Images, Signals and Devices by Richard B. Friedman M.D. (auth.), Clement J. McDonald M.D.

By Richard B. Friedman M.D. (auth.), Clement J. McDonald M.D. (eds.)

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He or she can learn to remove polyps, identify abnormalities, and practice focusing techniques through computer simulation. Much as the pilot flies through his "space," the physician may retract, move forward, or turn the scope to different angles to "fly" through the patient's bowel, potentially improving the probability of correctly identifying anomalies-and saving hundreds of patients from discomfort. Similarly, the agility that the physician learns in using the scope would greatly reduce the possibility of perforating a bowel.

We introduced three kinds of microcomputers into the offi('es of engineering professors at I'Ut'due University, as part of an effort to develop a campus-wide netwol·k. Some machines were used by professon;, and some by their secretaries; some users were given Macintoshes or Lisas, and some IBMXTs. We followed the use of these micros for three months, staying in contact with the users and analyzing the problems they encountered . At the end of this period, all users completed a questionnaire. We found many important, unexpected differences among their responses, depending on the kind of user and the machine being used.

Integrated patient management. Because all data are available, the most advanced systems issue alerts and suggestions based on the total clinical database, just as monitoring systems give alerts on ECGs or blood pressure. Plug-In Modues Amplifier ECG Analog-toDlQltaI Resprahon Microprocessor Amplifier Analog-toDlQltal Converter Blood Pressure Blood Pressure 2 Display Microprocessor Amplifier Blood Pressure 3 Cardiac Output 6A Monitoring Physiological Variables G BACKGROUND OF BEDSIDE PHYSIOLOGICAL MONITORING Plug-In Modules Display and Bus Microprocessor Network 68 Block diagrams of microprocessor configurations found In the latest bedside physiological systems: A shows a system where a fast, powerful central processor does all the waveform pattern recognition and computation.

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