Pub Date : 2010-02-10DOI: 10.1109/eTELEMED.2010.19
C. O. Rolim, F. Koch, Carlos Becker Westphall, Jorge Werner, A. Fracalossi, Giovanni Schmitt Salvador
Existing processes for patients' vital data collection require a great deal of labor work to collect, input and analyze the information. These processes are usually slow and error-prone, introducing a latency that prevents real-time data accessibility. This scenario restrains the clinical diagnostics and monitoring capabilities. We propose a solution to automate this process by using “sensors” attached to existing medical equipments that are inter-connected to exchange service. The proposal is based on the concepts of utility computing and wireless sensor networks. The information becomes available in the “cloud” from where it can be processed by expert systems and/or distributed to medical staff. The proof-of-concept design applies commodity computing integrated to legacy medical devices, ensuring cost-effectiveness and simple integration.
{"title":"A Cloud Computing Solution for Patient's Data Collection in Health Care Institutions","authors":"C. O. Rolim, F. Koch, Carlos Becker Westphall, Jorge Werner, A. Fracalossi, Giovanni Schmitt Salvador","doi":"10.1109/eTELEMED.2010.19","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.19","url":null,"abstract":"Existing processes for patients' vital data collection require a great deal of labor work to collect, input and analyze the information. These processes are usually slow and error-prone, introducing a latency that prevents real-time data accessibility. This scenario restrains the clinical diagnostics and monitoring capabilities. We propose a solution to automate this process by using “sensors” attached to existing medical equipments that are inter-connected to exchange service. The proposal is based on the concepts of utility computing and wireless sensor networks. The information becomes available in the “cloud” from where it can be processed by expert systems and/or distributed to medical staff. The proof-of-concept design applies commodity computing integrated to legacy medical devices, ensuring cost-effectiveness and simple integration.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121834704","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}
Pub Date : 2010-02-10DOI: 10.1109/eTELEMED.2010.31
F. Verhoeven, J. V. Gemert-Pijnen, R. Hendrix
This paper describes the user-centered design process of online patient education, focusing on Methicillin-resistant Staphylococcus aureus (MRSA). A user-centered design approach comprising four different methods (semi-structured interviews; Card Sort Task; prototyping; scenario testing) was used to develop an educational website. The approach provided insight in MRSA-carriers’ experiences and information needs which helped to fully adapt the website’s content, structure, and lay-out to the users’ needs. The website enabled MRSA-carriers to efficiently and effectively search for practically relevant information in order to empower them to take decisions for daily practice. Moreover, we found that involving patients is important to create ownership and to foster website’s applicability.Keywords; patient education; infectious diseases; user-
{"title":"User-Centered Development of Effective Web-Based Patient Education: A Case Study about Methicillin-Resistant Staphylococcus aureus","authors":"F. Verhoeven, J. V. Gemert-Pijnen, R. Hendrix","doi":"10.1109/eTELEMED.2010.31","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.31","url":null,"abstract":"This paper describes the user-centered design process of online patient education, focusing on Methicillin-resistant Staphylococcus aureus (MRSA). A user-centered design approach comprising four different methods (semi-structured interviews; Card Sort Task; prototyping; scenario testing) was used to develop an educational website. The approach provided insight in MRSA-carriers’ experiences and information needs which helped to fully adapt the website’s content, structure, and lay-out to the users’ needs. The website enabled MRSA-carriers to efficiently and effectively search for practically relevant information in order to empower them to take decisions for daily practice. Moreover, we found that involving patients is important to create ownership and to foster website’s applicability.Keywords; patient education; infectious diseases; user-","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130587934","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}
Pub Date : 2010-02-10DOI: 10.1109/eTELEMED.2010.13
C. Mazurek, M. Stroinski
The progress in solving grand challenges in eHealth is not as dynamic as the development of advanced Information and Communication Technologies (ICT). Despite many accomplished achievements in research, systems and solutions available on the market are not comprehensive. There are two main reasons for this: the progress in overcoming existing barriers is insufficient and we will face a social revolution corresponding to the expected development of Future Internet and the transformation into ubiquitous society. The paper presents a possible solution for this situation and is relevant for two important topics: telemedicine/eHealth services and integration between classical medicine and eHealth. We introduce the concept of innovative ICT platform for eHealth services which arose within an advanced Polish eInfrastructure. Accordingly, the paper is focused on well characterized components of this infrastructure, which are already used by different eHealth projects and activities. The set of components include PIONIER Optical Network, GRID computing infrastructure, virtual laboratories, video content distribution system, digital libraries and high definition videoconferencing. These components allow to create an integrated eHealth living laboratory platform which lets users to participate in a new model of interaction where doctors, nurses, patients interact with virtual space and at the same time they use real facilities available in hospitals, which are to be parts of the lab infrastructure. The pilot realization of this concept has begun to enable applications for disease research and treatment organization, virtual laboratory for medical imaging, clinical decision support system, medical teleeducation and teleconsultations. This is the way we propose to break down technical and social barriers and possibly accelerate solving grand challenges in medicine.
