Volume 2 Issue 3

Authors: Yutaka Yutaka HATA; Osamu Ishikawa; Hiroshi Nakajima

Abstract: This paper describes a system of systems for elderly heath care. The system consists of three systems: one is the system that detects heart rate, which provides the condition of autonomous nerve system. The second one is the system detecting respiration. Third one is the system detectingthe sound to do suctiontreatment of phlegm. In them we emply non-contacted three senors. An ultrasonic oscillosensor touched to bed frame, an air pressure mat with an air tube in bed and PCM Recorder with microphone are employed. The system of systems can detect heart rate, respiration and sound to dosuctiontreatment of phlegm. This system assesses autonomous nerve system from the heart rate.

Keywords: Health Care; Medical Engineering; Fuzzy Logic; Sensor Network; Heart Rates

Doi:10.5963/PHF0203007

Authors: Adrienne Katner; Mei-Hung Sun; Ebenezer Ogunyinka; Shannon Soileau; Dianne Dugas; Mel Suffet

Abstract: State fish consumption advisories provide meal limit recommendations for recreationally-caught fish. In Louisiana, these recommendations are based on species-specific fish tissue contaminant concentrations, and default assumptions about fish consumption. This approach can lead to advisories for infrequently eaten species, and inappropriately targeted monitoring and outreach activities. The goal of this study is to identify and prioritize species, populations and areas of potential concern based on a screen of mercury intake. Mercury doses were estimated based on species-specific fish consumption data from a population-based survey of Louisiana’s recreational fishers (n=1774), and regional fish tissue mercury concentration data (n=15,030). Estimates of species-specific mercury doses were derived for each survey respondent based on mean and 90th percentile fish tissue mercury levels. Mercury exposure distributions for various species and sub-populations were compared to the U.S. Environmental Protection Agency’s health-based standard for methyl-mercury. As children and commercial and subsistence fishers were not surveyed, conclusions presented here are only applicable to adult recreational fishers, who are expected to eat less fish than commercial and subsistence fishers. Species with the largest number of at-risk fishers were drum (primarily red drum), speckled trout, catfish, crappie, bass and bream. Populations of potential concern included women of childbearing age; African- and Native-Americans; fishers from northern Louisiana; and fishers with Hook and Line and Basic licenses. Results were used to make recommendations to optimize monitoring, advisory development and outreach activities. This study demonstrates the importance of collecting fish consumption data for ensuring adequate public health protection.

Keywords: Mercury; Fish; Advisory; Risk; Louisiana

Doi:10.5963/PHF0203005

Authors: Mo Xiao

Abstract: The influence of media in public health events is discussed. It is revealed that both media and public health are common in object and characteristic. The relationship between media and public health is briefly illuminated. Subsequently, the ways of media in improving public health is elucidated. In addition, some suggestions for the government, special organization and community are presented as well.

Keywords: Media; Public Health; Role; Relationship

Doi:10.5963/PHF0203006

Authors: Antti Koivisto; Sari Merilampi; Kristian Kiili; Juho Salli; Andrew Sirkka

Abstract: Social isolation and lack of exercise have become serious problems that people face in assisted living conditions. One of the reasons is a lack of resources - funds and professional staff. In this paper, a new recreation and self-rehabilitation tool – a mobile exergame - is developed to provide a partial solution to the problem. Mobile exergames are played with a mobile phone by body movements, thus providing both physical and mental exercise. The games were tested with groups of older adults and people with intellectual disabilities, and tailored for these particular user groups. The gaming situations were followed by the researchers and members of the professional staff. After the gaming events, the test groups and the members of the professional staff concerned were interviewed in order to obtain background information on the participants and their experiences with the games. Both user groups responded well to the games. The results of the test event for persons with learning disabilities imply that the game events provided a new recreation session: a social event with light exercise and cognitive stimuli. Likewise, the older adults’ overall experiences of mobile phone controlled gaming appeared to be a successful experiment, offering a potential tool for self-motivated rehabilitation and recreation. However, further development of the exergame concept will require dedicated collaboration with game designers, health care professionals and the user groups.

Keywords: Recreation; Rehabilitation; Older Adults; Intellectually Disabled; Exergames; Mobile Technology

Doi:10.5963/PHF0203001

Authors: Juha Juha Puustj?rvi; Leena Puustj?rvi

Abstract: Patient centered healthcare is based on the assumption that physicians, patients and their families have the ability to obtain and understand health information and services, and make appropriate health decisions. This in turn presumes that patient’s personal health information is presented according to individuals understanding and abilities. Based on this argument our research has focused on analysing whether the existing PHRs (Personal Health Records) support patient centered healthcare in an appropriate way. The analysis of these questions led to the introduction of the Personal Health Book (PHB). It is an extension of PHR in that all healthcare providers augment the PHB by links to relevant information entities. We can exploit cloud computing in accessing the PHB as anyone with a suitable Internet connection and a standard browser can access an application in a cloud. In this paper we consider two approaches for maintaining PHBs: one extends XML based PHRs while the other exploits semantic web technologies in PHBs’ implementation. In particular, we present the advantages that can be achieved in using cloud computing and semantic web technologies such as RDF and OWL.

Keywords: Patient Centered Healthcare; Personal Health Records; Information Therapy; Drug Therapy; Semantic Web; Ontologies, XML, RDF, OWL

Doi:10.5963/PHF0203004

Authors: Mochizuki Y.; Tokutake K.; Tomisaki E.; Watanabe T.; Tanaka E.; Anme T.

Abstract: The purpose of this study was to validate the Index of Child Care Environment (ICCE) as an evidence-based practical assessment of children’s home environments. Two hundred and eighty-six dyads of toddlers and their mothers participated in the study. Trained professionals evaluated participants with the ICCE and Home Observation for Measurement of the Environment (HOME) during home visits. We found a correlation of 0.76 between the ICCE and HOME, and a reproducibility coefficient of 0.91. Thus, the ICCE is able to measure the child care environment with high validity and reliability, making it a helpful tool for understanding whether a child’s environment is conducive to healthy development. The limitation of ICCE is that it has the bias of questionnaire.

Keywords: Home Environment; Child; Evaluation; Scale; Child Development

Doi:10.5963/PHF0203003

Authors: Jui-Chiao Tseng

Abstract: The purpose of this study is to integrate fuzzy clustering algorithm based on common Mahalanobis distance. Fuzzy clustering could distinguish characteristics of concept structures on nursing. Finally, some limitations and suggestions of this study are discussed. It shows that knowledge structures will be feasible for remedial instruction and help students get more chance to get professional certification on nurses. Based on the findings and results, combined with fuzzy clustering algorithm based on normalized Mahalanobis distance could be very feasible for cognition diagnosis in the future.

Keywords: Fuzzy Clustering Algorithm; Nursing

Doi:10.5963/PHF0203002