2017
Breast cancer normal tissue complication modelling and parameter uncertainties Proceeding
Zenodo, 2017.
@proceedings{sachpazidis_ilias_2017_883865,
title = {Breast cancer normal tissue complication modelling and parameter uncertainties},
url = {https://doi.org/10.5281/zenodo.883865 [Add to Citavi project by DOI]},
doi = {10.5281/zenodo.883865},
year = {2017},
date = {2017-01-01},
publisher = {Zenodo},
keywords = {},
pubstate = {published},
tppubtype = {proceedings}
}
2014
Sachpazidis, Ilias; Baltas, Dimos; Sakas, Georgios
Simulation and Optimization of Brachytherapy High Dose Rate plans Conference
6th International Conference in textquotedblleftScientific Computing to Computational Engineeringtextquotedblright 6th IC-SCCE, Athens, Greece, 2014.
Abstract | BibTeX | Tags: Brachytherapy, Inverse optimization
@conference{40,
title = {Simulation and Optimization of Brachytherapy High Dose Rate plans},
author = {Ilias Sachpazidis and Dimos Baltas and Sakas, Georgios},
year = {2014},
date = {2014-01-01},
booktitle = {6th International Conference in textquotedblleftScientific Computing to Computational Engineeringtextquotedblright 6th IC-SCCE},
address = {Athens, Greece},
abstract = {In this paper we are going to describe a brachytherapy planning system and the related optimization algorithms for optimization planning. Brachytherapy is an advanced cancer treatment. Radioactive sources are placed in or near the tumor itself, giving a high radiation dose to the tumor while reducing the radiation exposure in the surrounding healthy tissues. In addition, our scope is to present the scientific results of CEIROS EUROSTARS project and describe the mathematical and partly the physical background for the use of both DVH and gEUD concept for High Dose Rate (HDR) optimization. The concept of equivalent uniform dose (EUD) for tumors was introduced as the biologically equivalent dose that, if given uniformly, would lead to the same cell kill in the tumor volume as the actual non-uniform dose distribution. Later, it is extended to apply to normal tissues as well. Presently, most optimization systems use dose and/or dose–volume-based objective functions. Neither adequately represents the nonlinear response of tumors or normal structures to dose, especially for arbitrary inhomogeneous dose distributions. For instance, if a single voxel or a small number of voxels in a tumor receive a very low dose, it would not have a significant effect on the plan score. However, the tumor control probability would be greatly diminished as a result of the cold spot. Stated in a different way, for dose- or dose–volume-based objective functions, the penalty imposed for the failure to achieve the prescribed dose is proportional to the dose difference (or the square of the difference), rather than to the loss of tumor control, as would be more appropriate.},
keywords = {Brachytherapy, Inverse optimization},
pubstate = {published},
tppubtype = {conference}
}
In this paper we are going to describe a brachytherapy planning system and the related optimization algorithms for optimization planning. Brachytherapy is an advanced cancer treatment. Radioactive sources are placed in or near the tumor itself, giving a high radiation dose to the tumor while reducing the radiation exposure in the surrounding healthy tissues. In addition, our scope is to present the scientific results of CEIROS EUROSTARS project and describe the mathematical and partly the physical background for the use of both DVH and gEUD concept for High Dose Rate (HDR) optimization. The concept of equivalent uniform dose (EUD) for tumors was introduced as the biologically equivalent dose that, if given uniformly, would lead to the same cell kill in the tumor volume as the actual non-uniform dose distribution. Later, it is extended to apply to normal tissues as well. Presently, most optimization systems use dose and/or dose–volume-based objective functions. Neither adequately represents the nonlinear response of tumors or normal structures to dose, especially for arbitrary inhomogeneous dose distributions. For instance, if a single voxel or a small number of voxels in a tumor receive a very low dose, it would not have a significant effect on the plan score. However, the tumor control probability would be greatly diminished as a result of the cold spot. Stated in a different way, for dose- or dose–volume-based objective functions, the penalty imposed for the failure to achieve the prescribed dose is proportional to the dose difference (or the square of the difference), rather than to the loss of tumor control, as would be more appropriate.
2013
Horvath, G.; Kirisits, C.; Sachpazidis, I.; Drewes, T.; Krapf, K-G.; Kirisits, H.
Inverse optimization of noise barriers Conference
Internoise 2013, 2013.
BibTeX | Tags: Inverse optimization
@conference{38,
title = {Inverse optimization of noise barriers},
author = {G. Horvath and C. Kirisits and I. Sachpazidis and T. Drewes and K-G. Krapf and H. Kirisits},
year = {2013},
date = {2013-01-01},
booktitle = {Internoise 2013},
keywords = {Inverse optimization},
pubstate = {published},
tppubtype = {conference}
}
2010
Panopoulos, Dimitrios; Sachpazidis, Ilias; Rizou, Despoina; Menary, Wayne; Cardenas, Jose; Psarras, John
In: Information Systems Development, Chapter Towards a Service Provision Society, pp. pp 933-940, Springer US, 2010, ISSN: 978-0-387-84810-5.
Abstract | Links | BibTeX | Tags: eHealth, Telemedicine
@inbook{39,
title = {MEDNET: Telemedicine via Satellite Combining Improved Access to Health-Care Services with Enhanced Social Cohesion in Rural Peru},
author = {Dimitrios Panopoulos and Ilias Sachpazidis and Despoina Rizou and Wayne Menary and Jose Cardenas and John Psarras},
url = {http://link.springer.com/chapter/10.1007/b137171_98},
issn = {978-0-387-84810-5},
year = {2010},
date = {2010-01-01},
booktitle = {Information Systems Development},
pages = {pp 933-940},
publisher = {Springer US},
chapter = {Towards a Service Provision Society},
organization = {Springer US},
abstract = {Peru, officially classified as a middle-income country, has benefited from sustained economic growth in recent years. However, the benefits have not been seen by the vast majority of the population, particularly Perutextquoterights rural population. Virtually all of the nationtextquoterights rural health-care centres are cut off from the rest of the country, so access to care for most people is not only difficult but also costly. MEDNET attempts to redress this issue by developing a medical health network with the help of the collaboration medical application based on TeleConsult & @HOME medical database for vital signs. The expected benefits include improved support for medics in the field, reduction of patient referrals, reduction in number of emergency interventions and improved times for medical diagnosis. An important caveat is the emphasis on exploiting the proposed infrastructure for education and social enterprise initiatives. The project has the full support of regional political and health authorities and, importantly, full local community support.},
keywords = {eHealth, Telemedicine},
pubstate = {published},
tppubtype = {inbook}
}
Peru, officially classified as a middle-income country, has benefited from sustained economic growth in recent years. However, the benefits have not been seen by the vast majority of the population, particularly Perutextquoterights rural population. Virtually all of the nationtextquoterights rural health-care centres are cut off from the rest of the country, so access to care for most people is not only difficult but also costly. MEDNET attempts to redress this issue by developing a medical health network with the help of the collaboration medical application based on TeleConsult & @HOME medical database for vital signs. The expected benefits include improved support for medics in the field, reduction of patient referrals, reduction in number of emergency interventions and improved times for medical diagnosis. An important caveat is the emphasis on exploiting the proposed infrastructure for education and social enterprise initiatives. The project has the full support of regional political and health authorities and, importantly, full local community support.
2009
Sachpazidis, Ilias; Kontaxakis, George; Sakas, Georgios
A Portable Medical Unit for Medical Imaging Telecollaboration Conference
Proceedings of the 2nd ACM International Conference on PErvasive Technologies Related to Assistive Environments, 2009.
Abstract | Links | BibTeX | Tags: eHealth, Imaging, Medical devices, Telemedicine
@conference{C35-P-20455,
title = {A Portable Medical Unit for Medical Imaging Telecollaboration},
author = {Sachpazidis, Ilias and Kontaxakis, George and Sakas, Georgios},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2009/09p040.pdf},
year = {2009},
date = {2009-01-01},
booktitle = {Proceedings of the 2nd ACM International Conference on PErvasive Technologies Related to Assistive Environments},
abstract = {In this paper, we are going to introduce a multimodal portable medical device for both medical imaging tele-collaboration and monitoring of vital parameters. The introduced portable unit offers diversity of medical devices and is in position to acquire ultrasound images, ECG 12 leads, and blood pressure and be able to measure oxygen level in the blood. In addition, the portable unit is equipped with all available telecommunication gateways (e.g. GSM, UMTS, ISDN, DSL, Satellite) providing a great communication convenience to the physicians utilizing XMMP instant messaging protocols.},
keywords = {eHealth, Imaging, Medical devices, Telemedicine},
pubstate = {published},
tppubtype = {conference}
}
In this paper, we are going to introduce a multimodal portable medical device for both medical imaging tele-collaboration and monitoring of vital parameters. The introduced portable unit offers diversity of medical devices and is in position to acquire ultrasound images, ECG 12 leads, and blood pressure and be able to measure oxygen level in the blood. In addition, the portable unit is equipped with all available telecommunication gateways (e.g. GSM, UMTS, ISDN, DSL, Satellite) providing a great communication convenience to the physicians utilizing XMMP instant messaging protocols.
