The 21st century can rightfully be considered as the era of technology when the new inventions and discoveries will most likely affect all the segments of human life. At this point, some of the breakthrough inventions of our times have been in the medical field. Robotic surgery has become an almost common practice in the advanced medical world and new uses for robotic assisted surgery are everyday set in place. However, such developments also attract different interests and implications.
Robotic surgery, also known as computer assisted surgery, is a technological development that uses robotic systems to aid physicians in surgery, particularly to overcome limitations in minimally-invasive surgery, micro surgery, or to enhance the surgeon's abilities in open surgery. Typically, the surgeon uses a telemanipulative device that mimics the motions of the human hand and arm. Different instruments are used to replace traditional tools that perform certain actions (e.g.…… [Read More]
Safe Patient Positioning
It's all about safe positioning in robotic surgery: Protecting Patients, Promoting Safety.
D.Jacqueline Arroyo N, MIS / Cardiac obotic Specialist
Massachusetts General Hospital
According to the New England Journal of Medicine, more than 80,000 robotic surgery procedures have been performed since 2008[footnoteef:1]. As a result, health care institutions are increasingly opting to invest in robotic technologies which offer patience the best quality of care and attractiveness as innovative methods. Although current literature is limited, studies show that patients who undergo robotic-assisted procedures experience reduced surgical time, scarring, blood loss, pain, infection rates, and lengths of stay compared with patients who undergo open or physician led laparoscopic procedures[footnoteef:2]. Additionally, modern technology has been introduced to ensure three dimensional imaging for optimal patient monitoring and safety.[footnoteef:3] It is because of these findings that many surgeons and hospitals alike are starting to recognize that robotic assisted techniques have the potential…… [Read More]
speech: Robotics in medicine
In the 1950s, robots were envisioned as large, hulking devices with relatively limited capabilities. But "robot, taken from the Czech robota, meaning forced labor, has evolved in meaning from dumb machines that perform menial, repetitive tasks to the highly intelligent anthropomorphic robots of popular culture" (Lanfranco, "Robotics"). Similarly, in the 1980s, video games were primitive and allowed users to manipulate images on a screen with halting, sticky joysticks. Today, it is common to play relatively sophisticated video games via the Internet from around the world. Fusing the modern capabilities of robots and computers has yielded one of the most important developments in modern medicine in recent years: robotic surgery. Robotics can offer people potentially life-saving, less invasive surgery. One day, having surgery performed on you by a doctor in another country may become commonplace. The use of robotic surgery is likely to increase in the future…… [Read More]
The NIH (2014) defines robotic surgery as "a method to perform surgery using very small tools attached to a robotic arm", wherein the surgeon operates the robot. Robotic surgery was developed to enable the performance of surgical procedures through smaller cuts than open surgery. The robot is capable of smaller, more precise movements that would be possible with a human arm. It is also much easier for the surgeon to work with the surgical tools than would be possible with, say, an endoscope. The NIH notes that robotic surgery is used for an increasing range of procedures, including coronary artery bypass, cancer excision, gall bladder removal, hip replacement, hysterectomy, kidney transplants and pyloroplasty (NIH, 2014).
The minimal invasiveness of robotic surgery means that there is lower risk to the patient during the course of the surgery, and that the post-surgery healing time is lower, and less risky as…… [Read More]
Health Organization Case Study
The mission of Banner Healthcare is to make a difference in the lives of people through excellent patient care. They achieve this by providing leadership for excellence in patient safety and clinical care. Traditionally, healthcare institutions focused on analyzing aggregate performance, questioning causation, monitoring scorecards and identifying gaps. Planning and managing stages at integral to the process of achieving Banner Healthcare's vision. Planning entails the development of standards, rules, and work teams necessary for the work. Concurrent management involves patient-oriented care and coordinated health care. Across the various work teams, care management efforts and the number of people are involved in making clinical improvements across the organization have been gradually increasing.
