Abstract:
:Parkinsons disease is a complex neurodegenerative disorder for which patients present many symptoms, tremor being the main one. In advanced stages of the disease, Deep Brain Stimulation is a generalized therapy which can significantly improve the motor symptoms. However despite its beneficial effects on treating the symptomatology, the technique can be improved. One of its main limitations is that the parameters are fixed, and the stimulation is provided uninterruptedly, not taking into account any fluctuation in the patients state. A closed-loop system which provides stimulation by demand would adjust the stimulation to the variations in the state of the patient, stimulating only when it is necessary. It would not only perform a more intelligent stimulation, capable of adapting to the changes in real time, but also extending the devices battery life, thereby avoiding surgical interventions. In this work we design a tool that learns to recognize the principal symptom of Parkinsons disease and particularly the tremor. The goal of the designed system is to detect the moments the patient is suffering from a tremor episode and consequently to decide whether stimulation is needed or not. For that, local field potentials were recorded in the subthalamic nucleus of ten Parkinsonian patients, who were diagnosed with tremor-dominant Parkinsons disease and who underwent surgery for the implantation of a neurostimulator. Electromyographic activity in the forearm was simultaneously recorded, and the relation between both signals was evaluated using two different synchronization measures. The results of evaluating the synchronization indexes on each moment represent the inputs to the designed system. Finally, a fuzzy inference system was applied with the goal of identifying tremor episodes. Results are favourable, reaching accuracies of higher 98.7% in 70% of the patients.
journal_name
J Med Systjournal_title
Journal of medical systemsauthors
Camara C,Warwick K,Bruña R,Aziz T,del Pozo F,Maestú Fdoi
10.1007/s10916-015-0328-xsubject
Has Abstractpub_date
2015-11-01 00:00:00pages
155issue
11eissn
0148-5598issn
1573-689Xpii
10.1007/s10916-015-0328-xjournal_volume
39pub_type
杂志文章abstract::This paper utilizes the diffusion of innovation framework to discuss factors affecting adoption of telemedicine. Empirical and anecdotal findings are organized across five attributes affecting innovation adoption rates for the following four adopter groups: physicians, patients, hospital administrators, and payers. A ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1023/b:joms.0000044964.49821.df
更新日期:2004-12-01 00:00:00
abstract::Cardiovascular disease is the first cause of death and disease and one of the leading causes of disability in developed countries. The prevalence of this disease is expected to increase in coming years although the death rate may be lower due to better treatment. To present the design and development of a technology s...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-017-0840-2
更新日期:2017-10-26 00:00:00
abstract::Goal Two of the US ONCHIT Plan focuses on enabling the use of electronic health information for critical health improvement activities that promote the health of targeted communities, and the US population as a whole. Because of the focus on communities and populations, the activities under this second goal differ fun...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-009-9269-6
更新日期:2010-08-01 00:00:00
abstract::This empirical study of the relationship between nursing care adequacy and nursing care quality demonstrates that a positive relationship exists between the process and outcome dimensions of quality of nursing care. The results from the analysis of national data on nursing homes' deficiencies highlight the importance ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1023/a:1022579512926
更新日期:2003-06-01 00:00:00
abstract::For researchers, denoising of Magnetic Resonance (MR) image is a greatest challenge in digital image processing. In this paper, the impulse noise and Rician noise in the medical MR images are removed by using Bilateral Filter (BF). The novel approaches are presented in this paper; Enhanced grasshopper optimization alg...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-019-1370-x
更新日期:2019-06-20 00:00:00
abstract::There has been rapid growth in the number of ambulatory surgical centers in the United States over the past few years. Yet little research has been done to assist community health planners and surgeons in decision making and planning for ambulatory surgery. In this paper, an analytical framework is developed to assist...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/BF02222843
更新日期:1980-01-01 00:00:00
abstract::Genome sequencing projects generate vast amounts of data of a wide variety of types and complexities, and at a growing pace. Traditionally, the annotation of such sequences was difficult to share with other researchers. Despite the fact that this has improved with the development and application of biological ontologi...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-012-9890-7
更新日期:2012-11-01 00:00:00
abstract::An exponential rise has been observed in the data volume over the time when considering a real time environment. A phenomenal feature termed as 'Predictability' helps in predicting and portraying related data to the user according to their needs. Moreover, classification of Big Data is usually a tedious and lengthy ta...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-019-1369-3
更新日期:2019-06-19 00:00:00
abstract::Telepathology is in its nascent stages in India. Video calling applications in mobile phones can be efficiently used to transmit static and live field microscopic images hastening low cost telepathology. To evaluate the efficiency of WhatsApp® Video Calling for dynamic microscopy in distant diagnosis. Thirty haematoxy...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-020-01567-w
更新日期:2020-05-02 00:00:00
abstract::The objective of this paper is to demonstrate the utility of artificial neural networks, in combination with wavelet transforms for the detection of mammogram masses as malign or benign. A total of 45 patients who had breast masses in their mammography were enrolled in the study. The neural network was trained on the ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-009-9326-1
更新日期:2010-12-01 00:00:00
abstract::With the view to set up the oriental pulse database as well as objective diagnosis standards, this study has designed and manufactured a digital pulse diagnosis system that uses a high-performance microprocessor on the basis of systematic pulse diagnosis methodology. The algorithm for extracting significant points has...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-007-9101-0
更新日期:2008-02-01 00:00:00
abstract::Computer simulation has been employed to evaluate proposed changes in the delivery of health care. However, little is known about the utility of simulation approaches for analysis of changes in the delivery of surgical care. We searched eight bibliographic databases for this comprehensive review of the literature publ...
