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2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom)最新文献

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Performance improvement of the wireless body area network (WBAN) under interferences 干扰下无线体域网络(WBAN)性能的改进
E. Sarra, T. Ezzedine
WBAN offers promising and innovative applications that enhance the quality of services provided by the healthcare system; it improves patient's quality of life and saves his lives in many situations. WBAN is composed of tiny medical devices on or implanted in the human body and continuously monitors patient's health. The wireless interface and the mobility of the body network enable easier, practical and less cost applications. WBAN provides uninterrupted distantly health monitoring of patient while he is doing his daily activity and it expect to efficiently deliver emergency collected vital signs to the concerned medical entity. However, the high contention level inside the WBAN, the presence of external collocated wireless network and the use of a shared medium, invoke packet collisions and thus affect the communication quality and reliability of the WBAN. Our goal in this article is to analyse the interference's problem of the WBAN based IEEE 802.15.4 protocol in the presence of Wi-Fi transmitters. We opt also for an adequate simulator and configurable mobility model to investigate different effects of the WBAN density as well as the increase number of Wi-Fi transmitters on the performance of the WBAN. We finally propose a simple, no cost and convenient parameters adjustment method to improve the WBAN's capacity, packet delivery, packet transmission and packet delay.
无线宽带网络提供了有前途的创新应用,提高了医疗保健系统提供的服务质量;在许多情况下,它提高了病人的生活质量,挽救了他的生命。WBAN是由人体上或植入的微小医疗设备组成,并持续监测患者的健康状况。无线接口和身体网络的移动性使应用更容易、实用和成本更低。WBAN在患者进行日常活动时提供不间断的远程健康监测,并期望有效地将紧急收集的生命体征传递给有关医疗实体。然而,WBAN内部的高争用程度、外部并置无线网络的存在以及共享介质的使用,会引起分组冲突,从而影响WBAN的通信质量和可靠性。本文的目的是分析基于WBAN的IEEE 802.15.4协议在Wi-Fi发射机存在下的干扰问题。我们还选择了一个适当的模拟器和可配置的移动性模型来研究WBAN密度的不同影响以及Wi-Fi发射器数量的增加对WBAN性能的影响。最后提出了一种简单、无成本、方便的参数调整方法,以提高WBAN的容量、分组发送、分组传输和分组延迟。
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引用次数: 13
Design ubiquitous architecture for telemedicine based on mhealth Arduino 4G LTE 设计基于移动健康Arduino 4G LTE的远程医疗泛在架构
Yair Enrique Rivera Julio
The paper focuses on the design of an open telematics architecture for telemedicine linked to a device mobile and ubiquitous, a standalone device with direct connection to the cellular data network LTE (Long Term Evolution). The device developed allows a multiplexing of biometric readings through adaptation of specialized Sensors and distributed in different parts of the body, which allow mapping the vitals signal: level of glycemia, Body Temperature Sensor, Blood Pressure Sensor, Pulse and Oxygen in Blood Sensor (SPO2), Airflow Sensor (Breathing), Galvanic Skin Response Sensor (GSR - Sweating), Electrocardiogram Sensor (ECG) and Electromyography Sensor (EMG). The system's modem (TELIT Le910) allows to obtain geo positioning signal of each patient in real time through GPS positioning GLONASS system. This set of data is sent and stored to a geographic health information system, where there is a specialized middleware for a georeferencing related in real time with those specialized health services and their physical infrastructures. A whole technological system that allows to take advantage of the services 4g and the geographic information systems of health monitoring care of patients with chronic diseases in Colombia, where there are some remote areas and difficult access.
