Regular Screen Research Articles

Investigating the Perception of Facial Anonymization Techniques in 360° Videos

In this work, we investigate facial anonymization techniques in 360° videos and assess their influence on the perceived realism, anonymization effect, and presence of participants. In comparison to traditional footage, 360° videos can convey engaging, immersive experiences that accurately represent the atmosphere of real-world locations. As the entire environment is captured simultaneously, it is necessary to anonymize the faces of bystanders in recordings of public spaces. Since this alters the video content, the perceived realism and immersion could be reduced. To understand these effects, we compare non-anonymized and anonymized 360° videos using blurring, black boxes, and face-swapping shown either on a regular screen or in a head-mounted display (HMD). Our results indicate significant differences in the perception of the anonymization techniques. We find that face-swapping is most realistic and least disruptive, however, participants raised concerns regarding the effectiveness of the anonymization. Furthermore, we observe that presence is affected by facial anonymization in HMD condition. Overall, the results underscore the need for facial anonymization techniques that balance both photo-realism and a sense of privacy.

Doing more with less: Realistic stereoscopic three-dimensional anatomical modeling from smartphone photogrammetry.

Traditional teaching methods struggle to convey three-dimensional concepts effectively. While 3D virtual models and virtual reality platforms offer a promising approach to teaching anatomy, their cost and specialized equipment pose limitations, especially in disadvantaged areas. A simpler alternative is to use virtual 3D models displayed on regular screens, but they lack immersion, realism, and stereoscopic vision. To address these challenges, we developed an affordable method utilizing smartphone-based 360° photogrammetry, virtual camera recording, and stereoscopic display (anaglyph or side-by-side technique). In this study, we assessed the feasibility of this method by subjecting it to various specimen types: osteological, soft organ, neuroanatomical, regional dissection, and a dedicated 3D-printed testing phantom. The results demonstrate that the 3D models obtained feature a complete mesh with a high level of detail and a realistic texture. Mesh and texture resolutions were estimated to be approximately 1 and 0.2 mm, respectively. Additionally, stereoscopic animations were both feasible and effective in enhancing depth perception. The simplicity and affordability of this method position it as a technique of choice for creating easily photorealistic anatomical models combined with stereoscopic depth visualization.

The Effectiveness of the Case Manager-Centered Collaborative Care Model with Computer-Assisted Assessment on Quality Indicators for the Care of Dementia.

This study aimed to investigate the influence of case management and its corresponding computer-assisted assessment system on the quality improvement of dementia care. This observational study enrolled 2029 patients and their caregivers at Changhua Christian Hospital in Taiwan. Physicians who made the diagnosis of dementia would introduce the patient and caregiver dyad to the case manager-centered collaborative care team after obtaining agreement. The achievement rates of 11 quality indicators (QIs) comprising timely diagnostic evaluations, regular screens of cognition and neuropsychiatric symptoms, caregiver support, and proper medication prescriptions were counted. Different timeframes (≤4 months, 4 months-1 year, 1-2 years, 2-3 years, or ≥3 years) from diagnosis of dementia to collaborative care intervention were compared. A significantly higher attainment rate was achieved for patients with earlier entry into the collaborative team model, including QIs about timely diagnosis and regular screening, and caregiver support. The QIs regarding dementia medication prescriptions and documentation of the risk of antipsychotics remained similar regardless of the time of entry into the model. The completion rates of QIs also improved after the information system was launched. Physician-case manager co-management in the setting of a collaborative care model with a computer-assisted assessment system helps improve QI achievement for dementia care.

