Richard R. Berlin

h-index3
2papers
29citations

2 Papers

2.9SENov 25, 2017
Communication and Synchronization of Distributed Medical Models: Design, Development, and Performance Analysis

Mohammad Hosseini, Richard Berlin, Lui Sha et al.

Model-based development is a widely-used method to describe complex systems that enables the rapid prototyping. Advances in the science of distributed systems has led to the development of large scale statechart models which are distributed among multiple locations. Taking medicine for example, models of best-practice guidelines during rural ambulance transport are distributed across hospital settings from a rural hospital, to an ambulance, to a central tertiary hospital. Unfortunately, these medical models require continuous and real-time communication across individual medical models in physically distributed treatment locations which provides vital assistance to the clinicians and physicians. This makes it necessary to offer methods for model-driven communication and synchronization in a distributed environment. In this paper, we describe ModelSink, a middleware to address the problem of communication and synchronization of heterogeneous distributed models. Being motivated by the synchronization requirements during emergency ambulance transport, we use medical best-practice models as a case study to illustrate the notion of distributed models. Through ModelSink, we achieve an efficient communication architecture, open-loop-safe protocol, and queuing and mapping mechanisms compliant with the semantics of statechart-based model-driven development. We evaluated the performance of ModelSink on distributed sets of medical models that we have developed to assess how ModelSink performs in various loads. Our work is intended to assist clinicians, EMT, and medical staff to prevent unintended deviations from medical best practices, and overcome connectivity and coordination challenges that exist in a distributed hospital network. Our practice suggests that there are in fact additional potential domains beyond medicine where our middleware can provide needed utility.

3.3NIJul 16, 2017
Towards Physiology-Aware DASH: Bandwidth-Compliant Prioritized Clinical Multimedia Communication in Ambulances

Mohammad Hosseini, Yu Jiang, Richard R. Berlin et al.

The ultimate objective of medical cyber-physical systems is to enhance the safety and effectiveness of patient care. To ensure safe and effective care during emergency patient transfer from rural areas to center tertiary hospitals, reliable and real-time communication is essential. Unfortunately, real-time monitoring of patients involves transmission of various clinical multimedia data including videos, medical images, and vital signs, which requires use of mobile network with high-fidelity communication bandwidth. However, the wireless networks along the roads in rural areas range from 4G to 2G to low speed satellite links, which poses a significant challenge to transmit critical patient information. In this paper, we present a bandwidth-compliant criticality-aware system for transmission of massive clinical multimedia data adaptive to varying bandwidths during patient transport. Model-based clinical automata are used to determine the criticality of clinical multimedia data. We borrow concepts from DASH, and propose physiology-aware adaptation techniques to transmit more critical clinical data with higher fidelity in response to changes in disease, clinical states, and bandwidth condition. In collaboration with Carle's ambulance service center, we develop a bandwidth profiler, and use it as proof of concept to support our experiments. Our preliminary evaluation results show that our solutions ensure that most critical patient's clinical data are communicated with higher fidelity.