bluuebunny/crossref_metadata_2025 huggingface dataset:
Communication Pattern Regarding Alarms and Patient Signals Between Nurses, Other Health Care Actors, Patients and Devices
Authors: Solvoll Terje  , Hanenburg Adrienne  , Giordanego Alain  , Hartvigsen Gunnar
Published: February 2025

CallMeSmart is a context aware communication system for hospitals. The system is being used by nurses and the physicians at the Oncology department, University Hospital of North Norway. CallMeSmart has been designed to increase the efficiency of communication between the nurse-physician and physician-physician. In this study, we have looked at the communication pathways between nurse-nurse and patient-nurse: how nurses define a preference of calling somebody, how alarms and tasks are prioritized, and how this could be implemented into the CallMeSmart system to improve the system for the nurses. This paper discusses how the communication pathways of the patient alarm system can be improved for health care actors in hospitals by revealing the communication patterns according to an alarm between those actors. We address the communication pattern between nurses, other health care actors, patients and the devices used, and discuss possible improvements of this communication.
Enhancing Patient Safety Event Reporting by K-nearest Neighbor Classifier
Authors: Liang Chen  , Gong Yang
Published: February 2025

Data quality was placed as a major reason for the low utility of patient safety event reporting systems. A pressing need in improving data quality has advanced recent research focus in data entry associated with human factors. The debate on structured data entry or unstructured data entry reveals not only a trade-off problem among data accuracy, completeness, and timeliness, but also a technical gap on text mining. The present study suggested a text classification method, k-nearest neighbor (KNN), for predicting subject categories as in our proposed reporting system. Our results demonstrated the feasibility of KNN classifier used for text classification and indicated the advantage of such an application to raise data quality and clinical decision support in reporting patient safety events.
Spatial Variability of Soil-Rock Interface in Chennai using Geophysical and Geotechnical data
Authors: Priya B. Divya  , Dodagoudar G.R.
Published: February 2025

Mapping surficial and subsurface conditions play an important role in analysis and design of geotechnical structures and facilities. Spatial distribution of depth to soil-bedrock interface has a prime significance in developing input ground motion at the surface and estimating damage potential of an earthquake. This paper deals with the evaluation of spatial variability of soil-bedrock interface in Chennai, south India using Multichannel Analysis of Surface Wave (MASW) test and Standard Penetration Test (SPT) data. The MASW tests have been carried out at selected locations in Chennai city using 24 channel Geode and shear-wave velocity profiles are developed. Based on the MASW test results, a shear wave velocity (Vs) of around 300 m/s is obtained for weathered/soft rock, and a value of 700 m/s for hard rock in the present study. Depths corresponding to these velocity ranges are identified to estimate the position of soil-bedrock interface in the study area consisting of IIT Madras campus and its surrounding area.
Assessment of Risks of Regional Shallow Slope Failures
Authors: Chen H.X.  , Zhang L.M.
Published: February 2025

Shallow slope failures are one of the most frequent geological hazards in mountainous areas, which pose great danger to people and properties in affected areas. This paper presents a distributed cell-based model for quantitative risk assessment for shallow slope failures at a regional scale. There are five components in this model; namely, a digital terrain module, a spatial rainfall distribution module, a slope stability and reliability evaluation module, a runout prediction module, and a risk assessment module. The locations and volumes of the detached material are estimated using the slope stability and reliability evaluation module. The runout prediction module is used to predict the potential runout traces of the detached material, which moves along the steepest path. The risks posed by the runout material are finally assessed using the risk assessment module, which can be used as an indicator for early warning. The vulnerability of persons to the slope failures is determined by the volume of slope failure and shadow angle. The method is applied to a 164.5 km2hilly terrain in the Wenchuan earthquake zone to test its performance in quantitative risk assessment of regional shallow slope failures. The method evaluates the risks by shallow slope failures at a regional scale efficiently.
Chasing The ‘Like’: Adolescent Use Of Social Networking Sites In Australia
Authors: la Sala Louise  , Skues Jason  , Wise Lisa  , Theiler Stephen
Published: February 2025

The current study investigated how adolescents behave on Social Networking Sites (SNSs) and how they interpret the feedback they receive online from others. Thirty-four Australian adolescents (26 girls, 8 boys) aged 13 to 17 years participated in the study. Five semi-structured focus groups (3 mixed groups, 2 all-girl groups) were conducted to explore how adolescents perceive their own and others' SNS behaviours, the motivation underlying these behaviours, and the expected outcomes related to particular behaviours. Teenagers reported that they spend a good deal of time planning their SNS posts, felt that the information they posted was a true reflection of them as a person, and thus interpreted feedback (“likes”) as measuring their self-worth. In contrast, some teenagers were perceived as “chasing the like” for status and popularity while not caring about how accurately their posts represented them as a person. A potential gender bias in these findings is discussed.
Robotic Companions for Older People: A Case Study in the Wild
Authors: Doering Nicola  , Richter Katja  , Gross Horst-Michael  , Schroeter Christof  , Mueller Steffen  , Volkhardt Michael  , Scheidig Andrea  , Debes Klaus
Published: February 2025

