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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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Low delay and secure M2M communication mechanism for eHealthcare 用于电子医疗保健的低延迟和安全的M2M通信机制
K. Saleem, A. Derhab, J. Al-Muhtadi
Currently, the eHealthcare information management is the most critical and hot research topic. Especially with the involvement of new and promising telecommunication technologies like Machine to Machine (M2M) Communication. In M2M communication the devices interact and exchange information with each other in an autonomous manner to accomplish the required tasks. Mostly machine communicate to another machine wirelessly. The wireless communication opens the medium for enormous vulnerabilities and make it very easy for hackers to access the confidential information and can perform malicious activities. In this paper, we propose a Machine to Machine (M2M) Low Delay and Secure (LDS) communication system for e-healthcare community based on random distributive key management scheme and modified Kerberos realm to ensure data security. The system is capable to perform the tasks in an autonomous and intelligent manner that minimizes the workload of medical staffs, and improves the quality of patient care as well as the system performance. We show how the different actors in the e-healthcare community can interact with each other in a secure manner. The system handles dynamic assignments of doctors to specific patients. The proposed architecture further provides security against false attack, false triggering and temper attack. Finally, the simulation type implementation is performed on Visual Basic .net 2013 that shows the feasibility of the proposed Low Delay and Secure (LDS) algorithm.
目前,电子医疗信息管理是最关键、最热门的研究课题。特别是随着机器对机器(M2M)通信等新的和有前途的电信技术的参与。在M2M通信中,设备以自主的方式相互交互和交换信息,以完成所需的任务。大多数情况下,一台机器与另一台机器进行无线通信。无线通信为巨大的漏洞打开了媒介,使黑客很容易访问机密信息并进行恶意活动。本文提出了一种基于随机分布式密钥管理方案和改进Kerberos域的M2M低延迟安全(LDS)通信系统。该系统能够以自主和智能的方式执行任务,最大限度地减少医务人员的工作量,提高患者护理质量和系统性能。我们将展示电子医疗保健社区中的不同参与者如何以安全的方式相互交互。该系统处理医生对特定患者的动态分配。提出的体系结构进一步提供了针对虚假攻击、虚假触发和篡改攻击的安全性。最后,在Visual Basic .net 2013上进行了仿真型实现,验证了所提出的低延迟和安全(LDS)算法的可行性。
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引用次数: 16
MIR: A low cost digital operating room MIR:低成本的数字化手术室
V. Roesler, Augusto Klinger, Guilherme L. de Lima, Guilherme Longoni
This paper presents a low cost solution for Digital Operating Rooms called MIR (Multimedia Integrated Room). This solution offers a wider variety of useful features compared to other available digital rooms. MIR is capable of all-IP real time transmission and recording of endoscopic procedures using multiple HD cameras, integration with the hospital information system and also can be easily controlled by a wireless mobile device. The developed system main application areas are: a) medical students and/or specialist preceptor to follow the surgical procedure remotely with high quality images; b) the surgical team to better visualize the surgery through the multiple camera views.
本文提出了一种低成本的数字手术室解决方案,称为MIR (Multimedia Integrated Room)。与其他可用的数字房间相比,该解决方案提供了更广泛的有用功能。MIR能够使用多个高清摄像机进行全ip实时传输和记录内镜过程,与医院信息系统集成,也可以通过无线移动设备轻松控制。开发的系统主要应用领域是:a)医学生和/或专科教师远程跟踪高质量图像的手术过程;B)手术团队通过多个摄像机视图更好地观察手术。
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引用次数: 2
Reliable low-cost telecardiology: High-sensitivity detection of ventricular beats using dictionaries 可靠的低成本心电学:使用字典高灵敏度检测心室跳动
B. S. Chandra, C. S. Sastry, S. Jana
Can reliable telecardiology be achieved at low bandwidth cost? In response, we propose a detector at the user end so that only beats found to be anomalous are transmitted to a diagnostic center, where all received beats are correctly (re)classified. In this framework, high reliability is achieved by detectors with high sensitivity. Having laid the design framework, we then realize desired high-sensitivity detection using a dictionary learning approach. Specifically, using patient records from the MIT-BIH arrhythmia database, we detect ventricular ectopic beats (VEBs), which are known to be precursors to various serious arrhythmic conditions in the heart. In particular, we achieve a reliability of one undetected VEB in one thousand while saving 78.2% bandwidth using dictionaries with 240 atoms. With larger dictionaries with 420 atoms, we achieve an even higher bandwidth savings of 79.2% while allowing no (less than one in 1766) undetected VEB. Finally, we compare our results with performances a large set of reported heartbeat classifiers, and demonstrate the suitability of our approach in the context of telecardiology.
