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Intelligent Speech Signal Processing investigates the utilization of speech analytics across several systems and real-world activities, including sharing data analytics, creating collaboration networks between several participants, and implementing video-conferencing in different application areas. Chapters focus on the latest applications of speech data analysis and management tools across different recording systems. The book emphasizes the multidisciplinary nature of the field, presenting different applications and challenges with extensive studies on the design, development and management of intelligent systems, neural networks and related machine learning techniques for speech signal processing.
Varicose veins are known to affect approximately one third of the population and lead to reduced quality of life for patients. The traditional method of treatment has been surgery, but over the past decade, minimally invasive techniques have gained increasing prominence. These have been found to be easier to administer, less expensive, have shorter recovery periods and enables a more rapid return to normal activities. One such method is the use of foam sclerotherapy for the treatment of truncal incompetence and it has increased in popularity since the 1990s. Compared to surgery, the procedure is much cheaper and the recovery time is fairly rapid post-procedure. Patients have also reported improved health related quality of life afterwards. This book discusses the process involved in sclerotherapy, its potential complications and clinical outcomes.
Nanomedicine-the application of nanotechnology to health sciences-has the potential to address many important medical problems by exploiting the advanced physicochemical characteristics of nanostructured materials and devices. It can revolutionize conventional medicine by offering cutting-edge developments in the processes of diagnosing, treating, and preventing diseases, injuries, or genetic disorders. Thus, clinical nanomedicine holds promise to preserve and improve human health. This book provides a comprehensive overview on the forefront developments of nanotechnology in various domains of clinical medicine, such as cardiology, oncology, pharmacology, immunology, dermatology, virology, hematology, orthopedics, embryology and congenital defects, dentistry, and tissue engineering. It also extensively discusses the toxicology aspects of engineered nanomaterials.
This unifying volume offers a clear theoretical framework for the research shaping the emerging direction of informatics in health care. Contributors ground the reader in the basics of informatics methodology and design, including creating salient research questions, and explore the human dimensions of informatics in studies detailing how patients perceive, respond to, and use health data. Real-world examples bridge the theoretical and the practical as knowledge management-based solutions are applied to pervasive issues in information technologies and service delivery. Together, these articles illustrate the scope of health possibilities for informatics, from patient care management to hospital administration, from improving patient satisfaction to expanding the parameters of practice. Highlights of the coverage:* Design science research opportunities in health care * IS/IT governance in health care: an integrative model * Persuasive technologies and behavior modification through technology: design of a mobile application for behavior change * The development of a hospital secure messaging and communication platform: a conceptualization * The development of intelligent patient-centric systems for health care * An investigation on integrating Eastern and Western medicine with informatics Interest in Theories to Inform Superior Health Informatics Research and Practice cuts across academia and the healthcare industry. Its audience includes healthcare professionals, physicians and other clinicians, practicing informaticians, hospital administrators, IT departments, managers, and management consultants, as well as scholars, researchers, and students in health informatics and public health.
Each year, more than 200,000 women in the UK and over 1.5 million
women in the US undergo an episiotomy. In many countries, this
operation has been adopted as routine and standard obstetrical
This important book, challenges the liberal use of this
procedure and provides new insights into the process by which
maternity practice changes. As it traces the introduction,
routinazation and questioning of episiotomy in the US and the UK,
it identifies and explores the medical and non-medical factors
responsible for changing obstetrics and midwifery thinking and the
use of this procedure. The book suggests practical ways for
practitioners to bring about evidence-based change in midwifery
Key features of the book:
The book is written by Ian D. Graham PhD, Medical Sociologist at the Clinical Epidemiology Unit, Ottawa Civic Hospital Loeb research Institute, Canada, with a contribution from Barbara Davies RN, PhD (cand), Assistant Professor, School of Nursing, University of Ottawa
This book contains a selection of thoroughly refereed and revised papers from the Second International ICST Conference on Wireless and Mobile Communication in Healthcare, MobiHealth 2010, held in Ayia Napa, Cyprus, in October 2010. The 33 papers in this volume describe various applications of information and communication technologies in healthcare and medicine and cover a wide range of topics such as intelligent public health monitoring services, mobile health technologies, signal processing techniques for monitoring services, wearable biomedical devices, ambient assistive technologies, emergency and disaster applications, and integrated systems for chronic monitoring and management.
