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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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Sleep Apnea Monitoring using mobile phones 使用手机监测睡眠呼吸暂停
S. Alqassim, M. Ganesh, Shaheen Khoja, M. Zaidi, F. Aloul, A. Sagahyroon
Obstructive Sleep Apnea (OSA) is a sleeping disorder characterized by the repetitive reduction of airflow during sleep. In this paper, we discuss the design and implementation of a user-friendly mobile application developed on multiple platforms (Windows and Android) to monitor and detect symptoms of sleep apnea using the smart phone's built-in sensors. The purpose of the application, Sleep Apnea Monitor (SAM), is to allow users to get a sense of whether or not they are likely to have sleep apnea, before continuing with more expensive and advanced sleep tests. In addition, SAM provides doctors and sleep specialists with remote access to patients' records and allows them to confirm their initial diagnosis. The parameters measured by this application are breathing patterns and movement patterns, which are recorded respectively using the built-in microphone and accelerometer. The recorded data is sent to a server for analysis in order to diagnose patients and maintain geographical studies of areas with sleep apnea patterns. The application is successfully tested among a number of users in the UAE. The system diagnoses and reports the level of the user's sleep apnea. In addition, doctors can remotely monitor users through the website, which is interfaced with Google Maps to keep track of user locations, and keep track of their analysed records.
阻塞性睡眠呼吸暂停(OSA)是一种睡眠障碍,其特征是睡眠中反复减少气流。在本文中,我们讨论了在多个平台(Windows和Android)上开发的一个用户友好的移动应用程序的设计和实现,该应用程序使用智能手机的内置传感器来监测和检测睡眠呼吸暂停症状。这款名为“睡眠呼吸暂停监测器”(SAM)的应用程序的目的是让用户在继续进行更昂贵和更高级的睡眠测试之前,了解自己是否可能患有睡眠呼吸暂停。此外,SAM为医生和睡眠专家提供了远程访问患者记录的机会,并允许他们确认他们的初步诊断。该应用程序测量的参数是呼吸模式和运动模式,分别使用内置麦克风和加速度计记录。记录的数据被发送到服务器进行分析,以便诊断患者,并保持对睡眠呼吸暂停模式区域的地理研究。该应用程序在阿联酋的许多用户中成功进行了测试。该系统诊断并报告用户睡眠呼吸暂停的程度。此外,医生可以通过该网站远程监控用户,该网站与谷歌地图(Google Maps)相连,以跟踪用户的位置,并跟踪他们的分析记录。
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引用次数: 58
A study on electrical properties of acupuncture points in allergic rhinitis 变应性鼻炎穴位电学特性的研究
M. Yeh, Hao-Feng Luo, Nai-Wei Lin, Zen Chen, C. Yeh
Allergic rhinitis is a prevalent disease throughout the world. Electrodermal screening devices (EDSD) are devices that can measure the electrical properties of acupuncture points. This paper performs a series of experiments based on machine learning algorithms to study the feasibility of utilizing EDSD to diagnose allergic rhinitis. The experimental result shows that, to assess the presence of allergic rhinitis, using the k-nearest neighbor classification algorithm, the accuracy can achieve 93.26%, and using the support vector machine classification algorithm, the average accuracy can achieve 97.78%. The experimental result also shows that using, respectively, the k-means clustering algorithm and the Ward's hierarchical clustering algorithm to cluster the data into three clusters, 87% of the data are consistently clustered. The average total symptom scores in these three clusters are also very consistent. Based on the 87% consistently clustered data, using the support vector machine algorithm to assess the severity (mild and moderate/severe) of allergic rhinitis, the average accuracy can achieve 99.57%. In particular, the experimental result also shows that the disordered EDSD values at acupuncture points of spleen meridian and liver meridian coincides with the clinic experiences of standard traditional Chinese medicine.
