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On Architecture of BodyInNumbers Exercise and Wellness Health Strategy Framework 论BodyInNumbers运动与健康策略框架的构建
P. Bruha, R. Mouček, P. Volf, L. Simeckové, O. Šťáva
They are many risk factors decreasing overall human physical and cognitive performance and increasing incidence of chronic diseases. It is very beneficial for any society to map, discuss and cope with these factors. This can be supported and evaluated by designing, developing, testing and using suitable self-management health systems. One of these systems is the BodyInNumbers exercise and wellness health strategy framework that allows experimenters to collect various heterogeneous health related data in a highly organized and efficient way. Thanks to its success and daily use, new requirements related to better security, scalability and maintainability of its architecture have emerged. The aim of this work is to present advances and changes in the architecture of the BodyInNumbers health strategy framework mainly focusing on new definition of user roles, optimization of the system deployment, and orchestration of the system components. As a proof of concept, a Kubernetes cluster prototype has been used to demonstrate the improved architectural solution.
它们是降低人类整体身体和认知能力并增加慢性疾病发病率的许多危险因素。对任何社会来说,描绘、讨论和应对这些因素都是非常有益的。这可以通过设计、开发、测试和使用适当的自我管理卫生系统得到支持和评价。其中一个系统是BodyInNumbers锻炼和健康战略框架,它允许实验人员以高度有组织和有效的方式收集各种不同的健康相关数据。由于它的成功和日常使用,出现了与更好的安全性、可伸缩性和体系结构可维护性相关的新需求。这项工作的目的是介绍BodyInNumbers健康策略框架体系结构的进步和变化,主要关注用户角色的新定义、系统部署的优化和系统组件的编排。作为概念验证,Kubernetes集群原型被用来演示改进的架构解决方案。
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引用次数: 1
Forecasting Tuberculosis Incidence in China using Baidu Index: A Comparative Study 利用百度指数预测中国结核病发病率的比较研究
Xinyue Liang, Qinneng Xu, Ruo-ping Guan, Yang Zhao
Background: Tuberculosis is a common infectious disease primarily targeting the lungs and of high morality and prevalence. Efficient prediction of tuberculosis is important to counter epidemics and successfully allocate recourse. This study's main objective is to investigate the effectiveness of using web search queries in predicting the incidence of tuberculosis in China. We conduct a comprehensive comparison on data driven methods for predicting the incidence of tuberculosis. Methods: Several data mining models are implemented in our study, including stepwise linear regression and SVM incorporating Baidu index (a recording of search queries on Baidu, the main search engine in China). The two methods are compared with traditional time series methods of autoregressive integrated moving (ARIMA) and seasonal ARIMA (SARIMA). In addition, to further investigate the reliability of prediction, the effectiveness of integrating the individual models is explored in our study, a hybrid model of SARIMA and SVM and Bayesian model averaging (BMA) are adopted to maximize the predictive utility of the models. Results and Conclusion: The experiment results show that Internet queries provide effective data sources for predicting tuberculosis, with comparable predicting ability to that of traditional time series models. It also shows that combining two or models using BMA or hybrid models can improve the prediction ability, with BMA showing by far the best results in prediction in terms of both MAPE and RSME in the 5 areas studied (Guangdong, Beijing, Tianjin and Shanghai). The findings from this study pave the way for developing accurate and timely prediction of tuberculosis cases, which is important for allocating healthcare recourses and developing strategies to counter possible future outbreaks in real practice.
