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Dysphonic speech reconstruction: construction of a novel system for effective and efficient communication. 不发音语音重建:为有效和高效的交流构建一个新的系统。
IEEE Engineering in Medicine and Biology Magazine Pub Date : 2010-03-01 DOI: 10.1109/MEMB.2009.935725
H Irem Turkmen, M Elif Karsligil
{"title":"Dysphonic speech reconstruction: construction of a novel system for effective and efficient communication.","authors":"H Irem Turkmen,&nbsp;M Elif Karsligil","doi":"10.1109/MEMB.2009.935725","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935725","url":null,"abstract":"<p><p>In this article, a MELP-based real-time system that produces synthetic speech for patients with chronic dysphonia while preserving their continual structure of speech, was presented. Dysphonic patients, even though strained, could express themselves within face-to-face communications. However, when speaking in a group or using communication devices such as mobile phones, they face serious difficulties in vocal communication since it becomes harder to understand their speech. This system will make the speech of such a patient much more understandable by reconstructing the patients' dysphonic speech in real time. This system can easily be fitting into an embedded system of the size and shape of a mobile phone, so that it could be carried all the time by the patients.</p>","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2009.935725","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147174","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}
引用次数: 2
Clustering techniques: measuring the performance of contract service providers. 聚类技术:衡量合同服务提供者的绩效。
IEEE Engineering in Medicine and Biology Magazine Pub Date : 2010-03-01 DOI: 10.1109/MEMB.2009.935708
Antonio Miguel Cruz, Sandra Patricia Usaquén Perilla, Nidia Nelly Vanegas Pabón
{"title":"Clustering techniques: measuring the performance of contract service providers.","authors":"Antonio Miguel Cruz,&nbsp;Sandra Patricia Usaquén Perilla,&nbsp;Nidia Nelly Vanegas Pabón","doi":"10.1109/MEMB.2009.935708","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935708","url":null,"abstract":"<p><p>This paper investigates the use of clustering technique to characterize the providers of maintenance services in a health-care institution according to their performance. A characterization of the inventory of equipment from seven pilot areas was carried out first (including 264 medical devices). The characterization study concluded that the inventory on a whole is old [exploitation time (ET)/useful life (UL) average is 0.78] and has high maintenance service costs relative to the original cost of acquisition (service cost /acquisition cost average 8.61%). A monitoring of the performance of maintenance service providers was then conducted. The variables monitored were response time (RT), service time (ST), availability, and turnaround time (TAT). Finally, the study grouped maintenance service providers into clusters according to performance. The study grouped maintenance service providers into the following clusters. Cluster 0: Identified with the best performance, the lowest values of TAT, RT, and ST, with an average TAT value of 1.46 days; Clusters 1 and 2: Identified with the poorest performance, highest values of TAT, RT, and ST, and an average TAT value of 9.79 days; and Cluster 3: Identified by medium-quality performance, intermediate values of TAT, RT, and ST, and an average TAT value of 2.56 days.</p>","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2009.935708","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147171","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}
引用次数: 11
Clinical appointment process: improvement through schedule defragmentation. 临床预约流程:通过日程整理改进。
IEEE Engineering in Medicine and Biology Magazine Pub Date : 2010-03-01 DOI: 10.1109/MEMB.2009.935718
Jie Lian, Kori Distefano, Somer D Shields, Cindy Heinichen, Melissa Giampietri, Lian Wang
{"title":"Clinical appointment process: improvement through schedule defragmentation.","authors":"Jie Lian,&nbsp;Kori Distefano,&nbsp;Somer D Shields,&nbsp;Cindy Heinichen,&nbsp;Melissa Giampietri,&nbsp;Lian Wang","doi":"10.1109/MEMB.2009.935718","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935718","url":null,"abstract":"<p><p>Most clinics rely on the appointment scheduling systems to manage patients' access to their health-care providers. Conventional appointment scheduling processes have intrinsic inefficiency because of the tendency to generate fragmented time slots. In this article, a solution, which considers patient-provider mutual preference, is provided to guide the appointment scheduling process by means of schedule defragmentation. Computer simulation shows that patient-provider cooperation can effectively reduce schedule fragmentation, yielding higher appointment acceptance rate and clinic time utilization rate at given appointment demand matched by service supply. When service time distribution can be accurately estimated, decreasing unit time slot size may further improve the appointment scheduling efficiency. In addition, a clinical survey was conducted to identify the opportunities and challenges of applying the proposed defragmentation method in clinical appointment scheduling practice.</p>","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2009.935718","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147247","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}
引用次数: 15
Quest for the artificial pancreas: combining technology with treatment. 探索人工胰腺:技术与治疗相结合。
IEEE Engineering in Medicine and Biology Magazine Pub Date : 2010-03-01 DOI: 10.1109/MEMB.2009.935711