本文的重点是为远程医疗设计一个开放的远程信息处理体系结构,该体系结构连接到一个移动且无处不在的设备,一个直接连接到蜂窝数据网络LTE(长期演进)的独立设备。开发的设备允许通过适应专门的传感器和分布在身体不同部位的生物识别读数的多路复用,这允许绘制生命信号:血糖水平,体温传感器,血压传感器,脉搏和血液中的氧气传感器(SPO2),气流传感器(呼吸),皮肤电反应传感器(GSR -出汗),心电图传感器(ECG)和肌电传感器(EMG)。系统的调制解调器(TELIT Le910)可以通过GPS定位GLONASS系统实时获取每位患者的地理定位信号。这组数据被发送并存储到地理卫生信息系统,该系统中有一个专门的中间件,用于与这些专门的卫生服务及其物理基础设施实时相关的地理参考。一个完整的技术系统,可以利用服务4g和地理信息系统,对哥伦比亚的慢性病患者进行健康监测和护理,因为哥伦比亚有一些偏远地区,难以进入。
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引用次数: 4
NSense: A people-centric, non-intrusive opportunistic sensing tool for contextualizing nearness NSense:一个以人为本、非侵入性的机会感测工具,用于情境化接近度
Rute C. Sofia, S. Firdose, L. A. Lopes, W. Moreira, Paulo Mendes
In the context of social well-being and context awareness several eHealth applications have been focused on tracking activities, such as sleep or specific fitness habits, with the purpose of promoting physical well-being with increasing success. Sensing technology can, however, be applied to improve social well-being, in addition to physical well-being. This paper addresses NSense, a tool that has been developed to capture and to infer social interaction patterns aiming to assist in the promotion of social well-being. Experiments carried out under realistic settings validate the NSense performance in terms of its capability to infer social interaction context based on our proposed computational utility functions. Traces obtained during the experiments are available via the CRAWDAD international trace repository.
在社会福祉和环境意识的背景下,一些电子健康应用侧重于跟踪活动,如睡眠或特定的健身习惯,目的是促进身体健康,并取得越来越大的成功。然而,除了身体健康之外,传感技术还可以用于改善社会福祉。本文介绍了NSense,这是一种用于捕获和推断社会互动模式的工具,旨在帮助促进社会福祉。在现实环境下进行的实验验证了NSense基于我们提出的计算效用函数推断社交互动上下文的能力。在实验期间获得的痕迹可通过CRAWDAD国际痕迹存储库获得。
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引用次数: 14
UbMed: A ubiquitous system for monitoring medication adherence UbMed:一个无处不在的监测药物依从性的系统
V. Silva, M. Rodrigues, R. Barreto, V. Lucena
One of the biggest problems with chronical patients in treatment is medication adherence. Studies indicate that taking drugs out of time influence the patient's treatment decreasing the drugs effect. To minimize this problem, we developed a ubiquitous and intelligent system able to monitor the taking of medicines and to identify whether the patient is meeting the requirements prescribed by the doctor. An architecture provided with a decision system based on rules and trees to evaluate data collected from an intelligent medicine cabinet, sensors and electronic devices available in the patient's home was designed. The system classified the drugs taken pattern and released messages on social networks, SMS, and consumer electronic devices such as TV, smartphone and tablets, without human interference. Its goal is to help keeping the medication on time and helping to decide what to do in case of missing the right time. The algorithms J48, Rep and Random tree, were tested to classify the taking medicine patterns and to chose the right services available. The obtained results are very promising and reached an acceptable accuracy rate.
慢性患者在治疗中最大的问题之一是药物依从性。研究表明,逾期服药会影响患者的治疗,降低药物的效果。为了尽量减少这个问题,我们开发了一个无处不在的智能系统,能够监测药物的服用情况,并确定患者是否符合医生的要求。设计了一个基于规则和树的决策系统架构,用于评估从患者家中的智能药柜、传感器和电子设备收集的数据。该系统对服用的药物进行分类,并在社交网络、短信和电视、智能手机、平板电脑等消费电子设备上发布信息,无需人工干预。它的目标是帮助按时服药,并帮助决定在错过正确时间的情况下该怎么做。对J48、Rep和Random tree算法进行了测试,用于对服药模式进行分类,并选择合适的服务。所得结果很有希望,达到了可接受的准确率。
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引用次数: 9
Blockchain technology in healthcare: The revolution starts here 医疗保健领域的区块链技术:革命从这里开始
M. Mettler
Blockchain technology has shown its considerable adaptability in recent years as a variety of market sectors sought ways of incorporating its abilities into their operations. While so far most of the focus has been on the financial services industry, several projects in other service related areas such as healthcare show this is beginning to change. Numerous starting points for Blockchain technology in the healthcare industry are the focus of this report. With examples for public healthcare management, user-oriented medical research and drug counterfeiting in the pharmaceutical sector, this report aims to illustrate possible influences, goals and potentials connected to this disruptive technology.
