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1.
J Healthc Eng ; 2022: 8903604, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35345655

RESUMO

The recent advancement in mobile technologies has led to opening a new paradigm in the field of medical healthcare systems. The development of WBAN sensors, wearable devices, and 5G/6G wireless technology has made real-time monitoring and telecare of the patient feasible. The complex framework to secure sensitive data of the patient and healthcare professionals is critical. The fast computation of health data generated is crucial for disease prediction and trauma-related services; the security of data and financial transactions is also a major concern. Various models, algorithms, and frameworks have been developed to tame critical issues related to healthcare services. The efficiency of these frameworks and models depends on energy and time consumption. Thus, the review of recent emerging technologies in respect of energy and time consumption is required. This paper reviews the developments in recent mobile technologies, their application, and the comparative analysis of their performance parameters to explicitly understand the utility, capacity, and limitations. This will help to understand the shortcomings of the recent technologies for the development of better frameworks with higher performance capabilities as well as higher quality of services.


Assuntos
Telemedicina , Dispositivos Eletrônicos Vestíveis , Gerenciamento de Dados , Atenção à Saúde , Humanos , Telemedicina/métodos , Tecnologia sem Fio
2.
J Healthc Eng ; 2022: 8169203, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35281541

RESUMO

Deep learning (DL) and machine learning (ML) have a pivotal role in logistic supply chain management and smart manufacturing with proven records. The ability to handle large complex data with minimal human intervention made DL and ML a success in the healthcare systems. In the present healthcare system, the implementation of ML and DL is extensive to achieve a higher quality of service and quality of health to patients, doctors, and healthcare professionals. ML and DL were found to be effective in disease diagnosis, acute disease detection, image analysis, drug discovery, drug delivery, and smart health monitoring. This work presents a state-of-the-art review on the recent advancements in ML and DL and their implementation in the healthcare systems for achieving multi-objective goals. A total of 10 papers have been thoroughly reviewed that presented novel works of ML and DL integration in the healthcare system for achieving various targets. This will help to create reference data that can be useful for future implementation of ML and DL in other sectors of healthcare system.


Assuntos
Aprendizado Profundo , Atenção à Saúde , Previsões , Humanos , Processamento de Imagem Assistida por Computador , Aprendizado de Máquina
3.
Comput Math Methods Med ; 2022: 1636263, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35082910

RESUMO

The term "neurodegenerative disease" refers to a set of illnesses that primarily affect brain's neurons. Substantia nigra (a midbrain dopaminergic nucleus) with lack of hormone called dopamine causes Parkinson's disease (PD), a neurological disorder. PD leads to tremor, stiffness, impaired posture and balance, and loss of automatic movements. Patient with Parkinson's often develops a parkinsonian gait that includes a tendency to lean forward, small quick steps as if hurrying forward, and reduced swinging of the arms. They also may have trouble initiating or continuing movement. Gait analysis is often used to diagnose neurodegenerative illnesses and determine their stage. In this study, we attempt to investigate postural balance, and of gait signals for Parkinson's patients, also, we incorporate interim rehabilitation technique. We included 25 PD patients who had 2.5 to 3 IV score of Hoehn and Yahr scale. A ten-minute walk test has been performed to observe primary and secondary results of dual task interference on gait velocities, and gait time motion vector for right and left legs was observed. Two experimental ground conditions include three conditions of trunk alignment, that is, erect on a regular basis (RE), trunk dorsiflexion 30° (TF1), and trunk dorsiflexion 50° (TF2) were analysed. We identified the walking speed of PD patients was decreased, and trunk dorsiflexion variables influence the gait pattern of Parkinson's disease patients, where higher 95% CI for TF1 condition was reported. The regular erect trunk showed swing time reduction (0.7%) in PD, so the higher unified PD rating scale (UPDRS) values have significant difference in swing phase time in Parkinson's patients. The average Hoehn and Yahr scale (H&Y scale) was 4.3 ± 2.5 reported in the study participants. In a 10-week follow-up evaluation, the stance duration was shown to be substantial, as was the slower speed gait in the baseline condition. Excessive flexion was discovered in our investigation at the lower limb joints, particularly the knee and ankle. Patients with Parkinson's disease had similar maximum dorsiflexion and minimum plantarflexion values in stance. The trunk fraction conditions were found significant in patients after rehabilitation training. The best response to rehabilitation treatment was seen when the trunk was rotated. When steps and posture distribution analysis performed, we found that the trunk flexure 1 (p < 0.05), and trunk flexure 2 (p < 0.01) were shown significant values. When GRF threshold characteristics are employed, mean accuracy improves by 52%. Regardless of gait posture, the step regular trunk flexure had significantly higher posture than the corresponding level steps, with a considerable rise in the 50 in trunk dorsiflexion 2 gait relative to the step "L." This study shows that there was some significant improvement observed in the gait parameters among patients with PD's which shows positive impact of the intervention. Furthermore, rehabilitation programmes can aid and improve poor gait features in patients with Parkinson's disease, especially those who are in the early stages of the condition. This gait and balance research provides a rationale for intervention treatments, and their use in clinical practise enhances evidence of therapeutic efficacy. However, prolonged follow-up is needed to determine whether the advantages will remain all across disease's course, and future studies may recommend a specific rehabilitation technique based on gait analysis results.


Assuntos
Doenças Neurodegenerativas/reabilitação , Doença de Parkinson/reabilitação , Idoso , Idoso de 80 Anos ou mais , Fenômenos Biomecânicos , Biologia Computacional , Terapia por Exercício/métodos , Análise da Marcha/métodos , Análise da Marcha/estatística & dados numéricos , Transtornos Neurológicos da Marcha/fisiopatologia , Transtornos Neurológicos da Marcha/reabilitação , Humanos , Limitação da Mobilidade , Doenças Neurodegenerativas/fisiopatologia , Doença de Parkinson/fisiopatologia , Equilíbrio Postural/fisiologia , Velocidade de Caminhada/fisiologia
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