Digital technologies

数字技术
  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    全球对棕榈油及其衍生物的需求不断增加,导致了重大的环境和社会问题,促使油棕生产需要可持续的做法。近年来,数字技术已成为增强该领域可持续性的潜在解决方案。本次审查的目的是提供有关数字技术在促进油棕行业可持续实践方面的潜在好处和局限性的见解。并确定必须解决的关键挑战,以确保数字化有助于该部门的可持续发展。为了获得关于这个主题的宝贵见解,这篇综述对相关文献进行了全面的分析和探索。我们的发现凸显了精准农业等数字技术的变革潜力,数据分析,区块链,和机器人技术来优化资源利用,提高效率,促进社会福利,提高供应链透明度,减轻环境影响,并提高油棕生产的可持续性。然而,这些技术的采用受到一些挑战的阻碍,包括高成本,缺乏知识,基础设施不足。我们的研究结果强调了支持性政策的重要性,合作努力,和有针对性的研究,以促进技术采用,并确保整个油棕行业的公平利益。为行业利益相关者提供了建议,政策制定者,和研究人员有效利用数字化并促进油棕行业的可持续实践,最终实现全球可持续发展目标。
    The increasing global demand for palm oil and its derivatives has led to significant environmental and social concerns, prompting the need for sustainable practices in oil palm production. In recent years, digital technologies have emerged as a potential solution to enhance sustainability in this sector. The objective of this review was to provide insights into the potential benefits and limitations of digital technologies in promoting sustainable practices in the oil palm industry, and to identify key challenges that must be addressed to ensure that digitalization contributes to sustainable development in this sector. To obtain valuable insights on this topic, this review employed a thorough analysis and exploration of relevant literature. Our findings highlight the transformative potential of digital technologies such as precision agriculture, data analytics, blockchain, and robotics to optimize resource utilization, improving efficiency, promoting social welfare, improving supply chain transparency, mitigating environmental impacts, and enhancing sustainability in oil palm production. However, the adoption of these technologies is hindered by several challenges, including high cost, lack of knowledge, and inadequate infrastructure. Our findings emphasize the importance of supportive policies, collaborative efforts, and targeted research to promote technology adoption and ensure equitable benefits across the oil palm industry. Recommendations are provided for industry stakeholders, policymakers, and researchers to leverage digitalization effectively and promote sustainable practices in the oil palm industry, ultimately contributing to global sustainability goals.
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  • 文章类型: Journal Article
    背景:数字健康干预(DHIs)已显示出治疗慢性伤口的有希望的结果。然而,与常规护理相比,其有效性以及干预类型的差异是否会影响伤口结局尚不清楚.
    目的:主要目的是确定DHIs对成年慢性伤口患者伤口愈合结果的有效性。次要目标是评估各种类型的DHI之间的伤口愈合结果是否存在任何变化。
    方法:总共,截至2023年8月1日,共检索了9个数据库的文献。随机对照试验(RCT),队列研究,纳入了比较DHIs与对照组在改善慢性伤口成年患者伤口结局方面的功效的准实验研究。研究选择,数据提取,偏倚风险评估由2名评审员独立进行.我们评估了每个RCT的质量,队列研究,分别使用Cochrane偏差风险工具进行准实验研究,Robins-I,和JoannaBriggs研究所关键评估工具清单。使用随机效应模型将相对风险(RR)和95%CI合并,异质性由I2统计量评估。同时进行亚组分析和敏感性分析。
    结果:本系统综述共纳入25项研究,共8125例患者,而只有20项包含6535例患者的研究被纳入荟萃分析.RCT的疗效结果显示,DHI组和对照组在伤口愈合(RR1.02,95%CI0.93-1.12;P=.67)和1年左右的全因死亡率(RR1.08,95%CI0.55-2.12;P=.83)方面没有显着差异。与对照组相比,DHIs的使用与不良事件的显著变化相关(RR0.44,95%CI0.22-0.89;P=.02).亚组分析表明,数字平台在改善伤口愈合方面具有积极作用(RR2.19,95%CI1.35-3.56;P=.002)。尽管在伤口大小方面无法进行荟萃分析,成本分析,患者满意度,和伤口报告率,大多数研究仍然表明,DHI在处理慢性伤口方面并不逊色于常规护理。
    结论:我们的研究结果证明了采用DHI治疗慢性伤口的可行性。然而,更突出,需要高质量的RCT来加强证据,需要更详细的临床疗效研究。
    背景:PROSPEROCRD42023392415;https://tinyurl.com/4ybz6bs9。
    BACKGROUND: Digital health interventions (DHIs) have shown promising results for the management of chronic wounds. However, its effectiveness compared to usual care and whether variability in the type of intervention affects wound outcomes are unclear.
