The delicate balance of communicational interests : a Bakhtinian view of social media in health care
- Authors: Ukoha, Chukwuma , Stranieri, Andrew
- Date: 2020
- Type: Text , Journal article
- Relation: Journal of Information, Communication and Ethics in Society Vol. 19, no. 2 (2020), p. 236-248
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- Description: Purpose: This paper aims to use the writings of Mikhail Bakhtin to reveal new insights into the role and impact of social media in health-care settings. Design/methodology/approach: With the help of Bakhtin’s constructs of dialogism, polyphony, heteroglossia and carnival, the power and influences of the social media phenomenon in health-care settings, are explored. Findings: It is apparent from the in-depth analysis conducted that there is a delicate balance between the need to increase dialogue and the need to safeguard public health, in the use of social media for health-related communication. Bakhtin‘s constructs elucidate this delicate balance and highlight the need for health-care providers that use social media to find the right balance between these competing communicational priorities. Originality/value: This paper advances a nascent theoretical approach to social media research. By applying Bakhtinian ideas to consumer health informatics, this paper has the potential to open a new approach to theorizing the role of social software in health-care settings. Stakeholders in digital health will find this paper useful, as it opens up dialogue to further discuss the role of social media in health care. © 2020, Emerald Publishing Limited.
Criteria to measure social media value in health care settings : narrative literature review
- Authors: Ukoha, Chukwuma , Stranieri, Andrew
- Date: 2019
- Type: Text , Journal article , Review
- Relation: Journal of Medical Internet Research Vol. 21, no. 12 (2019), p.
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- Description: Background: With the growing use of social media in health care settings, there is a need to measure outcomes resulting from its use to ensure continuous performance improvement. Despite the need for measurement, a unified approach for measuring the value of social media used in health care remains elusive. Objective: This study aimed to elucidate how the value of social media in health care settings can be ascertained and to taxonomically identify steps and techniques in social media measurement from a review of relevant literature. Methods: A total of 65 relevant articles drawn from 341 articles on the subject of measuring social media in health care settings were qualitatively analyzed and synthesized. The articles were selected from the literature from diverse disciplines including business, information systems, medical informatics, and medicine. Results: The review of the literature showed different levels and focus of analysis when measuring the value of social media in health care settings. It equally showed that there are various metrics for measurement, levels of measurement, approaches to measurement, and scales of measurement. Each may be relevant, depending on the use case of social media in health care. Conclusions: A comprehensive yardstick is required to simplify the measurement of outcomes resulting from the use of social media in health care. At the moment, there is neither a consensus on what indicators to measure nor on how to measure them. We hope that this review is used as a starting point to create a comprehensive measurement criterion for social media used in health care. © 2019 Chukwuma Ukoha, Andrew Stranieri.
A scalable cloud Platform for Active healthcare monitoring applications
- Authors: Balasubramanian, Venki , Stranieri, Andrew
- Date: 2015
- Type: Text , Conference paper
- Relation: 2014 IEEE Conference on e-Learning, e-Management and e-Services, IC3e 2014; Melbourne, Australia; 10th-12th December 2014 p. 93-98
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- Description: Continuous, remote monitoring of patients using wearable sensors can facilitate early detection of many conditions and can help to manage the growing healthcare crisis worldwide. A remote patient monitoring application consists of many emerging services such as wireless wearable sensor configuration, patient registration and authentication, collaborative consultation of doctors, storage and maintenance of electronic health record. The provision of these services requires the development and maintenance of a remote healthcare monitoring application (HMA) that includes a body area wireless sensor network (BASWN) and Health Applications (HA) to detect specific health issues. In addition, the deployment of HMAs for different hospitals is not easily scalable owing to the heterogeneous nature of hardware and software involved. Cloud computing overcomes this aspect by allowing simple and easy maintenance of ICT infrastructure. In this work, we report a real-time-like cloud based architecture known as Assistive Patient monitoring cloud Platform for Active healthcare applications (AppA) using a delegate pattern. The built AppA is highly scalable and capable of spawning new instances based on monitoring requirements from the health care providers, and are aligned with scalable economic models. © 2014 IEEE.
