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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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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
A Bayesian model of heart rate to reveal real-time physiological information 贝叶斯心率模型揭示实时生理信息
Giorgio Quer, R. Rao
The human heart rate is influenced by different internal systems of the body and can reveal valuable information about health and disease conditions. In this paper, we analyze the instantaneous heart rate signal using a Bayesian method, inferring in real time a probabilistic distribution that approximates the real distribution of this signal. The best model is chosen after an experimental analysis of real data collected within our framework. The parameters of this distribution can reveal interesting insights on the influences of the sympathetic and parasympathetic divisions of the autonomic nervous system (ANS) in real time.
人的心率受到身体不同内部系统的影响,可以揭示有关健康和疾病状况的宝贵信息。在本文中,我们使用贝叶斯方法分析瞬时心率信号,实时推断出近似于该信号真实分布的概率分布。在我们的框架内对收集的实际数据进行实验分析后,选择最佳模型。这种分布的参数可以实时揭示自主神经系统(ANS)交感神经和副交感神经分裂的影响。
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引用次数: 5
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
A lower limb fracture postoperative-guided interactive rehabilitation training system and its effectiveness analysis 下肢骨折术后引导互动式康复训练系统及其效果分析
S. Yeh, Shun-Min Chang, Shuya Chen, Wu-Yuin Hwang, T. Huang, Te-Lu Tsai
Prior studies show that active-motion early after a fracture surgery can effectively reduce the tissue viscosity. However, due to the postoperative pain and unawareness of the postoperative limitations, a patient prefers to take medication to alleviate pain while complicated rehabilitation exercises can only be implemented under the limited intervention of a therapist, resulting in the patient's lack of interactive feedback on a daily basis and a failure of self-motions to miss the timing of rehabilitation. This study is intended to develop a lower limb fracture postoperative-guided interactive rehabilitation training system for the hip, knee and ankle joints, and establish a method of motion analysis and a method of motion performance assessment in conjunction with the wireless sensor technology and animation techniques, providing an objective assessment from the caregiver and learning the patient's rehabilitation status with a simple and easy recording means. Additionally, with the design of interactive feedback, the improved postoperative rehabilitations are tried to increase the participant's interest in self-management of health and facilitate to keep tracking the rehabilitation information. The medical evidences show that a guided rehabilitation system can enhance the patient's motive and willingness to be committed to a rehabilitation training as well as increase Quality and Amount of the exercise activity during the training process.
先前的研究表明,骨折术后早期主动运动可以有效降低组织粘稠度。然而,由于术后疼痛和对术后局限性的不了解,患者更倾向于服用药物来缓解疼痛,复杂的康复练习只能在治疗师的有限干预下进行,导致患者缺乏日常的互动反馈,无法通过自我运动错过康复的时机。本研究旨在开发一种下肢骨折术后引导下的髋关节、膝关节、踝关节互动康复训练系统,并结合无线传感器技术和动画技术,建立运动分析方法和运动表现评估方法,为护理者提供客观的评估,以简单便捷的记录手段了解患者的康复状况。此外,通过互动反馈的设计,尝试改善术后康复,提高参与者自我健康管理的兴趣,便于对康复信息的持续跟踪。医学证据表明,引导康复系统可以增强患者参与康复训练的动机和意愿,提高训练过程中运动活动的质量和数量。
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引用次数: 18
SemanMedical: A kind of semantic medical monitoring system model based on the IoT sensors 语义医疗:一种基于物联网传感器的语义医疗监测系统模型
Guigang Zhang, C. Li, Yong Zhang, Chunxiao Xing, Jijiang Yang
With the development of IoT technologies, more and more medial sensors have been used to monitor people's health. In this paper, we design a kind of semantic medical monitoring system model in the cloud based on the IoT sensors. Lots of IoT sensors will accept the massive sensor data every time. All these massive sensor data will be stored in the HDFS and some information will be stored into the HUADING-S, a column-based database. All these HUADING-S data will connect to the medical rule engine. When the users' or patients' health indicators' data is beyond the normal range, the medical rule engine will send the alert information to the users or patients. We design two algorithms: (1) massive semantic medical rules processing algorithm without external communication and (2) massive semantic medical rules processing algorithm with external communication. Our simulation experiment shows that the algorithm 2 will reduce the time cost a lot and improve the executive efficiency.
