The Experts below are selected from a list of 7470 Experts worldwide ranked by ideXlab platform
Corey E. Baker - One of the best experts on this subject based on the ideXlab platform.
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Addressing the Need for Remote Patient Monitoring Applications in Appalachian Areas.
arXiv: Human-Computer Interaction, 2021Co-Authors: Alyssa Donawa, Corey E. BakerAbstract:There is a need to address the urban-rural disparities in healthcare regarding equal access and quality of care. Due to higher rates of chronic disease, reduced access to providers, and a continuous decline in rural hospitals, it is imperative that Appalachian cancer Patients adopt the use of health information technology (HIT). The NCCN Distress Thermometer and Problem List (DT) is under-utilized, not Patient-centered, does not consider provider needs, and is outdated in the current digital landscape. Digitizing Patient distress screening poses advantages, such as allowing for more frequent screenings, removing geographical barriers, and rural Patient autonomy. In this paper, we discuss how knowledge gained from Patient-centered design led to the underpinnings of developing a rural Remote Patient Monitoring app that provides delightful and insightful experiences to users.
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augmenting cloud connectivity with opportunistic networks for rural Remote Patient Monitoring
2020 International Conference on Computing Networking and Communications (ICNC), 2020Co-Authors: Esther Maxonakpoya, Oluwashina Madamori, Faren Grant, Robin C. Vanderpool, Ming-yuan Chih, David K. Ahern, Eliah Aronollspencer, Corey E. BakerAbstract:Current Remote Patient Monitoring (RPM) systems are fully reliant on the Internet. However, complete reliance on Internet connectivity is impractical in rural and Remote environments where modern infrastructure is often lacking, power outages are frequent, and/or network connectivity is sparse (e.g. rural communities, mountainous regions of Appalachia, American Indian reservations, developing countries, and natural disaster situations). This paper proposes augmenting intermittent Internet with opportunistic communication to leverage the social behaviors of Patients, caregivers, and community members to facilitate out-of-range Monitoring of Patients via Bluetooth 5 during intermittent network connectivity in rural communities. The architecture is evaluated for Owingsville, KY using U.S. Census Bureau, the National Cancer Institute’s, and IPUMS ATUS sample data, and is compared against a delay tolerant RPM case that is completely disconnected from the Internet. The findings show that with only 0.30 rural adult population participation, the architecture can deliver 0.95 of non-emergency medical information with an average delivery latency of ∼13 hours.
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Utilizing Opportunistic Social Networks for Remote Patient Monitoring in Rural Areas.
arXiv: Networking and Internet Architecture, 2020Co-Authors: Esther Max-onakpoya, Oluwashina Madamori, Corey E. BakerAbstract:The use of Internet connectivity for Remote Patient Monitoring is often unsuitable for rural communities where Internet infrastructure is lacking, and power outages are frequent. This paper explores the rural connectivity problem in the context of Remote Patient Monitoring and analyzes the feasibility of utilizing a delay tolerant network (DTN) architecture that leverages the social behaviors of rural community members to enable out-of-range Monitoring of Patients in rural communities without local transportation systems. The feasibility is characterized using delivery latency and delivery rate with the number of participants and the number of sources as variables. The architecture is evaluated for Owingsville, KY using U.S. Census Bureau, the National Cancer Institute's, and IPUMS ATUS sample data. The findings show that within a 24 hour window, there is an exponential relationship between the number of participants in the network and the delivery rate with a minimal delivery of 38.7%, a maximal delivery rate of a 100% and an overall average delivery rate of 89.8%.
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TESCA - Utilizing Opportunistic Social Networks for Remote Patient Monitoring in Rural Areas
Proceedings of the 1st ACM International Workshop on Technology Enablers and Innovative Applications for Smart Cities and Communities, 2019Co-Authors: Esther Max-onakpoya, Shina Madamori, Corey E. BakerAbstract:The use of Internet connectivity for Remote Patient Monitoring is often unsuitable for rural communities where Internet infrastructure is lacking, and power outages are frequent. This paper explores the rural connectivity problem in the context of Remote Patient Monitoring and analyzes the feasibility of utilizing a delay tolerant network (DTN) architecture that leverages the social behaviors of rural community members to enable out-of-range Monitoring of Patients in rural communities without local transportation systems. The feasibility is characterized using delivery latency and delivery rate with the number of participants and the number of sources as variables. The architecture is evaluated for Owingsville, KY using U.S. Census Bureau, the National Cancer Institute's, and IPUMS ATUS sample data. The findings show that within a 24 hour window, there is an exponential relationship between the number of participants in the network and the delivery rate with a minimal delivery of 38.7%, a maximal delivery rate of a 100% and an overall average delivery rate of 89.8%.
