CARRE project presentation - November 2013
CARRE is an EU FP7-ICT funded project with the goal to provide innovative means for the management of comorbidities (multiple co-occurring medical conditions), especially in the case of chronic cardiac and renal disease patients or persons with increased risk of such conditions.
Health System and Beneficiary Costs Associated With Intensive End-of-Life Med...Δρ. Γιώργος K. Κασάπης
Given the low income of many elderly patients in the United States, the financial consequences of medically intensive services may be substantial. Costs of medically intensive services at the end of life, including patient financial consequences, should be considered by both physicians and families.
A disproportionate share of medical spending is provided to patients in their last year of life. Much of that difference is no doubt because of unavoidable costs of serious illness. However, for patients with cancer, it is often possible to predict when intensive medical services have lost much of their potential benefit. For that reason, the National Academy of Medicine and the American Society of Clinical Oncology (ASCO) recommend a reduction in use of intensive medical services at the end of life, noting it is at odds with the focus on palliation and reduction in patient suffering that should characterize health care at this time.
Empowering Patients through Information Technologies - WC2015 KeynoteCARRE project
Eleni Kaldoudi, Empowering Patients through Information Technologies, Keynote Speech, IUPESM World Congress 2015, Toronto, Canada, June 7-12, 2015
Patient empowerment is about enabling the patients to be involved in managing disease and adopting and sustaining health promoting behaviors. Patient empowerment, although a popular concept, is rather ill defined. This lecture aims to elucidate the different meanings and perceptions, together with misconceptions, that surround this construct, and to discuss how patient empowerment relates to current medical methodologies, such as evidence based medicine, and other societal and organizational factors. Furthermore, the lecture will provide an overview of how information and communication technologies are employed to empower patients, with emphasis in chronic patients with comorbidities.
The discussion will first address the “who”. This includes an overview of common health problems that call for empowered patients, the types of patients that normally engage in empowering interventions and the specifics of the stakeholders who design and support such interventions.
Then we will look at the “how”. The discussion here will focus on an overview of the diverse approaches and services that have been deployed to empower patients. This will also include the span of various technologies used and, where applicable, their measured induced outcome for the patient and the health care process.
Although the “who” and “how” of patient empowerment can rather easily be discerned from a literature research, the “what” is rather more elusive. The concept of patient empowerment has emerged as a new paradigm that can help improve medical outcomes while lowering costs of treatment by facilitating self-directed behavior change. Patient empowerment has gained even more popularity since the 1990’s, due to the emergent of eHealth and its focus on putting the patient in the centre of the interest. Current literature provides systematic reviews of the area, and shows that well defined areas (or dimensions) have eventually emerged in the field: education, engagement, and control. Despite such findings, current research lacks of a structured approach towards patient empowerment. In an attempt to shed more light onto the process of empowering patients, this lecture will discuss a newly proposed holistic model of patient empowerment as a cognitive process, where we acknowledge three levels of increasing complexity and importance: awareness, participation, and control.
The lecture will conclude with a proof of concept example of using this approach to develop and evaluate empowerment services for the comorbid cardiorenal patient or the patient at risk of this condition. Open issues and challenges will be presented for discussion with the audience.
Empowering Patients through Information TechnologiesEleni Kaldoudi
Eleni Kaldoudi, Empowering Patients through Information Technologies, Keynote Speech, IUPESM World Congress 2015Toronto, CanadaJune 7-12, 2015 http://wc2015.org/
Patient empowerment is about enabling the patients to be involved in managing disease and adopting and sustaining health promoting behaviors. Patient empowerment, although a popular concept, is rather ill defined. This lecture aims to elucidate the different meanings and perceptions, together with misconceptions, that surround this construct, and to discuss how patient empowerment relates to current medical methodologies, such as evidence based medicine, and other societal and organizational factors. Furthermore, the lecture will provide an overview of how information and communication technologies are employed to empower patients, with emphasis in chronic patients with comorbidities.
The discussion will first address the “who”. This includes an overview of common health problems that call for empowered patients, the types of patients that normally engage in empowering interventions and the specifics of the stakeholders who design and support such interventions.
Then we will look at the “how”. The discussion here will focus on an overview of the diverse approaches and services that have been deployed to empower patients. This will also include the span of various technologies used and, where applicable, their measured induced outcome for the patient and the health care process.
Although the “who” and “how” of patient empowerment can rather easily be discerned from a literature research, the “what” is rather more elusive. The concept of patient empowerment has emerged as a new paradigm that can help improve medical outcomes while lowering costs of treatment by facilitating self-directed behavior change. Patient empowerment has gained even more popularity since the 1990’s, due to the emergent of eHealth and its focus on putting the patient in the centre of the interest. Current literature provides systematic reviews of the area, and shows that well defined areas (or dimensions) have eventually emerged in the field: education, engagement, and control. Despite such findings, current research lacks of a structured approach towards patient empowerment. In an attempt to shed more light onto the process of empowering patients, this lecture will discuss a newly proposed holistic model of patient empowerment as a cognitive process, where we acknowledge three levels of increasing complexity and importance: awareness, participation, and control.
The lecture will conclude with a proof of concept example of using this approach to develop and evaluate empowerment services for the comorbid cardiorenal patient or the patient at risk of this condition. Open issues and challenges will be presented for discussion with the audience.
