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https://www.readbyqxmd.com/read/28227836/exerciser-for-rehabilitation-of-the-arm-era-development-and-unique-features-of-a-3d-end-effector-robot
#1
Marie-Helene Milot, Mathieu Hamel, Philippe-Olivier Provost, Julien Bernier-Ouellet, Maxime Dupuis, Dominic Letourneau, Simon Briere, Francois Michaud, Marie-Helene Milot, Mathieu Hamel, Philippe-Olivier Provost, Julien Bernier-Ouellet, Maxime Dupuis, Dominic Letourneau, Simon Briere, Francois Michaud, Philippe-Olivier Provost, Dominic Letourneau, Maxime Dupuis, Marie-Helene Milot, Francois Michaud, Mathieu Hamel, Julien Bernier-Ouellet, Simon Briere
Stroke is one of the leading causes of disability worldwide. Consequently, many stroke survivors exhibit difficulties undergoing voluntary movement in their affected upper limb, compromising their functional performance and level of independence. To minimize the negative impact of stroke disabilities, exercises are recognized as a key element in post-stroke rehabilitation. In order to provide the practice of exercises in a uniform and controlled manner as well as increasing the efficiency of therapists' interventions, robotic training has been found, and continues to prove itself, as an innovative intervention for post-stroke rehabilitation...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227792/an-innovative-therapy-for-peri-implantitis-based-on-radio-frequency-electric-current-numerical-simulation-results-and-clinical-evidence
#2
G Cosoli, L Scalise, G Tricarico, E P Tomasini, G Cerri, G Cosoli, L Scalise, G Tricarico, E P Tomasini, G Cerri, G Cosoli, E P Tomasini, G Cerri, G Tricarico, L Scalise
Peri-implantitis is a severe inflammatory pathology that affects soit and hard tissues surrounding dental implants. Nowadays, only prevention is effective to contrast peri-implantitis, but, in recent years, there is the clinical evidence of the efficiency of a therapy based on the application of radio frequency electric current, reporting that 81% of the cases (66 implants, 46 patients) were successfully treated. The aim of this paper is to present the therapy mechanism, exploring the distribution of the electric currents in normal and pathologic tissues...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227787/support-and-rehabilitation-of-patients-with-pulmonary-expansion-deficit-by-using-game-therapy
#3
P F S Chacon, C F Schon, V H L A Furtado, G L A M Signoretti, J P P Oliveira, A G Ribeiro, C D V Wanderley, A A R Diniz, H B Soares, P F S Chacon, C F Schon, V H L A Furtado, G L A M Signoretti, J P P Oliveira, A G Ribeiro, C D V Wanderley, A A R Diniz, H B Soares, H B Soares, P F S Chacon, C F Schon, V H L A Furtado, G L A M Signoretti, A G Ribeiro, C D V Wanderley, J P P Oliveira, A A R Diniz
Patients suffering from hypoventilation and pulmonary expansion deficit are at increased risk of developing pulmonary complications such as atelectasis, pneumonia or pleural effusion. These complications can increase the length of stay and spending on health, and generate long-term functional impairment. This study aims to produce a therapeutic alternative to the traditional method of lung re-expansion through incentive spirometry (IS) using the game therapy to build an innovative system. This system makes use of infrared and Bluetooth communication technology to associate the game therapy to EI...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227472/social-norms-of-good-design-interdisciplinary-perspectives-from-a-survey-of-engineers-and-clinicians-in-bioengineering
#4
Angela N Johnson, Angela N Johnson, Angela N Johnson
In bioengineering training for new researchers and engineers, a great deal of time is spent discussing what constitutes "good" design. Conceptualization of good design, however, varies widely across interdisciplinary team members, with potential to both foster innovation or lead to unproductive conflict. To explore how groups central to bioengineering teams (physicians/clinicians and engineers/physicists) conceptualize good design, we asked 176 professionals in bioengineering to complete a comprehensive online survey including items designed to assess cognitive and moral foundations (validated MFQ30 tool) and custom items assessing perceptions on good design in three areas (good design characteristics, reputation of design approvers, and perceived design patient/consumer suitability)...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227470/status-and-solutions-to-medical-device-regulations-for-improving-the-healthcare-landscape-in-africa
#5
