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Studies in Health Technology and Informatics

Anna Budykina, Svetlana Rauzina, Tatiana Zarubina, Denis Seleznev, Evgeniy Fedorov, Ekaterina Ivanova
Search of tumors in video capsule endoscopy (VCE) record in some cases presents significant difficulties even for experienced specialist. We made an attempt to develop rules supporting clinical decision for processing of VCE images. An algorithm for assessment of neoplastic diseases of the jejunum and ileum on the basis of VCE to support tactical decision-making of doctors was conducted. The algorithm was implemented as a software module "The conclusion in a capsule" with integrated development environment Visual Studio and the programming language C#...
2018: Studies in Health Technology and Informatics
Stelios Zimeras, Marianna Diomidous
During the communication between various computer system parts under a basic unit various threats can appear causing different damages into the system. The spreading of the computer virus into the system must be investigated under modeling analysis and simulations must be applied. In this work survival analysis models have been introduced to overcome the problem with the computer virus. During that process of spreading two main considerations analyzed: (1) the epidemiological models of the spreading and (2) the survival of the computer virus inside the system under mathematical modeling...
2018: Studies in Health Technology and Informatics
Spyros Zogas, Konstantinos Birbas, Gregory Chondrocoukis, John Mantas
The current paper presents the students' evaluation of a laboratory e-learning course in Health Informatics. After attending the e-learning course, students assessed the e-learning course through an anonymous questionnaire. The study results present the positive attitude of the students towards the e-learning course in Health Informatics. The current e-learning course is easy to use, and it is preferred on the same extent as the hybrid one (e-learning and in-class learning combination). The majority of the participants believed that the e-learning method is at least the same or more efficient compared to the traditional learning approach...
2018: Studies in Health Technology and Informatics
Aikaterini Kolokathi, John Mantas
The emergence of the information technologies has seriously changed the healthcare system. Thus, health professionals need to be well-educated in order to respond successfully to the challenges of their job. In higher education programs in, biomedical informatics and health informatics are continuously developing. At this study more than 500 universities and colleges in Europe were checked in order to find related educational programs at all academic levels. The outcome of the research includes 316 study programs at undergraduate and postgraduate level including a variety of specializations...
2018: Studies in Health Technology and Informatics
Antonis Billis, Despoina Mantziari, Vasiliki Zilidou, Panagiotis D Bamidis
Support of autonomy, at the onset and while Alzheimer's Disease progresses, is of utmost importance for both older adults and their caregivers. AD-Autonomy project aims at co-creating an innovative training platform with and for elderly people and their caregivers. Main aim of the project is to increase the competencies of older adults and their caregivers to cope with the disease effects, by leveraging existing ICT tools and applications, while transferring their applicability in real life contexts and activities...
2018: Studies in Health Technology and Informatics
Michael Shifrin, Gleb Danilov, Nikita Shklovskiy-Kordi, Boris Zingerman
Diagnostic games were developed in the 70s of the last century for elicitation and formalization of the physician's clinical experience. This laborious technique was successfully used to elaborate decision rules for several complex clinical problems but had no further development. Modern information and communication technologies and achievements of medical informatics allow developing digital transformation of diagnostic games. One of the areas of application of this new technology may be simulating of clinical decision making for educational purposes...
2018: Studies in Health Technology and Informatics
Ivana Ognjanović, Ramo Šendelj, Petra Knaup, John Mantas, Rosa Adany, Elske Ammenwerth, Goran Nikolić, Anđela Jakšić Stojanović, Dragan Đurić
Montenegro plans to enhance its educational system in the area of health information management, in accordance with well-known EU best practices. Within the Erasmus+ project PH-ELIM, a Stratified Framework was developed to provide education of public health professionals making them highly skilled to support the nation in creating a sustainable and flexible health system, in providing good quality health, in protecting citizens against health threats, all by a cost-effective and straightforward approach. The objective of this presentation is to present the intermediate results of the Framework and lessons learned until now...
