Interactivity in Smart Environments

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Short description about the course content The main theme of the course is theories, methods and technologies for the development of future intelligent interactive environments where humans and proactive, reactive, autonomous and social software agents communicate and cooperate to reach goals. Sometimes the software agents are embedded in robotic systems…

Från prototyp till produkt ur ett CE-perspektiv

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Short description about the course content Alla företag som säljer produkter inom den europeiska marknaden måste kunna visa att deras produkter uppfyller gällande EU-krav och därigenom den lag som gäller i det EU-land där produkten ska säljas. CE-märkning av en produkt är ett tillkännagivande från tillverkaren till myndigheterna att deras…
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Short description about the course content The course will give an overview of the foundations of eHealth and Medical Informatics including research methodologies. The purpose of the course is to provide the doctoral student the opportunity to apply new knowledge in theme discussions and explore, partly hands-on, the potentials in…
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Short description about the course content This course is focused on eHealth challenges and risks, including its history up-to-date. Majority of the course will be spent discussing eHealth technical applications. At the end of the course we will look at the future of eHealth and discuss topics that are open…
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Short description about the course content Kursen ges av Medtech4Health och syftar till att öka kunskapen om innovations- och entreprenörskapsprocessen för att underlätta samarbeten och ge bättre förutsättningar för att fler innovationsprojekt ska gå i mål. Kursen innefattar hela processen från att identifiera ett problemområde inom vården som potentiellt kan…
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Short description about the content Inom ramen för Umeå universitets satsning på en forskningsmiljö för eHälsa och inrättandet av ett kompetenscentrum för telemedicin i samarbete med VLL, Vasa universitet och EPTEK i Seinäjoki, Finland, hålls en workshop för att demonstrera aktuell eHälsaforskning. Deltagare får prova nya eHälsainnovationer för till exempel…

eHealth in Finland

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Short description about the content Presentation of eHealth and eHealth equipment (home care technology, distance care technology, telecare) in Finland. Course description summary Type of activity: Short course/seminar/presentation of equipment Course/workshop name: eHealth in Finland Hosting university/organization and department: EPTEK Link to course information (where course syllabuses are kept updated): …
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MoLab™ is a system developed for evaluating body movements in clinic or at workplace. The system gives feedback about the movement patterns of a person with muscular or skeletal disorders. Standardized measurement protocols can be designed and customized individually within the system. The system is easy to use, with the…

Mobile dermatoscope

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A mobile solution for visualization of both pigmented and vascular structures. The solution includes a magnetic adapter that keeps the optics on place. The lens also includes 28 high-powered LEDs that can be adjusted for optimal illumination of the skin. The digital image can then be sent to the hospital’s…
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A roof-mounted HD camera that lets a physician or other medical staff to come up close to the patient without having to be in the same room as the patient. The high zoom ability of the camera makes it possible to zoom in a certain area of the person without…

Movable medical computer

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A movable medical computer with touch screen that can be used for taking pictures (for instance using an otoscope or handheld dermatoscope). The same computer can also be used for adding information directly into the digital medical record.
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This high-resolution video conferencing system can be used for connecting with remote sites and gives a nearly full sized picture of the person at the peer end. The cameras are also controlled by the sound in the room and focus on the talking person in real-time.
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The TotalExam HD is a hand-held examination camera that can be used in various telemedicine applications. It can for example be used to view skin lesions (with or without a variable polarizing hood), or you can attach a tongue depressor to the look down the throat of patient. The camera…

Remote consultant

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Remote consultant is a system for remote real-time auscultation. It was developed in-house at the research and development unit at the department of biomedical engineering in Västerbotten County Council. The system utilizes two digital stethoscopes from Littmann and a custom built streaming solution. The reason for using an actual stethoscope…
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CheckUp Care is a telemedicine solution that can used to facilitate self-measurement for patients in remote or rural areas. The system consists of a communication device that connects to medical equipment for measuring blood pressure, hemoglobin, blood glucose, weight and INR. The data is sent to a central database, which…
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The Coala Heart Monitor is a device that simultaneously records heart sounds and performs ECG recordings. The ECG recording is done in two steps, first 30 seconds on the chest and then 30 seconds using the thumbs. The look and feel and the overall design of the product feels very…
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MyDiagnostick is an ECG recorder in the shape of a rod with metallic handles at both ends. It is super easy to use, as you only need to grab hold of both ends for the recording to start. The device is intended to discriminate atrial fibrillation (AF) from normal cardiac…
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In the late 1990s, child and adolescent psychiatry in Northern Sweden began utilizing videoconferencing in their work. Today, such technology is used in many different applications, primarily administrative but also in family conversations and start-up conversations before treatment and, to a limited extent, in personal meetings with patients and families.…

Telemedicine in psychiatry

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Already in 2000, the Department of Psychiatry in Västerbotten began utilizing videoconferencing in contacts with neighbouring units and non-healthcare partners. Organisational changes resulted in a significantly larger catchment area and the management realized that telemedicine was the only option to maintain good working relationships and proximity to patients and families.Today…

