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EMR applications

Ali Garavand, Mohammah Mohseni, Heshmatollah Asadi, Manal Etemadi, Mohammad Moradi-Joo, Ahmad Moosavi
INTRODUCTION: The successful implementation of health information technologies requires investigating the factors affecting the acceptance and use of them. The aim of this study was to determine the most important factors affecting the adoption of health information technologies by doing a systematic review on the factors affecting the acceptance of health information technology. METHODS: This systematic review was conducted by searching the major databases, such as Google Scholar, Emerald, Science Direct, Web of Science, Pubmed, and Scopus...
August 2016: Electronic Physician
Ferhat Canbay, Vecdi Emre Levent, Gorkem Serbes, H Fatih Ugurdag, Sezer Goren, Nizamettin Aydin
The authors aimed to develop an application for producing different architectures to implement dual tree complex wavelet transform (DTCWT) having near shift-invariance property. To obtain a low-cost and portable solution for implementing the DTCWT in multi-channel real-time applications, various embedded-system approaches are realised. For comparison, the DTCWT was implemented in C language on a personal computer and on a PIC microcontroller. However, in the former approach portability and in the latter desired speed performance properties cannot be achieved...
September 2016: Healthcare Technology Letters
Xiaohuan Li, Yongxian Gui, Wenliang Han, Hongjian Jiang, Daihua Qi, Yi Yang
OBJECTIVE: The objective of this study is to explore the clinical effect and safety of endoscopic submucosal dissection (ESD) and endoscopic mucosal resection (EMR) for treatment of rectal carcinoids. METHODS: A retrospective analysis was conducted on 42 patients with rectal carcinoids who were hospitalized and subjected to surgical treatment in our hospital from January 2010 to November 2015. The patients were categorized into two groups based on treatment received: ESD (n = 22) and EMR (n = 20)...
October 2016: Journal of Cancer Research and Therapeutics
Kathy L Schulman, Lois E Lamerato, Mehul R Dalal, Jennifer Sung, Mehul Jhaveri, Andrew Koren, Usha G Mallya, JoAnne M Foody
OBJECTIVES: To develop and validate algorithms to define statin intolerance (SI) in an administrative database using electronic medical records (EMRs) as the reference comparison. METHODS: One thousand adults with one or more qualifying changes in statin therapy and one or more previous diagnoses of hyperlipidemia, hypercholesterolemia, or mixed dyslipidemia were identified from the Henry Ford Health System administrative database. Data regarding statin utilization, comorbidities, and adverse effects were extracted from the administrative database and corresponding EMR...
September 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Tamer Tuzuner, Gorkem Yahyaoglu, Emre Tosun, Fatih Taskesen, Adem Kusgoz
The presented case evaluates the treatment of an alveolar fracture associated with mandibular immature lower permanent incisors. An 8-year-old girl was referred to our clinic 3 hours after the trauma. The clinical and radiographic examination of the alveoler bone showed a fracture, along with the mandibular fracture and significant segment mobility and dislocation of several immature mandibular permanent incisors. These were moving together to the lingual side because of the direct trauma associated with falling from the school wall...
October 2016: JPMA. the Journal of the Pakistan Medical Association
Murat Karamese, Hakan Aydin, Emin Sengul, Volkan Gelen, Cigdem Sevim, Duran Ustek, Emre Karakus
BACKGROUND: Probiotics are "live", beneficial microbes that provide important health benefits in their hosts. There is significant interest in the modulation and regulation of the immune function by probiotics. OBJECTIVE: To investigate the immunomodulatory effects of a probiotic mixture, including Lactobacillus and Bifidobacterium species, by detecting serum cytokine and immunoglobulin levels. METHODS: The rats were randomly divided into 4 groups...
September 2016: Iranian Journal of Immunology: IJI
Sooyoung Yoo, Hee Hwang, Sanghoon Jheon
The different levels of health information technology (IT) adoption and its integration into hospital workflow can affect the maximization of the benefits of using of health IT. We aimed at sharing our experiences and the journey to the successful adoption of health IT over 13 years at a tertiary university hospital in South Korea. The integrated system of comprehensive applications for direct care, support care, and smart care has been implemented with the latest IT and a rich user information platform, achieving the fully digitized hospital...
