IEEE Engineering in Medicine and Biology Magazine最新文献

{"title":"Real-time analysis for intensive care: development and deployment of the artemis analytic system.","authors":"Marion Blount,&nbsp;Maria R Ebling,&nbsp;J Mikael Eklund,&nbsp;Andrew G James,&nbsp;Carolyn McGregor,&nbsp;Nathan Percival,&nbsp;Kathleen P Smith,&nbsp;Daby Sow","doi":"10.1109/MEMB.2010.936454","DOIUrl":"https://doi.org/10.1109/MEMB.2010.936454","url":null,"abstract":"<p><p>The lives of many thousands of children born premature or ill at term around the world have been saved by those who work within neonatal intensive care units (NICUs). Modern-day neonatologists, together with nursing staff and other specialists within this domain, enjoy modern technologies for activities such as financial transactions, online purchasing, music, and video on demand. Yet, when they move into their workspace, in many cases, they are supported by nearly the same technology they used 20 years ago. Medical devices provide visual displays of vital signs through physiological streams such as electrocardiogram (ECG), heart rate, blood oxygen saturation (SpO(2)), and respiratory rate. Electronic health record initiatives around the world provide an environment for the electronic management of medical records, but they fail to support the high-frequency interpretation of streaming physiological data. We have taken a collaborative research approach to address this need to provide a flexible platform for the real-time online analysis of patients' data streams to detect medically significant conditions that precede the onset of medical complications. The platform supports automated or clinician-driven knowledge discovery to discover new relationships between physiological data stream events and latent medical conditions as well as to refine existing analytics. Patients benefit from the system because earlier detection of signs of the medical conditions may lead to earlier intervention that may potentially lead to improved patient outcomes and reduced length of stays. The clinician benefits from a decision support tool that provides insight into multiple streams of data that are too voluminous to assess with traditional methods. The remainder of this article summarizes the strengths of our research collaboration and the resulting environment known as Artemis, which is currently being piloted within the NICU of The Hospital for Sick Children (SickKids) in Toronto, Ontario, Canada. Although the discussion in this article focuses on a NICU, the technologies can be applied to any intensive care environment.</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.2010.936454","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147170","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":"Health-care technology: Industrial and clinical applications.","authors":"Nicolas Chbat,&nbsp;Emilio Sacristan,&nbsp;Andrew Laine","doi":"10.1109/memb.2009.935703","DOIUrl":"https://doi.org/10.1109/memb.2009.935703","url":null,"abstract":"","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.2009.935703","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29970894","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":"Electronic data-capturing technology for clinical trials: experience with a global postmarketing study.","authors":"Zengwu Lu","doi":"10.1109/MEMB.2009.935726","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935726","url":null,"abstract":"The purpose of this article was to address three questions: What were the electronic data-capturing (EDC) technologies employed in a typical industry-sponsored clinical study? How is the developed system meeting the clinical research need? What would we want more from this EDC technology? This article is prepared from industry perspectives to present and analyze the advantages, benefits, and challenges in applying EDC technologies to address industry's clinical trial operational needs based on a systematic overview.","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.2009.935726","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147241","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":"The eICU research institute - a collaboration between industry, health-care providers, and academia.","authors":"Michael McShea,&nbsp;Randy Holl,&nbsp;Omar Badawi,&nbsp;Richard R Riker,&nbsp;Eric Silfen","doi":"10.1109/MEMB.2009.935720","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935720","url":null,"abstract":"<p><p>As the volume of data that is electronically available promliferates, the health-care industry is identifying better ways to use this data for patient care. Ideally, these data are collected in real time, can support point-of-care clinical decisions, and, by providing instantaneous quality metrics, can create the opportunities to improve clinical practice as the patient is being cared for. The business-world technology supporting these activities is referred to as business intelligence, which offers competitive advantage, increased quality, and operational efficiencies. The health-care industry is plagued by many challenges that have made it a latecomer to business intelligence and data-mining technology, including delayed adoption of electronic medical records, poor integration between information systems, a lack of uniform technical standards, poor interoperability between complex devices, and the mandate to rigorously protect patient privacy. Efforts at developing a health care equivalent of business intelligence (which we will refer to as clinical intelligence) remains in its infancy. Until basic technology infrastructure and mature clinical applications are developed and implemented throughout the health-care system, data aggregation and interpretation cannot effectively progress. The need for this approach in health care is undisputed. As regional and national health information networks emerge, we need to develop cost-effective systems that reduce time and effort spent documenting health-care data while increasing the application of knowledge derived from that data.</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.2009.935720","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29149443","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":"Nerve conduction studies: clinical challenges and engineering solutions.","authors":"Xuan Kong,&nbsp;Eugene A Lesser,&nbsp;Shai N Gozani","doi":"10.1109/MEMB.2009.935714","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935714","url":null,"abstract":"<p><p>Nerve conduction studies (NCSs) have played an important role in the evaluation of neuromuscular disease for the past 50 years. When patients present with complaints of pain, numbness, tingling, or weakness, NCS is often one of the earliest tests obtained by physicians, because it enables the quantitative assessment of peripheral nerve and muscle function and, therefore, aid the physician in identifying the physiological source of the patient's symptoms. NCSs involve the delivery of electric stimuli to peripheral nerves at accessible locations on the human body and the recording of electrophysiological responses. This article reviews how NCS is traditionally performed. This paper also examines technical challenges associated with each step of performing an NCS and describes how engineering solutions could be realized to meet these challenges. The engineering goals were several: improvement in NCS workflow, use of prefabricated electrode arrays to standardize NCS technique and reduce the errors associated with electrode placement, and improvement of the overall accuracy and reliability of NCS.