Older people tend to have difficulties using unknown technical devices and are less willing to accept technical shortcomings. Therefore, a robot that is supposed to support older people in managing daily life has to adapt to the users' needs and capabilities that are very heterogeneous within the target group. The aim of the presented case study was to provide in-depth insights on individual usage patterns and acceptance of a mobile service robot in real live environments (i.e. in the users' homes). Results from three cases (users aged 67, 78 and 85 living in their own apartments) are reported. Findings on usability and user experience illustrate that the robot has considerable potential to be accepted to support daily living at home.
Being Present In Space: The Role Of Allocentric And Egocentric Reference Frames
Authors: Serino Silvia  , Mestre Daniel  , Mallet Pierre  , Pergandi Jean-Marie  , Smialek Grégory  , Cipresso Pietro  , Riva Giuseppe
Published: February 2025

The general aim of the present study was to investigate the effect of an interactive aerial view of the experienced environment during the encoding and retrieving of spatial information on the feeling of presence. Our findings showed that this real-time interactive aerial view (both small and large) during the encoding and retrieval of spatial information seems to led to a greater sense of presence. It is argued that the use of this aerial view, which provides a real-time allocentric viewpoint-dependent spatial representation, would ease the translation of a stored allocentric representation into an egocentric one, and this process, consequently, would help individuals to feel present in space.
Simulação Numérica do Comportamento ao arrancamento de estacas tubulares vazadas
Authors: Sanabria Stivens  , Duránd Aldo  , Martins Rodrigo  , Saboya Fernando  , Tibana Sérgio
Published: February 2025

O estudo apresenta um modelo numérico calibrado de estacas tubulares vazadas com preenchimento interno para a previsão do comportamento e capacidade de carga ao arrancamento. Para a calibração do modelo utilizou-se resultados de ensaios de modelos realizados na centrífuga geotécnica da UENF, as quais têm como principais variantes a altura do preenchimento. As análises do comportamento elástico das estacas submetidas ao arrancamento foram baseadas em simulações numéricas tridimensionais, pelo método de elementos finitos com o programa computacional comercial ABAQUS. Os parâmetros geométricos e geotécnicos iniciais do material, necessários para as simulações, foram obtidos dos modelos ensaiados na centrífuga geotécnica. Para obter o modelo foram feitas variações dos parâmetros de entrada geométricos e geotécnicos. Os resultados obtidos indicaram que o módulo de elasticidade e o ângulo de atrito estaca e o solo são os parâmetros de maior influência no comportamento ao arrancamento, com as que se estabeleceu uma lei com e sem preenchimento interno.
Rheology and Micromechanical Analysis of Granular Media Composed of Platy Particles: A Step Toward the DEM Simulation of Clayey Soils
Authors: Boton Mauricio  , Estrada Nicolas  , Azéma Emilien  , Radjaï Farhang  , Lizcano Arcesio
Published: February 2025

This work was carried out in the framework of a larger project devoted to the micro-mechanical modeling of clayey soils by means of discrete element simulations. Here, we study the rheology and microstructure of granular media composed of platy particles. The particles are three-dimensional square plates, approximated as spheropolyhedra. Several samples composed of particles of different levels of platyness (related to the ratio of length to thickness) were numerically prepared and sheared up to large deformations. Specifically, we revisit and analyze in detail an ordering phenomenon described briefly in a previous paper [1] and investigate its consequences in terms of the alignment of particles and cluster formation. We find that particle alignment is strongly enhanced by the degree of platyness and leads to the formation of face-connected clusters. Due to dynamics, this spontaneous clustering is a robust characteristic of granular systems composed of platy particles even in the absence of attraction forces.
Problems Associated with Railroads on Shrink-Swell Soils
Authors: Wang Dong  , Sánchez Marcelo  , Briaud Jean-Louis
Published: February 2025

Natural soils in Texas are dominated by expansive soils. These soils are characterized by significant expansions and contractions when they are subjected to wetting and drying processes, respectively. Railroads on expansive soils are subjected to huge solicitations associated with the volume changes of the soil, generally leading to unacceptable uneven settlements. Relative movements of railroads constructed on this type of soil can also be related to progressive shear failure, and long term consolidation and creep. The mechanisms behind the observed railroads problems on expansive soils, and the associated (possible) remedial solutions, are still unclear. A site in Texas has been recently selected to study in detail the aforementioned problems. In this paper we discuss the typical geomechanical problems associated with railroads in Texas and some possible solutions. We also present the test site selected to study this problem.
Improvements in Information Extraction in Legal Text by Active Learning
Authors: Cardellino Cristian  , Alonso Alemany Laura  , Villata Serena  , Cabrio Elena
Published: February 2025

