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Publications

Publications by Nuno Feixa Rodrigues

2023

The role of kiosks on health services: a systematic review

Authors
Oliveira, E; Pacheco, P; Santos, F; Coimbra, J; Stamper, J; Coelho, A; Paredes, H; Alves, J; Rodrigues, NF;

Publication
2023 IEEE 11TH INTERNATIONAL CONFERENCE ON SERIOUS GAMES AND APPLICATIONS FOR HEALTH, SEGAH

Abstract
Introduction: Emergency department visits have increased substantially, leading to a significant rise in waiting time for patients. Several kiosk-based solutions have been introduced to reduce waiting times in healthcare facilities and to increase efficacy and user satisfaction. Purpose of the Study: This systematic review aims to identify the most effective self-service kiosk features for collecting patients' health information and to evaluate their acceptability among elderly and less educated populations, despite not being the focus, there is pontencial in the development of the system interface to facilitate the perception and understanding of those with less digital literacy. Methods: We conducted a systematic review of studies on diagnosis, replacement of face-to-face consultation, and triage kiosks published between January 2009 and March 2023 in the databases PubMed, IEEE Xplore, Web of Science, Cochrane Library, ScienceDirect, and Scopus. Results: The eight analyzed studies included 2,298 participants in total, with participants aged between 16 and 94 years. Most studies provided kiosk assistance. Elderly patients demonstrated the capability and willingness to participate in technological interventions. Conclusion: User interface elements were the most critical features in health kiosk design, followed by clear communication and patients' understanding of the benefits associated with kiosk use. The high levels of kiosk acceptance and satisfaction observed indicate a significant opportunity for the introduction of self-service kiosks in various healthcare contexts.

2023

A Human-Computer Interaction Perspective on Clinical Decision Support Systems: A Systematic Review of Usability, Barriers, and Recommendations for Improvement

Authors
Ferreira, G; Oliveira, E; Stamper, J; Coelho, A; Paredes, H; Rodrigues, NF;

Publication
2023 IEEE 11TH INTERNATIONAL CONFERENCE ON SERIOUS GAMES AND APPLICATIONS FOR HEALTH, SEGAH

Abstract
Clinical decision support systems have been increasingly utilized in the healthcare industry to improve patient outcomes and enhance clinical decision-making, taking advantage of the growing digital medical data. Despite their potential, there are still obstacles in an extensive adoption of these systems, such as low usability and human factors. In this systematic review, several articles describing clinical decision support systems with clinical validation are used to address some of the gaps, as well as to map the current academic landscape for the given context. The selected articles are observed through a Human-Computer Interaction perspective, aiming to identify the state-of-the-art, as well as barriers to the application of these principles. From an initial database search resulting in 121 articles, 16 articles were selected that fulfilled the chosen criteria: (1) article must be available and written in English, (2) article must report experimental work, (3) the reported system must be clinically validated. The research strategy followed the PRISMA framework. We highlight the need for clinical validation, a standardized clinical decision support taxonomy and the evaluation of these tools across multiple variables. Based on the found results, a list of recommendations can be formed to aid the development of future CDSS, or the improvement of current ones.

2011

Virtual simulation of the postsurgical cosmetic outcome in patients with Pectus Excavatum

Authors
Vilaca, JL; Moreira, AHJ; L Rodrigues, P; Rodrigues, N; Fonseca, JC; Pinho, ACM; Correia Pinto, J;