August 2016: Journal of Thoracic Disease
Ayşe Filiz Avşar, Elçin İşlek Seçen, Gülin Feykan Yeğin Akçay, Hüseyin Levent Keskin, Emre Erdem Taş, Ahmet Ferit Dalgacı
OBJECTIVE: To investigate the relationship between the development of intrapartum fetal distress and serum pregnancy-associated plasma protein-A (PAPP-A) levels measured during first-trimester aneuploidy screening tests. MATERIAL AND METHODS: This retrospective study included 283 uncomplicated pregnancies that resulted in full-term live births via spontaneous labor or with the induction by oxytocin. Cases were divided into two groups based on whether their first-trimester PAPP-A multiple of the median (MoM) levels were ≤0...
2016: Journal of the Turkish German Gynecological Association
Yung-Jen Huang, Kuan H Lee, Lauren Murphy, Sandra M Garraway, James W Grau
Noxious input can sensitize pain (nociceptive) circuits within the spinal cord, inducing a lasting increase in spinal cord neural excitability (central sensitization) that is thought to contribute to chronic pain. The development of spinally-mediated central sensitization is regulated by descending fibers and GABAergic interneurons. The current study provides evidence that spinal cord injury (SCI) transforms how GABA affects nociceptive transmission within the spinal cord, recapitulating an earlier developmental state wherein GABA has an excitatory effect...
November 2016: Experimental Neurology
Osman Lapcin, Yavuz Arıkan, Umut Yavuz, Yunus Emre Akman, Engin Çetinkaya, Volkan Gür, Bilal Demir
BACKGROUND: The aim of the present study was to evaluate the effect of locking compression plate (LCP) and autografting application in patients with nonunion of forearm fractures on radiologic and clinical outcome. METHODS: A total of 26 patients (16 males, 10 females; mean age: 45.7 years) with nonunion after surgical treatment of forearm fractures were included. Nonunion was located in the ulna in 14 patients, in the radius in 5 patients, and in both in 7 patients (21 ulna, 12 radius)...
May 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Atilla Kazanci, Oktay Gurcan, Ahmet Gurhan Gurcay, Evrim Onder, Burak Kazanci, Mesut Emre Yaman, Murad Bavbek
AIM: Leptomeningeal adhesions and fibrosis in spinal peridural space are the most common causes of post-laminectomy syndrome. Fibrin sealant agents and membrane barriers are commonly used for hemostasis and sealing purposes in spinal surgery. Peridural fibrosis may be a risk of usage of these topical agents. In our study we aimed to compare the effects of Cova™, Tisseel® and Adcon® Gel on spinal epidural fibrosis in an experimental rat model. MATERIAL AND METHODS: 32 Sprague Dawley female rats were divided into 4 groups randomly...
April 20, 2016: Turkish Neurosurgery
Yasushi Matsumura, Atsushi Hattori, Shiro Manabe, Tsutomu Tsuda, Toshihiro Takeda, Katsuki Okada, Taizo Murata, Naoki Mihara
There is a great need to reuse data stored in electronic medical records (EMR) databases for clinical research. We previously reported the development of a system in which progress notes and case report forms (CRFs) were simultaneously recorded using a template in the EMR in order to exclude redundant data entry. To make the data collection process more efficient, we are developing a system in which the data originally stored in the EMR database can be populated within a frame in a template. We developed interface plugin modules that retrieve data from the databases of other EMR applications...
2016: Studies in Health Technology and Informatics
Juan A Castañeda, Gabriel Nagamine, Emre Yassitepe, Luiz G Bonato, Oleksandr Voznyy, Sjoerd Hoogland, Ana F Nogueira, Edward H Sargent, Carlos H Brito Cruz, Lazaro A Padilha
Cesium lead halide perovskite quantum dots (PQDs) have emerged as a promising new platform for lighting applications. However, to date, light emitting diodes (LED) based on these materials exhibit limited efficiencies. One hypothesized limiting factor is fast nonradiative multiexciton Auger recombination. Using ultrafast spectroscopic techniques, we investigate multicarrier interaction and recombination mechanisms in cesium lead halide PQDs. By mapping the dependence of the biexciton Auger lifetime and the biexciton binding energy on nanomaterial size and composition, we find unusually strong Coulomb interactions among multiexcitons in PQDs...
