A specialized system of pre-trip medical examinations using digital technologies

2021 ◽  
pp. 60-66
Author(s):  
Valeriy Vasilievich Bakutkin ◽  
Ilya Valerievich Bakutkin ◽  
Vladimir Aleksandrovich Zelenov
Keyword(s):  
Digital Technologies ◽  
Palpebral Fissure ◽  
Digital Measurement ◽  
Examination System ◽  
Text Format ◽  
Eye Tissues ◽  
Examination Methods ◽  
Digital Methods ◽  
Medical Examinations ◽  
Specialized System

A system of pre-trip medical examinations using digital technologies has been developed. It includes a remote questionnaire, the results of which are analyzed and a reporting form is generated in text format and in the form of a graph. Portable, autonomous equipment and specialized software for use in remote medical examinations have been developed. Objective examination is carried out by the method of digital biomicroscopy of the eye, which allows you to analyze the parameters of pupillary reactions, the size of the palpebral fissure, the volume of eye movement, the frequency of blinking movements, the degree of redness of the eyeballs, the presence of nystagmus, the state of the surrounding eye tissues. Also in the hardware part of the complex there are sensors for detecting and measuring the level of concentration of ethyl alcohol vapors. Contact digital measurement of body temperature is performed with a sensor in contact with the forehead area during the examination. There is an additional program for the identification of the examined person by the iris of the eye. The use of digital methods in the medical examination system increases efficiency through the use of objective examination methods.

The Use of Digital Clinical Trial Methods in the Evaluation of Digital Therapeutics: A Scoping Review (Preprint)

2019 ◽  
Author(s):  
Allison Hirsch ◽  
Mahip Grewal ◽  
Anthony James Martorell ◽  
Brian Michael Iacoviello
Keyword(s):  
Clinical Trial ◽  
Clinical Trials ◽  
Clinical Research ◽  
Scoping Review ◽  
Digital Technologies ◽  
Good Clinical Practice ◽  
The United States ◽  
Clinical Trial Research ◽  
Digital Methods ◽  
Clinical Trial Methods

BACKGROUND Digital Therapeutics (DTx) provide evidence based therapeutic health interventions that have been clinically validated to deliver therapeutic outcomes, such that the software is the treatment. Digital methodologies are increasingly adopted to conduct clinical trials due to advantages they provide including increases in efficiency and decreases in trial costs. Digital therapeutics are digital by design and can leverage the potential of digital and remote clinical trial methods. OBJECTIVE The principal purpose of this scoping review is to review the literature to determine whether digital technologies are being used in DTx clinical research, which type are being used and whether publications are noting any advantages to their use. As DTx development is an emerging field there are likely gaps in the knowledge base regarding DTx and clinical trials, and the purpose of this review is to illuminate those gaps. A secondary purpose is to consider questions which emerged during the review process including whether fully remote digital clinical research is appropriate for all health conditions and whether digital clinical trial methods are inline with the principles of Good Clinical Practice. METHODS 1,326 records were identified by searching research databases and 1,227 reviewed at the full-article level in order to determine if they were appropriate for inclusion. Confirmation of clinical trial status, use of digital clinical research methods and digital therapeutic status as well as inclusion and exclusion criteria were applied in order to determine relevant articles. Digital methods employed in DTx research were extracted from each article and these data were synthesized in order to determine which digital methods are currently used in clinical trial research. RESULTS After applying our criteria for scoping review inclusion, 11 articles were identified. All articles used at least one form of digital clinical research methodology enabling an element of remote research. The most commonly used digital methods are those related to recruitment, enrollment and the assessment of outcomes. A small number of articles reported using other methods such as online compensation (n = 3), or digital reminders for participants (n = 5). The majority of digital therapeutics clinical research using digital methods is conducted in the United States and increasing number of articles using digital methods are published each year. CONCLUSIONS Digital methods are used in clinical trial research evaluating DTx, though not frequently as evidenced by the low proportion of articles included in this review. Fully remote clinical trial research is not yet the standard, more frequently authors are using partially remote methods. Additionally, there is tremendous variability in the level of detail describing digital methods within the literature. As digital technologies continue to advance and the clinical research DTx literature matures, digital methods which facilitate remote research may be used more frequently.

