Innovative Hybrid Cloud Solutions For Physical Medicine and Telerehabilitation Research
DOI:
https://doi.org/10.5195/ijt.2024.6635Keywords:
Cloud computing, Digital health, Telerehabilitation, Hybrid cloud environment, MedRehabBot, MedLocalGPTAbstract
Purpose: The primary objective of this study was to develop and implement a Hybrid Cloud Environment for Telerehabilitation (HCET) to enhance patient care and research in the Physical Medicine and Rehabilitation (PM&R) domain. This environment aims to integrate advanced information and communication technologies to support both traditional in-person therapy and digital health solutions. Background: Telerehabilitation is emerging as a core component of modern healthcare, especially within the PM&R field. By applying digital health technologies, telerehabilitation provides continuous, comprehensive support for patient rehabilitation, bridging the gap between traditional therapy, and remote healthcare delivery. This study focuses on the design, and implementation of a hybrid HCET system tailored for the PM&R domain. Methods: The study involved the development of a comprehensive architectural and structural organization for the HCET, including a three-layer model (infrastructure, platform, service layers). Core components of the HCET were designed and implemented, such as the Hospital Information System (HIS) for PM&R, the MedRehabBot system, and the MedLocalGPT project. These components were integrated using advanced technologies like large language models (LLMs), word embeddings, and ontology-related approaches, along with APIs for enhanced functionality and interaction. Findings: The HCET system was successfully implemented and is operational, providing a robust platform for telerehabilitation. Key features include the MVP of the HIS for PM&R, supporting patient profile management, and rehabilitation goal tracking; the MedRehabBot and WhiteBookBot systems; and the MedLocalGPT project, which offers sophisticated querying capabilities, and access to extensive domain-specific knowledge. The system supports both Ukrainian and English languages, ensuring broad accessibility and usability. Interpretation: The practical implementation, and operation of the HCET system demonstrate its potential to transform telerehabilitation within the PM&R domain. By integrating advanced technologies, and providing comprehensive digital health solutions, the HCET enhances patient care, supports ongoing rehabilitation, and facilitates advanced research. Future work will focus on optimizing services and expanding language support to further improve the system's functionality and impact.
References
Bhowmik, S. (2017). Cloud computing. Cambridge University Press.
Domain registrar NIC.UA. (n.d.). Retrieved May 21, 2024, from https://nic.ua/en
Donenfeld, J. A. (n.d.). WireGuard: Fast, modern, secure VPN tunnel. Retrieved May 21, 2024, from https://www.wireguard.com/
European Physical and Rehabilitation Medicine Bodies Alliance. (2018). White Book on Physical and Rehabilitation Medicine in Europe. Introductions, Executive Summary, and Methodology. European Journal of Physical and Rehabilitation Medicine, 54(2), 125–155. https://doi.org/10.23736/S1973-9087.18.05143-2
Kaverinsky, V., & Malakhov, K. (2023a). Natural Language-Driven Dialogue Systems for Support in Physical Medicine and Rehabilitation. South African Computer Journal, 35(2), 119–126. https://doi.org/10.18489/sacj.v35i2.17444
Kaverinsky, V., & Malakhov, K. S. (2023b). MedRehabBot (1.0.0) [Python]. Knowledge-Ukraine.