    OBJECTIVE: The main objective was to determine the effectiveness of DHIs on wound healing outcomes in adult patients with chronic wounds. The secondary objectives were to assess if there was any variation in wound healing outcomes across the various types of DHIs.
    METHODS: In total, 9 databases were searched for the literature up to August 1, 2023. Randomized controlled trials (RCTs), cohort studies, and quasi-experimental studies comparing the efficacy of DHIs with controls in improving wound outcomes in adult patients with chronic wounds were included. Study selection, data extraction, and risk of bias assessment were conducted independently by 2 reviewers. We assessed the quality of each RCT, cohort study, and quasi-experimental study separately using the Cochrane risk of bias tool, ROBINS-I, and the Joanna Briggs Institute Critical Appraisal tools checklists. Relative risks (RRs) and 95% CIs were pooled using the random effects model, and heterogeneity was assessed by the I2 statistic. Subgroup analysis and sensitivity analysis were also performed.
    RESULTS: A total of 25 studies with 8125 patients were included in this systematic review, while only 20 studies with 6535 patients were included in the meta-analysis. Efficacy outcomes in RCTs showed no significant differences between the DHIs and control groups in terms of wound healing (RR 1.02, 95% CI 0.93-1.12; P=.67) and all-cause mortality around 1 year (RR 1.08, 95% CI 0.55-2.12; P=.83). Compared with the control group, the use of DHIs was associated with significant changes in adverse events (RR 0.44, 95% CI 0.22-0.89; P=.02). Subgroup analysis suggested a positive effect of the digital platforms in improving wound healing (RR 2.19, 95% CI 1.35-3.56; P=.002). Although meta-analysis was not possible in terms of wound size, cost analysis, patient satisfaction, and wound reporting rates, most studies still demonstrated that DHIs were not inferior to usual care in managing chronic wounds.
    CONCLUSIONS: The findings of our study demonstrate the viability of adopting DHIs to manage chronic wounds. However, more prominent, high-quality RCTs are needed to strengthen the evidence, and more detailed clinical efficacy research is required.
    BACKGROUND: PROSPERO CRD42023392415; https://tinyurl.com/4ybz6bs9.
