Abstract: With the rapid growth in business size, today-s businesses orient Throughout thirty years local, national and international experience in medicine as a medical student, junior doctor and eventually Consultant and Professor in Anaesthesia, Intensive Care and Pain Management, I note significant generalised dissatisfaction among medical students and doctors regarding their medical education and practice. We repeatedly hear complaints from patients about the dysfunctional health care system they are dealing with and subsequently the poor medical service that they are receiving. Medical students are bombarded with lectures, tutorials, clinical rounds and various exams. Clinicians are weighed down with a never-ending array of competing duties. Patients are extremely unhappy about the long waiting lists, loss of their records and the continuous deterioration of the health care service. This problem has been reported in different countries by several authors [1,2,3]. In a trial to solve this dilemma, a genuine idea has been suggested implementing computer technology in medicine [2,3]. Computers in medicine are a medium of international communication of the revolutionary advances being made in the application of the computer to the fields of bioscience and medicine [4,5]. The awareness about using computers in medicine has recently increased all over the world. In Misr University for Science & Technology (MUST), Egypt, medical students are now given hand-held computers (Laptop) with Internet facility making their medical education accessible, convenient and up to date. However, this trial still needs to be validated. Helping the readers to catch up with the on going fast development in this interesting field, the author has decided to continue reviewing the literature, exploring the state-of-art in computer based medicine and up dating the medical professionals especially the local trainee Doctors in Egypt. In part I of this review article we will give a general background discussing the potential use of computer technology in the various aspects of the medical field including education, research, clinical practice and the health care service given to patients. Hope this will help starting changing the culture, promoting the awareness about the importance of implementing information technology (IT) in medicine, which is a field in which such help is needed. An international collaboration is recommended supporting the emerging countries achieving this target.
Abstract: Pharmacology curriculum plays an integral role in
medical education. Learning pharmacology to choose and prescribe
drugs is a major challenge encountered by students. We developed
pharmacology applied learning activities for first year medical
students that included realistic clinical situations with escalating
complications which required the students to analyze the situation
and think critically to choose a safe drug. Tutor feedback was
provided at the end of session. Evaluation was done to assess the
students- level of interest and usefulness of the sessions in rational
selection of drugs. Majority (98 %) of the students agreed that the
session was an extremely useful learning exercise and agreed that
similar sessions would help in rational selection of drugs. Applied
learning sessions in the early years of medical program may promote
deep learning and bridge the gap between pharmacology theory and
clinical practice. Besides, it may also enhance safe prescribing skills.
Abstract: Multidrug resistant organisms have been taunting the
medical world for the last few decades. Even with new antibiotics
developed, resistant strains have emerged soon after. With the
advancement of nanotechnology, we investigated colloidal silver
nanoparticles for its antimicrobial activity against Pseudomonas
aeruginosa. This organism is a multidrug resistant which contributes
to the high morbidity and mortality in immunocompromised patients.
Five multidrug resistant strains were used in this study. The
antimicrobial effect was studied using the disc diffusion and broth
dilution techniques. An inhibition zone of 11 mm was observed with
10 μg dose of the nanoparticles. The nanoparticles exhibited MIC of
50 μg/ml when added at the lag phase and the subinhibitory
concentration was measured as 100 μg/ml. The MIC50 value showed
to be 15 μg/ml. This study suggests that silver nanoparticles can be
further developed as an antimicrobial agent, hence decreasing the
burden of the multidrug resistance phenomena.
Abstract: Sensors possess several properties of physical
measures. Whether devices that convert a sensed signal into an
electrical signal, chemical sensors and biosensors, thus all these
sensors can be considered as an interface between the physical and
electrical equipment. The problem is the analysis of the multitudes of
saved settings as input variables. However, they do not all have the
same level of influence on the outputs. In order to identify the most
sensitive parameters, those that can guide users in gathering
information on the ground and in the process of model calibration
and sensitivity analysis for the effect of each change made.
Mathematical models used for processing become very complex.
In this paper a fuzzy rule-based system is proposed as a solution
for this problem. The system collects the available signals
information from sensors. Moreover, the system allows the study of
the influence of the various factors that take part in the decision
system. Since its inception fuzzy set theory has been regarded as a
formalism suitable to deal with the imprecision intrinsic to many
problems. At the same time, fuzzy sets allow to use symbolic models.
In this study an example was applied for resolving variety of
physiological parameters that define human health state. The
application system was done for medical diagnosis help. The inputs
are the signals expressed the cardiovascular system parameters, blood
pressure, Respiratory system paramsystem was done, it will be able
to predict the state of patient according any input values.
