Maintenance is a crucial subject in medical equipment life cycle management. Evidence-based maintenance consists of the continuous performance monitoring of equipment, starting from the evidence—the current state in terms of failure history—and improvement of its effectiveness by making the required changes. This process is very important for optimizing the use and allocation of the available resources by clinical engineering departments. Medical equipment maintenance is composed of two basic activities: scheduled maintenance and corrective maintenance. Both are needed for the management of the entire set of medical equipment in a hospital. Because the classification of maintenance service work orders reveals specific issues related to frequent problems and failures, specific codes have been applied to classify the corrective and scheduled maintenance work orders at Careggi University Hospital (Florence, Italy). In this study, a novel set of key performance indicators is also proposed for evaluating medical equipment maintenance performance. The purpose of this research is to combine these two evidence-based methods to assess every aspect of the maintenance process and provide an objective and standardized approach that will support and enhance clinical engineering activities. Starting from the evidence (i.e. failures), the results show that the combination of these two methods can provide a periodical cross-analysis of maintenance performance that indicates the most appropriate procedures. The left side shows a block diagram of the process needed to calculate the proposed set of KPIs, starting from technological, organizational and financial data. On the upper right it is shown an example of scheduled maintenance analysis for a specific class of equipment (legend in the article body). The bottom right part shows how the KPIs can be implemented in a business intelligence dashboard.

Purpose: (RFID) is a technology that uses radio waves for data collection and transfer, so data is captured efficiently, automatically and in real time without human intervention. This technology, alone or in addition to other technologies has been considered as a possible solution to reduce problems that endanger public health or to improve its management. This scoping review aims to provide readers with an up-to-date picture of the use of this technology in health care settings. Methods: This scoping review examines the state of RFID technology in the healthcare area for the period 2017-2022, specifically addressing RFID versatility and investigating how this technology can contribute to radically change the management of public health. The guidelines of the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) have been followed. Literature reviews or surveys were excluded. Only articles describing technologies implemented on a real environment or on prototypes were included. Results: The search returned 366 results. After screening, based on title and abstract, 58 articles were considered suitable for this work. 11 articles were reviewed because they met the qualifying requirements. The study of the selected articles highlighted six matters that can be profitably impacted by this technology Conclusion: The selected papers show that this technology can improve patient safety by reducing medical errors, that can occur within operating rooms. It can also be the solution to overcome the problem of the black market in counterfeiting drugs, or as a prevention tool. Further research is needed, especially on data management, security, and privacy, given the sensitive nature of medical information. Graphical

Inherited retinal diseases cause severe visual deficits in children. They are classified in outer and inner retina diseases, and often cause blindness in childhood. The diagnosis for this type of illness is challenging, given the wide range of clinical and genetic causes (with over 200 causative genes). It is routinely based on a complex pattern of clinical tests, including invasive ones, not always appropriate for infants or young children. A different approach is thus needed, that exploits Chromatic Pupillometry, a technique increasingly used to assess outer and inner retina functions. This paper presents a novel Clinical Decision Support System (CDSS), based on Machine Learning using Chromatic Pupillometry in order to support diagnosis of Inherited retinal diseases in pediatric subjects. An approach that combines hardware and software is proposed: a dedicated medical equipment (pupillometer) is used with a purposely designed custom machine learning decision support system. Two distinct Support Vector Machines (SVMs), one for each eye, classify the features extracted from the pupillometric data. The designed CDSS has been used for diagnosis of Retinitis Pigmentosa in pediatric subjects. The results, obtained by combining the two SVMs in an ensemble model, show satisfactory performance of the system, that achieved 0.846 accuracy, 0.937 sensitivity and 0.786 specificity. This is the first study that applies machine learning to pupillometric data in order to diagnose a genetic disease in pediatric age.

The presence of undetected mixed-phase precipitation or superimposed intense clutter can cause serious errors in the estimation of rainfall rate and other parameters of precipitation occurring in the radar scattering volume. To reduce or avoid these errors it is necessary to distinguish between the rain echo, and that due to other types of precipitation, and between precipitation radar echoes and ground clutter. Multiparameter radar measurements may be exploited for this discrimination. In particular, it is demonstrated that dual-linear polarization measurements may play a major role in this process. Sample radar data are employed to illustrate several different tests to classify radar data: the results refer to comparisons of dual-polarized echoes due to precipitation (rain or mixed-phase event) and land with echoes from land alone. This is illustrated by example through the application of a series of tests on a clutter-contaminated dual-polarized dataset obtained during the May Polarization Experiments (MAYPOLE) 1984 field program in Colorado.

In this work, we extended a procedure for the spatial decorrelation of fully-developed speckle, originally developed for single-polarization SAR data, to fully-polarimetric SAR data. The spatial correlation of the noise depends on the tapering window in the Fourier domain used by the SAR processor to avoid defocusing of targets caused by Gibbs effects. Since each polarimetric channel is focused independently of the others, the noise-whitening procedure can be performed applying the decorrelation stage to each channel separately. Equivalently, the noise-whitening stage is applied to each element of the scattering matrix before any multilooking operation, either coherent or not, is performed. In order to evaluate the impact of a spatial decorrelation of the noise on the performance of polarimetric despeckling filters, we make use of simulated PolSAR data, having user-defined polarimetric features. We optionally introduce a spatial correlation of the noise in the simulated complex data by means of a 2D separable Hamming window in the Fourier domain. Then, we remove such a correlation by using the whitening procedure and compare the accuracy of both despeckling and polarimetric features estimation for the three following cases: uncorrelated, correlated, and decorrelated images. Simulation results showed a steady improvement of performance scores, most notably the equivalent number of looks (ENL), which increased after decorrelation and closely attained the value of the uncorrelated case. Besides ENL, the benefits of the noise decorrelation hold also for polarimetric features, whose estimation accuracy is diminished by the correlation. Also, the trends of simulations were confirmed by qualitative results of experiments carried out on a true Radarsat-2 image.

Exposure to asbestos fibers implies a long-term risk for human health; therefore, the development of information systems that are able to detect the extent and status of asbestos over a certain territory has become a priority. This work presents a tool (based on the geographic information system open source software, QGIS) that is conceived for automatically identifying buildings with asbestos roofing. The area under investigation is the metropolitan area around Prato (Italy). The performance analysis of this system was carried out by classifying images that were acquired by the WorldView-3 sensor. These images are available at a low cost when compared with those obtained by means of aerial surveys, and they provide adequate resolution levels for roofing classification. The tool, a QGIS plugin, has shown fairly good performance in identifying asbestos roofing, with some false negatives and some false positives when applying a per-pixel classification. A performance improvement is obtainable when considering the percentage of asbestos pixels that are contained in each roof of the analyzed image. This value is also available with the plugin. In the future, this tool should make it possible to monitor the asbestos roof removal process over time in the area of interest, in accordance with other image data that give evidence of such removals.