International Journal of Medical Informatics
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Using a web-based system for the continuous distance education in cytopathology
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Conclusions: The web-based training system can be successfully involved in the continuous distance education in cytopathology. It provides the opportunity to access learning material from any place at any time and supports the acquisition of diagnostic knowledge. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - November 3, 2009 Category: Information Technology Authors: Nikolaos Stergiou, Giannis Georgoulakis, Niki Margari, Dionisios Aninos, Melina Stamataki, Efi Stergiou, Abraam Pouliakis, Petros Karakitsos Tags: Regular Papers Source Type: journals
Mining of clinical and biomedical text and data: Editorial of the special issue
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To cope with the amounts of documentation in health care and bio-medical research, the traditional intermediaries used by practitioners include, for example, summaries, code lists, and rulebooks. The new intermediaries enabled by text and data mining may encompass, for example, code suggestions assigned by text classification tools, rankings produced by information retrieval tools, pre-completed forms filled by information extraction tools, as well as structured free-text notes generated by topic segmentation and labelling tools. Under time constraints, they can help focus on essential items in large sets of data and text....
Source: International Journal of Medical Informatics - October 30, 2009 Category: Information Technology Authors: Helena Karsten, Hanna Suominen Tags: Editorial Source Type: journals
Comorbidity study of ADHD: Applying association rule mining (ARM) to National Health Insurance Database of Taiwan
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Conclusions: The finding of this study, an important role of DD between ADHD and other psychiatric comorbidity, supports neurological findings in developmental delay of ADHD children's front cortex, as well as some epidemiology findings. This study also demonstrated the practicality of ARM in comorbidity studies using enormous clinic databases like NHIRD. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - October 23, 2009 Category: Information Technology Authors: Yueh-Ming Tai, Hung-Wen Chiu Tags: Special Issue Papers Source Type: journals
Norwegians GPs’ use of electronic patient record systems
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Conclusion: EPR systems in Norwegian primary care that have been developed in accordance with the principles of user-centered design have achieved widespread adoption and highly integrated use. The quality and efficiency of the clinical work has increased in contrast to the situation of their hospital colleagues, who report more modest use and benefits of EPR systems. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - October 15, 2009 Category: Information Technology Authors: Tom Christensen, Arild Faxvaag, Hallvard Lærum, Anders Grimsmo Tags: Regular Papers Source Type: journals
Special Issue Call for Papers: IS/IT Applications for the Support of Older People
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(Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - October 5, 2009 Category: Information Technology Source Type: journals
Special Issue Call for Papers: Supporting Collaboration in Healthcare Settings
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(Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - October 5, 2009 Category: Information Technology Source Type: journals
IJMI special issues: A focus on current topics
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The field of medical informatics is continuously expanding in scope, in depth, and in maturity. New connections to other fields are established as concepts and tools of medical informatics become essential parts of health systems and biomedicine. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - October 5, 2009 Category: Information Technology Authors: A. Geissbuhler, J. Talmon, C. Safran Tags: Editorial Source Type: journals
The health information system security threat lifecycle: An informatics theory
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Conclusion: The HISSTL emerged from the analysis of study evidence. The theory embodies elements such as the fiscal, regulatory and natural hospital environments which impede P&S implementations in practice settings. These elements conflict with improved patient care outcomes. Efforts by clinicians to avoid conflict and emphasize patient care above P&S tended to manifest as security breaches. These breaches entrench factors beyond clinician control and perpetuate those within clinician control. Security breaches of health information can progress through the HISSTL. Some preliminary suggestions for addressing these issues ...
Source: International Journal of Medical Informatics - September 28, 2009 Category: Information Technology Authors: Juanita I. Fernando, Linda L. Dawson Tags: Regular Papers Source Type: journals
A quantitative analysis of the impact of a computerised information system on nurses’ clinical practice using a realistic evaluation framework
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Conclusion: Results from the study looking at subtle variations in users and units provide insight into how important professional culture and working practices could be in IT (information technology) implementation. The socio-technical approach on IT systems evaluation suggested in the recent literature appears to be an adequate theoretical underpinning for IT evaluation research. Realistic evaluation has proven to be an adequate method for IT evaluation. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - September 22, 2009 Category: Information Technology Authors: Cristina Oroviogoicoechea, Roger Watson Tags: Regular Papers Source Type: journals
Millennium Global Village-Net: Bringing together Millennium Villages throughout sub-Saharan Africa
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Abstract: The Millennium Villages Project (MVP), based at The Earth Institute at Columbia University, is a bottom-up, community led approach to show how villages in developing countries can get out of the poverty trap that afflicts more than a billion people worldwide. With well-targeted, practical inputs can help the community invest in a path leading to self-sustaining development. There are 80 Millennium Villages clustered in 10 countries throughout sub-Saharan Africa. MVP is an important development process for empowering communities to invest in a package of integrated interventions aiming to increase food production,...