背景:结核病是一种以肺部为主要侵染对象的常见传染病,具有较高的道德性和患病率。结核病的有效预测对于防治流行病和成功分配资源至关重要。本研究的主要目的是调查使用网络搜索查询预测中国结核病发病率的有效性。我们对预测结核病发病率的数据驱动方法进行了全面的比较。方法:在我们的研究中实现了几种数据挖掘模型,包括逐步线性回归和包含百度索引(中国主要搜索引擎百度的搜索查询记录)的支持向量机。将这两种方法与传统的时间序列自回归积分移动(ARIMA)和季节ARIMA (SARIMA)方法进行了比较。此外,为了进一步研究预测的可靠性,本研究探讨了单个模型整合的有效性,采用SARIMA和SVM的混合模型和贝叶斯模型平均(BMA)来最大化模型的预测效用。结果与结论:实验结果表明,互联网查询为结核病预测提供了有效的数据来源,其预测能力与传统的时间序列模型相当。采用BMA或混合模型结合两种或两种模型均能提高预测能力,其中BMA在广东、北京、天津和上海5个地区的MAPE和RSME的预测效果均为最佳。这项研究的发现为开发准确和及时的结核病病例预测铺平了道路,这对于分配医疗资源和制定战略以在实际实践中应对未来可能的疫情非常重要。
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引用次数: 1
Improving Emergency Healthcare Response using Real-Time Collaborative Technology 利用实时协作技术改进紧急医疗响应
Ifiok J. Udo, M. Ekpenyong
Harnessing geospatial technologies (GPS, GIS, internet mapping and remote sensing) can promote collaboration of humans, environmental, and healthcare resources-for real-time decision support in emergency healthcare scenarios. Oftentimes, high death rates are recorded by emergency rescue workers due to infrastructural deficit and sparsity of ambulatory services within the patients' location. Also, acute shortage of health personnel may pose great risk to patients requiring emergency healthcare services, as limited knowledge of healthcare data can prevent proactive, just-in-time response to emergency, and dearth of appropriate healthcare policies. This study therefore proposes a geospatial recommender framework that connects patients with healthcare providers and other relevant stakeholders; to exploit and filter in context, emergency healthcare information and knowledge-for enhanced response strategy that minimizes fatalities among patients. We examine case study data within the African context and discuss infrastructural challenges, opportunities and design implications, to demonstrate the feasibility of our framework. The immediate benefit of the framework is enhanced specialty care for home-bound patients or in emergency cases where distance appears prohibitive. Our strategy will certainly scale up complex healthcare interventions to large populations, as a new paradigm for evidence-based intervention with state-of-the-art technology for optimized services is guaranteed.
利用地理空间技术(GPS、GIS、互联网地图和遥感)可以促进人类、环境和医疗保健资源之间的协作,从而在紧急医疗保健场景中提供实时决策支持。通常情况下,由于基础设施不足和病人所在地的流动服务稀少,紧急救援人员记录的死亡率很高。此外,卫生人员的严重短缺可能对需要紧急医疗保健服务的患者构成巨大风险,因为对医疗保健数据的了解有限,可能无法对紧急情况做出积极、及时的反应,而且缺乏适当的医疗保健政策。因此,本研究提出了一个地理空间推荐框架,将患者与医疗保健提供者和其他相关利益相关者联系起来;在上下文中利用和过滤紧急医疗保健信息和知识,以增强响应策略,最大限度地减少患者死亡人数。我们研究了非洲背景下的案例研究数据,并讨论了基础设施的挑战、机遇和设计影响,以证明我们的框架的可行性。该框架的直接好处是加强了对居家病人或因距离太远而无法就医的急诊病人的专科护理。我们的战略肯定会将复杂的卫生保健干预措施扩大到大量人口,因为保证了以最先进的技术为优化服务的循证干预的新范例。
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引用次数: 1
Applying Propensity Score and Support Vector Machine to Construct a Predictive Model for Heart Disease 应用倾向评分和支持向量机构建心脏病预测模型
Hsueh-Yi Lu
Exercise ECG is currently the best way for diagnosing heart disease, but it is not suitable for everyone. This study used data mining to establish a model to predict the risk of heart disease. Maximum oxygen uptake (VO2max) was used as an indicator of determine that the person was a high-risk or low-risk heart disease patient. Data of the National Health and Nutrition Examination Survey from the United States were used in this study. Due to scattered distribution of the data, which diminished the prediction performance, this study proposed a novel method to stratify data with the propensity scores. The subsets of data were trained by the support vector machine to establish the prediction model. The results of this study showed that the model had an AUC of 0.899. Our model can make a more accurate prediction to identify whether a patient has a higher risk in heart disease.
