bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of a Web-based Observational Tool for Detecting Intravenous Medication Errors with Smart Infusion Pumps
Authors: Ohashi Kumiko  , Dykes Patricia  , McIntosh Kathleen  , Buckley Elizabeth  , Wien Matt  , Kreitzman Kevin  , Dumais Michael  , Bates David W.
Published: February 2025

Computerized smart infusion pumps have been widely implemented to decrease the rate of intravenous (IV) medication errors in hospitals. However, these devices have not always achieved their potential, and important IV errors still persist. Findings from a previous study [1] that assessed the frequency of IV medication errors and the impact of smart infusion pumps identified major issues related to use of smart infusion pumps in a single facility, but generalizability of these results is uncertain. Additionally, lack of standardized methodology for measuring these errors remains an issue. In this study, we developed an observational tool to capture IV medication errors through iterative participatory design with interdisciplinary experts and then tested the tool by using incident cases regarding smart pump errors. We found that the tool could capture all smart infusion pump errors and is ready for testing for use as standard data collection tool in different hospital settings.
Requirement Analysis for an Electronic Laboratory Notebook for Sustainable Data Management in Biomedical Research
Authors: Menzel Julia  , Weil Philipp  , Bittihn Philip  , Hornung Daniel  , Mathieu Nadine  , Demiroglu Sara Y.
Published: February 2025

Sustainable data management in biomedical research requires documentation of metadata for all experiments and results. Scientists usually document research data and metadata in laboratory paper notebooks. An electronic laboratory notebook (ELN) can keep metadata linked to research data resulting in a better understanding of the research results, meaning a scientific benefit [1]. Besides other challenges [2], the biggest hurdles for introducing an ELN seem to be usability, file formats, and data entry mechanisms [3] and that many ELNs are assigned to specific research fields such as biology, chemistry, or physics [4]. We aimed to identify requirements for the introduction of ELN software in a biomedical collaborative research center [5] consisting of different scientific fields and to find software fulfilling most of these requirements.
Behavioral Support to Parents through a Cellular-phone Website that provides the Degree of Urgency for Medical Attention of a Child
Authors: Iwasawa Mariko  , Miyahara Jyutaro  , Noriaki Terasawa  , Nozue Hiroki  , Sumazaki Ryo
Published: February 2025

When a child suddenly falls ill, the child's family assesses if medical attention is required immediately. However, even in case of minor illnesses, it is not possible to approach a medical institution after consultation hours, and the burden on doctors from overtime-emergency medical examinations becomes a social problem. This study proposes the use of a cellular-phone website that provides information about the degree of urgency for medical attention to parents, who can choose the child's symptoms on the cellular-phone website regardless of the time or place. Therefore, through this study, parents experimentally evaluated the cellular-phone website; also, the effectiveness of this method as a behavioral support for parents was also evaluated. When an advice about the degree of urgency for a child's treatment was taken from the cellular-phone website, the parents felt relieved. Thus, the distress faced by pediatricians may change completely.
Computational Study of the Interplay of Adhesion and Chemotaxis in the Cell Seeding of Tissue Engineering Scaffolds with Incorporated Chemoattractants
Authors: Robu Andreea  , Stoicu-Tivadar Lacramioara  , Neagu Adrian
Published: February 2025

Cell migration is important in embryogenesis, metastasis and wound healing. Often, morphogenesis involves chemotactic cell movement up or down chemical gradients. We have developed a computational model of a cell suspension in the vicinity of a porous scaffold that incorporates a chemoattractant substance. In order to study the interplay of adhesion and chemotaxis on cell seeding , we developed a computational model of the system and simulated its evolution using a Metropolis Monte Carlo algorithm. We varied the chemotactic strengths of the cells in order to identify the optimal conditions for a rapid and uniform seeding.
Separation of Metadata and Pixel Data to Speed DICOM Tag Morphing
Authors: Ismail Mahmoud  , Philbin James
Published: February 2025

The DICOM information model combines pixel data and metadata in single DICOM object. It is not possible to access the metadata separately from the pixel data. There are use cases where only metadata is accessed. The current DICOM object format increases the running time of those use cases. Tag morphing is one of those use cases. Tag morphing includes deletion, insertion or manipulation of one or more of the metadata attributes. It is typically used for order reconciliation on study acquisition or to localize the issuer of patient ID (IPID) and the patient ID attributes when data from one domain is transferred to a different domain. In this work, we propose using Multi-Series DICOM (MSD) objects, which separate metadata from pixel data and remove duplicate attributes, to reduce the time required for Tag Morphing. The time required to update a set of study attributes in each format is compared. The results show that the MSD format significantly reduces the time required for tag morphing.
Mining the Changes of Medical Behaviors for Clinical Pathways
Authors: Huang Zhengxing  , Gan Chenxi  , Lu Xudong  , Huan Huilong
Published: February 2025