Source: International Journal of Medical Informatics - September 22, 2009 Category: Information Technology Authors: Andrew S. Kanter, Joel Negin, Bernard Olayo, Frederick Bukachi, Edward Johnson, Sonia Ehrlich Sachs Tags: Regular Papers Source Type: journals
Across the Atlantic cooperation to address international challenges in eHealth and health IT: Managing toward a common goal
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Conclusions: Three areas that were identified as highest priority for collaboration included: (1) health data security, (2) developing effective strategies to ensure healthcare professionals’ acceptance of health IT tools, and (3) interoperability. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - September 6, 2009 Category: Information Technology Authors: Charles P. Friedman, Ilias Iakovidis, Laurent Debenedetti, Nancy M. Lorenzi Source Type: journals
Elderly persons’ perception and acceptance of using wireless sensor networks to assist healthcare
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Conclusions: Our findings indicate that participants’ attitudes towards the idea of wireless sensor networks for health monitoring are generally positive. The exploratory findings along with the literature suggest a number of relationships which can be used in future survey design and model building. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - September 1, 2009 Category: Information Technology Authors: Robert Steele, Amanda Lo, Chris Secombe, Yuk Kuen Wong Tags: Regular Papers Source Type: journals
Comparing clinician knowledge and online information regarding Alli (Orlistat)
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Conclusions: Forum answers were comparable to clinicians’ answers with respect to accuracy and completeness, but answers from both sources were unsatisfactory. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - August 31, 2009 Category: Information Technology Authors: Stuart Nelson, Kevin O. Hwang, Elmer V. Bernstam Source Type: journals
The outcomes of regional healthcare information systems in health care: A review of the research literature
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Abstract: The resulting regional healthcare information systems were expected to have effects and impacts on health care procedures, work practices and treatment outcomes. The aim is to find out how health information systems have been investigated, what has been investigated and what are the outcomes. A systematic review was carried out of the research on the regional health information systems or organizations. The literature search was conducted on four electronic Cinahl Medline, Medline/PubMed and Cochrane. The common type of study design was the survey research and case study, and the data collection was carried out v...
Source: International Journal of Medical Informatics - August 4, 2009 Category: Information Technology Authors: Tiina Mäenpää, Tarja Suominen, Paula Asikainen, Marianne Maass, Ilmari Rostila Source Type: journals
Cellular phone and Internet-based individual intervention on blood pressure and obesity in obese patients with hypertension
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Abstract: Purpose: The present study evaluated whether an intervention using a short message service (SMS) by cellular phone and Internet would improve blood pressure, weight control, and serum lipids of obese patients with hypertension during 8 weeks.Methods: This is a quasi-experimental design with pre- and follow-up tests. Participants were recruited from the family medicine outpatient department of tertiary care hospital located in an urban city of South Korea. Twenty-eight patients were assigned to an intervention group and 21 to a control group. The goal of intervention was to bring blood pressure, body weight, and s...
Source: International Journal of Medical Informatics - July 29, 2009 Category: Information Technology Authors: Min-Jeong Park, Hee-Seung Kim, Kyung-Soo Kim Source Type: journals
Evaluation of nursing-specific drug information PDA databases used as clinical decision support tools
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Abstract: Background: Nursing is arguably the most organizationally diverse healthcare profession. Educational backgrounds may vary, even among similarly credentialed nurses. Drug information databases used as clinical decision support tools can improve access to pharmacologic information at point-of-care when housed on personal digital assistants. They may also help address the disparity in drug information and pharmacology education between nurses.Objectives: To evaluate nursing-specific drug information database content on personal digital assistants (PDAs).Methods: Seven nursing-specific PDA databases were evaluated fo...
