Effects of Technologic and Sociocultural Changes on the Practice of Neonatal Medicine: A View From France

PEDIATRICS ◽  
1993 ◽  
Vol 91 (2) ◽  
pp. 501-504
Author(s):  
J. P. Relier

When one considers the changes that have occurred in trends of perinatal mortality or the proportion of severe handicap in infants or adults in most Western countries in the past 20 years, there has been a profound change in the prognosis for life and for long-term sequelae after perinatal distress. The technical reasons for this extraordinary progress are straightforward. But it is much more difficult to Understand the profound effects on the quality of the lives that have come into being as a result of these advances. Indeed, it is hard to assess the precise consequences directly related to the new technology, as opposed to effects related to the long separation of mother and child after an abnormal birth and in pathologic states of the newborn.

2011 ◽  
Vol 20 (01) ◽  
pp. 146-155
Author(s):  
A. V. Alekseyenko ◽  
Y. Aphinyanaphongs ◽  
S. Brown ◽  
D. Fenyo ◽  
L. Fu ◽  
...  

SummaryTo survey major developments and trends in the field of Bioinformatics in 2010 and their relationships to those of previous years, with emphasis on long-term trends, on best practices, on quality of the science of informatics, and on quality of science as a function of informatics.A critical review of articles in the literature of Bioinformatics over the past year.Our main results suggest that Bioinformatics continues to be a major catalyst for progress in Biology and Translational Medicine, as a consequence of new assaying technologies, most predominantly Next Generation Sequencing, which are changing the landscape of modern biological and medical research. These assays critically depend on bioinformatics and have led to quick growth of corresponding informatics methods development. Clinical-grade molecular signatures are proliferating at a rapid rate. However, a highly publicized incident at a prominent university showed that deficiencies in informatics methods can lead to catastrophic consequences for important scientific projects. Developing evidence-driven protocols and best practices is greatly needed given how serious are the implications for the quality of translational and basic science.Several exciting new methods have appeared over the past 18 months, that open new roads for progress in bioinformatics methods and their impact in biomedicine. At the same time, the range of open problems of great significance is extensive, ensuring the vitality of the field for many years to come.


Children ◽  
2018 ◽  
Vol 5 (8) ◽  
pp. 107 ◽  
Author(s):  
Danielle Friedman ◽  
Tara Henderson

Over the past two decades, marked progress has been made in understanding the biology of neuroblastoma; this has led to refined risk stratification and treatment modifications with resultant increasing 5-year survival rates for children with neuroblastoma. Survivors, however, remain at risk for a wide variety of potential treatment-related complications, or “late effects”, which may lead to excess morbidity and premature mortality in this cohort. This review summarizes the existing survivorship literature on long-term health outcomes for survivors of neuroblastoma, focusing specifically on potential injury to the endocrine, sensory, cardiovascular, pulmonary, and renal systems, as well as survivors’ treatment-related risk for subsequent neoplasms and impaired quality of life. Additional work is needed to assess the potential late effects of newer multimodality therapies with the aim of optimizing long-term medical and psychosocial outcomes for all survivors of neuroblastoma.


2005 ◽  
Vol 15 (S1) ◽  
pp. 174-178 ◽  
Author(s):  
Kathleen Mussatto ◽  
James Tweddell

The past two decades have witnessed a major shift towards repair of most congenital cardiac malformations during the neonatal or infant periods of life.1 Early anatomic correction or palliation, dramatic improvements in survival, and reduced morbidity due to improvements in perioperative and long-term medical management, have resulted in new populations of children that have reaped the benefits of the best care currently available for treatment of congenital cardiac disease. The impact of the congenital cardiac malformations, however, extends far beyond the walls of the hospital or clinic where we diagnose, treat, and follow our patients. The breakthrough of achieving predictable results with repair or palliation of most lesions during the neonatal and infant periods mandates us to look beyond survival, and to examine the lives our patients lead when they are outside of our care. Our purpose in this review is to discuss the measures of psychosocial outcome that are appropriate for exploration in those neonates and infants who survive cardiac surgery, to explore what is known about the psychosocial outcomes and quality of life for these patients, and what needs exist for future research.


