cost-effective

成本效益高
  • 文章类型: Journal Article
    腺相关病毒(AAV)由于其在将治疗性基因或基因编辑序列递送到各种组织和器官中的安全性和有效性而成为基因治疗的有希望的工具。AAV血清型9(AAV9),在AAV血清型中,以其有效靶向多个组织的能力脱颖而出,因此具有巨大的临床应用潜力。然而,现有的纯化AAV的方法很麻烦,贵,并经常产生不一致的结果。在这项研究中,我们探索了一种利用Dynabeads™CaptureSelect™磁珠的新型纯化策略。AAV9磁珠捕获AAV9具有高特异性,回收率在70%至90%之间,而AAVX磁珠不与AAV9结合。通过与解决方案中的AAV的持续交互,即使在不存在内切核酸酶的情况下,这些珠子也提供增强的基因组DNA和质粒的清除。珠子可以再生至少八次,并且用过的珠子可以储存长达六个月并重复使用,而不会显着降低回收率。AAV9纯化的载体在体内的效力与碘克沙醇纯化的载体相当。
    Adeno-associated viruses (AAVs) have emerged as promising tools for gene therapy due to their safety and efficacy in delivering therapeutic genes or gene editing sequences to various tissues and organs. AAV serotype 9 (AAV9), among AAV serotypes, stands out for its ability to efficiently target multiple tissues, thus holding significant potential for clinical applications. However, existing methods for purifying AAVs are cumbersome, expensive, and often yield inconsistent results. In this study, we explore a novel purification strategy utilizing Dynabeads™ CaptureSelect™ magnetic beads. The AAV9 magnetic beads capture AAV9 with high specificity and recovery between 70 and 90%, whereas the AAVX magnetic beads did not bind to the AAV9. Through continuous interaction with AAVs in solution, these beads offer enhanced clearance of genomic DNA and plasmids even in the absence of endonuclease. The beads could be regenerated at least eight times, and the used beads could be stored for up to six months and reused without a significant reduction in recovery. The potency of the AAV9-purified vectors in vivo was comparable to that of iodixanol purified vectors.
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  • 文章类型: Journal Article
    液态氢载体由于其优越的储氢密度,在远距离和大规模储氢方面引起了相当大的兴趣,安全,和兼容性。尽管如此,它们的实际应用受到制氢率低和成本高的阻碍,源于太阳能散装脱氢平台中热利用率低和对贵金属的严重依赖。为了克服这些挑战,我们设计了一种经济的多合一体系结构,包括光热催化终止-空MXene和高度绝缘的三聚氰胺基材。该设计漂浮在空气-反应物界面上以有效地驱动太阳能界面脱氢。三聚氰胺使界面热局部化,提高热利用率,提供高反应温度。同时,具有终止空位的MXene暴露了甲酸脱氢的丰富活性位点,同时可以实现高性能和成本效益。这项工作为光热催化MXene的设计和应用提供了新的视角,拓宽了使用液态氢载体储氢的前景。
    Liquid hydrogen carriers have garnered considerable interest in long-distance and large-scale hydrogen storage owing to their exceptional hydrogen storage density, safety, and compatibility. Nonetheless, their practical application is hampered by the low hydrogen production rate and high cost, stemming from poor thermal utilization and heavy reliance on noble metals in solar bulk dehydrogenation platforms. To conquer these challenges, we devise an economical all-in-one architecture comprising the photothermal catalytic termination-vacant MXene and a highly insulated melamine substrate. This design floats on the air-reactant interface to efficiently drive solar interfacial dehydrogenation. The melamine enables interfacial heat localization to improve the thermal utilization, providing a high reaction temperature. Meanwhile, the MXene with termination vacancies exposes rich active sites for formic acid dehydrogenation, and simultaneously high performance and cost-effectiveness can be realized. This work offers fresh perspectives on the design and application of photothermal catalytic MXene, broadening the prospects for hydrogen storage using liquid hydrogen carriers.
