Two factors are driving a new wave of medical products. The first is the use of technology to make products "intelligent"--that is, build them not only to measure a particular parameter, like blood glucose, but to help patients and caregivers manage conditions. This allows the users of these products focus less on the technical aspects of treating a condition (e.g. calculating the proper amount of insulin to treat a given level of blood glucose) and more on the overall management of the disease. The second development is the rapid movement of devices from the doctor's office to the home. Chain drug stores carry dozens of medical devices for home use by consumers. The challenge for manufacturers and designers is to present the medical device's intelligence in a way that is palatable to the consumer. One important theme is that medical product consumers are also consumers of everything else: home electronics, appliances, clothing, etc. These consumers are applying the same decision-making processes they use when buying a blender to the process of buying a medical device. It is therefore necessary for medical product manufacturers to create devices that interact with consumers in consumer-friendly ways. Putting intelligence into a product is one thing; helping the consumer utilize and appreciate it is quite another. This chapter covers some principles to keep in mind, and discusses a framework for better design of intelligent medical products that connect with consumers on emotional and functional levels beyond simple medical efficacy.
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J Correct Health Care
January 2025
Edward Via College of Osteopathic Medicine, Department of Cell Biology and Physiology and Department of Preventive Medicine & Public Health, Auburn, Alabama, USA.
Many chronic medical conditions that can result from poor nutrition are more prevalent in the incarcerated population than in the general population. With the increasing prevalence of chronic medical conditions and limited knowledge on foods accessible to the population, this study assessed the 4-week menu fed to all incarcerated males at state-run facilities in Alabama. Compared with the Acceptable Macronutrient Distribution Range for the average incarcerated male, the percentage of energy from total fat, saturated fat, sodium, and cholesterol exceeded the recommendation.
View Article and Find Full Text PDFBackground: Intrahepatic cholangiocarcinoma (ICC) presents a significant clinical challenge due to its high fatality rate and limited surgical candidacy. With only 30-40% of patients eligible for surgery upon diagnosis, alternative therapies are imperative. This study assesses the efficacy of Yttrium-90 (Y-90) radioembolization for unresectable ICC patients in a non-university tertiary care center (NUTCC).
View Article and Find Full Text PDFACS Appl Mater Interfaces
January 2025
Division of Micro and Nanosystems, KTH Royal Institute of Technology, Malvinas väg 10, Stockholm 100 44, Sweden.
Solid-state nanopores offer unique possibilities for biomolecule sensing; however, scalable production of sub-5 nm pores with precise diameter control remains a manufacturing challenge. In this work, we developed a scalable method to fabricate sub-5 nm nanopores in silicon (Si) nanomembranes through metal-assisted chemical etching (MACE) using gold nanoparticles. Notably, we present a previously unreported self-limiting effect that enables sub-5 nm nanopore formation from both 10 and 40 nm nanoparticles in the 12 nm thick monocrystalline device layer of a silicon-on-insulator substrate.
View Article and Find Full Text PDFJ Pediatr Orthop B
March 2025
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Spine (Phila Pa 1976)
January 2025
Department of Orthopedics, Brown University, Providence, RI.
Study Design: Retrospective cohort study.
Objective: Evaluate the utility of Delirium Risk Assessment Score (DRAS), Delirium Risk Assessment Tool (DRAT), and Delirium Elderly At-Risk (DEAR) in patients undergoing posterior lumbar interbody fusions.
Background: Surgical interventions can place patients at risk for postoperative delirium (POD), an acute and often severe cognitive impairment associated with poor outcomes.
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