Source: International Journal of Medical Informatics - July 28, 2009 Category: Information Technology Authors: Hyla H. Polen, Kevin A. Clauson, Wendy Thomson, Antonia Zapantis, Jennie Q. Lou Source Type: journals
A computational framework to identify patients with poor adherence to blood pressure lowering medication
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Conclusions: We have developed a generic computational framework that can be used to formulate and query criteria around issues of adherence to long-term medication based on practice EMRs. Within the context of the example we have used, the observed adherence levels indicate that a substantial proportion of patients classified with hypertension and diabetes have poor adherence, associated with poorer rates of blood pressure control, that can be detected through analysis of electronic prescribing. Further work is required to identify effective interventions using the reporting information to reduce non-adherence and improve...
Source: International Journal of Medical Informatics - July 23, 2009 Category: Information Technology Authors: Thusitha Mabotuwana, Jim Warren, John Kennelly Source Type: journals
Increasing the use of e-consultation in primary care: Results of an online survey among non-users of e-consultation
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Conclusion: In order to foster the use of e-consultation in primary care both GPs and non-users must be informed about the possibilities and consequences of e-consultation through tailored education and instruction. We must also take into account patient profiles and their specific demands regarding e-consultation. Special attention should be paid to patients who can benefit the most from e-consultation while also facing the greatest chance of being excluded from the service. As health care continues to evolve towards a more patient-centred approach, we expect that patient expectations and demands will be a major force in ...
Source: International Journal of Medical Informatics - July 21, 2009 Category: Information Technology Authors: Nicol Nijland, Julia E.W.C. van Gemert-Pijnen, Henk Boer, Michaël F. Steehouder, Erwin R. Seydel Source Type: journals
Evaluation of a remote training approach for teaching seniors to use a telehealth system
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Conclusions: REPETE is an effective remote training tool for older adults in the telemedicine environment. Patients demonstrated significant improvements in their ability to perform tasks on their home telemedicine unit. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - July 20, 2009 Category: Information Technology Authors: Albert M. Lai, David R. Kaufman, Justin Starren, Steven Shea Source Type: journals
Factors affecting health care workers’ adoption of a website with infection control guidelines
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Conclusion: Factors from multiple categories determine HCWs’ adoption of web-based guidelines, but the organization appeared to be a paramount reinforcer of initiation and maintenance of technology adoption among HCWs. In order eliminate resistance and create ownership among HCWs toward the website, leading to a willingness to integrate the website into routine care, it is essential to more actively involve HCWs in the early phases of the design process. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - July 7, 2009 Category: Information Technology Authors: Fenne Verhoeven, Michaël F. Steehouder, Ron M.G. Hendrix, Julia E.W.C. van Gemert-Pijnen Source Type: journals
Enhanced identification of eligibility for depression research using an electronic medical record search engine
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Conclusions: Using a search engine optimized for finding clinical information in the free-text sections of the EMR can provide significant time savings while preserving clinical accuracy. The major power of this search engine is not from a more advanced and sophisticated search algorithm, but rather from a user interface designed explicitly to help users search the entire medical record in a way that protects health information. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - June 29, 2009 Category: Information Technology Authors: Lisa Seyfried, David A. Hanauer, Donald Nease, Rashad Albeiruti, Janet Kavanagh, Helen C. Kales Tags: Special Issue Papers Source Type: journals
Format change of a laboratory test order form affects physician behavior
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Conclusions: Changes in format of laboratory test order forms can change physician test ordering and may be useful together with other interventions to improve appropriateness of laboratory testing. A thoughtfully built test ordering form can reinforce clinical guidelines for the performance of some preventive testing and follow-up. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - June 24, 2009 Category: Information Technology Authors: Varda Shalev, Gabriel Chodick, Anthony D. Heymann Source Type: journals
Annotation and retrieval of clinically relevant images
