This paper explores the transformative impact of virtual worlds, augmented reality (AR), and the metaverse in the healthcare sector. It delves into the ways these technologies are reshaping patient care, medical educa...This paper explores the transformative impact of virtual worlds, augmented reality (AR), and the metaverse in the healthcare sector. It delves into the ways these technologies are reshaping patient care, medical education, and research, while also addressing the challenges and opportunities they present. The paper highlights the potential benefits of these technologies and emphasizes the need for comprehensive regulatory frameworks and ethical guidelines to ensure responsible integration. Finally it outlines their transformative impact and discusses the challenges and opportunities they present for the future of healthcare provision.展开更多
Aim:Summarize the available data on midfacial virtual patient specific planning and patient specific implants,highlighting the financial costs and savings,and additionally emphasize the potential cost implications of ...Aim:Summarize the available data on midfacial virtual patient specific planning and patient specific implants,highlighting the financial costs and savings,and additionally emphasize the potential cost implications of transitioning to“in-house”virtual 3D modeling and printing.Methods:Review of current literature.Results:Current literature suggests cost benefits of virtual patient specific planning and patient specific implants in the form of improved ischemia time,better boney apposition between flaps,and reduced patient complications.This reduction of complications includes a reduction in blood loss and time spent in the intensive care unit from flap failure.Improved boney apposition results in a higher likelihood of boney union and a further reduction in failure and complications.Subjective benefits of virtual patient specific planning and patient specific implants are shown in the form of improved reconstructive surgeon mental energy.In-house production of 3D models and presurgical planning provides additional cost benefits for providers as they can produce viable models at a fraction of the price of that which is produced by industrial companies.Providers can also construct and use models in an expedient manner compared to industrial models,allowing for the opportunity to be utilized in more acute settings.The foundation of developing an in-house workflow is adequate funding,resources,and clinical volume.Facilities also must focus on appropriate quality and safety measures,as well as appropriate workflow development for adequate production of models.Conclusion:Virtual patient specific planning and patient specific implants show benefits in midfacial reconstructive outcomes,resulting in realized financial and temporal gains for both patient and provider.These gains may be enhanced by moving to in-house planning and printing.展开更多
目的构建一种基于人工智能大语言模型(large language model,LLM)技术、可用于医学教育的新型虚拟患者(virtual patient,VP)系统,评价该系统在基层医生进修学习全科医学临床思维中的应用效果。方法选取2021年1月至2024年2月在东南大学...目的构建一种基于人工智能大语言模型(large language model,LLM)技术、可用于医学教育的新型虚拟患者(virtual patient,VP)系统,评价该系统在基层医生进修学习全科医学临床思维中的应用效果。方法选取2021年1月至2024年2月在东南大学附属中大医院进修的基层社区医生为研究对象,随机分为试验组和对照组,分别采用基于LLM的VP系统教学、传统教学方法进行授课,通过临床思维理论知识考核、临床思维能力考核、课程满意度调查评估教学效果,并对结果进行相应的统计学分析。结果共纳入124名基层社区医生,其中试验组60例、对照组64例,两组在一般基线资料上差异无统计学意义,具有可比性。课程结束后,试验组临床思维理论知识考核成绩显著高于对照组(83.83±3.15 vs.79.92±4.52,P<0.01),且不及格率显著低于对照组(0.00%vs.9.38%,P<0.05);试验组在临床思维能力3个维度(批判性、系统性、循证思维)方面教学后分数均显著高于教学前,而对照组仅在批判性思维维度上教学前后差异有统计学意义;教学后试验组在系统思维、循证思维方面分数均显著高于对照组(P<0.05),但在批判性思维上两组分数差异无统计学意义。试验组对授课的总体满意度也显著高于对照组(93.33%vs.85.48%,P<0.05)。结论基于LLM的VP系统提升了学员对临床思维理论知识的掌握程度,也促进了其临床思维能力的培养,该教学方法可为其他医学教育群体提供新的教学工具和思路。展开更多
目的系统评价虚拟现实(VR)技术在全麻手术患儿术前焦虑中的应用效果,为临床规范有效地应用VR技术提供证据。方法检索PubMed、EMBASE、Cochrane Library、OVID(JBI)循证卫生保健数据库、Web of Science、CINAHL、中国生物医学文献数据库...目的系统评价虚拟现实(VR)技术在全麻手术患儿术前焦虑中的应用效果,为临床规范有效地应用VR技术提供证据。方法检索PubMed、EMBASE、Cochrane Library、OVID(JBI)循证卫生保健数据库、Web of Science、CINAHL、中国生物医学文献数据库、CNKI和万方数据库、维普数据库中应用VR技术对全麻手术患儿进行术前焦虑干预的随机对照试验和临床对照试验,采用Cochrane偏倚风险评估工具2.0对文献质量进行评价,采用RevMan 5.3软件进行Meta分析。结果共纳入12项研究,984例患者。Meta分析结果显示,与传统方法相比,VR技术的应用可显著降低患儿术前焦虑,尤其是麻醉诱导时的焦虑水平(MD=-0.79,95%CI:-0.98~-0.61,P<0.01),提高患儿麻醉诱导依从性(RR=0.46,95%CI:0.30~0.70,P<0.01),但对患儿苏醒期躁动水平无明显影响(MD=-0.14,95%CI:-0.64~0.36,P=0.28)。VR技术在是否能影响患儿苏醒期躁动发生率、术后行为改变、疼痛水平、生命体征、父母/监护人焦虑水平或满意度、麻醉镇痛药物应用等方面,目前尚无明确结论。结论应用VR技术可以有效减轻患儿术前焦虑,尤其是麻醉诱导时的焦虑水平,提升患儿麻醉诱导依从性,保障手术安全进行,是一种有效的辅助性干预手段。但其是否能减少患儿麻醉及镇痛药物需要、术后行为改变及苏醒期躁动发生,稳定患儿生命体征,降低患儿疼痛水平,减轻患儿父母/监护人焦虑,提升患儿父母/监护人满意度等仍无定论。展开更多
文摘This paper explores the transformative impact of virtual worlds, augmented reality (AR), and the metaverse in the healthcare sector. It delves into the ways these technologies are reshaping patient care, medical education, and research, while also addressing the challenges and opportunities they present. The paper highlights the potential benefits of these technologies and emphasizes the need for comprehensive regulatory frameworks and ethical guidelines to ensure responsible integration. Finally it outlines their transformative impact and discusses the challenges and opportunities they present for the future of healthcare provision.