Abstract PR016: Largescale organoid panel drug screening to short-track clinically-relevant output

Abstract Introduction Patient-derived organoids (PDOs) have emerged over the last decade as representative in vitro replicas of tumor biology, bringing increased accuracy in predicting clinical outcomes based on pre-clinical results. Large and deeply characterized organoid biobanks, covering broad varieties in indications and genetic backgrounds, have been generated that allow large scale (combination) drug testing, reliable biomarker predictions, and improved drug repurposing and patient stratification studies. However, relatively long timelines and high expenses hold the organoids back to live up to their promise. To overcome these hurdles, we have optimized processes, and here present a largescale organoid panel drug screening platform consisting of over 50 organoid models that predicts drug responses across at least seven indications in a robust, but also fast and cost-efficient manner. Methods Colorectal, breast, lung, pancreatic, ovarian, cervix and melanoma organoid models were selected for subtype and driver mutation variety, banked in large batches, and preserved in an assay-ready format to reduce lead-in time and organoid expansion phase. Drug responses of the full organoid panel were characterized with standard of care compounds (cisplatin, gemcitabine and paclitaxel) and AMG510 targeted therapy (KRAS G12C inhibitor, sotorasib) by measuring ATP levels after a 5-day exposure using a 9-dose curve. Experiments were executed using automated liquid handling equipment to standardize procedures and increase consistency. Control variability (CV), Z-factors and assay windows were calculated to assess assay performance, and IC50 values and area under the curves (AUC) were calculated to express drug sensitivity. Experiments were repeated in multiple labs to test for assay robustness. Results The largescale panel screening platform exhibits a high average assay performance, with high Z-factors (>0.6), low intra- and interplate variability (CV <15%) and reproducible IC50 outputs. Data report of the full panel was prepared within 6 weeks of project kick-off; shortening timelines compared to regular organoid screens over 6-fold, from months to weeks. Using IC50 values and AUC, drug sensitivity testing distinguished sensitive from partially and insensitive models, and models with specific genetic features (KRAS G12C vs G12X) behaved as expected when a AMG510 therapy was tested. Conclusion and Discussion Assay-ready organoid technology-based largescale panel screening as presented here has resulted in efficient timeline and cost reductions and will therefore further harness the large potential of PDO technology in the drug development pipeline. Largescale organoid panel screening enables identification of drug synergy by testing drug combinations. With the majority of included models also being available as PDX models, it will facilitate a seamless translation into subsequent in vivo studies. Moreover, combining panel screens with advanced biomarker analysis will allow early patient stratification, further aiding clinical development of novel oncology drugs. Citation Format: Liza Wijler, Annelot Staes, Linda van Seeters, Lama Alhaj Hasan, Bram Herpers, Leo Price, Mariusz Madej, Michiel Fokkelman, Xiaoxi Xu, Marrit Putker. Largescale organoid panel drug screening to short-track clinically-relevant output [abstract]. In: Proceedings of the AACR-NCI-EORTC Virtual International Conference on Molecular Targets and Cancer Therapeutics; 2023 Oct 11-15; Boston, MA. Philadelphia (PA): AACR; Mol Cancer Ther 2023;22(12 Suppl):Abstract nr PR016.

Knowledge, Attitude, and Practice of Computer Vision Syndrome among Office Workers in UiTM Puncak Alam

Computer vision syndrome (CVS) is a widespread issue affecting computer users. This study investigated the level of knowledge, attitude, and practice of using visual display unit on CVS among office workers in UiTM Puncak Alam campus and the association between these factors. Majority respondents knew that prolonged computer digital screen usage could lead to CVS(76%) and that practicing good ergonomics(76%) and taking regular screen breaks(69%) can reduce discomfort and risk of injury. There was a significant association between CVS knowledge and gender, years of working with computers, and refractive error status. This study will improve computer users' knowledge of CVS.

Benefit of stereoscopic volume rendering for the identification of pediatric pulmonary vein stenosis from CT angiography.

