Emerging technologies

新兴技术
  • 文章类型: Journal Article
    连同新兴技术一起,已经提出了电解水(EW)系统用于临床领域中的清洁和/或消毒。有证据表明在食品处理和乳制品行业中使用EW,但是缺乏证据表明EW在临床上是有效的清洁和消毒剂。现有出版物大多是基于实验室或来自非临床环境。这与医疗保健清洁中使用的其他方法形成鲜明对比。本文的目的是为感染预防和控制专业人员提供风险评估清单,使用电解水的评估作为引入任何新技术之前所需的分析和考虑的示例,特别是,纳入可持续性。
    Along with emerging technologies electrolysed water (EW) systems have been proposed for cleaning and/or disinfection in clinical areas. There is evidence for the use of EW in food-handling and the dairy industry however there is lack of evidence for EW as an effective cleaning and disinfecting agent in a clinical setting. Existing publications mostly are either laboratory based or from non-clinical settings. This is in direct contrast to other approaches used in healthcare cleaning. The aim of this paper is to provide infection prevention and control professionals with a risk assessment checklist using an evaluation of electrolysed water as an example of the analysis and consideration required prior to the introduction of any new technology and, in particular, the inclusion of sustainability.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    味道,牛肉的嫩度和多汁性都受到肌内脂肪(IMF)成分的影响,这是牛肉质量的关键决定因素。因此,增强肉牛的IMF成分已成为一个主要的研究领域。因此,本文的目的是提供对新兴技术的见解和综合,改善肉牛IMF组成的营养实践和管理策略。这篇综述论文研究了与牛肉行业养牛相关的管理技术和营养方法的最新知识。它包括对动物处理的彻底调查,断奶年龄,阉割,品种选择,性别决定,环境因素,放牧方法,屠宰体重和年龄。此外,它严格探索饮食能量水平和脂肪酸谱的优化,以及使用饲料添加剂和激素植入技术及其相关法规。该论文还深入研究了正在塑造未来牛肉生产的新兴技术,例如基因组选择方法,基因组编辑技术,表观基因组分析,微生物组操纵策略,转录组学分析方法和代谢组学分析。总之,结合基因组的整体方法,营养和管理策略对于实现IMF的目标含量和确保高质量的牛肉生产至关重要。
    The flavour, tenderness and juiciness of the beef are all impacted by the composition of the intramuscular fat (IMF), which is a key determinant of beef quality. Thus, enhancing the IMF composition of beef cattle has become a major area of research. Consequently, the aim of this paper was to provide insight and synthesis into the emerging technologies, nutritional practices and management strategies to improve IMF composition in beef cattle. This review paper examined the current knowledge of management techniques and nutritional approaches relevant to cattle farming in the beef industry. It includes a thorough investigation of animal handling, weaning age, castration, breed selection, sex determination, environmental factors, grazing methods, slaughter weight and age. Additionally, it rigorously explored dietary energy levels and optimization of fatty acid profiles, as well as the use of feed additives and hormone implant techniques with their associated regulations. The paper also delved into emerging technologies that are shaping future beef production, such as genomic selection methods, genome editing techniques, epigenomic analyses, microbiome manipulation strategies, transcriptomic profiling approaches and metabolomics analyses. In conclusion, a holistic approach combining genomic, nutritional and management strategies is imperative for achieving targeted IMF content and ensuring high-quality beef production.
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    目的:玫瑰红光动力抗菌疗法(RB-PDAT)的角膜渗透性较差,限制其对棘阿米巴角膜炎(AK)的疗效。离子电渗增强带电分子的角膜渗透,引起人们对其对离体人角膜RB的影响的兴趣。方法:五个供体全球每个接受离子电渗疗法与RB,浸泡在RB中,或浸泡在生理盐水中(对照)。使用共聚焦显微镜评估RB渗透和角膜厚度。结果:与浸泡相比,离子电渗疗法增加了RB的渗透率(177±9.5μm与100±5.7μm,p<0.001),各组间角膜厚度无显著差异(460±87μmvs.407±69μm,p=0.432)。结论:离子导入显着改善RB的渗透性,其在PDAT中的使用可能为棘阿米巴角膜炎提供新的治疗方法。需要进一步的研究来验证临床疗效。
    该研究旨在改善一种称为光动力抗菌疗法的新型眼部感染治疗方法。它调查了通过一种称为离子电渗疗法的技术使用电力是否可以帮助一种名为玫瑰红的化学物质深入眼睛,以针对更严重的感染。离子电渗疗法是定制的,与患者接触的组件3D打印。实验是使用捐赠的人眼组织进行的,发现与目前仅在玫瑰红中浸泡眼睛的技术相比,离子电渗疗法显着改善了玫瑰红的穿透深度。
    Aim: Rose Bengal photodynamic antimicrobial therapy (RB-PDAT) has poor corneal penetration, limiting its efficacy against acanthamoeba keratitis (AK). Iontophoresis enhances corneal permeation of charged molecules, piquing interest in its effects on RB in ex vivo human corneas. Methods: Five donor whole globes each underwent iontophoresis with RB, soaking in RB, or were soaked in normal saline (controls). RB penetration and corneal thickness was assessed using confocal microscopy. Results: Iontophoresis increased RB penetration compared with soaking (177 ± 9.5 μm vs. 100 ± 5.7 μm, p < 0.001), with no significant differences in corneal thickness between groups (460 ± 87 μm vs. 407 ± 69 μm, p = 0.432). Conclusion: Iontophoresis significantly improves RB penetration and its use in PDAT could offer a novel therapy for acanthamoeba keratitis. Further studies are needed to validate clinical efficacy.
