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A generic telemedicine infrastructure for monitoring an artificial pancreas trial

机译:用于监视人工胰腺试验的通用远程医疗基础设施

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摘要

Telemedicine systems are seen as a possible solution for the remote monitoring of physiological parameters and can be particularly useful for chronic patients treated at home. Implementing those systems however has always required spending a great effort on the underlying infrastructure instead of focusing on the application cores as perceived by their users. This paper proposes an abstract unifying infrastructure for telemedicine services which is loosely based on the multi-agent paradigm. It provides the capability of transferring to the clinic any remotely acquired information, and possibly sending back updates to the patient. The infrastructure is a layered one, with the bottom layer acting at the data level and implemented in terms of a software library targeting a wide set of hardware devices. On top of this infrastructure several services can be written shaping the functionality of the telemedicine application while at the highest level, adhering to a simple agent model, it is possible to reuse those functional components porting the application to different platforms. The infrastructure has been successfully used for implementing a telemonitoring service for a randomized controlled study aimed at testing the effectiveness of the artificial pancreas as a treatment within the AP@home project funded by the European Union.
机译:远程医疗系统被视为远程监视生理参数的可能解决方案,对于在家中接受治疗的慢性患者尤其有用。但是,实施这些系统始终需要在基础架构上花费大量精力,而不是专注于用户所感知的应用程序核心。本文提出了一种抽象的远程医疗服务统一基础架构,它是基于多代理范式的。它提供了将任何远程获取的信息传输到诊所的功能,并可能将更新发送回患者。基础架构是一个分层的基础架构,其底层在数据级别起作用,并根据针对各种硬件设备的软件库来实现。在此基础架构之上,可以编写一些服务来塑造远程医疗应用程序的功能,而在最高级别上,遵循简单的代理模型,可以复用将应用程序移植到不同平台的那些功能组件。该基础架构已成功用于一项随机对照研究的远程监控服务,该研究旨在测试人造胰腺作为欧盟资助的AP @ home项目内治疗的有效性。

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