Işik, Ali HakanGüler, InanSener, Melahat Uzel2020-02-062020-02-062013-01-15http://dx.doi.org/10.1089/tmj.2012.0056https://lib.digitalsquare.io/xmlui/handle/123456789/6641OBJECTIVE The main objective of this study is presenting a real time mobile adaptive tracking system for patients diagnosed with diseases such as asthma or chronic obstructive pulmonary disease and application results at home The main role of the system is to support and track chronic pulmonary patients in real time who are comfortable in their home environment It is not intended to replace the doctor regular treatment and diagnosis MATERIALS AND METHODS In this study the Java 2 micro edition based system is integrated with portable spirometry smartphone extensible markup language based Web services Web server and Web pages for visualizing pulmonary function test results The Bluetooth Bluetooth SIG Kirkland WA virtual serial port protocol is used to obtain the test results from spirometry General packet radio service wireless local area network or third generation based wireless networks are used to send the test results from a smartphone to the remote database The system provides real time classification of test results with the back propagation artificial neural network algorithm on a mobile smartphone It also provides the generation of appropriate short message service based notification and sending of all data to the Web server In this study the test results of 486 patients obtained from Atat rk Chest Diseases and Thoracic Surgery Training and Research Hospital in Ankara Turkey are used as the training and test set in the algorithm RESULTS The algorithm has 98 7 accuracy 97 83 specificity 97 63 sensitivity and 0 946 correlation values The results show that the system is cheap 900 Euros and reliable CONCLUSIONS The developed real time system provides improvement in classification accuracy and facilitates tracking of chronic pulmonary patientsAdultAt risk for a particular disease or infectionClientDelayed reporting of eventsAccess to information or dataSupportive supervisionGeographic inaccessibilityTimeliness of carePrototypeFeasibilityFunctionalityNon-randomizedAsthmaCardiovascular diseaseAcute or emergencyChronic careDisease managementElectronic health recordsSMSBluetoothTextInternet