bluuebunny/crossref_metadata_2025 huggingface dataset:
Integrating Low-Cost Rapid Usability Testing into Agile System Development of Healthcare IT: A Methodological Perspective
Authors: Kushniruk Andre W.  , Borycki Elizabeth M.
Published: February 2025

The development of more usable and effective healthcare information systems has become a critical issue. In the software industry methodologies such as agile and iterative development processes have emerged to lead to more effective and usable systems. These approaches highlight focusing on user needs and promoting iterative and flexible development practices. Evaluation and testing of iterative agile development cycles is considered an important part of the agile methodology and iterative processes for system design and re-design. However, the issue of how to effectively integrate usability testing methods into rapid and flexible agile design cycles has remained to be fully explored. In this paper we describe our application of an approach known as low-cost rapid usability testing as it has been applied within agile system development in healthcare. The advantages of the integrative approach are described, along with current methodological considerations.
Normalized medical information visualization
Authors: Sánchez-de-Madariaga Ricardo  , Muñoz Adolfo  , Somolinos Roberto  , Castro Antonio  , Velázquez Iker  , Moreno Oscar  , García-Pacheco José L.  , Pascual Mario  , Salvador Carlos H.
Published: February 2025

A new mark-up programming language is introduced in order to facilitate and improve the visualization of ISO/EN 13606 dual model-based normalized medical information. This is the first time that visualization of normalized medical information is addressed and the programming language is intended to be used by medical non-IT professionals.
Electronic patient records system as a monitoring tool
Authors: Shifrin Michael  , Kurdumova Natalia  , Danilov Gleb  , Ershova Olga  , Savin Ivan  , Alexandrova Irina  , Sokolova Ekaterina  , Tabasaranskiy Togrul
Published: February 2025

Data collected in electronic patient records (EPR) databases may be used for different goals besides their direct purpose – information support for medical staff in their everyday activities. One of the most promising spheres is a monitoring of various processes induced in medical facility. In our studies EPR serves as a basis for healthcare associated infections (HAI) surveillance system at neurosurgical intensive care unit. The results of HAI prospective surveillance using EPR are presented and discussed.
Secure Public Cloud Platform for Medical Images Sharing
Authors: Pan Wei  , Coatrieux Gouenou  , Bouslimi Dalel  , Prigent Nicolas
Published: February 2025

Cloud computing promises medical imaging services offering large storage and computing capabilities for limited costs. In this data outsourcing framework, one of the greatest issues to deal with is data security. To do so, we propose to secure a public cloud platform devoted to medical image sharing by defining and deploying a security policy so as to control various security mechanisms. This policy stands on a risk assessment we conducted so as to identify security objectives with a special interest for digital content protection. These objectives are addressed by means of different security mechanisms like access and usage control policy, partial-encryption and watermarking.
Implementability of stroke guidelines: a pragmatic comparison between US and European recommendations using eGLIA
Authors: Freixa Andrea  , Moreira Tiago  , Bill Olivier  , Anani Nadim
Published: February 2025

Due to the prevalence and severity of stroke, and the emergency of its management, the need of reaching a consensus towards its treatment is of prime importance. This paper's aim is to compare two stroke guidelines by using eGLIA in order to evaluate their implementability. Methods included a systematic assessment of the European (ESO) and American (AHA/ASA) guidelines with eGLIA and a review of literature and analysis of each recommendation with the program. The ESO performs better in Executability and Decidability, as 91.5% and 34.8% of recommendations show no barriers, compared to 81.0% and 14.0% in the AHA/ASA guidelines. On the other hand, AHA/ASA guideline have more recommendations with positive assessments in the Validity and Effect on the Process of Care (91.4% vs 83.0% and 58.1% vs 25%). Results show that ESO guidelines address a wider patient view and that the AHA/ASA guidelines are stricter, only publishing recommendations with a high level of evidence; AHA/ASA guidelines are updated with more frequency and have a clearer sequence of action. Both guidelines show some contradictions, but of minor importance. The strength of this study is the fact that the whole guidelines were read and analysed, and, although we would suggest an improvement of the tool by adding an automatic statistics chart and clarifying some questions, it showed that eGLIA should be used whenever such a text is published.
Planning, Execution and Monitoring of Physical Rehabilitation Therapies with a Robotic Architecture
Authors: González José Carlos  , Pulido José Carlos  , Fernández Fernando  , Suárez-Mejías Cristina
Published: February 2025

