Abstract: The aim of this study was to compare the
sensitometric properties of commonly used radiographic films
processed with chemical solutions in different workload hospitals.
The effect of different processing conditions on induced densities on
radiologic films was investigated. Two accessible double emulsions
Fuji and Kodak films were exposed with 11-step wedge and
processed with Champion and CPAC processing solutions. The
mentioned films provided in both workloads centers, high and low.
Our findings displays that the speed and contrast of Kodak filmscreen
in both work load (high and low) is higher than Fuji filmscreen
for both processing solutions. However there was significant
differences in films contrast for both workloads when CPAC solution
had been used (p=0.000 and 0.028). The results showed base plus
fog density for Kodak film was lower than Fuji. Generally Champion
processing solution caused more speed and contrast for investigated
films in different conditions and there was significant differences in
95% confidence level between two used processing solutions
(p=0.01). Low base plus fog density for Kodak films provide more
visibility and accuracy and higher contrast results in using lower
exposure factors to obtain better quality in resulting radiographs. In
this study we found an economic advantages since Champion
solution and Kodak film are used while it makes lower patient dose.
Thus, in a radiologic facility any change in film processor/processing
cycle or chemistry should be carefully investigated before
radiological procedures of patients are acquired.
Abstract: This study proposes and tests a rescapturing elements of perceived gain and loss that, by perceived value of medical tourism products, influencintention of potential customers. Data from 301 usable qwere tested against the research model using the structmodeling approach. The results indicated that perceivedkey predictor of customer intentions. As for benefimedical quality, service quality and enjoyment wcomponents that significantly influenced the perceptiRegarding sacrifice, the effects of perceived risk on pewere significant. The findings can provide insights intohow destination countries can make medical tourism a wfor themselves and international patients.KeywordsMedical tourism, perceived valueintention.
Abstract: The disaster from functional gastrointestinal disorders has detrimental impact on the quality of life of the effected population and imposes a tremendous social and economic burden. There are, however, rare diagnostic methods for the functional gastrointestinal disorders. Our research group identified recently that the gastrointestinal tract well in the patients with the functional gastrointestinal disorders becomes more rigid than healthy people when palpating the abdominal regions overlaying the gastrointestinal tract. Objective of current study is, therefore, identify feasibility of a diagnostic system for the functional gastrointestinal disorders based on ultrasound technique, which can quantify the characteristics above. Two-dimensional finite difference (FD) models (one normal and two rigid model) were developed to analyze the reflective characteristic (displacement) on each soft-tissue layer responded after application of ultrasound signals. The FD analysis was then based on elastic ultrasound theory. Validation of the model was performed via comparison of the characteristic of the ultrasonic responses predicted by FD analysis with that determined from the actual specimens for the normal and rigid conditions. Based on the results from FD analysis, ultrasound system for diagnosis of the functional gastrointestinal disorders was developed and clinically tested via application of it to 40 human subjects with/without functional gastrointestinal disorders who were assigned to Normal and Patient Groups. The FD models were favorably validated. The results from FD analysis showed that the maximum displacement amplitude in the rigid models (0.12 and 0.16) at the interface between the fat and muscle layers was explicitly less than that in the normal model (0.29). The results from actual specimens showed that the maximum amplitude of the ultrasonic reflective signal in the rigid models (0.2±0.1Vp-p) at the interface between the fat and muscle layers was explicitly higher than that in the normal model (0.1±0.2 Vp-p). Clinical tests using our customized ultrasound system showed that the maximum amplitudes of the ultrasonic reflective signals near to the gastrointestinal tract well for the patient group (2.6±0.3 Vp-p) were generally higher than those in normal group (0.1±0.2 Vp-p). Here, maximum reflective signals was appeared at 20mm depth approximately from abdominal skin for all human subjects, corresponding to the location of the boundary layer close to gastrointestinal tract well. These findings suggest that our customized ultrasound system using the ultrasonic reflective signal may be helpful to the diagnosis of the functional gastrointestinal disorders.
Abstract: This paper discusses about an intelligent system to be
installed in ambulances providing professional support to the paramedics on board. A video conferencing device over mobile 4G services enables specialists virtually attending the patient being transferred to the hospital. The data centre holds detailed databases
on the patients past medical history and hospitals with the specialists. It also hosts various software modules that compute the shortest traffic –less path to the closest hospital with the required facilities, on inputting the symptoms of the patient, on a real time basis.
