{"title":"Diagnostic Assessment Techniques and Non-Invasive Biomarkers for Autism Spectrum Disorder","authors":"Tanu, D. Kakkar","doi":"10.4018/IJEHMC.2019070105","DOIUrl":"https://doi.org/10.4018/IJEHMC.2019070105","url":null,"abstract":"Autism spectrum disorder (ASD) is a complex heterogeneous neurological disorder that has led to a spectrum of diagnosis techniques. The screening instruments, medical and technological tools initiate the diagnosis process. Clinicians and psychologists propose therapies depending on the examination done by these methodologies. The literature has accounted dozens of diagnostic methods and alternative and complementary therapies but still lack in highlighting the proper biomarker for early detection and intervention. The emerging multi-modal neuro-imaging techniques have correlated the brain's functional and structural measures and diagnosed ASD with more sensitivity than individual approaches. The purpose of this review article is: (i) to provide an overview of the emerging ASD diagnosis methods and different markers and; (ii) to present the idea of integrating all the individual methods in to a multi-modal diagnostic system to enhance detection sensitivity. This system possesses the potential to diagnose and predict ASD clinically, neurologically & objectively with high detection sensitivity.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131346400","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}
N. Rocha, Milton Santos, Margarida Cerqueira, A. Queirós
{"title":"Mobile Health to Support Ageing in Place: A Systematic Review of Reviews and Meta-Analyses","authors":"N. Rocha, Milton Santos, Margarida Cerqueira, A. Queirós","doi":"10.4018/IJEHMC.2019070101","DOIUrl":"https://doi.org/10.4018/IJEHMC.2019070101","url":null,"abstract":"The study reported in this article aimed to identify: i) the most relevant application domains of mHealth to support older adults in their domiciles; ii) the most relevant chronic conditions of older adults, whose management is being supported by mHealth; iii) the characteristics, outcomes and impacts of mHealth tools that might support older adults in their domiciles. The method of a systematic review of reviews and meta-analyses was performed based on a search of the literature. The result of a total of 66 reviews and meta-analyses across several chronic diseases were retrieved. These studies compare mHealth interventions with usual care. The conclusion is that mHealth interventions have positive effects on various health related outcomes, but further research is required to allow their incorporation in the clinical practice.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"84 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123121950","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}
A. Mukhopadhyay, Sidharth Sreekumar, Bobin Xavier, M. Suraj
{"title":"A Cloud-Based Smartphone Solution for Transmitting Bio-Signals From an Emergency Response Vehicle","authors":"A. Mukhopadhyay, Sidharth Sreekumar, Bobin Xavier, M. Suraj","doi":"10.4018/IJEHMC.2019070102","DOIUrl":"https://doi.org/10.4018/IJEHMC.2019070102","url":null,"abstract":"Most developing countries are currently unable to provide adequate, let alone advanced healthcare support to rural areas. Telemedicine combines the capability of information technology and dedicated people working towards the common goal of providing good quality healthcare in remote areas. In this article, the authors propose a system that can be used to transmit patient vitals like pulse rate, oxygen saturation, and perfusion index readings to a doctor in a remote area, while a patient is in transit. This system uses a smartphone application, a pulse oximeter, and the real-time data transferring capabilities of Firebase (a cloud database). The application has been tested under various network conditions which includes connection types such as 2G (2nd Generation), 3G (3rd Generation), 4G (4th Generation), and Fiber To The Home (FTTH). The work also discusses the possible reasons for the higher performance found in 4G networks over 3G and 2G cellular connections.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126801606","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":"Fuzzy Logic-Based Predictive Model for the Risk of Type 2 Diabetes Mellitus","authors":"P. Idowu, Jeremiah Ademola Balogiun","doi":"10.4018/IJEHMC.2019070104","DOIUrl":"https://doi.org/10.4018/IJEHMC.2019070104","url":null,"abstract":"This article presents a predictive model that can be used for the early detection of Type 2 Diabetes Mellitus using fuzzy logic. In order to formulate the model, risk factors associated with the risk of T2DM were elicited. The predictive model was formulated using fuzzy triangular membership functions following which the rules needed for the inference engine was elicited from experts. The model was simulated using the MATLAB Fuzzy logic Toolbox. The results of the study showed that the sensitivity of 11.67% and 100% precision for the low risk was recorded for both cases, specificity of 41.67% compared to 48.33% for the moderate risk, while there was 0% and 13.33% for the high risk. In conclusion, this model will help the doctor to know what course of preventive actions for a patient with high risk and what advice to give to those with low and moderate risk so that the occurrences of the diseases can be prevented altogether and thereby reducing the number of people dying from Type 2 Diabetes Mellitus diseases worldwide.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"136 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120912398","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}
