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2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom)最新文献

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Thinking of comparative effectiveness research of the combination in the real traditional Chinese medicine world 现实中医学中联合比较疗效研究的思考
Huaxin Shi, Qi Xie, Xiaodong Li, Baoyan Liu, Z. Wen
The research of traditional Chinese medicine clinical represented by the randomized controlled trial (RCT) has developed rapidly, But it also revealed two problem. The “combination between disease and syndrome” reflects the common law of disease and the patient's personality characteristics, and individual therapy focuses on dynamic effect which is more suitable for research environment in the real world the Institute of Medicine of the US National Academy of Science proposed the comparative effectiveness research (CER) to compare the research and analysis of different treatment methods. Building clinical research methods in the real world needs to carry on innovative exploration, and studies the methods and specifications of clinical research in the real world from the elements of clinical design, the control of bias, data management, statistical analysis, ethics and other clinical researches. On the basis, the comparative effectiveness research of “real world” and the “combination between disease and syndrome” needs to be carried out. The comparative effectiveness research of traditional Chinese medicine in the real world includes retrospective and prospective studies. The retrospective study is to analyze and compare based on historical data to provide clues and evidence for prospective study. The prospective study is to build follow-up platform for patients to carry on prospective study design.
以随机对照试验(RCT)为代表的中医临床研究发展迅速,但也暴露出两个问题。“病证结合”反映了疾病的共同规律和患者的人格特征,个体化治疗注重的是动态效果,更适合现实世界的研究环境。美国国家科学院医学研究所提出了比较疗效研究(CER),对不同治疗方法进行比较研究和分析。构建现实世界中的临床研究方法需要进行创新探索,从临床设计、偏倚控制、数据管理、统计分析、伦理等临床研究要素对现实世界中的临床研究方法和规范进行研究。在此基础上,需要开展“真实世界”与“病证结合”的比较有效性研究。中药在现实世界中的比较疗效研究包括回顾性研究和前瞻性研究。回顾性研究是在历史资料的基础上进行分析比较,为前瞻性研究提供线索和证据。前瞻性研究是为患者建立随访平台,进行前瞻性研究设计。
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引用次数: 1
A viable and sustainable key management approach for a national e-health environment 为国家电子保健环境制定可行和可持续的密钥管理办法
P. Shen, Vicky Liu, W. Caelli
To protect the health information security, cryptography plays an important role to establish confidentiality, authentication, integrity and non-repudiation. Keys used for encryption/decryption and digital signing must be managed in a safe, secure, effective and efficient fashion. The certificate-based Public Key Infrastructure (PKI) scheme may seem to be a common way to support information security; however, so far, there is still a lack of successful large-scale certificate-based PKI deployment in the world. In addressing the limitations of the certificate-based PKI scheme, this paper proposes a non-certificate-based key management scheme for a national e-health implementation. The proposed scheme eliminates certificate management and complex certificate validation procedures while still maintaining security. It is also believed that this study will create a new dimension to the provision of security for the protection of health information in a national e-health environment.
为了保障健康信息安全,密码学在建立机密性、认证性、完整性和不可否认性方面发挥着重要作用。用于加密/解密和数字签名的密钥必须以安全、可靠、有效和高效的方式进行管理。基于证书的公开密码匙基础建设(PKI)计划似乎是支援资讯保安的常用方法;但是,到目前为止,国际上还缺乏成功的大规模基于证书的PKI部署。为了解决基于证书的PKI方案的局限性,本文提出了一种用于国家电子卫生实施的非基于证书的密钥管理方案。该方案在保持安全性的同时,消除了证书管理和复杂的证书验证过程。人们还认为,这项研究将为在国家电子卫生环境中保护卫生信息的安全提供一个新的层面。
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引用次数: 3
Research on the nomenclature relations of conceptual system in fundamental theory of Traditional Chinese Medicine 中医基础理论中概念系统命名关系研究
C. Cao, Qingyu Xie, Yanli Pan, Renfang Yin, Qi Ma, Ziru Jia
Objective: Extracting on the medical terminology system will associate TCM with intelligent system and propel TCM informatization. Method: Extracting the term relation by artificial drawing and comparative analysis with UMLS. Results: Obtained 26 kinds of term relations on Nomenclature Relations of Conceptual System in Fundamental Theory of TCM and enriched UMLS. Conclusion: We should further study on Nomenclature Relations of Conceptual System in Fundamental Theory of TCM owing its characters.
目的:对医学术语系统进行提取,实现中医与智能系统的对接,推进中医信息化。方法:通过人工绘图提取术语关系,并与UMLS进行对比分析。结果:获得《中医基础理论》概念系统命名关系的26种术语关系,丰富了UMLS。结论:鉴于《中医基础理论》概念系统的特点,应进一步研究其命名关系。
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引用次数: 0
eHealth interconnection infrastructure challenges and solutions overview 电子健康互连基础设施的挑战和解决方案概述
Wei Liu, E. K. Park, U. Krieger
The research efforts for a national eHealth interconnection infrastructure and design guidelines are in great demand. This paper identifies the major challenges in eHealth interconnection network services that are critical to universal deployment. An overview of our solutions framework is summarized with the aspects of interconnection services, operational management services, and security control services.