Child and adolescence habilitation

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The child and adolescence habilitation in Västerbotten offers advice, support and rehabilitation to children and adolescents with mental retardation, autism, physical disabilities or other severe disabilities. As the unit has a clear focus on removing barriers for people in their everyday life, video conferencing is used extensively to avoid unnecessary…

Community-based health rooms

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The Centre for Rural Medicine, GMC, in Storuman has developed a new concept for improving proximity to healthcare for residents in rural and sparsely populated areas. In December 2013, the first health room was inaugurated in the small village of Slussfors, midway between the primary care facilities in Storuman and…

Collaborative care planning

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The aim of collaborative care planning is management of information transfer and planning of a patients’ future care after admission from inpatient facilities. Already in the late 1990s, the first projects with video conference supported care planning were executed in Västerbotten County. Since then, this work model is routine practice…

Transfer meetings in neonatal care

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The Neonatal Unit at Nus cares for children in need of extra support and monitoring during early life. The unit has the whole Northern Healthcare Region as catchment area and many of the children need care for long periods, sometimes a long way from home. Before leaving the neonatal unit…
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In 2012, a National Children’s Heart Network, Gertrude, was established to improve the support for children and new-borns with suspected heart conditions. Thanks to the Swedish Heart and Lung Foundation, 35 of the Swedish hospitals with paediatric cardiology units have received an advanced video conferencing system with the ability to…
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Since 2009, the paediatric cardiology unit at Nus supports Sunderby and Gällivare Hospitals with emergency assessments of cardiac ultrasound in children and newborns. The child is cared for by a local paediatrician where the ultrasound investigation is performed. The cardiologist at Nus views the ultrasound images in real time via…

Assessment of suspected heart murmurs

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During 2005-2007, engineers at the Department of Biomedical Engineering and Informatics, R&D at Nus developed a system for remote auscultations that can stream or store signals from a digital stethoscope. Assessments were thereafter done either during a video consultation or by recording and storing the sound for future assessment. The…

Image referrals in dermatology

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In 2005, the Dermatology Clinic at Nus began evaluating the possibility to assess skin conditions such as acne, psoriasis and eczema remotely through referrals supplemented by digital images. This evaluation was the start of a large-scale expansion of image-based diagnostics and today, the clinic offers consultations based on digital images…

Teledermatoscopy

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Early diagnosis is of great importance for the survival of patients with malignant melanoma. Until 2012, Nus offered referral-free appointments with dermatologists to assess moles, but it was concluded that the service only reached a limited number of people, primarily from nearby municipalities. To offer a more equitable service across…

Emergency support in rural areas

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The towns of Tärnaby, Storuman, Sorsele and Malå in the inland of Västerbotten have access to extended primary care through the cottage hospitals. These units have since many years a video solution in the emergency rooms that allows external support or guidance during emergencies. Physicians on call at home or…
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The most common form of facial malformation in new-borns is a gap in lip, jaw or palate, known as cleft palate. In Sweden, there are six units that manage these patients, including Nus who are responsible for all babies born in Northern Sweden.Since 2011, the so-called lip, jaw and palate…

Psycho-geriatric consultations

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The Centre for Geriatrics at Nus offers psycho-geriatric assistance via video or webcam to primary care facilities in southern Lapland and the Umeå region. The approach has been applied by Skellefteå Hospital to a limited extent since 2004 and by Nus since 2009. In recent years, the concept has been…

Adjustment of hearing aids

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In Northern Sweden, there are about 170 adults with cochlear implant, CI. A cochlear implant is a high-tech tool that can restore hearing to deaf and severely hearing impaired. The implant, which consists of both implanted and external components, is inserted and tested at Nus for all adult patients in…
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The renal unit at Nus offers remote support to patients with peritoneal dialysis (PD) at the patients nearest primary care unit. The service was established in 2011 as part of the EU project ITTS and is now routine practice. The plan is to develop the concept further to be able…

Haematologic appointment

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The Haematology Section at Nus is responsible for delivering highly specialized haematology care to all patients in Northern Sweden. Activities include regular follow-ups and drug recommendations, which today is also offered directly to patients in their homes using video services. Some patients need follow-ups as frequently as twice a week…
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The Centre for Cardiovascular Genetics, CKG, is a research centre operating within a partnership between the Heart Centre, the Centre for Medicine, the Child and Youth Clinic and Laboratory Medicine. The vision of CKG is to prevent morbidity and mortality in hereditary cardiovascular disease by offering families diagnostics, genetic counselling,…

Teledermatological visits

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Teledermatological visits were introduced in 1996 at the Dermatology Clinic at Nus in collaboration with some of the primary care driven cottage hospitals in the sparsely populated western parts of the county. Physicians and patient in primary care consulted a specialist at the Dermatology Clinic during a video meeting and…

Rheumatologic doctor’s visits

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Rheumatology patients on heavy medication need to be examined regularly to evaluate the pharmacological treatment, possible side effects and general wellbeing. To reach all the patients in the county, medical specialists in rheumatology placed at Nus previously staffed also the rheumatology departments of Skellefteå and Lycksele Hospitals once a week.…

