I have only read the linked articles, but the description sounds like a left ventricular assist device, or LVAD. This is a pump that helps the heart push blood, rather than replacing the heart, which is what I generally think of when people talk about artificial hearts. It sounds like the innovation here is the size, its use in a child, and the length of time they plan to use it, since it is generally used as a bridge to transplant.
I think they are optimistic in thinking they can get 25 years, since we really haven't evolved the material science to have implantable devices for that long without provoking clot formation or scarring, but it sounds like they didn't have a lot of options here.
Modern machines are now being built that are run directly from computers, but I'd say, given that these are huge expensive machines that are often resold and moved to new locations rather than bought new, the majority still run on paper tape.
The issue of quality isn't directly related to the machines being computer-driven. The quality depends on the care of the designer, the 'stitch count' or density, and quality of thread, etc. As with many manufactured goods, you can get lace for less money if you accept lower quality. No surprise there.
I assume the computer-driven machines would let an operator change the stitch count. These days, there are few people (in the West anyway) who know how to create a 'punching' as it is called, and fewer who are interested in learning. Strangely, the remnant of my father's business is just starting to get orders from Asia, so maybe 'Free Trade' is finally coming around to the point where manufacturing costs in the US are competitive with Asia in this regard, but there really is no one ready or willing to meet the manufacturing demand if it ever really comes back. You can probably ditto this sentiment for US shoe manufacturing, furniture, etc.
Go ahead, try talking to Dragon about Doxycycline or dextromethorphan, see how well that works out for you. THAT is what these transcriptions are made of, long medical terms describing the proceedures.
I guess I should have been clearer... I use a Dragon based dictation software every day in a medical setting, to dictate medical reports, letters, notes, consultations, etc.
As someone who uses dictation software at work every day, all day, and has used several different packages (all I believe use Dragon), I can tell you it works. Perfectly? No. Very well? Yes. Well enough. Definitely.
If I were so inclined, I would have no problem using it at home personally, but I don't really have a pressing need. A good friend who has some repetitive stress disorder issues does use it at home, and, again, it works well enough.
As an aside, I would add given the years of time Dragon has been developing and perfecting technology, I would be pleasantly surprised, but very surprised, if there was an effective non-commercial solution out there.
IANAL but, wow! I had no idea how bad this could be! The story from the judgment is that some guy sent faxes to a hospital complaining and mocking the management. As a favor, some local prosecutors investigated and set up false prosecution INCLUDING FALSE TESTIMONY to a grand jury. They subpoenaed everything including emails and phone calls.
The long and the short of it is that, because they are prosecutors, they are given absolute immunity from prosecution for their grand jury testimony, even if it is knowingly false! They are given immunity from the conspiracy to provide false testimony, since the only evidence of false testimony would be the grand jury testimony itself, which is protected!
The 4th amendment issues seem also weird to me. They say that you cannot expect a phone number to be private, since by dialing it you have given the number to the phone company, which is a third party. Really?! What is the point of a phone number, what value does it have, except with regard to the third party, in this case the phone company? I can't shout someones phone number in the street expecting that they will respond, and in any case, that also makes it public and not protected by the 4th. Again, IANAL but under what conditions would an email ever be considered private? What about letters and packages that aren't sent through the postal system? Are they private? I just don't understand this.
Again, I have no perspective and experience for this, but as a layperson, I really hope that other courts find this reasoning flawed. It seem very much so just by common sense to me, though I understand common sense doesn't necessarily mean anything here.
One of the arguments against the Strategic Defense Initiative (Star Wars) was that it actually increased the risk of a nuclear war. I think you can make a similar argument here....if the effects of nuclear weapons are mitigated, doesn't that make people more likely to use them?
What I am saying is that it is no where close to 'neuroengineering'. Sure we can consider the implications of the day we can directly modify brains and behavior, but that day isn't today, or even anywhere close, and that this technology doesn't really make it significantly closer.
But I don't dispute it is a great research tool,and a very clever application previous research.
It is an interesting take on an old technique. Instead of using direct electrical stimulation to stimulate the brain, he uses virally-transcoded neurons to respond to different wavelengths of light....then pipes a fiber optic cable into a mouse brain. To do what? To make it run in circles.
It's a proof of technology, but nothing more. Engineering the brain would imply we understand how it works, which, more or less, we still don't. Not really at a cellular level, not really at a systems level, not even really at a gross level either. We know an order of magnitude more than we did even a decade ago, but we are no closer to altering behavior than we were when the lobotomy was invented...the first 'neuroengineering'.
I think it is much more likely that we will first have engineered modules, either synthetic neuronal or otherwise, that will process independently and then 'plug into' our pre-existing sensory input pathways, rather than direct brain modification.
First, you CAN have cancer of the cervix after hysterectomy...not all hysterectomies involve removing the cervix. Second, if you have a hysterectomy for cervical cancer, you still need screening: See this PubMed Article Third, the literature for screening after hysterectomy for benign disease is still evolving. See this PubMed Article
OP is a troll, I would say, and the title is alarmist and misleading. Evidence based medicine has been around for a while, the trouble is it is very expensive and difficult to perform, and just as hard to implement.
Never tell people how to do things. Tell them WHAT to do and they will surprise you with their ingenuity. -- Gen. George S. Patton, Jr.