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e-Health Services to Support the Perinatal Decision-making Process: An Analysis of Digital Solutions to Create Birth Plans 支持围产期决策过程的电子保健服务:创建生育计划的数字解决方案分析
Carla V. Leite, A. Almeida
This research aims to provide an overview of the existent digital solutions for birth plans’ creation, intending to contribute for the advance of e-health services focused on the perinatal decision-making process. Primary data was found through a web search procedure. Better ranked options complying with the following criteria were included: (a) available online and for free; (b) pregnant people as the target audience; (c) labor and/or birth plan creation features; (d) in English. Four online services were found, and a two part study was conducted: a) a non-exhaustive benchmarking-like analysis of webpages where the digital solutions to create birth plans were provided, according to six dimensions; b) followed by a content analysis of the digital solutions, resulting in 13 categories emerging, that were scored according to their occurrence and completeness. “Consent and Information” category had the lowest score, what is considered critical for the full purpose of a birth plan creation; while, “Freedom”, “Ambience and Equipment”, “People”, “Type of birth” and “Pain management” categories achieved the highest scores. Two solutions were considered particularly incomplete. Results show three solutions based on checklists, and one on visual icons. All solutions were based on a delivery approach, not including interactive or audiovisual components.
本研究旨在概述现有的生育计划创建数字解决方案,旨在促进以围产期决策过程为重点的电子卫生服务的发展。原始数据是通过网络搜索程序找到的。包括符合以下标准的排名更好的选项:(a)在线免费提供;(b)孕妇为目标受众;(c)分娩和/或生育计划创建功能;(d)英文。发现了四种在线服务,并进行了两部分的研究:a)对网页进行了非详尽的基准分析,根据六个维度提供了创建生育计划的数字解决方案;B)接着是对数字解决方案的内容分析,结果出现了13个类别,根据它们的出现和完整性进行评分。“同意和信息”类别得分最低,这一类别被认为对制定生育计划的全部目的至关重要;而“自由”、“环境和设备”、“人员”、“出生类型”和“疼痛管理”类别得分最高。有两种解决方案被认为特别不完整。结果显示了三种基于清单的解决方案和一种基于视觉图标的解决方案。所有解决方案都基于一种交付方法,不包括交互式或视听组件。
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引用次数: 0
Towards an IoHT Platform to Monitor QoL Indicators 建立监测生活质量指标的物联网平台
Pedro Almir Oliveira, R. Andrade, Pedro de A. Santos Neto, B. Oliveira
The Quality of Life has been studied for a long time, and the World Health Organization defines it as the individual perception about life regarding four major domains: physical, psychological, social, and environmental. The relevance to study QoL lies in the search for strategies able to measure a patient’s well-being. Without these strategies, treatments, and technological solutions that aim to improve people’s QoL would be restricted to physicians’ implicit and subjective perceptions. Thus, there are many instruments for formal QoL assessment (usually questionnaires). However, the use of these instruments is time-consuming, non-transparent, and error-prone. Considering this problem, in this work, we discuss the proposal to use the Internet of Health Things (IoHT) to collect data from smart environments and apply machine learning techniques to infer QoL measures. To achieve this goal, we designed an IoHT platform inspired by the MAPE-K loop. Our literature review has shown that this idea is promising and that there are many open challenges to be addressed.
生活质量已经被研究了很长时间,世界卫生组织将其定义为个人对生活的四个主要领域的感知:身体,心理,社会和环境。研究生活质量的相关性在于寻找能够衡量患者福祉的策略。如果没有这些策略,旨在改善人们生活质量的治疗和技术解决方案将局限于医生的隐性和主观感知。因此,有许多工具用于正式的生活质量评估(通常是问卷调查)。然而,这些工具的使用耗时、不透明且容易出错。考虑到这一问题,在本工作中,我们讨论了使用健康物联网(IoHT)从智能环境中收集数据并应用机器学习技术推断生活质量指标的建议。为了实现这一目标,我们设计了一个受MAPE-K循环启发的IoHT平台。我们的文献综述表明,这个想法是有希望的,有许多公开的挑战需要解决。
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引用次数: 2
A Systematic Map of Interpretability in Medicine 医学可解释性的系统地图
Hajar Hakkoum, Ibtissam Abnane, A. Idri
Machine learning (ML) has been rapidly growing, mainly owing to the availability of historical datasets and advanced computational power. This growth is still facing a set of challenges, such as the interpretability of ML models. In particular, in the medical field, interpretability is a real bottleneck to the use of ML by physicians. This review was carried out according to the well-known systematic map process to analyse the literature on interpretability techniques when applied in the medical field with regard to different aspects. A total of 179 articles (1994-2020) were selected from six digital libraries. The results showed that the number of studies dealing with interpretability increased over the years with a dominance of solution proposals and experiment-based empirical type. Additionally, artificial neural networks were the most widely used ML black-box techniques investigated for interpretability.
