recognition

识别
  • 文章类型: Journal Article
    疼痛会自动干扰正在进行的认知过程,例如注意力和记忆力。疼痛对认知功能的负面影响程度似乎取决于自上而下和自下而上因素之间的平衡。
    在这个大的,预注册,对8项研究进行汇总再分析,我们调查了急性疼痛对识别记忆的有害影响的鲁棒性,以及自上而下的机制,如疼痛相关的期望或认知(疼痛相关的恐惧,疼痛灾难化)调节这种效果。
    二百四十七个健康参与者经历了类似的实验范式,包括视觉分类任务,其中图像随机配对(或没有)伴随的疼痛刺激以及随后的未通知识别任务。识别记忆(即,d\',回忆,和熟悉度)和分类性能(即,反应时间,准确性)作为疼痛对认知能力影响的代理。
    急性疼痛刺激显着损害识别性能(d\',熟悉度)。然而,在该健康参与者样本中,参与者对疼痛对任务表现或疼痛相关认知的影响的预期并未显著调节识别表现.
    我们的研究结果证实了以前的研究和慢性疼痛患者的“记忆问题”报告中报道的疼痛对(视觉)记忆编码的负面影响。描述自下而上和自上而下因素对疼痛有害影响的作用,大规模的研究与更细致的研究设计是必要的。患者队列的未来研究必须揭示慢性疼痛患者的适应不良疼痛相关认知和经常报告的认知功能受损之间的相互作用。
    UNASSIGNED: Pain can automatically interfere with ongoing cognitive processes such as attention and memory. The extent of pain\'s negative effects on cognitive functioning seems to depend on a balance between top-down and bottom-up factors.
    UNASSIGNED: In this large, preregistered, pooled reanalysis of 8 studies, we investigated the robustness of the detrimental effect of acute pain on recognition memory and whether top-down mechanisms such as pain-related expectations or cognitions (pain-related fear, pain catastrophizing) modulate this effect.
    UNASSIGNED: Two hundred forty-seven healthy participants underwent similar experimental paradigms, including a visual categorization task with images randomly paired with (or without) concomitant painful stimulation and a subsequent unannounced recognition task. Recognition memory (ie, d\', recollection, and familiarity) and categorization performance (ie, reaction time, accuracy) served as proxies for the effect of pain on cognitive performance.
    UNASSIGNED: Acute painful stimulation significantly impaired recognition performance (d\', familiarity). However, recognition performance was not significantly modulated by participants\' expectations regarding the effect of pain on task performance or pain-related cognitions in this sample of healthy participants.
    UNASSIGNED: Our results corroborate the negative effects of pain on (visual) memory encoding reported in previous studies and reports of \"memory problems\" from patients with chronic pain. To characterize the role of bottom-up and top-down factors for the detrimental effects of pain, large-scale studies with more nuanced study designs are necessary. Future studies in patient cohorts must unravel the interaction of maladaptive pain-related cognitions and the often-reported impaired cognitive performance in chronic pain patients.
