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The role of the clinical engineer in hospital energy conservation.

The escalating cost of energy is of concern to the hospital industry, and this cost has led to increasing interest by hospital administrators in energy conservation programs as part of their cost-containments efforts. An effective and comprehensive program should be based on an energy management approach which includes the careful analysis of the activities of the entire hospital staff. The clinical engineer has significant opportunities to contribute to this effort through his own department's activities and in other areas where his engineering training can be effectively utilized.

Biomedical Engineering↗

A survey of CE/BMET attitudes.

This article presents the results of a survey designed to assess current Biomedical/Clinical Engineering attitudes. Issues discussed include separating biomedical/clinical services from engineering/maintenance services; certification; factors affecting salary levels; and whether technicians should use the "engineer" title. The opinions presented are meant to stimulate discussion among individual BMETs and CEs, and within clinical engineering departments.

Attitude of Health Personnel↗

Expanding the scope of the IEEE Transactions on Rehabilitation Engineering to explicitly include Neural Engineering.

The original scope of this Transactions implicitly gave it wide latitude to include all aspects of biologically based Neural Engineering. The Transactions now has an additional explicit charter to target Neural Engineering and its links to rehabilitation, from the very basic science to the highly engineered design application. This Transactions will become a prime repository for the emerging field of Neural Engineering, without losing its rehabilitation roots.

Biomedical Engineering↗

Protecting the immunocompromised patient: the role of the hospital clinical engineer.

While the discipline of clinical engineering has long been limited to the area of medical equipment management, few areas in hospital engineering practice so closely meet the literal definition of "clinical" engineering as the care of the immunocompromised patient. Although ventilation has been the domain of the plant maintenance department, the increasing numbers of clinical engineers being given responsibility for plant functions, as well as the critical nature of the topic, make the care of the bone marrow transplant (BMT) patient an appropriate area of clinical engineering practice. Further, as clinical engineering branches out of the equipment management area, the clinical engineer can be truly termed the "hospital engineer".

Air Microbiology↗

Tissue engineering and the development of Apligraf a human skin equivalent.

In recent years, skin grafting has evolved from the initial autograft and allograft preparations to biosynthetic and tissue-engineered living skin replacements. This review details the pioneering work of numerous investigators that led to the following precursors of tissue-engineered skin replacement: cultured autologous keratinocyte grafts, cultured allogeneic keratinocyte grafts, autologous/allogeneic composites, acellular collagen matrices, and cellular matrices. It also discusses the rationale for the development of the newer products and describes the technical advances leading to the development of Apligraf, a tissue-engineered human skin product.

Biomedical Engineering↗

Engineering expertise sought.

RedR-IHE (the merged RedR and International Health Exchange) is responding to requests from humanitarian agencies for skilled aid and development professionals to be deployed to South Asia following the earthquake and tsunami disaster. As assistance programmes gain momentum, and reconstruction activities commence, the expertise of healthcare sector engineers is likely to be in considerable demand.

Altruism↗

[Hematologic engineering in modern transfusiology].

Three groups of hematological engineering methods have been considered: (1) blood gravitation surgery, (2) sorption methods, (3) blood irradiation methods. They were comparatively characterized with respect to their effectiveness. Combined employment of various methods of hematological engineering permits one to avoid shortcomings and intensify the effectiveness of each group of methods. It is shown that new internal environment of the body is developed in the process of hematological engineering operations. It is stressed that hematological engineering combines methods of blood reconstruction.

Biomedical Engineering↗

Tissue engineering and the development of Apligraf, a human skin equivalent.

In recent years, skin grafting has evolved from the initial autograft and allograft preparations to biosynthetic and tissue-engineered living skin replacements. This review details the pioneering work of numerous investigators that led to the following precursors of tissue-engineered skin replacement: cultured autologous keratinocyte grafts, cultured allogeneic keratinocyte grafts; autologous/allogeneic composites, acellular collagen matrices, and cellular matrices. It also discusses the rationale for the development of the newer products and describes the technical advances leading to the development of Apligraf, a tissue-engineered human skin product.

Biomedical Engineering↗

The roles of biomedical maintenance branch, automation management & informatics departments throughout a clinical information systems's life cycle.

The introduction of new technology, such as a Clinical Information System (CIS), requires hospitals to re-evaluate the roles of the Biomedical Maintenance Branch, Automation Management, and Informatics departments. This paper describes the process a 400-bed hospital underwent to resolve role ambiguity among the three activities. The institution's goal was to reach an optimal solution to using the resources offered by each activity through redrawing lines of responsibilities. This experience demonstrated that relationships among departments are dynamic and vary depending on the stage of the CIS life cycle.

Biomedical Engineering↗

Infusion pump analyzers.

Infusion pump analyzers are test devices that aid in determining the performance of infusion pumps. These devices perform simple flow tests, and in some instances volume and occlusion pressure tests as well, that otherwise would be performed using burettes or other calibrated glassware, balances, timers, and pressure meters or gauges. We evaluated five models from four different suppliers, focusing primarily on performance and human factors design. Three units were rated Acceptable, and two were rated Acceptable--Not Recommended because of performance limitations and, for one of the units, poor human factors. This Evaluation includes an overview of infusion pump analyzer technology and a Selection Guide detailing the factors that facilities should consider when purchasing an infusion pump analyzer. In addition, a supplementary article discusses recertification systems, which are designed for testing home-use pumps before use on each new patient. Another supplementary article deals with trumpet curves, a capability that may have limited value for most users.

Biomedical Engineering↗