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Syed Mohd Daud SM, Heo CC, Mohd Yusof MYP, Khoo LS, Chainchel Singh MK, Mahmood MS, Bin Muhammad Nasir MD, Nawawi H. Use of thermal drone in detection and assessment of larval mass temperature in decomposed rabbit carcasses. J Forensic Sci 2024; 69:542-553. [PMID: 38402526 DOI: 10.1111/1556-4029.15466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 11/22/2023] [Accepted: 01/15/2024] [Indexed: 02/26/2024]
Abstract
Manual ground searches and cadaver dogs are traditional methods for locating remains, but they can be time- and resource-intensive, resulting in the decomposition of bodies and delay in victim identification. Therefore, thermal imaging has been proposed as a potentially useful tool for detecting remains based on their temperature. This study investigated the potential of a novel search technique of thermal drones to detect surface remains through the detection of maggot mass temperatures. Two trials were carried out at Selangor, Malaysia, each utilizing 12 healthy male Oryctolagus cuniculus European white rabbits and DJI Matrice 300 RTK drone China, equipped with a thermal camera; Zenmuse H20T to record the thermal imaging footage of the carcasses at various heights (15, 30, 60-100 m) for 14 days for each trial. Our results demonstrated that the larval masses and corresponding heat emissions were at their largest during the active decay stage; therefore, all the carcasses were observable in thermal images on day 5 and remained until day 7. Statistical analyses showed that (1) no statistically significant differences in thermal images between clothed and unclothed subjects (p > 0.05); (2) 15 m above ground level was proven to be the optimal height, as it showed the greatest contrast between the carcass heat signature and the background (p < 0.005). Our data suggested the potential window of detection of thermal signatures was detectable up to 7 days post-deposition. This could be an important guideline for the search and recovery teams for operational implementation in this tropical region.
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Affiliation(s)
- Sharifah Mastura Syed Mohd Daud
- Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia
- Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia
- Department of Diagnostics and Allied Health Sciences, Faculty of Health and Life Science, Management and Science University, Shah Alam, Malaysia
| | - Chong Chin Heo
- Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia
- Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia
- Department of Medical Microbiology and Parasitology, Faculty of Medicine, Shah Alam, Malaysia
| | - Mohd Yusmiaidil Putera Mohd Yusof
- Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia
- Centre for Oral & Maxillofacial Diagnostics and Medicine Studies, Faculty of Dentistry, Universiti Teknologi MARA Selangor, Shah Alam, Malaysia
| | - Lay See Khoo
- National Institute of Forensic Medicine (IPFN), Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
| | - Mansharan Kaur Chainchel Singh
- Faculty of Medicine, Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia
- Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia
- National Institute of Forensic Medicine (IPFN), Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
| | - Mohd Shah Mahmood
- National Institute of Forensic Medicine (IPFN), Hospital Kuala Lumpur, Kuala Lumpur, Malaysia
| | | | - Hapizah Nawawi
- Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA (UiTM), Sungai Buloh, Malaysia
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Gupta P, Choudhury R, Kotwal A. Achieving health equity through healthcare technology: Perspective from India. J Family Med Prim Care 2023; 12:1814-1817. [PMID: 38024887 PMCID: PMC10657065 DOI: 10.4103/jfmpc.jfmpc_321_23] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2023] [Revised: 06/16/2023] [Accepted: 06/20/2023] [Indexed: 12/01/2023] Open
Abstract
India aims to provide universal health coverage to all individuals and communities thus ensuring accessibility, promotive, curative, preventive, rehabilitative, and palliative health services to all. Healthcare technologies play a critical role in ensuring eliminating healthcare disparities and encouraging quality healthcare at all levels. Technology solutions such as indigenous medical devices and diagnostic products, telemedicine, artificial intelligence, and drone technology can best integrate rural needs, improve health outcomes, patient safety, and healthcare quality and experience for patients' values and strengths and can therefore be important contributors to advancing rural health equity. These technologies can transform India's healthcare system by providing quality care and mitigating the risk of catastrophic financial hardship.