运动心电图是目前诊断心脏病最好的方法,但并不适合所有人。本研究利用数据挖掘技术建立了预测心脏病风险的模型。最大摄氧量(VO2max)被用作确定该人是高风险或低风险心脏病患者的指标。本研究采用了美国国家健康与营养检查调查的数据。由于数据分布分散,降低了预测效果,本研究提出了一种利用倾向得分对数据进行分层的新方法。利用支持向量机对数据子集进行训练,建立预测模型。本研究结果表明,该模型的AUC为0.899。我们的模型可以做出更准确的预测,以确定患者是否有更高的心脏病风险。
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引用次数: 2
Characterization of Risk Factors Associated with Extensively Multidrug-Resistant Tuberculosis in Public Health Institutions 公共卫生机构中与广泛耐多药结核病相关的危险因素特征
M. Mamani, M. Chauca, E. Huamani, Richardo Gonzales
Objective: To determine the risk factors associated with extensively multidrug-resistant tuberculosis in multidrug-resistant patients in the DIRIS Lima Sur, 2017. Type and design: The type of research was observational and analytical, retrospective case and control. The population consisted of a total of 158 patients who received treatment for MDR-TB between 2016 and 2017. The sample consisted of 24 cases diagnosed with extensively resistant pulmonary tuberculosis (XDR-TB) and 48 controls with MDR-TB. The data collection technique was the survey and the instrument was a questionnaire for both groups (case-controls). Results: 5 internal and external risk factors associated with XDR-TB were identified. Among the internal factors associated at the bivariate level were: drug consumption, having received TB/MDR-TB treatment previously, having received TB/MDR-TB treatment less than one year, having failed to the primary and individualized scheme for TB/MDR-TB (p<0.05); and the multivariate analysis confirmed the influence of the factor "having failed to the primary and individualized scheme for TB/MDR-TB". Among the most associated external factors at the multivariate level were: having relatives who died of XDR/TB-MDR and having neighbors or friends in the neighborhood who died of TB (p<0.05). Conclusion: It was concluded that the factors: "failure to the primary and individualized scheme for TB-MDR-TB" and "having relatives who died of XDR-TB-MDR-TB" are of risk associated with the presence of extensively resistant TB, controlling the effect of risk factors prevents the development of TB.
目的:确定多药耐药患者广泛耐药结核病的相关危险因素。类型和设计:研究类型为观察性和分析性,回顾性病例和对照。该人群由2016年至2017年期间接受耐多药结核病治疗的158名患者组成。样本包括24例被诊断为广泛耐药肺结核(XDR-TB)的病例和48例被诊断为耐多药肺结核的对照。数据收集技术为调查,工具为两组(病例对照)的问卷。结果:确定了5个与广泛耐药结核病相关的内部和外部危险因素。在双变量水平上相关的内部因素包括:药物消耗、以前接受过TB/MDR-TB治疗、接受TB/MDR-TB治疗不到一年、未能接受TB/MDR-TB的初级和个体化方案(p<0.05);多变量分析证实了“未能成为结核病/耐多药结核病的主要和个性化方案”这一因素的影响。在多变量水平上,最相关的外部因素是:亲属死于XDR/TB- mdr,邻居或邻居中有朋友死于TB (p<0.05)。结论:“未能接受TB- mdr -TB的初级和个体化治疗方案”和“有亲属死于XDR-TB-MDR-TB”是与广泛耐药结核病存在相关的危险因素,控制危险因素的作用可预防结核病的发展。
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引用次数: 0
Psychological Effect of the COVID 19 Pandemic on Hospital Health Personnel based on Impact Scales 基于影响量表的新冠肺炎疫情对医院医务人员心理影响
Luis E Huaman, J. Ramon, Ivonne Jara, Humberto Cancho, Flordelis C. Reyes, M. Chauca
Faced with pandemic events, health personnel on the front line of care for seriously ill patients with COVID-19 infection, turns out to be vulnerable to mental health problems. Objective: The objective of this review study is to identify the psychological effects of the Coronavirus pandemic on hospital health personnel and the different scales used to assess the psychological impact. Methodology: A systematic literature review was carried out on five search platforms such as PubMed, Elsevier, The Lancet, Google academic and Scielo. Then, apply selection criteria and methodological quality checklists, take 16 articles for data extraction and analysis. Results: All the recognized studies recognize the development of symptoms related to the mental health of the workers who are facing the care of patients with COVID-19, highlighting depression, anxiety and post traumatic stress as effects of greater impact. On the other hand, a diversity of scales used in the articles analyzed was found, the Post-Traumatic Test and the Revised Event Impact Scale standing out. Conclusion: The pandemic caused by COVID-19 is having a negative impact on the mental health of health personnel and there are a variety of validated scales to measure the psychological effect.
