Health Information Technology Commons^™

Ecu-Ioht, Mohiuddin Ahmed, Surender Byreddy, Anush Nutakki, Leslie F. Sikos, Paul Haskell-Dowland

Research Datasets

In recent times, cyberattacks on Internet of Health Things (IoHT) have continuously been growing, and so it is important to develop robust countermeasures. However, there is a lack of publicly available datasets reflecting cyberattacks on IoHT, mainly due to privacy concerns. To strengthen the cyber security of IoHT, we have developed the dataset, named ECU-IoHT, that is built upon an IoHT environment having different attacks performed that exploit various vulnerabilities. This dataset was designed to help the healthcare security community in analyzing attack behaviour and developing robust countermeasures. To the best of our knowledge, no other publicly available datasets have …

Lightweight Sharable And Traceable Secure Mobile Health System, Yang Yang, Ximeng Liu, Robert H. Deng, Yingjiu Li

Research Collection School Of Computing and Information Systems

Mobile health (mHealth) has emerged as a new patient centric model which allows real-time collection of patient data via wearable sensors, aggregation and encryption of these data at mobile devices, and then uploading the encrypted data to the cloud for storage and access by healthcare staff and researchers. However, efficient and scalable sharing of encrypted data has been a very challenging problem. In this paper, we propose a Lightweight Sharable and Traceable (LiST) secure mobile health system in which patient data are encrypted end-to-end from a patient’s mobile device to data users. LiST enables efficient keyword search and finegrained access …

Electrospinning Piezoelectric Fibers For Biocompatible Devices, Bahareh Azimi, Mario Milazzo, Andrea Lazzeri, Stefano Berrettini, M. Jasim Uddin, Zhao Qin, Markus J. Buehler, Serena Danti

School of Integrative Biological & Chemical Sciences (Formerly Dept. of Chemistry)

The field of nanotechnology has been gaining great success due to its potential in developing new generations of nanoscale materials with unprecedented properties and enhanced biological responses. This is particularly exciting using nanofibers, as their mechanical and topographic characteristics can approach those found in naturally occurring biological materials. Electrospinning is a key technique to manufacture ultrafine fibers and fiber meshes with multifunctional features, such as piezoelectricity, to be available on a smaller length scale, thus comparable to subcellular scale, which makes their use increasingly appealing for biomedical applications. These include biocompatible fiber-based devices as smart scaffolds, biosensors, energy harvesters, and …

Objective Sleep Quality As A Predictor Of Mild Cognitive Impairment In Seniors Living Alone, Brian Chen, Hwee-Pink Tan, Irus Rawtaer, Hwee Xian Tan

Research Collection School Of Computing and Information Systems

Singapore has the fastest ageing population in the Asia Pacific region, with an estimated 82,000 seniors living with dementia. These figures are projected to increase to more than 130,000 by 2030. The challenge is to identify more community dwelling seniors with Mild Cognitive Impairment (MCI), a prodromal state, as it provides an opportunity for evidence-based early intervention to delay the onset of dementia. In this paper, we explore the use of Internet of Things (IoT) systems in detecting MCI symptoms in seniors who are living alone, and accurately grouping them into MCI positive and negative subjects. We present feature extraction …

Improving Medication Information Presentation Through Interactive Visualization In Mobile Apps: Human Factors Design, Don Roosan, Yan Li, Anandi Law, Huy Truong, Mazharul Karim, Jay Chok, Moom Roosan

Pharmacy Faculty Articles and Research

Background: Despite the detailed patient package inserts (PPIs) with prescription drugs that communicate crucial information about safety, there is a critical gap between patient understanding and the knowledge presented. As a result, patients may suffer from adverse events. We propose using human factors design methodologies such as hierarchical task analysis (HTA) and interactive visualization to bridge this gap. We hypothesize that an innovative mobile app employing human factors design with an interactive visualization can deliver PPI information aligned with patients’ information processing heuristics. Such an app may help patients gain an improved overall knowledge of medications.

