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DH'15: proceedings of the 5th International Conference on Digital Health 2015 : May 18-20, 2015, Florence, Italy. International Conference on Digital Health (5th : 2015 : Florence, Italy)最新文献

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Session details: Session 3 -- e-Learning and Serious Games for Health 2 会议详情:会议3 -电子学习和健康严肃游戏2
J. Torrente
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引用次数: 0
Exploring Digital Image Frames for Lifestyle Intervention to Improve Well-being of Older Adults 探索数字图像框架的生活方式干预,以改善老年人的福祉
A. Seiderer, Stephan Hammer, E. André, Marcus Mayr, T. Rist
This contribution addresses the development of technology for senior users with the aim to improve their general wellbeing. We present a prototype system named CARE that is used for in-situ testing in a senior's home and combines functionality of a digital image frame with an active recommender mode. The purpose of the recommender is to provide the user with context-specific recommendations. Recommendations are chosen on the basis of sensor data and a well-being model to carefully decide on at which point in time what kind of activity will be most suitable to suggest.
这一贡献解决了老年用户的技术发展,目的是改善他们的整体福祉。我们提出了一个名为CARE的原型系统,用于老年人家中的现场测试,并将数字图像框架的功能与主动推荐模式相结合。推荐器的目的是为用户提供特定于上下文的推荐。建议是在传感器数据和健康模型的基础上选择的,以仔细决定在哪个时间点哪种活动最适合提出建议。
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引用次数: 16
Mind the Gap: From Desktop to App 注意差距:从桌面到应用程序
A. Molnar, P. Kostkova
In this article we present a new mobile game, edugames4all MicrobeQuest!, that covers core learning objectives from the European curriculum on microbe transmission, food and hand hygiene, and responsible antibiotic use. The game is aimed at 9 to 12 year olds and it is based on the desktop version of the edugames4all platform games. We discuss the challenges and lessons learned transitioning from a desktop based game to a mobile app. We also present the seamless evaluation obtained by integrating the assessment of educational impact of the game into the game mechanics.
在本文中,我们将介绍一款新的手机游戏,edugames4all MicrobeQuest!,涵盖了欧洲课程中关于微生物传播、食品和手卫生以及负责任的抗生素使用的核心学习目标。这款游戏的目标受众是9到12岁的孩子,它是基于桌面版的edugames4all平台游戏。我们讨论了从桌面游戏过渡到手机应用的挑战和经验教训。我们还展示了通过将游戏的教育影响评估整合到游戏机制中而获得的无缝评估。
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引用次数: 4
Developing a Bilingual, Computer-Tailored, HPV Vaccination Promotion Intervention Targeting Latino Parents 开发针对拉丁裔父母的双语、计算机定制的HPV疫苗接种促进干预
A. Chen, Ashish Amresh
In this paper we present an innovative, computer-tailored application aimed at increasing Latino parents' intention to vaccinate their adolescent children against Human Papilloma Virus (HPV). HPV infection is the most common sexually transmitted infection in the United States. Latinas have the highest age-adjusted incidence rate for HPV-associated cervical cancer compared with their counterparts in other racial/ethnic groups. HPV vaccines offer hope against HPV-associated diseases. Because parental consent is required for children under age 18 to receive the HPV vaccination in most U. S. states, parents' attitudes and intention to have their children vaccinated are keys for promoting HPV vaccination. As health care providers often find it challenging to provide HPV vaccination education in clinical settings due to competing demands, we developed a computer-tailored application as an innovative and feasible approach to address this gap. The preliminary data suggest that our design is promising for increasing Latino parents' intention to vaccinate their adolescent children. In this paper we will provide the design of the application, preliminary findings and future plans.