Tales of Love and Pandemic

2022 ◽  
pp. 318-344
Author(s):  
Claudia Cantale
Keyword(s):  
Social Isolation ◽  
Social Impact ◽  
Social Research ◽  
Digital Technologies ◽  
Main Argument ◽  
Digital Medium ◽  
Reading And Writing ◽  
Digital Methods

The main argument of the chapter is the analysis of the reading and writing behaviour on Wattpad during the phases of lockdown in Italy for the COVID-19 pandemic. The COVID-19 pandemic represents the first great event of ‘data society' reactions making several authors reflect on various aspects and thoughts about social impact of tech ecosystems. Nowadays, it becomes essential to understand the role that digital technologies and media have had to soothe feelings related to social isolation and physical distancing measures. Thus, as widely acknowledged, besides providing data for social research in many aspects of life, the digital context also suggests above all innovated methods enforced by the physical distancing. This research has explored about 600 stories edited on Wattpad that have been selected through the query “Covid.” The aim of the analysis is to map collective imaginary of users about the COVID-19 pandemic within a digital medium for fanfiction, combining three fundamental approaches of digital methods.

scholarly journals OPTIMIZATION OF ORTHOPEDIC TREATMENT OF PATIENTS WITH DEFECTS OF HARD TISSUES OF DENTS AND DENTAL SERIES USING DIGITAL FUNCTIONAL METHODS

2020 ◽  
Vol 16 (2) ◽  
pp. 121-128
Author(s):  
Aleksey Rogozhnikov
Keyword(s):  
Digital Technologies ◽  
Diagnostic Methods ◽  
Orthopedic Treatment ◽  
Anatomical Structures ◽  
Functional Methods ◽  
Hard Tissues ◽  
The Status ◽  
Cad Cam ◽  
Examination Methods ◽  
Functional Examination

Subject. The current level of development of dentistry requires the use of an algorithm for diagnosis, monitoring and quality control of orthopedic treatment of patients using functional research methods, planning and manufacturing of dental prosthesis designs based on digital technologies. The goal is to develop an algorithm for orthopedic treatment of patients with defects in the hard tissues of teeth and dentitions using digital functional examination methods. Methodology. Clinical data are based on the results of orthopedic treatment of two groups of patients with defects in the hard tissues of teeth and dentitions. The main group consisted of 129 people, whose diagnostic and treatment complex had an extended instrumental clinical and functional analysis of static and dynamic ratios of teeth and jaws, and orthopedic treatment was carried out according to an improved CAD/CAM protocol. Comparison group ― 147 people, comprehensive dental diagnostics and prosthetic treatment carried out using the standard CAD/CAM technique. Results. Using in-depth functional diagnostics of the dento-jaw system based on digital technologies, a comprehensive assessment of the status of the dental status of the examined patients is given, an algorithm for their comprehensive diagnosis and treatment is developed, indications for their prosthetics in the usual occlusion or in the central ratio of the jaws are specified. The production of fixed anatomical structures of dentures has been optimized by improving the methodology for modeling their masticatory surfaces using the Hint-Els CAD/CAM system. Conclusions. Analysis of the examination results and monitoring of the stages of orthopedic treatment of patients testifies to the effectiveness of the proposed algorithm and advanced CAD/CAM technology. The developed indications for the replacement of defects in the hard tissues of teeth and dentitions are determined as the result of many years of research that can achieve practical results ― increasing the effectiveness of their treatment using digital functional diagnostic methods and orthopedic treatment.

scholarly journals The influence of the locomotor stump’s form on the ocular prosthetics result with different methods of eye removal

2020 ◽  
Vol 13 (1) ◽  
pp. 77-85
Author(s):  
Nadezhda A. Baranova ◽  
Irina A. Senina ◽  
Vadim P. Nikolaenko
Keyword(s):  
Frontal Plane ◽  
Optimal Shape ◽  
Back Surface ◽  
Palpebral Fissure ◽  
Ocular Prosthesis ◽  
Orbital Prosthesis ◽  
Examination Methods ◽  
Contralateral Eye ◽  
Upper Third ◽  
Corneal Diameter

