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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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Multi-layer architectures for remote health monitoring 用于远程运行状况监控的多层体系结构
Rahul Krishnan Pathinarupothi, M. Ramesh, E. Rangan
Remote health monitoring and delivery through mobile devices and wireless networks offers unique challenges related to performance, reliability, data size, power management, and analytical complexity. We present a multi-layered architecture that matches communication performance to medical importance of data being monitored. The priority of vital data and the context of sensing are used to select the communication medium and the power management policies. Further smartness is introduced into data summarization by employing a severity level quantizer, followed by a consensus abnormality motif discovery and an alert mechanism that prioritizes doctors' consultative time. We also present our successful implementation of the above multi-layered architecture in a system developed to remotely monitor cardiac patients.
通过移动设备和无线网络进行远程运行状况监控和交付带来了与性能、可靠性、数据大小、电源管理和分析复杂性相关的独特挑战。我们提出了一种多层架构,使通信性能与被监测数据的医疗重要性相匹配。根据重要数据的优先级和感知环境来选择通信介质和电源管理策略。通过采用严重程度量化器,随后是共识异常基序发现和优先考虑医生咨询时间的警报机制,将进一步的智能引入数据汇总。我们还介绍了我们在远程监测心脏病患者的系统中成功实现上述多层架构。
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引用次数: 16
Computer-assisted clinical diagnosis in the official European union languages 欧盟官方语言的计算机辅助临床诊断
Jolanta Mizera-Pietraszko
eHealth services integrate Web Information Retrieval and Intelligent Medical Decision Support for health care professionals based on the range of possible symptoms which a patient reports. However, many symptoms like high temperature, fever, or headache, are ambiguous in terms of suggesting wide variety of possible patient's conditions to the GP, while other symptoms are mutually dependant, which again can be misleading to make an accurate diagnosis. On the other hand, doctor's up-to-date knowledge on the medicaments, drugs, active medical substances included, anticipated range of diseases relating to the symptoms reported, and the most reliable pharmaceutical manufacturers, are of the greatest importance to cure the illness successfully. This study proposes an approach to support so called standard medical procedure or clinical guidelines in treatment of each of the diseases by delivering such a knowledge to the physician and by individualizing the selection of drugs in respect to the patient's specific needs in order to avoid a potential drug interaction. We evaluate efficiency of a medical multilingual decision support system Diagnosia on the grounds of accessibility to such a knowledge depending on the EU language and we use Bayesian inference for generating the optimal decision on reaching a particular diagnosis accuracy. Our methodology is examined on the real data taken from the American service Prescriber Checkup and some other knowledge-based medical resources of nationally recognized rank. Our findings indicate that this approach outperforms not only traditional standard procedure of curing some commonly occurring illnesses, but also many commercial computer-assisted medical support diagnostic systems.
电子健康服务根据患者报告的可能症状范围,为医疗保健专业人员集成了Web信息检索和智能医疗决策支持。然而,许多症状,如高温、发烧或头痛,在向全科医生提示各种可能的患者病情方面是含糊不清的,而其他症状是相互依赖的,这再次可能误导做出准确的诊断。另一方面,医生对药物、药物、活性药物的最新知识,与所报告的症状有关的预期疾病范围,以及最可靠的药品制造商,对于成功治愈疾病至关重要。这项研究提出了一种方法来支持所谓的标准医疗程序或临床指导方针,通过向医生提供这些知识,并根据患者的具体需求个性化选择药物,以避免潜在的药物相互作用。我们评估了医疗多语言决策支持系统诊断的效率,基于对此类知识的可访问性,这取决于欧盟语言,我们使用贝叶斯推理来生成达到特定诊断准确性的最佳决策。我们的方法是根据美国服务处方检查和其他一些国家认可的基于知识的医疗资源的真实数据进行检验的。我们的研究结果表明,这种方法不仅优于传统的治疗一些常见病的标准程序,而且优于许多商业计算机辅助医疗支持诊断系统。
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引用次数: 0
System architecture of customized intelligent lighting control and indoor environment monitoring system for persons with mild cognitive impairment or dementia 轻度认知障碍或痴呆患者定制智能照明控制及室内环境监测系统体系结构
M. Raatikainen, Robert Ciszek, J. Närväinen, J. Merilahti, S. Siikanen, Timo Ollikainen, Ilona Hallikainen, Jukka-Pekka Skon
A customized intelligent lighting control combined with an indoor environment monitoring system is presented as a novel system architecture for the help of elderly, especially for people with dementia. Bluish light, which affects human circadian rhythm, is the key element of this study aiming to find ways to enhance patient wellbeing and reduce nursing workload. Moreover, thermal comfort of occupants is monitored and discussed.
