bluuebunny/crossref_metadata_2025 huggingface dataset:
Key Elements of Successful Care Process of Patients with Heart Symptoms in an Emergency Care – Could an ERP System Help?
Authors: Kontio Elina  , Korvenranta Heikki  , Lundgren-Laine Heljä  , Salanterä Sanna
Published: February 2025

The aim of the study was to identify key elements of successful care process of patients with heart symptoms from the nursing management viewpoint in an emergency care. Through these descriptions, we aimed at identifying possibilities for using enterprise resource planning (ERP) systems to support decision making in emergency care. Hospitals are increasingly moving to process-based workings and at the same time new information system in healthcare are developed and therefore it is essential to understand the strengths and weaknesses of current processes better. A qualitative descriptive design using critical incident technique was employed. Critical Incidents were collected with an open-ended questionnaire. The sample (n=50), 13 head nurses and 37 registered nurses, was purposeful selected from three acute hospitals in southern Finland. The process of patients with heart symptoms in emergency care was described. We identified three competence categories where special focus should be placed to achieve successful process of patients with heart symptoms: process-oriented competencies, personal/management competencies and logistics oriented competencies. Improvement of decision making requires that the care processes are defined and modeled. The research showed that there are several happenings in emergency care where an ERP system could help and support decision making. These happenings can be categorized in two groups: 1) administrative related happenings and 2) patient processes related happenings.
Health Informatics: Moving from a Discipline to a Science
Authors: Turley James P.
Published: February 2025

This paper examines the historical definitions of Health (Biomedical) Informatics. It is clear that a majority of the definitions refer to Health Informatics as a discipline. Rather it can be argued that the maturation of Health Informatics is beginning to culminate in a distinct science. This progress need to be reflected in academic programs as well as our conferences and publications.
The Essential Elements of Caring when Building Innovative Service in South-African Township
Authors: Kouri Pirkko  , Gröhn-Rissanen Marja
Published: February 2025

When developing digital health care services there is a need for close cooperation between native and non-native developers. Via educating local people it is possible to find out health needs of families and develop an appropriate e-services.
Latina Breast Cancer Survivors Informational Needs: Information Partners
Authors: Sorensen Lena  , Gavier Maria  , Hellesø Ragnhild
Published: February 2025

The ability to access and understand health information is becoming more critical to managing one's own health and illness. Informatics tools are increasingly the central resources for responding to these needs. But just as information is culturally bound, so are the tools used to access it; both are bounded by the contexts in which they are situated. Latinas face more barriers in accessing needed information due to cultural, linguistic and health access inequities in the US. Although breast cancer rates for Latinas are lower than for non-Latina white women, they are more likely to have a more advanced stage at diagnosis and poorer quality of survivorship. Few studies have explored Latina breast cancer survivors' information needs & strategies. This community-based study focused on Mexican American women with breast cancer and explored their health information experiences, needs, and strategies; it examined their perceptions of how their relationships with providers influenced how information was accessed and utilized. Managing information was not an individual responsibility for any of these women. All of these women had access and used the Internet either directly or through their support networks. All emphasized the importance of having a select support network of people (information partners) for receiving, searching, and interpreting all health information about their illness. If information partners are strategies preferred by Latinas, then we must refocus our assessment of e-health literacy competencies on networks rather than individuals.
Evaluation of the Completeness of the Nursing Process for Patients Having Gastrectomy Using Electronic Nursing Records
Authors: Park Ihn-sook  , Yoo Cheong-suk  , Joo Young-hee  , Woo Kyung-shun  , Choi Woan-heui  , Kang Hyun-sook  , Jung Mi-ra  , Kim Hee-jin  , Lee Su-hee  , Ahn Seon-yeong  , Park Mi-ok
Published: February 2025

The purpose of this study was to evaluate recording completeness of the nursing process. We compared nursing statements documented at the time when the Electronic Nursing Record (ENR) system, based on the ICNP, was implemented in 2004 with those documented in 2007. The ENRs for 35 gastrectomy patients in each year were selected for evaluation. The selected data were 11,822 nursing statements in 2004 and 27,870 in 2007. The results indicated a significant increase in the completeness of the nursing process in 2007. In addition, the number of nursing diagnosis increased by 5.1 times. The most contributing factor for this increase is assumed to be nurse education.
From e-Health to Integrated Health Care: Theory and Practice
Authors: Prijatelj Vesna  , Rajkovič Uroš
Published: February 2025