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  • 文章类型: Journal Article
    背景:适当的水合作用对于维持健康至关重要,并支持各种生物过程,包括温度调节,免疫功能,营养输送,和器官功能。传统上,视觉评估被用来量化液体摄入量,尽管光学和电气传感器的技术进步现在提供了更高的精度和更大的潜力,以毫秒精度和个人舔分辨率的自动操作。新方法我们描述了一种廉价的电子传感器板来监视鼠标舔行为。该系统配备了集成的过滤和数据预处理步骤。它衡量舔计数,频率,具有高分辨率的宽度和间隔,允许长时间实时监测几只老鼠在各自家庭笼子里的复杂舔模式。
    结果:我们的舔力计提供两毫秒分辨率,有效检测小鼠舔行为的变化。该系统适用于同时监测多达12只小鼠的舔行为。舔计数,持续时间和间隔,以及对甜水的偏好在两天内进行了监测,揭示了在延长的时间内,在明暗阶段的舔模式的变化。
    方法:我们的舔力计可以监测舔行为和动态。它可以适用于使用电路的常规鼠标笼。它是开源的,成本效益高,高效,并且可以实时用于大型队列,代表在不同环境和病理背景下研究摄食动力学的理想工具。
    结论:我们开发了一种新的,成本效益高,和监测小鼠摄食行为的有效装置。我们设备的吞吐量允许同时监测几只老鼠,同时可以直接应用于传统的鼠笼,将其实施简化为预先存在的实验设置。
    BACKGROUND: Proper hydration is essential for maintaining health and supports various biological processes, including temperature regulation, immune function, nutrient delivery, and organ function. Visual assessment has traditionally been used to quantify liquid intake, although technological advances in optical and electrical sensors now offer higher accuracy and larger potential for automatic operation with millisecond precision and individual lick resolution.
    METHODS: We describe an inexpensive electronic sensor board to monitor mouse licking behavior. The system is equipped with integrated filtering and data preprocessing steps. It measures lick count, frequency, width and interlick intervals with high resolution, allowing the real-time monitoring of complex licking patterns in several mice in their respective home cages over prolonged periods.
    RESULTS: Our lickometer provides two-millisecond resolution, efficiently detecting variations in licking behaviors in mice. The system is adapted to monitor licking behaviors in up to 12 mice simultaneously. Lick count, duration and interlick intervals, along with preference for sweet water were monitored over two days, revealing variations in licking patterns across light and dark phases extended over prolonged periods.
    METHODS: Our lickometer allows for monitoring licking behaviors and dynamics. It can be adapted to conventional mouse cages using electrical circuits. It is open-source, cost-effective, efficient, and can be utilized in real-time for large cohorts, representing an ideal tool for studying ingestive dynamics in different environmental and pathological contexts.
    CONCLUSIONS: We have developed a novel, cost-effective, and efficient device to monitor ingestive behaviors in mice. The throughput of our device allows for monitoring several mice simultaneously while it can be applied directly to a conventional mouse cage, simplifying its implementation into pre-existing experimental setups.
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  • 文章类型: Journal Article
    背景:提高谷类作物的遗传增益率将依赖于加速的作物育种管道,以允许快速交付改良的作物品种。辛苦的,耗时的传统育种周期,季节变化是制约育种者开发新品种的关键因素。为了解决这些问题,本研究提出了一种革命性的具有成本效益的快速育种协议,用于大规模的水稻种质开发。协议强调优化灌封材料,平衡有限营养剂量的双刃剑,应用的模式和阶段,植物密度,温度,湿度,湿度光谱,强度,光周期,和激素调节,加速水稻的生长发育。
    结果:700株植物/m2的植物密度,具有成本效益的卤素管(B:G:R:FR-7.0:27.6:65.4:89.2),强度为〜750-800µmol/m2/s,在幼苗和营养期的光周期为13h光照和11h黑暗,在生殖期的8h光照和16h黑暗具有显着影响(P<0.05)耕种,并诱导早期开花。我们的结果证实,使用具有成本效益的SpeedyPaddy方案可以在68-75天内实现一代,从而在不同持续时间的水稻品种中每年产生4-5代。其他应用包括杂交,基于性状的表型,以及QTL/基因的定位。在SpeedyPaddy中运行15,680株植物的一个育种周期的估计成本为2941美元,其中包括一次性杂项成本,远低于先进的受控环境速度育种设施。
    结论:该方案提供了一个有前途的具有成本效益的解决方案,每个育种周期平均节省2.0至2.6个月,并整合了基因组学辅助选择,基于性状的表型,QTL/基因的定位,标记发育可能加速品种发育和释放。这一突出的成本效益突破标志着水稻育种在应对气候变化和粮食安全方面的重大飞跃。
    BACKGROUND: Improving the rate of genetic gain of cereal crop will rely on the accelerated crop breeding pipelines to allow rapid delivery of improved crop varieties. The laborious, time-consuming traditional breeding cycle, and the seasonal variations are the key factor restricting the breeder to develop new varieties. To address these issues, a revolutionized cost-effective speed breeding protocol for large-scale rice germplasm advancement is presented in the present study. The protocol emphasises on optimizing potting material, balancing the double-edged sword of limited nutritional dose, mode and stage of application, plant density, temperature, humidity, light spectrum, intensity, photoperiod, and hormonal regulation to accelerate rice growth and development.
