{"title":"Content-Based Video Preprocessing for Remote Monitoring of Neurosurgery","authors":"J. Xu, R. Sclabassi, Bing Liu, M. Sun","doi":"10.1109/DDHH.2006.1624799","DOIUrl":"https://doi.org/10.1109/DDHH.2006.1624799","url":null,"abstract":"Transmitting high-quality video via the Internet is a challenging problem in distributed diagnosis system. We propose a content-based video data preprocessing scheme, which is adaptive to the video data acquired during intraoperative monitoring and can cascade with essentially any video codec. IOM video is first decomposed into temporal wavelet subband frames and motion compensation is incorporated into these transforms to exploit inter-frame redundancy efficiently. Highpass subband frames are then adaptively weighted according to an importance map, which specifies the importance of the video contents for clinical observation. This map has higher value near the surgical site and lower value at the surrounding area. The surgical site can be located automatically by a surgical tool tracking system","PeriodicalId":164569,"journal":{"name":"1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2.","volume":"71 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125691984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Telemedicine Business Models Focusing on Emerging Mobile Technologies for Chronic Disease Management: UK Perspective","authors":"N. Prag, A. Yeghiazarian, R. Istepanian","doi":"10.1109/DDHH.2006.1624815","DOIUrl":"https://doi.org/10.1109/DDHH.2006.1624815","url":null,"abstract":"There is a need for a new, co-ordinated national approach that helps people with chronic disease- and their carers - manage their chronic conditions more effectively and thus reduce the burden of chronic disease on the National Health Service (NHS) in the United Kingdom. The cost-efficiency of telemedicine systems are a major trepidation to healthcare organizations because of its uncertainty of enhancing the delivery of healthcare and thereby increase the quality of care, while at the same time reducing the `economic burden of illness' to the NHS by reducing the number of patient visits to emergency rooms, reducing unnecessary physician visits to hospitals, monitoring vital signs on a 24/7 basis, therefore providing for intervention and/or prevention of repeat hospitalization. These scenarios are hard to measure from both a qualitative and quantitative perspective","PeriodicalId":164569,"journal":{"name":"1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2.","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126202176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Ingeholm, T.M.-J. Hu, M. Fang, S. Mun, B. Levine
{"title":"The Case for Applying the Point of Care Testing Standard to Home Monitoring Devices","authors":"M. Ingeholm, T.M.-J. Hu, M. Fang, S. Mun, B. Levine","doi":"10.1109/DDHH.2006.1624788","DOIUrl":"https://doi.org/10.1109/DDHH.2006.1624788","url":null,"abstract":"Diabetes is a major health concern that is growing rapidly. Daily point-of-care testing (POCT) of one's blood sugar using a glucose meter plays an integral role in managing diabetes. By integrating these self-monitoring devices with a centralized information system both patients and providers can view the blood sugar readings. This capability facilitates collaborative disease management that can lead to better control and education for the patient. In the current proprietary environment however, capturing the data stored in a glucose meter is not straightforward. Although a POCT standard has been developed to address connectivity issues for POC devices, the standard has been applied to devices used in clinic settings rather than home settings. As care of chronic diseases moves towards remote management, the need for device connectivity will propel the application of the POCT1-A standard to include devices, like glucose meters that are used outside of a clinic setting. This paper demonstrates the immediate need for standardization of connectivity to glucose meters so that patients and providers can use the readings to improve diabetes control","PeriodicalId":164569,"journal":{"name":"1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2.","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117281327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Coatrieux, J. Puentes, L. Lecornu, C. L. Le Rest, C. Roux
