检索结果-南通市图书馆

Advancing orthopaedic trauma care through WhatsApp:An analysis of clinical and non-clinical applications,challenges,and future directions

同方期刊数据库评论

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

World Journal of Orthopedics 2024年第6期15卷 529-538页

作者： Ravi Saini Madhan Jeyaraman Naveen Jeyaraman Vijay Kumar Jain swaminathan Ramasubramanian Karthikeyan P Iyengar Department of Orthopaedics Atal Bihari Vajpayee Institute of Medical SciencesDr Ram Manohar Lohia HospitalNew Delhi 110001India Department of Orthopaedics ACS Medical College and HospitalDr MGR Educational and Research InstituteChennai 600077Tamil NaduIndia Department of Orthopaedics Government Medical CollegeOmandurar Government EstateChennai 600002Tamil NaduIndia Department of Trauma and Orthopaedics Southport and Ormskirk HospitalsMersey and West Lancashire Teaching NHS TrustSouthport PR86PNUnited Kingdom

The integration of WhatsApp,a widely-used instant messaging application(IMA),into the realm of orthopaedics and trauma surgery has emerged as a significant development in recent *** paper explores the multifaceted role of WhatsApp in orthopaedics,focusing on its clinical and non-clinical applications,advantages,disadvantages,and future *** study synthesizes findings from various research papers,emphasizing the growing reliance on mobile technology in ***’s role in orthopaedics is notable for its ease of use,real-time communication,and ***,it facilitates triage,teleconsultation,diagnosis,treatment,patient advice,and post-operative ***-clinically,it supports telemedicine,teleradiology,virtual frac-ture clinics,research,and education in orthopaedic *** application has proven beneficial in enhancing communication among healthcare teams,providing quick responses,and motivating junior *** use in educational settings has been shown to improve learner’s understanding and patient ***,the use of WhatsApp in orthopaedics is not without *** include the potential spread of misleading information,privacy concerns,and issues with image quality affecting diagnosis and treatment *** paper acknowledges the importance of maintaining professional boundaries and the need for oversight measures to ensure content *** forward,the potential of WhatsApp and similar IMAs in orthopaedics lies in their ability to streamline data collection and retrieval,improve doctor-patient communication,and address challenges like bureaucratic red tape and limited *** paper suggests that future orthopaedic practice,particularly in emergency departments,will increasingly rely on such technologies for efficient patient *** shift,however,must be approached with an understanding of the ethical,legal,and practical implications of integrating social media and mobile

关键词： Social media WhatsApp Orthopaedics Trauma Research

Efficacy of stromal vascular fraction for knee osteoarthritis:A prospective,single-centre,non-randomized study with 2 years follow-up

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Orthopedics 2024年第5期15卷 457-468页

作者： Madhan Jeyaraman Naveen Jeyaraman Tarun Jayakumar swaminathan Ramasubramanian Rajni Ranjan Saurabh Kumar Jha Ashim Gupta Department of Orthopaedics ACS Medical College and HospitalDr MGR Educational and Research InstituteChennaiTamil Nadu 600077India Department of Biotechnology School of Engineering and TechnologySharda UniversityGreater NoidaUttar Pradesh 201310India Department of Orthopaedics and Regenerative Medicine South Texas Orthopaedic Research InstituteLaredoTX 78045United States Department of Orthopaedics KIMS-Sunshine HospitalHyderabadTelangana 500032India Department of Orthopaedics Government Medical CollegeOmandurar Government EstateChennaiTamil Nadu 600002India Department of Orthopaedics School of Medical Sciences and ResearchSharda UniversityGreater NoidaUttar Pradesh 201306India Department of Zoology Kalindi CollegeUniversity of DelhiNew Delhi 110008India Department of Orthopaedics and Regenerative Medicine Regenerative OrthopaedicsNoida 201301Uttar PradeshIndia Department of Orthopaedics and Regenerative Medicine Future BiologicsLawrencevilleGA 30043United States Department of Orthopaedics and Regenerative Medicine BioIntegrateLawrencevilleGA 30043United States

