Abstract: In orthopedic surgery there are various situations in
which the surgeon needs to implement methods of cutting and
drilling the bone. With this type of procedure the generated friction
leads to a localized increase in temperature, which may lead to the
bone necrosis. Recognizing the importance of studying this
phenomenon, an experimental evaluation of the temperatures
developed during the procedure of drilling bone has been done.
Additionally the influence of the use of the procedure with / without
additional lubrication during drilling of bone has also been done. The
obtained results are presented and discussed and suggests an
advantage in using additional lubrication as a way to minimize the
appearance of bone tissue necrosis during bone drilling procedures.
Abstract: Mammography has been one of the most reliable
methods for early detection of breast cancer. There are different
lesions which are breast cancer characteristic such as
microcalcifications, masses, architectural distortions and bilateral
asymmetry. One of the major challenges of analysing digital
mammogram is how to extract efficient features from it for accurate
cancer classification. In this paper we proposed a hybrid feature
extraction method to detect and classify all four signs of breast
cancer. The proposed method is based on multiscale surrounding
region dependence method, Gabor filters, multi fractal analysis,
directional and morphological analysis. The extracted features are
input to self adaptive resource allocation network (SRAN) classifier
for classification. The validity of our approach is extensively
demonstrated using the two benchmark data sets Mammographic
Image Analysis Society (MIAS) and Digital Database for Screening
Mammograph (DDSM) and the results have been proved to be
progressive.
Abstract: The objective of this study is to analyze the
prophylactic usage of low molecular weight heparin (LMWH) along
pregnancy and the correlation between their usage and month/week
of pregnancy, in the Department of Gynecology and Obstetrics, at
Clinical Hospital in Tetovo. A retrospective study was undertaken
during 01 January – 31 December 2012. Over of one year, the total
number of patients was 4636. Among the 1447 (32.21%) pregnant
women, 298 (20.59%) of them were prescribed LMWH. The majority
of patients given LMWH, 119 (39.93%) were diagnosed
hypercoagulable. The age group with the highest attendance was 25-
35, 141 patients (47.32%). For 195 (65.44%) patients, this was their
first pregnancy. Earliest stage of using LMWH was the second month
of pregnancy 4 (1.34%) cases. The most common patients were 70
women along the seventh month (23.49%), followed by 68 in the
ninth month of pregnancy (22.81%). Women in the 28th gestational
week, were found to be the most affected, a total of 55 (78.57%) were
in that week. Clexane 2000 and Fraxiparine 0.3 were the most
common for which low molecular weight heparin was prescribed.
The number of patients which received Clexane 2000 was 84
(28.19%), followed by those with Fraxiparine 0.3 81 (27.18%). The
administration of LMWH is associated with long hospitalization
(median 14,6 days).
Abstract: Medical imaging technology has experienced a
dramatic change in the last few years. Medical imaging refers to the
techniques and processes used to create images of the human body
(or parts thereof) for various clinical purposes such as medical
procedures and diagnosis or medical science including the study of
normal anatomy and function. With the growth of computers and
image technology, medical imaging has greatly influenced the
medical field. The diagnosis of a health problem is now highly
dependent on the quality and the credibility of the image analysis.
This paper deals with the various aspects and types of medical
imaging.
Abstract: The paper is focused on the methods to solutions of
the crisis situation in the Czech Republic associated with the mass
methanol poisoning. The emphasis is put on tasks of individual state
bodies and of Integrated Rescue System during the handling of the
crisis.
The theoretical part describes poisonings, ways of intoxication,
types of intoxicants and cases of mass poisoning by dangerous
substances in the world.
The practical part describes the development, causes and solutions
of extraordinary event, mass methanol poisoning in the Czech
Republic. The main emphasis was put on the crisis management of
the Czech Republic in solving this situation.
Abstract: Health analytics (HA) is used in healthcare systems
for effective decision making, management and planning of
healthcare and related activities. However, user resistances, unique
position of medical data content and structure (including
heterogeneous and unstructured data) and impromptu HA projects
have held up the progress in HA applications. Notably, the accuracy
of outcomes depends on the skills and the domain knowledge of the
data analyst working on the healthcare data. Success of HA depends
on having a sound process model, effective project management and
availability of supporting tools. Thus, to overcome these challenges
through an effective process model, we propose a HA process model
with features from rational unified process (RUP) model and agile
methodology.
Abstract: This study aimed at investigating whether the
functional brain networks constructed using the initial EEG (obtained
when patients first visited hospital) can be correlated with the
progression of cognitive decline calculated as the changes of
mini-mental state examination (MMSE) scores between the latest and
initial examinations. We integrated the time–frequency cross mutual
information (TFCMI) method to estimate the EEG functional
connectivity between cortical regions, and the network analysis based
on graph theory to investigate the organization of functional networks
in aMCI. Our finding suggested that higher integrated functional
network with sufficient connection strengths, dense connection
between local regions, and high network efficiency in processing
information at the initial stage may result in a better prognosis of the
subsequent cognitive functions for aMCI. In conclusion, the functional
connectivity can be a useful biomarker to assist in prediction of
cognitive declines in aMCI.
Abstract: Brain functional networks based on resting-state EEG
data were compared between patients with mild Alzheimer’s disease
(mAD) and matched patients with amnestic subtype of mild cognitive
impairment (aMCI). We integrated the time–frequency cross mutual
information (TFCMI) method to estimate the EEG functional
connectivity between cortical regions and the network analysis based
on graph theory to further investigate the alterations of functional
networks in mAD compared with aMCI group. We aimed at
investigating the changes of network integrity, local clustering,
information processing efficiency, and fault tolerance in mAD brain
networks for different frequency bands based on several topological
properties, including degree, strength, clustering coefficient, shortest
path length, and efficiency. Results showed that the disruptions of
network integrity and reductions of network efficiency in mAD
characterized by lower degree, decreased clustering coefficient, higher
shortest path length, and reduced global and local efficiencies in the
delta, theta, beta2, and gamma bands were evident. The significant
changes in network organization can be used in assisting
discrimination of mAD from aMCI in clinical.
Abstract: Diabetes is a growing health problem in worldwide.
Especially, the patients with Type 1 diabetes need strict glycemic
control because they have deficiency of insulin production. This
paper attempts to control blood glucose based on body mathematical
body model. The Bergman minimal mathematical model is used to
develop the nonlinear controller. A novel back-stepping based sliding
mode control (B-SMC) strategy is proposed as a solution that
guarantees practical tracking of a desired glucose concentration. In
order to show the performance of the proposed design, it is compared
with conventional linear and fuzzy controllers which have been done
in previous researches. The numerical simulation result shows the
advantages of sliding mode back stepping controller design to linear
and fuzzy controllers.
Abstract: To mimic the natural circumstances of cell growth in an organism, we present three-dimensional (3D) scaffolds fabricated by microfluidics for cultivation. This work investigates the cellular behaviors of rat cardiomyocytes in gelatin 3D scaffolds compared to those on 2D control, such as proliferation, viability and morphology. We found that the scaffolds may induce skeletal differentiation of H9c2 cells.