Sustainable ICT Solution for Cleft-Lip/Palate Treatment

Team: Mr.Atigorn Sanguansri, Mr. Noppon Wongta, Mr.Suvijak Phongkidakarn, Mr.Waranyu Panich, Mr.Ratchapol Maneerattanachote, Noppon Choosri, Ph.D., Patison Palee, Ph.D., Krit Khwanngern, MD.

Cleft-Lip/Palate (CL/P) is a congenital abnormality that occurs during the prenatal formation of faces. It is the non-fusion of the body’s natural lip, palate and alveolar bone structures that form before birth. The challenge of this disease is that it requires continuous treatment from birth up to 20 years old and require multidisciplinary areas of medical staffs working collaboratively to complete the treatment per case approximately eight different areas of medical experts. There are two major significant issues impeding the effectiveness for the treatment CL/P in Thailand.

First is the lack of expert detecting the problem at the early stage and admitting the patient to the treatment process. Also, it highly requires engagement from patients, to be precise the parent of the patients as the majority of the patients are children to follow the treatment plan in 20 years.

The first issue is having the root cause of the issue that medical experts who are the most knowledgeable in specific treatment are usually either in medical schools or in hub hospital of the region. Unfortunately, CL/P anomalies apparently associate with a socioeconomic status of patients in which they usually occur to lower income families. Geographically, the lower income families in Thailand are usually in the remote area where there is only small local healthcare having a limited number of General Practices and medical facilities. To gain more proper medical service, the typical procedure requires patients to travel a hundred kilometres to get the services from the central hospital located in the large cities.

The problem regarding the medical resource constraint is getting improve in the case of CL/P treatment. The Chiang Mai University (CMU) craniofacial centre has started to coin the network of medical staffs who are willing to contribute the treatment for the patient, particularly who are in the remote area, in the Northern Thai. The objective is to promote the patient to receive a better quality of services from the standard treatment protocol as well as recruiting the new patients to the process. However, there is still some gap when physicians who are not trained as the specialist in CL/P treatment require to decide to admit the new patient; they might reluctant to justify the severity of the anomaly or to classify the stage of the anomaly. We, therefore, will fill this gap by proposing an image processing application such that the facial picture can be captured by a c standard camera of a smartphone, then a system makes a justification about the stage and severity of the anomaly together with a recommendation (if any) to non-specialist physicians.

Also, to make the treatment loop complete, there is a need of the solution to enhance patient engagement. During the 20 years of steadily treatment process, patients are required to meet up different specialists several times. It extremely requires a discipline and patience of patients and their family. Also, they need to have basic knowledge about the step and activity that they have to incorporate with doctors throughout the treatment. We address this issue by implementing a serious mobile game to deliver the important message to the patients in an entertaining way.

Physical Interactive Game for Enhancing Language Cognitive Development of Thai Pre-Schooler

Team: Ms. Chompoonut Pookao, Mr. Noppon Choosri, PhD

Child development test is a measurement conducted to evaluate a development of a child in a certain age covered several aspects including language, fine motor, and adaptation, gross motor, personal and social aspects. Several studies indicated that the most occurred development delayed at all times to Thai children is the language development. Developmental Surveillance and Promotion Manual (DSPM). DSPM is one of the most recognized medical batteries for monitoring growth and development for Thai children. To conduct the test, a parent usually requires taking their kids to see the expert at the healthcare. In this project, we have turned the test to the physical interactive game focusing on the language developmental skill. So, the tests can be performed to evaluate the developmental delay of a child everywhere by either parent at home or teacher at kindergarten. Also, the platform can be used as a language training device where children can iteratively play to improve their receptive language skills in both English and Thai.

The target users of the game are preschoolers, so the game employ the strategy that requires users to have physical interactivity with the system to create a look and feel the same tone as playing with a toy. The physical interface is tailored to teach the common vocabulary in everyday life where the player also requires to choose and move physical objects. This will also contribute extra advantage to fine motor development of children. The other game components include a scoring system to evaluate that the performance of each play and to test that a child can pass DSPM test. , record a statistic to analyze the progress of learning, and can also share the results to the Facebook to motivate other children/parent and to build up society. The game also has administration part for the flexibility to expand and adjust the content of the game. The software is designed to allow new vocabulary can be updated to associate with the new tangible items. New pronunciations can also be re-recorded and a new set of the graphic can be added as well.

Type 1 Diabetes

Mr. Natthapon Sricort, Mr. Thanadol Utsakata, Mr. Tanachat Arayachutinan, Tanarat Prapatsorn, Thichanon Payachom

Insulin is a hormone that the body needs to get glucose from the bloodstream into the cells of the body for energy. Type 1 diabetes is usually diagnosed in children whose bodies do not produce insulin. These young children must learn to maintain their blood sugar level by injecting a proper amount of insulin each meal. Actually, insulin injection dose can be manually calculated using the estimated amount of carbohydrate eaten from food, however, it seems to be too complicated for children every meal every day. It is hard to make them get the right amount of insulin injections to stabilize their blood sugar level. Today, people with type 1 diabetes lose more than a decade of life expectancy compare to people without the disease.

We have an idea to develop a mobile application prototype for easily calculating the insulin injections for type 1 diabetics (children) by using blood sugar level and carbohydrate consumption amount. Diabetics will be able to calculate the proper amount of insulin injection by themselves based on their body needs with a few input. Carbohydrate information in foods can be gathered easily via the app. Patient’s condition history is recorded and verified doctors can see the accurate blood level changes, blood sugar plots and other health concerns when providing personalized treatment. We hope the mobile application will help type 1 diabetics to maintain their conditions since they are very young, so they can live long and healthy lives.