A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy

Background: Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED. Methods: The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens. These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics. Results: The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at-risk" citizens, and a ferry. Conclusions: The results proved the functionality and utilization of the platform in various rural places in Greece, Cyprus and Italy. However, further actions are needed to enable the local healthcare systems and the different population groups to be familiarized with, and use in their everyday lives, mature technological solutions for the provision of healthcare services

GameUp: Exergames for mobility – a project to keep elderly active

A big challenge for Europe is the demographic shift towards an aging population. Resources in the health care sector are limited, so it is important that the seniors of tomorrow will be able to stay healthy and manage themselves as long as possible, preferably also with a good quality of life. Physical activity is very important both for mobility and for the general well-being, but it can be hard to find motivation to exercise alone at home. Also in rehabilitation there is a need for a more engaging approach than a sheet of paper describing exercises that should be performed. In the GameUp project we developed fun and motivational exergames particularly targeting elderly in a user centred approach. Physiotherapists ensured that the movements and exercises were good for flexibility, leg strength and balance. In addition to seven Kinect games, a walking app and a professional portal were developed. The Kinect games can be played in several levels, and those who are at risk of falling are able to play while seated. The professional portal ensures that the results of the project also can be used as a tool in rehabilitation. Test results from 20 elderly aged 65-95 as well as clinical trials of adherence to the exercises are encouraging, and the international and multidisciplinary team behind the project is now looking for ways to commercialize the project outcomes

Carotid Ultrasound Boundary Study (CUBS): An Open Multicenter Analysis of Computerized Intima–Media Thickness Measurement Systems and Their Clinical Impact

[Abstract] Common carotid intima–media thickness (CIMT) is a commonly used marker for atherosclerosis and is often computed in carotid ultrasound images. An analysis of different computerized techniques for CIMT measurement and their clinical impacts on the same patient data set is lacking. Here we compared and assessed five computerized CIMT algorithms against three expert analysts’ manual measurements on a data set of 1088 patients from two centers. Inter- and intra-observer variability was assessed, and the computerized CIMT values were compared with those manually obtained. The CIMT measurements were used to assess the correlation with clinical parameters, cardiovascular event prediction through a generalized linear model and the Kaplan–Meier hazard ratio. CIMT measurements obtained with a skilled analyst's segmentation and the computerized segmentation were comparable in statistical analyses, suggesting they can be used interchangeably for CIMT quantification and clinical outcome investigation. To facilitate future studies, the entire data set used is made publicly available for the community at http://dx.doi.org/10.17632/fpv535fss7.

Carotid Plaque Identification method

A method of classification of plaques using the gray level distribution of pixels in ultrasonic images of carotid plaques. The method and algorithm classifies plaques into 12 classes. Each class is associated with a different level of risk of developing symptoms

Carotid Plaque Identification method

A method of classification of plaques using the gray level distribution of pixels in ultrasonic images of carotid plaques. The method and algorithm classifies plaques into 12 classes. Each class is associated with a different level of risk of developing symptoms

Cardiovascular disease stratification based on ultrasound images of the carotid artery

Cardiovascular disease (CVD) can be identified through ultrasound scans of the arteries and more specific the common carotid artery (CCA). Measurement of the intima–media thickness (IMT) of the CCA is an established indicator of CVD. Several reports have indicated differences in the IMT of CCA and related then with various risk factors as well as their association with the risk of stroke. Along this direction; this chapter presents methods for the stratification of CVD based on manual and automated IMT measurements for both the left and right common carotid arteries. The results are based on a group of 1104 longitudinal ultrasound images acquired from 568 men and 536 women out of which 125 had cardiovascular symptoms (CVD). The main findings can be summarized as follows: (1) there was no significant difference between the CCA left side IMT and the right side IMT; (2) there were statistical significant differences for the IMT measurements between the normal group and the CVD group for both the left and the right sides; (3) there was an increasing linear relationship of the left and right IMT measurements with age for the normal group

XIV Mediterranean Conference on Medical and Biological Engineering and Computing

This volume presents the proceedings of Medicon 2016, held in Paphos, Cyprus. Medicon 2016 is the XIV in the series of regional meetings of the International Federation of Medical and Biological Engineering (IFMBE) in the Mediterranean. The goal of Medicon 2016 is to provide updated information on the state of the art on Medical and Biological Engineering and Computing under the main theme “Systems Medicine for the Delivery of Better Healthcare Services”. Medical and Biological Engineering and Computing cover complementary disciplines that hold great promise for the advancement of research and development in complex medical and biological systems. Research and development in these areas are impacting the science and technology by advancing fundamental concepts in translational medicine, by helping us understand human physiology and function at multiple levels, by improving tools and techniques for the detection, prevention and treatment of disease. Medicon 2016 provides a common platform for the cross fertilization of ideas, and to help shape knowledge and scientific achievements by bridging complementary disciplines into an interactive and attractive forum under the special theme of the conference that is Systems Medicine for the Delivery of Better Healthcare Services. The programme consists of some 290 invited and submitted papers on new developments around the Conference theme, presented in 3 plenary sessions, 29 parallel scientific sessions and 12 special sessions