ABSTRACT
Abstract Significant progress has been made in using information and communication technologies in medicine, by impacting the quality of health-care delivery system and patient care, and paving the way for ground-breaking tools for e-health and clinical decision-support systems. This study investigates the extent to which the evolution of telemedicine applications has been used to support patient care in Latin America (LATAM) amidst the pandemic. Theoretically, the study applied the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology to identify the impact of telemedicine in the region. Practically, the paper provides a systematic mapping study of the different domain areas and methodological progress in Telemedicine that occurred during the pandemic, and applied a text mining technique to understand the intensities of the terms expressed by the analyzed studies. The results show that while telemedicine has not been extensively used, a greater percentage of the studies report that telemedicine was effective. Approximately 70% positive emotional valence score was found. The paper also provides an empirical discussion and recommendations for the next steps in ample adoption of telemedicine.
Resumo Foram feitos progressos significativos na utilização de tecnologias de informação e comunicação na medicina, com impacto no sistema de prestação de cuidados de saúde e nos cuidados aos doentes, e abrindo caminho a ferramentas inovadoras para sistemas eletrônicos de saúde e de apoio à decisão clínica. O presente estudo investiga até que ponto o crescimento das aplicações da telemedicina tem sido utilizado para apoiar os cuidados aos doentes na América Latina (LATAM) em meio da pandemia. Teoricamente, o estudo aplicou a metodologia Preferred Reporting Items for Systematic Reviews e Meta-Analyses (PRISMA) para identificar o impacto da telemedicina na região. Na prática, o artigo apresenta um estudo de mapeamento sistemático das diferentes áreas de domínio e progresso metodológico em telemedicina que ocorreram durante a pandemia, e aplicou uma técnica de text mining para compreender as intensidades dos termos expressos pelos pesquisas analisadss. Os resultados mostram que, embora a telemedicina não tenha sido amplamente utilizada, um maior percentual de estudos informa que a telemedicina foi eficaz. Foi encontrada uma pontuação de valência emocional positiva de aproximadamente 70%. O documento também traz uma discussão empírica para os próximos passos na adoção da telemedicina.
ABSTRACT
Tensor fasciae latae muscle is a thick muscle with heavy fascial investment and is extensively used for the reconstruction of musculocutaneous tissue loss following major injuries including burn, trauma, and bed sore. Most of known reference values for the measurement of this muscle are from foreign subjects and no measurement in Korean subject were reported. This study demonstrates the characteristics of the arterial supply of the tensor fasciae latae muscle for flap. Total 67 Korean cadavers (41 males and 26 females), clinically normal and without deformity, were dissected. The pattern of distribution of the arteries supplying the muscle was studied, and entering points of each arteries to the muscle were measured as relative coordination from anterior superior iliac spine (A) and center of patella (B). The point of the line AB which meets perpendicular line from entering point of each vessel (P) was definde as C. The length of AP (X) and PC (Y) was measured. 1. Average length of the line AB was 424.7 mm and was longer in male (438.3 mm) than in female (403.1 mm) subjects ( p< 0.01). 2. The XY coordination of origin of the muscle from line AB was-48.8 mm and-21.7 mm and that of insertion of the muscle was 157.9 mm and-20.9 mm. 3. Average length, width, and thickness of the tensor fasciae latae muscle were 167.2 mm, 35.9 mm, 10.5 mm, respectively, and the muscles were longer in male than in female subjects ( p< 0.01). 4. The existence of ascending branch of lateral femoral circumplex artery was 77.5%. The ascending and transverse branches were 16.9%. The ascending and descending branches were 2.8%. The ascending branch of lateral femoral circumflex artery and branch of femoral artery were 1.4%. The ascending branch of lateral femoral circumflex artery and branch of deep femoral artery were 1.4%. 5. Lateral circumflex femoral artery reached the tensor fasciae latae muscle at X: 97.9 mm, Y: 31.3 mm. 6. Point where the muscular branch of lateral circumflex artery to the tensor fasciae latae muscle began, was X: 88.8 m, Y: 17.1 mm. 7. The length and external diameter of pedicle were 30.9 mm, and 2.6 mm respectively. 8. The average number of branches of pedicle to tensor fasciae latae muscle was 7.1. 9. When line AB length was based on 100%, the origin and insertion of the tensor fasciae latae muscle were-11.5% and 37.2% respectively. The branching point from lateral circumflex femoral artery was 23.5%. The last branching point before entering the muscle was 20.9%. The entering point of the branches of pedicles was 16.7%. These data provides the anatomical characteristics of the arterial supply of the tensor fascia latae muscle in Korean in clinical relevance with musculocutaneous flap.