Traditional methods of rehabilitation require continuous attention of therapists during the therapy sessions. This is a hard and expensive task in terms of time and effort. In many cases, the therapeutic objectives cannot be achieved due to the overwork or the difficulty for therapists to plan accurate sessions according to the medical criteria. For this purpose, a wide range of studies is opened in order to research new ways of rehabilitation, as in the field of social robotics. This work presents the current state of the THERAPIST project [1]. Our main goal is to develop a cognitive architecture which provides a robot with enough autonomy to carry out an upper-limb rehabilitation therapy for patients with physical impairments, such as Cerebral Palsy and Obstetric Brachial Plexus Palsy.
Clinical Practice Guidelines Consistency for Patients with Multimorbidity: a Case-Study in the Management of Type 2 Diabetes and Hypertension
Authors: Galopin Alexandre  , Bouaud Jacques  , Pereira Suzanne  , Séroussi Brigitte
Published: February 2025

Decision support for the guideline-based management of patients with multimorbidity is a challenge since it relies on the combination of single-disease clinical practice guidelines (CPGs). The aim of this work is to present a framework to check, at the modelling level, whether two CPGs overlap and are potentially inconsistent, thus requiring further reconciliation. The method relies on an ontological comparison of the patient profiles covered by CPGs and the recommended actions attached. It was applied to check the consistency of CPGs for the management of arterial hypertension and for the management of type 2 diabetes. Results showed that the two CPGs had only one common patient profile, although more profiles were impacted through profile subsumption. In this specific case, recommended actions were not found inconsistent since antihypertensive and anti-diabetic drugs could be combined in an additive way.
Managing Uncertainties in the Surgical Scheduling
Authors: Wiyartanti Lisa  , Park Myon Woong  , Chung Dahee  , Kim Jae Kwan  , Sohn Young Tae  , Kwon Gyu Hyun
Published: February 2025

Current surgical scheduling system has difficulties to handle unpredictable events or uncertainties. Source of uncertainties may come from the patient or the surgery itself, where several cases require immediate changes in data, such as when surgery delays or cancellation occurs on the same day. The study aimed to model the uncertainties for managing identified uncertainties during the continuous scheduling, framed by resilience concept to cope with the system fragility. In order to be able to control and adjust any changes which may affect the surgery schedule of the day, we provide alternatives of solution rather than strictly decide the best valued options. We identified dimensions of uncertainties and categorized them based on the resilience concept, computed the impact value of potentially conflicted resources as a result of schedule change. With the model applied, we would provide a list of most acceptable and less vulnerable alternatives for anesthesiologist as a scheduler to build resilience in the surgical scheduling.
An Ontology for Healthcare Quality Indicators: Challenges for Semantic Interoperability
Authors: White Pam  , Roudsari Abdul
Published: February 2025

Semantic interoperability, a popular research area for electronic health records, can also be a challenge for quality indicators. We analysed attributes and relationships in a diverse set of over 200 healthcare quality indicators and created a searchable ontology. The ontology is intended to help reduce duplication of effort in healthcare quality monitoring. We describe issues with coding the indicators and specifying inclusion and exclusion criteria and propose some solutions.
Dynamic Feature Selection Applied to the Recognition of Grasping Movements in the Control of Bioprosthetic Hand
Authors: Kurzynski Marek
Published: February 2025

The paper presents novel method of dynamic feature selection (DFS) and its application in the problem of recognition of patient intent in the bioprosthesis control system. In the proposed approach features are selected dynamically, i.e. separately for each classified object according to the local value of usability measure of primary features. The usability measure is determined in the supervised learning procedure using randomized reference model. The performance of the DFS method was experimentally compared with four other feature selection algorithms. The approach developed achieved the highest classification accuracy demonstrating the potential of the DSF method for the control of bioprosthetic hand.
OPTIMED Platform: Curriculum Harmonisation System for Medical and Healthcare Education
Authors: Komenda Martin  , Schwarz Daniel  , Vaitsis Christos  , Zary Nabil  , Štěrba Jaroslav  , Dušek Ladislav
Published: February 2025

This contribution introduces a new web-based OPTIMED platform for an effective harmonisation of medical and healthcare curriculum. Behind the engineering background stays an original methodology covering planning model based on formal parameterisation of curriculum, which fully support the outcome-based approach to education. With the use of developed system curriculum, designers and senior guarantors can provide a clear and transparent composition of compulsory and optional courses, and easily identify potential duplicities and overlaps across a domain of medical and healthcare education. For students, it means an absolutely new way of how to understand what is really taught during a learning period, including all necessary meta information. All members across the academic community are able to search and consequently display in detail the most important domains related to the particular year, term, course, medical discipline or topic. The presented solution significantly enhances the transparency and continuity of the environment in which the authors of the teaching materials as well as their consumers work daily. Suggestions for future improvements of the OPTIMED platform are discussed.
Facilitating the adoption of digital technologies by the elderly
Authors: Loiseau Séverine  , Boog César  , Pelayo Sylvia
Published: February 2025

