Full HTML for

Scripted foilset Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare

Given by David Warner,Geoffrey Fox at Supercomputing 96 on 18 November 96. Foils prepared Sept 30 1996
Outside Index Summary of Material

The focus of this course will be on the design of intelligent web-based interface systems. Web technologies provide a unique opportunity to rapidly develop human computer interface systems. Such systems provide a rich medium for augmented human expression thus enriching human-human communication and improving Quality of Life.
The following WEB systems will be explored:
CARE-WEB: A prototype system developed for Health Care will be discussed in the context of Telemedicine and Distributed Medical Intelligence.
NeatTools: A Web based Expressional interface system being developed to enable disabled persons to fluently express themselves.
PULSAR: A free Web service for disabled Web users. A Web-based resource repository providing free software, pointers to inexpensive interface hardware and intelligent directories of resources, support groups and other relevant information for disabled Web users.
GROK-BOX: A Web-based collaboratory for interactive perceptualization. An instrumented environment for experiencing and communicating complex information.
SMARTDESK: A instrumented learning environment which allows for dynamic tracking of a "learner's" navigational trajectory through a Web-based content delivery system.

Table of Contents for full HTML of Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare

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1 Supercomputing 96 at Pittsburgh
Tutorial on Web Technology and HPCC
Part 2: HealthCare
Monday November 1996
2 Abstract ofWarner's Health Care Presentation
3 Problem Solving Environments
4 Medical Applications
5 Example WebPSE Applications
6 Multi-purpose Bridge Technology -- Overview
7 Multi-purpose Bridge Technology --- Examples
8 Use of NII Services in Particular Applications -- HealthCare and Telemedicine
9 General Framework of WebMed - Telemedicine Lessons
10 Oracle database support for HealhCare digital libraries
11 General Framework -- The new WebMed Approach
12 TeleMedicine Bridge Concept -- Web Page
13 TeleMedicine Bridge Concept -- Players
14 Possible WebMed Projects - I
15 Interdisciplinary Collaboration -- The Players in Bridge -- WebMed -- CareWeb
16 WebMed for Distributed Medical Interventional Informatics
17 Disabled Interfaces
Empowering Cyberspace and Education
18 Some Synergies between Education and Home Based Health Care
19 The Neat Thing in Action I
20 The Neat Thing in Action III
21 Basic Structure of Neat Thing -- setting relation of Physical and Logical Units
22 Basic Structure of Neat Thing -- Calibrating Logical Units
23 Basic Structure of Neat Thing -- Output from Physical Units
24 The Neat Thing in Action II
25 Eyal Sherman -- Using Neattools
26 Java Applet Version of Neattools

Outside Index Summary of Material

HTML version of Scripted Foils prepared Sept 30 1996

Foil 1 Supercomputing 96 at Pittsburgh
Tutorial on Web Technology and HPCC
Part 2: HealthCare
Monday November 1996

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
David Warner
Geoffrey Fox
NPAC
Room 3-131 CST
111 College Place
Syracuse NY 13244-4100
HTML version of Scripted Foils prepared Sept 30 1996

Foil 2 Abstract ofWarner's Health Care Presentation

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
The focus of this course will be on the design of intelligent web-based interface systems. Web technologies provide a unique opportunity to rapidly develop human computer interface systems. Such systems provide a rich medium for augmented human expression thus enriching human-human communication and improving Quality of Life.
The following WEB systems will be explored:
CARE-WEB: A prototype system developed for Health Care will be discussed in the context of Telemedicine and Distributed Medical Intelligence.
NeatTools: A Web based Expressional interface system being developed to enable disabled persons to fluently express themselves.
PULSAR: A free Web service for disabled Web users. A Web-based resource repository providing free software, pointers to inexpensive interface hardware and intelligent directories of resources, support groups and other relevant information for disabled Web users.
GROK-BOX: A Web-based collaboratory for interactive perceptualization. An instrumented environment for experiencing and communicating complex information.
SMARTDESK: A instrumented learning environment which allows for dynamic tracking of a "learner's" navigational trajectory through a Web-based content delivery system.
HTML version of Scripted Foils prepared Sept 30 1996

Foil 3 Problem Solving Environments

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
This popular word is meant to summarize fact that most problems these todays require not just a fast computer but rather a heterogeneous mix of resources including people, computers, information, visualization etc.
Collaboration technologies link people to people and computers and this linkage is heart of PSE's -- Problem Solving Environments
The Bridge Concept of Warner and Balch is heart of PSE for TeleMedicine
We expect this type of system to grow in importance in all applications!
HTML version of Scripted Foils prepared Sept 30 1996

Foil 4 Medical Applications

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
Such as CareWeb
HTML version of Scripted Foils prepared Sept 30 1996