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Affiliation(s)
- Prakamya Gupta
- Division of Healthcare Technologies, National Health Systems Resource Center, Munirka, New Delhi, India
| | - Ranjan Choudhury
- Division of Healthcare Technologies, National Health Systems Resource Center, Munirka, New Delhi, India
| | - Atul Kotwal
- Executive Director, National Health Systems Resource Center, Munirka, New Delhi, India
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Kirkpatrick AW, McKee JL, Breeck K. Comments on Tien and Beckett’s ‘Medical support for future large-scale combat operations’. JOURNAL OF MILITARY, VETERAN AND FAMILY HEALTH 2023. [DOI: 10.3138/jmvfh-2022-0066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Affiliation(s)
- Andrew W. Kirkpatrick
- TeleMentored Ultrasound Supported Medical Interventions Research Group, Calgary, Alberta, Canada
| | - Jessica L. McKee
- TeleMentored Ultrasound Supported Medical Interventions Research Group, Calgary, Alberta, Canada
| | - Karen Breeck
- Women Veterans Research and Engagement Network, Ottawa, Ontario, Canada
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Kirkpatrick AW, McKee JL, Conly JM, Flemons K, Hawkins W. Smarter faster just-in-time hemorrhage control: A pilot evaluation of remotely piloted aircraft system delivered STOP-THE-BLEED equipment with just-in-time remote telementored deployment. Heliyon 2023; 9:e12985. [PMID: 36820166 PMCID: PMC9938468 DOI: 10.1016/j.heliyon.2023.e12985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2022] [Revised: 01/11/2023] [Accepted: 01/12/2023] [Indexed: 01/19/2023] Open
Abstract
Introduction Remotely Piloted Aircraft Systems (RPAS) can access patients inaccessible to traditional rescue. Just-in-time remote telementoring (RTM) of naïve users to self-care could potentially address challenges in salvaging exsanguination in remote environments. Methods An exsanguination self-application task was established in a wilderness location. Three volunteers-initiated distress calls to prompt RPAS precision delivered STOP-THE-BLEED kits, after which a remote mentor directed the volunteers how to self-care. Results Limited connectivity prevented video, however each volunteer delivered images and initiated conversation with the mentor pre-RPAS arrival. Thereafter, all subjects were able to unpack and deploy hemorrhage control adjuncts under verbal direction, and to simulate self-application. All subjects were able to successfully apply wound-clamps, tourniquets, and pack wounds although one had insufficient pressure. Discussion RPASs can deliver supplies long before human rescuers, and communication connectivity might allow remote mentoring in device application. Further development of technology and self-care paradigms for exsanguination are encouraged.
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Affiliation(s)
- Andrew W. Kirkpatrick
- Tele-Mentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group, Calgary, Alberta, Canada,Department of Critical Care Medicine, Canada,Department of Surgery, Canada,Trauma Program, Foothills Medical Centre, Calgary, Alberta, Canada,University of Calgary, Canada,Corresponding author. Tele-Mentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group, Calgary, Alberta, Canada.
