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SACI Protocol: Preliminary Guidelines for the Development of Digital Health Technologies for Clinical Trials in Brazil

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E-Health Telecommunication Systems and networks 2022年第3期11卷 85-100页

作者： lídia maria lourençön rodrigues agia Jorge luiz dias agia Rui Pedro Charters lopes Rijo Valdes Roberto Bollela Domingos Alves Department of Social Medicine Ribeir&#227 o Preto Medical School University of S&#227 o Paulo Ribeir&#227 o Preto Brazil Postgraduate Program in Production Engineering UNIP S&#227 o Paulo Brazil Polytechnic Institute of leiria Leiria Portugal Department of Internal Medicine Ribeir&#227 o Preto Medical School University of S&#227 o Paulo Ribeir&#227 o Preto Brazil

In the last decade, evidence-based medical practice has been supported on a large scale by computerized decision support tools, aiming to reduce diagnostic and therapeutic uncertainty, complementing the actions of the health professional. With technological developments, it is now possible to consider these systems as part of clinical intervention, both for the diagnosis and treatment of diseases. The literature has described the implementation of e-health tools, that is, technological innovations in the health area such as software, applications, serious games, among others, as a strategy to improve the process and adherence to treatment. However, there is still no standardized instrument in Brazil that can be used to guide the development, from the research phase, and the implementation of these tools as a health intervention, also impacting patient outcomes. With the objective of investigating a new therapeutic and preventive form, based on intervention with a computerized system, this work proposes the creation of guidelines for the registration and implementation of e-health tools as a clinical intervention. The proposal aims to be able to assist in the reporting standardization from the development stage to the application of the e-health tool helping in the treatment of diseases, registering all the experience lived in the research and applying it in different contexts of health.

关键词： Reporting Guidelines Clinical Trials Digital Health E-Health

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Evaluation of the Usability of a Telehealth System for COVID-19 According to the Perception of the User Professional

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E-Health Telecommunication Systems and networks 2022年第3期11卷 101-108页

作者： lídia maria lourençön rodrigues agia Cristina Broilo Rui Pedro Charters lopes Rijo Domingos Alves Department of Social Medicine Ribeir&#227 o Preto Medical School University of S&#227 o Paulo Ribeir&#227 o Preto Brazil TopMed Healthcare and Telemedicine lTDA Florianópolis Brazil School of Technology and Management Polytechnic Institute of Leiria Leiria Portugal

With the advent of the pandemic, the Brazilian Ministry of Health structured in record time the Telehealth Service of the Unified Health System called TeleSUS, an ecosystem based on the intensive use of information technology involving automated mechanisms and a personalized health care center at distance. In addition to constant evaluations carried out in the service as a public health strategy, at clinical and epidemiological levels, the team involved in the project was also concerned with evaluating the system developed to enable the operation of remote care, from the conception of the organization of health actions to the technological development of the digital health tool. The objective of this study was to carry out an evaluation of a telehealth system, measuring the degree of satisfaction of users of health professionals regarding its usability and identifying factors that positively and/or negatively influence the evaluation.

关键词： System Evaluation Health Information Systems Telehealth

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Public perception of connected and automated vehicles:Benefits,concerns,and barriers from an Australian perspective

Journal of Intelligent and Connected Vehicles

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Journal of Intelligent and Connected Vehicles 2024年第2期7卷 108-128页

作者： Ali Matin Hussein dia Department of Civil and Construction Engineering Swinburne University of TechnologyMelbourne 3122Australia

