Respiratory Inductance Plethysmography for Automated Swallowing Detection

In the context of remote medical monitoring of swallowing, the authors investigate the potential of non-invasive respiratory inductance plethysmography (RIP) technique to automatically detect swallow events in a wide context of respiration and phonation. Signal acquisitions were carried out on 5 healthy volunteers equipped with RIP and electroglottograph as swallowing reference. They were asked for spontaneous breathing, speaking and diverse bolus ingesting. The RIP signal was then segmented into cycles, each cycle being annotated according to one of the three class of interest, respectively ventilation i.e. spontaneous breathing (1257 cycles), swallowing (221) and phonation (216). Automated classification was performed using quadratic discriminant analysis. Focusing on swallowing class, the authors achieve an accuracy of 79% from the full wide protocol. It increases up to 86% with prior removal of vocalizations. These preliminary results in healthy subjects make RIP a promising candidate as a non-invasive and convenient technology for medical follow-up of swallowing.

E-santé et suivi médical des personnes âgées au Bénin

Benin, like the majority of African countries, has an insufficient number of physicians. Also with the low economic capacity of the population, having a family doctor is a scarce thing. Illnesses such as hypertension and diabetes are rampant, while these diseases require rigorous monitoring. As most hospitals do not have an information system that can track the health information of patients throughout their lives, through this article we propose a model of a remote medical monitoring system that will allow the implementation of a medical monitoring service for the elderly. This system consists in being monitored remotely through a website and a mobile application by a team of health professionals made up of a doctor and a paramedic. The paramedic is therefore responsible for taking the vital signs so that the doctor can interpret them remotely and give a diagnosis or advice if necessary. This study does not take into account the analysis of the economic model to be set up to make the proposed service accessible to all grants.

Features of criminal liability for crimes in the field of telemedicine

In recent years telemedicine is increasingly being introduced into people’s life which is fraught with serious socially dangerous consequences, for example, if assistance is provided remotely by a doctor who is not entitled to perform such medical actions. In addition, as a result of providing medical services per Internet the doctor may make a mistake in making a diagnosis (consultation), which may lead to the death of the patient or other negative consequences. In regulatory documents telemedicine technologies are defined as information technologies that provide for remote interaction of medical workers among themselves, with patients and (or) their legal representatives, identify and authenticate specified persons, document their actions during consultations, and remote medical monitoring of the patients health. The study examined the issues of legal and illegal provision of medical and pharmaceutical care using telemedicine technologies, especially criminal liability for this type of activity. The author came to the conclusion that the legislator should take into account by the differentiation of criminal responsibility under Art. 235 of the Criminal Code of the Russian Federation a heightened degree of public danger of crimes connected with illegal remote medical and pharmaceutical activities, as a result of which, due to carelessness, harm to human health or death is caused. For this purpose, using the qualified corpus delicti, it is necessary to foresee toughening of punishment for the specified activity.