Publication
MEDICAL IMAGING 2011: VISUALIZATION, IMAGE-GUIDED PROCEDURES, AND MODELING

Abstract
Pectus excavatum is the most common congenital deformity of the anterior chest wall, in which several ribs and the sternum grow abnormally. Nowadays, the surgical correction is carried out in children and adults through Nuss technic. This technic has been shown to be safe with major drivers as cosmesis and the prevention of psychological problems and social stress. Nowadays, no application is known to predict the cosmetic outcome of the pectus excavatum surgical correction. Such tool could be used to help the surgeon and the patient in the moment of deciding the need for surgery correction. This work is a first step to predict postsurgical outcome in pectus excavatum surgery correction. Facing this goal, it was firstly determined a point cloud of the skin surface along the thoracic wall using Computed Tomography (before surgical correction) and the Polhemus FastSCAN (after the surgical correction). Then, a surface mesh was reconstructed from the two point clouds using a Radial Basis Function algorithm for further affine registration between the meshes. After registration, one studied the surgical correction influence area (SCIA) of the thoracic wall. This SCIA was used to train, test and validate artificial neural networks in order to predict the surgical outcome of pectus excavatum correction and to determine the degree of convergence of SCIA in different patients. Often, ANN did not converge to a satisfactory solution (each patient had its own deformity characteristics), thus invalidating the creation of a mathematical model capable of estimating, with satisfactory results, the postsurgical outcome.

2006

On the semantics of componentware: A coalgebraic persecutive

Authors
Barbosa L.S.; Meng S.; Aichernig B.K.; Rodrigues N.;

Publication
Mathematical Frameworks For Component Software: Models For Analysis And Synthesis

Abstract
In this chapter we present a coalgebraic semantics for components. Our semantics forms the basis for a family of operators for combining components. These operators together with their algebraic laws establish a calculus for software components. We present two applications of our semantics: a coalgebraic interpretation of UML diagrams and the design of a component repository.

2011

A Mobile Health Care Rule-Based System

Authors
Rodrigues, N; Vilaca, JL;

Publication
ENTERPRISE INFORMATION SYSTEMS, PT 3

Abstract
The relation between patient and physician in most modern Health Care Systems is sparse, limited in time and very inflexible. On the other hand, and in contradiction with several recent studies, most physicians do not rely their patient diagnostics evaluations on intertwined psychological and social nature factors. Facing these problems and trying to improve the patient/physician relation we present a mobile health care solution to improve the interaction between the physician and his patients. The solution serves not only as a privileged mean of communication between physicians and patients but also as an evolutionary intelligent platform delivering a mobile rule based system.

2012

Automatic segmentation and 3D feature extraction of protein aggregates in Caenorhabditis Elegans

Authors
Rodrigues, PL; Moreira, AHJ; Teixeira Castro, A; Oliveira, J; Dias, N; Rodrigues, NF; Vilaca, JL;

Publication
MEDICAL IMAGING 2012: BIOMEDICAL APPLICATIONS IN MOLECULAR, STRUCTURAL, AND FUNCTIONAL IMAGING

Abstract
In the last years, it has become increasingly clear that neurodegenerative diseases involve protein aggregation, a process often used as disease progression readout and to develop therapeutic strategies. This work presents an image processing tool to automatic segment, classify and quantify these aggregates and the whole 3D body of the nematode Caenorhabditis Elegans. A total of 150 data set images, containing different slices, were captured with a confocal microscope from animals of distinct genetic conditions. Because of the animals' transparency, most of the slices pixels appeared dark, hampering their body volume direct reconstruction. Therefore, for each data set, all slices were stacked in one single 2D image in order to determine a volume approximation. The gradient of this image was input to an anisotropic diffusion algorithm that uses the Tukey's biweight as edge-stopping function. The image histogram median of this outcome was used to dynamically determine a thresholding level, which allows the determination of a smoothed exterior contour of the worm and the medial axis of the worm body from thinning its skeleton. Based on this exterior contour diameter and the medial animal axis, random 3D points were then calculated to produce a volume mesh approximation. The protein aggregations were subsequently segmented based on an iso-value and blended with the resulting volume mesh. The results obtained were consistent with qualitative observations in literature, allowing non-biased, reliable and high throughput protein aggregates quantification. This may lead to a significant improvement on neurodegenerative diseases treatment planning and interventions prevention.

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