In a fast-changing healthcare environment, understanding the changes of medical behaviors in clinical pathways can help hospital managers improve the pathways and make better medical strategies for patient careflow. In this study we propose an approach to detect medical behavior changes between two time periods, by providing a change pattern detection algorithm dividing the discovered change patterns into four categories (i.e., perished patterns, added patterns, unexpected changes, and emerging patterns). The proposed approach is evaluated via real-world data sets extracted from Zhejiang Huzhou Central Hospital of China with regard to the clinical pathway of bronchial lung cancer in 2007–2009 and 2011. The experiment results include three categories of change patterns from the collected data-sets, making a relatively comprehensive cover on the significant changes in clinical pathways, which might be essential from the perspectives of clinical pathway analysis and improvement.
Effects of Data Transformation Methods on Classification of Patients Diagnosed with Myocardial Infarction
Authors: Mehrabi Saeed  , Mohammadi Iman  , Kunjan Kislaya  , Kharrazi Hadi
Published: February 2025

Large datasets may contain redundant data. Variable selection methods that select most relevant variables in the data set, fail to consider the interaction between the variables. Data transformation methods are used to transfer the original data to a new dimension and capture the most significant information within the data set. The data set used in this study was based on 45 clinical variables collected from 697 patients diagnosed as either having myocardial infarction (MI) or not. Principal component analysis (PCA) and independent component analysis (ICA) were applied prior to classification of patients to MI or Non-MI groups using support vector machines (SVM).
The Development of a Multiplayer Game for Education of Hospital Management
Authors: Takemura Tadamasa  , Tanaka Toshiyuki  , Okamoto Kazuya  , Kume Naoto  , Kuroda Tomohiro  , Hirose Masahiro  , Yoshihara Hiroyuki
Published: February 2025

This paper designed and prototyped a networked hospital management serious game for education, and evaluated the prototype. A player, the president of each hospital, makes management decisions under various clinical indicators, and the decision affects condition of the other hospitals as well as of his/her own. The interaction makes the players compete, and, at the same time, exchange their findings each other.
Developing a Common Reference Model for the Health Informatics Discipline
Authors: Hovenga Evelyn  , Grain Heather
Published: February 2025

This study reports on an examination of the IT industry's Skills Framework for the Information Age (SFIA) to determine if such a process and/or the use of this tool is suitable to be applied to the health informatics discipline. During this process, four sets of known and agreed-upon Health Informatics skill and knowledge domain statements and competencies were mapped to SFIA. The results showed that all high level SFIA skills apply to the health informatics discipline but that these need to be contextualized to suit the health industry and additional health industry specific skills and knowledge domains need to be included to truly reflect the necessary health informatics skill set from which competency statements can be developed. Adoption of an accord similar to the Seoul Accord process could be very beneficial in promoting a global understanding of the health informatics discipline.
Redesigned Computerized Prescribing System to Reduce Physicians' Workload and Improve Patient Safety
Authors: Seto Ryoma  , Wakabayashi Susumu  , Hosaka Ryosuke
Published: February 2025

The aim of our study was to redesign and evaluate the Computerized Prescribing System (PRS) to reduce physicians' workload and improve patient safety. The study was conducted in 2 prefectures in Japan. 186 physicians were surveyed with regard to prescription by physicians and medical office assistants. As a result, it was found that physicians demanded support from medical office assistants with regard to entry of prescription orders but for limited types of medicines. Based on our findings, we developed recommendations for a redesigned outline for PRS for the following 4 scenarios: (1) Continue prescription; (2) narcotic medicines; (3) chemotherapeutic medicines; and (4) medicines used in medical procedures. The outline was evaluated for effectiveness and safety and was confirmed to be a useful future prescription system.
Delivering Antibiotic Resistance Information Specifically Tailored to Location and Time
Authors: Meng Philipp  , Fehre Karsten  , Blacky Alexander  , Rappelsberger Andrea  , de Bruin Jeroen S.  , Adlassnig Klaus-Peter
Published: February 2025

Antibiotic resistance poses a significant threat to humanity. Hundred years since the beginning of the era of antibacterial drugs, we are facing increasing numbers of infections with multi-resistant pathogens. The current approach of distributing information on antibiotic resistance in printed form in the clinics has disadvantages with respect to the actuality of the data and the regional heterogeneity of resistance patterns. We developed an application named qRe using representational state transfer as a communication standard to deliver antibiotic resistance percentage information to the end user. The data is selected specifically for his/her geographic location. The user can display the information using either the application for Android smart phones or the web application. With the presented software we show the technical feasibility of delivering antibiotic resistance information specifically tailored to location and time. A short evaluation of the software showed an overall positive response from physicians. Based on recommendations of previous investigations, we expect a measurable clinical impact.
Clinical Simulation and Workflow by Use of Two Clinical Information Systems, the Electronic Health Record and Digital Dictation
Authors: Koldby Sven  , Schou Jensen Iben
Published: February 2025