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Conclusions: Our supervised machine-learning methods that combine information from image and text are capable of achieving image annotation and retrieval accuracy acceptable for providing clinical evidence, given sufficient training data. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - June 22, 2009 Category: Information Technology Authors: Dina Demner-Fushman, Sameer Antani, Matthew Simpson, George R. Thoma Tags: Special Issue Papers Source Type: journals
Erratum to “A review of content-based image retrieval systems in medical applications—Clinical benefits and future directions” [Int. J. Med. Inform. 73 (1) (2004) 1–23]
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In the above article Andrea Sboner name was incorrectly spelt in reference number [137]. The correct reference is now below. [137] A. Sboner, C. Eccher, E. Blanzieri, P. Bauer, M. Cristofolini, G. Zumiani, S. Forti, A multiple classifier system for early melanoma diagnosis, Artif. Intell. Med. 27 (1) (2003) 29–44. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - June 14, 2009 Category: Information Technology Authors: Henning Müller, Nicolas Michoux, David Bandon, Antoine Geissbuhler Source Type: journals
Junior physician's use of Web 2.0 for information seeking and medical education: A qualitative study
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Conclusion: Web 2.0 use represents a profound departure from previous learning and decision processes which were normally controlled by senior medical staff or medical schools. There is widespread concern with the risk of poor quality information with Web 2.0 use, and the manner in which physicians are using it suggest effective use derives from the mitigating actions by the individual physician. Three alternative policy options are identified to manage this risk and improve efficiency in Web 2.0's use. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - June 7, 2009 Category: Information Technology Authors: Benjamin Hughes, Indra Joshi, Hugh Lemonde, Jonathan Wareham Source Type: journals
Protein–protein interaction extraction by leveraging multiple kernels and parsers
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Abstract: Protein–protein interaction (PPI) extraction is an important and widely researched task in the biomedical natural language processing (BioNLP) field. Kernel-based machine learning methods have been used widely to extract PPI automatically, and several kernels focusing on different parts of sentence structure have been published for the PPI task. In this paper, we propose a method to combine kernels based on several syntactic parsers, in order to retrieve the widest possible range of important information from a given sentence. We evaluate the method using a support vector machine (SVM), and we achieve better re...
Source: International Journal of Medical Informatics - June 5, 2009 Category: Information Technology Authors: Makoto Miwa, Rune Sætre, Yusuke Miyao, Jun’ichi Tsujii Tags: Special Issue Papers Source Type: journals
Predicting the graft survival for heart–lung transplantation patients: An integrated data mining methodology
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Conclusions: Data mining-based methodology proposed in this study reveals that there are undiscovered relationships (i.e. interactions of the existing variables) among the survival-related variables, which helps better predict the survival of the heart–lung transplants. It also brings a different set of variables into the scene to be evaluated by the domain-experts and be considered prior to the organ transplantation. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - June 4, 2009 Category: Information Technology Authors: Asil Oztekin, Dursun Delen, Zhenyu (James) Kong Tags: Special Issue Papers Source Type: journals
Exploring the usability of the ISO reference terminology model for nursing actions in representing oriental nursing actions
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Conclusion: The findings demonstrate that oriental nursing actions can be represented using the ISO reference terminology model for nursing actions. Further specification of the components of the model will be useful to achieve consistent mapping across different settings. The addition of component qualifiers should also be taken into consideration to describe nursing actions at a more granular level. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - May 31, 2009 Category: Information Technology Authors: Jee-In Hwang, Hyeoun-Ae Park Source Type: journals
Towards application of rule learning to the meta-analysis of clinical data: An example of the metabolic syndrome
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The objective of this application was to determine rules describing combinations of clinical parameters used for metabolic syndrome diagnosis, and to develop rules for predicting whether particular patients are likely to develop secondary complications of MS. The aggregated clinical data was retrieved from 20 separate hospital cohorts that included 12 groups of patients with present liver disease symptoms and 8 control groups of healthy subjects. The total of 152 attributes were used, most of which were measured, however, in different studies. Twenty most common attributes were selected for the rule learning process. By ap...
