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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
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The authors present a review of publications connected with the production of the materials for biomedical purposes using of radiation technology. The general characteristic of the radiation methods and examples of applications of the results of investigations are given.
Modern biomedical research creates a cascade of startlingly effective forms of diagnostics and therapeutics. Modern communication makes public awareness immediate and public demand insatiable. Many of these new advances, because of expense, sophistication, inaccessibility, or latent danger, must be considered scarce. The Ethics Committee of the American Heart Association recognizes the ethical allocation of these scarce resources as the most difficult, demanding, and unresolved problem facing the American Medical profession. It is apparent that the genesis of the problem is in another area fraught with different but equally complex ethical problems, that of the development and transfer of biomedical technology. The following statement is an analysis of the ethics of the development and transfer of biomedical technology which serves as a foundation for the further consideration of the ethical allocation of scarce medical resources.
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It is suggested that improved maternity care in the developing world depends primarily on the increased provision of cost-effective, basic, easily accessible maternity care services. Expensive new technologies should be judged by their effectiveness, safety, technical feasibility, cost (including operating and maintenance expenses) and local need. After identifying the major causes of morbidity and mortality, priority should be given to interventions applicable at the local level and which do not require highly or specially trained educated personnel.
Lack of space and organization have become significant problems in the contemporary business world. Modern industries must eliminate mountains of paper and better organize themselves. With the incorporation of a fully automated equipment management system and image storage system, the Jacobi Medical Center has succeeded in correcting these problems. This technical note shows how the use of computer software and hardware components can be integrated to manage electronic patient care equipment. The adoption of this new technology was applied to equipment maintenance, tracking and record-keeping, thereby accomplishing the aims of space conservation and organization. As the components became more advanced, the technology included computer software products that could store more information and electronically effect a more rapid document retrieval. This will eventually allow for a paperless operation. The latest available equipment management software is supported by an image storage system that may contain important signature documents and outside vendor information. The applicability of these systems to the biomedical engineering field is obvious: (a) space efficiency eliminates folders and files; (b) simultaneous technician access to equipment history; and (c) rapid archive retrieval of data as well as vendor information and safety alerts.
The RADIUS study opened up controversial discussions of the applications of ultrasound technology in patient management, screening, and outcomes analysis. Advances in technology may ultimately resolve national policy issues.
The inclusion of organ transplantation in our health care system raises several questions about the basis for the decision and the process by which it was approved. To function, our health care system requires not only an adequate method for technical evaluation, but also a means for ensuring informed public support for the policies that determine what services are available. In the future, this approval process could lead to the exclusion of a treatment because the system as a whole would not be able to afford its cost. This exclusion could have important implications for the philosophy of medicine and the work of the clinical investigator.
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Few institutional controls exist on the development and application of new biomedical technology. Possible methods of technology control include the use of peer review, an institutional approach, the establishment of a hospital committee to review new and existing technologies, or a rationing system imposed by the federal government or local health planning agencies.
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Pakistan has produced essential vaccines as part of an Expanded Program on Immunization. The program has been successful in achieving high rates of immunization in pregnant women and children under two years of age. This paper focuses on key events in the development of Pakistan's capacity to produce vaccines.
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Clinical and Biomedical Engineering managers are in a position to utilize their management skills and apply analytical strategies to identify and capture cost savings opportunities in their institutions. To do so, however, they may be required to expand their scope and extend beyond what may have been their traditional areas of responsibility. This paper examines how management skills, techniques, and strategies were applied to establish a program to manage the repair of rigid and flexible surgical scopes. The program resulted in substantial cost savings, as well as other significant quantitative and qualitative benefits, and further demonstrated the value of proper technology management in healthcare institutions.
The Division of Biomedical Engineering (DBME), a vital element in the structure of any medical center, provides complete biomedical equipment services at Westchester County Medical Center (WCMC), through a Biomedical Instrumentation Program. Under this program, the DBME assumes direct responsibility for all diagnostic imaging equipment in radiology, radiation medicine and nuclear medicine; and patient care, surgical life support (respiratory care) equipment in critical care units, operating rooms, G.I. (gastro-intestinal) suites, renal center, burn center, emergency rooms, as well as clinical laboratories. In addition, the DBME provides academic and internship programs, research, design, database support, technology planning, and device inspection or evaluation. The DBME is "looking into the future" for a gradual migration of state-of-the-art technology into healthcare.