文摘Aim:Summarize the available data on midfacial virtual patient specific planning and patient specific implants,highlighting the financial costs and savings,and additionally emphasize the potential cost implications of transitioning to“in-house”virtual 3D modeling and printing.Methods:Review of current literature.Results:Current literature suggests cost benefits of virtual patient specific planning and patient specific implants in the form of improved ischemia time,better boney apposition between flaps,and reduced patient complications.This reduction of complications includes a reduction in blood loss and time spent in the intensive care unit from flap failure.Improved boney apposition results in a higher likelihood of boney union and a further reduction in failure and complications.Subjective benefits of virtual patient specific planning and patient specific implants are shown in the form of improved reconstructive surgeon mental energy.In-house production of 3D models and presurgical planning provides additional cost benefits for providers as they can produce viable models at a fraction of the price of that which is produced by industrial companies.Providers can also construct and use models in an expedient manner compared to industrial models,allowing for the opportunity to be utilized in more acute settings.The foundation of developing an in-house workflow is adequate funding,resources,and clinical volume.Facilities also must focus on appropriate quality and safety measures,as well as appropriate workflow development for adequate production of models.Conclusion:Virtual patient specific planning and patient specific implants show benefits in midfacial reconstructive outcomes,resulting in realized financial and temporal gains for both patient and provider.These gains may be enhanced by moving to in-house planning and printing.
文摘目的构建一种基于人工智能大语言模型(large language model,LLM)技术、可用于医学教育的新型虚拟患者(virtual patient,VP)系统,评价该系统在基层医生进修学习全科医学临床思维中的应用效果。方法选取2021年1月至2024年2月在东南大学附属中大医院进修的基层社区医生为研究对象,随机分为试验组和对照组,分别采用基于LLM的VP系统教学、传统教学方法进行授课,通过临床思维理论知识考核、临床思维能力考核、课程满意度调查评估教学效果,并对结果进行相应的统计学分析。结果共纳入124名基层社区医生,其中试验组60例、对照组64例,两组在一般基线资料上差异无统计学意义,具有可比性。课程结束后,试验组临床思维理论知识考核成绩显著高于对照组(83.83±3.15 vs.79.92±4.52,P<0.01),且不及格率显著低于对照组(0.00%vs.9.38%,P<0.05);试验组在临床思维能力3个维度(批判性、系统性、循证思维)方面教学后分数均显著高于教学前,而对照组仅在批判性思维维度上教学前后差异有统计学意义;教学后试验组在系统思维、循证思维方面分数均显著高于对照组(P<0.05),但在批判性思维上两组分数差异无统计学意义。试验组对授课的总体满意度也显著高于对照组(93.33%vs.85.48%,P<0.05)。结论基于LLM的VP系统提升了学员对临床思维理论知识的掌握程度,也促进了其临床思维能力的培养,该教学方法可为其他医学教育群体提供新的教学工具和思路。
文摘目的系统评价虚拟现实(VR)技术在全麻手术患儿术前焦虑中的应用效果,为临床规范有效地应用VR技术提供证据。方法检索PubMed、EMBASE、Cochrane Library、OVID(JBI)循证卫生保健数据库、Web of Science、CINAHL、中国生物医学文献数据库、CNKI和万方数据库、维普数据库中应用VR技术对全麻手术患儿进行术前焦虑干预的随机对照试验和临床对照试验,采用Cochrane偏倚风险评估工具2.0对文献质量进行评价,采用RevMan 5.3软件进行Meta分析。结果共纳入12项研究,984例患者。Meta分析结果显示,与传统方法相比,VR技术的应用可显著降低患儿术前焦虑,尤其是麻醉诱导时的焦虑水平(MD=-0.79,95%CI:-0.98~-0.61,P<0.01),提高患儿麻醉诱导依从性(RR=0.46,95%CI:0.30~0.70,P<0.01),但对患儿苏醒期躁动水平无明显影响(MD=-0.14,95%CI:-0.64~0.36,P=0.28)。VR技术在是否能影响患儿苏醒期躁动发生率、术后行为改变、疼痛水平、生命体征、父母/监护人焦虑水平或满意度、麻醉镇痛药物应用等方面,目前尚无明确结论。结论应用VR技术可以有效减轻患儿术前焦虑,尤其是麻醉诱导时的焦虑水平,提升患儿麻醉诱导依从性,保障手术安全进行,是一种有效的辅助性干预手段。但其是否能减少患儿麻醉及镇痛药物需要、术后行为改变及苏醒期躁动发生,稳定患儿生命体征,降低患儿疼痛水平,减轻患儿父母/监护人焦虑,提升患儿父母/监护人满意度等仍无定论。
