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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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Is there a relationship between frailty indices and balance assessment in older people? 老年人的脆弱指数和平衡评估之间是否存在关系?
A. Chkeir, Doha Safieddine, Farah Chehade, J. Duchêne, D. Hewson, D. Bera, M. Collart, J. Novella, M. Dramé
Grip-strength, walking speed and weight-loss are key measurements in the evaluation of frailty. According to L. Fried, these quantities are compared with thresholds, leading to associated frailty indices that would afterwards be combined to establish an overall decision. One of the consequences of frailty is an increasing risk of falls, which are a major cause of death of older people. The purpose of this study is to examine the possible relationships that could exist between grip-strength, walking speed, weight-loss and other parameters extracted from balance quality assessment for older subjects. The study shows that a relationship does exist between the balance quality parameters and the frailty indices.
握力、步行速度和体重减轻是评估虚弱的关键指标。根据L. Fried的说法,将这些数量与阈值进行比较,得出相关的脆弱性指数,然后将这些指数结合起来,建立一个总体决策。身体虚弱的后果之一是跌倒的风险增加,这是老年人死亡的一个主要原因。本研究的目的是检验从老年人平衡质量评估中提取的握力、步行速度、体重减轻和其他参数之间可能存在的关系。研究表明,平衡质量参数与脆弱指数之间确实存在一定的关系。
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引用次数: 2
Intelligent depression detection and support system: Statistical analysis, psychological review and design implication 智能抑郁检测与支持系统:统计分析、心理学回顾与设计启示
Mashrura Tasnim, Rifat Shahriyar, Nowshin Nahar, Hossain Mahmud
Depression is a familiar psychological disorder caused by a combination of genetic, biological, environmental, and psychological factors. Untreated depression carries a high cost in terms of relationship problems, family suffering, and loss of work productivity. However diagnosis and treatment of depression is difficult due to varied severity, frequency, and duration of symptoms in depressed individuals. In this study, correlation between depression levels and behavioral trends of individuals has been established through a survey involving around 120 undergraduate students. The survey outcome is analyzed from a psychological viewpoint and finally some design implications on an automated system of depression detection and support system have been proposed.
抑郁症是一种常见的心理障碍,由遗传、生物、环境和心理因素共同引起。未经治疗的抑郁症在关系问题、家庭痛苦和丧失工作效率方面代价高昂。然而,抑郁症的诊断和治疗是困难的,因为抑郁症患者的症状严重程度、频率和持续时间各不相同。本研究通过对约120名大学生的调查,确立了抑郁水平与个体行为倾向之间的相关性。从心理学的角度对调查结果进行了分析,并对抑郁症自动检测和支持系统的设计提出了建议。
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引用次数: 18
Economic evaluation of m-Health: Case of e-ambulance in Japan 移动医疗的经济评价:以日本的电子救护车为例
Y. Matsumoto, M. Ogawa, M. Tsuji
This study aims at evaluating the economic effect of a e-ambulance project, or emergency telemedicine in the rural areas in Kouchi Prefecture in Japan. Ambulances equipped with ICT devices which transmit images of acute patients to remote hospitals are focused on. Kouchi Prefecture started the e-ambulance project in Aki and Muroto Cities in 2012. From two cities, it takes approximately one hour to reach emergency hospitals located in Kouchi City, the prefectural capital. One of the merits of e-ambulance with the image transmitting system is that doctors in accepting hospitals can monitor real time situation of a patient and prepare for necessary treatment prior to the time patient arrives. They thus save time and effort. In measuring benefit, this study employs different methodology; the e-ambulance project enhances wellness of residents since they perceive more secure. Thus the CVM (Contingent valuation method) is applied and WTP (willingness to pay) is used as an index of benefit and estimated based on surveys to residents, which amounts to 1,747 yen per resident per year. Total cost calculated is 381,792,228 yen over three years, and accordingly, B/C ratio amounts 0.459.