机器学习(ML)一直在迅速发展,主要是由于历史数据集的可用性和先进的计算能力。这种增长仍然面临着一系列挑战,比如ML模型的可解释性。特别是在医学领域,可解释性是医生使用机器学习的真正瓶颈。这篇综述是根据众所周知的系统地图过程进行的,从不同方面分析可解释性技术在医学领域的应用。从6个数字图书馆共选取179篇文献(1994-2020)。研究结果表明,近年来,处理可解释性的研究数量有所增加,但以解决方案和基于实验的实证类型为主。此外,人工神经网络是研究可解释性的最广泛使用的ML黑盒技术。
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引用次数: 1
Mmsd: A Multi-modal Dataset for Real-time, Continuous Stress Detection from Physiological Signals 基于生理信号的实时连续应力检测的多模态数据集
M. Benchekroun, D. Istrate, V. Zalc, D. Lenne
Although chronic stress is proven to be very harmful to physical and mental well being, its diagnosis is punctual and nontrivial, which calls for reliable, continuous and automated stress monitoring systems that do not yet exist. Wireless biosensors offer opportunities to remotely detect and monitor mental stress levels, enabling improved diagnosis and early treatment. There are different algorithms and methods for wearable stress detection, however, only a few standard and publicly available datasets exist today. In this paper, we introduce a multi-modal high-quality stress detection dataset with details of the experimental protocol. The dataset includes physiological, behavioural and motion data from 74 subjects during a lab study. Different modalities such as electrocardiograms (ECG), photoplethysmograms (PPG), electrodermal activity (EDA), electromyograms (EMG) as well as three axis gyroscope and accelerometer data were recorded. In addition, protocol validation was achieved using both subject’s self-reports and cortisol levels which is considered as gold standard for stress detection.
虽然慢性压力被证明对身心健康非常有害,但它的诊断是及时而重要的,这需要可靠、连续和自动化的压力监测系统,而这种系统目前还不存在。无线生物传感器提供了远程检测和监测精神压力水平的机会,从而改善了诊断和早期治疗。可穿戴式应力检测有不同的算法和方法,然而,目前只有少数标准和公开可用的数据集。在本文中,我们介绍了一个多模态高质量的应力检测数据集,并详细介绍了实验方案。该数据集包括74名实验对象在实验室研究期间的生理、行为和运动数据。记录不同模式的心电图(ECG)、光电容积图(PPG)、皮电活动(EDA)、肌电图(EMG)以及三轴陀螺仪和加速度计数据。此外,使用受试者的自我报告和皮质醇水平(被认为是压力检测的金标准)来实现方案验证。
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引用次数: 5
A Novel Atomic Annotator for Quality Assurance of Biomedical Ontologies 一种用于生物医学本体质量保证的原子注释器
Rashmi Burse, M. Bertolotto, G. Mcardle
: Existing lexical auditing techniques for Quality Assurance (QA) of biomedical ontologies exclusively consider lexical patterns of concept names and do not take semantic domains associated with the tokens constituting those patterns into consideration. For many similar lexical patterns the corresponding semantic domains may not be similar. Therefore, not considering the semantic aspect of similar lexical patterns can lead to poor QA of biomedical ontologies. Semantic domain association can be accomplished by using a Biomedical Named Entity Recognition (Bio-NER) system. However, the existing Bio-NER systems are developed with the goal of extracting information from natural language text, like discharge summaries, and as a result do not annotate individual tokens of a clinical concept. Annotating individual tokens of a clinical concept with their semantic domains is important from a QA perspective, since these annotations can be leveraged to gain insight into the type of attributes that should be associated with the concept. In this paper we present an annotator that atomically annotates the tokens of a clinical concept by crafting atomic dictionaries from the sub-hierarchies of Systematized Nomenclature of Medicine (SNOMED). Semantic analysis of lexically similar concepts by atomically annotating semantic domains to the tokens will ensure improved QA of biomedical ontologies.
