Abstract: A distributed dictation/transcription system is provided. The system provides a client station, dictation manager, and dictation server connected such that the dictation manager can select a dictation server to transcribe audio from the client station. The dictation manager has a data port to at least receive and transmit audio, and receive and transmit data or text. A job queue at the dictation manager holds the audio to be provided to the dictation servers. When the dictation manager identifies an available dictation server, the dictation manager reviews all jobs in the queue. If a job in the queue has a user profile that has been previously uploaded to the available dictation server, the dictation manager transmits the audio to the dictation server.

Abstract: A distributed dictation/transcription system is provided. The system provides a client station, dictation manager, and dictation server connected such that the dictation manager can select a dictation server to transcribe audio from the client station. A job queue at the dictation manager holds the queues the audio to be provided to the dictation servers. The dictation manager reviews all jobs in the job queue and send audio with a user profile matching a user profile already uploaded to the dictation server regardless of whether the matching audio is next in the job queue. If alternative audio has been pending over a predetermined amount of time or has a higher priority, the alternative audio is sent to the dictation server.

Abstract: A distributed dictation/transcription system is provided. The system provides a client station, dictation manager, and dictation server connected such that the dictation manager can select a dictation server to transcribe audio from the client station. A job queue at the dictation manager holds the queues the audio to be provided to the dictation servers. The dictation manager reviews all jobs in the job queue and send audio with a user profile matching a user profile already uploaded to the dictation server regardless of whether the matching audio is next in the job queue. If alternative audio has been pending over a predetermined amount of time or has a higher priority, the alternative audio is sent to the dictation server.

Abstract: A surgical navigation system for navigating a region of a patient that may include a non-invasive dynamic reference frame and/or fiducial marker, sensor tipped instruments, and isolator circuits. The dynamic reference frame may be placed on the patient in a precise location for guiding the instruments. The dynamic reference frames may be fixedly placed on the patient. Also the dynamic reference frames may be placed to allow generally natural movements of soft tissue relative to the dynamic reference frames. Also methods are provided to determine positions of the dynamic reference frames. Anatomical landmarks may be determined intra-operatively and without access to the anatomical structure.

Abstract: A surgical navigation system for navigating a region of a patient that may include a non-invasive dynamic reference frame and/or fiducial marker, sensor tipped instruments, and isolator circuits. The dynamic reference frame may be placed on the patient in a precise location for guiding the instruments. The dynamic reference frames may be fixedly placed on the patient. Also the dynamic reference frames may be placed to allow generally natural movements of soft tissue relative to the dynamic reference frames. Also methods are provided to determine positions of the dynamic reference frames. Anatomical landmarks may be determined intra-operatively and without access to the anatomical structure.