bluuebunny/crossref_metadata_2025 huggingface dataset:
An EMR based cancer diary – Utilisation and initial usability evaluation of a new cancer data visualization tool
Authors: Ries Markus  , Golcher Henriette  , Prokosch Hans-Ulrich  , Beckmann Matthias W.  , Bürkle Thomas
Published: February 2025

We present an EMR based approach to visualize all cancer relevant data in a so-called cancer diary at a single glance. System log and results of a user survey demonstrate increasing use and good usability of the cancer diary compared to traditional searches for relevant information in the entire patient EMR. We conclude that a cancer diary, aggregating data of diagnostic staging, tumor conference decisions and therapeutic actions may be a valuable EMR extension for hospitals focusing on cancer care e.g. within comprehensive cancer centers.
Fragmentation of diabetes treatment in Austria – an indicator for the need for shared electronic health record systems
Authors: Duftschmid Georg  , Dorda Wolfgang  , Endel Gottfried  , Fröschl Karl  , Gall Walter  , Grossmann Wilfried  , Hronsky Milan
Published: February 2025

Shared electronic health record (EHR) systems aim to support continuity of care within the joint treatment of a patient by a community of cooperating care providers. By analyzing the fragmentation of care of Austrian diabetes patients, we aim to find evidence whether there is actually a need for shared EHR systems in this context. Our results show that almost three quarters of the observed diabetes patients visit two or more different care providers during their diabetes-related visits. Overall, our findings strongly support the demand for shared EHR systems for the treatment of diabetes patients.
Information-Based Sequential Selection of Clinical Tests in Risk Assessment
Authors: Parush Naama  , El-Hay Tal  , Ozery-Flato Michal  , Ryliskyte Ligita  , Visockiene Zydrune  , Laucevicius Aleksandras
Published: February 2025

We present a new framework for supporting decisions in sequential clinical risk assessment examinations. In this framework, the decision whether to perform a test depends on its expected contribution to risk assessment, given results of previous tests, and the contribution is quantified using information theory. In many cases adding an additional examination clearly improves the predictive model. However, there are cases in which the improvement is not constant for all values of previous tests, and quantification of possible improvement can support decision on further examinations. Using this approach can prevent many expensive, unpleasant or risky examinations. We demonstrate the use of this method on an example of type 2 diabetes onset study. The results show that reducing a considerable percent of the blood tests does not decrease the model's prediction power.
Exploring the Community Structure of a Diabetes Forum
Authors: Dias André  , Chomutare Taridzo  , Botsis Taxiarchis
Published: February 2025

A health forum is a kind of social network where users share information for specific topics they create. The purpose of this study was the identification of the key actors and the user communities in such a network. We used the publicly available data from a diabetes forum to create the corresponding network and explore several algorithms for the detection of user communities. The degree centrality of the network followed the power law distribution demonstrating that only a few users were the key actors in the forum. It was also shown that it is feasible to infer the top communities from a forum using certain algorithms; the key actors participated in these communities. Our approach could be applied to other health forums and be extended to examine additional aspects.
Optimal Scheduling of Fuel-Minimal Approach Trajectories
Authors: Fisch Florian  , Bittner Matthias  , Holzapfel Florian
Published: February 2025

In the paper at hand, the simultaneous computation of fuel-minimal approach trajectories for multiple aircraft present in the vicinity of an airport at a certain point of time is treated. At this, the trajectory optimization task includes the determination of the optimal aircraft queuing sequence on the ILS glide path, minimizing the total fuel consumption of all aircraft involved. The trajectory optimization is based on aircraft point-mass simulation models with parameters taken from the BADA database of EUROCONTROL. Specifically tailored path constraints are introduced that define the permitted airspace and that enforce the aircraft to follow the ILS glide path once they have passed the final approach fix. Furthermore, path constraints are implemented that guarantee certain separation distances between the involved aircraft throughout the approach flights. An algorithmic procedure is set up which is supposed to produce a good initial guess for the multi-aircraft trajectory optimization task. The proposed framework is applied to a generic scenario where the fuel-efficient approach scheduling for four civil passenger aircraft has to be determined.
A Motor Imagery Based Brain-Computer Interface for Stroke Rehabilitation
Authors: Ortner R.  , Irimia D.-C.  , Scharinger J.  , Guger C.
Published: February 2025

