160 research outputs found
Artificial Intelligence (AI) Competency and Educational Needs: Results of an AI Survey of Members of the European Society of Pediatric Endoscopic Surgeons (ESPES)
No full textBackground: Advancements in artificial intelligence (AI) and machine learning (ML) are set to revolutionize healthcare, particularly in fields like endoscopic surgery that heavily rely on digital imaging. However, to effectively integrate these technologies and drive future innovations, pediatric surgeons need specialized AI/ML skills. This survey evaluated the current level of readiness and educational needs regarding AI/ML among members of the European Society of Pediatric Endoscopic Surgeons (ESPES). Methods: A structured survey was distributed via LimeSurvey to ESPES members via email before and during the 2024 Annual Conference. Responses were collected over four weeks with voluntary, anonymous participation. Quantitative data were analyzed using descriptive statistics. Results: A total of 125 responses were received. Two-thirds (65%) of respondents rated their AI/ML understanding as basic, with only 6% reporting advanced knowledge. Most respondents (86%) had no formal AI/ML training. Some respondents (31%) used AI/ML tools in their practice, mainly for diagnostic imaging, surgical planning, and predictive analytics; 42% of the respondents used these tools weekly. The majority (95%) expressed interest in further AI/ML training, preferring online courses, workshops, and hands-on sessions. Concerns about AI/ML in pediatric surgery were high (85%), especially regarding data bias (98%). Half of respondents (51%) expect AI/ML to play a significant role in advancing robotic surgery, oncology, and minimally invasive techniques. A strong majority (84%) felt that the ESPES should lead AI education in pediatric surgery. Conclusions: This survey presents the ESPES with a unique opportunity to develop a competency map of its membership’s AI/ML skills and develop targeted educational programs, thus positioning the society to take the lead in AI education and the advancement of AI solutions in pediatric endosurgery
Pediatric Surgery, Flowcharts and Clinical Algorithms
No full textPediatric Surgery, Flowcharts and Clinical Algorithms is an updated review of some common pediatric surgical problems. The authors of the chapters have made a full review of the selected topics including the basic science facts necessary for the proper understanding of conditions (anatomy, physiology and embryology), such as gastrointestinal disorders, abdominal wall defects, choledochal cysts, and others, with special emphasis on antenatal diagnosis and management.A flow chart (or management algorithm) is included to facilitate decision making in choice of the proper diagnostic tools or the most efficient surgical (or non-surgical) strategy.The book is intended for pediatric surgeons, pediatricians, and researchers in any of the topics included
Laparoscopic Versus Conventional Open Congenital Duodenal Obstruction Repair: A Systematic Review and Meta-analysis
No full textBackground: We conducted a systematic review and meta-analysis to evaluate the safety and effectiveness of laparoscopic surgery (LS) compared to open surgery (OS) for congenital duodenal obstruction (CDO). Methods: We conducted a literature review to find studies comparing LS and OS in neonates with CDO. A meta-analysis was conducted to systematically compile and compare factors, including surgical duration, time of feeding initiation, hospital length of stay (LOS), and postoperative complications. Results: Eleven studies with 1615 patients (LS: 338, OS: 1277) met inclusion criteria. Operative time was observed to be much shorter in the OS group (I2 = 97%); weighted mean difference (WMD) 60.29; 95% confidence interval (CI): 30.29 to 90.28; p < 0.0001). The LS group had a significantly shorter time to initiate feeding (I2 = 0%; WMD -3.38, 95% CI: −4.35 to −2.41; p < 0.00001), shorter time to full feeding (I2 = 0%; WMD -3.64, 95% CI: −5.06 to −2.22; p < 0.00001), and shorter LOS (I2 = 52%; WMD -3.42, 95% CI: −5.75 to −1.08; p = 0.004). There were no significantly differences in the rates of anastomotic leak (I2 = 24%; OR 0.76, 95% CI: 0.12 to 4.67; p = 0.76), anastomotic stricture (I2 = 0%; OR 1.12, 95% CI: 0.39 to 3.20; p = 0.83), postoperative ileus (I2 = 0%; OR 0.60, 95% CI: 0.21 to 1.74; p = 0.34), and overall complications between the groups (I2 = 59%; OR 0.86, 95% CI: 0.42 to 1.74; p = 0.68). The LS group, however, had a significantly decreased frequency of wound infection (I2 = 0%; OR 0.26, 95% CI: 0.08 to 0.82; p = 0.02). Conclusion: Despite certain limitations in our analysis, the laparoscopic approach was associated with comparable postoperative outcomes. Levels of Evidence: 2a. Type of the Study: Meta analysis
Supramolecular Chemistry: New chemodosimeters and hybrid materials for the chromo-fluorogenic detection of anions and neutral molecules
No full textTesis por compendio[EN] Abstract
The present PhD thesis entitled "Supramolecular Chemistry: New chemodosimeters and hybrid materials for the chromo-fluorogenic detection of anions and neutral molecules" is based on the application of supramolecular chemistry and material science principles for the development of optical chemosensors for anions and neutral molecules detection.