This study examined the major criteria needed to facilitate the adoption of a technology that aims to support elderly autonomy. A User Centered Design process was instigated to design a digital tablet-based application. The two first stages consisted of a literature review and two focus groups that aimed respectively: to specify interaction principles, and to define the needs and expectations of the elderly and collect their feedback on the application's usability. The results show that to be accepted the technology has to provide relevant and useful information on nearby services, aids and social activities. It also has to facilitate the controlled sharing of information and the communication with close family/relations, and residential home and external services to both empower the elderly and counter loneliness. A summative evaluation will be organised after taking into account the current guidelines to further validate the usability of the application with elderly people.
Identifying technology interaction opportunities within a gastroenterology exam room
Authors: Abrantes Diogo  , Pimentel-Nunes Pedro  , Dinis-Ribeiro Mário  , Coimbra Miguel
Published: February 2025

Gastric cancer is a serious disease that most people usually do not know they have until they start to get symptoms. Gastroenterology imaging is an essential tool for this battle, since an early diagnosis typically leads to a good prognosis. However, this is a rapidly evolving technological area with novel imaging devices such as capsule, narrow-band imaging or high-definition endoscopy. Adapting to these technologies has a high time-price cost, even for experienced clinicians, motivating the appearance of interactive environments that can accelerate these training processes. The GEMINI (Gastroenterology Made Interactive) project aims to create an interactive clinical decision support system (CDSS) that can be used to help with the diagnosis within a gastroenterology room during real endoscopic examinations. We used human computer interaction (HCI) support methodologies in order to identify interaction opportunities. As a final conclusion, the most promising avenue for interactions with CDSS is probably using mobile devices such as tablets, controlled by a nurse at the physician's request. As future work, we will prototype and evaluate such a system in a real hospital environment.
How to organize for a large-scale openEHR-based Electronic Patient Record
Authors: Ulriksen Gro-Hilde  , Pedersen Rune  , Wynn Rolf  , Ellingsen Gunnar
Published: February 2025

This paper reports from a large-scale openEHR-based EPR project 2012-2016 in the North Norway Regional Health Authority. To be able to support patient pathways across the health region's trusts, there is a need for standardized routines and practices. Therefore, the North Norway Regional Health Authority has since 2011 had an increased regional focus to prepare for this new system. This includes a) centralizing its IT portfolio to one location, b) creating regional work standards for using the EPR system, and c) establishing a Regional Department for functional ICT. There are several challenges connected to changing the focus from working as individual health trusts to work as one region. There are issues of power balance and local influence that will need a careful consideration to ensure a successful outcome.
EHR System MojTermin: Implementation and Initial Data Analysis
Authors: Velinov Goran  , Jakimovski Boro  , Lesovski Dragan  , Ivanova Panova Daniela  , Frtunik Dalibor  , Kon-Popovska Margita
Published: February 2025

Healthcare informatics has gained importance over the last several years. E-health systems on a national level have already been implemented in most European countries. Data generated by these systems are used to improve healthcare policies as well as health services. In this paper we present the system MojTermin (MyAppointment), as it evolves from a healthcare appointment engine to a complete national e-health system. We also present preliminary results from data gathered during the implementation of this system. In our analysis, we show how the system aided in the discovery of several specific socio-cultural phenomena, which led to governance changes in order to optimize resourses and raise the quality of the entire national healthcare system.
Development of ISO 13606 archetypes for the standardisation of data registration in the Primary Care environment
Authors: Barros Castro Jesús  , Lamelo Alfonsín Alejandro  , Prieto Cebreiro Javier  , Rimada Mora Dolores  , Carrajo García Lino  , Vázquez González Guillermo
Published: February 2025

On daily procedures, companies and organizations produce a wide quantity of data. Medical information doubles every five years approximately, and most of this information has no structure and cannot be utilised. Information obtained during Primary Health Care (PC) consultations is expected to be standardized and organised following instructions made by archetype 13606 of the International Organization for Standardization (ISO) in order to guarantee the Continuity of Care as well as the potential use of these data for secondary purposes, such as investigation or statistics. This study was designed to investigate the feasibility of representing the information collected in Primary Care consultations in a structured and normalized way. A key difference to other approaches is that the intended solution is, to the best of our knowledge, the first one to register all the information collected in this area. The participation of the Primary Health Care service (PC) from Complejo Hospitalario Universitario de A Coruña (CHUAC) has been of vital importance in this project as it has provided the necessary clinical knowledge and it has allowed us to verify the effectiveness obtained in actual environments. The archetypes developed can be reused in a wide range of projects. As an example of use, we have used these archetypes to create an intelligent system that generates organised reports based on the information dictated on a medical consultation which, afterwards, can be analysed from an analytical point of view.
A User-Editable Web-Based Platform to Streamline Clinical Information Flow
Authors: Finkelstein Mark  , Siddiqui Ammar  , Pak Theodore  , Hu Kevin  , Ciccariello Chloe  , Knabben Vinicius  , Chiang David  , Thomas David C.  , Meah Yasmin S.
Published: February 2025

