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At least 415 records · Page 23Linked to original sources
PubMed1986

[Computerized control system for administration of the radioisotope use].

An on-line computer system for administration of the radioisotope use has been developed. This system consists of a multi-job type host computer and two sets of personal computers with identification card-readers. The personal computers are employed as terminal devices for radioisotope users. By the use of an identification card, entrance and leaving times are recorded automatically. Furthermore, an easy operation of the personal computer permits users to access to the information of their registered radioisotopes, such as nuclides, chemical forms, updated activities, storage locations, and history of usage. A recording sheet on which those data are printed is provided from the personal computer. After the use of radioisotopes, users can record their data on the recording sheets. These records are used as the input data to this system to update the data of the used radioisotopes. Owing to the concise format of the recording sheet and various sorting programs developed in present work, this system enables us to grasp the exact flow of the radioisotopes from purchase to disposal. Out-put data from high-speed kanji printer can provide many important books which are legally requested to be kept for administration of the radioisotope use.

Computers↗
PubMed2003

Web-based PDA downloads for clinical practice guidelines and decision support tools.

The extraordinary volume of health-related information made available on the Internet comes at a high cost for effectively storing and accessing clinical information resources. Additionally, the ability to use critical patient care information is limited to the availability of computer access. Physicians and other health care professionals have readily adopted personal digital assistants (PDAs), also known as handheld computers, because the devices provide succinct critical patient care information at the point of need. Clinical practice guidelines available through the Internet for use with PDAs present health professionals, who have little time, with powerful information already formatted for point-of-care devices. This paper will review several strategies for finding and accessing point-of-care clinical information.

Computers, Handheld↗
PubMed1993

Future directions in electronic image handling.

After a relatively slow start compared with the United States and Japan, several projects are now being established in Europe that are aimed at the development of prototype systems for medical image processing and management. Frequently, this includes aspects of multimedia communication, as well as legal, ethical, and economic issues. Consideration is also often given to systems security, reliability, and data protection. All these projects are based on the application of modern computer and communication technologies. The following interesting conclusions can be drawn from these preliminary activities: 1. PACS and IMAC systems should not be regarded as products or devices, but as a means to improve the infrastructure in a given medical care environment. Sometimes this activity is also referred to as knowledge business. Individual components of these systems, for example image acquisition devices, networks, storage facilities, and medical workstations, should be provided with standard interfaces allowing a modular build-up and an easy adaptation to the specific conditions of clinical departments. 2. Digital luminescence radiography will further establish itself as a method for image acquisition and increasingly will replace analog radiologic methods. Consequently, digital processing, archiving, and communication will be a necessity for optimal patient care. 3. New network technologies and magnetic-optical storage media offer the possibility of an improved cost-effectiveness for communication and storage. They should therefore be considered an important factor in future economic considerations regarding health care services. 4. The practice of modern medicine is based on team-work; good communication among the parties concerned is a critical factor.(ABSTRACT TRUNCATED AT 250 WORDS)

Computer Communication Networks↗
PubMed1977

[Electronic measuring and calculating devices for arcogrammetric model diagnosis and for the interpretation of teleradiographs].

A newly developed method to mesure different parameters from plaster models of the teeth, from dental radiographs and from cephalometric X-rays by means of a 4-K minicomputer and on-line linear transducers are described. Programs in connection to Arcogrammetrics [Herren] are presented. The electronic devices allow storage of these parameters in order to make drawings of the actual dental arches and of predicted arches, as well as to trace growth and/or progress in orthodontic treatment.

Cephalometry↗
PubMedDate not supplied

Optical densities of dental resin composites: a comparison of CCD, storage phosphor, and Ektaspeed plus radiographic film.