结合室内环境监测系统的定制智能照明控制是一种新的系统架构,可以帮助老年人,特别是痴呆症患者。影响人体昼夜节律的蓝光是本研究的关键因素,旨在找到改善患者健康和减少护理工作量的方法。此外,还对居住者的热舒适进行了监测和讨论。
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引用次数: 2
Still in flow — long-term usage of an activity motivating app for seniors 仍在流动中——老年人长期使用活动激励应用程序
Christian Lins, A. Hein, L. Halder, Philipp Gronotte
In this paper, results from the long-term usage of a mobile application (app) for seniors that encourages physical and mental activity are presented. The application was designed for elderly inhabitants of senior residences to motivate them to increase their physical and mental activity in everyday life. Usage statistics of 82 users for about two years were processed and show that the active elderly users can be clustered in two groups with either increasing or decreasing and very little constant activity. Users with decreasing activity have also shown decreasing usage errors with the app's user interface which may indicate that they are growing out of the app. The results show insight view about the usage and suggest that the Concept of Flow can be applied here.
本文介绍了一款鼓励老年人进行身体和精神活动的移动应用程序(app)的长期使用结果。该应用程序是为老年住宅的老年居民设计的,旨在激励他们在日常生活中增加身体和精神活动。对82个用户近两年的使用统计数据进行了处理,结果表明,活跃的老年用户可以分为两类,一类是增加的,一类是减少的,很少有持续的活动。活跃度下降的用户在应用界面上的使用错误也在减少,这可能表明他们正在脱离应用。结果显示了对使用情况的洞察,并建议流概念可以应用于此。
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引用次数: 5
An inference mechanism using Bayes-based classifiers in pregnancy care 基于贝叶斯分类器的孕期护理推理机制
Mário W. L. Moreira, J. Rodrigues, Antonio M. B. Oliveira, K. Saleem, Augusto J. V. Neto
Significant advances on smart decision support systems (DSSs) development have influenced important results on pregnancy care. Nevertheless, even considering the efforts to reduce the number of women deaths due to problems related to pregnancy, this decrease presented less impact than other areas of human development. Hypertensive disorders in pregnancy, particularly pre-eclampsia and eclampsia, account for significant proportion of perinatal morbidity and maternal mortality. In this context, this paper proposes an inference model that uses data mining (DM) techniques capable for operating in a data set to extract patterns and assist in knowledge discovery. Identifying hypertensive crises that complicate pregnancy, it can impact in a meaningful reduction the incidence of sequelae and death of pregnant women. Comparison between two Bayesian classifiers is performed in this work to better classify the hypertensive disorders severity. Results showed that Naïve Bayes classifier had an excellent performance, presenting better precision and F-measure, compared to the other experimented classifiers. Even finding a good performance to predict hypertensive disorders, other Bayesian methods need to be evaluated, as well as other DM techniques such as those based on artificial intelligence (AI) and tree-based methods.
智能决策支持系统(DSSs)的发展取得了重大进展,影响了妊娠护理的重要结果。然而,即使考虑到为减少与怀孕有关的问题造成的妇女死亡人数所作的努力,这种减少的影响也不如人类发展的其他领域。妊娠期高血压疾病,特别是先兆子痫和子痫,在围产期发病率和孕产妇死亡率中占很大比例。在此背景下,本文提出了一个推理模型,该模型使用能够在数据集中操作的数据挖掘(DM)技术来提取模式并协助知识发现。识别使妊娠复杂化的高血压危象,可以显著降低孕妇的后遗症和死亡发生率。在这项工作中,两种贝叶斯分类器进行比较,以更好地分类高血压疾病的严重程度。结果表明,Naïve贝叶斯分类器性能优异,与其他实验分类器相比,具有更好的精度和F-measure。即使发现了预测高血压疾病的良好表现,也需要评估其他贝叶斯方法,以及其他DM技术,如基于人工智能(AI)和基于树的方法。
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引用次数: 21
Language therapy of aphasia supported by augmented reality applications 增强现实应用支持的失语症语言治疗
Daniela Antkowiak, Christian Kohlschein, Roksaneh Krooß, Maximilian Speicher, Tobias Meisen, S. Jeschke, C. Werner
In Europe there are more than 580 000 people who suffer from aphasia - an acquired speech and language disorder that occurs because of brain damage, primarily as a result of a stroke. Especially with regards to demographic change, health care systems have to face present and future challenges to improve aphasia therapy. Thereby, immediate therapeutic measures are decisive for best possible and long-term success in language therapy. Regarding essential requirements, on the one hand, therapy intensity and frequency have to be increased significantly while on the other hand, measures need to be adjusted along everyday activities. A very promising approach to meet this requirements are augmented reality applications. They can be used to create a highly natural exercise situation, in which patients interact and practice with their personal possessions at home. This facilitates the successful and continuous transfer of learnings for the patient, contrary to being solely dependent on clinical therapy units. This paper gives an overview of the concept of a real-time software providing augmented and dynamic language therapy, which is interactive and utilizes simple user interface design, for home-based training.