Foil 5 Example WebPSE Applications

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
CareWeb for Telemedicine -- local community network to support electronic student health record database and collaborative diagnosis by nurses, nurse practitioners and pediatricians.
Command and Control -- innovative use of Web technologies for integrating a suite of large scale applications (weather, electromagnetic scattering, telemedicine, GIS) contributing to a military Command and Control.
Distance Education and Science Collaboratory -- content (Virtual University, Living Schoolbook) and technology (WebFoil, WebSpace/LabSpace) development for delivering education over the Internet and providing collaboratory links between students and mentors.
Large Scale Numerical Computing -- A set of pilot projects that explore Web based HPCC starting from simple computational topologies. Current prototypes include: RSA Factoring-by-Web, Adaptive Mesh Refinement for PDEs, 3D Visible Human.
HTML version of Scripted Foils prepared Sept 30 1996

Foil 6 Multi-purpose Bridge Technology -- Overview

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
Most of the real world WebTop Systems will involve multi-user collaboratory modules. Even for scientific computing, complex toolkits such as WebAMR will be most conveniently supported by interactive consultation between developers and users.
Collaboratory multi-user components will be further enhanced in enterprise, commerce and community systems.
This is illustrated in our recent telemedicine prototype for nursing triage. Here we start from the collaboratory component involving nurses, nurse practioners and pediatricians and add HPCC components such as medical imaging and agent based diagnosis.
We view the Bridge topology (Warner & Balch '95), underlying such telemedicine systems, as a promising generic framework, applicable also for other problem domains.
A generic bridge includes "points of need", "points of expertise" and intelligent middleware that manages information resources and provides connectivity between customers and optimal services.
  • Bridge point of expertise consistent with Anchor desk in JWID military exercises
HTML version of Scripted Foils prepared Sept 30 1996

Foil 7 Multi-purpose Bridge Technology --- Examples

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
We present here examples of the bridge topology, instantiated in various application domains:
Domain Points of Need Points of Expertise Typical Services
TeleMedicine Nurses, Nurse Practioners Diagnosis
    • HomeCare
    • Units
Command Troops Commanders Decision
and Control Making
Distance Learners Teachers Mentoring
Education Students Consultants
Commerce Consumers Vendors Product Support
Science Schools Scientists Popular Science
Collaboratory Small Businesses Technology Transfer
HTML version of Scripted Foils prepared Sept 30 1996

Foil 8 Use of NII Services in Particular Applications -- HealthCare and Telemedicine

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
This is distributed databases for supporting cost effective healthcare with less fraud, better use of existing information for establishing care-plans etc
This is collaboration, remote instrument control for telemedicine
Could be full televirtuality for virtual-reality controlled remote surgery in battlefield or accident scenarios
HTML version of Scripted Foils prepared Sept 30 1996

Foil 9 General Framework of WebMed - Telemedicine Lessons

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
Telemedicine concepts until mid '95 were based on the assumption of rapid onset of the broadband wide area networking infrastructure.
Dominant anticipated medium was direct life video linkage between patients and physicians.
However this is not considered by some to be very succesful and new approach to Telemedicine is based on decision support for doctors with an environment very similar to that needed by Command and Control in the military or the LOTUSNotes like environment in Business
  • Need Image Processing in medicine not weather simulation as in military or market segmentation analysis in Business but similar adaptive access to diverse distributed databases
Slowdown in the ATM deployment, rapid explosion of Web technologies with variable bandwidth conditions, and new social and economic needs for the managed care based medicine, implies currently the paradign shift in the near term telemedicial environments.
HTML version of Scripted Foils prepared Sept 30 1996

Foil 10 Oracle database support for HealhCare digital libraries

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
this the first step in the systematic conversion of poorly organized Web HealthCare material into a set of (Oracle) databases - this particular one stores individual URLs with short descriptions as RDBMS records (so they are automatically searchable, editable etc)
Next steps will include grouping into subdomains, linkage with patient records as on-line aid for the medical personel (nurses) etc.
HTML version of Scripted Foils prepared Sept 30 1996

Foil 11 General Framework -- The new WebMed Approach

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
Warner' team came up with the Bridge Concept which was prototyped by his organization I3 and ECU and succesfully demonstrated with Web Components from NPAC at WWVR'96 in San Diego
The Bridge connects patients/care portals with quality healthcare professionals (DOCking stations) via the intelligent middleware station(this will be Web), offering suitable routing and optimizing the message traffic, service quality and expert time utilization.
The emerging Web based framework (WebMed) addresses near term implementation in terms of today's networks and matches the social/patients and HMO/economy needs in terms of pervasive low cost infrastructure.
New Web based telemedicine initiative WebMed at NPAC addresses these issues in a set of planned pilot projects.
HTML version of Scripted Foils prepared Sept 30 1996

Foil 12 TeleMedicine Bridge Concept -- Web Page

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
Rome Laboratory Collaborative and Interactive Visualization Jan 31,96
HTML version of Scripted Foils prepared Sept 30 1996