    RESULTS: The plant density of 700 plants/m2, cost-effective halogen tubes (B:G:R:FR-7.0:27.6:65.4:89.2) with an intensity of ∼ 750-800 µmol/m2/s and photoperiod of 13 h light and 11 h dark during seedling and vegetative stage and 8 h light and 16 h dark during reproductive stage had a significant effect (P < 0.05) on reducing the mean plant height, tillering, and inducing early flowering. Our results confirmed that one generation can be achieved within 68-75 days using the cost-effective SpeedyPaddy protocol resulting in 4-5 generations per year across different duration of rice varieties. The other applications include hybridization, trait-based phenotyping, and mapping of QTL/genes. The estimated cost to run one breeding cycle with plant capacity of 15,680 plants in SpeedyPaddy was $2941 including one-time miscellaneous cost which is much lower than the advanced controlled environment speed breeding facilities.
    CONCLUSIONS: The protocol offers a promising cost-effective solution with average saving of 2.0 to 2.6 months per breeding cycle with an integration of genomics-assisted selection, trait-based phenotyping, mapping of QTL/genes, marker development may accelerate the varietal development and release. This outstanding cost-effective break-through marks a significant leap in rice breeding addressing climate change and food security.
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  • 文章类型: Journal Article
    小反刍动物(PPRV),一种高度传染性的病毒性疾病,对绵羊和山羊造成重大经济损失。最近,PPR病毒(PPRV),采用了新的宿主,PPRV的谱系IV代表了同一谱系内的遗传多样性。350个样品,包括血,拭子,和绵羊/山羊的组织,是在巴基斯坦2020-2021年疾病暴发期间收集的。这些样品通过RT-PCR和三个具有登录号的PPRV分离物进行分析,MW600920、MW600921和MW600922已提交给GenBank,基于部分N基因测序。该分析提供了对遗传特征的更好理解和用于快速PPRV诊断的靶向RT-PCR方法。使用在Vero细胞中生长的半纯化抗原MW600922分离物开发IELISA测试。PPRV分离株目前与土耳其菌株存在高度分歧;相反,从巴基斯坦收集的分离株的相似性相当于99.73%。开发的间接ELISA(IELISA)测试表明,抗体(血清)稀释度为1:200,抗原稀释度为1:32时的抗体检测率。与cELISA相比,观察到高特异性(85.23%)和敏感性(90.60%)。与病毒中和试验(VNT)相反,观察到IELISA在其结果中具有100%的特异性和82.14%的敏感性。基于这些结果,使用IELISA对PPR抗体进行血清学调查可能是更大规模的更有效策略.此外,我们的研究结果表明,在成本效益和存储效率方面的研究取得了重大突破,开发的IELISA测试强烈建议在发展中国家使用。
    小反刍动物(PPRV)是一种跨界动物,高度传染性,以及影响小反刍动物和野生动物的经济上重要的病毒性疾病。PPRV,一种只针对动物的疾病,是全球根除计划(PPRVGEP)的重点,其目标是到2030年根除这种疾病。GEP第一阶段(2017-2021年)完成后,巴基斯坦已启动第二阶段:PPRV的存在和控制策略的实施。快速准确的实验室诊断对疾病的有效控制和根除至关重要。在本研究中,我们通过逆转录聚合酶链反应(RT-PCR)改善了诊断,这不仅可以检测低病毒浓度,而且有助于谱系IV病毒的遗传分析。然而,开发具有成本效益的间接ELISA(iELISA)可以分析从更大的小反刍动物群体中获得的血清样本。
    Peste des petits ruminants (PPRV), a highly contagious viral disease, causes significant economic losses concerning sheep and goats. Recently, PPR viruses (PPRVs), have adopted new hosts and lineage IV of PPRVs represents genetic diversity within the same lineage. 350 samples, including blood, swabs, and tissues from sheep/goats, were collected during the 2020-2021 disease outbreaks in Pakistan. These samples were analysed through RT-PCR and three isolates of PPRV with accession numbers, MW600920, MW600921, and MW600922, were submitted to GenBank, based on the partial N-gene sequencing. This analysis provides a better understanding of genetic characterizations and a targeted RT-PCR approach for rapid PPRV diagnosis. An IELISA test was developed using the semi-purified antigen MW600922 isolate grown in Vero cells. The PPRV isolates currently present high divergence with the Turkish strain; conversely, similarities equivalent to 99.73% were observed for isolates collected from Pakistan. The developed indirect ELISA (IELISA) test demonstrated antibody detection rates at dilutions of 1:200 for antibodies (serum) and 1:32 for antigens. In comparison to cELISA, high specificity (85.23%) and sensitivity (90.60%) rates were observed. In contrast to the virus neutralization test (VNT), IELISA was observed to be 100% specific and 82.14% sensitive in its results. Based on these results, serological surveys conducted for PPR antibodies using IELISA can be a more effective strategy on a larger scale. Furthermore, our results demonstrate a significant breakthrough in the research in terms of cost-effectiveness and storage efficiency, and the developed IELISA test is highly recommended for use in developing countries.