过敏性鼻炎是一种世界性的常见病。皮肤电筛查装置(EDSD)是一种可以测量穴位电特性的装置。本文通过一系列基于机器学习算法的实验,研究利用EDSD诊断变应性鼻炎的可行性。实验结果表明,对于是否存在变应性鼻炎,使用k近邻分类算法,准确率可达到93.26%,使用支持向量机分类算法,平均准确率可达到97.78%。实验结果还表明,分别使用k-means聚类算法和Ward分层聚类算法将数据聚为3类,87%的数据聚类一致。这三组的平均总症状得分也非常一致。基于87%一致聚类的数据,使用支持向量机算法评估变应性鼻炎的严重程度(轻度和中度/重度),平均准确率可达到99.57%。特别是,实验结果还表明,脾经和肝经穴位的紊乱EDSD值与标准中医的临床经验相吻合。
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引用次数: 3
I am not a goldfish in a bowl: A privacy preserving framework for RFID based healthcare systems 我不是碗里的金鱼:基于RFID的医疗保健系统的隐私保护框架
F. Rahman, Sheikh Iqbal Ahamed, Jijiang Yang, Qing Wang
RFID has received considerable attention within the healthcare for almost a decade now. The technology's promise to efficiently track hospital supplies, medical equipment, medications and patients is an attractive proposition to the healthcare industry. However, the prospect of wide spread use of RFID tags in healthcare has also triggered discussions regarding privacy, particularly because RFID data in transit may easily be intercepted. In a nutshell, this technology has not really seen its true potential in healthcare since privacy concerns raised by the tag bearers are not properly addressed by existing protocols and frameworks. The two major types of privacy preservation techniques that are required in an RFID based healthcare are: 1) a privacy preserving authentication protocol is required while sensing RFID tags for different identification and monitoring purposes 2) a privacy preserving access control mechanism is required to restrict unauthorized access of private information while providing healthcare services using the tag ID. In this paper, we propose a component based framework (PriSens-HSAC) that makes an effort to address the above mentioned two privacy issues. To the best of our knowledge, this is the first framework to provide better privacy in RFID based healthcare systems, using authentication and access control technique.
近十年来,RFID在医疗保健领域受到了相当大的关注。这项技术承诺有效地跟踪医院用品、医疗设备、药物和患者,这对医疗保健行业来说是一个有吸引力的提议。然而,RFID标签在医疗保健领域广泛使用的前景也引发了关于隐私的讨论,特别是因为RFID数据在传输过程中很容易被截获。简而言之,这项技术还没有真正看到它在医疗保健领域的潜力,因为现有的协议和框架没有适当地解决标签持有者提出的隐私问题。在基于RFID的医疗保健中需要的两种主要类型的隐私保护技术是:1)在感知RFID标签用于不同识别和监控目的时需要隐私保护认证协议;2)在使用标签ID提供医疗保健服务时需要隐私保护访问控制机制来限制未经授权的私人信息访问。在本文中,我们提出了一个基于组件的框架(PriSens-HSAC)来解决上述两个隐私问题。据我们所知,这是第一个使用身份验证和访问控制技术在基于RFID的医疗保健系统中提供更好隐私的框架。
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引用次数: 5
Evaluating the influence of motivational and educational strategies in personalized medication management 评估动机和教育策略在个性化用药管理中的影响
Min-Hui Foo, J. C. Chua, C. Toh, J. Ng
Medication non-adherence is a major problem to all stakeholders, posing escalating costs and risks to patients as well as substantial economic burden to the health care industry. Solutions that attempt to broaden the functions and capabilities of medication management have hitherto been employing a narrow-focused approach, often failing to address the multitude of factors that leads to the phenomena. In this paper, we present an experimental comparison of user attitude towards medication adherence using a single-focused versus a multifaceted personalized medication management system that has been implemented with elements of motivational and educational strategies. The findings from this research suggest evidence of the significance and usefulness of applying a multifaceted approach, in particular, the implementation of motivational and educational strategies in the design of a personalized medication management system in addressing medication non-adherence.
