874 research outputs found

    A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy

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    Background: Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED. Methods: The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens. These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics. Results: The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at-risk" citizens, and a ferry. Conclusions: The results proved the functionality and utilization of the platform in various rural places in Greece, Cyprus and Italy. However, further actions are needed to enable the local healthcare systems and the different population groups to be familiarized with, and use in their everyday lives, mature technological solutions for the provision of healthcare services

    Information Systems Strategic Planning for a Naval Hospital

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    Telemedicine system in the South Atlantic. Phase VII (I)

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    The information technology and communications (also known as ICT) are an essential part of the evolution in the economy and society. Access to information has become a vital tool for the development of a community. Consequently, there has been a phenomenon known as "digital divide", which refers to differences between countries that have access to ICT and those without. This project aims to provide a small gesture to reduce the gap between what is often called "differences between North and South", providing an improvement in the telemedicine system that the NGO Telecos Sense Fronteres is developing to the Region of South Atlantic of Nicaragua since 2006. This seventh stage of the project has tried, first of all, to make a careful maintenance of the infrastructure and equipment which currently has the Hospital Ernesto Sequeira Blanco of Bluefields; to improve their performance by incorporating a system of virtual desktops. In addition, the VoIP telephony system has been expanded to other departments of the hospital and other health centres of Bluefields, plus designing a virtual private network for their internal use. Secondly, there has been worked in a radio-link to bring telemedicine to Monkey Point, a rural community, isolated and without access to telecommunications. Finally, it has been emphasized the fact to bring the project to the community of Bluefields in order that they appropriate it and not see it as mere spectators. Related to this, some collaboration agreements have been closed with various local institutions that can contribute to self-management of the project, such as Bluefields Indian & Caribbean University (with engineering students) or the Sistema Local de Atención Integral en Salud (both with the economic and health sides).Català: Les tecnologies de la informació i les comunicacions (també anomenades TIC) són una part essencial dels canvis en l'economia i la societat actual. L'accés a la informació s'ha convertit en una eina vital pel desenvolupament d'una comunitat. Arran d'això, ha sorgit un fenomen conegut com a “bretxa digital”, el qual fa referència a les diferències entre països que tenen accés a les TIC, i aquells que no. Aquest projecte pretén aportar un petit gest per tal de disminuir aquesta bretxa entre el que freqüentment s'anomena “diferències entre Nord i Sud”, proporcionant una millora en el Sistema de Telemedicina que la ONG Telecos Sense Fronteres està desenvolupant a la Regió de l'Atlàntic Sur de Nicaragua des del 2006. En aquesta setena fase del projecte, s'ha pretés, en primer lloc, fer un manteniment acurat de la infraestructura i els equips dels quals disposa l'Hospital Ernesto Sequeira Blanco de Bluefields, millorat-ne les prestacions amb la incorporació d'un sistema d'escriptoris virtuals. A més, s'ha ampliat la xarxa de telefonia VoIP per tal de fer-la extensiva a altres departaments de l'hospital i a altres centres de salut de la població, concretant una xarxa privada virtual pel seu ús intern. En segon terme, s'ha treballat en un radioenllaç per fer arribar la telemedicina a Monkey Point, una comunitat rural, aïllada i sense accés a les telecomunicacions. Finalment, s'ha fet èmfasi en apropar el projecte a la pròpia comunitat de Bluefields amb la finalitat que se l'apropiïn i no el vegin com a mers espectadors. En aquesta direcció, s'han establert convenis de col·laboració amb diferents entitats que poden contribuir a l'autogestió del projecte, com són la Bluefields Indian & Caribbean University (amb estudiants d'enginyeria) o el Sistema Local de Atención Integral en Salud (amb la part econòmica i relacionada amb la salut)

