8,369 research outputs found

    Automatic measurement of departing times in smartphone alerting systems: A pilot study

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    Aim Smartphone alerting systems (SAS) alert volunteers in close vicinity of suspected out-of-hospital cardiac arrest. Some systems use sophisticated algorithms to select those who will probably arrive first. Precise estimation of departing times and travel times may help to further improve algorithms. We developed a global positioning system (GPS) based method for automatic measurements of departing times. The aim of this pilot study was to evaluate feasibility and precision of the method. Methods Region of Lifesavers alerting app (iOS/ Android, version 3.0, FirstAED ApS, Denmark) was used in this study. 27 experiments were performed with 9 students, who were instructed to stay in their flats during the study days. A geofence was set for each alarm in the alerting system with a radius of 10 m (8 cases), 15 m (10 cases), and 20 m (9 cases) around the GPS position at which the alarm was accepted in the app. The system logged responders as being departed when the smartphone position was registered outside the geofence. The students were instructed to manually start a stopwatch at the time of the alert and to stop the stopwatch once they had entered the street in front of their flat. Results The median difference between automatically and manually retrieved times were −16 seconds [interquartile range IQR 50 seconds] (geofence 10 m), 30 seconds [IQR 25 seconds] (15 m), and 20 seconds [IQR 13 seconds] (20 m), respectively. The 20 m geofence was associated with the smallest interquartile range. Conclusion Departing times of volunteer responders in SAS can be retrieved automatically using GPS and a geofence

    Responsible, Automated Data Gathering for Timely Citizen Dashboard Provision During a Global Pandemic (COVID-19

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    Creating a public understanding of the dynamics of a pandemic, such as COVID-19, is vital for introducing restrictive regulations. Gathering diverse data responsibly and sharing it with experts and citizens in a timely manner is challenging. This article reviews methodologies of COVID-19 dashboard design and discusses both technical and non-technical challenges associated. Advice and lessons learned from building a citizen-focused, automated county-precision dashboard for Germany are shared. Within four months, the web-based tool had 5 million unique visitors and 70 million sessions. Three developers set up the basic version in less than one week. Early on, data was screen scraped. An iterative process improved timeliness by adding more fine-grained data sources. A collaborative online table editor enabled near real-time corrections. Alerting was setup for errors, and statistics apply for sanity checking. Static site generation and a content delivery network help to serve large user loads in a timely manner. The flexible design allowed to iteratively integrate more complex statistics based on expert knowledge built on top of the collected data and secondary data sources such as ICU beds and citizen movement

    Ambient-aware continuous care through semantic context dissemination

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    Background: The ultimate ambient-intelligent care room contains numerous sensors and devices to monitor the patient, sense and adjust the environment and support the staff. This sensor-based approach results in a large amount of data, which can be processed by current and future applications, e. g., task management and alerting systems. Today, nurses are responsible for coordinating all these applications and supplied information, which reduces the added value and slows down the adoption rate. The aim of the presented research is the design of a pervasive and scalable framework that is able to optimize continuous care processes by intelligently reasoning on the large amount of heterogeneous care data. Methods: The developed Ontology-based Care Platform (OCarePlatform) consists of modular components that perform a specific reasoning task. Consequently, they can easily be replicated and distributed. Complex reasoning is achieved by combining the results of different components. To ensure that the components only receive information, which is of interest to them at that time, they are able to dynamically generate and register filter rules with a Semantic Communication Bus (SCB). This SCB semantically filters all the heterogeneous care data according to the registered rules by using a continuous care ontology. The SCB can be distributed and a cache can be employed to ensure scalability. Results: A prototype implementation is presented consisting of a new-generation nurse call system supported by a localization and a home automation component. The amount of data that is filtered and the performance of the SCB are evaluated by testing the prototype in a living lab. The delay introduced by processing the filter rules is negligible when 10 or fewer rules are registered. Conclusions: The OCarePlatform allows disseminating relevant care data for the different applications and additionally supports composing complex applications from a set of smaller independent components. This way, the platform significantly reduces the amount of information that needs to be processed by the nurses. The delay resulting from processing the filter rules is linear in the amount of rules. Distributed deployment of the SCB and using a cache allows further improvement of these performance results

    Automatic Information Exchange in the Early Rescue Chain Using the International Standard Accident Number (ISAN)

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    Thus far, emergency calls are answered by human operators who interview the calling person in order to obtain all relevant information. In the near future-based on the Internet of (Medical) Things (IoT, IoMT)-accidents, emergencies, or adverse health events will be reported automatically by smart homes, smart vehicles, or smart wearables, without any human in the loop. Several parties are involved in this communication: the alerting system, the rescue service (responding system), and the emergency department in the hospital (curing system). In many countries, these parties use isolated information and communication technology (ICT) systems. Previously, the International Standard Accident Number (ISAN) has been proposed to securely link the data in these systems. In this work, we propose an ISAN-based communication platform that allows semantically interoperable information exchange. Our aims are threefold: (i) to enable data exchange between the isolated systems, (ii) to avoid data misinterpretation, and (iii) to integrate additional data sources. The suggested platform is composed of an alerting, responding, and curing system manager, a workflow manager, and a communication manager. First, the ICT systems of all parties in the early rescue chain register with their according system manager, which tracks the keep-alive. In case of emergency, the alerting system sends an ISAN to the platform. The responsible rescue services and hospitals are determined and interconnected for platform-based communication. Next to the conceptual design of the platform, we evaluate a proof-of-concept implementation according to (1) the registration, (2) channel establishment, (3) data encryption, (4) event alert, and (5) information exchange. Our concept meets the requirements for scalability, error handling, and information security. In the future, it will be used to implement a virtual accident registry
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