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[PMID]:28622499
[Au] Autor:Savage N
[Ad] Endereço:Lowell, MA, USA.
[Ti] Título:The Measure of a Man.
[So] Source:Cell;169(7):1159-1161, 2017 Jun 15.
[Is] ISSN:1097-4172
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Moving beyond simple fitness tracking, wearable devices may soon offer opportunities for monitoring health and bring vast amounts of new data to the study of human diseases.
[Mh] Termos MeSH primário: Equipamentos para Diagnóstico
Monitores de Aptidão Física
Sinais Vitais
[Mh] Termos MeSH secundário: Equipamentos para Diagnóstico/tendências
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170617
[St] Status:MEDLINE


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[PMID]:28541344
[Au] Autor:Medina-Sánchez M; Schmidt OG
[Ad] Endereço:Micro and Nano-biomedical Engineering Group at the Leibniz IFW in Dresden, Germany.
[Ti] Título:Medical microbots need better imaging and control.
[So] Source:Nature;545(7655):406-408, 2017 05 24.
[Is] ISSN:1476-4687
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Materiais Biocompatíveis/análise
Materiais Biocompatíveis/normas
Equipamentos para Diagnóstico
Microquímica/instrumentação
Robótica/instrumentação
Terapêutica/instrumentação
[Mh] Termos MeSH secundário: Ensaios Clínicos como Assunto
Seres Humanos
Movimento (Física)
Nanomedicina/instrumentação
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Nm] Nome de substância:
0 (Biocompatible Materials)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1038/545406a


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[PMID]:28338582
[Au] Autor:Chong LSH; Eviston TJ; Low TH; Hasmat S; Coulson SE; Clark JR
[Ad] Endereço:Sydney and Camperdown, New South Wales, Australia From the Faculty of Medicine, University of New South Wales; the Department of Head and Neck Surgery and the Sydney Facial Nerve Service, The Chris O'Brien Lifehouse, and the Discipline of Physiotherapy, Faculty of Health Sciences, University of Sydney.
[Ti] Título:Validation of the Clinician-Graded Electronic Facial Paralysis Assessment.
[So] Source:Plast Reconstr Surg;140(1):159-167, 2017 Jul.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Facial paralysis remains a debilitating condition despite advances in medical, surgical, and adjunctive interventions. Established grading systems used to assess facial paralysis and interventional outcomes have well-described limitations. The Electronic Facial Paralysis Assessment, a clinician-graded zone-based facial function scale, has recently emerged as a grading tool that may provide greater sensitivity when assessing incomplete paralysis and postsurgical improvement. The authors perform the first comprehensive validation of this tool. METHODS: Video recordings of 83 facial paralysis patients were assessed. Grading was performed in two sittings by three individuals with varying degrees of experience in assessing facial paralysis. Interobserver reliability; intraobserver reliability; administration time; and agreement with the Facial Disability Index, House-Brackmann, Sunnybrook, and Sydney facial grading systems were assessed. RESULTS: The Electronic Facial Paralysis Assessment demonstrated high intra observer and interobserver reliability (intraclass correlation coefficient, 0.84 to 0.91 and 0.81 to 0.83, respectively). It correlated well with the House-Brackmann, Sunnybrook, and Sydney facial grading systems (Spearman rho, 0.73, 0.77 and 0.77, respectively). In subdomain analysis, it correlated well with the Sunnybrook and Sydney systems in dynamic movement (Spearman rho, 0.90 and 0.89, respectively) and synkinesis (Spearman rho, range 0.74 and 0.72, respectively). It had poor agreement with the Facial Disability Index (Spearman rho, 0.25). The mean time to complete the tool was 116 ± 61 seconds. CONCLUSIONS: The Electronic Facial Paralysis Assessment is a valid facial assessment tool with high reliability and correlation with the established facial paralysis grading systems. It also provides an efficient and detailed analysis of paralysis according to each facial zone. CLINICAL QUESTION/LEVEL OF EVIDENCE: Diagnostic, II.
[Mh] Termos MeSH primário: Paralisia Facial/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Equipamentos para Diagnóstico
Equipamentos e Provisões Elétricas
Paralisia Facial/fisiopatologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170325
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003447