{"title":"Compliant Secured Specialized Electronic Patient Record Platform","authors":"G. Coatrieux, J. Puentes, L. Lecornu, C. L. Le Rest, C. Roux","doi":"10.1109/DDHH.2006.1624820","DOIUrl":"https://doi.org/10.1109/DDHH.2006.1624820","url":null,"abstract":"Distributed medical information systems are prone to security flaws at three main different levels: storage, processing and transmission. Among implemented security mechanisms, few concern intrinsic patient records multimedia content protection. This article presents a secured specialized electronic patient record (SSEPR) based on a JPEG2000-XML structure designed to provide interaction with the medical information system (MIS) security mechanisms and policies. Such SSEPR is an electronic patient record (EPR) elementary resource, containing data and information generated by daily practice in a technical medical unit, grouping information that belongs to one patient examination (images, examination data, medical report). Devoted to be handled and shared, it integrates different security attributes that are used to certify information reliability (information integrity and authenticity), while controlling information access in a compliant MIS. Aiming to be as generic as possible, the presented SSEPR and its platform prototype have been developed in the framework of a nuclear medicine service. Properly defined, EPR security layer can be used to improve security in handling and sharing medical information","PeriodicalId":164569,"journal":{"name":"1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2.","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134271133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Distributed Multimodality Sensor System for Home-Used Sleep Condition Inference and Monitoring","authors":"Ya-Ti Peng, C.-Y. Lin, MIn-Te Sun","doi":"10.1109/DDHH.2006.1624787","DOIUrl":"https://doi.org/10.1109/DDHH.2006.1624787","url":null,"abstract":"In this paper, we propose a distributed system consists of heart-rate, passive infrared, and audio sensors for sleep condition inference. We apply machine learning methods to infer the sleep-awake condition during the time a user spends on the bed. This sleep-awake information would be useful for estimating critical factors including sleep latency, sleep duration, and habitual sleep efficiency related to sleep quality measurement. Our experimental results show that the proposed approach could be a good alternative to the traditional motion sensor Actigraph, with competitive performance on the sleep-related activity monitoring. Furthermore, the distributed computation nature of our system also makes it favorable for practical health-care applications","PeriodicalId":164569,"journal":{"name":"1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2.","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124023317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. White, D. Fang, E.-H. Kim, William Lober, Y. Kim
{"title":"Improving Healthcare Quality through Distributed Diagnosis and Home Healthcare (D/sub 2/H/sub 2/)","authors":"C. White, D. Fang, E.-H. Kim, William Lober, Y. Kim","doi":"10.1109/DDHH.2006.1624823","DOIUrl":"https://doi.org/10.1109/DDHH.2006.1624823","url":null,"abstract":"The healthcare system in the U.S. is facing serious challenges on multiple fronts. In the past few decades, the financial burden of healthcare has increased significantly not only for the government and employers, but also for individual consumers. Most people would agree that the current healthcare system faces an impending crisis. In the future, the realization of patient-centered healthcare systems to improve care quality and alleviate the inefficiencies in conventional healthcare delivery will become critical. In this paper, we discuss several major challenges to improving healthcare quality: the aging population, lack of accessibility, inefficient communications, and the increasing complexity of healthcare. We then discuss how to tackle these issues through patient-centered healthcare delivery, specifically through the utilization of the distributed diagnosis and home healthcare (D2H2) paradigm. D2H2 is designed to integrate distributed, point-of-care diagnostics with electronic medical records, personal health records, and other clinical information systems in order to transform the current hospital-centric healthcare framework into one that is more patient-centered and home-based, enhancing disease prevention, early detection, and management as well as patient healthcare literacy. This paper discusses the tools currently used and being developed with the D2H2 paradigm and how these tools can aid in increasing healthcare accessibility, improving care quality, and potentially controlling healthcare costs","PeriodicalId":164569,"journal":{"name":"1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2.","volume":"87 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124155060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E.-H. Kim, S. Modi, D. Fang, C. B. Soh, A. Herbaugh, S. Shinstrom, William Lober, B. Zierler, Y. Kim