    Peste des petits ruminants (PPRV) is a transboundary, highly contagious, and economically significant viral disease affecting small ruminants and wildlife. PPRV, a disease that only targets animals, is the focus of the Global Eradication Programme (PPRV GEP), which aims to eradicate the disease by 2030. Following the completion of the first phase of the GEP (2017–2021), Pakistan has initiated the second phase: PPRV presence and the implementation of a control strategy. Rapid and accurate laboratory diagnosis is vital to the disease’s effective control and eradication. In the present study, we have improved diagnosis by reverse transcriptase polymerase chain reaction (RT-PCR), which not only can detect low viral concentrations but also contributes to the genetic analysis of lineage-IV viruses. However, the development of cost-effective indirect ELISA (iELISA) may allow for the analysis of serum samples obtained from larger populations of small ruminants.
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  • 文章类型: Journal Article
    这项回顾性研究旨在评估激素治疗方案的性能,确定激素治疗后与妊娠成功相关的因素,并比较了循环和非循环发情奶牛中两种激素处理的成本效益。2017年1月至8月,从Kasetsart大学兽医教学医院获得了来自泰国西部地区64群接受激素治疗进行人工授精(AI)的279头发情母牛的临床记录。激素治疗方案的表现,固定时间AI(TAI)和AI前发情检测(EAI),显示TAI方案的妊娠风险高于EAI方案,但在周期和非周期奶牛中,两种方案的每AI妊娠没有显著差异.多变量逻辑回归分析显示,与用EAI方案处理的奶牛相比,接受TAI方案的奶牛更可能怀孕。在治疗后具有3.00身体状况评分(BCS)<3.75的母牛和松散饲养的母牛更可能怀孕。冬季治疗的妊娠成功率高于夏季和雨季。成本效率分析表明,TAI协议是非循环奶牛最具成本效益的选择,而EAI方案是循环奶牛最具成本效益的选择。
    This retrospective study aimed to evaluate the performance of hormone treatment protocols, determine the factors associated with pregnancy success after hormone treatment, and compare the cost-efficiencies of two types of hormone treatment among cyclic and noncyclic anestrous dairy cows. The clinical records of 279 anestrous cows that received hormone treatment for artificial insemination (AI) from 64 herds in the western region of Thailand were obtained from Kasetsart University Veterinary Teaching Hospital from January to August 2017. The performance of the hormone treatment protocols, fixed-time AI (TAI) and estrus detection before AI (EAI), showed that the pregnancy risk for the TAI protocol was higher than that for the EAI protocol, but pregnancy per AI did not differ significantly between the two protocols in cyclic and noncyclic cows. Multivariate logistic regression analysis showed that cows receiving the TAI protocol were more likely to be pregnant compared to those treated with the EAI protocol. Cows with a 3.00 body condition score (BCS) < 3.75 after treatment and loose-housed cows were more likely to become pregnant. Treatment during winter showed higher pregnancy success than that in the summer and rainy seasons. The cost-efficiency analysis showed that the TAI protocol was the most cost-efficient option for noncyclic cows, whereas the EAI protocol was the most cost-efficient option for cyclic cows.
