0000000000236552
AUTHOR
Bernard Kamsu-foguem
Argumentative reasoning and taxonomic analysis for the identification of medical errors
Telemedicine consists of the use of information and communication technologies (ICTs) in the practice of medicine. The massive digitalisation of the society is changing the behaviour of ordinary people even in medical sectors. The impact of digitisation is also having impacts on teleexpertise, where a medical professional can remotely ask some advices through the use of ICTs to provide treatment to a patient in critical conditions in remote environment. However, sometimes the outcome of such advice obtained remotely can lead to medical errors. In these situations, it is important to determine whether the causes of the errors could have been avoidable or not for the purposes of establishing …
Knowledge-based modelling applied to synucleinopathies
International audience; The adoption of telemedicine technologies has enabled collaborative programs involving a variety of links among distributed medical structures and health officials and professionals. The use for telemedicine for transmission of medical data and the possibility for several distant physicians to share their knowledge on given medical cases provides clear benefits, but also raises several unsolved conceptual and technical challenges. The seamless exchange and access of medical information between medical structures, health professionals, and patients is a prerequisite for the harmonious development of this new medical practice. This paper proposes a new approach of sema…
Adverse drug reactions in some African herbal medicine: literature review and stakeholders’ interview
International audience; Background: In view of the large consumption of herbal medicine in Africa countries, it is likely that many adverse drugs reactions go unrecorded with either patients failing to present to health services, or no pharmacovigilance analysis being made, or the analysis not being reported centrally. This problem is of interest especially for those who are working in the general area of adverse drug reactions or stakeholders in the domain of herbal medicine for considering safety issues. Methods: We are particularly interested in the way that the use of very wellknown and highly valued plants is linked to the observation of adverse drug reactions in African countries. We …
Telemedicine and mobile health with integrative medicine in developing countries
International audience; African Home-based Care (AHC) and African Traditional Medicine (ATM) provide a number of self-sustainable primary health care workers in a rural region with the appreciation of ancestral knowledge and its contextual management. Even though most urban residents are able to afford and use conventional medicine to large extent, the implementations of modern medicine in rural areas and in poor peri-urban areas are limited. Our proposal is on how telemedicine solutions could enhance AHC and ATM practices and facilitate simultaneous delivery of both modern and traditional healthcare with evident added value to the recipients. This is indeed a fresh angle, as information an…
Verifying a medical protocol with temporal graphs: the case of a nosocomial disease.
Abstract Objective Our contribution focuses on the implementation of a formal verification approach for medical protocols with graphical temporal reasoning paths to facilitate the understanding of verification steps. Materials and methods Formal medical guideline specifications and background knowledge are represented through conceptual graphs, and reasoning is based on graph homomorphism. These materials explain the underlying principles or rationale that guide the functioning of verifications. Results An illustration of this proposal is made using a medical protocol defining guidelines for the monitoring and prevention of nosocomial infections. Such infections, which are acquired in the h…
Conceptual graph operations for formal visual reasoning in the medical domain
International audience; Objective - Conceptual graphs (CGs) are used to represent clinical guidelines because they support visual reasoning with a logical background, making them a potentially valuable representation for guidelines.Materials and methods - Conceptual graph formalism has an essential and basic component: a formal vocabulary that drives all of the other mechanisms, notably specialization and projection. The graph's theoretical operations, such as projection, rules, derivation, constraints, probabilities and uncertainty, support diagrammatic reasoning.Results - A conceptual graph's graphical user interface includes a multilingual vocabulary management, some query and decision-m…
Experienced knowledge for the description of maintenance packages
International audience; The presented work is included in the research theme that specifies some means of capitalization andexploitation of knowledge from experience feedback processes in the context of industrial maintenancemanagement. Our research on it is a more precise definition of the proposed project, built with a problemasking how to handle the management of repair packages. Upstream, the knowledge of various expertsare materialized in the form of expert reports. Downstream maintenance wants to quickly repair productsbased on symptoms or change parts in advance. For this, we propose a methodology by analysing thefeedback to improve the response time for maintenance services. This is…
Neurodegeneration in tauopathies and synucleinopathies.
International audience; While increasing life expectancy is a major achievement, the global aging of societies raises a number of medical issues, such as the development of age-related disorders, including neurodegenerative diseases. The three main disease groups constituting the majority of neurodegenerative diseases are tauopathies, alpha-synucleinopathies and diseases due to repetitions of glutamine (including Huntington's disease). In each neurodegenerative disease, the accumulation of one or more aggregated proteins has been identified as the molecular signature of the disease (as seen, for example, in Alzheimer's disease, Parkinson's disease, dementia with Lewy bodies, amyotrophic lat…
Could telemedicine enhance traditional medicine practices?
International audience; In developing countries, telemedicine and mobile health tools promise to enhance access to high-quality healthcare, to support communication of medical information and to assist pharmacovigilance processes. In this article, we provide some arguments on the potential of telemedicine and mobile health (mHealth) applications to improve the delivery of health care in rural African regions. Specifically, the development of mobile telemedicine could help to lay the foundations of a healthcare approach integrating modern medical knowledge with ancient medical practices on the African continent. Access to information and communication technology (ICT), technical devices or p…
Argumentation graphs with constraint-based reasoning for collaborative expertise
International audience; Collaborative processes are very important in telemedicine domain since they allow for making right decisions in complex situations with multidisciplinary staff. When modelling these collaborative processes, some inconsistencies can appear. In semantic modelling (conceptual graphs), these inconsistencies are verified using constraints. In this work, collaborative processes are represented using an argumentation system modelled in a conceptual graph formalism where inconsistencies could be particular bad attack relation between arguments. To overcome these inconsistencies, two solutions are proposed. The first one is to weight the arguments evolving in the argumentati…