</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.2009.935714","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29149445","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":"Blogging...again...yes, again? [Student Activities]","authors":"L. Lazareck","doi":"10.1109/MEMB.2009.935715","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935715","url":null,"abstract":"Blogging. Yes, people are still blogging, expounding upon their feelings daily to a friendly and receptive audience, sharing jokes, and exchanging thoughts. My question is: out of the zillion of blogs online (a slight exaggeration, perhaps), how do people find these fabulous blogs that enthrall them on a continual and regular basis? Personally, I have yet to discover a blog that can hold my attention for more than a few weeks. I have never created my own cyber diary, although perhaps the columns I write for this magazine could be seen as a blogging variant (Mag-blogging? Magging? Ag-ging?). I would cherish a new online haunt to while away the hours-on a topic I am interested in-reading, perusing, clicking, laughing at, laughing with, and contributing to. The new Web 2.0 sites including Facebook and Twitter are great for socializing when time permits, but I lose interest when my academic side twinges for intellectual fodder. Already, I spend many honest hours a week reading the IEEE Engineering and Biology Society (EMBS)-related e-mails, e-journals, e-magazines, e-newsletters, and more traditional and inkfilled sections of newspapers (shocking, I know). There are times when I wish I could visit just one Web site and get my fill of EMB news-past, present, and future-with a smattering of entertainment, advertisements, and a chance to interact with peers. Do you see where I am headed with all of this?","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.2009.935715","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62476166","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":"A tale of two Flemings [From the Editor]","authors":"M. Neuman","doi":"10.1109/MEMB.2010.936451","DOIUrl":"https://doi.org/10.1109/MEMB.2010.936451","url":null,"abstract":"On a recent trip to London, my wife and I spent a sunny, autumn Sunday afternoon taking a guided London walk (http://www.walks.com). We try to do this each time we are in the U.K. capitol, for these tours explore parts of the city that we would never find on our own. The guides are every bit as interesting as the sights. We have had guides who were actors, historians, professors, archaeologists, or just plain interesting people. Their presentations are as entertaining as they are educational. On a recent tour, we visited Dickens' and Shakespeare's London, with a guide who recited excerpts from the writings of these giants of English literature at sites where the authors had visited, lived, or were prominent in their work. These inexpensive excursions are a great way to spend about two hours on the streets and lanes of London and are highly recommended for any reader who finds himself or herself in that part of the world.","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.2010.936451","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62476318","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":"Robotic system for transrectal biopsy of the prostate: real-time guidance under MRI.","authors":"Haytham Elhawary,&nbsp;Zion Tsz-Ho Tse,&nbsp;Marc Rea,&nbsp;Alex Zivanovic,&nbsp;Brian L Davies,&nbsp;Colin Besant,&nbsp;Nandita M de Souza,&nbsp;Donald McRobbie,&nbsp;Ian Young,&nbsp;Michael U Lampérth","doi":"10.1109/MEMB.2009.935709","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935709","url":null,"abstract":"<p><p>In this paper, to harness the possibility of real-time guidance of MRI, a robotic system has been developed to perform transrectal prostate biopsy inside a 1.5-T closed bore scanner. A specially developed MR pulse sequence is capable of tracking the needle location in real time while dynamically updating the scan planes to always include the needle and target.</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.2009.935709","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147240","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":"Developing teamwork skills in capstone design courses.","authors":"Jay Goldberg","doi":"10.1109/MEMB.2009.935729","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935729","url":null,"abstract":"<p><p>The majority of our biomedical engineering graduates will eventually work in an industry where they will be part of multidisciplinary teams that use the collective skills, expertise, experience, and training of each team member. Diversity within these teams provides different perspectives, opinions, and ways of viewing problems, leading to a larger set of potential solutions. Successful careers require engineers to be able to function on multidisciplinary teams.</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.2009.935729","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147173","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":"Deep-tissue dynamic monitoring of decubitus ulcers: wound care and assessment.","authors":"Rohin Moza,&nbsp;J Michael Dimaio,&nbsp;Jose Melendez","doi":"10.1109/MEMB.2009.935721","DOIUrl":"https://doi.org/10.1109/MEMB.2009.935721","url":null,"abstract":"<p><p>The use of deep-tissue multiwavelength imaging is of paramount importance in clinical settings as a noninvasive solution to identify and monitor the progression of decubitus ulcers. A point-of-care multiwavelength imager is being developed, whose utility results from the provision of important physiological characteristics and blood flow metrics via analysis of deep-tissue response to light. The noninvasive real-time monitoring and analysis of tissue focusing on wound imaging is integral, because it allows for quantitative in situ measurements that characterize tissue to assess the progress of either tissue healing or necrosis.</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.2009.935721","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29147243","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}