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  • 文章类型: Journal Article
    开发一种具有成本效益的,多孔沥青路面用高粘度沥青,我们利用了SBS,增粘剂,以增溶剂为主要原料,通过三因素三水平的正交实验确定了最佳成分,制备了一种低成本的高粘度沥青。我们将其常规和流变性能与橡胶沥青进行了比较,SBS改性沥青,和基质沥青,采用荧光显微镜和傅里叶变换红外光谱进行微结构分析。结果表明,高粘度沥青的最佳配方为4-5%苯乙烯-丁二烯-苯乙烯(SBS)+1-2%增粘剂+0-3%增溶剂+0.15%稳定剂。通过化学和物理改性,组分均匀分散,性能得到提高。与SBS改性沥青相比,橡胶沥青,和基质沥青,软化点,5°C延性,和60℃的高粘度沥青的动态粘度显著提高,而175°C的布氏粘度相当于SBS改性沥青。特别是,60°C动态粘度达到383,180Pa·s。流变试验表明,高粘度沥青的高低温等级达到88-18℃,高粘度沥青具有最佳的抗高温永久变形和抗低温开裂性能。与市售高粘度沥青相比,可节省约30%的成本,有利于多孔沥青路面的推广应用。
    To develop a cost-effective, high-viscosity asphalt for porous asphalt pavement, we utilized SBS, tackifier, and solubilizer as the main raw materials, identified the optimal composition through an orthogonal experiment of three factors and three levels, and prepared a low-cost high-viscosity asphalt. We compared its conventional and rheological properties against those of rubber asphalt, SBS modified asphalt, and matrix asphalt, employing fluorescence microscopy and Fourier transform infrared spectroscopy for microstructural analysis. The results indicate that the optimal formula composition for high-viscosity asphalt was 4-5% styrene-butadiene-styrene (SBS) + 1-2% tackifier +0-3% solubilizer +0.15% stabilizer. The components evenly dispersed and the performances were enhanced with chemical and physical modification. Compared with SBS modified asphalt, rubber asphalt, and matrix asphalt, the softening point, 5 °C ductility, and 60 °C dynamic viscosity of high-viscosity asphalt were significantly improved, while the 175 °C Brookfield viscosity was equivalent to SBS modified asphalt. In particular, the 60 °C dynamic viscosity reaches 383,180 Pa·s. Rheological tests indicate that the high- and low-temperature grade of high-viscosity asphalt reaches 88-18 °C, and that high-viscosity asphalt has the best high-temperature resistance to permanent deformation and low-temperature resistance to cracking. It can save about 30% cost compared to commercially available high-viscosity asphalt, which is conducive to the promotion and application of porous asphalt pavement.
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  • 文章类型: Journal Article
    2型糖尿病(T2DM)的管理在很大程度上依赖于糖尿病患者的药物依从性以实现最佳的血糖控制。糖尿病的经济负担可能会阻碍依从性,导致治疗效果降低和并发症风险增加。此外,糖尿病的单一疗法由于在很大一部分人群中无法实现早期和持续的最佳血糖控制,因此正在失去牵引力。因此,临床医生更喜欢联合治疗,因为它们提高了疗效和安全性。考虑到这些因素,当前的审查强调了负担得起的联合疗法的安全性和有效性,双重疗法,格列吡嗪+二甲双胍,格列美脲+二甲双胍+吡格列酮的三联药物组合及其在印度糖尿病患者T2DM管理中的适用性。
    Management of type 2 diabetes mellitus (T2DM) largely relies on medication adherence of individuals with diabetes to achieve optimal glycemic control. The economic burden of diabetes could impede adherence, leading to a reduction in treatment efficacy and increased risk of complications. Furthermore, monotherapy in diabetes is losing traction due to its ineffectiveness in achieving early and sustained optimal glycemic control in a significant proportion of the population. Hence, clinicians prefer combination treatment due to their improved efficacy and safety. Considering these factors, the current review highlights the safety and efficacy of the affordable combination therapies, a dual therapy, glipizide + metformin, and a triple-drug combination of glimepiride + metformin + pioglitazone and its applicability in the management of T2DM among individuals with diabetes in India.
