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2018 Fiscal Year Research-status Report

Concept Design and Implementation of Personalized Triage to Reduce Healthcare Data Errors in Human Assisted Remote Healthcare Systems

Research Project

Project/Area Number 18K11529
Research InstitutionKyushu University

Principal Investigator

Ashir Ahmed  九州大学, システム情報科学研究院, 准教授 (30457444)

Co-Investigator(Kenkyū-buntansha) 久住 憲嗣  九州大学, システムLSI研究センター, 准教授 (10380685)
イスラム ラフィクル  九州大学, 大学病院, 学術研究員 (20815906)
横田 文彦  九州大学, 持続可能な社会のための決断科学センター, 講師 (50760451)
福田 晃  九州大学, システム情報科学研究院, 教授 (80165282)
Project Period (FY) 2018-04-01 – 2021-03-31
KeywordsRemote healthcare / Error Detection / Personalized Triage
Outline of Annual Research Achievements

The objective of this project has been to introduce the concept of Personalized Triage to reduce Healthcare Data Errors in Human Assisted Remote Healthcare Systems. At the first step, we investigated anthropometric growth patterns of adults (> 20 years of age). Over forty thousands health records were randomly collected by using our portable health clinic system. Incomplete records, uninterested records (young patients, age <20 years) were removed. Finally N=25,447 (male: N=13,069 and female: N=12,378) records were considered. The resulting plots comprise a series of percentile (5th, 10th, 25th, 50th, 75th, 90th, and 95th) curves that illustrate the distribution by height, weight, BMI, waist, and hip. The obtained curves were smoothened by Local Polynomial Regression (LPR). For height, there is no sharp change until the age of 49, but after the age of 50, we observe a slight decline of height and a sharp decline after the age of 80. Weight grows until the age of 49 and decline after that. Waist and Hip show similar growth characteristics with weight. A very small samples were available from old people (>80 years old). The obtained growth patterns at this age level are not representative. The study will continue to collect more samples, find growth pattern for females and compare with those of males. Once the range for age based anthropometric data is known, it will be much easier to predict measurement errors of the patients for remote healthcare systems. significant clinical growth patterns over age.

Current Status of Research Progress
Current Status of Research Progress

2: Research has progressed on the whole more than it was originally planned.

Reason

As per the plan, we designed the concept of personalized triage. There are three steps for the final implementation of the concept: (1) Human Acceptance Range (2) Group Acceptance Range (3) Personal Acceptance Range. At the first step, we completed the previously recorded data analysis to find the human acceptance range and also part of the group acceptance range.

We have already published 1 journal articles and two conference articles are accepted for presentation.

The progress is according to the plan.

Strategy for Future Research Activity

At the next step, we will test our personalized acceptance range.
We have completed two rounds of field trial to check whether the group acceptance range can detect inlier errors. The human input error was almost 13% before. After applying the group acceptance range, error rate was reduced to 2%, however some human intervention was applied. For healthcare systems, 2% is still high. We checked only anthropometric data. The challenge remains how to determine acceptance ranges for other healthcare parameters (blood pressure, blood glucose etc.)

Causes of Carryover

The total expenditure was executed almost according to the initial plan. Only 48,281 yen left for next year. We will use this amount for students remuneration (shakin).

  • Research Products

    (7 results)

All 2019 Other

All Int'l Joint Research (1 results) Journal Article (1 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (4 results) (of which Int'l Joint Research: 4 results) Remarks (1 results)

  • [Int'l Joint Research] Grameen Communications/University of Dhaka(バングラデシュ)

    • Country Name
      BANGLADESH
    • Counterpart Institution
      Grameen Communications/University of Dhaka
  • [Journal Article] Growth Characteristics of Age and Gender-based Anthropometric Data from Human Assisted Remote Healthcare System2019

    • Author(s)
      Hasan Mehdi, Islam Rafiqul, Yokota Fumuhiko, Nishikitani Mariko, Fukuda Akira, and Ahmed Ashir
    • Journal Title

      International Journal of Advanced Computer Science and Applications

      Volume: 10 Pages: 615-619

    • DOI

      10.14569/IJACSA.2019.0100379

    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] Development of Mobile Based In-Home Patient Monitoring System for the Management of Chronic Disease of Indigenous Communities in a Developing Country2019

    • Author(s)
      Rakibul Hoque, Golam Sorwar, Ashir Ahmed, Rafiqul Islam
    • Organizer
      21ST INTERNATIONAL CONFERENCE ON HUMAN-COMPUTER INTERACTION
    • Int'l Joint Research
  • [Presentation] Dhaka University Telemedicine Programme, targeting healthcare-deprived rural population of Bangladesh and other low resource countries2019

    • Author(s)
      Khondkar Siddique-e Rabbani, Abdullah Al Amin, Zihad Tarafdar, Mohammad Abu Yousuf, AKM Bodiuzzaman, Md. Kamrul Hussain, Ahamad Imtiaz Khan, Maruf Ahmad, Mohammad Moniruzzaman, Shahed Md Abu Sufian, Papia Chowdhury, Ashir Ahmed
    • Organizer
      21ST INTERNATIONAL CONFERENCE ON HUMAN-COMPUTER INTERACTION
    • Int'l Joint Research
  • [Presentation] Differences in relationships and risk factors associated with hypertension, diabetes, and proteinuria among urban and rural adults in Bangladesh, Findings from Portable Health Clinic Research Project 2013-20182019

    • Author(s)
      Fumihiko Yokota, Ashir Ahmed, Mariko Nishikitani, Kimiyo Kikuchi, Rafiqul Islam Kazi, Rajib Chowdhury, Yasunobu Nohara, Rieko Izukura, Naoki Nakashima
    • Organizer
      21ST INTERNATIONAL CONFERENCE ON HUMAN-COMPUTER INTERACTION
    • Int'l Joint Research
  • [Presentation] A Framework of Longitudinal Study to Understand Determinants of Actual Use of the Portable Health Clinic System2019

    • Author(s)
      ampa Begum Masuda, Md. Nazmul Hossain, Rakibul Hoque, Rafiqul Islam, Fumihiko Yokota, Mariko Nishikitani, Akira Fukuda, Ashir Ahmed
    • Organizer
      21ST INTERNATIONAL CONFERENCE ON HUMAN-COMPUTER INTERACTION
    • Int'l Joint Research
  • [Remarks] Portable Health Clinic

    • URL

      http://ghealth.gramweb.net/

URL: 

Published: 2019-12-27  

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