能否以低带宽成本实现可靠的心电学?作为回应,我们建议在用户端安装一个检测器,这样只有发现异常的节拍才会被传输到诊断中心,在那里所有接收到的节拍都被正确(重新)分类。在这个框架中,高可靠性是由高灵敏度的探测器实现的。在奠定了设计框架之后,我们使用字典学习方法实现了期望的高灵敏度检测。具体来说,使用来自MIT-BIH心律失常数据库的患者记录,我们检测心室异位搏(VEBs),这是已知的各种心脏严重心律失常状况的前兆。特别是,我们实现了千分之一未检测到的VEB的可靠性,同时使用240个原子的字典节省了78.2%的带宽。对于包含420个原子的更大的字典,我们实现了更高的带宽节省79.2%,同时不允许未检测到VEB(在1766中少于一个)。最后,我们将我们的结果与大量已报道的心跳分类器的性能进行了比较,并证明了我们的方法在心脏远端学背景下的适用性。
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引用次数: 1
A management system for motion-based gaming peripherals for physical therapy instrumentation 用于物理治疗仪器的基于运动的游戏外设的管理系统
Benjamin Bockstege, A. Striegel
The rise in motion-based gaming peripherals has afforded intriguing opportunities for low-cost instrumentation of health-oriented activities. One particular activity, that of physical therapy, is of considerable interest as traditional systems in the area cost on the order of tens of thousands of dollars. However, while recent research has shown that gaming peripherals can deliver high quality instrumentation, non-expert programmers face considerable challenges in delivering robust and accurate instrumentation outside of the lab environment. Furthermore, when one considers how to fuse data across multiple peripherals, the heterogeneity of peripheral performance significantly complicates recording useful data. To that end, this paper seeks to describe our approach for delivering a robust, accurate, and scalable framework for motion-based gaming peripherals, specifically targeted at physical therapy in the clinical and research settings. We describe the principles of our framework and composition of data flow through a variety of illustrative examples. Finally, we conclude with several experimental setups designed to demonstrate the efficacy of the framework drawn directly from our experience in live clinical settings.
基于动作的游戏外围设备的兴起为低成本的健康活动仪器仪表提供了有趣的机会。一项特殊的活动,即物理治疗,引起了相当大的兴趣,因为该地区的传统系统成本约为数万美元。然而,尽管最近的研究表明,游戏外围设备可以提供高质量的仪器,但非专业程序员在提供实验室环境之外的可靠和准确的仪器方面面临着相当大的挑战。此外,当考虑如何跨多个外设融合数据时,外设性能的异质性使记录有用数据变得非常复杂。为此,本文试图描述我们为基于动作的游戏外设提供稳健、准确和可扩展框架的方法,特别是针对临床和研究环境中的物理治疗。我们通过各种说明性示例描述了我们的框架的原理和数据流的组成。最后,我们总结了几个实验设置,旨在证明该框架的有效性,这些框架直接来自我们在现场临床环境中的经验。
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引用次数: 1
Detection of nocturnal epileptic seizures using wireless 3-D accelerometer sensors 利用无线三维加速度计传感器检测夜间癫痫发作
Osman Salem, Yacine Rebhi, Abdelkrim Boumaza, A. Mehaoua
The aim of this paper is to provide a lightweight approach for early detection of nocturnal epileptic seizures using data from wireless 3-D accelerometer sensors. We use the exponentially weighted moving average algorithm to forecast the current value of the accelerometer measurement, and when the difference between measured and forecasted values is greater than the dynamic threshold on any axis, a notification is transmitted to the base station, which maintains a sliding window of received notifications. When the filling ratio is greater than a predefined threshold, an alarm is triggered by the base station. The proposed approach is intended to improve the performance of existing mobile health detection systems based on the analysis of electroencephalogram (EEG). To reduce their false alarm rate, we seek to correlate detection results from 3-D accelerometer with other physiological parameters through a majority voting. Our experimental results on real dataset collected from the epileptic patient show that our proposed approach is robust against temporal fluctuations and achieves a high level of detection accuracy, which in turn proves the effectiveness of this approach in enhancing the reliability of existing detection approaches based on EEG signal analysis.
