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 Workshop on "Radioactivity safety and security threats protection and telemedical support for irradiated people"
 Geneva, Switzerland, 30 August 2011 (P.M.) Contact: tsbworkshops@itu.int

Abstracts

“Putting the "Tele" into "Telebiometrics" - A short history of the development of X.1083, and whither now?”: John Larmouth, ITU-T SG 17 Rapporteur (Q12/17)

This short presentation starts by discussing the standardisation activity in ISO and IEC on Biometrics and on Quantities and Units. It identifies areas of past and current joint work (or close collaboration) between ISO/IEC and SG 17 in order to provide communication protocols related to and using these Standards, focussing mainly on the parts of the X.1000 series of Recommendations. It will briefly discuss the use of vendor-specific protocols for telemedicine, and will explore the motivation for and hopefully the future use of SG 17 Recommendations to provide standardised, vendor-independent, telemedicine and telehealth capabilities. It finishes with some speculation on the future needs for other telebiometrics Recommendations.
“The benefits of using object identifiers for quantities and units in human physiology”: Jean Paul Lemaire, ITU-T SG 17 Associate Rapporteur (Q9/17)

Object identifiers have been defined to assign unambiguous identifiers to objects. Object identifiers are used in various domains like network management, directory attributes. Object Identifiers are organized as a tree structure. The main arcs are managed by ITU-T and ISO and the other can be delegated to various organizations. E-health needs the transmission of information of various kinds (quantities) with various units. Unique object identifiers have been assigned to quantities in physics, chemistry. Object identifiers have been also assigned to units (base units of the SI unit systems and derivate units) and symbols attached to units. Using object identifiers is needed to describe messages used in E-health transmissions with the ASN.1 language and transmit them with various encoding rules like XER (XML encoding rules) or PER (Packed Encoding Rules) when efficient encoding is needed.
“The «extended» Telebiometric Multimodal Model (TMM)”: Paul Gérôme, ISO/TC12 Liaison to ITU-T SG 17 (Q9/17)

In order to facilitate collection of human biometric data with optimal safety, security and cultural sensitivity for the purpose of identity authentication or medical services, unique object identifiers have been standardized for quantities such as length, time, mole etc in the Telebiometric Multimodal Model [TMM]. The TMM is composed of seven modalities: TANGO, VIDEO, AUDIO, CHEMO, RADIO, CALOR and ELECTRO, each with IN and OUT modality. In the model, these modalities are related to five domains of knowledge: PHYSICS, CHEMISTRY, BIOLOGY, CULTUROLOGY and PSYCHOLOGY. In addition, each dimension of human physiology is represented in the TMM by a three-faceted model, enabling a comparison between a standardized measurement before-e-health service and after-e-health service. Within the TMM, such comparison includes a measurement of patient and user satisfaction, with such satisfaction benchmarked to 100% innocuity of biometric data collection (safety aspect) and of 0% risk of intended or unintended malice (security and privacy aspect). Object identifiers are used in place of the biometric data, preserving anonymity and preventing fraud and liabilities of ID and E-Health service providers, especially in the case of the RADIO modality and its relevant quantities, units and thresholds.
“Telebiometrics: Enhancing Telepresence Hierarchical Networks”: John Caras, USA

With the advent of the telemedicine revolution facilitated by the telecommunication industry, new applications for remotely, identifying, monitoring and controlling of traditional activities emerged via telepresence networks. Many corporations and government agencies are requiring enterprise applications and sensor based infrastructures to monitor, identify, authenticate, and quantify biological identities and quality of health (QOH).

The goal of the presentation is to describe a telebiometry enhanced telepresence hierarchal network, where Telebiometrics augments the user’s ability to both sample a given environment and to maximize integration with the seven modalities of the Telebiometric Multimodal Model (TMM).

In a recent case, after an ionizing radiation incident and the ensued confusion, Telebiometric enhanced networks can significantly expedite the time critical management of the crisis and optimizing the use of scarce resources by uniquely identifying patients, verifying identity, and evaluating quality of health (QOH) in a standardized reliable biometric protocol.

Standardization of Computational Telebiometry established by the ITU-T for Quantities and Units is critical for analyzing combined data from multiple sites to improve statistical analysis and share imaging data via telemedicine applications. Mining algorithms of the collected interoperable meta-data will improve the accuracy and correlate biological reaction under different scales of a radiation incident. Therefore as computational advancements evolve in computational biology, it is imperative that international standards be established for metrics of biology.
“How developing countries can benefit from eHealth – BDT approach”: Leonid Androuchko, ITU BDT, Rapporteur of Question 14 of ITU-D2

The advances in medical science, biomedical engineering on one side and information and telecommunication technology on the other side are offering today wide opportunities for improving access to and quality of health care. The ability of eHealth to facilitate healthcare irrespective of distance and availability of personnel on the site, make it attractive to developing countries. The review of BDT and ITU-D Study Group 2 activities in this field are presented.
“The ITU-T protocols developed for e-Health and protection”, Halima Naboulsi, ISO TC 12

The ITU-T SG 17 currently develops a new set of Recommendations (X.th series). This set contains a main Recommendation (X.1092.1) which defines in ASN.1 an open and secure protocol. This protocol can be used to transmit medical data but also to do remote interventions with possibility of voice and video channels. The other parts of this set (X.1092.2 to X.1092.6) result of a collaboration with ISO TC 12 and IEC TC 25 and contains definitions of messages and quantities and units in specific areas as physics, chemistry, biology, culturology and psychology.

ITU-T SG 17 has also developed a Common Alerting Protocol (X.1303). This protocol, initially defined by OASIS defines an open protocol for all types of alerts and notifications. This protocol is compatible with all existing techniques of data transmission and can, from a single input, propagate an alert to all kinds of warning systems.
“Models of caregiving in nuclear accidents”: Enrico Staderini, MD Biomedical Engineer, Western Switzerland University of Applied Science HEIG-VD

Although models and plans for accident prevention and accidents management are compulsory part of any nuclear power plant management system, nevertheless it seems that any particular accident has different, peculiar characteristics which were often previously unaccounted for. In these cases the use of telemedicine devices appears quite important not only because the possible distance to overcome between the subject and the caregiver, but also for the impossibility of a full direct human interaction, due to the presence of contamination.

In the various and specific scenarios, we have to adapt each time different models of caregiving advantageously exploiting the various features a telemedicine link is providing. This is in principle a good opportunity but we still need a long way to run as regards the eHealth infrastructure to establish and how it should be better used. A few basic considerations are proposed in this talk.
“Effects of ionizing radiations on the human body”: François Bochud, Associate Professor of medical physics, Lausanne University Hospital

Ionizing radiation can damage living organisms. At high doses, we observe early tissue effects which, in very severe irradiations, can lead to death in a couple of days. In most practical cases, doses are much lower and the outcome is essentially an increase of developing of a cancer with latency in the order of a decade. The talk will make a brief summary of the potential effects of ionizing radiations on the human body and point out the main differences between external irradiation and internal contamination. We will then show in which circumstances we are exposed to radiations in our daily life and what are the levels of doses.  
 

 

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