国家电子健康互连基础设施和设计指南的研究工作需求很大。本文确定了电子健康互连网络服务的主要挑战,这些挑战对普遍部署至关重要。我们的解决方案框架概述了互连服务、运营管理服务和安全控制服务的各个方面。
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引用次数: 27
Social media canonicalization in healthcare: Smart CDSS as an exemplary application 医疗保健中的社会媒体规范化:作为示例应用程序的智能CDSS
Muhammad Afzal, Maqbool Hussain, W. A. Khan, Sungyoung Lee, H. F. Ahmad
Social media is a mean to connect people through information sharing. It has been helping to use in various domains like education, business and human resource management. Healthcare domain however can be considered as one of the most potential domain to benefit from the social media participation in its different sub-domains like clinical observation, medications, professional training, patient education, home care and personalize care. However, there has always been a debate about contents' trust worthiness. Nevertheless, social media is totally discouraged to be considered in healthcare due to fear of open and unauthenticated contents. With all these reservations, the importance of information shared through social networks can never be ignored. This paper investigates the role of social media in patient centric healthcare. It highlights the special and active contribution of the social technologies in the domain of Decision Support System (DSS). The outcomes of this work will results in improved architecture for Smart CDSS system which is under development at UC Lab (Ubiquitous Computing Research Lab Kyung Hee University, South Korea).
社交媒体是通过信息共享将人们联系起来的一种手段。它已经被用于教育、商业和人力资源管理等各个领域。然而,医疗保健领域可以被认为是最有潜力从社交媒体参与中受益的领域之一,这些领域包括临床观察、药物治疗、专业培训、患者教育、家庭护理和个性化护理。然而,关于内容的可信度问题一直存在争议。然而,由于担心公开和未经认证的内容,社交媒体完全不被鼓励在医疗保健中考虑。尽管有这些保留意见,但通过社交网络分享信息的重要性是不容忽视的。本文调查了社会媒体在以患者为中心的医疗保健中的作用。它突出了社会技术在决策支持系统(DSS)领域的特殊和积极贡献。这项工作的结果将导致智能CDSS系统的架构得到改进,该系统正在UC实验室(韩国庆熙大学普适计算研究实验室)开发中。
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引用次数: 8
A reliable, efficient routing protocol for dynamic topology in Wireless Body Area Networks using min-max multi-commodity flow model 基于最小-最大多商品流模型的无线体域网络动态拓扑的可靠、高效路由协议
Hassine Moungla, N. Touati, A. Mehaoua
WBSNs (wireless body sensor network) like any other sensor networks suffers limited energy and are the highly distributed network, in which its nodes are the organizer itself and each of them has the flexibility of collecting and transmitting patient biomedical information to a sink. When knowledge sent to sink from a path that doesn't have a definite basis, the routing is a crucial challenge in Wireless Body Area Sensor Networks, additionally reliability and routing delay are the considerable factors in these type of networks. Most of the attention should be given to the energy routing where energy awareness is an essential consideration in WBSNs and the frequent topology change increases the dynamics of network topology, and complicates the process of relay selection in cooperative communications. In this paper, we propose a Min-Max multi-commodity flow model for WBSNs which allows to prevent sensor node saturation and take best action against reliability and the path loss, by imposing an equilibrium use of sensors during the routing process. Simulation results show that the algorithm balances the energy consumption of nodes effectively and maximize the network lifetime. It will meet the enhanced WBSNs requirements, including better delivery ratio, less reliable routing overhead.
WBSNs(无线身体传感器网络)与其他传感器网络一样,能量有限,是高度分布式的网络,其节点本身就是组织者,每个节点都具有收集和传输患者生物医学信息到接收器的灵活性。当知识从不确定的路径发送到sink时,路由是无线体域传感器网络中的一个关键挑战,可靠性和路由延迟是这类网络中需要考虑的因素。能量路由是wbsn中需要考虑的重要问题,而频繁的拓扑变化增加了网络拓扑的动态性,使协同通信中的中继选择过程复杂化。在本文中,我们为WBSNs提出了一个最小-最大多商品流模型,该模型允许防止传感器节点饱和,并通过在路由过程中均衡使用传感器,对可靠性和路径损失采取最佳行动。仿真结果表明,该算法有效地平衡了节点的能量消耗,使网络生存时间最大化。它将满足增强的wbsn需求,包括更好的交付率,更少的可靠路由开销。
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引用次数: 8
Real-world clinical data mining on TCM clinical diagnosis and treatment: A survey 现实世界中医临床诊疗数据挖掘研究综述
Xiaoping Zhang, Xuezhong Zhou, Runshun Zhang, Baoyan Liu, Qi Xie
This paper provides a survey of data mining methods that have been commonly applied to real-world TCM clinical data in recent years, and sets forth the requirements of data mining on real-world TCM clinical diagnosis and treatment data, in order to provide reference for better analyzing the syndrome differentiation and treatment principle hidden in the massive TCM clinical data in the future.