Aim. To determine the optimal shape of the locomotor stump and the configuration of the corresponding ocular prosthesis, ensuring their maximum motility in patients with anophthalmia with different methods of eye removal. Materials and methods. The study group consisted of 132 patients aged 1880 years after enucleation or evisceration. Examination methods included medical history; examination of eyelids, measurement of length and width of the palpebral fissure, as well as of the depth of conjunctival fornices on both sides; assessment of the volume, shape, surface topography, position and excursions of the locomotor stump, of the protrusion of the ocular prosthesis compared to the contralateral eye; photo registration of the studied parameters. Results. During the study, there were 3 types of locomotor stump identified: moderate with retraction in the upper third; voluminous flattened; voluminous hemispherical. The locomotor stump after enucleation was voluminous flattened or moderate with retraction in the upper third. The best motility of the locomotor stump was noted nasally and downward. The motility of the ocular prosthesis was 47.4% compared to the contralateral eye. The locomotor stump after evisceration with keratectomy was voluminous hemispherical or voluminous flattened. Its motility in all four directions was about the same. The motility of the ocular prosthesis in comparison to the contralateral eye was 55.9%. The locomotor stump after evisceration without keratectomy was voluminous hemispherical, uniform, smooth. The motility of the locomotor stump was maximal in comparison to other groups and relatively equal in all four directions. The motility of the ocular prosthesis in comparison to the contralateral eye was 68.2%. Conclusion. The optimal shape of the locomotor stump, providing the greatest motility of the ocular prosthesis is voluminous hemispherical. The same protrusion of the eyeball and that of the cosmetic prosthesis relatively to the frontal plane after enucleation is achieved by increasing the thickness of the prosthesis itself, which reduces its motility. Evisceration with implantation of the orbital prosthesis involves the use of a thin-walled ocular prosthesis, the back surface of which ideally repeats the locomotor stump surface and does not prevent its maximum motility. When removing a squinting eyeball with preserved corneal diameter, a smaller implant should be used to prevent excessive opening of the palpebral fissure, or to prefer evisceration with keratectomy.

Current methods of radiation diagnostics of traumatic bone injuries

2021 ◽  
pp. 30-38
Author(s):  
Igor A. Khokhlov ◽  
Ekaterina S. Milovanova
Keyword(s):  
Digital Technologies ◽  
Diagnostic Methods ◽  
Diagnostic Process ◽  
Treatment Results ◽  
Scientific Publications ◽  
Improve Treatment ◽  
Literary Sources ◽  
Combined Use ◽  
Examination Methods ◽  
Selection Of

The use of the latest digital technologies has contributed to the discovery of opportuni-ties for medicine based on earlier and detailed detection of pathological changes, which, in turn, has allowed to increase the effectiveness of the diagnostic process, improve treatment results and further prognosis. The progress of radiation diagnostics primarily contributed to the development of such a discipline as traumatology. The improvement of diagnostic algorithms, an integrated ap-proach to the selection of radiation examination methods made it possible to more fully examine patients with complex fractures, determine the nature of injuries, and choose the correct tactics and scope of surgery. The presented research provides an overview of current diagnostic methods used in traumatology and orthopedics, from classical radiography to the most modern imaging methods, such as magnetic resonance, computer tomography, scintigraphy. We gave examples of using different methods of research in detecting injuries of musculoskeletal system, carried out their comparative analysis, considered issues of combined use of several diagnostic methods, presented data on positive and negative aspects of their application, analyzed effectiveness of results. We obtained material for the analysis and writing of the literary review from scientific electronic databases: eLIBRARY, Scopus, Google Scholar, PubMed, RFFI Library, data from scientific publications of domestic and foreign authors. The depth of the search for literary sources was the period from 2008 to 2019.

Case Study: The Impact of VR & AR Simulation Project to Decrease Human Exposure in Critical Environments

2021 ◽  
Author(s):  
Juan Ribeiro Reis ◽  
Thiago Sousa de Oliveira ◽  
Wesley Lopes de Oliveira ◽  
Diego Cordeiro Barboza ◽  
Leonildes Soares De Melo ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Virtual Environment ◽  
Human Exposure ◽  
Water Injection ◽  
Digital Technologies ◽  
Digital Measurement ◽  
Time Data ◽  
The Real ◽  
The Impact