This study investigates the attitudes and concerns of the Australian public toward connected and autonomous vehicles(CAVs),and the factors influencing their willingness to adopt this *** a comprehensive survey,a diverse group of respondents provided valuable insights toward various CAV scenarios such as riding in a vehicle with no driver,self-driving public transport,self-driving taxis,and heavy vehicles without *** results highlight the significant impact of safety concerns about automated vehicles on individuals’attitudes across all *** levels of concern were associated with more negative attitudes,and a strong correlation between concerns and opposition underlines the necessity of addressing these apprehensions to build public trust and promote CAV ***,nearly 70%of respondents felt uncomfortable driving next to a CAV,but they displayed more confidence in adopting automated public transport in the near ***,around 40%of participants indicated a strong willingness to purchase a CAV,primarily driven by the desire to reduce their carbon footprint and safety ***,respondents with health conditions or disability exhibited heightened interest(almost double those without health conditions)in CAV *** differences emerged in attitudes and preferences toward CAVs,with women expressing a greater level of concern and perceiving higher barriers to CAV *** emphasizes the importance of employing targeted approaches to address the specific concerns of different *** study also underscores the role of trust in technology as a significant barrier to CAV deployment,ranking high among respondents’*** overcome these challenges and facilitate successful CAV deployment,various strategies are suggested,including live demonstrations,dedicated routes for automated public transport,adoption incentives,and addressing liability *** findings from this st

关键词： connected and automated vehicles(CAVs) autonomous vehicles public acceptance stakeholder consultations road safety

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Profile of SARS-CoV-2 Infected Patients Hospitalized at the Epidemic Treatment Center (ETC) in Saint-louis, Senegal during the First Two Waves

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Advances in Infectious Diseases 2024年第2期14卷 322-337页

作者： Alassane Dièye Papa latyr Junior Diouf Bourama Diémé Moustapha Diedhiou diatou dia-Gueye Amadou Diop dia Samba niang Ibrahima louis Martin Dieng Ameth Dieng Seynabou lô ndéye Méry dia-Badiane Health Sciences Training and Research Unit Gaston Berger University Saint-Louis Senegal Emergency Department of Regional Hospital Center Saint-Louis Senegal Department of Infectious and Tropical Diseases of Fann Dakar Senegal

Introduction: The SARS-CoV-2 infection is a major public health emergency. Several risk factors are involved in the occurrence of respiratory distress that can lead to death despite resuscitation measures. Objectives: The aim of this study was to describe the epidemiological, clinical, paraclinical, therapeutic, and evolution profile of patients infected with SARS-CoV-2 hospitalized at the CTE of Saint-louis (Senegal) during the first two waves. Patients and Methods: We conducted a retrospective, cross-sectional, descriptive, and analytical study that included all patients hospitalized at the ETC of Saint-louis (Senegal) with SARS-CoV-2 infection from March 2020 to April 2021. Results: A total of 358 cases were collected, 256 (71.5%) during the first wave and 102 (28.5%) during the second wave. The mean age was 49.5 years (19.5). There was a male predominance (58.4%), with a sex ratio of 1.4. Hypertension was the main comorbidity, with 87 cases (24.3%). The most common functional signs were cough in 194 cases (54.2%), dyspnea in 143 cases (40%) and ageusia in 134 cases (37.4%). Thoracic CT scans were performed on 20 patients (5.6%), with severe involvement (50% - 75%) observed in 50% of cases. Hydroxychloroquine-azithromycin was prescribed to 351 patients (98%). Overall, 338 (94.4%) recovered and 17 (4.7%) died. In multivariate analysis, factors associated with death were male sex [OR = 2.645;95% CI: 1.530 - 4.785;p = 0.011], age 60 years [OR = 1.039;95% CI: 0.564 - 1.914;p = 0.002], the presence of comorbidities [OR = 2.171;95% CI: 0.564 - 3.429;p = 0.033], SpO2 (ambient air) 95% [OR = 2.061;95% CI: 0.616 - 3.827;p = 0.03], acute respiratory distress syndrome (ARDS) [OR = 0.635;95% CI: 0.316 - 1.275;p = 0.001], severe form [OR = 1.664;95% CI: 0.298 - 2.478;p = 0.016], occurrence of complications [OR = 0.521;95% CI: 0.287 - 0.944;p = 0.032], high creatinine levels [OR = 2.061;95% CI: 1.616 - 3.827;p = 0.026], and lymphopenia [OR = 0.485;95% CI: 0.370 - 0.636;p = 0.0

