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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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A network security architecture to reduce the risk of data leakage for health care organizations 用于降低医疗保健组织数据泄露风险的网络安全架构
R. Rauscher, R. Acharya
Health care is a highly regulated industry in which much value is placed upon privacy and confidentiality. The business of health care, particularly in certain academic environments, requires access to data of varying sensitivities, including information from the public Internet. This paper proposes a VLAN-based architecture for segregating data of varying sensitivities, a list of components that facilitate access to and distillation of data, and a method for one-way promotion of individual nodes from areas of lower security to areas of higher security. The proposed solution is an implementable and pragmatic approach to reducing the risk of data leakage. Quality of experience (QoE) measures of two methods for access (node promotion and porthole-based access) are compared. The node promotion method improves the user-perceived responsiveness of applications over the porthole-based method while reducing flexibility.
医疗保健是一个受到严格监管的行业,非常重视隐私和保密。医疗保健业务,特别是在某些学术环境中,需要获取不同敏感程度的数据,包括来自公共互联网的信息。本文提出了一种基于vlan的架构,用于分离不同敏感性的数据,一种便于访问和提炼数据的组件列表,以及一种将单个节点从低安全性区域单向提升到高安全性区域的方法。建议的解决方案是一种可实现且实用的方法,可减少数据泄漏的风险。比较了两种访问方法(节点提升和基于窗口的访问)的体验质量(QoE)度量。与基于窗口的方法相比,节点提升方法提高了应用程序的用户感知响应性,同时降低了灵活性。
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引用次数: 11
Towards a semantic interoperability environment 实现语义互操作性环境
Isela Macia
The variety of Electronic Health Records (EHRs) makes interoperability a global trend in healthcare, which is of a paramount interest to the Brazilian Ministry of Health. In particular, semantic interoperability receives a special attention since it ensures that different health information systems make the same interpretation of the exchanged information. Although several standards have been documented to support interoperability (e.g. HL7 and IHE), achieving the semantic one is still a challenge. In this context, this paper represents a step towards supporting seamless semantic interoperability by combining different health standards (OpenEHR, IHE and HL7). It describes a software architecture that illustrates the role of different health standards in a semantic interoperability environment. Moreover, it introduces a process aiming at supporting the sematic validation of clinical documents. Finally, it documents several findings, such as benefits of the combined use of OpenEHR and IHE profiles.
电子健康记录(EHRs)的多样性使互操作性成为医疗保健领域的全球趋势,这是巴西卫生部最关心的问题。特别是,语义互操作性受到特别关注,因为它确保不同的卫生信息系统对交换的信息做出相同的解释。尽管已经编写了一些支持互操作性的标准(例如HL7和IHE),但实现语义上的互操作性仍然是一个挑战。在这种情况下,本文通过结合不同的健康标准(OpenEHR、IHE和HL7),向支持无缝语义互操作性迈出了一步。它描述了一个软件体系结构,说明了不同的健康标准在语义互操作性环境中的作用。此外,它还介绍了一个旨在支持临床文件的语义验证的过程。最后,它记录了几个发现,例如结合使用OpenEHR和IHE配置文件的好处。
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引用次数: 6
QuoTe an extensible platform for QoE monitoring and benchmarking of telemedicine applications 引用一个可扩展的平台,用于远程医疗应用程序的QoE监控和基准测试
M. Varela, Toni Mäki, J. Merilahti, E. R. Rodriguez, A. Runge
Telemedicine applications provide many opportunities for improving health care in a variety of conditions, in particular for people living in remote or geographically isolated areas without fast access to doctors (“medical deserts”), such as some parts of Finland. In many applications, the technologies used are actually off-the shelf solutions for videoconferencing, in some cases even used in an Over The Top (OTT) fashion over best-effort networks. In these contexts, the quality (both Quality of Experience and Quality of Service) of the whole system can have a greater significance than in other contexts such as entertainment, yet there are no quality monitoring and assessment systems specifically conceived for this purpose. In this paper we present an on-going effort to develop an extensible quality monitoring and benchmarking platform designed with video-based telemedicine applications, and the particular issues associated with them, in mind.