Author(s):  
Robert Pool

The past couple of decades have been a confusing, frustrating period for engineers. With their creations making the world an ever richer, healthier, more comfortable place, it should have been a time of triumph and congratulation for them. Instead, it has been an era of discontent. Even as people have come to rely on technology more and more, they have liked it less. They distrust the machines that are supposedly their servants. Sometimes they fear them. And they worry about the sort of world they are leaving to their children. Engineers, too, have begun to wonder if something is wrong. It is not simply that the public doesn’t love them. They can live with that. But some of the long-term costs of technology have been higher than anyone expected: air and water pollution, hazardous wastes, the threat to the Earth’s ozone layer, the possibility of global warming. And the drumbeat of sudden technological disaster over the past twenty years is enough to give anyone pause: Three Mile Island, Bhopal, the Challenger, Chernobyl, the Exxon Valdez, the downing of a commercial airliner by a missile from the U.S.S. Vincennes. Is it time to rethink our approach to technology? Some engineers believe that it is. In one specialty after another, a few prophets have emerged who argue for doing things in a fundamentally new way. And surprisingly, although these visionaries have focused on problems and concerns unique to their own particular areas of engineering, a single underlying theme appears in their messages again and again: Engineers should pay more attention to the larger world in which their devices will function, and they should consciously take that world into account in their designs. Although this may sound like a simple, even a self-evident, bit of advice, it is actually quite a revolutionary one for engineering. Traditionally, engineers have aimed at perfecting their machines as machines. This can be seen in the traditional measures of machines: how fast they are, how much they can produce, the quality of their output, how easy they are to use, how much they cost, how long they last.


Sensors ◽  
2020 ◽  
Vol 20 (21) ◽  
pp. 6293
Author(s):  
Filippo Piccinini ◽  
Giovanni Martinelli ◽  
Antonella Carbonaro

Fitness sensors and health systems are paving the way toward improving the quality of medical care by exploiting the benefits of new technology. For example, the great amount of patient-generated health data available today gives new opportunities to measure life parameters in real time and create a revolution in communication for professionals and patients. In this work, we concentrated on the basic parameter typically measured by fitness applications and devices—the number of steps taken daily. In particular, the main goal of this study was to compare the accuracy and precision of smartphone applications versus those of wearable devices to give users an idea about what can be expected regarding the relative difference in measurements achieved using different system typologies. In particular, the data obtained showed a difference of approximately 30%, proving that smartphone applications provide inaccurate measurements in long-term analysis, while wearable devices are precise and accurate. Accordingly, we challenge the reliability of previous studies reporting data collected with phone-based applications, and besides discussing the current limitations, we support the use of wearable devices for mHealth.


2015 ◽  
Vol 2015 ◽  
pp. 1-20 ◽  
Author(s):  
Giulia Gigliobianco ◽  
Sabiniano Roman Regueros ◽  
Nadir I. Osman ◽  
Julio Bissoli ◽  
Anthony J. Bullock ◽  
...  

Stress urinary incontinence (SUI) and pelvic organ prolapse (POP) are major health issues that detrimentally impact the quality of life of millions of women worldwide. Surgical repair is an effective and durable treatment for both conditions. Over the past two decades there has been a trend to enforce or reinforce repairs with synthetic and biological materials. The determinants of surgical outcome are many, encompassing the physical and mechanical properties of the material used, and individual immune responses, as well surgical and constitutional factors. Of the current biomaterials in use none represents an ideal. Biomaterials that induce limited inflammatory response followed by constructive remodelling appear to have more long term success than biomaterials that induce chronic inflammation, fibrosis and encapsulation. In this review we draw upon published animal and human studies to characterize the changes biomaterials undergo after implantation and the typical host responses, placing these in the context of clinical outcomes.


