Service oriented architecture for medical image processing

Objective

One of the problem existent today in the medical domain is that we have an important number of legacy applications that cannot be reused, shared, composed. The objective of this paper is to propose a solution that make possible to overcome these limitations and makes possible the creation of new composite services that may be used in common by several institutions.

Methods

A generic model for a service, based on a loosely coupled, message-based communication model is proposed. The service model takes into account the possibility to integrate legacy applications. Specialized image processing services can be dynamically discovered and integrated into client applications or other services. A new model and software product based on Service Oriented Architecture (SOA) is proposed. SOA improves the reusability and maintainability of distributed systems. In service oriented architectures, the most important element is the service, a resource provided to remote clients via a service contract.

Results

A basic integration example is presented in the paper and the possibility to integrate dedicated scenario.

Conclusion

The aim of this paper is to present a services based architecture for medical image processing in assisted diagnosis. A service can be discovered at runtime, can be replaced if it is unavailable or can be incorporated in a new service.     

Data and image processing for abdominal imaging

Modern imaging techniques allow information from within the human body to be obtained by using noninvasive or minimally invasive means. This article is intended as a summary of the tools used for processing and displaying such datasets, with a focus on abdominal imaging. Although these tools and their applications are permanently evolving, their use for clinic and research is already recognized as essential. As an insight into the near future, advanced protocols such as multidimensional and multimodality diagnostic and therapy planning are also demonstrated with a few clinical examples.     

应用红外热像仪评估烧伤创面深度

目的应用红外热像仪结合临床判断评估烧伤创面深度,为早期准确诊断烧伤创面深度提供客观依据。方法根据临床表现及创面愈合情况将创面分成浅Ⅱ度、深Ⅱ度、偏浅、深Ⅱ度偏深和Ⅲ度4个组,红外热像仪检测创区及对照区红外热像图,取点分析随时间变化创面温度与深度的关系。结果浅Ⅱ度创面温度在各时间点均升高,深Ⅱ度偏浅创面温度随时间变化无确定性,深Ⅱ度偏深创面在伤后早期温度轻度降低,Ⅲ度创面温度至术前一直低于创周温度。结论浅Ⅱ度、Ⅲ度创面早期温度变化较有规律性,而深Ⅱ度创面温度差异较大,需结合临床指标来判断深度,以提高诊断准确率。     

Basic nutritional guidelines for pediatric burn patients

This article has described current recommendations for nutritional support of the burned pediatric patient. A checklist for monitoring the progress of pediatric burn patients from admission to discharge is included.     

Structured exercise circuit program for burn patients

A 10-station structured exercise circuit was developed for burn patients. This conditioning program was designed to accelerate overall functional mobility. The effectiveness of this structured exercise program (SEP) was examined with respect to length of hospitalization, number of outpatient occupational/physical therapy visits required over a three-month period following discharge, and number of days required to return to work post-discharge. Results showed no change in hospitalization. There was, however, a significant decrease in the number of outpatient therapy visits required post-discharge and an earlier return to work date for those patients enrolled in the SEP.     

成批烧伤患者救护中的风险管理

风险管理是指对患者、工作人员、探视者可能产生伤害的潜在的风险进行识别、评估,采取正确行动的过程。医疗风险管理指医院有组织、有系统地通过对医疗风险的发现、评价并寻求其对策的管理科学。护理风险管理是医疗风险管理的重要组成部分[1]。它包括风险识别、风险评估、风险衡量、选择风险管理技术和风险管理效果评价5个阶段,这5个阶段周而复始,构成了一个风险管理的周期循环过程[2]。在临床护理管理中运用风险管理对成批大面积烧伤患者进行护理风险识别、评价,制订紧急预案、运用预案预防与处理救护工作中的护理风险,提高救护质量与效率…     

Reclaiming body image: the hidden burn.

At the age of 4, I incurred a major burn injury that left 45% of my body with permanent scars. Normal clothing covers most of the scars. I was able to reclaim a positive body image through a gradual process of verbal and "body" disclosure. As an adult, I joined a burn survivors' self-help group; as a result of talking with other burn survivors, my self expectations increased. Later, I joined a facilitated group in which nudity and personal growth were the norm. In this group, I was the only person who had experienced a major physical trauma. I replaced my strongly held beliefs that others could not accept my unclothed, burn-injured body with the belief that some persons can, and I came to a personal understanding of why others could not. Fun, exercise, and relaxation led to a reclamation of positive feelings about my unclothed body and allowed my femininity and the character of my body image to emerge and become integrated.