September 27, 2016: ACS Nano
Afef Samet Ellouze, Rafik Bouaziz, Hanen Ghorbel
PURPOSE: Integrating semantic dimension into clinical archetypes is necessary once modeling medical records. First, it enables semantic interoperability and, it offers applying semantic activities on clinical data and provides a higher design quality of Electronic Medical Record (EMR) systems. However, to obtain these advantages, designers need to use archetypes that cover semantic features of clinical concepts involved in their specific applications. In fact, most of archetypes filed within open repositories are expressed in the Archetype Definition Language (ALD) which allows defining only the syntactic structure of clinical concepts weakening semantic activities on the EMR content in the semantic web environment...
August 24, 2016: Journal of Biomedical Informatics
Ian Holmes, Shai Friedland
To discuss the rationale for the widespread application of endoscopic mucosal resection (EMR) rather than endoscopic submucosal dissection (ESD) in Western centers. In Western centers, EMR is the treatment of choice for most non-pedunculated colorectal adenomas >2 cm in size. EMR is sufficiently effective and safe to be performed without post-procedure hospitalization. Advances in EMR have led to reduced recurrence rates, and recent studies have demonstrated excellent outcomes with endoscopic treatment of recurrent adenomas...
September 2016: Clinical Endoscopy
Yuan Xu, Ning Li, Mingshan Lu, Robert P Myers, Elijah Dixon, Robin Walker, Libo Sun, Xiaofei Zhao, Hude Quan
BACKGROUND: The adoption of the electronic medical record (EMR) is rapidly growing in China. Constantly evolving, Chinese EMRs contain vast amounts of clinical and financial data, providing tremendous potential for research and policy use; however, they are only partially standardized and contain free text or unstructured data. To utilize the information contained in Chinese EMRs, the development of data extraction methodology is urgently needed. The purpose of this study is to develop and validate methods to extract clinical information from the Chinese EMR for research use...
2016: BMC Medical Informatics and Decision Making
Alex S Felmeister, Aaron J Masino, Tyler J Rivera, Adam C Resnick, Jeffrey W Pennington
BACKGROUND: High throughput molecular sequencing and increased biospecimen variety have introduced significant informatics challenges for research biorepository infrastructures. We applied a modular system integration approach to develop an operational biorepository management system. This method enables aggregation of the clinical, specimen and genomic data collected for biorepository resources. METHODS: We introduce an electronic Honest Broker (eHB) and Biorepository Portal (BRP) open source project that, in tandem, allow for data integration while protecting patient privacy...
2016: BMC Genomics
Andrzej Śliwczynski, Ewa Orlewska
Precision medicine (PM) is an important modern paradigm for combining new types of metrics with big medical datasets to create prediction models for prevention, diagnosis, and specific therapy of chronic diseases. The aim of this paper was to differentiate PM from personalized medicine, to show potential benefits of PM for managing chronic diseases, and to define problems with implementation of PM into clinical practice. PM strategies in chronic airway diseases, diabetes, and cardiovascular diseases show that the key to developing PM is the addition of big datasets to the course of individually profiling diseases and patients...
August 18, 2016: Polskie Archiwum Medycyny Wewnętrznej
S J Salayeva, J M Ojaghi, A N Pashayeva, V I Izzatullayeva, E M Akhundova, Z I Akperov
To examine the genetic diversity of Vitis vinifera L., growing in the Republic of Azerbaijan in the region near the Caspian Sea, nuclear genomes of 31 cultivated and 34 wild grapevine accessions were studied at population and individual levels using five ISSR primers. In total, 51 fragments were amplified, of which 45 were found to be polymorphic. A high level of polymorphism was revealed (the mean PPF and PIC values constituted 87.69% and 0.94, respectively). High values of the EMR, MI, and RP indices showed the effectiveness of the application of ISSR primers and the possibility of their use in further investigations in this direction...
April 2016: Genetika
Kazim Emre Karasahin, Ulas Fidan, Ferdi Kinci, Serkan Bodur
We have recently read the paper by Fisher et al. (1), evaluating the complementary and alternative medicine use by women with cyclic perimenstrual pain and discomfort. In their review, the authors have reported that cyclic perimenstrual pain and discomfort was widely experienced by women across the cultures, and that the papers they reviewed clearly showed women used complementary and alternative medicine to treat a wide range of cyclic perimenstrual pain and discomfort. We were surprised to see that although they have mentioned almost all of the popular complementary and alternative medical approaches througout the world, such as vitamin/mineral supplements, evening primrose oil, herbal teas, acupuncture, massage, mind body therapies, yoga, meditation etc...
August 8, 2016: Acta Obstetricia et Gynecologica Scandinavica
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