Pub Date : 2008-07-09DOI: 10.1109/MEMB.2008.919493
J. Coughlin, J. Pope
This paper discusses innovations for older people in health and in wellness. This article presents the opportunity for intelligent technologies in the home, identifies today's apparent innovation gap indicated by the slow diffusion of existing smart technologies, and describes an integrated consumer-centric approach that may offer promise in translating inventions into innovations in people's lives across the lifespan.
{"title":"Innovations in health, wellness, and aging-in-place","authors":"J. Coughlin, J. Pope","doi":"10.1109/MEMB.2008.919493","DOIUrl":"https://doi.org/10.1109/MEMB.2008.919493","url":null,"abstract":"This paper discusses innovations for older people in health and in wellness. This article presents the opportunity for intelligent technologies in the home, identifies today's apparent innovation gap indicated by the slow diffusion of existing smart technologies, and describes an integrated consumer-centric approach that may offer promise in translating inventions into innovations in people's lives across the lifespan.","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":"537 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2008-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2008.919493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62475043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-09DOI: 10.1109/MEMB.2008.919491
M. Hamel, R. Fontaine, P. Boissy
We investigate in this study, following the positive results from a proof-of-concept study [7], the effectiveness of providing in-home telerehabilitation services as an alternative to home care visits for physical therapy in orthopedic conditions following discharge from an acute care hospital and rehabilitation unit [8]. Based on the results from the initial proof- of-concept study and a user-centered design approach, a telerehabilitation platform was developed consisting of two H264 videoconferencing codecs (Tandberg 500 MXP) with integrated wide-angle view cameras and remotely controlled pan tilt zoom (PTZ) functions, local and remote computers with Digital Object Identifier 10.1109/MEMB.200S.919491 dedicated modular software interfaces for user-friendly control of videoconferencing connections, PTZ camera function, and external devices (i.e., tablet PC and sensors).
{"title":"In-home telerehabilitation for geriatric patients","authors":"M. Hamel, R. Fontaine, P. Boissy","doi":"10.1109/MEMB.2008.919491","DOIUrl":"https://doi.org/10.1109/MEMB.2008.919491","url":null,"abstract":"We investigate in this study, following the positive results from a proof-of-concept study [7], the effectiveness of providing in-home telerehabilitation services as an alternative to home care visits for physical therapy in orthopedic conditions following discharge from an acute care hospital and rehabilitation unit [8]. Based on the results from the initial proof- of-concept study and a user-centered design approach, a telerehabilitation platform was developed consisting of two H264 videoconferencing codecs (Tandberg 500 MXP) with integrated wide-angle view cameras and remotely controlled pan tilt zoom (PTZ) functions, local and remote computers with Digital Object Identifier 10.1109/MEMB.200S.919491 dedicated modular software interfaces for user-friendly control of videoconferencing connections, PTZ camera function, and external devices (i.e., tablet PC and sensors).","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2008-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2008.919491","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62474990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-09DOI: 10.1109/MEMB.2008.919494
Y. Higashi, K. Yamakoshi, T. Fujimoto, M. Sekine, Toshiyo Tamura
In this study, the combined use of an accelerometer and rate gyrosensor to identify the activity phases of the timed up-and-go test (TUG-T) was proposed. Measurements during clinical rehabilitation of hemiplegic patients have been attempted using a triaxial accelerometer to measure the activity objectively, which allows a quantitative evaluation. A waist gyrosensor is useful for measuring the postural displacement with high accuracy. By using both the accelerometer and gyrosensor signals, it was possible to detect the activity phases, which were similar to those observed by the therapists. In addition, the walking activity was extracted from the TUG-T, and the RMS value and CV from the acceleration were calculated in every walking cycle. A qualitative difference between the subjects who could walk independently and those requiring supervision was revealed.
