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1.
Sensors (Basel) ; 20(4)2020 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-32093134

RESUMO

In industry, dashboards are often used to monitor fleets of assets, such as trains, machines or buildings. In such industrial fleets, the vast amount of sensors evolves continuously, new sensor data exchange protocols and data formats are introduced, new visualization types may need to be introduced and existing dashboard visualizations may need to be updated in terms of displayed sensors. These requirements motivate the development of dynamic dashboarding applications. These, as opposed to fixed-structure dashboard applications, allow users to create visualizations at will and do not have hard-coded sensor bindings. The state-of-the-art in dynamic dashboarding does not cope well with the frequent additions and removals of sensors that must be monitored-these changes must still be configured in the implementation or at runtime by a user. Also, the user is presented with an overload of sensors, aggregations and visualizations to select from, which may sometimes even lead to the creation of dashboard widgets that do not make sense. In this paper, we present a dynamic dashboard that overcomes these problems. Sensors, visualizations and aggregations can be discovered automatically, since they are provided as RESTful Web Things on a Web Thing Model compliant gateway. The gateway also provides semantic annotations of the Web Things, describing what their abilities are. A semantic reasoner can derive visualization suggestions, given the Thing annotations, logic rules and a custom dashboard ontology. The resulting dashboarding application automatically presents the available sensors, visualizations and aggregations that can be used, without requiring sensor configuration, and assists the user in building dashboards that make sense. This way, the user can concentrate on interpreting the sensor data and detecting and solving operational problems early.

2.
Inform Health Soc Care ; 43(1): 56-72, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28085540

RESUMO

In 2013, the Flemish Government launched the Vitalink platform. This initiative focuses on the sharing of health and welfare data to support primary healthcare. In this paper, the objectives and mission of the Vitalink initiative are discussed. Security and privacy measures are reviewed, and the technical implementation of the Vitalink platform is presented. Through a case study, the possibility of interaction with cloud solutions for healthcare is also investigated upon; this was initially not the focus of Vitalink. The Vitalink initiative provides support for secure data sharing in primary healthcare, which in the long term will improve the efficiency of care and will decrease costs. Based on the results of the case study, Vitalink allowed cloud solutions or applications not providing end-to-end security to use their system. The most important lesson learned during this research was the need for firm regulations and stipulations for cloud solutions to interact with the Vitalink platform. However, these are currently still vague.


Assuntos
Troca de Informação em Saúde , Serviços de Assistência Domiciliar/organização & administração , Atenção Primária à Saúde/organização & administração , Bélgica , Computação em Nuvem , Segurança Computacional , Comportamento Cooperativo , Humanos , Adesão à Medicação , Participação do Paciente , Atenção Primária à Saúde/normas , Sistemas de Alerta
3.
Methods Inf Med ; 56(1): 63-73, 2017 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-27922657

RESUMO

OBJECTIVES: With the uprise of the Internet of Things, wearables and smartphones are moving to the foreground. Ambient Assisted Living solutions are, for example, created to facilitate ageing in place. One example of such systems are fall detection systems. Currently, there exists a wide variety of fall detection systems using different methodologies and technologies. However, these systems often do not take into account the fall handling process, which starts after a fall is identified or this process only consists of sending a notification. The FallRisk system delivers an accurate analysis of incidents occurring in the home of the older adults using several sensors and smart devices. Moreover, the input from these devices can be used to create a social-aware event handling process, which leads to assisting the older adult as soon as possible and in the best possible way. METHODS: The FallRisk system consists of several components, located in different places. When an incident is identified by the FallRisk system, the event handling process will be followed to assess the fall incident and select the most appropriate caregiver, based on the input of the smartphones of the caregivers. In this process, availability and location are automatically taken into account. RESULTS: The event handling process was evaluated during a decision tree workshop to verify if the current day practices reflect the requirements of all the stakeholders. Other knowledge, which is uncovered during this workshop can be taken into account to further improve the process. CONCLUSIONS: The FallRisk offers a way to detect fall incidents in an accurate way and uses context information to assign the incident to the most appropriate caregiver. This way, the consequences of the fall are minimized and help is at location as fast as possible. It could be concluded that the current guidelines on fall handling reflect the needs of the stakeholders. However, current technology evolutions, such as the uptake of wearables and smartphones, enables the improvement of these guidelines, such as the automatic ordering of the caregivers based on their location and availability.


