{"title":"Comparing different mechanical models for the evaluation of mechanical behavior of reuse in PVC electrosurgical pencils through their hardness and Young's Modulus relation","authors":"S. Torres-Montoya, Y. Montoya-Goéz, L. Tapias","doi":"10.1109/PAHCE.2014.6849634","DOIUrl":"https://doi.org/10.1109/PAHCE.2014.6849634","url":null,"abstract":"The validation of the mechanical behavior of medical devices (MD) that undergo reprocessing can be an important tool to ensure that the device is adequate for a new use. Health care institutions seek to increase their cost to benefit ratio regarding the purchase of a MD, without compromising the patient's health. Mechanical characterization is an excellent way to measure important physical properties to check the state of reused MD. Nevertheless, this type of analysis requires the destruction of the MD. This work attempts to approach this problem through the implementation of a nondestructive technique known as indentation by Shore A (hardness measure), that can be relate with deformation (Young's Modulus) through analytical models. This research reports that the relationship between the Young's Modulus and the electrosurgical pencils hardness follows a parabolic model among other models, including a multivariate model, a logarithmic model and an exponential one. We conclude that it is possible to obtain the value of the deformation of a MD through the measure of hardness, achieving to validate the mechanical behavior without destroying it, increasing the cost to benefit ratio of the health care institution and securing the patient's integrity during a medical procedure.","PeriodicalId":196438,"journal":{"name":"2014 Pan American Health Care Exchanges (PAHCE)","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126850104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identification of possible evidences of Sick Building Syndrome in the dependencies of the Brazilian Chamber of Deputies","authors":"M. C. Santos, F. P. Schwartz","doi":"10.1109/PAHCE.2014.6849626","DOIUrl":"https://doi.org/10.1109/PAHCE.2014.6849626","url":null,"abstract":"This study raised the most frequent clinical diagnoses recorded in the emergency room of the Medical Department of the Brazilian Chamber of Deputies. The main objective was to identify possible evidence of Sick Building Syndrome (SBS) within this institution. The method used consisted in the extraction of information contained in electronic medical records of emergency patients. It was found that more than 50% of occurrences are concentrated in only thirteen disease codes which are also related to SBS. Further studies are being conducted to evaluate whether the causes of illness are really related to SBS.","PeriodicalId":196438,"journal":{"name":"2014 Pan American Health Care Exchanges (PAHCE)","volume":"196 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116353102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Design and fabrication of a stainless steel base for biomechanical testing of Wistar rat abdominal wall","authors":"M. Franco, A. Arboleda, L. Valladares","doi":"10.1109/PAHCE.2014.6849614","DOIUrl":"https://doi.org/10.1109/PAHCE.2014.6849614","url":null,"abstract":"The mechanical property of materials allows us to know how and how their performance will then be subject to the conditions for which it was designed. The biomechanical properties of biological tissues give an approximation to loads which it may be subjected in its biological environment. The objective of this project was to design a support to allow the biomechanical plunger tests on a sample of tissue from the abdominal wall of Wistar rat. The 1010 stainless steel support was 102 mm diameter and 50 mm of high, and 40 mm diameter extrusion in the middle was attached to the Instron 3366 universal testing machine.","PeriodicalId":196438,"journal":{"name":"2014 Pan American Health Care Exchanges (PAHCE)","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128207473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implementation and evaluation of a system for automatic classification of feet and walking alterations using latex insoles with pressure sensors and accelerometers, based on artificial neural networks","authors":"N. L. Ossami, C. Miosso, S. R. Fleury","doi":"10.1109/PAHCE.2014.6849620","DOIUrl":"https://doi.org/10.1109/PAHCE.2014.6849620","url":null,"abstract":"Several muscular-skeletal problems can affect the foot and thus the structural development of a child, causing damage to his or her tone-postural system. Hence, the early detection of any possible postural alteration is essential in avoiding further adult life complications. There are several methods and instruments