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[PMID]:28071879
[Au] Autor:Architectural and Transportation Barriers Compliance Board
[Ti] Título:Standards for Accessible Medical Diagnostic Equipment. Final rule.
[So] Source:Fed Regist;82(5):2810-48, 2017 01 09.
[Is] ISSN:0097-6326
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Architectural and Transportation Barriers Compliance Board (Access Board or Board) is issuing accessibility standards for medical diagnostic equipment. The standards for medical diagnostic equipment (MDE Standards) contain minimum technical criteria to ensure that medical diagnostic equipment, including but not limited to, examination tables, examination chairs, weight scales, mammography equipment, and other imaging equipment used by health care providers for diagnostic purposes are accessible to, and usable by, individuals with disabilities. The MDE Standards will allow independent entry to, use of, and exit from the equipment by individuals with disabilities to the maximum extent possible. The MDE Standards do not impose any mandatory requirements on health care providers or medical device manufacturers. However, other agencies, referred to as enforcing authorities in the MDE Standards, may issue regulations or adopt policies that require health care providers subject to their jurisdiction to acquire accessible medical diagnostic equipment that complies with the MDE Standards.
[Mh] Termos MeSH primário: Estruturas de Acesso/legislação & jurisprudência
Equipamentos para Diagnóstico/normas
Legislação de Dispositivos Médicos
[Mh] Termos MeSH secundário: Pessoas com Deficiência/legislação & jurisprudência
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170118
[Lr] Data última revisão:
170118
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:170111
[St] Status:MEDLINE


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[PMID]:27398625
[Au] Autor:Himpel L; Pilarczyk K; Wahbi A; Mourad F; Tsagakis K; Jakob H; Benedik J
[Ad] Endereço:a Department of Thoracic and Cardiovascular Surgery , West German Heart and Vascular Center Essen, University Hospital of Essen , Essen , Germany.
[Ti] Título:Role of regional aortic wall properties in the pathogenesis of thoracic aortic dissection.
[So] Source:Scand Cardiovasc J;51(1):35-39, 2017 Feb.
[Is] ISSN:1651-2006
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The mechanisms of the location and extension of acute aortic dissection (AD) are only poorly understood. The aim of this study was to compare the cohesion of the non-coronary aortic sinus (NAS) and the ascending aortic wall (AA) using the Dissectometer - a new device for analyses of the mechanical properties of the aorta. DESIGN: The properties of the aortic wall were analyzed with the "Dissectometer" (parameters P7, P8 and P9) in adult patients undergoing aortic root (AR) replacement in two different segments: NAS and AA. The aortic wall thickness (AWT) was measured with a micrometer. RESULTS: Thirty-three adult patients (mean age 65 ± 14 years, 80% male) were included in this study. The aortic wall of the NAS was significantly thinner than that of the AA (1.9 ± 0.4 vs. 2.3 ± 0.4, p < 0.01). In contrast, mechanical stability assessed by cohesion testing was diminished in AA samples compared to NAS samples (P7: 86.0 ± 55.0 vs. 152.3 ± 89.2, p < 0.01; P8: 2.5 ± 1.3 vs. 6.0 ± 3.1, p < 0.01; P9: 3.6 ± 1.4 vs. 7.8 ± 3.2, p < 0.01). CONCLUSIONS: This study shows that the wall of the AR is characterized by a thin but stable wall, whereas AA was found to be weaker despite its greater thickness. This difference might be involved in the development and spreading of aortic dissections.
[Mh] Termos MeSH primário: Aneurisma Dissecante/patologia
Aorta/patologia
Aneurisma da Aorta Torácica/patologia
[Mh] Termos MeSH secundário: Idoso
Aneurisma Dissecante/fisiopatologia
Aneurisma Dissecante/cirurgia
Aorta/fisiopatologia
Aorta/cirurgia
Aneurisma da Aorta Torácica/fisiopatologia
Aneurisma da Aorta Torácica/cirurgia
Equipamentos para Diagnóstico
Dilatação Patológica
Desenho de Equipamento
Feminino
Alemanha
Seres Humanos
Técnicas In Vitro
Masculino
Meia-Idade
Valor Preditivo dos Testes
Prognóstico
Estudos Retrospectivos
Resistência à Tração
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160712
[St] Status:MEDLINE
[do] DOI:10.1080/14017431.2016.1210211