L. M. D. Sousa, P. Filho, F. Bezerra, A. Neto, Saulo A. F. Oliveira
{"title":"An Improved Retinal Blood Vessel Detection System Using an Extreme Learning Machine","authors":"L. M. D. Sousa, P. Filho, F. Bezerra, A. Neto, Saulo A. F. Oliveira","doi":"10.4018/IJEHMC.2019070103","DOIUrl":"https://doi.org/10.4018/IJEHMC.2019070103","url":null,"abstract":"Retinal images are commonly used to diagnose various diseases, such as diabetic retinopathy, glaucoma, and hypertension. An important step in the analysis of such images is the detection of blood vessels, which is usually done manually and is time consuming. The main proposal in this work is a fast method for retinal blood vessel detection using Extreme Learning Machine (ELM). ELM requires only one iteration to complete its training and it is a robust and fast network in all aspects. The proposal is a compact and efficient representation of retinal images in which the authors achieved a reduction up to 39% of the initial data volume, while still keeping representativeness. To achieve such a reduction whilst maintaining the representativeness, three features (local tophat, local average, and local variance) were used. According to the simulations carried out, this proposal achieved an accuracy of about 95% for most results, outperforming most of the state-of-art methods. Furthermore, this proposal has greater sensitivity, meaning that more vessel pixels are detected correctly.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"282 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124509057","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":"Impact of Privacy Issues on Successful Implementation of Personalized Medicare System: An Empirical Study","authors":"Sandip Bisui, S. Misra","doi":"10.4018/IJEHMC.2019070106","DOIUrl":"https://doi.org/10.4018/IJEHMC.2019070106","url":null,"abstract":"Personalized medicare systems is an emerging field of research, which bears the potential to significantly reduce healthcare expenditures and treatment errors and thereby to revolutionize the entire treatment procedure. In this novel approach, genomic variation in different individuals is duly taken into consideration. However, there exist several serious issues (e.g. privacy concerns) that provide hindrance to large-scale adoption of this medicare system. The main objective of this study has been to identify the privacy issues and to evaluate their impact on successful implementation of this novel medical treatment. The methodology used is empirical and is based on a survey-based post facto procedure. The data collected from the survey are analyzed by using the method of structural modelling analysis. This is an original study in the realm of healthcare management, which reveals that the technology related factors and privacy concerns have considerable impact on the successful implementation of personalized medicare system on a large scale. But the privacy concerns have no significant moderating effect on the impact of technology related factors, so far, the success of implementation of personalized medicine is concerned.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124948277","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":"Performance Analysis of Compression Techniques for Chronic Wound Image Transmission Under Smartphone-Enabled Tele-Wound Network","authors":"Chinmay Chakraborty","doi":"10.4018/IJEHMC.2019040101","DOIUrl":"https://doi.org/10.4018/IJEHMC.2019040101","url":null,"abstract":"The healing status of chronic wounds is important for monitoring the condition of the wounds. This article designs and discusses the implementation of smartphone-enabled compression technique under a tele-wound network (TWN) system. Nowadays, there is a huge demand for memory and bandwidth savings for clinical data processing. Wound images are captured using a smartphone through a metadata application page. Then, they are compressed and sent to the telemedical hub with a set partitioning in hierarchical tree (SPIHT) compression algorithm. The transmitted image can then be reduced, followed by an improvement in the segmentation accuracy and sensitivity. Better wound healing treatment depends on segmentation and classification accuracy. The proposed framework is evaluated in terms of rates (bits per pixel), compression ratio, peak signal to noise ratio, transmission time, mean square error and diagnostic quality under telemedicine framework. A SPIHT compression technique assisted YDbDr-Fuzzy c-means clustering considerably reduces the execution time (105s), is simple to implement, saves memory (18 KB), improves segmentation accuracy (98.39%), and yields better results than the same without using SPIHT. The results favor the possibility of developing a practical smartphone-enabled telemedicine system and show the potential for being implemented in the field of clinical evaluation and the management of chronic wounds in the future.