The interpretation of laboratory tests by resident physicians is an integral part of the process of medical education. Therefore, the resident's awareness of the validity, reliability, and usefulness of laboratory tests and their alternatives, coupled with an analytical dialog between the supervising attending physician and the resident can help limit the ordering of diagnostic tests to what is logically and scientifically appropriate. Such a dialog may partially address the issue of teaching cost-effectiveness within the graduate medical education curriculum.
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J Med Internet Res
January 2025
Division of Clinical Pathology, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Background: Sepsis, a critical global health challenge, accounted for approximately 20% of worldwide deaths in 2017. Although the Sequential Organ Failure Assessment (SOFA) score standardizes the diagnosis of organ dysfunction, early sepsis detection remains challenging due to its insidious symptoms. Current diagnostic methods, including clinical assessments and laboratory tests, frequently lack the speed and specificity needed for timely intervention, particularly in vulnerable populations such as older adults, intensive care unit (ICU) patients, and those with compromised immune systems.
View Article and Find Full Text PDFPLoS Negl Trop Dis
January 2025
Department of Agricultural and Environmental Sciences, Universidade Estadual de Santa Cruz, Ilhéus, Bahia, Brazil.
Chikungunya virus (CHIKV) is primarily associated with non-human-primates (NHPs) in Africa, which also infect humans. Since its introduction to Brazil in 2014, CHIKV has predominantly thrived in urban cycles, involving Aedes aegypti mosquitoes. Limited knowledge exists regarding CHIKV occurrence and implications in rural and sylvatic cycles where neotropical NHPs are potential hosts, from which we highlight Leontopithecus chrysomelas (Kuhl, 1820), the golden-headed lion tamarin (GHLT), an endangered species endemic to the Atlantic Forest (AF) in Southern Bahia State, Brazil.
View Article and Find Full Text PDFPLoS One
January 2025
School of Resources and Environmental Engineering, Wuhan University of Science and Technology, Wuhan, China.
The shear resistance of filling joints is an important factor affecting the stability of rock joints. Pressure-shear tests of cement-filled joints were carried out. Combined with the acoustic emission (AE) technique, the effects of normal stress, roughness and filling degree on the shear strength, damage morphology and damage evolution of cement-filled joints were investigated.
View Article and Find Full Text PDFPLoS One
January 2025
Key Laboratory of Road and Traffic Engineering of Ministry of Education, Tongji University, Shanghai, China.
Highway guardrails are critical safety infrastructure along roadways, designed to redirect vehicles back into their lanes and facilitate a gradual deceleration to a complete stop. Traditional highway steel guardrails exhibit significant limitations, including inadequate energy absorption, susceptibility to corrosion, and an increased risk of vehicles leaving the roadway during severe collisions. Furthermore, the production and transportation of these guardrails contribute to substantial carbon emissions and environmental pollution.
View Article and Find Full Text PDFImages are important information carriers in our lives, and images should be secure when transmitted and stored. Image encryption algorithms based on chaos theory emerge in endlessly. Based on previous various chaotic image fast encryption algorithms, this paper proposes a color image sector fast encryption algorithm based on one-dimensional composite sinusoidal chaotic mapping.
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