Abstract: Acetaminophen (Paracetamol) tablets are popular OTC products among patients as analgesics and antipyretics. Paracetamol is marketed by a lot of suppliers around the world. The aim of the present investigation was to compare between many types of paracetamol tablets obtained from different suppliers (six brands produced by different pharmaceutical companies in middle east countries, and Panadol® manufactured in Ireland), by different quality control tests according to USP pharmacopeia.Using Non official tests-hardness and friability; official tests- disintegration, dissolution, and drug content. Additionally, evaluate the influence of temperatures 4°C, 25°C and 40°C at 75% relative humidity on the stability of the same brands in their original packaging has been conducted for two months. The results revealed that all paracetamol tablet brands complied with the official USP specifications. In conclusion, paracetamol tablets preferred to be stored at 25°C. All the tested brands being biopharmaceutically and chemically equivalent.
Abstract: Young patients suffering from Cerebral Palsy are
facing difficult choices concerning heavy surgeries. Diagnosis settled
by surgeons can be complex and on the other hand decision for
patient about getting or not such a surgery involves important
reflection effort. Proposed software combining prediction for
surgeries and post surgery kinematic values, and from 3D model
representing the patient is an innovative tool helpful for both patients
and medicine professionals. Beginning with analysis and
classification of kinematics values from Data Base extracted from
gait analysis in 3 separated clusters, it is possible to determine close
similarity between patients. Prediction surgery best adapted to
improve a patient gait is then determined by operating a suitable
preconditioned neural network. Finally, patient 3D modeling based
on kinematic values analysis, is animated thanks to post surgery
kinematic vectors characterizing the closest patient selected from
patients clustering.
Abstract: Visfatin and apelin are two new adipokines that recently gained a special interest in diabetes research. This study was conducted to study the interplay between these two adipokines and their correlation with other inflammatory and biochemical parameters in type 2 diabetic (T2D) postmenopausal women with CAD. Visfatin and apelin were measured by enzyme-linked immunoassay (ELISA). Visfatin was found to be significantly higher in the following groups: T2D patients without CAD, non-obese and obese T2D patients with CAD when compared to control group. Apelin was found to be significantly lower in non-obese and obese T2D patients with CAD when compared to control group. Visfatin and apelin were found to be significantly associated with each other and with other biochemical parameters. The current study provides evidence for the interplay between visfatin and apelin through the inflammatory milieu characteristic of T2D and their possible role in the pathogenesis of CAD complication of T2D.
Abstract: There are various kinds of medical equipment which
requires relatively accurate positional adjustments for successful
treatment. However, patients tend to move without notice during a
certain span of operations. Therefore, it is common practice that
accompanying operators adjust the focus of the equipment. In this
paper, tracking controllers for medical equipment are suggested to
replace the operators. The tracking controllers use AHRS sensor
information to recognize the movements of patients. Sensor fusion is
applied to reducing the error magnitudes through linear Kalman filters.
The image processing of optical markers is included to adjust the
accumulation errors of gyroscope sensor data especially for yaw
angles.
The tracking controller reduces the positional errors between the
current focus of a device and the target position on the body of a
patient. Since the sensing frequencies of AHRS sensors are very high
compared to the physical movements, the control performance is
satisfactory. The typical applications are, for example, ESWT or
rTMS, which have the error ranges of a few centimeters.
Abstract: It is established that the instantaneous heart rate (HR) of healthy humans keeps on changing. Analysis of heart rate variability (HRV) has become a popular non invasive tool for assessing the activities of autonomic nervous system. Depressed HRV has been found in several disorders, like diabetes mellitus (DM) and coronary artery disease, characterised by autonomic nervous dysfunction. A new technique, which searches for pattern repeatability in a time series, is proposed specifically for the analysis of heart rate data. These set of indices, which are termed as pattern repeatability measure and pattern repeatability ratio are compared with approximate entropy and sample entropy. In our analysis, based on the method developed, it is observed that heart rate variability is significantly different for DM patients, particularly for patients with diabetic foot ulcer.
Abstract: The aim of this paper is to present the kinematic
analysis and mechanism design of an assistive robotic leg for
hemiplegic and hemiparetic patients. In this work, the priority is to
design and develop the lightweight, effective and single driver
mechanism on the basis of experimental hip and knee angles- data for
walking speed of 1 km/h. A mechanism of cam-follower with three
links is suggested for this purpose. The kinematic analysis is carried
out and analysed using commercialized MATLAB software based on
the prototype-s links sizes and kinematic relationships. In order to
verify the kinematic analysis of the prototype, kinematic analysis data
are compared with the experimental data. A good agreement between
them proves that the anthropomorphic design of the lower extremity
exoskeleton follows the human walking gait.
