Intelligent Multimedia Multi-Agent Clinical Diagnosis and Treatment Support System

Author(s):  
Rajiv Khosla ◽  
Ishwar K. Sethi ◽  
Ernesto Damiani
Diagnostics ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1233
Author(s):  
Ernest Osei ◽  
Kwasi Agyei ◽  
Boikhutso Tlou ◽  
Tivani P. Mashamba-Thompson

Mobile health (mHealth) technologies have been identified as promising strategies for improving access to healthcare delivery and patient outcomes. However, the extent of availability and use of mHealth among healthcare professionals in Ghana is not known. The study’s main objective was to examine the availability and use of mHealth for disease diagnosis and treatment support by healthcare professionals in the Ashanti Region of Ghana. A cross-sectional survey was carried out among 285 healthcare professionals across 100 primary healthcare clinics in the Ashanti Region with an adopted survey tool. We obtained data on the participants’ background, available health infrastructure, healthcare workforce competency, ownership of a mobile wireless device, usefulness of mHealth, ease of use of mHealth, user satisfaction, and behavioural intention to use mHealth. Descriptive statistics were conducted to characterise healthcare professionals’ demographics and clinical features. Multivariate logistic regression analysis was performed to explore the influence of the demographic factors on the availability and use of mHealth for disease diagnosis and treatment support. STATA version 15 was used to complete all the statistical analyses. Out of the 285 healthcare professionals, 64.91% indicated that mHealth is available to them, while 35.08% have no access to mHealth. Of the 185 healthcare professionals who have access to mHealth, 98.4% are currently using mHealth to support healthcare delivery. Logistic regression model analysis significantly (p < 0.05) identified that factors such as the availability of mobile wireless devices, phone calls, text messages, and mobile apps are associated with HIV, TB, medication adherence, clinic appointments, and others. There is a significant association between the availability of mobile wireless devices, text messages, phone calls, mobile apps, and their use for disease diagnosis and treatment compliance from the chi-square test analysis. The findings demonstrate a low level of mHealth use for disease diagnosis and treatment support by healthcare professionals at rural clinics. We encourage policymakers to promote the implementation of mHealth in rural clinics.


Sensors ◽  
2021 ◽  
Vol 21 (10) ◽  
pp. 3474
Author(s):  
Taehoon Kim ◽  
Wonbin Kim ◽  
Daehee Seo ◽  
Imyeong Lee

Recently, as Internet of Things systems have been introduced to facilitate diagnosis and treatment in healthcare and medical environments, there are many issues concerning threats to these systems’ security. For instance, if a key used for encryption is lost or corrupted, then ciphertexts produced with this key cannot be decrypted any more. Hence, this paper presents two schemes for key recovery systems that can recover the lost or the corrupted keys of an Internet of Medical Things. In our proposal, when the key used for the ciphertext is needed, this key is obtained from a Key Recovery Field present in the cyphertext. Thus, the recovered key will allow decrypting the ciphertext. However, there are threats to this proposal, including the case of the Key Recovery Field being forged or altered by a malicious user and the possibility of collusion among participating entities (Medical Institution, Key Recovery Auditor, and Key Recovery Center) which can interpret the Key Recovery Field and abuse their authority to gain access to the data. To prevent these threats, two schemes are proposed. The first one enhances the security of a multi-agent key recovery system by providing the Key Recovery Field with efficient integrity and non-repudiation functions, and the second one provides a proxy re-encryption function resistant to collusion attacks against the key recovery system.


2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Mingqi Qiao ◽  
Peng Sun ◽  
Haijun Wang ◽  
Yang Wang ◽  
Xianghong Zhan ◽  
...  

We performed an epidemiological investigation of subjects with premenstrual dysphoric disorder (PMDD) to identify the clinical distribution of the major syndromes and symptoms. The pathogenesis of PMDD mainly involves the dysfunction of liver conveyance and dispersion. Excessive liver conveyance and dispersion are associated with liver-qi invasion syndrome, while insufficient liver conveyance and dispersion are expressed as liver-qi depression syndrome. Additionally, a nonconditional logistic regression was performed to analyze the symptomatic features of liver-qi invasion and liver-qi depression. As a result of this analysis, two subtypes of PMDD are proposed, namely, excessive liver conveyance and dispersion (liver-qi invasion syndrome) and insufficient liver conveyance and dispersion (liver-qi depression syndrome). Our findings provide an epidemiological foundation for the clinical diagnosis and treatment of PMDD based on the identification of different types.


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