Assuntos
Acidentes por Quedas , Relações Interpessoais , Idoso , Algoritmos , Árvores de Decisões , Humanos , Fatores de Risco , Interface Usuário-Computador
4.
Inform Health Soc Care ; 41(2): 159-76, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-25325572

RESUMO

The increasing elderly population and the shift from acute to chronic illness makes it difficult to care for people in hospitals and rest homes. Moreover, elderly people, if given a choice, want to stay at home as long as possible. In this article, the methodologies to develop a cloud-based semantic system, offering valuable information and knowledge-based services, are presented. The information and services are related to the different personal living hemispheres of the patient, namely the daily care-related needs, the social needs and the daily life assistance. Ontologies are used to facilitate the integration, analysis, aggregation and efficient use of all the available data in the cloud. By using an interdisciplinary research approach, where user researchers, (ontology) engineers, researchers and domain stakeholders are at the forefront, a platform can be developed of great added value for the patients that want to grow old in their own home and for their caregivers.


Assuntos
Computação em Nuvem , Atenção à Saúde/organização & administração , Confiança , Humanos , Semântica , Vocabulário Controlado
5.
BMC Med Inform Decis Mak ; 14: 97, 2014 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-25476007

RESUMO

BACKGROUND: The ultimate ambient-intelligent care room contains numerous sensors and devices to monitor the patient, sense and adjust the environment and support the staff. This sensor-based approach results in a large amount of data, which can be processed by current and future applications, e.g., task management and alerting systems. Today, nurses are responsible for coordinating all these applications and supplied information, which reduces the added value and slows down the adoption rate.The aim of the presented research is the design of a pervasive and scalable framework that is able to optimize continuous care processes by intelligently reasoning on the large amount of heterogeneous care data. METHODS: The developed Ontology-based Care Platform (OCarePlatform) consists of modular components that perform a specific reasoning task. Consequently, they can easily be replicated and distributed. Complex reasoning is achieved by combining the results of different components. To ensure that the components only receive information, which is of interest to them at that time, they are able to dynamically generate and register filter rules with a Semantic Communication Bus (SCB). This SCB semantically filters all the heterogeneous care data according to the registered rules by using a continuous care ontology. The SCB can be distributed and a cache can be employed to ensure scalability. RESULTS: A prototype implementation is presented consisting of a new-generation nurse call system supported by a localization and a home automation component. The amount of data that is filtered and the performance of the SCB are evaluated by testing the prototype in a living lab. The delay introduced by processing the filter rules is negligible when 10 or fewer rules are registered. CONCLUSIONS: The OCarePlatform allows disseminating relevant care data for the different applications and additionally supports composing complex applications from a set of smaller independent components. This way, the platform significantly reduces the amount of information that needs to be processed by the nurses. The delay resulting from processing the filter rules is linear in the amount of rules. Distributed deployment of the SCB and using a cache allows further improvement of these performance results.


Assuntos
Inteligência Artificial , Ambiente Controlado , Monitoramento Ambiental/instrumentação , Monitorização Fisiológica/instrumentação , Quartos de Pacientes/normas , Ontologias Biológicas , Monitoramento Ambiental/métodos , Humanos , Monitorização Fisiológica/métodos , Semântica
6.
Comput Methods Programs Biomed ; 100(3): 248-64, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20447720

RESUMO

The Intensive Care Unit (ICU) is an extremely data-intensive environment where each patient needs to be monitored 24/7. Bedside monitors continuously register vital patient values (such as serum creatinine, systolic blood pressure) which are recorded frequently in the hospital database (e.g. every 2 min in the ICU of the Ghent University Hospital), laboratories generate hundreds of results of blood and urine samples, and nurses measure blood pressure and temperature up to 4 times an hour. The processing of such large amount of data requires an automated system to support the physicians' daily work. The Intensive Care Service Platform (ICSP) offers the needed support through the development of medical support services for processing and monitoring patients' data. With an increased deployment of these medical support services, reusing existing services as building blocks to create new services offers flexibility to the developer and accelerates the design process. This paper presents a new addition to the ICSP, the Dynamic Composer for Web services. Based on a semantic description of the medical support services, this Composer enables a service to be executed by creating a composition of medical services that provide the needed calculations. The composition is achieved using various algorithms satisfying certain quality of service (QoS) constraints and requirements. In addition to the automatic composition the paper also proposes a recovery mechanism in case of unavailable services. When executing the composition of medical services, unavailable services are dynamically replaced by equivalent services or a new composition achieving the same result. The presented platform and QoS algorithms are put through extensive performance and scalability tests for typical ICU scenarios, in which basic medical services are composed to a complex patient monitoring service.


Assuntos
Algoritmos , Sistemas Computacionais , Coleta de Dados/instrumentação , Unidades de Terapia Intensiva , Monitorização Fisiológica/instrumentação , Software , Bélgica , Computadores de Mão , Bases de Dados Factuais , Sistemas de Apoio a Decisões Clínicas/organização & administração , Árvores de Decisões , Sistemas de Informação Hospitalar/organização & administração , Humanos , Internet , Distribuição Normal , Semântica
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