    A novel monitoring system for fall detection in older people

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    Indexación: Scopus.This work was supported in part by CORFO - CENS 16CTTS-66390 through the National Center on Health Information Systems, in part by the National Commission for Scientific and Technological Research (CONICYT) through the Program STIC-AMSUD 17STIC-03: ‘‘MONITORing for ehealth," FONDEF ID16I10449 ‘‘Sistema inteligente para la gestión y análisis de la dotación de camas en la red asistencial del sector público’’, and in part by MEC80170097 ‘‘Red de colaboración científica entre universidades nacionales e internacionales para la estructuración del doctorado y magister en informática médica en la Universidad de Valparaíso’’. The work of V. H. C. De Albuquerque was supported by the Brazilian National Council for Research and Development (CNPq), under Grant 304315/2017-6.Each year, more than 30% of people over 65 years-old suffer some fall. Unfortunately, this can generate physical and psychological damage, especially if they live alone and they are unable to get help. In this field, several studies have been performed aiming to alert potential falls of the older people by using different types of sensors and algorithms. In this paper, we present a novel non-invasive monitoring system for fall detection in older people who live alone. Our proposal is using very-low-resolution thermal sensors for classifying a fall and then alerting to the care staff. Also, we analyze the performance of three recurrent neural networks for fall detections: Long short-term memory (LSTM), gated recurrent unit, and Bi-LSTM. As many learning algorithms, we have performed a training phase using different test subjects. After several tests, we can observe that the Bi-LSTM approach overcome the others techniques reaching a 93% of accuracy in fall detection. We believe that the bidirectional way of the Bi-LSTM algorithm gives excellent results because the use of their data is influenced by prior and new information, which compares to LSTM and GRU. Information obtained using this system did not compromise the user's privacy, which constitutes an additional advantage of this alternative. © 2013 IEEE.https://ieeexplore.ieee.org/stamp/stamp.jsp?tp=&arnumber=842305

    FIT FOR USE ASSESSMENT OF BIOZEN AS A BIOMETRIC SENSOR CONCENTRATOR FOR REMOTE PATIENT MONITORING

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    In recent years, COVID-19 highlighted the importance of virtual health solutions with regard to improving patient health and conserving valuable hospital resources. Currently, the Defense Health Agency (DHA) does not own a remote patient-monitoring solution and relies on external commercial entities to provide the application and services. This could potentially lead to the DHA not retaining complete data ownership when patient data would reside on or traverse through commercial remote patient-monitoring solutions. This thesis evaluates BioZen, a DHA-owned biomedical sensor concentrator designed to run on a mobile phone, as a remote patient-monitoring tool. From this analysis, several key measures of effectiveness and measures of performance for remote patient-monitoring tools are identified and operationalized to measure the overall value BioZen brings to the DHA. Based on this research, it was found that the current build of BioZen, 2.0.0, is unable to meet any of the measures outlined in the study as a remote patient-monitoring tool. A future build of BioZen, or any remote patient-monitoring tool, could then be assessed using the measures of effectiveness and measures of performance within this study to determine the overall value brought to the DHA.Defense Health Agency, 7700 Arlington Boulevard, Falls Church, VA 22042Captain, United States ArmyLieutenant, United States NavyApproved for public release. Distribution is unlimited

    THE AMERICAN CORRECTIONAL HEALTHCARE SYSTEM IS AILING: TECHNOLOGY INNOVATION AS A PRESCRIPTION FOR PENAL SYSTEM HEALTHCARE DELIVERY

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    The U.S. corrections industry has a history of poor inmate healthcare delivery, with penal-system reform advocates and other stakeholders highlighting these failures. Inmates receiving poor medical and psychiatric care behind jail walls experience greater difficulty becoming self-sufficient, and this situation contributes to the nation’s recidivism problem. Caring for inmates is often a neglected proposition and because of this, the U.S. courts impose legal requirements that inmates receive healthcare. Access to quality healthcare specialists for inmates led the penal system to investigate and implement use of telehealth during the 1990s. This thesis investigates how the evolving field of telehealth and emerging technologies may contribute to improved inmate healthcare in the future. A myriad of factors discussed in the thesis pose as challenges to implementing innovations that could improve penal system healthcare. For all the challenges confronting corrections administrators and criminal reform advocates, the corrections system is at a crossroads, as there is potential to modernize jail facilities and use technology to improve the safety and healthcare of inmates, corrections officers and those who render care. Investing in technology infrastructure that supports emerging technologies could also facilitate simpler integration of future innovations that address suicide, mental illness and other medical health maladies that would otherwise go unaddressed.Civilian, Dallas Fire-Rescue DepartmentApproved for public release. Distribution is unlimited
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