生物医学本体质量保证(QA)的现有词法审计技术专门考虑概念名称的词法模式,而不考虑与构成这些模式的令牌相关的语义域。对于许多相似的词汇模式,对应的语义域可能并不相似。因此,不考虑相似词汇模式的语义方面可能导致生物医学本体的质量保证不佳。语义域关联可以通过生物医学命名实体识别(Bio-NER)系统来实现。然而,现有的Bio-NER系统是为了从自然语言文本中提取信息而开发的,比如出院摘要,因此不能注释临床概念的单个标记。从QA的角度来看,用语义域注释临床概念的单个标记是很重要的,因为可以利用这些注释来深入了解应该与概念相关联的属性类型。在本文中,我们提出了一个注释器,它通过从医学系统化命名法(SNOMED)的子层次中制作原子字典来原子地注释临床概念的标记。通过自动标注语义域到标记,对词法相似的概念进行语义分析,可以提高生物医学本体的质量保证。
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引用次数: 1
Forecasting Thresholds Alarms in Medical Patient Monitors using Time Series Models 使用时间序列模型预测病人监护仪中的阈值警报
Jonas Chromik, Bjarne Pfitzner, Nina Ihde, Marius Michaelis, D. Schmidt, S. Klopfenstein, A. Poncette, F. Balzer, B. Arnrich
: Too many alarms are a persistent problem in today’s intensive care medicine leading to alarm desensitisation and alarm fatigue. This puts patients and staff at risk. We propose a forecasting strategy for threshold alarms in patient monitors in order to replace alarms that are actionable right now with scheduled tasks in an attempt to remove the urgency from the situation. Therefore, we employ both statistical and machine learning models for time series forecasting and apply these models to vital parameter data such as blood pressure, heart rate, and oxygen saturation. The results are promising, although impaired by low and non-constant sampling frequencies of the time series data in use. The combination of a GRU model with medium-resampled data shows the best performance for most types of alarms. However, higher time resolution and constant sampling frequencies are needed in order to meaningfully evaluate our approach.
在当今的重症监护医学中,过多的警报是一个持续存在的问题,导致警报脱敏和警报疲劳。这使患者和工作人员处于危险之中。我们提出了一种患者监护仪阈值警报的预测策略,以便用计划任务取代现在可操作的警报,以试图从情况中消除紧迫性。因此,我们采用统计和机器学习模型进行时间序列预测,并将这些模型应用于血压、心率和血氧饱和度等重要参数数据。结果是有希望的,尽管受到使用的时间序列数据的低和非恒定采样频率的影响。GRU模型与中等重采样数据的组合对大多数类型的警报显示出最佳性能。然而,为了有意义地评估我们的方法,需要更高的时间分辨率和恒定的采样频率。
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引用次数: 0
Emergency Health Protocols Supporting Health Data Exchange, Cloud Storage, and Indexing 支持健康数据交换、云存储和索引的紧急健康协议
K. Koutsoukos, Chrysostomos Symvoulidis, Athanasios Kiourtis, Argyro Mavrogiorgou, Stella Dimopoulou, D. Kyriazis
: The health industry has evolved significantly through the last years by adapting to the new technologies and exploiting them in order to upgrade the services that provides to the people. In this context, a lot of effort has been focused on converting medical documents to electronic health records and storing them online. However, taking into consideration the current innovations, it is doubtless that there are many limitations when these proposals are applied in a real-life scenario. For this reason, this paper proposes a system that combines electronic data storage and health record exchange between individuals and authenticated medical staff in a secure way. The specific recommendation is being evaluated through the corresponding applications and protocols that are developed and finally, the results exhibit the solutions over existing gaps.
在过去几年中,卫生产业通过适应新技术并利用这些技术来提高向人民提供的服务,取得了重大进展。在这方面,大量工作集中在将医疗文件转换为电子健康记录并将其在线存储上。然而,考虑到目前的创新,毫无疑问,当这些建议应用于现实生活场景时,存在许多局限性。为此,本文提出了一种将个人与经认证的医务人员之间的电子数据存储和健康记录交换安全结合起来的系统。正在通过开发的相应应用程序和协议对具体建议进行评估,最后,结果显示了解决现有差距的办法。
{"title":"Emergency Health Protocols Supporting Health Data Exchange, Cloud Storage, and Indexing","authors":"K. Koutsoukos, Chrysostomos Symvoulidis, Athanasios Kiourtis, Argyro Mavrogiorgou, Stella Dimopoulou, D. Kyriazis","doi":"10.5220/0010878900003123","DOIUrl":"https://doi.org/10.5220/0010878900003123","url":null,"abstract":": The health industry has evolved significantly through the last years by adapting to the new technologies and exploiting them in order to upgrade the services that provides to the people. In this context, a lot of effort has been focused on converting medical documents to electronic health records and storing them online. However, taking into consideration the current innovations, it is doubtless that there are many limitations when these proposals are applied in a real-life scenario. For this reason, this paper proposes a system that combines electronic data storage and health record exchange between individuals and authenticated medical staff in a secure way. The specific recommendation is being evaluated through the corresponding applications and protocols that are developed and finally, the results exhibit the solutions over existing gaps.","PeriodicalId":20676,"journal":{"name":"Proceedings of the International Conference on Health Informatics and Medical Application Technology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73266588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Vocabulary Modifications for Domain-adaptive Pretraining of Clinical Language Models 临床语言模型领域自适应预训练的词汇修饰
Anastasios Lamproudis, Aron Henriksson, H. Dalianis
: Research has shown that using generic language models – specifically, BERT models – in specialized domains may be sub-optimal due to domain differences in language use and vocabulary. There are several techniques for developing domain-specific language models that leverage the use of existing generic language models, including continued and domain-adaptive pretraining with in-domain data. Here, we investigate a strategy based on using a domain-specific vocabulary, while leveraging a generic language model for initialization. The results demonstrate that domain-adaptive pretraining, in combination with a domain-specific vocabulary – as opposed to a general-domain vocabulary – yields improvements on two downstream clinical NLP tasks for Swedish. The results highlight the value of domain-adaptive pretraining when developing specialized language models and indicate that it is beneficial to adapt the vocabulary of the language model to the target domain prior to continued, domain-adaptive pretraining of a generic language model.
