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A Study of Individual Human Mobility Patterns Related to Malaria Transmission Along the Thai-Myanmar Border 与泰缅边境疟疾传播相关的个体人类流动模式研究
Chaitawat Sa-ngamuang, P. Haddawy, S. Lawpoolsri, T. Barkowsky, Patiwat Sa-angchai
Malaria elimination remains a major challenge worldwide largely because human mobility can result in importing cases from areas of high incidence to areas of low incidence. Thus, understanding the role of human mobility in malaria transmission is essential. In this study, we collect mobility data from 88 participants over ten months using a smartphone application. Our study area is in northern Thailand along the border with Myanmar, from which malaria may be imported. We analyze amount of time spent in Thailand/Myanmar in areas of various land cover types, spatial distribution of movement, and network patterns of movement. We find significant differences between villages in amounts of time spent in forest areas and in Myanmar, with most travel to Myanmar occurring from two villages. We find significantly higher spatial distribution of movement in the dry season than the wet season. Our results provide important insight to help target surveillance and intervention.
消除疟疾仍然是世界范围内的一项重大挑战,主要是因为人员流动可能导致病例从高发地区传入低发地区。因此,了解人类流动在疟疾传播中的作用至关重要。在这项研究中,我们收集了88名参与者在10个月内使用智能手机应用程序的移动数据。我们的研究区域位于泰国北部与缅甸接壤的边境,疟疾可能从那里输入。我们分析了在泰国/缅甸不同土地覆盖类型的地区花费的时间,运动的空间分布和运动的网络模式。我们发现,在森林地区和缅甸度过的时间在村庄之间存在显著差异,大多数前往缅甸的旅行都发生在两个村庄。我们发现旱季运动的空间分布明显高于雨季。我们的研究结果为帮助有针对性的监测和干预提供了重要的见解。
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引用次数: 1
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
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
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
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
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
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
A Spatio-GraphNet Model for Real-time Contact Tracing of CoVID-19 Infection in Resource Limited Settings 资源有限条件下新型冠状病毒感染实时接触者追踪的空间- graphnet模型
M. Ekpenyong, Ifiok J. Udo, F. Uzoka, K. Attai
Placing contact tracing tool in the hands of all is certain to enhance contact identification-as individuals can perform self-tests to discover in real-time, frequently associated contacts, ultimately instilling caution and adherence to recommended local and international guidelines. It can also assist epidemiologists and policymakers to formulate appropriate policies as well as proffer cost-effective solution for containing disease outbreaks. A Spatio-GraphNet model for real-time contact tracing of CoVID-19 infection is proposed in this paper for real-time crowd source of contacts-using a WiFi-like soft-robot enabled on mobile phones. Once enabled, useful contact tracing parameters can be captured and stored. Using knowledge of Graph Theory, production traces of stored contacts are filtered for efficient contact tracing, practical disease surveillance and prompt medical/healthcare intervention. Simulation results reveal the contact tracing dashboard with appropriate parameters thresholds, application and evaluation of various statistical kernels as well as practical implications of the study.
将接触者追踪工具置于所有人手中,肯定会加强接触者识别,因为个人可以进行自我检测,实时发现经常相关的接触者,最终灌输谨慎和遵守推荐的地方和国际指导方针。它还可以协助流行病学家和决策者制定适当的政策,并为控制疾病暴发提供具有成本效益的解决方案。本文提出了一种用于CoVID-19感染实时接触者追踪的Spatio-GraphNet模型,该模型使用在手机上启用的类wifi软机器人,用于实时接触者来源。一旦启用,就可以捕获和存储有用的接触追踪参数。利用图论知识,对存储接触者的生产痕迹进行过滤,以实现有效的接触者追踪、实际疾病监测和及时的医疗/保健干预。仿真结果揭示了具有合适参数阈值的接触者追踪仪表板、各种统计核的应用和评价以及研究的实际意义。
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引用次数: 5
Communication Tool for Disabled People Based on Surface Electromyography 基于表面肌电图的残疾人交流工具
Z. Koudelková, R. Jašek, Martina Zabcikova
Surface electromyography is a non-invasive method, which can be used not only for measuring and detecting abnormalities in the human body but also to create biofeedback in rehabilitation. This biofeedback can connect rehabilitation and computer science. Our research is aimed to create biofeedback using surface electromyography, which can help communication for disabled people. For this purpose, we created a simple communication tool, which is based on surface electromyography. Our proposed biofeedback is designed by Arduino Uno with the SpikerShield board, which is responsible for acquiring EMG signals. The software part of our biofeedback is formed in Arduino IDE and the graphical interface was composed in programming language C#. Our proposed communication tool is based on the intensity of muscle activity recorded from the muscle of interest.
表面肌电图是一种非侵入性的方法,不仅可以用于测量和检测人体的异常,而且可以在康复中产生生物反馈。这种生物反馈可以将康复和计算机科学联系起来。我们的研究旨在利用表面肌电图创造生物反馈,这可以帮助残疾人交流。为此,我们创建了一个简单的交流工具,它基于表面肌电图。我们提出的生物反馈是由Arduino Uno与SpikerShield板设计的,SpikerShield板负责获取肌电信号。我们的生物反馈软件部分是在Arduino IDE中形成的,图形界面是用c#编程语言编写的。我们提出的交流工具是基于从感兴趣的肌肉记录的肌肉活动强度。
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引用次数: 1
期刊
Proceedings of the 4th International Conference on Medical and Health Informatics
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