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[PMID]:28292062
[Au] Autor:Ngoya PS; Muhogora WE; Pitcher RD
[Ad] Endereço:Division of Radiodiagnosis, Department of Medical Imaging and Clinical Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University and Tygerberg Academic Hospital, Cape Town, South Africa.
[Ti] Título:Defining the diagnostic divide: an analysis of registered radiological equipment resources in a low-income African country.
[So] Source:Pan Afr Med J;25:99, 2016.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Diagnostic radiology is recognised as a key component of modern healthcare. However there is marked inequality in global access to imaging. Rural populations of low- and middle-income countries (LMICs) have the greatest need. Carefully coordinated healthcare planning is required to meet the ever increasing global demand for imaging and to ensure equitable access to services. However, meaningful planning requires robust data. Currently, there are no comprehensive published data on radiological equipment resources in low-income countries. The aim of this study was to conduct the first detailed analysis of registered diagnostic radiology equipment resources in a low-income African country and compare findings with recently published South African data. METHODS: The study was conducted in Tanzania in September 2014, in collaboration with the Tanzanian Atomic Energy Commission (TAEC), which maintains a comprehensive database of the country's registered diagnostic imaging equipment. All TAEC equipment data were quantified as units per million people by imaging modality, geographical zone and healthcare sector. RESULTS: There are 5.7 general radiography units per million people in the public sector with a relatively homogeneous geographical distribution. When compared with the South African public sector, Tanzanian resources are 3-, 21- and 6-times lower in general radiography, computed tomography and magnetic resonance imaging, respectively. CONCLUSION: The homogeneous Tanzanian distribution of basic public-sector radiological services reflects central government's commitment to equitable distribution of essential resources. However, the 5.7 general radiography units per million people is lower than the 20 units per million people recommended by the World Health Organization.
[Mh] Termos MeSH primário: Equipamentos para Diagnóstico/provisão & distribuição
Acesso aos Serviços de Saúde
Disparidades em Assistência à Saúde
Radiologia/instrumentação
[Mh] Termos MeSH secundário: Bases de Dados Factuais
Países em Desenvolvimento
Equipamentos para Diagnóstico/economia
Seres Humanos
Setor Público
Radiologia/economia
Tanzânia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170330
[Lr] Data última revisão:
170330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2016.25.99.9736


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[PMID]:28269258
[Au] Autor:Tuan Le; Salles-Loustau G; Najafizadeh L; Javanmard M; Zonouz S
[Ti] Título:BioMEMS-based coding for secure medical diagnostic devices.
[So] Source:Conf Proc IEEE Eng Med Biol Soc;2016:4419-4422, 2016 08.
[Is] ISSN:1557-170X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Trustworthy and usable point-of-care solutions require not only effective disease diagnostic procedures to ensure delivery of rapid and accurate outcomes, but also lightweight privacy-preserving capabilities. In this paper, we present a Biomedical Microelectromachanical System (BioMEMS)-based sensor for portable, inexpensive smartphone-based biomarker detection. The biosensor presented here provides the ability for signal encryption at the physical sensor level to ensure patient's diagnostic confidentiality. Our results show that this design allow us to protect the samples measurements while accurately distinguish different test samples.
[Mh] Termos MeSH primário: Tecnologia Biomédica/instrumentação
Segurança Computacional/instrumentação
Equipamentos para Diagnóstico
Sistemas Microeletromecânicos/instrumentação
[Mh] Termos MeSH secundário: Seres Humanos
Sistemas Automatizados de Assistência Junto ao Leito
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:171125
[Lr] Data última revisão:
171125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.1109/EMBC.2016.7591707


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[PMID]:28121293
[Au] Autor:Avetisov SE; Antonov AA; Vostrukhin SV; Avetisov KS
[Ad] Endereço:Research Institute of Eye Diseases, 11 A, B Rossolimo St., Moscow, 119021, Russian Federation; The First Sechenov Moscow State Medical University under Ministry of Health of the Russian Federation, 8-2 Trubetskaya St., Moscow, 119991, Russian Federation.
[Ti] Título:[Intraocular pressure measurement inside the anterior chamber: a new technical solution and results].
[Ti] Título:Izmerenie davleniya v perednei kamere glaza: novoe tekhnicheskoe reshenie i rezul'taty..
[So] Source:Vestn Oftalmol;132(6):4-10, 2016.
[Is] ISSN:0042-465X
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:AIM: To develop a new manometric device for intravital measurement of intraocular pressure (IOP) in the anterior chamber and to assess tonometric data reliability, including post-radial keratotomy (RK) measurements. MATERIAL AND METHODS: The experiment was conducted in 2 isolated cadaver eyes, while the clinical study enrolled 20 patients (21 eyes) scheduled for cataract phacoemulsification surgery. Of them, 10 patients (10 eyes) with immature cataract and mild to moderate myopia constituted the control group. The study group consisted of the other 10 patients (11 eyes) with immature cataract, who had undergone RK more than 15 years earlier. The following tonometry methods were used: dynamic bi-directional corneal applanation (ORA, Reichert, USA), dynamic contour tonometry (Pascal tonometer, Zeimer, Switzerland), and rebound tonometry (ICare Pro, Tiolat, Finland). An original device was developed for intravital manometric measurements. RESULTS: Manometric data obtained during the experiment matched the preset pressure in the anterior eye chamber. The median manometry results in the control and study groups were similar and equaled 21.5 and 21.0 mmHg, respectively. Preoperative tonometry readings ranged from 14.9 to 16.5 mmHg in the control group and from 19.7 to 23.3 mmHg - in the study group (with the exception of midperipheral rebound tonometry that showed 15.8 mmHg). CONCLUSION: The developed device can well be used in experimental research. Midperipheral rebound tonometry was found to be the most informative method for post-RK IOP assessment. Manometry results in the study group mismatched tonometry readings in the controls, which might be due to the specifics of equipment calibration and requires further investigation.
[Mh] Termos MeSH primário: Câmara Anterior/fisiopatologia
Pressão Intraocular
Facoemulsificação
Complicações Pós-Operatórias/diagnóstico
Tonometria Ocular
[Mh] Termos MeSH secundário: Catarata
Equipamentos para Diagnóstico
Desenho de Equipamento
Feminino
Seres Humanos
Masculino
Meia-Idade
Facoemulsificação/efeitos adversos
Facoemulsificação/métodos
Cuidados Pré-Operatórios/métodos
Reprodutibilidade dos Testes
Tonometria Ocular/instrumentação
Tonometria Ocular/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170126
[St] Status:MEDLINE
[do] DOI:10.17116/oftalma201613264-10


