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Clinical Engineering: A Handbook for Clinical and Biomedical Engineers [Hardback]

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Edited by (Department of Medical Physics and Clinical Engineering, Royal Liverpool University Hospital, UK), Edited by (Professional Lead for Bioinformatics, National School of Healthcare Science, Health Education West Midlands, Birmingham, UK), Edited by (David Lo)
  • Formāts: Hardback, 480 pages, height x width: 235x191 mm, weight: 1010 g, 50 illustrations; Illustrations, unspecified
  • Izdošanas datums: 25-Nov-2013
  • Izdevniecība: Academic Press Inc
  • ISBN-10: 0123969611
  • ISBN-13: 9780123969613
Citas grāmatas par šo tēmu:
Clinical Engineering: A Handbook for Clinical and Biomedical EngineersPalielināt
  • Formāts: Hardback, 480 pages, height x width: 235x191 mm, weight: 1010 g, 50 illustrations; Illustrations, unspecified
  • Izdošanas datums: 25-Nov-2013
  • Izdevniecība: Academic Press Inc
  • ISBN-10: 0123969611
  • ISBN-13: 9780123969613
Citas grāmatas par šo tēmu:
Permanent link: https://www.kriso.lv/db/9780123969613.html
Keywords:
Engineers and scientists who work with medical technology set out the core elements of the profession for students, professionals, and researchers. In addition to providing technical information, they describe the processes and activities of working as a clinical engineer. After general topics, they cover information technology and software engineering, clinical instrumentation and measurements, and rehabilitation engineering and assistive technology. The specific topics include good clinical practice, risk management, neurological measurement, functional electrical stimulation, and mechanical and electromechanical devices. Annotation ©2014 Ringgold, Inc., Portland, OR (protoview.com)



Clinical Engineering is intended for professionals and students in the clinical engineering field who need to successfully deploy medical technologies. The book provides a broad reference to the core elements of the subject and draws from the expertise of a range of experienced authors.

In addition to engineering skills, clinical engineers must be able to work with patients and with a range of professional staff, including technicians and clinicians, and with equipment manufacturers. They have to keep up-to-date with fast-moving scientific and medical research in the field and be able to develop laboratory, design, workshop, and management skills. This book is the ideal companion in such studies, covering fundamentals such as IT and software engineering as well as topics in rehabilitation and assistive technology.

  • Provides engineers in core medical disciplines and related fields with the skills and knowledge to successfully collaborate to in developing medical devices to approved procedures and standards
  • Covers US and EU standards (FDA and MDD, respectively, plus related ISO requirements), the de facto international standards, and is backed up by real-life clinical examples, case studies, and separate tutorials for training and class use
  • The first comprehensive and practical guide for engineers working in a clinical environment