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  • 文章类型: Journal Article
    本文综述了在提供医疗保健服务的情况下实施数字技术的当代国内外经验。对Scopus数据的系统分析,eLibrary,PubMed和其他电子数据库允许在2016-2023年选择30个俄语和英语来源。现代数字化趋势影响着公司的合作,在这些公司中,现代化的矢量成为基于公共状态信息系统的统一数字框架的开发医疗保健;由AI功能丰富的医学知识的公共教育平台,通过利用数字化转型开发基于数字技术和服务的组织活动和工作流程。评估软件产品阅读效率的工具不足和健康数字化过程的可扩展性成为问题。截至今天,使用人工智能系统的诊断技术,肺癌筛查技术,创伤后颌骨-眶复合体畸形患者的检查方法,使用数字注册监控设备的读数,已经描述了各种级别的进一步办公室咨询以及AI在神经外科中的应用。本文还考虑了远程医疗咨询和现代化护理模式的发展问题。作者期望数字生态系统在发展中解决法律管理概念问题,融资和患者法律保护系统将尽一切必要来减轻网络事件。
    The article presents review summarizing contemporary National and foreign experience of implementing digital technologies under provision of services in health care. The systematic analysis of data from Scopus, eLibrary, PubMed and others electronic databases permitted to select 30 sources in Russian and English for 2016-2023. Modern digitization trends affect collaborations of companies where vectors of modernization become development of unified digital framework based on common state information system of health care; common educational platform for medical knowledge enriching by AI capabilities, through development of organizational activities and workflows based on digital technologies and services utilizing digital transformation. The deficiency of tools evaluating efficiency of reading software products and scalability of health digitization processes become problematic issues. As of today, diagnostic technologies using AI systems, technologies of lung cancer screening, examination methods of patients with post-traumatic deformations of cheekbone-orbital complex, monitoring of readings of devices with digital registration, further office consulting of various levels and application of AI in neurosurgery were described already. The article also considers issues of telemedicine consultations and development of modernized care models. The authors expect that digital ecosystem in development addressing issues of legal concept of management, financing and system of patient legal protection will do everything necessary to mitigate cyber incidents.
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  • 文章类型: Journal Article
    本文对国内外有关数字社会发展战略的出版物进行了系统的回顾,医疗保健中数字双胞胎的定义和概念。介绍了患者数字双胞胎的发展以及人体器官数字双胞胎在医学中的应用。介绍了俄罗斯和国外数字孪生在医疗保健管理系统中运行的经验。
    The article presents systematic review of National and foreign publications concerning strategy of digital society development, definitions and concepts of digital twins in health care. The analysis of development of digital twins of patients and application of digital twins of human organs in medicine is presented. The experience of digital twins functioning in health care management system in Russia and abroad is presented.
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  • 文章类型: Journal Article
    由于数字化的推进,德国的医疗保健系统正在发生变化。新技术在护理中的应用,比如社会和援助机器人,人工智能和法律框架条件越来越多地集中在众多研究项目中。然而,护理中数字化的方法非常不同。当将机器人和人工智能等技术集成到护理中时,确保考虑到道德和人的方面尤为重要。目前几乎不可能对护理中的数字化发展进行结构化分类。为了能够充分应对这种数字化转型,在护理教育计划中获得数字能力至关重要。这些包括自信,在私人和专业背景下批判性和创造性地使用信息和通信技术。本文着重于在国家和国际层面为护理专业提供特定培训以获取数字能力的问题。
    在PubMed和CINAHL数据库中根据PRISMA方案进行了范围审查。范围审查的搜索期从2017年延长至2024年。
    研究的选择是根据纳入和排除标准以及出版物的内容相关方向进行的。在审阅了标题和摘要之后,纳入了8项研究。其中,四个在德语国家出版,另外四个在国际英语期刊上出版。
    护理专业的数字化主题以及护士如何获得数字化能力的问题正在引起国际关注。然而,关于护理专业显性继续教育计划的研究仍然没有区别。没有确定为护理专业人员的数字能力发展提供具体的继续教育。在开发获取数字能力的方法论概念时,许多作者仍处于元级别。出版物中提到了将数字化系统地整合到高等教育和继续职业培训中。基于理论和研究的教育框架的发展,可以作为护理研究和继续教育课程的基础,非常值得推荐。
    UNASSIGNED: The German health and care system is transforming due to advancing digitalization. New technological applications in nursing, such as social and assistance robotics, artificial intelligence and legal framework conditions are increasingly focused in numerous research projects. However, the approaches to digitalization in nursing are very different. When integrating technologies such as robotics and artificial intelligence into nursing, it is particularly important to ensure that ethical and human aspects are taken into account. A structured classification of the development of digitalization in nursing care is currently hardly possible. In order to be able to adequately deal with this digital transformation, the acquisition of digital competences in nursing education programs is pivotal. These include the confident, critical and creative use of information and communication technologies in a private and professional context. This paper focuses on the question which specific training offers already exist at national and international level for nursing professions to acquire digital competences.