| | - Jessica L. McKee
- Tele-Mentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group, Calgary, Alberta, Canada
| | - John M. Conly
- University of Calgary, Canada,Department of Medicine, University of Calgary, Calgary, Alberta, Canada,W21C, O’ Brien Institute for Public Health University of Calgary, Calgary, Alberta, Canada
| | - Kristin Flemons
- University of Calgary, Canada,W21C, O’ Brien Institute for Public Health University of Calgary, Calgary, Alberta, Canada
| | - Wade Hawkins
- Centre for Innovation and Research in Unmanned Systems (CIRUS), Southern Alberta Institute of Technology (SAIT), Calgary, Alberta, Canada
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Das NK, Patil R, Prasanna S, Das P, Mukhida S. Drones for Medical Supply During Disaster: A Game Changer in "Health for All" Policy. Health Serv Insights 2023; 16:11786329231160013. [PMID: 36896146 PMCID: PMC9989367 DOI: 10.1177/11786329231160013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023] Open
Affiliation(s)
- Nikunja Kumar Das
- Department of Microbiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
| | - Rajashri Patil
- Department of Microbiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
| | - Sarangan Prasanna
- Department of Microbiology, Shri Sathya Sai Medical College and Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Chengalpattu, Tamil Nadu, India
| | - Pankaj Das
- Department of Dermatology, Army College of Medical Sciences, Base Hospital, Delhi Cantt, New Delhi, India
| | - Sahjid Mukhida
- Department of Microbiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
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Robinson Y, Khorram-Manesh A, Arvidsson N, Sinai C, Taube F. Does climate change transform military medicine and defense medical support? Front Public Health 2023; 11:1099031. [PMID: 37213601 PMCID: PMC10194660 DOI: 10.3389/fpubh.2023.1099031] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 04/11/2023] [Indexed: 05/23/2023] Open
Abstract
Background Climate change has effects on multiple aspects of human life, such as access to food and water, expansion of endemic diseases as well as an increase of natural disasters and related diseases. The objective of this review is to summarize the current knowledge on climate change effects on military occupational health, military healthcare in a deployed setting, and defense medical logistics. Methods Online databases and registers were searched on August 22nd, 2022 and 348 papers retrieved, published between 2000 and 2022, from which we selected 8 publications that described climate effects on military health. Papers were clustered according to a modified theoretical framework for climate change effects on health, and relevant items from each paper were summarized. Results During the last decades a growing body of climate change related publications was identified, which report that climate change has a significant impact on human physiology, mental health, water- and vector borne infectious diseases, as well as air pollution. However, regarding the specific climate effects on military health the level of evidence is low. The effects on defense medical logistics include vulnerabilities in the cold supply chain, in medical devices functioning, in need for air conditioning, and in fresh water supply. Conclusions Climate change may transform both the theoretical framework and practical implementations in military medicine and military healthcare systems. There are significant knowledge gaps on climate change effects on the health of military personnel in operations of both combat and non-combat nature, alerting the need for prevention and mitigation of climate-related health issues. Further research within the fields of disaster and military medicine is needed to explore this novel field. As climate effects on humans and the medical supply chain may degrade military capability, significant investments in military medical research and development are needed.
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Affiliation(s)
- Yohan Robinson
- Centre for Disaster Medicine, Gothenburg University, Gothenburg, Sweden
- Joint Centre for Defence Medicine, Swedish Armed Forces, Gothenburg, Sweden
- *Correspondence: Yohan Robinson
| | | | - Niclas Arvidsson
- Centre for Disaster Medicine, Gothenburg University, Gothenburg, Sweden
- Joint Centre for Defence Medicine, Swedish Armed Forces, Gothenburg, Sweden
| | - Cave Sinai
- Centre for Disaster Medicine, Gothenburg University, Gothenburg, Sweden
- Joint Centre for Defence Medicine, Swedish Armed Forces, Gothenburg, Sweden
| | - Fabian Taube
- Centre for Disaster Medicine, Gothenburg University, Gothenburg, Sweden
- Joint Centre for Defence Medicine, Swedish Armed Forces, Gothenburg, Sweden
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Kirkpatrick AW, McKee JL, Couperus K, Colombo CJ. Patient Self-Performed Point-of-Care Ultrasound: Using Communication Technologies to Empower Patient Self-Care. Diagnostics (Basel) 2022; 12:2884. [PMID: 36428945 PMCID: PMC9689087 DOI: 10.3390/diagnostics12112884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 11/16/2022] [Accepted: 11/16/2022] [Indexed: 11/23/2022] Open
Abstract
Point-of-Care ultrasound (POCUS) is an invaluable tool permitting the understanding of critical physiologic and anatomic details wherever and whenever a patient has a medical need. Thus the application of POCUS has dramatically expanded beyond hospitals to become a portable user-friendly technology in a variety of prehospital settings. Traditional thinking holds that a trained user is required to obtain images, greatly handicapping the scale of potential improvements in individual health assessments. However, as the interpretation of ultrasound images can be accomplished remotely by experts, the paradigm wherein experts guide novices to obtain meaningful images that facilitate remote care is being embraced worldwide. The ultimate extension of this concept is for experts to guide patients to image themselves, enabling secondary disease prevention, home-focused care, and self-empowerment of the individual to manage their own health. This paradigm of remotely telementored self-performed ultrasound (RTMSPUS) was first described for supporting health care on the International Space Station. The TeleMentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group has been investigating the utility of this paradigm for terrestrial use. The technique has particular attractiveness in enabling surveillance of lung health during pandemic scenarios. However, the paradigm has tremendous potential to empower and support nearly any medical question poised in a conscious individual with internet connectivity able to follow the directions of a remote expert. Further studies and development are recommended in all areas of acute and chronic health care.
