1. Application of a Cloud System for Telemedicine Service 應用於遠距醫療之雲端系統 Presenter ： Chung-Yi Chiu Adviser ： Yi-Chun Du Date ： 2015/4/21 1

2. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Introduction Motivation and purpose Paper review Materials and Methods Future Work Reference 2 Outline

3. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Introduction 3

4. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Over 65 years of people called older man Not aging society ： not 7% of the population Aging society ： 7% of the population Aged society ： 14% of the population Super-aged society ： 21% of the population 4 What is aging society? World Health Organization 2004 International Plan of Action on Ageing

5. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 5 See the 'aging ' Anations CNN 2014 Moody’s Investors Service, UN data 201520202030 Super- aged 71832 Aged151914 Aging221611 Not aged20118

6. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 6 Taiwan's aging population 行政院經濟建設委員會 2014 中華民國台灣地區 95 年至 140 年人口推計 24 年 8年8年

7. 生醫系統整合實驗室 Integrated Biomedical System Laboratory  Medical resource Nursing homes Medical personnel Medical costs  Chronic diseases of aging Hypertension Diabetes High cholesterol 7 Problem of Aging

8. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Sub-health people Sub-healthy people is between health and disease 1.Regular medication 2.For regular doctor referral 3.Self-care of myself 4.Long self-monitoring physiological conditions

9. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Motivation and purpose 9

10. 生醫系統整合實驗室 Integrated Biomedical System Laboratory In some distance in telecommunication and computer technology to social services home health care / community / agency people 10 What is Telemedicine? Barnes, (1998). Lifestyle monitoring - technology for supported independence

11. 生醫系統整合實驗室 Integrated Biomedical System Laboratory  Older people  Aging society  Health care costs 11 Telemedicine  Sub-health people  Medical resource  Health care burden How to care for the elderly and sub-health people?

12. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 12 The advantages of remote medical care

13. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Paper Review 13

14. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Telemedicine early stage of development is limited to telephone medical advice The main provision of medical services to people in remote areas 14 Paper Review 施福忠 (2007) 。虛擬團隊、遠距醫療與醫療績效關係 --- 資源基礎觀點。

15. 生醫系統整合實驗室 Integrated Biomedical System Laboratory A Tele-home Care System Exploiting the DVB-T Technology and MHP Angius¹, G., Pani¹, D., Raffo¹, L., Randaccio, P., & Seruis¹, S. (2008). Methods Inf Med, 47, 223-228. 15 Paper Review

16. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 16 Paper Review

17. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 17 Paper Review

18. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 18 Paper Review

19. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Wireless Sensor Networks for Healthcare Ko, J., Lu, C., Srivastava, M. B., Stankovic, J. A., Terzis, A., & Welsh, M. (2010). Proceedings of the IEEE,98(11), 1947- 1960. 19 Paper Review

20. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 20 Paper Review

21. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 21 Paper Review

22. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Assessment of the cost-effectiveness and clinical outcomes of a fourth-generation synchronous telehealth program for the management of chronic cardiovascular disease. Ho, Y. L., Yu, J. Y., Lin, Y. H., Chen, Y. H., Huang, C. C., Hsu, T. P.,... Chen, M. F. (2014). Journal of Medical Internet Research,16(6), e145. doi: 10.2196/jmir.3346 22 Paper Review

23. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Data transmission View physiological parameters Treatment The first generation Asynchronous Health care workers can not view Nothing The second generation Synchronous Health care worker monitoring in 24 hours Nothing The third generation Synchronous Health care worker monitoring in 24 hoursInform abnormal The fourth generation Synchronous Health care worker monitoring in 24 hours Inform abnormal Contact the hospital 23 Paper Review

24. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Physiological measurements Continuity of care Instant remote clinic Urgent Care Consulting Health Report 24 Paper Review Services

25. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 25 Paper Review Remote monitoring system ECG measurement device Arm Blood Pressure Monitor Oxygen machine Blood sugar machine Instrument Description

26. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Materials and Methods 26

27. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 27 Telemedicine architecture

28. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 28 Microphone With two stereo headphone jack Can be an external headset. Built-in 3-inch speaker monomer, and a volume adjustment. Single point condenser microphone sensitivity. Gooseneck Microphone length: 488mm. Size: 142 (L) × 180 (width) × 57 (height) mm.

29. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Pixel ： 1.3 million pixels Optical zoom ： 22 times Digital zoom ： 10 times Video encoding ： Support H.264, MJPEG Waterproof ： IP-66 waterproof Video Support ： IE, CMS, NVR Infrared ： 100 meters Noise processing ： Reduce noise function Horizontal movement ： Level 360 Vertical movement ： -10 To 190 degrees vertical 29 PTZ Network Camera

30. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 30 Arm Blood Pressure Monitor Sun Tech 247 Initial inflation pressure ： 160mmHg +/- 20mmHg Blood pressure range (mmHg) ： 60 < Systolic BP < 270, 30 < Diastolic. Heart rate range ： 30-200 bpm +/- 2% or +/- 3 bpm, whichever is greater Functional oxygen saturation range ： 40-100% Wireless transmission ： Bluetooth

31. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Voice included Location Number Night preservation Bluetooth 31 Development Boards

32. 生醫系統整合實驗室 Integrated Biomedical System Laboratory display ： 2D display 、 VGA 、 OpenGLES3.0 Transmission ： GSM/EDGE 、 IDEN 、 UMTS 、 Bluetooth 、 Wi-Fi Physiological signals ： ECG 、 RR 、 SPO2 、 BP Hardware support ： GPS ， Accelerometer ， Gyro 32 Android

33. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 33 Microsoft Visual Studio

34. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Future Work 34

35. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Video Integration Integration of physiological parameters Database storage Two-way audio and video communication Subjects were 10 or more 35 Future Work

36. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Reference 36

37. 生醫系統整合實驗室 Integrated Biomedical System Laboratory [1] 國研院社會科學，全球與臺灣人才培育發展現況、問題與趨勢， 2013/8/6 ， http://thinktank.stpi.narl.org.tw/Chinese http://thinktank.stpi.narl.org.tw/Chinese [2] Schmidt, A., & Van Laerhoven, K. (2001). How to build smart appliances?.Personal Communications, IEEE, 8(4), 66-71. [4] http://money.cnn.com/interactive/news/aging-countries/?iid=EL CNNhttp://money.cnn.com/interactive/news/aging-countries/?iid=EL [3] 衛生福利部國民健康所 [5] Angius¹, G., Pani¹, D., Raffo¹, L., Randaccio, P., & Seruis¹, S. (2008). A tele- home care system exploiting the DVB-T technology and MHP. Methods Inf Med, 47, 223-228. [6}Ko, J., Lu, C., Srivastava, M. B., Stankovic, J. A., Terzis, A., & Welsh, M. (2010). Wireless sensor networks for healthcare. Proceedings of the IEEE,98(11), 1947-1960.] [7] Sung, W. T., & Chang, K. Y. (2013). Evidence-based multi-sensor information fusion for remote health care systems. Sensors and Actuators A: Physical,204, 1-19. 37 Reference

38. 生醫系統整合實驗室 Integrated Biomedical System Laboratory Thank you for your attention! 38 http://faculty.stust.edu.tw/~terrydu/

39. 生醫系統整合實驗室 Integrated Biomedical System Laboratory 39