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2017 IEEE Healthcare Innovations and Point of Care Technologies (HI-POCT)最新文献

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A safe and interoperable distributed alarm notification system for PoC medical devices using IEEE 11073 SDC 基于IEEE 11073 SDC的PoC医疗设备安全互操作分布式报警通知系统
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227633
Martin Kasparick, F. Golatowski, D. Timmermann
The flood of alarms produced by Point-of-Care (PoC) medical devices in intensive care units (ICUs) and operating rooms (ORs) is a crucial issue of today's hospitals. Alarm fatigue and desensitization leads to the death of patients, noise worsens the patient's recovery process and causes burnout syndromes of caregivers, etc. Much research has been done in the last years to reduce false alarms and noise with smart and intelligent alarm systems. However, the situation has not improved. The developed systems are not used in the field, likely due to the “better-safe-than-sorry” mentality. Thus, we state that the first step to address alarm related problems is a safe and distributed system for alarm notifications. Therefore, we present mechanisms to generate alarm notifications safely at the place where they are needed by the caregivers, that is not necessarily the bedside. Our approach holds safety, risk management, and approval requirements. We use the new IEEE 11073 Service-oriented Device Connectivity (SDC) standard family. This ensures a safe interoperability of heterogeneous devices from multiple manufacturers, which is a major technical innovation, and makes the proposed system ready for future extensions like intelligent, computer-aided assistive systems. We therefore state that our mechanisms have a high potential to be used in the field and to improve clinical problems related to alarm notification systems. A demonstrator has been implemented for the proof of concept.
在重症监护病房(icu)和手术室(ORs)中,护理点(PoC)医疗设备产生的大量警报是当今医院的一个关键问题。警报疲劳和脱敏导致患者死亡,噪音恶化患者的康复过程,造成护理人员的倦怠综合征等。在过去的几年里,人们已经做了很多研究,用智能报警系统来减少误报和噪音。然而,情况并没有改善。开发的系统没有在现场使用,可能是由于“安全总比后悔好”的心态。因此,我们认为解决报警相关问题的第一步是建立一个安全的分布式报警通知系统。因此,我们提出了一种机制,可以在护理人员需要的地方安全地产生警报通知,而不一定是床边。我们的方法符合安全、风险管理和批准要求。我们使用新的IEEE 11073面向服务的设备连接(SDC)标准系列。这确保了来自多个制造商的异构设备的安全互操作性,这是一项重大的技术创新,并使所提议的系统为未来的扩展做好准备,如智能、计算机辅助系统。因此,我们声明,我们的机制在现场使用和改善与报警通知系统相关的临床问题方面具有很高的潜力。已经实现了一个演示器来验证概念。
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引用次数: 3
Comparison of sleep parameters assessed by actigraphy of healthy young adults from a small town and a megalopolis in an emerging country 一个新兴国家小城镇和大城市健康年轻人的睡眠参数比较
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227619
G. Umemura, J. Pinho, F. Furtado, B. Gonçalves, A. Fomer-Cordero
The analysis of sleep quality and its impact on diurnal sleepiness is a crucial aspect of human health. Modern life in large cities compels people to spend less hours sleeping than they need. A wearable actigraphy that records accelerometry, light and body temperature was used to register the sleep habits of 54 healthy subjects for 14 days. From them, 28 participants resided in a town that could be regarded as a rural environment while the other subjects lived in the largest metropole of South America. The subjects filled three questionnaires to assess sleep quality (Pittsburgh Sleep Quality Index — PSQI), sleepiness (Epworth Sleepiness Scale — ESS) and chronotype (Morningness-Eveningness Questionnaire — MEQ-HO). The subjects were divided in urban and rural groups and several parameters obtained from actigraphy were compared between groups. Overall, the metropolitan group had worse sleep parameters. The total sleep time in metropolitan group was lower than the rural population, as well as the sleep quality parameters such as sleep efficiency. A possible explanation for these differences could be the social and work characteristics imposed in the metropolitan environment, forcing subjects to stay awake longer and away of natural light exposure. Sleep disorders are associated with several health and brain function problems. Therefore, it is imperative to establish changes in daily routine to promote a better sleep quality and prevent sleep disorders.
