439 research outputs found
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Scoping Review of the development of artificial eyes throughout the years
Losing an eye following trauma can lead to profound psychosocial difficulties making it imperative for the wearer to be fitted with an aesthetically pleasing custom-made artificial eye. Despite recent technological advancements, current design and manufacturing processes have remained unchanged in over 55 years. With the aim of portraying current knowledge regarding the development of artificial eyes in order to aid future development, a scooping review was conducted. Six online search engines were used: Scopus, PubMed, MedLine Complete, Web of Science, Science Direct and Google Scholar. Thirty-eight articles met the inclusion criteria and underwent numerical and thematic analysis with three thematic themes emerging. History and the current process of artificial eyes has been well documented, however, the impact of wearing artificial eyes is sparse. On-going research and development into the design and manufacturing processes of artificial eyes and the psychosocial impact of wearing an artificial eye is needed
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Retinoblastoma: Identifying the Diagnostic Signs for Early Treatment
Retinoblastoma is a rare but significant cause of childhood eye cancer world-wide. The prognosis depends upon early diagnosis and treatment but also upon accurate classification of the tumours. Unilateral incidence is normally non-hereditary compared with bilateral incidence where secondary tumours are more common. Survivorship is much better for unilateral compared with bilateral and trilateral retinoblastoma. Early signs are important to detect and photography can assist in identifying no return of āred-eyeā during flash photography and yellow appearance of the tumour. Treatment options are discussed together with new psycho-oncology approaches that address potential trauma in the survivor as well as in the family of the survivor
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The importance of incorporating technological advancements into the artificial eye process: a perspective commentary
Application of technology into healthcare has typically been targeted to high demand illnesses and treatments. However, with an increasing need to meet patientās expectations combined with increased accessibility and reduced costs, smaller healthcare fields are starting to investigate its function and usability. Services have historically been led by skills and expertise, and recent developments are being seen by ocularists in the field of prosthetic eyes who acknowledge the potential benefit from technological advancement. Utilising the technologies recently investigated in maxillofacial prosthesis can start the evolutionary process where products are continually re-designed and re-developed to achieve excellent patient outcome and satisfaction levels
Client-Level Coverage of Needle and Syringe Program and High-Risk Injection Behaviors: A Case Study of People Who Inject Drugs in Kermanshah, Iran
Background: Needle-syringe programs (NSP) have been running in Iran since 2002. However, the coverage of such program among the NSP clients at the individual level was not studies yet. This study aimed to determine the client coverage of NSP and its correlation with high injection-related risk behaviors. Methods: A cross-sectional survey was conducted in Kermanshah province, Iran, in 2014. 230 people who inject drugs (PWID) recruited from two drop-in centers (DICs) from April to September 2014, participated in a face-to-face interview to provide information related individual coverage of NSP, demographic characteristics, and injecting behaviors 30 days prior to the interview. Findings: Overall, the average of syringe coverage was 158% [95% confidence interval (CI) = 65.7-205.5], while 56% (95% CI = 40-97) have individual converge less than 100%. Needle/syringe sharing was significantly higher among individual with low NSP coverage [adjusted odds ratio (AOR) = 2.6, 95% CI = 1.3-6.2]. About 85% participants with coverage of less than 100% reported reuse of syringe within the last 30 days (AOR = 3.2, 95% CI = 1.4-7.7). Conclusion: PWID are different regarding their NSP individual-level converges. There are certain clusters of PWID, who do not receive sufficient number of syringes. Given that insufficient individual syringe coverage level is highly associated with injection risk behaviors, reasons for such low converge need to be assessed and addressed carefully
The effect of on-site and outreach-based needle and syringe programs in people who inject drugs in Kermanshah, Iran
Background: Needle and syringe programs (NSPs) are widely used to reduce harms associated with drug injecting. This study assessed the effect of facility-based (on-site services at drop-in centre) and outreach models of NSP on injection risk behaviours. Methods: Self-reported data from 455 people who injected drugs (PWID) during 2014 in Kermanshah, Iran, were examined to measure demographic characteristics and risk behaviors. Self-reported and program data were also assessed to identify their main source of injection equipment. Participants were divided into three sub-groups: facility-based NSP users, outreach NSP users and non-users (comparison group). Coarsened exact matching was used to make the three groups statistically equivalent based on age, place of residence, education and income, and groups were compared regarding the proportion of borrowing or lending of syringes/cookers, reusing syringes and recent HIV testing. Results: Overall, 76% of participants reported any NSP service use during the two months prior to interview. Only 23% (95%CI: 17-27) reported outreach NSP as their main source of syringes. Using facility-based NSP significantly decreased recent syringe borrowing (OR: 0.27, 95%CI: 0.10-0.70), recent syringe reuse (OR: 0.38, 95%CI: 0.23-0.68) and increased recent HIV testing (OR: 2.60, 95%CI: 1.48-4.56). Similar effects were observed among outreach NSP users; in addition, the outreach NSP model significantly reduced the chance of lending syringes (OR: 0.31, 95%CI: 0.15-0.60), compared to facility-based NSP (OR: 1.25, 95%CI: 0.74-2.17). Conclusion: These findings suggest that the outreach NSP model is as effective as facility-based NSP in reducing injection risk behaviours and increasing the rate of HIV testing. Outreach NSP was even more effective than facility-based in reducing the lending of syringes to others. Scaling up outreach NSP is an effective intervention to further reduce transmission of HIV via needle sharing
The menopausal age and associated factors in Gorgan, Iran
