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Disease Management (DM) is a system of coordinated healthcare intervention and communications for populations with conditions in which patient self-care efforts are significant. e-DM makes reference to processes of DM based on clinical guidelines sustained in the scientific medical evidence and supported by the intervention of Information and Telecommunication Technology (ICT) in all levels where...
The concept of monitoring individuals in the home and community settings was introduced more than 50 years ago, when Holter monitoring was proposed (in the late 1940s) and later adopted (in the 1960s) as a clinical tool. However, technologies to fully enable such vision were lacking and only sporadic and rather obtrusive monitoring techniques were available for several decades. Over the past decade,...
In Japan, the number of elderly recipients who take medicines regularly has been increasing due to population aging. Since they have many risks of incorrect medication, we have developed the intelligent medicine case system (iMec System) for assisting their caretakers in medication monitoring. The system confirms the type, quantity and timing of medication every time a recipient picks medicines up...
The Modeling Markup Language (MML) framework is a conceptual paradigm to quickly develop and solve biological models utilizing the CellML specification. In this study, we present the open source toolkit developed for this project and a possible workflow to create different scales of cardiac tissue models from a range of CellML models. Models from the CellML repository and other sources were tested...
Drug bioavailability is a major failing point of new pharmaceuticals i.e. drugs fail to reach their target or fail to stay there long enough for therapeutic effect. Compounding this issue, significant variability exists between patients and how they metabolize and distribute a drug. We present WebPK, a web-based tool for simulation of custom pharmacokinetic models. Model parameters can be entered...
Most conventional computer-aided navigation systems assist the surgeon visually by tracking the position of an ancillary and by superposing this position into the 3D preoperative imaging exam. This paper aims at adding to such navigation systems a device that will guide the surgeon towards the target, following a complex preplanned ancillary trajectory. We propose to use tactile stimuli for such guidance,...
The aim of the present study is to design and develop a Decision Support System (DSS) closely coupled with an Electronic Medical Record (EMR), able to predict the risk of a Type 1 Diabetes Mellitus (T1DM) patient to develop retinopathy. The proposed system is able to store a wealth of information regarding the clinical state of the T1DM patient and continuously provide the health experts with predictions...
Deep brain stimulation is an increasingly prevalent surgical option in the treatment of a multitude of neurological conditions, most notably Parkinson's disease. The development of a neurofeedback device is driven primarily by stimulator habituation, surgical risk factors, the cost of battery replacement, and reported neuropsychiatric side-effects under prolonged chronic administration. Here we present...
The correct needle placement is one of the crucial tasks in performing radiofrequency tumor ablation (RFA). In this work we evaluated the effects of imperfect needle placement for RFAs that are performed with an expandable needle array by using a finite-element simulation. We performed simulations for normal liver tissue with hypo- and hyperperfused metastasis as well as for cirrhotic liver tissue...
Bipolar disorder (BD) is a serious psychiatric condition that affects a large number of people. Many people with BD self-monitor their condition in order to try and keep the disturbances from affective episodes to a minimum. The Personalized Ambient Monitoring (PAM) project has developed a system that performs behavioral monitoring in an unobtrusive manner and can detect changes in a person's behavior...
Objective and early detection of Alzheimer's disease (AD) is a demanding problem requiring consideration of manymodal observations. Potentially, many features could be used to discern between people without AD and those at different stages of the disease. Such features include results from cognitive and memory tests, imaging (MRI, PET) results, cerebral spine fluid data, blood markers etc. However,...
The estimation of the vertical in humans is important in everyday life although the mechanisms involved are not completely understood yet. This paper presents two sets of experiments with normal subjects, using the same virtual reality setup, aiming to help in this understanding. First, a steady state experiment is presented, which is used to determine the gravitational vertical precision while the...
In cardiac electrophysiological study, several electrical stimulation protocols have been employed to induce ventricular fibrillations (VF). In addition, sites of inducing may have different impacts on inducing results as well as different inducing protocols. To study whether VF inducing method is determinant of induced outcome, we simulated VFs induced with different protocols at different sites...
Genome Wide Association (GWA) studies are powerful tools to identify genes involved in common human diseases, and are becoming increasingly important in genetic epidemiology research. However, the statistical approaches behind GWA studies lack capability in taking into account the possible interactions among genetic markers; and true disease variants may be lost in statistical noise due to high threshold...
Current trends in health management improvement demand the standardization of care protocols to achieve better quality and efficiency. The use of Clinical Pathways is an emerging solution for that problem. However, current Clinical Pathways are big manuals written in natural language and highly affected by human subjectivity. These problems make the deployment and dissemination of them extremely difficult...
The purpose of this project is to develop a method of providing a complete set of movement commands to an upper extremity neuroprosthesis when the number of command signals available is fewer than required by the mechanical system. The functional relevance of the developed command interface will be tested in a virtual reality environment, where users-able bodied and paralyzed-will use a limited number...
The daily life of epilepsy patients is constrained by the possibility of occurrence of seizures. Until now, seizures cannot be predicted with sufficient sensitivity and specificity. Most of the seizure prediction studies have been focused on a small number of patients, and frequently assuming unrealistic hypothesis. This paper adopts the view that for an appropriate development of reliable predictors...
This work presents an incremental analysis of EEG records containing Steady-State Visual Evoked Potential (SSVEP). This analysis consists of two steps: feature extraction, performed using a statistic test, and classification, performed by a decision tree. The result is a system with high classification rate (a test with six volunteers resulted in an average classification rate of 91.2%), high Information...
Percutaneous nephrolithotomy (PCNL) for the treatment of renal stones and other related renal diseases has proved its efficacy and has stood the test of time compared with open surgical methods and extracorporeal shock wave lithotripsy. However, access to the collecting system of the kidney is not easy because the available intra-operative image modalities only provide a two dimensional view of the...
The complexity of biological systems is often prohibitive in testing specific hypotheses from first physical principles. To circumvent these limitations we used biological data to inform a mathematical model of breast cancer cell motility. Using this in silico model we were able to accurately assess the influence of actin cytoskeletal architecture on the motility of a genetically modified breast cancer...
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