Foil 13 TeleMedicine Bridge Concept -- Players

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
Rome Laboratory Collaborative and Interactive Visualization Jan 31,96
HTML version of Scripted Foils prepared Sept 30 1996

Foil 14 Possible WebMed Projects - I

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
School Nurse - Web based patient record database with links to medical information (diagnosis, treatment) and 3 hierarchy levels:
  • 1) nurse terminals in schools, connected to
  • 2) nurse practitioner station at the SU Nursing College, connected to
  • 3) pediatrician station at SUNY HSC.
This is a Pilot project to prototype an instance of the telemedicine Bridge concept.
Home care terminals - Our initial project is a Web (Java/JavaScript) version of Warner's "neat thing" sensory front-end, with rehabilitation and disabilities as initial application target.
  • This builds on Warner's earlier activity in VR for which he is well known
This allows Doctors to interact with Patients at the Home with Instruments monitoring their health
  • In "neat thing" we also build a device to allow the disabled to access the Web as we can replace Mouse/Key board input with any measurable human signal
HTML version of Scripted Foils prepared Sept 30 1996

Foil 15 Interdisciplinary Collaboration -- The Players in Bridge -- WebMed -- CareWeb

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
TeleMedicine and (Interventional) Medical Informatics leads to Bridge
East Carolina University School of Medicine TeleMedicine Program
Institute for Interventional Informatics at San Diego
WebWindows approach to Software Systems linking databases and Web front ends leads to WebMed implementation of Bridge
Northeast Parallel Architectures Center at Syracuse University
WebMed applied to School Nursing leads to CareWeb
Syracuse University School of Nursing
Syracuse City School District
SUNY Health Science Center
HTML version of Scripted Foils prepared Sept 30 1996

Foil 16 WebMed for Distributed Medical Interventional Informatics

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
HTML version of Scripted Foils prepared Sept 30 1996

Foil 17 Disabled Interfaces
Empowering Cyberspace and Education

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
Based on Warner's NeatTools
HTML version of Scripted Foils prepared Sept 30 1996

Foil 18 Some Synergies between Education and Home Based Health Care

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
We are experimenting with home care terminals based on David Warner's "neat thing" sensory front-end, with rehabilitation and disabilities as initial application target.
  • We have rewritten original PC code in Java to allow Web Integration of sensory input and output
This allows Doctors to interact with Patients at the Home with Instruments monitoring their health
But it also allows Disabled access to Web and to Education on the Web as "neat thing" allow us to replace Mouse/Key board input with any measurable human signal
For structured data at least, we have full control over both Patient and User Interface.
  • If not enough "resolution" to move mouse, can replace clickable URL's by scrolled list in Java or JavaScript with clickable NEXT PREVIOUS GO or SKIP-10 URL's in list etc discrete buttons controlled by disabled
HTML version of Scripted Foils prepared Sept 30 1996

Foil 19 The Neat Thing in Action I

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
HTML version of Scripted Foils prepared Sept 30 1996

Foil 20 The Neat Thing in Action III

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
HTML version of Scripted Foils prepared Sept 30 1996

Foil 21 Basic Structure of Neat Thing -- setting relation of Physical and Logical Units

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
By dragging and clicking the mouse, one can assign up to 16 data channels to various input and output devices. Here the interface box is connected to serial port #2 of the PC and its four pairs of electrodes (leads) are assigned respectively to channels 1 through 4. One can also specify running-average or other filters to the individual data channels.
HTML version of Scripted Foils prepared Sept 30 1996

Foil 22 Basic Structure of Neat Thing -- Calibrating Logical Units

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
Channels are calibrated to select "windows" of their ranges of signal amplitude. The green and red lines, which are set by mouse dragging and clicking, set the lower and upper limits of the range of interest. When a signal is within range, the button turns from blue to green, and this condition can correspondingly control a binary output device.
HTML version of Scripted Foils prepared Sept 30 1996

Foil 23 Basic Structure of Neat Thing -- Output from Physical Units

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
A multichannel oscilloscope-type display is available to monitor continuously the time course of an input signal. This mode is particularly useful for training a disabled subject, such as a quadriplegic, to activate certain channels for actions such as a) wheelchair control or b) mouse-cursor control for Web surfing (by conscious activity of various facial muscles).
HTML version of Scripted Foils prepared Sept 30 1996

Foil 24 The Neat Thing in Action II

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
HTML version of Scripted Foils prepared Sept 30 1996

Foil 25 Eyal Sherman -- Using Neattools

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
From work of Ed Lipson and Dave Warner
HTML version of Scripted Foils prepared Sept 30 1996

Foil 26 Java Applet Version of Neattools

From Part 2 of Tutorial on Web Technologies and applications to HPCC and HealthCare Supercomputing 96 -- 18 November 96. *
Full HTML Index
From work of Ed Lipson and Dave Warner
© Northeast Parallel Architectures Center, Syracuse University, npac@npac.syr.edu

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