Brain-Computer Interfaces (BCIs) have been used to assist people with impairments since many years. In most of these applications the BCI is intended to substitute functions the user is no longer able to perform without help. For example BCIs could be used for communication and for control of devices like robotic arms, wheelchairs or also orthoses and prostheses. Another approach is not to replace the motor function itself by controlling a BCI, but to utilize a BCI for rehabilitation that enables the user to restore normal or “more normal” motor function. Motor imagery (MI) itself is a common strategy for motor rehabilitation in stroke patients. The idea of this paper is it to assist the MI by presenting online feedback about the imagination to the user. A BCI is presented that classifies MI of the left hand versus the right hand. Feedback is given to the user with two different strategies. One time by an abstract bar feedback, and the second time by a 3-D virtual reality environment: The left and right hand of an avatar in the 1st person's perspective in presented to him/her. If a motor imagery is detected, the according hand of the avatar moves. Preliminary tests were done on three healthy subjects. Offline analysis was then performed to (1) demonstrate the feasibility of the new, immersive, 3-D feedback strategy, (2) to compare it with the quite common bar feedback strategy and (3) to optimize the classification algorithm that detects the MI.
What is Positive Technology and its impact on CyberPsychology
Authors: Riva Giuseppe
Published: February 2025

The goal of this paper is to introduce and describe the “Positive Technology” approach – the scientific and applied approach to the use of technology for improving the quality of our personal experience through its structuring, augmentation and/or replacement – as a way of framing a suitable object of study in the field of cyberpsychology and human-computer interaction. Specifically, we suggest that it is possible to use technology to influence three specific features of our experience – affective quality, engagement/actualization and connectedness – that serve to promote adaptive behaviors and positive functioning. In this framework, positive technologies are classified according to their effects on a specific feature of personal experience. More, for each level we have identified critical variables that can be manipulated to guide the design and development of positive technologies.
An SMS-based HIV/AIDS Education and Awareness Model for Rural Areas in Papua New Guinea
Authors: Suwamaru Joseph Kim
Published: February 2025

Access to basic healthcare in many parts of Papua New Guinea (PNG) remains a challenge partly because the majority of the population is thinly scattered across a geographically rugged country. The major health problems in PNG pertain to malaria, tuberculosis and diarrheal diseases while HIV has reached epidemic levels. The proliferation of the mobile phone technology in PNG has been unprecedented since the introduction of competition in the sector in July 2007. Users in rural areas now access the mobile phone signal making it their preferred form of modern communications medium. This paper introduces an SMS-based HIV/AIDS education, awareness and information dissemination model for a predominantly rural-based PNG society.
Randomised Controlled Trial of an In-Home Monitoring Intervention to Improve Health Outcomes for Type 2 Diabetes: Study Protocol
Authors: Carlisle Karen  , Warren Robin  , Scuffham Paul  , Cheffins Tracy
Published: February 2025

Type 2 diabetes is a leading cause of death and morbidity and is a health priority in Australia. This randomised controlled trial will explore whether remote access to clinical care, supported by telehealth technologies over high speed broadband, leads to improved diabetes control in a way that benefits patients, carers and clinicians and improves the overall health system. People in the intervention arm of the trial will receive additional diabetes care from a care coordinator nurse via an in-home broadband communication device that can capture clinical measures, provide regular health assessments and videoconference with other health professionals when required. Patients in the control arm of the trial will receive usual care from their GP and participate in the clinical measurement and quality of life components of the evaluation. The trial evaluation will include biomedical, psychological, self-management and quality of life measures. Data on utilisation rates and satisfaction with the technology will be collected and cost -effectiveness analyses undertaken. The role of this technology in health care reform will be explored.
The role of geotechnics for the protection of the environment: General report
Authors: Viggiani Giulia M.B.
Published: February 2025