远程医疗的应用为改善各种条件下的卫生保健提供了许多机会,特别是对于生活在偏远或地理上孤立、无法快速就医的地区("医疗沙漠")的人们,例如芬兰的一些地区。在许多应用程序中,所使用的技术实际上是现成的视频会议解决方案,在某些情况下,甚至在尽力而为的网络上以Over the Top (OTT)方式使用。在这些环境中,整个系统的质量(体验质量和服务质量)可能比其他环境(如娱乐)更重要,但没有专门为此目的设想的质量监控和评估系统。在本文中,我们提出了一项正在进行的努力,以开发一个可扩展的质量监测和基准测试平台,该平台设计基于视频的远程医疗应用,以及与之相关的特定问题。
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引用次数: 3
RESTful services for an innovative e-Health infrastructure: A real case study 创新电子卫生基础设施的RESTful服务:一个真实案例研究
F. Vitali, A. Amoroso, M. Roccetti, G. Marfia
We present a REST approach to build Health services on the Web. Our proposal originates by the necessity of evolving the current regional health service to accommodate emerging needs that are too complex to accomplish with the current system. The original system extends on the regional scale of Emilia-Romagna, and it is one of the most advanced in Italy. Our architecture inherits some of the basic Web methodologies and techniques to implement an highly scalable and flexible system that is capable to satisfy the current needs and their planned evolutions. Moreover, our approach should allow for an effortlessly addressing of future requirements not foreseen at the moment. Without revolutionizing the current IT infrastructure, our approach introduces a new paradigm that could be implemented by a sophisticated interface to access data and resources.
我们提出了一种在Web上构建健康服务的REST方法。我们的建议源于发展当前区域卫生服务的必要性,以适应新出现的需求,这些需求过于复杂,无法用现有系统完成。最初的系统在艾米利亚-罗马涅地区范围内扩展,是意大利最先进的系统之一。我们的体系结构继承了一些基本的Web方法和技术,以实现一个高度可伸缩和灵活的系统,该系统能够满足当前的需求及其计划的发展。此外,我们的方法应该允许毫不费力地处理目前无法预见的未来需求。在不改变当前IT基础设施的情况下,我们的方法引入了一种新的范例,可以通过一个复杂的接口来实现访问数据和资源。
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引用次数: 3
Research on CVDs prediction and early warning techniques in healthcare monitoring system 健康监测系统中心血管疾病预测预警技术研究
Yi Chai, Guixia Kang, Ningbo Zhang, Jianwei Wu, Xiaoshuang Liu, Yuncheng Liu
Chronic diseases are gradually becoming the principal factors of harm to people's health. Fortunately, the development of e-health provides a novel thought for chronic disease prevention and treatment. This paper focuses on the research of cardiovascular disease (CVDs) prevention and early warning techniques using e-health and data mining. In this paper, we will use weighted associative classification algorithm to model the data in healthcare database to determine the level of cardiovascular risk. Besides, on the basis of data mining and knowledge discovery, intelligent warning mechanisms are proposed to provide different services to patients with different levels of risk. The experimental results show that the used classification algorithm is a more effective mining algorithm in the field of healthcare with higher accuracy and better comprehension. Our study is of definite significance to help control risk level of CVDs patients.