Advancing Healthcare In the Age of Technology - Marc Dean, MD, VIMA - TFSSVSee
A physician's view of how technology has failed healthcare practitioners, and what issues need to be addressed to avoid the same failures in telemedicine adoption - from the Telehealth Failures & Secrets To Success Conference: vsee.com/telehealth-failures-conference
Barriers and Challenges to Telecardiology Adoption in Malaysia Context Yayah Zakaria
Mainly in infrastructure deficient communities, telecardiology is considered as a complement to insufficient cardiac care. Telecardiology can reduce travelling and waiting time, enables information sharing in shorter time and facilitate care in rural and remote areas. A qualitative study examined the perspectives of health care providers: cardiologist and general physician and
health care service receivers: patient and public towards telecardiology adoption. The barriers in telecardiology adoption were identified in this paper. It includes practicality of telecardiology, the need of education for staffs and administrators, ease of use, preferred face-to-face consultation,
cost and confidentiality. Improvements can be done by the implementers based on this study in order to promote telecardiology successfully in Malaysia.
Health System and Beneficiary Costs Associated With Intensive End-of-Life Med...Δρ. Γιώργος K. Κασάπης
Given the low income of many elderly patients in the United States, the financial consequences of medically intensive services may be substantial. Costs of medically intensive services at the end of life, including patient financial consequences, should be considered by both physicians and families.
A disproportionate share of medical spending is provided to patients in their last year of life. Much of that difference is no doubt because of unavoidable costs of serious illness. However, for patients with cancer, it is often possible to predict when intensive medical services have lost much of their potential benefit. For that reason, the National Academy of Medicine and the American Society of Clinical Oncology (ASCO) recommend a reduction in use of intensive medical services at the end of life, noting it is at odds with the focus on palliation and reduction in patient suffering that should characterize health care at this time.
Empowering Patients through Information Technologies - WC2015 KeynoteCARRE project
Eleni Kaldoudi, Empowering Patients through Information Technologies, Keynote Speech, IUPESM World Congress 2015, Toronto, Canada, June 7-12, 2015
Patient empowerment is about enabling the patients to be involved in managing disease and adopting and sustaining health promoting behaviors. Patient empowerment, although a popular concept, is rather ill defined. This lecture aims to elucidate the different meanings and perceptions, together with misconceptions, that surround this construct, and to discuss how patient empowerment relates to current medical methodologies, such as evidence based medicine, and other societal and organizational factors. Furthermore, the lecture will provide an overview of how information and communication technologies are employed to empower patients, with emphasis in chronic patients with comorbidities.
The discussion will first address the “who”. This includes an overview of common health problems that call for empowered patients, the types of patients that normally engage in empowering interventions and the specifics of the stakeholders who design and support such interventions.
Then we will look at the “how”. The discussion here will focus on an overview of the diverse approaches and services that have been deployed to empower patients. This will also include the span of various technologies used and, where applicable, their measured induced outcome for the patient and the health care process.
Although the “who” and “how” of patient empowerment can rather easily be discerned from a literature research, the “what” is rather more elusive. The concept of patient empowerment has emerged as a new paradigm that can help improve medical outcomes while lowering costs of treatment by facilitating self-directed behavior change. Patient empowerment has gained even more popularity since the 1990’s, due to the emergent of eHealth and its focus on putting the patient in the centre of the interest. Current literature provides systematic reviews of the area, and shows that well defined areas (or dimensions) have eventually emerged in the field: education, engagement, and control. Despite such findings, current research lacks of a structured approach towards patient empowerment. In an attempt to shed more light onto the process of empowering patients, this lecture will discuss a newly proposed holistic model of patient empowerment as a cognitive process, where we acknowledge three levels of increasing complexity and importance: awareness, participation, and control.
The lecture will conclude with a proof of concept example of using this approach to develop and evaluate empowerment services for the comorbid cardiorenal patient or the patient at risk of this condition. Open issues and challenges will be presented for discussion with the audience.
Empowering Patients through Information TechnologiesEleni Kaldoudi
Eleni Kaldoudi, Empowering Patients through Information Technologies, Keynote Speech, IUPESM World Congress 2015Toronto, CanadaJune 7-12, 2015 http://wc2015.org/
Patient empowerment is about enabling the patients to be involved in managing disease and adopting and sustaining health promoting behaviors. Patient empowerment, although a popular concept, is rather ill defined. This lecture aims to elucidate the different meanings and perceptions, together with misconceptions, that surround this construct, and to discuss how patient empowerment relates to current medical methodologies, such as evidence based medicine, and other societal and organizational factors. Furthermore, the lecture will provide an overview of how information and communication technologies are employed to empower patients, with emphasis in chronic patients with comorbidities.
The discussion will first address the “who”. This includes an overview of common health problems that call for empowered patients, the types of patients that normally engage in empowering interventions and the specifics of the stakeholders who design and support such interventions.
Then we will look at the “how”. The discussion here will focus on an overview of the diverse approaches and services that have been deployed to empower patients. This will also include the span of various technologies used and, where applicable, their measured induced outcome for the patient and the health care process.
Although the “who” and “how” of patient empowerment can rather easily be discerned from a literature research, the “what” is rather more elusive. The concept of patient empowerment has emerged as a new paradigm that can help improve medical outcomes while lowering costs of treatment by facilitating self-directed behavior change. Patient empowerment has gained even more popularity since the 1990’s, due to the emergent of eHealth and its focus on putting the patient in the centre of the interest. Current literature provides systematic reviews of the area, and shows that well defined areas (or dimensions) have eventually emerged in the field: education, engagement, and control. Despite such findings, current research lacks of a structured approach towards patient empowerment. In an attempt to shed more light onto the process of empowering patients, this lecture will discuss a newly proposed holistic model of patient empowerment as a cognitive process, where we acknowledge three levels of increasing complexity and importance: awareness, participation, and control.
