Integration of Wearable Technologies into Patients’ Electronic Medical Records

Health Wearable Technologies are becoming more popular all around the world. Smart watches and fitness trackers are currently being used by many and the utilization is expected to continue to grow. The innovative technology will certainly play a key role to the optimal operating of future society, especially with applications in healthcare. This article will introduce the concept of wearable technology with advantages and challenges of its application in the healthcare industry

The Cardiac Analytics and Innovation (CardiacAI) Data Repository: An Australian data resource for translational cardiovascular research

In Australia, cardiovascular diseases (CVD) are managed in a complex and fragmented healthcare system across multiple providers. A data repository that links data sources, and enables advanced analytics and big data technologies, will generate novel insights, and allow development of translational tools that can improve patient care and outcomes. The Cardiac Analytics and Innovation (CardiacAI) project has established a research-ready electronic medical records data resource to enable collaborative and translational cardiovascular research. The CardiacAI data repository prospectively extracts de-identified electronic medical record (EMR) data from two local health districts (LHD) in New South Wales (NSW), Australia. These data are linked with Australian population health data to ascertain longitudinal hospitalisation and death outcomes. The data are stored within a secure, cloud-based storage and analytics platform. The CardiacAI data repository is a not-for-profit data resource that promotes collaboration and responsible sharing of data. The CardiacAI data repository is a resource for Australian healthcare providers, clinicians and researchers seeking to improve cardiovascular care. The project is expanding to include data from stroke hospitalisations and two additional NSW LHDs, and is actively exploring linkage with ECG signal data, medical imaging data and community-based healthcare. The CardiacAI project has the potential to unlock a wealth of novel insights and translational tools that improve secondary prevention and treatment of CVD.Comment: Author Notes: Blanca Gallego and Sze-Yuan Ooi are co-senior authors of this paper. Blanca Gallego is the senior technical author and Sze-Yuan Ooi is the senior clinical autho

Goal-directed versus outcome-based financial incentives for weight loss among low-income patients with obesity: rationale and design of the Financial Incentives foR Weight Reduction (FIReWoRk) randomised controlled trial.

IntroductionObesity is a major public health challenge and exacerbates economic disparities through employment discrimination and increased personal health expenditures. Financial incentives for weight management may intensify individuals' utilisation of evidence-based behavioural strategies while addressing obesity-related economic disparities in low-income populations. Trials have focused on testing incentives contingent on achieving weight loss outcomes. However, based on social cognitive and self-determination theories, providing incentives for achieving intermediate behavioural goals may be more sustainable than incentivising outcomes if they enhance an individual's skills and self-efficacy for maintaining long-term weight loss. The objective of this paper is to describe the rationale and design of the Financial Incentives foR Weight Reduction study, a randomised controlled trial to test the comparative effectiveness and cost-effectiveness of two financial incentive strategies for weight loss (goal directed vs outcome based) among low-income adults with obesity, as well as compared with the provision of health behaviour change resources alone.Methods and analysisWe are recruiting 795 adults, aged 18-70 years with a body mass index ≥30 kg/m2, from three primary care clinics serving residents of socioeconomically disadvantaged neighbourhoods in New York City and Los Angeles. All participants receive a 1-year commercial weight loss programme membership, self-monitoring tools (bathroom scale, food journal and Fitbit Alta HR), health education and monthly check-in visits. In addition to these resources, those in the two intervention groups can earn up to $750 over 6 months for: (1) participating in an intensive weight management programme, self-monitoring weight and diet and meeting physical activity guidelines (goal-directed arm); or (2) a ≥1.5% to ≥5% reduction in baseline weight (outcome-based arm). To maximise incentive efficacy, we incorporate concepts from behavioural economics, including immediacy of payments and framing feedback to elicit regret aversion. We will use generalised mixed effect models for repeated measures to examine intervention effects on weight at 6, 9 and 12 months.Ethics and disseminationHuman research protection committees at New York University School of Medicine, University of California Los Angeles (UCLA) David Geffen School of Medicine and Olive-View-UCLA Medical Center granted ethics approval. We will disseminate the results of this research via peer-reviewed publications, conference presentations and meetings with stakeholders.Trial registration numberNCT03157713

Contagion Design: Labour, Economy, Habits, Data

How is contagion designed? How do labour, migration, habits and data configure contagion? Analyzing the current conjuncture through these vectors, this book critically addresses issues of rising unemployment, restricted movement, increasing governance of populations through data systems and the compulsory redesign of habits. Design logics underscore both biological contagion and political technologies. Contagion is redesigning how labour and migration are differentially governed, experienced and indeed produced. Habits generate modes of exposure and protection from contagion and become a resource for managing biological and social life. Data turns contagion into models that make a virus actionable and calculable. New modes of sociality and collaboration provoke forms of contagious mutuality. But can the logic of pre-emption and prediction ever accommodate and control the contingencies of a virus? Taken as a whole, the essays in this small book explore these issues and their implications for cultural, social and political research of biotechnical conditions. If contagion never abandons the scene of the present, if it persists as a constitutive force in the production of social life, how might we redesign the viral as the friend we love to hate

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

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

Recent Application in Biometrics

In the recent years, a number of recognition and authentication systems based on biometric measurements have been proposed. Algorithms and sensors have been developed to acquire and process many different biometric traits. Moreover, the biometric technology is being used in novel ways, with potential commercial and practical implications to our daily activities. The key objective of the book is to provide a collection of comprehensive references on some recent theoretical development as well as novel applications in biometrics. The topics covered in this book reflect well both aspects of development. They include biometric sample quality, privacy preserving and cancellable biometrics, contactless biometrics, novel and unconventional biometrics, and the technical challenges in implementing the technology in portable devices. The book consists of 15 chapters. It is divided into four sections, namely, biometric applications on mobile platforms, cancelable biometrics, biometric encryption, and other applications. The book was reviewed by editors Dr. Jucheng Yang and Dr. Norman Poh. We deeply appreciate the efforts of our guest editors: Dr. Girija Chetty, Dr. Loris Nanni, Dr. Jianjiang Feng, Dr. Dongsun Park and Dr. Sook Yoon, as well as a number of anonymous reviewers

A LITERATURE REVIEW ON THE CURRENT STATE OF SECURITY AND PRIVACY OF MEDICAL DEVICES AND SENSORS WITH BLUETOOTH LOW ENERGY

Technology use in healthcare is an integral part of diagnosis and treatment. The use of technology in medical devices and sensors is growing. These devices include implantable medical devices, and consumer health and fitness tracking devices and applications. Bluetooth Low Energy (BLE) is the most commonly used communication method in medical devices and sensors. Security and privacy are important, especially in healthcare technologies that can impact morbidity. There is an increasing need to evaluate the security and privacy of healthcare technology, especially with devices and sensors that use Bluetooth Low Energy due to the increasing prevalence and use of medical devices and sensors. Therefore, more robust security analysis is needed to evaluate security and privacy aspects of medical devices and sensors that use Bluetooth Low Energy