Rizou, Despoina; Sachpazidis, Ilias; Salvatore, Luca; Sakas, Georgios
TraumaStation: A Portable Telemedicine Station Conference
Proceedings of the 31st Annual International Conference of the IEEE Engineering in Medicine and Biology, 2009.
Abstract | Links | BibTeX | Tags: eHealth, Imaging, Medical devices, Telemedicine
@conference{C35-P-20698,
title = {TraumaStation: A Portable Telemedicine Station},
author = {Rizou, Despoina and Sachpazidis, Ilias and Salvatore, Luca and Sakas, Georgios},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2009/09p090.pdf},
year = {2009},
date = {2009-01-01},
booktitle = {Proceedings of the 31st Annual International Conference of the IEEE Engineering in Medicine and Biology},
pages = {1254-1257},
abstract = {TraumaStation is a portable medical device which covers the mobility of the medical doctors as well as integrates the diversity of telemedicine devices. Many portable telemedicine devices have been developed the last years in order to help patients in remote areas or in emergency situationns. The medical TraumaStation is a light portable tele-medical first-aid device, which provides the physicians with an ultrasound, electrocardiogram, blood pressure, oxygen meter apparatus all in a suitcase. In addition, the portable device is equipped with all available telecommunication gateways (e.g. GSM, UMTS, ISDN, DSL, Satellite) providing a great communication convenience to the physicians utilizing XMMP instant messaging protocols and real time video conference.},
keywords = {eHealth, Imaging, Medical devices, Telemedicine},
pubstate = {published},
tppubtype = {conference}
}
TraumaStation is a portable medical device which covers the mobility of the medical doctors as well as integrates the diversity of telemedicine devices. Many portable telemedicine devices have been developed the last years in order to help patients in remote areas or in emergency situationns. The medical TraumaStation is a light portable tele-medical first-aid device, which provides the physicians with an ultrasound, electrocardiogram, blood pressure, oxygen meter apparatus all in a suitcase. In addition, the portable device is equipped with all available telecommunication gateways (e.g. GSM, UMTS, ISDN, DSL, Satellite) providing a great communication convenience to the physicians utilizing XMMP instant messaging protocols and real time video conference.
2008
Rizou, Despoina; Sachpazidis, Ilias; Selby, Peter
Broadband Health Care Network in Brazil and Peru Conference
Euro American Conference on Telematics and Information Systems. Proceedings, 2008.
Abstract | Links | BibTeX | Tags: eHealth, Satellite communication, Telemedicine
@conference{C34-P-19751,
title = {Broadband Health Care Network in Brazil and Peru},
author = {Rizou, Despoina and Sachpazidis, Ilias and Selby, Peter},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2008/08p096.pdf},
year = {2008},
date = {2008-01-01},
booktitle = {Euro American Conference on Telematics and Information Systems. Proceedings},
pages = {5},
abstract = {This paper will present a medical network in Latin America. This network will provide in rural and isolated areas an appropriate health care from distance. The medical applications will vary from gynaecology, paediatrics, cardiology to typical infectious diseases for the region such as malaria and tuberculosis. The examinations will involve ultrasound examinations, electrocardiogram and blood imaging when applicable. Our medical tele-consulting tool will be used for that purpose. The medical network aims to connect isolated areas in Amazon over European satellite technology providing broadband communication and quality of services (QoS) for real-time data transmission and video/audio conference.},
keywords = {eHealth, Satellite communication, Telemedicine},
pubstate = {published},
tppubtype = {conference}
}
This paper will present a medical network in Latin America. This network will provide in rural and isolated areas an appropriate health care from distance. The medical applications will vary from gynaecology, paediatrics, cardiology to typical infectious diseases for the region such as malaria and tuberculosis. The examinations will involve ultrasound examinations, electrocardiogram and blood imaging when applicable. Our medical tele-consulting tool will be used for that purpose. The medical network aims to connect isolated areas in Amazon over European satellite technology providing broadband communication and quality of services (QoS) for real-time data transmission and video/audio conference.
Sachpazidis, Ilias
Image and Medical Data Communication Protocols for Telemedicine and Teleradiology PhD Thesis
2008.
Abstract | Links | BibTeX | Tags: eHealth, Medical protocols, Medication adherence, Telemedicine
@phdthesis{12,
title = {Image and Medical Data Communication Protocols for Telemedicine and Teleradiology},
author = {Sachpazidis, Ilias},
editor = {Encarnaccao, Jos'e L. and Sakas, Georgios},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/dissertations/diss_sachpazidis.pdf},
year = {2008},
date = {2008-01-01},
abstract = {Telemedicine is currently being used to bridge the physical distance between patients in remote areas and medical specialists around the world. Distributed client-server applications have become very popular with the explosive growth of the Internet. These distributed applications provide an inexpensive and fast way to access medical information and also provide good accessibility and availability of medical service. Telemedicine applications are a client/server applications where medical and patient information is stored in a server and the information is made accessible to doctors and medical personnel at a distant site. In addition, depending on the type and the needs of the medical application different type of communication protocols and medical devices are utilized making interoperability and communication over different communication channels quite difficult. In my dissertation I analyzed first a range of telemedicine systems already used and I concluded that telemedicine systems can be categorized according to on three different features (layers): - Transportation protocol layer - Medical devices layer - Application layer The outcome of the analysis was that on the application layer, there exists a wide variety of different telemedical applications, each one supporting a special and focused medical application case. Thus, on the application layer a heterogeneous environment of medical use cases exists and it not possible to homogenize due to the particularities of each medical situation. Regarding the device layer, a plurality of different medical devices is used for each medical application supporting different functionality. As an example, one uses ECG devices for monitoring heard activity, blood pressure devices to measure the diastolic and systolic arterial pressure, ultrasound, CT, MRI devices for medical imaging analyzing physiological structures and so on. Nevertheless, although the individual devices will have to remain separate, I propose here an interfacing scheme enabling connection of the various devices to a unique data interface, enabling their individual data to be transferred and handled in a unique, transparent way. By this I integrated a wide variety of medical devices offering flexible solutions covering large number of home care, emergency and radiology applications. On the transportation layer I concluded that a number of various telecommunication protocols are utilized and miscellaneous types of data types and data sizes are to be exchanged, depending on their application. In addition, I concluded that all the communication protocols applied today show common problems emerging from firewalls and network address translation servers. I also concluded that the applied communication protocols do not support presence awareness of the users. Based on the aforementioned observations, I propose an instant messaging protocol able to homogenize the communication and transportation layer and support any data type and any data size while solving all of the existing problems at once. In this way I unified the various protocols, replacing them by only one, at the same time overcoming common problems arising from firewalls, NATs and mobility of the users. Traumastation shows exemplarily the correctness of my approach and demonstrates how several different medical devices can be integrated on one single case and support a wide variety of applications utilising thereby one single data transportation protocol. Die gegenw"artige Telemedizin dient der "Uberbr"uckung der physischen Distanz zwischen Patienten in abgelegenen Gebieten und medizinischen Spezialisten rund um die Welt. Verteilte Client-Server Anwendungen wurden mit dem explosiven Wachstum des Internets sehr popul"ar. Diese verteilten Anwendungen sorgen f"ur einen preiswerten und schnellen Zugang zu medizinischen Informationen und liefern ebenso einen einfachen Zugang und gute Verf"ugbarkeit der medizinischen Dienste. Telemedizinische Anwendungen sind Client/Server Anwendungen, wo medizinische und Patienten-Informationen auf einem Server gespeichert werden. Diese Informationen werden "Arzten und medizinischem Personal an einem entfernten Ort zug"anglich gemacht. Zus"atzlich, abh"angig von Typ und Anforderungen der medizinischen Anwendung, werden verschiedene Typen von Kommunikationsprotokollen und medizinischen Ger"aten eingesetzt, die die Kompatibilit"at und Kommunikation "uber verschiedene Kommunikationskan"ale sehr schwierig macht. In meiner Dissertation analysierte ich zuerst bereits angewandte telemedizinische Systeme und kam zu dem Schluss, dass telemedizinische Systeme nach drei verschiedenen Ebenen (Schichten) kategorisiert werden k"onnen: - Transport-Protokoll-Ebene - Medizinische Ger"ate-Ebene - Anwendungsebene Das Ergebnis der Analyse war, dass auf der Anwendungsebene eine große Vielfalt von verschiedenen telemedizinischen Anwendungen existiert, jede Einzelne unterst"utzt einen speziellen und fokussierten medizinischen Anwendungsfall. Auf diese Weise entsteht eine heterogene Umgebung von medizinischen