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Augmenting Cloud Connectivity with Opportunistic Networks for Rural Remote Patient Monitoring
arXiv: Networking and Internet Architecture, 2019Co-Authors: Esther Max-onakpoya, Oluwashina Madamori, Faren Grant, Robin C. Vanderpool, Ming-yuan Chih, David K. Ahern, Eliah Aronoff-spencer, Corey E. BakerAbstract:Current Remote Patient Monitoring (RPM) systems are fully reliant on the Internet. However, complete reliance on Internet connectivity is impractical in rural and Remote environments where modern infrastructure is often lacking, power outages are frequent, and/or network connectivity is sparse (e.g. rural communities, mountainous regions of Appalachia, American Indian reservations, developing countries, and natural disaster situations). This paper proposes augmenting intermittent Internet with opportunistic communication to leverage the social behaviors of Patients, caregivers, and community members to facilitate out-of-range Monitoring of Patients via Bluetooth 5 during intermittent network connectivity in rural communities. The architecture is evaluated for Owingsville, KY using U.S. Census Bureau, the National Cancer Institute's, and IPUMS-ATUS sample data, and is compared against a delay tolerant RPM case that is completely disconnected from the Internet. The findings show that with only 0.30 rural adult population participation, the architecture can deliver 0.95 of non-emergency medical information with an average delivery latency of approximately 13 hours.
Thaier Hayajneh - One of the best experts on this subject based on the ideXlab platform.
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Healthcare Blockchain System Using Smart Contracts for Secure Automated Remote Patient Monitoring
Journal of Medical Systems, 2018Co-Authors: Kristen N. Griggs, Olya Ossipova, Alessandro N. Baccarini, Emily A. Howson, Christopher P. Kohlios, Thaier HayajnehAbstract:As Internet of Things (IoT) devices and other Remote Patient Monitoring systems increase in popularity, security concerns about the transfer and logging of data transactions arise. In order to handle the protected health information (PHI) generated by these devices, we propose utilizing blockchain-based smart contracts to facilitate secure analysis and management of medical sensors. Using a private blockchain based on the Ethereum protocol, we created a system where the sensors communicate with a smart device that calls smart contracts and writes records of all events on the blockchain. This smart contract system would support real-time Patient Monitoring and medical interventions by sending notifications to Patients and medical professionals, while also maintaining a secure record of who has initiated these activities. This would resolve many security vulnerabilities associated with Remote Patient Monitoring and automate the delivery of notifications to all involved parties in a HIPAA compliant manner.
Reza Sahandi - One of the best experts on this subject based on the ideXlab platform.
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IMIS - Wireless Remote Patient Monitoring System: Effects of Interference
2016 10th International Conference on Innovative Mobile and Internet Services in Ubiquitous Computing (IMIS), 2016Co-Authors: Andrew Yearp, David Newell, Philip Davies, Russell Wade, Reza SahandiAbstract:Wireless Remote Patient Monitoring has the scope to improve Patient experience while enabling data transmission to support effective Patient care. Dash7 and ZigBee are potential wireless technologies which can facilitate this. Dash7 or ZigBee, when integrated with a mobile phone accompanied by the Patient, can overcome the problem of range limitation imposed by traditional wireless Patient Monitoring solutions. A wireless Remote Monitoring system using integrated Dash7 or ZigBee and mobile phone technologies is proposed. Reliability is a key requirement in Patient Monitoring systems. Signal interference can affect the reliability of wireless systems. This paper investigates signal interference on Dash7 and ZigBee in a multi-technology environment. We further consider some of the the ethical implications of using Context Aware systems and their impact upon privacy and show that such tracking systems are ethically feasible but may require additional Patient consent.
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ICAT - Zigbee network for Remote Patient Monitoring on general hospital wards
2009 XXII International Symposium on Information Communication and Automation Technologies, 2009Co-Authors: Yuanlong Liu, Reza SahandiAbstract:Availability of Zigbee-based sensor network technology with low-power consuming sensors has made their implementation in healthcare possible, particularly for Remote Patient Monitoring. Two alternative approaches for the deployment of Zigbee-based Wireless Personal Area Networks (WPANs) for Remote Patient Monitoring on general wards are discussed and their performances evaluated in a simulation environment. In the first approach, a single WPAN is considered for gathering and transmitting physiological data from the Patients on a ward. In the second approach, which is proposed in this paper, multiple WPANs are considered instead. In this approach, a WPAN will be allocated to each Patient on the ward. The simulation results show that the multiple WPANs approach out-performed the single one in respect of efficiency and reliability for data transmission for the entire ward.