AppA : Assistive patient monitoring cloud platform for active healthcare applications
- Authors: Balasubramanian, Venki , Stranieri, Andrew , Kaur, Ranjit
- Date: 2015
- Type: Text , Conference paper
- Relation: 9th International Conference on Ubiquitous Information Management and Communication, ACM IMCOM 2015; Bali, Indonesia; 8th-10th January 2015
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- Description: Continuous, remote monitoring of patients using wearable sensors can facilitate early detection of many conditions and can help to manage the growing healthcare crisis worldwide. A remote patient monitoring application consists of many emerging services such as wireless wearable sensor configuration, patient registration and authentication, collaborative consultation of doctors, storage and maintenance of electronic health record. The provision of these services requires the development and maintenance of a remote healthcare monitoring application (HMA) that includes a body area wireless sensor network (BASWN) and Health Applications (HA) to detect specific health issues. In addition, the deployment of HMAs for different hospitals is not easily scalable owing to the heterogeneous nature of hardware and software involved. Cloud computing overcomes this aspect by allowing simple and easy maintenance of ICT infrastructure. In this work, we report a realtime- like cloud based architecture known as Assistive Patient monitoring cloud Platform for Active healthcare applications (AppA) using a delegate pattern. The built AppA is highly scalable and capable of spawning new instances based on the monitoring requirements from the health care providers, and is aligned with scalable economic models.
Empirical study of decision trees and ensemble classifiers for monitoring of diabetes patients in pervasive healthcare
- Authors: Kelarev, Andrei , Stranieri, Andrew , Yearwood, John , Jelinek, Herbert
- Date: 2012
- Type: Text , Conference proceedings
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- Description: Diabetes is a condition requiring continuous everyday monitoring of health related tests. To monitor specific clinical complications one has to find a small set of features to be collected from the sensors and efficient resource-aware algorithms for their processing. This article is concerned with the detection and monitoring of cardiovascular autonomic neuropathy, CAN, in diabetes patients. Using a small set of features identified previously, we carry out an empirical investigation and comparison of several ensemble methods based on decision trees for a novel application of the processing of sensor data from diabetes patients for pervasive health monitoring of CAN. Our experiments relied on an extensive database collected by the Diabetes Complications Screening Research Initiative at Charles Sturt University and concentrated on the particular task of the detection and monitoring of cardiovascular autonomic neuropathy. Most of the features in the database can now be collected using wearable sensors. Our experiments included several essential ensemble methods, a few more advanced and recent techniques, and a novel consensus function. The results show that our novel application of the decision trees in ensemble classifiers for the detection and monitoring of CAN in diabetes patients achieved better performance parameters compared with the outcomes obtained previously in the literature. © 2012 IEEE.
- Description: 2003009675
AWSum - applying data mining in a health care scenario
- Authors: Quinn, Anthony , Jelinek, Herbert , Stranieri, Andrew , Yearwood, John
- Date: 2008
- Type: Text , Conference paper
- Relation: Paper presented at International Conference on Intelligent Sensors, Sensor Networks and Information Processing, ISSNIP 2008, Sydney, New South Wales : 15th-18th December 2008 p. 291-296
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- Description: This paper investigates the application of a new data mining algorithm called Automated Weighted Sum, (AWSum), to diabetes screening data to explore its use in providing researchers with new insight into the disease and secondarily to explore the potential the algorithm has for the generation of prognostic models for clinical use. There are many data mining classifiers that produce high levels of predictive accuracy but their application to health research and clinical applications is limited because they are complex, produce results that are difficult to interpret and are difficult to integrate with current knowledge and practises. This is because most focus on accuracy at the expense of informing the user as to the influences that lead to their classification results. By providing this information on influences a researcher can be pointed to new potentially interesting avenues for investigation. AWSum measures influence by calculating a weight for each feature value that represents its influence on a class value relative to other class values. The results produced, although on limited data, indicated the approach has potential uses for research and has some characteristics that may be useful in the future development of prognostic models.
- Description: 2003006660