{"title":"Innovative ICT Platform for Emerging eHealth Services: Towards Overcoming Technical and Social Barriers and Solving Grand Challenges in Medicine","authors":"C. Mazurek, M. Stroinski","doi":"10.1109/eTELEMED.2010.13","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.13","url":null,"abstract":"The progress in solving grand challenges in eHealth is not as dynamic as the development of advanced Information and Communication Technologies (ICT). Despite many accomplished achievements in research, systems and solutions available on the market are not comprehensive. There are two main reasons for this: the progress in overcoming existing barriers is insufficient and we will face a social revolution corresponding to the expected development of Future Internet and the transformation into ubiquitous society. The paper presents a possible solution for this situation and is relevant for two important topics: telemedicine/eHealth services and integration between classical medicine and eHealth. We introduce the concept of innovative ICT platform for eHealth services which arose within an advanced Polish eInfrastructure. Accordingly, the paper is focused on well characterized components of this infrastructure, which are already used by different eHealth projects and activities. The set of components include PIONIER Optical Network, GRID computing infrastructure, virtual laboratories, video content distribution system, digital libraries and high definition videoconferencing. These components allow to create an integrated eHealth living laboratory platform which lets users to participate in a new model of interaction where doctors, nurses, patients interact with virtual space and at the same time they use real facilities available in hospitals, which are to be parts of the lab infrastructure. The pilot realization of this concept has begun to enable applications for disease research and treatment organization, virtual laboratory for medical imaging, clinical decision support system, medical teleeducation and teleconsultations. This is the way we propose to break down technical and social barriers and possibly accelerate solving grand challenges in medicine.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"23 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116645286","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}
Pub Date : 2010-02-10DOI: 10.1109/eTELEMED.2010.26
D. Vega, I. Schieferdecker, G. Din
One of the challenges of evolving Healthcare Information Systems used in healthcare domain is their interoperability. Interoperability not only permits healthcare institutes to take advantage of using heterogeneous solutions from different vendors but it also offers the basis for creating a larger range of services at the edge of medicine/healthcare and information technology. New services can be created in a consistent way based on common approaches of structuring and representing healthcare data. This paper presents a test framework for testing interoperability of eHealth systems. As a major result, the test framework is designed for test automation and extendability with respect to test configurations and test cases.
{"title":"Design of a Test Framework for Automated Interoperability Testing of Healthcare Information Systems","authors":"D. Vega, I. Schieferdecker, G. Din","doi":"10.1109/eTELEMED.2010.26","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.26","url":null,"abstract":"One of the challenges of evolving Healthcare Information Systems used in healthcare domain is their interoperability. Interoperability not only permits healthcare institutes to take advantage of using heterogeneous solutions from different vendors but it also offers the basis for creating a larger range of services at the edge of medicine/healthcare and information technology. New services can be created in a consistent way based on common approaches of structuring and representing healthcare data. This paper presents a test framework for testing interoperability of eHealth systems. As a major result, the test framework is designed for test automation and extendability with respect to test configurations and test cases.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131226275","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}
Pub Date : 2010-02-10DOI: 10.1109/eTELEMED.2010.27
Cédric Pruski
Since the advent of the Web, the health domain is progressively adopting emerging technologies what forces new paradigms, concepts and tools to be defined. Electronic consent is one of them. This recently defined notion aims at formalising electronically the agreement of the patient on sharing personal health information. However, existing approaches dealing with electronic consent do not provide the adequate concepts to express, in an unambiguous manner, patients’ wishes with respect to the access and management of their personal health data. To correct this lack, we propose the e-CRL language. This language has been designed in order to facilitate the capture and to formalise the expression of patients’ consent regarding the access and management of their health information. In this paper, we first discuss the objective such language must fulfil, we then introduce the syntax and the semantics of the e-CRL language and we eventually give some examples of e-CRL rules.