The lecture will conclude with a proof of concept example of using this approach to develop and evaluate empowerment services for the comorbid cardiorenal patient or the patient at risk of this condition. Open issues and challenges will be presented for discussion with the audience.
Advancing Healthcare In the Age of Technology - Marc Dean, MD, VIMA - TFSSVSee
A physician's view of how technology has failed healthcare practitioners, and what issues need to be addressed to avoid the same failures in telemedicine adoption - from the Telehealth Failures & Secrets To Success Conference: vsee.com/telehealth-failures-conference
Barriers and Challenges to Telecardiology Adoption in Malaysia Context Yayah Zakaria
Mainly in infrastructure deficient communities, telecardiology is considered as a complement to insufficient cardiac care. Telecardiology can reduce travelling and waiting time, enables information sharing in shorter time and facilitate care in rural and remote areas. A qualitative study examined the perspectives of health care providers: cardiologist and general physician and
health care service receivers: patient and public towards telecardiology adoption. The barriers in telecardiology adoption were identified in this paper. It includes practicality of telecardiology, the need of education for staffs and administrators, ease of use, preferred face-to-face consultation,
cost and confidentiality. Improvements can be done by the implementers based on this study in order to promote telecardiology successfully in Malaysia.
Global Medical Cures™ | Medicare Payments- How Much Do Chronic Conditions Mat...Global Medical Cures™
Global Medical Cures™ | Medicare Payments- How Much Do Chronic Conditions Matter?
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
European Chiropractor's Union - 2014 - Dublinjpndresearch
Derick Mitchell, Communications Executive JPND, delivered a JPND presentation during the "A tidal wave of neurodegeneration is coming" session as part of the 2014 meeting of the European Chiropractor's Union
As populations increase, health resources shrink, and access and quality of life equity differences widen, the clarion call for innovation in healthcare is growing louder around the world. Both international groups such as the World Health Organization and national groups, e.g., ministry of health, continue to set aggressive goals and billions have been spent to design and implement global health innovations.
Many global health innovations (GHI) have set high goals but had limited success in implementation or never scaled to serve a wider population. The barriers to implementing global healthcare innovations include policies or political priorities, lack of commitment, limited infrastructure, and limited healthcare staff. Some health entrepreneurs have overcome such barriers; Yet other, well intentioned and planned GHI have not met expectations.
Although some articles provide suggestions for avoiding, overcoming and addressing these barriers, few offer new models for global health innovation. In this research, we offer a four component model that considers the adoptive community, implementation team, the delivery strategy and the delivery approach as key enablers for successful GHI. This model is supported by the literature and in-depth case studies in Uganda, Ghana, Mozambique, and Haiti.
Remote Rehabilitation: A Solution to Overloaded & Scarce Health Care Systems_...CrimsonpublishersTTEH
Remote Rehabilitation: A Solution to Overloaded & Scarce Health Care Systems by Karla Muñoz Esquivel in Trends in Telemedicine & E-health
The population across Northern Europe is aging. Coupled with socio-economic challenges, health care systems are at risk of overloading and incurring unsustainable high costs. Rehabilitation services are used disproportionately by older people. One solution pertinent to rural areas is to change the model of rehabilitation to incorporate new technologies. This has the potential to free resources and reduce costs. However, implementation is challenging. In the Northern Periphery and Artic Programme (NPA), the Smart sensor Devices for rehabilitation and Connected health (SENDoc) project.
For more Open access journals in Crimson Publishers Please click on: https://crimsonpublishers.com/
For more articles in Open access journal of Innovation in urgical Open Access Journal
Please click on: https://crimsonpublishers.com/tteh/index.php
Adriana Maggi - Italian EU Presidency Conference on Dementiajpndresearch
Adriana Maggi, Vice-Chair of JPND, delivered a JPND presentation at the Italian EU Presidency Conference on Dementia in Rome on Nov 14th, 2014. Conference details at: http://www.salute.gov.it/portale/ItaliaUE2014/dettaglioEvento.jsp?lingua=italiano&id=211
http://italia2014.eu/8255.aspx
Derick Mitchell CARDI Event December 2014jpndresearch
Derick Mitchell delivered a JPND presentation at the seminar organised by the Centre for Ageing Research and Development in Ireland (CARDI) on current and future dementia research on 12 December 2014 in Dublin. The event was organised in collaboration with Irish Network for Research in Dementia and Neurodegeneration, Alzheimer's Society Northern Ireland and the Alzheimer Society of Ireland.
World Alzheimer Report 2016: Improving healthcare for people living with deme...Adelina Comas-Herrera
Keynote paper at the 2016 Alzheimers NZ Biennial Conference and 19th Asia Pacific Regional Conference of Alzheimer’s Disease International, Wellington, New Zealand, November 2016
Global Medical Cures™ | Medicare Payments- How Much Do Chronic Conditions Mat...Global Medical Cures™
Global Medical Cures™ | Medicare Payments- How Much Do Chronic Conditions Matter?
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
European Chiropractor's Union - 2014 - Dublinjpndresearch
Derick Mitchell, Communications Executive JPND, delivered a JPND presentation during the "A tidal wave of neurodegeneration is coming" session as part of the 2014 meeting of the European Chiropractor's Union
As populations increase, health resources shrink, and access and quality of life equity differences widen, the clarion call for innovation in healthcare is growing louder around the world. Both international groups such as the World Health Organization and national groups, e.g., ministry of health, continue to set aggressive goals and billions have been spent to design and implement global health innovations.
