Enabling Tetherless Care with Context-Awareness and Opportunistic Communication

Tetherless care is a novel healthcare delivery paradigm that enables an interaction between caregivers and patients beyond the confines of traditional points of care. This thesis presents a synthesis of recent advances in wearable, ubiquitous sensing; mobile computing; wireless networks; and health information technology into a cohesive framework that enables and supports the tetherless care concept. Tetherless care is formally defined and modeled in a higher order logical framework. The model distills three relations between several classes in the model's domain of discourse. A prototype implementation is developed and evaluated to capture and represent the logical classes of tetherless care and provide the development infrastructure upon which the relational logic outlined by the model can be implemented. An algorithm is presented and evaluated to support the delivery of traffic between mobile devices and servers despite intermittent connectivity given the changing urgency of the patient's situation. And an example tetherless care application is presented, developed for the framework, and compared with its deployment on a similar platform. Results show that contemporary mobile devices supply sufficient power to support 24 hours of operation and that, at least, some patient environments provide sufficient opportunities for connectivity to reliably meet the demands of some tetherless care applications, ultimately leading to a conclusion of proof-of-concept for tetherless care

Origami-Inspired Approaches for Biomedical Applications

Modern day biomedical applications require progressions that combine advanced technology with the conformability of naturally occurring, complex biosystems. These advancements yield conformational interactions between the biomedical devices and the biological organisms\u27 structures. Biomedical applications that adapt origami-inspired approaches have accrued aspired advances. Along with application-specific advantages, the most pertinent advances provided by origami-inspired strategies include voluminous structures with the ability to conform to biosystems, shape-shifting from two-dimensional (2D) to three-dimensional (3D) structures, and biocompatibility. Throughout this paper, the exploration of new studies, primarily within the past decade, with origami-based applications of biomedical devices, including their theories, experimental results, and plans for future testing are reviewed. This mini-review contains examples that aid the advancement of biomedical applications and hold promising future discoveries. The origami-inspired applications discussed within this paper are tissue scaffolds, drug delivery approaches, stents and catheters, implants, microfluidic devices, biosensors, and origami usage in surgery

In-situ simulation: A different approach to patient safety through immersive training

Simulation is becoming more and more popular in the field of healthcare education. The main concern for some faculty is knowing how to organise simulation training sessions when there is no simulation centre as they are not yet widely available and their cost is often prohibitive. In medical education, the pedagogic objectives are mainly aimed at improving the quality of care as well as patient safety. To that effect, a mobile training approach whereby simulation-based education is done at the point of care, outside simulation centres, is particularly appropriate. It is usually called “in-situ simulation”. This is an approach that allows training of care providers as a team in their normal working environment. It is particularly useful to observe human factors and train team members in a context that is their real working environment. This immersive training approach can be relatively low cost and enables to identify strengths and weaknesses of a healthcare system. This article reminds readers of the principle of « context specific learning » that is needed for the good implementation of simulation-based education in healthcare while highlighting the advantages, obstacles, and challenges to the development of in-situ simulation in hospitals. The objective is to make clinical simulation accessible to all clinicians for the best interests of the patient.Peer reviewe

Development of A Soft Robotic Approach for An Intra-abdominal Wireless Laparoscopic Camera

In Single-Incision Laparoscopic Surgery (SILS), the Magnetic Anchoring and Guidance System (MAGS) arises as a promising technique to provide larger workspaces and field of vision for the laparoscopes, relief space for other instruments, and require fewer incisions. Inspired by MAGS, many concept designs related to fully insertable magnetically driven laparoscopes are developed and tested on the transabdominal operation. However, ignoring the tissue interaction and insertion procedure, most of the designs adopt rigid structures, which not only damage the patients\u27 tissue with excess stress concentration and sliding motion but also require complicated operation for the insertion. Meanwhile, lacking state tracking of the insertable camera including pose and contact force, the camera systems operate in open-loop control. This provides mediocre locomotion precision and limited robustness to uncertainties in the environment. This dissertation proposes, develops, and validates a soft robotic approach for an intra-abdominal wireless laparoscopic camera. Contributions presented in this work include (1) feasibility of a soft intra-abdominal laparoscopic camera with friendly tissue interaction and convenient insertion, (2) six degrees of freedom (DOF) real-time localization, (3) Closed-loop control for a robotic-assisted laparoscopic system and (4) untethering solution for wireless communication and high-quality video transmission. Embedding magnet pairs into the camera and external actuator, the camera can be steered and anchored along the abdominal wall through transabdominal magnetic coupling. To avoid the tissue rapture by the sliding motion and dry friction, a wheel structure is applied to achieve rolling motion. Borrowing the ideas from soft robotic research, the main body of the camera implements silicone material, which grants it the bendability to passively attach along the curved abdominal wall and the deformability for easier insertion. The six-DOF pose is estimated in real-time with internal multi-sensor fusion and Newton-Raphson iteration. Combining the pose tracking and force-torque sensor measurement, an interaction model between the deformable camera and tissue is established to evaluate the interaction force over the tissue surface. Moreover, the proposed laparoscopic system is integrated with a multi-DOF manipulator into a robotic-assisted surgical system, where a closed-loop control is realized based on a feedback controller and online optimization. Finally, the wireless control and video streaming are accomplished with Bluetooth Low Energy (BLE) and Analog Video (AV) transmission. Experimental assessments have been implemented to evaluate the performance of the laparoscopic system