Abstract: The blood ducts must be occluded to avoid loss of
blood from vessels in laparoscopic surgeries. This paper presents a
locking mechanism to be used in a ligation laparoscopic procedure
(LigLAP I), as an alternative solution for a stapling procedure.
Currently, stapling devices are being used to occlude vessels. Using
these devices may result in some problems, including injury of bile
duct, taking up a great deal of space behind the vessel, and bile leak.
In this new procedure, a two-layer suture occludes a vessel. A
locking mechanism is also required to hold the suture. Since there is
a limited space at the device tip, a Shape Memory Alloy (SMA)
actuator is used in this mechanism. Suitability for cleanroom
applications, small size, and silent performance are among the
advantages of SMA actuators in biomedical applications. An
experimental study is conducted to examine the function of the
locking mechanism. To set up the experiment, a prototype of a
locking mechanism is built using nitinol, which is a nickel-titanium
shape memory alloy. The locking mechanism successfully locks a
polymer suture for all runs of the experiment. In addition, the effects
of various surface materials on the applied pulling forces are studied.
Various materials are mounted at the mechanism tip to compare the
maximum pulling forces applied to the suture for each material. The
results show that the various surface materials on the device tip
provide large differences in the applied pulling forces.
Abstract: Analysis of blood vessel mechanics in normal and
diseased conditions is essential for disease research, medical device
design and treatment planning. In this work, 3D finite element
models of normal vessel and atherosclerotic vessel with 50% plaque
deposition were developed. The developed models were meshed
using finite number of tetrahedral elements. The developed models
were simulated using actual blood pressure signals. Based on the
transient analysis performed on the developed models, the parameters
such as total displacement, strain energy density and entropy per unit
volume were obtained. Further, the obtained parameters were used to
develop artificial neural network models for analyzing normal and
atherosclerotic blood vessels. In this paper, the objectives of the
study, methodology and significant observations are presented.
Abstract: This paper proposes a method for speckle reduction in
medical ultrasound imaging while preserving the edges with the
added advantages of adaptive noise filtering and speed. A nonlinear
image diffusion method that incorporates local image parameter,
namely, scatterer density in addition to gradient, to weight the
nonlinear diffusion process, is proposed. The method was tested for
the isotropic case with a contrast detail phantom and varieties of
clinical ultrasound images, and then compared to linear and some
other diffusion enhancement methods. Different diffusion parameters
were tested and tuned to best reduce speckle noise and preserve
edges. The method showed superior performance measured both
quantitatively and qualitatively when incorporating scatterer density
into the diffusivity function. The proposed filter can be used as a
preprocessing step for ultrasound image enhancement before
applying automatic segmentation, automatic volumetric calculations,
or 3D ultrasound volume rendering.
Abstract: The incidence of oral cancer in Taiwan increased year
by year. It replaced the nasopharyngeal as the top incurrence among
head and neck cancers since 1994. Early examination and earlier
identification for earlier treatment is the most effective medical
treatment for these cancers. Although the government fully subsidized
the expenses with tremendous promotion program for oral cancer
screening, the citizen-s participation remained low. Purpose of this
study is to understand the factors affecting the citizens- behavior
intensions of taking an oral cancer screening. Based on the Theory of
Planned Behavior, this study adopted four distinctive variables in
explaining the captioned behavior intentions.700 questionnaires were
dispatched with 500 valid responses or 71.4% returned by the citizens
with an age 30 or above from the eastern counties of Taiwan. Test
results has shown that attitude toward, subjective norms of, and
perceived behavioral control over the oral cancer screening varied
from some demographic factors to another. The study proofed that
attitude toward, subjective norms of, and perceived behavioral control
over the oral cancer screening had positive impacts on the
corresponding behavior intention. The test concluded that the theory
of planned behavior was appropriate as a theoretical framework in
explaining the influencing factors of intentions of taking oral cancer
screening. This study suggested the healthcare professional should
provide high accessibility of screening services other than just
delivering knowledge on oral cancer to promote the citizens-
intentions of taking the captioned screening. This research also
provided a practical implication to the healthcare professionals when
formulating and implementing promotion instruments for lifting the
screening rate of oral cancer.
Abstract: With getting older in the whole population, the
prevalence of stroke and its residual disability is getting higher and
higher recently in Taiwan. The functional electrical stimulation
cycling system (FESCS) is useful for hemiplegic patients. Because
that the muscle of stroke patients is under hybrid activation. The raw
electromyography (EMG) represents the residual muscle force of
stroke subject whereas the peak-to-peak of stimulus EMG indicates the
force enhancement benefiting from ES. It seems that EMG signals
could be used for a parameter of feedback control mechanism. So, we
design the feedback control protocol of FESCS, it includes
physiological signal recorder, FPGA biomedical module, DAC and
electrical stimulation circuit. Using the intensity of real-time EMG
signal obtained from patients, as a feedback control method for the
output voltage of FES-cycling system.