Introduction: Health care organizations and providers are under constant pressure to do more with less. On the other hand, users of health care services are faced with problems due to errors in communication between professionals, fragmentation of care and gaps in the continuum of care. Objectives: The aim of this study was to explore the meaning of the term ‘integration’ with reference to health, and underscore the need for integration of the healthcare systems. Methods: The literature study approach was employed. The first part underlines the conceptualizations of integration and methods for healthcare integration in practice. In the second part, the current situation in Slovenia in this field is outlined. Results: Activities are currently underway for laying down the fundamental normative infrastructure and legal bases for implementation of the eHealth projects, establishing a common health information network, and creating the bases for a standardized electronic health medical record. Conclusions: In the ‘top-down’ method, we concentrate mainly on general organizational changes for the purpose of achieving coherence and optimization. Projects that focus on the needs of individual patient groups belong under the ‘bottom-up’ process of integration. To achieve an optimal degree of integration, all health professionals have to play a key role in formulating the strategy of integration at all levels of healthcare.
RFID and Medication Care
Authors: Lahtela Antti  , Saranto Kaija
Published: February 2025

Dynamic healthcare needs new IT innovations and applications to be able to treat the rapidly growing number of patients effectively and safely. The information technology has to support healthcare in developing practices and nursing patients without confronting any complications or errors. One critical and important part of healthcare is medication care, which is very vulnerable for different kind of errors, even on fatal errors. Thus, medication care needs new methods for avoiding errors in different situations during medication administration. This poster represents an RFID-based automated identification system for medication care in a hospital environment. This work is a part of the research project MaISSI (Managing IT Services and Service Implementation) at the University of Kuopio, Department of Computer Science, Finland.
Five Elements of Music Therapy Research on the Influence of Emotion and Meridian
Authors: Cheng Pei Pei  , Liu Li
Published: February 2025

70% to 90% diseases are caused from mixture of emotions and sensory pleasures and pressure. To contemporary people, the pressure is omnipresent. According to World Health Organization (WHO) recognizing, there are more than 80 types of physical and psychological diseases, most of them are related to psychology. In recent years more and more people believe and research on music therapy.
Learning Support System for Nursing Process on Development of Assessment Abilities
Authors: Sugiura Misako  , Kobayashi Sumiko  , Katsuragawa Junko  , Watanabe Yayoi  , Takami Seiichirou  , Hayashi Kazue  , Okumura Junko  , Miyazawa Mitsuko  , Kobayashi Yoshie  , Isomoto Yukuo
Published: February 2025

In a hospital, Nurses generally work to take care of patients' health conditions. In the nursing process, the nurses must have not only knowledge of medical nursing process, but also consideration about patients' physical, psychological, and social aspects. To perform completely the complicate and difficult nursing work, moreover the nurses must have the systematically and logically problem solving abilities for professional nursing jobs. On the background of such the medical circumstance, the authors have developed the computer assisted learning system for training the students in the college of nursing. In this paper, the authors report usability of our computer assisted support system of nursing process and its future possibilities.
Developing Competences and Use of the Finnish Model of Documentation of Nursing Care – R&D Project eNNI
Authors: Ora-Hyytiäinen Elina  , Ikonen Helena  , Ahonen Outi
Published: February 2025

Electronic documentation of nursing care is going to be realized in Finland with FINCC and using a coherent model. The research and development project for creation of competences needed in the country is financed by the Ministry of Education and the partners are 14 universities of applied sciences (UAS).
The Purposeful Integration of an Academic Electronic Health Record across Nursing Curricula
Authors: Fauchald Sally  , Bushey Tessie  , Donahue Beth  , Johnson Dianne  , McMahon Siobhan
Published: February 2025

This poster highlights use of an academic electronic health record project (AEHR). The goal of this project is to expand the use of the academic electronic health record as a teaching tool throughout all levels of the nursing curricula in order to enhance student engagement and success in learning. The plan addresses student learning in the key areas of collaboration, critical thinking, and application. Student outcomes were developed for each level of the nursing curriculum, based on these three key areas. A timeline for implementation and student and faculty evaluation was developed.
Developing a Visualized Patient-centered, Flow-based and Objective-oriented Care Path of Cardiac Catheterization Examination
Authors: Kuo Ming Chuan  , Chang Polun
Published: February 2025

It has been known that visualization is a user-preferred and more meaningful interface of information systems. To reduce the anxiety and uncertainty of patients, we transformed the sophisticated process of cardiac catheterization into visualized information. The Microsoft Visio 2003 and Excel 2003 with the VBA automation tool were used to design a process flow of Cardiac Catheterization. The results show the technical feasibility and potentials helpful for patient to realize the nursing process of cardiac catheterization.
e-Human Grid Ecology
Authors: Knoch Tobias A.  , Baumgärtner Volkmar  , de Zeeuw Luc V.  , Grosveld Frank G.  , Egger Kurt
Published: February 2025

