scholarly journals Detecting Bone Lesions in The Emergency Room With Medical Infrared Thermography

2021 ◽  
Author(s):  
Wally auf der Strasse ◽  
Daniel Prado Campos ◽  
Celso Júnio Aguiar Mendonça ◽  
Jamil Faissal Soni ◽  
Joaquim Mendes ◽  
...  
Keyword(s):  
Emergency Room ◽  
Infrared Thermography ◽  
Bone Fracture ◽  
High Energy ◽  
Physiological Data ◽  
Control Group ◽  
Bone Lesions ◽  
Medical Setting ◽  
Bone Trauma ◽  
Mean Temperature

Abstract Introduction: Low to high-energy impact trauma may cause from small fissures up to extended bone losses, which can be classified as closed or opened injuries (when they are visible at a naked eye). Objective: The aim of this study was to investigate the feasibility of clinical diagnosis of bone trauma through medical infrared thermography, in a hospital emergency room. Methods: Forty-five patients with suspected diagnosis of bone fracture were evaluated by means of medical infrared images, and the data correlated to the gold standard radiographic images, in the anteroposterior, lateral, and oblique views, at the orthopedic emergency department. The control group consisted of thermal images of the contralateral reference limb of the volunteers themselves. Data were acquired with a medical grade infrared camera in the regions of interest (ROIs) of leg, hand, forearm, clavicle, foot, and ankle. Results: In all patients evaluated with a diagnosis of bone fracture, the mean temperature of the affected limb showed a positive difference greater than 0.9 °C (towards the contralateral), indicating the exact location of the bone trauma according, while the areas diagnosed with reduced blood supply, showed a mean temperature with a negative variation. Conclusion: Clinical evaluation using infrared imaging indicates a high applicability potential as a tool to support quick diagnosis of bone fractures in patients with acute orthopedic trauma in an emergency medical setting. The thermal results showed important physiological data related to vascularization of the bone fracture and areas adjacent to the trauma well correlated to radiographic examinations.

scholarly journals Infrared thermography assessment of patients with temporomandibular disorders

2020 ◽  
Vol 49 (4) ◽  
pp. 20190392
Author(s):  
JS Barbosa ◽  
AMAM Amorim ◽  
MJALLA Arruda ◽  
GBS Medeiros ◽  
APLF Freitas ◽  
...  
Keyword(s):  
Infrared Thermography ◽  
Temporomandibular Disorders ◽  
Characteristic Curve ◽  
Area Under The Curve ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Mean Values ◽  
Mean Temperature ◽  
Parametric Data

Objectives: To assess patients with and without temporomandibular disorders (TMD) infrared thermography according to the differences in thermal radiance using quantitative sensitivity and specificity tests; and to evaluate the thermal asymmetry and the correlation of the thermal intensity with the intensity of pain upon palpation. Methods: This cross-sectional study performed a quantitative evaluation of clinical and thermographic examinations. The volunteers were evaluated for the presence of TMD using RDC/TMD (Diagnostic Research Criteria for Temporomandibular Disorders), and were divided into two groups: TMD group (n = 45); control group (n = 41), composed of volunteers without TMD, according to the Fonseca Anamnestic Index. The images were assessed for selected regions of interest for the masseter, anterior temporal and TMJ muscles. The mean values ​​of the areas of both groups were compared under the receiver operating characteristic curve. Spearman correlation analysis (non-parametric data) between pain level and mean temperature, by region, and the Pearson's χ2 test was used to verify the association between the presence of temperature and pain asymmetry. The level of significance was set at p < 0.05. Results: Both Groups, with and without TMD, presented with absolute and non-dimensional mean temperature without statistical differences (p>0.05). When correlating temperature with intensity of pain upon palpation, a negative correlation was observed for the masseter muscle. Conclusion: Infrared Thermography resulted in low area under the curve, making it difficult to differentiate TMD via thermographic analysis. The intensity of pain upon palpation in patients with TMD may be accompanied by a decrease in local temperature.

scholarly journals Optimization of Lutein Recovery from Tetraselmis suecica by Response Surface Methodology

