Suchergebnisse

La resolución número 412 de 2000 establece las actividades, procedimientos e intervenciones de promoción y prevención en salud, las normas de atención para el desarrollo de las acciones de protección específica, detección temprana y atención de enfermedades de interés en salud pública, una de las cuales se denomina Detección de Alteraciones de la Agudeza Visual, en la cual se contemplan las técnicas apropiadas para la toma de visión de lejos y de cerca. Se realizó una investigación que determinó el grado de conocimiento de la norma técnica para la detección de alteraciones de la agudeza visual por parte de los estudiantes de internado de la Facultad de Medicina de la Universidad Militar Nueva Granada y de otras universidades en el Hospital Militar Central. Teniendo en cuenta los procedimientos que contiene la norma se diseñó una encuesta y una lista de chequeo para determinar el grado de conocimiento y aplicación de la misma; los instrumentos fueron sometidos a evaluación por jueces expertos en dos oportunidades para revisar y sugerir reformas; elaboradas las correcciones y aprobada la validación se procedió a aplicar la encuesta a los internos. Se concluyó que no se imparte de manera adecuada la enseñanza de la detección de alteraciones visuales, generando inconsistencia en las consultas médicas y en la adecuada remisión.

Ageing population would cause profound problems and the impact is already being felt today in many developed countries such as Singapore. The main concern for the Government is to help the citizens with active ageing through home ownership and good healthcare. With Internet of Things (IoT) gaining traction globally, Singapore is set to take advantage of this technology and leverage it to extend its capabilities towards a graceful Ageing-In-Place for the elderly. This ties in nicely with the expertise of SHINE Seniors project by SMU-iCity Lab, which integrates IT with healthcare in ways that creates innovative IT health solutions that meet the needs of the elderlies. In this project, we study the problem of predicting potential Alzheimer conditions in the elderly through the behavioural analysis models developed from IoT sensors data. Our findings shows that IoT room sensors for location detection can enable us the capture the key three variables of elderly behaviour; excess active levels, sleeping patterns and repetitive actions. The three variables are useful in predicting the early warning signs of Alzheimer and we provide recommendations to care-givers based on the prediction analysis. We studied the task on 20 elderly living alone in the flats equipped with five sensors with the data spread over a period of 6 months.

Outbreaks, epidemics and endemic conditions make dengue a disease that has emerged as a major threat in tropical and sub-tropical countries over the past 30 years. Dengue fever creates a growing burden for public health systems and has the potential to affect over 40% of the world population. The problem being investigated is to identify the highest and lowest areas of dengue risk. This paper presents "Similarity Search", a geospatial analysis aimed at identifying these locations with- in Kenya. Similarity Search develops a risk map by combining environmental susceptibility analysis and geographical infor- mation systems, and then compares areas with dengue prevalence to all other locations. Kenya has had outbreaks of dengue during the past 3 years, and we identified areas with the highest susceptibility to dengue infection using bioclimatic variables, elevation and mosquito habitat as input to the model. Comparison of the modelled risk map with the reported dengue epi- demic cases obtained from the open source reporting ProMED and Government news reports from 1982-2013 confirmed the high-risk locations that were used as the Similarity Search presence cells. Developing the risk model based upon the bio- climatic variables, elevation and mosquito habitat increased the efficiency and effectiveness of the dengue fever risk mapping process.

This paper is concerned with the question of how COVID-19 impacts the medical delivery system in a rural community. It presents findings from interviews of medical professionals participating in an isolated rural community and public health officials that coordinate preparedness planning. This paper reviews barriers of access to healthcare in an already constricted system. Then looks at the implications of COVID-19 as an additional strain. Interviews of professionals will survey preparedness, regulatory impacts, repercussions to the business model, impact on service capacity, and opportunities for improvement. Interested parties would include patient advocates, patients, healthcare workers, politicians, and employers.

Medicine relies heavily on diagnostic testing. Before the end of 2019 – the beginning of 2020, the modernized world took for granted accurate and available diagnostic tests. The COVID-19 pandemic taught the world, even the wealthiest countries, how fragile human health can become when tests are lacking. The assumption of available testing and the confidence in test results has been seriously challenged. With these challenges, Point-of-Care (PoC) tests has transgressed medicine and science to include politics, finance, and humanity at its core. This Bard senior project is rooted in the science of a proof-of-concept paper-based ELISA Immunodot assay for the detection of C-reactive protein (CRP). CRP can be identified at varying blood concentrations found in humans physiology and disease. CRP testing is used for clinical diagnoses millions of times per month in the United States. The results confirm that the ELISA Immunodot can both distinguish CRP+ and CRP- standards and semi-quantitively predict the CRP concentration of the standard. The ability to relate the intensity of the CRP colorimetric output to a standard CRP concentration has potential applicability in future medical testing.

INTRODUCTION: Mediastinal parathyroid adenomas are a rare condition. AIM: Analysis of epidemiological data, clinical manifestation of mediastinal parathyroid adenoma (MPA), including imaging modalities, and therapeutic approach to this condition. MATERIAL AND METHODS: A retrospective study of documented cases of mediastinal parathyroid adenoma that were managed at our Department of Thoracic Surgery of the Military Teaching Hospital Mohammed V, between January 2010 and December 2019. RESULTS: During a 9-year period in our department, 21 documented cases of MPA were treated surgically. Patients ranged in age from 20 to 69 years, with a mean age of 45 years, and there was no gender predominance. The most frequently reported manifestations were osteoarticular, with bone pain in 66.6% (14/21), pathological fractures in 28.5% (6/21), and osteoporosis in 23.8% (5/21). Cervical ultrasound, MIBI scintigraphy and cervico-thoracic computed tomography scan were performed respectively in 28.5% (n = 06/21), in 47.6% (n = 10/21) and 100% (n = 21), and allowed positive diagnosis of MPA. All patients benefited from resection surgery, through a classical transverse cervicotomy which was extended in some cases to the manubrium, and in only one case treated with thoracotomy. CONCLUSIONS: Management of mediastinal parathyroid adenoma is based on the diagnosis imaging assessment step, usually by MIBI scintigraphy. Surgical ablation is a radical treatment. Peroperative hormonal evaluation is mainly recommended.

Febrile illnesses are among the most common reasons for visits to hospitals and clinics worldwide. Since fevers can arise from a wide range of diseases, identifying the causative pathogen is essential not only for effective personal treatment but also for early detection of outbreaks. The Defense Threat Reduction Agency (DTRA) tasked a coalition of commercial, academic, and government researchers with moving diagnostic technology concepts from ideation to field use as rapidly as possible using scientifically sound evaluations. DTRA's 24 Month Challenge program examined >30 technologies before fielding four technologies on four continents. >10,000 in field test results were recorded. Here we discuss our tiered evaluation system to assess candidate technologies developed by commercial partners and the process of field testing those technologies at various front-line clinics in Sierra Leone, Thailand, Peru, and Australia. We discuss successes and challenges for introducing two multiplexed lateral flow immunoassay(LFI) tests that detect malaria, dengue fever, melioidosis, and the plague. Additionally we discuss the use of a LFI reader that assisted the interpretation of the assay, communicated results to a data cloud, and greatly facilitated reach-back support. Lastly, we discuss the concurrent field testing of a multiplexed PCR assay on the FilmArray platform, which had an assay pouch specially designed for the 24 Month Challenge. Either standard-of-care or gold-standard testing were run alongside our fielded technologies to benchmark their performance.