Frequent turnover of staff in medical clinics creates challenges in the maintenance of clinical protocols, workflows, and information management. Care coordination between providers in such a setting can be complex; disruptions in communication may lead to poorer health outcomes and patient satisfaction. Furthermore, protocols change frequently in response to new guidelines, which demands rapid updates to maintain compliance. To address these challenges, we developed an intuitive, end-user editable web-based knowledge management system optimized for use on mobile devices. The resulting system served as a point of care information storage and retrieval tool that providers can reference quickly for operational tasks. Since launch, the platform has allowed our clinic to consolidate knowledge banks, standardize staff training, and streamline information flow during clinic, and is now used extensively by clinic staff. During a one-year period, 175 new pages have been created and 1686 edits have been submitted by users. We posit that a mobile platform for clinical information flow management has significant potential to improve information maintenance and facilitate transfer of up-to-date clinical protocols to new personnel.
Intrinsic autonomous crack healing in MAX phase ceramics
Authors: Sloof W.G.  , Farle A.S.  , Shen L.
Published: February 2025

Crack damage in so-called MAX phase metallo-ceramics, like Ti3AlC2, Ti2AlC and Cr2AlC, can be healed by high temperature oxidation. Then the crack gap is filled with mainly Al2O3, which restores the integrity of the component made out of these MAX phases. This oxidation induced self-healing is an attractive mechanism, since the MAX phase itself is part of the healing reaction and the healing agent is formed with oxygen from the ambient air. Full strength recovery can be realized when the crack gap is fully filled with oxide. Also crack damage can be healed multiple times even when re-cracking occurs at the same location in the MAX phase material. Self-healing of these MAX phases together with their unique combination properties makes them a prospective material for operating under extreme conditions at high temperatures.
Corrosion protective sol-gel coatings containing reversible tetra-sulphide groups showing intrinsic healing behaviour
Authors: Zadeh M. Abdolah  , van der Zwaag S.  , Garcia S.J.
Published: February 2025

In this work the first generation of intrinsically healable sol-gel based polymers is reported. The dual organic-inorganic cross-linked network containing non-reversible crosslinks and reversible tetra-sulphide groups enabled thermally induced polymer flow leading to damage closure. The temperature dependent gap closure kinetics was strongly affected by the crosslinking density and tetra-sulphide content. Hot-stage coupled Raman spectroscopy was used to link the gap closure kinetics in air and nitrogen to the active number of reversible sulfur-sulfur bonds. When applied as a thick coating on AA2024-T3 substrates a long term effective corrosion protective barrier layer was obtained. The temperature-induced scratch closure followed by interfacial restoration led to full recovery of the coating's barrier properties as shown by electrochemical impedance spectroscopy.
An in vitro Study of Protein Adsorption to Biocompatible Coatings
Authors: Seeberg Trine M.  , Austad Hanne O.  , Clausen Ingelin  , Cederkvist Henning  , Bjørås Magnar  , Johansen Rune Forstrøm
Published: February 2025

The motivation for these experiments was to investigate the amount and type of protein adsorption on surfaces that can be used as protective coatings on membrane based in vivo devices. Adsorption of proteins to a selection of biocompatible coatings (titanium oxide, diamond-like carbon, parylene C) and typical construction materials for Micro Electro Mechanical Systems (silicon, silicon nitride), were investigated during in vitro tests. The samples were incubated in human liver extract and bovine serum albumin (BSA) for up to 12 hours. The amount of protein adsorption was found to be low for all surfaces. Measurements of bound Iodine-125 labeled BSA, showed a protein adsorption of up to 0.2 μg BSA/cm2. The specific proteins adsorbed to the surfaces after incubation in human liver extract were identified using mass spectrometry. Most of the identified adsorbed proteins were intracellular, but plasma proteins like Immunoglobulin (Ig) and serum albumin as well as hemoglobin were also identified.
Towards Bringing EEG Research and Diagnostics out of the Lab
Authors: Bitsch Jó Ágila  , Ramos Roann  , Severijns Cassandra  , Wehrle Klaus
Published: February 2025

Bringing brain research tools like EEG devices out of the lab into the pockets of practitioners and researchers may fundamentally change the way we perform diagnostics and research. While most of the current techniques are limited to research clinics and require excessive set-up, new consumer EEG devices connected to standard, off-the-shelf mobile devices allow us to lift these limitations. This allows neuropsychological assessment and research in mobile settings, possibly even in remote areas with limited accessibility and infrastructure, thus bringing the equipment to the patient, instead of bringing the patient to the equipment.
Personalized Message Routing Policy in Pervasive eHealth Applications Based on HL7 RIM
Authors: Guizani Nachoua  , Fayn Jocelyne
Published: February 2025