在本文中,我们提出了一个创新的,计算机定制的应用程序,旨在提高拉丁裔父母的意图,为他们的青少年儿童接种人类乳头瘤病毒(HPV)疫苗。HPV感染是美国最常见的性传播感染。与其他种族/族裔群体相比,拉丁裔人hpv相关宫颈癌的年龄调整发病率最高。HPV疫苗为预防HPV相关疾病提供了希望。因为在美国大多数州,18岁以下的儿童接种HPV疫苗需要父母的同意,父母让孩子接种疫苗的态度和意图是促进HPV疫苗接种的关键。由于相互竞争的需求,卫生保健提供者经常发现在临床环境中提供HPV疫苗接种教育具有挑战性,因此我们开发了一种计算机定制的应用程序,作为解决这一差距的创新和可行方法。初步数据表明,我们的设计有望增加拉丁裔父母为其青少年儿童接种疫苗的意愿。在本文中,我们将提供应用程序的设计,初步发现和未来的计划。
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引用次数: 6
Interactive Cause and Effect Comic-book Storytelling for Improving Nutrition Outcomes in Children 互动因果漫画书讲故事改善儿童营养结果
Ashish Amresh, M. Sinha, R. Birr, R. Salla
Obesity among children and adolescents is increasingly becoming a major public health problem. Poverty and lower socio-economic status as well as lack of parental awareness regarding a balanced diet and adequate exercise all contribute towards childhood obesity. Unfortunately minority children have been especially vulnerable, among them inner-city Latino children continue to have the highest incidence rates of overweight and obesity; hence targeted intervention for this population group is of paramount importance. Access and affordability of smartphones and mobile internet devices provide an opportunity to create nutrition education interventions that can significantly impact and change attitude and knowledge regarding healthy diet and exercise. In this paper we present the design of a comic book style interactive storytelling mobile application that creates multiple cause and effect scenarios that the child can role play and learn from. The novelty and innovation lies in the design of the application to begin at a clinical setting while requiring completion at home and involving significant participation by the parent and the child
儿童和青少年肥胖日益成为一个重大的公共卫生问题。贫困和较低的社会经济地位,以及父母对均衡饮食和适当运动缺乏认识,都是导致儿童肥胖的原因。不幸的是,少数民族儿童特别容易受到伤害,其中拉丁裔城市儿童超重和肥胖的发生率仍然最高;因此,对这一人群进行有针对性的干预至关重要。智能手机和移动互联网设备的可及性和可负担性为制定营养教育干预措施提供了机会,这些干预措施可以显著影响和改变有关健康饮食和运动的态度和知识。在本文中,我们展示了一款漫画风格的互动故事手机应用程序的设计,该应用程序创建了多个因果场景,儿童可以扮演角色并从中学习。新颖和创新在于应用程序的设计,从临床环境开始,而需要在家中完成,并涉及父母和孩子的重要参与
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引用次数: 16
Assessing ICD-9-CM and ICPC-2 Use in Primary Care. An Italian Case Study 评估ICD-9-CM和ICPC-2在初级保健中的使用。意大利案例研究
E. Cardillo, Maria Teresa Chiaravalloti, Erika Pasceri
Controlled vocabularies and standardized coding systems play a fundamental role in the healthcare domain. The International Classification of Diseases (ICD) is one of the most widely used classification systems for clinical problems and procedures. In Italy the 9th revision of the standard is used and recommended in primary care for encoding prescription documents. This paper describes a statistical and terminological study to assess ICD-9-CM use in primary care and its comparison to the International Classification of Primary Care (ICPC), specifically designed for primary care. The study has been conducted by analyzing the clinical records of about 199,000 patients provided by a set of 166 General Practitioners (GPs) in different Italian areas. The analysis has been based on several techniques for detecting coding practice and errors, like natural language processing and text-similarity comparison. Results showed that the selected GPs do not fully exploit the diseases and procedures descriptive capabilities of ICD-9-CM due to its complexity. Furthermore, compared to ICPC-2, it resulted less feasible in the primary care setting, particularly for the high granularity of the structure and for the lack of reasons for encounters.
受控词汇表和标准化编码系统在医疗保健领域发挥着重要作用。国际疾病分类(ICD)是临床问题和程序中使用最广泛的分类系统之一。在意大利,该标准的第9版被用于初级保健,并被推荐用于处方文件编码。本文描述了一项统计和术语研究,以评估ICD-9-CM在初级保健中的使用情况,并将其与专门为初级保健设计的国际初级保健分类(ICPC)进行比较。这项研究是通过分析意大利不同地区166名全科医生(gp)提供的约19.9万名患者的临床记录进行的。该分析基于几种检测编码实践和错误的技术,如自然语言处理和文本相似性比较。结果表明,由于ICD-9-CM的复杂性,所选择的全科医生没有充分利用ICD-9-CM的疾病和程序描述能力。此外,与ICPC-2相比,它在初级保健环境中不太可行,特别是由于结构的高粒度和缺乏遭遇的原因。
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引用次数: 7
GOALS: Modeling Clinical Guidelines Based on TimeML Concepts 目标:基于时间模型概念的临床指南建模
Reinhardt Wenzina, K. Kaiser
Clinical practice guidelines aim at raising the quality of healthcare. They are written in a narrative style and have to be translated into a computer-interpretable guideline (CIG) to be usable in a clinical software application. In this project we present the GOALS methodology which defines a stepwise approach to support this modeling process. The methodology is specified independently from the target CIG language and uses a guideline's text annotated with temporal concepts provided by TimeML as a starting point. It describes step-by-step how parts of the guideline's model can be generated and finally assessed by means of an evaluation scheme. By means of a scenario-based evaluation we show the applicability of GOALS by translating temporally-related sentences of a clinical protocol into its semi-formal model. Thus, we conclude that this methodology indeed supports the translation process.