分析睡眠质量及其对白天嗜睡的影响是人类健康的一个重要方面。大城市的现代生活迫使人们花在睡眠上的时间少于他们所需的时间。使用可穿戴式活动记录仪记录加速度、光线和体温,记录54名健康受试者14天的睡眠习惯。其中28名参与者居住在一个可以被视为农村环境的城镇,而其他受试者居住在南美洲最大的大都市。受试者分别填写了三份问卷,分别评估睡眠质量(匹兹堡睡眠质量指数- PSQI)、睡意(爱普沃斯睡意量表- ESS)和睡眠类型(早-晚性问卷- MEQ-HO)。将被试分为城市组和农村组,并比较两组间活动描记得到的各项参数。总体而言,大都市人群的睡眠参数更差。城市人口的总睡眠时间低于农村人口,睡眠效率等睡眠质量参数也低于农村人口。对这些差异的一种可能的解释是,在大都市环境中施加的社会和工作特征,迫使受试者保持清醒的时间更长,远离自然光。睡眠障碍与一些健康和大脑功能问题有关。因此,必须改变日常生活习惯,以促进更好的睡眠质量,防止睡眠障碍。
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引用次数: 2
Automated segmentation of gingival diseases from oral images 口腔图像中牙龈疾病的自动分割
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227605
Aman Rana, Gregory Yauney, Lawrence C. Wong, O. Gupta, A. Muftu, Pratik Shah
Periodontal diseases are the largest cause of tooth loss among people of all ages and are also correlated with systemic diseases such as endocarditis. Advanced periodontal disease comprises degradation of surrounding tooth structures, severe inflammation and gingival bleeding. Inflammation is an early indicator of periodontal disease. Early detection and preventive measures can help prevent serious occurrences of periodontal diseases and in most cases restore oral health. We report a machine learning classifier, trained with annotations from dental professionals, that successfully provides pixel-wise inflammation segmentations of color-augmented intraoral images. The classifier successfully distinguishes between inflamed and healthy gingiva and its area under the receiver operating characteristic curve is 0.746, with precision and recall of 0.347 and 0.621 respectively. Dental professionals and patients can benefit from automated point-of-care early diagnosis of periodontal diseases provided by this classifier using oral images acquired by intraoral imaging devices.
牙周病是所有年龄段人群牙齿脱落的最大原因,也与心内膜炎等全身性疾病有关。晚期牙周病包括周围牙齿结构退化、严重炎症和牙龈出血。炎症是牙周病的早期征兆。早期发现和预防措施有助于预防牙周病的严重发生,并在大多数情况下恢复口腔健康。我们报告了一个机器学习分类器,经过牙科专业人员的注释训练,成功地提供了彩色增强口腔内图像的逐像素炎症分割。该分类器成功区分炎症牙龈和健康牙龈及其在接受者工作特征曲线下的面积为0.746,准确率和召回率分别为0.347和0.621。牙科专业人员和患者可以受益于该分类器提供的牙周病的自动护理点早期诊断,该分类器使用由口腔内成像设备获得的口腔图像。
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引用次数: 42
Development of a 3D printed stethoscope for virtual cardiac auscultation examination training 用于虚拟心脏听诊检查训练的3D打印听诊器的开发
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227600
Tatiana Ortegon, Mario Vargas, A. Uribe-Quevedo, B. Perez-Gutierrez, David Rojas, B. Kapralos
Cardiac auscultation allows diagnosing the heart by listening to its sounds. Current cardiac auscultation training is seeing a preference towards diagnostics equipment such as the echocardiograph that allows visualizing and listening to the heart to determine how the heart is working, rather than the use of the stethoscope which only provides auditory feedback, resulting in a loss of stethoscope-based cardiac auscultation skills which are relevant in situations where it is the only cost-effective option available. Currently, virtual reality, simulation, and games are taking a prominent role in medical training, providing consumer-level immersive and interactive realistic experiences. Within these fields, user interfaces can provide more appropriate forms of interactions for developing cognitive and psychomotor skills. However, traditional controllers are widely employed and do not map adequately the functionality of real medical equipment, including the stethoscope. In this paper, we present the development of a 3D printed stethoscope prototype for practicing virtual cardiac auscultation examination training with a mobile app. Our goal is to evaluate its usability and user preferences during a virtual examination session.