The second chapter of this PhD thesis is devoted to the preparation of chemodosimeters for the chromo-fluorogenic detection of fluoride, diisopropyl fluorophosphates (DFP) and hydrogen sulfide. The optical detection of fluoride anion was achieved by using a pyridine derivative containing a t-butyldimethylsilyl ether group. Aqueous solutions of the chemodosimeter were colorless but turned yellow upon addition of fluoride anion. Also a remarkable enhancement in emission was observed only upon the addition of fluoride. The optical changes were ascribed to a fluoride-induced hydrolysis of the silyl ether moiety.
Also a chemodosimeter for the optical recognition of DFP, a nerve agent simulant, was prepared. In this case, the chemodosimeter was based on a stilbene pyridinium derivative functionalized with hydroxyl and silyl ether moieties. Aqueous solutions of the chemodosimeter were colorless changing to yellow upon DFP addition. The optical changes were ascribed to a hydroxyl phosphorylation followed by a fluoride-induced hydrolysis of the silyl ether group. Besides, that probe was implemented in test strips and DFP detection in gas phase was accomplished.
Finally, the fluorogenic recognition of hydrogen sulfide anion was explored. For this purpose different fluorophores were selected and fucntionalized with 2,4-dinitrophenyl ether groups. The prepared probes were neraly non-emissive but remarkable emission enhancements upon addition of hydrogen sulfide were observed. The emission enhancements observed were due to a selective sulfide-induced hydrolysis of the 2,4-dinitrophenyl ether moiety that yielded the free fluorophores. Another set of chemodosimeters equipped with azide and sulfonylazide moieties were prepared. Again these probes were non-fluorescent but upon addition of hydrogen sulfide an important enhancement in emission was found. The selective response was ascribed to a reduction of the azide and sulfonylazide moieties to amine and sulfonylamide induced by hydrogen sulfide anion. Besides, the viability assays showed that these dosimeters were essentially non-toxic and real-time fluorescence imaging measurements confirmed their ability to detect intracellular hydrogen sulfide at micromolar concentrations.
The third chapter of this PhD thesis was devoted to the preparation of nanoscopic gated materials and their use in sensing protocols. In a first step a gated material for the optical detection of glutathione (GSH) was prepared. For this purpose MCM-41 mesoporous silca nanoparticles were selected as inorganic scaffold. The pores were loaded with safranine O and the external surface was functionalized with disulfide-containing oligo(ethylene glycol) moieties. Dye delivery from aqueous suspensions of the sensory material was only observed in the presence of GSH. The signalling paradigm was ascribed to the selective reduction of the disulfide bond by GSH which induced pore opening and dye release.
Also capped organic-inorganic hybrid materials for the selective detection of hydrogen sulfide were prepared and characterized. In this case the same MCM-41 support was used and charged with [Ru(bipy)3]2+ dye. Then, the external surface was functionalized with Cu(II)-macorcyclic complexes and finally, the pores were capped by the addition of the bulky anion hexametaphosphate. Aqueous suspensions of this material showed negligible dye release whereas in the presence of hydrogen sulfide anion a remarkable colour change was observed. This optical response was ascribed to a demetallation process of the Cu(II) complex induced by hydrogen sulfide.[ES] Resumen
La presente tesis doctoral titulada "Química supramolecular: Nuevos dosímetros químicos y materiales híbridos para la detección cromo-fluorogénica de aniones y moléculas neutras." está basada en la aplicación de principios básicos de la química supramolecular y de la ciencia de materiales en el desarrollo de sensores ópticos para aniones y moléculas neutras.