Governance in the age of social machines: the web observatory

The World Wide Web has provided unprecedented access to information; as humans and machines increasingly interact with it they provide more and more data. The challenge is how to analyse and interpret this data within the context that it was created, and to present it in a way that both researchers and practitioners can more easily make sense of. The first step is to have access to open and interoperable data sets, which Governments around the world are increasingly subscribing to. But having ‘open’ data is just the beginning and does not necessarily lead to better decision making or policy development. This is because data do not provide the answers – they need to be analysed, interpreted and understood within the context of their creation, and the business imperative of the organisation using them. The major corporate entities, such as Google, Amazon, Microsoft, Apple and Facebook, have the capabilities to do this, but are driven by their own commercial imperatives, and their data are largely siloed and held within ‘walled gardens’ of information. All too often governments and non-profit groups lack these capabilities, and are driven by very different mandates. In addition they have far more complex community relationships, and must abide by regulatory constraints which dictate how they can use the data they hold. As such they struggle to maximise the value of this emerging ‘digital currency’ and are therefore largely beholden to commercial vendors. What has emerged is a public-private data ecosystem that has huge policy implications (including the twin challenges of privacy and security). Many within the public sector lack the skills to address these challenges because they lack the literacy required within the digital context. This project seeks to address some of these problems by bringing together a safe and secure Australian-based data platform (facilitating the sharing of data, analytics and visualisation) with policy analysis and governance expertise in order to create a collaborative working model of a ‘Government Web Observatory’. This neutral space, hosted by an Australian university, can serve as a powerful complement to existing Open Data initiatives in Australia, and enable research and education to combine to support the development of a more digitally literate public service. The project aims to explore where, and in which contexts, people, things, data and the Internet meet and result in evolving observable phenomena which can inform better government policy development and service delivery.&nbsp

Decision Support and Systems Interoperability in Global Business Management

Globalization of business and volatility of financial markets has catapulted ‘cycle-time’ as a key indicator of operational efficiency in business processes. Systems automation holds the promise to augment the ability of business and healthcare networks to rapidly adapt to changes or respond, with minimal human intervention, under ideal conditions. Currently, system of systems (SOS) or organization of networks contribute minimally in making decisions because collaboration remains elusive due the challenges of complexity. Convergence and maturity of research offers the potential for a paradigm shift in interoperability. This paper explores some of these trends and related technologies. Irrespective of the characteristics of information systems, the development of various industry-contributed ontologies for knowledge and decision layers, may spur self-organizing SOS to increase the ability to sense and respond. Profitability from pervasive use of ontological frameworks and agent-based modeling may depend on the ability to use them through better enterprise and extraprise exchange

Recent innovations and technological advancements in Dentistry and medicine

The newer innovations play an important role in the earlier diagnosis of dental caries based on near-infrared transillumination imaging such as Diagnocam and Soprocare intraoral digital cameras, which aid in the diagnosis of dental caries and also differentiate old and newer dental plaques, respectively. Nanoparticles used as carriers for effective and targeted drug therapies in the treatment of rheumatoid arthritis of the temporomandibular joint (TMJ) and candidiasis among chronic denture wearers provided better-increased bioavailability than oral formulations. Artificial intelligence (AI) uses machines to simulate intelligent human behavior. Augmented reality has been presented as a cognitive extension of AI in health care, emphasizing the auxiliary and supplemental roles of dental and medical practitioners. The article enlightens readers with newer diagnostic methods in dentistry and medicine and innovations such as Surface Topography-Assisted Robotic Superstructures (STARS), Prostate-Specific Membrane Antigen Ligand Positron Emission Tomography/Computed Tomography (PSMA-PETCT), toothbrushes with augmented reality, new hydrogel-based electrodes for Brain-Computer Interface (BCI) applications, and robotics in dentistry

Using Mobile Augmented Reality to Enhance Health Professional Practice Education

The use of augmented reality (AR) as a new multimedia networking technology is increasing. An investigation was made of the value of using AR as a tool to support the teaching of clinical practice skills. A series of mobile AR resources were created for use on tablet computers and smartphones to supplement clinical skills teaching in the laboratory (using image recognition), and clinical practice (using geolocation). Undergraduate students in nursing, physiotherapy, and occupational therapy tested these resources in lab sessions, a location-based campus exercise, and during clinical practice experiences. Following this, a post-exposure web survey and focus group interviews were undertaken to appraise the value of these tools. Results demonstrated that the potential for students to use technologies they already possess in AR based m-learning may offer significant advantages, and offer a practical technique to engage learners. However, these technologies remain in an early stage of development and more robust implementations and sustainable platforms are required for mainstream educational use

Frontiers of robotic endoscopic capsules: a review

Digestive diseases are a major burden for society and healthcare systems, and with an aging population, the importance of their effective management will become critical. Healthcare systems worldwide already struggle to insure quality and affordability of healthcare delivery and this will be a significant challenge in the midterm future. Wireless capsule endoscopy (WCE), introduced in 2000 by Given Imaging Ltd., is an example of disruptive technology and represents an attractive alternative to traditional diagnostic techniques. WCE overcomes conventional endoscopy enabling inspection of the digestive system without discomfort or the need for sedation. Thus, it has the advantage of encouraging patients to undergo gastrointestinal (GI) tract examinations and of facilitating mass screening programmes. With the integration of further capabilities based on microrobotics, e.g. active locomotion and embedded therapeutic modules, WCE could become the key-technology for GI diagnosis and treatment. This review presents a research update on WCE and describes the state-of-the-art of current endoscopic devices with a focus on research-oriented robotic capsule endoscopes enabled by microsystem technologies. The article also presents a visionary perspective on WCE potential for screening, diagnostic and therapeutic endoscopic procedures