Clinical information systems do not always support clinician workflows. An increasing number of unintended clinical incidents might be related to implementation of clinical information systems and to a new registration praxis of unintended clinical incidents. Evidence of performing clinical simulations before implementation of new clinical information systems provides the basis for use of this method. The intention has been to evaluate patient safety issues, functionality, workflow, and usefulness of a new solution before implementation in the hospitals. Use of a solution which integrates digital dictation and the EHR (electronic health record) were simulated in realistic and controlled clinical environments. Useful information dealing with workflow and patient safety were obtained. The clinical simulation demonstrated that the EHR locks during use of the integration of digital dictation, thus making it impossible to use the EHR or connected applications during digital dictation. The results of the simulations showed that the tested and evaluated solution does not support the clinical workflow. Conducting the simulations enabled us to improve the solution before implementation, but further development is necessary before implementation of the solution.
Assisting the Translation of SNOMED CT into French
Authors: Merabti Tayeb  , Soualmia Lina F.  , Grosjean Julien  , Letord Catherine  , Darmoni Stéfan J.
Published: February 2025

The objective of this study is to evaluate to approaches assisting the translation of SNOMED CT into French. Two types of approaches were combined: a concept-based one, which relies on conceptual information of the UMLS Metathesaurus and a lexical-based one, which relieson NLP techniques. In addition to the French terminologies (whether included in UMLS or not). Using the concept-based approach, a set of 156,157 (39.4%) SNOMED CT terms were translated to at least one French term from UMLS. Expanded to the French terms from UMLS terminologies translated by CISMeF, 2,548 (+0.7%) additional SNOMED CT terms were translated to at least one French term. Using the lexical-based approach, a set of 145,737 (36.8%) SNOMED CT terms were translated to at least one French term from HeTOP. The qualitative evaluation showed that 44% of the translations were rated as “relevant”. Overall, the two approaches have provided the translation of 168,750 (42.6%) SNOMED CT terms into French using different bilingual terminological sources included in UMLS or in HeTOP.
Deterministic Record Linkage versus Similarity Functions: A Study in Health Databases from Brazil
Authors: Suzuki Kátia Mitiko Firmino  , Porto Filho Carlos Humberto  , Cozin Luís Fernando  , Pereyra Lucas Calabrez  , de Azevedo Marques Paulo Mazzoncini
Published: February 2025

The record linkage is a strategy that allows linking different databases of information from patient records. Adopting the deterministic method and similarity functions (Dice, Jaro, Jaro-Winkler and Levenshtein) for the integration of heterogeneous databases aimed at different levels of health care Brazilian (primary, secondary and tertiary). The sensitivity of deterministic method was 54.5% (95% CI: 50.4 to 58.5). The best result obtained with the dissent of only one variable (mother's name) was 80.6% (95% CI: 77.2 to 83.6) and the best result obtained using the similarity function Jaro-Winkler was 91.8% (95% CI: 89.4 to 93.9). The deterministic method has high specificity but sensitivity can be reduced by the existence of spellings and typing errors in the databases. Thus, the step-by-step approach where there was disagreement in at least one of the relationship variable can increase the sensitivity of the method and the use of similarity functions.
Semantic Interoperation and Electronic Health Records: Context Sensitive Mapping from SNOMED CT to ICD-10
Authors: Campbell James R.  , Brear Hazel  , Scichilone Rita  , White Susan  , Giannangelo Kathy  , Carlsen Brian  , Solbrig Harold  , Fung Kin Wah
Published: February 2025

An important case for successful deployment of a lifetime electronic health record is reuse of clinical data from the electronic health record (EHR) for epidemiology, reimbursement, and research. We report a collaboration between the IHTSDO and the WHO to develop knowledge-based tools supporting translation of data from SNOMED CT to the ICD-10 classification. These tools have been vetted by an international community and are available for system vendors to enhance the interoperability of their products. The maps we created are also informing the development of the next generation of classifications which will employ a common ontology base between SNOMED CT and ICD-11 to promote interoperability.
Personalized Health Care and Health Information Technology Policy: An Exploratory Analysis
Authors: Wald Jonathan S.  , Shapiro Michael
Published: February 2025

Personalized healthcare (PHC) is envisioned to enhance clinical practice decision-making using new genome-driven knowledge that tailors diagnosis, treatment, and prevention to the individual patient. In 2012, we conducted a focused environmental scan and informal interviews with fifteen experts to anticipate how PHC might impact health Information Technology (IT) policy in the United States. Findings indicatedthat PHC has a variable impact on current clinical practice, creates complex questions for providers, patients, and policy-makers, and will require a robust health IT infrastructure with advanced data architecture, clinical decision support, provider workflow tools, and re-use of clinical data for research. A number of health IT challenge areas were identified, along with five policy areas including: interoperable clinical decision support, standards for patient values and preferences, patient engagement, data transparency, and robust privacy and security.
Development of a Public Health Reporting Data Warehouse: Lessons Learned
Authors: Rizi Seyed Ali Mussavi  , Roudsari Abdul
Published: February 2025