Anwendungsf"allen auf der Anwendungsebene, und es ist aufgrund der Besonderheiten jedes medizinischen Anwendungsfalls nicht m"oglich, diese zu homogenisieren. Auf der Ger"ateebene wird eine Vielzahl von verschiedenen medizinischen Ger"aten pro medizinischer Anwendung verwendet. Zum Beispiel benutzt man EKG-Ger"ate zur "Uberwachung der Herzaktivit"at, Blutdruckger"ate zum Messen des diastolischen und systolischen arteriellen Druckes, Ultraschall-, CT- und MRT-Ger"ate zur medizinischen Bildverarbeitung, die physiologische Strukturen analysiert etc. Nichtsdestotrotz, obwohl die einzelnen Ger"ate separat bleiben m"ussen, schlage ich hier ein Kopplungsschema vor, das die verschiedenen Ger"ate zu einem einzigen Dateninterface verbindet und es erm"oglicht, ihre individuellen Daten auf einzigartige, transparente Weise zu "ubertragen und zu handhaben. Dadurch integrierte ich eine große Vielzahl an medizinischen Ger"aten, die flexibel einsetzbar sind und eine große Anzahl von Anwendungen , wie Heimpflege, Notfall und Radiologie, abdecken. Auf der Transportsebene kam ich zu dem Schluss, dass viele verschiedenere Telekommunikationsprotokolle benutzt werden und unterschiedliche Datentypen und Datengr"oßen abh"angig von ihrer Anwendung ausgetauscht werden m"ussen. Zus"atzlich stellte ich fest, dass alle heutzutage angewandten Kommunikationsprotokolle gemeinsame Probleme haben, die durch Firewalls und Netzwerk-Adressumwandlungsservern entstehen. Ich kam ebenso zu dem Schluss, dass die angewandten Kommunikationsprotokolle das ,presence-status" der Benutzer nicht unterst"utzen. Basierend auf den genannten Beobachtungen schlage ich ein Datentransfer-Protokoll vor, das in der Lage ist, die Kommunikations- und Transportfunktion zu homogenisieren und jeglichen Datentyp und jegliche Datengr"oße zu unterst"utzen und somit alle bestehenden Probleme auf einmal zu l"osen. Auf diese Weise vereinheitlichte ich die verschiedenen Protokolle und ersetzte sie durch eines. Gleichzeitig "uberwand ich Probleme, die aus Firewalls/NATs und der Mobilit"at der Benutzer entstehen. Die Traumastation zeigt exemplarisch die Richtigkeit meines Ansatzes und demonstriert, wie einzelne verschiedene medizinische Ger"ate zu einem einzigen Koffer/Einheit integriert werden k"onnen und unterst"utzt eine große Vielfalt von Anwendungen, die dazu ein einziges Datentransportprotokoll benutzt.},
keywords = {eHealth, Medical protocols, Medication adherence, Telemedicine},
pubstate = {published},
tppubtype = {phdthesis}
}
Telemedicine is currently being used to bridge the physical distance between patients in remote areas and medical specialists around the world. Distributed client-server applications have become very popular with the explosive growth of the Internet. These distributed applications provide an inexpensive and fast way to access medical information and also provide good accessibility and availability of medical service. Telemedicine applications are a client/server applications where medical and patient information is stored in a server and the information is made accessible to doctors and medical personnel at a distant site. In addition, depending on the type and the needs of the medical application different type of communication protocols and medical devices are utilized making interoperability and communication over different communication channels quite difficult. In my dissertation I analyzed first a range of telemedicine systems already used and I concluded that telemedicine systems can be categorized according to on three different features (layers): - Transportation protocol layer - Medical devices layer - Application layer The outcome of the analysis was that on the application layer, there exists a wide variety of different telemedical applications, each one supporting a special and focused medical application case. Thus, on the application layer a heterogeneous environment of medical use cases exists and it not possible to homogenize due to the particularities of each medical situation. Regarding the device layer, a plurality of different medical devices is used for each medical application supporting different functionality. As an example, one uses ECG devices for monitoring heard activity, blood pressure devices to measure the diastolic and systolic arterial pressure, ultrasound, CT, MRI devices for medical imaging analyzing physiological structures and so on. Nevertheless, although the individual devices will have to remain separate, I propose here an interfacing scheme enabling connection of the various devices to a unique data interface, enabling their individual data to be transferred and handled in a unique, transparent way. By this I integrated a wide variety of medical devices offering flexible solutions covering large number of home care, emergency and radiology applications. On the transportation layer I concluded that a number of various telecommunication protocols are utilized and miscellaneous types of data types and data sizes are to be exchanged, depending on their application. In addition, I concluded that all the communication protocols applied today show common problems emerging from firewalls and network address translation servers. I also concluded that the applied communication protocols do not support presence awareness of the users. Based on the aforementioned observations, I propose an instant messaging protocol able to homogenize the communication and transportation layer and support any data type and any data size while solving all of the existing problems at once. In this way I unified the various protocols, replacing them by only one, at the same time overcoming common problems arising from firewalls, NATs and mobility of the users. Traumastation shows exemplarily the correctness of my approach and demonstrates how several different medical devices can be integrated on one single case and support a wide variety of applications utilising thereby one single data transportation protocol. Die gegenw"artige Telemedizin dient der "Uberbr"uckung der physischen Distanz zwischen Patienten in abgelegenen Gebieten und medizinischen Spezialisten rund um die Welt. Verteilte Client-Server Anwendungen wurden mit dem explosiven Wachstum des Internets sehr popul"ar. Diese verteilten Anwendungen sorgen f"ur einen preiswerten und schnellen Zugang zu medizinischen Informationen und liefern ebenso einen einfachen Zugang und gute Verf"ugbarkeit der medizinischen Dienste. Telemedizinische Anwendungen sind Client/Server Anwendungen, wo medizinische und Patienten-Informationen auf einem Server gespeichert werden. Diese Informationen werden "Arzten und medizinischem Personal an einem entfernten Ort zug"anglich gemacht. Zus"atzlich, abh"angig von Typ und Anforderungen der medizinischen Anwendung, werden verschiedene Typen von Kommunikationsprotokollen und medizinischen Ger"aten eingesetzt, die die Kompatibilit"at und Kommunikation "uber verschiedene Kommunikationskan"ale sehr schwierig macht. In meiner Dissertation analysierte ich zuerst bereits angewandte telemedizinische Systeme und kam zu dem Schluss, dass telemedizinische Systeme nach drei verschiedenen Ebenen (Schichten) kategorisiert werden k"onnen: - Transport-Protokoll-Ebene - Medizinische Ger"ate-Ebene - Anwendungsebene Das Ergebnis der Analyse war, dass auf der Anwendungsebene eine große Vielfalt von verschiedenen telemedizinischen Anwendungen existiert, jede Einzelne unterst"utzt einen speziellen und fokussierten medizinischen Anwendungsfall. Auf diese Weise entsteht eine heterogene Umgebung von medizinischen Anwendungsf"allen auf der Anwendungsebene, und es ist aufgrund der Besonderheiten jedes medizinischen Anwendungsfalls nicht m"oglich, diese zu homogenisieren. Auf der Ger"ateebene wird eine Vielzahl von verschiedenen medizinischen Ger"aten pro medizinischer Anwendung verwendet. Zum Beispiel benutzt man EKG-Ger"ate zur "Uberwachung der Herzaktivit"at, Blutdruckger"ate zum Messen des diastolischen und systolischen arteriellen Druckes, Ultraschall-, CT- und MRT-Ger"ate zur medizinischen Bildverarbeitung, die physiologische Strukturen analysiert etc. Nichtsdestotrotz, obwohl die einzelnen Ger"ate separat bleiben m"ussen, schlage ich hier ein Kopplungsschema vor, das die verschiedenen Ger"ate zu einem einzigen Dateninterface verbindet und es erm"oglicht, ihre individuellen Daten auf einzigartige, transparente Weise zu "ubertragen und zu handhaben. Dadurch integrierte ich eine große Vielzahl an medizinischen Ger"aten, die flexibel einsetzbar sind und eine große Anzahl von Anwendungen , wie Heimpflege, Notfall und Radiologie, abdecken. Auf der Transportsebene kam ich zu dem Schluss, dass viele verschiedenere Telekommunikationsprotokolle benutzt werden und unterschiedliche Datentypen und Datengr"oßen abh"angig von ihrer Anwendung ausgetauscht werden m"ussen. Zus"atzlich stellte ich fest, dass alle heutzutage angewandten Kommunikationsprotokolle gemeinsame Probleme haben, die durch Firewalls und Netzwerk-Adressumwandlungsservern entstehen. Ich kam ebenso zu dem Schluss, dass die angewandten Kommunikationsprotokolle das ,presence-status" der Benutzer nicht unterst"utzen. Basierend auf den genannten Beobachtungen schlage ich ein Datentransfer-Protokoll vor, das in der Lage ist, die Kommunikations- und Transportfunktion zu homogenisieren und jeglichen Datentyp und jegliche Datengr"oße zu unterst"utzen und somit alle bestehenden Probleme auf einmal zu l"osen. Auf diese Weise vereinheitlichte ich die verschiedenen Protokolle und ersetzte sie durch eines. Gleichzeitig "uberwand ich Probleme, die aus Firewalls/NATs und der Mobilit"at der Benutzer entstehen. Die Traumastation zeigt exemplarisch die Richtigkeit meines Ansatzes und demonstriert, wie einzelne verschiedene medizinische Ger"ate zu einem einzigen Koffer/Einheit integriert werden k"onnen und unterst"utzt eine große Vielfalt von Anwendungen, die dazu ein einziges Datentransportprotokoll benutzt.
Menary, Wayne; Sachpazidis, Ilias; Rizou, Despoina; Cardenas, J.; Cabrera, C.
MEDical NETwork : MedNET Helps Rural Peru Access Health Care Services with Telemedicine via Satellite Journal Article
In: eHealth Magazine [Online], 3 , pp. 31-34, 2008.