关键词： SARS-CoV-2 Saint-louis Senegal

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COVID-19/Tuberculosis Co-Infection at the Epidemic Treatment Center (ETC) of Saint-louis (Senegal): About 9 Cases

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Advances in Infectious Diseases 2024年第1期14卷 56-66页

作者： Alassane Dièye Moustapha Diedhiou Papa latyr Junior Diouf Mba Bambo diakhaby Demba Makalou Samba niang diatou dia-Gueye Amadou Diop dia Ibrahima louis Martin Dieng Seynabou lô ndéye Méry dia-Badiane Health Sciences Training and Research Unit Gaston Berger University Saint-Louis Senegal Department of Medicine Saint-Louis Regional Hospital Saint-Louis Senegal Infectious and Tropical Diseases Clinic of Fann Dakar Senegal

Introduction: COVID-19 is a global public health emergency that can cause acute respiratory distress syndrome. In countries where tuberculosis (TB) is endemic, coinfection of COVID-19 and TB is often encountered, which increases the risk of developing severe forms of COVID-19. Objectives: The aim of this study was to determine the prevalence of COVID-19/TB coinfection at the Epidemic treatment center (ETC) in Saint-louis (Senegal) and to describe the epidemiological, clinical, paraclinical, and outcome profile of co-infected patients. Patients and Methods: This is a retrospective, cross-sectional, descriptive cohort study based on the records of COVID-19/ TB co-infected patients who were hospitalized at the ETC in Saint-louis (Senegal) over an 18-month period from March 2020 to September 2021. Results: Out of a total of 454 hospitalizations, we collected records of 9 patients co-infected with COVID-19/TB, resulting in a prevalence of 2%. The study included patients with a median age of 34 years (range: 10-86 years), with a male predominance (7 cases) and a sex ratio of 3.5. The majority of patients (88.9%) had severe forms of COVID-19. Dyspnea and cough were reported in all patients (100%). Pulmonary TB was the most frequent localization, with 9 cases. The diagnosis of COVID-19 was confirmed by nasopharyngeal PCR in all patients (100%). Bacilloscopy was positive in 3 out of 5 cases. One patient tested positive for GeneXpert? MTB/RIF without rifampicin resistance. All patients were prescribed the hydroxychloroquine-azithromycin combination and anti-tuberculosis treatment. Out of the nine patients, four recovered (44.4%) and five died (55.5%). Conclusion: COVID-19/TB coinfection had a low prevalence in our cohort, but was associated with a high mortality due to the frequent occurrence of severe forms of the disease.

关键词： COVID-19 Tuberculosis Saint-louis Senegal

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检查清单和错误报告系统在提高患者安全和减少医疗差错方面的有效性:叙述性回顾

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International Journal of nursing Sciences 2024年第3期11卷 387-398页

作者： Emmanuel Aoudi Chance dia Florence Innocent Sardi Abdoul VID Specialized University BergenNorway Universite de Bertoua Cameroon Univerity of ngaoundere Cameroon

目的探讨检查清单和错误报告系统对医院患者安全和医疗错误的影响。方法系统检索2013-2023年的学术数据库,对符合纳入标准的同行评议研究进行严谨的方法学评估。该综述强调了支持核对表在减少用药错误、手术并发症和其他不良事件方面的... 详细信息

目的探讨检查清单和错误报告系统对医院患者安全和医疗错误的影响。方法系统检索2013-2023年的学术数据库,对符合纳入标准的同行评议研究进行严谨的方法学评估。该综述强调了支持核对表在减少用药错误、手术并发症和其他不良事件方面的有效性证据。错误报告系统提高了透明度,鼓励专业人员报告事件并识别系统漏洞。结果检查表和错误报告系统相互关联,在检查表的实施中强调跨专业合作。文章中使用的不同方法和潜在的发表偏倚可能产生局限性;此外,语言限制可能会排除有价值的非英语研究。虽然积极的影响是显而易见的,但成功取决于组织文化和资源。结论通过查阅相关文献,强调干预措施的重要性,并呼吁进一步研究检查清单和错误报告系统在不同医疗保健和文化背景下的有效性,有助于提高患者安全知识。了解这些动态变化对于医疗保健提供者优化患者安全至关重要。

