Actions and attitudes on the immunized patients against SARS-CoV-2

The access to COVID vaccines by millions of human beings and their high level of protection against the disease, both in its mild and severe forms, together with a plausible decrease in the transmission of the infection from vaccinated patients, has prompted a series of questions from the members of the College of Physicians of Madrid (ICOMEM) and the society. The ICOMEM Scientific Committee on this subject has tried to answer these questions after discussion and consensus among its members. The main answers can be summarized as follows: The occurrence of new SARS-CoV-2 infections in both vaccinated and previously infected patients is very low, in the observation time we already have. When breakthrough infections do occur, they are usually asymptomatic or mild and, purportedly, should have a lower capacity for transmission to other persons. Vaccinated subjects who have contact with a SARS-CoV-2 infected patient can avoid quarantine as long as they are asymptomatic, although this decision depends on variables such as age, occupation, circulating variants, degree of contact and time since vaccination. In countries with a high proportion of the population vaccinated, it is already suggested that fully vaccinated persons could avoid the use of masks and social distancing in most circumstances. Systematic use of diagnostic tests to assess the immune response or the degree of protection against reinfection after natural infection or vaccination is discouraged, since their practical consequences are not known at this time. The existing information precludes any precision regarding a possible need for future revaccination. This Committee considers that when mass vaccination of health care workers and the general population is achieved, SARS-CoV-2 screening tests could be avoided at least in outpatient care and in the case of exploratory procedures that do not require hospitalization.

Using a robotic teleoperation system for haptic exploration

Introduction When children with physical impairments cannot perform hand movements for haptic exploration, they miss opportunities to learn about object properties. Robotics systems with haptic feedback may better enable object exploration. Methods Twenty-four adults and ten children without physical impairments, and one adult with physical impairments, explored tools to mix substances or transport different sized objects. All participants completed the tasks with both a robotic system and manual exploration. Exploratory procedures used to determine object properties were also observed. Results Adults and children accurately identified appropriate tools for each task using manual exploration, but they were less accurate using the robotic system. The adult with physical impairment identified appropriate tools for transport in both conditions, however had difficulty identifying tools used for mixing substances. A new exploratory procedure was observed, Tapping, when using the robotic system. Conclusions Adults and children could make judgements on tool utility for tasks using both manual exploration and the robotic system, however they experienced limitations in the robotics system that require more study. The adult with disabilities required less assistance to explore tools when using the robotic system. The robotic system may be a feasible way for individuals with physical disabilities to perform haptic exploration.

A Robotic Camera Holder Controlled by Head Movements: Exploring This New Robot-Surgeon Interface

Background. Most robotic camera steering devices (RCSDs) require active steering by the surgeon and necessarily increase workload. Clinical experience shows that standard laparoscopic procedures can be performed safely as solo surgery aided by RCSDs. No evidence exists concerning exploratory or emergency procedures. We compared the performance during unexpected laparoscopic tasks on surgical simulators aided either by an RCSD controllable by head movements of the surgeon or by a human camera assistant. Methods. Forty-five medical students without previous experience with minimal invasive surgery were randomized in 2 groups, and they performed standard and unexpected laparoscopic tasks requiring complex camera movements on box trainers either using an RCSD or assisted by a human camera assistant. Efficiency and performance parameters were recorded. Results. Performance in simulated standard procedures was equivalent. In simulated exploratory procedures, we saw significantly better performance scores in the conventional group versus the RCSD group. The strongest factor for these differences was the longer camera-adjusting time in the RCSD group versus the conventional group (PEG task = 208 ± 51 seconds vs 170 ± 36 seconds, P = .005; suture task = 563 ± 126 seconds vs 454 ± 201 seconds, P = .041). Conclusion. These results, obtained on surgical simulators, indicate that the solo approach to standard surgical tasks, facilitated by an RCSD controllable by head movements, can most likely be viewed as safe. Exploratory procedures with a relevant chance for complications or procedures that require rapid, often, or complex camera movements should rather be performed with a human camera assistant.

Hunting, Husbandry, and Human-Environment Interactions in the Neolithic Lakeshore Sites of Western Switzerland

The lakeshores of western Switzerland are one of Europe's best-known Neolithic settlement areas, thanks to dendrochronological dating and the exceptional preservation of organic materials. Against this outstanding background, this study uses zooarchaeological data to answer a series of questions regarding the Neolithic economy, environment and human-environment interactions at these lakeshore sites. It also discusses, within an interdisciplinary framework, the possible impact climatic fluctuations, cultural influence, topographical conditions, and demographic growth had on economic change. The results show that the faunal economy was mainly based on animal husbandry, with fluctuations in the cattle-pig ratio. Hunting also played an important role in the food system and focused mainly on large game, especially red deer, which contributed significantly to the meat supply. The results from comparing these animal bone remains also show that multiple factors, such as topography, climatic conditions, and cultural influence, played a part in the socio-economic organisation of the Neolithic communities. Exploratory procedures such as correspondence analysis support these interpretations.

Touch

Touch is the ability to perceive the world through physical contact. This article describes three principles underlying biological touch sensing and how these principles can result in biomimetic devices. First, that cutaneous touch is superresolved, in that the accuracy of perceiving fine stimulus detail is finer than the spacing between individual sensory mechanoreceptors. Second, that touch is active, in that animals actively select and refine sensations in a purposive manner. Third, that touch is exploratory, in that animals deploy purposive action patterns to encode properties of objects via a lexicon of exploratory procedures. Biomimetic tactile systems have utilized these principles to result in superior sensing capabilities, including systems that mimic the human fingertip and hand (cutaneous touch) and the rodent whisker system (vibrissal touch). Future biomimetic touch could rival human capabilities, enabling tactile sensors to have technological applications spanning across prosthetics, telehaptics, surgical robotics, wearable computing, medical probes, and manufacturing.