    UNASSIGNED: A scoping review according to the PRISMA scheme was conducted in the PubMed and CINAHL databases. The search period for the scoping review extended from 2017 to 2024.
    UNASSIGNED: The selection of the studies took place by inclusion and exclusion criteria and the content-related orientation of the publications. After reviewing the titles and abstracts, eight studies were included. Of these, four were published in German-speaking countries and another four in international English-language journals.
    UNASSIGNED: The topic of digitization of the nursing professions and the question of how nurses can acquire digital competences is gaining international attention. Nevertheless, the research on explicit continuing education programs for nursing professions is still undifferentiated. No specific continuing education offer for the development of digital competences of nursing professionals was identified. Many authors remained at the meta-level when developing methodological concepts for the acquisition of digital competences. The systematic integration of digitalization into higher education and continuing vocational training is mentioned in the publications. The development of theory- and research-based educational frameworks, which can be used as a basis for curricula in nursing studies and continuing education, is highly recommendable.
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  • 文章类型: Journal Article
    目的:探讨矿化牙本质基质(MDM)对冠状动脉切除术后骨再生和保留根迁移的预后影响。
    方法:根据冠状动脉切除术后的植骨类型将患者分为三组:C组(n=20,胶原蛋白),T组(n=20,磷酸三钙(TCP)胶原蛋白),和D组(n=20,MDM+胶原)。CBCT扫描,手术后立即和6个月进行,使用数字软件进行了分析。主要结果,包括骨缺损深度和保留根迁移距离的变化,术后6个月进行评估。
    结果:6个月后,与C组相比,D组和T组的骨缺损减少更大,保留的根迁移减少更少(p<0.001)。D组远端2mm的再生骨体积更大(73mm3vs.57mm3,p=0.011)和较小的根部迁移(2.18mmvs.2.96mm,p<0.001)高于T组。D组完全骨包埋保留根的比例也高于C组(70.0%vs.42.1%,p=0.003)。
    结论:MDM是改善骨缺损愈合和减少冠状动脉切除术后保留的根部迁移的合适移植材料。
    结论:MDM是一种自生材料制备的椅子,这可以显着改善骨愈合,并降低保留根重新萌出的风险。MDM有望成为M3M冠状动脉切除术后的常规骨替代材料。
    OBJECTIVE: To investigate the impact of mineralized dentin matrix (MDM) on the prognosis on bone regeneration and migration of retained roots after coronectomy.
    METHODS: Patients were divided into three groups based on the type of bone graft after coronectomy: Group C (n = 20, collagen), Group T (n = 20, tricalcium phosphate (TCP) + collagen), and Group D (n = 20, MDM + collagen). CBCT scans, conducted immediately and 6 months after surgery, were analyzed using digital software. Primary outcomes, including changes in bone defect depth and retained root migration distance, were evaluated 6 months after surgery.
    RESULTS: After 6 months, both Groups D and T exhibited greater reduction of the bone defect and lesser retained root migration than Group C (p < 0.001). Group D had greater regenerated bone volume in the distal 2 mm (73 mm3 vs. 57 mm3, p = 0.011) and lesser root migration (2.18 mm vs. 2.96 mm, p < 0.001) than Group T. The proportion of completely bone embedded retained roots was also greater in Group D than in Group C (70.0% vs. 42.1%, p = 0.003).
    CONCLUSIONS: MDM is an appropriate graft material for improving bone defect healing and reducing retained root migration after coronectomy.
    CONCLUSIONS: MDM is an autogenous material prepared chairside, which can significantly improve bone healing and reduce the risk of retained root re-eruption. MDM holds promise as a routine bone substitute material after M3M coronectomy.