El segundo capítulo de esta tesis doctoral está dedicado a la preparación de dosímetros químicos para la detección cromo-fluorogénica de fluoruro, diisopropil fluorofosfato (DFP) y sulfuro de hidrógeno. Para la detección óptica del anión fluoruro se sintetizó un derivado de piridina funcionalizado con un t-butildimetilsilil éter.
En este capítulo también se describe la preparación de un dosímetro químico para la detección de DFP, que es un simulante de agentes nerviosos. Este dosímetro está basado en un estilbeno funcionalizado con una sal de piridinio que contiene grupos hidroxilo y silil éter en su estructura.
Finalmente se prepararon dos familias de sensores para la detección óptica de hidrógeno sulfuro. La primera familia de sensores consiste en fluoróforos comunes funcionalizados con 2,4-dinitrofenil éteres. Los sensores preparados no presentaron una emisión de fluorescencia importante mientras que, en presencia del anión hidrógeno sulfuro, se observó un aumento significativo. La segunda familia de dosímetros también estaba compuesta por ciertos fluorofóros pero, en este caso, funcionalizados con grupos azida y sulfonilazida. Los dosimétros preparados, siguiendo esta segunda aproximación, tampoco dieron una fluorescencia significativa observándose un aumento de la misma al añadir el anión hidrógeno sulfuro.
El tercer capítulo de esta tesis doctoral está dedicado a la preparación de materiales híbridos nanoscópicos funcionalizados con puertas moleculares y su aplicación en protocolos de reconocimiento. En primer lugar se preparó un material para la detección óptica de glutatión (GSH). Para ello se emplearon nanopartículas de MCM-41 mesoporosas como soporte inorgánico. Los poros del soporte fueron cargados con el colorante safranina O y la superficie externa funcionalizada con oligo(etilenglicol) conteniendo enlaces disulfuro.
También se prepararon y caracterizaron varios materiales híbridos para la detección selectiva del anión hidrógeno sulfuro. En este caso también se empleó, como soporte inorgánico, sílice mesoporosa MCM-41. Los poros del soporte inorgánico fueron cargados con [Ru(bipy)3]2+ y la superficie externa funcionalizada con varios complejos macrocíclicos de Cu(II). El material sensor final fue obtenido al añadir el anion hexametafosfato, que compleja con los complejos de Cu(II), produciendo un bloqueo de los poros.[CA] Resum
La present tesi doctoral titulada "Química supramolecular: Nous dosímetres químics i materials híbrids per a la detecció cromo-fluorogènica d'anions i molècules neutres." està basada en l'aplicació dels principis bàsics de la química supramolecular i de la ciència dels materials en el desenvolupament de sensors òptics per a anions i molècules neutres.
El segon capítol d'aquesta tesi doctoral està dedicat a la preparació de dosímetres químics per a la detecció cromo-fluorogènica de fluorur, diisopropil fluorofosfat (DFP) i sulfur d'hidrogen. Per a la detecció òptica de l'anió fluorur es va sintetitzar un derivat de piridina funcionalitzat amb un t-dibutildimetilsilil èter.
En aquest capítol també es descriu la preparació d'un dosímetre químic per a la detecció de DFP, que és un simulant d'agents nerviosos. Aquest dosímetre està basat en un estilbè funcionalitzat amb una sal de piridina que conté grups hidroxil i silis èter en la seua estructura.
Finalment varen ser preparades dues famílies de sensors per a la detecció òptica de sulfur d'hidrogen. La primera família consisteix en fluoròfors comuns funcionalitzats amb 2,4-dinitrofenil èters. Els sensors preparats no presentaren una emissió de fluorescència significativa mentre que, en presencia de l'anió hidrogen sulfur, es va observar un augment significatiu. La segona família de dosímetres també estava composada per certs fluròfors però, en aquest cas, funcionalitzats amb grups azida i sulfonilazida. Els dosímetres preparats, seguint aquesta segona aproximació, tampoc donaren una fluorescència significativa observant-se un augment de la mateixa al afegir l'anió hidrogen sulfur.
El tercer capítol d'aquesta tesi doctoral està dedicat a la preparació de materials híbrids nanoscòpics funcionalitzats amb portes moleculars i la seua aplicació en protocols de reconeixement. En primer lloc es va preparar un material per a la detecció òptica de glutatió (GSH). Per a aquest propòsit es varen emprar nanopartícules MCM-41 mesoporoses com a suport inorgànic. Els porus del suport varen ser carregats amb el colorant safranina O i la superfície externa funcionalitzada amb oligo(etilenglicol) que contenia enllaços disulfurs.