近年来,随着各种市场部门寻求将其能力纳入其运营的方法,区块链技术已显示出相当大的适应性。虽然到目前为止,大部分焦点都集中在金融服务行业,但医疗保健等其他服务相关领域的几个项目表明,这种情况正在开始改变。区块链技术在医疗保健行业的众多起点是本报告的重点。本报告以公共卫生保健管理、面向用户的医学研究和制药部门的药品假冒为例,旨在说明与这一颠覆性技术相关的可能影响、目标和潜力。
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引用次数: 803
CorporateMeasures: A clinical analytics framework leading to clinical intelligence 公司措施:一个临床分析框架,导致临床情报
F. Nammour, K. Danas, N. Mansour
Patient information in healthcare organizations is distributed across several systems and data silos. Clinicians make decisions based on data in patient health records. Improving the efficiency of decision-support requires collective knowledge of all patient information. The classical approach of linking patient data from many databases into one data warehouse poses various problems when it comes to building clinical analytics. An implementation of the Performance Measurement and Management approach used in Engineering and Business is adapted to healthcare scenarios, and a new system is developed that allows clinicians that are not technical professionals to develop, test and apply custom analytics to patient health data. Part I of this paper is an introduction to the problems and current situation in healthcare data analytics. Part II states the aim and objectives. Part III explains the system design and its modular components. Part IV presents the results of three performance indicators evaluated through the system, and evaluates the system through technical and clinical usability methods. Part V concludes and discusses future work.
医疗保健组织中的患者信息分布在多个系统和数据孤岛中。临床医生根据病人健康记录中的数据做出决定。提高决策支持的效率需要所有患者信息的集体知识。在构建临床分析时,将来自多个数据库的患者数据链接到一个数据仓库的经典方法会带来各种问题。工程和业务中使用的绩效度量和管理方法的实现适合医疗保健场景,并且开发了一个新系统,允许非技术专业人员的临床医生开发、测试和应用自定义分析来分析患者健康数据。本文的第一部分介绍了医疗保健数据分析的问题和现状。第二部分阐述了目的和目标。第三部分阐述了系统的设计和模块组成。第四部分给出了通过系统评估的三个绩效指标的结果,并通过技术和临床可用性方法对系统进行了评估。第五部分对今后的工作进行了总结和讨论。
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引用次数: 3
Buffer-aware and QoS-effective resource allocation scheme in WBANs wban中缓冲区感知和qos有效的资源分配方案
Zhiqiang Liu, B. Liu, C. Chen
Wireless Body Area Network (WBAN) represents one of the most promising networks to provide health applications for improving the quality of life, such as ubiquitous e-Health services and real-time health monitoring. The resource allocation of an energy-constrained, heterogeneous WBAN is a critical issue that should consider both energy efficiency and Quality of Service (QoS) requirements with the dynamic link characteristics, especially when the limited resource cannot satisfy the expected QoS requirements. In this paper, a buffer aware Energy-efficient and QoS-effective resource allocation scheme is proposed in which the sensor queue buffer states, constraints of QoS metrics and the characteristics of dynamic links are considered. Specifically, a buffer aware sensor evaluation method is designed to dynamically evaluate the sensor state with considering the sensor buffer states for improving the system performance. We then formulate the resource allocation problem for optimizing the transmission power, the transmission rate and the allocated time slots for each sensor to minimize the sum mix-cost, which is defined to characterize the energy cost and QoS cost between attainable QoS support and QoS requirements. Simulation results demonstrate the effectiveness of the buffer aware sensor evaluation method and the proposed energy-efficient and QoS-effective resource allocation scheme.
无线体域网络(WBAN)是最有希望提供改善生活质量的健康应用的网络之一,例如无处不在的电子保健服务和实时健康监测。能量受限的异构WBAN的资源分配是一个关键问题,特别是在有限的资源不能满足预期的QoS要求时,应同时考虑链路动态特性的能源效率和服务质量(QoS)要求。本文综合考虑传感器队列缓冲状态、QoS指标约束和动态链路的特点,提出了一种具有缓冲区感知的节能且QoS有效的资源分配方案。具体而言,设计了一种缓冲器感知传感器评估方法,在考虑传感器缓冲状态的情况下对传感器状态进行动态评估,以提高系统性能。然后,我们制定了资源分配问题,以优化每个传感器的传输功率、传输速率和分配的时隙,以最小化混合成本总和,该混合成本的定义是表征可实现的QoS支持与QoS要求之间的能量成本和QoS成本。仿真结果验证了缓冲感知传感器评价方法的有效性,以及提出的节能、qos有效的资源分配方案。
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引用次数: 3
Midwifery E-Health: From design to validation of “Mammastyle — Gravidanza Fisiologica” 助产电子健康:从设计到验证“哺乳方式-妊娠医学”
G. Tommasone, M. Bazzani, V. Solinas, P. Serafini
Health education for pregnant women is one of the aims chased by using mobile applications for health prevention and healthy lifestyle promotion. The literature claims the lack of mobile applications with evidence-based information and supported by health professionals. This paper deals with the design, the implementation, and the evaluation of a service for healthy women with a normal pregnancy aimed at promoting healthy lifestyles, monitoring the eating habits and the physical activity, for educational purposes and overweight and obesity prevention in pregnancy.
