21,354 research outputs found
A case study in open source innovation: developing the Tidepool Platform for interoperability in type 1 diabetes management.
OBJECTIVE:Develop a device-agnostic cloud platform to host diabetes device data and catalyze an ecosystem of software innovation for type 1 diabetes (T1D) management. MATERIALS AND METHODS:An interdisciplinary team decided to establish a nonprofit company, Tidepool, and build open-source software. RESULTS:Through a user-centered design process, the authors created a software platform, the Tidepool Platform, to upload and host T1D device data in an integrated, device-agnostic fashion, as well as an application ("app"), Blip, to visualize the data. Tidepool's software utilizes the principles of modular components, modern web design including REST APIs and JavaScript, cloud computing, agile development methodology, and robust privacy and security. DISCUSSION:By consolidating the currently scattered and siloed T1D device data ecosystem into one open platform, Tidepool can improve access to the data and enable new possibilities and efficiencies in T1D clinical care and research. The Tidepool Platform decouples diabetes apps from diabetes devices, allowing software developers to build innovative apps without requiring them to design a unique back-end (e.g., database and security) or unique ways of ingesting device data. It allows people with T1D to choose to use any preferred app regardless of which device(s) they use. CONCLUSION:The authors believe that the Tidepool Platform can solve two current problems in the T1D device landscape: 1) limited access to T1D device data and 2) poor interoperability of data from different devices. If proven effective, Tidepool's open source, cloud model for health data interoperability is applicable to other healthcare use cases
An Advanced Conceptual Diagnostic Healthcare Framework for Diabetes and Cardiovascular Disorders
The data mining along with emerging computing techniques have astonishingly
influenced the healthcare industry. Researchers have used different Data Mining
and Internet of Things (IoT) for enrooting a programmed solution for diabetes
and heart patients. However, still, more advanced and united solution is needed
that can offer a therapeutic opinion to individual diabetic and cardio
patients. Therefore, here, a smart data mining and IoT (SMDIoT) based advanced
healthcare system for proficient diabetes and cardiovascular diseases have been
proposed. The hybridization of data mining and IoT with other emerging
computing techniques is supposed to give an effective and economical solution
to diabetes and cardio patients. SMDIoT hybridized the ideas of data mining,
Internet of Things, chatbots, contextual entity search (CES), bio-sensors,
semantic analysis and granular computing (GC). The bio-sensors of the proposed
system assist in getting the current and precise status of the concerned
patients so that in case of an emergency, the needful medical assistance can be
provided. The novelty lies in the hybrid framework and the adequate support of
chatbots, granular computing, context entity search and semantic analysis. The
practical implementation of this system is very challenging and costly.
However, it appears to be more operative and economical solution for diabetes
and cardio patients.Comment: 11 PAGE
Visions and Challenges in Managing and Preserving Data to Measure Quality of Life
Health-related data analysis plays an important role in self-knowledge,
disease prevention, diagnosis, and quality of life assessment. With the advent
of data-driven solutions, a myriad of apps and Internet of Things (IoT) devices
(wearables, home-medical sensors, etc) facilitates data collection and provide
cloud storage with a central administration. More recently, blockchain and
other distributed ledgers became available as alternative storage options based
on decentralised organisation systems. We bring attention to the human data
bleeding problem and argue that neither centralised nor decentralised system
organisations are a magic bullet for data-driven innovation if individual,
community and societal values are ignored. The motivation for this position
paper is to elaborate on strategies to protect privacy as well as to encourage
data sharing and support open data without requiring a complex access protocol
for researchers. Our main contribution is to outline the design of a
self-regulated Open Health Archive (OHA) system with focus on quality of life
(QoL) data.Comment: DSS 2018: Data-Driven Self-Regulating System
DeepCare: A Deep Dynamic Memory Model for Predictive Medicine
Personalized predictive medicine necessitates the modeling of patient illness
and care processes, which inherently have long-term temporal dependencies.
Healthcare observations, recorded in electronic medical records, are episodic
and irregular in time. We introduce DeepCare, an end-to-end deep dynamic neural
network that reads medical records, stores previous illness history, infers
current illness states and predicts future medical outcomes. At the data level,
DeepCare represents care episodes as vectors in space, models patient health
state trajectories through explicit memory of historical records. Built on Long
Short-Term Memory (LSTM), DeepCare introduces time parameterizations to handle
irregular timed events by moderating the forgetting and consolidation of memory
cells. DeepCare also incorporates medical interventions that change the course
of illness and shape future medical risk. Moving up to the health state level,
historical and present health states are then aggregated through multiscale
temporal pooling, before passing through a neural network that estimates future
outcomes. We demonstrate the efficacy of DeepCare for disease progression
modeling, intervention recommendation, and future risk prediction. On two
important cohorts with heavy social and economic burden -- diabetes and mental
health -- the results show improved modeling and risk prediction accuracy.Comment: Accepted at JBI under the new name: "Predicting healthcare
trajectories from medical records: A deep learning approach
Towards a Smarter organization for a Self-servicing Society
Traditional social organizations such as those for the management of
healthcare are the result of designs that matched well with an operational
context considerably different from the one we are experiencing today. The new
context reveals all the fragility of our societies. In this paper, a platform
is introduced by combining social-oriented communities and complex-event
processing concepts: SELFSERV. Its aim is to complement the "old recipes" with
smarter forms of social organization based on the self-service paradigm and by
exploring culture-specific aspects and technological challenges.Comment: Final version of a paper published in the Proceedings of
International Conference on Software Development and Technologies for
Enhancing Accessibility and Fighting Info-exclusion (DSAI'16), special track
on Emergent Technologies for Ambient Assisted Living (ETAAL
How 5G wireless (and concomitant technologies) will revolutionize healthcare?
The need to have equitable access to quality healthcare is enshrined in the United Nations (UN) Sustainable Development Goals (SDGs), which defines the developmental agenda of the UN for the next 15 years. In particular, the third SDG focuses on the need to “ensure healthy lives and promote well-being for all at all ages”. In this paper, we build the case that 5G wireless technology, along with concomitant emerging technologies (such as IoT, big data, artificial intelligence and machine learning), will transform global healthcare systems in the near future. Our optimism around 5G-enabled healthcare stems from a confluence of significant technical pushes that are already at play: apart from the availability of high-throughput low-latency wireless connectivity, other significant factors include the democratization of computing through cloud computing; the democratization of Artificial Intelligence (AI) and cognitive computing (e.g., IBM Watson); and the commoditization of data through crowdsourcing and digital exhaust. These technologies together can finally crack a dysfunctional healthcare system that has largely been impervious to technological innovations. We highlight the persistent deficiencies of the current healthcare system and then demonstrate how the 5G-enabled healthcare revolution can fix these deficiencies. We also highlight open technical research challenges, and potential pitfalls, that may hinder the development of such a 5G-enabled health revolution
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