https://github.com/knowledge-ukraine/MedRehabBot
Litvin, A. A., Velychko, V. Yu., & Kaverynskyi, V. V. (2020). Method of information obtaining from ontology on the basis of a natural language phrase analysis. CEUR Workshop Proceedings, 2866, 323–330. Scopus. https://ceur-ws.org/Vol-2866/ceur_322_330_litvin_velichko.pdf
Litvin, A. A., Velychko, V. Yu., & Kaverynskyi, V. V. (2021). Tree-based semantic analysis method for natural language phrase to formal query conversion. Radio Electronics, Computer Science, Control, 57(2), 105–113. https://doi.org/10.15588/1607-3274-2021-2-11
Litvin, A. A., Velychko, V. Yu., & Kaverynskyi, V. V. (2022). A new approach to automatic ontology generation from the natural language texts with complex inflection structures in the dialogue systems development. CEUR Workshop Proceedings, 3501, 172–185. Scopus. https://ceur-ws.org/Vol-3501/s16.pdf
Malakhov, K., Petrenko, M., & Cohn, E. (2023). Developing an ontology-based system for semantic processing of scientific digital libraries. South African Computer Journal, 35(1), 19–36. https://doi.org/10.18489/sacj.v35i1.1219
Malakhov, K. S. (2022). Letter to the Editor – Update from Ukraine: Rehabilitation and Research. International Journal of Telerehabilitation, 14(2), 1–2. https://doi.org/10.5195/ijt.2022.6535
Malakhov, K. S. (2023a). Insight into the Digital Health System of Ukraine (eHealth): Trends, definitions, standards, and legislative revisions. International Journal of Telerehabilitation, 15(2), Article 2. https://doi.org/10.5195/ijt.2023.6599
Malakhov, K. S. (2023b). Letter to the Editor – Update from Ukraine: Development of the cloud-based platform for patient-centered telerehabilitation of oncology patients with mathematical-related modeling. International Journal of Telerehabilitation, 15(1), 1–3. https://doi.org/10.5195/ijt.2023.6562
Malakhov, K. S., & Palagin, O. V. (2024). Technical requirements for hybrid cloud platform for telerehabilitation medicine.
https://cdn.e-rehab.pp.ua/u/Technical-requirements-hybrid-cloud-platform.pdf
Malakhov, K. S., Shchurov, O. S., & Velychko, V. Y. (2023). UkrVectōrēs (1.0.5) [JavaScript; Python]. https://github.com/malakhovks/docsim (Original work published 2020)
Malakhov, K., Vakulenko, D., & Kaverinsky, V. (2023). EBSCO articles dataset (domain knowledge: Rehabilitation medicine) + JSON of every article (1.1.0) [JSON, PDF]. Zenodo; Zenodo. https://doi.org/10.5281/ZENODO.8308214
Malakhov, K. S., Velychko, V. Y., & Kaverynskyi, V. V. (2023). KEn [Python]. https://github.com/malakhovks/ken (Original work published 2019)
Nginx Proxy Manager. (n.d.). Retrieved May 21, 2024, from https://nginxproxymanager.com/
Opanasenko, V. M., Fazilov, S. K., Mirzaev, O. N., & Kakharov, S. S. ugli. (2024). An Ensemble Approach To Face Recognition In Access Control Systems. Journal of Mobile Multimedia, 749–768. https://doi.org/10.13052/jmm1550-4646.20310
Opanasenko, V. M., Fazilov, Sh. Kh., Radjabov, S. S., & Kakharov, Sh. S. (2024). Multilevel Face Recognition System. Cybernetics and Systems Analysis, 60(1), 146–151. https://doi.org/10.1007/s10559-024-00655-w
Palagin, A. V. (2006). Architecture of ontology-controlled computer systems. Cybernetics and Systems Analysis, 42(2), 254–264. https://doi.org/10.1007/s10559-006-0061-z
Palagin, O., Kaverinskiy, V., Litvin, A., & Malakhov, K. (2023). OntoChatGPT information system: Ontology-driven structured prompts for ChatGPT meta-learning. International Journal of Computing, 22(2), 170–183. https://doi.org/10.47839/ijc.22.2.3086
Palagin, O., Kaverinsky, V., Petrenko, M., & Malakhov, K. (2023). Digital health systems: Ontology-based universal dialog service for hybrid e-rehabilitation activities support. 2023 IEEE 12th International Conference on Intelligent Data Acquisition and Advanced Computing Systems: Technology and Applications (IDAACS), 1, 84–89. https://doi.org/10.1109/IDAACS58523.2023.10348639