BACKGROUND Current osteoarthritis(OA)treatments focus on symptom relief without addressing the underlying disease *** regenerative medicine,current treatments have *** regenerative medicine,more research is needed for intra-articular stromal vascular fraction(SVF)injections in OA,including dosage optimization,long-term efficacy,safety,comparisons with other treatments,and mechanism *** To compare the efficacy of intra-articular SVF with corticosteroid(ICS)injections in patients with primary knee *** The study included 50 patients with Kellgren-Lawrence grades II and III *** were randomly assigned(1:1)to receive either a single intra-articular SVF injection(group A)or a single intra-articular ICS(triamcinolone)(group B)*** were followed up at 1,3,6,12,and 24 *** analog score(VAS)and International Knee Documentation Committee(IKDC)scores were administered before the procedure and at all *** safety of SVF in terms of adverse and severe adverse events was *** analysis was performed with SPSS Version 26.0,IBM Corp,Chicago,IL,United *** Both groups had similar demographics and baseline clinical ***-up showed minor patient loss,resulting in 23 and 24 in groups A and B *** A experienced a notable reduction in pain,with VAS scores decreasing from 7.7 to 2.4 over 24 months,compared to a minor reduction from 7.8 to 6.2 in Group *** difference in pain reduction in group A was statistically significant from the third month ***,Group A showed significant improvements in knee functionality,with IKDC scores rising from 33.4 to 83.10,whereas Group B saw a modest increase from 36.7 to *** improvement in Group A was statistically significant from 6 months and maintained through 24 *** Our study demonstrated that intra-articular administration of SVF can lead to reduced pain and improved knee function in pa

关键词： Knee osteoarthritis Adipose tissue Stromal vascular fraction Regenerative medicine Orthobiologics

Optimizing outcomes:Implementing enhanced recovery after surgery in orthopedic surgery

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Methodology 2024年第4期14卷 6-12页

作者： Sathish Muthu Madhan Jeyaraman Naveen Jeyaraman swaminathan Ramasubramanian Department of Orthopedics Orthopedic Research GroupTamil NaduCoimbatore 641045India Department of Orthopedics Government Medical CollegeTamil NaduKarur 639003India Department of Biotechnology Karpagam Academy of Higher EducationTamil NaduCoimbatore 641021India Department of Orthopedics ACS Medical College and HospitalDr MGR Educational and Research InstituteTamil NaduChennai 600077India Department of Orthopedics Government Medical CollegeOmandurar Government EstateTamil NaduChennai 600002India

In the realm of orthopedics,the adoption of enhanced recovery after surgery(ERAS)protocols marks a significant stride towards enhancing patient *** embracing a holistic approach that encompasses preoperative counseling,dietary optimization,minimally invasive procedures,and early postoperative mobilization,these protocols have ushered in a new era of surgical *** encountering hurdles like resistance to change and resource allocation challenges,the efficacy of ERAS protocols in improving clinical outcomes is *** benefits include shortened hospital stays and bolstered improved patient-safety *** ahead,the horizon for ERAS in orthopedics appears bright,with an emphasis on tailoring care to individual needs,integrating cutting-edge technologies,and perpetuating research *** shift towards a more personalized,streamlined,and cost-efficient model of care underscores the transformative potential of ERAS in reshaping not only orthopedic surgery but also the journey to patient *** editorial details the scope and future of ERAS in the orthopedic specialty.

关键词： Enhanced recovery after surgery Orthopedic surgery Perioperative care Personalized care Patient reported outcome measure Complications

Improving the training abilities of ophthalmic educators: the Ophthalmology Foundation’s initiatives

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Annals of Eye Science 2024年第1期9卷 1-3页

作者： Karl Golnik Yip Chee Chew Gabriela Palis Meenakshi swaminathan Department of Ophthalmology at the University of Cincinnati CincinnatiOHUSA. Department of Ophthalmology and Visual Sciences Khoo Teck Puat HospitalSingaporeSingapore Ophthalmology Department Hospital Italiano de Buenos AiresBuenos AiresArgentina Capstone Clinic ChennaiIndia Sri Ramachandra Medical College ChennaiIndia

Our goal as medical educators is for our students to learn what they need to know and competently perform ophthalmic *** addition,the students need to have good communication skills and behave professionally and ethically(1,2).Most medical educators are not taught how to teach but rather learn by role-modeling their *** can be good or bad depending on the mentor!In addition,the amount of knowledge and numbers of surgical procedures is ever increasing and yet,in most countries,the amount of time to train and become competent is not ***,our goal of creating competent ophthalmologists is ever more challenging.