Objective: The …

Smrtfridge: Iot-Based, User Interaction-Driven Food Item & Quantity Sensing, Amit Sharma, Archan Misra, Vengateswaran Subramaniam, Youngki Lee

Research Collection School Of Computing and Information Systems

We present SmrtFridge, a consumer-grade smart fridge prototype that demonstrates two key capabilities: (a) identify the individual food items that users place in or remove from a fridge, and (b) estimate the residual quantity of food items inside a refrigerated container (opaque or transparent). Notably, both of these inferences are performed unobtrusively, without requiring any explicit user action or tagging of food objects. To achieve these capabilities, SmrtFridge uses a novel interaction-driven, multi-modal sensing pipeline, where Infrared (IR) and RGB video sensing, triggered whenever a user interacts naturally with the fridge, is used to extract a foreground visual image of …

Estimating Glycemic Impact Of Cooking Recipes Via Online Crowdsourcing And Machine Learning, Helena Lee, Palakorn Achananuparp, Yue Liu, Ee-Peng Lim, Lav R. Varshney

Research Collection School Of Computing and Information Systems

Consumption of diets with low glycemic impact is highly recommended for diabetics and pre-diabetics as it helps maintain their blood glucose levels. However, laboratory analysis of dietary glycemic potency is time-consuming and expensive. In this paper, we explore a data-driven approach utilizing online crowdsourcing and machine learning to estimate the glycemic impact of cooking recipes. We show that a commonly used healthiness metric may not always be effective in determining recipes suitable for diabetics, thus emphasizing the importance of the glycemic-impact estimation task. Our best classification model, trained on nutritional and crowdsourced data obtained from Amazon Mechanical Turk (AMT), can …

Characterizing And Predicting Repeat Food Consumption Behavior For Just-In-Time Interventions, Yue Liu, Helena Huey Chong Lee, Palakorn Achananuparp, Ee-Peng Lim, Tzu-Ling Cheng, Shou-De Lin

Research Collection School Of Computing and Information Systems

Human beings are creatures of habit. In their daily life, people tend to repeatedly consume similar types of food items over several days and occasionally switch to consuming different types of items when the consumptions become overly monotonous. However, the novel and repeat consumption behaviors have not been studied in food recommendation research. More importantly, the ability to predict daily eating habits of individuals is crucial to improve the effectiveness of food recommender systems in facilitating healthy lifestyle change. In this study, we analyze the patterns of repeat food consumptions using large-scale consumption data from a popular online fitness community …

Vitamon: Measuring Heart Rate Variability Using Smartphone Front Camera, Sinh Huynh, Rajesh Krishna Balan, Jeonggil Ko, Youngki Lee

Research Collection School Of Computing and Information Systems

We present VitaMon, a mobile sensing system that can measure the inter-heartbeat interval (IBI) from the facial video captured by a commodity smartphone's front camera. The continuous IBI measurement is used to compute heart rate variability (HRV), one of the most important markers of the autonomic nervous system (ANS) regulation. The underlying idea of VitaMon is that video recording of human face contains multiple cardiovascular pulse signals with different phase shift. Our measurement on 10 participants shows the significant time delay (36.79 ms) between the pulse signals measured at the jaw region and forehead region. VitaMon leverages deep neural network …

Artificial Intelligence And The Challenge For Rural Medicine, James Denvir

Marshall Journal of Medicine

Recent advances in artificial intelligence, machine learning, and deep learning are beginning to have an impact on everyday experiences, from natural language processing used in automated telephone call centers to semi-autonomous vehicles. These techniques have also been applied to medical care. In this editorial we discuss applications of AI to medicine and argue for a proactive approach to include rural medicine in this paradigm shift.

Population Health Management, Data And Technology, Helena Ladd, Cody Hepp, Anna Mccloud, Hannah Granger, Mary Ellen Hethcox, Samuel Calabrese

Pharmacy and Wellness Review

No abstract provided.

Smartbfa: A Passive Crowdsourcing System For Point-To-Point Barrier-Free Access, Mohammed Nazir Kamaldin, Susan Kee, Songwei Kong, Chengkai Lee, Huiguang Liang, Alisha Saini, Hwee-Pink Tan, Hwee Xian Tan

Research Collection School Of Computing and Information Systems

At the Bloomberg Live `Sooner Than You Think' forum [1] held in Singapore in 2018, nearly 75% of delegates picked inclusiveness to be the key measure of success for a smart city. An inclusive smart city is a citizen-centered approach that extends the experiences provided by smart city solutions to all citizens, including seniors and persons with disabilities (PwDs).Despite existing regulations on barrier-free accessibility for buildings and public infrastructure, pedestrian infrastructure is generally still inaccessible to PwDs in many parts of the world. In this paper, we present SmartBFA (Smart Mobility and Accessibility for Barrier Free Access) - a publicly-funded …

Foodai: Food Image Recognition Via Deep Learning For Smart Food Logging, Doyen Sahoo, Hao Wang, Ke Shu, Xiongwei Wu, Hung Le, Palakorn Achananuparp, Ee-Peng Lim, Hoi, Steven C. H.