The design of relevant message routing strategies that provide reliable communications between different healthcare actors is deemed among one of the most challenging requirements to enhance QoS in eHealth applications. In this paper, we propose a data and context-driven model that aims to support the design of personalized, intelligent and adaptive eHealth message routing policies. Our model is suitably complying with HL7 v3, an international standard for healthcare information exchange. In the proposed model, we highlight the sensitivity of routing services applications to message, source and target ecosystems contextual information. We point out the relevant HL7 Reference Information Model (RIM) elements that are related to our research objective which is to deliver the message to the right healthcare provider with respect to the required delays for message reception, reading and reply, according to the content of the message and to the clinical and social situation of the patient. Moreover, we include AmI to make the routing policy intelligently adaptive to context changes at run-time.
A Generic System-Level Framework for Self-Serve Health Monitoring System through Internet of Things (IoT)
Authors: Ahmed Mobyen Uddin  , Björkman Mats  , Lindén Maria
Published: February 2025

Sensor data are traveling from sensors to a remote server, data is analyzed remotely in a distributed manner, and health status of a user is presented in real-time. This paper presents a generic system-level framework for a self-served health monitoring system through the Internet of Things (IoT) to facilities an efficient sensor data management.
mHealth in Low- and Middle-Income Countries: Status, Requirements and Strategies
Authors: Lopéz Diego M.  , Blobel Bernd
Published: February 2025

Recent studies demonstrate the potential of Mobile Health (mHealth) to improve quality of care and efficiency in low- and middle- income countries (LMIC). However, strong evidence of their impact, especially in large scale projects is still missing. The objective of this paper is to provide an overview about the current status of mHealth in LMIC, and to identify Requirements and possible Strategies to strength their health systems. A search in Pubmed was performed, which resulted in 427 articles. Restricting the search to review papers published during the last 5 years, 72 publications were identified and characterized, and the more relevant articles analyzing mHealth use, impact and/or adoption in LMIC from a more generic perspective were analyzed in detail. Finally, based on the literature, and complemented with the authors own reflections and experience, mHealth challenges and strategies were identified and presented according to the WHO Health Systems Framework which identifies six main lines of action to improve the performance of health systems: service delivery, health workforce, health information systems, essential medical products and technologies, health financing and governance.
Monte Carlo Localization Incorporating an Error Correction Vector for Mobile Robots
Authors: Kung Yen-Cheng  , Hsu Chen-Chien  , Wang Wei-Yen
Published: February 2025

Nowadays, Monte Carlo Localization (MCL) algorithm is the most commonly used algorithm for a mobile robot to localize itself automatically, and has shown good performances because of its ability to model arbitrary distributions and robustness towards noisy input data. This paper presents an improved Monte Carlo Localization algorithm incorporating an error correction vector, which is calculated from the sensor's error information, and therefore, can achieve better performances in both accuracy and efficiency. Through practical application of the method which incorporates the error correction vector when conducting the program's prediction stage, the particles move closer to the real robot's position. Experimental results show that the proposed algorithm can increase the probability for particles to better estimate the robot's position.
Stabilization for the Takagi–Sugeno fuzzy system subject to actuator saturation
Authors: Sun Chung-Hsun
Published: February 2025

This study investigates the stabilization for the Takagi-Sugeno (T-S) fuzzy discrete system subject to actuator saturation. The resulting stabilization conditions are derived from the Lyapunov stability direct method with the piecewise quadratic Lyapunov function. The saturation boundaries are employed to evaluate the possible state transition, and then the stabilization conditions could be reduced. The derived Lyapunov inequalities corresponding to interactions among the fuzzy subsystems in each subregion are also merged into a signal matrix to obtain the relaxed stabilization conditions. Finally, a numerical example demonstrates the effectiveness of the proposed stabilization conditions.
AAL Robotics: State of the Field and Challenges
Authors: Payr Sabine  , Werner Franz  , Werner Katharina
Published: February 2025

The field of “AAL Robotics”, combining AAL and robotics as disciplines, has not yet been precisely defined and does not present accepted structures and concepts that would allow to communicate unequivocally its methods, projects, and approaches. The paper presents a method of defining and categorizing AAL robots and presents the resulting classes of robots with regard to the activities they assist. The classification is useful in that it is able to cover the breadth of the field, but a more fine-grained description of functionalities will be needed in further research to establish the potential of robots to assist independent living of older adults.
Architecture for an Advanced Biomedical Collaboration Domain for the European Paediatric Cancer Research Community (ABCD-4-E)
Authors: Nitzlnader Michael  , Falgenhauer Markus  , Gossy Christian  , Schreier Günter
Published: February 2025