关键词： Ophthalmology Foundation teaching skills feedback

Comparative evaluation of artificial intelligence systems'accuracy in providing medical drug dosages:A methodological study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Methodology 2024年第4期14卷 121-130页

作者： swaminathan Ramasubramanian Sangeetha Balaji Tejashri Kannan Naveen Jeyaraman Shilpa Sharma Filippo Migliorini Suhasini Balasubramaniam Madhan Jeyaraman Department of Orthopaedics Government Medical CollegeOmandurar Government EstateChennai 600002Tamil NaduIndia Department of Orthopaedics ACS Medical College and HospitalDr MGR Educational and Research InstituteChennai 600077Tamil NaduIndia Department of Paediatric Surgery All India Institute of Medical SciencesNew Delhi 110029India Department of Life Sciences HealthLink Campus UniversityRome 00165Italy Department of Orthopaedic and Trauma Surgery Academic Hospital of Bolzano(SABES-ASDAA)Teaching Hospital of the Paracelsus Medical UniversityBolzano 39100Italy Department of Radio-Diagnosis Government Stanley Medical College and HospitalChennai 600001Tamil NaduIndia

BACKGROUND Medication errors,especially in dosage calculation,pose risks in *** intelligence(AI)systems like ChatGPT and Google Bard may help reduce errors,but their accuracy in providing medication information remains to be *** To evaluate the accuracy of AI systems(ChatGPT 3.5,ChatGPT 4,Google Bard)in providing drug dosage information per Harrison's Principles of Internal *** A set of natural language queries mimicking real-world medical dosage inquiries was presented to the AI *** were analyzed using a 3-point Likert *** analysis,conducted with Python and its libraries,focused on basic statistics,overall system accuracy,and disease-specific and organ system *** ChatGPT 4 outperformed the other systems,showing the highest rate of correct responses(83.77%)and the best overall weighted accuracy(0.6775).Disease-specific accuracy varied notably across systems,with some diseases being accurately recognized,while others demonstrated significant *** system accuracy also showed variable results,underscoring system-specific strengths and *** ChatGPT 4 demonstrates superior reliability in medical dosage information,yet variations across diseases emphasize the need for ongoing *** results highlight AI's potential in aiding healthcare professionals,urging continuous development for dependable accuracy in critical medical situations.

关键词： Dosage calculation Artificial intelligence ChatGPT Drug dosage Healthcare Large language models

Non-enzymatic methods for isolation of stromal vascular fraction and adipose-derived stem cells:A systematic review

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Methodology 2024年第2期14卷 134-144页

作者： Vamsi Krishna Mundluru MJ Naidu Ravi Teja Mundluru Naveen Jeyaraman Sathish Muthu swaminathan Ramasubramanian Madhan Jeyaraman Department of Orthopaedics MJ Naidu Super Speciality HospitalVijayawada 520002Andhra PradeshIndia Department of Regenerative Medicine StemC ClinicsVijayawada 520002Andhra PradeshIndia Department of Orthopaedics ACS Medical College and HospitalDr.MGR Educational and Research InstituteChennai 600077Tamil NaduIndia Department of Orthopaedics Orthopaedic Research GroupCoimbatore 641045Tamil NaduIndia Department of Orthopaedics Government Medical College and HospitalKarur 639004Tamil NaduIndia Department of Biotechnology Faculty of EngineeringKarpagam Academy of Higher EducationCoimbatore 641021Tamil NaduIndia Department of Orthopaedics Government Medical CollegeOmandurar Government EstateChennai 600002Tamil NaduIndia