本研究旨在评估日本口知县农村地区的电子救护车项目或紧急远程医疗的经济效果。重点是配备信息和通信技术设备的救护车,这些设备可将急症患者的图像传送到偏远医院。Kouchi县于2012年在Aki市和Muroto市启动了电子救护车项目。从两个城市出发,大约需要一个小时才能到达县首府Kouchi市的急救医院。带有图像传输系统的电子救护车的优点之一是,接收医院的医生可以实时监控病人的情况,并在病人到达之前做好必要的治疗准备。这样就节省了时间和精力。在衡量效益时,本研究采用了不同的方法;电子救护车项目提高了居民的健康,因为他们觉得更安全。因此,采用了CVM(条件评价法),并将WTP(支付意愿)作为福利指数,根据对居民的调查进行估算,每人每年为1747日元。3年的总费用为38179.2228万日元,因此,B/C比率为0.459。
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引用次数: 0
Dynamic fine-grained access control in e-Health using: The secure SQL server system as an enabler of the future Internet 电子健康使用中的动态细粒度访问控制:安全的SQL服务器系统作为未来互联网的推动者
A. Paulin, Christoph Thuemmler
This paper describes the use of the Secure SQL Server system (SecSQL) - a system for dynamic fine-grained access control, in the context of e-Health. The system was used in two heterogeneous use-cases of a European project, namely: to govern drugs along the supply chain from the manufacturer to the consumer (to fight counterfeit drugs, and to recall drugs), and to govern the movement of things in the operating theatre. This way, the feasibility of SecSQL to be used as a system to dynamically govern fine-grained access control to Hippocratic data in the e-Health context has been demonstrated.
本文描述了安全SQL服务器系统(SecSQL)的使用——一个动态细粒度访问控制系统,在电子健康的背景下。该系统被用在一个欧洲项目的两个不同的用例中,即:管理从制造商到消费者的整个供应链中的药物(打击假药和召回药物),以及管理手术室中物品的移动。通过这种方式,SecSQL作为一个系统来动态管理对电子健康环境中希波克拉底数据的细粒度访问控制的可行性已经得到了证明。
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引用次数: 5
Metrics for eHealth services improvement 改善电子医疗服务的指标
G. Dantanarayana, T. Sahama
Identification of appropriate performance measures in healthcare is fundamental for judging quality of service in any healthcare organisation. However, the dynamic nature of the healthcare context and complexity of stakeholder requirements have resulted in many difficulties in deciding appropriateness of performance factors to measure outcomes. Yet another facet that hinders achievement of successful performance measuring approaches is the unavailability of systematic guidance to identify the relationship between different types of performance measures. Further, it is important to analyse this relationship by using existing electronic data sets which will ensure the data quality in determining the healthcare service quality. This is an ongoing research attempting to establish a Return on Investment (ROI) model that could facilitate performance measurement of eHealth service deployment while overcoming the aforementioned deficiencies. The systematic guidance of deciding key performance factors considering different healthcare value perspectives in order to establish ROI metrics for the healthcare context, specifically in ICU clinical settings, have been introduced in this paper. It can be served as a theoretical basis in ensuring data quality in eHealth data sources. The advantage of the proposed guidance is in extracting appropriate key performance indicators for measuring outcomes of ICU clinical settings in terms of available process indicators while the relevant data for these indicators could be retrieved from the data warehouse.
确定适当的医疗保健绩效指标是判断任何医疗保健组织服务质量的基础。然而,由于医疗保健环境的动态性和利益相关者需求的复杂性,在决定衡量结果的绩效因素的适当性方面存在许多困难。然而,妨碍取得成功的业绩衡量方法的另一个方面是没有系统的指导来确定不同类型的业绩衡量之间的关系。此外,通过使用现有的电子数据集来分析这种关系非常重要,这将确保在确定医疗保健服务质量时的数据质量。这是一项正在进行的研究,试图建立一个投资回报率(ROI)模型,该模型可以促进电子医疗服务部署的绩效衡量,同时克服上述缺陷。本文介绍了考虑不同医疗保健价值角度来决定关键绩效因素的系统指导,以便为医疗保健环境(特别是在ICU临床环境中)建立ROI指标。它可以作为保证电子卫生数据源数据质量的理论基础。拟议指南的优势在于,根据可用的流程指标提取适当的关键绩效指标,用于衡量ICU临床环境的结果,而这些指标的相关数据可以从数据仓库中检索。
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引用次数: 4
A non invasive and intelligent method for cardiovascular parameters tele-monitoring 一种无创、智能化的心血管参数远程监测方法
R. B. Salah, T. Hadidi, I. B. Salah, K. Ouni, S. Mansouri, S. Chabchoub
The innovation of our method is to design a new techniques with multiple capabilities, autonomy and automatic applications in the tele-monitoring and diagnosis of some cardiovascular parameters relative to a certain categories of patients (elderly, children, pregnant women) with cardiovascular diseases. Theoretical model of transthoracic impedance is performed in order to determine aortic pressure with a non-invasive method: the bioimpedance method. The start idea is that aortic impedance variation depends on aortic section, which depends on systolic and diastolic pressure, during cardiac cycle. Theoretical relationships, between electrical bioimpedanc signal and aortic and ventricular pressures are therefore established. The second parameters are the cardiac output Q. The third parameters determined is the arterial compliance C. Results reflect those reached in bibliography, that Cp is significantly reduced in hypertensive patients (Cp=0.48 ± 0.09 E-10 m5.N; normal value of Cp is 1.76 ± 0.28 E-10 m5.N). All this parameters are monitored using telemedicine techniques.