    The study aimed to improve a new treatment for eye infections known as photodynamic antimicrobial therapy. It investigated whether the use of electricity through a technique called iontophoresis could help a chemical called Rose Bengal go deeper into the eye in order to target more severe infections. The iontophoresis machine was custom built, with patient-contacting components 3D printed. The experiments were performed using donated human eye tissue and found that iontophoresis significantly improved the penetration depth of Rose Bengal as compared with the current technique of only soaking the eye in Rose Bengal.
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  • 文章类型: Journal Article
    弹性脂质体(EL)固有的柔韧性使它们能够穿透皮肤小毛孔并到达真皮区域,使它们成为局部药物递送的最佳候选者。在ELs中加载化学疗法可以改善化学疗法的局部递送并定位其对皮肤致癌组织的作用。加载化学疗法的EL可以克服常规化学疗法给药的局限性,并控制分布到皮肤的特定区域。在目前的研究中,紫杉醇用于开发载有紫杉醇的EL。作为EL的常规制造方法的替代,这项研究是利用微流体系统来研究通过微流体方法提高和优化Els质量的潜力的新研究之一。主要目的是实现尺寸<200nm的EL,均匀性高,封装效率高,和良好的稳定性。磷脂(DOPC)与中性和阴离子边缘活化剂(吐温80和牛磺胆酸钠水合物)结合在不同的脂质与边缘活化剂比,用于制造ELs。进行了初步研究以研究大小,多分散性(PDI),和稳定性来确定紫杉醇封装的最佳微流控参数和脂质-边缘激活剂。此外,使用多种方法对优化的紫杉醇负载EL进行物理化学表征,包括动态光散射,傅里叶变换红外光谱,原子力显微镜,弹性,封装效率,和体外释放。结果揭示了微流体对增强EL的EL特性的重大影响,特别是小而可控的尺寸,低PDI,和高封装效率。此外,边缘活化剂类型和浓度高度影响EL特性。具有优化浓度的Tween80制剂提供最合适的尺寸和更高的包封效率。制剂的释放曲线显示出更快地从EL释放,具有更高的边缘活化剂浓度和更高的从吐温80制剂释放的百分比。
    The inherent flexibility of elastic liposomes (EL) allows them to penetrate the small skin pores and reach the dermal region, making them an optimum candidate for topical drug delivery. Loading chemotherapy in ELs could improve chemotherapy\'s topical delivery and localise its effect on skin carcinogenic tissues. Chemotherapy-loaded EL can overcome the limitations of conventional administration of chemotherapies and control the distribution to specific areas of the skin. In the current studies, Paclitaxel was utilised to develop Paclitaxel-loaded EL. As an alternative to the conventional manufacturing methods of EL, this study is one of the novel investigations utilising microfluidic systems to examine the potential to enhance and optimise the quality of Els by the microfluidics method. The primary aim was to achieve EL with a size of < 200 nm, high homogeneity, high encapsulation efficiency, and good stability. A phospholipid (DOPC) combined with neutral and anionic edge activators (Tween 80 and sodium taurocholate hydrate) at various lipid-to-edge activator ratios, was used for the manufacturing of the ELs. A preliminary study was performed to study the size, polydispersity (PDI), and stability to determine the optimum microfluidic parameters and lipid-to-edge activator for paclitaxel encapsulation. Furthermore, physiochemical characterisation was performed on the optimised Paclitaxel-loaded EL using a variety of methods, including Dynamic Light Scattering, Fourier Transform Infrared Spectroscopy, Atomic force microscopy, elasticity, encapsulation efficiency, and In vitro release. The results reveal the microfluidics\' significant impact in enhancing the EL characteristics of EL, especially small and controllable size, Low PDI, and high encapsulation efficiency. Moreover, the edge activator type and concentration highly affect the EL characteristics. The Tween 80 formulations with optimised concentration provide the most suitable size and higher encapsulation efficiency. The release profile of the formulations showed more immediate release from the EL with higher edge activator concentration and a higher % of the released dug from the Tween 80 formulations.