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  • 文章类型: Journal Article
    我们开发了一个手术支持系统,该系统使用人工智能(AI)可视化重要的显微解剖结构。这项研究评估了其在肺癌手术中识别胸神经的准确性。识别模型是通过深度学习使用为神经精确注释的图像创建的。使用Dice指数和Jaccard指数进行计算评估。四名普通胸外科医师评估了神经识别的准确性。Further,时滞的差异,评估AI系统和手术监护仪之间的图像质量和运动平滑度.使用五点标度进行评级。计算评估相对较好,骰子指数为0.56,雅卡德指数为0.39。AI系统用于10例肺癌胸腔镜手术。胸神经识别的准确性令人满意,召回评分为4.5±0.4,精确度评分为4.0±0.9。虽然运动平稳性(3.2±0.4)略有差异,AI系统和手术监护仪之间的时间滞后(4.9±0.3)和图像质量(4.6±0.5)几乎没有差异。总之,AI手术支持系统在识别胸神经方面具有令人满意的准确性。
    We developed a surgical support system that visualises important microanatomies using artificial intelligence (AI). This study evaluated its accuracy in recognising the thoracic nerves during lung cancer surgery. Recognition models were created with deep learning using images precisely annotated for nerves. Computational evaluation was performed using the Dice index and the Jaccard index. Four general thoracic surgeons evaluated the accuracy of nerve recognition. Further, the differences in time lag, image quality and smoothness of movement between the AI system and surgical monitor were assessed. Ratings were made using a five-point scale. The computational evaluation was relatively favourable, with a Dice index of 0.56 and a Jaccard index of 0.39. The AI system was used for 10 thoracoscopic surgeries for lung cancer. The accuracy of thoracic nerve recognition was satisfactory, with a recall score of 4.5 ± 0.4 and a precision score of 4.0 ± 0.9. Though smoothness of motion (3.2 ± 0.4) differed slightly, nearly no difference in time lag (4.9 ± 0.3) and image quality (4.6 ± 0.5) between the AI system and the surgical monitor were observed. In conclusion, the AI surgical support system has a satisfactory accuracy in recognising the thoracic nerves.
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  • 文章类型: Journal Article
    社交动物需要跟踪他们群体中的其他个体,以便能够相应地调整他们的行为并促进群体凝聚力。这种识别能力因物种而异,并受到学习和记忆等认知能力的影响。在爬行动物中,尤其是Squamates(蜥蜴,蛇,和蠕虫蜥蜴),化学通信是地域性的关键,繁殖,和其他社会互动。然而,这些社会互动背后的认知过程仍未得到充分研究。在我们的研究中,我们研究了雄性和雌性Tokay壁虎(Gekkogecko)在化学上区分熟悉和不熟悉的交配伴侣的能力。我们的研究结果表明,两性都可以做出这种区分,雄性对熟悉伴侣的气味有更多的反应,女性对陌生伴侣的反应更多。蜥蜴在分离后保持了两到三周的歧视能力,但最多不到六周。这项研究强调了使用气味作为社会刺激来调查蜥蜴的社会认知的功效,一个有希望的途径来更好地了解这些动物的社会认知。
    Social animals need to keep track of other individuals in their group to be able to adjust their behaviour accordingly and facilitate group cohesion. This recognition ability varies across species and is influenced by cognitive capacities such as learning and memory. In reptiles, particularly Squamates (lizards, snakes, and worm lizards), chemical communication is pivotal for territoriality, reproduction, and other social interactions. However, the cognitive processes underlying these social interactions remain understudied. In our study, we examined the ability of male and female Tokay geckos (Gekko gecko) to chemically differentiate familiar and unfamiliar mating partners. Our findings suggest that both sexes can make this distinction, with males responding more to the odour of a familiar mate, and females responding more to unfamiliar mates. The lizards maintained their discriminatory abilities for two to three weeks but not up to six weeks after separation. This research highlights the efficacy of using odours as social stimuli for investigating social cognition in lizards, a promising avenue to better understand social cognition in these animals.