Today, progress in biomedical research often depends on large, interdisciplinary research projects and tailored information and communication technology (ICT) support. In the context of the European Network for Cancer Research in Children and Adolescents (ENCCA) project the exchange of data between data source (Source Domain) and data consumer (Consumer Domain) systems in a distributed computing environment needs to be facilitated. This work presents the requirements and the corresponding solution architecture of the Advanced Biomedical Collaboration Domain for Europe (ABCD-4-E). The proposed concept utilises public as well as private cloud systems, the Integrating the Healthcare Enterprise (IHE) framework and web-based applications to provide the core capabilities in accordance with privacy and security needs. The utility of crucial parts of the concept was evaluated by prototypic implementation. A discussion of the design indicates that the requirements of ENCCA are fully met. A whole system demonstration is currently being prepared to verify that ABCD-4-E has the potential to evolve into a domain-bridging collaboration platform in the future.
Development and Evaluation of a web-based Application for Digital Findings and Documentation in Physiotherapy Education
Authors: Spieler Bernadette  , Burgsteiner Harald  , Messer-Misak Karin  , Gödl-Purrer Barbara  , Salchinger Beate
Published: February 2025

Findings in physiotherapy have standardized approaches in treatment, but there is also a significant margin of differences in how to implement these standards. Clinical decisions require experience and continuous learning processes to consolidate personal values and opinions and studies suggest that lecturers can influence students positively. Recently, the study course of Physiotherapy at the University of Applied Science in Graz has offered a paper based finding document. This document supported decisions through the adaption of the clinical reasoning process. The document was the starting point for our learning application called “EasyAssess”, a Java based web-application for a digital findings documentation. A central point of our work was to ensure efficiency, effectiveness and usability of the web-application through usability tests utilized by both students and lecturers. Results show that our application fulfills the previously defined requirements and can be efficiently used in daily routine largely because of its simple user interface and its modest design. Due to the close cooperation with the study course Physiotherapy, the application has incorporated the various needs of the target audiences and confirmed the usefulness of our application.
Development of the Austrian Nursing Minimum Data Set (NMDS-AT): The Third Delphi Round, a Quantitative Online Survey
Authors: Ranegger Renate  , Hackl Werner O.  , Ammenwerth Elske
Published: February 2025

Background: A Nursing Minimum Data Set (NMDS) aims at systematically describing nursing care in terms of patient problems, nursing activities, and patient outcomes. In an earlier Delphi study, 56 data elements were proposed to be included in an Austrian Nursing Minimum Data Set (NMDS-AT).
Serious Games for Home-based Stroke Rehabilitation
Authors: Friedrich Raoul  , Hiesel Patrick  , Peters Sebastian  , Siewiorek Daniel P.  , Smailagic Asim  , Brügge Bernd
Published: February 2025

On average, two thousand residents in the United States experience a stroke every day. These circumstances account for $28 billion direct costs annually and given the latest predictions, these costs will more than triple by 2030. In our research, we propose a portfolio of serious games for home-based stroke rehabilitation. The objective of the game approach is to enrich the training experience and establish a higher level of compliance to prescribed exercises, while maintaining a supportive training environment as found in common therapy sessions. Our system provides a collection of mini games based on rehabilitation exercises used in conventional physical therapy, monitors the patient's performance while exercising and provides clinicians with an interface to personalize the training. The clinician can set the current state of rehabilitation and change the playable games over time to drive diversification. While the system still has to be evaluated, an early stage case study with one patient offered positive indications towards this concept.
AppFactLib – A Concept for Providing Transparent Information about Health Apps and Medical Apps
Authors: Jungnicke Tobias  , von Jan Ute  , Albrecht Urs-Vito
Published: February 2025

Users often have to rely on incomplete or marketing oriented information sources when they have to decide whether they trust an app they are interested in or not since official quality seals are lacking. While various tools exist that aim at aiding users with assessing an app's quality, using them is often cumbersome; also, the available information is often insufficient for applying these tools and making an informed decision. Based on an approach we previously described, i.e. an app synopsis that aims at providing manufacturers of health apps and medical apps with a standardized and transparent method for providing information about their products, in the present paper, we now outline a concept for disseminating such information via an easy-to-use platform.
Building a Culture of Health Informatics Innovation and Entrepreneurship: A New Frontier
Authors: Househ Mowafa  , Alshammari Riyad  , Almutairi Mariam  , Jamal Amr  , Alshoaib Saleh
Published: February 2025

Entrepreneurship and innovation within the health informatics (HI) scientific community are relatively sluggish when compared to other disciplines such as computer science and engineering. Healthcare in general, and specifically, the health informatics scientific community needs to embrace more innovative and entrepreneurial practices. In this paper, we explore the concepts of innovation and entrepreneurship as they apply to the health informatics scientific community. We also outline several strategies to improve the culture of innovation and entrepreneurship within the health informatics scientific community such as: (I) incorporating innovation and entrepreneurship in health informatics education; (II) creating strong linkages with industry and healthcare organizations; (III) supporting national health innovation and entrepreneurship competitions; (IV) creating a culture of innovation and entrepreneurship within healthcare organizations; (V) developing health informatics policies that support innovation and entrepreneurship based on internationally recognized standards; and (VI) develop an health informatics entrepreneurship ecosystem. With these changes, we conclude that embracing health innovation and entrepreneurship may be more readily accepted over the long-term within the health informatics scientific community.
Towards Resilient Telehealth Support for Clinical Psychiatry and Psychology: A Strategic Review
Authors: Fiorini Rodolfo A.  , De Giacomo Piero  , L'Abate Luciano
Published: February 2025