També varen ser preparats i caracteritzats diversos materials híbrids per a la detecció selectiva de l'anió hidrogen sulfur. En aquest cas també es va emprar, com a suport inorgànic, sílice mesoporosa MCM-41. Els porus del suport inorgànic varen ser carregats amb [Ru(bipy)3]2+ i la superfície externa funcionalitzada amb diversos complexos macrocíclics de Cu(II). El material sensor final es va obtindre al afegir l'anió hexametafosfat, que es complexa amb macrocicles de Cu(II), produint un bloqueig dels porus.El Sayed Shehata Nasr, S. (2015). Supramolecular Chemistry: New chemodosimeters and hybrid materials for the chromo-fluorogenic detection of anions and neutral molecules [Tesis doctoral]. Universitat Politècnica de València. https://doi.org/10.4995/Thesis/10251/52598TESISCompendi
Selective and Sensitive Chromogenic Detection of Trivalent Metal Cations in Water
No full text[EN] An azopyridine derivative for the selective and sensitive chromogenic detection of trivalent letal cations in water is described.Financial support from the Spanish Government (Project MAT2012-38429-C04), the Generalitat Valencia (Project PROMETEOII/2014/047) and the CIBER de Bioingenieria, Biomateriales y Nanomedicina (CIBER-BBN) is gratefully acknowledged.Lozano-Torres, B.; El Sayed Shehata Nasr, S.; Costero, AM.; Gil, S.; Parra, M.; Martínez-Máñez, R.; Sancenón Galarza, F. (2016). Selective and Sensitive Chromogenic Detection of Trivalent Metal Cations in Water. Bulletin of the Chemical Society of Japan. 89(4):498-500. https://doi.org/10.1246/bcsj.20150416S49850089
Selective chromo-fluorogenic detection of trivalent cations in aqueous environments using a dehydration reaction
No full text[EN] Trivalent cations (Al3+, Fe3+, Cr3+, As3+, In3+ and Ga3+) induced a
dehydration reaction of a chemodosimeter in water that is coupled
with colour and emission changes.Financial support from the Spanish Government and FEDER funds (Project MAT2015-64139-C4-1) and the Generalitat Valencia (Project PROMETEO II/2014/047) is gratefully acknowledged. M. L. P. is grateful to the Generalitat Valenciana for her Santiago Grisolia grant.Lo-Presti, M.; El Sayed Shehata Nasr, S.; Martínez-Máñez, R.; Costero, AM.; Gil, S.; Parra, M.; Sancenón Galarza, F. (2016). Selective chromo-fluorogenic detection of trivalent cations in aqueous environments using a dehydration reaction. New Journal of Chemistry. 40(11):9042-9045. https://doi.org/10.1039/c6nj01957aS90429045401
Generative Artificial Intelligence Accuracy in Interpreting Forest Plots in Pediatric Surgery Meta-analyses: A Perspective From Pediatric Surgery Meta-analysis Study Group (PESMA)
No full textAcetylcholinesterase-Capped Mesoporous Silica Nanoparticles That Open in the Presence of Diisopropylfluorophosphate (a Sarin or Soman Simulant)
No full textMesoporous silica nanoparticles loaded with rhodamine B and capped with acetylcholinesterase are able to be selectively opened and deliver their cargo in the presence of nerve agent simulant diisopropyl fluorophosphate (DFP).Financial support from the Spanish Government and FEDER funds (Project MAT2015-64139-C4-1) and the Generalitat Valenciana (Project PROMETEOII/2014/047) is gratefully acknowledged. L.P. is grateful to the Universitat Politecnica de Valencia for his grant.Pascual, L.; El Sayed Shehata Nasr, S.; Martínez-Máñez, R.; Costero Nieto, AM.; Gil Grau, S.; Gaviña Costero, P.; Sancenón Galarza, F. (2016). Acetylcholinesterase-Capped Mesoporous Silica Nanoparticles That Open in the Presence of Diisopropylfluorophosphate (a Sarin or Soman Simulant). Organic Letters. 18(21):5548-5551. https://doi.org/10.1021/acs.orglett.6b02793S55485551182
- …