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  • 文章类型: Journal Article
    心血管疾病仍然是人类健康的主要威胁之一,显著影响质量和预期寿命。有效和迅速地识别这些疾病至关重要。这项研究旨在开发一种有效的新型混合方法,用于根据心脏病患者的短心电图(ECG)片段自动检测危险的心律失常。这项研究建议使用连续小波变换(CWT)将ECG信号转换为图像(扫描图),并检查将短的2s段ECG信号分为四组可电击的危险心律失常的任务,包括室性扑动(C1),心室纤颤(C2),室性心动过速尖端扭转(C3),和高速率室性心动过速(C4)。我们建议开发一种具有深度学习架构的新型混合神经网络来对危险的心律失常进行分类。这项工作利用从PhysioNet数据库获得的实际心电图(ECG)数据,与由合成少数过采样技术(SMOTE)方法产生的人工生成的ECG数据一起,解决类分布不平衡的问题,以获得精度训练模型。实验结果表明,该方法具有较高的精度,灵敏度,特异性,精度,F1得分为97.75%,97.75%,99.25%,97.75%,和97.75%,分别,在对所有四类可电击心律失常进行分类方面,优于传统方法。我们的工作在现实生活中具有重要的临床价值,因为它有可能显着提高心脏病患者危及生命的心律失常的诊断和治疗。此外,我们的模型还展示了对其他两个数据集的适应性和通用性。
    Cardiovascular diseases remain one of the main threats to human health, significantly affecting the quality and life expectancy. Effective and prompt recognition of these diseases is crucial. This research aims to develop an effective novel hybrid method for automatically detecting dangerous arrhythmias based on cardiac patients\' short electrocardiogram (ECG) fragments. This study suggests using a continuous wavelet transform (CWT) to convert ECG signals into images (scalograms) and examining the task of categorizing short 2-s segments of ECG signals into four groups of dangerous arrhythmias that are shockable, including ventricular flutter (C1), ventricular fibrillation (C2), ventricular tachycardia torsade de pointes (C3), and high-rate ventricular tachycardia (C4). We propose developing a novel hybrid neural network with a deep learning architecture to classify dangerous arrhythmias. This work utilizes actual electrocardiogram (ECG) data obtained from the PhysioNet database, alongside artificially generated ECG data produced by the Synthetic Minority Over-sampling Technique (SMOTE) approach, to address the issue of imbalanced class distribution for obtaining an accuracy-trained model. Experimental results demonstrate that the proposed approach achieves high accuracy, sensitivity, specificity, precision, and an F1-score of 97.75%, 97.75%, 99.25%, 97.75%, and 97.75%, respectively, in classifying all the four shockable classes of arrhythmias and are superior to traditional methods. Our work possesses significant clinical value in real-life scenarios since it has the potential to significantly enhance the diagnosis and treatment of life-threatening arrhythmias in individuals with cardiac disease. Furthermore, our model also has demonstrated adaptability and generality for two other datasets.
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  • 文章类型: Journal Article
    情景记忆由两个过程说明:通常识别项目时的“熟悉度”和检索与项目绑定的完整上下文详细信息时的“回忆”。矛盾的是,人们有时报告上下文信息是熟悉的,但不记得细节,这是现有理论不容易解释的。我们测试了项目识别置信度和源记忆的组合,专注于“仅项目点击,来源未知”(“项目熟悉度”),\'具有正确源内存的低置信度命中\'(\'上下文熟悉度\'),和\'具有正确源内存\'的高置信度命中(\'recollection\')。多个受试者内部(试验)和受试者之间(个体差异)水平的结果表明,这些水平在行为和生理上都不同。行为上,交叉交互在响应时间上很明显,在项目识别过程中,上下文熟悉度比每个条件都慢,但在源内存期间更快。电生理,a条件x时间x位置三重解离在事件相关电位(ERP)中是明显的,然后独立复制。上下文熟悉度在800-1200ms内表现出独立的负中心效应,在项目熟悉度(400至600ms)和回忆度(600至900ms)方面与阳性ERP区分开来。因此,这三个条件相互排斥,情节记忆的过程根本不同。语境熟悉是情景记忆的第三个独特过程。
    对过去事件的记忆被广泛认为是通过两个不同的过程来运行的:一个在获取自信时称为“回忆”,记忆的具体细节,另一个叫做“熟悉度”,当只有一种不确定但有意识的意识,即一个项目以前经历过。当人们成功地检索到诸如先前事件的源或上下文之类的详细信息时,它被认为反映了回忆。我们证明了对上下文的熟悉程度在功能上与对项目和回忆的熟悉程度不同,并提供了一个新的三变量模型。三种记忆反应类型在多种行为和生理指标上有区别,在试验水平和受试者之间的个体差异中,也是。也就是说,传统上被认为是两种记忆过程实际上是三种,当使用足够敏感的多措施时,这一点变得很明显。类似于仅使用二维镜头观看三维图片时缺少明显的元素,当我们有能力寻找记忆的三个过程时,我们可以看到它们清晰地分离,并且可以在来自不同实验室的不同队列的几项不同研究中独立复制。一起,这些数据表明,背景熟悉是人类情景记忆的第三过程。