The use of three-dimensional (3D) technologies in medical practice is increasing; however, its use is largely untested. One 3D technology, stereoscopic volume-rendered 3D display, can improve depth perception. Pulmonary vein stenosis (PVS) is a rare cardiovascular pathology, often diagnosed by computed tomography (CT), where volume rendering may be useful. Depth cues may be lost when volume rendered CT is displayed on regular screens instead of 3D displays. The objective of this study was to determine whether the 3D stereoscopic display of volume-rendered CT improved perception compared to standard monoscopic display, as measured by PVS diagnosis. CT angiograms (CTAs) from 18 pediatric patients aged 3 weeks to 2 years were volume rendered and displayed with and without stereoscopic display. Patients had 0 to 4 pulmonary vein stenoses. Participants viewed the CTAs in 2 groups with half on monoscopic and half on stereoscopic display and the converse a minimum of 2 weeks later, and their diagnoses were recorded. A total of 24 study participants, comprised of experienced staff cardiologists, cardiovascular surgeons and radiologists, and their trainees viewed the CTAs and assessed the presence and location of PVS. Cases were classified as simple (2 or fewer lesions) or complex (3 or more lesions). Overall, there were fewer type 2 errors in diagnosis for stereoscopic display than standard display, an insignificant difference (p = 0.095). There was a significant decrease in type 2 errors for complex multiple lesion cases (≥3) vs simpler cases (p = 0.027) and improvement in localization of pulmonary veins (p = 0.011). Subjectively, 70% of participants stated that stereoscopy was helpful in the identification of PVS. The stereoscopic display did not result in significantly decreased errors in PVS diagnosis but was helpful for more complex cases.

Eye Care Behaviors among Adults in Poland: A Nationwide Cross-Sectional Survey.

Implementation of eye care behaviors may reduce the risk of eye symptoms and diseases. This study aimed to assess eye care behaviors and identify factors associated with eye care practices among adults in Poland. This cross-sectional survey was carried out between 9 and 12 December 2022 on a nationwide random quota sample of adults in Poland. The study questionnaire included a set of questions on 10 different eye care behaviors. The study population included 1076 participants with a mean age of 45.7 ± 16.2 years, and 54.2% of participants were females. The most common (30.2%) eye care behavior was the use of good lighting indoors, and 27.3% used sunglasses with a UV filter. More than one-fifth of participants declared taking regular screen breaks and limiting screen time. Less than one-tenth of participants used dietary supplements with lutein, beta-carotene, or zinc. Out of 12 factors assessed in this study, self-reported knowledge of eye diseases was the most important factor associated (p < 0.05) with eye care behaviors. There were no economic or educational gaps (p > 0.05) in the implementation of most of the eye care behaviors among adults in Poland. This study revealed a low level of implementation of eye care behaviors among adults in Poland.

Offline Calibration for Infant Gaze and Head Tracking across a Wide Horizontal Visual Field.

Most well-established eye-tracking research paradigms adopt remote systems, which typically feature regular flat screens of limited width. Limitations of current eye-tracking methods over a wide area include calibration, the significant loss of data due to head movements, and the reduction of data quality over the course of an experimental session. Here, we introduced a novel method of tracking gaze and head movements that combines the possibility of investigating a wide field of view and an offline calibration procedure to enhance the accuracy of measurements. A 4-camera Smart Eye Pro system was adapted for infant research to detect gaze movements across 126° of the horizontal meridian. To accurately track this visual area, an online system calibration was combined with a new offline gaze calibration procedure. Results revealed that the proposed system successfully tracked infants' head and gaze beyond the average screen size. The implementation of an offline calibration procedure improved the validity and spatial accuracy of measures by correcting a systematic top-right error (1.38° mean horizontal error and 1.46° mean vertical error). This approach could be critical for deriving accurate physiological measures from the eye and represents a substantial methodological advance for tracking looking behaviour across both central and peripheral regions. The offline calibration is particularly useful for work with developing populations, such as infants, and for people who may have difficulties in following instructions.