Data warehouse projects are perceived to be risky and prone to failure due to many organizational and technical challenges. However, often iterative and lengthy processes of implementation of data warehouses at an enterprise level provide an opportunity for formative evaluation of these solutions. This paper describes lessons learned from successful development and implementation of the first phase of an enterprise data warehouse to support public health surveillance at British Columbia Centre for Disease Control. Iterative and prototyping approach to development, overcoming technical challenges of extraction and integration of data from large scale clinical and ancillary systems, a novel approach to record linkage, flexible and reusable modeling of clinical data, and securing senior management support at the right time were the main factors that contributed to the success of the data warehousing project.
Evaluation of Sensors for Inputting Data in Exergames for the Elderly
Authors: Hors-Fraile Santiago  , Browne James  , Brox Ellen  , Evertsen Gunn
Published: February 2025

We aim to solve which off-the-shelf motion sensor device is the most suitable for extensive usage in PC open-source exergames for the elderly. To solve this problem, we studied the specifications of the market-available sensors to reduce the initial, broad set of sensors to only two candidates: the Nintendo Wii controllers and the Microsoft© Kinect™ camera. The capabilities of these two are tested with a demo implementation. We take into account both the accuracy in the movement-detection of the sensors, and the software-related issues. Our outcome indicates that the Microsoft© Kinect™ camera is the option that currently provides the best solution for our purpose. This study can be helpful for researchers to choose the device that suits their project needs better, removing the sensor-choosing task time from their schedule.
Possibilities and Acceptance of Mobile Information Technologies for the Elderly – First Results of an Empirical Study
Authors: Szarvas Ildikó  , Nitsch Manuela  , Lambacher Oliver  , Howe Jürgen  , Reichwaldt Nina  , von Bargen Tobias  , Haux Reinhold
Published: February 2025

This paper summarizes the results of a questionnaire-study conducted for the project “Safe and mobile through accompanying assistance systems” (SIMBA) founded by the German Federal Ministry of Education and Research. The study analyzes the mobility requirements and obstacles of the 55 yearold and older seniors in three age-groups (N=210) to develop suitable health-enabling technologies. It focuses on the mobility of the elderly on foot, by public transport, by bicycle and by taxi. The usage and the acceptance of existing mobile devices are determined, to select a suitable terminal for assistance systems.
Anonymizing Patient Genomic Data for Public Sharing Association Studies
Authors: Fernandez-Lozano Carlos  , Lopez-Campos Guillermo  , Seoane Jose A.  , Lopez-Alonso Victoria  , Dorado Julian  , Martín-Sanchez Fernando  , Pazos Alejandro
Published: February 2025

The development of personalized medicine is tightly linked with the correct exploitation of molecular data, especially those associated with the genome sequence along with these use of genomic data there is an increasing demand to share these data for research purposes. Transition of clinical data to research is based in the anonymization of these data so the patient cannot be identified, the use of genomic data poses a great challenge because its nature of identifying data. In this work we have analyzed current methods for genome anonymization and propose a one way encryption method that may enable the process of genomic data sharing accessing only to certain regions of genomes for research purposes.
Improving Physician Practice Efficiency by Learning Lab Test Ordering Pattern
Authors: Cai Peng  , Cao Feng  , Ni Yuan  , Shen Weijia  , Zheng Tao
Published: February 2025

The system of electronic medical records (EMR) has been widely used in physician practice. In China, physicians have the time pressure to provide care to many patients in a short period. Improving practice efficiency is a promising direction to mitigate this predicament. During the encounter, ordering lab test is one of the most frequent actions in EMR system. In this paper, our motivation is to save physician's time by providing lab test ordering list to facilitate physician practice. To this end, we developed weight based multi-label classification framework to learn to order lab test for the current encounter according to the historical EMR. Particularly, we propose to learn the physician-specific lab test ordering pattern as different physicians may have different practice behavior on the same population. Experimental results on the real data set demonstrate that physician-specific models can outperform the baseline.
Health Information Systems
Authors: Hovenga Evelyn J.S.  , Grain Heather
Published: February 2025

Health information provides the foundation for all decision making in healthcare whether clinical at the bed side, or at a national government level. This information is generally collected as part of systems which support administrative or clinical workflow and practice. This chapter describes the many and varied features of systems such as electronic health records (EHRs), how they fit with health information systems and how they collectively manage information flow. Systems engineering methods and tools are described together with their use to suit the health industry. This focuses on the need for suitable system architectures and semantic interoperability. These concepts and their relevance to the health industry are explained. The relationship and requirements for appropriate data governance in these systems is also considered.
Information security governance: A risk assessment approach to health information systems protection
Authors: Williams Patricia A.H.
Published: February 2025