With ever-new technologies emerging also the amount of information to be stored and processed is growing exponentially and is believed to be always at the limit. In contrast, however, huge resources are available in the IT sector alike e.g. the renewable energy sector, which are often even not at all used. This under-usage bares any rational especially in the IT sector where e.g. virtualisation and grid approaches could be fast implemented due to the great technical and fast turnover opportunities. Here, we describe this obvious paradox for the first time as the Inverse Tragedy of the Commons, in contrast to the Classical Tragedy of the Commons where resources are overexploited. From this perspective the grid IT sector attempting to share resources for better efficiency, reveals two challenges leading to the heart of the paradox: i) From a macro perspective all grid infrastructures involve not only mere technical solutions but also dominantly all of the autopoietic social sub-systems ranging from religion to policy. ii) On the micro level the individual players and their psychology and risk behaviour are of major importance for acting within the macro autopoietic framework. Thus, the challenges of grid implementation are similar to those of e.g. climate protection. This is well described by the classic Human Ecology triangle and our extension to a rectangle: invironment-individual-society-environment. Extension of this classical interdisciplinary field of basic and applied research to an e-Human Grid Ecology rational, allows the Inverse Tragedy of the Commons of the grid sector to be understood and approached better and implies obvious guidelines in the day-to-day management for grid and other (networked) resources, which is of importance for many fields with similar paradoxes as in (e-)society.
A Framework for Diagnosing and Identifying Where Technology-Induced Errors Come From
Authors: Borycki E.M.  , Kushniruk A.W.  , Keay L.  , Kuo A.
Published: February 2025

Health information systems have the ability to reduce medical errors but they can also introduce new types of errors. In the cognitive and human factors literature there is a recognition that many of the high profile accidents that have occurred in other industries outside of healthcare have had their origins in the complexities of organizational work and how work is structured. The authors propose that in order to have a fully robust framework for diagnosing technology-induced errors one must understand the development and implementation of a technology and the influences of policy using a multi-organizational model. The authors propose that technology-induced errors may have their origins in up to four or more organizational structures that make up complex health care systems in addition to the health care provider: governments, model organizations, software development organizations, and local healthcare organizations. In this paper a framework for considering the origins of technology-induced error in healthcare is presented, along with our experiences to date in the application of the framework.
DebugIT: Building a European Distributed Clinical Data Mining Network to Foster the Fight Against Microbial Diseases
Authors: Lovis Christian  , Douglas Teodoro  , Pasche Emilie  , Ruch Patrick  , Colaert Dirk  , Stroetmann Karl
Published: February 2025

The expansion of clinical information systems and the reduction in computing costs have led to an explosion of patient data available for reuse. However, this data is rarely combined and analyzed in an integrated manner. The DebugIT project is a large-scale integrating project funded within the 7th EU Framework Programme (FP7). The main objectives of the project are to build IT tools that should have significant impacts for the monitoring and the control of infectious diseases and antimicrobial resistances in Europe; this will be realized by building a technical and semantic infrastructure able to a) share heterogeneous clinical data sets from different hospitals in different countries, with different languages and legislations; b) analyze large amounts of this clinical data with advanced multi-modal data mining; c) apply the obtained knowledge for clinical decisions and outcome monitoring. The concepts and architecture underlying this project are discussed.
Engaging Clinicians in Clinical Content: Herding Cats or Piece of Cake?
Authors: Leslie Heather  , Heard Sam  , Garde Sebastian  , McNicoll Ian
Published: February 2025

It is essential that clinicians are able to contribute to the development of clinical content for electronic health records. Clinicians are able to participate meaningfully when the technical focus on the process and the clinical models are reduced or removed. In the openEHR approach – from the original design specification through to the clinical modelling tools – clinicians feature as the primary drivers of clinical content models. As tooling develops and matures to support authoring, reviewing and publishing of openEHR knowledge artefacts, clinicians are increasingly able to be involved – resulting in significant contributions to the development of standardized clinical content models which will support quality of care for their patients.
Task Analysis and Application Services for Cross-Organizational Scheduling and Citizen eBooking
Authors: Mykkänen Juha  , Tuomainen Mika  , Kortekangas Pirkko  , Niska Anne
Published: February 2025

In this paper, we present generalized results from the task analysis and definition of software services to support healthcare appointment and services scheduling, based on national coordination project for citizen e-services in Finland which involves several regional initiatives. The results are part of guidelines for regional-level and national-level scheduling solutions in Finland, and can be used in similar efforts. The specification of a functional reference model and software services for appointment scheduling promotes interoperability and systems adaptability for the transformation of health services and citizen empowerment.
Comparative Study between Expert and Non-Expert Biomedical Writings: Their Morphology and Semantics
Authors: Chmielik Jolanta  , Grabar Natalia
Published: February 2025