Biomolecules ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 182
Author(s):  
Kang Hyun Lee ◽  
Ye Won Jang ◽  
Hansol Kim ◽  
Jang-Seu Ki ◽  
Hah Young Yoo
Keyword(s):  
Response Surface Methodology ◽  
Response Surface ◽  
Radical Scavenging Activity ◽  
Radical Scavenging ◽  
High Energy ◽  
Solid Loading ◽  
Control Group ◽  
Energy Yield ◽  
Tetraselmis Suecica ◽  
Antioxidant Power

Microalgae have been attracting attention as feedstock for biorefinery because they have various advantages, such as carbon fixation, high growth rate and high energy yield. The bioactive compounds and lutein contained in microalgae are known to be beneficial for human health, especially eye and brain health. In this study, in order to improve the recovery of bioactive extracts including lutein from Tetraselmis suecica with higher efficiency, an effective solvent was selected, and the extraction parameters such as temperature, time and solid loading were optimized by response surface methodology. The most effective solvent for lutein recovery was identified as 100% methanol, and the optimum condition was determined (42.4 °C, 4.0 h and 125 g/L biomass loading) by calculation of the multiple regression model. The maximum content of recovered lutein was found to be 2.79 mg/mL, and the ABTS radical scavenging activity (IC50) and ferric reducing antioxidant power (FRAP) value were about 3.36 mg/mL and 561.9 μmol/L, respectively. Finally, the maximum lutein recovery from T. suecica through statistical optimization was estimated to be 22.3 mg/g biomass, which was 3.1-fold improved compared to the control group.

scholarly journals Privacy-Preserving Efficient Data Retrieval in IoMT Based on Low-Cost Fog Computing

Complexity ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-13
Author(s):  
Na Wang ◽  
Yuanyuan Cai ◽  
Junsong Fu ◽  
Jie Xu
Keyword(s):  
Energy Cost ◽  
Data Privacy ◽  
Low Cost ◽  
Rapid Development ◽  
Fog Computing ◽  
Bat Algorithm ◽  
Data Retrieval ◽  
High Energy ◽  
Physiological Data ◽  
Range Tree

The rapid development of Internet of Medical Things (IoMT) is remarkable. However, IoMT faces many problems including privacy disclosure, long delay of service orders, low retrieval efficiency of medical data, and high energy cost of fog computing. For these, this paper proposes a data privacy protection and efficient retrieval scheme for IoMT based on low-cost fog computing. First, a fog computing system is located between a cloud server and medical workers, for processing data retrieval requests of medical workers and orders for controlling medical devices. Simultaneously, it preprocesses physiological data of patients uploaded by IoMT, collates them into various data sets, and transmits them to medical institutions in this way. It makes the entire execution process of low latency and efficient. Second, multidimensional physiological data are of great value, and we use ciphertext retrieval to protect privacy of patient data in this paper. In addition, this paper uses range tree to build an index for storing physiological data vectors, and meanwhile a range retrieval method is also proposed to improve data search efficiency. Finally, bat algorithm (BA) is designed to allocate cost on a fog server group for significant energy cost reduction. Extensive experiments are conducted to demonstrate the efficiency of the proposed scheme.

scholarly journals Postoperative Home Monitoring After Joint Replacement: Retrospective Outcome Study Comparing Cases With Matched Historical Controls (Preprint)

2018 ◽  
Author(s):  
Homer Yang ◽  
Geoff Dervin ◽  
Susan Madden ◽  
Ashraf Fayad ◽  
Paul Beaulé ◽  
...  
Keyword(s):  
Emergency Room ◽  
Descriptive Analysis ◽  
Home Monitoring ◽  
Standard Of Care ◽  
Control Group ◽  
Emergency Room Visits ◽  
American Society ◽  
Patient Readmissions ◽  
The Cost ◽  
Historical Controls

BACKGROUND A retrospective cohort study was conducted in patients undergoing postoperative home monitoring (POHM) following elective primary hip or knee replacements. OBJECTIVE The objectives of our study were to compare the cost per patient, readmissions rate, emergency room visits, and mortality within 30 days to the historical standard of care using descriptive analysis. METHODS After Research Ethics Board approval, patients who were enrolled and had completed a POHM study were individually matched to historical controls by age, American Society of Anesthesiology class, and procedure at a ratio 1:2. RESULTS A total of 54 patients in the study group and 107 in the control group were eligible for the analysis. Compared with the historical standard of care, the average cost per case was Can $5826.32 (SD 1418.89) in the POHM group and Can $9198.58 (SD 1513.59) for controls. After 30 days, there were 2 emergency room visits (3.7%) and 0 readmissions in the POHM group, whereas there were 8 emergency room visits (7.5%) and 2 readmissions (1.9%) in the control group. No mortalities occurred in either group. CONCLUSIONS The POHM study offers an early hospital discharge pathway for elective hip and knee procedures at a 38% reduction of the standard of care cost. The multidisciplinary transitional POHM team may provide a reliable forum to minimize readmissions, and emergency room visits within 30 days postoperatively. CLINICALTRIAL ClinicalTrials.gov NCT02143232; https://clinicaltrials.gov/ct2/show/NCT02143232 (Archived by WebCite at http://www.webcitation.org/73WQ9QR6P)

