 809-812, 2020 Jun 10.
Artigo em Chinês | MEDLINE | ID: mdl-32564540

RESUMO

Cervical cancer is the fourth common cancer in women globally, with the number of new cases accounted for 18.6% among all the cancer patients, in China. It is well known that the situation of prevention and control programs are quite challenging. Based on the efforts being made in the last 20 years, the etiology and carcinogenesis on cervical cancer had been clearly understood. Breakthroughs had been achieved in the development of prophylactic human papillomovirus vaccine and the technology of in screening. Various screening strategies are already available in areas with different economic status. Nevertheless, the capacity of health care services at the primary care clinics needs to be improved to narrow the gap between the reality and the demands.


Assuntos
Tecnologia Biomédica/tendências , Neoplasias do Colo do Útero/prevenção & controle , China/epidemiologia , Detecção Precoce de Câncer/métodos , Feminino , Humanos , Vacinas contra Papillomavirus , Neoplasias do Colo do Útero/epidemiologia
20.
Zhonghua Wei Chang Wai Ke Za Zhi ; 23(6): 541-544, 2020 Jun 25.
Artigo em Chinês | MEDLINE | ID: mdl-32521971

RESUMO

With the worldwide adoption of minimally invasive surgery, innovation again becomes the theme. In the past hundred years, molecular biology technology, minimally invasive surgery technology, pharmaceutical research and therapies have been constantly innovated to promote the development of medicine. As the subject of medical innovation, the innovative idea from medical staff is also very important. For surgeons, the invention and improvement of a new operation or surgical instrument directly depends on curiosity and exploration. Whether a novel idea or technology can be transformed and used in clinical practice depends on its commercial prospects and the adjustment of macro health policies. The protection of intellectual property and appropriate distribution of interests are the key to ensure sustainable innovation. We should put scientific and technological innovation and achievement transformation in the important position of the "healthy China" strategy, take scientific and technological innovation as the basis and achievements transformation as the means, promote the development of China's health protection, implement the healthy China strategy, and make our own contribution to provide people with all-round health services.


Assuntos
Invenções , Procedimentos Cirúrgicos Minimamente Invasivos/tendências , Logro , Pesquisa Biomédica , Tecnologia Biomédica , China , Humanos , Propriedade Intelectual
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