The future of laboratory medicine - A 2014 perspective.

Predicting the future is a difficult task. Not surprisingly, there are many examples and assumptions that have proved to be wrong. This review surveys the many predictions, beginning in 1887, about the future of laboratory medicine and its sub-specialties such as clinical chemistry and molecular pathology. It provides a commentary on the accuracy of the predictions and offers opinions on emerging technologies, economic factors and social developments that may play a role in shaping the future of laboratory medicine

Therapy-based exercise from the perspective of adult patients: a qualitative systematic review conducted using an ethnographic approach

© The Author(s) 2019.Objectives: Many patients do not meet recommended levels of therapy-based exercise. This review aims to explore how adult patients view being prescribed therapy-based exercise, the information/education they are given and receive and if/how they independently practise and adhere. Design: A qualitative systematic review conducted using an ethnographic approach and in accordance with the PRISMA statement. Sources: PubMed, CINAHL, SCOPUS and EMBASE databases (01 January 2000–31 December 2018). Methods: Qualitative studies with a focus on engagement/adherence with therapy-based exercise were included. Data extraction and quality appraisal were undertaken by two reviewers. Results were discussed and data synthesized. Results: A total of 20,294 titles were screened, with data extracted from 39 full texts and data from 18 papers used to construct three themes. ‘The Guidance received’ suggests that the type of delivery desired to support and sustain engagement was context-dependent and individually situated. ‘The Therapist as teacher’ advocates that patients see independent therapy-based exercise as a shared activity and value caring, kind and professional qualities in their therapist. ‘The Person as learner’ proposes that when having to engage with and practise therapy-based exercise because of ill-health, patients often see themselves as new learners who experience fear and uncertainty about what to do. Patients may have unacknowledged ambivalences about learning that impact on engagement and persistence. Conclusion: The quality of the interaction between therapists and patients appears integral to patients engaging with, and sustaining practice of, rehabilitation programmes. Programmes need to be individualized, and health care professionals need to take patients’ previous experiences and ambivalences in motivation and empowerment into account.Peer reviewe

A Voice Disease Detection Method Based on MFCCs and Shallow CNN

The incidence rate of voice diseases is increasing year by year. The use of software for remote diagnosis is a technical development trend and has important practical value. Among voice diseases, common diseases that cause hoarseness include spasmodic dysphonia, vocal cord paralysis, vocal nodule, and vocal cord polyp. This paper presents a voice disease detection method that can be applied in a wide range of clinical. We cooperated with Xiangya Hospital of Central South University to collect voice samples from sixty-one different patients. The Mel Frequency Cepstrum Coefficient (MFCC) parameters are extracted as input features to describe the voice in the form of data. An innovative model combining MFCC parameters and single convolution layer CNN is proposed for fast calculation and classification. The highest accuracy we achieved was 92%, it is fully ahead of the original research results and internationally advanced. And we use Advanced Voice Function Assessment Databases (AVFAD) to evaluate the generalization ability of the method we proposed, which achieved an accuracy rate of 98%. Experiments on clinical and standard datasets show that for the pathological detection of voice diseases, our method has greatly improved in accuracy and computational efficiency

The Knowledge and Use of Speech Therapy Mobile Applications: Speech-Language Pathologists’ Perspectives in Malaysia

Technology incorporation in speech therapy has been growing over the years. Mobile applications are among the adoptions that facilitate delivering speech therapy services. The situation in Malaysia is discouraging because there are not enough speech-language pathologists (SLPs) to serve the growing number of populations. Despite the abundance of available speech therapy mobile applications in the market, there is a lack of information focusing on the SLP’s knowledge and usage perspectives, especially in Malaysia. The objectives of this study are to describe the knowledge and usage perspectives of speech therapy mobile applications among SLPs in Malaysia and to analyze the instructional features and functional features relationships within the perspectives of SLPs. Surveys are established in three parts, with demographic questions in Part A, Likert scale responses for statements in Part B, and open-ended questions in Part C. This study is co-designed to relate to the results from an initial study that adopted PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and features analysis. The data from the initial study includes a review of 161 apps out of 1797 that have been identified. Five instructional features and nine functional features are presented. There are 35 SLPs participating in the survey. Their responses demonstrate evidence of SLPs’ knowledge and usage of speech therapy mobile applications. We will propose a conceptual framework for the features of speech therapy mobile applications, using people with aphasia as a point of reference for users with speech and language disorders