{"title":"e-CRL: A Rule-Based Language for Expressing Patient Electronic Consent","authors":"Cédric Pruski","doi":"10.1109/eTELEMED.2010.27","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.27","url":null,"abstract":"Since the advent of the Web, the health domain is progressively adopting emerging technologies what forces new paradigms, concepts and tools to be defined. Electronic consent is one of them. This recently defined notion aims at formalising electronically the agreement of the patient on sharing personal health information. However, existing approaches dealing with electronic consent do not provide the adequate concepts to express, in an unambiguous manner, patients’ wishes with respect to the access and management of their personal health data. To correct this lack, we propose the e-CRL language. This language has been designed in order to facilitate the capture and to formalise the expression of patients’ consent regarding the access and management of their health information. In this paper, we first discuss the objective such language must fulfil, we then introduce the syntax and the semantics of the e-CRL language and we eventually give some examples of e-CRL rules.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134019186","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}
Pub Date : 2010-02-10DOI: 10.1109/eTELEMED.2010.24
Dipali Bansal, Munna Khan, A. Salhan
The paper represents work on the challenge of real time, non-invasive simultaneous acquisition and wireless transmission of human physiological parameters using easy and cost effective approach. Electromyograph (EMG) signal detection and analysis is utilized in various clinical and biomedical applications including generation of control signal for prosthetic tools. However, better solutions to obtain noise free signal using compact detection arrangement and wireless communication technologies are being upgraded. In this work, surface EMG signal is acquired under various levels of bicep muscle contractions using simple computer interface and processed using MATLAB based Filter algorithm for online clean display and wireless transmission. EMG and Carotid artery pulsation are then acquired in time coherence to analyse the effect of rectus abdominis muscle contractions on carotid pulse wave and developed into a stand alone MATLAB executable file. The effect manifests as raised amplitude in the Carotid pulse wave form. Hence, a clear correlation is established between surface EMG signal and Carotid artery pulsation to give a compact, cost efficient solution to physiological signal monitoring.
{"title":"Wireless Transmission of EMG Signal and Analysis of Its Correlation with Simultaneously Acquired Carotid Pulse Wave Using Dual Channel System","authors":"Dipali Bansal, Munna Khan, A. Salhan","doi":"10.1109/eTELEMED.2010.24","DOIUrl":"https://doi.org/10.1109/eTELEMED.2010.24","url":null,"abstract":"The paper represents work on the challenge of real time, non-invasive simultaneous acquisition and wireless transmission of human physiological parameters using easy and cost effective approach. Electromyograph (EMG) signal detection and analysis is utilized in various clinical and biomedical applications including generation of control signal for prosthetic tools. However, better solutions to obtain noise free signal using compact detection arrangement and wireless communication technologies are being upgraded. In this work, surface EMG signal is acquired under various levels of bicep muscle contractions using simple computer interface and processed using MATLAB based Filter algorithm for online clean display and wireless transmission. EMG and Carotid artery pulsation are then acquired in time coherence to analyse the effect of rectus abdominis muscle contractions on carotid pulse wave and developed into a stand alone MATLAB executable file. The effect manifests as raised amplitude in the Carotid pulse wave form. Hence, a clear correlation is established between surface EMG signal and Carotid artery pulsation to give a compact, cost efficient solution to physiological signal monitoring.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114584457","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}
Pub Date : 2010-02-10DOI: 10.3233/978-1-60750-588-4-821
N. Nijland, J. V. Gemert-Pijnen, S. Kelders, B. Brandenburg, E. Seydel
E-consultation in health care can be used to respond to an increasing demand for care by offering support on health-related requests. In this study we evaluated the use of an Ask-the-expert e-consultation service in order to assess whether the service is efficient and useful. A content analysis of e-mail exchange between clients and online health professionals was performed to gain insight in the purposes of use of the service. Our findings show that the service was used for e-mails requests on not urgent, minor ailments. Clients asked for health information to increase knowledge on the cause of their injury or disease, its consequences, self-care solutions and treatment options. Decision support on assessing the necessity to visit a doctor for a certain health problem was another important reason to use the service. We believe that web-based triage systems could be used to more easily assess whether certain symptoms need to be investigated.
{"title":"Evaluation of the Use of an Ask-the-Expert e-Consultation Service for Support on Health-Related Requests","authors":"N. Nijland, J. V. Gemert-Pijnen, S. Kelders, B. Brandenburg, E. Seydel","doi":"10.3233/978-1-60750-588-4-821","DOIUrl":"https://doi.org/10.3233/978-1-60750-588-4-821","url":null,"abstract":"E-consultation in health care can be used to respond to an increasing demand for care by offering support on health-related requests. In this study we evaluated the use of an Ask-the-expert e-consultation service in order to assess whether the service is efficient and useful. A content analysis of e-mail exchange between clients and online health professionals was performed to gain insight in the purposes of use of the service. Our findings show that the service was used for e-mails requests on not urgent, minor ailments. Clients asked for health information to increase knowledge on the cause of their injury or disease, its consequences, self-care solutions and treatment options. Decision support on assessing the necessity to visit a doctor for a certain health problem was another important reason to use the service. We believe that web-based triage systems could be used to more easily assess whether certain symptoms need to be investigated.","PeriodicalId":213702,"journal":{"name":"2010 Second International Conference on eHealth, Telemedicine, and Social Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124956025","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}
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