2018: Studies in Health Technology and Informatics
Berglind Smaradottir, Rune Fensli
The number of patients with chronic conditions and multi-morbidities is increasing, addressing a need for patient-centred care. The research project Patients and Professionals in Productive Teams aims to study patient-centred teamwork for this patient group. This paper presents an evaluation of a telemedicine service for chronic obstructive pulmonary disease patientsrun with a patient-centred care model. Observations and interviews were made to study the technology use and information flow. The results showed that the technology worked well in a patient-centred care perspective, even though the system was a standalone system for telemedicine services...
2018: Studies in Health Technology and Informatics
Berglind Smaradottir, Rune Fensli
Health care services facechallenges with providing individualised treatment to an ageing population prone to chronic conditions and multi-morbidities. The research project Patients and Professionals in Productive Teams aims to study patient-centred teamworkservice models. This paper presents an evaluation of a telemedicine service for chronic obstructive pulmonary disease patients integrated with municipal health care services. Qualitative methods were used to study the technology use and information flow. The results showed that the telemedicine technology was a standalone system, not integrated with the electronic health record of the municipality...
2018: Studies in Health Technology and Informatics
Abbas Sheikhtaheri, Nasim Hashemi, Najmeh-Alsadat Hashemi
Increasing the use of mobile phones in education depends on the understanding of its benefits. The purpose of this study was to assess the vision of medical and nursing students about the benefits of using mobile technology in education. This study was conducted on medical and nursing students in 8 hospitals affiliated to Tehran University of Medical Sciences in 2016. 372 students participated in the study. Data were collected by a questionnaire consisting of 11 questions in Likert scale. Students' efficiency, improvement in quality of care, faster access to information and the positive effect on education were emphasized...
2018: Studies in Health Technology and Informatics
Felix Holl, Walter Swoboda
Important requirements for mHealth, the availability of devices and network connectivity have dramatically improved in the past years globally. mHealth applications are being developed at a rapid pace. But a thorough impact assessment is not routinely performed. We performed a scoping review to compile an overview of evaluation methods used to assess mHealth applications. Preliminary results are reported here, and a full scoping review is in preparation. Qualitative measurement of user experience is common...
2018: Studies in Health Technology and Informatics
Joseph Finkelstein, Jiazhen Liu
Multipronged exercise interventions comprising aerobic, resistance and corrective therapeutic components were shown to result in endurance and strength improvement and reduction of fatigue and spasticity in patients with multiple sclerosis (PwMS). Telerehabilitation systems may have significant potential in improving patient access to multipronged exercise, however it is not clear whether PwMS can successfully use a multipronged exercise system at home without assistance. The goal of this project was to assess usability and acceptance of a multipronged exercise system in PwMS...
2018: Studies in Health Technology and Informatics
Victoria Rand, Cam Coleman, Rachel Park, Azza Karar, Saif Khairat
Information overload is a significant problem in the digital age of healthcare and plays key a role in diagnostic errors, near misses, and patient safety, especially in critical care settings. Because of this, we propose a new mixed-methods approach for evaluating EHR-related information overload on clinicians in the ICU. We describe a three-part approach to better understand ICU clinicians' information needs and workflow as they relate to the EHR, and to explore the effects of the EHR on provider workload, performance, and satisfaction...
2018: Studies in Health Technology and Informatics
Keyuan Jiang, Tingyu Chen, Ricardo A Calix, Gordon R Bernard
Prevalence of social media has driven a growing number of health related applications with the information shared by online users. It is well known that a gap exists between healthcare professionals and laypeople in expressing the same health concepts. Filling this gap is particularly important for health related applications using social media data. A data-driven, attributional similarity-based method was developed to identify Twitter terms related to side effect concepts. For the 10 most common side effect (symptom) concepts, our method was able to identify a total of 333 Twitter terms, among which only 90 are mapped to those in the consumer health vocabulary (CHV)...