Abstract | Links | BibTeX | Tags: eHealth, Medical devices, Satellite communication, Telemedicine, Ultrasound
@article{13,
title = {MEDical NETwork : MedNET Helps Rural Peru Access Health Care Services with Telemedicine via Satellite},
author = {Menary, Wayne and Sachpazidis, Ilias and Rizou, Despoina and Cardenas, J. and Cabrera, C.},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2008/08p071.pdf},
year = {2008},
date = {2008-01-01},
journal = {eHealth Magazine [Online]},
volume = {3},
pages = {31-34},
abstract = {Currently, patients in rural Peru and Brazil travel long distances just to arrive at a rural health centre. Upon arrival, due to a chronic dearth of medical equipment at these health facilities, a patient receives only basic primary care. Access to specialist physicians is rare. If the physician is uncertain and decides to refer the patient for further consultation and/or examination, only approximately 5% of patients undertake the journey. Consequently, large sections of the community in these regions are effectively disenfranchised from the health service. MedNET, an initiative part funded under the Seventh Framework Programme of the European Community (EC), is attempting to tackle this problem of improving access to a quality health care service by enhancing social inclusion for outlying, under-served regions. MedNet will be deployed in both Peru and Brazil and will enable doctors to constantly monitor patients, assisted by an automated infrastructure which promotes the sharing of knowledge and resources between doctors in remote areas and specialists in urban centres and by providing access to medical applications in a range of fields from gynaecology, paediatrics and cardiology to region-specific diseases such as malaria and tuberculosis. Additionally, patient information from examinations will be stored in a secure database along with information concerning demographics and medication prescribed.},
keywords = {eHealth, Medical devices, Satellite communication, Telemedicine, Ultrasound},
pubstate = {published},
tppubtype = {article}
}
Currently, patients in rural Peru and Brazil travel long distances just to arrive at a rural health centre. Upon arrival, due to a chronic dearth of medical equipment at these health facilities, a patient receives only basic primary care. Access to specialist physicians is rare. If the physician is uncertain and decides to refer the patient for further consultation and/or examination, only approximately 5% of patients undertake the journey. Consequently, large sections of the community in these regions are effectively disenfranchised from the health service. MedNET, an initiative part funded under the Seventh Framework Programme of the European Community (EC), is attempting to tackle this problem of improving access to a quality health care service by enhancing social inclusion for outlying, under-served regions. MedNet will be deployed in both Peru and Brazil and will enable doctors to constantly monitor patients, assisted by an automated infrastructure which promotes the sharing of knowledge and resources between doctors in remote areas and specialists in urban centres and by providing access to medical applications in a range of fields from gynaecology, paediatrics and cardiology to region-specific diseases such as malaria and tuberculosis. Additionally, patient information from examinations will be stored in a secure database along with information concerning demographics and medication prescribed.
Sachpazidis, Ilias; Sakas, Georgios
Medication Intake Assessment Conference
Proceedings of the 1st ACM International Conference on PErvasive Technologies Related to Assistive Environments, 2008.
Abstract | Links | BibTeX | Tags: eHealth, Medication adherence
@conference{14,
title = {Medication Intake Assessment},
author = {Sachpazidis, Ilias and Sakas, Georgios},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2008/08p081.pdf},
year = {2008},
date = {2008-01-01},
booktitle = {Proceedings of the 1st ACM International Conference on PErvasive Technologies Related to Assistive Environments},
abstract = {Today, more than 430 million people worldwide are estimated to be suffering at any given time from mental disorders. Surprisingly, there is limited awareness that mental disorders are a major cause of lost healthy years of life. According to the World Health Organisation, Affective Disorders (depression and manicdepression or bipolar disorder), Schizophrenia and related conditions are among the top ten leading causes of disability worldwide. This evidence shows how important it is to respond to the growing global burden of mental illness. Europe is taking a leading role in this field with a number of initiatives aiming to improve the mental well-being and reduce the level of social exclusion and disability amongst the mentally ill. Recent years have seen a dramatic increase in our understanding of the biological, psychological and social determinants of mental illness and this has led to the development of many effective medicines. However, we also know that the quality of treatment delivery is of paramount importance. Prescribed medication becomes a truly effective intervention if it is coupled with efficient service delivery. In such circumstances patients have the opportunity to realize their potential and to become functioning and productive members of their communities. Key components of efficient service delivery are timely detection of non-adherence to medication and rapid response by mental health professionals to any signs of impeding relapse. In this paper, we are going to describe a home care application for medication adherence monitoring and assessment.},
keywords = {eHealth, Medication adherence},
pubstate = {published},
tppubtype = {conference}
}
Today, more than 430 million people worldwide are estimated to be suffering at any given time from mental disorders. Surprisingly, there is limited awareness that mental disorders are a major cause of lost healthy years of life. According to the World Health Organisation, Affective Disorders (depression and manicdepression or bipolar disorder), Schizophrenia and related conditions are among the top ten leading causes of disability worldwide. This evidence shows how important it is to respond to the growing global burden of mental illness. Europe is taking a leading role in this field with a number of initiatives aiming to improve the mental well-being and reduce the level of social exclusion and disability amongst the mentally ill. Recent years have seen a dramatic increase in our understanding of the biological, psychological and social determinants of mental illness and this has led to the development of many effective medicines. However, we also know that the quality of treatment delivery is of paramount importance. Prescribed medication becomes a truly effective intervention if it is coupled with efficient service delivery. In such circumstances patients have the opportunity to realize their potential and to become functioning and productive members of their communities. Key components of efficient service delivery are timely detection of non-adherence to medication and rapid response by mental health professionals to any signs of impeding relapse. In this paper, we are going to describe a home care application for medication adherence monitoring and assessment.
Sachpazidis, Ilias; Rizou, Despoina; Menary, Wayne
Satellite Based Health Network in Peru and Brazil Conference
5th International Conference on Information Technology and Applications in Biomedicine. Proceedings CD-ROM, 2008.
Abstract | Links | BibTeX | Tags: eHealth, Medical devices, Telemedicine, Ultrasound
@conference{C34-P-19541,
title = {Satellite Based Health Network in Peru and Brazil},
author = {Sachpazidis, Ilias and Rizou, Despoina and Menary, Wayne},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2008/08p053.pdf},
year = {2008},
date = {2008-01-01},
booktitle = {5th International Conference on Information Technology and Applications in Biomedicine. Proceedings CD-ROM},
pages = {309-314},
abstract = {This paper will present a medical network in Latin America. This network will provide in rural and underserved areas an appropriate health care from distance. The medical applications will vary from gynaecology, paediatrics, cardiology to typical infectious diseases for the region such as malaria and tuberculosis. The examinations will involve ultrasound examination, electrocardiogram and blood imaging when applicable. Our medical tele-consulting tool will be used for that purpose. The medical network aims to connect isolated areas in Amazon over European satellite technology providing broadband communication and quality of services (QoS) for real-time data transmission and video/audio conference.},
keywords = {eHealth, Medical devices, Telemedicine, Ultrasound},
pubstate = {published},
tppubtype = {conference}
}
This paper will present a medical network in Latin America. This network will provide in rural and underserved areas an appropriate health care from distance. The medical applications will vary from gynaecology, paediatrics, cardiology to typical infectious diseases for the region such as malaria and tuberculosis. The examinations will involve ultrasound examination, electrocardiogram and blood imaging when applicable. Our medical tele-consulting tool will be used for that purpose. The medical network aims to connect isolated areas in Amazon over European satellite technology providing broadband communication and quality of services (QoS) for real-time data transmission and video/audio conference.
Menary, Wayne; Sachpazidis, Ilias; Rizou, Despoina
Telemedicine via Satellite: Linking eHealth and Development in Rural Peru and Brazil Conference
Actas de Congreso INFOLAC 2008, 2008.
Abstract | Links | BibTeX | Tags:
@conference{C34-P-19989,
title = {Telemedicine via Satellite: Linking eHealth and Development in Rural Peru and Brazil},
author = {Menary, Wayne and Sachpazidis, Ilias and Rizou, Despoina},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2008/08p144.pdf},
year = {2008},
date = {2008-01-01},
booktitle = {Actas de Congreso INFOLAC 2008},
pages = {5},
abstract = {Access to health care services is extremely difficult for many rural and underserved regions of Latin America, particularly in rural Peru and Brazil. MEDNET attempts to redress this issue by developing a medical health network in selected sites in rural Peru and Brazil with the help of the collaboration medical application TeleConsult. The medical applications vary from gynaecology, paediatric, cardiology to typical infectious diseases for the region such as malaria and tuberculosis. The examinations will involve ultrasound examination, ECG test and blood test and blood test imaging for automation diagnosis. All the patient information, extracted from the examinations will be stored a health care database, along with the demographic information and medication prescription. The expected benefits will be improved support for medics in the field, reduction of patient referrals, reduction in number of emergency interventions and improved times for medical diagnosis. Importantly, the project has the full support of regional political and health authorities and, importantly, full local community support.},
keywords = {},
pubstate = {published},
tppubtype = {conference}
}
Access to health care services is extremely difficult for many rural and underserved regions of Latin America, particularly in rural Peru and Brazil. MEDNET attempts to redress this issue by developing a medical health network in selected sites in rural Peru and Brazil with the help of the collaboration medical application TeleConsult. The medical applications vary from gynaecology, paediatric, cardiology to typical infectious diseases for the region such as malaria and tuberculosis. The examinations will involve ultrasound examination, ECG test and blood test and blood test imaging for automation diagnosis. All the patient information, extracted from the examinations will be stored a health care database, along with the demographic information and medication prescription. The expected benefits will be improved support for medics in the field, reduction of patient referrals, reduction in number of emergency interventions and improved times for medical diagnosis. Importantly, the project has the full support of regional political and health authorities and, importantly, full local community support.