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"310 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129663044","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":"Comparative Performance Analysis of Various Classifiers for Cloud E-Health Users","authors":"T. Selvan, B. Balamurugan","doi":"10.4018/IJEHMC.2019040105","DOIUrl":"https://doi.org/10.4018/IJEHMC.2019040105","url":null,"abstract":"Several classifiers are prevalent which act as a major drive for almost all supervised machine learning applications. These classifiers, though their objective working looks similar, they vary drastically in their performances. Some of the important factors that cause such variations are the scalability of the dataset, dataset nature, training time estimation, classifying time for the test data, prediction accuracy and the error rate computation. This paper focuses mainly on analyzing the performance of the existing four main classifiers: IF-THEN rule, C4.5 decision trees, naïve Bayes, and SVM classifier. The objective of this research article is to provide the complete statistical performance estimates of the four classifiers to the authenticated cloud users. These users have the access facility in obtaining the essential statistical information about the classifiers in study from the cloud server. Such statistical information might be helpful in choosing the best classifier for their personal or organizational benefits. The classifiers follow the traditional underlying algorithms for classification that is performed in the cloud server. These classifiers are tested on three different datasets namely PIMA, breast-cancer and liver-disorders dataset for performance analysis. The performance analysis indicators used in this research article to summarize the working of the various classifiers are training time, testing time, prediction accuracy and error rate computation. The proposed comparative analysis framework can be used to analyze the performances of the classifiers with respect to any input dataset.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123872179","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}
P. Vijayakumar, P. Pandiaraja, B. Balusamy, Marimuthu Karuppiah
{"title":"A Novel Performance Enhancing Task Scheduling Algorithm for Cloud-Based E-Health Environment","authors":"P. Vijayakumar, P. Pandiaraja, B. Balusamy, Marimuthu Karuppiah","doi":"10.4018/IJEHMC.2019040106","DOIUrl":"https://doi.org/10.4018/IJEHMC.2019040106","url":null,"abstract":"The fast-growing internet services have led to the rapid development of storing, retrieving and processing health-related documents from a public cloud. In such a scenario, the performance of cloud services offered is not guaranteed, since it depends on efficient resource scheduling, network bandwidth, etc. The trade-off which lies between the cost and the QoS is that the cost should be variably low on achieving high QoS. This can be done by performance optimization. In order to optimize the performance, a novel task scheduling algorithm is proposed in this article. The main advantage of this proposed scheduling algorithm is to improve the QoS parameters which comprises of metrics such as response time, computation time, availability and cost. The proposed work is simulated in Aneka and shows better performance compared to existing paradigms.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126985614","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}
J. Azcarraga, John Zachary Raduban, M. C. Gendrano, A. Azcarraga
{"title":"Identity Concealment When Uploading Pictures of Patients in a Tele-Medicine System","authors":"J. Azcarraga, John Zachary Raduban, M. C. Gendrano, A. Azcarraga","doi":"10.4018/IJEHMC.2019040103","DOIUrl":"https://doi.org/10.4018/IJEHMC.2019040103","url":null,"abstract":"Tele-medicine systems run the risk of unauthorized access to medical records, and there is greater possibility for the unlawful sharing of sensitive patient information, including children, and possibly showing their private parts. Aside from violating their right to privacy, such practices discourage patients from subjecting themselves to tele-medicine. The authors thus present an automatic identity concealment system for pictures, the way it is designed in the GetBetter tele-medicine system developed under a WHO/TDR grant. Based on open-source face- and eye-detection algorithms, identity concealment is executed by blurring the eye region of a detected face using pixel shuffling. This method is shown to be not only effective in concealing the identity of the patient, but also in preserving the exact distribution of pixel values in the image. This is useful when subsequent image processing techniques are employed, such as when identifying the type of lesions based on images of the skin.","PeriodicalId":375617,"journal":{"name":"Int. J. E Health Medical Commun.","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126546992","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}