Source: International Journal of Medical Informatics - May 25, 2009 Category: Information Technology Authors: Janusz Wojtusiak, Ryszard S. Michalski, Thipkesone Simanivanh, Ancha V. Baranova Tags: Special Issue Papers Source Type: journals
Developing a standard for de-identifying electronic patient records written in Swedish: Precision, recall and F-measure in a manual and computerized annotation trial
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Conclusion: Developing gold standard sets as well as automatic systems for de-identification tasks in Swedish is feasible. However, discussions and definitions on identifiable information is needed, as well as further developments both on the tag sets and the annotation guidelines, in order to get a reliable gold standard. A completely new de-identification software needs to be developed. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - May 25, 2009 Category: Information Technology Authors: Sumithra Velupillai, Hercules Dalianis, Martin Hassel, Gunnar H. Nilsson Tags: Special Issue Papers Source Type: journals
Synchronous communication facilitates interruptive workflow for attending physicians and nurses in clinical settings
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Conclusion: This study demonstrated that the clinical workspace is a highly interruptive environment. Multiple interruptions in the communication processes between clinicians consume time and have the potential to increase the risk of error. This workflow analysis may inform the development of communication devices to enhance inter-clinician communication by reducing interruptions or deferring interruptions to more appropriate times. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - May 24, 2009 Category: Information Technology Authors: Ashley Edwards, Leslie-Anne Fitzpatrick, Sara Augustine, Alex Trzebucki, Shing Lai Cheng, Candice Presseau, Cynthia Mersmann, Bruce Heckman, Stan Kachnowski Source Type: journals
Expectations and experiences of eHealth in primary care: A qualitative practice-based investigation
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Conclusions: Take-up of eHealth services may be lower than expected. To overcome patient barriers, factors that may narrow the intention–behaviour gap such as level of service promotion, GP endorsement, and usage by different patient groups, should be investigated. For clinician barriers, the eHealth evidence base needs strengthening, while for primary care practices, a learning process including staff training needs to be instituted. The differing views of patients and GPs about components of eHealth means that policymakers need to plan for a lengthy political process to obtain agreement on contentious issues if they ar...
Source: International Journal of Medical Informatics - May 24, 2009 Category: Information Technology Authors: Donal Flynn, Peggy Gregory, Hani Makki, Mark Gabbay Source Type: journals
Exploring the persistence of paper with the electronic health record
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Conclusions: In several cases, paper served as an important tool and assisted healthcare employees in their work. In other cases, paper use circumvented the intended EHR design, introduced potential gaps in documentation, and generated possible paths to medical error. We discuss implications of these findings for EHR design and implementation. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - May 21, 2009 Category: Information Technology Authors: Jason J. Saleem, Alissa L. Russ, Connie F. Justice, Heather Hagg, Patricia R. Ebright, Peter A. Woodbridge, Bradley N. Doebbeling Source Type: journals
Classifying disease outbreak reports using n-grams and semantic features
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Conclusion: This study has shown that for the classification of disease outbreak reports, a combination of bag-of-words, n-grams and semantic features, in conjunction with feature selection, increases classification accuracy at a statistically significant level compared to previous work in this domain. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - May 18, 2009 Category: Information Technology Authors: Mike Conway, Son Doan, Ai Kawazoe, Nigel Collier Tags: Special Issue Papers Source Type: journals
Advancing nursing documentation—An intervention study using patients with leg ulcer as an example
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Conclusion: Using the standardised nursing wound care record improved nursing documentation meeting legal demands, which should increase the safety of patient. There was however a discrepancy between the nurses stated knowledge and how they carried out the documentation. Regular in-service training together with use of evidence based standardised nursing records, as a link to clinical reasoning about nursing care, could be ways effecting change. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - May 17, 2009 Category: Information Technology Authors: Eva Törnvall, Lis Karin Wahren, Susan Wilhelmsson Source Type: journals
Data mining of clinical oral health documents for analysis of the longevity of different restorative materials in Finland
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Abstract: Evidence-based dentistry has shown that different restorative materials have different survival times. Our primary hypothesis is that this should be revealed from normal dental records by the use of data mining technique and a practice-based dentistry approach analysed in a scientifically sound way. Dental records from 1626 patients and altogether 19,892 restorations in three Finnish age cohorts were analysed. Survival curves (Kaplan–Meier) were drawn for each of the restorative materials. Median survival times for amalgam and resin-based composites were more than 15 years in older cohorts. More than 60% of sil...
Source: International Journal of Medical Informatics - May 12, 2009 Category: Information Technology Authors: Taina Käkilehto, Sinikka Salo, Markku Larmas Tags: Special Issue Papers Source Type: journals
Revealing triage behaviour patterns in ER using a new technology for handwritten data acquisition
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Conclusion: The DPP technology is an original approach to study data acquisition processes in unbiased conditions. The technical raw data recorded by the DPP allows building the time series of all activities on the paper, therefore letting to constructing several representations of the process. However, the technology is not able to provide information about the context of use, for example interruptions of the form filling processes due to calls or other activities. Therefore, it is necessary to complete these analyses with qualitative approaches such as observational studies and interviews. Noticeably, as a result of this...
