scholarly journals An Efficient Patient Information Transmission and Receiving Scheme using Cloud H-IoT System

2019 ◽  
Vol 8 (2S6) ◽  
pp. 180-184
Keyword(s):  
Patient Information ◽  
Medical Staff ◽  
Medical Information ◽  
Eating Habits ◽  
Medical Services ◽  
Medical Systems ◽  
Health Care Environment ◽  
Disease Information ◽  
Proposed Model ◽  
Iot Devices

The medical environment, combined with IT technology, is changing the paradigm for medical services from treatment to prevention. In particular infrastructure technologies such as big data and internet of things are being used in conjunction with the cloud as ICT convergence digital healthcare technology is applied to hospital medical systems. In particular, as medical services are used with IT devices, the quality of medical services is increasingly improving to make them easier for users to access. Medical institutions seeking to incorporate IoT services into cloud health care environment services are trying to reduce hospital operating costs and improve service quality, but have not yet been fully supported. In this paper, a patient information collection model from H-IoT(Hospital IoT)_system, which has established a cloud environment, is proposed. The proposed model prevents third parties from illegally eavesdropping and interfering with patients' biometric information through IoT devices attached to the patient's body at hospitals in cloud environments that have established H-IoT systems. In the proposed model, patients are now eligible for medical service by installing an IoT device, and medical staff can analyze patient disease information so that patients who visit the hospital can collect and receive treatment for diseases related to their eating habits. The disease information analyzed in the proposed model minimizes hospital work to facilitate the treatment and management of prescriptions according to the degree of disease in patients. On average, the time required for medical staff to collect and analyze IoT patient information was 7.8 percent lower than previous techniques. The results of 11.1% improvement in server efficiency for processing IoT patient information were obtained. The IoT medical information transmitted from IoT devices was 16.3% lower than the traditional technology, using diffusion band technology

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

Semantic Health Mediation and Access Control Manager for Interoperability Among Healthcare Systems

2018 ◽  
Vol 11 (4) ◽  
pp. 87-98
Author(s):  
Abdullah Alamri
Keyword(s):  
Medical Information ◽  
Clinical Information ◽  
Healthcare Systems ◽  
Patient Data ◽  
Dual Model ◽  
Healthcare Organizations ◽  
Reference Information ◽  
Proposed Model ◽  
Definition Of ◽  
Semantic Mediation

Healthcare systems have evolved to become more patient-centric. Many efforts have been made to transform paper-based patient data to automated medical information by developing electronic healthcare records (EHRs). Several international EHRs standards have been enabling healthcare interoperability and communication among a wide variety of medical centres. It is a dual-model methodology which comprises a reference information model and an archetype model. The archetype is responsible for the definition of clinical concepts which has limitations in terms of supporting complex reasoning and knowledge discovery requirements. The objective of this article is to propose a semantic-mediation architecture to support semantic interoperability among healthcare organizations. It provides an intermediate semantic layer to exploit clinical information based on richer ontological representations to create a “model of meaning” for enabling semantic mediation. The proposed model also provides secure mechanisms to allow interoperable sharing of patient data between healthcare organizations.

scholarly journals An Analysis of International Military Health Systems Using the Military Medical Corps Worldwide Almanac

2020 ◽  
Author(s):  
Ryan M Leone ◽  
Zenobia Homan ◽  
Antonin Lelong ◽  
Lutz Bandekow ◽  
Martin Bricknell
Keyword(s):  
Health Systems ◽  
Organizational Structures ◽  
Healthcare Systems ◽  
Medical Community ◽  
Medical Services ◽  
Medical Systems ◽  
Military Health ◽  
Military Healthcare ◽  
The Military