{"title":"Quantitative evaluation of movement using the timed up-and-go test","authors":"Y. Higashi, K. Yamakoshi, T. Fujimoto, M. Sekine, Toshiyo Tamura","doi":"10.1109/MEMB.2008.919494","DOIUrl":"https://doi.org/10.1109/MEMB.2008.919494","url":null,"abstract":"In this study, the combined use of an accelerometer and rate gyrosensor to identify the activity phases of the timed up-and-go test (TUG-T) was proposed. Measurements during clinical rehabilitation of hemiplegic patients have been attempted using a triaxial accelerometer to measure the activity objectively, which allows a quantitative evaluation. A waist gyrosensor is useful for measuring the postural displacement with high accuracy. By using both the accelerometer and gyrosensor signals, it was possible to detect the activity phases, which were similar to those observed by the therapists. In addition, the walking activity was extracted from the TUG-T, and the RMS value and CV from the acceleration were calculated in every walking cycle. A qualitative difference between the subjects who could walk independently and those requiring supervision was revealed.","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2008-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2008.919494","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62475116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-09DOI: 10.1109/MEMB.2008.919496
K. Wada, Takanori Shibata, T. Musha, S. Kimura
We used the seal robot, Paro, for therapy of patients suffering from dementia at a cortical neuron clinic. The efficacy of the robot therapy was evaluated by DIMENSION, which detects patient's cortical neuron activity from a 21-channel EEG. The results from preliminary experiments show that robot therapy has a high potential to improve the condition of brain activity in patients suffering from dementia. It is concluded that Paro will be widely used and provide help to people with dementia.
{"title":"Robot therapy for elders affected by dementia","authors":"K. Wada, Takanori Shibata, T. Musha, S. Kimura","doi":"10.1109/MEMB.2008.919496","DOIUrl":"https://doi.org/10.1109/MEMB.2008.919496","url":null,"abstract":"We used the seal robot, Paro, for therapy of patients suffering from dementia at a cortical neuron clinic. The efficacy of the robot therapy was evaluated by DIMENSION, which detects patient's cortical neuron activity from a 21-channel EEG. The results from preliminary experiments show that robot therapy has a high potential to improve the condition of brain activity in patients suffering from dementia. It is concluded that Paro will be widely used and provide help to people with dementia.","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2008-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2008.919496","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62475126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-09DOI: 10.1109/MEMB.2008.921548
Binseng Wang, Richard W. Eliason, S. Richards, L. Hertzler, Robert Moorey
he continuous rise of health-care costs has been troubling Americans for some time, especially the professionals involved in the various stages of medical device lifecycle, e.g., research, development, production, sales, regulation, procurement, maintenance, and disposal. According to the Centers for Medicare and Medicaid Services (CMS), health-care expenditures are expected to reach 18.7% of gross domestic product (GDP) by 2014, while it was only 8.8% in 1980 [1]. Although there is little doubt that technology is essential to providing quality care to patients, its strong impact on the continual rise of healthcare costs has prompted many to question its value and effective management [2]–[6]. A segment of technology that has received much scrutiny is medical devices, which can be divided into three groups: implants (including prosthetic devices), equipment (ranging from defibrillators to surgical robots), and supplies (gloves, catheters, medical gases, etc.). Among the medical devices, equipment has often been singled out probably because of its size, high capital investment, and costly life-long maintenance requirements. Thus, it is not difficult to find studies on specific equipment such as magnetic resonance imaging (MRI), computed tomography (CT) scanners, and radiation therapy equipment [4], [7], [8]. On the other hand, few have analyzed how hospitals manage their entire arsenals of medical equipment in the midst of the delicate balancing act of keeping up with the arms race, ensuring quality of care, and remaining financially viable. This article reports an attempt to understand how acute care hospitals deploy medical equipment using data provided by 174 organizations. In particular, the cost of equipment acquisition and maintenance is compared to those of other medical devices and drugs. Although this sample is small ( 3% of all American hospitals), it is fairly evenly and widely distributed in terms of size, location, ownership, and teaching characteristics. The reason for focusing on hospitals is because hospital care accounts for the largest share ( 31%) of the national health-care expenditure [1]. Although the other segments of health-care industry (e.g., nursing homes, homecare, and personal care) also employ equipment, the hospitals are by far the largest consumers of medical equipment (but not necessarily of other types of devices).
