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2014 IEEE 16th International Conference on e-Health Networking, Applications and Services (Healthcom)最新文献

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Techno-economic evaluation of an ontology-based nurse call system via discrete event simulations 通过离散事件模拟对基于本体的护士呼叫系统进行技术经济评估
F. Vannieuwenborg, F. Ongenae, P. Demyttenaere, L. V. Poucke, J. V. Ooteghem, S. Verstichel, S. Verbrugge, D. Colle, F. Turck, M. Pickavet
Current nurse call systems hinder the efficiency of nurses as the systems are not aware of the type of requested help and the context in which their help is required. To tackle these issues, we have developed an ontology-based nurse call system that automatically takes the patients' and caregivers' profiles and context into account when assigning calls to nurses by modelling this information in an ontology, i.e., a formal domain model. For example, current tasks of the nurses and trust relationship with patients are considered while allocating calls to caregivers. Focus is not only on creating a higher quality patient care, but also on distributing the workload more evenly over all caregivers. However, not in all hospital departments such a smart nurse call system will have a significant impact, e.g., geriatric versus emergency care. To gain insights into the total impact of a smart nurse call system, a dedicated discrete event simulation (DES) model is presented that tests its performance. Based on realistic nurse call logs and information gathered at representative hospital departments through interviews and observations, the simulation model allows optimizing decisions, modelled as rules based on the information captured in the ontology, to allocate calls to the best suited nurse. Several scenarios with a varying number of calls, staff members, etc. are tested to be able to define the effectiveness and the (dis)advantages of the ontology-based system with respect to the current one. In conclusion, recommendations are made towards improving the currently employed nurse call systems in hospitals.
目前的护士呼叫系统阻碍了护士的效率,因为该系统不知道请求帮助的类型和需要帮助的背景。为了解决这些问题,我们开发了一个基于本体的护士呼叫系统,该系统通过在本体(即正式领域模型)中建模这些信息,在分配护士呼叫时自动考虑患者和护理人员的配置文件和上下文。例如,在分配护理人员的呼叫时,考虑护士当前的任务和与患者的信任关系。重点不仅在于创造更高质量的患者护理,还在于将工作量更均匀地分配给所有护理人员。然而,并不是在所有的医院部门,这种智能护士呼叫系统都会产生重大影响,例如,老年护理与急诊护理。为了深入了解智能护士呼叫系统的总体影响,提出了一个专用的离散事件模拟(DES)模型来测试其性能。基于真实的护士呼叫记录和通过访谈和观察在代表性医院部门收集的信息,仿真模型允许优化决策,建模为基于本体中捕获的信息的规则,将呼叫分配给最适合的护士。对具有不同数量的呼叫、工作人员等的几个场景进行了测试,以便能够定义基于本体的系统相对于当前系统的有效性和(非)优势。最后,对改善医院目前聘用的护士呼叫系统提出了建议。
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引用次数: 2
Specialized telecommunications system in the transmission of digital radiological images in hostile environments 在恶劣环境中传输数字放射图像的专用电信系统
Leonardo Severo Alves de Melo, A. A. D. Melo, Julio Cesar Dalbello, E. R. Vale
The international standard of transport and storage of radiological images - DICOM, the National Electrical Manufacturers Association (NEMA) - was formed to integrate the industry segment in favor of a single model of operation, aiming above all integration, customization and possible economy. This methodology combines virtues, mainly by excluding the proprietary view of previous systems. The images of a radiological examination must be transmitted from source to receiver without interruption or delay, have a large volume of files and large size together (in megabytes). The international standard is designed to operate at optimum telecommunications environments - stable, secure and transmission rates of local networks. In order to enable the practice of medicine where there is the presence of health professionals, Telemedicine seeks the creation of technologies that enable its activity. Conventionally, these physical environments also lack virtuous telecommunications systems. The telecom environment in the State of Amazonas to clinical and hospital environments of the State Secretariat of Health of the Amazon is distributed via satellite to 128 kbps connections. The 62 cities of this state are in dense forest environments with high humidity, heavy rainfall and high rate of electrical storms. Currently, even in the state of Amazonas, is in use in 44 units and in installation phase in the remaining 21 hospitals of the State Government, transmitting full digital mammograms beyond satellite to the Medical Report Center, located at the Hospital Francisca Mendes (Manaus/AM) of Federal University of Amazonas. The system has been customized to the case and is able to carry more than 380,000 exams per year, coming from the State Hospitals for Medical Reports Center. A simulator of deployed communications equipment will be presented at the Congress, demonstrating its practicality and dynamism when compared to international systems.
