6,621 research outputs found

    Telemedicine framework using case-based reasoning with evidences

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    Telemedicine is the medical practice of information exchanged from one location to another through electronic communications to improve the delivery of health care services. This research article describes a telemedicine framework with knowledge engineering using taxonomic reasoning of ontology modeling and semantic similarity. In addition to being a precious support in the procedure of medical decision-making, this framework can be used to strengthen significant collaborations and traceability that are important for the development of official deployment of telemedicine applications. Adequate mechanisms for information management with traceability of the reasoning process are also essential in the fields of epidemiology and public health. In this paper we enrich the case-based reasoning process by taking into account former evidence-based knowledge. We use the regular four steps approach and implement an additional (iii) step: (i) establish diagnosis, (ii) retrieve treatment, (iii) apply evidence, (iv) adaptation, (v) retain. Each step is performed using tools from knowledge engineering and information processing (natural language processing, ontology, indexation, algorithm, etc.). The case representation is done by the taxonomy component of a medical ontology model. The proposed approach is illustrated with an example from the oncology domain. Medical ontology allows a good and efficient modeling of the patient and his treatment. We are pointing up the role of evidences and specialist's opinions in effectiveness and safety of care

    Development of Telephone-based e-Learning Portal

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    The proliferation of mobile phones in Nigeria, particularly among the student community, has continued to inspire the development and delivery of e-Learning applications. Most of the existing web-based e-Learning applications do not support nomadic voice-based learning (i.e. learning on the move through voice), and consequently do not provide a speedy access to information or enquiries on demand. Internet access is required to get every bit of information from most school portal system, which is not directly available to everyone. Lack of provision for voice in the existing web applications excludes support for people with limited capabilities such as the visually impaired and physical disabilities. In this paper, we present a design and development of a prototype telephone-based e-Learning portal that will be used for course registration and examination. This study is part of an ongoing e-Learning project involving the following modules: enrollment, course registration and examination, enquiries/information, messaging/collaboration, e-Learning and library. The prototype application was developed using VoiceXML for the voice user interface(VUI), PHP for database queries, Apache as the middle-ware and MySQL database as back-end. A unified modelling language (UML) was used to model and design the application. The proposed e-Learning system will compliment the web-based system in other to meet the needs of students with a range of disabilities such as visual impairment, repetitive strain injury, etc, that make reading and writing difficult. It also makes multiple platforms available to all users as well as boosting access to education for the physically challenged, particularly the sight impaired in the developing countries of the world. In institutions where students are not allowed to use mobile phones or where cost is an issue, then the alternative is the use of PC-phone

    Systemic modeling in telemedicine

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    The complexity of the health care system is a particularly notable framework for the development of telehealth and telemedicine. It is therefore necessary to try to answer the relevant question that can be summarized broadly as ‘‘How to manage this complex system?’’ We will discuss here the relations between system engineering and telehealth, or more specifically how systems engineering can be applied in the design of a telehealth system, and what benefits it can bring in its development. This naturally leads us to think of methods you can use to understand the difficulty of decision-making and the conceptual perspectives. It has been an accepted fact that this first requires modeling, i.e. to construct a representation of the perceived reality through symbols and relevant rules, then to verify or validate in absolute terms this representation, model, so as to improve or be able to use it. The importance of this modeling and the rigorous analysis of the requirements of telemedicine systems are even more apparent since the recognition of the generic representation declined in two meta-models: the first covers the activities of teleconsultation, teleexpertise and teleassistance; the second concerns telemonitoring

    Designing community care systems with AUML

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    This paper describes an approach to developing an appropriate agent environment appropriate for use in community care applications. Key to its success is that software designers collaborate with environment builders to provide the levels of cooperation and support required within an integrated agent–oriented community system. Agent-oriented Unified Modeling Language (AUML) is a practical approach to the analysis, design, implementation and management of such an agent-based system, whilst providing the power and expressiveness necessary to support the specification, design and organization of a health care service. The background of an agent-based community care application to support the elderly is described. Our approach to building agent–oriented software development solutions emphasizes the importance of AUML as a fundamental initial step in producing more general agent–based architectures. This approach aims to present an effective methodology for an agent software development process using a service oriented approach, by addressing the agent decomposition, abstraction, and organization characteristics, whilst reducing its complexity by exploiting AUML’s productivity potential. </p

    Preparing 21st Century Counselors and Healthcare Professionals: Examining Technology Competency and Interprofessional Education Comfort

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    Healthcare professionals are expected to work in interprofessional teams while also communicating distantly with these team members through telehealth platforms to improve patient care. This study sought to understand how comfort with technology, interprofessional education, and collaboration was perceived by graduate students in counseling, dental hygiene, nursing, and physical therapy. A quantitative investigation with N=111 students resulted in comfort with technology among all groups but there were significant differences among the allied health professions regarding positive professional identity and willingness to engage in teamwork and collaboration. The data revealed that both preparation, rationale for interprofessional work, and placement of interprofessional training in curricula might improve interprofessional training in these health professions
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