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ITU Workshop on “E-health services in low-resource settings: Requirements and ITU role ” (Tokyo, Japan, 4-5 February 2013). BAN Portable Clinic toward Affordable Healthcare M2M Service. Masahiro Kuroda

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Ban portable clinic toward affordable healthcare m2m service

ITU Workshop on

“E-health services in low-resource settings: Requirements and ITU role”

(Tokyo, Japan, 4-5 February 2013)

BAN Portable Clinic towardAffordable Healthcare M2M Service

Masahiro Kuroda

Manager, Standardization Promotion Office, National Institute of Information and Communications Technology

marsh@nict.go.jp


Epidemic of obesity communicable
Epidemic of Obesity Communicable ?

  • Yes and No

  • Global status report on noncommunicable diseases (NCD) 2010

    This report … particular attention … in low- and middle-income countries, which … bear nearly 80% of the burden from diseases like cardiovascular disease, diabetes, cancer and chronic respiratory diseases. The health consequences of the worldwide epidemic of obesity are also addressed.

    A large percentage of NCDs are preventable through the reduction of their four main behavioural risk factors: tobacco use, physical inactivity, harmful use of alcohol and unhealthy diet.

    (“Forward” from Dr Margaret Chan, Director-General, World Health Organization)


Obesity fat burning with joy
Obesity: Fat Burning with Joy

Mobile phone vibrates when enter aerobic-exercise state

Body Area Network (BAN)

Glimpse fat –burn amount

Beautiful posture

From Assoc. Prof. , Masatsugu Niawayama, Shizuoka university

  • Tissue oxygen saturation (StO2) is used to know whether entered aerobic-exercise state

    • Measure de-oxidationized hemoglobin / oxidized hemoglobin by StO2 sensor

    • Compute fat-burn grams from consumption calorie by 3-axis accelerometer when entered aerobic-exercise state


Obesity essential amino acids
Obesity: Essential Amino Acids

Wooden bucket theory

Balance in Essential amino acids

Cannot use for protein composition!

Cannot use for protein composition!

Energy pooling as fat

histidine

isoleucine

leucine

lysine

threonine

methionine

From Prof. Osamu Tochikubo, Medical School, Yokohama City University

Nutritive value is decided by lysine and other excessive amino acid is accumulated as discharge or fat


Preventive medicine
Preventive Medicine

  • Prevent lifestyle-related illnesses for incipient and healthy people

Hypertension(H), Abdominal obesity(O),Glucose intolerance(G), Lipidemia(L) and so on

Living environment change …

Alcohol(A)

Smoking(S1)

Salt intake(S2)

Saturated fat(S3)

Stress(S4)

Sleeplessness(S5)

Lack of Exercise(E)

and so on

Lifestyle-related illness

Lifestyle irregularity

From Prof. Osamu Tochikubo, Medical School, Yokohama City University


Feedback loop in preventive medicine
Feedback Loop in Preventive Medicine

General medical checkup

Health industry

Association of preventive medicine

Ubiquitous sensing

Analysis bank

Hospital

Sensor selection

Acute care hospital

Body Area Network (BAN)

Meal delivery industry

Nutritional supplements or exercise instruction

From Prof. Osamu Tochikubo, Medical School, Yokohama City University


The ban standard i eee802 15 6
The BAN Standard IEEE802.15.6

First Medical BAN published in 2012

1 common MAC with 3 PHYs

PHY NB

Media

Access

Control

(MAC)

PHY

UWB

PHY

HBC

From 15-11-0826-01-0006-ieee-802-15-6-tutorial


Ieee802 15 6 frequency band
IEEE802.15.6: Frequency Band

Quality of Service is ensured

IEEE802.15.6

Wireless LAN,ZigBee, Bluetooth2.4GHz



Ieee802 15 6 priority control
IEEE802.15 6:Priority Control

Top-priority data transfer for emergency data


Ieee802 15 6 low power consumption
IEEE802.15.6:Low Power Consumption

Peak current

20mA

Margin of processing in a sensor

Flexible processing in a sensor by low peak current

10mA

Bluetooth

Low Energy

IEEE802.15.6NB

Rechargeable battery

(Maxell CLB2032)