Abstract: Malaria is transmitted to the human by biting of
infected Anopheles mosquitoes. This disease is a serious, acute and
chronic relapsing infection to humans. Fever, nausea, vomiting, back
pain, increased sweating anemia and splenomegaly (enlargement of
the spleen) are the symptoms of the patients who infected with this
disease. It is caused by the multiplication of protozoa parasite of the
genus Plasmodium. Plasmodium falciparum, Plasmodium vivax,
Plasmodium malariae and Plasmodium ovale are the four types of
Plasmodium malaria. A mathematical model for the transmission of
Plasmodium Malaria is developed in which the human and vector
population are divided into two classes, the susceptible and the
infectious classes. In this paper, we formulate the dynamical model
of Plasmodium falciparum and Plasmodium vivax malaria. The
standard dynamical analysis is used for analyzing the behavior for
the transmission of this disease. The Threshold condition is found
and numerical results are shown to confirm the analytical results.
Abstract: Acute disseminated encephalomyelitis (ADEM) has
been reported to develop after a hymenoptera sting, but its
pathogenesis is not known in detail. Myelin basic protein (MBP)-
specific T cells have been detected in the blood of patients with
ADEM, and a proportion of these patients develop multiple sclerosis
(MS). In an attempt to understand the mechanisms underlying
ADEM, molecular mimicry between hymenoptera venom peptides
and the human immunodominant MBP peptide was scrutinized,
based on the sequence and structural similarities, whether it was the
root of the disease. The results suggest that the three wasp venom
peptides have low sequence homology with the human
immunodominant MBP residues 85-99. Structural similarity analysis
among the three venom peptides and the MS-related HLA-DR2b
(DRA, DRB1*1501)-associated immunodominant MHC
binding/TCR contact residues 88-93, VVHFFK showed that
hyaluronidase residues 7-12, phospholipase A1 residues 98-103, and
antigen 5 residues 109-114 showed a high degree of similarity
83.3%, 100%, and 83.3% respectively. In conclusion, some wasp
venom peptides, particularly phospholipase A1, may potentially act
as the molecular motifs of the human 3HLA-DR2b-associated
immunodominant MBP88-93, and possibly present a mechanism for
induction of wasp sting-associated ADEM.
Abstract: It has been shown that pH 7,3 and 37 0C are the optimal condition for the growth of E. coli “ASAP". The cells grow well on Glucose, Lactose, D-Mannitol, D-Sorbitol, (+)-Xylose, L- (+)-Arabinose and Dulcitol. No growth has been observed on Sucrose, Inositol, Phenylalanine, and Tryptophan. The strain is sensitive to a range of antibiotics. The present study has demonstrated that E. coli “ASAP" inhibit the growth of S. enterica ATCC #700931 in vitro. The studies on conjugating activity has revealed no conjugant of E. coli “ASAP" with plasmid strains E. coli G35#59 and S. enterica ATCC #700931. On the other hand, the conjugants with low frequencies were obtained from E. coli “ASAP" with E. coli G35#61, and E. coli “ASAP" with randomly chosen isolate from healthy human gut microflora: E. coli E6. The results of present study have demonstrated improvements in gut microflora condition of patients with different diseases after the administration of “ASAP"
Abstract: The brain MR imaging-based clinical research and analysis system were specifically built and the development for a large-scale data was targeted. We used the general clinical data available for building large-scale data. Registration period for the selection of the lesion ROI and the region growing algorithm was used and the Mesh-warp algorithm for matching was implemented. The accuracy of the matching errors was modified individually. Also, the large ROI research data can accumulate by our developed compression method. In this way, the correctly decision criteria to the research result was suggested. The experimental groups were age, sex, MR type, patient ID and smoking which can easily be queries. The result data was visualized of the overlapped images by a color table. Its data was calculated by the statistical package. The evaluation for the utilization of this system in the chronic ischemic damage in the area has done from patients with the acute cerebral infarction. This is the cause of neurologic disability index location in the center portion of the lateral ventricle facing. The corona radiate was found in the position. Finally, the system reliability was measured both inter-user and intra-user registering correlation.