放射图像运输和存储的国际标准——DICOM,国家电气制造商协会(NEMA)——的形成是为了整合行业部门,支持单一的运营模式,首先是集成,定制和可能的经济。这种方法结合了优点,主要是通过排除以前系统的专有视图。放射检查的图像必须无中断或延迟地从源传输到接收器,具有大容量的文件和大尺寸(以兆字节为单位)。该国际标准旨在在最佳的电信环境下运行-稳定,安全和本地网络的传输速率。为了在有卫生专业人员在场的地方开展医疗活动,远程医疗寻求创造使其能够开展活动的技术。通常,这些物理环境也缺乏良好的电信系统。亚马逊州的电信环境通过卫星向亚马逊州卫生秘书处的临床和医院环境提供128 kbps的连接。该州的62个城市都处于茂密的森林环境中,湿度高,降雨量大,雷暴频发。目前,即使在亚马逊州,也有44个单位在使用,其余21家州政府医院正在安装阶段,通过卫星向亚马逊联邦大学弗朗西斯卡·门德斯医院(玛瑙斯/AM)的医疗报告中心传输全数字乳房x线照片。该系统是根据病例定制的,每年能够进行超过38万次检查,来自国家医院医疗报告中心。将在大会上展示部署的通信设备模拟器,与国际系统相比,展示其实用性和动态性。
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引用次数: 1
Are the current architectural practices suitable for safety aspects of medical devices? An exploratory investigation 当前的建筑实践是否适用于医疗器械的安全方面?探索性调查
Fabio Leite, P. Antonino, Paulo Barbosa, S. Kemmann, Raphael Mendonca
We have investigated approaches in the literature to assess the quality of the software architectures of medical devices, and have found evidence that there is a lack of methodologies for evaluating the software architecture design aspects of medical devices that might affect system safety. Such evidences were identified when evaluating the software architecture of the FDA Generic Infusion Pump searching for architectural evaluation approaches available in the literature. In order to fill this gap, we propose a set of quality questions that focus on analyzing software architecture design aspects of medical devices aiming safety. We show arguments on why reference projects such as the FDA Generic Infusion Pump system must satisfy our new quality questions. The quality questions were integrated into a quality model commissioned by the Brazilian Health Ministery for the certification of medical devices.
我们调查了文献中评估医疗设备软件架构质量的方法,并发现证据表明,缺乏评估可能影响系统安全的医疗设备软件架构设计方面的方法。这些证据是在评估FDA通用输液泵的软件架构时发现的,并在文献中寻找可用的架构评估方法。为了填补这一空白,我们提出了一组质量问题,重点分析医疗设备的软件架构设计方面的安全性。我们展示了为什么参考项目,如FDA通用输液泵系统必须满足我们新的质量问题的争论。质量问题已纳入巴西卫生部委托的医疗器械认证质量模型。
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引用次数: 2
Quality evaluation of compressed 3D surgical video 压缩三维手术视频的质量评价
C. Hewage, H. D. Appuhami, M. Martini, Ralph Smith, I. Jourdan, T. Rockall
3D medical video was forecasted to be one of the groundbreaking 3D video applications. These range from tele-consultation to 3D robotics surgery. Enabling 3D video in e-health applications results in the provision of more natural viewing conditions, improved diagnosis and accurate interventions in surgical procedures. The deployment of 3D video services in healthcare is made possible to some extent by the advanced capturing devices (e.g., 3D endoscopes), recent advances in wireless communication technologies (e.g., LTE-Advanced(LTE-A)) and 3D video display technologies. Remote robotic assisted surgery and surgery training (education for surgeons) can benefit in particular from 3D video technologies due to the added dimension of depth. This paper analyzes the quality of compressed 3D surgical video. Moreover, asymmetric encoding of 3D medical video without compromising the medical quality of experience (M-QoE) is investigated in this paper. The quality of the compressed 3D medical video with the proposed method is evaluated using a comprehensive subjective quality evaluation test involving 12 medical surgeons. The results show a slightly better perception with the proposed asymmetric coding method compared to reference symmetric compression method, however the difference is statistically insignificant.
