Falling is one of the most serious life-threatening events for the elders, and the growing population of elderly people motivates the development of ICT-based healthcare-oriented solutions for fall detection prevalently. In this poster, a bidirectional EMG (electromyographic) sensor network model is proposed for a more efficient and flexible detection of fall events based on simple communication between users and nursing care staff.
Seung-Ho Han, Han-Gyu Kim, Chan-Yong Park, Ho-Jin Choi
1226 - 1226
In the rehabilitation treatment for at-home patients, it is not only costly for a patient to hire a professional therapist or personal trainer, but also time consuming for a therapist or trainer to visit all the patients. To improve the situation, we propose the rehabilitation treatment coach robot which helps the patient to do rehabilitation exercises alone. Designed economically with cheap parts, our robot provides multiple functions: rehabilitation program suggestion, rehabilitation posture correction, and emergency detection. A brief plan is presented for data collection and performance evaluation.
Hernán Navas, Mariano Dozo, Ezequiel Dourado, Fernando Canteros, Ingrid Rung
1227 - 1227
Sanatorio Finochietto has a nursing mobile app that allows safely preparing and administering medications. Hospitalized patients care experience is influenced by the system, the care process and nurse response, in this context, technology acts as a facilitator for care and humanized treatment. A “Patient-Centered Management System” would assist caregivers and patients to make individualized decisions about optimal care. This paper describe a paradigm shift to a mobile patient centered nursing application.
An EHR for integrated care (IEHR) is defined by the International Organization for Standardization (ISO) : “…a repository of information regarding the health status of a subject of care, in computer processable form, stored and transmitted securely, and accessible by multiple authorised users, having a standardized or commonly agreed logical information model that is independent of EHR systems and whose primary purpose is the support of continuing, efficient and quality integrated health care. It contains information which is retrospective, concurrent and prospective.” We need to differentiate between EMR/EHR and the lifelong PHR in terms of type of data storage, sharing and use [2–3].
Inga Hunter, Caroline Lockhart, Phoebe Elers, Dick Whiddett, Hans Guesgen
1229 - 1229
This three-phase project seeks to identify the user-requirements and develop a novel and unobtrusive technology platform interpreting and integrating diverse sources of information from a variety of digital devices monitoring the health and wellbeing of an older person with social media networking. This technology platform will communicate that information within an individualised support network thus supporting the older person to ‘age in place’. This poster presents the process and preliminary results of phase one.
Devraj Jindal, Priti Gupta, Dilip Jha, Vamadevan S. Ajay, Pramod Jacob, Kriti Mehrotra, Pablo Perel, Jonathan Nyong, Ambuj Roy, Nikhil Tandon, Dorairaj Prabhakaran, Vikram Patel
1230 - 1230
This paper describes development of mhealth application “mWellcare” for the integrated management of hypertension and diabetes in public primary health care settings. mWellcare application was developed in four phases: identifying gaps in usual care; identifying components of intervention; developing intervention; evaluating acceptability and feasibility through pilot testing. Final version of mWellcare application is capable of computing personalized evidence-based management plan for hypertension, diabetes and co-morbid conditions (depression and alcohol use disorder).
In recent years, major hospitals have started using mobile electronic medical records (m-EMR). However, usage patterns based on actual log data have rarely been discussed. In this study, we investigated usage patterns of a m-EMR in several dimensions to understand the m-EMR in depth.
Chronic kidney disease (CKD) is a global public health issue. Mobile technology is pervasive and widely used in chronic disease care. More and more, CKD mobile applications (apps) can be found on popular mobile application platforms, especially in Chinese. We aim to explore current mobile apps for CKD patient care (searching in English and Chinese) through content analysis to identify the app functions that health professionals can use in CKD patient care and to help CKD patients with self-management.
This research provided a postoperative system for osteosarcoma which is seperated into two parts, Bone Patient and Bone Care. We focus on using smartphone features and proper interface design to facilitate self-monitoring, health analysis, and to make appointments. It achieves the effects of shared decision making (SDM). During the two weeks of research, we achieved satisfied with 4.03 ± 0.67 TAM score.
In the developed world, Personal Health Records (PHRs) have been demonstrated to improve patient adherence, reduce medical errors, improve patient-provider communication, improve chronic disease management, and promote behavior change. PHRs have not been widely adopted in low- and middle-income countries. There is rising use of smartphones, adoption of national-level electronic health systems, and change in historical perceptions on acceptance of technology. It is thus an opportune time to critically examine the potential role and approaches to PHRs in LMICs.
There are earlier studies for psychiatric counseling using chat bots. These studies have not considered the user's emotional status and ethical judgment to provide interventions. This paper proposes an intelligent assistant for psychiatric counseling that understands dialogues using high-level features of natural language understanding, and multi-modal emotion recognition. A response generation model using machine leaning provides suitable responses for clinical psychiatric counseling.