慢性疾病正逐渐成为危害人们健康的主要因素。幸运的是,电子医疗的发展为慢性病的预防和治疗提供了一种新的思路。本文主要研究了基于电子健康和数据挖掘的心血管疾病(cvd)预防预警技术。在本文中,我们将使用加权关联分类算法对医疗数据库中的数据进行建模,以确定心血管风险水平。在数据挖掘和知识发现的基础上,提出智能预警机制,针对不同风险水平的患者提供不同的服务。实验结果表明,所采用的分类算法在医疗保健领域具有更高的准确率和更好的理解能力,是一种更有效的挖掘算法。本研究对控制心血管疾病患者的风险水平具有一定的意义。
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引用次数: 1
Indoor localization with wearable RF devices in 868MHz and 2.4GHz bands 868MHz和2.4GHz频段可穿戴射频设备的室内定位
Fabien Touvat, J. Poujaud, N. Noury
Assistive technologies are deployed to preserve good health and security of elderly people living independently in their own home. One such technology is the indoor localization which helps to detect the level of their daily activities. Among low intrusive technologies, the RF signal strength (RSSI) is a very attractive approach as it does not need additional localization hardware and is being already widely used in existing wireless components. We used ISM868 frequency band, the normalized social alarm band, but also ZigBee 2.4 GHz as an element of comparison. We demonstrated that RSSI measurement is not sufficient as is to locate a mobile device indoor.
使用辅助技术,以保持在自己家中独立生活的老年人的健康和安全。其中一项技术是室内定位,它有助于检测他们的日常活动水平。在低干扰技术中,射频信号强度(RSSI)是一种非常有吸引力的方法,因为它不需要额外的定位硬件,并且已经广泛应用于现有的无线组件中。我们使用ISM868频段,标准化的社会报警频段,也ZigBee 2.4 GHz作为一个比较元素。我们证明,RSSI测量是不够的,因为是定位室内移动设备。
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引用次数: 8
Simulation inverse problems of reconstruction of image data using patterned electrical impedance tomography female breast 女性乳房图形电阻抗断层成像数据重建的仿真反演问题
Helber R. Ferreira, H. I. A. Bustos, Wilfredo B. Figuerola
This article analyzes the performance of the Electrical Impedance Tomography (EIT) technique in the diagnosis of breast cancer. The simulations used EIDORS (Electrical Impedance Tomography and Diffuse Optical Tomography Reconstruction Software) and OCTAVE, a computational tool for numerical calculation. We compared three algorithms: prior Laplace, NOSER and Tikhonov. The NOSER algorithm obtained the best classification according to performance metrics of proximity between neoplasms, where this factor changes the resolution of the reconstruction images generated depending on the chosen algorithm.
本文分析了电阻抗断层扫描(EIT)技术在乳腺癌诊断中的应用。模拟使用EIDORS(电阻抗层析成像和漫射光学层析成像重建软件)和OCTAVE(一种用于数值计算的计算工具)。我们比较了三种算法:先验拉普拉斯、NOSER和Tikhonov。NOSER算法根据肿瘤之间的接近度的性能指标获得最佳分类,其中该因素根据所选算法改变生成的重建图像的分辨率。
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引用次数: 2
Formal reliability analysis of a typical FHIR standard based e-Health system using PRISM 基于FHIR标准的典型电子医疗系统的形式可靠性分析
Usman Pervez, O. Hasan, K. Latif, S. Tahar, A. Gawanmeh, M. Hamdi
Fast Health Interoperable Resources (FHIR) is the recently proposed standard from HL7. Its distinguishing features include the user friendly implementation, support of built-in terminologies and for widely-used web standards. Given the safety-critical nature of FHIR, the rigorous analysis of e-health systems using the FHIR is a dire need since they are prone to failures. As a first step towards this direction, we propose to use probabilistic model checking, i.e., a formal probabilistic analysis approach, to assess the reliability of a typical e-health system used in hospitals based on the FHIR standard. In particular, we use the PRISM model checker to analyze the Markov Decision Process (MDP) and Continuous Time Markov Chain (CTMC) models to assess the failure probabilities of the overall system.
