Application of a Cloud System for Telemedicine Service 應用於遠距醫療之雲端系統...

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Application of a Cloud System for Telemedicine Service

應用於遠距醫療之雲端系統

Presenter ： Chung-Yi Chiu

Adviser ： Yi-Chun Du

Date ： 2015/4/21

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生醫系統整合實驗室 Integrated Biomedical System Laboratory

• Introduction

• Motivation and purpose

• Paper review

• Materials and Methods

• Future Work

• Reference

Outline

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Introduction

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• Over 65 years of people called older man

• Not aging society ： not 7% of the population

• Aging society ： 7% of the population

• Aged society ： 14% of the population

• Super-aged society ： 21% of the population

What is aging society?

World Health Organization 2004 International Plan of Action on Ageing

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See the 'aging ' Anations

CNN 2014 Moody’s Investors Service, UN data

2015 2020 2030

Super-aged 7 18 32

Aged 15 19 14

Aging 22 16 11

Not aged 20 11 8

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Taiwan's aging population

行政院經濟建設委員會 2014 中華民國台灣地區 95 年至 140 年人口推計

24 年 8年

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Medical resource

Nursing homes Medical personnel

Medical costs

Chronic diseases of aging

Hypertension Diabetes

High cholesterol

Problem of Aging


Sub-health people

Sub-healthy people is between health and disease

1. Regular medication

2. For regular doctor referral

3. Self-care of myself

4. Long self-monitoring physiological conditions

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Motivation and purpose

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In some distance in telecommunication and computer technology to social services home health care / community / agency people

What is Telemedicine?

Barnes, (1998). Lifestyle monitoring - technology for supported independence

Patients at home

IE Browser Health Agent

Internet

Mobile Phone Database server

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Older people

Aging society

Health care costs

Telemedicine

Sub-health people

Medical resource

Health care burden

How to care for the elderly and sub-health people?

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The advantages of remote medical careRemind drug use

Action orientation

Professional visits

Remote physiological monitoring

Video health education and counseling

Home Life Support

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Paper Review

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• Telemedicine early stage of development is limited to telephone medical advice

• The main provision of medical services to people in remote areas

Paper Review

施福忠 (2007) 。虛擬團隊、遠距醫療與醫療績效關係 --- 資源基礎觀點。

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A Tele-home Care System Exploiting

the DVB-T Technology and MHP

Angius¹, G., Pani¹, D., Raffo¹, L., Randaccio, P., & Seruis¹, S.

(2008). Methods Inf Med, 47, 223-228.

Paper Review

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Paper Review

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Paper Review

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Paper Review

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Wireless Sensor Networks for Healthcare

Ko, J., Lu, C., Srivastava, M. B., Stankovic, J. A., Terzis, A., & Welsh, M.

(2010). Proceedings of the IEEE,98(11), 1947-1960.

Paper Review

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Paper Review

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Paper Review

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Assessment of the cost-effectiveness and clinical outcomes of a fourth-generation synchronous telehealth program for the management of chronic cardiovascular disease.

Ho, Y. L., Yu, J. Y., Lin, Y. H., Chen, Y. H., Huang, C. C., Hsu, T. P., . . . Chen, M. F.

(2014). Journal of Medical Internet Research,16(6), e145. doi: 10.2196/jmir.3346

Paper Review

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Data transmission View physiological parameters Treatment

The first generation Asynchronous Health care workers can

not view Nothing

The second generation Synchronous Health care worker

monitoring in 24 hours Nothing

The third generation Synchronous

Health care worker monitoring in 24 hours Inform abnormal

The fourth generation Synchronous

Health care worker monitoring in 24 hours Inform abnormal

Contact the hospital

Paper Review

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Physiological measurements

Continuity of care

Instant remote clinic

Urgent Care Consulting

Health Report

Paper Review

Services

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Paper ReviewRemote

monitoring system

ECG measurement

device

Arm Blood Pressure Monitor

Oxygen machine

Blood sugar machine

Instrument Description

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Materials and Methods

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Residential（B）Physiological

signals2

Residential（D）Physiological

signals4

Residential（C）Physiological

signals3

Residential（A）Physiological

signals1

Speed Dome(PTZ)

Speed Dome(PTZ)

Speed Dome(PTZ)

Speed Dome(PTZ)

Data IntegrationCloud Storage

Database

Phone monitoring Hospital

Speed Dome(PTZ)

Telemedicine architecture

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Microphone

• With two stereo headphone jack• Can be an external headset.• Built-in 3-inch speaker monomer, and a

volume adjustment.• Single point condenser microphone

sensitivity.• Gooseneck Microphone length: 488mm.• Size: 142 (L) × 180 (width) × 57 (height) mm.

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• Pixel ： 1.3 million pixels• Optical zoom ： 22 times• Digital zoom ： 10 times• Video encoding ： Support H.264, MJPEG• Waterproof ： IP-66 waterproof• Video Support ： IE, CMS, NVR• Infrared ： 100 meters• Noise processing ： Reduce noise function• Horizontal movement ： Level 360• Vertical movement ： -10 To 190 degrees vertical

PTZ Network Camera

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Arm Blood Pressure MonitorSun Tech 247

• Initial inflation pressure ： 160mmHg +/- 20mmHg

• Blood pressure range (mmHg) ： 60 < Systolic BP <

270, 30 < Diastolic .

• Heart rate range ： 30-200 bpm +/- 2% or +/- 3 bpm,

whichever is greater

• Functional oxygen saturation range ： 40-100%

• Wireless transmission ： Bluetooth

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• Voice included

• Location Number

• Night preservation

• Bluetooth

Development Boards

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• display ： 2D display 、 VGA 、 OpenGLES3.0

• Transmission ： GSM/EDGE 、 IDEN 、 UMTS 、 Bluetooth 、 Wi-Fi

• Physiological signals ：ECG 、 RR 、 SPO2 、 BP

• Hardware support ： GPS ， Accelerometer ， Gyro

Android

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Microsoft Visual Studio

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Future Work

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• Video Integration

• Integration of physiological parameters

• Database storage

• Two-way audio and video communication

• Subjects were 10 or more

Future Work

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Reference

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• [1] 國研院社會科學，全球與臺灣人才培育發展現況、問題與趨勢， 2013/8/6 ， http://thinktank.stpi.narl.org.tw/Chinese

• [2] Schmidt, A., & Van Laerhoven, K. (2001). How to build smart appliances?.Personal Communications, IEEE, 8(4), 66-71.

• [4] http://money.cnn.com/interactive/news/aging-countries/?iid=EL CNN• [3] 衛生福利部國民健康所• [5] Angius¹, G., Pani¹, D., Raffo¹, L., Randaccio, P., & Seruis¹, S. (2008). A tele-home

care system exploiting the DVB-T technology and MHP. Methods Inf Med, 47, 223-228.

• [6}Ko, J., Lu, C., Srivastava, M. B., Stankovic, J. A., Terzis, A., & Welsh, M. (2010). Wireless sensor networks for healthcare. Proceedings of the IEEE,98(11), 1947-1960.]

• [7] Sung, W. T., & Chang, K. Y. (2013). Evidence-based multi-sensor information fusion for remote health care systems. Sensors and Actuators A: Physical,204, 1-19.

Reference

http://thinktank.stpi.narl.org.tw/Chinese

http://money.cnn.com/interactive/news/aging-countries/?iid=EL


Thank you for your attention!

38http://faculty.stust.edu.tw/~terrydu/

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Application of a Cloud System for Telemedicine Service 應用於遠距醫療之雲端系統...

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