心脏听诊可以通过听声音来诊断心脏。目前的心脏听诊培训更倾向于使用超声心动图等诊断设备,这种设备可以通过观察和聆听心脏来确定心脏是如何工作的,而不是使用只能提供听觉反馈的听诊器,这导致了听诊器心脏听诊技能的丧失,而听诊器是唯一具有成本效益的选择。目前,虚拟现实、模拟和游戏在医疗培训中发挥着重要作用,提供消费者级沉浸式和交互式现实体验。在这些领域中,用户界面可以为发展认知和精神运动技能提供更合适的交互形式。然而,传统的控制器被广泛使用,并不能充分映射真实医疗设备的功能,包括听诊器。在本文中,我们展示了一种3D打印听诊器原型的开发,用于通过移动应用程序进行虚拟心脏听诊检查训练。我们的目标是在虚拟检查会话期间评估其可用性和用户偏好。
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引用次数: 5
A standalone micro biochip to monitor the cancer progression by measuring cancer antigens as a point-of-care (POC) device for enhanced cancer management 一种独立的微型生物芯片,通过测量癌症抗原来监测癌症的进展,作为一种即时护理(POC)设备,用于加强癌症管理
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227622
B. Nunna, D. Mandal, S. Zhuang, Eon Soo Lee
FDA has approved the cancer biomarkers like CA-125 (Cancer Antigen-125), HE4 (Human Epididymis Protein 4), PSA (Prostate Specific Antigen) etc., to monitor the cancer progression by measuring the concentration levels of biomarkers in the biofluid samples of the patients. This research paper explains the detection process of the Cancer Antigens-CA 125 from a micro volume of the biofluid sample. The biochip is incorporated with the sensing platform in a microfluidic channel to detect the cancer antigens during the biofluid flow in the microchannel. The sensing platform is designed with multiple layers, in order to enhance the antibody immobilization on nano circuit and thus the detection signal. The antigen-antibody interaction during the biofluid flow on the immobilized antibodies in the microchannel change the capacitance measurements in the sensing circuit. The change in the capacitance indicates the targeted cancer antigens concentration in the biofluid sample. The concentration of CA-125 antigens used in the experiment is 55ug/ml at a pH of 7.4, in order to establish the functionality of the biochip. The change in capacitance after the antigen-antibody interaction is 679.62 pF is when compared to the bare electrodes. The In-situ realtime measurement of cancer biomarkers from a finger prick blood sample in a simple and easy way using the micro biochip helps to monitor the cancer progression more easily and thus enable the enhanced cancer management.
FDA已经批准了CA-125(癌症抗原-125)、HE4(人附睾蛋白4)、PSA(前列腺特异性抗原)等癌症生物标志物,通过测量患者生物液样品中生物标志物的浓度水平来监测癌症进展。本研究介绍了从微体积生物液样品中检测癌症抗原ca 125的过程。该生物芯片与传感平台结合在微流控通道中,在微流控通道中生物流体流动时检测癌症抗原。该传感平台采用多层结构设计,增强了抗体在纳米电路上的固定化,从而增强了检测信号。在微通道中,生物流体在固定抗体上流动时,抗原-抗体相互作用改变了传感电路中的电容测量值。电容的变化表明生物液样品中靶向癌症抗原的浓度。为了建立生物芯片的功能,实验中使用的CA-125抗原浓度为55ug/ml, pH为7.4。与裸电极相比,抗原抗体相互作用后的电容变化为679.62 pF。利用微型生物芯片对手指穿刺血液样本中的癌症生物标志物进行现场实时测量,简单易行,有助于更容易地监测癌症的进展,从而加强癌症的管理。
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引用次数: 9
Special glasses for obstacle detection with location system in case of emergency and aid for recognition of dollar bills for visually impaired persons 在紧急情况下,带有定位系统的特殊障碍物探测眼镜,以及帮助视障人士识别美元钞票
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227586
Guillen-Peñarreta Jhonny, Vizhñay-Aguilar Carlos, S. Luis, Pinos-Velez Eduardo
A visually impaired person or a person with visually impaired, daily has difficulties to learn to recognize or differentiate objects when performing any activity, such as walking the streets or being able to recognize dollar bills of different denomination, this makes that the people with this type of disability cannot adapt easily to the society. Usually the visually impaired persons depend on someone to help them in their daily lives. The method that will be used for this problem is to adapt an ultrasonic sensor to the glasses, since most of the visually impaired persons wear glasses, there would not be any problem. The ultrasonic sensor will have its respective circuit, which will issue a repetitive vibration to indicate the proximity of an obstacle, an emergency button will be implemented too, in case it is necessary, it will send a signal to a mobile device (cellphone) that can be property of a family member or of a rescue service. In addition, an Android application that allows the visually impaired person to recognize dollar bills of different denomination.