The amount of health information on the internet is constantly growing but little is done for detecting the technicality level of these documents and guiding of users towards documents which are appropriate to their expertise level. The objective of our work is to propose clues for the automatic distinction between expert and non expert medical documents. More precisely, we propose to study their morphological and semantic levels. We apply NLP tools, which provide access to the morpho-semantic content of documents. The work is done with French documents within three medical fields (cardiology, pneumology, diabetes). Our experiments and results highlight the fact that this level can indeed provide clues for the distinction of the technicality of documents, and that they appear to be significant and stable across the studied medical fields.
Designing an E-Health Application in Collaboration with Obesity Patients
Authors: Das Anita
Published: February 2025

Maintaining healthy behavior among obesity patients is a challenge. This study aims to design an electronic health application for self-care management in collaboration with obesity patients and healthcare personnel.
Improving Cardiology Workflow in a Hospital Using a Mobile Software Solution
Authors: Pintea Romina  , Stoicu-Tivadar Lacramioara
Published: February 2025

The paper presents a study and a software solution to support the cardiology department in a hospital. The result is quicker access to patient data and better management of the activities of the nurses. Alarms are sent on the spot and reaction is immediate, providing optimization of the process. The improvements in the activity of the cardiology department will raise the quality of the medical process with great benefits for the patient.
Interoperability Services in the MPOWER Ambient Assisted Living Platform
Authors: Mikalsen Marius  , Hanke Sten  , Fuxreiter Thomas  , Walderhaug Ståle  , Wienhofen Leendert
Published: February 2025

Ambient Assisted Living systems for the ageing and cognitively disabled do not exist in isolation. What characterizes such systems is the cooperation of several different stakeholders in the care process and the service platforms need to address this. This paper reports on our work in the EU IST MPOWER project where we have designed and implemented interoperability services based on patterns, service-oriented architectures, web services and XSDL transformations. The services we present are freely available as open source under the MIT license.
Clinical Implications of a Quality Assessment of Transcutaneous CO
Authors: Hejlesen Ole K.  , Cichosz Simon Lebech  , Vangsgaard Steffen  , Andresen Mikkel Frank  , Madsen Lars Peter
Published: February 2025

More than 1% of infants are born premature. Many of these children require special treatment because of immature organs and body functions. CO2 is an important parameter to monitor in order to avoid serious brain damage. Blood sampling of CO2 has several shortcomings and non-invasive transcutaneous CO2 is being investigated in order to assess its potential to contribute with the same type of information as blood CO2 measurements. The present study assesses the quality of transcutaneous CO2 data by comparing it to the “golden standard” blood CO2 data, in order to provide clinicians with a better understanding of the usefulness and limitations of transcutaneous CO2 data in neonatal care. The study shows that for low transcutaneous CO2 the error is relatively high and in most cases the true CO2, represented by the blood CO2, which can be regarded as the “gold standard”, is higher than the measured transcutaneous CO2. The opposite is the case for high transcutaneous CO2. It is discussed how this is not due to any systematic error in the equipment, but due to the natural behaviour of noisy data.
Does Computerised Provider Order Entry Reduce Test Turnaround Times? A Before-and-After Study at Four Hospitals
Authors: Westbrook Johanna I.  , Georgiou Andrew  , Lam Mary
Published: February 2025

Few multi-centre studies of the impact of computerised provider order entry (CPOE) systems on health care efficiency and effectiveness exist. Further, demonstrating a link between system use and improvements in patient outcomes is challenging. An often neglected step is to characterise the nature of the problem prior to CPOE introduction to ensure that the ‘problem’ being addressed has a demonstrated impact on the outcome of interest. We undertook a two-staged project to i) investigate the link between test turnaround time (TAT) and length of stay for emergency department patients prior to CPOE; ii) to measure the impact of CPOE on TAT in four Australian hospitals to examine the consistency of findings. We found TAT is a significant contributor to length of stay. All four hospitals experienced a significant reduction in TAT following CPOE. This study presents evidence that TAT is directly related to length of stay and that CPOE systems are effective at reducing TAT. These results add weight to the hypothesis that the introduction of CPOE may positively impact upon patient outcomes.
A Searchable Patient Record Database for Decision Support
Authors: Orthuber Wolfgang  , Sommer Thorsten
Published: February 2025

We describe a searchable patient record database for decision support. It contains medical histories of real but pseudonymous patients with patterns of diagnosis, chosen treatment, and outcome. To be searchable, the patterns contain a feature vector (for similarity search by calculating distances) and a globally unique “pattern name” which identifies the kind of data which are represented by the feature vector. Patterns with the same pattern name are directly comparable; they represent the same kind of data. For pattern selection the database provides a growing well-structured list of initial diagnoses with associated input masks. Procedure: The doctor can assume that the database contains patients similar to the current patient if he finds his initial diagnosis in the list. Clicking on it opens an associated input mask which requests specific further data for finer differentiation. After input a searchable pattern group is built from the provided data, and used to search for histories of patients with similar fine diagnostics, and for the most successful treatment decisions at these patients. This information can be very valuable for deciding the treatment of the current patient. Because the database can collect patient histories from all countries, in the long run this could open access to a wealth of experience which by far exceeds the capacity of a today's doctor.
Knowledge Discovery in Neuroinformatics
Authors: Wilkowski Bartlomiej
Published: February 2025