在欧洲,有58万多人患有失语症,这是一种后天言语和语言障碍,主要由中风引起的脑损伤引起。特别是考虑到人口结构的变化,卫生保健系统必须面对当前和未来的挑战,以改善失语治疗。因此,即时的治疗措施对于语言治疗的最佳和长期成功是决定性的。在基本要求上,一方面要显著提高治疗强度和频率,另一方面要根据日常活动调整措施。满足这一需求的一个非常有前途的方法是增强现实应用程序。它们可以用来创造一个高度自然的锻炼环境,在这个环境中,患者可以在家里与他们的个人物品互动和练习。这有利于患者成功和持续的学习转移,而不是仅仅依赖于临床治疗单位。本文概述了一种提供增强和动态语言治疗的实时软件的概念,该软件具有互动性,并利用简单的用户界面设计,用于家庭培训。
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引用次数: 5
Internet of Things in sleep monitoring: An application for posture recognition using supervised learning 睡眠监测中的物联网:使用监督学习进行姿势识别的应用
Georges Matar, J. Lina, J. Carrier, Anna Riley, Georges Kaddoum
In this paper, we propose an Internet of Things (IoT) system application for remote medical monitoring. The body pressure distribution is acquired through a pressure sensing mattress under the person's body, data is sent to a computer workstation for processing, and results are communicated for monitoring and diagnosis. The area of application of such system is large in the medical domain making the system convenient for clinical use such as in sleep studies, non or partial anesthetic surgical procedures, medical-imaging techniques, and other areas involving the determination of the body-posture on a mattress. In this vein, a novel method for human body posture recognition that consists in providing an optimal combination of signal acquisition, processing, and data storage to perform the recognition task in a quasi-real-time basis. A supervised learning approach was used to build a model using a robust synthetic data. The data has been generated beforehand, in a way to enhance and generalize the recognition capability while maintaining both geometrical and spatial performance. Low-cost and fast computation per sample processing along with autonomy, make the system suitable for long-term operation and IoT applications. The recognition results with a Cohen's Kappa coefficient κ = 0.866 was satisfactorily encouraging for further investigation in this field.
在本文中,我们提出了一个物联网(IoT)系统应用于远程医疗监测。通过人体下的压力传感床垫获取人体压力分布,将数据发送到计算机工作站进行处理,并将结果传达给监测和诊断。该系统在医疗领域的应用范围很大,使该系统便于临床使用,如睡眠研究、非麻醉或部分麻醉外科手术、医学成像技术和其他涉及确定床垫上的身体姿势的领域。在这种情况下,一种新的人体姿势识别方法,包括提供信号采集、处理和数据存储的最佳组合,以准实时的方式执行识别任务。采用监督学习方法,利用鲁棒合成数据建立模型。数据是预先生成的,在保持几何和空间性能的同时增强和推广识别能力。每个样品处理的低成本和快速计算以及自主性,使系统适合长期运行和物联网应用。Cohen’s Kappa系数κ = 0.866的识别结果为该领域的进一步研究提供了令人满意的鼓舞。
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引用次数: 48
On the use of inertial sensors and machine learning for automatic recognition of fainting and epileptic seizure 利用惯性传感器和机器学习进行昏厥和癫痫发作的自动识别
Erick Ribeiro, Larissa Bentes, Anderson Cruz, Gabriel Leitão, R. Barreto, V. Silva, T. Primo, F. Koch
This paper depicts a machine learning method for fainting and epileptic seizures automatic recognition. We evaluated five machine learning techniques in order to find out which classification method maximizes the accuracy level and, at the same time, minimizes the computational complexity since the experimental environment has very limited computational resources (processing power). We prototype such method in a wearable device, taking into account F-Score and Accuracy metrics. The experimental evaluation shows that there are no significant difference between KNN, PART, and C4.5. However, KNN has high computational cost when compared to PART and C4.5. PART has low computational cost when compared to C4.5 since it identified less rules.