for feet evaluation; however, they are generally restricted to clinical environments, and are not appropriate for daily evaluations. We propose a system for feet alterations classification, for children with ages between 6 and 10 years, daily use, and based on latex insoles with pressure sensors and accelerometers. Our system uses a microcontrolled circuit connected to the insole, with a module for signals storage. For classification, the system uses an artificial neural network (ANN). In preliminary tests, a user applied specific plantar pressure distributions, for training the ANN. The ANN achieved 100 % of correct classifications for the signals used during training, and 96 % for the remaining signals. We also created a visualization of feet pressures during walking, in order to conduct a dynamic analysis of pressure distributions. The results suggest that system can classify feet and walking types. We will now conduct more systematic tests with more volunteers, to statistically evaluate the results.","PeriodicalId":196438,"journal":{"name":"2014 Pan American Health Care Exchanges (PAHCE)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122073169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Molina, M. Vera, H. Robles, E. Bejarano, Hermann Dávila
{"title":"Lung segmentation using Support Vector Machine in computed tomography images","authors":"V. Molina, M. Vera, H. Robles, E. Bejarano, Hermann Dávila","doi":"10.1109/PAHCE.2014.6849624","DOIUrl":"https://doi.org/10.1109/PAHCE.2014.6849624","url":null,"abstract":"Algorithms for extracting information about the structures present in an image are known as segmentation algorithms and play an important role in numerous biomedical applications where the images are the primary source of information. Image segmentation is a fundamental process in the area of medicine, although many alternatives have been proposed to solve the problem properly segment the objects that make up a scene, there is still one that can meet all the requirements that arise in this types of applications. Through this work we propose a method to segment, automatically, lungs obtained from computed tomography images through region growing. The starting point for the segmentation (seed) is obtained from the location of certain anatomical markers generated by a detection process implemented with Support Vector Machines least squares (LS-SVM) and interpolation of these by cubic spline in order to find a centroid of the contour obtained.","PeriodicalId":196438,"journal":{"name":"2014 Pan American Health Care Exchanges (PAHCE)","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123674935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Merith Martinez-Valdes, Jose Luis Cruz-Vargas, J. Gutiérrez-Martínez, J. Cantillo-Negrete, D. Elías-Viñas, A. Castaneda-Galvan, Alberto Hernandez-Perez
{"title":"Mechanical structure prototype and control unit for an active orthosis for a human had","authors":"Merith Martinez-Valdes, Jose Luis Cruz-Vargas, J. Gutiérrez-Martínez, J. Cantillo-Negrete, D. Elías-Viñas, A. Castaneda-Galvan, Alberto Hernandez-Perez","doi":"10.1109/PAHCE.2014.6849621","DOIUrl":"https://doi.org/10.1109/PAHCE.2014.6849621","url":null,"abstract":"In this work, a structure for an active mechatronics orthosis of right hand is presented. The mechanism was designed to help to patients with neuromuscular injuries who cannot grasp heavy objects. The Integration Definition for Function Modeling provides activities, functional requirements and anthropomorphic parameters to define the materials and components. Currently, the first prototype allows holding objects up 500 g.","PeriodicalId":196438,"journal":{"name":"2014 Pan American Health Care Exchanges (PAHCE)","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124757548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Mayorga, C. Druzgalski, J. Miranda, V. Zeljkovic, O. H. González
{"title":"The HMM diagnostic models of respiratory sounds","authors":"P. Mayorga, C. Druzgalski, J. Miranda, V. Zeljkovic, O. H. González","doi":"10.1109/PAHCE.2014.6849611","DOIUrl":"https://doi.org/10.1109/PAHCE.2014.6849611","url":null,"abstract":"Numerous studies including annual reports by Blacksmith Institute clearly document the magnitude of regional pollution and associated health risks. In particular the air pollution encompassing PM10 and smaller particles significantly contributes to the prevalence of respiratory diseases. Specifically, the city of Mexicali with a PM10 ranking of 137 in 2010 is considered as the most polluted city in Mexico largely due to the contribution of unusual environmental factors. Resulting respiratory abnormalities are often reflected in peculiar