Intraoperative localization of tantalum markers for proton beam radiation of choroidal melanoma by an opto-electronic navigation system: a novel technique

External beam proton radiation therapy has been used since 1975 to treat choroidal melanoma. For tumor location determination during proton radiation treatment, surgical tantalum clips are registered with image data. This report introduces the intraoperative application of an opto-electronic navigation system to determine with high precision the position of the tantalum markers and their spatial relationship to the tumor and anatomical landmarks. The application of the technique in the first 4 patients is described.

The exchange of radiotherapy data as part of an electronic patient-referral system

PURPOSE: To describe the implementation and use of an electronic patient-referral system as an aid to the efficient referral of patients to a remote and specialized treatment center. METHODS AND MATERIALS: A system for the exchange of radiotherapy data between different commercial planning systems and a specially developed planning system for proton therapy has been developed through the use of the PAPYRUS diagnostic image standard as an intermediate format. To ensure the cooperation of the different TPS manufacturers, the number of data sets defined for transfer has been restricted to the three core data sets of CT, VOIs, and three-dimensional dose distributions. As a complement to the exchange of data, network-wide application-sharing (video-conferencing) technologies have been adopted to provide methods for the interactive discussion and assessment of treatments plans with one or more partner clinics. RESULTS: Through the use of evaluation plans based on the exchanged data, referring clinics can accurately assess the advantages offered by proton therapy on a patient-by-patient basis, while the practicality or otherwise of the proposed treatments can simultaneously be assessed by the proton therapy center. Such a system, along with the interactive capabilities provided by video-conferencing methods, has been found to be an efficient solution to the problem of patient assessment and selection at a specialized treatment center, and is a necessary first step toward the full electronic integration of such centers with their remotely situated referral centers.

Mobile competence network for community health workers in rural Myanmar: a supportive information system that facilitates the improvement of health services.

The goal of this project is the development of international cooperation for fostering solutions to provide better access to basic healthcare services.

A MANAGEMENT INFORMATION SYSTEM AND EVALUATION SCHEME FOR THE UNIVERSITY OF TEXAS EMPLOYEE ASSISTANCE PROGRAMS

Early Employee Assistance Programs (EAPs) had their origin in humanitarian motives, and there was little concern for their cost/benefit ratios; however, as some programs began accumulating data and analyzing it over time, even with single variables such as absenteeism, it became apparent that the humanitarian reasons for a program could be reinforced by cost savings particularly when the existence of the program was subject to justification.^ Today there is general agreement that cost/benefit analyses of EAPs are desirable, but the specific models for such analyses, particularly those making use of sophisticated but simple computer based data management systems, are few.^ The purpose of this research and development project was to develop a method, a design, and a prototype for gathering managing and presenting information about EAPS. This scheme provides information retrieval and analyses relevant to such aspects of EAP operations as: (1) EAP personnel activities, (2) Supervisory training effectiveness, (3) Client population demographics, (4) Assessment and Referral Effectiveness, (5) Treatment network efficacy, (6) Economic worth of the EAP.^ This scheme has been implemented and made operational at The University of Texas Employee Assistance Programs for more than three years.^ Application of the scheme in the various programs has defined certain variables which remained necessary in all programs. Depending on the degree of aggressiveness for data acquisition maintained by program personnel, other program specific variables are also defined. ^

Developing a Geographic Information System Index for Historical Aerial Photographs

This paper describes the creation of a GIS database index to the collection of historical aerial photographs of Connecticut housed in the Map and Geographic Information Center in the Homer Babbidge Library at the University of Connecticut. The index allows patrons to search for scanned aerial photograph images for a specific location across multiple years and to retrieve digital scans from the Library server. Procedures for scanning and georeferencing the images, preparing metadata for the images, and creating the GIS database index are described.

