Syncopation and Its Perceptions.

In very old days past, I used to play piano, but not anymore. Age wore out the fingers, but they are not rusty.

Hearing Aid History: From Ear Trumpets to Digital Technology.

It is said that time marches on, and one thing is certain: Hearing loss marches right along with it.1 The recorded history of hearing loss goes back hundreds of years, and attempts to correct hearing loss have been in existence since the very first person to cup a hand behind one ear. The good news is hearing aids and other assistive listening devices have come a long way since the first rudimentary attempts at improving hearing. Yes, hearing aid technology is still evolving and is still far from perfect. Well, nothing is perfect in life, as perfection is always an unreachable limit.

Vaccines and Homeopathy.

The title refers to the conceptual quality of being similar, as a kind of resemblance between both procedures.

Organismic Sets: What Are They?

The term Organismic Sets described a puzzling and difficult area of research that apparently appears nowadays forgotten, for recent publications cannot be pinpointed. The objective here intends to find out what this subject deals with, not trying to go deeper in its intrincacies, for it would exceed by far the possibilities of the article. Instead, the article only calls the attention and perhaps stimulates the young mathematically oriented researcher.

Tuberculosis, Cholera, Anthrax: Dreadful Culprits.

Dreadful culprits from the minuscule world, indeed, but … what about poverty, war, and terrorism in the macroscopic nowadays world?

Numerical Clinical Cardiology.

Numbers, numbers, they endessly fill out our life… weight, height and many other more hidden body attributes, too, like chronobiological parameters! Fat and thin woman, by Lyudmyla Kharlamova.

Biological Pacemakers: Still a Dream?

A biological pacemaker is one or more types of cellular components that, when implanted into certain regions of the heart, produce electrical stimuli that mimic that of the body's natural pacemaker cells. Somatic gene transfer, cell fusion, or cell transplantation provide a way to realize it as somatic reprogramming strategies, which involve transfer of genes encoding transcription factors to transform working myocardium into a surrogate sinoatrial node, are furthest along in the possibilities. The idea, no doubt, is bright and appealing. The objective herein intends to dig into the subject trying to find out how realizable it really is.

Physical Rehabilitation: A Historical Look.

Medicine aims toward restoring, maintaining, and improving human health, and engineering aims toward restoring, maintaining and improving human wellness. Both disciplines apply knowledge from science and technology at large to accomplish such objectives. Bioengineering, also called biomedical engineering, is defined as the application of engineering principles and techniques to problems in medicine and biology (always with restoration, maintenance, and improvement in mind), which now also includes veterinary medicine, and the environment in general.

Oblivion Phenomenon in Science.

Recognition of true merits may not be a common virtue of the human being, as often achievements are either forgotten, not seen or just buried into oblivion. History of science has plenty of examples, occasionally tainted by endless and useless accusations or even lawsuits leading nowhere.

Statistical Validation for Clinical Measures: Repeatability and Agreement of Kinect™-Based Software.

BACKGROUND: The rehabilitation process is a fundamental stage for recovery of people's capabilities. However, the evaluation of the process is performed by physiatrists and medical doctors, mostly based on their observations, that is, a subjective appreciation of the patient's evolution. This paper proposes a tracking platform of the movement made by an individual's upper limb using Kinect sensor(s) to be applied for the patient during the rehabilitation process. The main contribution is the development of quantifying software and the statistical validation of its performance, repeatability, and clinical use in the rehabilitation process. METHODS: The software determines joint angles and upper limb trajectories for the construction of a specific rehabilitation protocol and quantifies the treatment evolution. In turn, the information is presented via a graphical interface that allows the recording, storage, and report of the patient's data. For clinical purposes, the software information is statistically validated with three different methodologies, comparing the measures with a goniometer in terms of agreement and repeatability. RESULTS: The agreement of joint angles measured with the proposed software and goniometer is evaluated with Bland-Altman plots; all measurements fell well within the limits of agreement, meaning interchangeability of both techniques. Additionally, the results of Bland-Altman analysis of repeatability show 95% confidence. Finally, the physiotherapists' qualitative assessment shows encouraging results for the clinical use. CONCLUSION: The main conclusion is that the software is capable of offering a clinical history of the patient and is useful for quantification of the rehabilitation success. The simplicity, low cost, and visualization possibilities enhance the use of the software Kinect for rehabilitation and other applications, and the expert's opinion endorses the choice of our approach for clinical practice. Comparison of the new measurement technique with established goniometric methods determines that the proposed software agrees sufficiently to be used interchangeably.

Gabriela Mistral: Who She Was and What She Did for Education [Retrospectroscope].

Education is no doubt the foundation of any healthy society. When it is lacking or substandard in quality, all sorts of misery may arise, from poverty and disease to outright delinquency and destructive (or even self-destructive) behavior. The daily news from all around this troubled world often appalls and frightens us: such atrocious and disgraceful behavior generates a vicious cycle that serves to stir up even greater depravity. It is my contention that most, if not all, of these barbarities could be prevented if more people were provided the opportunity for a well-rounded, thoughtfully conceived education [1].

The Brain Willis Circle and Ring Electric Power Systems: Analogies [Retrospectroscope].

The word analogy is a synonym of likeness, resemblance, similitude, or affinity and involves two concepts being placed side by side, as in a comparison [1]. The workings of nature and those of human societies are amenable to such analogous comparison-even though the evolution of the natural world obviously spans millions of years [2], while human societies are much younger, relatively puppies by comparison. This article considers two interesting examples from these two realms that show remarkable similarities (possibly a result of sheer chance), i.e., a circulatory brain anastomosis, the circle of Willis (CW), and modern power transmission-distribution systems in the ring arrangement. Remember that electric networks handle the flow of charges [say, in coulombs per second (C/s) or electric charge per unit time, which is current), whereas hydraulic systems deal with fluid flow [say, in liters per minutes (L/min) or volume/unit time or fluid mass/unit time]. Hence, these systems too are analogous, a well-known fact often mentioned by instructors of electrical engineering courses.