Human beings have increasingly shown a willingness to adopt Internet, mHealth and telehealth applications as a part of managing their health. Recent technological advances in the use of the Internet and video technologies has greatly impacted the provision of psychotherapy and other clinical services as well as how the training of psychotherapists may be conducted. When utilized appropriately these technologies may provide greater access to needed services to include treatment, consultation, supervision, and training. The major issue in such a development is whether online interventions will be structured or unstructured. The proper use of technology is fundamental to create and boost outstanding results. We present a strategic review and, as an example, the main steps to develop and achieve application resilience and antifragility at system level, for diagnostic and therapeutic telepractice and telehealth support. This article presents a number of innovations that can take psychotherapy treatment, supervision, training, and research forward, towards increased effectiveness application.
The Relationship between Using Electronic Health Records and Meeting Accreditation Standards for Client Safety in Residential Aged Care Homes
Authors: Jiang Tao  , Yu Ping
Published: February 2025

This study aims to identify the benefits of using electronic health records (EHR) for client safety in residential aged care (RAC) homes. The aged care accreditation reports published between 27 April 2011 and 3 December 2013 were downloaded and analysed. It could be seen from these reports that only 1,031(37.45%) RAC homes in Australia had adopted an EHR system by 2013. 13 RAC homes failed one or more accreditation standards. Only one of these was using an EHR system and this one met the accreditation standards on information systems. Our study provides empirical evidence to suggest that adopting and using EHR can be one of the effective organisational mechanisms to meeting accreditation standards in RAC homes.
Techno-Anthropological Sensibilities in Health Informatics: Opportunities and challenges
Authors: Bossen Claus
Published: February 2025

What kind of knowledges, skills and competences may be required by Techno-Anthropology engaging with health informatics? If we understand Techno-Anthropology to mean conducting anthropological analyses of the interwoven and mutually shaping relationship between organizing, technologies and actors in healthcare, such engagements and interventions can take many forms: Short-term consultancy work dedicated to achieving specific goals, long-term studies of broad changes in healthcare; management support within hospitals and public healthcare administration; or technology development with vendors of healthcare IT. The opportunities would seem to be manifold. Since the healthcare sector is a heterogeneous mix of interests, political agendas, professions et cetera, there is great merit in having people knowledgeable about this heterogeneity; able to facilitate meetings and processes between the various professions and organizations; and skilled in generating analyses and proposing new solutions. Also, people with insight into how action, technologies and organizing are interwoven and redistribute competences, responsibilities and risks are invaluable: Look at from afar, technologies seem to cause and determine social development, whereas detailed studies reveal that determinants and causes are both technical and social. The challenges include the one of making one's knowledge and skills legitimate and relevant to health informatics. Having a degree from arts or social sciences is not necessarily impressive for people with similar degrees in medicine, computer science, and business administration. Another challenge is to design an engagement with health informatics that will generate insights which often requires time, while also providing quick results for project sponsors or collaborators. The chapter points at three issues that seem to be central foundations for appropriate and quality-driven research and interventions of the ‘quick and proper’ kind: Modes of engagement; characteristics of the healthcare sector; and medical informatics and work.
Video Analysis and Remote Digital Ethnography: Approaches to understanding user perspectives and processes involving healthcare information technology
Authors: Kushniruk Andre W.  , Borycki Elizabeth M.
Published: February 2025

Innovations in healthcare information systems promise to revolutionize and streamline healthcare processes worldwide. However, the complexity of these systems and the need to better understand issues related to human-computer interaction have slowed progress in this area. In this chapter the authors describe their work in using methods adapted from usability engineering, video ethnography and analysis of digital log files for improving our understanding of complex real-world healthcare interactions between humans and technology. The approaches taken are cost-effective and practical and can provide detailed ethnographic data on issues health professionals and consumers encounter while using systems as well as potential safety problems. The work is important in that it can be used in techno-anthropology to characterize complex user interactions with technologies and also to provide feedback into redesign and optimization of improved healthcare information systems.
Open Data in Global Environmental Research: Findings from the Community
Authors: Schmidt Birgit  , Gemeinholzer Birgit  , Treloar Andrew
Published: February 2025