An intelligent portable sensor system in diagnosing stress

Nowadays the stress is a frequent problem in the society. The level of stress could be important in order to recognise health problems later. Electrocardiogram technics allows to supervise the heart condition and the detection of anomalies about the patient. Sometimes the data collection systems by sensors placed on the patient restrict his mobility. Therefore the elimination of wires is a good solution for this trouble. Then the Bluetooth protocol is chosen as way for transmitting and receive data between stations. There are three ECG sensors placed on the right hand, the left hand and the right leg. It is possible to measure the heart signal with this technique. Besides there is an extra sensor in order to measure the temperature of the patient. Depending of the value of these parameters is possible to recognise stress levels. All sensors are connected to a special box with a microcontroller which treat every signal. This module has a Bluetooth part that transmitts wireless the new digital signal to the receiver. This one will be a dongle connected to the computer by Serial Port. A program in the computer has been implemented in order to receive the Bluetooth Data sent from the box and saving the data in a file for subsequent activities. El objetivo principal de este proyecto es el estudio de parámetros como la temperatura corporal y las señales de electrocardiograma para el diagnóstico del estrés. Existen varios estudios que relacionan estos parámetros y sus niveles con posibles casos de estrés y ansiedad. Para este fin usamos unos sensores colocados en el brazo derecho, brazo izquierdo y pierna izquierda. Esto forma el Eindhoven Triangle, que es conocido por dar una señal de electrocardiograma. A su vez también tendremos un sensor de temperatura colocado en un dedo de la mano para medir los grados a los que está el cuerpo en ese momento y así poder detectar ciertas anomalías. Estos sensores están conectados a un modulo que trata las señales analógicas recogidas, las une, y digitaliza para que el modulo transmisor pueda enviar via Bluetooth los datos hacia un receptor colocado en un área cercana. En el módulo hay una electrónica que ayuda a resolver problemas importantes como ruido o interferencias. Este receptor está conectado a un ordenador en el cual he desarrollado una aplicación que implementa el protocolo HCI y cuya funcionalidad es recoger los datos recibidos. Este programa es capaz de crear y gestionar conexiones Bluetooth entre dispositivos. El programa está preparado para que si las conexiones se cortan, se traten en la medida de lo posible los datos recogidos. Los datos se interpretarán y guardarán en un fichero .bin para posteriores usos, como graficaciones y análisis de parámetros. El programa está enteramente hecho en lenguaje Java y tiene un mecanismo de eventos que se activa cada vez que hay datos en el receptor, los recoge y los procesa con el fin de darles un trato posteriormente. Se eligió el formato .bin para los ficheros debido a su pequeño tamaño, ya que aunque sean más laboriosos de usar es mucho más eficiente que un .txt, que en este caso podría ocupar varios megabytes.

A Tele-Health Communication and Information System for Underserved Children in Rural Areas of Nicaragua

Millennium Development Goals point out the necessity of actively promoting maternal-child health care status, especially in underserved areas. This article details the development actions carried out between 2008 and 2011 in some rural communities of Nicaragua with the aim to provide a low-cost tele-health communication service. The service is managed by the health care center of Cusmapa, which leads the program and maintains a communication link between its health staff and the health brigades of 26 distant communities. Local agents can use the system to report urgent maternal-child health care episodes to be assessed through WiMAX-WiFi voice and data communications attended by two physicians and six nurses located at the health care center. The health and nutritional status of the maternal-child population can be monitored to prevent diseases, subnutrition, and deaths. The action approach assumes the fundamentals of appropriate technology and looks for community- based, sustainable, replicable, and scalable solutions to ensure future deployments according to the strategies of the United Nations.