随着物联网技术的发展,越来越多的医疗传感器被用于监测人们的健康状况。本文设计了一种基于物联网传感器的云端语义医疗监测系统模型。大量的物联网传感器每次都会接收大量的传感器数据。所有这些海量的传感器数据将存储在HDFS中,一些信息将存储在huding - s(一个基于列的数据库)中。所有这些数据将连接到医疗规则引擎。当用户或患者的健康指标数据超出正常范围时,医疗规则引擎会向用户或患者发送警报信息。我们设计了两种算法:(1)无外部通信的海量语义医疗规则处理算法和(2)有外部通信的海量语义医疗规则处理算法。仿真实验表明,该算法大大降低了时间开销,提高了执行效率。
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引用次数: 55
Novel cochannel interference avoidance strategy for outdoor remote medical monitor network 一种新型室外远程医疗监测网络共信道干扰避免策略
Xidong Zhang, Guixia Kang, Ping Zhang, Heng Zhang, Xin Gui
In this paper we proposed a novel cochannel interference avoidance strategy for outdoor remote medical monitor network. We employ simulated annealing to design the channel allocation algorithm, which is the core of the strategy. We implemented the strategy in the experimental we built at Beijing outer suburb and took a series of experiments to examine the effect of the strategy. The experimental results showed that the interference level in the network was well controlled after the strategy is used.
本文提出了一种新的室外远程医疗监测网络共信道干扰避免策略。我们采用模拟退火的方法来设计信道分配算法,这是该策略的核心。我们在北京远郊建立的实验中实施了该策略,并进行了一系列实验来检验该策略的效果。实验结果表明,采用该策略后,网络中的干扰水平得到了很好的控制。
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引用次数: 3
A hypertension monitoring system and its system accuracy evaluation 一种高血压监测系统及其系统精度评价
D. Lin, Xidong Zhang, F. Labeau, Guixia Kang
In this paper, we detail the design of a hypertension monitoring system via telecommunication and computer technologies and propose a method for theoretically analyzing its system accuracy. In the design of our system, we add a novel decision support unit, building on a diagnosis standard in medicine, into our monitoring system. The architecture of our system, including this decision support system, is detailed in this paper. In the analysis of our system accuracy, we theoretically evaluate the accuracy of a decision support system by linking the system accuracy with the distribution of sensors' errors. Additionally, we verify our proposed analysis of system accuracy in this paper by comparing its result to that of Monte Carlo simulation.
本文详细介绍了一种基于电信和计算机技术的高血压监测系统的设计,并提出了一种从理论上分析其系统精度的方法。在系统的设计中,我们在监测系统中加入了一个基于医学诊断标准的决策支持单元。本文详细介绍了该系统的体系结构,包括该决策支持系统。在系统精度分析中,我们通过将系统精度与传感器误差分布联系起来,从理论上评价决策支持系统的精度。此外,我们通过将其结果与蒙特卡罗模拟结果进行比较,验证了本文提出的系统精度分析。
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引用次数: 5
The GAL monitoring concept for distributed aal platforms 分布式ai平台的GAL监控概念
Felix Büsching, Maximiliano Bottazzi, L. Wolf
In most of today's healthcare and AAL scenarios a multitude of data is recorded by different sensors for various purposes. By definition, this data is mostly personal and can be assigned to certain persons, which again makes it interesting for shady data miners, hackers, or even health insurance companies. Thus, this data needs special care regarding privacy and security. On the other hand, if the systems are spread over a larger area, a remote access to such systems is essential for the operator. At least a basic system monitoring should be possible and backups to a distant location are beneficial if the distributed systems fail. In this paper we provide concepts and solutions how in distributed installations of personal AAL platforms privacy and security can be preserved, while remote backup and restore functionality and remote system monitoring can be provided.
在当今的大多数医疗保健和AAL场景中,为了各种目的,不同的传感器记录了大量数据。根据定义,这些数据大多是个人数据,可以分配给某些人,这再次使阴暗的数据挖掘者、黑客甚至健康保险公司感兴趣。因此,这些数据需要特别注意隐私和安全性。另一方面,如果系统分布在更大的区域,则操作员必须远程访问这些系统。至少一个基本的系统监控应该是可能的,如果分布式系统失败,备份到远程位置是有益的。本文提出了如何在分布式安装的个人AAL平台中保护隐私和安全,同时提供远程备份和恢复功能以及远程系统监控的概念和解决方案。
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引用次数: 6
Chronic disease management system with body-implanted medical devices based on Wireless Sensor Networks 基于无线传感器网络的人体植入医疗设备慢性病管理系统
Xiangyi Li, Guixia Kang, Yifan Zhang, Xidong Zhang, Longfeng Chen, Lichen Lee
Recent advances of hardware and integrated chip have made the body-implanted medical device reality. In this paper, a chronic disease management system with implanted devices based on Wireless Sensor Networks (WSN) was proposed for people with chronic illnesses. We first described the architecture of the chronic disease management system. Then through analyzing the system architecture, we explained the advantages of our new system and pointed out the main issue of the short lifetime of the implanted medical devices. Then a cooperative strategy was proposed in the particular system to decrease the energy consumption, which extended the entire lifetime of all implanted devices. Finally, we evaluated the performance of our strategy with simulations.
