RESUMO
Objetivos: Explorar los potenciales beneficios del uso de smart glasses, dispositivos de visualización manejables en modo manos libres, en el quirófano y en consultas externas en urología. Materiales y métodos: Entre abril y noviembre de 2015 se invitó a 80 urólogos a usar Google Glass en su práctica quirúrgica y clínica diarias, así como a compartirlas con otros urólogos. Los participantes puntuaron la utilidad de estos dispositivos en una escala de 10 puntos y aportaron su percepción sobre los posibles beneficios del dispositivo mediante una entrevista telefónica. Resultados: Durante el periodo de experimentación 240 urólogos utilizaron las smart glasses y los 80 inicialmente invitados puntuaron su utilidad. Las puntuaciones medias de utilidad en el quirófano y en consultas externas fueron de 7,4 y 5,4, respectivamente. La entrevista reveló que las aplicaciones de las smart glasses consideradas más prometedoras en cirugía fueron la proyección de vídeos en tiempo real y reproducción de imágenes estáticas, la realidad aumentada, la navegación laparoscópica y el checklist digital de comprobación de seguridad. En consultas externas los participantes las consideraron útiles como sistemas de visualización para compartir resultados de pruebas, para buscar información en un vademecum digital y para consultar historias clínicas en situaciones de urgencia. Conclusiones. Los urólogos involucrados en nuestra experiencia identificaron diversas utilidades de las smart glasses con beneficios potenciales para su práctica diaria, especialmente en el ámbito de la cirugía urológica. Serán necesarios futuros estudios cuantitativos para explotar las posibilidades reales de las smart glasses y abordar sus limitaciones técnicas, con el fin de conseguir un uso seguro de estos dispositivos en la práctica clínica y quirúrgica
Objectives: We aimed to explore the potential benefits of using smart glasses - wearable computer optical devices with touch-less command features - in the surgery room and in outpatient care settings in urology. Materials and methods: Between April and November 2015, 80 urologists were invited to use Google Glass in their daily surgical and clinical practice, and to share them with other urologists. Participants rated the usefulness of smart glasses on a 10-point scale, and provided insights on their potential benefits in a telephone interview. Results: During the testing period, 240 urologists used smart glasses, and the 80 initially invited rated their usefulness. Mean scores for usefulness in the surgery room and in outpatient clinics were 7.4 and 5.4, respectively. The interview revealed that the applications of smart glasses considered most promising in surgery were live video streaming and static image playback, augmented reality, laparoscopic navigation, and digital checklist for safety verification. In outpatient settings, participants considered the glasses useful as a viewing platform for sharing test results, for browsing digital vademecum, and for checking medical records in emergency situations. Conclusions: Urologists engaged in our experience identified various uses of smart glasses with potential benefits for physician's daily practice, particularly in the urological surgery setting. Further quantitative studies are needed to exploit the actual possibilities of smart glasses and address the technical limitations for their safe use in clinical and surgical practice
Assuntos
Humanos , Procedimentos Cirúrgicos Urológicos/métodos , Procedimentos Cirúrgicos Urológicos/tendências , Dispositivos de Proteção dos Olhos , Óculos , Procedimentos Cirúrgicos Urogenitais/instrumentação , Urologia/educação , UrologiaRESUMO
OBJECTIVES: We aimed to explore the potential benefits of using smart glasses - wearable computer optical devices with touch-less command features - in the surgery room and in outpatient care settings in urology. MATERIALS AND METHODS: Between April and November 2015, 80 urologists were invited to use Google Glass in their daily surgical and clinical practice, and to share them with other urologists. Participants rated the usefulness of smart glasses on a 10-point scale, and provided insights on their potential benefits in a telephone interview. RESULTS: During the testing period, 240 urologists used smart glasses, and the 80 initially invited rated their usefulness. Mean scores for usefulness in the surgery room and in outpatient clinics were 7.4 and 5.4, respectively. The interview revealed that the applications of smart glasses considered most promising in surgery were live video streaming and static image playback, augmented reality, laparoscopic navigation, and digital checklist for safety verification. In outpatient settings, participants considered the glasses useful as a viewing platform for sharing test results, for browsing digital vademecum, and for checking medical records in emergency situations. CONCLUSIONS: Urologists engaged in our experience identified various uses of smart glasses with potential benefits for physician's daily practice, particularly in the urological surgery setting. Further quantitative studies are needed to exploit the actual possibilities of smart glasses and address the technical limitations for their safe use in clinical and surgical practice.
Assuntos
Óculos , Urologia/instrumentação , Assistência Ambulatorial , Humanos , Procedimentos Cirúrgicos UrológicosRESUMO
In many vertebrate tissues, cytosolic 5'-nucleotidase II (cN-II) either hydrolyses or phosphorylates a number of purine (monophosphorylated) nucleosides through a scheme common to the Haloacid Dehalogenase superfamily members. It possesses a pivotal role in purine cellular metabolism and it acts on anti-tumoural and antiviral nucleoside analogues, thus being of potential therapeutic importance. cN-II is Mg2+-dependent, regulated and stabilised by several factors such as allosteric effectors ATP and 2,3-DPG, although these are not directly involved in the reaction stoichiometry. We review herein the experimental knowledge currently available about this remarkable enzymatic activity.