2006
Sachpazidis, Ilias; Selby, Peter; Binotto, A.; Sakas, Georgios; Pereira, Carlos Eduardo
Enhanced Medical Services in Amazon over AmerHis Satellite Conference
5th European Symposium on Biomedical Engineering. Proceedings CD-ROM, 2006.
Abstract | Links | BibTeX | Tags:
@conference{C34-P-17333,
title = {Enhanced Medical Services in Amazon over AmerHis Satellite},
author = {Sachpazidis, Ilias and Selby, Peter and Binotto, A. and Sakas, Georgios and Pereira, Carlos Eduardo},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2006/06p065.pdf},
year = {2006},
date = {2006-01-01},
booktitle = {5th European Symposium on Biomedical Engineering. Proceedings CD-ROM},
pages = {4},
abstract = {In this paper we are going to present a tele-medical network connecting physician/hospitals over satellite based on DVB-RCS over AmerHis satellite. The medical applications include general obstetric, and gynaecology examinations. The applied platform handles any imagining modality and particularly DICOM formatted data. The dominant type of images transferred over the system is ultrasound images, acquired from portable or stationary ultrasound devices. The state of Par'a presents the rate of general mortality of 3,65 deaths in 1.000 inhabitants. The main reasons are the blood circulation diseases and birth associated diseases. The aim of the current medical implementation will be the improvement of accessing of medical resource available only to rural cities from the isolated areas in Amazon in Para prefecture.},
keywords = {},
pubstate = {published},
tppubtype = {conference}
}
In this paper we are going to present a tele-medical network connecting physician/hospitals over satellite based on DVB-RCS over AmerHis satellite. The medical applications include general obstetric, and gynaecology examinations. The applied platform handles any imagining modality and particularly DICOM formatted data. The dominant type of images transferred over the system is ultrasound images, acquired from portable or stationary ultrasound devices. The state of Par'a presents the rate of general mortality of 3,65 deaths in 1.000 inhabitants. The main reasons are the blood circulation diseases and birth associated diseases. The aim of the current medical implementation will be the improvement of accessing of medical resource available only to rural cities from the isolated areas in Amazon in Para prefecture.
Kontaxakis, George; Pozo, Miguel Angel; Ohl, Roland; Visvikis, Dimitris; Sachpazidis, Ilias; Ortega, Fernando; Guerra, Pedro; Cheze-Le Rest, Catherine; Selby, Peter; Pan, Leyun; Diaz, Javier; Dimitrakopoulou-Strauss, Antonia; Santos, Andres; Strauss, Ludwig; Sakas, Georgios
European Health Telematics Networks for Positron Emission Tomography Conference
Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment, 569 (2), 2006.
Abstract | Links | BibTeX | Tags: eHealth, Imaging, Instant messaging, PET, Telemedicine
@conference{C34-P-17688,
title = {European Health Telematics Networks for Positron Emission Tomography},
author = {Kontaxakis, George and Pozo, Miguel Angel and Ohl, Roland and Visvikis, Dimitris and Sachpazidis, Ilias and Ortega, Fernando and Guerra, Pedro and Cheze-Le Rest, Catherine and Selby, Peter and Pan, Leyun and Diaz, Javier and Dimitrakopoulou-Strauss, Antonia and Santos, Andres and Strauss, Ludwig and Sakas, Georgios},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2006/06p116.pdf},
year = {2006},
date = {2006-01-01},
booktitle = {Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment},
volume = {569},
number = {2},
pages = {626-630},
abstract = {A pilot network of positron emission tomography centers across Europe has been setup employing telemedicine services. The primary aim is to bring all PET centers in Europe (and beyond) closer, by integrating advanced medical imaging technology and health telematics networks applications into a single, easy to operate health telematics platform, which allows secure transmission of medical data via a variety of telecommunications channels and fosters the cooperation between professionals in the field. The platform runs on PCs with Windows 2000/XP and incorporates advanced techniques for image visualization, analysis and fusion. The communication between two connected workstations is based on a TCP/IP connection secured by secure socket layers and virtual private network or jabber protocols. A teleconsultation can be online (with both physicians physically present) or offline (via transmission of messages which contain image data and other information). An interface sharing protocol enables online teleconsultations even over low bandwidth connections. This initiative promotes the cooperation and improved communication between nuclear medicine professionals, offering options for second opinion and training. It permits physicians to remotely consult patient data, even if they are away from the physical examination site.},
keywords = {eHealth, Imaging, Instant messaging, PET, Telemedicine},
pubstate = {published},
tppubtype = {conference}
}
A pilot network of positron emission tomography centers across Europe has been setup employing telemedicine services. The primary aim is to bring all PET centers in Europe (and beyond) closer, by integrating advanced medical imaging technology and health telematics networks applications into a single, easy to operate health telematics platform, which allows secure transmission of medical data via a variety of telecommunications channels and fosters the cooperation between professionals in the field. The platform runs on PCs with Windows 2000/XP and incorporates advanced techniques for image visualization, analysis and fusion. The communication between two connected workstations is based on a TCP/IP connection secured by secure socket layers and virtual private network or jabber protocols. A teleconsultation can be online (with both physicians physically present) or offline (via transmission of messages which contain image data and other information). An interface sharing protocol enables online teleconsultations even over low bandwidth connections. This initiative promotes the cooperation and improved communication between nuclear medicine professionals, offering options for second opinion and training. It permits physicians to remotely consult patient data, even if they are away from the physical examination site.
Kontaxakis, George; Visvikis, Dimitris; Ohl, Roland; Sachpazidis, Ilias; Suarez, Juan Pablo; Selby, Peter; Cheze-Le Rest, Catherine; Santos, Andres; Ortega, Fernando; Diaz, Javier; Pan, Leyun; Strauss, Ludwig; Dimitrakopoulou-Strauss, Antonia; Sakas, Georgios; Pozo, Miguel Angel
Integrated Telemedicine Applications and Services for Oncological Positron Emission Tomography Journal Article
In: Oncology Reports: An International Journal devoted to Fundamental and Applied Research in Oncology, 15 (SpecialIssue), pp. 1091-1100, 2006.
Abstract | Links | BibTeX | Tags:
@article{C34-P-17104,
title = {Integrated Telemedicine Applications and Services for Oncological Positron Emission Tomography},
author = {Kontaxakis, George and Visvikis, Dimitris and Ohl, Roland and Sachpazidis, Ilias and Suarez, Juan Pablo and Selby, Peter and Cheze-Le Rest, Catherine and Santos, Andres and Ortega, Fernando and Diaz, Javier and Pan, Leyun and Strauss, Ludwig and Dimitrakopoulou-Strauss, Antonia and Sakas, Georgios and Pozo, Miguel Angel},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2006/06p035.pdf},
year = {2006},
date = {2006-01-01},
journal = {Oncology Reports: An International Journal devoted to Fundamental and Applied Research in Oncology},
volume = {15},
number = {SpecialIssue},
pages = {1091-1100},
abstract = {TENPET (Trans European Network for Positron Emission Tomography) aims to evaluate the provision of integrated teleconsultation and intelligent computer supported cooperative work services for clinical positron emission tompgraphy (PET) in Europe at its current stage, as it is a multi-centre project financially supported by the European Commission (Information Society, eTEN Program). It addresses technological challenges by linking PET Centres and developing supporting services that permit remote consultation between professionals in the field. The technological platform (CE-marked) runs on WIN2000/NT/XP systems and incorporates advanced techniques for image visualization, analysis and fusion, as well as for interactive communication and message handling for off-line communications. Four PET Centres from Spain, France and Germany participate to the pilot system trials. The performance evaluation of the system is carried out via log files and userfilled questionnaires on the frequency of the teleconsultations, their duration and efficancy, quality of the images received, user satisfaction. as well as on privacy, ethical and security issues. TENPET promotes the co-opertation and improved communication between PET practitioners that are miles away from their peers or on mobile units, offering options for second opinion and training and permitting physicians to remotely consult paptient data if they are away from their centre. It is expected that TENPET will have a significant impact in the development of new skills by PET professionals and will support the establishment of peripheral PET units. To our knowledge, TENPET is the first telemedicine service specifically designed for oncological PET. This report presents the technical innovations incorporated in the TENPET platform and the initial pilot studies at real and diverse clinical environments in the field of oncology.},
keywords = {},
pubstate = {published},
tppubtype = {article}
}
TENPET (Trans European Network for Positron Emission Tomography) aims to evaluate the provision of integrated teleconsultation and intelligent computer supported cooperative work services for clinical positron emission tompgraphy (PET) in Europe at its current stage, as it is a multi-centre project financially supported by the European Commission (Information Society, eTEN Program). It addresses technological challenges by linking PET Centres and developing supporting services that permit remote consultation between professionals in the field. The technological platform (CE-marked) runs on WIN2000/NT/XP systems and incorporates advanced techniques for image visualization, analysis and fusion, as well as for interactive communication and message handling for off-line communications. Four PET Centres from Spain, France and Germany participate to the pilot system trials. The performance evaluation of the system is carried out via log files and userfilled questionnaires on the frequency of the teleconsultations, their duration and efficancy, quality of the images received, user satisfaction. as well as on privacy, ethical and security issues. TENPET promotes the co-opertation and improved communication between PET practitioners that are miles away from their peers or on mobile units, offering options for second opinion and training and permitting physicians to remotely consult paptient data if they are away from their centre. It is expected that TENPET will have a significant impact in the development of new skills by PET professionals and will support the establishment of peripheral PET units. To our knowledge, TENPET is the first telemedicine service specifically designed for oncological PET. This report presents the technical innovations incorporated in the TENPET platform and the initial pilot studies at real and diverse clinical environments in the field of oncology.