It is no small task to manage the protection of healthcare data and healthcare information systems. In an environment that is demanding adaptation to change for all information collection, storage and retrieval systems, including those for of e-health and information systems, it is imperative that good information security governance is in place. This includes understanding and meeting legislative and regulatory requirements. This chapter provides three models to educate and guide organisations in this complex area, and to simplify the process of information security governance and ensure appropriate and effective measures are put in place. The approach is risk based, adapted and contextualized for healthcare. In addition, specific considerations of the impact of cloud services, secondary use of data, big data and mobile health are discussed.
Quality and Safety of Detailed Clinical Models
Authors: Ritz Derek
Published: February 2025

This chapter describes quality and safety risks related to the development and use of Detailed Clinical Models (DCM) and mechanisms which may be employed to mitigate such risks. The chapter begins with a brief discussion of DCMs and the role they can play in mitigating patient safety risk. There is then a brief description of the risks which DCMs themselves may introduce, followed by the introduction of a standards-based risk assessment method and the ways this assessment method may be applied to DCMs in particular. A general description is then made of the ISO 9000-based approach to quality management systems (QMS) and, specifically, how such an approach may be applied to DCM development, maintenance, deployment and use. The chapter concludes with a discussion of specific DCM quality and safety challenges and governance approaches which may be employed to help address these.
Using Clinical and Computer Simulations to Reason About the Impact of Context on System Safety and Technology-Induced Error
Authors: Kushniruk Andre W.  , Borycki Elizabeth M.  , Anderson James  , Anderson Marilyn  , Nicoll James  , Kannry Joseph
Published: February 2025

This paper describes how simulations can be used to reason about the impact of user interface design features in exploring the effect of different contexts of use on the occurrence of technology-induced errors. The paper describes our approach in several phases, using an example from the analysis of technology-induced errors in medication administration. In the initial phase a clinical simulation is conducted to gather baseline data on the occurrence of technology-induced error using the technology under study. In this phase of the study, data arising from the clinical simulation are collected and then analyzed using qualitative and quantitative approaches to assess the relationship between aspects of interface design (i.e. usability problems) and rates of technology-induced error. In the next phase, the base rates for error associated with specific types of usability problems (from the initial phase) form the input into computer-based mathematical simulations. This approach links clinical simulations with computer-based simulations and demonstrates the potential impact of aspects of interface design and contextual factors upon medical error along with the implications for correcting interface design issues.
Collecting data in real time with postcards
Authors: Yee Kwang Chien  , Kanstrup Anne Marie  , Bertelsen Pernille  , Nøhr Christian
Published: February 2025

The success of information technology (IT) in transforming healthcare is often limited by the lack of clear understanding of the context at which the technology is used. Various methods have been proposed to understand healthcare context better in designing and implementing Health Information Systems. These methods often involve cross-sectional, retrospective data collection. This paper describes the postcard method for prospective real-time data collection, both in paper format and electronic format. This paper then describes the results obtained using postcard techniques in Denmark and Australia. The benefits of this technique are illustrated. There are limitations in using postcard techniques and this paper provides a detail discussion about these limitations. Postcard techniques provide unique advantages in understanding real time healthcare context and it is an important technique to consider in IT design and implementation in healthcare.
Urban Morphology and Perceptual Analysis: The Towns of Ponte Nova and Ubá
Authors: Lustoza Regina Esteves
Published: February 2025

Urban morphology can contribute to the demystification of interpretations of social conditions experienced in urban areas of the cities. With this objective, the present study is based on an analysis of the urban morphology from the images and plans of the urban layout of two cities in Zona da Mata in the state of Minas Gerais, Brazil – Ponte Nova and Ubá.
Monte Carlo Based Simulation for Evaluating Optode Fiber Placement in Prefrontal Cortex Imaging of Motor Skills During Surgical Training
Authors: Nemani Arun  , Intes Xavier  , De Suvranu
Published: February 2025

This study investigates the sensitivity of fiber placement positioning for the purpose of prefrontal cortex imaging using functional near-infrared spectroscopy (fNIRS). Results indicate that our proposed optode placement has higher scaled-absorption sensitivity than the traditional International 10–20 system for optode placement based on Monte Carlo simulations.
Kinematic Measures for Evaluating Surgical Skills in Natural Orifice Translumenal Endoscopic Surgery (NOTES)
Authors: Roche Christopher A.  , Sankaranarayanan Ganesh  , Dargar Saurabh  , Matthes Kai  , De Suvranu
Published: February 2025