This occurs regardless of whether they are work groups, system wide teams, strategic initiatives, and special projects. The work is organized under functional teams. Besides the functional teams, initiative work groups and clinical consensus groups…… [Read More]
In spite of research gaps, medical robotics is a growing trend in the United States.
Advances in Medical Robotics (Diana, 2011)
Hybrid Assistive Limb 5 (HAL5) is an artificially powered ecoskeleton that helps double the amount of weight someone can carry unaided.
DaVinci Si HD Surgical System performs minimally invasive surgery through superior visualization and greater precision, with incisions of one to two centimeters causing less pain and speedier recovery. It reduces the hospital stay to one half and costs one third less.
Sofie incorporates force feedback allowing a surgeon to feel the pressure they apply making sutures and pushing tissue aside. Sofie is expected to develop in five years.
Cyberknife Robotic Radiosurgery System is a non-invasive alternative to surgery for treatment of cancerous and non-cancerous tumors.
Nursebot is designed to specifically help elderly deal with daily activities allowing them to live at home.
RIA is designed to…… [Read More]
Available at http://www.forbes.com/2006/08/17/robot-egang-history_06egang_cz_ec_0817robotintro.html
Internet: accessed 20 August 2006.
First International Workshop on Personalized Networks. [article on-line]. Available at http://pernets.org/.Internet: accessed 17 August 2006.
LeClaire Jennifer. Mind-Reading Computers Could Help Those With Autism. [article on-line]. Available at http://www.technewsworld.com/story/51371.html
Internet: accessed 20 August 2006.
Mathias Craig J.. Part 1: The MIMO revolution: It holds the promise of greater Wi-Fi performance. [article on-line]. Available at http://www.computerworld.com/networkingtopics/networking/story/0,10801,110001,00.html/.Internet: accessed 20 August 2006.
Smith Gary .. What is XML? - The asics & eyond. [article on-line]. Available at http://klixxx.com/archive/xml.shtml
Internet: accessed 20 August 2006.
The 3rd Annual International Conference on Mobile and Ubiquitous Systems: Networks and Services [article on-line]. Available at http://www.mobiquitous.org/.Internet: accessed 17 August 2006.
Yoshida Junko. Ubiquitous computing driving software industry. [article on-line]. Available at http://www.commsdesign.com/story/OEG20031014S0014
Internet: accessed 20 August 2006.
The 3rd Annual International Conference on Mobile and Ubiquitous Systems: Networks and Services [article on-line]. Available at http://www.mobiquitous.org/
First International Workshop on Personalized…… [Read More]
These examples highlight that technology is always a tool, a way of enhancing human judgment -- we must not mistake it as a replacement for good nursing practice.
After all, the use of a computer is no substitute for a medical education. Anyone who works in a hospital can see this -- the increased accessibility of information through the Internet also means that patients often come in, convinced that they are suffering from a serious illness, allergy, or condition, based more upon a diagnosis Googled on WebMD, rather than upon the fact that they saw a doctor! If a computer alone was required to diagnose, everyone would have a degree!
Don't get me wrong -- I use technology every day in my life, and thank my lucky stars, and my patient's lucky stars, that it is so ubiquitous. When health care providers wish to communicate, the use of cell phones…… [Read More]
Tele-health is an important tool in assisting them to diagnose and treat asthma. This is taking place by providing health care professionals with the ability to quickly identify and treat the condition early. At the same time, it is offering them with tools to improve monitoring, enhance treatment options and educate patients about critical symptoms. (McLean, 2011) (Wooten, 2009)
According to McLean (2011), these tools have helped to boost their ability to effectively deal with the condition and its root causes. This reduces the total number of cases by providing everyone with access to the latest information. These changes are illustrating the positive effects on the way patients are treated through: increased coordination, communication and education. (McLean, 2011)
Analyze the benefits and challenges of incorporating the tele-health system into your disease surveillance system.