不遵守药物治疗是所有利益攸关方面临的一个主要问题,给患者带来不断上升的成本和风险,并给卫生保健行业带来沉重的经济负担。迄今为止,试图扩大药物管理的功能和能力的解决方案一直采用一种狭隘的方法,往往未能解决导致这种现象的众多因素。在本文中,我们提出了一个实验比较用户对药物依从性的态度,使用单一焦点与多方面的个性化药物管理系统,已经实施了动机和教育策略的元素。这项研究的结果表明了应用多方面方法的重要性和有效性,特别是在设计个性化药物管理系统时实施激励和教育策略,以解决药物依从性问题。
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引用次数: 1
Wireless eHealth (WeHealth) — From concept to practice 无线电子健康(WeHealth)——从概念到实践
Guixia Kang
Recently, the R&D and applications of M2M systems are booming in China, especially after it is written in the 2010 Government Work Report. In this paper, the R&D works of wireless eHealth (WeHealth) are overviewed, the concept of which was proposed by our group in 2005. Some key techniques of WeHealth system are discussed, and some practices based on the concept of WeHealth are introduced. Besides, a recent WeHealth pilot trial on chronic disease monitoring is also introduced, which is reported as “The First Wireless Healthcare Chronic Disease Monitoring Project in China Based on Internet of Things Technology”. There are 30 community hospitals up to now applying our WeHealth blood pressure monitoring system for chronic disease management. The practical data clearly demonstrate the effectiveness of our WeHealth system in hypertension disease control.
近年来,M2M系统的研发和应用在中国蓬勃发展,特别是在2010年政府工作报告中被写入之后。本文概述了无线电子健康(WeHealth)的研发工作,该概念是我们课题组在2005年提出的。讨论了微健康系统的一些关键技术,并介绍了基于微健康理念的一些实践。此外,我们还介绍了最近微健康在慢性病监测方面的试点项目,该项目被称为“中国首个基于物联网技术的无线医疗慢性病监测项目”。目前已有30家社区医院应用我们的微健康血压监测系统进行慢性病管理。实际数据清楚地证明了我们的微健康系统在高血压疾病控制方面的有效性。
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引用次数: 13
A study of regional cooperative emergency care system for ST-elevation myocardial infarction patients based on the internet of things 基于物联网的st段抬高型心肌梗死区域协同急救系统研究
Hao Chen, D. Xiang, Qin Wei-yi, Minwei Zhou, Tian Yan, Liu Jian, Mingyu Wang, Jijiang Yang, Wang Qing, Haifeng Yang, Xianjun Sun, Haixiao Gao, Li Geng, Gao Qiang
We established a regional cooperative emergency care system of ST-elevation myocardial infarction patients based on the internet of things. In this article, the current status and problems of ST-elevation myocardial infarction patient emergency care have been studied and key influence factors are found. As the results, a shorter time from symptom onset to reperfusion is achieved with improved outcomes for patients with ST-segment elevation myocardial infarction (STEMI). Primary percutaneous coronary intervention (PCI) in patients with STEMI significantly reduces mortality and morbidity, particularly when door-to-balloon (D2B) time is <; 90 min. An expedited pre-hospital diagnosis and transfer pathway was developed, with rapid reperfusion times and favorable outcomes.