3D医学视频被预测为具有突破性的3D视频应用之一。从远程会诊到3D机器人手术。在电子医疗应用程序中启用3D视频可以提供更自然的观看条件,改善外科手术过程中的诊断和准确干预。在一定程度上,先进的捕捉设备(例如3D内窥镜)、无线通信技术(例如LTE-A)的最新进展和3D视频显示技术使得在医疗保健中部署3D视频服务成为可能。由于增加了深度维度,远程机器人辅助手术和手术培训(外科医生教育)尤其可以从3D视频技术中受益。本文对压缩后的三维手术视频质量进行了分析。此外,本文还研究了不影响医疗体验质量(M-QoE)的三维医学视频的非对称编码。采用12位外科医生参与的主观质量综合评价试验,对采用该方法压缩的三维医学视频的质量进行了评价。结果表明,与参考的对称压缩方法相比,所提出的非对称编码方法的感知效果略好,但差异不显著。
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引用次数: 2
Quality of data computational models and telemedicine treatment effects 数据质量、计算模型和远程医疗治疗效果
N. Larburu, R. Bults, I. Widya, H. Hermens
Clinical decision-support functions of telemedicine systems use patient's monitored clinical data to support treatment of outpatients. However, the quality of monitored clinical data may vary due to performance variations of technological resources inside a deployed telemedicine system. This paper discusses models to compute quality of clinical data affected by quality of service provided by technological resources along the data processing and delivery chain between the point of monitoring and point of decision. We discuss prospective effects of quality of clinical data degradation on outpatient treatment with medical practitioners, and implement these effects in the clinical decision-making process during design time. Consequently, the designed telemedicine system is technological context and quality-aware and preserves patient's safety and treatment efficacy.
远程医疗系统的临床决策支持功能利用患者监测的临床数据来支持门诊患者的治疗。然而,监测临床数据的质量可能会因部署的远程医疗系统内技术资源的性能变化而有所不同。本文讨论了在监测点和决策点之间的数据处理和传递链上,技术资源所提供的服务质量对临床数据质量影响的计算模型。我们与医生讨论临床数据质量退化对门诊治疗的预期影响,并在设计时将这些影响应用于临床决策过程。因此,所设计的远程医疗系统具有技术背景和质量意识,并保证了患者的安全和治疗效果。
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引用次数: 9
Towards health exercise behavior change for teams using life-logging 使用生活日志的团队的健康运动行为改变
Yuuki Nishiyama, T. Okoshi, Takuro Yonezawa, J. Nakazawa, K. Takashio, H. Tokuda
Recent technological trends on mobile/wearable devices and sensors have been enabling increasing number of people to collect and store their “life-logs” easily in their daily lives. Beyond exercise behavior change of individual user, our research focus is on the behavior change of teams, based on life-logging technologies and information sharing. In this paper, we propose and evaluate six different types of information sharing model among team members for their exercise promotion, leveraging concepts of “competition” and “collaboration”. According to our experimental mobile web application for exercise promotion and extensive user study among 64 total users for three weeks, the model with “external competition” technique resulted the most effective performance for competitive teams such as sport teams.
最近移动/可穿戴设备和传感器的技术趋势使越来越多的人能够在日常生活中轻松收集和存储他们的“生活日志”。除了个人用户的运动行为改变,我们的研究重点是基于生活日志技术和信息共享的团队行为改变。本文利用“竞争”和“协作”的概念,提出并评价了六种不同类型的团队成员之间促进运动的信息共享模型。根据我们的运动推广移动web实验应用程序和对64个总用户进行为期三周的广泛用户研究,采用“外部竞争”技术的模型对运动队等竞争性团队的表现最为有效。
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引用次数: 5
Big data reduction using RBFNN: A predictive model for ECG waveform for eHealth platform integration 基于RBFNN的大数据约简:用于电子健康平台集成的心电波形预测模型
Nuno Pombo, N. Garcia, Virginie Felizardo, K. Bousson
The main challenge of big data processing includes the extraction of relevant information, from a high dimensionality of a wide variety of medical data by enabling analysis, discovery and interpretation. These data are a useful tool for helping to understand disease and to formulate predictive models in different areas and support different tasks, such as triage, evaluation of treatment, and monitoring. In this paper, a case study based on a predictive model using the radial basis function neural network (RBFNN) combined with a filtering technique aiming the estimation of electrocardiogram (ECG) waveform is presented. The proposed method revealed it suitability to support health care professionals on clinical decisions and practices.
大数据处理的主要挑战包括通过分析、发现和解释,从各种各样的高维度医疗数据中提取相关信息。这些数据是一个有用的工具,有助于了解疾病,在不同领域制定预测模型,并支持不同的任务,如分诊、治疗评估和监测。本文提出了一种基于径向基函数神经网络(RBFNN)与滤波技术相结合的预测模型,用于心电波形的估计。所提出的方法表明,它适合支持卫生保健专业人员的临床决策和实践。
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引用次数: 14
Contribution of the cyclic correlation in gait analysis: Variation between fallers and non-fallers 循环相关性在步态分析中的贡献:跌倒者和非跌倒者之间的差异
F. Zakaria, C. Toulouse, M. Mohamed el Badaoui, C. Servière, M. Khalil
There have been numerous studies involving research and development, for detecting falls exhibited by the elderly. Considering that the prevention of a falling elderly is much more complex to address and estimate, very little research has been done. In fact research is often strictly limited resourceful medical organizations that have specialized clinical tools. Human locomotion, particularly “Walking” is defined by sequences of cyclic and repeated gestures. The variability of such sequences can reveal information about drive failure and motor / motor-neuron disorders. Studying and exploiting the Cyclostationary (CS) properties of such sequences, offers a complementary way to quantify human locomotion and its changes with progressing aging and the development of diseases. This quantization may provide an insight into the neural function and the neural control of walking which would be altered by changes associated with aging and the presence of certain diseases. As part of the collaboration between LASPI and CHU Saint Etienne, we decided to focus on certain advanced signal processing theory and methods, to study very complex phenomena of human walking, which is often subject to numerous motor and / or motor-neurons malfunctions, such as in the case of the falling elderly population, that often has serious and severe consequences. Furthermore, this paper also examined the effects on walking in elderly subjects in three task conditions: (a) single task (MS) and (b) dual task: walking by performing a fluency task(MF) and (c) walking while backward counting (MD). Results show that the conditions of walking impacted the Cyclostationarity and its known indicator: the cyclic autocorrelation function. Such indicator also evolved between fallers and non-fallers and between the fallers who have history of falls and those who haven't.