This General Report is an overview of the papers which were submitted to Main Session 6: “Role of Geotechnics for the Protection of the Environment” of the XV European Conference of Soil Mechanics and Geotechnical Engineering, held from 12–15 September 2011 in Athens, Greece. The session comprised two parallel discussion sessions, devoted to “Geo-environmental Issues” (Session 6.1), and “Monuments and Historic Sites” (Session 6.2). In the following, the received papers are discussed in the framework of five very general themes, namely: (1) energy, (2) waste disposal and stabilised soil, (3) re-use of industrial by-products in geotechnical structures, (4) impact of human activities on the environment, and (5) monuments and historic sites. There are obvious areas of overlap between these themes and, where possible, this has been underlined. For each of the themes, the main issues, problems, tools, and methods are described and potential contributions of geotechnical engineering identified.
Assessing sample quality prior to laboratory testing
Authors: Hight D.W.
Published: February 2025

This contribution describes an approach that has been taken to asssess the quality of samples of the London Clay before laboratory testing. The approach involves the sinking of three co-linear boreholes, each with a specific sampling philosophy and method, and in which in situ shear wave velocities are measured using downhole and crosshole techniques. On sub-samples from rotary cores taken from one of the boreholes, measurements are made of Vvh, Vhv, Vhh using bender elements and of suction using the Imperial College suction probe. By comparing at equivalent stress levels the shear wave velocity measurements made on the sub-samples with those made in situ, the quality of the rotary cores can be assessed and the appropriate samples selected for advanced laboratory testing.
A Complex Adaptive Systems Perspective of Health Information Technology Implementation
Authors: Keshavjee Karim  , Kuziemsky Craig  , Vassanji Karim  , Ghany Ahmad
Published: February 2025

Implementing health information technology (HIT) is a challenge because of the complexity and multiple interactions that define HIT implementation. Much of the research on HIT implementation is descriptive in nature and has focused on distinct processes such as order entry or decision support. These studies fail to take into account the underlying complexity of the processes, people and settings that are typical of HIT implementations. Complex adaptive systems (CAS) is a promising field that could elucidate the complexity and non-linear interacting issues that are typical in HIT implementation. Initially we sought new models that would enable us to better understand the complex nature of HIT implementation, to proactively identify problem issues that could be a precursor to unintended consequences and to develop new models and new approaches to successful HIT implementations. Our investigation demonstrates that CAS does not provide prediction, but forces us to rethink our HIT implementation paradigms and question what we think we know. CAS provides new ways to conceptualize HIT implementation and suggests new approaches to increasing HIT implementation successes.
Clinician-Led Development of Electronic Health Records Systems
Authors: Chelsom John  , Ahluwalia Raju  , Dogar Naveed
Published: February 2025

The open source cityEHR system was evaluated as a toolkit for clinician-led development of an Electronic Health Record for management of patients in the Ponseti clinic of a major London hospital. As a toolkit, it was found that the ontology-driven approach of cityEHR was too complex for clinicians to use. The toolkit was refined to use more familiar spreadsheet s to represent the ontology and was then used successfully to create an effective clinical system, generated automatically from the information model.
An Initial, Qualitative Investigation of Patient-Centered Education in Dentistry
Authors: Clayton Marc  , Borromeo Chuck  , Hess Sherry  , Hochheiser Harry  , Schleyer Titus
Published: February 2025

Patient education plays an important role in the delivery of dental care. Current evidence suggests that the emergence of the Internet and other electronic resources are significantly influencing how patients learn about their healthcare. We conducted a qualitative inquiry using a combination of interviews with patients and clinicians, and direct observation of patient education episodes, to begin identifying requirements for customized, patient-centered approaches to education at the point of care. Most patients in our study felt comfortable with the amount and method of education during the dental visit, but 38% sought additional information on the Internet. Dentists and their team members provided patient education mostly verbally, supported by media such as radiographs, images and models. Electronic means, especially the Internet, were little used. Patient education occupied a significant portion of the time of initial comprehensive examination (29%) and routine (7%) dental visits. A deeper understanding of patient knowledge deficits and information needs will be needed to design effective educational interventions. Patient education should be meaningfully integrated into the workflow shared by dentists, their team members and patients, in order to maximize its outcomes.
Patient Safety Perspectives: The Impact of CPOE on Nursing Workflow
Authors: Househ Mowafa  , Ahmad Anwar  , Alshaikh Anwar  , Alsuweed Fatimah
Published: February 2025