    Episodic memory is accounted for with two processes: \'familiarity\' when generally recognizing an item and \'recollection\' when retrieving the full contextual details bound with the item. Paradoxically, people sometimes report contextual information as familiar but without recollecting details, which is not easily accounted for by existing theories. We tested a combination of item recognition confidence and source memory, focusing upon \'item-only hits with source unknown\' (\'item familiarity\'), \'low-confidence hits with correct source memory\' (\'context familiarity\'), and \'high-confidence hits with correct source memory\' (\'recollection\'). Results across multiple within-subjects (trial-wise) and between subjects (individual variability) levels indicated these were behaviorally and physiologically distinct. Behaviorally, a crossover interaction was evident in response times, with context familiarity being slower than each condition during item recognition, but faster during source memory. Electrophysiologically, a Condition x Time x Location triple dissociation was evident in event-related potentials (ERPs), which was then independently replicated. Context familiarity exhibited an independent negative central effect from 800-1200 ms, differentiated from positive ERPs for item-familiarity (400 to 600 ms) and recollection (600 to 900 ms). These three conditions thus reflect mutually exclusive, fundamentally different processes of episodic memory. Context familiarity is a third distinct process of episodic memory.
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  • 文章类型: Journal Article
    摩尔斯电码识别在人机交互的应用中起着非常重要的作用。在本文中,基于碳纳米管(CNT)和聚氨酯海绵(PUS)复合材料,开发了一种具有良好压阻特性的柔性触觉CNT/PUS传感器,用于精确检测莫尔斯电码。36种莫尔斯电码,包括26个字母(A-Z)和10个数字(0-9),应用于传感器。每个摩尔斯电码重复60次,收集2160(36×60)组电压时序信号构建数据集。然后,采用平滑和归一化方法对原始数据进行预处理和优化。基于此,构建了具有良好特征提取和自适应能力的长短期记忆(LSTM)模型,以精确识别传感器检测到的不同类型的莫尔斯电码。10号莫尔斯电码的识别精度,26个字母的莫尔斯电码,整个36型摩尔斯电码是99.17%,95.37%,和93.98%,分别。同时,门控经常性单位(GRU),支持向量机(SVM)多层感知器(MLP),和随机森林(RF)模型,以区分36型莫尔斯电码(字母A-Z和数字0-9)基于相同的数据集,并达到91.37%的准确率,88.88%,87.04%,90.97%,分别,均低于基于LSTM模型的93.98%的准确率。实验结果表明,CNT/PUS传感器能够准确检测莫尔斯电码的触觉特性,并且LSTM模型在识别CNT/PUS传感器检测到的摩尔斯电码方面具有非常有效的特性。
    Morse code recognition plays a very important role in the application of human-machine interaction. In this paper, based on the carbon nanotube (CNT) and polyurethane sponge (PUS) composite material, a flexible tactile CNT/PUS sensor with great piezoresistive characteristic is developed for detecting Morse code precisely. Thirty-six types of Morse code, including 26 letters (A-Z) and 10 numbers (0-9), are applied to the sensor. Each Morse code was repeated 60 times, and 2160 (36 × 60) groups of voltage time-sequential signals were collected to construct the dataset. Then, smoothing and normalization methods are used to preprocess and optimize the raw data. Based on that, the long short-term memory (LSTM) model with excellent feature extraction and self-adaptive ability is constructed to precisely recognize different types of Morse code detected by the sensor. The recognition accuracies of the 10-number Morse code, the 26-letter Morse code, and the whole 36-type Morse code are 99.17%, 95.37%, and 93.98%, respectively. Meanwhile, the Gated Recurrent Unit (GRU), Support Vector Machine (SVM), Multi-Layer Perceptron (MLP), and Random Forest (RF) models are built to distinguish the 36-type Morse code (letters of A-Z and numbers of 0-9) based on the same dataset and achieve the accuracies of 91.37%, 88.88%, 87.04%, and 90.97%, respectively, which are all lower than the accuracy of 93.98% based on the LSTM model. All the experimental results show that the CNT/PUS sensor can detect the Morse code\'s tactile feature precisely, and the LSTM model has a very efficient property in recognizing Morse code detected by the CNT/PUS sensor.