Background: Considering the physical, emotional and psychological complications of early or delayed menopause on women's life, it is necessary to determine associated factors of menopause age. This study designed to determine menopausal age and associated factors in women of Gorgan, i.e. the capital of Golestan province in the north-east of Iran. Methods: In this cross-sectional study, 804 menopausal women in Gorgan were selected via two-stage sampling method in 2009. The study included only women who had undergone natural menopause and had their last menstrual bleeding at least one year before. Data were gathered through structured questionnaire that included individual characteristics, socioeconomic characteristics, menstrual and fertility characteristics and climacteric complaints. Socioeconomic status was defined using principal component analysis. Data were analyzed with Tstudent's and ANOVA tests using SPSS version 16 (SPSS Inc, Chicago, IL, USA) for Windows. Results: The mean menopause age was 47.6Ā±4.45 years with the median age of 48 years. The mean menopause age in women with first pregnancy before 30 years (47.58Ā±4.47years), without pregnancy (46.26Ā±4.90years) and without delivery (46.30Ā±4.47years) was significantly lower than others (p 0.05). Socioeconomic status was not associated significantly with menopause age (p>0.05). Conclusion: This study illustrated that menstrual and fertility factors have influence on menopausal age while socioeconomic factors were not effective
Collection and assessment of traditional medicinal plants used by the indigenous people of Dastena in Iran
Introduction: Nowadays, traditional and herbal medicines have attracted the attention of researchers all around the world and despite the development of synthetic drugs, demand for plant-based medicines is growing. The main reason for this growing trend is increasing public concerns about the adverse effects of synthetic medicines. Traditional medicine and ethnobotany are two important issues that should be noted to achieve effective herbal medicines with considerable therapeutic effects. Traditional medicine is based on experience of people over centuries and ethno-botany is based on recognition of the native plants. Iran has very high plant diversity because of its different climate, ecosystems and soil conditions. Regarding increasing demand for medicinal plants, this study aimed to collect some native plant varieties growing in Dastena and to review some of local and folk application of these plants.Methods: In the present study, the plant species were collected during two consecutive years (2013-2014) and systematically identified. The traditional and local uses of collected plants were questioned through interviews with local people.Results: In this study, 90 plant species belonging to 30 families were collected and identified. They had various therapeutic effects. Lamiaceae and Asteraceae families had the highest use among the collected plants.Conclusion: Results of this study showed that herbal medicines in this area are mostly used to treat digestive and respiratory system disorders. They have economical values and should be studied and explored more detailed
Online discussion compensates for suboptimal timing of supportive information presentation in a digitally supported learning environment
This study used a sequential set-up to investigate the consecutive effects of timing of supportive information presentation (information before vs. information during the learning task clusters) in interactive digital learning materials (IDLMs) and type of collaboration (personal discussion vs. online discussion) in computer-supported collaborative learning (CSCL) on student knowledge construction. Students (N = 87) were first randomly assigned to the two information presentation conditions to work individually on a case-based assignment in IDLM. Students who received information during learning task clusters tended to show better results on knowledge construction than those who received information only before each cluster. The students within the two separate information presentation conditions were then randomly assigned to pairs to discuss the outcomes of their assignments under either the personal discussion or online discussion condition in CSCL. When supportive information had been presented before each learning task cluster, online discussion led to better results than personal discussion. When supportive information had been presented during the learning task clusters, however, the online and personal discussion conditions had no differential effect on knowledge construction. Online discussion in CSCL appeared to compensate for suboptimal timing of presentation of supportive information before the learning task clusters in IDLM
Shape-adaptive metastructures with variable bandgap regions by 4D printing
This article shows how four-dimensional (4D) printing technology can engineer adaptive metastructures that exploit resonating self-bending elements to filter vibrational and acoustic noises and change filtering ranges. Fused deposition modeling (FDM) is implemented to fabricate temperature-responsive shape-memory polymer (SMP) elements with self-bending features. Experiments are conducted to reveal how the speed of the 4D printer head can affect functionally graded prestrain regime, shape recovery and self-bending characteristics of the active elements. A 3D constitutive model, along with an in-house finite element (FE) method, is developed to replicate the shape recovery and self-bending of SMP beams 4D-printed at different speeds. Furthermore, a simple approach of prestrain modeling is introduced into the commercial FE software package to simulate material tailoring and self-bending mechanism. The accuracy of the straightforward FE approach is validated against experimental observations and computational results from the in-house FE MATLAB-based code. Two periodic architected temperature-sensitive metastructures with adaptive dynamical characteristics are proposed to use bandgap engineering to forbid specific frequencies from propagating through the material. The developed computational tool is finally implemented to numerically examine how bandgap size and frequency range can be controlled and broadened. It is found out that the size and frequency range of the bandgaps are linked to changes in the geometry of self-bending elements printed at different speeds. This research is likely to advance the state-of-the-art 4D printing and unlock potentials in the design of functional metastructures for a broad range of applications in acoustic and structural engineering, including sound wave filters and waveguides
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