auscultatory indicators and their assessment can be accomplished using low cost technologies. These economic aspects are critical not only in Latin America but also other population centers globally considering the limited level of health services. Any classification of auscultatory indicators as reflected in lung sound (LS) characteristics needs to account for a noisy environment and the influence of heart sounds (HS). The aim of these studies was to utilize Hidden Markov Models (HMM) in light of the previously conducted assessment of lung sounds (LS) utilizing the Mixture Gaussians Models (GMM). In particular, the application of HMM models provides robustness to cope with noise and other interferences, to which the Mixture Gaussians Models (GMM) are more vulnerable. The conducted studies document that presented quantitative assessment of LS may add in more objective and economic scanning for respiratory abnormalities.","PeriodicalId":196438,"journal":{"name":"2014 Pan American Health Care Exchanges (PAHCE)","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123826828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electrode optimization in low intensity current simulation for tissue repair","authors":"A. Ortencio, K. Slowinska, C. Druzgalski","doi":"10.1109/PAHCE.2014.6849646","DOIUrl":"https://doi.org/10.1109/PAHCE.2014.6849646","url":null,"abstract":"When used with Low Intensity Current, electrotherapy can mimic the body's natural bioelectric signal to promote: healing in wounds, more resilient healed scars and tissue repair. Therefore, a proposed medical device that delivers electrical pulses is simulated to provide alternative and more effective options for: wound healing and tissue repair. This is created by developing a shallow layer of electrodes that can create an electric field to only stimulate the epidermis layer in the skin (about 150 micrometers deep). The control variables that affect the produced electromagnetic skin depth include: the size of the electrodes, the spacing between the electrodes, the number of electrodes, the frequency of pulses delivered and the current delivered.","PeriodicalId":196438,"journal":{"name":"2014 Pan American Health Care Exchanges (PAHCE)","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126208237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Toledo, F. J. Ramos, J. Gutierrez, A. Vera, L. Leija
{"title":"Non-invasive imaging techniques to assess diabetic foot ulcers: A state of the art review","authors":"C. Toledo, F. J. Ramos, J. Gutierrez, A. Vera, L. Leija","doi":"10.1109/PAHCE.2014.6849618","DOIUrl":"https://doi.org/10.1109/PAHCE.2014.6849618","url":null,"abstract":"The present article is a summary of noninvasive imaging techniques, which aim is to assess feet and legs' ulcer formation and development. The objective is to early detect if an ulcer is about to develop to apply prompt treatment and reverse the process or at least lessen it. Hyperspectral imaging, plantar pressure imaging, photographic imaging and thermic imaging techniques are presented as a recapitulation of the state of the art of imaging techniques and their results.","PeriodicalId":196438,"journal":{"name":"2014 Pan American Health Care Exchanges (PAHCE)","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133641573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Meirovich, A. Bold, J. Bayartogtokh, B. Enkhjargal
{"title":"First Ulaanbaatar city hospital network infrastructure and healthcare technology assessment","authors":"C. Meirovich, A. Bold, J. Bayartogtokh, B. Enkhjargal","doi":"10.1109/PAHCE.2014.6849612","DOIUrl":"https://doi.org/10.1109/PAHCE.2014.6849612","url":null,"abstract":"The first infrastructure and healthcare technology (HT) assessment has been implemented in Ulaanbaatar. The outputs of the assessment are the main inputs to the capital planning process the Ministry of Health will start implementing in 2014. Since the boom of the Mongolian economy in 2009 there was a need to rationalize the capital investments in health. The capital planning process has been developed to cover the existing gap. Thirty-three healthcare facilities (that account for 5.939 beds of the Mongolian healthcare system) have been surveyed and its equipment included in a new inventory system. This first step will allow the Ministry of Health to start monitoring over 5.500 items with a unique identification. Additional results will be available after the complete data processing of the collected.","PeriodicalId":196438,"journal":{"name":"2014 Pan American Health Care Exchanges (PAHCE)","volume":"203 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114574859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}