Abstract Introduction A number of organizations publish comparisons of civilian health systems between countries. However, the authors were unable to find a global, systematic, and contemporary analysis of military healthcare systems. Although many databases exist for comparing national healthcare systems, the only such compilation of information for military medical systems is the Military Medical Almanac. A thorough review of the Almanac was conducted to understand the quality of information provided in each country’s profile and to develop a framework for comparing between countries. This information is valuable because it can facilitate collaboration and lesson sharing between nations while providing a structured source of information about a nation’s military medical capabilities for internal use. Materials and Methods Each of the 142 profiles (submitted by 132 countries) published in the Almanac were reviewed. The information provided was extracted and aggregated into a spreadsheet that covered the broader categories of country background, force demographics, beneficiary populations, administration and oversight, physical structures and capabilities, research capabilities, and culture and artifacts. An initial sample of 20 countries was evaluated to test these categories and their subsections before the rest of the submissions were reviewed. Clear definitions were revised and established for each of the 69 subcategories. Qualitative and quantitative data were compiled in the spreadsheet to enable comparisons between entries. Results Significant variation was found in how information was presented in country profiles and to what extent this was comparable between submissions. The most consistently provided information was in the country background, where the categories ranged from 90.15% to 100% completion across submissions. There was inconsistency in reporting of the numbers and types of healthcare workers employed within military medical services. Nearly 25% of nations reported providing medical care to family members of service members, but retirees, veterans, reservists, and law enforcement personnel were also mentioned. Some countries described organizational structures, military medical education institutions, and humanitarian operations. A few reported military medical research capabilities, though each research domain was present in 25% or less of all submissions. Interestingly, cultural identities such as emblems were present in nearly 90% of profiles, with many countries also having badges, symbols, and mottos. Conclusions The Military Medical Almanac is potentially a highly valuable collection of publicly available baseline information on military medical services across the world. However, the quality of this collection is highly dependent on the submission provided by each country. It is recommended that the template for collecting information on each health system be refined, alongside an effort to increase awareness of the value of the Almanac as an opportunity to raise the international profile of each country’s military medical system. This will ensure that the Almanac can better serve the international military medical community.

scholarly journals IMSC-EIoTD: Identity Management and Secure Communication for Edge IoT Devices

Sensors ◽  
2020 ◽  
Vol 20 (22) ◽  
pp. 6546
Author(s):  
Kazi Masum Sadique ◽  
Rahim Rahmani ◽  
Paul Johannesson
Keyword(s):  
Secure Communication ◽  
Identity Management ◽  
Security Protocols ◽  
Spin Model ◽  
The Internet ◽  
Human Society ◽  
Proposed Model ◽  
Authentication And Authorization ◽  
Quality Of Living ◽  
Iot Devices

The Internet of things (IoT) will accommodate several billions of devices to the Internet to enhance human society as well as to improve the quality of living. A huge number of sensors, actuators, gateways, servers, and related end-user applications will be connected to the Internet. All these entities require identities to communicate with each other. The communicating devices may have mobility and currently, the only main identity solution is IP based identity management which is not suitable for the authentication and authorization of the heterogeneous IoT devices. Sometimes devices and applications need to communicate in real-time to make decisions within very short times. Most of the recently proposed solutions for identity management are cloud-based. Those cloud-based identity management solutions are not feasible for heterogeneous IoT devices. In this paper, we have proposed an edge-fog based decentralized identity management and authentication solution for IoT devices (IoTD) and edge IoT gateways (EIoTG). We have also presented a secure communication protocol for communication between edge IoT devices and edge IoT gateways. The proposed security protocols are verified using Scyther formal verification tool, which is a popular tool for automated verification of security protocols. The proposed model is specified using the PROMELA language. SPIN model checker is used to confirm the specification of the proposed model. The results show different message flows without any error.

A Call to Action: The Institute of Medicine Report on Emergency Medical Services for Children

PEDIATRICS ◽  
1995 ◽  
Vol 96 (1) ◽  
pp. 173-174
Author(s):  
Jane F. Knapp
Keyword(s):  
Emergency Medical Services ◽  
Pediatric Emergency ◽  
Medical Services ◽  
Institute Of Medicine ◽  
Medical Systems ◽  
Call To Action ◽  
Emergency Medical ◽  
Grant Program ◽  
Public Responsibility ◽  
Emergency Medical Systems