{"title":"Financial impact of medical technology","authors":"Binseng Wang, Richard W. Eliason, S. Richards, L. Hertzler, Robert Moorey","doi":"10.1109/MEMB.2008.921548","DOIUrl":"https://doi.org/10.1109/MEMB.2008.921548","url":null,"abstract":"he continuous rise of health-care costs has been troubling Americans for some time, especially the professionals involved in the various stages of medical device lifecycle, e.g., research, development, production, sales, regulation, procurement, maintenance, and disposal. According to the Centers for Medicare and Medicaid Services (CMS), health-care expenditures are expected to reach 18.7% of gross domestic product (GDP) by 2014, while it was only 8.8% in 1980 [1]. Although there is little doubt that technology is essential to providing quality care to patients, its strong impact on the continual rise of healthcare costs has prompted many to question its value and effective management [2]–[6]. A segment of technology that has received much scrutiny is medical devices, which can be divided into three groups: implants (including prosthetic devices), equipment (ranging from defibrillators to surgical robots), and supplies (gloves, catheters, medical gases, etc.). Among the medical devices, equipment has often been singled out probably because of its size, high capital investment, and costly life-long maintenance requirements. Thus, it is not difficult to find studies on specific equipment such as magnetic resonance imaging (MRI), computed tomography (CT) scanners, and radiation therapy equipment [4], [7], [8]. On the other hand, few have analyzed how hospitals manage their entire arsenals of medical equipment in the midst of the delicate balancing act of keeping up with the arms race, ensuring quality of care, and remaining financially viable. This article reports an attempt to understand how acute care hospitals deploy medical equipment using data provided by 174 organizations. In particular, the cost of equipment acquisition and maintenance is compared to those of other medical devices and drugs. Although this sample is small ( 3% of all American hospitals), it is fairly evenly and widely distributed in terms of size, location, ownership, and teaching characteristics. The reason for focusing on hospitals is because hospital care accounts for the largest share ( 31%) of the national health-care expenditure [1]. Although the other segments of health-care industry (e.g., nursing homes, homecare, and personal care) also employ equipment, the hospitals are by far the largest consumers of medical equipment (but not necessarily of other types of devices).","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":"10 1","pages":"80-85"},"PeriodicalIF":0.0,"publicationDate":"2008-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2008.921548","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62475334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-09DOI: 10.1109/MEMB.2008.919492
A. Natali, P. Pavan, E. Carniel, P. Dario, I. Izzo
The mechanical response of soft connective tissues can be simulated by using a constitutive approach. This method is based on a thorough investigation of the microstructural configuration of the tissue, the mechanical behavior of its components, and their mutual interaction. The most interesting aspect of this model, beyond the obvious ability to match the response of the tissue under general conditions, is the possibility to identify a set of parameters with a specific physical meaning, which regard the structural conformation of the tissue. Therefore, by using the proposed approach, it is possible to predict the mechanical behavior of the tissue when a change in its components can be defined, which is the specific case of aged tissues.