Managing licensing information and data rights is becoming a crucial issue in the Linked (Open) Data scenario. An open problem in this scenario is how to associate machine-readable licenses specifications to the data, so that automated approaches to treat such information can be fruitfully exploited to avoid data misuse. This means that we need a way to automatically extract from a natural language document specifying a certain license a machine-readable description of the terms of use and reuse identified in such license.
Multi-Dimensional Semantic Computing with Spatial-Temporal and Semantic Axes for Multi-spectrum Images in Environment Analysis
Authors: Kiyoki Yasushi  , Chen Xing  , Sasaki Shiori  , Koopipat Chawan
Published: February 2025

Semantic computing is an important and promising approach to semantic analysis for various environmental phenomena and changes in real world. This paper presents a new semantic computing method with multi-spectrum images for analyzing and interpreting environmental phenomena and changes occurring in the physical world.
Visualizing Ontologies: Challenges and Proposed Solution
Authors: Kuhar Saša  , Karakatič Sašo  , Flisar Jernej  , Heričko Marjan  , Podgorelec Vili
Published: February 2025

In this article we highlight the main challenges in ontology visualization and propose a solution. First we present most common ontology visualization challenges, discuss the functionalities that users usually miss in ontology representation tools and propose the solutions to these problems. We present an implementation that addresses detected challenges with three different graphical representations of ontologies, forming a multiple view. The visualizations follow well-established concepts from graphic design by which we achieved less clutter and simpler comprehension of ontologies' structures. Furthermore, the implemented system includes functionalities from which users will in our opinion benefit most (all-clickable elements enable easy exploration and in-depth research, filtering, reveal/hide hierarchy levels, advanced search, etc).
NoSql Data Storage Impact: – An Assessment via a Case Study
Authors: Pavlič Luka  , Heričko Marjan  , Kežmah Boštjan
Published: February 2025

The term NoSql was coined in order to unify numerous products that enable data persistence and access in rather different ways, compared to relational databases. This movement is mostly driven by modern web- and sensor-related applications, which have to cope with a high volume of very diverse data, stored in geographically separated systems. In this case study, we will show a NoSql's product practical use and its impact on 24alife solutions. They are aimed at improving citizens' wellbeing and stress management capabilities by integrating knowledge from different wellness disciplines. As such, it is designed to handle more than 6 billion new records every month. We will demonstrate via a case study how introducing an appropriate NoSql solution to this particular system improves performance, removes certain data handling obstacles and contributes to long-term system stability.
Case-Based Learning: A Formal Approach to Generate Health Case Studies from Electronic Healthcare Records
Authors: Ricci Fabrizio L.  , Consorti Fabrizio  , Gentile Manuel  , Messineo Linda  , La Guardia Dario  , Arrigo Marco  , Allegra Mario
Published: February 2025

There is an increasing social pressure to train medical students with a level of competency sufficient to face clinical practice already at the end of their curriculum. The case-based learning (CBL) is an efficient teaching method to prepare students for clinical practice through the use of real or realistic clinical cases. In this regard, the Electronic Healthcare Record (EHR) could be a good source of real patient stories that can be transformed into educative cases. In this paper a formal approach to generate Health Case Studies from EHR is defined.
Towards a Wireless Smart Polysomnograph Using Symbolic Fusion
Authors: Ugon Adrien  , Seroussi Brigitte  , Philippe Carole  , Ganascia Jean-Gabriel  , Garda Patrick  , Sedki Karima  , Bouaud Jacques  , Pinna Andrea
Published: February 2025

Polysomnography is the gold standard test for sleep disorders among which the Sleep Apnea Syndrome (SAS) is considered a public health issue because of the increase of the cardio-and cerebro-vascular risk it is associated with. However, the reliability of this test is questioned since sleep scoring is a time-consuming task performed by medical experts with a high inter- and intra-scorers variability, and because data are collected from 15 sensors distributed over a patient's body surface area, using a wired connection which may be a source of artefacts for the patient's sleep. We have used symbolic fusion to support the automated diagnosis of SAS on the basis of the international guidelines of the AASM for the scoring of sleep events. On a sample of 70 patients, and for the Apnea-Hypopnea Index, symbolic fusion performed at the level of sleep experts (97.1% of agreement). The next step is to confirm these preliminary results and move forward to a smart wireless polysomnograph.
Towards Citizen-Centred Care: Interim Results from an E-Prescription Case
Authors: Vuokko Riikka  , Tikkala Outi  , Mäkelä-Bengs Päivi
Published: February 2025

Medication data is a crucial part of patient data. Medication data is stored in a centralized archive, and made accessible to health care professionals and citizens. Re-usability of medication data requires it to be not only interoperable, but also complete and reliable. We evaluated e-prescription data stored in a national archive. The data consists of 596 patients with 76411 e-prescriptions. The interim results show the data to be complete when stored, whereas data reliability would require more user training.
Evidence-based Health Informatics and the Scientific Development of the Field
Authors: Wyatt Jeremy C.
Published: February 2025