Source: International Journal of Medical Informatics - May 7, 2009 Category: Information Technology Authors: Christelle Despont-Gros, Gilles Cohen, Olivier T. Rutschmann, Antoine Geissbuhler, Christian Lovis Source Type: journals
Learning ontological rules to extract multiple relations of genic interactions from text
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Abstract: Introduction: Information extraction (IE) systems have been proposed in recent years to extract genic interactions from bibliographical resources. They are limited to single interaction relations, and have to face a trade-off between recall and precision, by focusing either on specific interactions (for precision), or general and unspecified interactions of biological entities (for recall). Yet, biologists need to process more complex data from literature, in order to study biological pathways. An ontology is an adequate formal representation to model this sophisticated knowledge. However, the tight integration o...
Source: International Journal of Medical Informatics - April 27, 2009 Category: Information Technology Authors: Alain-Pierre Manine, Erick Alphonse, Philippe Bessières Tags: Special Issue Papers Source Type: journals
Assessing the value of electronic prescribing in ambulatory care: A focus group study
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Conclusion: Electronic prescribing is a potential boon to ambulatory medical practice, although its value may be compromised by inappropriate and irrelevant medication safety alerts and by features of the e-prescribing system that prove burdensome to frontline clinicians. While alerts infrequently result in changed or aborted prescriptions, they may trigger a variety of other provider behaviors that help to ensure safe care. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - April 22, 2009 Category: Information Technology Authors: Saul N. Weingart, Michael Massagli, Adrienne Cyrulik, Thomas Isaac, Laurinda Morway, Daniel Z. Sands, Joel S. Weissman Source Type: journals
LinkEHR-Ed: A multi-reference model archetype editor based on formal semantics
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Conclusions: LinkEHR-Ed is a useful tool for building, processing and validating archetypes based on any reference model. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - April 21, 2009 Category: Information Technology Authors: José A. Maldonado, David Moner, Diego Boscá, Jesualdo T. Fernández-Breis, Carlos Angulo, Montserrat Robles Source Type: journals
Mobile healthcare services in school-based health center
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Discussion/conclusion: The current paper describes the process by which the MAMA team brainstormed proposed services and administered their survey. Survey results and the consequent changes to the MAMA system are discussed. Finally, recommendations are made for MAMA system use and a description is offered of the impact such systems might have on the future of college campus healthcare services. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - April 21, 2009 Category: Information Technology Authors: Wen-Yuan Jen Source Type: journals
Differences between notifiable and administrative health information in the spatial–temporal surveillance of enteric infections
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Abstract: Purpose: The purpose of this study is to compare the spatial and temporal information generated from two distinct health data sources available for the surveillance of intestinal infections associated with Escherichia coli O157:H7.Methods: Our study area is the province of Alberta, Canada. Data are from two sources: a fee-for-service administrative health data system and a notifiable disease data reporting system. The study period is between 1999 and 2005. We compare the systems by observing correlations in the infections over time, the variability in the overall distribution of cases (as measured by a geographic...
Source: International Journal of Medical Informatics - April 21, 2009 Category: Information Technology Authors: N. Yiannakoulias, L.W. Svenson Source Type: journals
Factors influencing health information technology adoption in Thailand's community health centers: Applying the UTAUT model
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Conclusions: Health IT is pervasive and well adopted by CHCs in Thailand. The study results have implications for both health IT developmental efforts in Thailand and health informatics research. This study validated the UTAUT model in the field context of a developing country's healthcare system and demonstrated that the PLS path modeling works well in a field study and in exploratory research with a complex model. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - April 21, 2009 Category: Information Technology Authors: Boonchai Kijsanayotin, Supasit Pannarunothai, Stuart M. Speedie Source Type: journals
Architecture of a wireless Personal Assistant for telemedical diabetes care
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Abstract: Purpose: Advanced information technologies joined to the increasing use of continuous medical devices for monitoring and treatment, have made possible the definition of a new telemedical diabetes care scenario based on a hand-held Personal Assistant (PA). This paper describes the architecture, functionality and implementation of the PA, which communicates different medical devices in a personal wireless network.Description of the system: The PA is a mobile system for patients with diabetes connected to a telemedical center. The software design follows a modular approach to make the integration of medical devices ...