BACKGROUND Adipose-derived stem cells(ADSCs)and the stromal vascular fraction(SVF)have garnered substantial interest in regenerative medicine due to their potential to treat a wide range of *** enzymatic methods for isolating these cells face challenges such as high costs,lengthy processing time,and regulatory *** This systematic review aimed to assess the efficacy and practicality of nonenzymatic,mechanical methods for isolating SVF and ADSCs,comparing these to conventional enzymatic *** Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines,a comprehensive literature search was conducted across multiple *** were selected based on inclusion criteria focused on non-enzymatic isolation methods for SVF and ADSCs from adipose *** risk of bias was assessed,and a qualitative synthesis of findings was performed due to the methodological heterogeneity of the included *** Nineteen studies met the inclusion criteria,highlighting various mechanical techniques such as centrifugation,vortexing,and ultrasonic *** review identified significant variability in cell yield and viability,and the integrity of isolated cells across different non-enzymatic methods compared to enzymatic *** some advantages of mechanical methods,including reduced processing time and avoidance of enzymatic reagents,the evidence suggests a need for optimization to match the cell quality and therapeutic efficacy achievable with enzymatic *** Non-enzymatic,mechanical methods offer a promising alternative to enzymatic isolation of SVF and ADSCs,potentially simplifying the isolation process and reducing regulatory ***,further research is necessary to standardize these techniques and ensure consistent,high-quality cell yields for clinical *** development of efficient,safe,and reproducible non-enzymatic isolation methods could signi

关键词： Adipose-derived stem cells Stromal vascular fraction Regenerative medicine Non-enzymatic isolation Mechanical separation techniques

The Effect of Aprotinin on Outcome after Coronary-Artery Bypass Grafting

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

The Effect of Aprotinin on Outcome after Coronary-Artery Byp...

中成药上市后药物流行病学评价培训会议

作者： Andrew D.Shaw Mark Stafford-Smith William D.White Barbara Phillips-Bute madhav swaminathan Carmelo Milano Ian J.Welsby Solomon Aronson Joseph P.Mathew Eric D.Peterson Mark F.Newman the Departments of Anesthesiology Duke University Medical Center DurhamNC M.B. the Departments of Anesthesiology Duke University Medical Center DurhamNCM.D. the Departments of Anesthesiology Duke University Medical Center DurhamNC M.P.H. the Departments of Anesthesiology Duke University Medical Center DurhamNC Ph.D. the Departments of Anesthesiology Duke University Medical Center DurhamNC M.D. the Departments of Surgery Duke University Medical Center DurhamNC M.D. the Departments of the Duke Clinical Research Institute Duke University Medical Center DurhamNC M.D. M.P.H

BACKGROUND Aprotinin has recently been associated with adverse outcomes in patients undergoing cardiac *** reviewed our experience with this agent in patients undergoing cardiac surgery at Duke University Medical Center. METHODS We retrieved data on 10,275 consecutive patients undergoing surgical coronary revascularization at Duke between January 1,1996,and December 31,*** fit data to a logistic-regression model predicting each patient’s likelihood of receiving aprotinin on the basis of preoperative characteristics and to models predicting long-term survival(up to 10 years) and decline in renal function,as measured by increases in serum creatinine levels. RESULTS A total of 1343 patients(13.2%) received aprotinin,6776 patients(66.8%) received aminocaproic acid,and 2029 patients(20.0%) received no antifibrinolytic therapy. All patients underwent coronary-artery bypass grafting,and 1181 patients(11.5%) underwent combined coronary-artery bypass grafting and valve *** the risk-adjusted model,survival was worse among patients treated with aprotinin,with a main-effects hazard ratio for death of 1.32(95%confidence interval[CI],1.12 to 1.55) for the comparison with patients receiving no antifibrinolytic therapy(P=0.003) and 1.27(95%CI,1.10 to 1.46) for the comparison with patients receiving aminocaproic acid(P=0.004).As compared with the use of aminocaproic acid or no antifibrinolytic agent,aprotinin use was also associated with a larger risk-adjusted increase in the serum creatinine level(P<0.001) but not with a greater risk-adjusted incidence of dialysis(P=0.56). CONCLUSIONS Patients who received aprotinin had a higher mortality rate and larger increases in serum creatinine levels than those who received aminocaproic acid or no antifibrinolytic agent.