We define and discuss the nature of Evidence-based Health Informatics (EBHI), the kind of evidence health informatics researchers must generate to make EBHI a reality, and how we should grade such evidence. We propose adding principle-based evaluation studies to the list of common evaluation study types, and outline how to carry out such studies to generate evidence that will prove useful for establishing EBHI. The main purpose of a principle-based evaluation study is to test the impact on system acceptability, usage or effectiveness of a generalizable system design principle, so we also explore when during the system design process such principles are needed, and which disciplines are most promising as sources of design principles. We conclude with some challenges for EBHI, a list of the benefits of adopting this approach, and a test to ensure that we are advancing in the direction of science, as opposed to pseudoscience.
Realizing the Potential of Patient Engagement: Designing IT to Support Health in Everyday Life
Authors: Novak Laurie L.  , Unertl Kim M.  , Holden Richard J.
Published: February 2025

Maintaining health or managing a chronic condition involves performing and coordinating potentially new and complex tasks in the context of everyday life. Tools such as reminder apps and online health communities are being created to support patients in carrying out these tasks. Research has documented mixed effectiveness and problems with continued use of these tools, and suggests that more widespread adoption may be aided by design approaches that facilitate integration of eHealth technologies into patients' and family members' daily routines. Given the need to augment existing methods of design and implementation of eHealth tools, this contribution discusses frameworks and associated methods that engage patients and explore contexts of use in ways that can produce insights for eHealth designers.
Evaluation of Health IT in Low-Income Countries
Authors: Oluoch Tom  , de Keizer Nicolet F.
Published: February 2025

Low and middle income countries (LMICs) bear a disproportionate burden of major global health challenges. Health IT could be a promising solution in these settings but LMICs have the weakest evidence of application of health IT to enhance quality of care. Various systematic reviews show significant challenges in the implementation and evaluation of health IT. Key barriers to implementation include lack of adequate infrastructure, inadequate and poorly trained health workers, lack of appropriate legislation and policies and inadequate financial 333indicating the early state of generation of evidence to demonstrate the effectiveness of health IT in improving health outcomes and processes. The implementation challenges need to be addressed. The introduction of new guidelines such as GEP-HI and STARE-HI, as well as models for evaluation such as SEIPS, and the prioritization of evaluations in eHealth strategies of LMICs provide an opportunity to focus on strategic concepts that transform the demands of a modern integrated health care system into solutions that are secure, efficient and sustainable.
Towards a Holistic Biomedical Information Platform for Primary and Secondary Use Settings
Authors: Schneider Gerd  , Schreiweis Björn  , Pahontu Raluca  , Eichner Theresia  , Bergh Björn
Published: February 2025

Background: Clinical information is often used for biomedical research. Data warehouses can help providing researchers with data and the opportunity to find eligible participants for clinical trials.
A glance on presence of Shahid Beheshti University scholars in Research Gate
Authors: Asnafi Amir Reza
Published: February 2025

Using web 2.0 capabilities in research fields have provided various facilities for scholars. By these capabilities, people can interact together and share their publications with large range of other scholars. Current research aim is study on presence of Presence of Shahid Beheshti University Scholars in Research Gate. Used approach in this paper is Scientometrics with Altmetrics method. For data gathering, page of Shahid Beheshti University in Research Gate was used. Findings indicated that courses of Chemistry, Laser and Plasma and Physics had the most presence in Research Gate. This paper revealed that Humanities courses in Shahid Beheshti University had not any serious activities in Research Gate. Establishing some workshops on using academic social networks can effect on knowledge of scholars, faculty member and students and direct their information seeking way for these people.
A Sensor-Enabled Smartphone Application to Collect Eating Behavior Data for Population Screening
Authors: Maramis Christos  , Moulos Ioannis  , Ioakeimidis Ioannis  , Nolstam Jenny  , Lekka Irini  , Bergh Cecilia  , Maglaveras Nicos
Published: February 2025

The worldwide extent of obesity and eating disorders (ED) today highlights the necessity for efficient treatment, but also early prevention of eating-related diseases. A promising category of therapeutic and preventive interventions comes from the domain of behavioral informatics (BI), whose purpose is to monitor and modify harmful behaviors – unhealthy eating in the particular case – with the help of information and communication technologies. Smartphones have already shown great promise in delivering such BI interventions in the field of obesity and ED. In fact, plenty of smartphone applications aiming to monitor and support the change of eating behavior with the help of built-in or external sensors have been proposed in the scientific literature. However, to the best of our knowledge, no smartphone application up to date has been designed to collect eating behavior data for the purpose of population screening against obesity or ED. In this work we describe a novel, sensor-enabled smartphone application that captures in-meal behavioral data from multiple subjects in a brief data collection process, with the end goal of recording, in detail, the user's eating style throughout a cooked meal. These data can later be employed for assessing the subjects' risk for obesity or ED. The proposed application has undergone preliminary evaluation with respect to its usability and technical soundness, yielding promising results.
Multi-parametric prediction for cardiovascular risk assessment
Authors: Henriques Jorge  , de Carvalho Paulo  , Rocha Teresa  , Paredes Simão  , Morais João
Published: February 2025