Sachpazidis, Ilias; Kiefer, Stephan; Selby, Peter; Ohl, Roland; Sakas, Georgios
A Medical Network for Teleconsultations in Brazil and Colombia Conference
Proceedings of the Second IASTED International Conference on Telehealth, 2006.
Abstract | Links | BibTeX | Tags:
@conference{C34-P-17405,
title = {A Medical Network for Teleconsultations in Brazil and Colombia},
author = {Sachpazidis, Ilias and Kiefer, Stephan and Selby, Peter and Ohl, Roland and Sakas, Georgios},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2006/06p071.pdf},
year = {2006},
date = {2006-01-01},
booktitle = {Proceedings of the Second IASTED International Conference on Telehealth},
pages = {16-21},
abstract = {Access to medical care is sometimes very difficult to be reached from people living in rural and underserved areas. That problem is very well known in rural areas in Brazil and Colombia. Citizens have no access to health care. They have to travel hundred of kilometres to receive a medical diagnosis. In this paper we will propose a medical network based on state-of-the-art medical applications that address the problems of providing health care from a distance. Additionally, we are going to show preliminarily results of the first year of the system deployment and utilization in undeserved regions in Brazil and Colombia.},
keywords = {},
pubstate = {published},
tppubtype = {conference}
}
Access to medical care is sometimes very difficult to be reached from people living in rural and underserved areas. That problem is very well known in rural areas in Brazil and Colombia. Citizens have no access to health care. They have to travel hundred of kilometres to receive a medical diagnosis. In this paper we will propose a medical network based on state-of-the-art medical applications that address the problems of providing health care from a distance. Additionally, we are going to show preliminarily results of the first year of the system deployment and utilization in undeserved regions in Brazil and Colombia.
Sachpazidis, Ilias; Majadas, Maria
A Medication Adherence Monitoring System Based on HL7 Messages Journal Article
In: The Journal on Information Technology in Healthcare, 4 (1), pp. 49-58, 2006.
Abstract | Links | BibTeX | Tags: eHealth, HL7, Medication adherence
@article{C34-P-16921,
title = {A Medication Adherence Monitoring System Based on HL7 Messages},
author = {Sachpazidis, Ilias and Majadas, Maria},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2006/06p014.pdf},
year = {2006},
date = {2006-01-01},
journal = {The Journal on Information Technology in Healthcare},
volume = {4},
number = {1},
pages = {49-58},
abstract = {A Medication Adherence Monitoring System (MAMS) system has been designed based on Health Level 7 (HL7) messages. MAMS is a practical and patient-friendly solution that has the potential to both improve medication adherence and monitoring adherence in any group of patients. The proposed system can be easily integrated into any hospital administration system by providing an HL7 interface for seamless integration.},
keywords = {eHealth, HL7, Medication adherence},
pubstate = {published},
tppubtype = {article}
}
A Medication Adherence Monitoring System (MAMS) system has been designed based on Health Level 7 (HL7) messages. MAMS is a practical and patient-friendly solution that has the potential to both improve medication adherence and monitoring adherence in any group of patients. The proposed system can be easily integrated into any hospital administration system by providing an HL7 interface for seamless integration.
Sachpazidis, Ilias; Ohl, Roland; Kontaxakis, George; Sakas, Georgios
TeleHealth Networks: Instant Messaging and Point-to-point Communication Over the Internet Conference
Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment, 569 (2), 2006.
Abstract | Links | BibTeX | Tags: eHealth, Instant messaging, Medical protocols
@conference{C34-P-17864,
title = {TeleHealth Networks: Instant Messaging and Point-to-point Communication Over the Internet},
author = {Sachpazidis, Ilias and Ohl, Roland and Kontaxakis, George and Sakas, Georgios},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2006/06p145.pdf},
year = {2006},
date = {2006-01-01},
booktitle = {Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment},
volume = {569},
number = {2},
pages = {631-634},
abstract = {This paper explores the advantages and disadvantages of a medical network based on point-to-point communication and a medical network based on Jabber instant messaging protocol. Instant messaging might be, for many people, a convenient way of chatting over the Internet. We will attempt to illustrate how an instant messaging protocol could serve in the best way medical services and provide great flexibility to the involved parts. Additionally, the directory services and presence status offered by the Jabber protocol make it very attractive to medical applications that need to have real time and store and forward communication. Furthermore, doctors connected to Internet via high-speed networks could benefit by saving time due to the data transmission acceleration over Jabber.},
keywords = {eHealth, Instant messaging, Medical protocols},
pubstate = {published},
tppubtype = {conference}
}
This paper explores the advantages and disadvantages of a medical network based on point-to-point communication and a medical network based on Jabber instant messaging protocol. Instant messaging might be, for many people, a convenient way of chatting over the Internet. We will attempt to illustrate how an instant messaging protocol could serve in the best way medical services and provide great flexibility to the involved parts. Additionally, the directory services and presence status offered by the Jabber protocol make it very attractive to medical applications that need to have real time and store and forward communication. Furthermore, doctors connected to Internet via high-speed networks could benefit by saving time due to the data transmission acceleration over Jabber.
Sachpazidis, Ilias; Ohl, Roland; Binotto, Alecio; Torres, Mario Soares; Messina, Luiz Ary; Sales, Alexandre; Gomes, Ricardo; Sakas, Georgios
T@lemed: Ehealth Applications Applied to Underserved Areas in Latin America Conference
Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment, 569 (2), 2006.
Abstract | Links | BibTeX | Tags:
@conference{C34-P-17865,
title = {T@lemed: Ehealth Applications Applied to Underserved Areas in Latin America},
author = {Sachpazidis, Ilias and Ohl, Roland and Binotto, Alecio and Torres, Mario Soares and Messina, Luiz Ary and Sales, Alexandre and Gomes, Ricardo and Sakas, Georgios},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2006/06p144.pdf},
year = {2006},
date = {2006-01-01},
booktitle = {Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment},
volume = {569},
number = {2},
pages = {635-639},
abstract = {Access to medical care is sometimes very difficult to be reached from people living in rural and underserved areas. This problem is very well known in rural areas in Brazil. Citizens have no access to health care. They have to travel hundreds of kilometres to receive medical care. In this paper, we will propose a medical network based on state-of-the-art medical imaging application that addresses the problems of providing health care from a distance. Additionally, we are going to show preliminarily results of the first year of the system deployment and utilization in undeserved regions in Brazil. The total number of patients submitted to ultrasound examinations, during the 10 months of projectstextquoteright medical trials, is 321. The exams have begun with the elderly people (hypertension and diabetes cases) with 90% above 50-years-old. Fifty-four percent were male and 46% were female. From those exams, 67 exams (21%) needed a second medical opinion and were transmitted to Santa Casa hospital in Porto Alegre, Brazil, one of the referral medical centres. From those second opinions of Santa Casa, 12 exams had to be repeated since the acquired images were not sufficient to give a correct diagnosis. The Lagoa Tres Cantos medical doctor performed also preventive exams with patients who had not presented any symptoms (70%).},
keywords = {},
pubstate = {published},
tppubtype = {conference}
}
Access to medical care is sometimes very difficult to be reached from people living in rural and underserved areas. This problem is very well known in rural areas in Brazil. Citizens have no access to health care. They have to travel hundreds of kilometres to receive medical care. In this paper, we will propose a medical network based on state-of-the-art medical imaging application that addresses the problems of providing health care from a distance. Additionally, we are going to show preliminarily results of the first year of the system deployment and utilization in undeserved regions in Brazil. The total number of patients submitted to ultrasound examinations, during the 10 months of projectstextquoteright medical trials, is 321. The exams have begun with the elderly people (hypertension and diabetes cases) with 90% above 50-years-old. Fifty-four percent were male and 46% were female. From those exams, 67 exams (21%) needed a second medical opinion and were transmitted to Santa Casa hospital in Porto Alegre, Brazil, one of the referral medical centres. From those second opinions of Santa Casa, 12 exams had to be repeated since the acquired images were not sufficient to give a correct diagnosis. The Lagoa Tres Cantos medical doctor performed also preventive exams with patients who had not presented any symptoms (70%).