孕妇健康教育是利用移动应用程序预防健康和促进健康生活方式的目标之一。文献声称缺乏具有循证信息和卫生专业人员支持的移动应用程序。本文论述了为正常怀孕的健康妇女提供的一项服务的设计、实施和评价,该服务旨在促进健康的生活方式,监测饮食习惯和体育活动,以实现教育目的,并预防怀孕期间的超重和肥胖。
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引用次数: 3
Predicting 30-day all-cause readmissions from hospital inpatient discharge data 根据住院出院数据预测30天内全因再入院
Chengliang Yang, C. Delcher, E. Shenkman, S. Ranka
Inpatient hospital readmissions for potentially avoidable conditions are problematic and costly. In this paper, we build machine learning models using variables widely available in health claims data to predict patients' 30-day readmission risks at the time of discharge. These models show high predictive power on a U.S. nationwide readmission database. They are also capable of providing interpretable risk factors globally at the population level and locally associated with each single discharge. In addition, we propose a model-agnostic approach to provide confidence for each prediction. Altogether, using models with high predictive power, interpretable risk factors and prediction confidence may enable health care systems to accurately target high-risk patients and prevent recurrent readmissions by accurately anticipating the probability of readmission at the point of care.
因可能可避免的疾病而再次住院是一个问题,而且费用高昂。在本文中,我们使用健康索赔数据中广泛可用的变量构建机器学习模型,以预测患者出院时30天的再入院风险。这些模型在美国全国再入院数据库中显示出很高的预测能力。它们还能够在全球人口层面提供可解释的风险因素,并在当地提供与每一次排放相关的风险因素。此外,我们提出了一种模型不可知的方法来为每个预测提供置信度。总之,使用具有高预测能力、可解释的风险因素和预测置信度的模型可以使卫生保健系统准确地针对高危患者,并通过准确预测护理点的再入院概率来防止再入院。
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引用次数: 34
UML/OCL-based modeling of work-based access control policies for collaborative healthcare systems 协作医疗保健系统基于工作的访问控制策略的基于UML/ ocl的建模
Mohamed Abomhara, M. B. Lazreg
A work-based access control (WBAC) model is proposed by introducing the team role concept and modifying the user-role assignment model from a previous work. The main goals of WBAC are flexibility, easy manageability, security, as well as suitability to support cooperative work of dynamic teams in healthcare environments. One of the major challenges of WBAC regards authorization constraints in terms of organizational policies. In this article, we show how Unified Modeling Language (UML) and Object Constraints Language (OCL) are utilized to design and analyze the authorization constraints of WBAC in cooperative engagements with complex scenarios in the collaborative healthcare domain. We also demonstrate how the authorization constraints expressed in OCL can be implemented, tested and validated using the Eclipse Modeling Framework (EMF) tool. Using EMF, the modeling and validation of OCL constraints were smooth and straightforward tasks which can help the policy designers in many organizations during designing or/and analyzing of access control policies.
在引入团队角色概念的基础上,对已有的用户角色分配模型进行了改进,提出了基于工作的访问控制模型。WBAC的主要目标是灵活性、易于管理性、安全性以及支持医疗保健环境中动态团队协作工作的适用性。WBAC的主要挑战之一涉及组织策略方面的授权约束。在本文中,我们将展示如何使用统一建模语言(UML)和对象约束语言(OCL)来设计和分析协作医疗领域中具有复杂场景的协作约定中的WBAC授权约束。我们还演示了如何使用Eclipse Modeling Framework (EMF)工具实现、测试和验证OCL中表示的授权约束。使用EMF, OCL约束的建模和验证是平滑和直接的任务,可以帮助许多组织中的策略设计者在设计或/和分析访问控制策略期间进行设计。
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引用次数: 7
期刊
2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom)
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