1,720,971 research outputs found
A Telehealthcare System with Real-Time Health Information and Diagnosis Assistant
No full text我國老年人口數量與比例在民國95年底已高過總人口之10%，達到聯合國所界定之「高齡化」水準，推估至民國101年時將為14%，民國120年時則將超過20%。中老年慢性病及相關的併發症、身心障礙、重症末期帶來龐大的醫療需求，甚至獨居、失智老人衍生的照護問題，已經成為社會沈重的負擔。因此我們藉著結合無線通訊網路、生醫感測器與醫療資訊系統，發展一個能解決緊急照護、長期照護，及預防性照護等各種遠距與行動照護問題及具即時健康資訊與診斷輔助能力之遠距健康照顧系統。此系統為結合遠距照護資訊網路、遠距醫療、與生醫感測技術提供病患個人化、可近性、即時的遠距與行動醫療照護服務，以減輕長期照護體系醫療人員與家屬的負擔，改善醫療服務品質並進而降低醫療成本。
本論文提出一模組化的遠距健康照護系統架構，以利往後相關的系統設計。此架構具功能再用(Function reuse)、元件再用(Component reuse)、模組再用(Module reuse)等功能，可清楚定義每個子系統之下的功能單元，其模組化設計可讓未來之系統在發展與擴張上更為容易。另透過導入適當XML (eXtensible Markup Language)與Web Service技術來解決異質資訊系統之建置，可達到加速整合系統建置的時程。此系統架構包括使用者端系統、行動服務端系統、健康照護中心資訊系統、醫院端系統、緊急醫療端系統。
我們所發展的行動醫院緊急醫療系統(MHEMS, Mobile Hospital Emergency Medical System) 結合遠距超音波診斷系統與外傷重點腹部超音波(FAST, Focused Assessment with Sonography for Trauma)，提供目前緊急醫療系統無法達到的預診與診斷評估，並且提供救護車預計到達時間 (ETA, Estimated Time of Arrival)，因此改進了緊急照護的品質進而提高存活率。
為解決居家訪視師出勤時常常得攜帶厚重病患紙本病歷的困擾，本論文提出一結合居家訪視師使用的電子病歷及可攜帶式生理量測儀之電子護理包(Nurse’s e-Bag)。同時病患家中的遠距健康系統，不只提供病患之遠距健康記錄，並可讓訪視師在做家訪時可得到遠端醫師的諮詢支援，加強病患病情的控制進而減少病情復發的機率。因此病患的健康照護品質將提升，醫療成本亦可降低。
另外本論文以資通訊技術建構之電子化個人健康紀錄，可提供一個民眾自我健康管理，以及專業健康管理師進行個案管理的共通資訊平台系統，以創新服務模式提升目前預防性照護效率。首先我們以臨床實驗探討遠距健康照護的系統與服務模式，再針對個別系統將遭遇的問題加以探討，嘗試作為標準化架構模式，以使系統更佳模組化，最後對遠距健康照護作服務模式的探討。
本論文所提出的具即時健康資訊與診斷輔助之遠距健康照顧系統，其整合與建置皆使用嵌入式系統與標準訊息架構發展，未來將可使用相同架構模式延伸發展至預防醫學之三段五級的預防性照護、亞急性照護、急性照護、長期照護、甚至末期照護，以提供一週全、持續性的健康照護(Continuum healthcare)。未來可結合軟硬體共同設計 (Hardware/Software Co-design) 或超大型積體電路系統晶片(System-on-Chip)的規劃與設計，即可改善生理訊號之偵測與回饋途徑、系統資料之傳送、轉換與接收速度等，以因應不同科別與疾病之照護需求，進而使日後健康照護系統之整合與應用更能迅速。By the end of 2006, the number of senior citizens in Taiwan had already exceeded 10% of the entire population and reaching the level of the "aging society". Chronic diseases and complications, mental and physical handicaps, and terminal illnesses of elderly people have also created a huge medical need. These are all becoming heavy burdens of the society. In view of this, we have developed a Real-Time health information and Diagnosis Assistance System for Telehealthcare, which combines a radio communication network, biomedical sensors, and a medical information system to address the needs for emergency care, long term care, and preventive care.
First, we propose a modular Telehealthcare framework that supports function reuse, component reuse, and module reuse. We define each sub-system clearly during the design of a Telehealthcare system. Through the import of Web Service technology and XML (Extensible Markup Language), we can integrate heterogeneous information systems into a framework and accelerate the establishment of our Telehealthcare system.
For emergency care, our proposed Mobile Hospital Emergency Medical System (MHEMS) combines Tele-ultrasound and Focused Assessment with Sonography for Trauma (FAST) to provide pre-diagnosis and diagnosis assistance and ETA (Estimated Time of Arrival) of Ambulance, which cannot be done with current emergency care technology. With MHEMS, when patients are carried into the ambulance, the emergency medical technician can ask a doctor to make proper diagnosis for subsequent medical preparation, operations and/or sickbed assignment.
Moreover, to improve the inconvenience of carrying paper patient records when a visiting nurse makes a visiting, we provide a home care record system integrated with portable bio-measurements as a Nurse’s e-Bag. Also, to let the patients record their health records, a tele-homecare system is installed at their home. Therefore, the visiting nurse can make healthcare service and obtain tele-consultation via such system. Based on the system that we provide, morbidity and medicine cost will be reduced.
For preventive care, we have run a clinical trial for a Pilot Study on Community-Based Ubiquitous Healthcare for Current and Retired University Employees. Equipped with information and communications technologies, the system provides to the general public a different healthcare customized by changing the concept from receiving a medical staff’s service only in hospital to obtaining a medical group’s identical daily service outside a hospital, and without doctors or nurses around.
The core technology of this Dissertation is to propose a systematic framework and functional units for Telehealthcare, then to develop a Telehealthcare system supporting emergency care, long-term care, and preventive care. The system framework complies with the standard embedded system and information system, and can be extended to include preventive healthcare, subacute care, acute care, long-term healthcare, and terminal healthcare.
In the future, hardware/software co-design or VLSI chip design can also be adopted to improve the detection and feedback of physiological signals, system data transmission, conversion, and reception rate, so as to meet the needs of different medical departments, and facilitate a quicker integration and development of future healthcare systems
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
智慧型遠距健康照護資訊管理系統平台
No full textThe main idea of discharge planning services is to provide the patients from in hospital service with the continuous care while they discharge from the hospital. In year 2009, Taiwan's Ministry of Economic Affairs funded National Taiwan University Hospital (NTUH) a project "Development of a TeleCare Center for Discharged Patients". This project aimed to develop and upgrade the NTUH's discharge planning services. It had integrated electronic medical records, information network communication and biosensor technology. The service provider of this telecare program was based from the NTUH's main campus, Bei-Hu Branch and Yun-Lin Branch. On the other hand, an option for discharged patients with continuous care in community based health care was developed with a newly open telehealth care center. Therefore, the discharged patients could have better access to health care service when they go back to their homes or communities. Thus, the quality of healthcare was also improved. Besides, an intelligent telehealth care information management system platform was also designed for case managers to monitor patients' vital signs and other related health information in needs. The platform also helped case managers to link the significant data in providing the online health consultations and further referral services, in order to achieve a comprehensive and continuous healthcare
- …