Many global health innovations (GHI) have set high goals but had limited success in implementation or never scaled to serve a wider population. The barriers to implementing global healthcare innovations include policies or political priorities, lack of commitment, limited infrastructure, and limited healthcare staff. Some health entrepreneurs have overcome such barriers; Yet other, well intentioned and planned GHI have not met expectations.
Although some articles provide suggestions for avoiding, overcoming and addressing these barriers, few offer new models for global health innovation. In this research, we offer a four component model that considers the adoptive community, implementation team, the delivery strategy and the delivery approach as key enablers for successful GHI. This model is supported by the literature and in-depth case studies in Uganda, Ghana, Mozambique, and Haiti.
Remote Rehabilitation: A Solution to Overloaded & Scarce Health Care Systems_...CrimsonpublishersTTEH
Remote Rehabilitation: A Solution to Overloaded & Scarce Health Care Systems by Karla Muñoz Esquivel in Trends in Telemedicine & E-health
The population across Northern Europe is aging. Coupled with socio-economic challenges, health care systems are at risk of overloading and incurring unsustainable high costs. Rehabilitation services are used disproportionately by older people. One solution pertinent to rural areas is to change the model of rehabilitation to incorporate new technologies. This has the potential to free resources and reduce costs. However, implementation is challenging. In the Northern Periphery and Artic Programme (NPA), the Smart sensor Devices for rehabilitation and Connected health (SENDoc) project.
For more Open access journals in Crimson Publishers Please click on: https://crimsonpublishers.com/
For more articles in Open access journal of Innovation in urgical Open Access Journal
Please click on: https://crimsonpublishers.com/tteh/index.php
Adriana Maggi - Italian EU Presidency Conference on Dementiajpndresearch
Adriana Maggi, Vice-Chair of JPND, delivered a JPND presentation at the Italian EU Presidency Conference on Dementia in Rome on Nov 14th, 2014. Conference details at: http://www.salute.gov.it/portale/ItaliaUE2014/dettaglioEvento.jsp?lingua=italiano&id=211
http://italia2014.eu/8255.aspx
Derick Mitchell CARDI Event December 2014jpndresearch
Derick Mitchell delivered a JPND presentation at the seminar organised by the Centre for Ageing Research and Development in Ireland (CARDI) on current and future dementia research on 12 December 2014 in Dublin. The event was organised in collaboration with Irish Network for Research in Dementia and Neurodegeneration, Alzheimer's Society Northern Ireland and the Alzheimer Society of Ireland.
World Alzheimer Report 2016: Improving healthcare for people living with deme...Adelina Comas-Herrera
Keynote paper at the 2016 Alzheimers NZ Biennial Conference and 19th Asia Pacific Regional Conference of Alzheimer’s Disease International, Wellington, New Zealand, November 2016
Although health systems have made great strides in reducing the toll of cardiovascular disease (CVD) over the past few decades, heart diseases still account for nearly one-third of global deaths. They also create a growing burden on health systems and the wider economy, measured for example in disability-adjusted life years (DALYs), as more people live with heart diseases for longer. As hospitalisation costs rise, there is likely to be growing pressure on health systems to develop adequate prevention and intervention policies to boost heart health.
In the second half of 2016 The Economist Intelligence Unit created a scorecard to help to assess the burden of, and government policy approaches to, diseases of the heart. Heart disease can take many forms, such as coronary heart disease (including heart attack and angina), arrhythmias (including atrial fibrillation) and heart failure. The scorecard is designed as a tool to allow comparisons between the individual policies of countries rather than comparing the total scores of countries.
The Economist Intelligence Unit assessed the approaches of 28 countries to heart health and scored them according to 21 indicators within five broader domains: (1) strategic plan; (2) public-health policies; (3) best practice; (4) access and provision; and (5) patient focus. The scorecard found significant variations in performance against the indicators, both between and within regions, something that experts interviewed for this paper confirmed.
Our research and interviews have shown that while strong progress has been made on extending the lives of those who might have suffered premature death from coronary heart disease a generation ago, many are still facing severe debilitation in later years. In addition, a lack of sufficiently integrated care between primary and secondary healthcare makes it difficult to properly manage patients and ensure that guidelines are being followed. Finally, experts emphasise the importance of primary care in collecting information on outcomes and in reducing rates of readmission to hospital after acute events. In order to cope with the growing needs of ageing populations, health systems will have to focus increasingly on managing diseases of the elderly (including heart health problems), for example through community-based services.
The Broad Picture - recent developments in long-term condition managmentepicyclops
This lecture was given by Dr Aileen Keel, Deputy Chief Medical Officer for Scotland, to the North British Pain Association Spring Scientific Meeting on Friday 18th May, 2007 and forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".
Reproduced with permission.