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  • 文章类型: Journal Article
    已成功产生了抗蛇毒血清的替代重组来源。这种策略的应用需要对毒液进行表征,以开发针对有毒成分的特定中和分子。通过色谱法在SephadexG-50上进行凝胶过滤,然后在羧甲基纤维素(CMC)树脂上进行离子交换柱,最后通过高效色谱纯化,从墨西哥蝎子中分离出五种对哺乳动物有毒的肽。色谱(HPLC)柱。它们的主要结构由Edman降解决定。它们含有66个氨基酸,并由四个二硫键保持良好的包装,分子量从7511.3到7750.1Da。它们对小鼠都是相对毒性和致命的,并且显示与已知肽的高度序列同一性,所述已知肽是β-毒素(β-ScTx)的Na+离子通道的门控机制的特异性修饰剂。它们被命名为Cv1至Cv5,用于测试它们通过抗体的单链可变片段(scFv)的识别,使用表面等离子体共振。在我们的实验室中产生了三种不同的scFvs(10FG2,HV,LR)被测试识别这里描述的各种新肽,为新型蝎子抗蛇毒血清的发展铺平了道路。
    Alternative recombinant sources of antivenoms have been successfully generated. The application of such strategies requires the characterization of the venoms for the development of specific neutralizing molecules against the toxic components. Five toxic peptides to mammals from the Mexican scorpion Centruroides villegasi were isolated by chromatographic procedures by means of gel filtration on Sephadex G-50, followed by ion-exchange columns on carboxy-methyl-cellulose (CMC) resins and finally purified by high-performance chromatography (HPLC) columns. Their primary structures were determined by Edman degradation. They contain 66 amino acids and are maintained well packed by four disulfide bridges, with molecular mass from 7511.3 to 7750.1 Da. They are all relatively toxic and deadly to mice and show high sequence identity with known peptides that are specific modifiers of the gating mechanisms of Na+ ion channels of type beta-toxin (β-ScTx). They were named Cv1 to Cv5 and used to test their recognition by single-chain variable fragments (scFv) of antibodies, using surface plasmon resonance. Three different scFvs generated in our laboratory (10FG2, HV, LR) were tested for recognizing the various new peptides described here, paving the way for the development of a novel type of scorpion antivenom.