Lauren M. Overhage, Jennifer Covich-Bordenick, Xiouchun Li, J. Marc Overhage
1236 - 1236
Progress is being made toward improved healthcare interoperability in the United States, but exchange between electronic health records alone is insufficient. Using data from the eHealth Initiative's Annual Survey of Health Information Exchange, we developed models of HIE financial and operational progress. Our analysis suggests that organizations that focus on enabling exchange thorugh education and policy need to be considered separately from those focused on the actual exchange. The associations between characteristics and progress in data exchanging HIEs suggest that diversity of participants as both originators and receivers of data and breadth of data are important underlying success factors.
The state-of-the-art wound assessment is manually performed by clinicians. This is ineffective and imprecise. Special devices have been developed for automation, but they are expensive and often lack portability. We present a concept of a low-cost system for wound documentation and analysis. Using computer vision techniques, 3D reconstructions of wounds can be created from images taken with a simple camera, such as those embedded in mobile phones.
Electronic health record (EHR) systems are necessary for the sharing of medical information between care delivery organizations (CDOs). We developed a document-based EHR system in which all of the PDF documents that are stored in our electronic medical record system can be disclosed to selected target CDOs. An access control list (ACL) file was designed based on the HL7 CDA header to manage the information that is disclosed.
A school-based store-and-forward telemedicine program, which is delivered to school children by school staff is an acceptable model of care for treating skin infections. This indicates that non-clinicians have potential to play a key role in telemedicine. Benefits include empowerment and role redefinition of staff, and potential improvements in health awareness of children, with no major issues perceived in the current program.
Maintaining Passive Medical Health Records (PMHR) is an increasing cost and resource consumption problem. Moving to the cloud is the clearest solution to solve the problem as it offers a high amount of space and computation power. But the cloud is not safe enough when dealing with this kind of information because it can be easily accessed by attackers. The European Commission funded research project CLARUS contributes to protect healthcare-sensitive information in a secure way.
Requirements engineering of software products for elderly people faces some special challenges to ensure a maximum of user acceptance. Within the scope of a research project, a web-based platform and a mobile app are approached to enable people to live in their own home as long as possible. This paper is about a developed method of interdisciplinary requirements engineering by a team of social scientists in cooperation with computer scientists.
We analyzed four interactive case simulation tools (ICSTs) from a statewide online clinical education program. Results have shown that ICSTs are increasingly used by HIV healthcare providers. Smart phone has become the primary usage platform for specific ICSTs. Usage patterns depend on particular ICST modules, usage stages, and use contexts. Future design of ICSTs should consider these usage patterns for more effective dissemination of clinical evidence to healthcare providers.
Hang Yin, Pingping Yan, Yanyan Cui, Polun Chang, Jun Lei
1243 - 1243
An informatics system was developed based-on Excel Visual Basic for Applications (Excel VBA). It allows patients waiting for appointment complete their admission or satisfaction forms on a Window-based mobile device in-stead of paper. Their data will be stored in the tool and analytical charts will automatically be presented in the interfaces.
Along with the growth of numbers of patients with chronic diseases, personal health self-management becomes critical. The heterogeneity of self-management requirements makes the detail design and implementation of self-management program a non-trivial work. In this paper we address the problem with the Personal Health Advisor (PHA) application by introducing a personal health data flow mechanism, as well as modules including personal health risk assessment, similar patients profiling, and health question answering.
To investigate nurses' interest, readiness and absorptive capacity to information technology, 261 nurses were investigated using anonymous questionnaires. This study showed: 1) the top 3 information technologies were personal digital assistant (PDA), Hospital Information System (HIS) and wireless mobile nursing trolley; and 2) the mean scores of interest, readiness and absorptive capacity to information technology were 16.3, 56.7 and 46.8, respectively. Further educational programs should be provided for nurses.
Abhinit Kumar Ambastha, Tze-Yun Leong, The Alzheimer's Disease Neuroimaging Initiative
1249 - 1249
Alzheimer's disease (AD) is a neurological degenerative disorder that leads to progressive mental deterioration. This work introduces a computational approach to improve our understanding of the progression of AD. We use ensemble learning methods and deep neural networks to identify salient structural correlations among brain regions that degenerate together in AD; this provides an understanding of how AD progresses in the brain. The proposed technique has a classification accuracy of 81.79% for AD against healthy subjects using a single modality imaging dataset.
This paper describes a methodology through digital planning and computed tomography for the purpose of making surgical guides for insertion of skeletal anchorage devices in dentistry. Mini-orthodontic screws for anchorage are inserted virtually in the region of interest located between the teeth of the second premolar and first molar bilaterally. DICOM images were converted to STL format and overlaid by scanning the upper plaster model in order to plan the surgical guide virtually.
Advantages of early intravenous (IV) to oral (PO) switches of antimicrobials are well known. Yet, little data have been published on reasonable IV-to-PO switches of other drug classes, although interventions to promote early IV-to-PO conversions may further increase patient safety and decrease costs. We therefore analyzed IV-to-PO switches of non-antimicrobials.