The employment of personal health systems (pHealth) is a valuable concept in the management of chronic diseases, particularly in the context of cardiovascular diseases. By means of a continuous monitoring of the patient it is possible to seamless access multiple sources of data, including physiological signals, providing professionals with a global and reliable view of the patient's status. In practice, it is possible the prompt diagnosis of events, the early prediction of critical events and the implementation of personalized therapies. Furthermore, the information collected during long periods creates new opportunities in the diagnosis of a disease, in its evolution, and in the prediction of possible complications.
Some problems of the founding of the powerful turbo-generator sets
Authors: Taranov V.G.  , Shvetz N.S.  , Shvetz V.B.
Published: February 2025

The determination procedure of the load bearing capacity of the pile, subjected to the sustained dynamic action, is described. The results of the experimental theoretical investigations, exposed the dependence of the soil basement elasticity coefficients on its anisotropy degree are presented too. The data about the turbo generator set temperature effect on the foundation superstructure deformation are given.
Centrifuge modeling of soil upheave by expanding tubes
Authors: Wichman Bernadette G.H.M.  , Allersma Henderikus G.B.
Published: February 2025

An investigation has been carried out into a new technique for upheaving soil bodies. An example of where this technique can be applied is a road embankment that has settled at a different rate from a bridge because of the weight and properties of the subsoil. The conventional technique for remedying the situation involves closing the road, removing the asphalt and supplementing the underlying material. All this is expensive, time consuming and causes additional traffic jams. The new method under investigation involves up-heaving the road embankment by means of expanding tubes. In this technique, tubes of woven material are thrust horizontally into the road embankment, starting at the slope, by means of steel tubes. The steel tubes are then withdrawn while injecting a filling material to expand the woven tubes to a diameter of approximately 800 mm.
Sensibilité aux séismes d'un matériau de barrage
Authors: Fleureau J.-M.  , Hadiwardoyo S.  , Kheirbek-Saoud S.
Published: February 2025

Les méthodes actuelles de caractérisation des matériaux et de dimensionnement permettent d'estimer de façon relativement fiable la stabilité des barrages sous l'effet de séismes. Actuellement, de nombreuses expertises sont menées sur d'anciens barrages dont on souhaite ré-évaluer la sécurité vis-à-vis des risques de liquéfaction et de rupture. Cette communication décrit l'étude expérimentale réalisée sur les matériaux d'origine glaciaire d'un barrage de grande hauteur, comportant de gros éléments jusqu'à 50 mm. Des essais de caractérisation géotechnique du sol ont été réalisés sur le matériau, complétés par des essais triaxiaux monotones consolidés drainés (CD), qui ont permis de définir le critère de rupture du sol et sa courbe d'état critique. Des essais non drainés ont permis d'étudier le comportement sous l'effet de cycles de chargement répétés, et plus particulièrement le rôle de la granulométrie, des contraintes de consolidation et du déviateur cyclique.
Comparative study of seismic hazard of Kathmandu valley, Nepal with other seismic prone cities
Authors: Sunuwar L.  , Karkee M.B.  , Pokharel G.  , Lohani T.N.
Published: February 2025

Probabilistic seismic hazard analysis for Kathmandu valley is carried out by using historical earthquake records for 400 km radius available from USGS-NEIC. Based on the attenuation relations developed by Chang et al. (2001) the earthquake hazard level for the valley is found to be comparable to the hazard prone cities like Sendai of Japan and Los Angeles of USA. The estimated PGA levels for different return periods are also compatible with the available results of Global Seismic Hazard Analysis Program.
Effects of temperature on 1-D consolidation characteristics of clayey soil
Authors: Neaupane K.M.  , Nanakorn P.  , Sirayapivat O.  , Kanborirak S.
Published: February 2025

This paper aims at understanding the effects of temperature on consolidation and volume change behavior of the Bangkok clay due to elevated temperature. A conventional oedometer was modified and fitted with a heater and thermostat and consolidation tests were performed under controlled environment. Consolidation tests on normally consolidated specimens revealed that volume contracts upon heating. Samples during thermal unloading swelled in contrast. The effect of an elevated temperature is similar to that of primary consolidation process. However, if prolonged heat is applied (reloaded) with higher temperature, the effect of temperature increase becomes similar to that of secondary consolidation. The deformation induced during thermal loading is not fully recoverable mainly because once the soil is heated clay structures deteriorate.
The Creation of Simulation for the Development of Competencies in Nurses
Authors: Zucatti Ana Paula Noronha  , Flores Cecília Dias  , da Silveira Luíza Maria Braga
Published: February 2025

Distance Learning, among other advantages, encourages the development of autonomy and social construction of knowledge, both essential in continuing health education. For the development of competencies needed at work, the use of simulation can be an alternative so that knowledge, skills and attitudes are put into practice through simulated situations with a pedagogical and educational structure. Therefore, it has been proposed the creation of simulation with the aim of promoting competencies related to the leading role played by nurses of a hospital. The present study briefly describes its creation process with this purpose, which was developed as part of a Master's Thesis of one of the authors. It is expected to highlight the improvement of skills associated with leadership practices through this methodology.
A Report on Nursing Information During Volunteer Activities Conducted by Nursing Faculty Members and Students After the Great East Japan Earthquake
Authors: Tomizawa Yayoi  , Ichinose Makino  , Onogi Hiroshi  , Suzuki Chiaki  , Nakamura Reiko  , Misawa Sumi
Published: February 2025