CARRE EU-FP7-ICT-61440 project presentation, Oct 2016CARRE project
CARRE: Personalized patient empowerment and shared decision support for cardiorenal disease and comorbidities, FP7-ICT-61440 Project Presentation in the eHealth Forum 2016, Athens, Greece, 25-26 October 2016
Photoplethysmography-Based System for Atrial Fibrillation Detection During He...CARRE project
D. Stankevicius , A. Petrenas, A. Solosenko, M. Grigutis, T. Januskevicius, L. Rimsevicius, V. Marozas. Photoplethysmography-Based System for Atrial Fibrillation Detection During Hemodialysis. In IFMBE Proceedings, vol. 57, 14th Mediterranean Conference on Medical and Biological Engineering and Computing (MEDICON 2016), pp. 79-82, Paphos, Cyprus, 31 Mar. – 2 Apr. 2016
Towards Privacy by Design in Personal e-Health SystemsCARRE project
G. Drosatos, P. S. Efraimidis, G. Williams, E. Kaldoudi. Towards Privacy by Design in Personal e-Health Systems. In Proc. of the 9th International Conference on Health Informatics (HealthInf 2016), part of BIOSTEC, pp. 472-477, Rome, Italy, 21-23 Feb. 2016
An Ontology based Scheme for Formal Care Plan Meta-DescriptionCARRE project
E. Kaldoudi, G. Drosatos, N. Portokallidis, A. Third. An Ontology based Scheme for Formal Care Plan Meta-Description. In Proc. of the 14th Mediterranean Conference on Medical and Biological Engineering and Computing (MEDICON 2016), Paphos, Cyprus, 31 Mar. – 2 Apr. 2016
Gender Balance in EU and a Case Report of an EU Funded ProjectCARRE project
E. Kaldoudi, Gender Balance in EU and a Case Report of an EU Funded Project, Invited Talk, Special Session on Women in Medical and Biological Engineering, MEDICON 2016, Paphos, Cyprus, 2 April 2016
CARRE: Personalized patient empowerment and shared decision support for car...CARRE project
Eleni Kaldoudi
CARRE: Personalized patient empowerment and shared decision support for cardiorenal disease and comorbidities
Presentation & Demo
HealthInf 2016: 9th International Conference on Health Informatics, part of BIOSTEC, Rome, Italy, 21-23 February, 2016
Governmental and private eHealth and telemedicine initiatives in LithuaniaCARRE project
R. Kizlaitis, Governmental and private eHealth and telemedicine initiatives in Lithuania, East Europe eHealth Innovation Summit, Warsaw, 15 January 2015
Vilnius University Hospital Santariškių KlinikosCARRE project
R. Kizlaitis, Vilnius University Hospital Santariškių Klinikos – International eHealth projects, Presentation at The Royal Hospital, Oman, Muscat 30 January 2015
Estimation of Pulse Arrival Time Using Impedance Plethysmogram from Body Comp...CARRE project
Long-term periodic monitoring of cardiovascular function in unobtrusive way has been a challenge in sensor research lately. This work presents the investigation of the method for pulse arrival time (PAT) estimation using body composition scales. It employs the electrocardiogram and the impedance plethysmogram (IPG) which are recorded from palm and plantar electrodes already integrated into body composition scales. Four subjects were involved in the experiment. The IPG was acquired from a single-foot and foot-to-foot and compared to the reference method — photoplethysmography. The range of correlation coefficient obtained in different methods varied from 0.7 to 0.94 showing that small PAT variations can be tracked using the IPG signals. Such results suggest that body composition scales could be supplemented with additional parameter for the assessment of arterial stiffness. This function will make them truly multi-parametric device for periodic health monitoring at home
Extracting Intention from Web Queries– Application in eHealth PersonalizationCARRE project
G. Drosatos, A. Arampatzis and E. Kaldoudi, Extracting Intention from Web Queries - Application in eHealth Personalization, In the Proceedings of the IUPESM 2015: World Congress on Medical Physics & Biomedical Engineering, Toronto, Canada, 7-12 June, 2015.
Personalizing healthcare applications requires capturing patient specific information, including medical history, health status, and mental aspects such as behaviors, intentions, and attitudes. This paper presents a privacy-friendly system to deduce patient intentions that can be used to personalized eHealth applications. In the proposed approach patient inten-tion is deduced from web query logs via query categorization techniques. The architecture assumes a user application which conceals the user’s queries from the central system, while only relevant intentions are disclosed. The paper presents a prototype implementation of the proposed architecture to extract intentions for personalizing empowerment services for the cardiorenal patient. Emphasis is placed on identifying intentions related to travel, diet and physical exercise, as these play an important role for the daily management of cardiorenal disease.
Aggregating Educational Data for Patient EmpowermentCARRE project
N. Portokallidis, G. Drosatos, E. Kaldoudi, Aggregating Educational Data for Patient Empowerment, ELEVIT 2015: 6th Panhellenic Conference on Biomedical Technology, p. 79, Athens, Greece, 6-8 May 2015
Patient Empowerment as a Cognitive ProcessCARRE project
E. Kaldoudi, N. Makris, Patient Empowerment as a Cognitive Process, In: C. Verdier, M. Bienkiewicz, A. Fred, H. Gamboa and D. Elias (Eds), The Proceedings of HealthInf 2015: 8th International Conference on Health Informatics, pp. 605-610, Lisbon, Portugal, 12-15 January, 2015
The concept of patient empowerment has emerged as a new paradigm that can help improve medical outcomes while lowering costs of treatment by facilitating self-directed behavior change. Patient empowerment has gained even more popularity since the 1990’s, due to the emergent of eHealth and its focus on putting the patient in the centre of the interest. Current literature provides systematic reviews of the area, and shows that well defined areas (or dimensions) have eventually emerged in the field. In this paper we argue that patient empowerment should be treated formally as a cognitive process. We thus propose a cognitive model that consists of three major levels of increasing complexity and importance: awareness, engagement and control. We also describe the different constituents of each level and their implications for patient empowerment interventions, focusing on interventions based on information and communication technologies. Finally, we discuss the implications of this model for the design and evaluation of patient empowerment interventions.
ICT in Medical Education: Educating and Empowering the PatientCARRE project
E. Kaldoudi, ICT in Medical Education: Educating and Empowering the Patient, Workshop on Medical Education and Research in the 21st Century, Larissa, October 9-11, 2014
DevOps and Testing slides at DASA ConnectKari Kakkonen
My and Rik Marselis slides at 30.5.2024 DASA Connect conference. We discuss about what is testing, then what is agile testing and finally what is Testing in DevOps. Finally we had lovely workshop with the participants trying to find out different ways to think about quality and testing in different parts of the DevOps infinity loop.