This paper presents selected findings of the Belmont Forum's survey on open data which targeted the global environmental research and data infrastructure community. It highlights users' perceptions of the term “open data”, expectations of infrastructure functionalities, and barriers and enablers for the sharing of data. Respondents also pointed out a wide range of good practice examples and a desire for enhancement and consolidation.
Social Reading and eBooks
Authors: Heikkilä Harri
Published: February 2025

The success and mainstreaming of e-books is transforming not only the traditional/Gutenbergian idea of the book but also the previous idea of an e-book as mainly an enriched print book. In the new e-book concept, the nature of a book as an artifact is diminishing and disposition as a networked interface to the knowledge is rising. One of the most important emerging concepts is the social reading, which means reading acts while connected to the other people. Social reading is a new and not very well defined area of reading practices. In addition to the traditional reading together and discussing books person to person, social reading includes a large number of networked functions like sharing and receiving shared information. Research of this new phenomena is almost non existent, yet it is expected to be the next big thing in reading and in e-books. This study provides an overview of the history of social reading of printed books and then defines parallel features in the new digital reading activities. Research material consists of popular e-book software and services. The proposed categorization of social reading is based on content analysis of properties that were found in those services. This report claims that social reading functionalities are manifestations of the social needs that have existed during and even before the paper book; digital time enables re-emerging of some of those features, but in a different manner.
Emergency Department Information System Education and Training for Clinicians: Lessons Learned
Authors: Lopetegui Marcelo  , Oberpaur Bernd  , Vivent Macarena  , Carrasco Cecilia  , Mauro Alejandro
Published: February 2025

Of all the potential barriers to a successful Electronic Health Record (EHR) adoption, the importance of training is often underestimated, potentially jeopardizing the implementation. Following best practices recommendations, we designed and implemented a comprehensive EHR training framework. The aim of this poster is to describe our experience with such a framework in the implementation of our home-grown Emergency Department Information System (EDIS), report lessons learned and provide recommendations for other institutions facing EHR adoptions in Chile and Latin America.
Health Informatics Competences for eHealth: What Can We Learn From a Bibliometric Analysis?
Authors: Kokol Peter  , Blažun Helena  , Saranto Kaija
Published: February 2025

The appearance of eHealth adds a new dimension to health informatics competencies – they are not necessary just for health providers and health information system users and developers, but also for health consumers.
Social Network and Health Researchers and Professionals Mobility in Africa: Lessons Learned from AFRICA BUILD Project
Authors: Traore S.T.  , Anne A.  , Khalifa A.  , Bosomprah S.  , Caroline F.  , Cuzin-Kihl A.K.  , Ingelbeen B.  , Ramirez-Robles M.  , Sangare M.  , Niang M.  , Bagayoko C.O.
Published: February 2025

Objective: Promote mobility between South-South and South-North for improving level of researchers, staff and students through a platform. Methods: The methodology is based a filling of a questionnaire about offer or demand. Material is composed a computer connected Internet. Result: we registered about 203 demands and 31 offers from partners.43 mobilities were executed completely. Conclusion: The results indicate a real need of mobility for researchers and health professionals in Africa. The important number of mobility demands made by external researchers and professionals (from outside the AFRICA BUILD Consortium) may be constrained by the difficulty to find adequate funding.
Middleware Supporting Next Generation Data Analytics in Australia
Authors: Boyle Douglas I. R.
Published: February 2025

In Australia, as a result of the distributed, often private nature of health provision, tight privacy legislation, even tighter organizational policies, access to data covering the whole patient journey of care is a common aspiration that has been almost impossible to achieve. Access to primary care data in a manner that is record-linkable has been a particular challenge. Since 2006 The University of Melbourne has been developing GRHANITE™Middleware and GRHANITE™Data Linkage technologies designed to overcome these barriers. With over 10% of Australian primary care data now being routinely extracted utilising this technology, we believe the principal technical challenges have now been overcome. We believe this technology to be at the forefront ethically of providing data for research. This poster describes the principal issues involved and the approaches taken in the technical solution underpinning GRHANITE™.
PIACS: A System for the Automatic Detection, Categorization and Comparison of Scratch-Related Skin Lesions in Dermatology
Authors: Bruland Philipp  , Hänse Waldemar  , Schedel Fiona  , Ständer Sonja  , Fritz Fleur
Published: February 2025

and Objective In the treatment of chronic pruritus-related, scratch-induced skin lesions the categorization, counting and temporal comparison are common methodologies. The observation requires a good memory and expertise in this field to gain comparable findings for this time-consuming process. Digital image processing aims at supporting such manual detections. The objective is to develop a software tool for automatic image detection and comparison. The new photographic setting implies the usage of markers to derive the brightness and size of lesions. MATLAB has been used for the software development. The newly defined setting allows taking standardized images of pruritus-associated cutaneous lesions for detection and comparison. The tool named PIACS (Prurigo Image Analyzing and Comparing System) allows automatically detecting, categorizing and comparing lesions based on digital images.