OVERWEIGHT/OBESITY IN COLLEGE STUDENTS: A SYSTEMATIC REVIEW

This article aims to characterize the prevalence and the factors associated with overweight/obesity in college students, through a systematic review. For doing so, the PRISMA protocol has been utilized. Articles about overweight/obesity were selected in college students on the databases of the National Library of Medicine (PUBMED), Scientific Electronic Library Online (SciELO), Biblioteca Virtual em Saúde (BVS), Web of Science and Scopus, it was considered the publication period from 2014 to 2019. We found 4,740 articles and 28 met the eligibility criteria. The overweight/obesity prevalence in college students varied from 9.5% to 47.0%. The Odds Ratio was the most used association measure (comparison) in studies. As characteristics that favor overweight/obesity, inadequate diet, income, male gender, low level of physical activity and family history of overweight/obesity are mentioned. The factors associated with protection against overweight/obesity were a healthy diet, regular physical activity and screen time. Finally, this review showed that university students are prone to overweight/obesity, as they have behavioral factors related to inadequate diet, low level of physical activity, income, being male, and sociocultural and family aspects due to a history of overweight/obesity. In counterpart, this review argues that healthy diet and physical activity and reduced screen time represent a health maintenance factor against overweight/obesity.

Factors influencing uptake of diabetes health screening: a mixed methods study in Asian population

BackgroundHealth screens are the cornerstones for health promotion and preventive interventions at a community level. This study investigated the barriers and facilitators to the uptake of diabetes health screening in the general population of Singapore.MethodsIn this mixed methods study, participants without diabetes were recruited from the general population. The quantitative phase (n = 2459) included face to face survey of participants selected through disproportionate stratified random sampling. Those who participated in the quantitative survey were then randomly chosen for a one-to-one semi-structured interview (n = 30).ResultsAmong the survey respondents, 73.09% (n = 1777) had attended a diabetes health screening in their lifetime whilst 42.36% (n = 1090) and 57.64% (n = 1328, p < 0.0001) attended the health screens regularly (every 12 months) and irregularly, respectively. A significantly higher proportion of older adults (≥ 40 years) attended regular diabetes health screening compared to younger adults (less than 40 years; 55.59% vs 24.90%, p < 0.001). The top 3 reasons for attending regular health screens were to detect diabetes early, to make lifestyle changes in case of a diagnosis and being health conscious. Qualitative interviews identified similar issues and complex nuances that influenced the uptake of regular diabetes health screening. Several personal factors (laziness, self-reliance, psychological factors, etc.), competing priorities, fatalistic beliefs, affordability, misconceptions about the screens, and appointment related factors (inconvenient location, time, etc.) were identified as barriers, while affordable screens, sense of personal responsibility, perception of susceptibility /risk, role of healthcare team (e.g. reminders and prescheduled appointments) and personal factors (e.g. age, family, etc.) were facilitators. Age, household income, ethnicity and educational level were associated with the uptake of regular diabetes health screening.ConclusionThe uptake of regular diabetes health screening can be improved. Several barriers and enablers to the uptake of diabetes health screening were identified which should be addressed by the policy makers to alleviate misconceptions and create greater awareness of the importance of the programme that will improve participation.

Patient-individualized resection planning in liver surgery using 3D print and virtual reality (i-LiVR)—a study protocol for a prospective randomized controlled trial

