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https://www.readbyqxmd.com/read/28801417/optic-nerve-sheath-diameter-sonography-for-the-diagnosis-of-increased-intracranial-pressure-a-systematic-review-and-meta-analysis-protocol
#1
Alex Koziarz, Niv Sne, Fraser Kegel, Waleed Alhazzani, Siddharth Nath, Jetan H Badhiwala, Timothy Rice, Paul Engels, Faidi Samir, Andrew Healey, Kamyar Kahnamoui, Laura Banfield, Sunjay Sharma, Kesava Reddy, Gregory W J Hawryluk, Andrew W Kirkpatrick, Saleh A Almenawer
INTRODUCTION: Increased intracranial pressure (ICP) is a significant neurological issue that may lead to permanent neurological sequelae. When evaluating patients with traumatic brain injury, it is crucial to identify those with high ICP in order to expedite ICP lowering measures and maintain adequate cerebral perfusion. Several measures are used to recognise patients with increased ICP including CT scan, MRI, ICP monitor, and lumbar puncture (LP). However, these tests can be invasive, associated with radiation exposure, contraindicated, or not readily available...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28796625/collaborative-ehealth-meets-security-privacy-enhancing-patient-profile-management
#2
Rosa Sanchez-Guerrero, Florina Almenarez, Daniel Diaz-Sanchez, Patricia Arias, Andres Marin
Collaborative healthcare environments offer potential benefits, including enhancing the healthcare quality delivered to patients and reducing costs. As a direct consequence, sharing of Electronic Health Records (EHRs) among healthcare providers has experienced a noteworthy growth in the last years, since it enables physicians to remotely monitor patients' health and enables individuals to manage their own health data more easily. However, these scenarios face significant challenges regarding security and privacy of the extremely sensitive information contained in EHRs...
August 7, 2017: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/28780540/the-postoperative-handover-a-focus-group-interview-study-with-nurse-anaesthetists-anaesthesiologists-and-pacu-nurses
#3
Maria Randmaa, Maria Engström, Christine Leo Swenne, Gunilla Mårtensson
OBJECTIVES: To investigate different professionals' (nurse anaesthetists', anaesthesiologists', and postanaesthesia care unit nurses') descriptions of and reflections on the postoperative handover. DESIGN: A focus group interview study with a descriptive design using qualitative content analysis of transcripts. SETTING: One anaesthetic clinic at two hospitals in Sweden. PARTICIPANTS: Six focus groups with 23 healthcare professionals involved in postoperative handovers...
August 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28771756/visiting-nurses-posthospital-medication-management-in-home-health-care-an-ethnographic-study
#4
Mette Geil Kollerup, Tine Curtis, Birgitte Schantz Laursen
BACKGROUND: Medication management is the most challenging component of a successful transition from hospital to home, a challenge of growing complexity as the number of older persons living with chronic conditions grows, along with increasingly specialised and accelerated hospital treatment plans. Thus, many patients are discharged with complex medication regimen instructions, accentuating the risk of medication errors that may cause readmission, adverse drug events and a need for further health care...
August 3, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28756441/a-semantic-based-k-anonymity-scheme-for-health-record-linkage
#5
Yang Lu, Richard O Sinnott, Karin Verspoor
Record linkage is a technique for integrating data from sources or providers where direct access to the data is not possible due to security and privacy considerations. This is a very common scenario for medical data, as patient privacy is a significant concern. To avoid privacy leakage, researchers have adopted k-anonymity to protect raw data from re-identification however they cannot avoid associated information loss, e.g. due to generalisation. Given that individual-level data is often not disclosed in the linkage cases, but yet remains potentially re-discoverable, we propose semantic-based linkage k-anonymity to de-identify record linkage with fewer generalisations and eliminate inference disclosure through semantic reasoning...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28756160/a-cascaded-approach-for-chinese-clinical-text-de-identification-with-less-annotation-effort
#6
Zhe Jian, Xusheng Guo, Shijian Liu, Handong Ma, Shaodian Zhang, Rui Zhang, Jianbo Lei
With rapid adoption of Electronic Health Records (EHR) in China, an increasing amount of clinical data has been available to support clinical research. Clinical data secondary use usually requires de-identification of personal information to protect patient privacy. Since manually de-identification of free clinical text requires significant amount of human work, developing an automated de-identification system is necessary. While there are many de-identification systems available for English clinical text, designing a de-identification system for Chinese clinical text faces many challenges such as unavailability of necessary lexical resources and sparsity of patient health information (PHI) in Chinese clinical text...