近年来硬件和集成芯片的进步使植入式医疗设备成为现实。本文提出了一种基于无线传感器网络(WSN)的植入式慢性疾病管理系统。我们首先描述了慢性疾病管理系统的架构。然后通过对系统架构的分析,说明了新系统的优点,并指出了植入医疗器械寿命短的主要问题。然后在特定的系统中提出了一种降低能量消耗的合作策略,从而延长了所有植入设备的整个寿命。最后,我们用仿真来评估我们的策略的性能。
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引用次数: 3
Virtual reality for post-stroke shoulder-arm motor rehabilitation: Training system & assessment method 脑卒中后肩臂运动康复的虚拟现实:训练系统与评估方法
S. Yeh, Si-Huei Lee, Jia-Chi Wang, Shuya Chen, Yu-Tsung Chen, Yi-Yung Yang, Huang-Ren Chen, Yen-Po Hung
Stroke is one of the major diseases around the world. The brain injury caused by stroke will derive sustaining neurological disorder of different forms, which in turn will lead to all kinds of limb and body exercise hindrance and will cause significant challenge to the life of the patient, that is, the quality of life of the patient is going to be strictly affected. Along with the development and popularity of technology, scholars in the medical care and rehabilitation fields are trying to integrate all kinds of new technologies to perform the development of new rehabilitation training system. This research aims at rehabilitation items of upper limbs, which include the reciprocating stretching of upper limb, reaching of the upper arm, bi-lateral coordination and balance of the body. In association with interactive technology, game technology, sensor technology and stereo image technology, virtual reality physical-based training task is developed, and initial pilot test is done on patient with stroke, meanwhile, multi-dimensional experimental results are acquired, which include clinical test assessment, task performance, historical data of exercise track and psychological emotional data. The research objectives are to verify the functionality of the system, to verify the effectiveness of the system on rehabilitation, to develop new assessment method and to investigate topics related to human machine interaction. The experimental results have verified the functionality of this rehabilitation training task in all aspects. Through the exercise analysis of the historical data of exercise track and the statistical analysis of task performance of the past therapy sessions, this system can acquire successfully reliable and valuable information to be used for future verification of medical therapeutic effectiveness and the development of new type of clinical assessment method. In the mean time, according to the measured psychological emotional data as perceived subjectively, this system indeed can urge the patient to engage continuously rehabilitation therapeutic session that is based on this training system and enjoy it, besides, the authors are very confident on the possibly generated rehabilitation effect of these two training tasks.
中风是世界上主要的疾病之一。脑卒中引起的脑损伤会衍生出不同形式的持续性神经系统障碍,进而导致各种肢体和身体运动障碍,对患者的生活造成重大挑战,即严重影响患者的生活质量。随着技术的发展和普及,医疗和康复领域的学者们正在尝试整合各种新技术来进行新的康复训练系统的开发。本研究针对上肢的康复项目,包括上肢的往复伸展、上臂的伸展、身体的双侧协调和平衡。结合交互技术、游戏技术、传感器技术和立体图像技术,开发了基于虚拟现实的物理训练任务,并对脑卒中患者进行了初步中试,同时获得了包括临床测试评估、任务表现、运动轨迹历史数据和心理情绪数据在内的多维实验结果。研究目的是验证该系统的功能,验证该系统对康复的有效性,开发新的评估方法,并研究与人机交互相关的主题。实验结果从各方面验证了该康复训练任务的功能性。该系统通过对运动轨迹历史数据的运动分析和对以往治疗时段任务表现的统计分析,成功获取了可靠而有价值的信息,可用于未来医学治疗效果的验证和新型临床评估方法的开发。同时,根据主观感知到的测量到的心理情绪数据,该系统确实可以促使患者持续进行基于该训练系统的康复治疗并享受其中,并且作者对这两种训练任务可能产生的康复效果非常有信心。
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引用次数: 12
期刊
2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom)
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