scholarly journals Infrared thermography to assess thermoregulatory reactions of buffaloes supplemented with antioxidant and dense energy source in summer season

2021 ◽  
Vol 23 (3) ◽  
pp. 243-248
Author(s):  
YALLAPPA M. SOMAGOND ◽  
S. V. SINGH ◽  
ADITYA DESHPANDE ◽  
PARVENDER SHEORAN ◽  
V. P. CHAHAL
Keyword(s):  
Heat Stress ◽  
Body Temperature ◽  
Infrared Thermography ◽  
Rectal Temperature ◽  
Control Group ◽  
Group I ◽  
Close Relationship ◽  
Region Temperature ◽  
Cortisol Levels ◽  
Lower Magnitude

Twenty-four lactating buffaloes were chosen and subsequently divided into 4 groups i.e. group-I (control), group-II (supplemented astaxanthin at 0.25 mg kg-1 BW/day), group-III (prill fat at 100 g day-1), and group-IV (combination). Surface body temperature at different anatomical regions of buffaloes was recorded using infrared thermography (IRT), rectal temperature using a digital thermometer, and cortisol hormone by ELISA kit at the fortnightly interval. Forehead region temperature showed a higher correlation (0.390) with THI compared to other anatomical regions. The change in surface body temperature was positively correlated with THI and cortisol levels. The increase in the IRT temperature at different anatomical sites of buffaloes was at a lower magnitude in treatment groups compared to the control group. Udder surface temperature was higher in peak lactation and high producing buffaloes. Forehead region temperature showed a close relationship with rectal temperature and cortisol levels of buffaloes. According to the research findings, astaxanthin and prill fat can be used in ameliorating heat stress. Infrared thermography (non-invasive method) of the forehead and udder can be used as indicators for measuring the heat stress and production levels of buffaloes, respectively.

scholarly journals Case-control study of patient characteristics, knowledge of the COVID-19 disease, risk behaviour and mental state in patients visiting an emergency room with COVID-19 symptoms in the Netherlands

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249847
Author(s):  
J. P. M. van der Valk ◽  
F. W. J. Heijboer ◽  
H. van Middendorp ◽  
A. W. M. Evers ◽  
J. C. C. M. in ‘t Veen
Keyword(s):  
The Netherlands ◽  
Emergency Room ◽  
Mental State ◽  
Disease Risk ◽  
Risk Behaviour ◽  
Patient Characteristics ◽  
Control Group ◽  
P Value ◽  
Hygiene Measures ◽  
Pharmaceutical Interventions

Background Coronavirus disease 2019 is a serious respiratory virus pandemic. Patient characteristics, knowledge of the COVID-19 disease, risk behaviour and mental state will differ between individuals. The primary aim of this study was to investigate these variables in patients visiting an emergency department in the Netherlands during the COVID-19 pandemic and to compare the “COVID-19 suspected” (positive and negative tested group) with the “COVID-19 not suspected” (control group) and to compare in the “COVID-19 suspected” group, the positive and negative tested patients. Methods Consecutive adult patients, visiting the emergency room at the Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands, were asked to fill out questionnaires on the abovementioned items on an iPad. The patients were either “COVID-19 suspected” (positive and negative tested group) or “COVID-19 not suspected” (control group). Results This study included a total of 159 patients, 33 (21%) tested positive, 85 (53%) negative and 41 (26%) were COVID-19 not suspected (control group). All patients in this study were generally aware of transmission risks and virulence and adhered to the non-pharmaceutical interventions. Working as a health care professional was correlated to a higher risk of SARS-Cov-2 infection (p- value 0.04). COVID-19 suspected patients had a significantly higher level of anxiety compared to COVID-19 not suspected patients (p-value < 0.001). The higher the anxiety, the more seriously hygiene measures were followed. The anxiety scores of the patients with (pulmonary) comorbidities were significantly higher than without comorbidities. Conclusion This is one of the first (large) study that investigates and compares patient characteristics, knowledge, behaviour, illness perception, and mental state with respect to COVID-19 of patients visiting the emergency room, subdivided as being suspected of having COVID-19 (positive or negative tested) and a control group not suspected of having COVID-19. All patients in this study were generally aware of transmission risks and virulence and adhered to the non-pharmaceutical interventions. COVID-19 suspected patients and patients with (pulmonary) comorbidities were significantly more anxious. However, there is no mass hysteria regarding COVID-19. The higher the degree of fear, the more carefully hygiene measures were observed. Knowledge about the coping of the population during the COVID-19 pandemic is very important, certainly also in the perspective of a possible second outbreak of COVID-19.