本文的目的是提供一种轻量级的方法,用于使用无线3-D加速度传感器的数据来早期检测夜间癫痫发作。我们使用指数加权移动平均算法来预测加速度计测量值的当前值,当测量值与预测值之间的差值大于任何轴上的动态阈值时,向基站发送通知,基站保持接收通知的滑动窗口。当填充率大于设置的阈值时,基站会触发告警。提出的方法旨在改进现有的基于脑电图分析的移动健康检测系统的性能。为了降低其误报率,我们寻求通过多数投票将3d加速度计的检测结果与其他生理参数相关联。在癫痫患者真实数据集上的实验结果表明,该方法对时间波动具有较强的鲁棒性,检测精度较高,从而证明了该方法在提高现有基于脑电信号分析的检测方法的可靠性方面的有效性。
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引用次数: 3
Demonstration on a real-time vital signs monitoring system for men during exercise 男性运动时生命体征实时监测系统演示
S. Hara, Takunori Shimazaki
We, proposers, are a professor and a Ph.D. student of the Graduate School of Engineering, Osaka City University, Osaka, Japan. In a two-year project financially supported by the Ministry of Internal Affairs and Communications (MIC) of Japan, we have developed a real-time vital signs monitoring system for men during exercise. Our (proposers) expertise is wireless communication and signal processing, and furthermore an academic researcher (MD, Ph.D.) in medicine, an academic researcher (Ph.D.) in sports physiology, and several industrial researchers (Ph.D.) in engineering have been involved in the project. The purpose of the system is not only medical and healthcare management (injury and disease prevention) but also effective sport training based on scientific data for ordinal people and athletes.
我们,提议者,是日本大阪大阪市大学工程研究生院的教授和博士生。在日本总务省(Ministry of Internal Affairs and Communications, MIC)资助的一个为期两年的项目中,我们开发了一种用于男性运动过程中的实时生命体征监测系统。我们(提案人)的专长是无线通信和信号处理,此外,一位医学学术研究员(MD, Ph.D.),一位运动生理学学术研究员(Ph.D.)和几位工程工业研究人员(Ph.D.)都参与了这个项目。该系统的目的不仅是医疗保健管理(损伤和疾病预防),而且是基于科学数据的普通民众和运动员有效的运动训练。
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引用次数: 3
Inter-institutional protocol describing the use of three-dimensional printing for surgical planning in a patient with childhood epilepsy: From 3D modeling to neuronavigation 描述在儿童癫痫患者手术计划中使用三维打印的机构间协议:从3D建模到神经导航
C. Rondinoni, V. Souza, R. Matsuda, A. Peres, M. Santos, O. B. Filho, A. C. Santos, H. Machado, P. Noritomi, Jorge Silva
This study is the first step in an effort to develop three-dimensional (3D) printing for use in pediatric surgical planning. In order to accomplish this, we established an effective collaboration between Ribeirao Preto Clinics Hospital (HCRP) and Renato Archer Center for Information Technology (CTI). Printed biomodels can be used to support discussions, decision-making, and neuronavigation before surgery. The main purpose of 3D printing for specific case handling is to reduce damage by enhancing knowledge of orientation during surgical planning and personnel training before surgery. Here, we produced an object that represented the brain and face segment of a patient via additive manufacturing technology based on magnetic resonance imaging (MRI) data. Specific landmarks were measured by three distinct methods: manual caliper, an InVesalius software measurement tool, and neuronavigation coordinate detection. The mean coefficient of variation was 7.17% between all methods and landmarks measured. Our results validate the combined use of biomodels with InVesalius software tools for the assessment of individual brain anatomy facilitating manual handling and visualization of 3D models. The establishment of communication protocols between the teams involved, as well as navigation protocols for quality control, presents the possibility of developing long term training programs, and promotes the congregation of individuals from research areas in Medical Physics, Medical Sciences, and Neuroscience.