{"title":"Web-Based Personal-Centered Electronic Health Record for Elderly Population","authors":"E.-H. Kim, S. Modi, D. Fang, C. B. Soh, A. Herbaugh, S. Shinstrom, William Lober, B. Zierler, Y. Kim","doi":"10.1109/DDHH.2006.1624817","DOIUrl":"https://doi.org/10.1109/DDHH.2006.1624817","url":null,"abstract":"Increasing acceptance and availability of information and communication technology (ICT) have made the development and implementation of Web-based electronic personal health records (PHRs) more feasible. Previous studies have demonstrated the PHR's potential to alleviate limitations in traditional healthcare delivery. However, this type of technology-dependent approach inherits the vulnerabilities of exposing the society to its own share of inequality (i.e., \"digital divide\"). To address these concerns and improve healthcare outcomes, we have developed a Web-based patient-centered electronic PHR, named the Personal Health Information Management System (PHIMS), and a community-based resource sharing and support model/strategy. The system has been evaluated at the Everett Housing Authority, which provides housing for low-income families and elderly or disabled populations, and we conducted a feasibility trial with the elderly and disabled residents. The participants were satisfied with the PHIMS system in general, 82% of the surveyed users attempted to share the PHIMS records with their care providers. Both patients and providers were satisfied with the usability of PHIMS","PeriodicalId":164569,"journal":{"name":"1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2.","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131881992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Generation of Multi-Modal Interfaces for Hand-Held Devices Based on User Preferences and Abilities","authors":"P. Shroff, J. Winters","doi":"10.1109/DDHH.2006.1624813","DOIUrl":"https://doi.org/10.1109/DDHH.2006.1624813","url":null,"abstract":"There is a need for interfaces, including within a home environment, that make medical instrumentation more usable and accessible. One approach for addressing this need is to strive to design interfaces that are based more on the principles of universal design. An alternative is to create personalized interfaces, where the form of the interface is based on the preferences and abilities of a specific user. This research project studies a strategy for creating accessible and optimized handheld remote console user interfaces for certain classes of medical devices. The results of this study give a clear indication of the need as well as the preference of users for a personalized user interface over a default one","PeriodicalId":164569,"journal":{"name":"1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2.","volume":"153 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123498429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Yoo, F. Schneider, A. Agarwal, T. Fukuoka, L.M. Koh, Y. Kim
{"title":"Ultrasound Machine for Distributed Diagnosis and Home Use","authors":"Y. Yoo, F. Schneider, A. Agarwal, T. Fukuoka, L.M. Koh, Y. Kim","doi":"10.1109/DDHH.2006.1624798","DOIUrl":"https://doi.org/10.1109/DDHH.2006.1624798","url":null,"abstract":"In this paper, we present a home ultrasound machine that could be used in a distributed diagnosis and home healthcare (D2H2) setting. It will enable remote screening, diagnosis and monitoring of the patient by addressing limitations of the current practice and lead to improved healthcare delivery. For the home ultrasound machine, we have developed a reconfigurable and programmable architecture and efficient front-end algorithms to significantly reduce the hardware complexity while providing improved flexibility to adapt to different clinical applications. Several technical and non-technical challenges for realization of the home ultrasound machine setting are also discussed","PeriodicalId":164569,"journal":{"name":"1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2.","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113938766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Service Oriented Architecture (SOA) Implications for Large Scale Distributed Health Care Enterprises","authors":"E. Vasilescu, S. Mun","doi":"10.1109/DDHH.2006.1624805","DOIUrl":"https://doi.org/10.1109/DDHH.2006.1624805","url":null,"abstract":"Large scale distributed health care enterprises need to focus on characteristics such scalability and availability enhancing the integration and interoperability elements provided by the IHE profiles. These characteristics are promoted by architectural approaches like SOA. The paper details main characteristics of SOA-based components and services and their (complementary) relationship to IHE. It also highlights expected challenges in transitioning to SOA encountered by large scale distributed health enterprises from the viewpoint of benefits and cost/risk factors","PeriodicalId":164569,"journal":{"name":"1st Transdisciplinary Conference on Distributed Diagnosis and Home Healthcare, 2006. D2H2.","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131165297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}