The purpose of this review is to explore the impact of Computerized Physician Order Entry (CPOE) systems on patient safety from a nursing perspective. The paper discusses the importance of safety culture within nursing, nursing perceptions of CPOE, and the impact of CPOE on nursing workflow. The findings indicate that the implementation of CPOE negatively impacts nursing workflow when CPOE systems are inadequately designed. Future work is necessary to explore the impact of CPOE on nursing workflow and the direct impact on patient safety.
Enhancing Medical Device Training with Hybrid Physical-Virtual Simulators: Smart Peripherals for Virtual Devices
Authors: Samosky Joseph T.  , Thornburg Andrew  , Karkhanis Tushar  , Petraglia Frank  , Strickler Elise  , Nelson Douglas A.  , Weaver Robert A.  , Robinson Evan
Published: February 2025

We introduce a novel platform for medical device training: hybrid physical-virtual simulators of medical devices, combining touchscreen-enabled virtual emulations of real devices with sensorized physical peripherals to enable tactile, hands-on interaction between the trainee, simulated device and standardized patients or mannequins. The system enables objective measurement and recording of trainee performance, including interactions with both the virtual device elements and the physical components, and can include metrics and feedback not available in the real device. The system also includes an integrated wireless signaling device for use with standardized patients. We present the implementation of an example system, a virtual defibrillator with sensorized paddles and wireless signaling of successful defibrillator operation.
Regulated Cellular Exposure to Non-Thermal Plasma Allows Preferentially Directed Apoptosis in Acute Monocytic Leukemia Cells
Authors: Thiyagarajan Magesh  , Gonzales Xavier F.  , Anderson Heather
Published: February 2025

This research investigated the modulation of cell death through exposure of non-thermal resistive barrier based indirect air plasma on monocytic leukemia cancer cells (THP-1). Specifically, we explored cell death through apoptosis and necrosis, since generally apoptotic cell death has a limited inflammatory response as compared to necrosis. We have demonstrated a preference for apoptosis in plasma treated THP-1 cells, under specific plasma characteristics and dosage levels, using fluorescent dyes conjugated with annexin V followed by identification of the cells through fluorescent microscopy and flowcytometry diagnostics. At much higher plasma dosages, the necrotic morphologies in the THP-1 cells were observed. The presented outcomes in the death morphologies of plasma treated THP-1 cells signify the need for further investigation on the cellular mechanisms induced by the indirect plasma exposure. The results obtained from this research indicate the significant potential for the use of our portable non-thermal resistive barrier based indirect plasma treatment method as an inexpensive and less invasive method for treating leukemia and other cancerous lesions.
Characterization of an Atmospheric Pressure Plasma Jet and its Applications for Disinfection and Cancer Treatment
Authors: Thiyagarajan Magesh  , Sarani Abdollah  , Gonzales Xavier F.
Published: February 2025