建立基于物联网的st段抬高型心肌梗死区域协同急救系统。本文对st段抬高型心肌梗死患者急诊护理的现状及存在的问题进行了研究,找出了影响患者急诊护理的关键因素。结果表明,st段抬高型心肌梗死(STEMI)患者从症状发作到再灌注的时间缩短,预后改善。STEMI患者的初级经皮冠状动脉介入治疗(PCI)可显著降低死亡率和发病率,特别是当门到球囊(D2B)时间<;建立了一种快速的院前诊断和转运途径,再灌注时间短,预后良好。
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引用次数: 1
Falling detection using multiple doppler sensors 使用多个多普勒传感器进行下落检测
Shoichiro Tomii, T. Ohtsuki
Recently, various kinds of healthcare systems for the elderly have been developed. Falling detection is one of the important tasks to protect them from crucial accidents. Cameras, acoustic sensors, and accelerometers are mainly used to detect the falling. However, from the viewpoint of false alarm rate, privacy issues, and intrusiveness of the devices, each method has its own shortcomings. Doppler sensor is a palm-sized device, and can be implemented for highly accurate human activity recognition without wearable sensors. Doppler sensor is less sensitive to the movements orthogonal to the irradiation direction. Thus, a method to compensate this characteristic is needed. We propose falling detection using multiple Doppler sensors to raise the precision of falling detection covering the multi-directions of the target movement. Two or three sensors are exploited, and the extracted sensor data is processed by a feature combination or selection method. The resulting data are classified by support vector machine (SVM) or k-nearest neighbors (k-NN). We evaluate several kinds of falling, “Standing - Falling,” “Walking - Falling,” and “Standing up - Falling,” and non-falling like “Walking,” “Lying on floor,” “Picking up,” and “Sitting on a chair.” These activities are tested toward 8 directions spaced at respective intervals of 45 degrees. The results show that the combination method, using three sensors, achieves 95.5 % accuracy of falling detection, and the selection method, using three sensors, achieves 93.3 % accuracy. We also discuss the accuracy of each activity direction and the viability of these methods for the practical use.
近年来,各种老年人医疗保健体系逐步建立起来。下落检测是保护其免受重大事故影响的重要任务之一。摄像机、声传感器和加速度计主要用于检测下落。然而,从虚警率、隐私问题、设备侵入性等方面来看,每种方法都有其不足之处。多普勒传感器是一种手掌大小的设备,可以在没有可穿戴传感器的情况下实现高精度的人体活动识别。多普勒传感器对与辐照方向正交的运动不太敏感。因此,需要一种补偿这一特性的方法。为了提高覆盖目标多方向运动的下落检测精度,提出了多多普勒传感器的下落检测方法。利用两个或三个传感器,提取的传感器数据通过特征组合或选择方法进行处理。结果数据通过支持向量机(SVM)或k近邻(k-NN)进行分类。我们评估几种跌倒,“站立-跌倒”,“行走-跌倒”,“站起来-跌倒”,和非跌倒,如“行走”,“躺在地板上”,“捡起来”和“坐在椅子上”。这些活动在8个方向上进行测试,每个方向间隔45度。结果表明,使用3个传感器的组合方法对跌落检测的准确率达到95.5%,使用3个传感器的选择方法对跌落检测的准确率达到93.3%。我们还讨论了每个活动方向的准确性和这些方法在实际应用中的可行性。
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引用次数: 35
Multidimensional analysis for Traditional Chinese Medicine diagnosis and treatment on hepatitis diseases 肝炎疾病中医诊疗的多维分析
Lanxin Bi, Xuezhong Zhou, Lei Zhang, Runshun Zhang
Traditional Chinese Medicine (TCM) has been widely used to treat various diseases like infectious diseases. Treatment Based on Syndrome Differentiation (TBSD) is the main principle in TCM clinical practice. So exploring the relationships between diagnoses and treatments from successful cases is important and valuable for better treating hepatitis diseases, which is a decision support problem based on data warehouse in nature. In this paper, using the multidimensional analysis techniques of BusinessObjects (BO) platform, we introduce a series of online analytical processing (OLAP) reports which cover different subjects of TCM on hepatitis diseases and a corresponding system used to manage the reports. It has been found that these OLAP reports are useful in experience sharing of making diagnoses and giving treatments on hepatitis diseases.