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  • 文章类型: Journal Article
    背景:在急于为COVID-19大流行开发卫生技术的过程中,数字健康不平等或优先社区无法获得的意外后果,使用,并没有很好地研究从数字健康技术中获得同等收益。
    目的:本范围审查将研究数字技术创新过程中可以使用的工具和方法,以改善优先社区在数字卫生技术发展中的公平包容。这项研究的结果将为医疗保健专业人员提供可行的见解,健康信息学,数字健康,和技术开发,在创新过程中主动集中股权。
    方法:基于Arksey和O\'Malley框架,这项范围审查将考虑优先社区公平参与数字技术创新。健康方面的书目数据库,医学,计算,信息科学将被搜索。将使用Covidence(VeritasHealthInnovation)根据纳入和排除标准对检索到的引文进行双重筛选。数据将使用量身定制的提取工具绘制,并映射到电子健康研究中心为电子健康技术路线图定义的数字健康创新路径。随附的叙述性综合将描述与审查目标相关的结果。
    结果:这项范围审查目前正在进行中。对数据库和其他来源的搜索总共返回了4868条记录。在标题和摘要初步筛选后,426项研究正在进行双重全文审查。我们的目标是在2024年5月30日前完成全文回顾阶段,2024年10月完成数据提取,2024年12月完成后续综合。于2023年10月1日收到健康权益孵化器资助计划中心的资助,墨尔本大学,澳大利亚。
    结论:本文将确定并推荐一系列经过验证的工具和方法,供医疗保健利益相关者和IT开发人员使用,以在整个电子健康研究中心路线图中产生公平的数字健康技术。确定的证据差距,可能的影响,并将讨论进一步的研究。
    DERR1-10.2196/53855。
    BACKGROUND: In the rush to develop health technologies for the COVID-19 pandemic, the unintended consequence of digital health inequity or the inability of priority communities to access, use, and receive equal benefits from digital health technologies was not well examined.
    OBJECTIVE: This scoping review will examine tools and approaches that can be used during digital technology innovation to improve equitable inclusion of priority communities in the development of digital health technologies. The results from this study will provide actionable insights for professionals in health care, health informatics, digital health, and technology development to proactively center equity during innovation.
    METHODS: Based on the Arksey and O\'Malley framework, this scoping review will consider priority communities\' equitable involvement in digital technology innovation. Bibliographic databases in health, medicine, computing, and information sciences will be searched. Retrieved citations will be double screened against the inclusion and exclusion criteria using Covidence (Veritas Health Innovation). Data will be charted using a tailored extraction tool and mapped to a digital health innovation pathway defined by the Centre for eHealth Research roadmap for eHealth technologies. An accompanying narrative synthesis will describe the outcomes in relation to the review\'s objectives.
    RESULTS: This scoping review is currently in progress. The search of databases and other sources returned a total of 4868 records. After the initial screening of titles and abstracts, 426 studies are undergoing dual full-text review. We are aiming to complete the full-text review stage by May 30, 2024, data extraction in October 2024, and subsequent synthesis in December 2024. Funding was received on October 1, 2023, from the Centre for Health Equity Incubator Grant Scheme, University of Melbourne, Australia.
    CONCLUSIONS: This paper will identify and recommend a series of validated tools and approaches that can be used by health care stakeholders and IT developers to produce equitable digital health technology across the Centre for eHealth Research roadmap. Identified evidence gaps, possible implications, and further research will be discussed.
    UNASSIGNED: DERR1-10.2196/53855.
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  • 文章类型: Journal Article
    将创新整合到常规临床实践中面临许多挑战。2007年,我们收到了一项任务,即通过研究其对临床结果和医院资源利用的影响,评估在妇科肿瘤学中引入机器人程序如何影响以患者为中心的护理。在这里,我们总结了16年来开发妇科癌症机器人手术计划的历史和经验。数据分析表明,机器人手术改善了围手术期患者的临床参数,减少失血,并发症,住院,保持肿瘤的结果,并且具有成本效益,导致它成为三级癌症护理机构妇科肿瘤学的主要手术方法。
    The integration of innovation into routine clinical practice is faced with many challenges. In 2007, we received the mandate to evaluate how the introduction of a robotic program in gynecologic oncology affected patient-centered care by studying its impact on clinical outcomes and hospital resource utilization. Here we summarize the history and experience of developing a robotic surgery program for gynecologic cancers over 16 years. Analysis of the data indicates that robotic surgery improved perioperative patient clinical parameters, decreased blood loss, complications, and hospital stay, maintained the oncologic outcome, and is cost-effective, resulting in it becoming the dominant surgical approach in gynecologic oncology in a tertiary cancer care institution.
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