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https://www.readbyqxmd.com/read/29331252/investigating-the-need-for-clinicians-to-use-tablet-computers-with-a-newly-envisioned-electronic-health-record
#1
Jason J Saleem, April Savoy, Gale Etherton, Jennifer Herout
OBJECTIVE: The Veterans Health Administration (VHA) has deployed a large number of tablet computers in the last several years. However, little is known about how clinicians may use these devices with a newly planned Web-based electronic health record (EHR), as well as other clinical tools. The objective of this study was to understand the types of use that can be expected of tablet computers versus desktops. METHODS: Semi-structured interviews were conducted with 24 clinicians at a Veterans Health Administration (VHA) Medical Center...
February 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29327988/alexa-siri-cortana-and-more-an-introduction-to-voice-assistants
#2
Matthew B Hoy
Voice assistants are software agents that can interpret human speech and respond via synthesized voices. Apple's Siri, Amazon's Alexa, Microsoft's Cortana, and Google's Assistant are the most popular voice assistants and are embedded in smartphones or dedicated home speakers. Users can ask their assistants questions, control home automation devices and media playback via voice, and manage other basic tasks such as email, to-do lists, and calendars with verbal commands. This column will explore the basic workings and common features of today's voice assistants...
January 2018: Medical Reference Services Quarterly
https://www.readbyqxmd.com/read/29324719/an-enhanced-secure-identity-based-certificateless-public-key-authentication-scheme-for-vehicular-sensor-networks
#3
Congcong Li, Xi Zhang, Haiping Wang, Dongfeng Li
Vehicular sensor networks have been widely applied in intelligent traffic systems in recent years. Because of the specificity of vehicular sensor networks, they require an enhanced, secure and efficient authentication scheme. Existing authentication protocols are vulnerable to some problems, such as a high computational overhead with certificate distribution and revocation, strong reliance on tamper-proof devices, limited scalability when building many secure channels, and an inability to detect hardware tampering attacks...
January 11, 2018: Sensors
https://www.readbyqxmd.com/read/29322093/heralded-quantum-steering-over-a-high-loss-channel
#4
Morgan M Weston, Sergei Slussarenko, Helen M Chrzanowski, Sabine Wollmann, Lynden K Shalm, Varun B Verma, Michael S Allman, Sae Woo Nam, Geoff J Pryde
Entanglement is the key resource for many long-range quantum information tasks, including secure communication and fundamental tests of quantum physics. These tasks require robust verification of shared entanglement, but performing it over long distances is presently technologically intractable because the loss through an optical fiber or free-space channel opens up a detection loophole. We design and experimentally demonstrate a scheme that verifies entanglement in the presence of at least 14.8 ± 0.1 dB of added loss, equivalent to approximately 80 km of telecommunication fiber...
January 2018: Science Advances
https://www.readbyqxmd.com/read/29320466/an-efficient-wireless-sensor-network-for-industrial-monitoring-and-control
#5
Juan Aponte-Luis, Juan Antonio Gómez-Galán, Fernando Gómez-Bravo, Manuel Sánchez-Raya, Javier Alcina-Espigado, Pedro Miguel Teixido-Rovira
This paper presents the design of a wireless sensor network particularly designed for remote monitoring and control of industrial parameters. The article describes the network components, protocol and sensor deployment, aimed to accomplish industrial constraint and to assure reliability and low power consumption. A particular case of study is presented. The system consists of a base station, gas sensing nodes, a tree-based routing scheme for the wireless sensor nodes and a real-time monitoring application that operates from a remote computer and a mobile phone...
January 10, 2018: Sensors
https://www.readbyqxmd.com/read/29318451/bringing-the-national-security-agency-into-the-classroom-ethical-reflections-on-academia-intelligence-agency-partnerships
#6
Christopher Kampe, Gwendolynne Reid, Paul Jones, Colleen S, Sean S, Kathleen M Vogel
Academia-intelligence agency collaborations are on the rise for a variety of reasons. These can take many forms, one of which is in the classroom, using students to stand in for intelligence analysts. Classrooms, however, are ethically complex spaces, with students considered vulnerable populations, and become even more complex when layering multiple goals, activities, tools, and stakeholders over those traditionally present. This does not necessarily mean one must shy away from academia-intelligence agency partnerships in classrooms, but that these must be conducted carefully and reflexively...
January 9, 2018: Science and Engineering Ethics
https://www.readbyqxmd.com/read/29317140/transvenous-pacing-in-pediatric-patients-with-bipolar-lumenless-lead-ten-year-clinical-experience
#7
Paolo De Filippo, Fabrizio Giofrè, Cristina Leidi, Michele Senni, Paola Ferrari
INTRODUCTION: A number of challenges can affect long-term performance of endocardial implanted systems in pediatric patients. Select Secure™ lead offers potential advantages for this population. This analysis aims to evaluate long-term performance of this lead in children, with and without congenital heart disease. METHODS: A retrospective analysis of all patients younger than 16years, implanted with at least one Select Secure™ lead at our institution, was performed...
