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Design and application of a novel telemedicine system jointly driven by multinetwork integration and remote control: Practical experience from PLAGH, China
- Author(s): Ruiqing Wang ; Jie Zhang ; Shilin He ; Huayuan Guo ; Tao Li ; Qin Zhong ; Jun Ma ; Jie Xu ; Kunlun He
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p.
113
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AbstractIn China, several problems were common in the telemedicine systems, such as the poor network stability and difficult interconnection. A new telemedicine system jointly driven by multinetwork integration and remote control has been designed to address these problems. A multilink aggregation algorithm and an overlay network for telemedicine system (ONTMS) were developed to improve network stability, and a non‐intervention remote control method was designed for Internet of Things (IoT) devices/systems. The authors monitored the network parameters, and distributed the questionnaire to participants, for evaluating the telemedicine system and services. Under a detection bandwidth of 8 Mbps, the aggregation parameters of Unicom 4G, Telecom 4G, and China Mobile 4G were optimal, with an uplink bandwidth, delay, and packet loss ratio (PLR) of 7.93 Mbps, 58.80 ms, and 0.06%, respectively. These parameters were significantly superior to those of China Mobile 4G, the best single network (p < 0.001). Through the ONTMS, the mean round‐trip transporting delay from Beijing to Sanya was 76 ms, and the PLR was 0 at vast majority of time. A total of 1988 participants, including 1920 patients and 68 doctors, completed the questionnaires. More than 97% of participants felt that the audio and video transmission and remote control were fluent and convenient. 96% of patients rated the telemedicine services with scores of 4 or 5. This system has shown robust network property and excellent interaction ability, and satisfied the needs of patients and doctors.
In China, several problems are common in the telemedicine systems, such as the poor network stability and difficult interconnection. The authors’ study aims to establish a new telemedicine system based on the practices of the Chinese People's Liberation Army PLA General Hospital (PLAGH) that is jointly driven by multinetwork integration and remote control. The telemedicine practice in PLAGH proves that this system has robust network property and excellent interaction ability which wins a high level of satisfaction between patients and doctors. In addition, it has the potential to be applied in certain special situations (disaster relief, field, cabin hospitals).image
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Movement examination of the lumbar spine using a developed wearable motion sensor
- Author(s): Reza Abbasi‐Kesbi ; Mohammad Fathi ; Seyed Zaniyar Sajadi
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p.
122
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AbstractA system for monitoring spinal movements based on wearable motion sensors is proposed here. For this purpose, a hardware system is first developed that measures data of linear acceleration, angular velocity, and the magnetic field of the spine. Then, the obtained data from these sensors are combined in a proposed complementary filter, and their angular variations are estimated. The obtained results of angular variation of this system in comparison with an accurate reference illustrate that the root mean squared error is less than 1.61 degrees for three angles of , and for this system that proves this system can accurately estimate the angular variation of the spine. Then, the system is mounted on the lumbar spine of several volunteers, and the obtained angles from the patients' spine are compared with some healthy volunteers' spine, and the performance of their spine improves over time. The results show that this system can be very effective for patients who suffer from back problems and help in their recovery process a lot.
A wearable system for monitoring spinal movements is proposed here. At first, the angular variation of the lumbar spine of some patients is estimated by a presented complementary filter and the developed wearable system. Then, the estimated angular variation is compared with the spinal angle of some healthy persons. The obtained results of the developed system shows the performance of patients who have serious problems in their lumar spine improve over time after manual therapy and some repetitive tests that is presented in the paper. image
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Neurotechnological solutions for post‐traumatic stress disorder: A perspective review and concept proposal
- Author(s): Richard Laugharne ; Mohsen Farid ; Christopher James ; Anirban Dutta ; Christopher Mould ; Noelle Molten ; Jonathan Laugharne ; Rohit Shankar
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p.
133
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AbstractPost‐traumatic stress disorder (PTSD) is an anxiety condition caused by exposure to severe trauma. It is characterised by nightmares, flashbacks, hyper‐vigilance and avoidance behaviour. These all lead to impaired functioning reducing quality of life. PTSD affects 2–5% of the population globally. Most sufferers cannot access effective treatment, leading to impaired psychological functioning reducing quality of life. Eye movement desensitisation and reprocessing (EMDR) is a non‐invasive brain stimulation treatment that has shown significant clinical effectiveness in PTSD. Another treatment modality, that is, trauma‐focused cognitive behavioural therapy is also an effective intervention. However, both evidence‐based treatments are significantly resource intensive as they need trained therapists to deliver them. A concept of a neuro‐digital tool for development is proposed to put to clinical practice of delivering EMDR to improve availability, efficiency and effectiveness of treatment. The evidence in using new technologies to measure sleep, geolocation and conversational analysis of social media to report objective outcome measures is explored. If achieved, this can be fed back to users with data anonymously collated to evaluate and improve the tool. Coproduction would be at the heart of product development so that the tool is acceptable and accessible to people with the condition.
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Pervasive assistive technology for people with dementia: a UCD case
- Author(s): Julia Rosemary Thorpe ; Kristoffer V.H. Rønn-Andersen ; Paulina Bień ; Ali Gürcan Özkil ; Birgitte Hysse Forchhammer ; Anja M. Maier
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A remote healthcare monitoring framework for diabetes prediction using machine learning
- Author(s): Jayroop Ramesh ; Raafat Aburukba ; Assim Sagahyroon
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PD_Manager: an mHealth platform for Parkinson's disease patient management
- Author(s): Kostas M. Tsiouris ; Dimitrios Gatsios ; George Rigas ; Dragana Miljkovic ; Barbara Koroušić Seljak ; Marko Bohanec ; Maria T. Arredondo ; Angelo Antonini ; Spyros Konitsiotis ; Dimitrios D. Koutsouris ; Dimitrios I. Fotiadis
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Towards X-ray free endovascular interventions – using HoloLens for on-line holographic visualisation
- Author(s): Ivo Kuhlemann ; Markus Kleemann ; Philipp Jauer ; Achim Schweikard ; Floris Ernst
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Image denoising in bidimensional empirical mode decomposition domain: the role of Student's probability distribution function
- Author(s): Salim Lahmiri