这项研究是开发用于儿科手术计划的三维(3D)打印技术的第一步。为了实现这一目标,我们在里贝罗普雷图诊所医院(HCRP)和雷纳托阿彻信息技术中心(CTI)之间建立了有效的合作关系。打印的生物模型可用于在手术前支持讨论、决策和神经导航。3D打印用于具体病例处理的主要目的是通过增强手术计划期间的定向知识和术前人员培训来减少损伤。在这里,我们通过基于磁共振成像(MRI)数据的增材制造技术制作了一个代表患者大脑和面部部分的物体。通过三种不同的方法测量特定的地标:手动卡尺,InVesalius软件测量工具和神经导航坐标检测。所有方法与测量的标志之间的平均变异系数为7.17%。我们的研究结果验证了生物模型与InVesalius软件工具的结合使用,以评估个体大脑解剖结构,促进手动处理和3D模型的可视化。在相关团队之间建立通信协议,以及质量控制的导航协议,提供了开发长期培训计划的可能性,并促进了来自医学物理学、医学科学和神经科学研究领域的个人的聚集。
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引用次数: 6
An integrated approach of diet and exercise recommendations for diabetes patients 糖尿病患者饮食和运动建议的综合方法
Irshad Faiz, H. Mukhtar, Sharifullah Khan
Diabetes is among one of the fastest growing disease all over the world. Controlled diet and proper exercise are considered as a treatment to control diabetes. However, food and exercise suggestions in existing solutions do not consider integrated knowledge from personal profile, preferences, current vital signs, diabetes domain, food domain and exercise domain. Furthermore, there is a strong correlation of diet and exercise. We have implemented an ontology based integrated approach to combine knowledge from various domains to generate diet and exercise suggestions for diabetics. The solution is developed as a Semantic Healthcare Assistant for Diet and Exercise (SHADE). For each domain (person, diabetes, food and exercise) we have defined separate ontology along with rules and then an integrated ontology combines these individual ontologies. Finally, diet recommendations are presented in the form of various alternative menus such that each menu is a healthy and balanced diet.
糖尿病是世界上增长最快的疾病之一。控制饮食和适当运动被认为是控制糖尿病的一种治疗方法。然而,现有解决方案中的饮食和运动建议没有综合考虑个人概况、偏好、当前生命体征、糖尿病领域、饮食领域和运动领域的知识。此外,饮食和锻炼也有很强的相关性。我们实现了一种基于本体的集成方法,将不同领域的知识结合起来,为糖尿病患者生成饮食和运动建议。该解决方案是作为饮食和运动的语义医疗保健助手(SHADE)开发的。对于每个领域(人、糖尿病、食物和运动),我们定义了单独的本体和规则,然后将这些单独的本体结合在一起,形成一个集成的本体。最后,饮食建议以各种替代菜单的形式呈现,以便每个菜单都是健康和均衡的饮食。
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引用次数: 19
Low complex, programmable FPGA based 8-channel ultrasound transmitter for medical imaging researches 基于低复杂度、可编程FPGA的8通道超声变送器,用于医学成像研究
C. Dusa, P. Rajalakshmi, Suresh Puli, U. Desai, S. Merchant
In commercial ultrasound systems, the transmit module typically generates the time delayed excitation pulses to steer and focus the acoustic beam. However, the ultrasound transmitter module in these systems has limited access to medical ultrasound researchers. In this paper, we have presented the development of a programmable architecture for 8-channel ultrasound transmitter for medical ultrasound research activities. The proposed architecture consists of 8 transmit channels and Field Programmable Gate Array (FPGA) based configurable delay profile to steer acoustic beam, transmit frequency and pulse pattern length depending on the medical application. Our system operates in pulse-echo mode, with ultrasound transmit frequency up to 20 MHz, excitation voltage up to 100 Vpp, and individual channel control with single high speed Serial Peripheral Interface (SPI). Pre-calculated delay profiles per scanline are generated in Matlab, based on physical parameters of 8 element linear transducer array which are used to steer and focus the ultrasound beam. An experiment is carried with our transmit module to transmit ultrasound into gelatin phantom, acquired echoes and processed for B-mode imaging. The results show that this transmit platform can be used for ultrasound imaging researches and also for medical diagnosis.