Abstract: The field of biomedical materials plays an imperative
requisite and a critical role in manufacturing a variety of biological
artificial replacements in a modern world. Recently, titanium (Ti)
materials are being used as biomaterials because of their superior
corrosion resistance and tremendous specific strength, free- allergic
problems and the greatest biocompatibility compared to other
competing biomaterials such as stainless steel, Co-Cr alloys,
ceramics, polymers, and composite materials. However, regardless of
these excellent performance properties, Implantable Ti materials have
poor shear strength and wear resistance which limited their
applications as biomaterials. Even though the wear properties of Ti
alloys has revealed some improvements, the crucial effectiveness of
biomedical Ti alloys as wear components requires a comprehensive
deep understanding of the wear reasons, mechanisms, and techniques
that can be used to improve wear behavior. This review examines
current information on the effect of thermal and thermomechanical
processing of implantable Ti materials on the long-term prosthetic
requirement which related with wear behavior. This paper focuses
mainly on the evolution, evaluation and development of effective
microstructural features that can improve wear properties of bio
grade Ti materials using thermal and thermomechanical treatments.
Abstract: Recently, nanomaterials are developed in the form of nano-films, nano-crystals and nano-pores. Lanthanide phosphates as a material find extensive application as laser, ceramic, sensor, phosphor, and also in optoelectronics, medical and biological labels, solar cells and light sources. Among the different kinds of rare-earth orthophosphates, yttrium orthophosphate has been shown to be an efficient host lattice for rare earth activator ions, which have become a research focus because of their important role in the field of light display systems, lasers, and optoelectronic devices. It is in this context that the 4fn- « 4fn-1 5d transitions of rare earth in insulating materials, lying in the UV and VUV, are the aim of large number of studies .Though there has been a few reports on Eu3+, Nd3+, Pr3+,Er3+, Ce3+, Tm3+ doped YPO4. The 4fn- « 4fn-1 5d transitions of the rare earth dependent to the host-matrix, several matrices ions were used to study these transitions, in this work we are suggesting to study on a very specific class of inorganic material that are orthophosphate doped with rare earth ions. This study focused on the effect of Ce3+ concentration on the structural and optical properties of Ce3+ doped YPO4 yttrium orthophosphate with powder form prepared by the Sol Gel method.
Abstract: The Major Depressive Disorder has been a burden of
medical expense in Taiwan as well as the situation around the world.
Major Depressive Disorder can be defined into different categories by
previous human activities. According to machine learning, we can
classify emotion in correct textual language in advance. It can help
medical diagnosis to recognize the variance in Major Depressive
Disorder automatically. Association language incremental is the
characteristic and relationship that can discovery words in sentence.
There is an overlapping-category problem for classification. In this
paper, we would like to improve the performance in classification in
principle of no overlapping-category problems. We present an
approach that to discovery words in sentence and it can find in high
frequency in the same time and can-t overlap in each category, called
Association Language Features by its Category (ALFC).
Experimental results show that ALFC distinguish well in Major
Depressive Disorder and have better performance. We also compare
the approach with baseline and mutual information that use single
words alone or correlation measure.
Abstract: Heart failure is the most common reason of death
nowadays, but if the medical help is given directly, the patient-s life
may be saved in many cases. Numerous heart diseases can be
detected by means of analyzing electrocardiograms (ECG). Artificial
Neural Networks (ANN) are computer-based expert systems that
have proved to be useful in pattern recognition tasks. ANN can be
used in different phases of the decision-making process, from
classification to diagnostic procedures. This work concentrates on a
review followed by a novel method.
The purpose of the review is to assess the evidence of healthcare
benefits involving the application of artificial neural networks to the
clinical functions of diagnosis, prognosis and survival analysis, in
ECG signals. The developed method is based on a compound neural
network (CNN), to classify ECGs as normal or carrying an
AtrioVentricular heart Block (AVB). This method uses three
different feed forward multilayer neural networks. A single output
unit encodes the probability of AVB occurrences. A value between 0
and 0.1 is the desired output for a normal ECG; a value between 0.1
and 1 would infer an occurrence of an AVB. The results show that
this compound network has a good performance in detecting AVBs,
with a sensitivity of 90.7% and a specificity of 86.05%. The accuracy
value is 87.9%.