BackgroundA multitude of different diseases—benign and malign—can require surgery of the liver. The liver is an especially challenging organ for resection planning due to its unique and interindividually variable anatomy. This demands a high amount of mental imagination from the surgeon in order to plan accordingly - a skill, which takes years of training to acquire and which is difficult to teach. Since the volume of the functional remnant liver is of great importance, parenchyma sparing resections are favoured. 3D reconstructions of computed tomography imaging enable a more precise understanding of anatomy and facilitate resection planning. The modality of presentation of these 3D models ranges from 2D monitors to 3D prints and virtual reality applications.MethodsThe presented trial compares three different modes of demonstration of a 3D reconstruction of CT scans of the liver, which are 3D print, a demonstration on a regular computer screen or using a head-mounted virtual reality headset, with the current gold standard of viewing the CT scan on a computer screen. The group size was calculated with n=25 each. Patients with major liver resections in a laparoscopic or open fashion are eligible for inclusion. Main endpoint is the comparison of the quotient between planned resection volume and actual resection volume between these groups. Secondary endpoints include usability for the surgical team as well as patient specifics and perioperative outcome measures and teaching issues.DiscussionThe described study will give insight in systematic planning of liver resections and the comparison of different demonstration modalities of 3D reconstruction of preoperative CT scans and the preference of technology. Especially teaching of these demanding operations is underrepresented in prior investigations.Trial registrationProspective trials registration at the German Clinical Trials register with the registration number DRKS00027865. Registration Date: January 24, 2022.

A Quality Improvement Initiative to Reduce Screen Time in a Children's Hospital.

The American Academy of Pediatrics strongly recommends that children age 2 and under should have little to no digital media exposure. However, most children are exposed to regular screen time at home. This may also be true for hospitalized children. Through education and access to alternatives, we aimed to reduce screen exposure in our children's hospital for children 2 and under. Between January 2020 and May 2021, we designed and implemented a quality improvement intervention to educate staff and caregivers on the American Academy of Pediatrics screen time recommendations and offer alternatives for hospitalized children. Our primary aim was to decrease screen time exposure for children age 2 and under by 50% within 12 months of project initiation. Balancing measures included staff perception of workload when using screens and perceived parental acceptance of screens being turned off. During baseline data collection period, screens were on for an average of 63% of the audits. Following interventions, the average was reduced to 40%. The outcome measure met special cause with 8 consecutive points below the center line. There was a significant increase in staff who reported offering screen alternatives after intervention. Staff perception of workload and perceived parental acceptance was unchanged. Through implementation of this quality improvement initiative, we reduced screen time by approximately 37% without impacting staff workload. Most importantly, we were able to educate staff and model best practices for caregivers, which may carry into the home, leading to a reduction of screen time and improved health overall.

Integrated Multi-view 3D Image Capture and Motion Parallax 3D Display System

We propose an integrated 3D image capture and display system using a transversely moving camera, regular 2D display screen and user tracking that can facilitate the multi-view capture of a real scene or object and display the captured perspective views in 3D. The motion parallax 3D technique is used to capture the depth information of the object and display the corresponding views to the user using head tracking. The system is composed of two parts, the first part consists of a horizontally moving camera interfaced with a customized camera control and capture application. The second part consist of a regular LCD screen combined with web camera and user tracking application. The 3D multi-view images captured through the imaging setup are relayed to the display based on the user location and corresponding view is dynamically displayed on the screen based on the viewing angle of the user with respect to the screen. The developed prototype system provides the multi-view capture of 60 views with the step size of 1 cm and greater than 40˚ field-of-view overlap. The display system relays 60 views providing the viewing angle coverage of ±35˚ where the angular difference between two views is 1.2˚.

Physical Activity Levels and Screen Time among Youth with Overweight/Obesity Using Mental Health Services.

Youth with mental illness have higher levels of obesity than children in the general population. Both regular physical activity and limited screen time have been recommended to reduce and prevent childhood obesity. This study examines accelerometer-based moderate–vigorous physical activity (MVPA) and screen time among youth with overweight/obesity issues who are receiving mental health care. This study looked at a 12-month weight management randomized clinical trial for overweight/obese youth aged 8–18 years who are receiving mental health services. At baseline, MVPA was assessed using accelerometers, and screen time was self-reported. Among 100 youth, 43% were female, 44% were Black, and 48% were <13 years old. In an adjusted general linear model, higher levels of MVPA were associated with the younger age group (p = 0.012), male participants (p = 0.013), and lower BMI z-scores (p = 0.014). In a separate model, higher screen time was associated with participants who were Black (p = 0.007). Achieving optimal cardiovascular health at the population level requires an understanding of the groups that are most in need of additional assistance. These data reinforce that targeted lifestyle approaches to promote increased physical activity and decreased screen time among overweight/obese youth using mental health services may need additional tailoring for sex, age, and race subgroups.