Emergency Medical Services for Chi (EMS-C) must be recognized as a public responsibility; the "market" cannot be relied on to produce the kind of planning and cooperation required to make services available to all who need them.1 The Institute of Medicine (IOM) Report on Emergency Medical Services For Children. Each year millions of American chi become seriously ill or injured. If you have ever encountered a child who did not receive the medical care they needed or deserved under these circumstances you understand what EMS-C is all about. The familiar adage, "Children are not small adults," emphasizes that their care must be an integral part of a system not an afterthought once the adults have been addressed. The achievement of the desired level of competence for EMS-C in the larger system is hampered by many factors. These include lack of organization, equipment, training, and a tack of understanding of the child's unique problems and needs. In response to these needs, Congress approved a demonstration grant program in 1984. The purpose of the program was threefold: to expand access to EMS-C, to improve the quality available through existing Emergency Medical Systems (EMS), and to generate knowledge and experience that would be of use to all states and localities seeking to improve their system. Continuing interest prompted the formation of the Committee on Pediatric Emergency Medical Services by the IOM. This 19-member committee Chaired by Dr Donald N. Medearis, Jr released their report in the summer of 1993. The IOM report entitled Emergency Medical Services for Chi is available in both a soft cover 25-page summary and the full text (see Appendix).

Assessment of Needs for Counseling After Prenatal Diagnosis of Congenital Heart Disease – A Multidisciplinary Approach

2018 ◽  
Vol 230 (05) ◽  
pp. 251-256 ◽  
Author(s):  
Alexander Kovacevic ◽  
Andreas Simmelbauer ◽  
Sebastian Starystach ◽  
Michael Elsässer ◽  
Christof Sohn ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Prenatal Diagnosis ◽  
Medical Staff ◽  
Congenital Heart ◽  
Multidisciplinary Approach ◽  
Medical Information ◽  
Coping Resources ◽  
Effective Counseling ◽  
Demographical Data

Abstract Background Congenital heart disease is the most common cause of major congenital anomalies. After prenatal diagnosis effective counseling is crucial. However, little research has been undertaken in determining the most effective techniques. Objectives To develop a questionnaire suitable to assess parental needs for counseling. Material and Methods A questionnaire was developed by pediatric cardiologists, maternal-fetal-medicine specialists and sociologists. Likert scaled and open-ended questions are combined with socio-demographical data. The questionnaire was prospectively pilot-tested on 17 parents. We present first analyses of n=41 parents. Results Response rate was 89.5%. The dependent variable “effective counseling” was measured in 5 dimensions (transfer of medical information, trust in medical staff, transparency of treatment process, coping resources and perceived situational control). The questionnaire’s internal consistency is high (Cronbach’s alpha>0.7). First analyses show that 44.7% perceived counseling as successful. Transfer of medical information seems difficult (36.6% success rate). Trust in medical staff was high with 75%. Conclusions This newly developed tool measures counseling success in five dimensions. A multidisciplinary approach is recommended as methodological expertise is essential for constructing adequate tests. Preliminary data indicate that transfer of medical information is not easily achieved. Further analyses are needed to identify factors that determine counseling success.

scholarly journals Traffic flow features as metrics (TFFM): detection of application layer level DDOS attack scope of IOT traffic flows

2018 ◽  
Vol 7 (2.7) ◽  
pp. 203 ◽  
Author(s):  
Kalathiripi Rambabu ◽  
N Venkatram
Keyword(s):  
Traffic Flow ◽  
Traffic Flows ◽  
Application Layer ◽  
Continuous Growth ◽  
Loosely Coupled ◽  
Ddos Attack ◽  
Proposed Model ◽  
Flow Features ◽  
Target Network ◽  
Iot Devices

The phenomenal and continuous growth of diversified IOT (Internet of Things) dependent networks has open for security and connectivity challenges. This is due to the nature of IOT devices, loosely coupled behavior of internetworking, and heterogenic structure of the networks.  These factors are highly vulnerable to traffic flow based DDOS (distributed-denial of services) attacks. The botnets such as “mirae” noticed in recent past exploits the IoT devises and tune them to flood the traffic flow such that the target network exhaust to response to benevolent requests. Hence the contribution of this manuscript proposed a novel learning-based model that learns from the traffic flow features defined to distinguish the DDOS attack prone traffic flows and benevolent traffic flows. The performance analysis was done empirically by using the synthesized traffic flows that are high in volume and source of attacks. The values obtained for statistical metrics are evincing the significance and robustness of the proposed model

scholarly journals A Hybrid Optimized LSTM Models for Human Activity Recognition with IOT Devices