Abstract: DNA shuffling is a powerful method used for in vitro
evolute molecules with specific functions and has application in areas
such as, for example, pharmaceutical, medical and agricultural
research. The success of such experiments is dependent on a variety
of parameters and conditions that, sometimes, can not be properly
pre-established. Here, two computational models predicting DNA
shuffling results is presented and their use and results are evaluated
against an empirical experiment. The in silico and in vitro results
show agreement indicating the importance of these two models and
motivating the study and development of new models.
Abstract: As nanotechnology advances, the use of nanotechnology for medical purposes in the field of nanomedicine seems more promising; the rise of nanorobots for medical diagnostics and treatments could be arriving in the near future. This study proposes a swarm intelligence based control mechanism for swarm nanorobots that operate as artificial platelets to search for wounds. The canonical particle swarm optimization algorithm is employed in this study. A simulation in the circulatory system is constructed and used for demonstrating the movement of nanorobots with essential characteristics to examine the performance of proposed control mechanism. The effects of three nanorobot capabilities including their perception range, maximum velocity and respond time are investigated. The results show that canonical particle swarm optimization can be used to control the early version nanorobots with simple behaviors and actions.
Abstract: Concerning the inpatient care the present situation is
characterized by intense charges of medical technology into the
clinical daily routine and an ever stronger integration of special
techniques into the clinical workflow. Medical technology is by now
an integral part of health care according to consisting general
accepted standards. Purchase and operation thereby represent an
important economic position and both are subject of everyday
optimisation attempts. For this purpose by now exists a huge number
of tools which conduce more likely to a complexness of the problem
by a comprehensive implementation. In this paper the advantages of
an integrative information-workflow on the life-cycle-management in
the region of medical technology are shown.
Abstract: In this work, we improve a previously developed
segmentation scheme aimed at extracting edge information from
speckled images using a maximum likelihood edge detector. The
scheme was based on finding a threshold for the probability density
function of a new kernel defined as the arithmetic mean-to-geometric
mean ratio field over a circular neighborhood set and, in a general
context, is founded on a likelihood random field model (LRFM). The
segmentation algorithm was applied to discriminated speckle areas
obtained using simple elliptic discriminant functions based on
measures of the signal-to-noise ratio with fractional order moments.
A rigorous stochastic analysis was used to derive an exact expression
for the cumulative density function of the probability density
function of the random field. Based on this, an accurate probability
of error was derived and the performance of the scheme was
analysed. The improved segmentation scheme performed well for
both simulated and real images and showed superior results to those
previously obtained using the original LRFM scheme and standard
edge detection methods. In particular, the false alarm probability was
markedly lower than that of the original LRFM method with
oversegmentation artifacts virtually eliminated. The importance of
this work lies in the development of a stochastic-based segmentation,
allowing an accurate quantification of the probability of false
detection. Non visual quantification and misclassification in medical
ultrasound speckled images is relatively new and is of interest to
clinicians.
Abstract: In this article, we propose an Intelligent Medical
Diagnostic System (IMDS) accessible through common
web-based interface, to on-line perform initial screening for
osteoporosis. The fundamental approaches which construct the
proposed system are mainly based on the fuzzy-neural theory,
which can exhibit superiority over other conventional technologies
in many fields. In diagnosis process, users simply answer
a series of directed questions to the system, and then they
will immediately receive a list of results which represents the
risk degrees of osteoporosis. According to clinical testing results,
it is shown that the proposed system can provide the general
public or even health care providers with a convenient, reliable,
inexpensive approach to osteoporosis risk assessment.
Abstract: E-Appointment Scheduling (EAS) has been developed
to handle appointment for UMP students, lecturers in Faculty of
Computer Systems & Software Engineering (FCSSE) and Student
Medical Center. The schedules are based on the timetable and
university activities. Constraints Logic Programming (CLP) has been
implemented to solve the scheduling problems by giving
recommendation to the users in part of determining any available
slots from the lecturers and doctors- timetable. By using this system,
we can avoid wasting time and cost because this application will set
an appointment by auto-generated. In addition, this system can be an
alternative to the lecturers and doctors to make decisions whether to
approve or reject the appointments.
Abstract: In this study, a new and fast algorithm for Ascending
Aorta (AscA) and Descending Aorta (DesA) segmentation is
presented using Computed Tomography Angiography images. This
process is quite important especially at the detection of aortic
plaques, aneurysms, calcification or stenosis. The applied method has
been carried out at four steps. At first step, lung segmentation is
achieved. At the second one, Mediastinum Region (MR) is detected
to use in the segmentation. At the third one, images have been
applied optimal threshold and components which are outside of the
MR were removed. Lastly, identifying and segmentation of AscA and
DesA have been carried out. The performance of the applied method
is found quite well for radiologists and it gives enough results to the
surgeries medically.