Traditionally, the process of turning data into biomedical knowledge has involved “manual” meta-analyses of results reported in journals. Since the amount of scientific data produced in neuroscience today increases dramatically, the resultant expansion of the medical databases has created a significant potential for the design of new data modeling and information retrieval tools and services that enable faster data processing, analysis and dissemination among a highly interdisciplinary community of researchers.
A Methodology for the Extraction of Quantitative Risk Indexes from Medical Injuries Compensation Claims
Authors: Dalle Carbonare Simona  , Folli Fulvia  , Patrini Emanuele  , Bellazzi Riccardo
Published: February 2025

The prevention of adverse events and medical injuries due to malpractice or suboptimal delivery of health care services is one of the major concerns of citizens and Health Care Organizations. One way to understand adverse events is to analyze the compensation requests for medical injuries that are claimed to hospital or health care services. In this paper we describe the results obtained by applying a probabilistic model, called the actuarial model, to analyze 317 cases of injuries with compensation requests collected from 1999 to the first semester of 2007 by the Azienda Ospedaliera (A.O.) of Lodi, in the Northern part of Italy. The approach, adapted from operational and financial risk management, proved to be useful to understand the risk structure in terms of frequency, severity, expected and unexpected loss related to adverse events.
A Visualisation Tool for Augmenting Assessment of Ankylosing Spondylitis
Authors: Li Shijuan  , Kay Stephen  , Porter Stuart
Published: February 2025

Ankylosing Spondylitis (AS) is a chronic condition which requires clinical assessment to inform the management of AS, the intent being to alleviate the symptoms and to improve the health of the suffering person. An integral part of the current assessment is the measurements taken of a number of subjective and objective factors that affect the person's health status. There is growing awareness that the protocols and means of taking the measurements are both inaccurate and inconsistent. This paper addresses how such assessments may be augmented by utilizing 3-dimensional visualisation technology to collect and present data of this multifaceted condition. The final goal of the research is to provide a relevant tool for AS that can be used in both clinical and home settings. It is designed to directly support the therapeutic regime, to enhance assessment, to provide meaningful feedback to both AS sufferers and clinicians alike and to facilitate the collection of objective evidence relating to the condition.
Similarity-Based Motion Tracking of Cells in Microscopic Images
Authors: Perner Horst  , Perner Petra
Published: February 2025

Live-cell assays are used to study the dynamic functional cellular processes in high-content screening of drug discovery processes. The large amount of image data created during the screening requires automatic image-analysis procedures that can describe these dynamic processes. One class of tasks in this application is the tracking of cells and the description of the events and the changes in the cell characteristics so that the desired information can be extracted from it based on data-mining and knowledge-discovery methods. In this paper, we propose a similarity-based approach for motion detection of the entire cell. Results are given on a test series from a real drug discovery process.
Consumer Health Informatics
Authors: Ho Jessica
Published: February 2025

This chapter gives an educational overview of:
Integration of Data for Research
Authors: Hibbert Marienne  , Lohrey Jason  , Melnikoff Steve
Published: February 2025

This chapter gives an educational overview of:
Bioreactors in Tissue Engineering
Authors: Plunkett Niamh  , O'Brien Fergal J.
Published: February 2025

A bioreactor can be defined as a device that uses mechanical means to influence biological processes. In tissue engineering bioreactors can be used to aid in the in vitro development of new tissue by providing biochemical and physical regulatory signals to cells and encouraging them to undergo differentiation and/or to produce extracellular matrix prior to in vivo implantation. This chapter discusses the necessity for bioreactors in tissue engineering, the numerous types of bioreactor that exist, the means by which they stimulate cells and how their functionality is governed by the requirements of the specific tissue being engineered and the cell type undergoing stimulation.
Government, health and system transformation
Authors: Perlin Jonathan B.  , Baggett Kelvin A.
Published: February 2025

All levels of government have an economic and social interest in health. In the United States, Federal, state and local government are involved in the development of health policy, funding health care, and maintaining or improving public health. Federal, State and most municipalities also engage in delivery of health services. As with the private sector, government is grappling with accelerating health care costs, increasing service demands generated by an aging and more chronically ill society, and accumulating evidence that American health outcomes are not commensurate with the resources invested. Unlike the private sector, attempts to improve value in health care – whether through legislation in Congress or regulation or program design in the Executive branch – are subject to the full intensity of the partisan political process. In order to engage effectively with government in health system transformation, an understanding of both the civic processes and the political dynamics is necessary. This chapter provides an overview of the major governmental roles in health care as formally structured and identifies points of influence in the political process.
Procuring Interoperability at the Expense of Usability: A Case Study of UK National Programme for IT Assurance Process
Authors: Krause Paul  , de Lusignan Simon
Published: February 2025