Source: International Journal of Medical Informatics - April 21, 2009 Category: Information Technology Authors: Gema García-Sáez, M. Elena Hernando, Iñaki Martínez-Sarriegui, Mercedes Rigla, Verónica Torralba, Eulalia Brugués, Alberto de Leiva, Enrique J. Gómez Source Type: journals
The realities of implementation of Clinical Context Object Workgroup (CCOW) standards for integration of vendor disparate clinical software in a large medical center
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In this report, we describe the implementation of CCOW for our three main clinical applications and compare this with the simultaneous development and implementation of a portal session manager for the same purpose. We found the portal session manager much easier to develop and implement than CCOW. The resulting functionality was almost equivalent as judged by our clinical end users who compared both solutions. We now have the portal session manager functional across the institution and have stopped any further work on CCOW. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - April 21, 2009 Category: Information Technology Authors: Robert G. Berger, John Baba Source Type: journals
The profession of public health informatics: Still emerging?
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Abstract: Purpose: Although public health informatics (PHI) was defined in 1995, both then and still now it is an “emerging” profession. An emergent profession lacks a base of “technical specialized knowledge.” Therefore, we analyzed MEDLINE bibliographic citation records of the PHI literature to determine if a base of technical, specialized PHI literature exists, which could lead to the conclusion that PHI has emerged from its embryonic state.Method: A MEDLINE search for PHI literature published from 1980–2006 returned 16,942 records. Record screening by two subject matter experts netted 2493 PHI records that we...
Source: International Journal of Medical Informatics - April 21, 2009 Category: Information Technology Authors: John Araujo, Catherine Pepper, Janise Richards, Mona Choi, Jian Xing, Wei Li Source Type: journals
The state of the evidence for computerized provider order entry: A systematic review and analysis of the quality of the literature
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Conclusions: The evidence for the impact of CPOE needs to be improved to support scientific generalizability. Several common confounds are found in this literature. Future researchers will want to address them to improve the strength of the inference between CPOE and clinical outcomes. Discussion focuses on methods to improve future CPOE research. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - April 21, 2009 Category: Information Technology Authors: Charlene R. Weir, Nancy Staggers, Shobha Phansalkar Source Type: journals
A parallel guideline development and formalization strategy to improve the quality of clinical practice guidelines
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Conclusions: Based on our experience, formalizing a guideline concurrent with its development is feasible in practice and we recommend applying such a strategy as it can be beneficial to the quality of and consistency between the guideline's narrative and formalized version. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - April 19, 2009 Category: Information Technology Authors: Rick Goud, Arie Hasman, Anne-Margreet Strijbis, Niels Peek Source Type: journals
What factors affect the use of electronic patient records by Irish GPs?
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This study attempts to determine the factors which affect the uptake of an EPR by Irish GPs.Methods and materials: Two national postal surveys of Irish General Practitioners (GPs) were carried out in 2000 and again in 2003. Response rates were 69% (n=1543) and 60% (n=1408), respectively.Results: The data collected reveal that electronic patient records are in widespread use among Irish general practitioners. Furthermore the study shows that the use of electronic patient records for common clinical and administrative tasks is increasing.Comparative analysis of the data revealed statistically significant differences between ...
Source: International Journal of Medical Informatics - April 16, 2009 Category: Information Technology Authors: Brian Meade, Donal Buckley, Michael Boland Source Type: journals
The development and evaluation of a PDA-based method for public health surveillance data collection in developing countries
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Conclusion: eSTEPS offers the potential to meet the need for an effective mobile public health data collection tool for use in the field. The eSTEPS field trial proves that PDA was more efficient than paper for public health survey data collection. It also significantly reduced errors in data entry. The later benefit was derived from the software providing its users with the flexibility of building their own constraints to control the data type, range and logic of data entry. (Source: International Journal of Medical Informatics)
Source: International Journal of Medical Informatics - April 15, 2009 Category: Information Technology Authors: Ping Yu, Maximilian de Courten, Elaine Pan, Gauden Galea, Jan Pryor Source Type: journals
