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Evaluation of Google Glass^(■) with Camera Adaptor and GoPro^(■) as Teaching Tools for Endotracheal Intubation in the Austere Medical Environment

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Open Journal of Anesthesiology 2018年第8期8卷 229-239页

作者： Michael Son David Zimmer Ross McCauley Donald Zimmer Joseph Dynako Richard Skupski Bhavesh Patel Nuha Zackariya Faadil Shariff Lovely Nathalie Colas Gerson Pyram Marc Edson Augustin Carmeline Mathurin stanley louis Patricia Saint louis stanley Loriston Dan Herbstman Lucio Cervantes Shane Kappler Michael TMcCurdy Jecko Thachil Sarah Greve Mark Walsh University of Notre Dame Notre DameINUSA Memorial Hospital South BendINUSA Indiana University School of Medicine South BendINUSA Mayo Clinic PhoenixAZUSA Indiana University Bloomington BloomingtonINUSA Hospital Saint Luc Port-Au-PrinceHaiti Department of Anesthesiology Hopital Universitaire JustinienCap HaitienHaiti Third Eye Health ChicagoILUSA Adisat Colonia:Condessa Mexico CityMexico 1 University of Maryland School of Medicine BaltimoreMDUSA 1 Department of Haematology Manchester Royal InfirmaryManchesterUK 1 St Joseph Regional Medical Center MishawakaINUSA

Objective: Endotracheal intubation (ETI) is a life-saving emergency procedure, but it is a complex skill that is difficult to teach. Recent studies have shown that video laryngoscopy is effective in teaching ETI to learners at various levels of medical expertise;however, it has proven to be costly and provides images of inconsistent quality. In this educational proof of concept feasibility convenience sample pilot study, we aim to explore and compare the effectiveness of using modified Google Glass? (GG) and GoPro? (GP) technologies to visualize and teach ETI to critical care physicians in the austere medical environment of a low-income country. We propose, based on our findings, that this inexpensive technology could teach lifesaving ETI to pre-hospital providers in the austere medical environment, medical students, rural emergency physicians, critical care physicians in low-income countries, far forward military medical providers, and other learners. Methods: A case series of twenty-five patients, five in the United States (US) at Memorial Hospital in South Bend, IN and twenty at Saint Luc’s Hospital in Port Au Prince, Haiti, is presented. These patients were collected from November 1st 2015 through February 1st of 2016. The anesthesiologist and the emergency physicians in the United States utilized GG to intubate five patients in the US prior to the twenty patients intubated during two separate trips to Haiti. On the two separate trips to Haiti, the GG was trialed and modified to obtain better exposure. These adaptations resulted in the final collection of twenty patients studied with the adapted GG system and GP. Physicians graded airway visualization based on LEMON and Cormack-Lehane scores. Previously published parameters for the assessment of failed intubation risk and passage of the cords were used as data points for analysis using a Likert-Scale analysis for each parameter. The data were analyzed by averages of Likert-Scale scoring with their respective sta

关键词： Endotracheal Intubation Google Glass^(■) GoPro^(■) Cord Visualization Military Medicine Austere Medical Environment Low Income Country Rural Prehospital

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用人体细胞制备狂犬病疫苗的进展和远景

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微生物学免疫学进展 1983年第1期 53-58页

作者： stanley A Plotkin ,孟秀园 ,梁名奕

到1984年,世界将庆祝louis pasteur发明狂犬病疫苗一百周年。1885年他制成疫苗,第一次给一个叫Josef Meister的小孩使用,自从1884年以来的头三分之二世纪里,在狂犬病研究中很少有很本性的进展。而在本世纪的最近几年中,则有突破。包括... 详细信息

到1984年,世界将庆祝louis pasteur发明狂犬病疫苗一百周年。1885年他制成疫苗,第一次给一个叫Josef Meister的小孩使用,自从1884年以来的头三分之二世纪里,在狂犬病研究中很少有很本性的进展。而在本世纪的最近几年中,则有突破。包括对狂犬病的形态和抗原性的阐述。使用抗狂犬病血清提高其保护作用。并研制出了安全有效的组织培养疫苗。在这项工作中,Hilary Koprowski和他的同事Tadeusz Wiktor的Wistar研究所实验室里,就象早年在Pasteur研究院实验室研究狂犬病一样,取得了卓越的成就。

关键词：狂犬病疫苗抗体反应免疫性疫苗反应皮内注射

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