Background: The allure of interoperable systems is that they should improve patient safety and make health services more efficient. The UK's National Programme for IT has made great strides in achieving interoperability; through linkage to a national electronic spine. However, there has been criticism of the usability of the applications in the clinical environment. Method: Analysis of the procurement and assurance process to explore whether they predetermine usability. Results: Processes separate developers from users, and test products against theoretical assurance models of use rather than simulate or pilot in a clinical environment. The current process appears to be effective for back office systems and high risk applications, but too inflexible for developing applications for the clinical setting. Conclusions: For clinical applications agile techniques are more appropriate. Usability testing should become an integrated part of the contractual process and be introduced earlier in the development process.
Electronic Interchange of Lab Test Orders and Results between Laboratories Reduces Errors and Gives Full Traceability
Authors: Johansen Ib  , Rasmussen Margit
Published: February 2025

Introduction of electronic lab test ordering and reporting corresponding results between laboratories when exchanging special tests for analysis in service labs, instead of manual paper based workflow, have reduced the fault rate by a factor 10 and reduced reporting time by 2 days compared to the manual workflow. Retyping orders and results into different IT systems is not longer needed as all 9 different labsystems in more than 60 laboratories are using the same standards and procedures resulting in full interoperability. The solution, challenges, implementation process and outcome is described in the paper.
Rules and Access Rights of the Estonian Integrated e-Health System
Authors: Tiik Madis
Published: February 2025

There should be a clear understanding that when implementing an electronic health record system (EHR), one of the hardest problems we have to solve is the access rights. In Estonia this process lasted for three years and involved all stakeholders of the healthcare sector. Special ethical committee was established to advise the decision makers and doctors to help them understand the ethical dilemmas from the patient's and society's point of view. In this article you will find a short overview of the access rights of the system, roles of the healthcare systems' employees. Descriptions of some specific situations like underage patients and representation of patient with restricted active legal capacity.
Use of “serious health games” in health care: a review
Authors: Adams Samantha A.
Published: February 2025

This inter-disciplinary literature review examines current and potential uses of so-called “Serious Games” in health care. Based on a core body of 51 articles about Serious Games (12 pertaining specifically to health care), it briefly examines examples of use for training professionals, but focuses mostly on how games are used for patient treatment or education and how they can be used for disease prevention and health promotion. This article highlights considerations that must be made when designing and implementing Serious Games for these purposes.
Sociotechnical Integration of Decision Support in the Dementia Domain
Authors: Lindgren Helena  , Eriksson Sture
Published: February 2025

The need for improving dementia care has driven the development of the clinical decision support system DMSS (Dementia Management and Support System). A sociotechnical approach to design and development has been applied, with an activity-centered methodology and user participation throughout the process. Prototypes have been developed based on the characteristics of clinical practice and domain knowledge, while clinical practice has been subjected to different efforts for development such as education and organizational change. This paper addresses the lessons learned and role and impact DMSS has had, and is expected to have on the clinical assessment of dementia in different clinics in Sweden, South Korea and Japan. Furthermore, it will be described in what way the development of DMSS and the development of dementia care in these three areas are interlinked. Results indicate that the most important contribution of DMSS at the point of care, is the educational support that DMSS provides, part from the tailored explanatory support related to a patient case. This effect was partly manifested in a change of routines in the encounter with patients.
Decreased Circulating Matrilin-1 Levels in Adolescent Idiopathic Scoliosis
Authors: Wang Bing  , Chen Zhi-jun  , Qiu Yong  , Liu Wen-jun
Published: February 2025

Introduction: Our previous study revealed that Matrilin-1(MATN1) gene polymorphisms were association with occurrence and severity of adolescent idiopathic scoliosis (AIS).
Does an Internal Thoracoplasty Prevent a Reassertion of Back Shape Deformity Following Spine Surgery for Adolescent Idiopathic Thoracic Scoliosis (AIS)?
Authors: McMaster M.J.  , McMaster M.E.
Published: February 2025

Introduction: A prospective long term study.
Girls with right thoracic adolescent idiopathic scoliosis (AIS): lower body mass index (BMI) and evidence suggesting an inverse relation between sympathoactivation and somatotropic (GH/1GF) secretions
Authors: Burwell R. Geoffrey  , Aujla Ranjit K.  , Grevitt Michael P.  , Randell Tabitha L.  , Dangerfield Peter H.  , Cole Ashley A.  , Kirby Alanah S.  , Polak Fran J.  , Pratt Roland K.  , Moulton Alan  , Webb John K.
Published: February 2025