Research Collection School Of Computing and Information Systems

An important aspect of health monitoring is effective logging of food consumption. This can help management of diet-related diseases like obesity, diabetes, and even cardiovascular diseases. Moreover, food logging can help fitness enthusiasts, and people who wanting to achieve a target weight. However, food-logging is cumbersome, and requires not only taking additional effort to note down the food item consumed regularly, but also sufficient knowledge of the food item consumed (which is difficult due to the availability of a wide variety of cuisines). With increasing reliance on smart devices, we exploit the convenience offered through the use of smart phones …

Identifying Depression In The National Health And Nutrition Examination Survey Data Using A Deep Learning Algorithm, Jihoon Oh, Kyongsik Yun, Uri Maoz, Tae-Suk Kim, Jeong-Ho Chae

Psychology Faculty Articles and Research

Background

As depression is the leading cause of disability worldwide, large-scale surveys have been conducted to establish the occurrence and risk factors of depression. However, accurately estimating epidemiological factors leading up to depression has remained challenging. Deep-learning algorithms can be applied to assess the factors leading up to prevalence and clinical manifestations of depression.

Methods

Customized deep-neural-network and machine-learning classifiers were assessed using survey data from 19,725 participants from the NHANES database (from 1999 through 2014) and 4949 from the South Korea NHANES (K-NHANES) database in 2014.

Results

A deep-learning algorithm showed area under the receiver operating characteristic curve (AUCs) …

Social Media Text Mining Framework For Drug Abuse: An Opioid Crisis Case Analysis, Tareq Nasralah

Masters Theses & Doctoral Dissertations

Social media is considered as a promising and viable source of data for gaining insights into various disease conditions, patients’ attitudes and behaviors, and medications. The daily use of social media provides new opportunities for analyzing several aspects of communication. Social media as a big data source can be used to recognize communication and behavioral themes of problematic use of prescription drugs. Mining and analyzing such media have challenges and limitations with respect to topic deduction and data quality. There is a need for a structured approach to efficiently and effectively analyze social media content related to drug abuse in …

Deep Ecg Estimation Using A Bed-Attached Geophone, Jae Yeon Park, Hyeon Cho, Wonjun Hwang, Rajesh Krishna Balan, Jeong Gil Ko

Research Collection School Of Computing and Information Systems

Electrocardiogram (ECG) signals offer rich information for analyzing and understanding the cardiac activity of a person. The continuous monitoring of ECG can help diagnose cardiac disorders, such as arrhythmia, effectively. While many wearable healthcare platforms offer continuous ECG monitoring, these devices are cumbersome in the fact that they need to be continuously attached to the human body, which causes uncomfortableness, and limits their usage when monitoring a person's ECG throughout the night as they sleep. In this work, we propose a fully non-intrusive sensing system for monitoring the ECG of a person while in bed. Specifically, we present Heartquake, a …

Cinema: Efficient And Privacy-Preserving Online Medical Primary Diagnosis With Skyline Query, Jianfeng Hua, Hui Zhu, Fengwei Wang, Ximeng Liu, Rongxing Lu, Hao Li, Yeping Zhang

Research Collection School Of Computing and Information Systems

Online medical primary diagnosis system, which can provide convenient medical decision support through applying mobile communication and data analysis technology, has been considered as a promising approach to improve the quality of healthcare service. However, it still faces many severe challenges on the privacy of users' health information and the accuracy of diagnosis result, which deter the wide adoption of online medical primary diagnosis system. In this paper, we propose an efficient and privacy-preserving online medical primary diagnosis (CINEMA) framework. Within CINEMA framework, users can access online medical primary diagnosing service accurately without divulging their medical data. Specifically, based on …

Evaluating An Electronic Protocol In A Pediatric Intensive Care Unit, Jeanette Rose

UNO Student Research and Creative Activity Fair

A team of clinicians at Children’s Hospital and Medical Center (CHMC) developed a standardized protocol in 2018 for the care of patients needing sedation. This protocol is ordered through the EPIC electronic health record system for patients in the pediatric intensive care unit (PICU). When used, electronic protocols reduce the variation in clinical decision making which can ultimately improve patient outcomes. The goal of this project is to evaluate this technology, how the protocol is being used, and how it may be improved. Actual users of the EPIC sedation protocol were the subjects of this study, including PICU physicians, physician …

