MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'BMC Medical Informatics and Decision Making - Latest articles' source. Wed, 08 Feb 2012 18:41:20 +0100 http://www.medworm.com/index.php?rid=5668209&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F12%2F5 The objective was to develop a clinical management algorithm for the post operative management of abdominal surgery patients. Eleven draft algorithm statements extracted from the extant literature by the primary research team were verified and rated by scientist clinicians (n=5) in an electronic three round Delphi process. Algorithm statements which reached a priori defined consensus - semi-interquartile range (SIQR) (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5668209 Mon, 06 Feb 2012 05:00:00 +0100 5668209 http://www.medworm.com/index.php?rid=5660627&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F12%2F4 DiscussionAlthough syndromic surveillance system has mostly established in developed areas, there are opportunities and advantages of developing it in rural China. The project will contribute to knowledge, experience and evidence on the establishment of an integrated surveillance system, which aims to provide early warning of disease epidemics in developing countries. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5660627 Fri, 03 Feb 2012 05:00:00 +0100 5660627 http://www.medworm.com/index.php?rid=5620993&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F12%2F3 Conclusions: Currently, neither method for assigning individuals to an ethnic group (name recognition and ethnic distribution of area of residence) performs well across all ethnic groups. We recommend further development of name recognition applications and the identification of additional methods for predicting ethnicity to improve their precision and accuracy for comparisons of health outcomes. However, real improvements can only come from better recording of ethnicity by health services. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5620993 Mon, 23 Jan 2012 05:00:00 +0100 5620993 http://www.medworm.com/index.php?rid=5610509&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F12%2F2 Conclusions: This study confirms our hypothesis that sensitivity and patient safety (i.e. less expected harm) are proportional to the complexity of algorithms, though increased complexity may make them difficult to use in practice. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5610509 Thu, 19 Jan 2012 05:00:00 +0100 5610509 http://www.medworm.com/index.php?rid=5561490&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F12%2F1 The objective of this debate paper is to achieve a better understanding of the adoption of telemedicine, to assist those trying to move applications from pilot stage to routine delivery.DiscussionWe have investigated the reasons why telemedicine has stalled by focusing on two, high-level topics: 1) the process of adoption of telemedicine in comparison with other technologies; and 2) the factors involved in the widespread adoption of telemedicine. For each topic, we have formulated hypotheses. First, the advantages for users are the crucial determinant of the speed of adoption of technology in healthcare. Second, the adoption of telemedicine is similar to that of other health technologies and follows an S-shaped logistic growth curve. Third, evidence of cost-effectiveness is a necessary but... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5561490 Wed, 04 Jan 2012 05:00:00 +0100 5561490 http://www.medworm.com/index.php?rid=5553124&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F78 Conclusions: HIE systems may be a source to fulfill users' information needs about complex patients. However, time constraints may be a barrier to usage. In addition, results suggest HIE is more likely to be useful to pediatric patients visiting ED repeatedly. This study helps fill an existing gap in the study of technological applications in the care of children and improves knowledge about how HIE systems are utilized. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5553124 Fri, 30 Dec 2011 05:00:00 +0100 5553124 http://www.medworm.com/index.php?rid=5538892&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F77 Conclusions: We present a theoretical framework to facilitate hospice referral process. Further rigorous clinical evaluation including testing in a prospective randomized controlled trial is required and planned. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5538892 Fri, 23 Dec 2011 05:00:00 +0100 5538892 http://www.medworm.com/index.php?rid=5526426&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F76 Conclusion: The results collected through this study indicate that the idea of IT services and IT service management is still not widely recognized in hospitals in the countries and regions of the study. It is also indicated that hospitals need further assistance in order to be able to successfully implement ITIL(R). Overall, research on IT service management and ITIL(R) in health care is rare. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5526426 Wed, 21 Dec 2011 05:00:00 +0100 5526426 http://www.medworm.com/index.php?rid=5506275&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F75 Conclusions: The automated RA-SPRT method performed well, detecting all of the true institutional outliers with a small false positive alerting rate. Such a system could provide confidential automated notification to local institutions in advance of public reporting providing opportunities for earlier quality improvement interventions. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5506275 Wed, 14 Dec 2011 05:00:00 +0100 5506275 http://www.medworm.com/index.php?rid=5459106&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F74 Conclusions: This study demonstrates the value of a human-computer interaction evaluation in informing the redesign of information tools to foster uptake, integration into workflow, and use in clinical practice. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5459106 Tue, 29 Nov 2011 05:00:00 +0100 5459106 http://www.medworm.com/index.php?rid=5442550&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F73 Conclusions The IPHR demonstrates that a patient-centered personal health record that interfaces with the electronic medical record can give patients a high level of individualized guidance and be successfully adopted by busy primary care practices. Further study and refinement are necessary to make information systems even more patient-centered and to demonstrate their impact on care.Trial Registration Clinicaltrials.gov identifier: NCT00589173 (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5442550 Thu, 24 Nov 2011 05:00:00 +0100 5442550 http://www.medworm.com/index.php?rid=5442551&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F72 Conclusions: A free-of-charge, online expert network in the field of OSH can be a useful strategy to provide OSH questioners with applicable, complete and timely information that may help improve safety and health at work. This study provides more insight in how to satisfy network questioners and about the potential impact of provided information on OSH. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5442551 Wed, 23 Nov 2011 05:00:00 +0100 5442551 http://www.medworm.com/index.php?rid=5432552&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F71 Conclusions: The implementation of CPOE in an adult medical surgical ICU resulted in no improvement in patient outcomes in the immediate phase and up to 12 months after implementation. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5432552 Sat, 19 Nov 2011 05:00:00 +0100 5432552 http://www.medworm.com/index.php?rid=5401456&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F70 Conclusion: By developing this system, we are able to centralize the collection of some patient data while minimizing the risk that protected health information be made available to study personnel who are not authorized to use it. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5401456 Thu, 10 Nov 2011 05:00:00 +0100 5401456 http://www.medworm.com/index.php?rid=5389115&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F69 Conclusions: Specialised information systems with defined functionality received better assessments than clinical information systems in general. This could be attributed to the improved customisation of these specialised systems for specific working environments. The results can be used as reference data for evaluation and benchmarking of human computer engineering in clinical health IT context for future studies. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5389115 Wed, 09 Nov 2011 05:00:00 +0100 5389115 http://www.medworm.com/index.php?rid=5362977&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F67 Conclusions: A prerequisite for the successful introduction of new technologies is to analyse determinants that may impede or enhance the introduction among potential users. For technological innovations special attention has to be paid to the (perceived) characteristics of the technology itself. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5362977 Thu, 27 Oct 2011 04:00:00 +0100 5362977 http://www.medworm.com/index.php?rid=5362976&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F68 Conclusions: The IBCR-RE paradigm incorporates a novel combination of essential aspects of diagnostic learning in radiology: (i) Provision of work-relevant experiences in a training environment integrated into the radiologist's working context; (ii) Up-to-date training cases that do not require cumbersome preparation because they are provided by routinely generated electronic medical records; (iii) Support of the way adults learn while remaining suitable for the patient- and problem-oriented nature of medicine. Future work will address unanswered questions to complete the implementation of the IRMAdiag trainer. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5362976 Thu, 27 Oct 2011 04:00:00 +0100 5362976 http://www.medworm.com/index.php?rid=5349217&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F65 Conclusions: Overall, a low rate of translations were demonstrated by the two methods. The two approachespermitted us to semi-automatically translate 3,776 FMA terms from English into French, this was to added tothe existing 10,844 French FMA terms in the HMTP (4,436 FMA French terms and 6,408 FMA terms manuallytranslated). (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5349217 Wed, 26 Oct 2011 04:00:00 +0100 5349217 http://www.medworm.com/index.php?rid=5349216&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F66 This study aims to test the feasibility of the ePOCS system, by running it for 2 years in two Yorkshire NHS Trusts, and using the Northern and Yorkshire Cancer Registry and Information Service. Methods: Non-metastatic breast, colorectal and prostate cancer patients (largest survivor groups), within 6 months post-diagnosis, will be recruited from hospitals in the Yorkshire Cancer Network. Participants will be asked to complete PROMS, assessing a range of health-related quality-of-life outcomes, at three time-points up to 15 months post-diagnosis, and subsequently to provide opinion on the ePOCS system via a feedback questionnaire. Feasibility will be examined primarily in terms of patient recruitment and retention rates, the representativeness of participating patients, the quantity and qua... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5349216 Wed, 26 Oct 2011 04:00:00 +0100 5349216 http://www.medworm.com/index.php?rid=5349218&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F64 Background: The intensive care unit (ICU) length of stay (LOS) of patients undergoing cardiac surgery may vary considerably, and is often difficult to predict within the first hours after admission. The early clinical evolution of a cardiac surgery patient might be predictive for his LOS. The purpose of the present study was to develop a predictive model for ICU discharge after non-emergency cardiac surgery, by analyzing the first 4 hours of data in the computerized medical record of these patients with Gaussian processes (GP), a machine learning technique. Methods: Non-interventional study. Predictive modeling, separate development (n=461) and validation (n=499) cohort. GP models were developed to predict the probability of ICU discharge the day after surgery (classification task), and to... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5349218 Tue, 25 Oct 2011 04:00:00 +0100 5349218 http://www.medworm.com/index.php?rid=5337469&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F63 DiscussionOne of these shortcomings is the arbitrary cutoffs used in these tools to facilitate the decision making process. This problem is to some extent due to the "Black or White" approach of modern medicine in making the decisions, whilst in the real world and our daily practice we used mostly an uncertain approach, which is called recently as "Fuzzy" thinking approach.SummaryThe authors of this article believe that the fuzzy type of thinking may resolve the above mentioned shortcomings of clinical practice guideline or risk assessment models and they tried to discuss about this using an example about Venous Thromboembolism related guidelines and RAMs. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5337469 Tue, 18 Oct 2011 04:00:00 +0100 5337469 http://www.medworm.com/index.php?rid=5316543&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F62 Clinical Prediction Rules (CPRs) are tools that quantify the contribution of symptoms, clinical signs and available diagnostic tests, and in doing so stratify patients according to the probability of having a target outcome or need for a specified treatment. Most focus on the derivation stage with only a minority progressing to validation and very few undergoing impact analysis. Impact analysis studies remain the most efficient way of assessing whether incorporating CPRs into a decision making process improves patient care. However there is a lack of clear methodology for the design of high quality impact analysis studies.We have developed a sequential four-phased framework based on the literature and the collective experience of our international working group to help researchers identify... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5316543 Fri, 14 Oct 2011 04:00:00 +0100 5316543 http://www.medworm.com/index.php?rid=5316544&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F61 Background: The evaluation of demonstration sites set up to provide improved access to psychological therapies (IAPT) comprised the study of all people identified as having common mental health problems (CMHP), those referred to the IAPT service, and a sample of attenders studied in-depth. Information technology makes it feasible to link practice, hospital and IAPT clinic data to evaluate the representativeness of these samples. However, researchers do not have permission to browse and link these data without the patients' consent.ObjectiveTo demonstrate the use of a mixed deterministic-probabilistic method of secure and private record linkage (SAPREL) - to describe selection bias in subjects chosen for in-depth evaluation.MethodWe extracted, pseudonymised and used fuzzy logic to link mult... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5316544 Thu, 13 Oct 2011 04:00:00 +0100 5316544 http://www.medworm.com/index.php?rid=5316545&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F60 Conclusions: Modeling the TISS standard by means of the openEHR approach makes it aligned with ISO recommendations and provides a solid foundation on which the TISS can evolve. Although there are few administrative archetypes available, the openEHR RM is expressive enough to represent the TISS standard. This paper focuses on the TISS but its results may be extended to other billing processes. A complete communication architecture to simulate the exchange of TISS data between systems according to the openEHR approach still needs to be designed and implemented. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5316545 Wed, 12 Oct 2011 04:00:00 +0100 5316545 http://www.medworm.com/index.php?rid=5297841&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F59 Conclusions: The risks and benefits of different treatment options for reduction of stroke in NVAF vary widely according to patients' comorbidities. This tool facilitates the provision of individualized outcome data and encourages patients to communicate with their physicians about these risks and benefits. Future studies will examine whether use of the tool is associated with improved quality of decision making. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5297841 Thu, 06 Oct 2011 04:00:00 +0100 5297841 http://www.medworm.com/index.php?rid=5286881&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F58 Conclusions: Our approach solves the consent issue when using IHE profiles for regional health information networks. It is highly interoperable due to the use of international standards and can hence be used in any other region to leverage consent issues and substantially promote the use of IHE for regional health information networks in general. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5286881 Tue, 04 Oct 2011 04:00:00 +0100 5286881 http://www.medworm.com/index.php?rid=5262042&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F57 Conclusion: In HIT-development the interests of and the balance of power between the different social groups involved are decisive in determining whether or not the end-users become real participants in the development process. Real end-user-participation is essential for the successful outcome of the process. By combining and developing existing theories and methods, this paper presents an improved method to collect more detailed information on social groups participating in HIT-development and their interaction during the development. This allows HIT management to explore new avenues during the HIT development process in order to support, facilitate and improve real end-user participation. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5262042 Wed, 28 Sep 2011 04:00:00 +0100 5262042 http://www.medworm.com/index.php?rid=5239301&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F56 Conclusions: Biosurveillance in a joint VA/DoD facility showed potential utility as a tool to improve surveillance and situational awareness in an area with Veteran, active duty and beneficiary populations. Based in part on the results of this pilot demonstration, both agencies have agreed to support the creation of a combined VA/DoD ESSENCE biosurveillance system which is now under development. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5239301 Mon, 19 Sep 2011 04:00:00 +0100 5239301 http://www.medworm.com/index.php?rid=5210325&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F55 Conclusions: Simulation studies can provide insight into both the effect of risk factor assumptions on model predictions and the type of data needed to calibrate risk factor models. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5210325 Wed, 07 Sep 2011 04:00:00 +0100 5210325 http://www.medworm.com/index.php?rid=5163769&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F54 Conclusions: Results indicated that, even when using only two sets of non-contrasted MR images, the system is a reliable and efficient method of brain-tumor detection. With further development the system demonstrates high potential for practical clinical use. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5163769 Thu, 25 Aug 2011 23:00:00 +0100 5163769 http://www.medworm.com/index.php?rid=5163770&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F53 Conclusions: The strategies we used to maximize data utility and minimize information loss can result in a PUMF that would be useful for the specific purposes noted earlier. However, to create a more detailed file with less information loss suitable for more complex health services research, the risk would need to be mitigated by requiring the data recipient to commit to a data sharing agreement. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5163770 Mon, 22 Aug 2011 23:00:00 +0100 5163770 http://www.medworm.com/index.php?rid=5098835&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F52 ${item.shortDescription} (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5098835 Fri, 05 Aug 2011 23:00:00 +0100 5098835 http://www.medworm.com/index.php?rid=5081048&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F51 ${item.shortDescription} (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5081048 Thu, 28 Jul 2011 23:00:00 +0100 5081048 http://www.medworm.com/index.php?rid=5081049&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F50 ${item.shortDescription} (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5081049 Wed, 27 Jul 2011 23:00:00 +0100 5081049 http://www.medworm.com/index.php?rid=5010684&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F49 Conclusions: Our results add important knowledge about the web-based needs of women with type 1 diabetes in relation to childbearing. This user directed study indicates specific areas of development for the provision of effective web-based support that includes facilities for reliable information, interactive support and social networking in this population. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=5010684 Wed, 06 Jul 2011 23:00:00 +0100 5010684 http://www.medworm.com/index.php?rid=4978301&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F48 Conclusions: Sensor-based objective measurements of motion parameters in geriatric patients can be used to assess individual fall risk, and our prediction model's performance matches that of a model based on conventional clinical and assessment data. Sensor-based measurements using a small wearable device may contribute significant information to conventional methods and are feasible in an unsupervised setting. More prospective research is needed to assess the cost-benefit relation of our approach. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4978301 Mon, 27 Jun 2011 23:00:00 +0100 4978301 http://www.medworm.com/index.php?rid=4971272&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F47 Conclusions: Providers successfully referred patients using the SUH provider interface, but were less willing to monitor patient compliance in the program. Patients who completed the program significantly increased their step counts. Future research is needed to test the effectiveness of integrating SUH with clinical information systems over a longer evaluation period. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4971272 Thu, 23 Jun 2011 23:00:00 +0100 4971272 http://www.medworm.com/index.php?rid=4962191&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F46 Conclusions: A large percentage of Montreal residents are unique on basic demographics. For non-longitudinal data sets, the three character postal code, gender, and month/year of birth represent sufficiently low re-identification risk. Data custodians need to generalize their demographic information further for longitudinal data sets. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4962191 Tue, 21 Jun 2011 23:00:00 +0100 4962191 http://www.medworm.com/index.php?rid=4955318&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F45 Conclusions: We present several interrelated extensions to decision curve analysis that will both facilitate its interpretation and broaden its potential area of application. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4955318 Tue, 21 Jun 2011 23:00:00 +0100 4955318 http://www.medworm.com/index.php?rid=4955319&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F44 Conclusions: The regression model proved reliable for quantitative planning of number of PRBC in patients undergoing heart surgery. Besides enabling more rational resource allocation of costly blood-conservation strategies and blood bank resources, the results indicated a strong association between some essential postoperative variables and differences between the model estimate and the actual number of packs transfused. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4955319 Mon, 20 Jun 2011 23:00:00 +0100 4955319 http://www.medworm.com/index.php?rid=4939033&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F43 Conclusions: Professionals' system use was associated with expected ease of use and time availability, professionals' affiliation and the number of represented patients, while no association was found with expected performance of the system. To achieve higher adoption rates in the future, it is important to further develop the technology by optimizing the system's ease of use and interoperability and including advanced consultation options. In addition, better identified end users should be more extensively informed about the system's possibilities through tailored education. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4939033 Fri, 17 Jun 2011 23:00:00 +0100 4939033 http://www.medworm.com/index.php?rid=4939034&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F42 Conclusions: Theoretical and empirically grounded, the paper contributes to the underdeveloped body of literature on information system pre-implementation processes by revealing the crucial role played by managers during the initial phases of a CIS adoption. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4939034 Thu, 16 Jun 2011 23:00:00 +0100 4939034 http://www.medworm.com/index.php?rid=4939035&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F41 Conclusions: The CKD Model is a valid, general purpose model intended as a resource to inform clinical and policy decisions improving CKD care. Its value as a tool is illustrated in our example which projects a relationship between decreasing cardiac disease and increasing ESRD. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4939035 Wed, 15 Jun 2011 23:00:00 +0100 4939035 http://www.medworm.com/index.php?rid=4939036&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F40 Background: HIV-1 genotypic susceptibility scores (GSSs) were proven to be significant prognostic factors of fixed time-point virologic outcomes after combination antiretroviral therapy (cART) switch/initiation. However, their relative-hazard for the time to virologic failure has not been thoroughly investigated, and an expert system that is able to predict how long a new cART regimen will remain effective has never been designed. Methods: We analyzed patients of the Italian ARCA cohort starting a new cART from 1999 onwards either after virologic failure or as treatment-naive. The time to virologic failure was the endpoint, from the 90th day after treatment start, defined as the first HIV-1 RNA >400 copies/ml, censoring at last available HIV-1 RNA before treatment discontinuation. We asses... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4939036 Mon, 13 Jun 2011 23:00:00 +0100 4939036 http://www.medworm.com/index.php?rid=4904985&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F39 Conclusion: MAPLe-AC is a valid algorithm based on risk factors that predict outcomes of acute hospital care. It could be a helpful tool for early discharge planning although further testing for active use in clinical practice is still needed. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4904985 Mon, 06 Jun 2011 23:00:00 +0100 4904985 http://www.medworm.com/index.php?rid=4886396&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F38 Conclusions: Models to predict growth to GH from prepubertal years to adult height are available for short children born SGA. The models utilize easily accessible predictors and are accurate. The overall explained variability in SGA is relatively low, due to the heterogeneity of the disorder. The models can be used to provide patients with a realistic expectation of treatment, and may help to identify compliance problems or other underlying causes of treatment failure. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4886396 Tue, 31 May 2011 23:00:00 +0100 4886396 http://www.medworm.com/index.php?rid=4878529&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F37 Conclusions: Majority of the medical students in this study had access to internet and were using it for both academic and personal reasons. Nevertheless, it was seen that there is under utilization of the potential of internet resources to augment learning. Increase in awareness, availability of requisite facilities and training in computing skills are required to enable better utilization of digital resources of digital resources by medical students. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4878529 Sun, 29 May 2011 23:00:00 +0100 4878529 http://www.medworm.com/index.php?rid=4865272&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F35 Conclusion: To our knowledge, this is the first structured attempt to develop a comprehensive context model for prioritizing drug safety alerts in CPOE systems. The outcome of this work can be used to develop future tailored drug safety alerting in CPOE systems. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4865272 Tue, 24 May 2011 23:00:00 +0100 4865272 http://www.medworm.com/index.php?rid=4865271&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F36 Conclusions: Significant variation was observed in clinician attitudes towards and use of the electronic patient problem list. Clearer guidance and best practices for problem list utilization are needed. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4865271 Tue, 24 May 2011 23:00:00 +0100 4865271 http://www.medworm.com/index.php?rid=4855083&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F34 Conclusion: Using turnaround times to benchmark clinical workflows is still difficult, because even within the same clinical domain many different definitions exist. Mapping of turnaround time definitions to a generic timeline is feasible. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4855083 Mon, 23 May 2011 23:00:00 +0100 4855083 http://www.medworm.com/index.php?rid=4843637&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F33 Conclusion: Efficient and tested automated algorithms should be used to support the harmonisation process needed to analyse multiple datasets. This is especially relevant when the numbers of datasets or variables to be included are large. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4843637 Wed, 18 May 2011 23:00:00 +0100 4843637 http://www.medworm.com/index.php?rid=4832862&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F32 Conclusions: Critical care workloads include requirements for timely information sharing and communication and explain the differences we observed between the two datasets. The data presented here further validate the WOMBAT method, and support plans to compare workflows before and after the introduction of electronic documentation methods in ICUs. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4832862 Mon, 16 May 2011 23:00:00 +0100 4832862 http://www.medworm.com/index.php?rid=4832863&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F31 Conclusions: PKreport provides 1) a flexible and efficient R class to store and retrieve NONMEM 7 output, 2) automate plots for users to visualize data and models, 3) automatically generated R scripts that are used to create the plots; 4) an archive-oriented management tool for users to store, retrieve and modify figures, 5) high-quality graphs based on the R packages, lattice and ggplot2. The general architecture, running environment and statistical methods can be readily extended with R class hierarchy. PKreport is free to download at http://cran.r-project.org/web/packages/PKreport/index.html. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4832863 Sun, 15 May 2011 23:00:00 +0100 4832863 http://www.medworm.com/index.php?rid=4822885&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F30 Conclusions: The combination of MPS and coreceptor usage prediction results in a fast and accurate alternative to phenotypic assays. The detection of X4-viruses in all isolates suggests that coreceptor usage as well as fitness of minorities is important for therapy outcome. The high sensitivity of this technology in combination with a quantitative description of the viral population may allow implementing meaningful cutoffs for predicting response to CCR5-antagonists in the presence of X4-minorities. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4822885 Thu, 12 May 2011 23:00:00 +0100 4822885 http://www.medworm.com/index.php?rid=4814811&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F29 Conclusion: Introducing an electronic prescribing system has the potential to give rise to new types of risks to patient safety. Being aware of these types of errors is important to the clinical and technical implementers of such systems in order to, where possible, design out unintended problems, highlight training requirements, and revise clinical practice protocols. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4814811 Wed, 11 May 2011 23:00:00 +0100 4814811 http://www.medworm.com/index.php?rid=4783506&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F28 Conclusions: The successful development, implementation, and evaluation of this and similar systems when created may provide clinicians with a tool for literature management, clinical decision making, thus setting the platform for personalized therapy in the future. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4783506 Wed, 04 May 2011 23:00:00 +0100 4783506 http://www.medworm.com/index.php?rid=4776659&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F27 Conclusions: The clinical systems tested lack some of the features expected to support patient safety and quality of care. Standards and certification for clinical software would ensure that safety features are present and that there is a minimum level of clinical functionality that clinicians could expect to find in any system. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4776659 Mon, 02 May 2011 23:00:00 +0100 4776659 http://www.medworm.com/index.php?rid=4736968&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F26 Conclusion: The CIS-based QoL is technically feasible, clinically accepted and provides an excellent quality of data for medical treatment and clinical research. Our approach with a commercial CIS and the web-based application is transferable to other sites. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4736968 Wed, 20 Apr 2011 23:00:00 +0100 4736968 http://www.medworm.com/index.php?rid=4726724&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F25 Conclusions: The three round decision Delphi process has proven to be effective for developing outcomes, ranking key priorities in primary care eHealth development, and achieving consensus among the most influential experts in that field. This consensus is an important contribution to future national eHealth strategies in the field of primary health care. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4726724 Sun, 17 Apr 2011 23:00:00 +0100 4726724 http://www.medworm.com/index.php?rid=4716112&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F24 Conclusions: The visibility of smaller technology-oriented disciplines like Medical Informatics is changed by the new bibliometric indices and databases possibly leading to suitably changed publication strategies. Freely accessible author-related indices enable an easy and adequate individual assessment. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4716112 Thu, 14 Apr 2011 23:00:00 +0100 4716112 http://www.medworm.com/index.php?rid=4716113&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F23 Conclusions: The DIABECOLUX algorithm is relevant to identify treated type 2 diabetes patients. It is reproducible and should be transferable to every country using medico-administrative databases not including diagnosis codes. Although undiagnosed patients and others with lifestyle recommendations only were not considered in this study, this algorithm is a cheap and easy-to-use tool to inform health authorities. Further studies will use this tool with the aim of improving the quality of health care dedicated to diabetic patients in Luxembourg. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4716113 Wed, 13 Apr 2011 23:00:00 +0100 4716113 http://www.medworm.com/index.php?rid=4705770&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F22 Conclusion: Providers perceive several challenges for fail-safe electronic communication and tracking of abnormal test results. A multi-dimensional approach that addresses technology as well as the many non-technological factors we elicited is essential to design interventions to reduce missed test results in EHRs. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4705770 Mon, 11 Apr 2011 23:00:00 +0100 4705770 http://www.medworm.com/index.php?rid=4687425&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F21 Conclusion: A large number of Internet users search for health information and subsequently modify their health behaviors and relationships with their medical providers. This may suggest a strong public health impact with consequences in all European countries, and it would be prudent to plan educational and prevention programs. However, it could be important to investigate the quality of health-related websites to protect and inform users. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4687425 Wed, 06 Apr 2011 23:00:00 +0100 4687425 http://www.medworm.com/index.php?rid=4654769&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F19 Conclusions Overall, electronic reporting increased the workflow efficiency of the medical specialists, but did not have an impact on their decision-making. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4654769 Tue, 29 Mar 2011 23:00:00 +0100 4654769 http://www.medworm.com/index.php?rid=4617418&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F18 We describe the function of Medical Record Search Engines (MRSE), which are able to retrieve all the available information regarding a patient who has been hospitalized in different hospitals and to provide this information to health professionals upon request. MRSEs use pseudonymized patient identities and thus never have access to the patient's identity. However, though the system would be easy to implement as it by-passes many of the difficulties associated with a centralized architecture, the health professional would have to validate the information, i.e. read all of the information and create his own synthesis and possibly reject extra data, which could be a drawback. We thus propose various feasible improvements, based on the implementation of several tools in our on-demand based sy... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4617418 Tue, 22 Mar 2011 00:00:00 +0100 4617418 http://www.medworm.com/index.php?rid=4562271&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F17 This study will produce a robust framework for developing and testing Decision boxes that will serve healthcare professionals and patients alike. It is the first step in the development and implementation of a new tool that should facilitate decision making in clinical practice. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4562271 Wed, 09 Mar 2011 00:00:00 +0100 4562271 http://www.medworm.com/index.php?rid=4562272&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F16 Conclusions: Our proposed framework supports online clinical informatics, evaluates treatment risks, offers interactive guidance, and provides real-time reference for decision making in the treatment of prostate cancer. The developed clinician-oriented interface can assist clinicians in conveniently presenting evidence-based information to patients and can be readily adapted to an existing hospital information system and be easily applied in other chronic diseases. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4562272 Tue, 08 Mar 2011 00:00:00 +0100 4562272 http://www.medworm.com/index.php?rid=4528501&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F15 Conclusions: Medical device manufacturers often do not see the benefit of employing formal human factors engineering methods within the MDDD process. Research is required to better understand the day-to-day requirements of manufacturers within this sector. The development of new or adapted methods may be required if user involvement is to be fully realised. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4528501 Mon, 28 Feb 2011 00:00:00 +0100 4528501 http://www.medworm.com/index.php?rid=4503304&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F14 Conclusions: The medical needs of pediatric patients vary greatly from those of adults, and the information systems that support those needs require tailored approaches to design and implementation. When a single CPOE system is used for both adults and pediatrics, safeguards such as redirection and suppression must be used to protect children from inappropriate adult medication dosing content. Unlike other pediatric dosing systems, our model provides active dosing assistance and dosing process management, not just static dosing advice. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4503304 Mon, 21 Feb 2011 00:00:00 +0100 4503304 http://www.medworm.com/index.php?rid=4484972&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F12 Conclusions: Patient performance report cards were generally well received by patients and providers, but were not associated with improved outcomes. Targeted, patient-level feedback to providers improved glycemic performance. Provider frustration highlights the need to supplement provider outreach efforts. Trial Registration: Clinicaltrials.gov identifier: NCT00827710. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4484972 Thu, 17 Feb 2011 00:00:00 +0100 4484972 http://www.medworm.com/index.php?rid=4484971&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F13 Conclusion: If these well-designed commercially-available systems are coupled with the other key socio-technical concepts required for safe and effective EHR implementation and use, and organizations have access to implementable clinical knowledge, we expect that the transformation of the healthcare enterprise that so many have predicted, is achievable using commercially-available, state-of-the-art EHRs. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4484971 Thu, 17 Feb 2011 00:00:00 +0100 4484971 http://www.medworm.com/index.php?rid=4484975&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F10 Conclusions: The uptake of the intervention www.wiagesprek.nl was disappointing. Specifically, the poor reach and compliance of the intervention resulted in a small proportion of the target population using the intervention as intended. Improvements in the implementation process are desirable to increase the reach and compliance and, thereby possibly, the impact of the intervention.Trial registration: NTR-1414 (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4484975 Wed, 16 Feb 2011 00:00:00 +0100 4484975 http://www.medworm.com/index.php?rid=4484973&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F11 Conclusion: It is feasible to integrate survival information into routine HIS documentation such that Kaplan-Meier plots can be generated directly and in a timely manner. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4484973 Wed, 16 Feb 2011 00:00:00 +0100 4484973 http://www.medworm.com/index.php?rid=4473862&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F9 This study is a randomized controlled trial of patients with advanced colorectal, breast, or ovarian cancer who have started treatment with first-line palliative chemotherapy. The trial will consist of 100 patients in the decision aid group and 70 patients in the usual care group. To collect complete data of 170 patients, 246 patients will be approached for the study. Patients will complete a baseline questionnaire on sociodemographic data, well-being measures, and psychological measures, believed to predict information desire. The medical oncologist will judge the patient's information desire. After disease progression is diagnosed, the medical oncologist offers the choice between second-line palliative chemotherapy plus best supportive care (BSC) and BSC alone. Randomization will take pl... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4473862 Mon, 14 Feb 2011 00:00:00 +0100 4473862 http://www.medworm.com/index.php?rid=4471216&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F8 Conclusions: The success rate-oriented simulation suggests that prescribing antihypertensive medications is superior to promoting the health promotion program in reducing IRCVD in virtual middle-aged Japanese men. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4471216 Sun, 13 Feb 2011 00:00:00 +0100 4471216 http://www.medworm.com/index.php?rid=4425622&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F6 Conclusions: Semantic MEDLINE summarization using the new Combo algorithm outperformed a conventional summarization schema in a genetic database curation task. It potentially could streamline information acquisition for other needs without having to hand-build multiple saliency schemas. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4425622 Tue, 01 Feb 2011 00:00:00 +0100 4425622 http://www.medworm.com/index.php?rid=4425621&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F7 Conclusions: The technique described offers a simple, fast and highly efficient two-step method for large scale initial linkage for records commonly found in the UK's National Health Service. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4425621 Tue, 01 Feb 2011 00:00:00 +0100 4425621 http://www.medworm.com/index.php?rid=4420494&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F5 Conclusions: The data collected via this Irish system can be aggregated into a larger dataset, if necessary, for analysis and evidence-gathering, since we adopted the openEHR standard. It will be later extended to include the functionalities of prescribing drugs other than methadone along with the research agenda at the HRB Centre for Primary Care Research in Ireland. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4420494 Tue, 01 Feb 2011 00:00:00 +0100 4420494 http://www.medworm.com/index.php?rid=4395597&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F4 We present SciReader, a web-application that simplifies document interpretation by allowing users to instantaneously view medical, English, and scientific definitions as they read any document. This tool reveals the definitions of any selected word in a small frame at the top of the application. SciReader relies on a dictionary of ~750,000 unique Biomedical and English word definitions. Evaluation of the application shows that it maps ~98% of words in several different types of documents and that most users tested in a survey indicate that the application decreases reading time and increases comprehension. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4395597 Tue, 25 Jan 2011 00:00:00 +0100 4395597 http://www.medworm.com/index.php?rid=4383822&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F3 Conclusions: Overall, the representation of many specialties in the four journals in general and internal medicine included in this study may differ, probably due to different editorial policies. Reading only one of these journals may provide a reliable but only partial overview. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4383822 Fri, 21 Jan 2011 00:00:00 +0100 4383822 http://www.medworm.com/index.php?rid=4319515&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F2 Conclusions: Our technical advance is the development and use of automated event-based knowledge elicitation to identify suboptimal OR management decisions that decrease the efficiency of use of OR time. The adapted scenarios can be used in future decision-making. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4319515 Fri, 07 Jan 2011 00:00:00 +0100 4319515 http://www.medworm.com/index.php?rid=4315193&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F11%2F1 Conclusions: In the context of residence for people with mental health problems, the focus should be on investment in community care and their re-integration into society. A joint effort is needed to achieve this goal. This study shows that scenario analysis leads to useful guidelines for planning organizational strategy in mental health care.Key words: residence, mental health care, scenario analysis, strategy planning (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4315193 Thu, 06 Jan 2011 00:00:00 +0100 4315193 http://www.medworm.com/index.php?rid=4299332&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F76 Conclusions: In the database, the association results were grouped as either positive or negative. The gene and SNP names were replaced with gene symbols and rsSNP numbers, the association p-values were determined manually, and the results are displayed by graphs and tables. In addition, the study design in publications, such as the population type and size are described. This database can be used for research purposes, such as an association and functional study of type 2 diabetes related genes, and as a primary genetic resource to construct a diabetes risk test in the preparation of personalized medicine in the future. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4299332 Thu, 30 Dec 2010 00:00:00 +0100 4299332 http://www.medworm.com/index.php?rid=4273249&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F75 Conclusions: Our model suggests that AD decisions are sensitive to patient preferences about long-term institutionalization and potential complications of therapy, particularly in patients with severe COPD. Future work will elicit actual patient preferences about complications of invasive mechanical ventilation, and incorporate our model into a clinical decision support to be used for actual COPD patients facing AD decisions. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4273249 Mon, 20 Dec 2010 00:00:00 +0100 4273249 http://www.medworm.com/index.php?rid=4198222&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F74 Conclusions: This study has highlighted several issues associated with applying outbreak detection algorithms to seasonal disease data. In lieu of a true gold standard, a quantitative comparison is difficult and caution should be taken when interpreting the true positives, false positives, sensitivity and specificity. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4198222 Wed, 24 Nov 2010 00:00:00 +0100 4198222 http://www.medworm.com/index.php?rid=4192904&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F73 Conclusions: We illustrate a methodological framework describing how to develop and expand a theory on attrition. The proposed framework highlighted the importance of conceptualizing e-health "use" and "adoption" as dynamic, continuous, longitudinal processes occurring in different stages, influenced by different factors to predict advancement to the next stage. Although usage behavior was influenced mainly by technological factors in the initial stages, both clinical and technological factors were equally important in the later stages. Frequency of use was associated with positive clinical outcomes. A plausible explanation was that intervention benefits motivated the caregivers to continue the service and regular use led to more positive clinical outcome. (Source: BMC Medical Informatics ... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4192904 Tue, 23 Nov 2010 00:00:00 +0100 4192904 http://www.medworm.com/index.php?rid=4180410&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F72 Conclusions: Prescribers and staff worked through the transition to successfully adopt e-prescribing, and noted the benefits. Overall impressions were favorable. No one wished to return to paper-based prescribing. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4180410 Fri, 19 Nov 2010 00:00:00 +0100 4180410 http://www.medworm.com/index.php?rid=4169215&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F71 Conclusions: cMDX can be used for routine histopathological reporting of radical prostatectomy specimens and provide data for scientific analysis. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4169215 Mon, 15 Nov 2010 00:00:00 +0100 4169215 http://www.medworm.com/index.php?rid=4136157&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F70 Conclusions: The contiguous categories of the variables confirm the existence of fuzzy frontiers. An overestimation was found in the surveyed group's interpretation of severity. This overestimation was mainly due to the different weight assigned to PO2/FiO2 and chest film variables. The FL approach made it possible to measure knowledge, experience and intuition as they appear in physicians' thinking. FL methodology could overcome a series of restrictions that current tests have due to cut-offs. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4136157 Thu, 04 Nov 2010 00:00:00 +0100 4136157 http://www.medworm.com/index.php?rid=4128098&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F69 Conclusions: The module integrated and functioned successfully as part of the healthcare system; it is proved for its feasibility and the extent to which community healthcare personnel in the low resource setting could efficiently utilize it to perform their duties. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4128098 Wed, 03 Nov 2010 00:00:00 +0100 4128098 http://www.medworm.com/index.php?rid=4128099&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F68 Conclusions: We demonstrate that Naive Bayes (NB) classifier models based on weather data available in real time have the potential to be used as effective predictive models. These models may be able to predict the week that an RSV outbreak will occur with clinical relevance. Their clinical usefulness will be field tested during the next five years. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4128099 Tue, 02 Nov 2010 00:00:00 +0100 4128099 http://www.medworm.com/index.php?rid=4128100&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F67 DiscussionDespite some limitations, an Actor-Network Theory-based approach is conceptually useful in helping to appreciate the complexity of reality (including the complexity of organisations) and the active role of technology in this context. This can prove helpful in understanding how social effects are generated as a result of associations between different actors in a network. Of central importance in this respect is that Actor-Network Theory provides a lens through which to view the role of technology in shaping social processes. Attention to this shaping role can contribute to a more holistic appreciation of the complexity of technology introduction in healthcare settings. It can also prove practically useful in providing a theoretically informed approach to sampling (by drawing on i... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4128100 Mon, 01 Nov 2010 00:00:00 +0100 4128100 http://www.medworm.com/index.php?rid=4111210&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F66 Conclusions: Identification of composite mapping patterns, and the types of errors that occur in the MedDRA content within UMLS, can focus larger-scale efforts on improving the quality of such mappings, which may assist in the creation of an adverse-events ontology. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4111210 Wed, 27 Oct 2010 23:00:00 +0100 4111210 http://www.medworm.com/index.php?rid=4111211&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F65 Conclusions: The design patterns identified for the GBox benefit from and reflect the specific requirements of interacting with data generated by clinical trials, and they contain clues for a general purpose solution to the challenge of having interfaces automatically assembled for multiple and volatile views of a domain. By coding AGUIA in JavaScript, for which all browsers include a native interpreter, a solution was found that assembles interfaces that are meaningful to the particular user, and which are also ubiquitous and lightweight, allowing the computational load to be carried by the client's machine. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4111211 Mon, 25 Oct 2010 23:00:00 +0100 4111211 http://www.medworm.com/index.php?rid=4090787&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F63 Conclusions: This network tool is a promising new strategy for offering company workers high quality information to answer OSH questions. Q&A network tools can be an addition to existing information facilities in the field of OSH, but also to other healthcare fields struggling with how to answer questions from people in practice with high quality information. In the near future, we will focus on the use of the tool and its effects on information and knowledge dissemination. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4090787 Thu, 21 Oct 2010 23:00:00 +0100 4090787 http://www.medworm.com/index.php?rid=4090786&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F64 Conclusions: Authority-flow techniques can greatly improve the detection of relevant information in EHRs and hence deserve further study. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4090786 Thu, 21 Oct 2010 23:00:00 +0100 4090786 http://www.medworm.com/index.php?rid=4079110&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F62 Conclusions: Most ICUs in Flanders use hospital IT systems such as computerized laboratory and radiology displays. The adoption rate of ICISs has doubled over the last 3 years but is still surprisingly low, especially in general hospitals. The major reason for not implementing an ICIS is the substantial financial cost, together with the lack of arguments to ensure the cost/benefit. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4079110 Mon, 18 Oct 2010 23:00:00 +0100 4079110 http://www.medworm.com/index.php?rid=4079111&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F61 Conclusions: The e-HIT shows potential as a tool for enhancing future e-Health implementations. Further work is needed to make it fully web-enabled, and to determine its predictive potential for future implementations. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4079111 Sun, 17 Oct 2010 23:00:00 +0100 4079111 http://www.medworm.com/index.php?rid=4069319&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F60 Conclusions: The critical adoption factors established here provide a sound theoretical basis for research to understand, support, and facilitate the adoption of electronic health records to physicians in benefit of patients. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4069319 Thu, 14 Oct 2010 23:00:00 +0100 4069319 http://www.medworm.com/index.php?rid=4069320&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F59 Conclusions: A data-driven method was developed for generating fully synthetic EMRs. The method is general and can be applied to any data set that has similar data elements (i.e.such as laboratory and radiology orders and results, clinical activity, prescription orders). The pilot synthetic outbreak records were for tularemia but our approach may be usedadapted forto other infectious diseases.The pilot synthetic background records were in the 4-11 year old age group. The adaptations that must be made to the algorithms to produce synthetic background EMRs for other age groups are indicated. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4069320 Wed, 13 Oct 2010 23:00:00 +0100 4069320 http://www.medworm.com/index.php?rid=4057367&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F58 Conclusions: Outcomes of experiments suggest that interactive query-development process using a hybrid rankedand Boolean retrieval system has the potential for significant time-savings over the current search process in thesystematic reviewing. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4057367 Mon, 11 Oct 2010 23:00:00 +0100 4057367 http://www.medworm.com/index.php?rid=4037959&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F57 DiscussionIn the case of typhoon disaster in Taiwan, internet social networking and mobile technology were found to be helpful for community residents, professional emergency rescuers, and government agencies in gathering and disseminating real-time information, regarding volunteer recruitment and relief supplies allocation. We noted that if internet tools are to be integrated in the development of emergency response system, the accessibility, accuracy, validity, feasibility, privacy and the scalability of itself should be carefully considered especially in the effort of applying it in resource poor settings.SummaryThis paper seeks to promote an internet-based emergency response system by integrating internet social networking and information communication technology into central governmen... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4037959 Tue, 05 Oct 2010 23:00:00 +0100 4037959 http://www.medworm.com/index.php?rid=4006294&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F56 Conclusions: Our experiments confirmed the applicability and efficacy of ExaCT. Furthermore, they demonstrated that combining a statistical method with 'weak' extraction rules can identify a variety of study characteristics. The system is flexible and can be extended to handle other characteristics and document types (e.g., study protocols). (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4006294 Mon, 27 Sep 2010 23:00:00 +0100 4006294 http://www.medworm.com/index.php?rid=4006295&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F55 Conclusion: In this sample of Asian cancer and arthritis patients, risk presentation format had no impact on willingness to participate in a clinical trial. However, there is a clear preference for the frequency format. The lay use of verbal descriptors was substantially different from the EU's. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=4006295 Sun, 26 Sep 2010 23:00:00 +0100 4006295 http://www.medworm.com/index.php?rid=3978556&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F52 Conclusions: Educational level need not be an insuperable barrier to appreciating web-based access to detailed health-related information, provided that users feel they can quickly gain access to the specific information they seek. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3978556 Thu, 16 Sep 2010 23:00:00 +0100 3978556 http://www.medworm.com/index.php?rid=3978555&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F53 Conclusions: From the pilot, it would seem our SNOMED CT encoding method has the potential to become a general purpose terminology encoding approach that can be used in different clinical systems. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3978555 Thu, 16 Sep 2010 23:00:00 +0100 3978555 http://www.medworm.com/index.php?rid=3978554&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F54 Conclusion: In an uncontrolled trial, the elderly participants appeared better prepared to make an individualized decision about whether or not to undergo CRC screening after using the decision aid. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3978554 Thu, 16 Sep 2010 23:00:00 +0100 3978554 http://www.medworm.com/index.php?rid=3974583&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F51 Conclusions: We present a novel method for eliciting decision maker's preferences and an alternative derivation of DCA based on regret theory. Our approach may be intuitively more appealing to a decision-maker, particularly in those clinical situations when the best management option is the one associated with the least amount of regret (e.g. diagnosis and treatment of advanced cancer, etc). (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3974583 Wed, 15 Sep 2010 23:00:00 +0100 3974583 http://www.medworm.com/index.php?rid=3970639&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F50 This study will determine the impact on screening participation of a novel, Internet-based Personalised Decision Support (PDS) package. The PDS is designed to measure attitudes and cognitive concerns and provide people with individually tailored information, in real time, that will assist them with making a decision to screen. The hypothesis is that exposure to (tailored) PDS will result in greater participation in screening than participation following exposure to non-tailored PDS or resulting from the current non-tailored, paper-based approach.Methods/design: A randomised parallel trial comprising three arms will be conducted. Men and women aged 50-74 years (N=3240) will be recruited. They must have access to the Internet; have not had an FOBT within the previous 12 months, or sigmoidosc... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3970639 Wed, 15 Sep 2010 23:00:00 +0100 3970639 http://www.medworm.com/index.php?rid=3970641&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F48 Conclusion: Observations suggest that when traditional organisational boundaries are crossed challenges associated with the social dimension of service delivery may be amplified. Teleneurophysiology requires a governance and management that recognises its socio-technical nature. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3970641 Tue, 14 Sep 2010 23:00:00 +0100 3970641 http://www.medworm.com/index.php?rid=3970640&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F49 Conclusion: This study illustrates that teleneurophysiology is an acceptable model of service delivery for its primary customers. Their feedback is important in informing appropriate design and governance of such innovative models of health service provision. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3970640 Tue, 14 Sep 2010 23:00:00 +0100 3970640 http://www.medworm.com/index.php?rid=3959462&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F47 Background: Numerous studies examined factors in promoting a patient's preference for active participation in treatment decision making with only modest success. The purpose of this study was to identify types of patients wishing to participate in treatment decisions as well as those wishing to play a completely active or passive role based on a Germany-wide survey of dialysis patients; using a prediction typal analysis method that defines types as configurations of categories belonging to different attributes and takes particularly higher order interactions between variables into account. Methods: After randomly splitting the original patient sample into two halves, an exploratory prediction configural frequency analysis (CFA) was performed on one-half of the sample (n=1969) and the ident... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3959462 Fri, 10 Sep 2010 23:00:00 +0100 3959462 http://www.medworm.com/index.php?rid=3922494&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F46 Conclusions: Participants generally found the portal easy to use; however, the perceived value of improved participation was not detected in the self-efficacy scores. Having access to personal health information did not increase anxiety levels. While these results suggest that the use of this PHR may be of benefit for informing patients, further research is required to investigate the impact on the experiences of patients, their participation in their care, their relationships with the health care team, and their health outcomes. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3922494 Tue, 31 Aug 2010 23:00:00 +0100 3922494 http://www.medworm.com/index.php?rid=3905233&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F45 Conclusions: Scoring systems are often designed solely on the basis of discrimination and generalization characteristics, to the detriment of prediction of a trustworthy outcome probability. The present example demonstrates that using a bootstrap method for the estimation of outcome-probability confidence intervals provides useful additional information about score-class statistics, guiding physicians towards the most convenient model for predicting morbidity outcomes in their clinical context. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3905233 Wed, 25 Aug 2010 23:00:00 +0100 3905233 http://www.medworm.com/index.php?rid=3901017&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F44 Conclusions: Although our findings are mixed, SR may be a technology with some promise for mental health documentation. Future investigations of this nature should use more participants, a broader range of document types, and compare front- and back-end SR methods. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3901017 Tue, 24 Aug 2010 23:00:00 +0100 3901017 http://www.medworm.com/index.php?rid=3883173&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F43 Conclusions: our model building exercise of mortality risk was able to predict disease outcome for individual patients with breast cancer. This model could represent a highly accurate prognostic tool for Taiwanese breast cancer patients. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3883173 Wed, 18 Aug 2010 23:00:00 +0100 3883173 http://www.medworm.com/index.php?rid=3814462&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F42 Tinnitus, the phantom perception of sound, is a frequent disorder that causes significant morbidity and treatment is elusive. A large variety of different treatment options have been proposed and from most of them some patients benefit. However, a particular treatment that helps one patient may fail for others. This suggests that there are different forms of tinnitus which differ in their pathophysiology and their response to specific treatments. Therefore, it is a major challenge for tinnitus treatment to identify the most promising therapy for a specific patient.However, most published clinical treatment studies have enrolled only relatively small patient samples, making it difficult to identify predictors of treatment response for specific approaches. Furthermore, inter-study comparabil... BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3814462 Mon, 02 Aug 2010 23:00:00 +0100 3814462 http://www.medworm.com/index.php?rid=3803982&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F41 DiscussionHaving reviewed the literature, we are not aware of any other studies which have used the assessment of actual risk, in a trial to compare different graphical cardiovascular risk presentation formats. This trial will provide data about which graphical cardiovascular risk presentation format is most effective in encouraging behaviour change to reduce cardiovascular risk.Trial registration Current Controlled Trials ISRCTN91319318 (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3803982 Thu, 29 Jul 2010 23:00:00 +0100 3803982 http://www.medworm.com/index.php?rid=3778463&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F40 Conclusions: Focus group data revealed the facilitators and barriers to using the osteoporosis tool at the point of care so that it can be optimized to aid physicians in their clinical decision making. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3778463 Wed, 21 Jul 2010 23:00:00 +0100 3778463 http://www.medworm.com/index.php?rid=3769958&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F39 Conclusions: This work does not support the implementation of syndromic surveillance for gastrointestinal disease with data available though the National Retail Data Monitor. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3769958 Mon, 19 Jul 2010 23:00:00 +0100 3769958 http://www.medworm.com/index.php?rid=3755824&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F38 Conclusions: GliomaPredict provides a user-friendly, clinically applicable novel platform for instantly assigning gene expression-based subtype in patients with gliomas thereby aiding in clinical trial design and therapeutic decision-making. Implemented as a user-friendly diagnostic tool, we expect that in time GliomaPredict, and tools like it, will become routinely used in translational/clinical research and in the clinical care of patients with gliomas. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3755824 Wed, 14 Jul 2010 23:00:00 +0100 3755824 http://www.medworm.com/index.php?rid=3708390&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F37 Conclusions: The EWMA control chart could be applied in other applications to quickly detect influenza outbreaks. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3708390 Mon, 28 Jun 2010 23:00:00 +0100 3708390 http://www.medworm.com/index.php?rid=3697409&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F36 Conclusions: This research has revealed a state of poor health data collection, lack of informed decision-making at the facility level and the factors for change in the country's HMIS. It suggests need for new innovations including incorporation of HMIS in the ongoing reviews of the curricula for all cadres of health care providers, development of more user-friendly system and use of evidence-based John Kotter's eight-step process for implementing successful changes in this system. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3697409 Thu, 24 Jun 2010 23:00:00 +0100 3697409 http://www.medworm.com/index.php?rid=3673905&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F35 Conclusion: The DEID program can be modified to reasonably accurately de-identify free-text primary care EMR records while preserving clinical content. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3673905 Thu, 17 Jun 2010 23:00:00 +0100 3673905 http://www.medworm.com/index.php?rid=3668484&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F34 Conclusion: SAM is a conceptually simple framework for passing information to and from patients in such a way as to increase both the patient's and the health care provider's understanding of the patient's progress, and to help ensure that patient care follows best practice. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3668484 Wed, 16 Jun 2010 23:00:00 +0100 3668484 http://www.medworm.com/index.php?rid=3642564&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F33 Conclusions: US, BE and CR may be essential as pre-treatment imaging examinations because they occasionally detect findings which affect treatment indication and strategy, although abdominal contrast-enhanced CT rarely provide additional information. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3642564 Tue, 08 Jun 2010 23:00:00 +0100 3642564 http://www.medworm.com/index.php?rid=3623230&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F32 Conclusions: Detailed documentation of the agreed upon requirements for the new system along with ongoing review of the sources of resistance to change as defined by Riley and Lorenzi were the most important steps taken that contributed to the success of the project. Cultural changes in tissue collection mandated by standards requirements introduced by the Cancer Bioinformatics Grid (CaBIG) and excessive reliance on the outgoing system during a lengthy period of dual data entry were the primary sources of resistance to change. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3623230 Tue, 01 Jun 2010 23:00:00 +0100 3623230 http://www.medworm.com/index.php?rid=3608824&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F31 Conclusion: We show that it is possible to criticize physicians' prescriptions starting from a structured clinical guideline, and to provide clear explanations. We are now planning a randomized clinical trial to evaluate the impact of the system on practices. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3608824 Thu, 27 May 2010 23:00:00 +0100 3608824 http://www.medworm.com/index.php?rid=3597146&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F30 Conclusions: We present a systematic summary of data that is automatically available to public health departments for monitoring and responding to emergencies. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3597146 Mon, 24 May 2010 23:00:00 +0100 3597146 http://www.medworm.com/index.php?rid=3565150&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F29 Conclusions: Our experiments on the identification of PICO elements showed that the task is very challenging. Nevertheless, the performance achieved by our identification method is competitive with previously published results and shows that this task can be achieved with a high accuracy for the P element but lower ones for I and O elements. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3565150 Fri, 14 May 2010 23:00:00 +0100 3565150 http://www.medworm.com/index.php?rid=3565151&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F28 Conclusions: This format, if widely adopted could promote BSPM interoperability, knowledge sharing and data mining. This work could also be used to provide conceptual solutions and inspire existing formats such as DICOM, SCP-ECG and aECG to support the storage of BSPMs. In summary, this research provides initial ground work for creating a complete BSPM management system. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3565151 Thu, 13 May 2010 23:00:00 +0100 3565151 http://www.medworm.com/index.php?rid=3561930&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F26 Conclusions: The JADE Program is a prototype using information technology to facilitate implementation of a comprehensive care model, as recommended by the International Diabetes Federation. It also enables health care teams to record, manage, track and analyse the clinical course and outcomes of people with diabetes. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3561930 Wed, 12 May 2010 23:00:00 +0100 3561930 http://www.medworm.com/index.php?rid=3561929&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F27 Conclusions: A model that uses patient data from ICU days 1 and 5 accurately predicts a prolonged ICU stay. These predictions are more accurate than those based on ICU day 1 data alone. The model can be used to benchmark ICU performance and to alert physicians to explore care alternatives aimed at reducing ICU stay. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3561929 Wed, 12 May 2010 23:00:00 +0100 3561929 http://www.medworm.com/index.php?rid=3544356&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F25 Conclusions: This study demonstrates the importance of accounting for mortality, morbidity and costs in the evaluation of syndromic surveillance systems. Incorporating these outcomes into the ROC curve analysis allows for more accurate identification of the optimal method for signaling a possible bioterrorist attack. In addition, the parameters used to construct an ROC curve should be given careful consideration. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3544356 Thu, 06 May 2010 23:00:00 +0100 3544356 http://www.medworm.com/index.php?rid=3516992&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F24 Conclusions: This study yielded valuable parameter range estimates at an early stage in the study of screening for AD. Analysis identified duration of screening sensitivity as a key variable that may be unavailable from clinical trials. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3516992 Thu, 29 Apr 2010 23:00:00 +0100 3516992 http://www.medworm.com/index.php?rid=3495845&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F23 Conclusions: Since the frequency of ICD code registration varies between different diagnoses, each diagnosis must be separately validated. Improved frequency and quality of ICD code registration might be achieved by interventions directed towards the physicians where the greatest amount of variation was found. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3495845 Thu, 22 Apr 2010 23:00:00 +0100 3495845 http://www.medworm.com/index.php?rid=3473644&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F22 Conclusions: In light of the results, we can conclude that the objective of our study was reached. However, it is important to take into account the recommendations and the challenges discussed here to avoid several potential pitfalls specific to the context of Africa.Our future work will target the full integration of the billing module in Mediboard and an expanded implementation throughout the hospital. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3473644 Thu, 15 Apr 2010 23:00:00 +0100 3473644 http://www.medworm.com/index.php?rid=3469553&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F21 Conclusions: This study defines features of e-prescribing software systems that are expected to support safety and quality, especially in relation to prescribing and use of medicines in general practice. The features could be used to develop software standards, and could be adapted if necessary for use in other settings and countries. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3469553 Wed, 14 Apr 2010 23:00:00 +0100 3469553 http://www.medworm.com/index.php?rid=3445883&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F20 Conclusions: This method has advantages over prior means of assessing treatment thresholds. It does not require physicians to explicitly estimate patient risk and it allows for uncertainty in the recommendations. These advantages will make it possible to use this method when assessing interventions intended to alter clinical decision making. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3445883 Wed, 07 Apr 2010 23:00:00 +0100 3445883 http://www.medworm.com/index.php?rid=3445884&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F19 Conclusions: The findings of this study provide strong support for continued development of text searching methods to obtain information from routine emergency department data, to improve the capacity for comprehensive injury surveillance. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3445884 Tue, 06 Apr 2010 23:00:00 +0100 3445884 http://www.medworm.com/index.php?rid=3434194&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F18 Conclusion: The models we developed can be used to manage the re-identification risk from small geographic areas. Being able to choose among three possible thresholds, a data custodian can adjust the definition of "small geographic area" to the nature of the data and recipient. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3434194 Thu, 01 Apr 2010 23:00:00 +0100 3434194 http://www.medworm.com/index.php?rid=3430944&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F17 Conclusions: A high percentage of hospitals did not provide an official website and the majority of the websites found had several limitations. Very few hospitals provided information to increase the credibility of the hospital and user confidence in the institution. This study suggests that Italian hospital websites are more a source of information on admissions and services than a means of communication between user and hospital. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3430944 Wed, 31 Mar 2010 23:00:00 +0100 3430944 http://www.medworm.com/index.php?rid=3392324&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F16 Conclusions: Support vector machine modeling could be a promising classification approach for detecting persons with common diseases such as diabetes and pre-diabetes in the population. This approach should be further explored in other complex diseases using common variables. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3392324 Mon, 22 Mar 2010 00:00:00 +0100 3392324 http://www.medworm.com/index.php?rid=3367855&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F15 Conclusions: The usage of past patient information varied significantly according to patient age, type of information, type of hospital encounter and medical cause (main diagnosis) for the encounter. The exponential model is a good fit to model how the reports are seen over time, so the design of user interfaces and repository management algorithms should take it in consideration. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3367855 Tue, 16 Mar 2010 00:00:00 +0100 3367855 http://www.medworm.com/index.php?rid=3348193&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F13 Conclusions: The identification of the nine blood chemistry measures provides important clues about the effects of long-distance voyage on seamen's health. These findings will prove to be useful to guide in improving the living and working environment, as well as food preparation on ships. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3348193 Wed, 10 Mar 2010 00:00:00 +0100 3348193 http://www.medworm.com/index.php?rid=3328755&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F12 Conclusions: Informed decision making for PCa screening is crucial at present and may be important for some time, particularly if a definitive recommendation either for or against screening does not emerge from ongoing prostate cancer screening trials. We have detailed our efforts at developing print- and web-based DAs to assist men in determining how to best meet their PCa screening preferences. Following completion of our ongoing RCT designed to test these materials, our goal will be to develop a dissemination project for the more effective tool.Trial Registration. NCT00623090 (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3328755 Wed, 03 Mar 2010 00:00:00 +0100 3328755 http://www.medworm.com/index.php?rid=3304301&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F11 Conclusions: Our results strongly suggest that physicians did not adhere to the ICPC standard due to its incompleteness, i.e. lack of many clinically important diagnoses. This indicates that ICPC is inappropriate for the classification of problem events and the clinical practice in primary care. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3304301 Wed, 24 Feb 2010 00:00:00 +0100 3304301 http://www.medworm.com/index.php?rid=3296215&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F10 Conclusion: Automation of an inter-institutional problem list added over half of all validated problems to the health problem list of which 12% were generated by conditions treated by other physicians. Automating the integration of existing information sources provides timely access to accurate and relevant health problem information. It may also accelerate the uptake and use of electronic medical record systems. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3296215 Tue, 23 Feb 2010 00:00:00 +0100 3296215 http://www.medworm.com/index.php?rid=3233305&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F9 Conclusions: Bumping is a powerful tool to construct diverse and accurate regression trees, to be used as candidate models for DRG-systems. Furthermore, Bumping and the proposed model selection approach are also applicable to other medical decision and prognosis tasks. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3233305 Wed, 03 Feb 2010 00:00:00 +0100 3233305 http://www.medworm.com/index.php?rid=3233307&cid=s_34033_21_f&fid=34033&url=http%3A%2F%2Fwww.biomedcentral.com%2F1472-6947%2F10%2F7 Conclusions: Dentists have various information needs at the point of care. Among them, the needs for better visual representation and patient-specific evidence-based information are mostly unmet. While patient records and support staff remain the most used information sources, electronic sources other than electronic dental records (EDR) are rarely utilized during patient visits. For future development of dental information or clinical decision-support systems, developers should consider integrating high-quality, up-to-date clinical evidence into comprehensive and easily accessible EDRs as well as supporting dentists' resource use patterns as identified in the study. (Source: BMC Medical Informatics and Decision Making - Latest articles) BMC Medical Informatics and Decision Making - Latest articles journals http://www.medworm.com/rss/comments.php?id=3233307 Tue, 02 Feb 2010 00:00:00 +0100 3233307