A survey was conducted about nursing information in volunteer activities of nursing faculty members and students after the Great East Japan Earthquake. Results indicated that it was important to attempt collecting information in every possible way and to always be prepared. During activities, it is important to record information, to share information with individuals other than nursing professionals and to make good use of it.
Functionality of Triggers for Epilepsy Patients Assessed by Text and Data Mining of Medical and Nursing Records
Authors: Kivekäs Eija  , Kinnunen Ulla-Mari  , Paananen Pekka  , Kälviäinen Reetta  , Haatainen Kaisa  , Saranto Kaija
Published: February 2025

A trigger is a powerful tool for identifying adverse events to measure the level of any kind of harm caused in patient care. Studies with epilepsy patients have illustrated that using triggers as a methodology with data mining may increase patient well-being. The purpose of this study is to test the functionality and validity of the previously defined triggers to describe the status of epilepsy patient's well-being. In both medical and nursing data, the triggers described patients' well-being comprehensively. The narratives showed that there was overlapping in triggers. The preliminary results of triggers encourage us to develop some reminders to the documentation of epilepsy patient well-being. These provide healthcare professionals with further and more detailed information when necessary.
Analyzing 30-Day Readmission Rate for Heart Failure Using Different Predictive Models
Authors: Mahajan Satish  , Burman Prabir  , Hogarth Michael
Published: February 2025

The Center for Medicare and Medical Services in the United States compares hospital's readmission performance to the facilities across the nation using a 30-day window from the hospital discharge. Heart Failure (HF) is one of the conditions included in the comparison, as it is the most frequent and the most expensive diagnosis for hospitalization. If risk stratification for readmission of HF patients could be carried out at the time of discharge from the index hospitalization, corresponding appropriate post-discharge interventions could be arranged. We, therefore, sought to compare two different risk prediction models using 48 clinical predictors from electronic health records data of 1037 HF patients from one hospital. We used logistic regression and random forest as methods of analyses and found that logistic regression with bagging approach produced better predictive results (C-Statistics: 0.65) when compared to random forest (C-Statistics: 0.61).
The « Intelligent Wardrobe »
Authors: Schaad Philipp  , Basler Saskia  , Medini Meriam  , Wissler Ivan  , Bürkle Thomas  , Lehmann Michael
Published: February 2025

In an ageing society technical systems that support the residents at home are becoming increasingly important. Many of the technologies available today focus on detecting falls or monitoring the health of residents. There are a few projects that focus the « smart home for the elderly » and offer support for the daily activities. The Institute of Medical Informatics of the Bern University of Applied Sciences has developed a prototype of an intelligent wardrobe. Based on sensor data from the apartment like inside temperature, weather forecast and todays events suggestions for appropriate clothes are generated and shown on a display. To facilitate the search, the garments are marked in the closet with colored LEDs.
Nurses' Information Seeking Behavior for Clinical Practice: A Case Study in a Developing Country
Authors: Sarbaz Masoumeh  , Kimiafar Khalil  , Sheikhtaheri Abbas  , Taherzadeh Zhila  , Eslami Saeid
Published: February 2025

We used a valid questionnaire to survey Iranian nurses' seeking information behavior and their confidence on different information sources. The frequently used sources were Internet" and “personal experiences” (54.8% and 48.2% respectively). “English medical journals” (61.9%) and “English textbooks” (41.3%) were the least frequently used sources. Nurses felt high confidence in sources such as “International instructions/guidelines” (58.6%) and “English medical textbooks” (50.4%). The main reasons for selecting sources were easy accessibility, being up to date and reliability. Google, Pubmed and Up to Date were the most used electronic sources. In addition, there were differences in terms of using some of these resources and nurse' age and gender. In developing information sources for nurses, factors such as reliability level, availability, and updatedness of resources should be more emphasized.
Discovering eHealth Technology: An Innovative Interprofessional Graduate Student Learning Experience
Authors: Estes Krista  , Gilliam Eric  , Knapfel Sarah  , Lee Chanmi  , Skiba Diane
Published: February 2025

The use of eHealth has grown in recent years and is projected to continue to increase exponentially. In order to empower and prepare advanced practice providers to integrate eHealth into their clinical practice, curricular changes need to occur. The iTEAM grant provides a unique opportunity to prepare advanced practice disciplines to provide collaborative care using eHealth. Through the integration of a simulated telehealth using a standardized patient, Doctor of Pharmacy and Advanced Practice Registered Nursing students learned how to apply health information technology and coordinate care in an interprofessional manner. Opportunities and challenges to guide future efforts to integrate eHealth-learning experiences into the curriculum are identified.
Evaluation of a Statewide HIV-HCV-STD Online Clinical Education Program by Healthcare Providers – A Comparison of Nursing and Other Disciplines
Authors: Wang Dongwen  , Luque Amneris E.
Published: February 2025