The Effect Of Arm Swing On Countermovement Vertical Jump Performance, Arash Mohammadzadeh Gonabadi

UNO Student Research and Creative Activity Fair

Vertical jumping is one of the popular ways to evaluate ankle-knee efficiency in athletic population. Arm swing can play a crucial role in enhancing vertical jump performance. This study aimed to address the differences in kinetic and kinematic parameters during countermovement jump motion with arm swing (AS) and no arm swing (NAS). We used OpenSim to examine the efficacy of AS in reducing the impulse applied to the body and changes in range of lower limb joint angles at landing instant. We calculated the maximum vertical peak of the ground reaction force and impulse generated at landing in two different …

Estimating Variations In Metabolic Cost Within The Stride Cycle During Level And Uphill Walking, Arash Mohammadzadeh Gonabadi

UNO Student Research and Creative Activity Fair

Indirect calorimetry provides the average cost of a stride cycle and prevents from identifying which part of the gait cycle causes increased metabolic cost in patients, however, recent simulation methods allow estimating the time profile of metabolic cost within the stride cycle. In this study, we compare the estimations of the time profile of the metabolic cost of two simulation methods for level and uphill walking. We used kinematic, kinetic and electromyography data from level and uphill walking (one participant) to estimate the time profiles of metabolic cost using the muscle-level metabolic model of Umberger using electromyography and kinematic data …

Design And Assessment Of Myoelectric Games For Prosthesis Training Of Upper Limb Amputees, Meeralakshmi Radhakrishnan, Asim Smailagic, Brian French, Daniel P. Siewiorek, Rajesh Krishna Balan

Research Collection School Of Computing and Information Systems

In this paper, we present the design and evaluation of our system, which provides an engaging game-based pre-prosthesis training environment for upper limb transradial amputees. We believe that patients who train using such a training tool will demonstrate significantly higher improvement in functional performance tests using a myoelectric prosthesis than when conventional pre-prosthesis training protocols are used. We re-designed two simple games to be playable using three muscle contractions which are appropriate to pre-prosthesis exercises and are detected by an EMG-based arm sleeve. Through user studies conducted with 16 non-amputee subjects, we show that the proposed games are enjoyable, fun …

Reimagining Medical Education In The Age Of Ai, Steven A. Wartman, C. Donald Combs

Computational Modeling & Simulation Engineering Faculty Publications

Available medical knowledge exceeds the organizing capacity of the human mind, yet medical education remains based on information acquisition and application. Complicating this information overload crisis among learners is the fact that physicians' skill sets now must include collaborating with and managing artificial intelligence (AI) applications that aggregate big data, generate diagnostic and treatment recommendations, and assign confidence ratings to those recommendations. Thus, an overhaul of medical school curricula is due and should focus on knowledge management (rather than information acquisition), effective use of AI, improved communication, and empathy cultivation.

Usability Challenges With Insulin Pump Devices In Diabetes Care: What Trainers Observe With First-Time Pump Users, Helen Birkmann Hernandez

CCAC Theses and Dissertations

Insulin pumps are designed for the self-management of diabetes mellitus in patients and are known for their complexity of use. Pump manufacturers engage trainers to teach patients how to use the devices correctly to control the symptoms of their disease. Usability research related to insulin pumps and other infusion pumps with first-time users as participants has centered on the relationship between user interface design and the effectiveness of task completion. According to prior research, the characteristics of system behavior in a real life environment remain elusive. A suitable approach to acquire information about potential usability problems encountered by first-time users …

Statistical Methods For Joint Analysis Of Multiple Phenotypes And Their Applications For Phewas, Xueling Li

Dissertations, Master's Theses and Master's Reports

Genome-wide association studies (GWAS) have successfully detected tens of thousands of robust SNP-trait associations. Earlier researches have primarily focused on association studies of genetic variants and some well-defined functions or phenotypic traits. Emerging evidence suggests that pleiotropy, the phenomenon of one genetic variant affects multiple phenotypes, is widespread, especially in complex human diseases. Therefore, individual phenotype analyses may lose statistical power to identify the underlying genetic mechanism. Contrasting with single phenotype analyses, joint analysis of multiple phenotypes exploits the correlations between phenotypes and aggregates multiple weak marginal effects and is therefore likely to provide new insights into the functional consequences …

The Predictive Performance Of Objective Measures Of Physical Activity Derived From Accelerometry Data For 5-Year All-Cause Mortality In Older Adults: National Health And Nutritional Examination Survey 2003-2006, Ekaterina Smirnova, Andrew Leroux, Quy Cao, Lucia Tabacu, Vadim Zipunnikov, Ciprian Crainiceanu, Jacek Urbanek

Mathematics & Statistics Faculty Publications

Background: Declining physical activity (PA) is a hallmark of aging. Wearable technology provides reliable measures of the frequency, duration, intensity, and timing of PA. Accelerometry-derived measures of PA are compared to established predictors of 5-year all-cause mortality in older adults in terms of individual, relative, and combined predictive performance.