本方法的创新之处在于设计了一种多功能、自主、自动应用的新技术,用于对某一类心血管疾病患者(老人、儿童、孕妇)的一些心血管参数进行远程监测和诊断。为了用一种无创的方法测定主动脉压力,我们建立了经胸阻抗的理论模型:生物阻抗法。最初的想法是,主动脉阻抗的变化取决于主动脉断面,而主动脉断面又取决于心脏周期中的收缩压和舒张压。因此,生物阻抗信号与主动脉和心室压力之间的理论关系得以建立。第2个参数为心输出量q,第3个参数为动脉顺应性c,结果反映了文献中得出的结论,高血压患者的Cp显著降低(Cp=0.48±0.09 E-10 m5.N;正常Cp值为1.76±0.28 E-10 m5.N)。所有这些参数都使用远程医疗技术进行监测。
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引用次数: 0
Exploiting dental implants for creating wired implantable health monitoring devices 利用牙科植入物制造有线植入健康监测装置
S. Hemati, Sepideh Rahmani
In this work, we propose a physical gateway, which resembles a modified dental implant that goes directly through gum or other soft tissues inside the oral cavity, to establish a secure and permanent connection to wired implantable health monitoring and controlling (IHMC) devices and systems. The proposed physical gateway has parts acting as external access points that have terminals for cables, wires, fiber optics, or tubes that go through the gateway to IHMC devices and systems to allow transmission of signals or materials to or from the implanted devices. This novel feature can be utilized for powering IHMC devices and systems with high functionality and computational power. Furthermore, it facilitates securely communicating with IHMC devices and systems with vital duties and allows transferring materials for refilling the tanks inside these devices and systems or transferring some samples and substances from inside body to outside without requiring additional invasive operations.
在这项工作中,我们提出了一种物理网关,它类似于一种改良的牙种植体,直接穿过口腔内的牙龈或其他软组织,以建立与有线植入健康监测和控制(IHMC)设备和系统的安全永久连接。所建议的物理网关具有充当外部接入点的部件,其具有用于电缆、电线、光纤或管道的终端,这些终端通过网关到达IHMC设备和系统,以允许向植入设备或从植入设备传输信号或材料。这种新特性可用于为具有高功能和计算能力的IHMC设备和系统提供动力。此外,它有助于与具有重要职责的IHMC设备和系统进行安全通信,并允许在这些设备和系统内转移材料以重新填充储罐,或将一些样品和物质从体内转移到外部,而无需额外的侵入性操作。
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引用次数: 0
A conceptual model for integrating social and health care services at home: The H@H project 综合家庭社会和保健服务的概念模式:H@H项目
F. Pecoraro, D. Luzi, E. Pourabbas, F. Ricci
The increasing demand for home care due to the growing number of older people with an increased incidence of multiple chronic conditions requires the adoption of technological innovation that can improve the integration and coordination of health and social services. This paper presents the H@H platform that aims to improve the coordination and cooperation among stakeholders facilitating the provision of care services in a continuity of care framework. Moreover, a conceptual model that combines the main concepts of the ContSys standard with social care components and with assistive domotics linked to the lifestyle and healthy behavior is proposed. Finally, a scenario that depicts the application of the integrated approach to a subject affected from metabolic syndrome is presented.