Introduction: Relatively lower but not higher BMI was associated with left-right skeletal asymmetries in 1)preoperative AIS girls, upper arm length asymmetry (UALA), 2) normal adolescent girls and boys, trunk asymmetry; and 3) normal juvenile girls, skeletal sizes for age associated withUALA.
Structural Analysis in a Manifold Space of the Three-Dimensional Spine Shape in Adolescent Idiopathic Scoliosis
Authors: Kadoury Samuel  , Parent Stefan  , Labelle Hubert
Published: February 2025

Introduction: Understanding how to classify and quantify three-dimensional (3D) spinal deformities remains an open question in adolescent idiopathic scoliosis. Recent studies have investigated into pattern classification based on explicit parameters. An emerging trend however seeks to synthesize complex data in a sub-space domain to capture the intrinsic variability of anatomical shape.
Enabling distributed Processing and Management of biological Data using the Grid and Web Technologies
Authors: Chatziioannou Aristotelis  , Kanaris Ioannis  , Doukas Charalampos  , Thermou Ypapanti  , Maglogiannis Ilias
Published: February 2025

Transcriptomic technologies have dramatically reshaped modern biological research by deriving profiles of genome-wide expression of living organisms, and producing an unprecedented wealth of quantitative data. Given this characteristic, microarray experiments are considered high-throughput both in terms of data (data intensive) and processing (computationally intensive). GRISSOM Web Tools enable the exploitation of GRID resources for DNA microarray data distributed processing and management. It provides experts with a complete web-based solution for managing, searching and disseminating biological knowledge in the context of gene expression patterns on a genomic scale. Through the incorporation of novel workflows and various web services, the platform is gradually transformed to a powerful environment for knowledge discovery in the biomedical research.
Auto-selection of DRG Codes from Discharge Summaries by Text Mining in Several Hospitals: Analysis of Difference of Discharge Summaries
Authors: Suzuki Takahiro  , Doi Shunsuke  , Shimada Gen  , Takasaki Mitsuhiro  , Tamura Toshiyo  , Fujita Shinsuke  , Takabayashi Katsuhiko
Published: February 2025

Recently, electronic medical record (EMR) systems have become popular in Japan, and number of discharge summaries is stored electronically, though they have not been reutilized yet. We performed text mining with Tf-idf method and morphological analysis in the discharge summaries from three Hospitals (Chiba University Hospital, St. Luke's International Hospital and Saga University Hospital). We showed differences in the styles of summaries, between hospitals, while the rate of properly classified DPC (Diagnosis Procedure Combination) codes were almost the same. Beyond different styles of the discharge summaries, text mining method could obtain proper extracts of proper DPC codes. Improvement was observed by using integrated model data between the hospitals. It seemed that huge database which contains the data of many hospitals can improve the precision of text mining.
An Automated Approach to map a French terminology to UMLS
Authors: Merabti Tayeb  , Massari Philipe  , Joubert Michel  , Sadou Eric  , Lecroq Thierry  , Abdoune Hocine  , Rodrigues Jean-Marie  , Darmoni Stefan J.
Published: February 2025

Background: CCAM is a French terminology for coding clinical procedures. CCAM is a multi-hierarchical structured classification for procedures used in France for reimbursement in health care, which is external to UMLS. Objective: The objective of this work is to describe a French lexical approach allowing mapping CCAM procedures to the UMLS Metathesaurus to achieve interoperability to multiple international terminologies. This approach used a preliminary step intended to take only the significant characters used to code CCAM corresponding to anatomical and actions axes. Results: According to the 7,926 CCAM codes used in this study, 5,212 possible matches (exact matching, single to multiple matching, partial matching) are found using the French CCAM to UMLS based mapping, 65% of the corresponding anatomical terms in the CCAM code are mapped to at least one UMLS Concept and 37% of the corresponding action terms in the CCAM code are mapped to at least one UMLS Concept. For all the exact matches found (n=200), 91% were rated by a human expert as narrower than the mapped UMLS Concepts, while only 3% were irrelevant.
A Markov chain probability model of glucose tolerance in post gestational diabetes follow up study
Authors: Grassi Angela  , Gaetano Laura  , Pacini Giovanni  , Kautzky-Willer Alexandra  , Tura Andrea
Published: February 2025