January 4, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29316004/comparison-of-intubation-conditions-with-cmac-miller-videolaryngoscope-and-conventional-miller-laryngoscope-in-lateral-position-in-infants-a-prospective-randomized-trial
#8
Divya Jain, Swati Mehta, Komal Gandhi, Suman Arora, Badal Parikh, Muneer Abas
BACKGROUND: Endotracheal intubation in lateral position in infants is a challenge. This difficulty may be surmounted to some extent by using videolaryngoscopes but the routine use of these devices as a tool to secure the airway in lateral position remains unevaluated. Therefore, we conducted a prospective, randomized controlled trial to compare the intubation conditions achieved with the CMAC videolaryngoscope and the Miller Laryngoscope in lateral position in infants. We hypothesized that CMAC videolaryngoscope would provide a better laryngoscopic view and reduce the time to intubation compared to the Miller blade...
January 9, 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29315765/treatment-of-male-stress-urinary-incontinence-with-the-adjustable-transobturator-male-system-outcomes-of-a-multi-center-iberian-study
#9
Javier C Angulo, Francisco Cruz, Cristina Esquinas, Ignacio Arance, Margarida Manso, Andrés Rodríguez, Javier Pereira, Antonio Ojea, Manuel Carballo, Miguel Rabassa, Antoine Teyrouz, Gregorio Escribano, Elena Rodríguez, Fernando Teba, Guillermo Celada, Blanca Madurga, Jose L Álvarez-Ossorio, Jõao P Marcelino, Francisco E Martins
AIM: To evaluate effectiveness and safety of the adjustable transobturator male system (ATOMS) for male stress urinary incontinence (SUI). MATERIAL AND METHODS: A retrospective multicenter study was conducted in nine Iberian institutions using a board-approved database for 215 patients intervened between 2012 and 2017, with no case excluded. Continence status, patient satisfaction, number, and grade of complications (Clavien-Dindo) and factors affecting dry rate at adjustment were evaluated...
January 9, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29315412/automated-pupillometry-and-detection-of-clinical-transtentorial-brain-herniation-a-case-series
#10
Alexander Papangelou, Elizabeth K Zink, Wan-Tsu W Chang, Anthony Frattalone, Daniel Gergen, Allan Gottschalk, Romergryko G Geocadin
Introduction: Transtentorial herniation (TTH) is a life-threatening neurologic condition that typically results from expansion of supratentorial mass lesions. A change in bedside pupillary examination is central to the clinical diagnosis of TTH. Materials and Methods: To quantify the changes in the pupillary examination that precede and accompany TTH and its treatment, we evaluated 12 episodes of herniation in three patients with supratentorial mass lesions using automated pupillometry (NeurOptics, Inc...
January 5, 2018: Military Medicine
https://www.readbyqxmd.com/read/29315250/blockchain-based-decentralized-management-of-demand-response-programs-in-smart-energy-grids
#11
Claudia Pop, Tudor Cioara, Marcel Antal, Ionut Anghel, Ioan Salomie, Massimo Bertoncini
In this paper, we investigate the use of decentralized blockchain mechanisms for delivering transparent, secure, reliable, and timely energy flexibility, under the form of adaptation of energy demand profiles of Distributed Energy Prosumers, to all the stakeholders involved in the flexibility markets (Distribution System Operators primarily, retailers, aggregators, etc.). In our approach, a blockchain based distributed ledger stores in a tamper proof manner the energy prosumption information collected from Internet of Things smart metering devices, while self-enforcing smart contracts programmatically define the expected energy flexibility at the level of each prosumer, the associated rewards or penalties, and the rules for balancing the energy demand with the energy production at grid level...
January 9, 2018: Sensors
https://www.readbyqxmd.com/read/29314642/venous-access-closure-from-a-to-z
#12
EDITORIAL
Ashok Seth, Ranjan Modi
Points to increasing need for achieving safe and secure closure of femoral venous access site after large caliber venous sheath for after structural interventions. Emphasizes the role of a simple, easy to learn "Z-stitch" for achieving femoral vein hemostasis leading to early ambulation. Cautions and advocates the use of multiple complimentary techniques for venous access closure after extreme large bore devices.
January 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29313456/up-and-over-technique-for-implantation-of-iliac-branch-devices-after-prior-aortic-endograft-repair
#13
David L Dawson, Giuliano de Almeida Sandri, Emanuel Tenorio, Gustavo S Oderich
PURPOSE: To describe a modified up-and-over access technique for treatment of iliac artery aneurysms in patients with prior bifurcated stent-grafts for endovascular aneurysm repair (EVAR). TECHNIQUE: This technique uses a coaxial 12-F flexible sheath that is docked with a through-and-through wire into a 7-F sheath advanced from the contralateral femoral approach. This maneuver allows both sheaths to be moved as a unit while maintaining position of the apex of the system as it loops over the flow divider, avoiding damage to or displacing the extant endograft...