Natural Orifice Translumenal Endoscopic Surgery is an emerging procedure that requires training and adoption to be successful. Currently no objective performance metrics exist for evaluating skills for NOTES. In this work, we have improved upon our previous study on objective performance metrics using kinematic measures by introducing two new measures, the flex and the roll and recruiting more subjects to increase the statistical power. The measures were evaluated in a transgastric NOTES appendectomy procedure performed with ex-vivo organs using the EASIE-RTMtrainer box. Four motion tracking sensors attached to an endoscope were used to measure the scope position and orientation to compute the kinematic measures. Results from our study showed that completion time, economy of motion, jerk and roll of the scope are valid kinematic measures to differentiate between expert and novice NOTES surgeons.
Developing Clinically Relevant Aspects of the Nuss Procedure Surgical Simulator
Authors: Chemlal Salim  , Rechowicz Krzysztof J.  , Obeid Mohammad F.  , Kelly Robert E.  , Mckenzie Frederic D.
Published: February 2025

Surgical simulators can avail minimizing the risk of surgery and help achieving a better outcome. This is also the case for the Nuss procedure, a minimally invasive surgery for correcting pectus excavatum (PE) – a congenital chest wall deformity. A simulator can be of great benefit if it provides realistic behavior and representation of the actual surgery. In this paper, we address various clinical aspects of the procedure for a training simulation, reproducing a virtual model of the patient's thoracic cavity and internal organs with realistic textures, as well as physical behaviors. In addition, a high fidelity haptic force feedback system is constructed to provide the surgeon with a close-to-real sensation while interacting with the virtual model.
Overall Wrist Biomechanics Are Conserved by Phenol-Based Embalming
Authors: Dickinson Andrew W.L.  , Casier Craig B.  , Sellens Richard W.  , Pichora David R.  , Ellis Randy E.
Published: February 2025

Although cadaveric specimens that have been fresh-frozen then thawed are considered the gold standard for biomechanics research, because they most closely represent in vivo tissues, potential problems include a relatively short useful time-span and risk of infection. A recently reported new method of phenol-based “soft” embalming has been found to preserve tissues in a fresh-like state over an extended period of time and simultaneously reduced infection risks. This study presents radio-ulnar deviation end-range data from 4 soft-embalmed and refrigerated human cadaveric forearm specimens over 12 months. All end-range comparisons were found to be statistically equivalent to within a clinically acceptable range of ±5 degrees of radio-ulnar deviation with a 95% con. dence measure of p < 0.01 in every case. These soft-embalmed specimens provide promising results for further use in biomechanical studies.
Integrated Medication Management in mHealth Applications
Authors: Ebner Hubert  , Modre-Osprian Robert  , Kastner Peter  , Schreier Günter
Published: February 2025

Continuous medication monitoring is essential for successful management of heart failure patients. Experiences with the recently established heart failure network HerzMobil Tirol show that medication monitoring limited to heart failure specific drugs could be insufficient, in particular for general practitioners. Additionally, some patients are confused about monitoring only part of their prescribed drugs. Sometimes medication will be changed without informing the responsible physician. As part of the upcoming Austrian electronic health record system ELGA, the eMedication system will collect prescription and dispensing data of drugs and these data will be accessible to authorized healthcare professionals on an inter-institutional level. Therefore, we propose two concepts on integrated medication management in mHealth applications that integrate ELGA eMedication and closed-loop mHealth-based telemonitoring. As a next step, we will implement these concepts and analyze – in a feasibility study – usability and practicability as well as legal aspects with respect to automatic data transfer from the ELGA eMedication service.
A Reference Architecture for Semantic Interoperability and Its Practical Application
Authors: Zunner Christian  , Ganslandt Thomas  , Prokosch Hans-Ulrich  , Bürkle Thomas
Published: February 2025

Objective: Reusing EPR data for secondary purposes often requires mapping to classifications and vocabularies such as ICD, LOINC or NCI thesaurus. We aimed for a common architecture which supports the use of different vocabularies and mapping tools.
Applying Operational Research and Data Mining to Performance Based Medical Personnel Motivation System
Authors: Niaksu Olegas  , Zaptorius Jonas
Published: February 2025

This paper presents the methodology suitable for creation of a performance related remuneration system in healthcare sector, which would meet requirements for efficiency and sustainable quality of healthcare services. Methodology for performance indicators selection, ranking and a posteriori evaluation has been proposed and discussed. Priority Distribution Method is applied for unbiased performance criteria weighting. Data mining methods are proposed to monitor and evaluate the results of motivation system.We developed a method for healthcare specific criteria selection consisting of 8 steps; proposed and demonstrated application of Priority Distribution Method for the selected criteria weighting. Moreover, a set of data mining methods for evaluation of the motivational system outcomes was proposed. The described methodology for calculating performance related payment needs practical approbation. We plan to develop semi-automated tools for institutional and personal performance indicators monitoring. The final step would be approbation of the methodology in a healthcare facility.
Development of a VR Application for Binge Eating Treatment: Identification of Contexts and Cues Related to Bingeing Behavior in Spanish Italian Patients
Authors: Ferrer-Garcia Marta  , Gutiérrez-Maldonado José  , Pla Joana  , Riva Giuseppe  , Andreu-Gracia Alexis  , Dakanalis Antonios  , Fernandez-Aranda Fernando  , Forcano Laura  , Ribas-Sabaté Joan  , Riesco Nadine  , Rus-Calafel Mar  , Sánchez Isabel  , Sanchez-Planell Luís
Published: February 2025