Kubernetes & AI - Beauty and the Beast !?! @KCD Istanbul 2024Tobias Schneck
As AI technology is pushing into IT I was wondering myself, as an “infrastructure container kubernetes guy”, how get this fancy AI technology get managed from an infrastructure operational view? Is it possible to apply our lovely cloud native principals as well? What benefit’s both technologies could bring to each other?
Let me take this questions and provide you a short journey through existing deployment models and use cases for AI software. On practical examples, we discuss what cloud/on-premise strategy we may need for applying it to our own infrastructure to get it to work from an enterprise perspective. I want to give an overview about infrastructure requirements and technologies, what could be beneficial or limiting your AI use cases in an enterprise environment. An interactive Demo will give you some insides, what approaches I got already working for real.
Epistemic Interaction - tuning interfaces to provide information for AI supportAlan Dix
Paper presented at SYNERGY workshop at AVI 2024, Genoa, Italy. 3rd June 2024
https://alandix.com/academic/papers/synergy2024-epistemic/
As machine learning integrates deeper into human-computer interactions, the concept of epistemic interaction emerges, aiming to refine these interactions to enhance system adaptability. This approach encourages minor, intentional adjustments in user behaviour to enrich the data available for system learning. This paper introduces epistemic interaction within the context of human-system communication, illustrating how deliberate interaction design can improve system understanding and adaptation. Through concrete examples, we demonstrate the potential of epistemic interaction to significantly advance human-computer interaction by leveraging intuitive human communication strategies to inform system design and functionality, offering a novel pathway for enriching user-system engagements.
Essentials of Automations: Optimizing FME Workflows with ParametersSafe Software
Are you looking to streamline your workflows and boost your projects’ efficiency? Do you find yourself searching for ways to add flexibility and control over your FME workflows? If so, you’re in the right place.
Join us for an insightful dive into the world of FME parameters, a critical element in optimizing workflow efficiency. This webinar marks the beginning of our three-part “Essentials of Automation” series. This first webinar is designed to equip you with the knowledge and skills to utilize parameters effectively: enhancing the flexibility, maintainability, and user control of your FME projects.
Here’s what you’ll gain:
- Essentials of FME Parameters: Understand the pivotal role of parameters, including Reader/Writer, Transformer, User, and FME Flow categories. Discover how they are the key to unlocking automation and optimization within your workflows.
- Practical Applications in FME Form: Delve into key user parameter types including choice, connections, and file URLs. Allow users to control how a workflow runs, making your workflows more reusable. Learn to import values and deliver the best user experience for your workflows while enhancing accuracy.
- Optimization Strategies in FME Flow: Explore the creation and strategic deployment of parameters in FME Flow, including the use of deployment and geometry parameters, to maximize workflow efficiency.
- Pro Tips for Success: Gain insights on parameterizing connections and leveraging new features like Conditional Visibility for clarity and simplicity.
We’ll wrap up with a glimpse into future webinars, followed by a Q&A session to address your specific questions surrounding this topic.
Don’t miss this opportunity to elevate your FME expertise and drive your projects to new heights of efficiency.
UiPath Test Automation using UiPath Test Suite series, part 3DianaGray10
Welcome to UiPath Test Automation using UiPath Test Suite series part 3. In this session, we will cover desktop automation along with UI automation.
Topics covered:
UI automation Introduction,
UI automation Sample
Desktop automation flow
Pradeep Chinnala, Senior Consultant Automation Developer @WonderBotz and UiPath MVP
Deepak Rai, Automation Practice Lead, Boundaryless Group and UiPath MVP
JMeter webinar - integration with InfluxDB and GrafanaRTTS
Watch this recorded webinar about real-time monitoring of application performance. See how to integrate Apache JMeter, the open-source leader in performance testing, with InfluxDB, the open-source time-series database, and Grafana, the open-source analytics and visualization application.
In this webinar, we will review the benefits of leveraging InfluxDB and Grafana when executing load tests and demonstrate how these tools are used to visualize performance metrics.
Length: 30 minutes
Session Overview
-------------------------------------------
During this webinar, we will cover the following topics while demonstrating the integrations of JMeter, InfluxDB and Grafana:
- What out-of-the-box solutions are available for real-time monitoring JMeter tests?
- What are the benefits of integrating InfluxDB and Grafana into the load testing stack?
- Which features are provided by Grafana?
- Demonstration of InfluxDB and Grafana using a practice web application
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2. CARRE
comorbidity management
via empowerment and
shared informed decision:
understanding nature of comorbidity
informed estimation of disease
progression
FP7-ICT-2013-611140
STREP: 6 partners from 4 EU countries
duration: Nov 2013 – Oct 2016
budget: 3,210,470€
EC contribution: 2.573,755€
personalized alerting,
planning, education
3. motivation
facts:
½ of all chronic patients present comorbidities
only a few overall management guidelines exist
patients receive fragmented, disease specific care
current research on comorbidities management
suggests that improved management of comorbid patients
may result via:
educational and empowering interventions
shared decision support
4. medical domain
chronic cardiorenal disease and comorbidities
simultaneous (causal) dysfunction of kidney and heart
diabetes and/or hypertension common underlying causes
a number of other serious comorbidities often present
nephrogenic anemia, renal osteodystrophy, malnutrition,
blindness, neuropathy, severe atherosclerosis,
cardiovascular episodes, and eventually
end-stage renal disease and/or heart failure,
and death
deterioration to end stage renal/heart disease is
life threatening, irreversible and expensive to manage
5. cardiorenal disease & comorbidities
some numbers…
hypertension 1/3 of adults (US 2008)
diabetes 8% of overall population
chronic kidney disease 9-16% of overall population
44% of chronic kidney disease is due to diabetes
86% of chronic kidney disease has at least 1 comorbidity
most patients with chronic kidney disease develop
cardiovascular disease
chronic heart failure 1-2% of total healthcare costs
end-stage renal disease (dialysis) >2% of total healthcare costs
6. Dr. D. O‘ Donoghue,
UK's National Clinical Director for Kidney Care (2008):
“We can count the cost of kidney disease in financial terms,
but the impact on the lives of patients as a result of late identification
and diagnosis is incalculable.