scholarly journals 132 Effects of high-energy diet on viscera and progeny carcass yield in sheep

2019 ◽  
Vol 97 (Supplement_1) ◽  
pp. 71-71
Author(s):  
Sarita Bonagurio Gallo ◽  
Sophia Honigmann ◽  
Luciano Brochine ◽  
Giuliana Micai de Oliveira ◽  
Luis Orlindo Tedeschi
Keyword(s):  
Maternal Diet ◽  
High Energy ◽  
Control Group ◽  
Animal Science ◽  
Carcass Yield ◽  
Orthogonal Contrasts ◽  
Food Engineering ◽  
Omental Fat ◽  
Different Sources ◽  
Different Levels

Abstract The energy required during gestation in sheep is high, and when restricted, fetal development may be affected; thus, knowledge of its deficit needs to be better understood. The objective was to evaluate different levels and sources of energy in the diet of sheep and their influence on the viscera and carcass yield of the offspring. The experiment was carried out at the Faculty of Animal Science and Food Engineering of USP, Brazil, using 56 pregnant ewes, Dorper and Santa Ines breeds, randomly distributed in four treatments: control group (fed according to the 2007 NRC recommendation); and groups with 10% more energy with different sources (starch, ST; protected fat, PF; and chromium, Cr). Ewes were fed the experimental diets at the beginning (50 days) and end of the gestation (50 days). The middle of gestation the ewes received the diet as recommended by the NRC (2007). After weaning at 60 days, 32 uncastrated male lambs were confined for a period of 60 days. In the confinement the lambs received a growth diet, being the same for all the animals. After this period, lambs were slaughtered, and the non-carcass components were weighed, the warm and cold carcass yields were calculated. The experimental design was completely randomized, with eight replicates and four treatments, the means were analyzed by orthogonal contrasts, assuming a significant threshold of 5%. Lambs in the PF treatment had lower cold carcass yield (50.8%, PPP > 0.05). The sheep fed according to the energy recommendation had lambs with greater weight of omental fat, testicular, kidney and rumen. These lambs also had a smaller spleen, heart, liver, and intestine. We concluded that the maternal diet affected the growth and development of progeny by altering the viscera and the carcass yields. Acknowledgment to FAPESP (process 2017/20555–8).

Role of leukocytes in reperfusion injury of skeletal muscle after partial ischemia

1989 ◽  
Vol 257 (4) ◽  
pp. H1068-H1075 ◽  
Author(s):  
J. Yokota ◽  
J. P. Minei ◽  
G. A. Fantini ◽  
G. T. Shires
Keyword(s):  
Skeletal Muscle ◽  
Reperfusion Injury ◽  
White Blood Cells ◽  
Creatine Phosphate ◽  
High Energy ◽  
Control Group ◽  
Base Line ◽  
Infrarenal Aorta ◽  
Sprague Dawley ◽  
Membrane Injury