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Affiliation(s)
- Andrew W. Kirkpatrick
- TeleMentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group, Calgary, AB T3H 3W8, Canada
- Departments of Critical Care Medicine and Surgery, University of Calgary, Calgary, AB T2N 1N4, Canada
| | - Jessica L. McKee
- TeleMentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group, Calgary, AB T3H 3W8, Canada
| | - Kyle Couperus
- Ready Medic One (RMO) Research Group, Tacoma, WA 98431, USA
| | - Christopher J. Colombo
- Department of Medicine, Uniformed Services University of Health Sciences Bethesda Maryland, Bethesda, MD 20814, USA
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Mohsan SAH, Zahra QUA, Khan MA, Alsharif MH, Elhaty IA, Jahid A. Role of Drone Technology Helping in Alleviating the COVID-19 Pandemic. MICROMACHINES 2022; 13:1593. [PMID: 36295946 PMCID: PMC9612140 DOI: 10.3390/mi13101593] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Revised: 09/18/2022] [Accepted: 09/22/2022] [Indexed: 06/16/2023]
Abstract
The COVID-19 pandemic, caused by a new coronavirus, has affected economic and social standards as governments and healthcare regulatory agencies throughout the world expressed worry and explored harsh preventative measures to counteract the disease's spread and intensity. Several academics and experts are primarily concerned with halting the continuous spread of the unique virus. Social separation, the closing of borders, the avoidance of big gatherings, contactless transit, and quarantine are important methods. Multiple nations employ autonomous, digital, wireless, and other promising technologies to tackle this coronary pneumonia. This research examines a number of potential technologies, including unmanned aerial vehicles (UAVs), artificial intelligence (AI), blockchain, deep learning (DL), the Internet of Things (IoT), edge computing, and virtual reality (VR), in an effort to mitigate the danger of COVID-19. Due to their ability to transport food and medical supplies to a specific location, UAVs are currently being utilized as an innovative method to combat this illness. This research intends to examine the possibilities of UAVs in the context of the COVID-19 pandemic from several angles. UAVs offer intriguing options for delivering medical supplies, spraying disinfectants, broadcasting communications, conducting surveillance, inspecting, and screening patients for infection. This article examines the use of drones in healthcare as well as the advantages and disadvantages of strict adoption. Finally, challenges, opportunities, and future work are discussed to assist in adopting drone technology to tackle COVID-19-like diseases.
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Affiliation(s)
- Syed Agha Hassnain Mohsan
- Optical Communications Laboratory, Ocean College, Zhejiang University, Zheda Road 1, Zhoushan 316021, China
| | - Qurat ul Ain Zahra
- Department of Biomedical Engineering, Biomedical Imaging Centre, University of Science and Technology of China, Hefei 230009, China
| | - Muhammad Asghar Khan
- Department of Electrical Engineering, Hamdard Institute of Engineering & Technology, Islamabad 44000, Pakistan
| | - Mohammed H. Alsharif
- Department of Electrical Engineering, College of Electronics and Information Engineering, Sejong University, Seoul 05006, Korea
| | - Ismail A. Elhaty
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Istanbul Gelisim University, Istanbul P.O. Box 34310, Turkey
| | - Abu Jahid
- School of Electrical Engineering and Computer Science, University of Ottawa, 25 Templeton St., Ottawa, ON K1N 6N5, Canada
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Moon M, Pecchia L, Velazquez Berumen A, Baller A. Personal protective equipment research and innovation in the context of the World Health Organization COVID-19 R&D Blueprint program. Am J Infect Control 2022; 50:839-843. [PMID: 35908820 PMCID: PMC9329074 DOI: 10.1016/j.ajic.2022.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 05/10/2022] [Indexed: 11/01/2022]
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