A. Manataki, Jacques D. Fleuriot, P. Papapanagiotou
{"title":"Tracheostomy Transfers: A Case Study in the Application of Formal Methods to Intra-hospital Patient Transfers","authors":"A. Manataki, Jacques D. Fleuriot, P. Papapanagiotou","doi":"10.1109/CBMS.2014.50","DOIUrl":"https://doi.org/10.1109/CBMS.2014.50","url":null,"abstract":"We review a generic framework for rigorous workflow modelling and verification that was recently applied to healthcare collaboration patterns, and we show how it can be utilised to help both medical staff and health informaticians build a systematic understanding of informal practices followed during intra-hospital patient transfers. A case study is discussed, demonstrating how the logical foundations of our approach help capture and enforce significant aspects of intra-hospital transfers that are pertinent to their improvement.","PeriodicalId":398710,"journal":{"name":"2014 IEEE 27th International Symposium on Computer-Based Medical Systems","volume":"149 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121380717","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":"Assessment of G-quadruplex Prediction Tools","authors":"G. Tradigo, L. Mannella, P. Veltri","doi":"10.1109/CBMS.2014.146","DOIUrl":"https://doi.org/10.1109/CBMS.2014.146","url":null,"abstract":"DNA is a long polymer being famous for its doublehelix form at the lower level, and for its chromosome packaging at higher levels of detail. Nonetheless DNA exists in many possible conformations, including A-DNA, B-DNA and Z-DNA forms. B-DNA is the most common form found in cells. Non-B DNAs comprise of tetraplex (G-quadruplex), left-handed Z-DNA, and others. Several recent publications have provided significant evidence that non-B DNA structures may play a role in DNA instability and mutagenesis, leading to both DNA rearrangements and increased mutational rates, which are a hallmark of cancer related diseases. Studying the structure conformation and probability of non-B DNA structure, may help in studying diseases as well as designing of new drugs. Nevertheless, even if there are some examples of prediction tools, the topic of designing efficient prediction algorithms and tools for G-quadruplex prediction is still in its infancy.As a contribution in this new area, we present preliminary results and statistics obtained by using the state of the art software tools able to predict G-quadruplex DNA conformations starting from the primary sequence. We used existing tools as well as known structures to define the state of the art and the current value of prediction tools. We believe that our study may represent an important contribution through the definition of reliable Gquadruplex prediction tools.","PeriodicalId":398710,"journal":{"name":"2014 IEEE 27th International Symposium on Computer-Based Medical Systems","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114068499","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":"Application of Ensemble Averaging to the Analysis of Electromyography Recordings under Whole Body Vibratory Stimulation","authors":"A. Fratini, P. Bifulco, M. Cesarelli","doi":"10.1109/CBMS.2014.143","DOIUrl":"https://doi.org/10.1109/CBMS.2014.143","url":null,"abstract":"The aim of this study is to evaluate the application of ensemble averaging to the analysis of electromyography recordings under whole body vibratory stimulation. Recordings from Rectus Femoris, collected during vibratory stimulation at different frequencies, are used. Each signal is subdivided in intervals, which time duration is related to the vibration frequency. Finally the average of the segmented intervals is performed. By using this method for the majority of the recordings the periodic components emerge. The autocorrelation of few seconds of signals confirms the presence of a pseudosinusoidal components strictly related to the soft tissues oscillations caused by the mechanical waves.","PeriodicalId":398710,"journal":{"name":"2014 IEEE 27th International Symposium on Computer-Based Medical Systems","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116158177","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":"Improving the Information Security Management: An Industrial Study in the Privacy of Electronic Patient Records","authors":"Ying He, Chris W. Johnson, Yu Lu, Yixia Lin","doi":"10.1109/CBMS.2014.121","DOIUrl":"https://doi.org/10.1109/CBMS.2014.121","url":null,"abstract":"Adverse incidents in the privacy of patients' medical records can result in multiple negative impacts. Effective mechanisms are needed to communicate the lessons from the incidents into the Information Security Management Systems (ISMS) so as to prevent similar incidents. The Generic Security Template (G.S.T.) has been developed to enhance current mechanism and has demonstrated significant benefits in communicating the lessons compared to the more conventional use of text-based incident reports. This paper extends the work to evaluate the G.S.T. in healthcare. A case study with healthcare professionals working in a China healthcare organization shows that, the G.S.T. can enhance the current mechanism in communicating the lessons with the ISMS.","PeriodicalId":398710,"journal":{"name":"2014 IEEE 27th International Symposium on Computer-Based Medical Systems","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127749815","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. Martin, C. Nugent, R. Bond, D. Finlay, C. Breen