Interacción con juguetes para usuarios con discapacidad usando equipos con S.O. Android

El proyecto realizado, trata de una aplicación desarrollada en la plataforma Android, orientada a personas con algún tipo de discapacidad sensorial o psíquica. Dicha aplicación fomenta el uso y la integración de dispositivos móviles en este tipo de sector de población. Está pensada, para que, un usuario con discapacidad, pueda interactuar con ella y de forma transparente a él, se ha creado un sistema mediante el cual, se registra todo el comportamiento que ese usuario ha tenido durante el tiempo de uso de la aplicación, con el fin de llevar un seguimiento del mismo; evaluar si existen cambios en él; determinar si son necesarios algunos cambios en la aplicación que favorezcan una mejoría en cuanto al uso y consecución de resultados en el paciente, etc. Se ha combinado el uso de una aplicación instalada sobre un sistema operativo de libre distribución, concretamente Android, con un juguete de código abierto, como es Sphero. Eso ha permito el desarrollo de una aplicación perfectamente ajustada a los requisitos funcionales definidos, con una robustez y eficiencia similar a una aplicación de sistemas operativos móviles cerrados. Es importarte remarcar, que la primera finalidad de este proyecto es ofrecer la posibilidad de usar un juguete, como Sphero, que está orientado a un sector de población sin discapacidad, haciendo uso de cualquier dispositivo móvil, a personas con diferentes grados de discapacidad sensorial, motora y psíquica. Siempre clarificando, que no existe la posibilidad de usar esta aplicación para cualquier tipo y grado de discapacidad, ya que, ello supondría, un proyecto de una envergadura enorme. El hecho de usar un dispositivo móvil, es un derecho, que todos tenemos. Y por ello, se espera que tras la lectura y comprensión de este proyecto, se motive a los lectores a seguir desarrollando aplicaciones para que cualquier usuario, con discapacidad o no, tenga las mismas oportunidades de interactuación con dispositivos móviles. The carried out project, is an application developed on the Android platform , aimed at people with some kind of sensory or mental disability . This application encourages the use and integration of mobile devices in this type of population sector. It is designed to be interacted by a disable person and transparently to that user, it has been created a system by which all behavior, that user has had during the time of use of the application, is recorded, that’s to keep track of it ; assess whether there are changes in it, determine if changes are needed in the application that favor an improvement in the use and achieving patient outcomes , etc. . It has combined the use of an application installed on an open source operating system, namely Android, an open source toy , as is Sphero . That has made it possible to develop an application perfectly adjusted to the functional requirements defined with a robustness and efficiency similar to a mobile OS application closed. It is important to note, that the first aim of this project is to offer the possibility of using a toy, like Sphero , which is geared to a sector of the population without disabilities , using any mobile device , for people with different degrees of sensory impairment , motor and mental . Always clarifying that there is no possibility to use this application for any type and degree of disability, because the magnitude of the project would have been infinitely greater. The fact of using a mobile device, is a right we all have. And so, it is expected that upon reading and understanding of this project, motivate readers to continue developing applications for any user , disabled or not, have the same opportunities for interaction with mobile devices .

Geomorphological analysis and evolution of an altered floodplain drainage system. The case of the Partido Stream (Spain)

The Partido Stream is a small torrential course that flows into the marsh of the Doñana National Park, an area that was declared a World Heritage Site in 1994. Before 1981, floods occurred, and the stream overflowed onto a floodplain. As an old alluvial fan, the floodplain has its singular orography and functionality. Fromthe floodplain, several drainage channels, locally called caño, discharged into themarsh. The Partido Streamhad themorphology of a caño and covered approximately 8 km from the old fan to the marsh. The stream was straightened and channelised in 1981 to cultivate the old fan. This resulted in floods that were concentrated between the banks in the following years, which caused the depth of water and the shear stress to increase, thus, scouring the river bed and river banks. In this case, the eroded materials were carried towards the marsh where a new alluvial fan evolved. Control measures on the old fan were implemented in 2006 to stop the development of the new alluvial fan downstream over the marsh. Thus, the stream would partially recover its original behaviour that it had before channelisation, moving forwards in a new, balanced state. The present study describes the geomorphological evolution that channelisation has caused since 1981 and the later slow process of recovery of the original hydraulic-sedimentation regime since 2006. Additionally, it deepens the understanding of the original hydraulic behaviour of the stream, combining field data and 2D simulations.