Sachpazidis, Ilias; Konnis, George; Kiefer, Stephan; Rohm, Kerstin; Lozano, Alfonso; Yunda, Leonardo; Selby, Peter; Binotto, Alecio; Messina, Luiz Ary; Sakas, Georgios
T@LEMED: Medical Imaging Tele-cooperation Technologies Providing Medical Services in Latin America Conference
ITAB 2006. Proceedings CD-ROM, 2006.
Abstract | Links | BibTeX | Tags:
@conference{C34-P-17740,
title = {T@LEMED: Medical Imaging Tele-cooperation Technologies Providing Medical Services in Latin America},
author = {Sachpazidis, Ilias and Konnis, George and Kiefer, Stephan and Rohm, Kerstin and Lozano, Alfonso and Yunda, Leonardo and Selby, Peter and Binotto, Alecio and Messina, Luiz Ary and Sakas, Georgios},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2006/06p125.pdf},
year = {2006},
date = {2006-01-01},
booktitle = {ITAB 2006. Proceedings CD-ROM},
pages = {5},
abstract = {Developing countries have very high patients-perdoctor ratios that are a common indicator of the amount of healthcare that exists in a region. As a point of comparison, developed countries such as the US have one doctor for every 200 to 500 people, while developing countries in East Africa have as little as one doctor for every 40,000 people. In Brazil and Colombia the situation is not completely different according to WHO charts. The state of health of a population is a direct determinant of its development, and investment in health is a prerequisite to economic and social progress. Developing countries need low cost, sustainable solutions for the local delivery of primary healthcare and efficient access to medical expertise when needed. T@LEMED project introduces an e-health model to the provision of health services in strongly underserved regions in Colombia and Brazil. The implementation of this model is supported on telehealth technologies as well as on evidence based medicine. The target clinical applications include typical infectious diseases for the region such as malaria and tuberculosis, and general ultrasound applications such as pregnancy control, urology and cardiovascular diagnosis. In this paper we are going to provide information about the deployed medical network and utilization information for the field trials in Brazil and Colombia.},
keywords = {},
pubstate = {published},
tppubtype = {conference}
}
Developing countries have very high patients-perdoctor ratios that are a common indicator of the amount of healthcare that exists in a region. As a point of comparison, developed countries such as the US have one doctor for every 200 to 500 people, while developing countries in East Africa have as little as one doctor for every 40,000 people. In Brazil and Colombia the situation is not completely different according to WHO charts. The state of health of a population is a direct determinant of its development, and investment in health is a prerequisite to economic and social progress. Developing countries need low cost, sustainable solutions for the local delivery of primary healthcare and efficient access to medical expertise when needed. T@LEMED project introduces an e-health model to the provision of health services in strongly underserved regions in Colombia and Brazil. The implementation of this model is supported on telehealth technologies as well as on evidence based medicine. The target clinical applications include typical infectious diseases for the region such as malaria and tuberculosis, and general ultrasound applications such as pregnancy control, urology and cardiovascular diagnosis. In this paper we are going to provide information about the deployed medical network and utilization information for the field trials in Brazil and Colombia.
Binotto, Alecio; Torres, Marcio Soares; Sachpazidis, Ilias; Gomes, Ricardo; Pereira, Carlos Eduardo
T@lemed: um Estudo de Caso de Tele-sa'ude Baseado em Imagens de Ultra-som Conference
Congresso Brasileiro de Inform'atica em Sa'ude (CBIS) 2006. Proceedings, 2006.
Abstract | Links | BibTeX | Tags:
@conference{C34-P-19864,
title = {T@lemed: um Estudo de Caso de Tele-sa'ude Baseado em Imagens de Ultra-som},
author = {Binotto, Alecio and Torres, Marcio Soares and Sachpazidis, Ilias and Gomes, Ricardo and Pereira, Carlos Eduardo},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2006/06p181.pdf},
year = {2006},
date = {2006-01-01},
booktitle = {Congresso Brasileiro de Inform'atica em Sa'ude (CBIS) 2006. Proceedings},
pages = {1273-1277},
abstract = {O crescimento da Internet r'apida (a cabo e tamb'em sem fios, inclusive por sat'elite) no Brasil e o recente avanc co de m'etodos de compress~ao de imagem permitiram a execuc c~ao de tele-consultas interativas baseadas em imagens m'edicas. Atualmente, um dos problemas desafiadores em tele-medicina 'e a teleconsulta em tempo-real em casos de emerg^encia. Neste artigo, descreve-se o Projeto T@lemed no Estado do Rio Grande do Sul e os resultados preliminares em dois anos de operac c~ao. Al'em disso, apresenta-se a extens~ao do projeto no Estado do Par'a, atrav'es de comunicac c~ao via sat'elite. A plataforma de tele-medicina usada pode realizar tele-consultas baseadas em imagens do tipo on-line (tele-consulta em tempo-real) ou off-line. The growth of fast wired and wireless internet (including communication via satellite) in Brazil and the recent advance of image compression methods allowed rapid tele-consultation based on medical images. At the present time, one of the challenging problems in tele-medicine is the real-time teleconsultation in case of emergency. In this paper, the ongoing T@lemed Project in the State of Rio Grande do Sul is described and the preliminarily results acquired during two years of operation are presented. In addition, we describe its extension in the Par'a State, through a satellite communication. The platform, used for medical tele-consultations, is able to perform both on-line (in real-time) and off-line image-based teleconsultations over the Internet connection.},
keywords = {},
pubstate = {published},
tppubtype = {conference}
}
O crescimento da Internet r'apida (a cabo e tamb'em sem fios, inclusive por sat'elite) no Brasil e o recente avanc co de m'etodos de compress~ao de imagem permitiram a execuc c~ao de tele-consultas interativas baseadas em imagens m'edicas. Atualmente, um dos problemas desafiadores em tele-medicina 'e a teleconsulta em tempo-real em casos de emerg^encia. Neste artigo, descreve-se o Projeto T@lemed no Estado do Rio Grande do Sul e os resultados preliminares em dois anos de operac c~ao. Al'em disso, apresenta-se a extens~ao do projeto no Estado do Par'a, atrav'es de comunicac c~ao via sat'elite. A plataforma de tele-medicina usada pode realizar tele-consultas baseadas em imagens do tipo on-line (tele-consulta em tempo-real) ou off-line. The growth of fast wired and wireless internet (including communication via satellite) in Brazil and the recent advance of image compression methods allowed rapid tele-consultation based on medical images. At the present time, one of the challenging problems in tele-medicine is the real-time teleconsultation in case of emergency. In this paper, the ongoing T@lemed Project in the State of Rio Grande do Sul is described and the preliminarily results acquired during two years of operation are presented. In addition, we describe its extension in the Par'a State, through a satellite communication. The platform, used for medical tele-consultations, is able to perform both on-line (in real-time) and off-line image-based teleconsultations over the Internet connection.
2005
Sachpazidis, Ilias; Ohl, Roland; Polanczyk, C. A.; Torres, M. S.; Messina, Luiz Ary; Sales, A.; Sakas, Georgios
27th Annual Conference of the 2005 IEEE Engineering in Medicine and Biology. Proceedings CD-ROM, 2005.
Abstract | Links | BibTeX | Tags:
@conference{C34-P-16627,
title = {Applying Telemedicine to Remote and Rural Underserved Regions in Brazil Using eMedical Consulting Tool},
author = {Sachpazidis, Ilias and Ohl, Roland and Polanczyk, C.A. and Torres, M.S. and Messina, Luiz Ary and Sales, A. and Sakas, Georgios},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2005/05p165.pdf},
year = {2005},
date = {2005-01-01},
booktitle = {27th Annual Conference of the 2005 IEEE Engineering in Medicine and Biology. Proceedings CD-ROM},
pages = {5},
abstract = {In this paper, we are going to depict a medical tele-consultation network for medical imaging that has been deployed in Brazil. Preliminary outcomes of the medical network will be presented. In addition, the medical application used for tele-consultations will be shown. Eighty nine ultrasound acquisitions took place in the period of five months of the operation of the medical network and five hundred fifty six medical consultations performed.},
keywords = {},
pubstate = {published},
tppubtype = {conference}
}
In this paper, we are going to depict a medical tele-consultation network for medical imaging that has been deployed in Brazil. Preliminary outcomes of the medical network will be presented. In addition, the medical application used for tele-consultations will be shown. Eighty nine ultrasound acquisitions took place in the period of five months of the operation of the medical network and five hundred fifty six medical consultations performed.
Hohlfeld, Oliver
Entwicklung eines Instant Messaging basierten Kommunikationsmoduls f"ur telemedizinische Anwendungen Book
2005.