A Lissel, F Ottenberg, B R Bracio, A Ravizza, C De Maria, A Ahluwalia, L Di Pietro, P Trommler, A Lissel, F Ottenberg, B R Bracio, A Ravizza, C De Maria, A Ahluwalia, L Di Pietro, P Trommler, C De Maria, A Ahluwalia, L Di Pietro, A Ravizza, P Trommler, A Lissel, F Ottenberg, B R Bracio
For different reasons most African countries have a poor public healthcare system compared to developed countries. Despite an increasing number of patients they often lack skilled health workers as well as basic medical equipment. This paper focuses on the development of an affordable and sustainable system for medical device regulations to provide safe, effective and quality healthcare products for Africa. Furthermore, it is determined whether Open Source Medical Devices are an effective alternative for medical device regulations to increase innovations in Africa...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28227098/heterogeneous-neural-amplifier-integration-for-scalable-extracellular-microelectrodes
#6
Jorg Scholvin, Justin P Kinney, Jacob G Bernstein, Caroline Moore-Kochlacs, Nancy J Kopell, Clifton G Fonstad, Edward S Boyden, Jorg Scholvin, Justin P Kinney, Jacob G Bernstein, Caroline Moore-Kochlacs, Nancy J Kopell, Clifton G Fonstad, Edward S Boyden, Jacob G Bernstein, Caroline Moore-Kochlacs, Edward S Boyden, Clifton G Fonstad, Justin P Kinney, Nancy J Kopell, Jorg Scholvin
We here demonstrate multi-chip heterogeneous integration of microfabricated extracellular recording electrodes with neural amplifiers, highlighting a path to scaling electrode channel counts without the need for more complex monolithic integration. We characterize the noise and impedance performance of the heterogeneously integrated neural recording electrodes, and analyze the design parameters that enable the low-voltage neural input signals to co-exist with the high-frequency and high-voltage digital outputs on the same silicon substrate...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226978/improving-clinical-models-based-on-knowledge-extracted-from-current-datasets-a-new-approach
#7
D Mendes, S Paredes, T Rocha, P Carvalho, J Henriques, J Morais, D Mendes, S Paredes, T Rocha, P Carvalho, J Henriques, J Morais, D Mendes, T Rocha, P Carvalho, J Morais, S Paredes, J Henriques
The Cardiovascular Diseases (CVD) are the leading cause of death in the world, being prevention recognized to be a key intervention able to contradict this reality. In this context, although there are several models and scores currently used in clinical practice to assess the risk of a new cardiovascular event, they present some limitations. The goal of this paper is to improve the CVD risk prediction taking into account the current models as well as information extracted from real and recent datasets. This approach is based on a decision tree scheme in order to assure the clinical interpretability of the model...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226679/molar-axis-estimation-from-computed-tomography-images
#8
Dongxia Zhang, Yangzhou Gan, Zeyang Xia, Xinwen Zhou, Shoubin Liu, Jing Xiong, Guanglin Li, Dongxia Zhang, Yangzhou Gan, Zeyang Xia, Xinwen Zhou, Shoubin Liu, Jing Xiong, Guanglin Li, Zeyang Xia, Shoubin Liu, Xinwen Zhou, Dongxia Zhang, Yangzhou Gan, Guanglin Li, Jing Xiong
Estimation of tooth axis is needed for some clinical dental treatment. Existing methods require to segment the tooth volume from Computed Tomography (CT) images, and then estimate the axis from the tooth volume. However, they may fail during estimating molar axis due to that the tooth segmentation from CT images is challenging and current segmentation methods may get poor segmentation results especially for these molars with angle which will result in the failure of axis estimation. To resolve this problem, this paper proposes a new method for molar axis estimation from CT images...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226673/a-phases-subtype-detection-using-different-classification-methods
#9
Fatima Machado, Cesar Teixeira, Clara Santos, Conceicao Bento, Francisco Sales, Antonio Dourado, Fatima Machado, Cesar Teixeira, Clara Santos, Conceicao Bento, Francisco Sales, Antonio Dourado, Clara Santos, Fatima Machado, Conceicao Bento, Cesar Teixeira, Francisco Sales, Antonio Dourado
Cyclic alternating patterns (CAPs) occur during normal sleep, but higher CAP rates are associated with abnormal conditions, such as epilepsy. Efficient automatic classification of CAP A-phase sub-types would be of remarkable importance for the consideration of CAP as a disease bio-marker. This paper reports a multi-step methodology for the classification of A-phases subtypes. The methodology encompasses: feature extraction, feature ranking, and classification (Support Vector Machine (SVM), k-Nearest Neighbor (k-NN) and Discriminant Analysis (DA))...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226548/mobileheart-a-mobile-smartphone-based-application-that-supports-and-monitors-coronary-artery-disease-patients-during-rehabilitation