Sinoatrial and Atrioventricular Blocks: Who First Described Them and How? [Retrospectroscope].

The relationship among cardiac pacemakers is characterized by the fact that one pacemaker is usually dominant and all the others are subsidiary. The sinoatrial node acts as the dominant pacemaker, and all other potential pacemaker tissues are discharged by a conducted impulse before their respective diastolic depolarizations attain threshold. These pacemakers are called subsidiary to emphasize the fact that, under normal circumstances, they are engaged in conducting impulses, but, under abnormal circumstances, they may become actual pacemakers.

The Animal Kingdom Is Also a Bioengineering Field: Exploring the Art and Science of Vetinary Medicine [Retrospectroscope].

Medical science developed in tandem with the evolution of biological species and their associated diseases. Because of the close interaction between humans and other animals, even those in the wild, taking care of the former also means caring for the latter. Several scientific forerunners delved into animals' anatomical and physiological secrets in their quest to better understand animal biology and functions, thereby laying the foundation for animal medicine. Here, I briefly explore the long and complex road that led to the current state of veterinary science and provide a few examples of its present standing. (Contributions from the ancient world and eastern countries are not considered, as they represent a different area of interest.).

Nikola Tesla: Why was he so much resisted and forgotten? [Retrospectroscope].

Recently, during the Christmas season, a friend of mine visited me and, sneaking a look at my bookshelves, found two rather old Nikola Tesla biographies, which I had used to prepare a "Retrospectroscope" column for the then-named IEEE Engineering in Medicine and Biology Magazine when our dear friend Alvin Wald was its editor-inchief [2]. Eighteen years have elapsed since then; soon, the idea came up of revamping the article. Cynthia Weber, the magazine's current associate editor, considered it acceptable, and here is the new note divided in two parts: that is, a slightly revised version of the original article followed by new material, including some quite interesting information regarding Tesla's homes and laboratories. On top of this, Tesla is not devoid of a science fiction touch, as mentioned at the end.

Deconvolution: It Fans Back, Out, and Ahead [Retrospectroscope].

The origins of convolution and its further and rather complex historical development were dealt with in detail by Alejandro Dominguez in a previous article [1]. We saw there that it can be traced back to the middle of the 18th century; however, its modern form and use are not more than 50 or 60 years old.

Metabolism: The Physiological Power-Generating Process: A History of Methods to Test Human Beings' \"Vital Capacity\" [Retrospectroscope].

A previous "Retrospectroscope" note, published early in 2014, dealt with spirometry: it described many apparatuses used to measure the volume of inhaled and exhaled air that results from breathing [1]. Such machines, when adequately modified, are also able to measure the rate at which work is produced (specifically by an animal or a human being). Metabolism in that sense is the term used by physiologists and physicians, a word that in Greek, metabolismos, means "change" or "overthrow," in the sense of breaking down material, as in burning some stuff.

Identification of Patients with Myocardial Infarction. Vectorcardiographic and Electrocardiographic Analysis.

BACKGROUND: The largest morbidity and mortality group worldwide continues to be that suffering Myocardial Infarction (MI). The use of vectorcardiography (VCG) and electrocardiography (ECG) has improved the diagnosis and characterization of this cardiac condition. OBJECTIVES: Herein, we applied a novel ECG-VCG combination technique to identifying 95 patients with MI and to differentiating them from 52 healthy reference subjects. Subsequently, and with a similar method, the location of the infarcted area permitted patient classification. METHODS: We analyzed five depolarization and four repolarization indexes, say: a) volume; b) planar area; c) QRS loop perimeter; d) QRS vector difference; e - g) Area under the QRS complex, ST segment and T-wave in the (X, Y, Z) leads; h) ST-T Vector Magnitude Difference; i) T-wave Vector Magnitude Difference; and j) the spatial angle between the QRS complex and the T-wave. For classification, patients were divided into two groups according to the infarcted area, that is, anterior or inferior sectors (MI-ant and MI-inf, respectively). RESULTS: Our results indicate that several ECG and VCG parameters show significant differences (p-value<0.05) between Healthy and MI subjects, and between MI-ant and MI-inf. Moreover, combining five parameters, it was possible to classify the MI and healthy subjects with a sensitivity = 95.8%, a specificity = 94.2%, and an accuracy = 95.2%, after applying a linear discriminant classifier method. Similarly, combining eight indexes, we could separate out the MI patients in MI-ant vs MI-inf with a sensitivity = 89.8%, 84.8%, respectively, and an accuracy = 89.8%. CONCLUSIONS: The new multivariable MI patient identification and localization technique, based on ECG and VCG combination indexes, offered excellent performance to differentiating populations with MI from healthy subjects. Furthermore, this technique might be applicable to estimating the infarcted area localization. In addition, the proposed method would be an alternative diagnostic technique in the emergency room.

Lamarck, Darwin, Wallace, and Ameghino: Does This Revolutionary Biology Heritage Qualify As a Biological Engineering View? [Retrospectroscope].

The universe is the most fundamental wonder: we, as humans, face it every day, contemplate it in endless amazement, question it in our search for answers. And long ago, at a particular moment in a tiny piece of that great wonder, a second wonder, perhaps deeper in reach, emerged: life. Then, slowly, life evolved to contain within it a third wonder, possibly greater in some respects than the universe itself: the human mind.