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  • 文章类型: Journal Article
    数据矩阵(DM)码的识别在工业生产中起着至关重要的作用。现有方法已取得重大进展。然而,对于在工业生产环境中DM代码的L形实心边缘(取景器图案)和虚线边缘(时序图案)上具有突起和中断的低质量图像,由于缺乏对这些干扰问题的考虑,现有方法的识别准确率急剧下降。因此,在存在这些干扰问题的情况下确保识别准确性是一项极具挑战性的任务。为了解决这些干扰问题,与大多数专注于定位L形固体边缘以进行DM代码识别的现有方法不同,本文提出了一种新的DM码识别方法,该方法通过结合DM码中心的先验信息来定位L形虚线边缘。具体来说,我们首先使用基于深度学习的对象检测方法来获取DM代码的中心。接下来,为了提高L形虚线边缘定位的精度,我们设计了一个结合一般约束和中央约束的两级筛查策略.中央约束充分利用DM码中心的先验信息。最后,我们使用libdmtx从DM代码的精确位置图像中解码内容。通过使用L形虚线边缘生成图像。在各种类型的DM代码数据集上的实验结果表明,所提出的方法在识别准确率和时间消耗方面都优于比较的方法。因此在工业生产环境中具有重要的实用价值。
    The recognition of data matrix (DM) codes plays a crucial role in industrial production. Significant progress has been made with existing methods. However, for low-quality images with protrusions and interruptions on the L-shaped solid edge (finder pattern) and the dashed edge (timing pattern) of DM codes in industrial production environments, the recognition accuracy rate of existing methods sharply declines due to a lack of consideration for these interference issues. Therefore, ensuring recognition accuracy in the presence of these interference issues is a highly challenging task. To address such interference issues, unlike most existing methods focused on locating the L-shaped solid edge for DM code recognition, we in this paper propose a novel DM code recognition method based on locating the L-shaped dashed edge by incorporating the prior information of the center of the DM code. Specifically, we first use a deep learning-based object detection method to obtain the center of the DM code. Next, to enhance the accuracy of L-shaped dashed edge localization, we design a two-level screening strategy that combines the general constraints and central constraints. The central constraints fully exploit the prior information of the center of the DM code. Finally, we employ libdmtx to decode the content from the precise position image of the DM code. The image is generated by using the L-shaped dashed edge. Experimental results on various types of DM code datasets demonstrate that the proposed method outperforms the compared methods in terms of recognition accuracy rate and time consumption, thus holding significant practical value in an industrial production environment.
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  • 文章类型: Journal Article
    植物免疫受体的生物工程已成为产生新的抗病性状的关键策略,以抵消植物病原体对全球粮食安全的不断扩大的威胁。然而,目前的方法受到植物病原体在田间的快速进化的限制,并且在部署时可能缺乏耐久性。这里,我们表明水稻的核苷酸结合,可以对富含亮氨酸的重复序列(NLR)免疫受体Pik-1进行工程改造,以响应来自多宿主原始真菌病原体稻瘟病菌的保守效应子家族。通过安装假定的宿主靶标,我们将PikNLR的效应子结合和响应谱从其同源稻瘟病效应子AVR-Pik转换为对哭泣loveggrass2(Pwl2)的宿主决定因子致病性,OsHIPP43代替天然整合的重金属相关域(生成Pikm-1OsHIPP43)。这种嵌合受体也对来自不同母细胞分离株的其他PWL等位基因有反应。Pwl2/OsHIPP43复合物的晶体结构显示出多面性,不容易被诱变破坏的强大界面,因此可以提供耐用的,在现场对携带PWL效应物的爆炸隔离物具有广泛的抵抗力。我们的发现强调了如何将病原体效应子的宿主靶标用于生物工程识别特异性,这些特异性与自然进化的抗病基因相比具有更强大的特性。
    Bioengineering of plant immune receptors has emerged as a key strategy for generating novel disease resistance traits to counteract the expanding threat of plant pathogens to global food security. However, current approaches are limited by rapid evolution of plant pathogens in the field and may lack durability when deployed. Here, we show that the rice nucleotide-binding, leucine-rich repeat (NLR) immune receptor Pik-1 can be engineered to respond to a conserved family of effectors from the multihost blast fungus pathogen Magnaporthe oryzae. We switched the effector binding and response profile of the Pik NLR from its cognate rice blast effector AVR-Pik to the host-determining factor pathogenicity toward weeping lovegrass 2 (Pwl2) by installing a putative host target, OsHIPP43, in place of the native integrated heavy metal-associated domain (generating Pikm-1OsHIPP43). This chimeric receptor also responded to other PWL alleles from diverse blast isolates. The crystal structure of the Pwl2/OsHIPP43 complex revealed a multifaceted, robust interface that cannot be easily disrupted by mutagenesis, and may therefore provide durable, broad resistance to blast isolates carrying PWL effectors in the field. Our findings highlight how the host targets of pathogen effectors can be used to bioengineer recognition specificities that have more robust properties compared to naturally evolved disease resistance genes.