视障人士或视障人士每天在进行任何活动时都难以学习识别或区分物体,例如在街上行走或无法识别不同面额的美元钞票,这使得这类残疾人不容易适应社会。通常视障人士在日常生活中需要别人的帮助。解决这个问题的方法是在眼镜上安装一个超声波传感器,因为大多数视障人士都戴眼镜,所以不会有任何问题。超声波传感器将有其各自的电路,它会发出重复的振动来指示障碍物的接近,一个紧急按钮也将被实施,在必要的情况下,它会向移动设备(手机)发送信号,这可能是家庭成员或救援服务的财产。此外,一款Android应用程序可以让视障人士识别不同面额的美元。
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引用次数: 2
Analysis of parameters derived from peripheral arterial tonometry and digital thermal monitoring signals for assessing endothelial dysfunction 外周动脉血压计和数字热监测信号参数分析评估内皮功能障碍
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227602
H. Maduwantha, I. Karunathilake, S. Jayasinghe, A. C. De Silva
Endothelial dysfunction is a well-known indication of the early stages of cardio vascular diseases. Non-invasive methods have grown with popularity in determining the endothelial health as it can be safely applied on people to obtain repeated measurements of vascular function overtime. This study presents a combined non-invasive endothelial function assessment method which acquires a Peripheral Arterial Tonometry (PAT) signal and a Digital Thermal Monitoring (DTM) signal from the fingertip. The endothelium was stimulated to induce reactive hyperemia by occluding the upper arm using a blood pressure cuff. The test was carried out on 11 diabetes and 21 non-diabetes participants and the acquired signals were pre-processed and subjected to parameter calculation. A one-way ANOVA carried out on the collected multivariate data set shows that the Reflection Index, TEMP-AUC, TMP-fall and Rise/fall parameters are significant in differentiating the non-diabetes from diabetes participants. A MANOVA carried out with the 4 significant parameters identified in ANOVA indicates that, when the parameters are considered together, it has a significant effect in differentiating diabetes participants from the non-diabetes participants. It suggests that with an extensive data collection, the system can be trained to a level which could assess the level of endothelial health thus could be used as a screening system for determining the likelihood of having vascular diseases.
内皮功能障碍是众所周知的早期心血管疾病的指征。非侵入性方法在确定内皮健康方面越来越受欢迎,因为它可以安全地应用于人,以获得血管功能的重复测量。本研究提出了一种结合无创内皮功能评估方法,该方法从指尖获取外周动脉压测(PAT)信号和数字热监测(DTM)信号。利用血压袖带阻塞上臂,刺激内皮细胞诱导反应性充血。对11名糖尿病参与者和21名非糖尿病参与者进行测试,对采集到的信号进行预处理并进行参数计算。对所收集的多变量数据集进行的单因素方差分析显示,反射指数、温度- auc、温度-下降和上升/下降参数在区分非糖尿病和糖尿病参与者方面具有重要意义。对方差分析中确定的4个显著参数进行方差分析表明,当这些参数一起考虑时,它在区分糖尿病参与者和非糖尿病参与者方面具有显著作用。这表明,通过广泛的数据收集,该系统可以训练到可以评估内皮健康水平的水平,从而可以用作确定患血管疾病可能性的筛选系统。
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引用次数: 3
A novel algorithm for activity state recognition using smartwatch data 一种基于智能手表数据的运动状态识别新算法
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227574
Ebrahim Nemati, D. Liaqat, Md. Mahbubur Rahman, Jilong Kuang
This work presents a novel algorithm for recognizing activity states which are of interest for assessing the general well-being of cancer, frail and elderly patients. Using the novel idea of two-level classification, misclassification due to unwanted hand motion noise, which is a common source of error in wrist-worn sensing systems, is mitigated. The algorithm is verified using data from 20 subjects performing a sequence of related activities. It is shown that the proposed algorithm improves the accuracy value for the “activity state” which includes “sit”, “stand” and “move” by up to 8%.