Papildus informācija

Design, develop and bring medical devices to market successfully by following this integrated approach to designing according to recognized US and EU procedures
Acknowledgements xi
Preface xiii
Foreword xv
List of Contributors xvii
I General
1 Anatomy and Physiology
Nicholas P. Rhodes
Introduction
3(1)
Cell Physiology
3(2)
Principles of Cell Replication
5(2)
Bone and Skeletal Physiology
7(2)
Nerve and Muscle Physiology
9(1)
Cardiac Physiology
10(1)
Vascular Physiology
11(1)
Pulmonary Physiology
11(3)
Introduction to Blood
14(1)
Thrombosis, Hemostasis, and Inflammation
15(1)
Homeostasis and Regulation
16(1)
Renal Physiology and Homeostasis
17(1)
Nutrition, the Pancreas, and Glucose Regulation
18(3)
2 Research Methodology
Azzam Taktak
Study Design
21(2)
Hypothesis Generation and Testing
23(1)
Application and Interpretation of Statistical Techniques
24(6)
Literature Searching and Referencing
30(1)
References
31(1)
Further Reading
31(2)
3 Good Clinical Practice
Anthony Scott Brown
Background
33(1)
Phases of Clinical Research
33(1)
Standards in Clinical Research
34(1)
Good Clinical Practice
35(1)
Clinical Investigations for Medical-Devices
36(1)
Comparing Clinical Trials and Clinical Investigations
37(1)
ISO 14155 Standard
37(2)
Clinical Investigation Plan
39(1)
Approvals to Undertake Research
39(1)
References
40(1)
Further Reading
40(1)
Useful Websites
40(1)
Glossary
40(3)
4 Health Technology Management
Justin P. McCarthy
Richard Scott
Paul Blackett
John Amoore
Fran J. Hegarty
Introduction
43(1)
The Strategic Healthcare Technology Management System
44(1)
Implementing the Healthcare Technology Management Program
45(10)
Summary of the Healthcare Technology Management Program
55(2)
References
57(1)
Glossary
57(2)
5 Leadership
Merlin Walberg
Introduction
59(2)
Leadership and Management
61(1)
VAAL Emotional Intelligence
62(2)
Listening on Three Levels
64(2)
Seven Habits of Effective Leaders
66(5)
Examples
71(5)
Conclusion
76(1)
References
76(1)
6 Risk Management
Anthony Scott Brown
Introduction
77(1)
Definition
77(1)
Consequences and Likelihood
78(1)
Third Dimension of Risk
78(1)
Risk Appetite
79(1)
Risk Acceptability
80(1)
Medical Devices Directives
80(1)
BS ISO 31000:2009
81(1)
AS/NZS 4360:2004
82(1)
ISO 14971:2007
82(4)
Risk Tools
86(6)
References
92(1)
Further Reading
92(1)
Glossary
92(1)
7 The Role of Clinical Engineers in Hospitals
Fran J. Hegarty
John Amoore
Richard Scott
Paul Blackett
Justin P. McCarthy
Introduction
93(2)
Clinical Engineering as Applied Biomedical Engineering
95(1)
Clinical Engineering Activities
96(5)
Patient-Focused Engineering
101(2)
References
103(4)
II Information Technology And Software Engineering
8 Information Communications Technology
Paul S. Ganney
The Regulation of Clinical Computing
107(10)
Data Security Requirements
117(9)
CENTS Data Exchange Protocols
126(4)
References
130(3)
9 Software Engineering
Paul S. Ganney
Sandhya Pisharody
Edwin Claridge
Software Development and Management
133(27)
Typical Applications
160(9)
References
169(2)
10 Web Development
Paul S. Ganney
Sandhya Pisharody
Ed McDonagh
Web Technology
171(4)
Programming
175(10)
Security
185(4)
Further Reading
189(4)
III Clinical Instrumentation And Measurement
11 Medical Electronics
Thomas Stone
Electronic Components
193(8)
AC Signals' Complex Ohm's Law
201(1)
Basic Circuit Design in Instrumentation
202(4)
Filter
206(4)
Further Reading
210(1)
12 Clinical Measurement
Richard G. Axell
Accuracy and Precision
211(1)
Measurement Device Errors
212(1)
Measurement Errors
213(1)
Calibration
214(1)
Traceability
214(1)
Uncertainty
214(1)
Sensitivity and Specificity of Measurement Technique
215(2)
Type I and Type II Errors
217(1)
Further Reading
217(2)
13 Cardiology
Richard G. Axell
Anatomy and Physiology
219(2)
Echocardiography
221(4)
Electrocardiography
225(3)
Further Reading
228(1)
14 Pressure and Flow
Paul A. White
Richard G. Axell
Introduction
229(1)
Blood Pressure
230(4)
References
234(1)
15 Neurological Measurement
Thomas Stone
Christine Denby
Electromyography
235(4)
Evoked Potentials
239(4)
16 Respiratory
Elizabeth M. Tunnicliffe
Paul A. White
Introduction
243(1)
Lung Volumes and Physiological Parameters
243(1)
Volume Conversions
243(2)
Lung Conditions
245(1)
Reference Values
246(1)
Spirometry
246(1)
Whole Body Plethysmography
247(3)
Gas Transfer
250(4)
References
254(3)
IV Rehabilitation Engineering And Assistive Technology
17 Introduction: Medical Engineering Design, Regulations, and Risk Management
David Long
Mike Hillman
Introduction
257(7)
Medical Engineering Design
264(3)
Regulations and Risk Management
267(7)
References
274(1)
Further Reading
274(1)
18 Functional Electrical Stimulation
Duncan Wood
Ian Swain
Introduction
275(1)
Defining FES
276(1)
Physiological Principles of FES
276(1)
Designing a Practical FES System
277(2)
The Desired Outcome for the Patient
279(1)
Correct Muscles and Nerves to Produce the Desired Response
280(1)
Generating the Required Muscle Response
280(1)
How to Control the Stimulated Movement for the Specific Application
281(2)
Conclusions
283(1)
References
283(1)
Further Reading
284(1)
19 Posture Management
David Long
Introduction
285(1)
Posture
285(1)
Effects of Gravity
286(1)
The Role of the Supporting Surface
287(1)
24-Hour Postural Management
287(1)
Biomechanics as Applied to Postural Management
287(3)
