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Conflict of interest in medical research and development.

The introduction of laparoscopic cholecystectomy via nontraditional methods opened Pandora's box regarding issues of cost effectiveness, diagnostic need, safety, and efficacy. This article discusses one of many ethical concerns related to new-procedure introduction, conflict of interest in medical research and development. Conflict of interest is defined and suggestions of how to implement conflict of interest rules are discussed. As new procedures and modalities continue to be introduced at a rapid rate, it will be important to manage them appropriately.

Biomedical Research↗

The World Wide Web: a review of an emerging internet-based technology for the distribution of biomedical information.

The Internet is rapidly evolving from a resource used primarily by the research community to a true global information network offering a wide range of databases and services. This evolution presents many opportunities for improved access to biomedical information, but Internet-based resources have often been difficult for the non-expert to develop and use. The World Wide Web (WWW) supports an inexpensive, easy-to-use, cross-platform, graphic interface to the Internet that may radically alter the way we retrieve and disseminate medical data. This paper summarizes the Internet and hypertext origins of the WWW, reviews WWW-specific technologies, and describes current and future applications of this technology in medicine and medical informatics. The paper also includes an appendix of useful biomedical WWW servers.

Computer Communication Networks↗

Key advances in critical care in the out-of-hospital setting: the evolving role of laypersons and technology.

During the past decade, critical care in the out-of-hospital setting has transcended the original emphasis on on-scene advanced life support interventions by doctors, paramedics, and nurses. Many of the life-saving efforts and advances in critical care situations have now begun to focus more and more on how, through evolving technology, the average person can save lives and perhaps even spare precious intensive care unit (ICU) resources. A striking example was the recent study conducted at the Chicago airports at which automated external defibrillators (AEDs) were deployed throughout the airline terminals for use by the public at large. Not only did random bystanders on the concourses save an extremely high percentage of cardiac arrest patients with the AEDs, most patients rapidly awakened, even before the arrival of professional rescuers. Thus, this technology-assisted intervention, performed by an average person, pre-empted the need for many other critical care interventions and prolonged care in the ICU. Equipped with automated prompts to improve performance, new technology also exists to help to monitor the inadequacies and too-frequent interruption of life-saving chest compressions during basic cardiopulmonary resuscitation. As a result of these technological advances, survival rates for cardiac arrest are now expected to improve significantly.

Ambulatory Care↗

Simulation in medicine: addressing patient safety and improving the interface between healthcare providers and medical technology.

Medicine, as an industry in which human lives depend on the skill and performance of operators, must create and maintain a culture of safety, in addition to promoting the design of systems to mitigate errors. The use of medical simulation as a mechanism for training healthcare professionals in a safe environment is expanding rapidly. An important component of systems that ensure the safety of patients in the hospital setting is the interface between humans and technology in the hospital. The objective of this paper is to review: (1) the definition and a brief history of medical simulation, (2) examples of how current medical simulation centers are using simulation to address patient safety, and (3) examples of how simulation can be used to enhance patient safety through improvement of the interface between healthcare practitioners and medical technology. Medical simulation and human factors engineering can be used to examine and enhance the interface between healthcare practitioners and medical technology, with the potential to make a significant contribution to patient safety.

Biomedical Technology↗

Staying ahead of the future.

Most health care leaders fail to comprehend the newest technology and how it may change their systems. But a few leaders are ahead of the game.

Administrative Personnel↗

[Complex method of the diagnosis of the mandibular injury based of informational technologies].

Special method of complex diagnosis of mandibular injury is under consideration. It is based on the informational technologies. The study of the mechanisms of the injury's formation has been made on 109 patients of the skull-jaw-facial surgery department of the hospital were under investigation. Two main types of jaw-facial injuries have been revealed. The first type: falling down from the height of one's own size (stature). The second type: blow (stroke) of a blunt object. The decrease of the number of the inflammatory complications of the broken jaw due to the usage of new algorithms on the basis of informational technologies has been noted.

Accidental Falls↗

[The principle of caution in medical education].

The relationship between the modern man and technology is full of paradoxes, even if it has been continuously proven that they cannot do without each other. From the debate in this field the superiority of the man on the world of technology has emerged, but not for those owning new generation technologies on the other men in the pre-tech era. The dominance belongs always to the man, as creator of the technology and user of the same, but above all to those having a competitive advantage because capable of grasping the innovation of new generation technologies and dedicating them to their service. The real problem is the intentional use done of technology seen as a service instrument to old and new patients or as an instrument of power for defining one's supremacy. The key point of the issue is ethics that is the responsibility with which men, who own the new generation technologies, renounce to exploit the other men using these new technologies, and show their superiority on technology, controlling their procedure and aims, since the man is definitively the person who re-invents it continuously.

Biomedical Technology↗

Chinese solutions.

Following an extended visit to (China to discuss health (are technologies, a number of issues concerning the rapid growth in the country's biomaterials and medical technology sectors have become apparent. These developments deserve the attention of scientists and industrialists in the West.

Biocompatible Materials↗

Biomedicine and international human rights law: in search of a global consensus.

Global challenges raised by biomedical advances require global responses. Some international organizations have made significant efforts over the last few years to establish common standards that can be regarded as the beginning of an international biomedical law. One of the main features of this new legal discipline is the integration of its principles into a human rights framework. This strategy seems the most appropriate, given the role of "universal ethics" that human rights play in our world of philosophical pluralism. In addition to the general standards that are gradually being established, a widespread consensus exists on the urgency of preventing two specific procedures: human germ-line interventions and human reproductive cloning.

Bioethical Issues↗

ECG techniques and technologies.

The electrocardiogram (ECG) continues to be a critical component of the evaluation of patients who have signs and symptoms of emergency cardiac conditions. This tool is now approximately 100 years old and has been a standard in clinical practice for more than half a century. Application of new signal processing techniques and an expansion in the use of additional leads allows clinicians to extract more and more information from the cardiac electrical activity. An understanding of the technology inherent in the recording of ECGs allows one to more fully understand the benefits and limitation of electrocardiography.

Biomedical Technology↗

Technology in medicine: ontology, epistemology, ethics and social philosophy at the crossroads.

In reference to the different approaches in philosophy (of medicine) of the nature of (medical) technology, this article introduces the topic of this special issue of Theoretical Medicine and Bioethics, that is, the way the different forms of medical technology function in everyday medical practice. The authors elaborate on the active role technology plays in shaping our views on disease, illness, and the body, whence in shaping our world.

Biomedical Technology↗

Application of technology in the treatment of traumatic brain injury.

The goal of care of the traumatic brain-injured patient is to prevent secondary injury. Technology gives the caregivers information as to the cause and severity of injury and can guide appropriate management of the patient. Use of multimodality monitoring increases the complexity of care but may allow for better targeted therapy. This article will discuss the current state of technology, the physiology and pathophysiology that it assesses, the normal and abnormal values obtained, and how care will be impacted.

Biomedical Technology↗