2018: Studies in Health Technology and Informatics
Somayeh Malekzadeh, Nasim Hashemi, Abbas Sheikhtaheri, Niyoosha-Sadat Hashemi
This study aimed to investigate barriers to the implementation and use of health information systems (HIS) in Iran by physician's view. This cross-sectional study was conducted in 2016 on 163 physicians employed in 10 teaching hospitals. Data collection was carried out through a questionnaire with questions about the technical, organizational, ethical and personal barrier categories. Data analysis demonstrated that technical (e.g. inadequate planning for implementation and use of HIS) (3.56±1.32), organizational (e...
2018: Studies in Health Technology and Informatics
Saif Khairat, Cameron Coleman, Victoria Rand, Elaine James, Thomas Bice
Electronic health records (EHR) usability is paramount for high quality of care delivery, clinician productivity and effectiveness, and patient outcomes. This paper investigates clinicians EHR pathways during pre-rounds by characterizing the top EHR screens, duration per screen, and the path taken to complete a task. Structured observations were conducted of ICU providers interacting with the EHR in a real-time, real-world setting to better characterize the information retrieval process. Based on preliminary results of the observations, key areas of information needs have been identified and a preliminary model of EHR workflow has been established...
2018: Studies in Health Technology and Informatics
Outi Ahonen, Ulla-Mari Kinnunen, Gun-Britt Lejonqvist, Baiba Apkalna, Kersti Viitkar, Kaija Saranto
This study describes the knowledge, skills and competencies found in bachelor's degree curricula for health and social care, engineering and business. The International Medical Informatics Association (IMIA) biomedicine and health information (BMHI) management recommendations was used as a framework to analyse bachelor's degree curricula (n=14). The results showed that the curricula contained a variety of subjects related to competencies in the IMIA's BMHI. The information technology (IT) engineering curriculum included the highest number of competencies and the business curricula the fewest...
2018: Studies in Health Technology and Informatics
Samar Helou, Goshiro Yamamoto, Eiji Kondoh, Hiroshi Tamura, Shusuke Hiragi, Osamu Sugiyama, Kazuya Okamoto, Masayuki Nambu, Tomohiro Kuroda
Electronic Medical Records (EMR)s are intrinsic to modern-day clinics. Understanding the roles, i.e., the unintended functions of EMR systems in their context of use can guide the design of EMR systems and clinics to better integrate them. To understand the roles of EMR systems in antenatal care check-ups, we conducted a field-based observational study at an antenatal care clinic in a Japanese university hospital. We observed 37 antenatal care check-ups where we looked at how the EMR system affects the communication between the involved parties and supports or hinders the clinical process...
2018: Studies in Health Technology and Informatics
Sunmoo Yoon, Thomas Choi, Michelle Odlum, Dennis A Mitchell, Ian M Kronish, Karina W Davidson, Joseph Finkelstein
We applied machine learning techniques to a community-based behavioral dataset to build prediction models to gain insights about minority dental health and population aging as the foundation for future interventions for urban Hispanics. Our application of machine learning techniques identified emotional and systemic factors such as chronic stress and health literacy as the strongest predictors of self-reported dental health among hundreds of possible variables. Application of machine learning algorithms was useful to build prediction models to gain insights about dental health and minority population aging...
2018: Studies in Health Technology and Informatics
Stefanie Jauk, Diether Kramer, Stefan Schulz, Werner Leodolter
The use of electronic health records for risk prediction models requires a sufficient quality of input data to ensure patient safety. The aim of our study was to evaluate the influence of incorrect administrative diabetes coding on the performance of a risk prediction model for delirium, as diabetes is known to be one of the most relevant variables for delirium prediction. We used four data sets varying in their correctness and completeness of diabetes coding as input for different machine learning algorithms...
2018: Studies in Health Technology and Informatics
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