临床实践指南旨在提高医疗保健质量。它们以叙述性的方式编写,必须翻译成计算机可解释指南(CIG),以便在临床软件应用程序中使用。在这个项目中,我们提出了GOALS方法,它定义了一种支持此建模过程的逐步方法。该方法的指定独立于目标CIG语言,并使用带有TimeML提供的时间概念注释的指南文本作为起点。它一步一步地描述了如何生成指南模型的各个部分,并最终通过评估方案进行评估。通过基于场景的评估,我们通过将临床协议的时间相关句子翻译成其半正式模型来展示目标的适用性。因此,我们得出结论,这种方法确实支持翻译过程。
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引用次数: 0
Evaluation of an App to Support Older Adults with Wounds 一个应用程序的评估,以支持老年人的伤口
K. Bennett, F. Grasso, V. Lowers, A. McKay, C. Milligan
In this paper we present an evaluation study on project "Virtuous Cycles of Well-Being", aimed at exploring technology-based wound-care services, solutions and products to support older adults in managing wounds more independently. The aim was to evaluate opinion and use of the app by wound care service users. Nine participants were recruited with an average age of 65. A semi-structured interview methodology was employed following researcher demonstration and participant interaction with the app.
在本文中,我们提出了一个评估研究项目“健康的良性循环”,旨在探索基于技术的伤口护理服务,解决方案和产品,以支持老年人更独立地处理伤口。目的是评估伤口护理服务用户对该应用程序的意见和使用情况。9名参与者的平均年龄为65岁。在研究人员演示和参与者与应用程序互动之后,采用了半结构化访谈方法。
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引用次数: 4
Cloud-mobile Assistive Technologies for People with Intellectual Impairments: A Microsoft Azure-based Solution 面向智障人士的移动云辅助技术:基于微软azure的解决方案
R. Bottino, L. Freina, M. Ott, Filippo Costa
A cloud-mobile platform under development in the framework of the SMART ANGEL project co-financed by the Italian Liguria Region is presented . The platform is meant to address the needs of people with intellectual disabilities; it is oriented to support and enhance their autonomy and in particular their mobility in urban environments, and can be regarded as an innovative assistive technology. The platform is a concrete instance of how cutting-edge ICT technologies can act as assistive technologies to empower e-inclusion. The potential benefits for the final users (subjects with the Down syndrome and/or similar intellectual disabilities) are outlined as well as those for health professionals and care givers in charge of their assistance.
在由意大利利古里亚地区共同资助的SMART ANGEL项目框架下,介绍了一个正在开发的云移动平台。该平台旨在满足智障人士的需求;它旨在支持和增强他们的自主性,特别是他们在城市环境中的机动性,可以被视为一种创新的辅助技术。该平台是尖端信息通信技术如何作为辅助技术增强电子包容能力的具体实例。对最终使用者(患有唐氏综合症和/或类似智力残疾的受试者)以及负责帮助他们的卫生专业人员和护理人员的潜在益处进行了概述。
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引用次数: 5
Population Cost Prediction on Public Healthcare Datasets 基于公共医疗数据集的人口成本预测
Shanu Sushmita, S. Newman, James Marquardt, P. Ram, V. Prasad, M. D. Cock, A. Teredesai
The increasing availability of digital health records should ideally improve accountability in healthcare. In this context, the study of predictive modeling of healthcare costs forms a foundation for accountable care, at both population and individual patient-level care. In this research we use machine learning algorithms for accurate predictions of healthcare costs on publicly available claims and survey data. Specifically, we investigate the use of the regression trees, M5 model trees and random forest, to predict healthcare costs of individual patients given their prior medical (and cost) history. Overall, three observations showcase the utility of our research: (a) prior healthcare cost alone can be a good indicator for future healthcare cost, (b) M5 model tree technique led to very accurate future healthcare cost prediction, and (c) although state-of-the-art machine learning algorithms are also limited by skewed cost distributions in healthcare, for a large fraction (75%) of population, we were able to predict with higher accuracy using these algorithms. In particular, using M5 model trees we were able to accurately predict costs within less than $125 for 75% of the population when compared to prior techniques. Since models for predicting healthcare costs are often used to ascertain overall population health, our work is useful to evaluate future costs for large segments of disease populations with reasonably low error as demonstrated in our results on real-world publicly available datasets.
数字健康记录的日益普及将理想地改善医疗保健的问责制。在这种情况下,医疗成本预测模型的研究形成了负责任的护理,在人口和个人患者层面的护理基础。在这项研究中,我们使用机器学习算法根据公开的索赔和调查数据准确预测医疗成本。具体来说,我们研究了回归树、M5模型树和随机森林的使用,以预测个体患者的医疗费用(和费用)历史。总的来说,三个观察结果显示了我们研究的效用:(a)单独的先前医疗保健成本可以是未来医疗保健成本的良好指标,(b) M5模型树技术导致非常准确的未来医疗保健成本预测,以及(c)尽管最先进的机器学习算法也受到医疗保健成本分布偏斜的限制,但对于很大一部分(75%)的人口,我们能够使用这些算法进行更高的预测。特别是,与之前的技术相比,使用M5模型树,我们能够准确地预测75%人口的成本在125美元以下。由于预测医疗保健成本的模型通常用于确定总体人口健康状况,因此我们的工作有助于评估大部分疾病人群的未来成本,并且我们在现实世界公开可用数据集上的结果显示了相当低的误差。
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引用次数: 56
期刊
DH'15: proceedings of the 5th International Conference on Digital Health 2015 : May 18-20, 2015, Florence, Italy. International Conference on Digital Health (5th : 2015 : Florence, Italy)
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