The benefits of implementing these solutions in the disease surveillance system include: it is improving collaboration, enhancing…… [Read More]
Government, Policy and Politics in Health Care
There are many potential controversies in health care. The text discusses things like increased government involvement, but there are issues arising on the ethical side with the new medical technologies. There are legal and ethical issues that arise from things like stem cells, and the use of robots. The latter, as an example, raises issues of safety and control, but eventually robots will perform many medical tasks. This is something that is going to challenge the industry, patients and regulators alike (Mavrofou, et al., 2010). As new technologies emerge, governments have to understand how to manage them, and regulate their usage. The FDA is constantly evolving its policies, but there are issues that will arise at the governmental level, and will affect the practice of medicine as well.
Another potential controversy with health care will probably come with funding. It is going to…… [Read More]
Health Care Administration
Health information Technology (HIT) has over the years been one of the most sought after application in the pursuit of a cost effective and streamlined health care provision, this has however been facing a lot of challenges. According to Health Information Technology for Economic and Clinical Health (HITECH) Act, HIT is defined as ““hardware, software, integrated technologies or related licenses, intellectual property, upgrades, or packaged solutions sold as services that are designed for or support the use by health care entities or patients for the electronic creation, maintenance, access, or exchange of health information” (Zeng X, 2009). HIT in a nutshell avails high quality, real time access to critical information to the patient, it is patient centered. HIT, from the definition could also mean a range of services like robotic surgeries to complex processes like chronic diseases home monitoring devices, though this is not often the case.…… [Read More]
For example, in these procedures it is often difficult to open the patient's mouth wide enough for laryngoscopy and intubation, thus creating the possibility that cardiopulmonary changes may be present and the "probability o lesions in oesophagus, bowel, kindneys, skin and joints." This information would not be known if not for this study and its reported findings.
The study's conclusion is that the use of thoracic epidural anesthesia to sevoflurane based inhalation "may be a suitable technique for thoracic surgery in achalasia due to sclerodermic patients." The reason for this conclusion is that the study found that this procedure "can provide a smooth anesthesia course and a rapid recovery, with hemodynamic stability, and also having pain-free postoperatively." More so, the study found that providing anesthesia without neuromuscular blockade and non-intravenous opioids has "provided a shorter recovery time."
Clearly this specific case study has important and practical implications to the practice…… [Read More]
High Fructose orn Syrup - Diffusion in the Agricultural Framework - High-fructose corn syrup news and information. (2011). Natural News.com. ited in: http://www.naturalnews.com/high-fructose_corn_syrup.html
Tags: farming, corn, agricultural supplements, high fructose corn syrup
The idea of diffusion has a number of parts; it may become part of culture through innovation; but may also be the modus operendi of a partnership between big business and government (authoritarian figures in culture). One such example is High-Fructose orn Syrup. Excess corn production and increased pressures from farming lobbies created a governmental program that actually subsidizes farmers to sell to oOps that specialize not in feeding livestock but in producing the "new sugar." The process of diffusion in this article shows the real power of change within a small market through to appropriate channels may serve as either agricultural or biochemical change and diffusion. Of course, this also bleeds over to the numerous fast or…… [Read More]
Potentially, this changes the way profit is used to build a larger network of computer users who now wish to harness the power of technology to develop a new world.
Chapter: 9 Socioeconmics
Berlin Wall Falls/Soviet Union Collapses
Citation: Koeller, D. (2003), Fall of the Berlin Wall. WebChron.