Women with gestational diabetes mellitus (GDM) are at increased risk of developing type 2 diabetes (T2DM). However, the degree of risk and the timing of progression from normal to a pre-diabetic or diabetic state have not been clearly quantified. In this study we analyzed data from a longitudinal study on a group of women with a history of GDM, that were inserted in an oral glucose tolerance test (OGTT) annual screening program and followed up for 5 years after partum. A three state Markov chain model was proposed to represent the dynamics of changes between metabolic states. We used the data to empirically estimate the one-year transition parameters of the model and make predictions about the possibility that women with normal glucose tolerance or impaired glucose metabolism just after partum will develop overt T2DM in three or five years. Results show that subjects with an impaired glucose metabolism few months after partum will hardly (10%) be in the same state after three years. Women with normal glucose tolerance after partum will have a high probability (0.80) to be in the same state three years after.
A New Approach for Goal-oriented Analysis of Healthcare Processes
Authors: Hägglund Maria  , Henkel Martin  , Zdravkovic Jelena  , Johannesson Paul  , Rising Inger  , Krakau Ingvar  , Koch Sabine
Published: February 2025

The development of efficient e-services for patient-centered healthcare requires insight into concrete problems in administrative and clinical work processes as well as an understanding of the strategic goals that should guide these healthcare processes. However, considering both concrete processrelated problems and high-level strategic goals during process analysis and solution design can be problematic. To address this, we propose a structured approach for analyzing both high- and low-level goals in a healthcare process and relating these to identified problems. Thereby proposed solutions for each problem in form of, e.g. e-services can be connected to strategic goals. The approach consists of five steps; process modeling; process-based problem identification and classification; process goal identification; mapping to strategic goals; and solution proposal. The approach is illustrated by examples from a case study of Swedish stroke care. In conclusion, the approach enables analysis of high- and low-level goals in a healthcare process by relating these to identified problems. The results thereof form a basis for redefinition of current care processes, as well as for design of supporting e-health solutions.
The REUSE project: EHR as single datasource for biomedical research
Authors: El Fadly AbdenNaji  , Lucas Noël  , Rance Bastien  , Verplancke Philippe  , Lastic Pierre-Yves  , Daniel Christel
Published: February 2025

Integrating biomedical research and patient care is a challenging issue requiring interoperability solutions. During a clinical trial, clinical data are captured twice, first in the Electronic Health Record (EHR) and then in the Clinical trials Data Management System (CDMS). The aim of REUSE (Retrieving EHR Useful data for Secondary Exploitation) project is to provide a single source solution for electronic data capture to the investigators of a university hospitals involved in a multi-centric clinical trial. We first investigated the differences between the workflows of patient care and biomedical research to specify the use of EHR for clinical trials. Then we defined a semantic interoperability framework in order to enable the reuse of EHR clinical data and implemented a mediator that transforms CDISC Operational Data Model (ODM) XML into proprietary XML document templates of different EHR solutions and vice-versa. Implementing electronic data capture for biomedical research within EHR eliminates redundant data entry, thus improving data quality and processing speed. Moreover, unlike other initiatives such as IHE integration profile “Retrieve Form for Data Capture” (RFD), the REUSE approach ensures that all clinical data is kept in the EHR whatever the context of data capture is.
MEDAL: Measuring of Emergency Departments' Adaptive Load
Authors: Vitkin Edward  , Carmeli Boaz  , Greenshpan Ohad  , Baras Dorit  , Marmor Yariv
Published: February 2025

We propose an innovative approach for measuring real-time operational load within emergency departments. Medical informatics, operations researchers, and other decision makers in the health care field have yet to come to an agreement regarding standardized matrices for measuring operational load within emergency departments. As a result, it is difficult to develop methods and approaches for reducing operational load. We propose a flexible framework based on neural networks. These networks can calculate user-tuned load value, based on a set of well-defined operational and clinical indicators. The operational load value is calculated by learning the weights of the raw operational indicators within a particular emergency department.
Patients' Needs Assessment Documentation in Multidisciplinary Electronic Health Records
Authors: Häyrinen Kristiina  , Saranto Kaija
Published: February 2025

The purpose of this study is to describe and discuss physicians' and nurses' documentation of the patient's needs assessment in electronic health records (EHR) in the neurological care setting. Both physicians and nurses collect, record and interpret data during patient care episodes. Assessment of patient's need for care and treatment is an important part of the care process. Planning, implementation and outcome assessment of the care process are based on needs assessment data. The data of this study consist of 48 neurological medical narratives and nursing care plans. The data were analyzed using descriptive statistics and content analysis. Physician's medical narratives include referrals to physiotherapy and consultations in other care specialities in which they have recorded the reason for the care, anamnesis and status praesens data. Nurses have documented patient's needs assessment in nursing care plans using Finnish Classification of Nursing Diagnoses (FiCND) and additional narrative text. Physicians' and nurses' patient needs assessment documentation complement each other. Nursing documentation includes more detailed information about patients' needs for care due the use of FiCND in documentation. The use of standardised documentation improves quality documentation and retrieval of data from EHR.