Author(s):  
Steven M. Schorr

For The First 40+ Years, Folding Rulers, Tape Measures, And Black And White Photography Were The Standard Tools Of The Trade For Collision Reconstruction Engineers. Armed With These Tools, Engineers Collected As Much Data As Possible In Order To Evaluate A Collision Sequence. Then, And Still True Today, The Quality Of The Data Collected Directly Affects The Accuracy And The Depth Of The Analysis. However, Conventional Data Collection Tools Limited The Quality Of The Recorded Data. Typical Problems Encountered In The Past By Collision Reconstruction Engineers Included The Difficulty Associated With Re-Creating Realistic Representations Of The Collision Area And Vehicle(S), As Well As Performing Diagnostic Examinations Of Vehicles And Measuring Roadway Curvature, Elevations, Roadway Friction Factors, Illumination Levels, And Vehicle Dimensions. New Technology Has Provided Forensic Engineers With The Tools To Address These, And Other Reconstruction Needs. Through The Utilization Of Cutting-Edge Laser Scanning Technology, Engineers Can Now Collect Numerous Measurements Cost-Effectively, With Unprecedented Accuracy, At The Speed Of (Laser) Light. This New Technology Has The Ability To Rapidly Advance The Field Of Forensic Engineering, Not Just In The Area Of Collision Reconstruction, But In Any Discipline That Requires Precision Measurements.


2021 ◽  
Vol 21 (2) ◽  
pp. 161
Author(s):  
Widhy Setyowati ◽  
Untung Rahardja ◽  
Qurotul Aini ◽  
Nuke Puji Lestari Santoso ◽  
Wahyu Yustika Prihastiwi

<p><em>Indonesia is entering the 4.0 revolution, which brings many changes in all fields, including technology. The most extensive new technology is decentralized with transparent, convenient, permanent, and irreplaceable characteristics, commonly known as Blockchain. Blockchain has been applied in all fields, especially in the field of technology. But Blockchain technology is currently still in the pilot stage which has some issues and needs to be resolved. These include regulatory difficulties, limited information processing capacity, and data confidentiality. This article describes the ability to implement Blockchain technology in educational, financial accounting. Therefore, this study proposes a framework design for higher education finance to improve the security of the ledger. In the long term, this platform can efficiently reduce disclosure and earnings management errors, improve the quality of educational accounting data, and reduce data asymmetry. The analysis method by calculating the SUS score against the accounting Blockchain system shows 85, so this framework is included in the Net Promoter category. The final result of this research can optimize financial finance in higher education by using Blockchain.</em></p>


Author(s):  
Peter Sarlos

Over the past 50 years there has been a significant decline in the quality of constructed outcomes in the Australian building industry. The decline can be readily attributed structural changes in project delivery methodologies that have been brought about by the focus of some industry participants on time, cost and profit at the expense of quality, durability and the project encapsulated environmental health. The changes have been stimulated by legislative changes that have increased the complexity of compliance while at the same time reducing the oversight of work to ensure compliance. A striking impact of these changes has been to force changes to the leadership of the project delivery process where the focus of the effort is on project economics to the exclusion of meeting the project brief and the projects long term durability.


1992 ◽  
Vol 6 (2) ◽  
pp. 109-112
Author(s):  
Li Yunzu

Continuing education is a means of promoting technological development in an enterprise. In the past ten years, Wuhan Iron and Steel Company (WISCO) has achieved significant success in this field. From 1986 to 1990, WISCO ran 573 seminars and classes for advanced studies. Participating specialized staff totalled 18 302. In that period, 127 research projects produced successful results, and 85 of them led to instant economic benefits amounting to 38.46 million Yuan. Li Yunzu describes WISCO's approach to continuing education. He stresses the importance of focusing continuing education programmes on the economic development of the enterprise. Full consideration should be given to seminars and advanced courses on special topics, the development of new technology and improving the quality of employees. It is also necessary to establish a pattern of continuing education that integrates education, research and production.


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