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Review of sensors for Remote Patient Monitoring
2008Co-Authors: Yuanlong Liu, Reza SahandiAbstract:Remote Patient Monitoring (RPM) of physiological measurements can provide an efficient method and high quality care to Patients. The physiological signals measurement is the initial and the most important factor in RPM. This paper discusses the characteristics of the most popular sensors, which are used to obtain vital clinical signals in prevalent RPM systems. The sensors discussed in this paper are used to measure ECG, heart sound, pulse rate, oxygen saturation, blood pressure and respiration rate, which are treated as the most important vital data in Patient Monitoring and medical examination.
Esther Max-onakpoya - One of the best experts on this subject based on the ideXlab platform.
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Utilizing Opportunistic Social Networks for Remote Patient Monitoring in Rural Areas.
arXiv: Networking and Internet Architecture, 2020Co-Authors: Esther Max-onakpoya, Oluwashina Madamori, Corey E. BakerAbstract:The use of Internet connectivity for Remote Patient Monitoring is often unsuitable for rural communities where Internet infrastructure is lacking, and power outages are frequent. This paper explores the rural connectivity problem in the context of Remote Patient Monitoring and analyzes the feasibility of utilizing a delay tolerant network (DTN) architecture that leverages the social behaviors of rural community members to enable out-of-range Monitoring of Patients in rural communities without local transportation systems. The feasibility is characterized using delivery latency and delivery rate with the number of participants and the number of sources as variables. The architecture is evaluated for Owingsville, KY using U.S. Census Bureau, the National Cancer Institute's, and IPUMS ATUS sample data. The findings show that within a 24 hour window, there is an exponential relationship between the number of participants in the network and the delivery rate with a minimal delivery of 38.7%, a maximal delivery rate of a 100% and an overall average delivery rate of 89.8%.
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TESCA - Utilizing Opportunistic Social Networks for Remote Patient Monitoring in Rural Areas
Proceedings of the 1st ACM International Workshop on Technology Enablers and Innovative Applications for Smart Cities and Communities, 2019Co-Authors: Esther Max-onakpoya, Shina Madamori, Corey E. BakerAbstract:The use of Internet connectivity for Remote Patient Monitoring is often unsuitable for rural communities where Internet infrastructure is lacking, and power outages are frequent. This paper explores the rural connectivity problem in the context of Remote Patient Monitoring and analyzes the feasibility of utilizing a delay tolerant network (DTN) architecture that leverages the social behaviors of rural community members to enable out-of-range Monitoring of Patients in rural communities without local transportation systems. The feasibility is characterized using delivery latency and delivery rate with the number of participants and the number of sources as variables. The architecture is evaluated for Owingsville, KY using U.S. Census Bureau, the National Cancer Institute's, and IPUMS ATUS sample data. The findings show that within a 24 hour window, there is an exponential relationship between the number of participants in the network and the delivery rate with a minimal delivery of 38.7%, a maximal delivery rate of a 100% and an overall average delivery rate of 89.8%.
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Augmenting Cloud Connectivity with Opportunistic Networks for Rural Remote Patient Monitoring
arXiv: Networking and Internet Architecture, 2019Co-Authors: Esther Max-onakpoya, Oluwashina Madamori, Faren Grant, Robin C. Vanderpool, Ming-yuan Chih, David K. Ahern, Eliah Aronoff-spencer, Corey E. BakerAbstract:Current Remote Patient Monitoring (RPM) systems are fully reliant on the Internet. However, complete reliance on Internet connectivity is impractical in rural and Remote environments where modern infrastructure is often lacking, power outages are frequent, and/or network connectivity is sparse (e.g. rural communities, mountainous regions of Appalachia, American Indian reservations, developing countries, and natural disaster situations). This paper proposes augmenting intermittent Internet with opportunistic communication to leverage the social behaviors of Patients, caregivers, and community members to facilitate out-of-range Monitoring of Patients via Bluetooth 5 during intermittent network connectivity in rural communities. The architecture is evaluated for Owingsville, KY using U.S. Census Bureau, the National Cancer Institute's, and IPUMS-ATUS sample data, and is compared against a delay tolerant RPM case that is completely disconnected from the Internet. The findings show that with only 0.30 rural adult population participation, the architecture can deliver 0.95 of non-emergency medical information with an average delivery latency of approximately 13 hours.
Malcolm Clarke - One of the best experts on this subject based on the ideXlab platform.