面对大流行事件,在COVID-19感染重症患者护理第一线的卫生人员很容易出现心理健康问题。目的:本回顾性研究的目的是确定冠状病毒大流行对医院卫生人员的心理影响,以及用于评估心理影响的不同量表。方法:对PubMed、Elsevier、The Lancet、Google academic、Scielo等5个检索平台进行系统文献综述。然后,应用选择标准和方法学质量检查表,选取16篇文章进行数据提取和分析。结果:所有已确认的研究都认识到面对COVID-19患者护理的工作人员的心理健康相关症状的发展,突出显示抑郁、焦虑和创伤后应激是影响较大的影响。另一方面,在分析的文章中,我们发现使用的量表的多样性,创伤后测试和修订的事件影响量表突出。结论:新型冠状病毒肺炎大流行对卫生人员心理健康产生了负面影响,有多种有效的量表来衡量心理影响。
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引用次数: 0
Knowledge and Attitudes of Ajman University Dentists towards the Coronavirus (COVID-19) Ajman大学牙医对冠状病毒(COVID-19)的知识和态度
Salah Afraa, Hashim Raghad, S. Shaymaa, Khalid Ayam, H. Aeshah
Background: in December, 2019 corona virus discovered in Wuhan, china as a new viral infection affect respiratory system. It is then distributed throughout the whole word causing death and sickness for huge number of people in most of the countries. This study evaluate Ajman university dental professionals' knowledge and attitudes towards corona virus and the applied strategies for its prevention and treatment. Material and methods: The study done by online questionnaire which distributed to the participants through emails. The questionnaire consists of three parts (demographic, knowledge, and attitudes) towards corona virus which was filled by 297 dentists. Data analyzed by (SPSS, 22V) to revealed study results. Results: study showed that (100%) know the main rout of virus transmission through close contact with the patient and sharing things with patients. However, there is a loss of information towards other way of virus transmission. (78%) of the participants do not know about any medication for corona virus nor a vaccination for it. (76%) they are willing to treat patients with corona however they prefer to do it in hospitals or specialized centers. (95%) of the participants ask for more precautions and preventive measures for dental treatment of corona virus patients. The majority of dental professionals had anxiety towards dental treatment of corona virus. Conclusions: study findings revealed that dental professionals showed good knowledge towards virus transmission, however there are missing information of other ways of transmission. This finding indicates that providing information strategies by health institutions should be updated to enhance information needed for the medical staff. Study showed that infection control should be applied in all dental clinics and high quality of dental materials and instruments for preventive measures should be provided. To avoid dental staff anxiety towards dental treatment of corona virus patients' high standard staff preparation should be provided during dental treatment.
背景:2019年12月在中国武汉发现冠状病毒,是一种影响呼吸系统的新型病毒感染。然后,它分布在整个世界,在大多数国家造成大量的人死亡和生病。本研究评估了阿吉曼大学牙科专业人员对冠状病毒的知识和态度以及预防和治疗冠状病毒的应用策略。材料和方法:本研究采用在线调查问卷的形式,通过电子邮件的形式发给参与者。问卷由人口统计、知识和态度三部分组成,共有297名牙医填写。数据分析(SPSS, 22V)揭示研究结果。结果:研究表明(100%)通过与患者密切接触和与患者分享物品了解病毒传播的主要途径。然而,关于其他病毒传播方式的信息丢失了。(78%)的参与者不知道任何治疗冠状病毒的药物,也不知道接种疫苗。(76%)他们愿意治疗冠状病毒患者,但他们更喜欢在医院或专业中心进行治疗。(95%)的受访者要求对冠状病毒患者的牙科治疗采取更多注意事项和预防措施。大多数牙科专业人员对冠状病毒的牙科治疗感到焦虑。结论:研究结果显示,牙科专业人员对病毒传播有较好的了解,但对其他传播途径的信息缺乏。这一发现表明,卫生机构应更新提供信息的战略,以加强医务人员所需的信息。研究表明,所有牙科诊所都应实施感染控制,并应提供高质量的牙科材料和预防措施。为避免牙科人员对冠状病毒患者的牙科治疗产生焦虑,应在牙科治疗过程中提供高标准的人员准备。
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引用次数: 1
Cross-domain Design of Blockchain Smart Contract for Library and Healthcare Privacy 面向图书馆和医疗隐私的区块链智能合约的跨域设计
Y. Kuo, J. Shieh
The blockchain technology designed by information security experts empowers in library service and healthcare service via smart contracts. Advanced blockchain technology provides a mechanism for smart contracts. Through intelligent threshold design and the open and tamper-proof nature of the blockchain, smart contracts have become a new generation of information security technology. In the next-generation library services, traditional borrowing materials from the library have evolved into a limited-time sharing service for electronic materials. These electronic materials have various loan periods and sharing time-varying by different borrower privileges. This study designs a patron-centric account's smart contract to disseminate library information more effectively and collect accurate library data. The smart contract automatically triggers the loan period and extends this mechanism to designing a personal health privacy sharing protocol for improving the one-time authorization sharing mechanism. As a result, this study may provide blockchain smart contract designs shared by library information and healthcare through cross-domain consideration and scheme.
