The COVID-19 outbreak and its medical distancing phenomenon have effectively turned the global healthcare challenge into an opportunity for Telecare Medical Information Systems.Such systems employ the latest mobile an...The COVID-19 outbreak and its medical distancing phenomenon have effectively turned the global healthcare challenge into an opportunity for Telecare Medical Information Systems.Such systems employ the latest mobile and digital technologies and provide several advantages like minimal physical contact between patient and healthcare provider,easy mobility,easy access,consistent patient engagement,and cost-effectiveness.Any leakage or unauthorized access to users’medical data can have serious consequences for any medical information system.The majority of such systems thus rely on biometrics for authenticated access but biometric systems are also prone to a variety of attacks like spoong,replay,Masquerade,and stealing of stored templates.In this article,we propose a new cancelable biometric approach which has tentatively been named as“Expression Hash”for Telecare Medical Information Systems.The idea is to hash the expression templates with a set of pseudo-random keys which would provide a unique code(expression hash).This code can then be serving as a template for verication.Different expressions would result in different sets of expression hash codes,which could be used in different applications and for different roles of each individual.The templates are stored on the server-side and the processing is also performed on the server-side.The proposed technique is a multi-factor authentication system and provides advantages like enhanced privacy and security without the need for multiple biometric devices.In the case of compromise,the existing code can be revoked and can be directly replaced by a new set of expression hash code.The well-known JAFFE(The Japanese Female Facial Expression)dataset has been for empirical testing and the results advocate for the efcacy of the proposed approach.展开更多
There is a growing need worldwide to take medical care to distant locations far from the main urban centers,particularly to rural areas.Furthermore,there is the ethical imperative to provide equal access to medical ca...There is a growing need worldwide to take medical care to distant locations far from the main urban centers,particularly to rural areas.Furthermore,there is the ethical imperative to provide equal access to medical care to all patients,regardless of their place of residence,so as to satisfy an increasingly demanding population.A widespread problem,from which cardiology is not excepted,is the insuffi cient number of specialists and their uneven distribution.The upsurge in information and communications technology has made available a large collection of tools,mainly computers,smartphones,e-mail,and the Internet,to name just a few,to meet the needs of communication between individuals and organizations.This article defines telemedicine and describes its application in the practice of cardiology and its impact in Chile.展开更多
The wide diffusion of healthcare monitoring systems allows continuous patient to be remotely monitored and diagnosed by doctors. The problem of congestion, namely due to the uncontrolled increase of traffic with respe...The wide diffusion of healthcare monitoring systems allows continuous patient to be remotely monitored and diagnosed by doctors. The problem of congestion, namely due to the uncontrolled increase of traffic with respect to the network capacity, is one of the most common phenomena affecting the reliability of transmission of information in any network. The aim of the paper is to build a realistic simulation environment for healthcare system including some of the main vital signs model, wireless sensor and mesh network protocols implementation. The simulator environment is an efficient mean to analyze and evaluate in a realistic scenario the healthcare system performance in terms of reliability and efficiency.展开更多
Due to coronavirus disease 2019 pandemic caused by severe acute respiratory syndrome coronavirus 2,there has been a major reallocation of resources that has impacted the treatment of many diseases,including cancer.The...Due to coronavirus disease 2019 pandemic caused by severe acute respiratory syndrome coronavirus 2,there has been a major reallocation of resources that has impacted the treatment of many diseases,including cancer.The growing use of information and communication technologies(ICT),together with a new approach to work aimed at ensuring the safety of health care professionals and patients alike,has allowed us to maintain the quality of care while ensuring biosecurity.The application of ICT to health care(eHealth)aims to significantly improve the quality,access to,and effectiveness of medical care.In fact,the expanded use of ICT has been recognized as a key,cost-effective priority for health care by the World Health Organisation.The medical speciality of radiation oncology is closely linked to technology and as a consequence of coronavirus disease 2019,ICT has been widely employed by radiation oncologists worldwide,providing new opportunities for interaction among professionals,including telemedicine and e-learning,while also minimizing treatment interruptions.Future research should concentrate on this emerging paradigm,which offers new opportunities,including faster and more diverse exchange of scientific knowledge,organizational improvements,and more efficient workflows.Moreover,these efficiencies will allow professionals to dedicate more time to patient care,with a better work-life balance.In the present editorial,we discuss the opportunities provided by these digital tools,as well as barriers to theirimplementation,and a vision of the future.展开更多
A distance learning Continuing Medical Education （CME） project based on live interactive presentations and a group participatory model demonstrated that important strides can be made in the quality of CME available ...A distance learning Continuing Medical Education （CME） project based on live interactive presentations and a group participatory model demonstrated that important strides can be made in the quality of CME available to health care professionals in African rural settings. Implementers choose a communication model consistent with the fundamental orality of Kenyan and other sub-Saharan African countries. The project involved four hospitals and one training institution in rural Kenya. The testing of learners and focus group discussions with learners, facilitators and presenters indicated that the project＇s methodologies, that strove to be culturally and work place friendly, contributed to gains in knowledge, competencies including case management, the continuity of patient care, team work, staff morale and other issues of expressed importance to the hospital healthcare work force and hospital administrators. The learning system, known as Advancing Continuing Medical Education through Information Technology （ACME-IT）, was implemented by the Kenyan Ministry of Medical Services, EC Associates and the US-funded Aphia2 Western initiative implemented by PATH. The findings of this pilot suggests that the ACME-IT methodology that set up learning centers at the participating institutions is a promising viable alternative to the traditional and relatively expensive workshop training that characterizes much of CME in lower and middle income countries.展开更多
