12 research outputs found

    Evaluation of international standards for ECG-recording and storage for use in tele-medical services

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    This report is written to clarify which of the international standards for ECG recordings that can be used in tele-medical services, where the recordings should be transmitted by wireless telecommunication facilities and finally stored as information integrated into the patients Electronic Health Record (EHR). Some principals for recording, transmission and storage of digital vital signs parameters are highlighted and important aspects of wireless communication of recorded signals from biomedical sensors are described, in order to understand the significance and differences in the storing formats to be used. Even if most of the relevant standards are not yet ratified (the last meeting in ISO TC 251 WH6 was held in October 2005), the actual international standards SCP-ECG, MFER, FDAXML and DICIOM are defined and already widely adopted. In this report, these standards are briefly described and evaluated with respect to possible use in tele-medical services, and recommendations are given in order to obtain a reliable and secure communication solution. Requirements for integration of the ECG file formats into the EHR are briefly described, and it is given some recommendations for actual standards to be used in future solutions

    The planning and optimisation of DVB-H radio network

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    In the DVB-H (Digital Video Broadcasting - Handheld) radio network planning, there are details that lack final consensus in the scientific field. The aim of this doctoral dissertation is to investigate advanced DVB-H radio network planning and optimisation. This dissertation presents the results of measurement techniques, network coverage and quality estimation, technological and economical optimisation, as well as error correction and single frequency network performance. The outcome includes proposed DVB-H radio network planning and optimisation methods that can be applied to the further investigation of detailed parameters in the radio link budget. There are also case studies that show the functionality of the presented methods with typical performance values. Based on comparative investigations, a process chart was created for DVB-H radio network planning and optimisation. The process blocks can be applied in a typical DVB-H network deployment, for the initial high-level phase as well as in the detailed network planning and optimisation phase. Using this process, the most relevant items were selected for in-depth studies. The investigations are presented in the annexed publications. The reminder was revised by comparative literature studies. The structure of the thesis follows the designed process charts. The main focus of this dissertation is the development of DVB-H radio network planning methodologies. One of the goals was to investigate the radio interface measurements, their post-processing and analysis. This can provide a guide to the selection of the appropriate values as a function of the radio channel type. An additional goal is the controlled management of over-sized single frequency network areas through the balancing of elevated SFN interference levels and related SFN gains. The development of a radio path loss simulator is the basis for these studies. The case results are presented as a function of the relevant radio parameter values, transmitter power levels and site antenna heights, both in theoretical and realistic network layouts. In addition to these topics, this document also investigates selected electro-magnetic compatibility, human exposure safety zones and radio coverage estimations. Also the balancing of technical radio parameters and network costs in order to complete the planning process steps is covered

    The history and challenges of SCP-ECG: the standard communication protocol for computer-assisted electrocardiography

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    Ever since the first publication of the standard communication protocol for computer-assisted electrocardiography (SCP-ECG), prENV 1064, in 1993, by the European Committee for Standardization (CEN), SCP-ECG has become a leading example in health informatics, enabling open, secure, and well-documented digital data exchange at a low cost, for quick and efficient cardiovascular disease detection and management. Based on the experiences gained, since the 1970s, in computerized electrocardiology, and on the results achieved by the pioneering, international cooperative research on common standards for quantitative electrocardiography (CSE), SCP-ECG was designed, from the beginning, to empower personalized medicine, thanks to serial ECG analysis. The fundamental concept behind SCP-ECG is to convey the necessary information for ECG re-analysis, serial comparison, and interpretation, and to structure the ECG data and metadata in sections that are mostly optional in order to fit all use cases. SCP-ECG is open to the storage of the ECG signal and ECG measurement data, whatever the ECG recording modality or computation method, and can store the over-reading trails and ECG annotations, as well as any computerized or medical interpretation reports. Only the encoding syntax and the semantics of the ECG descriptors and of the diagnosis codes are standardized. We present all of the landmarks in the development and publication of SCP-ECG, from the early 1990s to the 2009 International Organization for Standardization (ISO) SCP-ECG standards, including the latest version published by CEN in 2020, which now encompasses rest and stress ECGs, Holter recordings, and protocol-based trials

    The Application of Computer Techniques to ECG Interpretation

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    This book presents some of the latest available information on automated ECG analysis written by many of the leading researchers in the field. It contains a historical introduction, an outline of the latest international standards for signal processing and communications and then an exciting variety of studies on electrophysiological modelling, ECG Imaging, artificial intelligence applied to resting and ambulatory ECGs, body surface mapping, big data in ECG based prediction, enhanced reliability of patient monitoring, and atrial abnormalities on the ECG. It provides an extremely valuable contribution to the field

    Software control for an airborne real-time data acquisition and recording system

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    Includes bibliographical references.A real-time microprocessor based airborne data acquisition system is described with emphasis on the real-time control software. The system is being currently used by a wide number of airlines in their jetliners for monitoring aircraft performance during flight and recording such data on what is commonly known as the "black box" recorder. The system was primarily developed for use in the new generation of airliners by Boeing Aircraft Company, namely the Boeing 767 and the Boeing 757. At the time of writing this report however, its use has extended to some European aircraft manufacturers, namely Airbus Industries and Fokker. The entire project was a team effort, especially in the design of the hardware. The author's part in this project was the complete design, development and implementation of the real-time control software, including some involvement at a systems level in the hardware design

    Proceedings of the 1994 Monterey Workshop, Increasing the Practical Impact of Formal Methods for Computer-Aided Software Development: Evolution Control for Large Software Systems Techniques for Integrating Software Development Environments

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    Office of Naval Research, Advanced Research Projects Agency, Air Force Office of Scientific Research, Army Research Office, Naval Postgraduate School, National Science Foundatio

    Constructivist medicine

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