关键词：患者安全医疗错误检查表错误报告系统健康状况

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Characteristics of Gold and Its Mineralization Style in the Boulon Djounga Eastern Perimeter of liptako Mining Company (Central Southwestern niger)

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natural Resources 2024年第1期15卷 28-50页

作者： Gambo Ranaou noura Kamayé Tourba Karimou dia Hantchi Bouba Hassane Moussa Konaté Department of Geology Faculty of Science and Techniques Abdou Moumouni University Niamey Niger Department of Geology Faculty of Science and Techniques Dan Dicko Dankoulodo University Maradi Niger

The Boulon Djounga eastern perimeter is part of the Tiawa operating permit of the Société des Mines du liptako (SMl), located in the central southwestern part of liptako (niger). In this study, we used field data, Reverse Circulation (RC) surveys and chemical analyzes of gold to determine the characteristics of gold and its mineralization style. The eastern perimeter of Boulon Djounga is represented by a succession of metabasalts and metasediments both intersected by intrusions of quartz and dolerite dykes, and covered by sandstone and clayey rocks. Gold is present in low contents (0.00 - 0.30 ppm) in the sedimentary cover and in medium (0.30 - 1.00 ppm) or high contents (1.00 - 4.534 ppm) in the metasediments, and in the gray quartz veins and locally in the volcanics. It exists in a disseminated state or in a concentrated state in the surrounding areas in the form of discrete grains associated with sulphurous minerals (pyrite: FeS2, chalcopyrite: CuFeS2 or arsenopyrite: FeAsS). The presence of gold in the quartz veins, and the nE-SW and nW-SE orientations of the ore bodies suggest that the eastern Boulon Djounga gold mineralization would be established during a late magmatic extensive phase.

关键词： liptako Gold Mineralization Metasediments-Volcanics Quartz Veins Sulphurous Minerals niger

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Acute Otitis Media in Children Aged 0-5 Years, Epidemiological Aspects and Management in the Paediatrics Department of the Hospital national Ignace Deen (Conakry)

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Open Journal of Epidemiology 2024年第1期14卷 19-30页

作者： Oumou Amadou diallo M’bemba Traore Mamadou Cire Barry Mamadou Mouctar Ramata diallo Hasmiou dia Alpha Oumar diallo EnT Department Ignace Deen National Hospital Conakry Guinea Paediatrics Department Ignace Deen National Hospital Conakry Guinea EnT Department Mamou Regional Hospital Mamou Guinea

Introduction: Acute otitis media is an acute inflammation of the mucosa of the middle ear cavities. It is often secondary to nasopharyngitis, which favors the passage of infection through the Eustachian tube to the middle ear. The aim of our study was to improve the management of AOM in the Paediatric Department of the Hospital national Ignace Deen (Conakry). Patients and Methods: This was a prospective descriptive study lasting 6 months from 01 July to 31 December 2011;the study covered 525 cases out of a total of 6276 children, i.e. a frequency of 8.36%. Results: The most affected age group was 6 to 11 months. Males predominated (69.71%). 82.29% had a history of recurrent rhinopharyngitis. The most frequent reason for consultation was incessant crying (66.29%). Rhinopharyngitis and malaria were the most commonly associated pathologies (87.62% and 39.62% respectively). 72.19% of our patients were admitted with congestive AOM and received medical treatment. We recorded one case of otomastoiditis which was treated surgically. Conclusion: AOM is more common in children aged between 6 and 24 months. Good collaboration between paediatricians and EnT specialists is essential to reduce the morbidity of AOM.