Palagin, O., & Petrenko, M. (2018). Methodological foundations for development, formation and IT-support of transdisciplinary research. Journal of Automation and Information Sciences, 50(10), 1–17. https://doi.org/10.1615/JAutomatInfScien.v50.i10.10
Palagin, O., Petrenko, M., & Boyko, M. (2022). Ontology-related complex for semantic processing of scientific data. CEUR Workshop Proceedings, 3501, 279–290. Scopus. https://ceur-ws.org/Vol-3501/s26.pdf
Palagin, O. V. (2016). An ontological conception of informatization of scientific investigations. Cybernetics and Systems Analysis, 52(1), 1–7. https://doi.org/10.1007/s10559-016-9793-6
Palagin, O. V., Malakhov, K. S., Velychko, V. Yu., Semykopna, T. V., & Shchurov, O. S. (2022). Hospital information smart-system for hybrid e-rehabilitation. CEUR Workshop Proceedings, 3501, 140–157. Scopus. https://ceur-ws.org/Vol-3501/s50.pdf
Palagin, O. V., Petrenko, M. G., Velychko, V. Yu., & Malakhov, K. S. (2014). Development of formal models, algorithms, procedures, engineering and functioning of the software system “Instrumental complex for ontological engineering purpose.” CEUR Workshop Proceedings, 1843, 221–232. Scopus. http://ceur-ws.org/Vol-1843/221-232.pdf
Palagin, O. V., Velychko, V. Yu., Malakhov, K. S., & Shchurov, O. S. (2018). Research and development workstation environment: The new class of current research information systems. CEUR Workshop Proceedings, 2139, 255–269. Scopus. http://ceur-ws.org/Vol-2139/255-269.pdf
Palagin, O.V., Kaverinskiy, V. V., Malakhov, K. S., & Petrenko, M. G. (2024). Fundamentals of the integrated use of neural network and ontolinguistic paradigms: A comprehensive approach. Cybernetics and Systems Analysis, 60(1), 111–123. https://doi.org/10.1007/s10559-024-00652-z
Petrenko, M., Cohn, E., Shchurov, O., & Malakhov, K. (2023). Ontology-driven computer systems: elementary senses in domain knowledge processing. South African Computer Journal, 35(2), 127–144. https://doi.org/10.18489/sacj.v35i2.17445
Romanov, V., Galelyuka, I., Hrusha, V., Voronenko, O., Kovyrova, O., Antonova, H., & Kedych, A. (2023). smart systems for precision agriculture, environmental protection and healthcare. 2023 IEEE 12th International Conference on Intelligent Data Acquisition and Advanced Computing Systems: Technology and Applications (IDAACS), 1, 408–413. https://doi.org/10.1109/IDAACS58523.2023.10348758
Romanov, V. O., Galelyuka, I. B., Hrusha, V. M., Voronenko, O. V., Kovyrova, O. V., Antonova, H. V., & Kedych, A. V. (2023). Wireless sensor networks for digital agriculture, environmental protection, and healthcare. Cybernetics and Systems Analysis, 59(6), 1023–1030. https://doi.org/10.1007/s10559-023-00638-3
Vakulenko, D. V., & Vakulenko, L. O. (Eds.). (2023). Arterial oscillography: New capabilities of the blood pressure monitor with the Oranta-AO information system. Nova Science Publishers. https://doi.org/10.52305/XFFR7057
Vakulenko, D., Vakulenko, L., Zaspa, H., Lupenko, S., Stetsyuk, P., & Stovba, V. (2023). Components of Oranta-AO software expert system for innovative application of blood pressure monitors. Journal of Reliable Intelligent Environments, 9(1), 41–56. https://doi.org/10.1007/s40860-022-00191-4
Vladymyrov, O. (Ed.). (2018). White Book on Physical and Rehabilitation Medicine in Europe (in Ukrainian). Ukrainian Journal of Physical and Rehabilitation Medicine, 2(2). https://www.dropbox.com/s/izsi4did76gc6y0/WB-2018-3rd-Edition-UA-fin.pdf?dl=0
Yefimenko, O. V. (2023). Cancer in Ukraine, 2021-2022 Incidence, mortality, indicators of the oncology service (24; p. 145). National Cancer Institute. http://www.ncru.inf.ua
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