快速健康互操作资源(FHIR)是HL7最近提出的标准。它的显著特点包括用户友好的实现、对内置术语的支持和广泛使用的web标准。鉴于FHIR的安全关键性质,使用FHIR对电子卫生系统进行严格分析是迫切需要的,因为它们容易发生故障。作为朝这个方向迈出的第一步,我们建议使用概率模型检查,即一种正式的概率分析方法,来评估基于FHIR标准的医院中使用的典型电子卫生系统的可靠性。特别地,我们使用PRISM模型检查器来分析马尔可夫决策过程(MDP)和连续时间马尔可夫链(CTMC)模型来评估整个系统的故障概率。
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引用次数: 16
Software defined eHealth networking towards a truly mobile and reliable system 软件定义的电子健康网络朝着一个真正的移动和可靠的系统
Felipe S. Dantas Silva, José Castillo Lema, A. Neto, Flávio de Oliveira Silva, P. F. Rosa
The eHealth technology will change the way the health system is handled, mainly in developing countries, such as Brazil, where there is a huge shortage of healthcare professionals to assist the patients, especially for those living in rural and remote areas. The Context-Aware Mobile Approach (CAMA) seeks to improve the Brazilian primary healthcare system through context-aware eHealth facilities, such as people mobility, expecting to change the way that healthcare services are applied, managed, and maintained to achieve efficiency and safety for both patients and hospital staffs. Since this type of technology will handle vital parameters of people, it is mandatory that the involved network infrastructure can provide dependability and reliability so it can fulfill their role properly. This paper presents a network infrastructure based on the Software Defined Networking (SDN) paradigm to enable quality-oriented mobility control capabilities in the CAMA approach, to deploy mobility prediction, Point of Attachment (PoA) decision and handover setup meeting both application quality requirements and current wireless quality conditions, then improving the dependability and reliability of the eHealth biofeedback systems.
电子健康技术将改变卫生系统的运作方式,主要是在发展中国家,如巴西,在那里,医疗保健专业人员严重短缺,无法帮助病人,特别是那些生活在农村和偏远地区的人。情境感知移动方法(CAMA)旨在通过情境感知电子卫生设施(如人员移动性)改善巴西初级卫生保健系统,期望改变医疗保健服务的应用、管理和维护方式,以实现患者和医院工作人员的效率和安全。由于这种类型的技术将处理人的重要参数,因此所涉及的网络基础设施必须能够提供可靠性和可靠性,以便它能够正确地履行其角色。本文提出了一种基于软件定义网络(SDN)范式的网络基础设施,以实现CAMA方法中面向质量的移动性控制功能,部署移动性预测、连接点(PoA)决策和切换设置,满足应用质量要求和当前无线质量条件,从而提高电子健康生物反馈系统的可靠性和可靠性。
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引用次数: 11
Color energy as a seed descriptor for image segmentation with region growing algorithms on skin wound images 颜色能量作为种子描述符用于皮肤伤口图像的区域生长分割
J. L. Seixas, Sylvio Barbon Junior, C. Siqueira, I. Dias, Andre Giovanni Castaldin, A. S. Felinto
This paper presents a seed finding method for region growing segmentation approach using color channel energy in image regions. Instead of using the RGB system separated for each pixel, the proposal uses the energy on each color channel to improve the range of the possible values, then creates a more specific seed to detail different regions. Region size used to calculate energy was adjusted to verify the proposed method. Images used were real wound photos, taken from patients undergoing treatment at the university hospital. Results showed that energy on regions presents enough information to segment, leading to a high percentage of matching with experts marks.
提出了一种利用图像区域颜色通道能量进行区域增长分割的种子寻找方法。该方案不是使用RGB系统对每个像素进行分离,而是使用每个颜色通道上的能量来提高可能值的范围,然后创建一个更具体的种子来详细描述不同的区域。通过调整用于计算能量的区域大小来验证所提出的方法。使用的图像是在大学医院接受治疗的患者的真实伤口照片。结果表明,区域上的能量提供了足够的信息进行分割,与专家标记的匹配率很高。
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引用次数: 11
期刊
2014 IEEE 16th International Conference on e-Health Networking, Applications and Services (Healthcom)
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