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  • 文章类型: Journal Article
    财政分权为刺激非洲当地经济发展提供了潜力,授权地方政府控制收入和支出。然而,城市化等挑战,贫穷,不平等,基础设施不足,和治理问题阻碍了财政分权核心原则的成功实施。本文探讨了数字技术在促进更大的财政分权和收入增加方面的作用,作为对非洲这些当地经济发展挑战的战略回应。
    通过系统的文献综述,本研究探讨了财政分权在推动地方经济发展中的作用,重点是利用数字技术来促进创收,并加强国家以下一级的治理和机构能力。
    这项研究强调了投资数字基础设施的重要性,技能发展,和监管框架,同时解决数据隐私和安全问题。
    通过强调数字技术财政分权和财产税的变革性影响,本文对现有文献做出了贡献,并强调了促进整个非洲地方经济发展的途径。
    UNASSIGNED: Fiscal decentralization offers potential for stimulating local economic development in Africa, empowering subnational governments to control revenue and spending. However, challenges such as urbanization, poverty, inequality, insufficient infrastructure, and governance issues hinder the successful implementation of the core tenets of fiscal decentralization. This paper explores the role of digital technologies in promoting greater fiscal decentralization and revenue enhancement, as a strategic response to these local economic development challenges in Africa.
    UNASSIGNED: Through a systematic literature review, this study explores the role of fiscal decentralization in driving local economic development, with a focus on leveraging digital technologies to boost revenue generation and strengthen governance and institutional capacity at the subnational level.
    UNASSIGNED: The research underscores the importance of investing in digital infrastructure, skill development, and regulatory frameworks, while addressing data privacy and security concerns.
    UNASSIGNED: By emphasizing the transformative impact of digital technologies fiscal decentralization and property taxation, this paper contributes to the existing literature and highlights avenues for promoting local economic development across Africa.
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  • 文章类型: Journal Article
    背景:通过智能手机扫描应用程序(SSA)进行的面部扫描越来越多地用于具有成本效益的医疗应用,椅子的方法。然而,缺乏临床验证。这篇综述旨在解决:(1)哪种SSA可以进行面部扫描?(2)哪种SSA可以在临床上使用?(3)哪些SSA已被报道并经过科学验证可用于医疗应用?
    方法:在Google上对设计用于面部或物体扫描的SSA进行了技术搜索,苹果AppStore,和GooglePlay商店从2022年8月到2023年12月。文献检索在PubMed上进行,科克伦,EMBASE,MEDLINE,Scopus,IEEEXplore,ACM数字图书馆,Clinicaltrials.gov,ICTRP(WHO)和截至2023年的预印本。资格标准包括英语撰写的科学文章,其中至少包含一种用于临床目的的SSA。SSA选择和数据提取由一名审阅者执行,通过秒验证,第三审稿人因不一致而被咨询。
    结果:检索了63个用于三维物体扫描的应用程序,52目前提供面部扫描功能。56篇科学论文,包括两份病例报告,分析了16项概念验证和38项实验研究。13个应用程序(123DCatch,3D造物主,Bellus3D牙科专业版,Bellus3DFace应用程序,Bellus3DFaceMaker,捕获,Heges,Metascan,Polycam,ScandyPro,Scaniverse,Taptap和Trnio)在文献中报道了数字工作流集成,比较或概念验证研究。
    结论:52种SSA目前可以进行面部扫描,可用于临床,提供成本效益,便携性和用户友好性。尽管临床验证至关重要,只有13个SSA得到了科学验证,潜在的陷阱和局限性的潜在认识。
    BACKGROUND: Facial scanning through smartphone scanning applications (SSA) is increasingly being used for medical applications as cost-effective, chairside method. However, clinical validation is lacking. This review aims to address: (1) Which SSA could perform facial scanning? (2) Which SSA can be clinically used? (3) Which SSA have been reported and scientifically validated for medical applications?