2021 ◽  
pp. 182-189
Author(s):  
S. Arokiaraj ◽  
Dr. N. Viswanathan
Keyword(s):  
Deep Learning ◽  
Internet Of Things ◽  
Short Term Memory ◽  
The Other ◽  
Learning Models ◽  
Computational Overhead ◽  
Temporal Features ◽  
Human Movements ◽  
Proposed Model ◽  
Iot Devices

With the advent of Internet of things(IoT),HA (HA) recognition has contributed the more application in health care in terms of diagnosis and Clinical process. These devices must be aware of human movements to provide better aid in the clinical applications as well as user’s daily activity.Also , In addition to machine and deep learning algorithms, HA recognition systems has significantly improved in terms of high accurate recognition. However, the most of the existing models designed needs improvisation in terms of accuracy and computational overhead. In this research paper, we proposed a BAT optimized Long Short term Memory (BAT-LSTM) for an effective recognition of human activities using real time IoT systems. The data are collected by implanting the Internet of things) devices invasively. Then, proposed BAT-LSTM is deployed to extract the temporal features which are then used for classification to HA. Nearly 10,0000 dataset were collected and used for evaluating the proposed model. For the validation of proposed framework, accuracy, precision, recall, specificity and F1-score parameters are chosen and comparison is done with the other state-of-art deep learning models. The finding shows the proposed model outperforms the other learning models and finds its suitability for the HA recognition.

scholarly journals Interoperability in Healthcare

2017 ◽  
pp. 689-714 ◽  
Author(s):  
Luciana Cardoso ◽  
Fernando Marins ◽  
César Quintas ◽  
Filipe Portela ◽  
Manuel Santos ◽  
...  
Keyword(s):  
Information Systems ◽  
Patient Information ◽  
Swot Analysis ◽  
Medical Information ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
High Availability ◽  
Heterogeneous Information ◽  
Multi Agent

With the advancement of technology, patient information has been being computerized in order to facilitate the work of healthcare professionals and improve the quality of healthcare delivery. However, there are many heterogeneous information systems that need to communicate, sharing information and making it available when and where it is needed. To respond to this requirement the Agency for Integration, Diffusion, and Archiving of medical information (AIDA) was created, a multi-agent and service-based platform that ensures interoperability among healthcare information systems. In order to improve the performance of the platform, beyond the SWOT analysis performed, a system to prevent failures that may occur in the platform database and also in machines where the agents are executed was created. The system has been implemented in the Centro Hospitalar do Porto (one of the major Portuguese hospitals), and it is now possible to define critical workload periods of AIDA, improving high availability and load balancing. This is explored in this chapter.

scholarly journals Prisons, sida et divulgation de renseignements médicaux. Analyse juridique et éthique

Criminologie ◽  
2005 ◽  
Vol 27 (2) ◽  
pp. 127-163 ◽  
Author(s):  
Ralf Jürgens ◽  
Norbert Gilmore
Keyword(s):  
Hiv Infection ◽  
Staff Member ◽  
Medical Staff ◽  
Medical Information ◽  
Correctional Institutions ◽  
Federal Inmates

The article addresses some of the issues raised in federal correctional institutions by the generation and communication of personal medical information pertaining the HIV infection. It examines, first, whether medical information pertaining to federal inmates — information considered confidential between medical staff and an inmate — can be disclosed absent the inmate's consent. It then examines what conditions or criteria determine whether or not such disclosure is ethically and legally justifiable, and if disclosure is justified, what conditions apply to its disclosure. Finally, specific situations in which a claim for disclosure may arise are examined. The article concludes that in federal correctional institutions, the disclosure of personal medical information absent consent of the person is seldom justifiable. In most situations, such disclosure is unnecessary and even appears to be counterproductive or harmful. Measures that can be undertaken to prevent exposure to and infection with HIV have to be undertaken regardless of whether an inmate or staff member is or is not known, to staff, wardens, or inmates, to be infected with HIV.

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