Smart hospital emergency system via mobile-based requesting services

In recent years, the UK’s emergency call and response has shown elements of great strain as of today. The strain on emergency call systems estimated by a 9 million calls (including both landline and mobile) made in 2014 alone. Coupled with an increasing population and cuts in government funding, this has resulted in lower percentages of emergency response vehicles at hand and longer response times. In this paper, we highlight the main challenges of emergency services and overview of previous solutions. In addition, we propose a new system call Smart Hospital Emergency System (SHES). The main aim of SHES is to save lives through improving communications between patient and emergency services. Utilising the latest of technologies and algorithms within SHES is aiming to increase emergency communication throughput, while reducing emergency call systems issues and making the process of emergency response more efficient. Utilising health data held within a personal smartphone, and internal tracked data (GPU, Accelerometer, Gyroscope etc.), SHES aims to process the mentioned data efficiently, and securely, through automatic communications with emergency services, ultimately reducing communication bottlenecks. Live video-streaming through real-time video communication protocols is also a focus of SHES to improve initial communications between emergency services and patients. A prototype of this system has been developed. The system has been evaluated by a preliminary usability, reliability, and communication performance study

Streaming DICOM Real-Time Video and Metadata Flows Outside The Operating Room

International audienceWith the current advancement in the medical world, surgeons are faced with the challenge of handling many sources of medical information in more and more complex and technological Operating Rooms (ORs). Obviously, in the next generation ones, there will be an increasing number of video flows during the surgery (e.g. endoscopes, cameras, ultrasounds, etc.), which can be also displayed all over the OR in order to facilitate the task for the surgeon and to avoid any adverse events or problems related to inadequate communication in the OR. Additionally, other information needs to be shared, pre/post/during an operation, such as the history of the digital images related to the patient in the PACS and the metadata coming from medical sensors. Moreover, these medical videos captured from the OR can be either displayed on a large screen in the OR in order to provide the surgeon with more visibility, in this case via DICOM-RTV, or streamed outside the OR via a P2P solution. The latter one can serve various purposes such as for teaching medical student in real-time or for remote-expertise with a remote senior surgeons. Hence, this paper addresses the challenges of streaming DICOM-RTV video and metadata flows live from the operating room, typically during an ongoing surgery, in real-time to the outside world. A Proof of Concept is also presented in order to demonstrate the feasibility of our solution

Health-5G: A Mixed Reality-Based System for Remote Medical Assistance in Emergency Situations

Mixed reality is the combination of virtual and augmented reality to interactively and believably merge physical and computer-generated environments. This paper discusses the design of Health5G, a scalable mixed reality-based system that facilitates and supports emergency response by medical emergency teams. Health-5G is supported by a distributed architecture divided into four interrelated applications responsible for advanced computer-human interaction, effective real-time videoconference, medical device integration, and communication infrastructure, respectively. The mixed reality layer is provided by the headset Microsoft Hololens 2™. Health-5G is based on scenarios in which emergency personnel wear mixed reality glasses that can transmit audio, video, and data streams bidirectionally over a 5G network to medical specialists stationed in a hospital at any distance. Thanks to Health-5G, the specialist will be able to access the emergency team’s point of view at any time and provide verbal and visual instructions, including gestures and positioning of graphical markers in 3D space. In this way, emergency personnel can provide the best possible care to the patient without having to wait for them to arrive at the hospital, saving a lot of time in scenarios where every second can make a difference. Health-5G also addresses the integration of medical devices and the collection of the patient’s medical data in a scalable way through optical character recognition. A case study is discussed where Health-5G is used to attend a patient in the street suffering from syncope due to third-degree atrioventricular block. Latency and performance tests over a 5G network are also discussed. To the best of our knowledge, there is no comprehensive solution in the literature that provides all the capabilities offered by Health-5G in terms of functionality and advanced interaction mechanisms within the context of remote, immersive support in emergency situations

VCare: A Personal Emergency Response System to Promote Safe and Independent Living Among Elders Staying by Themselves in Community or Residential Settings

‘Population aging’ is a growing concern for most of us living in the twenty first century, primarily because many of us in the next few years will have a senior person to care for - spending money towards their healthcare expenditures AND/OR having to balance a full-time job with the responsibility of care-giving, travelling from another city to be with this elderly citizen who might be our parent, grand-parent or even community elders. As informal care-givers, if somehow we were able to monitor the day-to-day activities of our elderly dependents, and be alerted when wrong happens to them that would be of great help and lower the care-giving burden considerably. Information and Communication Technology (ICT) can certainly help in such a scenario, with tools and techniques that ensure safe living for the individual we are caring for, and save us from a lot of worry by providing us with anytime access into their lives or activities, and as a result check their functional state. However, we should be mindful of the tactics that could be adopted by harm causers to steal data stored in these products and try to curb the associated service costs. In short, we are in need of robust, cost-effective, useful, and secure solutions to help elders in our society to ‘age gracefully’. This work is a little step taken towards that direction. ‘Population aging’ is a growing concern for most of us living in the twenty first century, primarily because many of us in the next few years will have a senior person to care for - spending money towards their healthcare expenditures AND/OR having to balance a full-time job with the responsibility of care-giving, travelling from another city to be with this elderly citizen who might be our parent, grand-parent or even community elders. As informal care-givers, if somehow we were able to monitor the day-to-day activities of our elderly dependents, and be alerted when wrong happens to them that would be of great help and lower the care-giving burden considerably. Information and Communication Technology (ICT) can certainly help in such a scenario, with tools and techniques that ensure safe living for the individual we are caring for, and save us from a lot of worry by providing us with anytime access into their lives or activities, and as a result check their functional state. However, we should be mindful of the tactics that could be adopted by harm causers to steal data stored in these products and try to curb the associated service costs. In short, we are in need of robust, cost-effective, useful, and secure solutions to help elders in our society to ‘age gracefully’. This work is a little step taken towards that direction. Advisor: Tadeusz Wysock

