P015 - Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7
Auflistung P015 - Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7 nach Erscheinungsdatum
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- KonferenzbeitragUbiquitous healthcare: The OnkoNet mobile agents architecture(Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7, 2002) Kirn, S.This paper introduces ubiquitous healthcare, addressing the access of health services by individual consumers applying to mobile computing devices. This access requires knowledge about the individual health status, which may involve (as far as available) the current personal situation (e.g., accident), relevant recent diseases etc., current symptoms or already available diagnosis. Addressing the related IT challenges - e.g., patient-centric knowledge processing, situation awareness, local control - we develop in detail the OnkoNet Mobile Agents Architecture involving architectures on the macrolevel and microlevel as well as cooperation protocols, inference models controlling system behaviour, and a health ontology.
- KonferenzbeitragLessons learned from 16 years usage of mobile computers in clinical trials(Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7, 2002) Koop, A.For more than 16 years, mobile computers have been supporting the implementation of clinical trials. A review of 28 articles out of more than 100 clinical trials in which mobile computers have been used elaborates on the advantages and problems of this technology. A comprehensive overview of the various technologies as used in different settings is given, and then the methodology of using mobile devices in comparison to traditional methods is discussed. The considerations that need to be made and things to be avoided in order to conduct a successful clinical trial with mobile tools are listed in detail. This survey leads to the conclusion that mobile devices are very useful in most cases, especially when design and software validation aspects have been taken into account. Furthermore information is given about software validation aspects that are unique to the field of clinical trials.
- KonferenzbeitragUse of electronic diaries within treatment of obesity and binge eating disorder: First experiences(Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7, 2002) Quenter, A.; Bludau, H.-B.; Friedrich, H.-C.; Schild, S.; Riepe, T.; Zipfel, S.After initial use for treatment-documentation within the scope of follow-up studies, electronic diaries are increasingly implemented in clinical settings. Particularly, diaries seem to fit very well in areas where "paper and pencil-diaries" yet constitute well established elements of symptom-focussed treatment settings, including a detailed description and analysis of problem behaviour. This e.g. applies to treatment of eating disorders like anorexia nervosa, bulimia nervosa or binge eating disorder (BED). BED is characterised by ingestion of a large amount of food in a discrete period of time, accompanied by a sense of loss of control. BED in particular appears to be predisposed for the use of electronic diaries: By the mean of self-observation based on diary recording, information about triggers of problem behaviour, thoughts, somatic symptoms, and feelings experienced during a binge, as well as patient's reactions in a detailed manner may be assessed. Therefore, as a therapeutic mean, electronic diaries are fostering taking-over of self-responsibility and thus, will raise treatment motivation. Especially when binge eating and loss of control occur, the use of diaries enhances self-control and self-regulation. Electronic diaries realised on handheld-computers (Palm 100m) are used within the scope of an intervention study realised by the Dept. of General Internal and Psychosomatic Medicine of the University of Heidelberg, focussing on treatment of obese patients with binge eating disorder. Purpose of the study is the registration of therapeutic relevant information as well as the assessment of progression within a multimodal, out-patient group therapy. First experiences demonstrate the feasibility of mobile computing systems even with elder out-patients with no or little technical knowledge. However, implementation of the system requires focussing particularly on technical aspects. Limitations which may result from insertion of innovative technical equipment (particularly, a susceptibility to electronic problems and maybe resulting in restrictions of data) should be considerated in an adequate manner during scheduling.
- KonferenzbeitragFrom semi-mobile to mobile work? Possibilities and constraints for hand-held computer use in home health care(Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7, 2002) Hughes, T.; Karsten, H.; Konttila, J.; Järvi, S.This paper discusses the possibilities and constraints for using mobile computing in home health care by examining the work of home health care nurses in the city of Turku, located in the southwestern part of Finland. Home health care differs from other forms of health care by being 'semi-mobile'. Approximately half of a nurse's day is spent making visits to the homes of patients and the other half is spent at a shared office. While in the office, the nurses, among other things, enter information into a patient information system and communicate with other nurses present. By following the work of nurses, we found several possible applications for mobile or hand held devices. Mobile access to a variety of information sources and improved communication possibilities seemed valuable and appeared to offer possibilities for both improving the quality of the nurses' work and allowing the nurses to spend more time with their patients. In our study, however, we also found that the special nature of the work of home health care nurses sets many important constraints which must be taken into consideration before the work of home health care nurses can become truly mobile. Among other things, we found that the visits the nurses make to the office are more than just mandatory visits required for entering patient information and reporting the day's events to other nurses.
- KonferenzbeitragApplicability of handheld computers in clinical information systems: Comparison of evaluation methods(Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7, 2002) Christoph, K.; Bludau, H.-B.Although handheld computers are increasingly used in professional areas, an instrument for evaluating their applicability in different cases and scopes does not yet exist. There is an urgent need for standardised evaluation methods comprising handheld specific questions like mobility, different hardware (CE, Palm, Psion), different possibilities for data capture (keyboard versus pen), different displays, or individual combination of functionality, to highlight just a few important tasks. This paper consists of a description of common evaluation methods and their comparison. On this basis we present an extension of established instruments for evaluation, which was tested in clinical environment. Main focus is laid upon the ISO 9241 Part 10 and the principles of organisation described therein: self-descriptiveness, controllability, conformity with user expectations, error tolerance, suitability for individualisation and suitability for learning. These standards are integrated into different questionnaires (e.g., IsoMetrics, Iso- Norm), which are the basis for further development of the adoption to mobile computer evaluation. We give an overview on usability of questionnaires based on ISO 9241 Part 10, together with our extension in the part of the handheld-specific questions. The results permit a first estimation about the applicability and functionality of handheld computers in a clinical environment. We evaluate if such an extension of the ISO-based questionnaire is appropriate for describing the full applicability of handheld computers.