关键词： Acute Otitis Media (AOM) Treatment nasopharyngitis Eustachian Tube

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Tectonic Style Associated with the Doleritic Dykes of the Téra-Ayorou Pluton (liptako, Western niger)

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International Journal of Geosciences 2024年第8期15卷 567-581页

作者： Kamayé Tourba Gambo Ranaou noura Abdou Dodo Bohari Karimou dia Hantchi Mallam Mamane Hallarou Hassane Ibrahim Maharou Yacouba Ahmed Moussa Konaté Groundwater and Georesources laboratory Department of Geology Abdou Moumouni University Niamey Niger UMR of Water Sciences Mineral Resources Uses and Management Dan Dicko Dankoulodo University Maradi Niger

The doleritic dykes present in the Téra-Ayorou pluton crosscut the basement of the nigerien liptako and are part of the system of intrusive mafic dykes in the Paleoproterozoic domain of the léo-Man ridge. In the previous work, emphasis was placed on the petrology, geochemistry and geochronology of the liptako doleritic dykes. This study aims to analyze the tectonic style of intrusive doleritic dykes in the Téra-Ayorou pluton. The characterization of the deformation which affected the doleritic dykes of the Téra-Ayorou pluton is important for the evaluation of their economic potential. To this end, measurements of tectonic structure planes were taken in the field, and samples were taken from the chilled margin and cores of dolerite dykes, before being processed in the laboratory. Analysis of the tectonic structures collected revealed a brittle tectonic pattern, characterizing a phase of deformation subdivided into two episodes D1 and D2. Episode D1, with its subvertically dipping normal faults and simple n70˚ - n110˚ fractures, is compatible with n-S extension. On the other hand, episode D2, which created shear corridors by reactivation of pre-existing fractures and oriented n150˚ - n170˚, is associated with a WSW-EnE extension. These results open up prospects for the exploration of gold, uranium mineralization and diamonds in the north-west of niger.

关键词： Dolerite Dykes Associated Structures Deformation Phases north liptako niger

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Assessment of Satisfaction in the Reception and Emergency Department of a Health Center

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Open Journal of Epidemiology 2024年第2期14卷 284-296页

作者： Boubacar Gueye Martial Coly Bop ndéyeMarième diagne Cheikh Tacko Diop Alioune Badara Tall Papa Gallo Sow Mountaga dia Abdoul Aziz ndiaye Ousseynou Ka Training and Research Unit for Health and Sustainable Development Alioune Diop University of Bambeye Bambey Senegal Dakar Principal Hospital Dakar Senegal Health and Development Institute Cheikh Anta Diop University of Dakar Dakar Senegal

Introduction The main objective of any healthcare establishment must be to ensure the quality of patient care and customer satisfaction. It is necessary to regularly assess patient satisfaction. The aim of this study was to assess the level of satisfaction of customers aged over 18 years attending the emergency department of the health center. Methodology This was a descriptive and analytical cross-sectional study of patients aged 18 years and over, who attended the Samu Municipal emergency department between 02 and 30 May 2023. The satisfaction index was determined using the adapted 2009 SAPHORA-MCO questionnaire and the likert satisfaction scale. Results A total of 400 patients were surveyed. The average age was 35 years, with a standard deviation of 14.7. Of those surveyed, 51% were women, 87% were educated, 50% lived in Grand Yoff and 59.5% were unemployed. Satisfaction levels linked to perception of the cost of care (72%), waiting time (64.3%), information given to patients (69.1%) and pain management (74 .5%) are fair. On the other hand, the levels of satisfaction linked to administrative procedures (82.5%), staff attitudes towards patients (84%), staff availability (86.4%), patient privacy (89.2%), general atmosphere (87.2%), staff competence (87.3%), and the effectiveness of care (89.4%) were satisfactory. The average waiting time was 38 minutes. However, 32% of patients waited less than 30 minutes and 92% less than an hour. The satisfaction index linked to administration and reception was 72.9% and 79.85%, respectively. The satisfaction index linked to the administration and technical quality of care is equal to 85.8% and 83.7%, respectively. The overall satisfaction index is equal to 80.6%;the level of satisfaction of users of the health structure is satisfactory. Conclusion Patient satisfaction is an essential part of quality care. Patient satisfaction must be based on effective communication from the healthcare team and the creation of a patient-caregive

关键词： Assessment Satisfaction Reception Ad Emergency Department Health Center

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