December 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/29313191/paths-to-parenthood-among-self-identified-bisexual-individuals-in-the-united-states
#14
Jessamyn Bowling, Brian Dodge, Elizabeth Bartelt, Megan Simmons, J Dennis Fortenberry
Bisexual parents have been notably absent from prior research on parenting, despite comprising the largest proportion of parents among "lesbian, gay, and bisexual" (LGB) individuals. Indeed, recent national probability data indicate that young bisexual women are more likely than their heterosexual counterparts to report having at least one child. Intentions to have children, patterns of family planning and contraception use, and related issues have important implications for health and healthcare-related decisions and priorities among bisexual parents...
January 8, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29304035/wheelchair-tiedown-and-occupant-restraint-practices-in-paratransit-vehicles
#15
Karen Frost, Gina Bertocci, Craig Smalley
The purpose of this study was to characterize wheelchair tiedown and occupant restraint system (WTORS) usage in paratransit vehicles based on observations of wheelchair and scooter (wheeled mobility devices, collectively, "WhMD") passenger trips. A retrospective review of on-board video monitoring recordings of WhMD trips was conducted. Four hundred seventy-five video recordings were collected for review and analysis. The use of all four tiedowns to secure the WhMD was observed more frequently for power WhMDs (82%) and manual WhMDs (80%) compared to scooters (39%), and this difference was significant (p< 0...
2018: PloS One
https://www.readbyqxmd.com/read/29303867/a-new-device-for-securing-sternal-wires-after-median-sternotomy-biomechanical-study-and-retrospective-clinical-assessment
#16
Matthew R Danter, Amy Saari, Min Gao, Anson Cheung, Samuel V Lichtenstein, James G Abel
OBJECTIVE: Morbidity due to sternotomy continues to be a significant clinical problem. Poor approximation of the sternum may lead to complications such as sternal dehiscence, infection, and pain. A device to assist in tensioning and twisting standard steel wires during sternal closure has been developed (TORQ sternal closure device). Manually tightened interrupted wire closures were compared with those tightened and secured with the aid of the device. Performance of the device was assessed clinically...
January 4, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29300736/evaluating-authentication-options-for-mobile-health-applications-in-younger-and-older-adults
#17
Kelly Grindrod, Hassan Khan, Urs Hengartner, Stephanie Ong, Alexander G Logan, Daniel Vogel, Robert Gebotys, Jilan Yang
OBJECTIVE: Apps promoting patient self-management may improve health outcomes. However, methods to secure stored information on mobile devices may adversely affect usability. We tested the reliability and usability of common user authentication techniques in younger and older adults. METHODOLOGY: Usability testing was conducted in two age groups, 18 to 30 years and 50 years and older. After completing a demographic questionnaire, each participant tested four authentication options in random order: four-digit personal identification number (PIN), graphical password (GRAPHICAL), Android pattern-lock (PATTERN), and a swipe-style Android fingerprint scanner (FINGERPRINT)...
2018: PloS One
https://www.readbyqxmd.com/read/29298621/the-use-of-a-proximal-femoral-nail-as-a-hip-prosthesis-a-biomechanical-analysis-of-a-newly-designed-implant
#18
Mehmet Nuri Konya, Feza Korkusuz, Gokhan Maralcan, Teyfik Demir, Ahmet Aslan
Complication rates of hip fractures after proximal femoral nail are not rare. In such fractures, treatment invariably comprises the extraction of proximal femoral nail and the introduction of a different hip prosthesis. To solve this problem, we aimed to develop a new implant, the modular nail prosthesis, which combines an intramedullary nail with a hip prosthesis. The aim of this study was to determine the effect of stress load distribution on the stem using finite element analysis under laboratory conditions...
January 1, 2018: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/29288816/practical-and-secure-telemedicine-systems-for-user-mobility
#19
Fatemeh Rezaeibagha, Yi Mu
The application of wireless devices has led to a significant improvement in the quality delivery of care in telemedicine systems. Patients who live in a remote area are able to communicate with the healthcare provider and benefit from the doctor consultations. However, it has been a challenge to provide a secure telemedicine system, which captures users (patients and doctors) mobility and patient privacy. In this work, we present several secure protocols for telemedicine systems, which ensure the secure communication between patients and doctors who are located in different geographical locations...
December 27, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/29286909/why-or-net-requirements-and-perspectives-from-a-medical-user-s-clinical-operator-s-and-device-manufacturer-s-points-of-view
#20
Michael Czaplik, Verena Voigt, Hannes Kenngott, Hans Clusmann, Rüdiger Hoffmann, Armin Will
In the past decades, modern medicine has been undergoing a change in the direction of digitalisation and automation. Not only the integration of new digital technologies, but also the interconnection of all components can simplify clinical processes and allow progress and development of new innovations. The integration and interconnection of medical devices with each other and with information technology (IT) systems was addressed within the framework of the Federal Ministry of Education and Research (BMBF)-funded lighthouse project OR...
December 29, 2017: Biomedizinische Technik. Biomedical Engineering
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