In this work an atmospheric pressure non-thermal resistive barrier (RB) plasma jet was constructed, characterized and was applied for biomedical applications. The RB plasma source can operate in both DC (battery) as well as in standard 60/50 Hz low frequency AC excitation, and it functions effectively in both direct and indirect plasma exposure configurations. The characteristics of the RB plasma jet such as electrical properties, plasma gas temperature and nitric oxides concentration were determined using voltage-current characterization, optical emission spectroscopy and gas analyzer diagnostic techniques. Plasma discharge power of 26.33 W was calculated from voltage-current characterization. An optical emission spectroscopy was applied and the gas temperature which is equivalent to the nitrogen rotational (Trot) temperatures was measured. The concentrations of the reactive oxygen species at different spatial distances from the tip of the plasma jet were measured and the ppm concentration of NO is at the preferred level for a wide range of standard biomedical treatment applications. The ppm values of nitric oxides after the cooling unit are observed to be of the same order of magnitude as compared to plasma jet. The portable RB plasma source was tested to be very effective for decontamination and disinfection of a wide range of foodborne and opportunistic nosocomial pathogens such as Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa and Bacillus cereus and the preliminary results are presented. The effects of indirect exposure of the portable RBP source on monocytic leukemia cancer cells (THP-1) were also tested and the results demonstrate that a preference for apoptosis in plasma treated THP-1 cells under particular plasma parameters and dosage levels.
Virtual Reality Environment Assisting Post Stroke Hand Rehabilitation: Case Report
Authors: Tsoupikova Daria  , Stoykov Nikolay  , Kamper Derek  , Vick Randy
Published: February 2025

We describe a novel art-empowered Virtual Reality (VR) system designed for hand rehabilitation therapy following stroke. The system was developed by an interdisciplinary team of engineers, art therapists, occupational therapists, and VR artist to improve patient's motivation and engagement. We describe system design, development, and user testing for efficiency, subject's satisfaction and clinical feasibility. We report initial results following use of the system on the first four subjects from the ongoing clinical efficacy trials as measured by standard clinical tests for upper extremity function. These cases demonstrate that the system is operational and can facilitate therapy for post stroke patients with upper extremity impairment.
Learning Skill-Defining Latent Space in Video-based Analysis of Surgical Expertise – A Multi-Stream Fusion Approach
Authors: Chen Lin  , Zhang Qiang  , Tian Qiongjie  , Li Baoxin
Published: February 2025

In recent years, surgical simulation has emerged at the forefront of new technologies for improving the education and training of surgical residents. To objectively evaluate the surgical skills of the trainees and reduce the training cost, an automated method for rating the performance of the operator is critical. However, automated evaluation of surgical skills in a video-based system, e.g., the FLS trainer box, is still a challenging task, both due to the lack of reliable visual features and the lack of analysis tools that bridge the semantic gap between the low-level visual features and the high-level surgical skills. This study attempts to find a latent space for the visual features for supporting more meaningful analysis of surgical skills. The approach employs multi-modality fusion and Canonical Correlation Analysis as the key techniques. Experiments were designed to evaluate the proposed approach. The results suggest that this is a promising direction.
Nuclear Morphology Measurements with Angle-Resolved Low Coherence Interferometry for Application to Cell Biology and Early Cancer Detection
Authors: Wax Adam  , Chalut Kevin J.
Published: February 2025

The study of intact, living cells using non-invasive optical spectroscopic methods offers the opportunity to assess cellular structure and organization in a way that is not possible with commonly used cell biology imaging techniques. We have developed a novel spectroscopic technique for diagnosing disease at the cellular level based on using low-coherence interferometry (LCI) to detect the angular distribution of scattered light. Angle-resolved LCI (a/LCI) combines the ability of LCI to isolate scattering from sub-surface tissue layers with the ability of light scattering spectroscopy to obtain structural information on sub-wavelength scales. In application to examining cellular structure, a/LCI enables quantitative measurements of changes in the size and texture of cell nuclei. These quantitative measurements are characteristic of different pathological states. The capabilities of a/LCI were demonstrated using a clinical system that can be applied in endoscopic surveillance of esophageal tissue, producing high sensitivity and specificity for detecting dysplastic tissues in vivo. Experiments with in vitro cell samples also show the utility of a/LCI in observing structural changes due to environmental stimuli as well as detecting apoptosis due to chemotherapeutic agents.
Real-Time Pathology Through In Vivo Microscopy
Authors: Liu Jonathan T.C.  , Loewke Nathan O.  , Mandella Michael J.  , Leigh Steven Y.  , Levenson Richard M.  , Crawford James M.  , Contag Christopher H.
Published: February 2025