These experiments evaluated the leukocyte as a potential source of oxygen free radical (OFR) generation during reperfusion injury in post-ischemic skeletal muscle. The infrarenal aorta of heparinized Sprague-Dawley rats was clamped for 90 min, declamped, and reperfused for 60 min. Hindlimb muscle resting transmembrane potential difference (Em) and high-energy phosphate content were determined at base line, during ischemia, and on reperfusion. Four groups were studied: a control group, a second group receiving superoxide dismutase and catalase (SOD + CAT) on declamping, a third group receiving dimethylmyleran (DMM) 7 days before the experiment to obtain a selective leukopenia (white blood cells = 1,210 +/- 144/mm3, neutrophils = 1.2%), and a fourth group pretreated with allopurinol (ALLO). During the ischemic period, resting Em was significantly depolarized (-78.6 +/- 0.5 mV from -90.3 +/- 0.3; P less than 0.05) in the control group, whereas creatine phosphate (CP) was depleted and ATP maintained. Data collected during the ischemic phase of the three other groups were similar to the control group (P = NS). On reperfusion, persistent depolarization of resting Em was observed despite restoration of muscle CP content in the control and ALLO groups (-75.4 and -77.0 mV, respectively). In contrast, significant repolarization of resting Em was noted after reperfusion in the SOD + CAT and DMM groups (-86.5 and -88.6 mV, respectively). These data implicate leukocyte-generated OFR as mediators of reperfusion-associated cellular membrane injury in postischemic skeletal muscle.

Aggie Play: A Gender-Relevant Physical Activity Program for Girls

2019 ◽  
Vol 41 (4) ◽  
pp. 194-205
Author(s):  
Phillip Post ◽  
Rebecca Palacios
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Role Models ◽  
High Energy ◽  
Control Site ◽  
Free Play ◽  
Physical Activity Program ◽  
Control Group ◽  
Activity Program ◽  
Physical Activity Programming

A majority of U.S. children age 6–17 years do not meet the recommended 60 min of moderate to vigorous physical activity per day. Girls are less likely to meet these daily physical activity guidelines than boys. Following a call for greater gender-relevant physical activity programming, Aggie Play, an after-school physical activity program, engaged female student athletes to serve as active role models who lead girls through high-energy activities twice a week over a school year. The purpose of this study was to explore how Aggie Play affected girls’ self-efficacy and expected enjoyment for physical activity, time spent in various physical activity intensities during free play, and fitness, relative to a control group. Results revealed that the girls participating in Aggie Play increased ratings of physical activity self-efficacy and enjoyment compared with girls at a control site. Aggie Play girls also demonstrated greater improvements on the muscle-endurance test than girls at a control site. Results are consistent with prior gender-relevant physical activity and physical education research. This study extends prior results by documenting the benefits of gender-relevant physical activity programming when led by active female role models.

scholarly journals Alterations in Rumen Bacterial Community and Metabolome Characteristics of Cashmere Goats in Response to Dietary Nutrient Density

Animals ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. 1193
Author(s):  
Yaoyue Wang ◽  
Peng Tang ◽  
Yafei Xiao ◽  
Jianming Liu ◽  
Yulin Chen ◽  
...  
Keyword(s):  
Bacterial Community ◽  
Metabolic Pathways ◽  
High Energy ◽  
High Protein ◽  
Metabolic Energy ◽  
Control Group ◽  
Rrna Gene ◽  
Dietary Energy ◽  
Nutrient Density ◽  
Cashmere Goats

This study was conducted to investigate the impacts of dietary energy and protein on rumen bacterial composition and ruminal metabolites. A total of 12 ruminal samples were collected from Shaanbei white cashmere goats which were divided into two groups, including high-energy and high-protein (Group H; crude protein, CP: 9.37% in dry matter; metabolic energy, ME: 9.24 MJ/kg) and control (Group C; CP: 8.73%; ME: 8.60 MJ/kg) groups. Thereby, 16S rRNA gene sequencing and a quantitative polymerase chain reaction were performed to identify the rumen bacterial community. Metabolomics analysis was done to investigate the rumen metabolites and the related metabolic pathways in Groups C and H. The high-energy and high-protein diets increased the relative abundance of phylum Bacteroidetes and genera Prevotella_1 and Succiniclasticum, while decreasing the number of Proteobacteria (p < 0.05). The dominant differential metabolites were amino acids, peptides, and analogs. Tyrosine metabolism played an important role among the nine main metabolic pathways. Correlation analysis revealed that both Prevotella_1 (r = 0.608, p < 0.05) and Ruminococcus_2 (r = 0.613, p < 0.05) showed a positive correlation with catechol. Our findings revealed that the diets with high energy and protein levels in Group H significantly altered the composition of ruminal bacteria and metabolites, which can help to improve the dietary energy and protein use efficiency in goats.

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