Since the first publication of this book in 2007, the field of nanoscience and nanomedicine continues to grow substantially. This second edition, Nanotoxicology: Progress toward Nanomedicine, enlists internationally recognized experts to document the continuing development and rationale for the safe design of engineered nanomaterials (ENM). This includes new improved characterization endpoints, screening, and detection methods for in vitro and in vivo toxicity testing. These tools also contribute greatly to nanosafety research applied to nanomedicines. Topics include The impacts of nanotechnology on biomedicine, including functionalization for tissue-specific targeting, the biointeractions of multifunctional nanoparticle-based therapy, and the ability to control specific physicochemical properties of nanoparticles The requirements for proper detection, measurement, and assessment both for workplace exposure and in consumer products-with a focus on potential health and safety implications Predictive modeling, using quantitative nanostructure activity relationships to predict the pharmacokinetics and biodistribution of nanomaterials in the body Specific methodologies, imaging, and techniques to assess nanomaterials from the manufacturing process to nanomedicine applications Tools for assessing nanoparticle toxicity and the limitations of detection methods for assessing toxicity in both in vivo and in vitro systems and at the single cell and tissue levels Toxicity of nanomaterials to specific organ systems, cell-based targeting to tumors, and other biomedical applications The difficulty of conducting risk assessments and the need for addressing knowledge gaps, especially with long-term studies A roadmap for future research The development of nanotechnology-based products must be complemented with appropriate validated methods to assess, monitor, manage, and reduce the potential risks of ENM to human health and the environment. This volume provides a cogent survey of advances in this area by a well-respected and diverse group of international scientists.
This comprehensive one-volume work presents, compares and assesses procedures developed by world-renowned otologic surgeons, creating a critical source for the specialist and resident-in-training. Methods from such pioneers as Fisch, Morimitsu, Farrior, and Wullstein are objectively reviewed by Dr. Tos and are integrated into his own vast operative experience. Volume 2 consists of two parts: Part I covers mastoidectomies, intact bridge techniques, and canal wall-up mastoidectomies. Part II covers the reconstructions of the tympanic cavity, attic, and ear canal; eustachian tube surgery; cavity obliteration; and partial and total reconstruction of old radical cavities.
Health institutions are investing in and fielding information technology solutions at an unprecedented pace. With the recommendations from the Institute of Medicine around information technology solutions for patient safety, mandates from industry groups such as Leapfrog about using infor- mation systems to improve health care, and the move toward evidence- based practice, health institutions cannot afford to retain manual practices. The installation of multi-million dollar computerized health systems repre- sents the very life blood of contemporary clinical operations and a crucial link to the financial viability of institutions. Yet, the implementation of health information systems is exceptionally complex, expensive and often just plain messy. The need for improvement in the art and science of systems implemen- tation is clear: up to 70-80% of information technology installations fail. The reasons are multi-faceted, ranging from the complexity of the diverse workflows being computerized, the intricate nature of health organizations, the knowledge and skills of users to other reasons such as strategies for obtaining key executive support, weaving through the politics peculiar to the institution, and technical facets including the usability of systems. Thus, the art and science of successfully implementing systems remains deeply layered in elusiveness. Still, given the pervasiveness of system implementa- tions and the importance of the outcomes, this is a critical topic, especially for nurses and informatics nurse specialists.
Cross-over trials are an important class of design used in the pharmaceutical industry and medical research, and their use continues to grow. Cross-over Trials in Clinical Research, Second Edition has been fully updated to include the latest methodology used in the design and analysis of cross-over trials. It includes more background material, greater coverage of important statistical techniques, including Bayesian methods, and discussion of analysis using a number of statistical software packages.
Biomaterials in Translational Medicine delivers timely and detailed information on the latest advances in biomaterials and their role and impact in translational medicine. Key topics addressed include the properties and functions of these materials and how they might be applied for clinical diagnosis and treatment. Particular emphasis is placed on basic fundamentals, biomaterial formulations, design principles, fabrication techniques and transitioning bench-to-bed clinical applications. The book is an essential reference resource for researchers, clinicians, materials scientists, engineers and anyone involved in the future development of innovative biomaterials that drive advancement in translational medicine.
Since the publication of the first edition of Cardiac Pacing for the Clinician, the use of implantable cardiac devices has expanded rapidly. Certain classes of devices such as implantable loop recorders and cardiac resynchronization pacing systems were not commonly used when the first edition was published, and recent studies have shown that implantable cardioverter defibrillators are beneficial in large, previously unrecognized patient populations at risk for sudden death. In order to meet this demand, cardiologists without special training in electrophysiology or pacing are implanting an increasing number of cardiac devices. It is in this rapidly evolving setting that Cardiac Pacing for the Clinician, Second Edition is being undertaken.
The main focus of this volume will be to provide a practical discussion of the a oenuts and boltsa of implantable cardiac devices. The target audience will be cardiologists in practice and in training as well as nurses, technologists and industry. In addition, it will benefit physicians preparing for certification.
Additions to the new edition will include: Chapters discussing new cardiac devices; Implantation of Left Ventricular Leads for Cardiac Resynchronization Pacing Systems; Identification of Candidates for Cardiac Resynchronization Therapy; Follow-Up Issues in Cardiac Resynchronization Therapy; Implantable Loop Recorders.
Updates to the existing chapters will include: New Trial Information & Follow-Up of the Newest Generation of Defibrillators; Use of Defibrillators in Patients at Increased Risk for Sudden Cardiac Death due to Long QT Syndrome, Brugada Syndrome and Congenital Heart Disease; Updates to Lead Extraction a" NewTechniques and Tools; Cardiac Pacing chapter will shift focus to Cardiac Devices.
This new edition of Cardiac Pacing for the Clinician, Second Edition will become a valuable resource to the general cardiologist and cardiology fellow by providing practical information for managing patients with complex cardiac devices.
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