Abstract Human exposure is a relevant factor when operating in critical environments and depends on a thorough analysis and consideration towards driving the teams to a safer and more productive environment. Reducing such exposure through digital technologies benefits the whole workforce in their decisions and maneuvers, like simulations, training, and other critical activities that can be executed remotely and prior to the actual activity. This paper presents a case study to demonstrate how augmented and virtual reality can be used to create a high fidelity virtual environment emulating the real industrial facility. This approach enriches the Digital Twin with the association of data and the virtual environment. It leverages on display and interaction capabilities of hardware devices, and intelligence and data querying capabilities of industrial software, empowering the workers with enhanced training capabilities and access to information increasing safety and efficiency. A real application of this technology is presented in this paper through the case study of the PredictMain4.0 project of Repsol Sinopec Brazil (RSB), which aimed at the integration of digital technologies, including augmented reality (AR) and virtual reality (VR). The PredictMain4.0 project was executed using data and data models of PETROBRAS’ P-50, a FPSO (Floating Production Storage and Offloading) operating in Brazil, and illustrates how different AR/VR applications can be developed and used in combination with engineering, operation, and maintenance databases. This includes 3D models, digitalized critical procedures, and the ability to integrate field teams into a single virtual environment, allowing real interaction in a digital setting that is linked to the real world. Considering the digitalized procedures, this paper aims to establish how virtual simulation and training can make teams more confident and prepared to execute the same physical asset procedures. After consulting with stakeholders from many different teams, the PredictMain4.0 project team selected three critical operating modules in the FPSO (Power Generation, Water Injection, and Gas Compression). For each one, considered which situations were relevant, should they occur. These situations led to developing a training and simulation framework, allowing instructors to create different scenarios and use advanced features such as digital measurement, real-time data collection, and collaborative sessions. The case study indicates that the development of such applications can save more than $1 million per year in maintenance costs considering the decrease in downtime and avoiding risks of accident.

scholarly journals COVID-19 and beyond: development of a comprehensive telemedical diagnostic framework

2021 ◽  
Author(s):  
Jonas Fuchtmann ◽  
Roman Krumpholz ◽  
Maximilian Berlet ◽  
Daniel Ostler ◽  
Hubertus Feussner ◽  
...  
Keyword(s):  
Force Feedback ◽  
Proof Of Concept ◽  
Pharyngeal Swab ◽  
New Developments ◽  
Remote Areas ◽  
Examination Methods ◽  
End Effectors ◽  
Diagnostic Framework ◽  
Available Technology ◽  
Medical Examinations

Abstract Purpose During the COVID-19 pandemic, a threatening bottleneck of medical staff arose due to a shortage of trained caregivers, who became infected while working with infectious patients. While telemedicine is rapidly evolving in the fields of teleconsultation and telesurgery, proper telediagnostic systems are not yet available, although the demand for contactless patient–doctor interaction is increasing. Methods In this project, the current limitations were addressed by developing a comprehensive telediagnostic system. Therefore, medical examinations have been assessed in collaboration with medical experts. Subsequently, a framework was developed, satisfying the relevant constraints of medical-, technical-, and hygienic- aspects in order to transform in-person examinations into a contactless procedure. Diagnostic steps were classified into three groups: assisted procedures carried out by the patient, teleoperated examination methods, and adoptions of conventional methods. Results The Telemedical Diagnostic Framework was implemented, resulting in a functional proof of concept, where potentially infectious patients could undergo a full medical examination. The system comprises, e.g., a naso-pharyngeal swab, an inspection of the oral cavity, auscultation, percussion, and palpation, based on robotic end-effectors. The physician is thereby connected using a newly developed user-interface and a lead robot, with force feedback control, that enables precise movements with the follower robot on the patient’s side. Conclusion Our concept proves the feasibility of a fully telediagnostic system, that consolidates available technology and new developments to an efficient solution enabling safe patient-doctor interaction. Besides infectious situations, this solution can also be applied to remote areas.

scholarly journals Analysis of Commission Forensic-medical Examinations performed in Cases Concerning the Responsibility of Surgical Professional Doctors

2020 ◽  
Vol 27 (2) ◽  
pp. E2020210
Author(s):  
Natalia Kozan ◽  
Volodymyr Voloshynovych ◽  
Yuliia Kotsyubynska ◽  
Halyna Zelenchuk ◽  
Andrii Tsikhivskyi
Keyword(s):  
Adverse Effects ◽  
Annual Reports ◽  
Criminal Case ◽  
Medical Professionals ◽  
Surgical Interventions ◽  
Medical Expertise ◽  
Legal Literacy ◽  
Examination Methods ◽  
Medical Examinations ◽  
Therapeutic Profile

The objective of the research was the analysis of the structure of the commission of forensic medical examinations concerning professional offenses of medical professionals of the surgical profile according to the data of the Ivano-Frankivsk Regional Bureau of Forensic Medical Expertise for the period 2015-2019. Materials and methods. The material of the study were the annual reports of the Ivano-Frankivsk Regional Bureau of Forensic Medical Expertise (Commission Department) and criminal case materials. Obtained data were processed using Microsoft Exel, Statistica 6.0.  Results. It was found that forensic medical examinations in case of improper performance of professional duties by medical workers accounted for a relatively small part 71 (14.3%) of the total forensic medical expertise. After the performed analysis, it was found that the doctors made diagnostic, therapeutic, organizational-tactical, deontological and combined errors that had a direct (29%) or indirect (26%) connection with the onset of death or adverse effects on the patient’s health. In 45% of cases, there was no correlation between the doctor’s actions and the occurrence of adverse effects for the patient. Conclusions. The number of cases for improper performance of professional duties by medical workers is significantly higher in surgeons and obstetricians-gynecologists than in doctors of therapeutic profile. Every year, the complexity of commission forensic medical examinations in case of improper performance of professional duties by medical workers increases. This is due to the increasing complexity of surgical interventions and instrumental examination methods, as well as the increasing legal literacy of the population.