Abstract: Nosocomial (i.e., hospital-acquired) infections
(NI) is a major cause of morbidity and mortality in hospitals. NI
rate is higher in intensive care units (ICU) than in the general
ward due to patients with severe symptoms, poor immunity,
and accepted many invasive therapies. Contact behaviors
between health caregivers and patients is one of the infect
factors. It is difficult to obtain complete contact records by
traditional method of retrospective analysis of medical records.
This paper establishes a contact history inferential model
(CHIM) intended to extend the use of Proximity Sensing of
rapid frequency identification (RFID) technology to
transferring all proximity events between health caregivers and
patients into clinical events (close-in events, contact events and
invasive events).The results of the study indicated that the
CHIM can infer proximity care activities into close-in events
and contact events.
The infection control team could redesign and build optimal
workflow in the ICU according to the patient-specific contact
history which provided by our automatic tracing system.
Abstract: Elastic light single-scattering spectroscopy system
with a single optical fiber probe was employed to differentiate cancerous prostate tissue from non-cancerous prostate tissue ex-vivo just after radical prostatectomy. First, ELSSS spectra were acquired
from cancerous prostate tissue to define its spectral features. Then,
spectra were acquired from normal prostate tissue to define difference in spectral features between the cancerous and normal
prostate tissues. Of the total 66 tissue samples were evaluated from
nine patients by ELSSS system. Comparing of histopathology results
and ELSSS measurements revealed that sign of the spectral slopes of
cancerous prostate tissue is negative and non-cancerous tissue is positive in the wavelength range from 450 to 750 nm. Based on the
correlation between histopathology results and sign of the spectral
slopes, ELSSS system differentiates cancerous prostate tissue from
non- cancerous with a sensitivity of 0.95 and a specificity of 0.94.
Abstract: Increased physical fitness participation has been
paralleled by increasedoveruse injuries such as insertional Achilles
tendinosis (AT). Treatment has provided inconsistentresults. The use
of extracorporeal shockwave therapy (ECSWT) offers a new
treatment consideration.The purpose of this study was to assess the
effects of ECSWTon pain, function, range of motion (ROM), joint
mobility and strength in patients with AT. Thirty subjects were
treated with ECSWT and measures were takenbefore and three
months after treatment. There was significant differences in visual
analog scale (VAS) scores for pain at rest (p=0.002); after activity
(p= 0.0001); overall improvement(p=0.0001); Lower Extremity
Functional Scale (LEFS) scores (p=0.002); dorsiflexion range of
motion (ROM) (p=0.0001); plantarflexion strength (p=0.025);
talocrural joint anterior glide (p=0.046); and subtalar joint medial and
lateral glide (p=0.025).ECSWT offers a new intervention that may
limit the progression of the disorder and the long term healthcare
costs associated with AT.
Abstract: This study retrospectively investigated the significance of whole body CT (WCT) for patients with sepsis. A medical chart review was retrospectively performed for all patients with systemic inflammatory response syndrome that were treated initially between April 2011 and March 2012. The subjects were divided into a WCT group that underwent WCT on arrival and a control group. Results of this study suggested that WCT for sepsis was useful for elderly patients whose chief complaint or physiological findings could not suggest the anatomical site of infection, to determine the infectious focus and indications/method for surgery, to diagnose the basic diseases associated with opportunistic infections and to evaluate complicated diseases
Abstract: The Emergency Department of a medical center in
Taiwan cooperated to conduct the research. A predictive model of
triage system is contracted from the contract procedure, selection of
parameters to sample screening. 2,000 pieces of data needed for the
patients is chosen randomly by the computer. After three
categorizations of data mining (Multi-group Discriminant Analysis,
Multinomial Logistic Regression, Back-propagation Neural
Networks), it is found that Back-propagation Neural Networks can
best distinguish the patients- extent of emergency, and the accuracy
rate can reach to as high as 95.1%. The Back-propagation Neural
Networks that has the highest accuracy rate is simulated into the triage
acuity expert system in this research. Data mining applied to the
predictive model of the triage acuity expert system can be updated
regularly for both the improvement of the system and for education
training, and will not be affected by subjective factors.
Abstract: The aim of this retrospective study was to evaluate the
parameters of dental implants such as patient gender, number of
implant, failed implant before prosthetic restorations and failed
implant after implantation and failed implant after prosthetic
restorations. 135 male and 99 female patients, total 234 implant
patients which have been treated with 450 implant between 2005-
2009 years in GATA Haydarpasa Training Hospital Dental Service.
Twelve implants were failed before prosthetic restorations. Four
implant were failed after fixed prosthetic restorations. Cumulative
survival rate after prostheses were 97.56 % during 6 years period.