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P3C Communicator. Prototype Demonstration. Rabia Haq Justin Hollingsworth Richard Strosahl. Matthew Wong Zachary Young. Contents. Problem Solution Prototype Definition Prototype Demonstration Finances Challenges Conclusions. Problem.
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P3C Communicator Prototype Demonstration Rabia Haq Justin Hollingsworth Richard Strosahl Matthew Wong Zachary Young
Contents • Problem • Solution • Prototype Definition • Prototype Demonstration • Finances • Challenges • Conclusions
Problem • Individuals with cardiovascular diseases that are not motivated to continue in a proactive approach to improving their well-being are at a higher risk of having future cardiovascular problems.
Cardiac Rehabilitation Phases • Phase I • Inpatient • Hospital staff will take the patient for a walk • Phase II • Outpatient • Patients come into the hospital for monitored exercise • Phase III • Maintenance • Patients have to exercise on own • Usually joining a gym or recreation center
Characteristics of the Problem • Cardiovascular Disease (CVD) in America • 61.8 Million Americans with a CVD1 • 945,836 Americans die each year from CVDs1 • Patients who participate in Phase III are 20-30% less likely to die as a result of cardiac issues2 • Phase III participation generally ranges between 10-20%3 • Low rate of Phase III participation generally attributed to lack of motivation and knowledge 1 Heart Disease and Stroke Statistics – 2003 Update, American Heart Association 2 ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, Third Edition, 2003. 3The American Journal of Cardiology Volume 79, Issue 1 , 1 January 1997
Stanford Study1 Control Group n = 300 • Standard procedures for phase III patients • Assumed normal dropout rates Experimental Group n = 300 • Received phone call from nurse • Higher participation rates 1The American Journal of Cardiology Volume 79, Issue 1 , 1 January 1997
Characteristics of a Solution • Motivates Individuals to Continue Rehabilitation • Monitors Patient’s Blood Pressure and Heart Rate • Alerts User of Bad Readings • Check-up Phone Calls to Motivate Those with Bad Readings • From P3C Technician • From Patient’s Doctor • Initial Solution • CS410 – Phase 0
The P3C Communicator P3C Heart Rate / Blood Pressure Monitor Captures data with automatic and manual readings P3C Docking Station Downloads data from the P3C Heart Rate / Blood Pressure Monitor Transmits data to P3C Central Server Displays responses from P3C Central Server P3C Central Server Analyses user’s blood pressure and heart rate readings Transmits Response to P3C Docking Station Proposed Solution
Analysis Algorithm • Checks Current Values Against • Accepted Norms • Historical Data from the User • Allows for Personalized Analysis • Historical Data May Vary Slightly from Norms • Values Outside Historical Data but Inside Norms • Could Indicate Something Wrong
Prototype Requirements • Omron HEM-637 • Captures Needed Data • Omron HEM-637IT Connects to Computer • Palm m100 • Shows Connection from Remote Device to Computer • Two Personal Computers • P3C Docking Station • Download and Transmit Data • Display Message • P3C Central Server • Analysis and Response
Prototype Demonstration • Capturing Blood Pressure and Heart Rate • Transmitting from Remote Device • Analyzing Raw Data • 7 Cases • Live Data • Good Data • Mediocre Data • Bad Data • Mixed Data • Mixed Data • No Account
Demonstration – Live Test • Volunteer from Audience • Take reading • Input to PDA • Transfer to Client • No Account • Create Account • Analyze
Demonstration – Good Data • User has good data • 8 Good Readings
Demonstration – Mediocre Data • User has all mediocre data • 8 Mediocre Readings
Demonstration – Bad Data • User has all bad data • 8 Bad Readings
Demonstration – Mixed Data - 1 • User has mixed data • 7 Good Readings • 1 Bad Readings
Demonstration – Mixed Data - 2 • User has Mixed Data • 7 Mediocre Readings • 1 Bad Readings
Demonstration – No Account • User does not have an account
Demonstration Conclusions • Can Capture the Data Needed • Can Transmit the Data • Can Analyze the Data • Can Display Status Messages
Product Development • Construct Docking Station • Combine the Parts • Determine Heart Rate / Blood Pressure Monitor to Use • Wrist Cuff • Arm Cuff • Ambulatory Blood Pressure Monitoring (ABPM) • Combination of Wrist Cuff and ABPM
Challenges • Hardware Development • Shrinking the Technology • Use Arm Cuff and ABPM instead of Wrist Cuff • Accuracy • Must Hold Wrist Cuff Monitor at Heart Level • Bad Analysis • False Positives
Conclusions • Large Market for Product • 61.8 Million Americans with a CVD1 • Good Benefits of Use • 20-30% Less Likely to Die as a Result of Cardiac Issues2 • Our Low Cost, Easy to Use Solution Should Be Developed 1 Heart Disease and Stroke Statistics – 2003 Update, American Heart Association 2 ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, Third Edition, 2003.
P3C Communicator Prototype Demonstration Rabia Haq Justin Hollingsworth Richard Strosahl Matthew Wong Zachary Young
References • ACSM’s Resource Manual for Guidelines for Exercise Testing and Prescription, Third Edition, 2003. • American Journal of Cardiology, The. Volume 79, Issue 1 , 1 January 1997 • Heart Disease and Stroke Statistics – 2003 Update, American Heart Association • NTIA and ESA, U.S. Department of Commerce, using U.S. Census Bureau Current Population Survey Supplements • NHANES III (1988-94), CDC/NCHS
Customer • Cardiovascular Disease Patients • Those who have already experienced a CVD • 50 % of all heart attacks are recurrent1 • 70 % of all CHD(coronary heart disease) deaths1 • Those with a high risk for future CVD • Primary Focus -- Ages 35-60 • Deal with Cardiovascular Diseases • Almost 150,000 Americans under 65 die each year from a CVD 1 • Increasing percentages of Cardiovascular Diseases 1 Heart Disease and Stroke Statistics – 2003 Update, American Heart Association 2 NTIA and ESA, U.S. Department of Commerce, using U.S. Census Bureau Current Population Survey Supplements
Individuals with Cardiovascular Diseases 1 NHANES III (1988-94), CDC/NCHS
Evaluation Plan • Evalutation Per Milestone • Reviews per Milestone • Review Specifications • Implement Next Phase • During Development Phase • Thorough Integration Testing
Management Plan • Monthly Progress Reports • Progress to Date • Critical Path Analysis • Resource Profile
CS410 – Phase 0 Initial Solution Web-based Exercise Monitoring and Motivation CS411 – Phase 1 Old Solution Determined Not Feasible Solution Changed Project History