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  • 文章类型: Journal Article
    通过解决诸如口服片剂和注射的传统方法的局限性,用于内分泌紊乱的药物递送系统的最新进展显著改善了患者的预后。这些创新包括非侵入性的替代品,如吸入胰岛素,这提供了快速吸收和更好的患者依从性,和机器人药丸直接将药物输送到特定的胃肠道部位,增强吸收和减少副作用。可穿戴人工胰腺系统通过将连续葡萄糖监测与胰岛素泵集成以自动化血糖控制,彻底改变了糖尿病管理。这些系统表现出优异的血糖控制并减少低血糖事件。此外,智能胰岛素笔通过剂量跟踪和实时数据共享增强糖尿病护理,提高准确性和依从性。微针贴剂为经皮药物递送提供了一种微创方法,有效地施用激素和治疗肽,没有注射的疼痛和不便。这些贴剂在使用后溶解,消除生物危险废物。植入式设备提供长期,药物的控释,显着改善糖尿病患者的依从性和血糖控制。水凝胶还提供了新的药物递送选择。这篇综述考察了这些技术的临床疗效,安全,优势,和限制,强调他们改变内分泌失调管理的潜力。整合先进的输送系统标志着朝着个性化医疗迈出了重要的一步,根据个体患者的需求定制治疗方法,以获得更好的健康结果。
    Recent advancements in drug delivery systems for endocrine disorders have significantly improved patient outcomes by addressing the limitations of traditional methods such as oral tablets and injections. These innovations include non-invasive alternatives like inhaled insulin, which provides rapid absorption and better patient compliance, and robotic pills that deliver drugs directly to specific gastrointestinal sites, enhancing absorption and reducing side effects. Wearable artificial pancreas systems have revolutionized diabetes management by integrating continuous glucose monitoring with insulin pumps to automate blood glucose control. These systems demonstrate superior glycemic control and reduce hypoglycemic events. Additionally, smart insulin pens enhance diabetes care through dose tracking and real-time data sharing, improving accuracy and adherence. Microneedle patches offer a minimally invasive method for transdermal drug delivery, effectively administering hormones and therapeutic peptides without the pain and inconvenience of injections. These patches dissolve after use, eliminating biohazardous waste. Implantable devices provide long-term, controlled release of medications, significantly improving adherence and glycemic control of patients with diabetes. Hydrogels also offer new drug delivery options.  This review examines these technologies\' clinical efficacy, safety, advantages, and limitations, highlighting their potential to transform endocrine disorder management. Integrating advanced delivery systems marks a significant step towards personalized medicine, tailoring treatments to individual patient needs for better health outcomes.
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  • 文章类型: Journal Article
    外渗,静脉注射物质的意外泄漏,对癌症治疗提出了重大挑战,特别是在化疗和放疗期间。这篇全面的综述探讨了病理生理学,发病率,危险因素,临床表现,诊断,预防策略,管理方法,并发症,以及癌症患者外渗的长期影响。它还概述了未来的方向和研究机会,包括确定当前知识的差距,并提出进一步调查外渗预防和管理的领域。重点介绍了具有改善化疗和放疗中外渗预防和管理潜力的新兴技术和疗法。这些创新包括先进的静脉可视化技术,智能导管,靶向药物递送系统,新颖的局部治疗,和基于人工智能的图像分析。通过解决这些方面,这篇综述不仅为医疗保健专业人员提供了提高患者安全性和优化临床实践的见解,而且强调了正在进行的研究和创新在改善发生外渗事件的癌症患者预后方面的重要性.
    Extravasation, the unintended leakage of intravenously administered substances, poses significant challenges in cancer treatment, particularly during chemotherapy and radiotherapy. This comprehensive review explores the pathophysiology, incidence, risk factors, clinical presentation, diagnosis, prevention strategies, management approaches, complications, and long-term effects of extravasation in cancer patients. It also outlines future directions and research opportunities, including identifying gaps in the current knowledge and proposing areas for further investigation in extravasation prevention and management. Emerging technologies and therapies with the potential to improve extravasation prevention and management in both chemotherapy and radiotherapy are highlighted. Such innovations include advanced vein visualization technologies, smart catheters, targeted drug delivery systems, novel topical treatments, and artificial intelligence-based image analysis. By addressing these aspects, this review not only provides healthcare professionals with insights to enhance patient safety and optimize clinical practice but also underscores the importance of ongoing research and innovation in improving outcomes for cancer patients experiencing extravasation events.