本文描述了一种用于昏厥和癫痫发作自动识别的机器学习方法。我们评估了五种机器学习技术,以找出哪种分类方法最大限度地提高准确性水平,同时最小化计算复杂性,因为实验环境具有非常有限的计算资源(处理能力)。考虑到F-Score和Accuracy指标,我们在可穿戴设备中原型化了这种方法。实验评价表明,KNN、PART和C4.5之间无显著性差异。然而,与PART和C4.5相比,KNN具有较高的计算成本。与C4.5相比,PART的计算成本较低,因为它识别的规则较少。
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引用次数: 1
Implantable microdevice with integrated wireless power transfer for thermal neuromodulation applications 用于热神经调节应用的集成无线传输的植入式微设备
J. Fernandes, H. Dinis, Luís M. Gonçalves, P. Mendes
Medication resistant neurological and psychiatric disorders, RNPD, are devastating multicausal chronic diseases that cannot be adequately controlled using conventional pharmaco and/or psychotherapies, being epilepsy a well-known RNPD. Wireless biomedical device availability is growing at an impressive rate, and the systems' miniaturization, integration and complexity is also increasing, unveiling new therapies based on such new devices. This paper presents a new wireless implantable device as a solution for thermal neuromodulation of brain cells, which can be used to treat or study the brain's behavior when cooled down. The obtained results show that, despite these systems' potential to be power hungry, they may operate within acceptable electrical power values, while reaching the required neuromodulation temperatures.
抗药性神经和精神疾病(RNPD)是一种破坏性的多因果慢性疾病,无法通过常规药物和/或心理疗法得到充分控制,癫痫就是一种众所周知的抗药性神经和精神疾病。无线生物医学设备的可用性正在以令人印象深刻的速度增长,系统的小型化、集成化和复杂性也在增加,基于这些新设备的新疗法正在出现。本文提出了一种新的无线植入式装置,作为脑细胞热神经调节的解决方案,可用于治疗或研究大脑冷却后的行为。获得的结果表明,尽管这些系统可能耗电,但它们可以在可接受的电功率值内运行,同时达到所需的神经调节温度。
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引用次数: 2
"OntoDrive" A multi-methodological ontology driven framework for systems analysis of health informatics “OntoDrive”一个多方法本体驱动框架,用于健康信息学系统分析
Vasilios A. Keramaris, K. Danas
Nowadays, more than ever, it is evident that we need a series of technological and methodological techniques in order to improve on the systems analysis and design (SAD) of any informational system. Recently, there is a huge demand to create domain vocabularies and semantics that along with cognition are to describe the information of any domain in the form of Resource Description Framework (RDF) and ontologies (OWL), both types of data models, resulting into relational and directed graphs and as a result both humans and machines simultaneously can understand the information offered, with machines using online links and pattern matching in order to interpret the meaning of it in a consistent and meaningful way. Ontologies are great ensuring interopirability and consistency of data, however in order to improve on current Information Systems (IS) such as Hospital Information Systems (HIS), there are many other methodologies that need to be invoked. This could be achieved with the waterfall approach and multiple deployment of systems analysis and design methodologies and of course detailed computational ontologies that will be used as a basis to represent and share domain specific knowledge and data structures ensuring the interoperability of systems and the quality of information within that domain. This multimethodological systems analysis and design framework, named “OntoDrive” is presented here.
如今,我们比以往任何时候都更明显地需要一系列的技术和方法技术来改进任何信息系统的系统分析和设计(SAD)。最近,有一个巨大的需求来创建领域词汇和语义,随着认知是描述任何领域的信息在资源描述框架(RDF)和本体(OWL)的形式,这两种类型的数据模型,导致关系和有向图,因此人类和机器同时可以理解所提供的信息。机器使用在线链接和模式匹配,以便以一致和有意义的方式解释它的含义。本体在确保数据的互操作性和一致性方面非常出色,然而,为了改进当前的信息系统(IS),如医院信息系统(HIS),还需要调用许多其他方法。这可以通过瀑布方法和系统分析和设计方法的多重部署来实现,当然,详细的计算本体将被用作表示和共享领域特定知识和数据结构的基础,以确保系统的互操作性和该领域内信息的质量。这个多方法的系统分析和设计框架,被命名为“OntoDrive”。
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引用次数: 0
期刊
2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom)
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