由信息安全专家设计的区块链技术通过智能合约为图书馆服务和医疗保健服务赋能。先进的区块链技术为智能合约提供了一种机制。通过智能阈值设计和区块链的开放性和防篡改性,智能合约已经成为新一代信息安全技术。在新一代图书馆服务中,传统的图书馆借阅资料已演变为电子资料的限时共享服务。这些电子资料有不同的借阅期限和共享时间,因借阅者的特权不同而不同。为了更有效地传播图书馆信息,收集准确的图书馆数据,本研究设计了一个以读者为中心的智能合约。智能合约自动触发贷款期限,并将此机制扩展到设计个人健康隐私共享协议,完善一次性授权共享机制。因此,本研究可以通过跨域考虑和方案提供图书馆信息和医疗保健共享的区块链智能合约设计。
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引用次数: 4
Dengue Spread Information System (DSIS) 登革热传播信息系统(DSIS)
Karan Bhanot, Dominic Schroeder, Isaac Llewellyn, Nicholas Luczak, Thilanka Munasinghe
Mosquitoes are responsible for transfer of many vector-borne diseases including Malaria, Zika and Dengue. These amount to 17% of the total infectious diseases across the globe, leading to a death toll approximately 700,000 annually. Dengue is a preventable viral infection transmitted by Aedes mosquitoes. However, over the past 50 years, the number of dengue cases has increased by a whopping 30-fold. Every year an approximately 500,000 people are admitted with severe dengue, with an estimated 40,000 deaths. In several countries in south American continent and Asia, dengue is one of the leading causes of death. It is mainly found in tropical and sub-tropical regions, particularly surrounding urban and semi-urban areas. Historically, there has been an intensive increase in the number of dengue cases from 2000-2010 and, if adequately explored, essential information can be retrieved. Our work involves the development of the Dengue Spread Information System (DSIS), a geographic-health information system designed to highlight the spread of dengue cases in Iquitos, Peru, and San Juan, Puerto Rico from 1990 to 2013. The application is aimed at citizens, travelers, policymakers and researchers to analyze and interpret the change in risk factors leading to dengue outbreaks and develop essential early warning applications and policies to counter future dengue outbreaks.
蚊子是许多病媒传播疾病的传播媒介,包括疟疾、寨卡病毒和登革热。这些疾病占全球传染病总数的17%,每年导致约70万人死亡。登革热是一种可预防的病毒感染,由伊蚊传播。然而,在过去的50年里,登革热病例的数量增加了惊人的30倍。每年约有50万人因严重登革热入院,估计有4万人死亡。在南美洲大陆和亚洲的一些国家,登革热是主要死亡原因之一。它主要分布在热带和亚热带地区,特别是城市和半城市地区的周围。从历史上看,2000-2010年期间登革热病例数量急剧增加,如果进行充分探索,可以检索到基本信息。我们的工作包括开发登革热传播信息系统(DSIS),这是一个地理卫生信息系统,旨在突出1990年至2013年秘鲁伊基托斯和波多黎各圣胡安登革热病例的传播情况。该应用程序旨在使公民、旅行者、政策制定者和研究人员分析和解释导致登革热暴发的风险因素的变化,并制定必要的预警应用程序和政策,以应对未来的登革热暴发。
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引用次数: 1
Disease Predictive Modeling for Healthcare Management System 面向医疗管理系统的疾病预测建模
Khulood Nakhat, Fatima Khalique, S. Khan
This study attempts to perform predictive analytics for decision makers in healthcare management systems using surveillance data from multiple sources for formulating intervention programs based on the results. With the availability of big data in health from multiple sources including electronic health records, it is possible to integrate data and perform near real-time predictive analysis for incoming streams of disease incidences. We use a temporal predictive Auto-Regressive Integrated Moving Averaging model (ARIMA) in combination with a minimum size moving window to forecast the disease incidences over a data collection and integration framework. We applied our model for predictive analysis of Hepatitis C incidences in Vehari District of Punjab province in Pakistan. Model performance is evaluated based on Mean Absolute Error (MAE) and Root Mean Square Error (RMSE). The model is capable of finding trends of any disease to aid timely decision making in the healthcare management context.
本研究试图使用来自多个来源的监测数据,为医疗管理系统的决策者制定基于结果的干预方案进行预测分析。随着来自包括电子健康记录在内的多个来源的健康大数据的可用性,有可能整合数据并对传入的疾病发病率流进行近乎实时的预测分析。我们使用时间预测自回归综合移动平均模型(ARIMA)结合最小尺寸移动窗口来预测数据收集和集成框架上的疾病发病率。我们将我们的模型应用于巴基斯坦旁遮普省Vehari地区丙型肝炎发病率的预测分析。模型性能评估基于平均绝对误差(MAE)和均方根误差(RMSE)。该模型能够发现任何疾病的趋势,以帮助在医疗保健管理上下文中及时做出决策。
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引用次数: 0
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Proceedings of the 4th International Conference on Medical and Health Informatics
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