July 26, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28753632/evolving-use-of-social-media-among-chinese-urologists-opportunity-or-challenge
#7
Xingbo Long, Lin Qi, Zhenyu Ou, Xiongbing Zu, Zhenzhen Cao, Xiting Zeng, Yuan Li, Minfeng Chen, Zhao Wang, Long Wang
BACKGROUND: Social media has revolutionized the way people communicate, and it has been widely incorporated into medical practice. However, limited data are available regarding the use of social media by Chinese urologists in their practice. METHODS: From 2014 to 2016, during the China Urological Association's (CUA) Annual National Minimally Invasive Urology Academic Conference, an anonymous survey on social media usage was distributed to participant urologists...
2017: PloS One
https://www.readbyqxmd.com/read/28743204/the-use-of-clinical-databases-in-disease-outcomes-research-is-the-ethics-of-irb-review-keeping-up
#8
Eugene Bereza
There is a perceived tension in research ethics between protecting the interests of participants and promoting good research as a societal good. The challenge of balancing the potential benefits of large clinical databases for disease outcomes research while protecting patients' privacy and confidentiality is an example of this dynamic. What is new about this tension in the context of "data warehousing" is the conflation of many differing interpretations of relevant ethics terminology, the proliferation of different kinds of databases, as well as the growth of research on a global level without the requisite harmonization of regulatory frameworks...
July 1, 2017: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/28696583/mapping-medical-marijuana-state-laws-regulating-patients-product-safety-supply-chains-and-dispensaries-2017
#9
Sarah B Klieger, Abraham Gutman, Leslie Allen, Rosalie Liccardo Pacula, Jennifer K Ibrahim, Scott Burris
AIMS: (1) To describe open source legal data sets, created for research use, that capture the key provisions of US state medical marijuana laws. The data document how state lawmakers have regulated a medicine that remains, under federal law, a Schedule I illegal drug with no legitimate medical use. (2) To demonstrate the variability that exists across states in rules governing patient access, product safety and dispensary practice. METHODS: Two legal researchers collected and coded state laws governing marijuana patients, product safety and dispensaries in effect on 1 February 2017, creating three empirical legal data sets...
July 11, 2017: Addiction
https://www.readbyqxmd.com/read/28604628/privacy-preserving-electrocardiogram-monitoring-for-intelligent-arrhythmia-detection
#10
Junggab Son, Juyoung Park, Heekuck Oh, Md Zakirul Alam Bhuiyan, Junbeom Hur, Kyungtae Kang
Long-term electrocardiogram (ECG) monitoring, as a representative application of cyber-physical systems, facilitates the early detection of arrhythmia. A considerable number of previous studies has explored monitoring techniques and the automated analysis of sensing data. However, ensuring patient privacy or confidentiality has not been a primary concern in ECG monitoring. First, we propose an intelligent heart monitoring system, which involves a patient-worn ECG sensor (e.g., a smartphone) and a remote monitoring station, as well as a decision support server that interconnects these components...
June 12, 2017: Sensors
https://www.readbyqxmd.com/read/28588122/patient-privacy-and-clinical-laboratory-data
#11
Jason Y Park, Toby C Cornish, Michael Hogarth, Brian R Jackson, Kristen B Rosati
No abstract text is available yet for this article.
June 6, 2017: Clinical Chemistry
https://www.readbyqxmd.com/read/28586270/irb-problems-and-solutions-in-health-communication-research
#12
Carie S Tucker King, Kristin Marie Bivens, Erin Pumroy, Susan Rauch, Amy Koerber
In this article, we contribute to the current literature on the difficulties that social scientists encounter with IRBs, but with a focus on the distinct challenges that health communication scholars face in dealing with IRBs at their own institutions and elsewhere. Although health communication researchers, like other communication researchers, can expect to face many of the same challenges that their social science colleagues face during the IRB process, the researcher narratives we present in this article suggest that health communication research presents some distinct challenges because the communication interactions that we investigate occur in highly protected, private spaces, including the medical exam room, online patient forums, and electronic health records...
June 6, 2017: Health Communication
https://www.readbyqxmd.com/read/28580809/cardiovascular-imaging-environment-will-the-future-be-cloud-based
#13
Nadine Kawel-Boehm, David A Bluemke
In cardiovascular CT and MR imaging large datasets have to be stored, post-processed, analyzed and distributed. Beside basic assessment of volume and function in cardiac magnetic resonance imaging e.g., more sophisticated quantitative analysis is requested requiring specific software. Several institutions cannot afford various types of software and provide expertise to perform sophisticated analysis. Areas covered: Various cloud services exist related to data storage and analysis specifically for cardiovascular CT and MR imaging...