Rebecca A Harvey, Youqing Wang, Benyamin Grosman, Matthew W Percival, Wendy Bevier, Daniel A Finan, Howard Zisser, Dale E Seborg, Lois Jovanovic, Francis J Doyle, Eyal Dassau
{"title":"Quest for the artificial pancreas: combining technology with treatment.","authors":"Rebecca A Harvey,&nbsp;Youqing Wang,&nbsp;Benyamin Grosman,&nbsp;Matthew W Percival,&nbsp;Wendy Bevier,&nbsp;Daniel A Finan,&nbsp;Howard Zisser,&nbsp;Dale E Seborg,&nbsp;Lois Jovanovic,&nbsp;Francis J Doyle,&nbsp;Eyal Dassau","doi":"10.1109/MEMB.2009.935711","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935711","url":null,"abstract":"<p><p>The various components of the artificial pancreas puzzle are being put into place. Features such as communication, control, modeling, and learning are being realized presently. Steps have been set in motion to carry the conceptual design through simulation to clinical implementation. The challenging pieces still to be addressed include stress and exercise; as integral parts of the ultimate goal, effort has begun to shift toward overcoming the remaining hurdles to the full artificial pancreas. The artificial pancreas is close to becoming a reality, driven by technology, and the expectation that lives will be improved.</p>","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2009.935711","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 97
A novel phototherapy device: the design community approach for the developing world. 一种新型光疗装置:面向发展中国家的设计社区方法。
IEEE Engineering in Medicine and Biology Magazine Pub Date : 2010-03-01 DOI: 10.1109/MEMB.2010.936453
Robert Malkin, Vijay Anand
{"title":"A novel phototherapy device: the design community approach for the developing world.","authors":"Robert Malkin,&nbsp;Vijay Anand","doi":"10.1109/MEMB.2010.936453","DOIUrl":"https://doi.org/10.1109/MEMB.2010.936453","url":null,"abstract":"<p><p>Phototherapy is the standard treatment for severe cases of hyperbilirubinemia in newborns. Phototherapy exposes the infants to light in the range of 400-500 nm to isomerize unconjugated bilirubin in the skin. Any light source that produces this wavelength can be used, including the sun (though there is a risk of sunburn), fluorescent or halogen lamps, or, more recently, light-emitting diodes. Despite the well-established efficacy of phototherapy devices and their relative simplicity-being not much more than a floor lamp-phototherapy devices are too expensive for developing world hospitals to purchase, with typical hospital models ranging from US$3,000 to US$5,000. In addition, the resource-poor setting presents a more challenging engineering problem than most. Phototherapy devices are frequently donated to developing world hospitals. However, donated phototherapy devices typically run for no more than a few months once donated and, even then, offer little value to some hospitals. Given this background, we set out to design a phototherapy device specifically for use in the developing world. As a minimum, we knew that it had to have a light source with an extraordinarily long life span and have battery backup so that it could run during frequent power outages. Our design uses LEDs and is powered by a car or motorcycle battery. In this article, we present the full engineering design cycle, staring with needs identification and continuing through several cycles of engineering field trials and results with comments on the differences between the engineering design cycle executed in, and for, the developing world.</p>","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2010.936453","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29149444","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}
引用次数: 19
medical devices in cinema [Point of view] 电影院内的医疗器材[观点]
IEEE Engineering in Medicine and Biology Magazine Pub Date : 2010-03-01 DOI: 10.1109/MEMB.2009.935724
G. Baura
{"title":"medical devices in cinema [Point of view]","authors":"G. Baura","doi":"10.1109/MEMB.2009.935724","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935724","url":null,"abstract":"Is it time to take a more sophisticated approach to the way we portray medical devices in American cinema?","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2009.935724","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62476215","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}
引用次数: 0
Continuous monitoring of respiratory flow and CO(2):challenges of on-airway measurements. 连续监测呼吸流量和CO(2):气道测量的挑战。
IEEE Engineering in Medicine and Biology Magazine Pub Date : 2010-03-01 DOI: 10.1109/MEMB.2009.935712
Michael B Jaffe, Joseph A Orr
{"title":"Continuous monitoring of respiratory flow and CO(2):challenges of on-airway measurements.","authors":"Michael B Jaffe,&nbsp;Joseph A Orr","doi":"10.1109/MEMB.2009.935712","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935712","url":null,"abstract":"<p><p>In this article, the challenges of simultaneous respiratory gas concentration and flow measurements in a breathing circuit are reviewed. The tradeoffs that were considered in the development of a clinically useful on-airway combination CO(2)/flow sensor are discussed as well as the applications enabled by this on-airway combination CO(2)/flow sensor.</p>","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2009.935712","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147239","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}
引用次数: 20
Wireless sensing systems in clinical environments: improving the efficiency of the patient monitoring process. 临床环境中的无线传感系统:提高患者监护过程的效率。
IEEE Engineering in Medicine and Biology Magazine Pub Date : 2010-03-01 DOI: 10.1109/MEMB.2009.935713
JeongGil Ko, Tia Gao, Richard Rothman, Andreas Terzis