#10
I Frederix, S Sankaran, K Coninx, P Dendale, I Frederix, S Sankaran, K Coninx, P Dendale, K Coninx, S Sankaran, P Dendale, I Frederix
Conventional center-based cardiac rehabilitation adherence is poor, adversely affecting long-term efficacy. Innovative strategies such as telerehabilitation are perceived as promising alternatives to improve care delivery. This paper presents the results of prior and ongoing work on the design and development of MobileHeart, a telemedical smartphone-based application to be used in secondary prevention for ischemic heart disease patients. Its constituent components are discussed separately, the minimal necessary cardiovascular monitoring requirements are elaborated in more detail...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226494/upper-extremity-prosthesis-user-perspectives-on-unmet-needs-and-innovative-technology
#11
Heather L Benz, Jia Yao, Laura Rose, Okan Olgac, Karen Kreutz, Anindita Saha, Eugene F Civillico, Heather L Benz, Jia Yao, Laura Rose, Okan Olgac, Karen Kreutz, Anindita Saha, Eugene F Civillico, Laura Rose, Heather L Benz, Anindita Saha, Okan Olgac, Eugene F Civillico, Karen Kreutz, Jia Yao
The needs of individuals with upper limb amputation and congenital limb difference are not being fully met by current prostheses, as evidenced by prosthesis rejection, non-wear, and user reports of pain and challenging activities. Emerging technologies such as dexterous sensorized robotic limbs, osseointegrated prostheses, implantable EMG electrodes, and electrical stimulation for sensory feedback have the potential to address unmet needs, but pose additional risks. We plan to assess upper limb prosthesis user needs and perspectives on these new benefits and risks using an extensive quantitative survey...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226471/a-cost-effective-non-invasive-system-for-pressure-monitoring-during-epidural-needle-insertion-design-development-and-bench-tests
#12
M Tesei, P Saccomandi, C Massaroni, R Quarta, M Carassiti, E Schena, R Setola, M Tesei, P Saccomandi, C Massaroni, R Quarta, M Carassiti, E Schena, R Setola, M Tesei, E Schena, M Carassiti, R Setola, C Massaroni, P Saccomandi, R Quarta
Epidural blockade procedures have gained large acceptance during last decades. However, the insertion of the needle during epidural blockade procedures is challenging, and there is an increasing alarming risk in accidental dural puncture. One of the most popular approaches to minimize the mentioned risk is to detect the epidural space on the base of the loss of resistance (LOR) during the epidural needle insertion. The aim of this paper is to illustrate an innovative and non-invasive system able to monitor the pressure exerted during the epidural blockade procedure in order to detect the LOR...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226421/opening-plenary-speaker-human-genomics-precision-medicine-and-advancing-human-health
#13
Eric D Green
Starting with the launch of the Human Genome Project in 1990, the past quarter-century has brought spectacular achievements in genomics that dramatically empower the study of human biology and disease. The human genomics enterprise is now in the midst of an important transition, as the growing foundation of genomic knowledge is being used by researchers and clinicians to tackle increasingly complex problems in biomedicine. Of particular prominence is the use of revolutionary new DNA sequencing technologies for generating prodigious amounts of DNA sequence data to elucidate the complexities of genome structure, function, and evolution, as well as to unravel the genomic bases of rare and common diseases...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28226372/reconstruction-of-the-intranasal-lining
#14
Joseph Zenga, John J Chi
Reconstruction of full-thickness nasal defects has been the subject of surgical inquiry and innovation for over 2,000 years. The replacement of the internal nasal lining is a critical feature of complex nasal reconstruction. Successful reconstruction can prevent cicatricial contraction, external distortion, and internal stenosis. An array of reconstructive possibilities has been described, including cutaneous, mucosal, and fascial options. The challenge to the reconstructive surgeon is to select the repair that maximizes internal stability, while maintaining a patent nasal airway, minimizing morbidity, and meeting patient expectations...
