Current Issue : October - December Volume : 2016 Issue Number : 4 Articles : 6 Articles
Objective: The aim of this article is to describe the development and testing of a prototype application (ââ?¬Ë?ââ?¬Ë?The Heart\nGameââ?¬â?¢Ã¢â?¬â?¢) using gamification principles to assist heart patients in their telerehabilitation process in the Teledialog\nproject.\nMaterials and Methods: A prototype game was developed via user-driven innovation and tested on 10 patients\n48ââ?¬â??89 years of age and their relatives for a period of 2 weeks. The application consisted of a series of daily\nchallenges given to the patients and relatives and was based on several gamification principles. A triangulation\nof data collection techniques (interviews, participant observations, focus group interviews, and workshop) was\nused. Interviews with three healthcare professionals and 10 patients were carried out over a period of 2 weeks in\norder to evaluate the use of the prototype.\nResults: The heart patients reported the application to be a useful tool as a part of their telerehabilitation process\nin everyday life. Gamification and gameful design principles such as leaderboards, relationships, and\nachievements engaged the patients and relatives. The inclusion of a close relative in the game motivated the\npatients to perform rehabilitation activities.\nConclusions: ââ?¬Ë?ââ?¬Ë?The Heart Gameââ?¬â?¢Ã¢â?¬â?¢ concept presents a new way to motivate heart patients by using technology as\na social and active approach to telerehabilitation. The findings show the potential of using gamification for heart\npatients as part of a telerehabilitation program. The evaluation indicated that the inclusion of the patientââ?¬â?¢s\nspouse in the rehabilitation activities could be an effective strategy. A major challenge in using gamification for\nheart patients is avoiding a sense of defeat while still adjusting the level of difficulty to the individual patient....
Background: The compressed sensing (CS) of acceleration data has been drawing\nincreasing attention in gait telemonitoring application. In such application, there\nstill exist some challenging issues including high energy consumption of body-worn\ndevice for acceleration data acquisition and the poor reconstruction performance due\nto nonsparsity of acceleration data. Thus, the novel scheme of compressive sensing of\nacceleration data is needed urgently for solutions that are found to these issues.\nMethods: In our scheme, the sparse binary matrix is firstly designed as an optimal\nmeasurement matrix only containing a smallest number of nonzero entries. And then\nthe block sparse Bayesian learning (BSBL) algorithm is introduced to reconstruct acceleration\ndata with high fidelity by exploiting block sparsity. Finally, some commonly\nused gait classification models such as multilayer perceptron (MLP), support vector\nmachine (SVM) and KStar are applied to further validate the feasibility of our scheme\nfor gait telemonitoring application.\nResults: The acceleration data were selected from open Human Activity Dataset of\nSouthern California University (USC-HAD). The optimal sparse binary matrix (a smallest\nnumber of nonzero entries is 8) is as strong as the full optimal measurement matrix\nsuch as Gaussian random matrix. Moreover, BSBL algorithm significantly outperforms\nexisting conventional CS reconstruction algorithms, and reaches the maximal signalto-\nnoise ratio value (70 dB). In comparison, MLP is best for gait classification, and it can\nclassify upstairs and downstairs patterns with best accuracy of 95 % and seven gait\npatterns with maximal accuracy of 92 %, respectively.\nConclusions: These results show that sparse binary matrix and BSBL algorithm are\nfeasibly applied in compressive sensing of acceleration data to achieve the perfect\ncompression and reconstruction performance, which has a great potential for gait\ntelemonitoring application....
Mobile cloud computing (MCC) is a newtechnology\nfor mobile web services. Accordingly, we assume that\nMCC is likely to be of the heart of healthcare transformation.\nMCC offers new kinds of services and facilities for patients\nand caregivers. In this regard, we have tried to propose a\nnew mobile medical web service system. To this end, we\nimplement a medical cloud multi-agent system (MCMAS)\nsolution for polyclinic ESSALEMA Sfaxââ?¬â?TUNISIA, using\nGoogleââ?¬â?¢s Android operating system. The developed system\nhas been assessing using the CloudSim Simulator. This paper\npresents initial results of the system in practice. In fact\nthe proposed solution shows that the MCMAS has a commanding\ncapability to cope with the problem of traditional\napplication. The performance of the MCMAS is compared\nwith the traditional system in polyclinic ESSALEMA which\nshowed that this prototype yields better recital than using\nusual application....
Background: Very few telemedicine projects in medically underserved areas have been sustained over time. This\nresearch furthers understanding of telemedicine service sustainability by examining teleconsultation projects from\nthe perspective of healthcare providers. Drivers influencing healthcare providers� continued participation in\nteleconsultation projects and how projects can be designed to effectively and efficiently address these drivers is\nexamined.\nMethods: Case studies of fourteen teleconsultation projects that were part of two health sciences center (HSC)\nbased telemedicine networks was utilized. Semi-structured interviews of 60 key informants (clinicians,\nadministrators, and IT professionals) involved in teleconsultation projects were the primary data collection method.\nResults: Two key drivers influenced providers� continued participation. First was severe time constraints. Second\nwas remote site healthcare providers� (RSHCPs) sense of professional isolation. Two design steps to address these\nwere identified. One involved implementing relatively simple technology and process solutions to make\nparticipation convenient. The more critical and difficult design step focused on designing teleconsultation projects\nfor collaborative, active learning. This learning empowered participating RSHCPs by leveraging HSC specialists� expertise.\nConclusions: In order to increase sustainability the fundamental purpose of teleconsultation projects needs to be reconceptualized.\nDoing so requires HSC specialists and RSHCPs to assume new roles and highlights the importance of\ntrust. By implementing these design steps, healthcare delivery in medically underserved areas can be positively\nimpacted....
Internet of things (IoT) was first coined in year 1999. Since its inception by British entrepreneur Kevin Ashton, IoT has gained lot of publicity among the business class as well as service class society and even at government levels. IoT refers to the connectivity between the devices among themselves through a series of network via internet. IoT since 1999 has been found to be of broader applicability from physical devices such as phones, electronics at home such as home appliances, buildings, construction industry, ship industry to healthcare industry. Internet of Medical things (IoMT) is a newer concept signifying applicability of IoT into medical industry or in other words healthcare industry. The present letter has thus been written to throw a light on internet of medical things and its application in shaping the future of healthcare industry....
The purpose of this paper is to present a systematic review of studies that used Video Conferencing\n(VC) intervention for common chronic conditions. Chronic conditions account for the majority\nof poor health, disability, and death, and for a major portion of health-care expenditures in the\nUnited States. Innovative methods and interventions are needed to enhance care and management,\nimprove access to care, improve patient outcomes, narrow health disparities and reduce healthcare\ncosts. Video Conferencing could be particularly relevant in improving health, care management,\naccess and cost in the care of chronic illnesses. A comprehensive literature search process\nguided by the PRISMA statement led to the inclusion of 27 articles measuring video conferencing,\nat least one chronic illness, and patient outcomes for adults living in a community setting. While\nVC has been found to be feasible and effective, a low number of randomized controlled trials limit\nevidence. In addition, studies in this review were not designed to address the question of whether\naccess to care in rural areas is improved through VC. Hence, more research is needed....
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