{"title":"Diagnosis of the Electrocardiogram Using a Smartphone","authors":"E. Martin, C. Nugent, R. Bond, D. Finlay, C. Breen","doi":"10.1109/CBMS.2014.105","DOIUrl":"https://doi.org/10.1109/CBMS.2014.105","url":null,"abstract":"Electrocardiograms can be used for diagnosing various cardiac conditions. They are traditionally printed as a hard copy on thermal graph paper, which a clinician can then use to support the overall diagnosis. Nevertheless, as technology evolves aspects of healthcare are embracing these technological advancements. One such technology that is being accepted is the Smartphone. Lightweight, portable and with impressive processing speed, smartphones are becoming a familiar sight within healthcare, and used not only for the purposes of making phone calls. There are many healthcare applications available which are already proving popular amongst clinicians and patients, such as WebMD, Trusted Health and Wellness Information as well as First Aid - Emergency Handbook. Additionally, with a range of five to twelve mega pixel camera as standard, images can be taken and details can be presented in ways previously not thought possible. This paper reports upon the motivations of using a smartphone within healthcare and describes the findings of having fifteen electrocardiograms diagnoses using an Apple iPhone by a clinician.","PeriodicalId":398710,"journal":{"name":"2014 IEEE 27th International Symposium on Computer-Based Medical Systems","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126381714","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}
Richard B. Woodward, S. Shefelbine, R. Vaidyanathan
{"title":"Pervasive Motion Tracking and Muscle Activity Monitor","authors":"Richard B. Woodward, S. Shefelbine, R. Vaidyanathan","doi":"10.1109/CBMS.2014.43","DOIUrl":"https://doi.org/10.1109/CBMS.2014.43","url":null,"abstract":"This paper introduces a novel human activity monitoring system combining Inertial Measurement Units (IMU) and Mechanomyographic (MMG) muscle sensing technology. While other work has recognised and implemented systems for combined muscle activity and motion recording, they have focused on muscle activity through EMG sensors, which have limited use outside controlled environments. MMG is a low frequency vibration emitted by skeletal muscle whose measurement does not require gel or adhesive electrodes, potentially offering much more efficient implementation for pervasive use. We have developed a combined IMU and MMG sensor the fusion of which provides a new dimension in human activity monitoring and bridges the gap between human dynamics and muscle activity. Results show that synergy between motion and muscle detection is not only viable, but straightforward, inexpensive, and can be packaged in a lightweight wearable package.","PeriodicalId":398710,"journal":{"name":"2014 IEEE 27th International Symposium on Computer-Based Medical Systems","volume":"137 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129404771","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}
Paolo Locatelli, R. Facchini, Roberto Moser, L. Gastaldi, M. Corso, Elena Sini, Michele Torresani
{"title":"Effectively Introducing Mobile Solutions in Hospitals: The Importance of Process Perspective and KPIs","authors":"Paolo Locatelli, R. Facchini, Roberto Moser, L. Gastaldi, M. Corso, Elena Sini, Michele Torresani","doi":"10.1109/CBMS.2014.45","DOIUrl":"https://doi.org/10.1109/CBMS.2014.45","url":null,"abstract":"ICT enables improvement of healthcare processes, by increasing quality while simultaneously reducing costs. Among the different ICT-based solutions, mobile health is achieving an increasing importance: despite all potential benefits of mobile technologies, little attention has been put so far in their application within hospitals. As a result, any mobile solution introduction tends to not take into account organizational implications, with the result of limited or ineffective adoptions. Drawing on the experience of four successful implementations of mobile solutions in three Italian hospitals, this paper emphasizes the importance of two design factors: (i) the adoption of a process perspective, (ii) the continuous monitoring of a pre-determined sets of Key Performance Indicators (KPIs). Theoretical and managerial implications are proposed and discussed.","PeriodicalId":398710,"journal":{"name":"2014 IEEE 27th International Symposium on Computer-Based Medical Systems","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114420163","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}