journal_title:Journal of medical systems
pub_type: 杂志文章,评审
doi:10.1007/s10916-009-9336-z
更新日期:2011-02-01 00:00:00
abstract::The description is presented of the system design and implementation experience obtained while providing the data management for a case-control study involving a large number of variables. Topics concerning questionnaire design, data collection, data coding, data entry, data edit, and data storage and retrieval are di...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/BF02221868
更新日期:1984-04-01 00:00:00
abstract::This report evaluates the efficacy of reflected-type green light photoplethysmography (green light PPG). Transmitted infrared light was used for PPG and the arterial pulse was monitored transcutaneously. The reflected PPG signal contains AC components based on the heartbeat-related signal from the arterial blood flow ...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-010-9506-z
更新日期:2011-10-01 00:00:00
abstract::The application of tribology in dentistry is growing rapidly, intense research has been conducted to develop an understanding of dental tribology for better selection of artificial materials and dental implant design. Dental biotribology, has been one of the most important branches in biotribology in recent years. The...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-019-1230-8
更新日期:2019-03-13 00:00:00
abstract::Neonatal period represents first 28 days of life, which is the most vulnerable time for a child's survival especially for the preterm babies. High neonatal mortality is a prominent and persistent problem across the globe. Non-availability of trained staff and infrastructure are the major recognized hurdles in the qual...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-017-0774-8
更新日期:2017-08-01 00:00:00
abstract::To effectively control the growth of medical expenditure, Bureau of National Health Insurance (NHI) of Taiwan has taken many measures, including the Reasonable Number of Outpatient Services, Ceiling Price, Global Budgets, Strategic Analysis and the Excellence Plan; however, these measures can only scratch the surface....
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-009-9346-x
更新日期:2011-02-01 00:00:00
abstract::During the past few years a lot of PKI (Public Key Infrastructures) infrastructures have been proposed for healthcare networks in order to ensure secure communication services and exchange of data among healthcare professionals. However, there is a plethora of challenges in these healthcare PKI infrastructures. Especi...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-010-9573-1
更新日期:2012-06-01 00:00:00
abstract::The concept of Total Quality Management (TQM) has come to be applied in healthcare over the last few years. The process management category in the Baldrige Health Care Criteria for Performance Excellence model is designed to evaluate the quality of medical services. However, a systematic approach for implementation su...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-009-9376-4
更新日期:2011-06-01 00:00:00
abstract::Due to the complex topological structure of the coronary artery and the uneven distribution of the contrast agent, the angiography images are inevitably blurred and has low contrast, which causes great difficulty in process of segmentation. For this problem, a two-steps segmentation algorithm based on Hessian matrix a...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-019-1329-y
更新日期:2019-05-29 00:00:00
abstract::The increasingly large databases available to researchers necessitate high-quality metadata that is not always available. We describe a method for generating this metadata independently. Cluster analysis and expectation-maximization were used to separate days into holidays/weekends and regular workdays using anesthesi...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-015-0232-4
更新日期:2015-05-01 00:00:00
abstract::Securing electronic health records, in scenarios in which the provision of care services is share among multiple actors, could become a complex and costly activity. Correct identification of patients and physician, protection of privacy and confidentiality, assignment of access permissions for healthcare providers and...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-009-9313-6
更新日期:2010-10-01 00:00:00
abstract::The aim of this study was to explore the importance of service need along with perceived technology attributes in potentially influence the acceptance of teleconsultation. The study was conducted based on the concurrent triangulation design involving qualitative and quantitative study methods. These entailed interview...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-011-9766-2
更新日期:2012-10-01 00:00:00
abstract::This paper describes our experience using telephone conference calls to conduct support groups for chemically-dependent women. Forty-seven women agreed to participate in regular, weekly support groups that were conducted by two chemical dependency counselors. Counselors attempted to conduct 59 support groups via a tel...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1023/a:1022846408428
更新日期:1997-04-01 00:00:00
abstract::Education in biomedical and health informatics (BMHI) has been established in many countries throughout the world. For degree programs in BMHI we can distinguish between those that are completely stand-alone or dedicated to the discipline vs. those that are integrated within another program. After running integrated d...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-017-0761-0
更新日期:2017-07-01 00:00:00
abstract::Virtual rehabilitation yields outcomes that are at least as good as traditional care for improving upper limb function and the capacity to carry out activities of daily living. Due to the advent of low-cost gaming systems and patient preference for game-based therapies, video game technology will likely be increasingl...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-018-1113-4
更新日期:2018-11-07 00:00:00
abstract::This paper describes how to simulate medical imaging by computational intelligence to explore areas that cannot be easily achieved by traditional ways, including genes and proteins simulations related to cancer development and immunity. This paper has presented simulations and virtual inspections of BIRC3, BIRC6, CCL4...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-017-0861-x
更新日期:2017-11-25 00:00:00
abstract::This paper provides a tutorial of technology transfer for management information systems in health care. Additionally it describes the process for a national survey of acute care hospitals using a random sample of 813 hospitals. The purpose of the survey was to measure the levels of Internet and Intranet existence and...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1023/a:1005684215664
更新日期:2001-02-01 00:00:00
abstract::Decision support systems (DSSs) which are able to automatically supervise and control physical exercise training of patients affected by chronic obstructive pulmonary disease (COPD) are regarded as a novel method to promote rehabilitation. The objective of our research work for this paper was to evaluate the feasibili...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-014-0150-x
更新日期:2015-01-01 00:00:00
abstract::Modern medical systems undertaking the task of surveillance of patients are safety-critical systems steered by software. Such systems will bring man's life into hazard if they fail to meet patients' requirements; so, adequate reliability of the algorithms and computations used by software of such systems is a matter o...
journal_title:Journal of medical systems
pub_type: 杂志文章
doi:10.1007/s10916-010-9547-3
更新日期:2012-04-01 00:00:00