The objective of this study was to identify frequent situations and specific cues that produce the craving to binge in Spanish and Italian samples of patients with eating disorders (ED). There were two main aims: to assess transcultural differences in the contexts and cues that elicit food craving; and to develop valid, reliable VR environments for effective cue-exposure therapy (CET) for patients from both countries. Twenty-six Spanish and 75 Italian ED patients completed an ad hoc questionnaire to assess contexts and cues that trigger the craving to binge. No differences between groups were found. All patients reported experiencing higher levels of craving in the afternoon/early evening and in the late evening/night, between meals, when alone, and more frequently at the end of the week. Being in the dining room, the kitchen, the bedroom, the bakery and the supermarket were the specific situations that produced the highest levels of craving to binge. We used the questionnaire results to develop a virtual reality application for CET.
Parental Mediation and Cyberbullying – A Longitudinal Study
Authors: Chng Grace S.  , Liau Albert  , Khoo Angeline  , Li Dongdong
Published: February 2025

Parents use active and restrictive mediation strategies to guide and regulate children's online participation and the online risks they encounter. However, changes in parental mediation do occur over time and the effectiveness of these strategies on cyberbullying demands for further empirical investigation. The current study addresses these issues with a sample of 1084 students (49% girls) in a longitudinal, three-wave design. Gender differences were tested via multi-group analyses. Longitudinal growth models showed that parental use of both active and restrictive mediation decreased over time. For both types of mediation, the mean rate of change had a significant effect on boys' engagement in cyberbullying, but not for girls. Initial levels of restrictive mediation, but not active mediation, were found to be significantly predictive of cyberbullying in both genders. Girls had higher initial levels of both parental mediation types in comparison to boys. The results reveal that the effectiveness of active and restrictive mediation in relation to students' cyberbullying differs and informs us on gender differences. The implications of these results for parental education in online mediation are discussed.
Elderly People's Interaction with Advanced Technology
Authors: Blažun Helena  , Vošner Janez  , Kokol Peter  , Saranto Kaija  , Rissanen Sari
Published: February 2025

Aging of population is an inevitable process by which the number of elderly people is increasing. Rapid development of information and communication technology (ICT) is changing basic needs of elderly people; therefore society should ensure opportunities for elderly to learn and use ICT in a way to manage their daily life activities and in this way enable them participation in the information and knowledge society. The purpose of the study was to find out whether elderly are acquainted with the advanced technology and to what extent they use it or they desire to use it. Within the single point study we interviewed 100 randomly selected elderly people from different geographical regions in Slovenia. Results showed the differences in the use of advanced technology by Slovenian regions; therefore in the future activities should be focused on organizing promotional and demonstrational activities including ICT courses to increase elderly's motivation for ICT interaction.
Leadership Strategies for Improved Nursing Synergy between Informatics and Telehealth
Authors: Bartz Claudia C.
Published: February 2025

The goal of best practice, best possible health care worldwide is shared by nurses and all involved with eHealth today. The purpose of this paper is to characterize the similarities and differences between informatics and telehealth from a nursing perspective, and to advocate for leadership strategies that would bring the strengths of each group to a more synergistic, collaborative professional model for the benefit of both groups. After comparing telehealth and informatics nursing and looking for commonalities, suggestions are made for bridging the gap between the two groups. Potential strategies include identifying leaders, using conflict avoidance techniques, and pursuing coaching and mentoring opportunities across the gap to enhance the professional standing and contributions of both groups. An added consideration would be to have joint conferences wherein the strengths, challenges and knowledge repositories of informatics and telehealth could be mutually appreciated.
Technology Combined with a Counseling Protocol to Stimulate Physical Activity of Chronically Ill Patients in Primary Care
Authors: Verwey R.  , van der Weegen S.  , Spreeuwenberg M.  , Tange H.  , van der Weijden T.  , de Witte L.
Published: February 2025

An iterative user-centered design method was used to develop and test mobile technology (the It's LiFe! tool/monitor) embedded in primary care, followed by a three months feasibility study with 20 patients and three nurses. The tool consists of an accelerometer that transfers data to an app on a Smartphone, which is subsequently connected to a server. Physical activity levels are measured in minutes per day compared to pre-set activity goals, which are set by patients in dialogue with nurses. Nurses can monitor patients' physical activity via a secured website. The counseling protocol is based on the Five A's model and consists of a limited number of behavior change consultations intertwined with interaction with and responses from the tool. The technology supports nurses when performing physical activity counseling. Provided that no connectivity problems occur, the It's LiFe! intervention is feasible, and its longitudinal effects will be tested in a cluster RCT.
Development of A Prediction Model for Early Diagnosis of Not Passing the National Council of Licensure Examination for Registered Associate Degree Nurses
Authors: Chen Hsiu-Chin  , Heiny Erik L.  , Lin Chia-Hsuan
Published: February 2025