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Exploring a New Security Framework for Remote Patient Monitoring Devices
Computers, 2017Co-Authors: Brian Ondiege, Malcolm Clarke, Glenford MappAbstract:Security has been an issue of contention in healthcare. The lack of familiarity and poor implementation of security in healthcare leave the Patients’ data vulnerable to attackers. The main issue is assessing how we can provide security in an RPM infrastructure. The findings in literature show there is little empirical evidence on proper implementation of security. Therefore, there is an urgent need in addressing cybersecurity issues in medical devices. Through the review of relevant literature in Remote Patient Monitoring and use of a Microsoft threat modelling tool, we identify and explore current vulnerabilities and threats in IEEE 11073 standard devices to propose a new security framework for Remote Patient Monitoring devices. Additionally, current RPM devices have a limitation on the number of people who can share a single device, therefore, we propose the use of NFC for identification in Remote Patient Monitoring (RPM) devices for multi-user environments where we have multiple people sharing a single device to reduce errors associated with incorrect user identification. We finally show how several techniques have been used to build the proposed framework.
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Designing Robust and Reliable Timestamps for Remote Patient Monitoring
IEEE Journal of Biomedical and Health Informatics, 2015Co-Authors: Malcolm Clarke, Paul Schluter, Barry ReinholdAbstract:Having timestamps that are robust and reliable is essential for Remote Patient Monitoring in order for Patient data to have context and to be correlated with other data. However, unlike hospital systems for which guidelines on timestamps are currently provided by HL7 and IHE, Remote Patient Monitoring platforms are: operated in environments where it can be difficult to synchronize with reliable time sources; include devices with simple or no clock; and may store data spanning significant periods before able to upload. Existing guidelines prove inadequate. This paper analyzes the requirements and the operating scenarios of Remote Patient Monitoring platforms and defines a framework to convey information on the conditions under which observations were made by the device and forwarded by the gateway in order for data to be managed appropriately and to include both reference to local time and an underlying continuous reference timeline. We define the timestamp formats of HL7 to denote the different conditions of operation and describe extensions to the existing definition of the HL7 timestamp to differentiate between time local to GMT (+0000) and universal coordinated time or network time protocol time where no geographic time zone is implied (-0000). We further describe how timestamps from devices having only simple or no clocks might be managed reliably by a gateway to provide timestamps that are referenced to local time and an underlying continuous reference timeline. We extend the HL7 message to include information to permit a subsequent receiver of the data to understand the quality of the timestamp and how it has been translated. We present evaluation from deploying a platform for 12 months.
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Designing Reliable and Robust Timestamps for Remote Patient Monitoring
2014Co-Authors: Malcolm Clarke, Paul SchluterAbstract:Having robust timestamps for Remote Patient Monitoring is essential to ensure correct context and correlation with other data. However typical devices have no clock or a simple clock that is not synchronized. The gateway will be responsible for translating timestamps to local time and also to an underlying continuous time reference, ideally UTC. However gateways operate in harsh conditions and may not be able to synchronize time. It is necessary to be able to denote operating conditions of the gateway and the translation applied to any timestamp. This short communication discusses the development of a framework for reliable and robust timestamp management and reports on results on use.
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Human and organisational aspects of Remote Patient Monitoring in residential care homes
International journal of electronic healthcare, 2007Co-Authors: Tanja Bratan, Malcolm Clarke, Jyoti Choudrie, Russell Jones, Andrew LarkworthyAbstract:Demographic changes in the population, with a growing proportion of elderly people, make the efficient and effective provision of healthcare for this age group an increasingly important issue. We examine the organisational and human aspects of introducing a Remote Patient Monitoring (RPM) system that uses wireless and broadband networks into three residential care homes in the UK. Stakeholders were identified, and semi-structured one-to-one interviews were carried out in order to identify issues deemed most important to each group. The work is novel, as it requires examination of the issues of communication between healthcare workers in several primary and secondary care organisations. The key finding was the need to identify the changes in working practice and interpersonal communication. A key factor in particular was the change in relationships: staff in the Remote centre needing to learn to seek support when reporting and requesting assistance for a problem; and for the staff at the health centres to respond appropriately.
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Optimum design of Remote Patient Monitoring systems.
Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and, 2006Co-Authors: Tanja Bratan, Malcolm ClarkeAbstract:Remote Patient Monitoring (RPM) of physiological measurements offers the potential to provide high quality care to elderly, chronically and acutely ill people in their home environment, while making effective use of healthcare resources. However, despite its clearly demonstrated potential, RPM has not become an integrated part of Patient care so far. In this paper, we undertake an extensive systematic literature review to identify the typical setup of RPM projects and services in the UK. We then propose a solution for a clinically and organizationally more integrated service, which is based in primary care. Key to the design is the involvement of other healthcare services such as social care, the emergency department of a hospital, and out-of-hours General Practitioner services, and also the involvement of the Patient and their carer/s. This allows a team-based approach with information-sharing across different healthcare sectors, and offers maximum continuity of care for the Patient.