本文对近年来普遍应用于现实中医临床数据的数据挖掘方法进行了综述,并提出了对现实中医临床诊疗数据进行数据挖掘的要求,以期为今后更好地分析海量中医临床数据中隐藏的辨证论治原理提供参考。
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引用次数: 5
A systemic description of service flows in Traditional Chinese Medicine 中医服务流程的系统描述
Yung-Hsiu Lin, S. Guo, Chien-Hsiung Lin, Tsai-Ya Lai, H. Chang
Traditional Chinese Medicine can be viewed as a health promotion and healing system that has been practice, based on both philosophy and practical experience, for thousands of years. Although this medicine is crucial in the information of integrative medicine, lack of methodology and experience sharing mechanisms has impeded the development of this specific branch of medicine. This study adopts a systematic approach to describe service flows in Traditional Chinese Medicine. Following a literature review, specialist meetings and field observations are conducted to gather opinions from different perspectives. A conceptual framework was created to describe entities involved in service flows for Tradition Chinese Medicine and their inter-relationships. The framework can be used to clarify the abstract knowledge of this medicine which can contribute to the development of Traditional Chinese Medicine.
中医可以被看作是一种健康促进和治疗系统,基于哲学和实践经验,已经实践了数千年。虽然这种药物在中西医结合的信息中是至关重要的,但缺乏方法和经验分享机制阻碍了这一特定医学分支的发展。本研究采用系统的方法来描述中医服务流程。在文献综述之后,进行专家会议和实地观察,以收集来自不同角度的意见。创建了一个概念性框架来描述中医服务流程中涉及的实体及其相互关系。该框架可以理清本药的抽象知识,有助于中医的发展。
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引用次数: 0
A study of repeatability and reproducibility for tongue diagnosis instrument in TCM 中医舌诊仪重复性与再现性研究
Chiung-Hung Chiang, Tzung-Yan Lee, Kang-Ping Lin, Su-Tso Yang, Juei-Chao Chen, Hen-Hong Chang
We design a solid phantom with painted tongue body as a simulation of human tongue and analyze the average color distance of the phantom images to evaluate the repeatability and reproducibility of this instrument. The color difference is applied as a tolerance of Precision-to-Tolerance ratio (P/T) in QS9000. The P/T ratio of total measurement is used to indicate whether the instrument is correctly built or in good condition for continuous use. We may find some confounding factors of these instruments through this examination. The result shows the unsteady condition for image capture by the instrument or operator factors such as light, vibration, operators training and so on could be adjusted or modified. The study of repeatability and reproducibility needs to be performed when a new tongue diagnosis instrument is being introduced, and could help TCM doctors to establish a standard tongue diagnosis environment.
我们设计了一个具有彩色舌体的实体假体来模拟人类的舌头,并分析了假体图像的平均颜色距离,以评估该仪器的重复性和再现性。色差作为QS9000中精度公差比(P/T)的公差。总测量的P/T比率用于指示仪器是否正确构建或是否处于连续使用的良好状态。通过这次检查,我们可以发现这些仪器的一些混淆因素。结果表明,仪器或操作人员的光、振动、操作人员的培训等因素对图像采集的不稳定状态是可以调整或修改的。在引入新的舌诊仪器时,需要进行可重复性和再现性的研究,可以帮助中医医生建立标准的舌诊环境。
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引用次数: 0
Securable Personal Health Records using ciphertext policy attribute based encryption 使用基于密文策略属性的加密保护个人健康记录
Frederic Nzanywayingoma, Qiming Huang
In CP-ABE systems [1], attributes describe user's credentials and policies describe who can decrypt data from the server. Many researches have been conducted in Personal Health Records (PHR) to facilitate the mediation and direct connection of patient to different users (physicians, family members and clinic agents) through network. Ciphertext Policy Attribute-based Encryption mechanism is used to determine who can access sensitive PHR documents. In this paper, CP-ABE with Constant-size Ciphertext and Constant Computation-Cost is used to describe users' credentials, and a patient associate encrypted data with credentials to determine who can decrypt sensitive PHR from the server. Due to the large number involved in the access policy scheme this work is based on Constant-size Ciphertext and Constant Computation-cost.
在CP-ABE系统[1]中,属性描述用户的凭据,策略描述谁可以从服务器解密数据。在个人健康记录(Personal Health Records, PHR)方面进行了许多研究,以促进患者通过网络与不同用户(医生、家庭成员和诊所代理)之间的调解和直接连接。密文策略基于属性的加密机制用于确定谁可以访问敏感的PHR文档。本文使用具有恒定密文大小和恒定计算成本的CP-ABE来描述用户的凭据,患者将加密的数据与凭据关联,以确定谁可以从服务器解密敏感的PHR。由于访问策略方案涉及的数量较多,因此该工作基于恒定大小的密文和恒定的计算成本。
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引用次数: 9
期刊
2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom)
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