In the UK, dialysis alone accounts for 2% of the total
NHS budget (=150 billion €) and this is projected to double over the
next five years.
In comparison, the cost of implementing CKD
prevention strategies can be modest”.
http://www.medicalnewstoday.com/releases/99428.php
7. cardiorenal disease & comorbidities
of major importance
early detection
prevent
aggressive management
preventive progression to
end-stage cardiorenal disease
via
lifestyle and diet management
public health education
monitoring and adherence to therapy
integrated management of comorbidities
detect
manage
8. foster understanding of comorbid condition
CARRE
approach
calculate informed comorbidity progression
compile personalized empowerment services
support shared informed decision and
integrated management
9. data interlinking and clustering for
personalized cardio-renal
disease and comorbidities model
clinical/medical
evidence
personal
monitoring data
determine
determine
current
personal
medical data
current
evidence
status of patient
on disease
medical scientific
literature
comorbidities
patient
educational
material
social media
presence
personal
information
Linked Data Cloud
shifting the focus towards
personalized comorbidity management
medical
evidence
12. work plan
1st year:
analysis and modeling
analysis, design, model & ontology,
initialization of RTD tools design and development
2nd year: main technological research and development
data harvesting, model/RDF population,
system visual interface, DSS infrastructure
testing
3rd year: enhancements, deployment & validation
advanced analytics, integrated services, pilots,
evaluation, implications
strong user involvement in all phases of RTD
a clear task-deliverable correspondance
13. 2nd year
1st year
milestones
M03 MS1: project successfully initiated
M12 MS2: a comprehensive CARRE information model
has been developed – 1st draft of RDF ready
M14 MS3: a working CARRE RDF scheme and ontology
have been produced
M18 MS4: data aggregators are efficiently working
3rd year
M24 MS5: visual interface to the RDF store is completed
M30 MS6: service environment integration has produced
a first working prototype
M36 MS7: project successfully completed
14. disseminate & exploit
main focus during
RTD core
of the
project
the entire lifetime
of the project and beyond
(not just in the end!!)
use & disseminate
“wrapper” channel
Figure adapted from: SCUBEICT, HAGRID, and IST_BONUS project
consortia, “Training Guide: Getting Started
with EU ICT Research, SCUBEICT, EU, September 2009 (p. 48)
15. target user groups
citizens
• cardiorenal patient
• healthy at risk
• care giver
professionals
R&D
• medical doctors
• insurance company
• healthcare system
• researchers
• industry, SMEs
• standardization
17. management
structure
EC
Project Officer
Project Coordinator PC
(Project Manager PM)
Experts
Advisory Board
WP1
Leader
Task Leaders
Task Leaders
Task Teams
Task Teams
General Assembly
WP2
Leader
Task Leaders
Task Leaders
Task Teams
Task Teams
WP3
Leader
Task Leaders
Task Leaders
Task Teams
Task Teams
Patients
Advisory Board
…
…
WP8
Leader
Task Leaders
Task Leaders
Task Teams
Task Teams
18. gender balance in CARRE
Coordinator and Project Manager are both women
WP leaders: 50% representation of both genders
Task leaders: 55% representation of women
Team Leaders and GA: 1/3 female representation
Key team members: 1/3 female representation
19. CARRE partners
Democritus University of Thrace (Greece)
coordination, user-driven analysis, pilot deployment, evaluation
The Open University (United Kingdom)
ontology development, semantic interlinking
University of Bedfordshire (United Kingdom)
visual analytics & data harvesting
Vilnius University Hospital Santariškių Klinikos (Lithuania)
user-driven analysis, pilot deployment, evaluation
Kaunas University of Technology (Lithuania)
sensors, data aggregators
Industrial Research Institute for Automation and Measurements (Poland)
decision support, systems security and data privacy
20. contact
Coordinator
General Assembly
Eleni Kaldoudi
DUTH
Eleni Kaldoudi
kaldoudi@med.duth.gr
OU
John Domingue
john.domingue@open.ac.uk
BED
Enjie Liu
Enjie.Liu@beds.ac.uk
VULSK
Domantas Stundys
Domantas.Stundys@santa.lt
KTU
Prof. Arunas Lukosevicius
arunas.lukosevicius@ktu.lt
PIAP
Roman Szewczyk
rszewczyk@piap.pl
Associate Professor
Dept. of Medicine
School of Health Sciences
Democritus University of Thrace
Dragana, Alexandroupoli
68100 Greece
Tel: +302551030329
Email: kaldoudi@med.duth.gr
Email: carre@med.duth.gr
21. CARRE
Project co-funded by the
European Commission under the
Information and Communication Technologies (ICT)
7th Framework Programme
No. FP7-ICT-2013-611140
Editor's Notes
CARRE is a Specific Targeted Research Project addressing the ICT theme 5.1 on personalized health, active ageing and independent living.