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[PMID]:28091483
[Au] Autor:Palchun VT; Kryukov AI; Guseval AL; Chernov AL
[Ad] Endereço:N.I. Pirogov Russian National Research Medical University, Russian Ministry of Health, Moscow, Russia, 117997.
[Ti] Título:[The enhanced efficiency of nystagmus detection using the modified Frenzel goggles with congenerous illumination].
[Ti] Título:Povyshenie effektivnosti diagnostiki nistagma pri pomoshchi modifitsirovannykh ochkov Frenzelya..
[So] Source:Vestn Otorinolaringol;81(6):78-81, 2016.
[Is] ISSN:0042-4668
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The objective of the present study was to evaluate the efficiency and convenience of using the new modified Frenzel goggles in diagnostics of spontaneous nystagmus. It was shown that the modified Frenzel goggles provide more homogeneous lightening of the eyes and better diagnosis of peripheral latent spontaneous nystagmus in comparison with the traditional Frenzel goggles, available at the market. The questionnaire survey held among the doctors using both types of the goggles showed that the modified Frenzel goggles are more convenient for detecting spontaneous nystagmus in everyday practice.
[Mh] Termos MeSH primário: Técnicas de Diagnóstico Oftalmológico/instrumentação
Dispositivos de Proteção dos Olhos
Nistagmo Patológico/diagnóstico
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Equipamentos para Diagnóstico
Desenho de Equipamento
Seres Humanos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170117
[St] Status:MEDLINE
[do] DOI:10.17116/otorino201681678-81


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[PMID]:28063207
[Au] Autor:Malhi GS; Gershon S; Outhred T
[Ad] Endereço:Academic Department of Psychiatry, Northern Sydney Local Health District, St Leonards, NSW, Australia.
[Ti] Título:Lithiumeter: Version 2.0.
[So] Source:Bipolar Disord;18(8):631-641, 2016 Dec.
[Is] ISSN:1399-5618
[Cp] País de publicação:Denmark
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The Lithiumeter was developed as a visual and practical guide for determining lithium levels in the management of bipolar disorder (BD). It appears to have been well received, as evidenced by its increasing popularity amongst doctors as a deskside clinical aide, and adoption and reproduction of the schematic in clinical guidelines and texts. However, since its publication 5 years ago, key basic neuroscience and clinical research developments pertaining to lithium have significantly advanced our understanding, necessitating further refinement of guidance concerning the practicalities of lithium therapy. METHODS: Literature concerning the indications for, and therapeutic levels of, lithium and the associated acute and chronic risks of therapy was scrutinized as part of updating clinical practice guidelines. We have reviewed these updates and identified significant areas of change with respect to the previous Lithiumeter (version 1.0). RESULTS: Since 2011, updated clinical practice guidelines have narrowed the indicated plasma lithium concentration for maintenance therapy, suggesting that additional guidance is necessary for optimizing treatment. Relevant updated clinical guidance was integrated to constitute the Lithiumeter 2.0, which provides a more comprehensive overview of the practical aspects of lithium therapy while maintaining a focus on optimization of lithium levels, such as differential titration of lithium depending on the current mood state. CONCLUSIONS: The Lithiumeter 2.0 is an update that clinicians will find useful for their practice. By addressing some of the issues faced in clinical practice, translational clinical research will continue to inform the Lithiumeter in future updates.
[Mh] Termos MeSH primário: Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos
Lítio
[Mh] Termos MeSH secundário: Antimaníacos/uso terapêutico
Transtorno Bipolar/tratamento farmacológico
Equipamentos para Diagnóstico
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/diagnóstico
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/etiologia
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/prevenção & controle
Seres Humanos
Lítio/análise
Lítio/uso terapêutico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antimanic Agents); 9FN79X2M3F (Lithium)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170108
[St] Status:MEDLINE
[do] DOI:10.1111/bdi.12455



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