Impact of Mobile and Wireless Technology on Healthcare Delivery services

Modern healthcare delivery services embrace the use of leading edge technologies and new scientific discoveries to enable better cures for diseases and better means to enable early detection of most life-threatening diseases. The healthcare industry is finding itself in a state of turbulence and flux. The major innovations lie with the use of information technologies and particularly, the adoption of mobile and wireless applications in healthcare delivery [1]. Wireless devices are becoming increasingly popular across the healthcare field, enabling caregivers to review patient records and test results, enter diagnosis information during patient visits and consult drug formularies, all without the need for a wired network connection [2]. A pioneering medical-grade, wireless infrastructure supports complete mobility throughout the full continuum of healthcare delivery. It facilitates the accurate collection and the immediate dissemination of patient information to physicians and other healthcare care professionals at the time of clinical decision-making, thereby ensuring timely, safe, and effective patient care. This paper investigates the wireless technologies that can be used for medical applications, and the effectiveness of such wireless solutions in a healthcare environment. It discusses challenges encountered; and concludes by providing recommendations on policies and standards for the use of such technologies within hospitals

Technology of swallowable capsule for medical applications

Medical technology has undergone major breakthroughs in recent years, especially in the area of the examination tools for diagnostic purposes. This paper reviews the swallowable capsule technology in the examination of the gastrointestinal system for various diseases. The wireless camera pill has created a more advanced method than many traditional examination methods for the diagnosis of gastrointestinal diseases such as gastroscopy by the use of an endoscope. After years of great innovation, commercial swallowable pills have been produced and applied in clinical practice. These smart pills can cover the examination of the gastrointestinal system and not only provide to the physicians a lot more useful data that is not available from the traditional methods, but also eliminates the use of the painful endoscopy procedure. In this paper, the key state-of-the-art technologies in the existing Wireless Capsule Endoscopy (WCE) systems are fully reported and the recent research progresses related to these technologies are reviewed. The paper ends by further discussion on the current technical bottlenecks and future research in this area

A Wireless Power Transfer Based Implantable ECG Monitoring Device

Implantable medical devices (IMDs) enable patients to monitor their health anytime and receive treatment anywhere. However, due to the limited capacity of a battery, their functionalities are restricted, and the devices may not achieve their intended potential fully. The most promising way to solve this limited capacity problem is wireless power transfer (WPT) technology. In this study, a WPT based implantable electrocardiogram (ECG) monitoring device that continuously records ECG data has been proposed, and its effectiveness is verified through an animal experiment using a rat model. Our proposed device is designed to be of size 24 x 27 x 8 mm, and it is small enough to be implanted in the rat. The device transmits data continuously using a low power Bluetooth Low Energy (BLE) communication technology. To charge the battery wirelessly, transmitting (Tx) and receiving (Rx) antennas were designed and fabricated. The animal experiment results clearly showed that our WPT system enables the device to monitor the ECG of a heart in various conditions continuously, while transmitting all ECG data in real-time.11Ysciescopu

Monitoring, diagnosis, and control for advanced anesthesia management

Modern anesthesia management is a comprehensive and the most critical issue in medical care. During the past dacades, a large amount of research works have been focused on the problems of monitoring anesthesia depth, modeling the dynamics of anesthesia patient for the purpose of control, prediction, and diagnosis. Monitoring the anesthesia depth is not only for keeping the patient in adquate anesthesia level but also for preventing the patient from overdosing. Several EEG based indexes have been developed such as the BIS, and Entropy etc. for measuring depth. However, reports mentioned that those indexes in some cases fail in detecting the awareness of the the patient. In this research work, a new EEG based parameter, beta_2/theta-ratio, was introduced as a potential enhancement in measuring anesthesia depth. It was compared to the relative beta-ratio which had been commercially used in the BIS monitor and proved that the beta_2/theta-ratio has improved reliability and sensitivity in detecting the awareness than the beta-ratio does. Traditional modeling, diagnosis and control in anesthesia focus on a one-drug one-outcome scenario. In fact, Anesthesia drugs have impact on multiple outcomes of an anesthesia patient. Due to limited real-time data, real-time modeling in multi-outcome modeling requires low complexity model structures. A method of decision-oriented modeling which employs simplified and combined model functions in a Wiener structure to reduce model complexity was introduced. This model structure was implemented in device level and tested in operation room for real-time anesthesia monitoring, diagnosis, and prediction. Furthermore, the impact of wireless channels on patient control in anesthesia applications was also investigated. Such a system involves communication channels which introduce noises due to quantization, channel noises, and have limited communication bandwidth resources. Usually signal averaging can be used effectively in reducing the noise effects. However, when feedback was intended, we showed that signal averaging will lose its utility substantially. To explain this phenomenon, we analyzed stability margins under signal averaging and derived some optimal strategies for selecting window sizes. Finally, a mathematical model for the auditory system was introduced to characterize the impact of anesthesia on auditory systems, and analyze and diagnose hearing damage. The auditory system was represented by a black-box input-output system with external sound stimuli as the input and the neuron firing rates as the output. Two parallel subsystem models were developed for modeling the auditory system dynamics: an ARX (Auto-Regression with External Input) model for the auditory system under external stimuli and an ARMA (Auto-Regression and Moving Average) model for the spontaneous activities of the neurons on primary auditory cortex. These models provide a quantitative characterization of anesthesia\u27s impacts and diagnosis of hearing loss on auditory transmission channels