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  • 文章类型: Journal Article
    脓毒症占全球可预防死亡的很大比例,早期治疗已被发现是降低死亡率的主要因素。在急救环境中早期识别败血症至关重要,因为这将缩短住院时间以及抗生素治疗和初始复苏的时间。我们的目的是探索与评估怀疑患有急性感染的成年人的急救提供者对败血症的认识或对败血症的认识有关的现有文献。我们的范围审查是作为国际复苏联络委员会(ILCOR)连续证据评估过程的一部分进行的,以更新2024ILCOR科学共识和治疗建议。我们搜查了Embase,Medline,和Cochrane数据库从成立到2023年1月17日,在2023年11月21日和2023年12月2日进行了更新搜索。灰色文献检索于2023年8月29日进行。人群包括患有急性疾病的成年人,表现出严重感染的体征和症状。结果包括败血症识别或外行急救提供者对败血症的认识。在审查了4380个潜在来源后,四项审查(三项系统审查和一项范围审查),11项观察性研究,27个网站符合纳入标准。没有研究直接针对我们的PICOST(人口,干预,比较器,结果,研究设计,和时间框架)问题,因为在急救设置中没有执行任何操作。3项系统评价和9项观察性研究评估早期预警评分检测脓毒症和预测脓毒症继发不良结局的能力,结果不一致。但许多人发现筛选工具是有用的。一项范围审查和一项观察性研究发现,公众对败血症的知识和认识是可变的,并且取决于医疗保健工作。location,教育水平,种族,性别,和年龄。灰色文献来源列出的与败血症相关的体征和症状主要属于九个一般类别,作为教育公众认识败血症的一种手段。尽管这次范围界定审查没有发现任何直接解决我们结果的研究,它强调了未来研究需要更好地了解急救环境中脓毒症的认识.
    Sepsis accounts for a significant proportion of preventable deaths worldwide and early treatment has been found to be a mainstay of decreasing mortality. Early identification of sepsis in the first-aid setting is critical as this results in a shorter time to hospital presentation and management with antibiotics and initial resuscitation. Our aim was to explore the existing literature related to either sepsis recognition or awareness of sepsis by first-aid providers who are evaluating an adult suspected of an acute infection. Our scoping review was performed as part of the International Liaison Committee on Resuscitation\'s (ILCOR) continuous evidence evaluation process to update the 2024 ILCOR Consensus on Science with Treatment Recommendations. We searched Embase, Medline, and Cochrane databases from their inception to January 17, 2023, with updated searches performed on November 21, 2023, and December 2, 2023. The gray literature search was conducted on August 29, 2023. The population included adults presenting with an acute illness exhibiting signs and symptoms of a severe infection. Outcomes included sepsis recognition or awareness of sepsis by a lay first-aid provider. After reviewing 4380 potential sources, four reviews (three systematic reviews and one scoping review), 11 observational studies, and 27 websites met the inclusion criteria. No study directly addressed our PICOST (Population, Intervention, Comparator, Outcomes, Study Design, and Timeframe) question as none were performed in the first-aid setting. Three systematic reviews and nine observational studies that assessed the ability of early warning scores to detect sepsis and predict adverse outcomes secondary to sepsis had inconsistent results, but many found the screening tools to be useful. One scoping review and one observational study found public knowledge and awareness of sepsis to be variable and dependent upon healthcare employment, location, education level, ethnicity, sex, and age. Signs and symptoms associated with sepsis as listed by gray literature sources fell primarily under nine general categories as a means of educating the public on sepsis recognition. Although this scoping review did not identify any studies that directly addressed our outcomes, it highlights the need for future research to better understand the recognition of sepsis in first-aid settings.
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