From 15-11-0826-01-0006-ieee-802-15-6-tutorial.ppt


Ieee802 15 6 secure sar level
IEEE802.15.6:Secure SAR Level

  • Protection from Radio Wave Environment

    • SAR(Specific Absorption Ratio) is less than 2 W per every Kg

    • Average power less than 20mW is outside of this limitation

  • Narrow Band (NB)

    • Designed at 1mW or less in ISM, Medical telemeter, and specific small electric power bands

  • Ultra Wide Band (UWB)

    • Below the allowable noise level (less than -41.3dBm/MHz< 20mW)

  • Human Body Communication

    • Weak radio level (<<20mW)

*http://www.tele.soumu.go.jp/j/sys/ele/body/protect/index.htm


Portable clinic by kyushu u and grameen
Portable Clinicby Kyushu U. and Grameen

  • Kyushu University and Grameen Communications prototyped an affordable “portable clinic” and experimented in villages and cities, Bangladesh

    • Confirm functionalities and usability of the system

    • NICT and the QoL-SN council provide BAN-based portable clinic functions for the experimental use


Ban portable clinic model
BAN Portable Clinic Model

(Epidemiologic study)

Remote medical help center

Remote database

Diagnosis and prescription

Point-of-care medical examination and remote diagnosis

B-Logic

Examinees

Cellular/Internet

Blood pressure

Blood ,Urine etc

Use health-check devices for automatic categorization

Portable health clinic management

Non-invasive medical devices/sensors

Blood test

Urinalysis

Paramedics


B l ogic
B-Logic

  • Red: Emergent -Telemedicine + Encouragement to visit clinic

  • Orange: Affected -Telemedicine

Yellow: Caution-Provide a leaflet about health care in Bengal

  • Green: Normal

Designed by Naoki Nakashima, M.D., Kyushu University Hospital andKunihisa Kobayashi, M.D., Fukuoka University Chikushi Hospital


Medical checkup and remote diagnosis in rural area bangladesh
Medical Checkup and Remote Diagnosis in Rural Area Bangladesh

Woman doctor for Women examinees

Doctor’s remote exam.

Remote examinee

Wait for remote

Start

Physical examination scene

Measured data on android tablet

Reg. , Interview Informed consent

Tokyo, Japan, 4-5 February 2013


Ban enabled devices and android terminal
BAN-enabled Devices and Android Terminal Bangladesh

Android terminal

BAN blood pressure

BAN SpO2 sensor

BAN waist meter

BAN body Temperature

BAN height meter

BAN weight meter

Open software/hardware and standard


Real technologies for ban portable clinic
Real Technologies for BAN Bangladesh Portable Clinic

Unstable power supply and batteries may not be charged

Data transfer via cell phone may not be available

Limited space/location is available in setting up the clinic

User-friendly interface for examiners


The qol sn council is working
The QoL-SN Council is Working Bangladesh

www.qolsn.org

Promote and help in providing really usable experimental systems, such as health-check KIOSK in disaster-stricken area, BAN portable clinic and others


M2m service platform
M2M Service Platform Bangladesh

M2 service platform

ITU-T Focus Group is working on Healthcare M2M

Healthcare M2M platform is an enabler of affordable BAN portable clinic because of sharing backend resources

In the near future, large number of sensors are used for NCDs protection

To keep Quality-of-Service, sensors require simple-and-cheap identification, such as PUF (physically unclonable function)


Feedback loops in preventive medicine
Feedback Loops in Preventive Medicine Bangladesh

General medical checkup

Health industry

Association of preventive medicine

Ubiquitous sensing

Analysis bank

Hospital

Self checkup

M2Mservice platform

Nutritional guidance

with evidence

Acute care hospital

Body Area Network (BAN)

Meal delivery industry

Nutritional supplements or exercise instruction

From Prof. Osamu Tochikubo, Medical School, Yokohama City University


Conclusions and recommendations
Conclusions and BangladeshRecommendations

  • Non communicable diseases are common issues in the world and can be reduced by preventive medicine using easy-to-use technologies with open standards

  • The first medical BAN standard IEEE02.15.6 is introduced for medical/health-related devices and sensors

  • BAN-enabled Portable Clinic and the service is a good candidate to provide really usable functions for preventive medicine

  • Experimentally use open standards, provide feedbacks to the standards, and then deploy everywhere


Ban portable clinic toward affordable healthcare m2m service

Thank you Bangladesh