研究表明,由于语言使用和词汇的领域差异,在特定领域使用通用语言模型(特别是BERT模型)可能不是最优的。有几种技术可用于开发利用现有通用语言模型的领域特定语言模型,包括使用领域内数据的持续和领域自适应预训练。在这里,我们研究一种基于使用特定于领域的词汇表的策略,同时利用通用语言模型进行初始化。结果表明,领域自适应预训练与特定领域词汇(而不是通用领域词汇)相结合,可以改善瑞典语的两个下游临床NLP任务。研究结果强调了领域自适应预训练在开发专门语言模型时的价值,并表明在继续进行通用语言模型的领域自适应预训练之前,将语言模型的词汇适应目标领域是有益的。
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引用次数: 4
Machine-learning-driven Wearable Healthcare for Dementia: A Review of Emerging Technologies and Challenges 机器学习驱动的可穿戴痴呆症医疗保健:新兴技术和挑战的回顾
A. Sashima
: As personal mobile devices, such as smartphones and smartwatches, are increasingly commoditized, it has become easier to measure individual physiological and physical states and record them continuously. Applying machine learning techniques to the data, we can detect early signs of diseases in older people, such as dementia, and predict probabilities of future disorders. This review paper describes the machine learning technologies in realizing wearable healthcare for older people. First, we survey the literature on machine-learning-driven wearable technologies for the early detection of dementia. Second, we discuss issues of the datasets for constructing ML models. Third, we describe the need for a service framework to collect longitudinal data through continuous monitoring of the user’s health status. Finally, we discuss the socially acceptable implementation of the service framework.
随着智能手机和智能手表等个人移动设备的日益商品化,测量个人生理和身体状态并持续记录变得更加容易。将机器学习技术应用于数据,我们可以检测老年人疾病的早期迹象,如痴呆症,并预测未来疾病的可能性。本文综述了机器学习技术在实现老年人可穿戴医疗保健中的应用。首先,我们调查了机器学习驱动的可穿戴技术用于早期检测痴呆症的文献。其次,我们讨论了用于构建ML模型的数据集问题。第三,我们描述了通过持续监测用户健康状况来收集纵向数据的服务框架的需求。最后,我们讨论服务框架的社会可接受的实现。
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引用次数: 0
Risk-based Comprehensive Usability Evaluation of Software as a Medical Device 基于风险的医疗器械软件可用性综合评价
Noemi Stuppia, Federico Sternini, Federica Miola, G. Picci, Claudia Boarini, F. Cabitza, Alice Ravizza
Introduction: Usability evaluation is a core aspect in risk assessment of medical devices, as it aims to ensure the device interface safety, avoiding that usability problems at interface level are not related to harm. Methods: Our research group applied our risk-based approach, international reference standards and guidelines to the usability evaluation of a large family of SaMD. The methodology used for the evaluation is an elaboration of regulatory prescriptions and is composed of a combination of quantitative and qualitative methods. In particular, the usability evaluation is structured in a two-stage evaluation composed by formative and summative evaluation. The formative stage is propaedeutic for the planning of the summative evaluation. The final assessment included the analysis of quantitative data collected through three questionnaires and a
简介:可用性评估是医疗器械风险评估的一个核心方面,其目的是确保器械的接口安全,避免接口层面的可用性问题与危害无关。方法:我们的研究小组将我们基于风险的方法、国际参考标准和指南应用于一个大型SaMD家族的可用性评估。用于评估的方法是对监管规定的详细阐述,由定量和定性方法相结合组成。其中,可用性评估分为形成性评估和总结性评估两阶段。形成阶段为总结性评价的策划做准备。最后的评估包括对通过三份问卷和一份问卷收集的定量数据进行分析
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引用次数: 0
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Proceedings of the International Conference on Health Informatics and Medical Application Technology
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