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ABSTRACT: This position paper focuses on strategic developments and underlying concepts emerging out of the standards and associated domains. It addresses the issue of personal privacy in the wider context of interoperability across an ever-growing range of e-health and social care support systems and processes. These will increasingly be driven by major growth in the elderly segment of national populations where unambiguous identification of both patients and care staff both in hospitals and the community will become significant issues. This is particularly so where remote patient monitoring and access control to personal data is concerned, and is further complicated where racial, cultural and linguistic barriers are prevalent.
Studies in health technology and informatics 01/2010; 156:32-9.
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ABSTRACT: The potential doubling in the percentage of the elderly within the populations of Europe and beyond over the next decades has focused informatics research on the development Assistive Technologies and Smart Homes. However its concentration on creating a supportive home environment also has the potential for makings its users over dependent on its facilities and as a result trapped within it. This paper outlines an approach that extends the smart homes concept out into the wider community to create a smart environment that not only maintains contact with all their home-based services, but also expands these to include other facilities needed to assist them whilst on the move. This involves the convergence of physiological monitoring, communications and computing with leading-edge textile technologies, which uses a multi-layered, multi-functional clothing system as a mobile and extended variant of a smart home IP hub. In addition to variable functionality capabilities of the clothing layers in terms of thermal, shock-absorbent and other characteristics, wireless IP connectivity is provided between layers with external links typically being WiFi enabled. Health optimisation is provided by on-going lifestyle guidance/action feedback based on auto-diagnostic analysis.
Studies in health technology and informatics 02/2008; 137:257-62.
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ABSTRACT: In considering the recurrent problems involved in technology led initiatives within the public sector, this paper seeks to identify change management requirements needed to help avoid these latent pitfalls in the widespread introduction of Assistive Technology. It develops a change process approach based on current clinical psychology techniques used in assessing sources and level of resistance to behavioural change and applies them to managing effective benefits realisation.
Studies in health technology and informatics 02/2006; 121:7-14.
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ABSTRACT: Benign paroxysmal torticollis of infancy (BPTI) is a disorder characterized by recurrent episodes of head tilt secondary to cervical dystonia. Attacks are often accompanied by vomiting, pallor, and ataxia, settling spontaneously within hours or days. Episodes begin within the first 12 months of life and resolve by 5 years. We report four patients with BPTI. Symptoms started from 3 months of age, with head tilting lasting between 10 minutes and 2 months; the shorter episodes were followed by vomiting, apathy, and unsteadiness. Head tilt became less prominent after infancy, replaced by vertigo and eventually by migraine headaches. Two patients came from a kindred with familial hemiplegic migraine linked to CACNA1A mutation. BPTI may be regarded as a migraine aura equivalent. The syndrome poses interesting questions regarding varying phenotypic expression of calcium channelopathies at different stages of development.
Developmental Medicine & Child Neurology 08/2002; 44(7):490-3. · 2.92 Impact Factor
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ABSTRACT: If photographs are taken of moving objects at slow shutter speeds the images of the objects are blurred. In human vision, however, we are not normally conscious of blur from moving objects despite the fact that the temporal response of the photoreceptors is sluggish. It has been suggested that there are motion-deblurring mechanisms specifically to aid the visual system in the analysis of the shape of retinally moving targets. Models of motion deblurring have been influenced by the finding that certain very precise spatial pattern discriminations are unaffected by motion. An example is vernier hyperacuity, in which the observer must detect the direction of offset between two lines with abutting ends. With a stationary stimulus, observers can detect a vernier cue of less than 10 arcsec and acuity is unaffected by retinal-image motion of up to 3 deg s-1 We confirm this finding, but provide evidence against any general deblurring mechanism by showing that another kind of hyperacuity, discrimination of the distance between two parallel lines (spatial interval acuity), is interfered with by motion. This argues against a general deblurring mechanism, such as a neural network 'shifter circuit', and we point out that the high level of vernier acuity for moving stimuli is susceptible to an alternative explanation.
Nature 09/1989; 340(6232):385-6. · 36.28 Impact Factor