中医已被广泛用于治疗各种疾病,如传染病。辨证论治是中医临床实践的主要原则。因此,从成功病例中探索诊断与治疗之间的关系,对于更好地治疗肝炎疾病具有重要的意义和价值,这本质上是一个基于数据仓库的决策支持问题。本文利用商业对象(business object, BO)平台的多维分析技术,介绍了一系列涵盖肝炎中医不同学科的在线分析处理(OLAP)报告和相应的报告管理系统。研究发现,这些报告有助于分享肝炎疾病的诊断和治疗经验。
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引用次数: 3
Hybrid decision making in the monitoring of hypertensive patients 高血压患者监测中的混合决策
Longfeng Chen, Guixia Kang, Xidong Zhang, Lichen Lee, Xiangyi Li
In the intelligent monitoring of the hypertensive patients, it's necessary to assess their treatment effect and give corresponding diagnostic feedback automatically. This paper proposed a hybrid decision support system (DSS) combining several data mining techniques using an improved weighted majority voting scheme (iWMV). The mass health data of hypertensive patients were used as data source of the data mining techniques, and iWMV was used to produce a proper final judgement on patients' control condition on the basis of the individual classifier results. The proposed system was trained and evaluated using data from 167 hypertensive patients. Performance analysis showed that the hybrid system could reach classification rate (CR) of 95.34% and kappa coefficient (KC) of 92.54%, much better than systems with a single classification algorithm or combining using the simple weighted majority voting scheme (WMV). Moreover, the proposed DSS showed high stability.
在高血压患者的智能监测中,需要对其治疗效果进行自动评估并给出相应的诊断反馈。本文提出了一种结合多种数据挖掘技术的混合决策支持系统(DSS),该系统采用改进的加权多数投票方案(iWMV)。将高血压患者的大量健康数据作为数据挖掘技术的数据源,利用iWMV在个体分类器结果的基础上对患者的控制状况做出适当的最终判断。使用167名高血压患者的数据对该系统进行了训练和评估。性能分析表明,混合分类系统的分类率(CR)达到95.34%,kappa系数(KC)达到92.54%,明显优于单一分类算法或采用简单加权多数投票方案(WMV)组合的分类系统。此外,所提出的决策支持系统具有较高的稳定性。
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引用次数: 0
QoS-driven scheduling approach using optimal slot allocation for Wireless Body Area Networks 基于最优时隙分配的qos驱动无线体域网络调度方法
Zhisheng Yan, B. Liu, C. Chen
Wireless Body Area Network (WBAN) is a promising type of networks that mainly targets at applications in ubiquitous communication and e-Health services. Different from other types of networks, one important challenge for WBAN is that its quality of service (QoS) requirement, in terms of delivery probability and data rate, will be time varying since human body is a highly dynamic physical environment. Another significant challenge for WBAN is that energy efficiency needs to be guaranteed in such a resource-limited network. In this paper, a QoS-driven scheduling approach is proposed to address these challenges. We model the WBAN channel as a Markov model as suggested by the emerging IEEE 802.15.6 BAN standard and propose a threshold-based scheme to adjust the transmission order of nodes. The number of slots for each node is optimally assigned according to the QoS requirement while minimizing the energy consumption of nodes. The results from extensive simulations show that the proposed approach can provide high QoS and energy efficiency under different network conditions, especially in highly heterogeneous ones in WBAN.
无线体域网络(WBAN)是一种很有前途的网络类型,主要针对无处不在的通信和电子医疗服务的应用。与其他类型的网络不同,WBAN面临的一个重要挑战是,由于人体是一个高度动态的物理环境,它的服务质量(QoS)要求在传输概率和数据速率方面是时变的。无线宽带网络面临的另一个重大挑战是,在这样一个资源有限的网络中,需要保证能源效率。本文提出了一种qos驱动的调度方法来解决这些问题。根据IEEE 802.15.6 BAN标准提出的马尔可夫模型对WBAN信道进行建模,并提出了一种基于阈值的方案来调整节点的传输顺序。在保证节点能耗最小化的同时,根据QoS要求优化分配每个节点的槽位数。大量的仿真结果表明,该方法在不同的网络条件下,特别是在WBAN中高度异构的网络条件下,都能提供较高的QoS和能效。
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引用次数: 26
期刊
2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom)
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