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Publications

Publications by João Paulo Cunha

1992

AN OBJECT-ORIENTED MODEL FOR AN INTEGRATED CLINICAL NEUROPHYSIOLOGY DEPARTMENT

Authors
CUNHA, JP; CUNHA, JFE; DEOLIVEIRA, PG; DASILVA, AM;

Publication
PROCEEDINGS OF THE ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY, VOL 14, PTS 1-7

Abstract

2012

The SWORD tele-rehabilitation system

Authors
Bento, VF; Cruz, VT; Ribeiro, DD; Colunas, MM; Cunha, JPS;

Publication
Studies in Health Technology and Informatics

Abstract
In spite of the growing interest verified in the field of technology-based interventions for Stroke rehabilitation, there is still no global solution that is both successful and suitable for a widespread use [1,2]. In this article, we present a novel tele-rehabilitation tool designed to be used for ambulatory patients, and developed towards the motor recovery of the patient's upper-limb. The SWORD system combines a movement quantification system that analyzes the quality of the motor task performed with a biofeedback console. The proposed structure defines the SWORD system as a complete tele-rehabilitation framework that enables a direct connection between clinical and ambulatory settings. Currently a randomized clinical trial is being designed in order to assess the effectiveness of the SWORD tele-rehabilitation system.

2012

PHealth and wearable technologies: A permanent challenge

Authors
Cunha, JPS;

Publication
Studies in Health Technology and Informatics

Abstract
Wearable technologies have been evolving towards daily usage and are a major player in the personalized health challenge. In this paper we present a personal view of their evolution, how one of them developed within our lab went to the international market and how this type of technology is being used in pHealth projects for first responder professionals and public transportation drivers.

2009

A MONITORING TOOLKIT FOR A DISTRIBUTED CLINICAL DATA INTEGRATION ENGINE

Authors
Santos, V; Oliveira, D; Oliveira, IC; Cunha, JPS;

Publication
HEALTHINF 2009: PROCEEDINGS OF THE INTERNATIONAL CONFERENCE ON HEALTH INFORMATICS

Abstract
The Rede Telematica da Saude (RTS) is a telematic network connecting health care providers in the Aveiro region (Portugal), aiming at supporting the continuity of care. Using the RTS, health care professionals and institutions can securely share clinical data. RTS makes use of an integration engine, which accesses the scattered data sources to create a virtual unified view of patients' information. RTS is deployed over a wide-area private network, shared among a great variety of bandwidth links, systems and applications, which can impact the infrastructure service levels in multiple ways. In this paper, we describe the development of a toolkit for monitoring the performance of the distributed integration process. These analysis mechanisms make it is possible to detect bottlenecks and introduce optimizations in the system, especially with respect to the integration engine module. Its deployment in the production RTS health telematic network assists the maintenance team and the decision taking process to handle usage trends and systems needs.

2003

Movement quantification during epileptic seizures: A new technical contribution to the evaluation of seizure semiology

Authors
Cunha, JPS; Vollmar, C; Li, Z; Fernandes, J; Feddersen, B; Noachtar, S;

Publication
PROCEEDINGS OF THE 25TH ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY, VOLS 1-4: A NEW BEGINNING FOR HUMAN HEALTH

Abstract
In Epilepsy, seizure semiology analysis is routinely used for diagnostic purpose. The behavior of the patient during seizures is usually evaluated by expert qualitative observation where several signs are identified. In the clinical literature, several ictal phenomena are described but still involved in controversy. In this paper, we present our effort to establish a quantified movement analysis method to be widely used as an additional tool to clarify this controversy.

2010

Automated Epileptic Seizure Type Classification through Quantitative Movement Analysis

Authors
Silva Cunha, JPS; Vollmar, C; Fernandes, JM; Noachtar, S;

Publication
WORLD CONGRESS ON MEDICAL PHYSICS AND BIOMEDICAL ENGINEERING, VOL 25, PT 4: IMAGE PROCESSING, BIOSIGNAL PROCESSING, MODELLING AND SIMULATION, BIOMECHANICS

Abstract
In this paper we present the evolution of a quantitative movement analysis methodology for epileptic seizures. With this improved method we analyzed 20 seizure video sequences, 10 classified as automotor and 10 as hypermotor, from 17 different patients. The results obtained show we could classify all (100%) of the hypermotor seizures solely based on a quantified movement parameter - called movement extent extracted with our method. Other quantitative parameters were also studied. This striking result paves the way to the contribution of quantitative movement methods in automated epileptic seizure detection systems.

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