Abstract | Links | BibTeX | Tags:
@book{C34-P-15914,
title = {Entwicklung eines Instant Messaging basierten Kommunikationsmoduls f"ur telemedizinische Anwendungen},
author = {Hohlfeld, Oliver},
editor = {Sachpazidis, Ilias},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/theses/2005/Hohlfeld_Bachelor.pdf},
year = {2005},
date = {2005-01-01},
abstract = {Durch Telemedizin kann in schwach besiedelten Regionen oder Krisengebieten vielmals die medizinische Versorgung der Bev"olkerung verbessert werden. In unklaren F"allen kann der behandelnde Arzt Aufnahmen, beispielsweise Ultraschallbilder, anfertigen und per Computer innerhalb k"urzester Zeit an einen Spezialisten schicken. Hierf"ur muss der Patient keine lange Reise antreten. Ein solches telemedizinisches Projekt des Fraunhofer IGD ist das TeleInViVo-System. Die Kommunikationsschicht beruht dabei auf direkten TCP-Verbindungen, die durch Firewallsysteme zunehmend Schwierigkeiten bekommt. Des Weiteren erweist sich die Adressierung der "Arzte "uber IP-Adressen in der Praxis als umst"andlich. Diese sind schwer zu merken und erlauben durch h"aufige IP Wechsel nur eine ungen"ugende Mobilit"at. Die vorliegende Bachelorarbeit untersucht einen Instant Messaging basierten Ansatz f"ur die Kommunikationsschicht des TeleInViVo-Projektes. Wesentliche Ziele dieser Arbeit sind es Firewallbarrieren weitestgehend zu umgehen und die, f"ur "Arzte, m"uhsame Adressierung "uber IP-Adressen zu l"osen. Als Instant Messaging-Protokoll wird das freie Jabber/XMPP-Protokoll verwendet. Die Adressierung erfolgt nun "uber Jabber-Adressen, die im Wesentlichen keine "Anderungen erfahren und f"ur "Arzte einfacher zu handhaben sind. Die sensiblen Patientendaten werden auf der "Ubertragungsebene durch das SSL/TLS-Protokoll gesch"utzt. Firewallbarrieren werden durch den Einsatz von zentralen Instant Messaging-Servern und Proxy-Technologien weitestgehend umgangen. Durch das HTTP-Polling Jabber-Zusatzprotokoll gen"ugt eine einfache HTTP-Verbindung zum Datenaustausch. Ein Schwerpunkt dieser Arbeit liegt in der Auswahl, Bewertung und Spezifizierung von Protokollen f"ur den Austausch von medizinischen Daten "uber Jabber/XMPP. Hierbei sind zum einen Daten, wie beispielsweise Ultraschallbilder oder Laborwerte und zum anderen Mausaktionen, wie Mausklicks oder Mausbewegungen zu "ubertragen. F"ur die Daten"ubertragung wird ein bestehendes Protokoll erweitert und f"ur die "Ubertragung von Mausaktionen ein neues Protokoll spezifiziert. Einige der vorgestellten Konzepte werden anschließend implementiert, getestet und bewertet.},
keywords = {},
pubstate = {published},
tppubtype = {book}
}
Durch Telemedizin kann in schwach besiedelten Regionen oder Krisengebieten vielmals die medizinische Versorgung der Bev"olkerung verbessert werden. In unklaren F"allen kann der behandelnde Arzt Aufnahmen, beispielsweise Ultraschallbilder, anfertigen und per Computer innerhalb k"urzester Zeit an einen Spezialisten schicken. Hierf"ur muss der Patient keine lange Reise antreten. Ein solches telemedizinisches Projekt des Fraunhofer IGD ist das TeleInViVo-System. Die Kommunikationsschicht beruht dabei auf direkten TCP-Verbindungen, die durch Firewallsysteme zunehmend Schwierigkeiten bekommt. Des Weiteren erweist sich die Adressierung der "Arzte "uber IP-Adressen in der Praxis als umst"andlich. Diese sind schwer zu merken und erlauben durch h"aufige IP Wechsel nur eine ungen"ugende Mobilit"at. Die vorliegende Bachelorarbeit untersucht einen Instant Messaging basierten Ansatz f"ur die Kommunikationsschicht des TeleInViVo-Projektes. Wesentliche Ziele dieser Arbeit sind es Firewallbarrieren weitestgehend zu umgehen und die, f"ur "Arzte, m"uhsame Adressierung "uber IP-Adressen zu l"osen. Als Instant Messaging-Protokoll wird das freie Jabber/XMPP-Protokoll verwendet. Die Adressierung erfolgt nun "uber Jabber-Adressen, die im Wesentlichen keine "Anderungen erfahren und f"ur "Arzte einfacher zu handhaben sind. Die sensiblen Patientendaten werden auf der "Ubertragungsebene durch das SSL/TLS-Protokoll gesch"utzt. Firewallbarrieren werden durch den Einsatz von zentralen Instant Messaging-Servern und Proxy-Technologien weitestgehend umgangen. Durch das HTTP-Polling Jabber-Zusatzprotokoll gen"ugt eine einfache HTTP-Verbindung zum Datenaustausch. Ein Schwerpunkt dieser Arbeit liegt in der Auswahl, Bewertung und Spezifizierung von Protokollen f"ur den Austausch von medizinischen Daten "uber Jabber/XMPP. Hierbei sind zum einen Daten, wie beispielsweise Ultraschallbilder oder Laborwerte und zum anderen Mausaktionen, wie Mausklicks oder Mausbewegungen zu "ubertragen. F"ur die Daten"ubertragung wird ein bestehendes Protokoll erweitert und f"ur die "Ubertragung von Mausaktionen ein neues Protokoll spezifiziert. Einige der vorgestellten Konzepte werden anschließend implementiert, getestet und bewertet.
Sachpazidis, Ilias; Hohlfeld, Oliver; Ohl, Roland
Implementation of a Jabber-Based Medical Tele-Consulting Application Conference
INC 2005. Proceedings of the 5th International Network Conference, 2005.
Links | BibTeX | Tags: eHealth, Imaging, Instant messaging, Medical protocols
@conference{C34-P-16444,
title = {Implementation of a Jabber-Based Medical Tele-Consulting Application},
author = {Sachpazidis, Ilias and Hohlfeld, Oliver and Ohl, Roland},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2005/05p133.pdf},
year = {2005},
date = {2005-01-01},
booktitle = {INC 2005. Proceedings of the 5th International Network Conference},
pages = {527-534},
keywords = {eHealth, Imaging, Instant messaging, Medical protocols},
pubstate = {published},
tppubtype = {conference}
}
Sachpazidis, Ilias; Hohlfeld, Oliver
Instant Messaging Communication Gateway for Medical Applications Conference
Proceedings of the IASTED International Conference on Telehealth, 2005.
Abstract | Links | BibTeX | Tags:
@conference{C34-P-16239,
title = {Instant Messaging Communication Gateway for Medical Applications},
author = {Sachpazidis, Ilias and Hohlfeld, Oliver},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2005/05p101.pdf},
year = {2005},
date = {2005-01-01},
booktitle = {Proceedings of the IASTED International Conference on Telehealth},
pages = {12-16},
abstract = {Internet has changed the way of how people communicate and exchange information. Enduringly, more and more doctors are getting familiar with internet and the offered capabilities. Hospitals are interconnected, making use of internet, forming medical information networks. The doctors exchange information with the help of internet. A very common way of communication is the electronic email even when a doctor looks for a second opinion from another expert doctor. In the market, various medical applications for tele-consultation can be found. Some of them are web based and others are stand alone applications. In this paper we will propose a comminication gateway, based on Jabber instant massaging protocol, for modern and demanding medical applications, focusing on teleconsultations applications. The proposed gateway is able to handle connections restricted by firewalls and makes use of potential available proxies inside of a network. In addition, we will address the problems related to firewalls and proxies and will proposed a new way of communication for medical applications based on Jabber an instant massaging protocol. Furthermore, in order to handle binary data transmission to an offline entity over a Jabber network, we proposed an extension to In-Band Byte streams communication protocol.},
keywords = {},
pubstate = {published},
tppubtype = {conference}
}
Internet has changed the way of how people communicate and exchange information. Enduringly, more and more doctors are getting familiar with internet and the offered capabilities. Hospitals are interconnected, making use of internet, forming medical information networks. The doctors exchange information with the help of internet. A very common way of communication is the electronic email even when a doctor looks for a second opinion from another expert doctor. In the market, various medical applications for tele-consultation can be found. Some of them are web based and others are stand alone applications. In this paper we will propose a comminication gateway, based on Jabber instant massaging protocol, for modern and demanding medical applications, focusing on teleconsultations applications. The proposed gateway is able to handle connections restricted by firewalls and makes use of potential available proxies inside of a network. In addition, we will address the problems related to firewalls and proxies and will proposed a new way of communication for medical applications based on Jabber an instant massaging protocol. Furthermore, in order to handle binary data transmission to an offline entity over a Jabber network, we proposed an extension to In-Band Byte streams communication protocol.
Sachpazidis, Ilias; Majadas, Maria
Medication Adherence Monitoring System Elaborating HL7 Messages Conference
Proceedings of the 3rd International Conference on Information Communication Technologies in Health, 2005.
Links | BibTeX | Tags: eHealth, HL7, Medication adherence, Telemedicine
@conference{C34-P-16441,
title = {Medication Adherence Monitoring System Elaborating HL7 Messages},
author = {Sachpazidis, Ilias and Majadas, Maria},
url = {https://ini.igd.fraunhofer.de/bibcd/INI_Science/papers/2005/05p132.pdf},
year = {2005},
date = {2005-01-01},
booktitle = {Proceedings of the 3rd International Conference on Information Communication Technologies in Health},
pages = {216-225},
keywords = {eHealth, HL7, Medication adherence, Telemedicine},
pubstate = {published},
tppubtype = {conference}
}