Virtual GP appointments

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Many sparsely populated municipalities in the Västerbotten County have difficulties recruiting medical professionals to the primary care. The problem is also evident in urban primary care facilities, but to a lesser extent. These units are thus often dependent on temporarily hired physicians, a situation which entail unnecessary high costs, affect…

Robot-assisted echocardiography

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Ultrasound examination of the heart, known as echocardiography, is of major importance to establish or rule out certain heart diseases. Echocardiography is only offered at the county's hospitals and to address this limitation, researchers from Skellefteå hospital have developed a method whereby a cardiac ultrasound examination can be executed from…

Cognitive behavioural therapy (CBT)

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Storuman cottage hospital provides CBT treatment via video to patients in several municipalities in the sparsely populated areas of Västerbotten. The therapist connects to the meeting using an ordinary webcam and the patient joins either from the closest primary healthcare facility or by using a similar equipment at home. The…

Pain rehabilitation

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Ten percent of the Swedish population suffers from chronic pain, which represents almost 60 percent of all long-term sick leaves. Pain involves suffering on many levels and can cause physical as well as psychological and social problems. Each year about 320 people, mostly in the age of 18-65, with chronic…

Speech therapy

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In the very beginning of the 21st century, the Speech Pathology Clinic at Nus developed a novel concept for remote rehabilitation of patients with voice and speech disorders. The concept originally came about as the speech therapists were too few to cover the needs of the county. Today, this work…

Haematology round

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The Pathology Department at Nus participates in about 60 rounds every week in different areas. The haematology round, held twice a month via video, is coordinated by the centre for laboratory medicine at Nus and is part of the normal routines since the late 1990s. Hospitals in the northern region…

Breast conference

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The multidisciplinary breast conference is managed from Nus and includes Skellefteå hospital. The conference started already in the late 1990s and is one of the first rounds that allowed remote participation. The conference deals with patients with breast cancer or suspected breast cancer, and all patients are discussed at the…

Dialysis rounds

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There is a lack of full-time nephrologists at the dialysis unit in Lycksele Hospital, thus specialists at Nus regularly perform rounds remotely with support from the local staff in Lycksele. The rounds are enabled through mobile videoconferencing equipment, which makes it possible to carry out rounds wherever it is best…

Renal pathology round

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For more than a decade, the Centre of Medicine at Nus carries out joint rounds in renal pathology together with Karolinska University Hospital in Stockholm. Kidney biopsy specimens from patients in Umeå are prepared and sent to the pathologist at Karolinska. Once a month, renal pathologists at Karolinska connects to…

Renal transplantation round

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Since many years, Nus and Sahlgrenska University Hospital holds joint rounds for patients from the Northern Healthcare Region who has undergone kidney transplantation at Sahlgrenska. The rounds are held every two months and currently include Östersund hospital as well. In case of clinical indications, renal biopsies are sampled from the…

Colorectal conferences

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Within the colorectal area, i.e., colon, rectal and anal cancer, multidisciplinary rounds have been carried out for a long time. The rounds engage pathologists, oncologists, surgeons, radiologists, contact nurses, and all patients from Umeå and Skellefteå are brought up on the round. Since 2009, it is possible to join the…

Radiotherapy round

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In conjunction with the construction of the radiotherapy unit at Sundsvall Hospital in 2000, a multidisciplinary round known as distributed radiotherapy was established between Nus and Sundsvall Hospital. The aim was to make use of the experience from Nus radiotherapy and support the dose planning for patients to be treated…

Regional dermatology round

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Once a month, a regional dermatology round is held by the dermatology clinic at Nus with participation from the hospitals in Östersund, Sunderbyn and Sundsvall. The round utilizes videoconference with ability to simultaneously show clinical images and focuses on complex cases where the specialists want to discuss how to manage…

Dialysis access meetings

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In the dialysis area, so-called access meetings are held via video conferencing and involve physicians and biomedical scientists from the physiology lab (fyslab), doctor and nurse from the dialysis unit and vascular surgeon and doctors from the IR lab. Activities include Nus, Skellefteå and Lycksele Hospitals. The aim of the…

Pulmonary/oncology/thorax round

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This is a regional round involving patients in Northern Sweden with tumours in the lung and thorax. Since 2009, the lung clinics at Nus, Sunderby, Östersund and Sundsvall hospitals participate in the round with professionals in the fields of oncology, thoracic surgery, radiology, pathology and pulmonary medicine. Patients are brought…

Carcinoid round

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Regional round established since many years that addresses patients from Northern Sweden with neuro-endocrine tumours. Frequent participants are Nus, Östersund Hospital and Uppsala Academic Hospital, although several other hospitals in the northern healthcare region are also invited. Among the Swedish university hospitals, the Academic Hospital is most experienced with this…

PARO Therapeutic Robot

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PARO is a therapeutic robot that has been created to stimulate patient’s interaction and socialization.
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