Density versus exposure was determined for digital and film radiographic images of various thicknesses of six dental resin composites. The curves were relatively parallel; saturation at the black end of the contrast scale occurred at lower exposures with Computed Dental Radiography (CDR, Schick Industries, Long Island City, NY) than with the Sens-A-Ray (Regam AB, Sundsvall, Sweden). Ektaspeed Plus film (Kodak Dental Products, Rochester, NY) was the least sensitive modality tested. The DIGORA storage phosphor system (Soredex-Orion, Helsinki) had a wide exposure latitude with significantly less steep characteristic slopes than for images from the charge-coupled devices (CCDs). Slopes generated for the Sens-A-Ray and the CDR were not significantly different. Slopes generated for each resin composite were not significantly different for each of the modalities. Relative radiopacities of the resin materials with respect to each other were constant across all modalities; hence, in these systems, sensor type is unlikely to affect differentiation between resin composites and dental enamel or recurrent caries.

Absorptiometry, Photon↗
PubMed1988

Computer simulations of the effect of non-inactivating sodium channels on the electric behavior of excitable cells.

Non-inactivating sodium channels have been discovered in various cell types. Additionally, normal voltage-gated sodium channels can be induced to lose their ability to inactivate by treatment with proteolytic enzymes, with certain chemical reagents, or with toxins. The presence of non-inactivating sodium channels in the outer membrane of a cell is expected to profoundly modify the electrical properties of the cell, because the electrical depolarization of the cell and the opening of these channels reciprocally reinforce each other without intrinsic control. The normal resting state may thus be destabilized and a new resting state at depolarized resting potentials may become possible. In this study, computer simulations were carried out to systematically explore the patterns of behavior of excitable cells which have non-inactivating sodium channels in their plasma membrane. The cells were assumed to be space clamped and the relevant Hodgkin and Huxley equations were assumed to describe the electrical behavior of the cells, except that some or all of the sodium channels could not inactivate. The sodium currents were thus represented by the sum of two terms: FI.gNa.m3.h.(V-ENa) + (1-FI).gNa.m3(V-ENa), where FI(0 less than or equal to FI less than or equal to 1) is the fraction of sodium channels which inactivate normally, and the other symbols have their usual significance. The behavior of non-inactivating sodium channels created by pronase treatment or reaction with chemical reagents was found to conform with that predicted by the second term in this expression. The simulations thus quantitatively apply to excitable cells thus treated, but may serve additionally to qualitatively illustrate patterns of electrical activity induced by non-inactivating sodium channels also in other cases. A variety of possible types of electrical behavior was obtained: Normal behavior, including capability of firing action potentials, requires values of FI which are not far from unity, the permissible range depending on the fully activated potassium ion conductance, gK. Bistability, at which the cell may exist in one of two stable states of different resting potential, occurs when the value of FI is lowered. Transitions from the polarized to the depolarized resting states, and vice versa, may be brought about by depolarizing and hyperpolarizing triggers, respectively. Such behavior is like that of memory storage devices. Monostability at depolarized potentials is favored by low FI values and can occur if gK is less than the Hodgkin and Huxley value.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials↗
PubMed2005

Hands-free human computer interaction via an electromyogram-based classification algorithm.

A four-electrode system for hands-free computer cursor control, based on the digital processing of Electromyogram (EMG) signals is proposed. The electrodes are located over the right frontalis, the procerus, the left temporalis and the right temporalis muscles in the head. This system is meant to enable individuals paralyzed from the neck down (e.g., due to Spinal Cord Injury) to interact with computers using point-and-click graphic interfaces. The intention is to translate electromyograms derived from muscle contractions associated with specific facial movements into five cursor actions, namely: Left, Right, Up, Down and Left-click. This translation is accomplished by a digital signal processing classification algorithm that takes advantage of the divergent spectral nature of the EMG signals produced by the frontalis, temporalis, and procerus muscles, respectively. The effectiveness of the algorithm is evaluated by comparing its performance to that of a previously developed three-electrode EMG-based algorithm, using Matlab simulations. The results indicate that the algorithm classifies with great accuracy and provides a marked improvement over the previous three-electrode system.

Algorithms↗
PubMed1998

Anomalous ECG downloads from semi-automatic external defibrillators.