{"title":"Wireless sensing systems in clinical environments: improving the efficiency of the patient monitoring process.","authors":"JeongGil Ko,&nbsp;Tia Gao,&nbsp;Richard Rothman,&nbsp;Andreas Terzis","doi":"10.1109/MEMB.2009.935713","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935713","url":null,"abstract":"<p><p>Multiple studies suggest that the level of patient care may decline in the future because of a larger aging population and medical staff shortages. Wireless sensing systems that automate some of the patient monitoring tasks can potentially improve the efficiency of patient workflows, but their efficacy in clinical settings is an open question. This article examines the potential of wireless sensor network (WSN) technologies to improve the efficiency of the patient-monitoring process in clinical environments. MEDiSN, a WSN designed to continuously monitor the vital signs of ambulatory patients, is designed. The usefulness of MEDiSN is validated with test bed experiments and results from a pilot study performed at the Emergency Department, Johns Hopkins Hospital. Promising results indicate that MEDiSN can tolerate high degrees of human mobility, is well received by patients and staff members, and performs well in real clinical environments.</p>","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2009.935713","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147246","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}
引用次数: 71
Technology transfer. 技术转让。
IEEE Engineering in Medicine and Biology Magazine Pub Date : 2010-03-01 DOI: 10.1109/MEMB.2010.936452
Jesse Jayne Rutherford
{"title":"Technology transfer.","authors":"Jesse Jayne Rutherford","doi":"10.1109/MEMB.2010.936452","DOIUrl":"https://doi.org/10.1109/MEMB.2010.936452","url":null,"abstract":"<p><p>Technology transfer has served the field of biomedical engineering well. Although the process is fraught with obstacles and may appear to be a distraction from more important work in the laboratory, application of technology is crucial to the furthering of the field and to public health in general. A given inventor may not want to take over the administrative tasks of protecting IP, developing a regulatory strategy, and developing a business model, and he or she does not necessarily have to; however, the inventor needs to at least know about the strategies and know there are people to turn to for leadership and guidance outside of the laboratory early in the process. And that can be all an inventor wants to do or can do: to simply turn the invention over to someone else and move on to more research in the hopes that the invention will help improve patients' health and perhaps afford the inventor and the research institution some financial reward. However, in turning an invention over completely, an inventor also loses power over how, for whom, and at what price the invention will be offered, and that is a reason to become more informed about the process, to know what you can ask for, and to stand by your invention's side in whatever capacity you are equipped to do so throughout the entire technology transfer process.</p>","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2010.936452","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29149442","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}
引用次数: 0
Optical coherence tomography: the intraoperative assessment of lymph nodes in breast cancer. 光学相干断层扫描:术中乳腺癌淋巴结的评估。
IEEE Engineering in Medicine and Biology Magazine Pub Date : 2010-03-01 DOI: 10.1109/MEMB.2009.935722
Freddy T Nguyen, Adam M Zysk, Eric J Chaney, Steven G Adie, Jan G Kotynek, Uretz J Oliphant, Frank J Bellafiore, Kendrith M Rowland, Patricia A Johnson, Stephen A Boppart
{"title":"Optical coherence tomography: the intraoperative assessment of lymph nodes in breast cancer.","authors":"Freddy T Nguyen,&nbsp;Adam M Zysk,&nbsp;Eric J Chaney,&nbsp;Steven G Adie,&nbsp;Jan G Kotynek,&nbsp;Uretz J Oliphant,&nbsp;Frank J Bellafiore,&nbsp;Kendrith M Rowland,&nbsp;Patricia A Johnson,&nbsp;Stephen A Boppart","doi":"10.1109/MEMB.2009.935722","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935722","url":null,"abstract":"<p><p>During breast-conserving surgeries, axillary lymph nodes draining from the primary tumor site are removed for disease staging. Although a high number of lymph nodes are often resected during sentinel and lymph-node dissections, only a relatively small percentage of nodes are found to be metastatic, a fact that must be weighed against potential complications such as lymphedema. Without a real-time in vivo or in situ intraoperative imaging tool to provide a microscopic assessment of the nodes, postoperative paraffin section histopathological analysis currently remains the gold standard in assessing the status of lymph nodes. This paper investigates the use of optical coherence tomography (OCT), a high-resolution real-time microscopic optical-imaging technique, for the intraoperative ex vivo imaging and assessment of axillary lymph nodes. Normal (13), reactive (1), and metastatic (3) lymph nodes from 17 human patients with breast cancer were imaged intraoperatively with OCT. These preliminary clinical studies have identified scattering changes in the cortex, relative to the capsule, which can be used to differentiate normal from reactive and metastatic nodes. These optical scattering changes are correlated with inflammatory and immunological changes observed in the follicles and germinal centers. These results suggest that intraoperative OCT has the potential to assess the real-time node status in situ, without having to physically resect and histologically process specimens to visualize microscopic features.</p>","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2009.935722","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 72
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