Clinical engineering is at a strategic developing point. Technical, economical, and cultural dynamics are at work shaping the future of clinical engineering. As the nature of clinical engineering transformed by these forces, delay or failure to adopt effective methods will result in a diminished role for clinical engineering in healthcare. This article will demonstrates in detail the challenges which the clinical engineering encounters presently and its direction of development in the future.

The personnel training is one of the core tasks of clinical Chinese pharmacy.Since the professional training of clinical Chinese pharmacy has started relatively late in China,the teaching contents and curriculum still need further improvements.This paper is aiming at analyzing the post tasks of personnel of clinical Chinese pharmacy,defining the knowledge structure of them,and learning from the characteristics of clinical Chinese pharmacy teaching systems of the foreign and domestic universities.On such basis,the paper proposes the ideas about constructing the curriculum system of clinical Chinese pharmacy,to provide a reference for the higher educational personnel training of clinical Chinese pharmacy.

Objective To investigate the factors influencing positive and negative affects ot orthodontic patients.Methods 145 orthodontic patients were selected and finished questionnaire survey.The questionnaires included demographic data,psychosocial impact of dental aesthetic questionnaire (PIDAQ),aesthetic content of index of orthodontic treatment need (IOTN-AC),perception of occlusion scale (POS),and positive affect and negative affect scale (PANAS).Mann-Whitney U-test,Kruskal-Walis H-test,and Spearman correlation analysis were used to analyze the relation between impact of dental aesthetics and positive and negative affects in orthodontic patients.Results The scores of adolescent patients were higher than adult patients in negative affect (U =1886.500,P＜0.05).The patients under orthodontic treatment scored higher than those before treatment (U=2228.000,P＜0.05).The subdomains of PIDAQ,such as social impact (x2=ll.794,P＜0.05),aesthetic attitude (x2 =45.853,P＜0.05),and dental confidence (x2 =33.551,P＜0.05) were related with negative affect.The scores of IOTN-AC,PIDAQ,POS demonstrated positive correlation with negative affect (P＜0.05).The scores of social impact showed negative correlation with positive affect (P＜0.05).Conclusions Adult orthodontic patients suffer more negative affect than adolescent patients.Orthodontic treatment could promote patients' positive affect.However,the negative psychosocial impact in dental aesthetics would strengthen the negative affect.

In order to overcome the effects of the anti-aliasing filter and the colored background noise, an adaptive algorithm is proposed to estimate the parameters of ion channel kinetics and the background noise, and whereafter the ion channel signal could be restored from the strong noisy patch-clamp recordings. The algorithm cross-couples the recursive expectation-maximization algorithm, which estimates optimally the parameters of hidden Markov model, and the recursive extended least square algorithm, which estimates optimally the characteristics of the background noise. Simulation suggests that this cross-coupling algorithm convergences consistently, and is very robust to the inexact conformation number.
Algorithms ; Ion Channels ; physiology ; Least-Squares Analysis ; Likelihood Functions ; Models, Theoretical ; Noise ; Patch-Clamp Techniques ; methods ; Signal Processing, Computer-Assisted

This paper introduces an adaptive filter method for enhancing ventricular late potentials. The adaptive filter has only one signal electrode and does not need the reference electrode. The experiment results show that this adaptive filter method can effectively improve signal-to-noise ratio of ventricular late potentials.
Action Potentials ; Algorithms ; Computer Simulation ; Electrocardiography ; Humans ; Signal Processing, Computer-Assisted ; instrumentation ; Ventricular Function

Image registration methods based on mutual information, including mutual information and normalized mutual information, have been accepted as the most accurate and efficient methods. But there are many fluctuations in the registration functions that hinder the optimization procedure and lead to registration failure in intra-modal registration. We found that besides the interpolation artifacts, the uncertainty of the changing of entropy with the changing of overlap also contributes to the fluctuations. The effect of interpolation artifacts can be eliminated, but it is difficult to eliminate the effect of uncertainty of entropy. Luckily, this effect is not significant in normalized mutual information. Normalized mutual information is more stable and robust than standard mutual information and its better performance and wider application can be expected.
Algorithms ; Diagnostic Imaging ; Humans ; Image Processing, Computer-Assisted ; methods ; Magnetic Resonance Imaging ; methods ; Medical Informatics ; methods ; Registries

Based on the Bloch equation, we can describe the working principle of the magnetic resonance imaging system with mathematic model, the inputs are the three templates of appropriate rho, T1 and T2. In this paper, the simulation process is illustrated by spin echo examples of the signal exciting, phase coding, reading-out and image reconstruction. The satisfactory results show that this method can be widely used in simulation researches.
Algorithms ; Computer Simulation ; Magnetic Resonance Imaging

The history and current situation of cell membrane ion-channel gating mechanism study were reviewed, with an emphasis on the application and the latest developments of kinetic model in gating mechanism study; the problems in present study and ion-channel gating mechanism kinetics model for future investigations were finally discussed.
Cell Membrane ; physiology ; Humans ; Ion Channel Gating ; Kinetics ; Models, Biological ; Research ; trends

When a conventional phase-encoding magnetic resonance spectrascopic imaging(MRSI) method is in use, the data acquisition is very time consuming and thus it is not well accepted in clinical settings. Echo planar spectroscopic imaging (EPSI) technology has been applied for rapid acquisition of MRSI data. It significantly reduces scan time by simultaneously encoding the spectral dimension and the spatial dimension. Reconstruction of EPSI data is sophisticated. For the t-dimension, data are non-uniformly sampled. Fast Fourier transform (FFT) is applied in odd echoes and even echoes respectively and then shift method is used to combine them together. For the kx dimension, the data are unevenly sampled and have to be interpolated onto a Cartesian grid before FFT is applied. For the phase-encoding dimension (ky), the Fourier transform can be readily done with FFT since the data are evenly spaced.
Algorithms ; Echo-Planar Imaging ; methods ; Image Processing, Computer-Assisted ; methods ; Magnetic Resonance Spectroscopy ; methods ; Signal Processing, Computer-Assisted

The gating mechanical kinetical of ion channels has been modeled as a Markov process. In these models it is assumed that the channel protein has a small number of discrete conformational states and kinetic rate constants connecting these states are constant, the transition rate constants among the states is independent both of time and of the previous channel activity. It is assumed in Liebovitch's fractal model that the channel exists in an infinite number of energy states, consequently, transitions from one conductance state to another would be governed by a continuum of rate constants. In this paper, a statistical comparison is presented of Markov and fractal models of ion channel gating, the analysis is based on single-channel data from ion channel voltage-dependence K+ single channel of neuron cell and simulation data from three-states Markov model.
Animals ; Cells, Cultured ; Computer Simulation ; Electrophysiology ; Female ; Fractals ; Ion Channel Gating ; physiology ; Male ; Markov Chains ; Models, Biological ; Neurons ; physiology ; Patch-Clamp Techniques ; Potassium Channels ; physiology ; Rats ; Rats, Sprague-Dawley