The coincidental print-out by two different Laerdal systems (subsequently called 'system A' and 'system B') of the same medical control module (MCM) for a Laerdal Heartstart 2000 semi-automatic external defibrillator (SAED) led to the discovery of three deficiencies in the information storage and printing processes. First, we noted that the impedance reported via system A was consistently higher. Second, we found the attachment of 'mysterious' ECG samples in the reports from system B, but not from system A. A third problem was the unpredictable (in)ability of system B to print out the information from the MCMs. Further investigations with help from the company suggested that the above-mentioned problems were caused by incompatibilities between the software in the different parts of equipment used (i.e. SAED devices, MCMs, printing systems and a computer program to store the information in a database). These observations demonstrate the need for strict medical supervision on all aspects of a SAED project, and for feed-back from clinicians to manufacturers.

Aged↗
PubMed2003

Morse code application for wireless environmental control systems for severely disabled individuals.

Some physically-disabled people with neuromuscular diseases such as amyotrophic lateral sclerosis, multiple sclerosis, muscular dystrophy, or other conditions that hinder their ability to write, type, and speak, require an assistive tool for purposes of augmentative and alternative communication in their daily lives. In this paper, we designed and implemented a wireless environmental control system using Morse code as an adapted access communication tool. The proposed system includes four parts: input-control module; recognition module; wireless-control module; and electronic-equipment-control module. The signals are transmitted using adopted radio frequencies, which permits long distance transmission without space limitation. Experimental results revealed that three participants with physical handicaps were able to gain access to electronic facilities after two months' practice with the new system.

Activities of Daily Living↗
PubMed1998

Image is everything. New York Hospital's institution-wide digital imaging lowers costs and improves care.

UNLABELLED: The New York Hospital-Cornell Medical Center, Manhattan: a 1,242-licensed bed voluntary non-profit hospital. PROBLEM: Conventional imaging technology created expensive logistical problems between the radiology facility and the Greenberg Pavilion, a new 850,000 square foot, 11-floor inpatient tower, located two city blocks away. SOLUTION: Use a picture archiving communications system (PACS) to transmit, store and archive digital images. RESULTS: Increased staff efficiencies, improved patient care and reduced costs. KEYS TO SUCCESS: "Many years of planning and a full commitment from the staff."

Computer User Training↗
PubMed1987

Carola, a computer system for automatic documentation in anesthesia.

A computer system has been designed for documentation and data acquisition during open heart surgery. This computer system (called 'Carola') processes all patient data during cardiac surgery. More than 50 analogue or digital signals are scanned. These are derived from a monitoring rack, a Siemens Servo 900B ventilator with its accessory devices and a heart lung machine. All these values are plotted as well as offline data, such as medications, fluids, laboratory results and user comments, on an A3 format anesthetic record using an eight pen flat bed plotter. Simultaneously all data is written onto a cassette tape. These tapes are then transferred to a database for storage and statistical processing. The sampling frequency is every 10 seconds, averages being calculated over one minute periods. The chart is updated once a minute normally or every 15 minutes for slowly changing signals e.g. temperatures. Hardware and software of the computer have modular design. The hardware consists of two Motorola 6809 based microprocessor systems. The software is entirely written in Pascal. The user interface is implemented on a menu driven basis. A terminal with a keyboard is used for the communication with the users, namely anesthetic nurses and anesthesiologists. The system was readily accepted by the users. The menu structure proved to be easy to learn and allowed fast entries, even when the users were not previously accustomed to the use of a keyboard. The clear and detailed presentation of the data on the plotted chart helped to detect trends early and facilitated therapeutic decisions. From december 1983 the first prototype was used on a routine basis, followed by a second unit in June 1984 and a third in December 1985. Up to now more than 12.500 anesthetic hours have been recorded. Since then almost 100% of all anesthetics performed in our cardiothoracic unit have been documented by the computers, including all short procedures without invasive monitoring and all emergencies.

Anesthesiology↗
PubMed2002

A novel rotometer based on a RISC microcontroller.