    METHODS: Technical search for SSA designed for face or object scanning was conducted on Google, Apple App Store, and Google Play Store from August 2022 to December 2023. Literature search was performed on PubMed, Cochrane, EMBASE, MEDLINE, Scopus, IEEE Xplore, ACM Digital Library, Clinicaltrials.gov, ICTRP (WHO) and preprints up to 2023. Eligibility criteria included English-written scientific articles incorporating at least one SSA for clinical purposes. SSA selection and data extraction were executed by one reviewer, validated by second, with third reviewer being consulted for discordances.
    RESULTS: Sixty-three applications designed for three-dimensional object scanning were retrieved, with 52 currently offering facial scanning capabilities. Fifty-six scientific articles, comprising two case reports, 16 proof-of-concepts and 38 experimental studies were analysed. Thirteen applications (123D Catch, 3D Creator, Bellus 3D Dental Pro, Bellus 3D Face app, Bellus 3D Face Maker, Capture, Heges, Metascan, Polycam, Scandy Pro, Scaniverse, Tap tap tap and Trnio) were reported in literature for digital workflow integration, comparison or proof-of-concept studies.
    CONCLUSIONS: Fifty-two SSA can perform facial scanning currently and can be used clinically, offering cost-effectiveness, portability and user-friendliness. Although clinical validation is crucial, only 13 SSA were scientifically validated, underlying awareness of potential pitfalls and limitations.
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  • 文章类型: Journal Article
    数字技术已经成为牙科植入的变革性工具,深刻地提高了多个方面的准确性和有效性,如诊断,术前治疗计划,外科手术,和恢复交付。射线照相数据和口内数据的多重集成,有时通过虚拟计划软件使用面部扫描数据或电子脸弓,能够对硬软组织和未来修复的位置进行全面的三维可视化,导致诊断精度提高。在虚拟手术设计中,假体布置和个体解剖细节的结合使得关键程序的虚拟执行(例如,植入物放置,扩展应用程序,等。)通过分析横截面图像和三维表面模型的重建。经过验证,包括模板在内的数字技术的利用,导航,组合技术,植入机器人实现了将虚拟治疗计划无缝转移到实际手术部位,最终导致增强的手术结果和高度改进的准确性。在修复交付中,数字印模技术,阴影匹配,假体制造有了进步,实现无缝数字数据转换和临床医生和技术人员之间的有效沟通。与临床医学相比,牙科种植中的人工智能(AI)技术主要集中在诊断和预测上。人工智能支持的术前计划和手术仍处于发展阶段,由于临床病例的复杂性和伦理考虑,从而限制了广泛采用。
    Digital technology has emerged as a transformative tool in dental implantation, profoundly enhancing accuracy and effectiveness across multiple facets, such as diagnosis, preoperative treatment planning, surgical procedures, and restoration delivery. The multiple integration of radiographic data and intraoral data, sometimes with facial scan data or electronic facebow through virtual planning software, enables comprehensive 3-dimensional visualization of the hard and soft tissue and the position of future restoration, resulting in heightened diagnostic precision. In virtual surgery design, the incorporation of both prosthetic arrangement and individual anatomical details enables the virtual execution of critical procedures (e.g., implant placement, extended applications, etc.) through analysis of cross-sectional images and the reconstruction of 3-dimensional surface models. After verification, the utilization of digital technology including templates, navigation, combined techniques, and implant robots achieved seamless transfer of the virtual treatment plan to the actual surgical sites, ultimately leading to enhanced surgical outcomes with highly improved accuracy. In restoration delivery, digital techniques for impression, shade matching, and prosthesis fabrication have advanced, enabling seamless digital data conversion and efficient communication among clinicians and technicians. Compared with clinical medicine, artificial intelligence (AI) technology in dental implantology primarily focuses on diagnosis and prediction. AI-supported preoperative planning and surgery remain in developmental phases, impeded by the complexity of clinical cases and ethical considerations, thereby constraining widespread adoption.
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