Tags: Political innovation, political/social upheaval, modernism in Europe
Summation: By the end of 1989, the Soviet-backed regimes of Eastern Europe no longer existed and the Berlin Wall, the quintessential symbol of the Cold War, had been decimated. This dissatisfaction with communism as practiced Soviet style was now being openly criticized, even in the ussian epublic, the so-called "homeland of communism." Extreme vocal critiques came first from the outlying republics and the ethnic minorities, many of who had been living in a tradition of autocracy for centuries. Gorbachev's message of change and openness, despite the appeal in the West, stripped the…… [Read More]
esults and acceptability of the item for key stakeholders
Da Vinci is a lucrative product that has immense contributions to the delivery of health services in many health centres globally. The effectiveness of the product lies on its new entry into the modern market. Da Vinci production and use have enlightened the public and hospital fraternities on new approaches of managing surgery operations. The resultant effects that are going to be felt after using the product are more increasing and beneficial than using the old mechanisms. The innate objective of the tool will improve on delivery of surgery services in ways that are more safe, effective, and affordable to the public. Da Vinci was first introduced as a safe way of improving surgery operations in the hospitals. Moreover, the use of the product had not been made public. Now that the machine will be available in many health…… [Read More]
In addition to the therapeutic armamentarium, CAM reported to have a great role to treat interstitial cystitis (IC). It is multimodal and individualized and includes various treatment methods including: Neuromodulation, dietary modification, acupuncture, surgical methods, medications etc. The objective of this literature review is to discuss the possible causes of the IC, diagnosis, prevalence, the symptoms, and CAM treatment options.
Interstitial cystitis (IC) also called as painful bladder syndrome is an inflammatory disease of the bladder wall with typical ulceration of the urothelium. The interstitial cystitis (IC) is generally regarded as an elusive disease picture with inadequate therapeutic options. Critical to improving the prospects for therapy is the early diagnosis of the disease, which may involve only a careful history taking and clinical examination. CAM suggests multimodal treatment strategies in the early stage of disease (Abrams, Cardozo, & Fall, 2002).
Due to definition similarity, IC is often referred…… [Read More]
Sign language is one of the most important elements of deaf communication, and losing this element frightens and outrages some members of the deaf community.
In addition, many deaf people feel that the rehabilitation necessary after implant surgery is often neglected or not budgeted for, and so, it is not managed effectively, and the implants are not used to their full potential. In addition, the implants do not miraculously cure deafness, what implanted patients experience is a reduced and altered sense of sounds and speech at best. Some patients have described the voice as "robotic," and the device will never allow people to hear the same way that a non-deaf person hears. This is another reason the deaf community is against the implants. They believe they make a deaf person even more "handicapped," to put it one way, because they do not fit in either world. They cannot hear the…… [Read More]
Personal Healthcare Technology
Sunrise Hospital and Medical Center and the Sunrise Children's Hospital
The Sunrise Hospital and Medical Center, which includes the Sunrise Children's Hospital, is an approximately 55-year-old facility located in Southern Nevada; it serves the greater Las Vegas area and the surrounding communities. The Sunrise Health and Medical Center is proud of its quality initiatives to ensure patient safety and comfort, including direct approaches to pharmaceutical safety such as safe medication dosing via smart pump technology, and bar coding on medications. As well, the Sunrise Health and Medical Center does not discriminate with respect to HIV / AIDS or in any manner related to employment, program participation, admission and/or treatment.
Sunrise has been rated as the most popular area hospital for 15 years in patient surveys. As well, Sunrise Health and Medical Center has developed community outreach programs for health education in a variety of areas, often based…… [Read More]
All these charters that have clearly defined the boundaries of what both the positive i.e. natural rights and negative i.e. The unjust exploitative rights of the people are and how no institution or research domains have the right or power to violate them (Dierkes, Hoffmann and Marz, 1996).
