Publications by authors named "Dimitrios K Lymberopoulos"

Exacerbations are crucial events in chronic diseases that require continuous management. Knowledge of the exacerbation risk enhances patient's quality of life and enables self-management and self-organizing of unscheduled doctor visits and/or hospitalization. This paper proposes a new framework for ubiquitous management of chronic diseases named u-MCHC.

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The use of Fraction of Exhaled Nitric Oxide (FeNO) for measurement of inflammation in the respiratory system is a good way to assess the level of asthma in children. In this paper we present a new Clinical Decision Support System (CDSS) for Childhood Asthma Management based on FeNO, which is named RespDoc. The core of RespDoc is a decision making algorithm and a patient's monitoring process that are extensively analyzed in the paper.

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Nowadays, providing healthcare personalized services in user's intelligent space is an important issue for improving personal health, supporting predictive care and saving medical costs. In this paper, we propose an architecture for the Next Generation Service Delivery Platform (NG-SDP), suitable for composing and delivering personalized healthcare services. The core component of NG-SDP is a Context Decision Making Enabler (CDME) that assesses user contextual and bio information to yield personalized services.

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Multiprotocol medical imaging communication through the Internet is more flexible than the tight DICOM transfers. This paper introduces a modular multiprotocol teleradiology architecture that integrates DICOM and common Internet services (based on web, FTP, and E-mail) into a unique operational domain. The extended WADO service (a web extension of DICOM) and the other proposed services allow access to all levels of the DICOM information hierarchy as opposed to solely Object level.

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Standard Communication Protocol for Computer-assisted Electrocardiography (SCP-ECG) provides standardized communication among different ECG devices and medical information systems. This paper extends the use of this protocol in order to be included in health monitoring systems. It introduces new sections into SCP-ECG structure for transferring data for positioning, allergies, and five additional biosignals: noninvasive blood pressure (NiBP), body temperature (Temp), Carbon dioxide (CO(2)), blood oxygen saturation (SPO(2)), and pulse rate.

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Anxiety disorders are considered the most prevalent of mental disorders. Nevertheless, the exact reasons that provoke them to patients remain yet not clearly specified, while the literature concerning the environment for monitoring and treatment support is rather scarce warranting further investigation. Toward this direction, in this study a context-aware approach is proposed, aiming to provide medical supervisors with a series of applications and personalized services targeted to exploit the multiparameter contextual data collected through a long-term monitoring procedure.

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An evaluation of a wide area Telemedicine System (TS) designed for a country with singular geomorphology like Greece is presented. It targets to improve the outcome in emergency cases, by means of an early and specialized pre-hospital treatment. The TS makes use of modern technologies leading to the cooperation of 30 mobile medical units, 3 Telemedicine Coordination Centers and 7 Regional Teleconference Rooms.

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While anxiety disorders exhibit an impressive spread especially in western societies, context-awareness seems a promising technology to provide assistance to physicians in psychotherapy sessions. In the present paper an approach addressing the assistance of the anxiety disorders' treatment is proposed. The suggested method employs the a priori association rule mining algorithm in order to achieve dynamic update of patient profiles according to generated rules describing the underlying relations between patients' main context conditions and their stress level.

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Early and specialized pre-hospital patient treatment improves outcome in terms of mortality and morbidity, in emergency cases. This paper focuses on the design and implementation of a telemedicine system that supports diverse types of endpoints including moving transports (MT) (ambulances, ships, planes, etc.), handheld devices and fixed units, using diverse communication networks.

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The Web Access to Digital Imaging and Communication in Medicine (DICOM) Persistent Objects (WADO) service is standardized as the Web extension to DICOM. This paper analyzes the operational specifications of the WADO service and extends its access capability to the whole DICOM hierarchy (patient, study, series, and object). The proposed Web Access to DICOM Archives (WADA) service, as opposed to WADO, also includes an extrainternal query mechanism and support of medical reports submission.

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