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The Bionic Human Health Promotion for People with Implanted Prosthetic Devices

:	Frank E. Johnson, Katherine S. Virgo, Terry C. Lairmore, Riccardo A. Audisio
:	Frank E Johnson, Katherine Virgo
:	The Bionic Human Health Promotion for People with Implanted Prosthetic Devices
:	Humana Press
:	9781592599752
:	1
:	CHF 190.00
:

:	Maschinenbau, Fertigungstechnik
:	English

:	706
:	Wasserzeichen/DRM
:	PC/MAC/eReader/Tablet
:	PDF

An integrated survey of best practices for the management of patients with implanted prosthetic devices and an insightful examination of the epidemiological, societal, and policy issues associated with their use. The devices covered range from breast, penile, vascular, and joint prostheses to cochlear, ossicular, and dental implants, and include cerebrospinal fluid shunts, cardiac valves, stents, and pacemakers. For each device, the authors consider its pros and cons, detail the best current strategies to keep implanted patients healthy, and evaluate the latest and most promising new diagnostic tests, Clinical counterpoints from distinguished authorities at major centers in the United States and Europe are offered throughout. Follow-up recommendations are summarized in a standardized format that allows comparative analysis and lays the foundation for controlled clinical trials and the eventual establishment of evidence-based guidelines.

	Foreword	5
	Preface	6
	Contents	7
	Contributors	11
	Overview	15
	APPENDIX	21
	APPENDIX (Continued)	22
	APPENDIX (Continued)	23
	APPENDIX (Continued)	24
	APPENDIX (Continued)	25
	REFERENCES	26
	Assessment of Surveillance Test Performance and Cost	27
	EPIDEMIOLOGICAL PRINCIPLES FOR EVALUATING DIAGNOSTIC TEST PERFORMANCE IN SCREENING FOR DEVICE MALFUNCTION OR INFECTION Overview	28
	DIAGNOSTIC TEST CHARACTERISTICS Validity	28
	LIKELIHOOD RATIOS	31
	REQUIREMENTS FOR ESTABLISHING A SCREENING PROGRAM	32
	RECEIVER OPERATING CHARACTERISTIC CURVE	32
	THRESHOLDS FOR TREATMENT	33
	THRESHOLDS FOR TESTING	34
	ECONOMIC PRINCIPLES OF FOLLOW-UP EVALUATION Overview of Cost Analysis	36
	SUMMARY	44
	REFERENCES	44
	Costs of Follow-Up After Implantation of Prosthetic Devices	47
	METHODS	48
	RESULTS	49
	COMMENT	57
	REFERENCES	59
	Factors That Should Shape Clinical Strategies	60
	ETHICAL AND LEGAL ISSUES	67
	DURATION OF SURVEILLANCE	68
	SECONDARY BENEFITS OF FOLLOW-UP	68
	PRIMARY PREVENTION OF DISEASE	68
	SUMMARY	71
	REFERENCES	72
	A View From the US Food and Drug Administration*	74
	INTRODUCTION	74
	PREMARKET REVIEW Background	76
	POSTMARKET OVERSIGHT Overview	86
	SPECIAL TOPICS Access to Information	95
	REFERENCES	98
	Societal Issues	101
	TECHNOLOGY AND SOCIETY	101
	TECHNOLOGY AND HISTORY	101
	COSTS	102
	MANAGED CARE	103
	IMPLANTED TECHNOLOGY	104
	BREAST IMPLANTS Background	104
	THE BJORK-SHILEY CONVEXO-CONCAVE ARTIFICIAL HEART VALVE Background	108
	COCHLEAR IMPLANTS (40)* Background	118
	THE TOTAL ARTIFICIAL HEART Background	120
	SOCIETAL ISSUES IN IMPLANTED MEDICAL DEVICES	123
	PROFESSIONAL AND CONSUMER MODELS OF HEALTH CARE	124
	REFERENCES	124
	Databases for Studying the Epidemiology of Implanted Medical Devices*	127
	INTRODUCTION	127
	SYSTEMATIC NEW DATA COLLECTION	128
	GATHERING AND SYNTHESIS OF EXISTING PATIENT DATA AND STUDIES	131
	FUTURE OF DATABASES FOR STUDYING THE EPIDEMIOLOGY OF IMPLANTED DEVICES Increasing Technological Sophistication of Patient Data	139
	ACKNOWLEDGMENT	140
	REFERENCES	140
	Tissue Reaction to Prosthetic Materials	145
	INTRODUCTION	145
	MATERIALS USED IN PROSTHESES	146
	MOLECULAR AND CELLULAR EVENTS OF HOMEOSTASIS	154
	HISTOPATHOLOGY OF EXPLANTED PROSTHESES Dental	159
	FUTURE TRENDS IN PROSTHETIC DESIGN	165
	REFERENCES	165
	Prevention of Infection in Prosthetic Devices	171
	INTRODUCTION	171
	GENERAL PRINCIPLES OF INFECTION PREVENTION IN PROSTHETIC DEVICES Preoperative Measures	173
	INDIVIDUAL CHARACTERISTICS OF THE MOST COMMONLY USED PROSTHETIC DEVICES Breast Implants	176
	SUMMARY	190<