{"title":"Characterization of soft tissue mechanics with aging","authors":"A. Natali, P. Pavan, E. Carniel, P. Dario, I. Izzo","doi":"10.1109/MEMB.2008.919492","DOIUrl":"https://doi.org/10.1109/MEMB.2008.919492","url":null,"abstract":"The mechanical response of soft connective tissues can be simulated by using a constitutive approach. This method is based on a thorough investigation of the microstructural configuration of the tissue, the mechanical behavior of its components, and their mutual interaction. The most interesting aspect of this model, beyond the obvious ability to match the response of the tissue under general conditions, is the possibility to identify a set of parameters with a specific physical meaning, which regard the structural conformation of the tissue. Therefore, by using the proposed approach, it is possible to predict the mechanical behavior of the tissue when a change in its components can be defined, which is the specific case of aged tissues.","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2008-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2008.919492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62475004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-09DOI: 10.1109/MEMB.2008.919498
H. Krebs, L. Dipietro, S. Levy-Tzedek, S. Fasoli, A. Rykman-Berland, J. Zipse, J. Fawcett, J. Stein, H. Poizner, A. Lo, B. Volpe, N. Hogan
Therapeutic robots enhance clinician productivity in facilitating patient recovery. In this article, we presented an overview of the remarkable growth in the activities in the area of therapeutic robotics and of experiences with our devices. We briefly review the published clinical literature in this emerging field and our initial clinical results in stroke. However, we also report our initial efforts that go beyond stroke, broadening the potential population that might benefit from this class of technology by discussing case studies of applications to other neurological diseases. We will also highlight the underexploited potential of this technology as an evaluation tool.
{"title":"A paradigm shift for rehabilitation robotics","authors":"H. Krebs, L. Dipietro, S. Levy-Tzedek, S. Fasoli, A. Rykman-Berland, J. Zipse, J. Fawcett, J. Stein, H. Poizner, A. Lo, B. Volpe, N. Hogan","doi":"10.1109/MEMB.2008.919498","DOIUrl":"https://doi.org/10.1109/MEMB.2008.919498","url":null,"abstract":"Therapeutic robots enhance clinician productivity in facilitating patient recovery. In this article, we presented an overview of the remarkable growth in the activities in the area of therapeutic robotics and of experiences with our devices. We briefly review the published clinical literature in this emerging field and our initial clinical results in stroke. However, we also report our initial efforts that go beyond stroke, broadening the potential population that might benefit from this class of technology by discussing case studies of applications to other neurological diseases. We will also highlight the underexploited potential of this technology as an evaluation tool.","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2008-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2008.919498","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62475280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-09DOI: 10.1109/MEMB.2008.919497
O. Bock, Katharina Engelhard, Petra Guardiera, H. Allmer, J. Kleinert
{"title":"Gerontechnology and human cognition","authors":"O. Bock, Katharina Engelhard, Petra Guardiera, H. Allmer, J. Kleinert","doi":"10.1109/MEMB.2008.919497","DOIUrl":"https://doi.org/10.1109/MEMB.2008.919497","url":null,"abstract":"","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":"27 1","pages":"23-28"},"PeriodicalIF":0.0,"publicationDate":"2008-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2008.919497","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62475210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-01DOI: 10.1109/MEMB.2008.925878
J. Fielder
{"title":"The Vioxx debacle revisited [Issues in Ethics]","authors":"J. Fielder","doi":"10.1109/MEMB.2008.925878","DOIUrl":"https://doi.org/10.1109/MEMB.2008.925878","url":null,"abstract":"","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":"27 1","pages":"106-109"},"PeriodicalIF":0.0,"publicationDate":"2008-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2008.925878","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62475077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2008-07-01DOI: 10.1109/MEMB.2008.925877
C. Linte
Outlines the key steps in preparing a successful scientific presentation.
概述准备一个成功的科学报告的关键步骤。
{"title":"The art of dissemination: what makes an effective scientific presentation? [Student's Corner]","authors":"C. Linte","doi":"10.1109/MEMB.2008.925877","DOIUrl":"https://doi.org/10.1109/MEMB.2008.925877","url":null,"abstract":"Outlines the key steps in preparing a successful scientific presentation.","PeriodicalId":50391,"journal":{"name":"IEEE Engineering in Medicine and Biology Magazine","volume":"27 1","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2008-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1109/MEMB.2008.925877","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62475067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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