A new, low-cost rotometer, based on a reduced instruction set computer (RISC) microcontroller, is presented. Like earlier devices, it counts the number and direction of full turns for predetermined time periods during the evaluation of turning behavior induced by drug administration in rats. The present stand-alone system includes a nonvolatile memory for long-term data storage and a serial port for data transmission. It also contains a display for monitoring the experiments and has battery backup to avoid interruptions owing to power failures. A high correlation was found (r > .988, p < 2 x 10(-14)) between the counts of the rotometer and those of two trained observers. The system reflects quantitative differences in turning behavior owing to pharmacological manipulations. It provides the most common counting parameters and is inexpensive, flexible, highly reliable, and completely portable (weight including batteries, 159 g).

Animals↗
PubMed1978

Measurements in microscopic images: an inexpensive device for semi-automatic analysis of microscopic images.

Measurement of histological and cytological parameters can be performed much faster and more accurate by means of a semi-automatic device that is described in detail. The system consists mainly of a medium-sized computer and one or more peripheral terminals. Each terminal incorporates a special measurement table for data acquisition, a keyboard for manual data input, and an interface. The software program for the evaluation and storage of the digital data is simple to write and offers a high degree of flexibility to the user. The system can be operated in real time.

Computers↗
PubMed1998

Soft-copy sonography: cost reduction sensitivity analysis in a pediatric hospital.

OBJECTIVE: Our objective was to determine whether interpreting sonograms of pediatric patients using soft-copy (computer workstation) instead of laser-printed film could reduce costs for a pediatric radiology department. We used theoretic models of growth to analyze costs. MATERIALS AND METHODS: The costs of a sonographic picture archiving and communication system (three interface devices, two workstations, a network server, maintenance expenses, and storage media costs) were compared with the potential savings of eliminating film and increasing technologist efficiency or reducing the number of technologists. The model was based on historic trends and future capitation estimates that will reduce fee-for-service reimbursement. The effects of varying the study volume and reducing technologists' work hours were analyzed. RESULTS: By converting to soft-copy interpretation, we saved 6 min 32 sec per examination by eliminating film processing waiting time, thus reducing examination time from 30 min to 24 min. During an average day of 27 examinations, 176 min were saved. However, 33 min a day were spent retrieving prior studies from long-term storage; thus, 143 extra minutes a day were available for scanning. This improved efficiency could result in five more sonograms a day obtained by converting to soft-copy interpretation, using existing staff and equipment. Alternatively, five examinations a day would equate to one half of a full-time equivalent technologists position. Our analysis of costs considered that the hospital's anticipated growth of sonography and the depreciation of equipment during 5 years resulted in a savings of more than $606,000. Increasing the examinations by just 200 sonograms in the first year and no further growth resulted in a savings of more than $96,000. If the number of sonograms stayed constant, elimination of film printing alone resulted in a loss of approximately $157,000; reduction of one half of a full-time equivalent technologist's position would recuperate approximately $134,000 of that loss. CONCLUSION: Soft-copy sonography can save money through improved technologist efficiency, thereby increasing the number of sonograms obtained and revenue generated. If the number of sonograms does not increase, elimination of printing costs and reduction of staff technologists will not result in a savings.

Cost Savings↗
PubMed2005

Two-dimensional transforms for device color correction and calibration.

Color device calibration is traditionally performed using one-dimensional (1-D) per-channel tone-response corrections (TRCs). While 1-D TRCs are attractive in view of their low implementation complexity and efficient real-time processing of color images, their use severely restricts the degree of control that can be exercised along various device axes. A typical example is that per separation (or per-channel), TRCs in a printer can be used to either ensure gray balance along the C = M = Y axis or to provide a linear response in delta-E units along each of the individual (C, M, and Y) axis, but not both. This paper proposes a novel two-dimensional color correction architecture that enables much greater control over the device color gamut with a modest increase in implementation cost. Results show significant improvement in calibration accuracy and stability when compared to traditional 1-D calibration. Superior cost quality tradeoffs (over 1-D methods) are also achieved for emulation of one color device on another.

Algorithms↗