Methods: Participants between 50 and 85 years old from the 2003-2006 National Health and Nutritional Examination Survey (NHANES, n = 2978) wore a hip-worn accelerometer in the free-living environment for up to 7 days. A total of 33 predictors of 5-year all-cause mortality (number of events = 297), including 20 measures …

Phr: Patient Health Record, Quinn Nelson

Theses/Capstones/Creative Projects

The rapid development of information technology systems has expanded into multiple disciplines and results in systems that are limited by initial design and implementation: the Healthcare Information Technology (HIT) space is no different. The introduction of the Electronic Health Record (EHR) system has changed the way healthcare operates. Initial designs of these systems were focused on serving the needs of insurance companies and healthcare billing departments. Research shows that the design of EHR systems negatively impact provider-patient interactions and the care they receive. This capstone project capitalizes on the collaboration efforts between UNO and UNMC – by joining a research …

Better Inpatient Health Quality At Lower Cost: Should I Participate In The Online Healthcare Community First?, Kai Luo, Qiu-Hong Wang, Hock Hai Teo, Xi Chen

Research Collection School Of Computing and Information Systems

As policy makers across the globe look to health information technology (HIT) as a meansof improving the efficiency of the healthcare systems, it has sparked significant interestin understanding how HIT might help achieve that. While researchers have examined anddocumented the efficiency-improving effect of various institution HITs (e.g., electronicclinic pathways and telemedicine), the impacts of consumer HITs such as onlinehealthcare communities have been generally overlooked. Utilizing two unique datasetsfrom both an online healthcare community and a general hospital, we study the impactof online healthcare community on offline inpatient care efficiency. Through rigorousanalysis, we find that communications between physicians and patients on …

Living With Artificial Intelligence – Developing A Theory On Trust In Health Chatbots, Weiyu Wang, Keng Siau

Research Collection School Of Computing and Information Systems

The current world is AI-filled and AI-fueled. Humans need to be able to live in harmony with AI. In this research, we aim to develop a theory on Trust between human and health chatbots. With the development of intelligent personal assistants, chatbots are becoming common and ubiquitous. Chatbots can behave as a conversational partner, complete information acquisition, and provide responses to inquiries. Chatbots have been widely used in the healthcare area, supporting physicians and assisting patients. The potential threats to privacy issues and the unpredictable performances of the chatbots hindered people’s trust and adoption of the new technology. This research-in-progress …

Identifying Elderly With Poor Sleep Quality Using Unobtrusive In-Home Sensors For Early Intervention, Xiaoping Ma, W K P Neranjana Nadee Rodrigo Goonawardene, Hwee-Pink Tan

Research Collection School Of Computing and Information Systems

Along with the upward trend in population ageing is the increasing proportion of the elderly population living alone in the community. This group is especially vulnerable as the onset of various physical, social and mental health issues may be more likely and may go undetected. However, smart homes enabled with elderly monitoring and care systems (EMCS) can now be used to alert caregivers of anomalies in the daily living patterns of the elderly. In this study, we focus on the sleep quality as the key living pattern, as it has been shown that poor sleep quality can lead to health …

The Chapman Bone Algorithm: A Diagnostic Alternative For The Evaluation Of Osteoporosis, Elise Levesque, Anton Ketterer, Wajiha Memon, Cameron James, Noah Barrett, Cyril Rakovski, Frank Frisch

Mathematics, Physics, and Computer Science Faculty Articles and Research

Osteoporosis is the most common metabolic bone disease and goes largely undiagnosed throughout the world, due to the inaccessibility of DXA machines. Multivariate analyses of serum bone turnover markers were evaluated in 226 Orange County, California, residents with the intent to determine if serum osteocalcin and serum pyridinoline cross-links could be used to detect the onset of osteoporosis as effectively as a DXA scan. Descriptive analyses of the demographic and lab characteristics of the participants were performed through frequency, means and standard deviation estimations. We implemented logistic regression modeling to find the best classification algorithm for osteoporosis. All calculations and …