Miniature microscopes are being developed to examine tissue in situ for early anatomic and molecular indicators of disease, in real time, and at cellular resolution. These new devices will lead to a shift from the current diagnostic paradigm of biopsy followed by histopathology and recommended therapy, to one of non-invasive point-of-care diagnosis with the possibility of treatment in the same session. This potential revolution in disease management may have a major impact on the training of future physicians to include the use and interpretation of real-time in vivo microscopic data, and will also affect the emerging fields of telepathology and telemedicine. Implementation of new technologies into clinical practice is a complex process that requires multidisciplinary communication and collaboration among clinicians, engineers and scientists. As such, our aim is to provide a forward-looking view of the critical issues facing the development of new technologies and directing clinical education. Here, we focus on the use of in vivo microscopy for detection of malignant and pre-malignant lesions as well as for guiding therapy. We will highlight some of the areas in which in vivo microscopy could address unmet clinical needs, and then review the technological challenges that are being addressed, or need to be addressed, for in vivo microscopy to become an effective clinical tool.
Designing Prognostic Models by Reinforcing Linear Separation
Authors: Bobrowski Leon
Published: February 2025

Variety of prognostic models can be designed on the basis of learning sets by using the principle of linear separability. The degree of linear separability of two learning sets can be evaluated on the basis of the minimal value of the perceptron criterion function, which belongs to a larger family of the convex and piecewise linear (CPL) criterion functions. Parameters constituting the minimal value of a given CPL criterion function can define particular prognostic model. Prognostic models have been designed this way, for example, on the basis of genetic data sets.
Analyzing the “CareGap”: Assessing Gaps in Adherence to Clinical Guidelines in Adult Soft Tissue Sarcoma
Authors: Waks Zeev  , Goldbraich Esther  , Farkash Ariel  , Torresani Michele  , Bertulli Rossella  , Restifo Nicola  , Locatelli Paolo  , Casali Paolo  , Carmeli Boaz
Published: February 2025

Clinical decision support systems (CDSSs) are gaining popularity as tools that assist physicians in optimizing medical care. These systems typically comply with evidence-based medicine and are designed with input from domain experts. Nonetheless, deviations from CDSS recommendations are abundant across a broad spectrum of disorders, raising the question as to why this phenomenon exists. Here, we analyze this gap in adherence to a clinical guidelines-based CDSS by examining the physician treatment decisions for 1329 adult soft tissue sarcoma patients in northern Italy using patient-specific parameters. Dubbing this analysis “CareGap”, we find that deviations correlate strongly with certain disease features such as local versus metastatic clinical presentation. We also notice that deviations from the guideline-based CDSS suggestions occur more frequently for patients with shorter survival time. Such observations can direct physicians' attention to distinct patient cohorts that are prone to higher deviation levels from clinical practice guidelines. This illustrates the value of CareGap analysis in assessing quality of care for subsets of patients within a larger pathology.
Tempolenses with Variable Magnification for Sonic Representation of Medical Data. Application for Cardiac Signals
Authors: Mihalas George  , Paralescu Sorin  , Andor Minodora  , Lighezan Dan  , Mirica Nicoleta  , Muntean Danina  , Hancu Mircea  , Neagu Adrian  , Neagu Monica  , Tudor Anca  , Fira-Mladinescu Ovidiu
Published: February 2025

The purpose of this study was to develop the tools and the methodology for a systematic analysis of usefulness of adding sonic representation of data, supplementary to visualization. This paper is mainly dedicated various temporal lenses, including the newly developed lenses with variable magnification, proposed as a tool for a better perception of short events combined with a compression of irrelevant intervals. Sonification procedures are also briefly presented. The programs were tested using various cardiac signals: ECG and heart rate HR both in humans and in rats (experimental data). The results, represented by the sound files, were uploaded in an accessible library, which contains both sonic and visual representation of the signals.
Setting the Scene: Taxonomy of Personal Health Monitoring
Authors: Gök Murat  , Teng Xia  , Nußbeck Gunnar  , Rienhoff Otto
Published: February 2025