June 13, 2017: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/28580559/-translation-and-development-of-the-chinese-version-patient-privacy-scale
#14
Li Chen, Xian-Qiong Feng, Xiao-Li Yang, Luo-Hong Li
BACKGROUND: The unauthorized releasing of confidential patient information is a serious problem worldwide. Nurses, the healthcare professionals who are in most frequent contact with patients, have access to a significant amount of confidential patient information and play a key role in protecting patient privacy. However, currently, there is no proper tool to measure the level to which clinical nurses protect the privacy of their patients in China. PURPOSE: To translate the patient privacy scale (PPS) into Chinese and to test the reliability and validity of this Chinese version...
June 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28569156/how-chinese-clinicians-face-ethical-and-social-challenges-in-fecal-microbiota-transplantation-a-questionnaire-study
#15
Yonghui Ma, Jinqiu Yang, Bota Cui, Hongzhi Xu, Chuanxing Xiao, Faming Zhang
BACKGROUND: Fecal microbiota transplantation (FMT) is reportedly the most effective therapy for relapsing Clostridium Difficile infection (CDI) and a potential therapeutic option for many diseases. It also poses important ethical concerns. This study is an attempt to assess clinicians' perception and attitudes towards ethical and social challenges raised by fecal microbiota transplantation. METHODS: A questionnaire was developed which consisted of 20 items: four items covered general aspects, nine were about ethical aspects such as informed consent and privacy issues, four concerned social and regulatory issues, and three were about an FMT bank...
May 31, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28554212/patients-preferences-for-receiving-laboratory-test-results
#16
Azam Sabahi, Leila Ahmadian, Moghadameh Mirzaee, Reza Khajouei
OBJECTIVES: The laboratory, as a diagnostic department in the hospital, plays an important role in the treatment and prevention of diseases. Paying attention to patients' preferences for communication of test results may provide a better and more responsive system for delivering these results. This study aimed to identify patient preferences regarding receiving their laboratory test results electronically and to identify the reasons behind their choice. STUDY DESIGN: Descriptive-analytical study...
April 1, 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28506329/what-to-do-when-a-patient-wants-to-record-a-patient-physician-interaction-in-the-emergency-department
#17
Brodie Nolan, Alun Ackery, Bryan Au
Recent technological advances allow for instantaneous high quality video and audio recordings with the touch of a button. In Canada, patient privacy is highly regulated by provincial legislation, although patients themselves have little in the way of laws or regulations to observe. Patients taking video recordings of their own medical care does not currently fall under any of the provincial privacy laws. With no such governance for the general public, patients generally have greater freedom to record a patient-physician interaction...
May 16, 2017: CJEM
https://www.readbyqxmd.com/read/28463208/ecg-data-encryption-then-compression-using-singular-value-decomposition
#18
Ting Yu Liu, Kuan Jen Lin, Hsi-Chun Wu
Electrocardiogram (ECG) monitoring systems are widely used in healthcare. ECG data must be compressed for transmission and storage. Furthermore, there is a need to be able to directly process biomedical signals in encrypted domains to ensure the protection of patients' privacy. Existing encryption-then-compression (ETC) approaches for multimedia using the state-of-the-art encryption techniques inevitably sacrifice the compression efficiency or signal quality. This paper presents the first ETC approach for processing ECG data...
April 27, 2017: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/28437566/physical-therapists-perceptions-of-telephone-and-internet-video-mediated-service-models-for-exercise-management-of-people-with-osteoarthritis
#19
Belinda J Lawford, Kim L Bennell, Jessica Kasza, Rana S Hinman
OBJECTIVE: Investigate physical therapists' perceptions of, and willingness to use, telephone- and internet-mediated service models for exercise therapy for people with knee and/or hip osteoarthritis. METHODS: An internet-based survey of Australian physical therapists comprising three sections: i) demographic information; and 16 positively-framed perception statements about delivering exercise via ii) telephone and; iii) video over the internet, for people with hip and/or knee osteoarthritis...
April 24, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28436908/a-knowledge-constrained-access-control-model-for-protecting-patient-privacy-in-hospital-information-systems
#20
Runtong Zhang, Donghua Chen, Xiaopu Shang, Xiaomin Zhu, Kecheng Liu
Current access control mechanisms of the hospital information system can hardly identify the real access intention of system users. A relaxed access control increases the risk of compromise of patient privacy. To reduce unnecessary access of patient information by hospital staff, this paper proposes a Knowledge-Constrained Role-Based Access Control (KC-RBAC) model in which a variety of medical domain knowledge is considered in access control. Based on the proposed Purpose Tree and knowledge-involved algorithms, the model can dynamically define the boundary of access to the patient information according to the context, which helps protect patient privacy by controlling access...
April 24, 2017: IEEE Journal of Biomedical and Health Informatics
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