Smart Embedded Systems for Biomedical Applications

L'abstract è presente nell'allegato / the abstract is in the attachmen

Use of location data for the surveillance, analysis, and optimization of clinical processes

Thesis (S.M.)--Harvard-MIT Division of Health Sciences and Technology, 2006.Includes bibliographical references (leaves 33-35).Location tracking systems in healthcare produce a wealth of data applicable across many aspects of care and management. However, since dedicated location tracking systems, such as the oft mentioned RFID tracking system, are still sparsely deployed, a number of other data sources may be utilized to serve as a proxy for physical location, such as barcodes and manual timestamp entry, and may be better suited to indicate progress through clinical workflows. INCOMING!, a web-based platform that monitors and tracks patient progress from the operating room to the post-anesthesia care unit (PACU), is one such system that utilizes manual timestamps routinely entered as standard process of care in the operating room in order to track a patient's progress through the post-operative period. This integrated real time system facilitates patient flow between the PACU and the surgical ward and eases PACU workload by reducing the effort of discharging patients.(cont.) We have also developed a larger-scale integrated system for perioperative processes that integrates perioperative data from anesthesia and surgical devices and operating room (OR) / hospital information systems, and projects the real-time integrated data as a single, unified, easy to visualize display. The need to optimize perioperative throughput creates a demand for integration of the datastreams and for timely data presentation. The system provides improved context-sensitive information display, improved real-time monitoring of physiological data, real-time access to readiness information, and improved workflow management. These systems provide improved data access and utilization, providing context-aware applications in healthcare that are aware of a user's location, environment, needs, and goals.by Mark A. Meyer.S.M

Smart vest for respiratory rate monitoring of COPD patients based on non-contact capacitive sensing

In this paper, a first approach to the design of a portable device for non-contact monitoring of respiratory rate by capacitive sensing is presented. The sensing system is integrated into a smart vest for an untethered, low-cost and comfortable breathing monitoring of Chronic Obstructive Pulmonary Disease (COPD) patients during the rest period between respiratory rehabilitation exercises at home. To provide an extensible solution to the remote monitoring using this sensor and other devices, the design and preliminary development of an e-Health platform based on the Internet of Medical Things (IoMT) paradigm is also presented. In order to validate the proposed solution, two quasi-experimental studies have been developed, comparing the estimations with respect to the golden standard. In a first study with healthy subjects, the mean value of the respiratory rate error, the standard deviation of the error and the correlation coefficient were 0.01 breaths per minute (bpm), 0.97 bpm and 0.995 (p < 0.00001), respectively. In a second study with COPD patients, the values were -0.14 bpm, 0.28 bpm and 0.9988 (p < 0.0000001), respectively. The results for the rest period show the technical and functional feasibility of the prototype and serve as a preliminary validation of the device for respiratory rate monitoring of patients with COPD.Ministerio de Ciencia e Innovación PI15/00306Ministerio de Ciencia e Innovación DTS15/00195Junta de Andalucía PI-0010-2013Junta de Andalucía PI-0041-2014Junta de Andalucía PIN-0394-201

A Jini-Based Solution for Electronic Prescriptions

In most countries today, handwritten, paper-based medical prescriptions are the norm.While efforts have been made in the past and are being made at present to migrate toward electronic dispensation of prescriptions, these have generally omitted to incorporate ubiquitous computing technology in their proposed solutions. In this paper, we focus on this issue and describe a Jini-based prototypical solution for electronic prescriptions, which allows for their wireless transmission to in-range pharmacies and the augmentation of the service levels rendered to the user, with, for instance, information about queue lengths and estimated waiting times being provided to the patients. Clinical and user evaluation revealed that there were high levels of agreement as regards the prototype’s effectiveness, ease of use, and usefulness