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Biomedical subjects

E Rodas

Publications and source records attributed to E Rodas.

11 recordsLinked to original sources
PubMed1999

Use of mobile low-bandwith telemedical techniques for extreme telemedicine applications.

BACKGROUND: Telemedicine is traditionally associated with the use of very expensive and bulky telecommunications equipment along with substantial bandwidth requirements (128 kilobytes per second [kbps] or greater). Telementoring is an educational technique that involves real-time guidance of a less experienced physician through a procedure in which he or she has limited experience. This technique has been especially dependent on the aforementioned requirements. Traditionally, telemedicine and telementoring have been restricted to technically sophisticated sites. The telemedicine applications through the existing telecommunication infrastructure has not been possible for underdeveloped parts of the world. STUDY DESIGN: Telemedicine and telementoring were applied using low-bandwidth mobile telemedicine applications to support a mobile surgery program in rural Ecuador run by the Cinterandes Foundation and headed by Edgar Rodas, MD. A mobile operating room traveled to a remote region of Ecuador. Using a laptop computer equipped with telemedicine software, a videoconferencing system, and a digital camera, surgical patients were evaluated and operative decisions were made over low-bandwidth telephone lines. Similarly, surgeons in the mobile unit in Ecuador were telementored by an experienced surgeon located thousands of miles away at Yale University School of Medicine. RESULTS: Five preoperative evaluations were conducted from Sucua to Cuenca, Ecuador, with excellent clinical correlation. Additionally, a laparoscopic cholecystectomy was successfully telementored from the department of surgery at Yale University School of Medicine to the mobile surgery unit in Ecuador. The telementored surgery was performed using a telephone line with a baud rate of 12 kbps. CONCLUSIONS: Mobile, low-bandwidth telemedicine applications used in the proper technical and clinical algorithms can be very effective in supporting remote health care delivery efforts. Advantages of such applications include increased cost-effectiveness by limiting travel, expanding services to patients, and increased patient quality assurance.

Ecuador↗
PubMed1998

Continuous quality improvement through use of perinatal clinical record and AGUSTINA database.

UNLABELLED: This paper reviews the development of the field of medical informatics in Latin America. It also describes the results of a computer-based data management system, named AGUSTINA, which is comprised of maternal and infant data on 7570 deliveries that occurred between June, 1990 and December, 1996 in a hospital in the surroundings of Buenos Aires, Argentina. These data were fundamental for the instrumentation of preventive community-oriented activities in the area. Finally, this paper describes recommendations for future actions in the area of medical informatics in Latin America. ABBREVIATIONS: PCR: perinatal clinical record; CLAP, Centro Latino-Americano de Perinato-logia; WHO, World Health Organization; PAHO, Pan-American Health Organization; E-Mail, electronic mail; WWW, world wide web; FTP, file transfer protocol.

Adolescent↗
PubMed1998

Surgical Complications: Mobile Surgery vs. Hospital Surgery.

Mobile Surgery (MS) is an innovative method of delivering high quality surgical expertise and technology to underprivileged and remote areas. This is done by means of transporting a custom-built operating room in a truck and performing the operations on-site. Patients are referred to our program by rural doctors and family physicians. A screening process is completed by our surgical team, and those patients who meet our selection criteria are offered surgical treatment. Operations are meticulously performed and patients recover under our close observation in rural health centers, school rooms, or tents with our Mobile Surgical Unit (MSU) stationed adjacent to them.

Journal Article↗
PubMed1997

Mobile surgery: a new frontier.

At the end of the 20th Century, the world lives in the midst of a tremendous contradiction. On one side we have great scientific and technological progress, designed for the well-being of mankind, and on the other, the everyday widening gap between a few who have more than what they need and the vast majority of people who do not have enough.

Journal Article↗
PubMed1997

Medical informatics in perinatology project AGUSTINA in Argentina.

This paper reviews the development of the field of medical informatics in Latin America. It also describes the preliminary results of a computer-based data management system, named AGUSTINA, which is comprised of maternal and infant data on 6195 deliveries that occurred between June 1990 and December 1995 in a hospital in the surroundings of Buenos Aires, Argentina. These data were fundamental for the instrumentation of preventive community-oriented activities in the area. Finally, this paper describes recommendations for future actions in the area of medical informatics in Latin America.