T. Krahn, M. Eichelberg, S. Gudenkauf, G. Laleci, Hans-Jürgen Appelrath
{"title":"Adverse Drug Event Notification System: Reusing Clinical Patient Data for Semi-automatic ADE Detection","authors":"T. Krahn, M. Eichelberg, S. Gudenkauf, G. Laleci, Hans-Jürgen Appelrath","doi":"10.1109/CBMS.2014.49","DOIUrl":"https://doi.org/10.1109/CBMS.2014.49","url":null,"abstract":"Adverse drug events (ADEs) are common, costly and a public health issue. Today, their detection relies on medical chart review and spontaneous reports, but this is known to be rather ineffective. Along with the increasing availability of clinical patient data in electronic health records (EHRs), a computer-based ADE detection has a tremendous potential to contribute to patient safety. Current ADE detection systems are very specific, usually built directly on top of clinical information systems through proprietary interfaces. Thus, it is not possible to run different ADE detection tools on top of already existing systems in an ad-hoc manner. The European project \"SALUS\" aims at providing the necessary infrastructure and toolset for accessing and analyzing clinical patient data of heterogeneous clinical information systems. This paper highlights the SALUS ADE notification system as the key tool to enable a semi-automatic ADE detection and notification. In contrast to previous work, the ADE notification system is not restricted to a specific clinical environment. It can be run on different clinical data models with different levels of data quality. The system is equipped with innovative features, building up an intelligent, comprehensive ADE detection and notification system that promises a profound impact in the domain of computer-based ADE detection.","PeriodicalId":398710,"journal":{"name":"2014 IEEE 27th International Symposium on Computer-Based Medical Systems","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116309258","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":"Profiling Cardiovascular Disease Event Risk through Clustering of Classification Association Rules","authors":"Shen Song, J. Warren, Patricia J. Riddle","doi":"10.1109/CBMS.2014.17","DOIUrl":"https://doi.org/10.1109/CBMS.2014.17","url":null,"abstract":"Association Rule Mining (ARM) is a promising method to provide insights for better management of chronic diseases. However, ARM tends to give an overwhelming number of rules, leading to the long-standing problem of identifying the 'interesting' rules for knowledge discovery. Therefore, this paper proposes a hybrid clustering-ARM approach to gain insight into a population's pattern of risk for a chronic disease related adverse event. Classification Association Rules (CARs) indicative of the development of cardiovascular disease (CVD) are developed from training data and clustered based on commonality of cases satisfying the rule antecedents. Test cases are then assigned to the rule clusters to provide sets of at-risk individuals sharing common CVD risk factors. The approach is demonstrated using the Framingham Heart Study cohort data set obtained from the US National Heart, Lung, and Blood Institute's Biologic Specimen and Data Repository Information Coordinating Center (BioLINCC).","PeriodicalId":398710,"journal":{"name":"2014 IEEE 27th International Symposium on Computer-Based Medical Systems","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122077264","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":"User-Friendly UIs for the Execution of Clinical Practice Guidelines","authors":"F. Rabbi, W. MacCaull","doi":"10.1109/CBMS.2014.104","DOIUrl":"https://doi.org/10.1109/CBMS.2014.104","url":null,"abstract":"Workflow management systems (WfMS) can be used to manage complex processes, such as those described by Clinical Practise Guidelines (CPG). Such processes involve a variety of stakeholders, however, frequently their interfaces are not suited to the needs of the stakeholders involved. Here we propose that WfMSs be integrated with tools to build a variety of interfaces to meet the needs of different users. Using a CPG for the management of hypertension as a case study, we give examples of user-friendly interfaces which can be built easily using our domain specific language, and which integrate with our WfMS. One interface guides the clinician in the management of the disease, allowing her him the opportunity to view and interact with the process in a more holistic fashion, recording and recalling information relevant to the patient or the task. A second interface is more suited to the patient for the self management of lifestyle parameters, while other interfaces can be used by the patient, the clinician or the manager to represent trends or aggregate data.","PeriodicalId":398710,"journal":{"name":"2014 IEEE 27th International Symposium on Computer-Based Medical Systems","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125777805","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}