The New York State HIV-HCV-STD Clinical Education Initiative (CEI) has developed a large repository of online resources and disseminated them to a wide range of healthcare providers. To evaluate the CEI online education program and in particular to compare the self-reported measures by clinicians from different disciplines, we analyzed the data from 1,558 course completions in a study period of three months. The results have shown that the overall evaluations by the clinicians were very positive. Meanwhile, there were significant differences across the clinical disciplines. In particular, physicians and nurse practitioners were the most satisfied. In contrast, pharmacists and case/care managers recorded lower than average responses. Nurses and counselors had mixed results. Nurse practitioners' responses were very similar to physicians on most measures, but significantly different from nurses in many aspects. For more effective knowledge dissemination, online education programs should consider the unique needs by clinicians from specific disciplines.
Smart Glasses in Nursing Training – Redundant Gadget or Precious Tool? A Pilot Study
Authors: Marschollek Michael  , Barthel Christoph  , Behrends Marianne  , Schmeer Regina  , Meyenburg-Altwarg Iris  , Becker Marcus
Published: February 2025

Introduction: Heavy workloads in nursing care and high employee turnover call for efficient methods to support on-the-job training. Within the Witra Care project – aiming to develop mobile technologies to support knowledge transfer between experienced and inexperienced nurses – the objective was to investigate the feasibility and perceived usefulness of advanced smart glasses for an exemplary, specific activity in nursing training – preparation of a surgical instrument table in an operating room.
Testing of Triggers by Data Mining of Epilepsy Patients' Structured Nursing Records
Authors: Kinnunen Ulla-Mari  , Kivekäs Eija  , Paananen Pekka  , Kälviäinen Reetta  , Saranto Kaija
Published: February 2025

Epilepsies are neurological disorders with many different etiologies, symptoms and prognoses. Care for epilepsy patients should be uniform, homogeneous and optimized to avoid unnecessary hospitalizations or even worse outcomes. FinCC-based structured nursing documentation facilitates analyzing patient profiles and populations, developing care processes, nursing documentation, decision-making, and data reuse. This research aimed to determine the potential for finding possible risks for epilepsy patients' health and well-being from the structured nursing data with defined triggers for epilepsy patients. The research data included structured documentation of nursing diagnoses of and interventions for adult epilepsy patients (n = 100) at one neurological ward in a university hospital in 2009–2013. The results showed that nurses documented abundantly, and all triggers were mostly found. The study results will be reviewed by the neurological ward nurses to assess the FinCC and highlight the importance of documentation.
A Mobile Care Coordination System for the Management of Complex Chronic Disease
Authors: Haynes Sarah  , Kim Katherine K.
Published: February 2025

There is global concern about healthcare cost, quality, and access as the prevalence of complex and chronic diseases, such as heart disease, continues to grow. Care for patients with complex chronic disease involves diverse practitioners and multiple transitions between medical centers, physician practices, clinics, community resources, and patient homes. There are few systems that provide the flexibility to manage these varied and complex interactions. Participatory and user-centered design methodology was applied to the first stage of building a mobile platform for care coordination for complex, chronic heart disease. Key informant interviews with patients, caregivers, clinicians, and care coordinators were conducted. Thematic analysis led to identification of priority user functions including shared care plan, medication management, symptom management, nutrition, physical activity, appointments, personal monitoring devices, and integration of data and workflow. Meaningful stakeholder engagement contributes to a person-centered system that enhances health and efficiency.
Decision Support System of Nursing Human Resources Allocation in General Wards Based on Hospital Information System
Authors: Chen Hong  , Zhao Shangping  , Feng Ling
Published: February 2025

Aim: To construct a Decision support system of nursing human resources allocation in general wards based on Hospital information system (HIS).
Integrating Social Media and Mobile Sensor Data for Clinical Decision Support: Concept and Requirements
Authors: Denecke Kerstin
Published: February 2025

Social media are increasingly used by individuals for the purpose of collecting data and reporting on the personal health status, on health issues, symptoms and experiences with treatments. Beyond, fitness trackers are more used by individuals to monitor their fitness and health. The health data that is becoming available due to these developments could provide a valuable source for continuous health monitoring, prevention of unexpected health events and clinical decision making since it gives insights into behavior and life habits. However, an integration of the data is challenging. This paper aims triggering the discussion about this current topic. We present a concept for integrating social media data with mobile sensor data and clinical data using digital patient modelling. Further, we collect requirements and challenges for a possible realization of the concept. Challenges include the data volume, reliability and semantic interoperability.
Public Use of Mobile Medical Applications: A Case Study on Cloud-Based Medical Service of Taiwan
Authors: Lu Chen-Luan  , Yan Yu-Hua
Published: February 2025