IS26 Veers Genomic Plasticity and Genetic Rearrangement toward Carbapenem Hyperresistance under Sublethal Antibiotics.

ABSTRACTMultidrug-resistant Gram-negative carriers of Klebsiella pneumoniae carbapenemases (KPCs) often subvert antibiotic therapy due to inadequate sensitivity in laboratory detection. Although unstable gene amplification has been recognized to crucially contribute to underestimation or misestimation of antimicrobial resistance in clinical isolates, the precise mechanisms underlying carbapenem resistance driven by amplification of blaKPC-2 remain obscure. Here, we reported that IS26-mediated amplification of blaKPC-2 rapidly and robustly gave rise to carbapenem hyperresistant phenotypes in an Escherichia coli clinical strain following sublethal meropenem or tobramycin preexposure. Intriguingly, IS26 also underpinned amplification of a 47 kb multiple drug resistance (MDR) region encompassing nine antibiotic resistance genes and six IS26 insertion sequences. Tandem-repeat analysis and experimental validation demonstrated that blaKPC-2 amplification was indeed mediated by IS26, which was further experimentally shown to involve intricate genetic rearrangement. Such gene amplification arose dynamically under antibiotic stress and subsided upon antibiotic withdrawal. Instead of reducing the amplification of the IS26-flanked MDR region, drug combinations in vitro exacerbated it. Our study, thus, provides valuable insights into how dynamic gene amplification processes can precipitously transform resistance status and complicate diagnosis.

Clinical diagnosis and treatment of breast cancer with brain metastases and establishment of a prognostic model: a 10-year, single-center, real-world study of 559 cases.

BackgroundThis study involved a retrospective analysis of 559 metastatic breast cancer (MBC) patients with brain metastasis (BM). We aimed to establish the effectiveness of different preferred treatment methods and factors affecting overall survival following BM diagnosis (BMOS) and explore the feasibility of systemic treatment for MBC patients with BM.MethodsUnivariate and multivariate analyses were used to assess the efficacy of different preferred treatments and other factors associated with BMOS, and a nomogram was then established based on the results of the univariate analysis.ResultsPatients that initially received systemic drug therapy exhibited a clinical benefit rate (CBR) of 43.9% and an intracranial disease control rate (DCR) of 80.6%. The median time between BM diagnosis and the requirement for local intracranial treatment due to worsening disease status was 10.0 months for these patients (95% CI: 7.811–12.189 months). The median follow-up was 28.0 months, and the median BMOS was 16.0 months. Following BM diagnosis, the systemic drug treatment group had a better outcome than the local brain treatment group, with a respective median BMOS of 22.0 and 16.0 months (χ2=7.743, P=0.005). At the time of BM diagnosis, the median BMOS for patients without neurological symptoms diagnosed by regular screen was significantly longer than that of patients with neurological symptoms (18.0 vs. 13.0 months, respectively; χ2=11.371, P=0.001). Based on these analyses, a nomogram was constructed that incorporated disease-free survival (DFS), Karnofsky performance status (KPS), molecular subtype, number of extracranial metastases, BM location, number of BMs, neurological symptoms, and the preferred treatment approach, with a prediction probability (c-index) value of 0.76.ConclusionsSystemic drug treatment has a beneficial effect on brain lesions, and effective treatment delays the need for local intracranial treatment. Cranial magnetic resonance imaging (MRI) screening can detect asymptomatic BM in MBC patients (particularly those with HER2−positive or triple-negative disease), offering these patients an opportunity to undergo systemic drug therapy, thereby prolonging their survival. To our knowledge, this is a well-fitted nomogram including current treatment and medical examination strategies to predict BMOS probability that offers value as an adjunct for the prognostic evaluation of MBC-BM patients.