Passing the national licensure examination for registered nurses (NCLEX-RN) in the US is a critical outcome of the nursing program. Research has been conducted to identify which nursing students are at risk for not passing the NCLEX-RN test. The purpose of this study was to investigate whether any of several student covariates can be used to accurately identify associate in science in nursing (ASN) students that are at-risk for failing the NCLEX-RN test. Covariates included in the study were demographics, students' pre-admission grade point average (GPA), the scores of test of essential skills (TEAS), and the assessment technologies institute® (ATI)'s comprehensive scores for a pre-RN examination test. Chi-squared automatic interaction detection, or CHAID analysis, was used to develop the model. One covariate, ATI comprehensive test scores, was found to accurately identify all at-risk ASN students. The model explained that students identified as “at-risk” had a failure rate nearly two-and-a-half times as high as the general population.
Challenges Associated with the Secondary Use of Nursing Data
Authors: Hardiker Nicholas R.  , Sermeus Walter  , Jansen Kay
Published: February 2025

There is a prevailing ‘collect once, use many times’ view of clinical data and its secondary use. This study challenges this view through an assessment of the degree to which the International Classification for Nursing Practice (ICNP) might be used to provide raw data for the Belgian Nursing Minimum Data Set (B-NMDS). A mapping exercise identified exact matches between ICNP and B-NMDS for just 8% of B-NMDS care descriptions; no matches at all for 23%; possible broader matches in ICNP for 55%; possible narrower matches for 8%; and a possible broader and narrower match for 1%. Refining ICNP content and developing and implementing purposive data sets or catalogues that accommodate both ICNP concepts and B-NMDS care descriptions would lay the foundations for the potential re-use of primary ICNP-encoded data in populating the B-NMDS. One unexpected result of the study was to re-affirm the utility of ICNP as a reference terminology.
Reducing Errors through a Web-Based Self-Management Support System
Authors: Ekstedt Mirjam  , Børøsund Elin  , Svenningsen Ina K.  , Ruland Cornelia M.
Published: February 2025

Web-based self-management support systems SMSS, can successfully assist a wide range of patients with information and self-management support. O or as a stand-alone service, are e-messages. This study describes how one component of a multi component SMSS, an e-message service, in which patients with breast cancer could direct questions to nurses, physicians or social workers at the hospital where they were being treated, had an influence on safety and continuity of care. Ninety-one dialogues consisting of 284 messages were analysed. The communications between patients and the healthcare team revealed that the e-messages service served as a means for quality assurance of information, for double-checking and for coordination of care. We give examples of how an e-mail service may improve patients' knowledge in a process of taking control over their own care – increasingly important in a time of growing complexity and specialization in healthcare. It remains to be tested whether an e-message service can improve continuity of care and prevent or mitigate medical mishaps.
Nursing Informatics Competencies: Bibliometric Analysis
Authors: Kokol Peter  , Blažun Helena  , Vošner Janez  , Saranto Kaija
Published: February 2025

Information and communication technology is developing rapidly and it is incorporated in many health care processes, but in spite of that fact we can still notice that nursing informatics competencies had received limited attention in basic nursing education curricula in Europe and especially in Eastern European countries. The purpose of the present paper is to present the results of a bibliometric analysis of the nursing informatics competencies scientific literature production. We applied the bibliometrics analysis to the corpus of 332 papers found in SCOPUS, related to nursing informatics competencies. The results showed that there is a positive trend in the number of published papers per year, indicating the increased research interest in nursing informatics competencies. Despite the fact that the first paper was published in Denmark, the most prolific country regarding the research in nursing informatics competencies is United States as are their institutions and authors.
Promotion of Meaningful Use of a Personal Health Record in Second Life
Authors: Knapfel Sarah  , Plattner Broc  , Santo Taylor  , Tyndall Sarah
Published: February 2025

Patients today are demanding greater access to and control of their health information. Personal Health Records (PHRs) are paving the way for patients to update, maintain and share their comprehensive medical information. The opportunity to develop and maintain a PHR is equally as important for those individuals in the disabled community who face many unique challenges to access health information. The project, conducted as part of our graduate course, explored the use of Second Life to educate the disabled community on Virtual Ability Island (VAI) about the importance of PHRs. The project examined the tools needed to offer such a presentation for the disabled community and identified legal, ethical, social, or public challenges for PHR use. The project outcomes indicated a desire for knowledge and genuine concerns by the attendees regarding PHRs. The authors note that more research is needed to make this technology available to all.