已经有大量的研究和开发,用于检测老年人所表现出的跌倒。考虑到老年人摔倒的预防要复杂得多,难以处理和估计,因此做的研究很少。事实上,研究往往受到严格限制,资源丰富的医疗机构有专门的临床工具。人类的运动,特别是“行走”是由一系列循环和重复的手势来定义的。这些序列的可变性可以揭示驱动故障和运动/运动神经元疾病的信息。研究和利用这些序列的循环静止(CS)特性,为量化人类运动及其随年龄增长和疾病发展的变化提供了一种补充方法。这种量化可以为神经功能和行走的神经控制提供一种见解,这些神经功能和神经控制将被与衰老和某些疾病相关的变化所改变。作为LASPI和CHU Saint Etienne之间合作的一部分,我们决定将重点放在某些先进的信号处理理论和方法上,以研究人类行走的非常复杂的现象,这些现象通常受到许多运动和/或运动神经元故障的影响,例如在老年人跌倒的情况下,这通常会产生严重和严重的后果。此外,本文还研究了三种任务条件对老年人行走的影响:(a)单任务(MS)和(b)双任务:通过执行流畅性任务(MF)和(c)边走边倒数(MD)。结果表明,步行条件对循环平稳性及其已知指标循环自相关函数有影响。这一指标在跌倒者和非跌倒者之间以及有跌倒史和没有跌倒史的人之间也会发生变化。
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引用次数: 4
In-memory technology enables interactive drug response analysis 内存技术使相互作用药物反应分析成为可能
M. Schapranow, K. Klinghammer, Cindy Fähnrich, H. Plattner
Latest medical diagnostics generate increasing amounts of big medical data. Specific software tools optimized for the use by healthcare experts and researchers as well as systematic processes for data processing and analysis in clinical and research environments are still missing. Our work focuses on the integration of high-throughput next-generation sequencing data and its systematic processing and its instantaneous analysis to use them in the course of precision medicine. We share our research results on designing a generic research process for drug response analysis including specific software tools built on top of our distributed in-memory computing platform for processing of big medical data. Furthermore, we present our technical foundations as well as process aspects of integrating and combining heterogeneous data sources, such as genome, patient, and experimental data.
最新的医疗诊断产生了越来越多的大医疗数据。目前仍缺乏针对医疗保健专家和研究人员使用的特定软件工具,以及用于临床和研究环境中数据处理和分析的系统流程。我们的工作重点是将高通量下一代测序数据及其系统处理和即时分析集成到精准医疗过程中。我们分享我们在设计药物反应分析通用研究流程方面的研究成果,包括基于分布式内存计算平台构建的用于处理大医疗数据的特定软件工具。此外,我们还介绍了整合和组合异构数据源(如基因组、患者和实验数据)的技术基础和过程方面。
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引用次数: 0
pyEHR: A scalable clinical data management toolkit for biomedical research projects pyEHR:用于生物医学研究项目的可扩展临床数据管理工具包
L. Lianas, F. Frexia, G. Delussu, Paolo Anedda, G. Zanetti
In this work we describe pyEHR, a new toolkit for building scalable clinical/phenotypic data management systems for biomedical research applications. The toolkit uses openEHR formalisms to guarantee the decoupling of clinical data descriptions from implementation details, and NoSQL technologies, or next-generation SQL ones, to provide scalable storage back-ends.
在这项工作中,我们描述了pyEHR,一个为生物医学研究应用程序构建可扩展的临床/表型数据管理系统的新工具包。该工具包使用openEHR形式化来保证临床数据描述与实现细节的解耦,并使用NoSQL技术或下一代SQL技术来提供可扩展的存储后端。
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引用次数: 1
期刊
2014 IEEE 16th International Conference on e-Health Networking, Applications and Services (Healthcom)
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