Studies in health technology and informatics
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Stud Health Technol Inform · Jan 2015
Making an APPropriate Care Program for Indigenous Cardiac Disease: Customization of an Existing Cardiac Rehabilitation Program.
Cardiovascular disease is a major health problem for all Australians and is the leading cause of death in Aboriginal and Torres Strait Islanders. In 2010, more then 50% of all heart attack deaths were due to repeated events. Cardiac rehabilitation programs have been proven to be effective in preventing the recurrence of cardiac events and readmission to hospitals. ⋯ To address these barriers, CSIRO developed an IT enabled cardiac rehabilitation program delivered by mobile phone through a smartphone app and succesfully trialed it in an urban general population. If these results can be replicated in Indigenous populations, the program has the potential to significantly improve life expectancy and help close the gap in health outcomes. The challenge described in this paper is customizing the existing cardiac health program to make it culturally relevant and suitable for Indigenous Australians living in urban and remote communities.
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Stud Health Technol Inform · Jan 2015
Product-based Safety Certification for Medical Devices Embedded Software.
Worldwide medical device embedded software certification practices are currently focused on manufacturing best practices. In Brazil, the national regulatory agency does not hold a local certification process for software-intensive medical devices and admits international certification (e.g. ⋯ We present here a product-based certification process as a candidate process to support the Brazilian regulatory agency ANVISA in medical device software regulation. Center of Strategic Technology for Healthcare (NUTES) medical device embedded software certification is based on a solid safety quality model and has been tested with reasonable success against the Class I risk device Generic Infusion Pump (GIP).
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Stud Health Technol Inform · Jan 2015
Using heart rate variability for automated identification of exercise exertion levels.
Heart rate monitoring is being used to estimate activity of autonomous nervous system by analysing heart rate variability (HRV). HRV has been recently shown to be effective means to monitor efficacy of exercise in patients with cardiovascular conditions and older adults. Whether HRV can be used to identify exercise exertion levels is unknown. ⋯ Comparative analysis of HRV during cycling exercise demonstrated responsiveness of time-domain indices to different phases of an exercise program. Using discriminant analysis, canonical discriminant functions were built which correctly identified 100% of 'highest level of exertion' and 80.0% of 'rest' episodes. HRV demonstrated high potential in monitoring autonomic balance and exercise exertion during cycling exercise program.
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Stud Health Technol Inform · Jan 2015
Supporting prolonged COPD monitoring using an application for mobile devices.
COPD (chronic obstructive pulmonary disease) is the most frequent form of chronic respiratory disease. During the progress of this disease, phases of aggravation of pulmonary function (exacerbations) can occur, which reduce the quality of life. Clinical experience shows that single investigations are insufficient. ⋯ A connection to a Hospital Information System will be possible through an included Health Level 7 interface. This offers an improved site-independent patient care. The project is planned to be in development until 2016.
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Stud Health Technol Inform · Jan 2015
Description of a Mobile-based Electronic Informed Consent System Development.
Seoul National University Hospital constructed and implemented a computer-based informed consent system in December 2011. As of 2013, 30% of the informed consents were still filled out manually on paper. ⋯ The rate of filling out electronic informed consent increased from 69% to 95% following the implementation of the mobile-based electronic informed consent. This construction of a mobile-based electronic informed consent system would be a good reference point for the development of a mobile-based Electronic Medical Record and for various mobile system environments in medical institutions.