A Telerehabilitation System for the Selection, Evaluation and Remote Management of Therapies

Telerehabilitation systems that support physical therapy sessions anywhere can help save healthcare costs while also improving the quality of life of the users that need rehabilitation. The main contribution of this paper is to present, as a whole, all the features supported by the innovative Kinect-based Telerehabilitation System (KiReS). In addition to the functionalities provided by current systems, it handles two new ones that could be incorporated into them, in order to give a step forward towards a new generation of telerehabilitation systems. The knowledge extraction functionality handles knowledge about the physical therapy record of patients and treatment protocols described in an ontology, named TRHONT, to select the adequate exercises for the rehabilitation of patients. The teleimmersion functionality provides a convenient, effective and user-friendly experience when performing the telerehabilitation, through a two-way real-time multimedia communication. The ontology contains about 2300 classes and 100 properties, and the system allows a reliable transmission of Kinect video depth, audio and skeleton data, being able to adapt to various network conditions. Moreover, the system has been tested with patients who suffered from shoulder disorders or total hip replacement.This research was funded by the Spanish Ministry of Economy and Competitiveness grant number FEDER/TIN2016-78011-C4-2R

Performance Analysis of WebRTC-based Video Streaming over Power Constrained Platforms

This work analyses the use of the WebRTC framework on resource-constrained platforms. WebRTC is a consolidated solution for real-time video streaming, and it is an appealing solution in a wide range of application scenarios. We focus our attention on those in which power consumption, size and weight are of paramount importance because of size, weight and power requirements, such as the use case of unmanned aerial vehicles delivering real-time video streams overWebRTC to peers on the ground. The testbed described in this work shows that the power consumption can be reduced by changing WebRTC default settings while maintaining comparable video quality

System Integration for Medical Data Dissemination and Multimedia Communication in the Implementation of Tele-ECG and Teleconsultation

One of the options to extend medical services coverage is deploying a telemedicine system, where medical personnel make use of ICT (Information and Communication Technology) to overcome distance and time constraints. The implementation of telemedicine systems in Indonesia faces challenges posed by the lack of ICT infrastructure availability, such as communication networks, data centres, and other computing resources. To deal with these challenges, a telemedicine innovation needs to produce a modular and flexible system that is adaptive to medical services needed and the available ICT infrastructure. This paper presents research and development of a telemedicine system prototype for tele-electrocardiography (tele-ECG) and teleconsultation. The contributions offered are integrating system from various open-source modules and the system operational feasibility based on its function and performance. The research is conducted on a testbed which represents various components involved in the telemedicine system operation. Experiments are carried out to assess the system functionality and observe whether tele-ECG and teleconsultation reach their expected performance. Experiment results show that the system works properly and recommend several multimedia communication modes to achieve the target quality based on the available network bandwidth

TorKameleon: Improving Tor's Censorship Resistance With K-anonymization and Media-based Covert Channels

Anonymity networks like Tor greatly improve online privacy but are susceptible to correlation attacks from state-level adversaries and Internet censors. To enhance privacy, covert channels encapsulated in media protocols, particularly WebRTC-based encapsulation, have shown promise against passive traffic correlation attacks. However, their effectiveness against active correlation attacks has not been explored, and compatibility with Tor remains limited. This paper introduces TorKameleon, a censorship evasion solution that protects Tor users from passive and active correlation attacks. It incorporates K-anonymization techniques to fragment and reroute traffic through multiple paths formed by multiple proxies and uses covert WebRTC-based channels or TLS tunnels to encapsulate user traffic. The developed prototype has undergone extensive validation for performance and resilience against correlation attacks, showcasing its effectiveness

Kires: a data-centric telerehabilitation system based on kinect

185 p.It is widely accepted that the worldwide demand for rehabilitation services. To meet these needs, there will have to be developed systems of telerehabilitation that will bring services to even the most remote locations, through Internet and related technologies.This thesis is addressing the area of remote health care delivery, in particular telerehabilitation. We present KiReS; a Kinect based telerehabilitation system which covers the needs of physiotherapists in the process of designing, managing and evaluating physiotherapy protocols and sessions and also covers the needs of the users providing them an intuitive and encouraging interface and giving useful feedback to enhance the rehabilitation process. As required for multi-disciplinary projects, physiotherapists were consulted and feedback from patients was incorporated at different development stages.KiReS aims to outcome limitations of other telerehabilitation systems and bring some novel features: 1) A friendly and helpful interaction with the system using Kinect and motivational interfaces based on avatars. 2) Provision of smart data that supports physiotherapists in the therapy design process by: assuring the maintenance of appropriate constraints and selecting for them a set of exercises that are recommended for the user. 3) Monitoring of rehabilitation sessions through an algorithm that evaluates online performed exercises and sets if they have been properly executed. 4) Extensibility, KiReS is designed to be loaded with a broad spectrum of exercises and protocols