Adolescent↗
PubMed1992

Diazepam facilitates acceptance of alien lambs by postparturient ewes.

The aim of this study was to determine the effect of diazepam on the behavior of parturient ewes towards alien lambs. There is evidence that benzodiazepines cause behavioral changes during the lactation period in rats. In two independent experiments, it was found that the ewes acceptance of alien lambs significantly increased following a single injection of the benzodiazepine, diazepam, given either 1 or 12 h after parturition. In a third experiment, in which the alien lamb was not permitted to suckle during a period of 2 h after the injection, the diazepam treatment did not provoke significant differences in maternal behavior of the ewes, although in the ewes treated with diazepam, suckling clearly tended to increase. At the dose employed (20 mg), administered 1 h after birth, diazepam caused no signs of sedation as assessed in an open-field test carried out 3 h after parturition. This doesn't eliminate the possibility of diazepam having a sedative effect in the period of 2 h immediately after its administration and before the test and, in this way, facilitating suckling which could be responsible for the maternal behavior observed after this period. As diazepam gives rise to an enhanced GABAergic activity in the brain, these observations suggest that a GABAergic mechanism could also play a role in the process whereby ewes form a selective bond with their own offspring.

Aggression↗
PubMed1991

Lambing and placental expulsion time after dexamethasone-induced parturition in Corriedale and Polwarth ewes.

To study breed differences in ewes induced to parturition with dexamethasone (DXM), 15 Corriedale and 16 Polwarth ewes were injected with 15 mg of DXM four days before the expected lambing date (Days 144 and 145, respectively) in Experiment 1. Interval from treatment to parturition was twice as long for the Polwarth than for the Corriedale breed (57.9 vs 28.8 hours, P </= 0.001). In Experiment 2, the effect of DXM on the interval from parturition to expulsion of the placenta and on biological parameters of the lambs (birth weight, ability to stand after birth and daily weight gain during the first week of life) was studied in 30 Corriedale ewes. On Day 144 of gestation, ewes were given 15 mg of DXM (n= 22) or 15 ml of saline (controls, n= 8). The DXM group lambed 33.8 +/- 2.7 hours after injection. Treatment caused an increase in the time of placental expulsion (4.3 vs 3.4 hours, P>/= 0.05) and on the percentage of ewes retaining the placenta beyond 6 hours (18% vs 0%, P>/= 0.05). Birth weight of lambs was lower in the induced group (3.9 vs 4.5 kg, P</= 0.03), but this did not affect the other parameters of the lambs studied.

Journal Article↗
PubMed1989

Photoperiod and parturition period in isolated or paired rats: influence of sight deprivation and social conditions.

Time of delivery was studied in normal (N) or enucleated (E) rats. Isolated (1/cage) at mating (day 1 of gestation), they were all anaesthetized on day 8 and some of them were then blinded. After anaesthesia, they were kept either alone (N and E) or in homogeneous (NN and EE) and heterogeneous (NE) pairs either under a 12L-12D or a 2L-22D light-dark (LD) cycle. Activity, monitored throughout the rest of pregnancy in 2 homogeneous (NN and EE) and heterogeneous (NE) pairs of rats, kept a marked circadian rhythm under each light regimen. Birth distributions differed according to LD cycle in normal (N or NN) but not in enucleated (E and EE) rats. Under the 12L-12D regimen, parturitions of N and E rats were divided into 2 parts, the majority occurred on the afternoon of day 22 before 21:00 h, the remainder were observed after 6:00 h on day 23. Under the 2L-22D regimen, N rats gave birth over one period, mainly on day 23, whereas E rats had the same birth distribution as those subjected to the 12L-12D LD cycle. In heterogeneous pairs of rats (NE), birth times were affected by photoperiod; under the 2L-22D regimen it was intermediate between those of homogeneous pairs (NN and EE). These results indicate that the eyes were the first link of the nervous chain by which photoperiod influenced birth time. Social conditions may also modulate the photodependent mechanism in ways which remain to be determined.

Animals↗