The use of smart mobile devices has been getting increasingly popular. The focus of this study is an attempt to explore the development of mobile medical App by medical centers and regional hospitals of Taiwan and the function of the App for comparison. The results show indicated that many hospitals developed Apps for the public for mobile medical service, of which 26 medical centers (100%) and 72 regional hospitals (84.7%) availed appointment making service via Apps. The result indicated variance at significant level (p < 0.01). There are 23 medical centers (88.5%) and 74 regional hospitals (87.1%) availed Apps for checking service progress. The result indicated insignificant variance level (p > 0.01). We can see that mobile medical service is gradually emerging as a vital issue. Yet, this is a new domain in medical service. With the mushrooming of medical applications in smart mobile devices, the medical service system is expected to be installed in these devices to enhance interactive mode of operation and inquiry services, such as medication and inquiries into physical examination results. By then, people can learn the status of their health with this system.
The New Issue of Social Media in Education and Health Behavior Change – Virtual Visit of Tele-Nursing
Authors: Chen Bi-Lian
Published: February 2025

Tele-Nursing is a kind of virtual visits, to our nursing professional developed as a new future, based on Who's policy that is to deal with nursing shortage in the worldwide. Then how to connect the clinical phenomena to synthesis concept is top urgent. The systemic review method and case manager interview to collect the clinical phenomena, the concepts analyzed by Norris Method to analyze the virtual visit. Finally the results of research finding were five categories which were available; security; science and technology derived consequences for nursing; to monitor quality of nursing care; support from social network. The Virtual Visit of Tele-Nursing's concept will be leading nursing knowledge to theory.
Continuity of Care: Sharing the Medication Treatment Plan
Authors: Spahni Stéphane
Published: February 2025

The shared medication treatment plan is a key element for supporting the continuity of care. Indeed a substantial amount of emergency hospitalization is linked to medication – 5% to 10% according to some studies. Methods and tools helping all healthcare providers to have a better knowledge of the complete medication plan are therefore required in order to limit side effects linked to an insufficient knowledge of what the patient is taking. The workshop intends to present various initiatives and open the discussion about the limits, pros and cons of various initiatives.
Nursing Informatics Education: Latino America & Caribe
Authors: Hullin Carol
Published: February 2025

The objective of this panel is to share the current status of Nursing Informatics education at the national (Chile) and regional level. All the panelists are involved in different educational programs by face to face, online and small workshops. The scope is to anyone who is interested in the education in nursing informatics in Spanish, since the entire panelists participate in the design & development of educational programs from certificate, diploma, bachelor, master and PhD curriculums.
Using a Text-Mining Approach to Evaluate the Quality of Nursing Records
Authors: Chang Hsiu-Mei  , Chiou Shwu-Fen  , Liu Hsiu-Yun  , Yu Hui-Chu
Published: February 2025

Nursing records in Taiwan have been computerized, but their quality has rarely been discussed. Therefore, this study employed a text-mining approach and a cross-sectional retrospective research design to evaluate the quality of electronic nursing records at a medical center in Northern Taiwan. SAS Text Miner software Version 13.2 was employed to analyze unstructured nursing event records. The results show that SAS Text Miner is suitable for developing a textmining model for validating nursing records. The sensitivity of SAS Text Miner was approximately 0.94, and the specificity and accuracy were 0.99. Thus, SAS Text Miner software is an effective tool for auditing unstructured electronic nursing records.
Leading the Development of Our New Nursing Information System with the TIGER-Based Taiwan Model
Authors: Shi Zhenxian  , Li Lin  , Kuo Ming-Chuan  , Chang Polun
Published: February 2025

Our nursing information system has been incomplete and not very reliable. The situation is not changed because our IT department is seriously understaffed and the HIS vendor is weak. We decided to take the responsibility to lead the development of our NIS using the Taiwan model to develop our TIGER-based new strategies.
The Automated Alert System for the Hospital Infection Control and the Safety of Medical Staff Based on EMR Data
Authors: Jo Eunmi
Published: February 2025

This report is about planning, developing, and implementing the automated alert system for the Hospital infection control and the safety of medical staffs about information on patients exposed to infection based on EMR Data in a tertiary hospital in Korea.
Development and Appraisal of Multiple Accounting Record System (Mars)
Authors: Yu H.C.  , Chen M.C.
Published: February 2025

The aim of the system is to achieve simplification of workflow, reduction of recording time, and increase the income for the study hospital.
Decision-Making to Support Smooth Daily Unit Operation in Perioperative Settings
Authors: Siirala Eriikka  , Peltonen Laura-Maria  , Lundgrén-Laine Heljä  , Salanterä Sanna  , Junttila Kristiina
Published: February 2025

Decision-making in daily unit operation in perioperative settings needs to be smooth. Decision support systems are mainly used as help in this situation. These systems reduce the possibility of risks caused by poor communication. But the decisions and dimensions of the decisions made by nurse manager are still unsolved. The aim of our study was to describe the timeframe of the decisions made by nurse managers in the daily unit operation in perioperative settings. The results indicated that nurse managers made operational and tactical decisions. These operational and tactical decisions happened coincide during the nurse managers shift. The nurse managers were repeatly interrupted in decision-making.