CARRE is an EU FP7-ICT funded project with the goal to provide innovative means for the management of comorbidities (multiple co-occurring medical conditions), especially in the case of chronic cardiac and renal disease patients or persons with increased risk of such conditions. Sources of medical and other knowledge will be semantically linked with sensor outputs to provide clinical information personalised to the individual patient, so as to be able to track the progression and interactions of comorbid conditions. Visual analytics will be employed so that patients and clinicians will be able to visualise, understand and interact with this linked knowledge and also take advantage of personalised empowerment services supported by a dedicated decision support system.The ultimate goal is to provide the means for patients with comorbidities to take an active role in care processes, including self-care and shared decision-making, and also to support medical professionals in understanding and treating comorbidities via an integrative approach.
Comorbidity refers to the presence of one or more disorders in addition to a primary disease or disorder (either independently, or as a consequence of the primary condition or otherwise related). As approximately half of all patients with chronic conditions, even in a nonelderly population, have comorbidities, comorbidity management is a hot topic in current medical literature. When addressing disease in the presence of comorbidities, each different medical condition the patient presents should not be viewed independently, but a “patient as a whole” view approach should be followed. This places an emphasis on and extra burden of dealing successfully with all associations, interactions, co-dependencies, implications, adverse events, etc. that occur between different conditions co-presenting at the same patient at the same time, as well as between the different treatment regimens these conditions involve.
One common case of comorbidities is the chronic cardiorenal disease, which is the condition characterized by simultaneous kidney and heart disease while the primarily failing organ may be either the heart or the kidney. Very often the dysfunction occurs when the failing organ precipitates the failure of the other. The cardiorenal patient (or the person at risk of this condition) presents an interesting case example for addressing and demonstrating novel patient empowerment services for personalized disease & comorbidities management and prevention for a number of reasons as chronic cardiorenal disease has an increasing incidence and a number of serious (and of increasing incidence) comorbidities. Current studies estimate that 9-16% of the overall population is at risk or at the onset of chronic renal disease, while chronic heart failure amounts to 1-2% of total healthcare costs and end-stage renal disease for more than 2% of total healthcare costs (in the developed world). One of the most important aspects of cardiorenal disease and comorbidities diagnosis and treatment is early detection and aggressive management of underlying causes. Preventing progression to end stage renal and cardiac deficiency may improve quality of life and help save health care costs. Prevention of the disease includes: lifestyle modification (controlling obesity, diabetes and hypertension), public-health education for reduction of excessive bodyweight, regular exercise, and dietary approaches, control of hypertension, dietary protein restriction and blood-pressure control, proteinuria management, dyslipidaemia management and smoking cessation. Delaying disease progression is crucial and must include patient education and aggressive treatment and management of chronic cardiorenal disease and its comorbidities. However, effective implementation of such strategies will only come when both the general public and the health care professionals community work together towards public awareness and lifestyle management on a personal basis and following an integrated care approach.
Current studies estimate that 9-16% of the overall population is at risk or at the onset of chronic renal disease, while chronic heart failure amounts to 1-2% of total healthcare costs and end-stage renal disease for more than 2% of total healthcare costs (in the developed world).
One of the most important aspects of cardiorenal disease and comorbidities diagnosis and treatment is early detection and aggressive management of underlying causes. Preventing progression to end stage renal and cardiac deficiency may improve quality of life and help save health care costs. Prevention of the disease includes: lifestyle modification (controlling obesity, diabetes and hypertension), public-health education for reduction of excessive bodyweight, regular exercise, and dietary approaches, control of hypertension, dietary protein restriction and blood-pressure control, proteinuria management, dyslipidaemia management and smoking cessation. Delaying disease progression is crucial and must include patient education and aggressive treatment and management of chronic cardiorenal disease and its comorbidities. However, effective implementation of such strategies will only come when both the general public and the health care professionals community work together towards public awareness and lifestyle management on a personal basis and following an integrated care approach.
CARRE aims to innovate towards a service environment for providing personalized empowerment and shared decision support services for cardiorenal disease comorbidities.
CARRE aims at creating a dynamic cross referencing of semantically related personalized and evidence based related data, including: medical ground knowledge up-to-date medical evidence and personal patient data in order to create a personalized model of the disease and comorbidities progression pathways and trajectories.
Major expected technological breakthroughs include:an ontology and schema for the description of comorbidities management (in the case of cardiorenal disease and comorbidities); data aggregators for integration of heterogeneous sources of information, such as medical evidence, personal data (including dynamic sensor data), medical information and personal disposition & lifestyle; text analysis tools to semantically annotate and extract relevant metadata from unstructured sources (medical evidence, social media); generic aggregator technology to harvest semantic information from structured data sources as listed above (e.g. personal sensors, educational content items); linked data technologies for semantic data interlinking, and enrichment;tools and infrastructure for large scale processing of aggregated data for visual analytics mentioned above;data/model driven decision support systems to build shared decision support services for the patient and the medical professional based on the personalized comorbidities model of the patient.
Research work in CARRE is organized in 3 yearly phases. The first year is devoted mainly to domain analysis and modeling, including design of software components and initialization of research development. During the second year most of technological innovation is expected to occur, including data harvesting and interlinking, visual analytics and decision support system infrastructure. The last year of the project is expected to use all the above to compile and evaluate patient empowerment and shared decision support services for the chronic cardiorenal disease. The overall strategy of the work plan revolves around a strong end-user involvement in all phases of research and development and exhibits a clear task-deliverable correspondence.