关键词：

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

抑肽酶对冠状动脉搭桥术后结局的影响

抑肽酶对冠状动脉搭桥术后结局的影响

Non-carcinogenic health risk assessment of nitrate and fluoride contamination in the groundwater of Noyyal basin,India

中成药上市后药物流行病学评价培训会议

作者： Andrew D.Shaw Mark Stafford-Smith William D.White Barbara Phillips-Bute madhav swaminathan Carmelo Milano Ian J.Welsby Solomon Aronson Joseph P.Mathew Eric D.Peterson Mark F.Newman

背景:最近有报告称,抑肽酶与心脏手术后病人的不良结局相关。我们回顾了在杜克大学医学中心接受心脏手术的病人中使用抑肽酶的经验。方法:我们检索到10275例连续病人的资料,他们于1996年1月1日至2005年12月3 1日在杜克大学接受冠状动脉...

背景:最近有报告称,抑肽酶与心脏手术后病人的不良结局相关。我们回顾了在杜克大学医学中心接受心脏手术的病人中使用抑肽酶的经验。方法:我们检索到10275例连续病人的资料,他们于1996年1月1日至2005年12月3 1日在杜克大学接受冠状动脉血运重建术。我们将资料输入一个对数-回归模型,它可根据术前特点预测每例病人用抑肽酶的可能性,并输入可预测长期(最长10年)生存率和肾功能减退(检测血清肌酐水平的升高)的模型。结果:总共1343例(13.2%)病人使用抑肽酶,6776例(66.8%)病人使用氨基己酸,2029例(20.0%)病人未接受抗纤溶治疗。全部病人做了冠脉搭桥术,1181例(11.5%)病人同时做了冠状动脉搭桥术和瓣膜手术。危险校正模型显示,抑肽酶组病人的生存状况较差,与不用抗纤溶治疗的病人相比,死亡的主效应风险比为1.32[95%可信区间(CI)为1.12～1.55](P=0.003);与用氨基己酸的病人相比,死亡的主效应风险比为1.27(95%CI为1.10～1.46)(P=0.004)。与用氨基己酸或不用抗纤溶制剂相比,使用抑肽酶还与危险校正后的血清肌酐水平升高较多相关(P<0.001),但不与危险校正后的透析率较高相关(P=0.56)。结论:与用氨基己酸或不用抗纤溶制剂的病人相比,用抑肽酶的病人死亡率较高,血清肌酐水平增高较多。

关键词：

来源： cnki会议评论

在线全文

cnki会议

学校读者我要写书评

暂无评论

Geodesy and Geodynamics 2022年第6期13卷 619-631页

作者： Karung Phaisonreng Kom Balasubramanian Gurugnanam swaminathan Bairavi Centre for Applied Geology Gandhigram Rural Institute-Deemed to be UniversityGandhigramDindigul 624302Tamil NaduIndia

The study aims to assess the nitrate and fluoride concentration in groundwater and its adverse effects on human *** 2019,42 groundwater samples were collected from various bore wells within the western Noyyal basin,*** and chloride are the dominant cation and anion,*** nitrate concentration in groundwater samples varies from 2 to 89 mg/L,of which 33.33%are above the permissible limit of 45 mg/L for drinking *** fluoride concentration ranges from 0.2 to 2.4 mg/L,with 28.57%of the samples exceeding the safe value of 1.5 mg/L for drinking *** plots demonstrate that the potential of hydrogen(pH),electrical conductivity(EC),total dissolved solids(TDS),Na^(+)and HCO^(-)_(3)are positively correlated with F^(-),whereas Ca^(2+)is negatively *** Ca-Mg-Cl is the most common water type in the investigated *** Gibbs diagram demonstrates that the interaction between rock and water impacts the groundwater *** the method of the United States Environmental Production Agency(USEPA),this study assesses the non-carcinogenic health risk posed by nitrate and fluoride in different age groups(infants,children,and adults).The values of total hazard index(THI)vary from 0.59 to 10.07(mean=4.76)for infants,0.36 to 6.23(mean=2.95)for children,and 0.19 to 3.32(mean=1.57)for ***,97.62%,92.86%,and 73.81%of the samples surpass the recommended limit(THI=1)for infants,children,and adults,***,the health risk assessment(HRA)indicates that infants and children are more susceptible to noncarcinogenic health hazards than *** THI spatial variation map shows that central and southern regions of the study area have been identified as high health risk areas(THI>3.0)for all age groups.

关键词： Nitrate Fluoride Non-carcinogenic Hazard quotient Total hazard index Noyyal basin