这项工作提出了一种新的算法,用于识别活动状态,这对评估癌症,体弱和老年患者的一般健康感兴趣。利用两级分类的新思想,减轻了由于不需要的手部运动噪声而导致的误分类,这是腕戴式传感系统中常见的误差来源。该算法使用执行一系列相关活动的20个受试者的数据进行验证。结果表明,该算法将“活动状态”(包括“坐”、“站”和“动”)的精度值提高了8%。
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引用次数: 3
A feasibility study on a low-cost, smartphone-based solution of pulse transit time measurement using cardio-mechanical signals 基于智能手机的低成本心脏机械信号脉冲传递时间测量方案的可行性研究
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227592
Chenxi Yang, Negar Tavassolian
This paper presents a pilot study on a new method of measuring pulse transit time (PTT) using a commercial smartphone. An application based on an Android smartphone is developed to collect seismocardiogram (SCG) and gyrocardiogram (GCG) signals. The system is designed with a minimized amount of external sensors to reduce the total cost and complexity of the system. PTT measurements are calculated as a time difference between the fiducial points in photoplethysmography (PPG) recordings from a reference sensor module and SCG or GCG signals detected by the internal inertial sensors of a smartphone. A DSP system is designed and experimentally tested on five healthy subjects at rest. Our results suggest that the proposed solution could be a promising method to develop a low-cost, home-based PTT monitor.
本文介绍了一种利用商用智能手机测量脉冲传输时间(PTT)的新方法的初步研究。开发了一种基于Android智能手机的采集地震心电图(SCG)和陀螺心电图(GCG)信号的应用程序。该系统采用了最少数量的外部传感器,以降低系统的总成本和复杂性。PTT测量值计算为参考传感器模块的光电体积脉搏波(PPG)记录的基点与智能手机内部惯性传感器检测到的SCG或GCG信号之间的时间差。设计了一套DSP系统,并对5名健康受试者进行了静息实验。我们的研究结果表明,所提出的解决方案可能是开发低成本、基于家庭的PTT监测仪的一种有前途的方法。
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引用次数: 8
Sensitive and specific point-of-care detection of pathogen infections by an AC electrokinetics-enhanced capacitive immunosensor 利用交流电动力学增强的电容性免疫传感器对病原体感染进行敏感和特异性的即时检测
Pub Date : 2017-11-01 DOI: 10.1109/HIC.2017.8227613
Cheng Cheng, Haochen Cui, S. Eda, Jayne Wu
The past decades have witnessed rapidly growing demands for portable, low-cost bioassays with minimal complexity in manufacturing, operation and instrumentation that can provide reliable real-time information for clinical diagnosis. To address this need, an “AC electrokinetic (ACEK) capacitive sensing” method is developed that is capable of rapid, low cost and simple-to-operate specific assay for use with practical samples. The major innovation with this sensing technology is its ability to simultaneously generate ACEK effects in the fluid and to interrogate directly the sensor's interfacial capacitance. The AC signal will induce movement of proteins towards the electrode surface and accelerate the binding to immobilized probe molecules. The binding of protein is sensitively detected by monitoring the interfacial capacitance of electrode. Preliminary experiments from biological fluids yielded highly encouraging results, with limits of detection at 2.3 pg/mL measured by a benchtop instrument and around 5 pg/mL by a portable reader, which is on par with the best laboratory assay available and ours is a POC technology. This article presents the mechanisms, development and test results of this POC immunoassay.
在过去的几十年里,人们对便携式、低成本的生物检测的需求迅速增长,这些检测在制造、操作和仪器方面的复杂性最小,可以为临床诊断提供可靠的实时信息。为了满足这一需求,开发了一种“交流电动(ACEK)电容传感”方法,该方法能够快速,低成本和简单操作,适用于实际样品的特定分析。该传感技术的主要创新之处在于,它能够同时在流体中产生ACEK效应,并直接询问传感器的界面电容。交流信号将诱导蛋白质向电极表面移动,并加速与固定探针分子的结合。通过监测电极的界面电容,可以灵敏地检测蛋白质的结合情况。生物液体的初步实验产生了非常令人鼓舞的结果,台式仪器的检测限为2.3 pg/mL,便携式读取器的检测限约为5 pg/mL,这与现有的最佳实验室分析相当,我们的是POC技术。本文介绍了这种POC免疫分析法的原理、发展和测试结果。
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引用次数: 0
期刊
2017 IEEE Healthcare Innovations and Point of Care Technologies (HI-POCT)
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