scholarly journals COMPARATIVE EVALUATION OF THE DIMENSIONAL ACCURACY OF BRIDGE PROSTHESIS FRAMES MADE USING TRADITIONAL AND DIGITAL

2021 ◽  
Vol 16 (4) ◽  
pp. 130-135
Author(s):  
Yuliya Vokulova ◽  
Evgenij Zhulev
Keyword(s):  
Digital Technologies ◽  
Dimensional Accuracy ◽  
Additive Technologies ◽  
3D Printer ◽  
Casting Method ◽  
Significance Level ◽  
Average Value ◽  
Median Distance ◽  
Higher Dimensional ◽  
Digital Methods

Subject. Modern digital technologies make it possible to automate the process of creating bridges to a large extent. First, digital images of the patient's dentition are obtained, then the future prosthesis is virtually modeled and manufactured using a subtractive method using milling and grinding machines or an additive method using a 3D printer. For clinical evaluation of the quality of orthopedic fixed structures made using digital methods, it is necessary to evaluate their dimensional accuracy. The aim is to conduct a comparative assessment of the dimensional accuracy of bridge prosthesis frames made using modern digital technologies and traditional casting method. Methodology. The intraoral laser scanner iTero Cadent, the 3D printer Asiga Max UV, the CAD/CAM system KaVo ARCTICA, the software DentalCAD 2.2 Valletta and the computer program MeshLab were used to study the dimensional accuracy of the bridge frames. The Kruskal-Wallis H-test and the Mann-Whitney U-test were used for statistical analysis of the data obtained. Results. All digital methods of manufacturing bridge frames are distinguishable from the traditional casting method with a significance level of p<0.05 on the basis of dimensional accuracy. The frames of bridge prostheses made by the subtractive method have a higher dimensional accuracy compared to the frames obtained using additive technologies. There were no statistical differences in the dimensional accuracy of milled titanium and zirconium bridge frames. Conclusions. Based on the data obtained, we concluded that the bridge frames made using modern digital technologies have a higher dimensional accuracy (the average value of the median distance of milled zirconium frames is 0,03067 ± 0,001234 mm, milled titanium frames are 0,03032 ± 0,002698 mm, frames made using additive technologies are 0,03686 ± 0,003068 mm) compared to the bridge frames made by the traditional casting method (the average value of the median distance 0,04342 ± 0,003722 mm), with a significance level of p<0,05 (U-Mann-Whitney criterion =0, p=,002).

scholarly journals Teaching conceptions on the use of digital technologies as a teaching resource in physical education in public schools of Minas Gerais, Brazil

2019 ◽  
Vol 200 ◽  
pp. 02005
Author(s):  
Marcos Rincon Voelzke ◽  
Arilson Paganotti ◽  
Adriana Maia Marcossi Assis
Keyword(s):  
Public Schools ◽  
School Environment ◽  
Digital Technologies ◽  
Digital Learning ◽  
Face To Face ◽  
Digital Learning Environment ◽  
Advantages And Disadvantages ◽  
Virtual Simulations ◽  
Digital Methods ◽  
Teaching Conceptions

It is observed that the technologies have invaded the classrooms, providing increasingly attractive teaching methods. Technologies have challenged school institutions to keep up with this new reality. In some cases, the technologies offered aim, to a certain extent, to meet some educational needs of students and soften deficiencies in classroom teaching. The arrival of digital technologies in classrooms brings great advances, but also brings many uncertainties and insecurities, giving rise to new tensions, new possibilities and new challenges. With today's technologies, the school environment can transform into a meaningful, face-to-face and digital learning environment, making students more active, motivating them to learn and search all the time. The present work aims to present the advantages and disadvantages of these digital methods, as well as to demonstrate the applicability of these technologies in the current daily life of school institutions. It also presents some important aspects about the use of technologies in the learning process, discussing how the use of virtual simulations software can contribute to the teaching of Physics. To obtain data from the students, a questionnaire with seven questions was used.

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