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  • 文章类型: Journal Article
    消费者对新兴技术加工食品的看法几乎没有研究。本研究旨在评估纯素和非纯素消费者对使用产品包装(巴氏灭菌/常规,通过超声波处理,并通过标签上有声明的超声波处理)。使用表情符号和食品技术新恐惧症量表进行“检查所有应用”测试。“经超声处理”的信息没有影响购买意愿和健康感,安全,营养,环境影响,风味,纹理,和产品的价格。索赔纳入增加了感知的可接受性和购买意愿,并改善了情绪状况。纯素消费者对超声波处理表现出更积极的看法,导致感知的可接受性增加,阳性表情符号的引用频率更高,以及新恐惧症量表的较低金额。素食和非素食消费者一致认为,消费者接受的最重要属性是杏仁香气,风味,和一致性。总之,“通过超声波处理”的信息并没有对益生菌杏仁发酵饮料的可接受性和情绪特征产生负面影响,并且在标签上使用声明可以改善消费者对产品的感知。
    Consumer perception of foods processed by emerging technologies has been scarcely studied. This study aimed to evaluate the perception of vegan and non-vegan consumers regarding probiotic almond-fermented beverages processed by ultrasound using the packaging of the products (pasteurized/conventional, processed by ultrasound, and processed by ultrasound with a claim on the label). A \"Check All That Apply\" test with emojis and the Food Technology Neophobia scale were used. The \"processed by ultrasound\" information did not impact the purchase intention and the perception of healthiness, safety, nutrition, environmental impact, flavor, texture, and price of the products. The claim inclusion increased the perceived acceptability and purchase intention and improved the emotional profile. The vegan consumers showed a more positive perception of ultrasound processing, resulting in increased perceived acceptability, higher citation frequency of positive emoji, and lower sums for the neophobia scale. Vegan and non-vegan consumers agreed that the most important attributes for consumer acceptance are almond aroma, flavor, and consistency. In conclusion, the \"processed by ultrasound\" information did not negatively impact the acceptability and emotional profile of probiotic almond-fermented beverages, and using a claim on the label may improve consumer perception of the products.
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  • 文章类型: Journal Article
    目的:代谢组学旨在全面表征和测量复杂生物基质中的小分子代谢物(<1700Da)。这项研究旨在评估全球实验室医学中代谢组学的当前理解和使用,并评估其承诺和未来实施的看法。
    方法:IFCC代谢组学工作组进行了一项调查,调查了来自79个国家的400名专业人员。参与者提供了他们经验水平的见解,知识,以及代谢组学方法的使用,以及详细说明所采用的应用程序和方法。
    结果:研究结果表明,受访者的经验水平各不相同,对代谢组学技术有不同程度的熟悉和利用。有针对性的方法主导了这个领域,特别是与三重四极杆质谱仪耦合的液相色谱,非目标方法也得到了显著的使用。应用跨越临床研究,流行病学研究,临床诊断,病人监护,以及各种医疗领域的预测,包括代谢性疾病,内分泌学,肿瘤学,心脏代谢风险,神经变性和临床毒理学。
    结论:尽管对临床代谢组学的未来持乐观态度,技术复杂性等挑战,标准化问题,和财政限制仍然是重大障碍。该研究强调了代谢组学在临床实践中的前景广阔而复杂的前景,强调需要继续努力克服障碍,充分发挥其在病人护理和精准医疗方面的潜力。
    OBJECTIVE: Metabolomics aims for comprehensive characterization and measurement of small molecule metabolites (<1700 Da) in complex biological matrices. This study sought to assess the current understanding and usage of metabolomics in laboratory medicine globally and evaluate the perception of its promise and future implementation.
    METHODS: A survey was conducted by the IFCC metabolomics working group that queried 400 professionals from 79 countries. Participants provided insights into their experience levels, knowledge, and usage of metabolomics approaches, along with detailing the applications and methodologies employed.
    RESULTS: Findings revealed a varying level of experience among respondents, with varying degrees of familiarity and utilization of metabolomics techniques. Targeted approaches dominated the field, particularly liquid chromatography coupled to a triple quadrupole mass spectrometer, with untargeted methods also receiving significant usage. Applications spanned clinical research, epidemiological studies, clinical diagnostics, patient monitoring, and prognostics across various medical domains, including metabolic diseases, endocrinology, oncology, cardiometabolic risk, neurodegeneration and clinical toxicology.
    CONCLUSIONS: Despite optimism for the future of clinical metabolomics, challenges such as technical complexity, standardization issues, and financial constraints remain significant hurdles. The study underscores the promising yet intricate landscape of metabolomics in clinical practice, emphasizing the need for continued efforts to overcome barriers and realize its full potential in patient care and precision medicine.
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