由于患有多种慢性疾病的老年人人数不断增加,对家庭护理的需求也不断增加,因此需要采用技术创新,以改善保健和社会服务的整合和协调。本文介绍了H@H平台,旨在改善利益相关者之间的协调与合作,促进在护理框架的连续性中提供护理服务。此外,还提出了一个概念模型,该模型将ContSys标准的主要概念与社会护理组成部分以及与生活方式和健康行为相关的辅助家居相结合。最后,一个场景,描述了综合方法的应用,以受代谢综合征影响的主题被提出。
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引用次数: 7
HI-risk: A method to analyse health information risk intelligence HI-risk:卫生信息风险情报分析方法
W. Buchanan, N. V. Deursen
Information security threat intelligence is a prevalent topic amongst researchers, long-established IT-vendors and start-ups. The possibilities of Big Data analytics to security threat and vulnerability scanning offer a significant development in the protection of infrastructures. At the same time, industry research reports continue to state that the main contributing factor in the events leading to a data breach is human error. The common response of information security professionals is to resort to technological solutions to prevent these human errors. However, some very important information security intelligence is not hidden within the network traffic: it's available from the people that work with sensitive information. This article describes the Health Information risk (HI-risk) method to identify non-technical information security risks in healthcare. The method includes risks related to skills, behaviour, processes, organisational culture, physical security, and external influences. HI-risk offers a solution to collect intelligence about nontechnical information security incidents from across the healthcare sector to demonstrate past trends and to be ahead of future incidents. A test of a HI-risk forecast proved the feasibility of this approach in healthcare and beyond. It is suggested that HI-risk could become a valuable addition to existing technical threat and vulnerability monitoring tools.
信息安全威胁情报是研究人员、老牌it供应商和初创企业普遍关注的话题。大数据分析对安全威胁和漏洞扫描的可能性为基础设施保护提供了重大发展。与此同时,行业研究报告继续指出,导致数据泄露事件的主要因素是人为错误。信息安全专业人员的常见反应是诉诸技术解决方案来防止这些人为错误。然而,一些非常重要的信息安全情报并没有隐藏在网络流量中:它可以从处理敏感信息的人那里获得。本文描述了用于识别医疗保健中的非技术信息安全风险的健康信息风险(HI-risk)方法。该方法包括与技能、行为、过程、组织文化、物理安全和外部影响相关的风险。HI-risk提供了一种解决方案,用于从整个医疗保健行业收集有关非技术信息安全事件的情报,以展示过去的趋势并领先于未来的事件。对高风险预测的测试证明了这种方法在医疗保健及其他领域的可行性。建议HI-risk可以成为现有技术威胁和漏洞监测工具的有价值的补充。
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引用次数: 0
Sleep apnea detection using a feed-forward neural network on ECG signal 基于前馈神经网络的心电信号睡眠呼吸暂停检测
A. Pinho, Nuno Pombo, N. Garcia
This paper presents a suitable and efficient implementation for detecting minute based analysis of sleep apnea by Electrocardiogram (ECG) signal processing. Using the PhysioNet apnea-ECG database, a median filter was applied to the recordings in order to obtain the Heart Rate Variability (HRV) and the ECG-derived respiration (EDR). The subsequent extracted features were used for training, testing and validation of a Artificial Neural Network (ANN). Training and testing sets were obtained by randomly divide the data until it reaches a good performance using a k-fold cross validation (k=10). According to results, the ANN classification has sufficient accuracy for sleep apnea detection and diagnosis (82,120%). This promising early-stage result may leads to complementary studies including alternative features selection methods and/or other classification models.
本文提出了一种适用于睡眠呼吸暂停的基于分钟的心电图信号处理检测方法。使用PhysioNet呼吸暂停-心电图数据库,对记录进行中值滤波,以获得心率变异性(HRV)和心电图衍生呼吸(EDR)。随后提取的特征用于人工神经网络(ANN)的训练、测试和验证。通过k-fold交叉验证(k=10)将数据随机分割,直到达到良好的性能,得到训练集和测试集。结果表明,人工神经网络分类对睡眠呼吸暂停的检测和诊断具有足够的准确率(82,120%)。这一有希望的早期结果可能会导致补充研究,包括替代特征选择方法和/或其他分类模型。
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引用次数: 20
期刊
2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom)
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