- KonferenzbeitragMobile computing in medical and healthcare industry(Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7, 2002) Linhoff, M.We believe the specific development of applications for mobile devices is the most important issue for ensuring the integration of mobile computing within the medical industry. This must reflect the individual device design and the individual user groups.
- KonferenzbeitragTeleradiology on a personal digital assistant(Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7, 2002) Schweitzer, T.; Engelmann, U.; Schröter, A.; Boraelv, E.; Meinzer, H.-P.This paper describes the porting of a teleradiology system to a Personal Digital Assistant (PDA). The basis for this formed the CHILI teleradiology and PACS system developed by the Steinbeis Transferzentrum Medizinische Informatik, Heidelberg (STZ) in cooperation with the German Cancer Research Center. The work was done as part of a EU IST project called Multimedia Terminal Mobile (MTM). The authors collected user requirements in a first step. Appropriate hardware has been selected based on these requirements. Dedicated software versions of CHILI have been realized on selected PDA hardware. The prototypes have been constantly evaluated in cooperation with medical end-users. Technologies from project partners like speech communication and speech recognition have been integrated.
- KonferenzbeitragEMIKA – Real-time controlled mobile information systems in healthcare applications(Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7, 2002) Sackmann, S.; Eymann, T.; Müller, G.This paper presents an approach to control and management of real-time hospital patient logistics by decentralized coordination in a time-critical application environment. Responsible for coordination are software agents implemented on mobile, spontaneously network end-user devices like PDAs or RFID chips. The coordination is achieved by real-time bilateral negotiation, location awareness and exception handling. The application scenario of the EMIKA project is the patient logistics of the University Hospital Freiburg in the areas of transport service and radiology.
- KonferenzbeitragTeleCardio Mobile: Development of platform-independent telemedicine applications(Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7, 2002) Montoni, M.; Villela, K.; Rocha, A. R.; Rabelo, A.TeleCardio-FBC is a telemedicine system developed to enable cardiologists at the Unit of Cardiology and Cardiovascular Surgery (UCCV/FBC) to cooperate with other physicians. The system will provide specialized medical care in cardiology for patients who live far from metropolitan areas, reducing costs and enabling better follow-up of discharged patients. The system was designed considering desktop computers as the only computational platform. As a consequence, the access to the system functionalities on different computer platforms is not possible. The project TeleCardio Mobile consists of the development of two platform-independent systems, M-TeleCardio and WapCardio, using an approach for reuse of software components. M-TeleCardio will allow the access to the functionalities of TeleCardio-FBC through personal digital assistants, like palmtops and laptops connected to the Internet by wireless modem cards. WapCardio will supply important information, for instance, remote consultation requests and results of medical procedures, to physicians on mobile telephones using the WAP technology (Wireless Application Protocol). The project TeleCardio Mobile aims to reduce the cost of development and deployment of telemedicine applications while improving the medical assistance, allowing a larger number of people to have specialized medical care.
- Konferenzbeitrag7 years of experience using personal digital assistants (PDA) for psychometric diagnostics in 6000 inpatients and polyclinic patients(Mobile Computing in Medicine, Second Conference on Mobile Computing in Medicine, Workshop of the Project Group MoCoMed, GMDS-Fachbereich Medizinische Informatik & GI-Fachausschuss 4.7, 2002) Rose, M.; Walter, O. B.; Fliege, H.; Becker, J.; Hess, V.; Klapp, B.F.In clinical psychosomatics there is a need for adequate documentation of psychometric data both within the framework of individual diagnostics and in carespecific quality assurance. The data collection method should meet current psychometric standards, while at the same time allowing a fast and economical evaluation. In contrast to conventional methods using paper and pencil, computer-assisted testing offers considerable advantages in both regards. Using data collected from 6434 patients between the years of 1995 and 2002, we investigated what effects the complete conversion of a psychometric basis assessment to a mobile, computer-assisted method had in terms of acceptance, data structure, and economy. We implemented the following questionnaires, among others: the Center for Epidemiologic Studies-Depression (CES-D) Scale, the Giessen Complaint Inventory (Giessener Beschwerdebogen GBB), the Berlin Mood Questionnaire (Berliner Stimmungsfragebogen BSF), the State-Trait-Anxiety Inventory (STAI), the Short-Form 36 (SF-36), the WHOQOL-Bref, the Giessen Test (GTS), the Narcissism Inventory (NI), and parts of the Psychosomatic Basis Documentation (PsyBaDo). Based on our experience, we can conclude that 1. testing by means of mobile PDA's enjoys a high rate of acceptance among patients, 2. the organization of data is considerably improved, which guarantees an immediate evaluation for clinical and scientific lines of questioning, 3. no significant alterations result in terms of the psychometric characteristics of the questionnaire, and 4. mobile computerized testing is two-thirds cheaper than conventional testing using paper and pencil.
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