Introduction to the Physical Assessment
290(1)
Body Configuration
290(6)
Critical Measures: Joint Range of Motion and Pelvic/Trunkal Asymmetry
296(5)
Modeling a Stable and Functional Seated Posture
301(1)
Summary of the Physical Assessment Process
302(1)
Recommendations and Rationale for Posture Management
302(4)
Secondary Complications
306(1)
Summary
307(1)
References
307(2)
20 Pressure Ulceration
Dan Bader
Skin and Soft Tissues
309(1)
Pressure Ulcers (PUS)
310(2)
Care Quality and Financial Implications
312(2)
Mechanical Loading at the Patient-Support Interface
314(1)
X Interface Pressure Mapping
315(2)
Internal Mechanical State of Loaded Soft Tissues
317(1)
Support Surfaces and Pressure Relief Regimens
318(1)
Summary
319(1)
References
319(4)
21 Introduction to Mobility and Wheelchair Assessment
David Long
Mike Hillman
Introduction to Mobility
323(3)
Wheelchair Assessment Process
326(3)
References
329(2)
22 Wheelchair Prescription
David Long
Getting into the Details
331(8)
Custom-Contoured Seating
339(6)
Wheelchair Stability
345(4)
References
349(2)
23 Powered Wheelchairs
Ladan Najafi
David Long
Introduction
351(1)
Wheel Layout
352(1)
Powered Adjustment to Position
353(1)
Aspects of Clinical Assessment Specific to Powered Wheelchairs
353(1)
Control Interfaces for Powered Wheelchairs
354(1)
Specialized Controls
355(2)
Powered Assistance to Manual Wheelchairs
357(1)
References
357(2)
24 Electronic Assistive Technology
Donna Cowan
Jodie Rogers
Ladan Najafi
Fiona Panthi
Will Wade
Robert Lievesley
Tim Adlam
David Long
Introduction and Assessment
359(2)
Environmental Control Systems
361(3)
Augmentative and Alternative Communication
364(5)
Access to Electronic Assistive Technology
369(4)
Integrated Systems
373(2)
Using and Adapting Mainstream Technology for Assistive Technology
375(5)
Brain-Computer Interfaces
380(3)
Disability and Smart House Technology
383(2)
Telecommunications in the Provision of Healthcare
385(1)
References
386(1)
Further Readings
387(1)
Web Resources
388(1)
25 Clinical Gait Analysis
David Ewins
Tom Collins
Introduction
389(1)
Normal Gait
390(2)
Patient Functional Self-Assessment Questionnaires
392(1)
Clinical or Physical Examination
393(1)
Observational Gait Analysis and Video Vector
393(1)
Kinematics and Kinetics
394(3)
Electromyography
397(1)
Energy Expenditure
398(1)
Data Interpretation
399(1)
Role of the Clinical Movement Analysis Society U.K. and Ireland (CMAS)
400(1)
Summary
400(1)
References
400(1)
Further Reading
401(1)
Resources
401(1)
Kinematic Concepts
402(1)
Segment and Joint Coordinate Systems
402(2)
Kinetic Concepts: Inverse Dynamics
404(1)
Limitations of Kinetic Analysis
405(1)
References
406(1)
26 Mechanical and Electromechanical Devices
Donna Cowan
Martin Smith
Vicky Gardiner
Paul Horwood
Chris Morris
Tim Holsgrove
Tori Mayhew
David Long
Mike Hillman
Aids for Daily Living,
407(4)
Prosthetics
411(6)
Orthotics
417(4)
Orthopedic Biomechanics
421(4)
Mobile Arm Supports
425(3)
Robotics
428(2)
References
430(1)
Further Reading
431(1)
Resources
431(2)
Index 433
Azzam Taktak, BEng (Hons), PhD, DipStat, CEng, CSci, FIPEM is Consultant Clinical Scientist at the Royal Liverpool University Hospital and an Honorary Professor at the Universities of Liverpool and Manchester. He is a former Vice President of Engineering, CEng Registrar and a Director of the IPEM. He is a national assessor at the Association of Clinical Scientists and lead assessor at the National School for Healthcare Scientists. His main research interests are mathematical and statistical modelling and the use of artificial intelligence and machine learning in medicine. To date, he has published more than 75 peer-reviewed articles and edited 2 books. He has in the past led a European project on ocular oncology under the Biopattern Network of Excellence which was funded by the European Commission. Paul Ganney, BSc (Hons), MSc, PhD, CSci, MIPEM, FIAP, 34 years, 5 jobs, 3 reorganisations, 2 city moves and a PhD later, Consultant Clinical Scientist Dr. Ganney is turning his attention more towards training the next generations of Computer Scientists, of trying to give them the platform, tools and experience they will need in order for Clinical Scientists and Engineers to always make a positive difference through the software that they write. Paul is currently lecturing part-time at three Universities and has a wealth of experience both within the academic and practical hospital environments that he is keen to apply. David Long, BEng (Hons), MSc, CEng, MIPEM, is a Clinical Engineer registered in the UK as a Clinical Scientist with the Health and Care Professions Council. He has over 20 years multi-disciplinary NHS experience in the field of rehabilitation engineering, specialising in the provision of postural management and custom contoured seating. Being a Chartered Engineer as well as a qualified clinician, Dave is particularly able to apply biomechanical principles to the assessment process, and to advise and assist with the more technical aspects of the required equipment. He is employed by AJM Healthcare who deliver a number of wheelchair services on behalf of the NHS. He also retains a contract with Oxford University Hospitals NHS Trust where he teaches on the Oxford Brookes University accredited Postgraduate Certificate in Posture Management for People with Complex Disabilities.