Based on the above fact, we have to consider all the concerns related towards security of an individual as well as his rights, societal principles and considerations, national strategies, the financial system and market of the country as well as the social-educational-traditional structure that might be put in jeopardy due to a scientific research of nanomedicine. Hence we have to carefully consider that the researchers who are investing their time and effort in to the nano-medical research are treated with value while still securing the human rights of the society i.e. awareness of and protection against the hazardous effects of nanoparticles on…… [Read More]
The campaign for quality improvement dates back to nineteenth-century obstetrician, Ignaz Semmelweis’s time; Semmelweiz campaigned for the significance of healthcare providers washing their hands prior to caring for patients. Furthermore, legendary British nurse, Florence Nightingale, determined the link between high mortality rates among army hospital inpatients and inferior living conditions. Surgeon Ernest Codman initiated hospital standards development, adopting and stressing the significance of healthcare outcome assessment approaches (Colton, 2000). Former US President Johnson, in the year 1965, signed the bill that made Medicare a component of the nation’s Social Security scheme. This bill which was enforced in July of 1966 expanded the three-decade-long Social Security initiative and offered nursing home and hospital care, outpatient treatment and home nursing services to individuals aged above 65 years (QIO News, 2014).
Numerous major attempts at quality improvement have been made in the last 50 years, largely initiated by academicians’ health quality campaign. Examples…… [Read More]
The colors used are also drab and grey-green dominates to evoke a sense of claustrophobic death and destruction.
Another aspect that evokes atmosphere in the film is the use of music. Kubrick chooses a soundtrack which is both empty and banal yet also succeeds in emphasizing the loss of meaning and vacuity in what the young recruits have become. The director makes use of popular songs such as "These Boots Are Made for Walking" and "Surfin' Bird." The very emptiness of the lyrics tends to ironically emphasize the dehumanization and loss of identity which pervades the film (Maslin).
The theme of dehumanization is followed through in the graphic events of the battle and we also see the "…collapse of the individual into the group" (Anderegg 11). For example, when Joker tries to express his individuality by wearing a peace symbol on his uniform, he is sternly rebuked by a marine…… [Read More]
Robotics: How Close Are e to Creating a Bionic Man?
hile the creation of a 'bionic man' similar to the Six Million Dollar Man of the 70s television series or the gun-slinging robot of estworld may still be the realm of popular sci-fi, technology has developed to a stage where we are closer to such a possibility than ever before. Some of these technologies include robotics, the development of organic polymers that could be used as artificial muscles, nano-technology, and artificial intelligence (AI). In this paper we will review the latest developments in the relevant technologies to find how close we are to developing a 'bionic man.'
Apart from the availability of the required technology, one of the factors that would eventually determine if (or how soon) we are able to develop a bionic man is -- the urgency or need for such a development. This is because technology does…… [Read More]
Barry's "Machine Man"
Originally published in 2011, Max Barry's futuristic science fiction novel "Machine Man" was first made available to readers as an online serial, before being updated and collected into a full-fledged book. Barry bucked publishing industry protocol and posted excerpts from his "Machine Man" to his personal website, imploring his regular readers to submit criticism and feedback in the hope of collectively shaping his creative vision. As one of the first literary works to be "crowdsourced" in terms of content, the version of "Machine Man" which emerged from this collaborative process is, much like its conflicted protagonist, an amalgamation of various constituent parts which comes together to form a harmonious whole. Barry's thematic thrust with the novel -- which tells the tale of Charles Neumann, a subordinate scientist working for a military research conglomerate known as Better Future -- is humanity's ceaseless pursuit of perfection, and the consequences…… [Read More]
Currently, I am working as a surgical technologist in two hospitals in Arkansas - Arkansas Children Hospital and the VA Hospital. I do surgical scrub on various cases of all surgical services, general, orthopedics, vascular, ENT, neurology, urology, and burns. To update and enhance my skills, I attended different medical training courses.
Since my youth, I had been in the scene of medicine. At the age of seventeen I was diagnosed with diabetes. Hence, in y sophomore years in college, I did a presentation on diabetes where I provided information on the symptoms, complications, and how to cope with diabetes. During my Junior year, I had family members that were diagnosed with breast cancer, glaucoma, heart attacks and thyroid problems.
Such experiences are my motivations in becoming a Physician Assistant. The feeling that I get from providing medical services is unfathomable and cannot be measured by anything.… [Read More]