66,547 research outputs found
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
Physiology-Aware Rural Ambulance Routing
In emergency patient transport from rural medical facility to center tertiary
hospital, real-time monitoring of the patient in the ambulance by a physician
expert at the tertiary center is crucial. While telemetry healthcare services
using mobile networks may enable remote real-time monitoring of transported
patients, physiologic measures and tracking are at least as important and
requires the existence of high-fidelity communication coverage. However, the
wireless networks along the roads especially in rural areas can range from 4G
to low-speed 2G, some parts with communication breakage. From a patient care
perspective, transport during critical illness can make route selection patient
state dependent. Prompt decisions with the relative advantage of a longer more
secure bandwidth route versus a shorter, more rapid transport route but with
less secure bandwidth must be made. The trade-off between route selection and
the quality of wireless communication is an important optimization problem
which unfortunately has remained unaddressed by prior work.
In this paper, we propose a novel physiology-aware route scheduling approach
for emergency ambulance transport of rural patients with acute, high risk
diseases in need of continuous remote monitoring. We mathematically model the
problem into an NP-hard graph theory problem, and approximate a solution based
on a trade-off between communication coverage and shortest path. We profile
communication along two major routes in a large rural hospital settings in
Illinois, and use the traces to manifest the concept. Further, we design our
algorithms and run preliminary experiments for scalability analysis. We believe
that our scheduling techniques can become a compelling aid that enables an
always-connected remote monitoring system in emergency patient transfer
scenarios aimed to prevent morbidity and mortality with early diagnosis
treatment.Comment: 6 pages, The Fifth IEEE International Conference on Healthcare
Informatics (ICHI 2017), Park City, Utah, 201
Care Management of Patients With Complex Health Care Needs
Explores how patients' complexity of healthcare needs, vulnerability, and age affect the cost and quality of their health care. Examines the potential for care management to improve quality of care and reduce costs, elements of success, and challenges
Keyframe detection in visual lifelogs
The SenseCam is a wearable camera that passively captures images. Therefore, it requires no conscious eļ¬ort by a user in taking a photo. A Visual Diary from such a source could prove to be a valuable tool in assisting the elderly, individuals with neurodegenerative diseases, or other traumas. One issue with Visual Lifelogs is the large volume of image data generated. In previous work we spit a day's worth of images into more manageable segments, i.e. into distinct events or activities. However, each event coud stil consist of 80-100 images. thus, in this paper we propose a novel approach to selecting the key images within an event using a combination of MPEG-7 and Scale Invariant Feature Transform (SIFT) features
The assessment and management of pain in older people : a systematic review of the literature
This paper presents the findings of a systematic literature which was carried out to determine the most appropriate strategies that could be carried out for the assessment and management of pain in residents living in care homes. Five hundred and seventy-one papers were initially identified and from this total 70 papers were found to be appropriate. These papers were organised into five key themes; Assessment & Behavioural Assessment, Barriers/Attitudes/Perceptions, Cognitive Behavioural Therapy, Complementary Therapies and Education/Guidelines. Most of the papers related to pain in this group were pharmacological suggesting that health care professionals generally feel that pharmacological approaches are the only way to manage pain in this group. Nevertheless, the non-pharmacological papers do suggest that there are other methods of pain control which should be considered. Recommendations for further research are made.Burdett Trust for Nursin
Factors associated with increased survival after surgical resection of glioblastoma in octogenarians.
Elderly patients with glioblastoma represent a clinical challenge for neurosurgeons and oncologists. The data available on outcomes of patients greater than 80 undergoing resection is limited. In this study, factors linked to increased survival in patients over the age of 80 were analyzed. A retrospective chart review of all patients over the age of 80 with a new diagnosis of glioblastoma and who underwent surgical resection with intent for maximal resection were examined. Patients who had only stereotactic biopsies were excluded. Immunohistochemical expression of oncogenic drivers (p53, EGFR, IDH-1) and a marker of cell proliferation (Ki-67 index) performed upon routine neuropathological examination were recorded. Stepwise logistic regression and Kaplan Meier survival curves were plotted to determine correlations to overall survival. Fifty-eight patients fit inclusion criteria with a mean age of 83 (range 80-93 years). The overall median survival was 4.2 months. There was a statistically significant correlation between Karnofsky Performance Status (KPS) and overall survival (P < 0.05). There was a significantly longer survival among patients undergoing either radiation alone or radiation and chemotherapy compared to those who underwent no postoperative adjuvant therapy (p < 0.05). There was also an association between overall survival and lack of p53 expression (p < 0.001) and lack of EGFR expression (p <0.05). In this very elderly population, overall survival advantage was conferred to those with higher preoperative KPS, postoperative adjuvant therapy, and lack of protein expression of EGFR and p53. These findings may be useful in clinical decision analysis for management of patients with glioblastoma who are octogenarians, and also validate the critical role of EGFR and p53 expression in oncogenesis, particularly with advancing age
Non-overlapping dual camera fall detection using the NAO humanoid robot
With an aging population and a greater desire for independence, the dangers of falling incidents in the elderly have become particularly pronounced. In light of this, several technologies have been developed with the aim of preventing or monitoring falls. Failing to strike the balance between several factors including reliability, complexity and invasion of privacy has seen prohibitive in the uptake of these systems. Some systems rely on cameras being mounted in all rooms of a user's home while others require being worn 24 hours a day. This paper explores a system using a humanoid NAO robot with dual vertically mounted cameras to perform the task of fall detection
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