: Color decomposition-based adversarial examples for screen devices

Adversarial examples can easily fool existing powerful deep neural networks. However, we find that the attack ability of most existing adversarial attack methods is significantly degraded once the generated adversarial examples are shown on screen devices and are further captured. This is mainly attributed to two challenges: (1) Extra noises and variance during the capturing process, such as lens distortion and diverse capturing angle. (2) They get stuck in a self-contradictory problem between visual quality and attack ability. Inspired by the properties of the human visual system (HVS), this paper dedicatedly designs the first color decomposition-based adversarial example method CDAE for screen devices. Specifically, it decomposes one regular screen frame into two symmetric adversarial frames with maximum modifications while theoretically guaranteeing the visual quality perceived by human observers. Thanks to the powerful generalization ability of the proposed method, we can combine it with most adversarial example generation methods and achieve state-of-the-art attack ability. Additionally, it can also be used to protect important information from leakage and attack existing video action recognition networks .

Acute Toxic Effects of AB-CHMINACA on Lung, Heart and Liver: An Experimental Pilot Study

Background: Synthetic cannabinoid (SCs) substances are intended for drug addiction while they cannot be easily detected on a regular drug screen. The danger of these substances is not only being undetected, but also their health effects are not well studied and cannot be predicted. This is one of the recent major health problems that threaten populations around the world. Aim of the study: This study is an experimental study to detect the toxic effect of acute exposure to a synthetic cannabinoid substance “AB-CHMINACA’ clinically and histopathologically in different organs in adult male albino rats. Material and methods: AB-CHMINACA was tested for dissolution in different solvents to choose the best vehicle. Doses were selected according to Guidance on dose level selection for regulatory general toxicology studies for pharmaceuticals. Animals were injected intraperitoneal and after 24 hours, animals were sacrificed and the lung, heart, and liver were examined for histopathological changes. Results: AB-CHMINACA dissolves best in organic solvents like ethanol and DMSO. The most suitable vehicle for intraperitoneal injection of animals was ethanol-saline. After injection, animals showed CNS manifestations; depression or excitation followed by depression according to the dose. Histopathological examination of the lung, heart, and liver tissues showed generalized congestion, hemorrhage, inflammatory cell infiltration and degeneration, which increased by increasing the dose. Conclusion: AB-CHMINACA has toxic histopathological effects on the lung, heart, and liver on single-dose exposure even with minimal clinical manifestations. These effects are dose-related.

3D-print, virtual reality or regular screen? comparison of presentation modalities for 3D liver reconstructions

3D-print, virtual reality or regular screen? comparison of presentation modalities for 3D liver reconstructions

Implementing Office-Based Opioid Treatment Models in Primary Care.

Primary care practices are ideal sites for integrating medication-assisted treatment (MAT) for opioid use disorder, but little is known about how practices have achieved this. Our study aimed to describe the implementation experiences and treatment models of practices implementing MAT. We conducted a qualitative analysis of MAT integration at 26 practices across Virginia after the state implemented the Addiction and Recovery Treatment Services (ARTS) benefit in 2017. Data collection activities included interviews with clinic team members, including buprenorphine-waivered prescribers, behavioral health clinicians, care coordinators, and peer counselors. We used a template analysis approach to thematically analyze data. Our study identified various ways in which MAT can be implemented in primary care clinics and other ambulatory settings. Although state regulations and treatment guidelines suggest colocating behavioral health counseling and medication management, providing care coordination, and conducting regular urine drug screens, we found a wide spectrum of ways in which practices can adapt and innovate treatment models to fit local needs. As the fight against the opioid epidemic continues, we need to identify feasible and effective MAT treatment models and integration approaches for primary care.