文摘The COVID-19 outbreak and its medical distancing phenomenon have effectively turned the global healthcare challenge into an opportunity for Telecare Medical Information Systems.Such systems employ the latest mobile and digital technologies and provide several advantages like minimal physical contact between patient and healthcare provider,easy mobility,easy access,consistent patient engagement,and cost-effectiveness.Any leakage or unauthorized access to users’medical data can have serious consequences for any medical information system.The majority of such systems thus rely on biometrics for authenticated access but biometric systems are also prone to a variety of attacks like spoong,replay,Masquerade,and stealing of stored templates.In this article,we propose a new cancelable biometric approach which has tentatively been named as“Expression Hash”for Telecare Medical Information Systems.The idea is to hash the expression templates with a set of pseudo-random keys which would provide a unique code(expression hash).This code can then be serving as a template for verication.Different expressions would result in different sets of expression hash codes,which could be used in different applications and for different roles of each individual.The templates are stored on the server-side and the processing is also performed on the server-side.The proposed technique is a multi-factor authentication system and provides advantages like enhanced privacy and security without the need for multiple biometric devices.In the case of compromise,the existing code can be revoked and can be directly replaced by a new set of expression hash code.The well-known JAFFE(The Japanese Female Facial Expression)dataset has been for empirical testing and the results advocate for the efcacy of the proposed approach.
文摘There is a growing need worldwide to take medical care to distant locations far from the main urban centers,particularly to rural areas.Furthermore,there is the ethical imperative to provide equal access to medical care to all patients,regardless of their place of residence,so as to satisfy an increasingly demanding population.A widespread problem,from which cardiology is not excepted,is the insuffi cient number of specialists and their uneven distribution.The upsurge in information and communications technology has made available a large collection of tools,mainly computers,smartphones,e-mail,and the Internet,to name just a few,to meet the needs of communication between individuals and organizations.This article defines telemedicine and describes its application in the practice of cardiology and its impact in Chile.
文摘The wide diffusion of healthcare monitoring systems allows continuous patient to be remotely monitored and diagnosed by doctors. The problem of congestion, namely due to the uncontrolled increase of traffic with respect to the network capacity, is one of the most common phenomena affecting the reliability of transmission of information in any network. The aim of the paper is to build a realistic simulation environment for healthcare system including some of the main vital signs model, wireless sensor and mesh network protocols implementation. The simulator environment is an efficient mean to analyze and evaluate in a realistic scenario the healthcare system performance in terms of reliability and efficiency.
文摘Due to coronavirus disease 2019 pandemic caused by severe acute respiratory syndrome coronavirus 2,there has been a major reallocation of resources that has impacted the treatment of many diseases,including cancer.The growing use of information and communication technologies(ICT),together with a new approach to work aimed at ensuring the safety of health care professionals and patients alike,has allowed us to maintain the quality of care while ensuring biosecurity.The application of ICT to health care(eHealth)aims to significantly improve the quality,access to,and effectiveness of medical care.In fact,the expanded use of ICT has been recognized as a key,cost-effective priority for health care by the World Health Organisation.The medical speciality of radiation oncology is closely linked to technology and as a consequence of coronavirus disease 2019,ICT has been widely employed by radiation oncologists worldwide,providing new opportunities for interaction among professionals,including telemedicine and e-learning,while also minimizing treatment interruptions.Future research should concentrate on this emerging paradigm,which offers new opportunities,including faster and more diverse exchange of scientific knowledge,organizational improvements,and more efficient workflows.Moreover,these efficiencies will allow professionals to dedicate more time to patient care,with a better work-life balance.In the present editorial,we discuss the opportunities provided by these digital tools,as well as barriers to theirimplementation,and a vision of the future.
文摘A distance learning Continuing Medical Education （CME） project based on live interactive presentations and a group participatory model demonstrated that important strides can be made in the quality of CME available to health care professionals in African rural settings. Implementers choose a communication model consistent with the fundamental orality of Kenyan and other sub-Saharan African countries. The project involved four hospitals and one training institution in rural Kenya. The testing of learners and focus group discussions with learners, facilitators and presenters indicated that the project＇s methodologies, that strove to be culturally and work place friendly, contributed to gains in knowledge, competencies including case management, the continuity of patient care, team work, staff morale and other issues of expressed importance to the hospital healthcare work force and hospital administrators. The learning system, known as Advancing Continuing Medical Education through Information Technology （ACME-IT）, was implemented by the Kenyan Ministry of Medical Services, EC Associates and the US-funded Aphia2 Western initiative implemented by PATH. The findings of this pilot suggests that the ACME-IT methodology that set up learning centers at the participating institutions is a promising viable alternative to the traditional and relatively expensive workshop training that characterizes much of CME in lower and middle income countries.