在商用超声系统中,发射模块通常产生延时激励脉冲来引导和聚焦声束。然而,这些系统中的超声发射器模块限制了医学超声研究人员的使用。在本文中,我们提出了一个可编程架构的8通道超声发射机用于医学超声研究活动的发展。该架构由8个发射通道和基于现场可编程门阵列(FPGA)的可配置延迟配置组成,可根据医疗应用引导声波束、发射频率和脉冲模式长度。我们的系统工作在脉冲回波模式下,超声波传输频率高达20 MHz,激励电压高达100 Vpp,通过单个高速串行外设接口(SPI)进行单独通道控制。根据用于引导和聚焦超声光束的8元线性换能器阵列的物理参数,在Matlab中生成了预先计算好的每条扫描线的延迟曲线。利用所设计的发射模块将超声传输到明胶体中,采集回波后进行b模成像。结果表明,该传输平台可用于超声成像研究和医学诊断。
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引用次数: 11
Reducing adolescent obesity with a social networking mobile fitness application 通过社交网络移动健身应用减少青少年肥胖
F. Lu, M. Lemonde
We present the results of the third phase in a three part study developing an application to reduce obesity levels in adolescents with a mobile fitness application that encourages youth to engage in fitness activity by providing social networking tools to facilitate motivation. In the first phase, we studied effecting positive attitudinal changes towards fitness. The second phase studied physical improvements with the application in our target group. This third phase tests the efficacy of the socialization tools in our application for motivating both positive attitudinal changes and physical improvements towards fitness. The application contained thirteen distinct exercises that subjects could engage in using sensors on the mobile devices to unbiasedly measure progress. The socialization tools to encourage fitness engagement allowed for such activities as friending, sharing progress and collaboratively exercising with friends either in person or remotely. The study participants were adolescents age 14 to 15 with 20 subjects in an experimental group that used the fitness application and 15 control subjects that did not. The study ran for eight weeks with the results indicating both positive attitude changes towards fitness exercises and body-mass index (BMI) improvements in fitness levels correlated to socialization interests/activities for the subjects using the application, while the control group showed no such correlation of fitness level improvement.
我们展示了第三阶段的研究结果,该研究由三个部分组成,开发了一款应用程序,通过提供社交网络工具来促进激励,鼓励青少年参与健身活动,从而降低青少年的肥胖水平。在第一阶段,我们研究了对健身的积极态度变化的影响。第二阶段研究了在我们的目标群体中应用程序的物理改善。第三阶段测试社会化工具在我们的应用中对激励积极的态度改变和身体健康改善的功效。该应用程序包含13个不同的练习,受试者可以使用移动设备上的传感器来公正地测量进度。鼓励健身参与的社交工具允许与朋友面对面或远程分享进度和合作锻炼等活动。该研究的参与者是14至15岁的青少年,其中20名受试者在实验组使用健身应用程序,15名对照组不使用。研究持续了八周,结果表明使用应用程序的受试者对健身运动的态度发生了积极的变化,并且与社交兴趣/活动相关的身体质量指数(BMI)的健康水平得到了改善,而对照组的健康水平没有得到改善。
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引用次数: 5
期刊
2014 IEEE 16th International Conference on e-Health Networking, Applications and Services (Healthcom)
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