February 2017: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/28226056/discourses-on-discharge-care-for-children-with-special-healthcare-needs
#15
Fernanda Garcia Bezerra Góes, Ivone Evangelista Cabral
Objectives: analyze the discourse of healthcare professionals and families on the continuous and complex care for children with special healthcare needs; understand hospital discharge as a process centered on children demands and family learning. Method: qualitative research conducted between 2013 and 2015 through semi-structured interviews, document analysis and the sensitive creative method; the participants were ten children with special healthcare needs, six professionals and eleven family members from a public pediatric teaching hospital in Rio de Janeiro...
January 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28225732/integrating-and-assessing-structural-competency-in-an-innovative-prehealth-curriculum-at-vanderbilt-university
#16
Jonathan M Metzl, JuLeigh Petty
PROBLEM: Structural competency is a framework for conceptualizing and addressing health-related social justice issues that emphasizes diagnostic recognition of economic and political conditions producing and racializing inequalities in health. Strategies are needed to teach prehealth undergraduate students concepts central to structural competency (e.g., structural inequity, structural racism, structural stigma) and to evaluate their impact. APPROACH: The curriculum for Vanderbilt University's innovative prehealth major in medicine, health, and society (MHS) was reshaped in 2013 to incorporate structural competency concepts and skills into undergraduate courses...
March 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28225731/queer-frontiers-in-medicine-a-structural-competency-approach
#17
Cameron A Donald, Sayantani DasGupta, Jonathan M Metzl, Kristen L Eckstrand
In 2014, the Association of American Medical Colleges (AAMC) published a report proposing qualifiers of competence to guide medical educators towards training physicians to appropriately care for individuals who are or may be lesbian, gay, bisexual, transgender (LGBT); gender nonconforming (GNC); and/or born with differences in sex development (DSD). These qualifiers provide content and context to an existing framework heavily used in competency-based medical education, emphasizing individual and interpersonal abilities to enhance care delivered to individuals identifying as LGBT, GNC, and/or born with DSD...
March 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28225544/in-defense-of-clinical-autopsy-and-its-practice-in-cuba
#18
Alfredo D Espinosa-Brito, José Hurtado de Mendoza-Amat
There has been a notable decrease in the global practice of clinical autopsy; the rate has fallen to below 10%, even in high-income countries. This is attributed to several causes, including increased costs, overreliance on modern diagnostic techniques, cultural and religious factors, the emergence of new infectious diseases and negative attitudes on the part of doctors, even pathologists. Alternative methods to autopsy in postmortem studies have been developed based on imaging, endoscopy and biopsy (all quite expensive)...
January 2017: MEDICC Review
https://www.readbyqxmd.com/read/28225461/faculty-development-for-medical-school-community-based-faculty-a-council-of-academic-family-medicine-educational-research-alliance-study-exploring-institutional-requirements-and-challenges
#19
Joanna Drowos, Suzanne Baker, Suzanne Leonard Harrison, Suzanne Minor, Alexander W Chessman, Dennis Baker
PURPOSE: Community-based faculty play a large role in training medical students nationwide and require faculty development. The authors hypothesized that positive relationships exist between clerkships paying preceptors and requiring faculty development, and between protected clerkship directors' time and delivering face-to-face preceptor training, as well as with the number or length of community-based preceptor visits. Through under standing the quantity, delivery methods, barriers, and institutional support for faculty development provided to community-based preceptors teaching in family medicine clerkships, best practices can be developed...
February 21, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28225443/bringing-big-data-to-the-forefront-of-healthcare-delivery-the-experience-of-carolinas-healthcare-system
#20
Michael F Dulin, Carol A Lovin, Jean A Wright
The use of big data to transform care delivery is rapidly becoming a reality. To deliver on the promise of value-based care, providers must know the key drivers of wellness at the patient and community levels, as well as understand resource constraints and opportunities to improve efficiency in the health-care system itself. Data are the linchpin. By gathering the right data and finding innovative ways to glean knowledge, we can improve clinical care, advance the health of our communities, improve the lives of our patients, and operate more efficiently...
January 2017: Frontiers of Health Services Management
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