In order to provide a systematic basis for communication in trans-disciplinary research projects, there is a need for taxonomies and ontologies. Our developed taxonomy of personal health monitoring (PHM) is based on a systematic literature review and an iterative adaption process with trans-disciplinary partners. The construction method of the taxonomy is an ongoing process and need regularly updates.
An approach to designing viable and sustainable telehealth services
Authors: Taylor Paul R.
Published: February 2025

Telehealth can be viewed as an intervention in the established and stable clinician-patient system with outcomes that are not always predictable. The success of a new telehealth service depends far more on changing the clinicians and patient's expectations and patterns of behaviour than on technology. Success in telehealth projects is critically dependent on understanding how the new telehealth offering changes the distinct value proposition for each of the parties – clinicians, patients and administrators. As with any intervention, design is the key to ensuring more predictable outcomes. An approach to the design of telehealth services is described that takes a holistic view of telehealth by acknowledging the multiple and interdependent dimensions of telehealth services (clinical process change, clinical risk and governance, adoption and change management, clinician and patient experience, operational sustainability, support, and least of all, technology). The approach draws on current themes in design including ‘design thinking’ and service design.
A technological evaluation of the Microsoft Kinect for automated behavioural mapping at bed rest
Authors: Gibson Simon  , McBride Simon J.  , McClelland Coen  , Watson Marcus
Published: February 2025

Behavioural mapping (BM) is a long established method of structured observational study used to understand where patients are and what they are doing within a hospital setting. BM is prominent in stroke rehabilitation research, where that research indicates patients spend most of their time at bed rest. We evaluate the technical feasibility of using the Microsoft Kinect to automate patient physical activity classification at bed rest.
State-of-the-Art of Wearable EEG for Personalized Health Applications
Authors: Balanou Evangelia  , van Gils Mark  , Vanhala Toni
Published: February 2025

Despite the proliferation of low-cost wearable sensors, until recently we have not been able to monitor our brain activity in our daily lives with affordable and wearable devices. In this paper we provide an overview of the state-of-the-art of wearable electroencephalographic (EEG) devices after determining the key characteristics that enable wider adoption. Furthermore, we explore their potential applications, which suggest that wearable EEG devices can become a major enabler for personalized health. This review can serve as a reference on the state-of-the-art at the beginning of 2013.
Including other system in E-Care telemonitoring platform
Authors: Ahmed Benyahia Amine  , Hajjam Amir  , Andres Emmanuel  , Hajjam Mohamed  , Hilaire Vincent
Published: February 2025

Nowadays, telemonitoring systems are increasingly used, due to the increasing of life expectancy and chronic diseases. Indeed, chronic diseases and disabilities due to advancing age are responsible for health care costs increasingly growing. Telemonitoring systems provide a low cost way to monitor patients and their needs in the comfort of their own homes. In first systems, the data were collected then sent directly to physicians to be interpreted. Nowadays, thanks to technological advancements, software and systems have been developed to process data, on a simple computer or even smartphone. In this paper, we present e-Care telemonitoring system that combines the semantic web and expert system. E-Care is based on generic ontologies and a decision support system. The decision support system uses ontologies as knowledge base and an inference engine to detect abnormal situations. E-Care platform has a generic open architecture, which cans include other knowledge coming from other systems. We'll show how to integrate data of auscultation sounds in this architecture.
A mapping of Information Security in Health Information Systems in Latin America and Brazil
Authors: Pereira Samáris Ramiro  , Fernandes João Carlos Lopes  , Labrada Luis  , Bandiera-Paiva Paulo
Published: February 2025

In health, Information Systems are patient records, hospital administration or other, have advantages such as cost, availability and integration. However, for these benefits to be fully met, it is necessary to guarantee the security of information maintained and provided by the systems. The lack of security can lead to serious consequences such as lawsuits and induction to medical errors. The management of information security is complex and is used in various fields of knowledge. Often, it is left in the background for not being the ultimate goal of a computer system, causing huge financial losses to corporations. This paper by systematic review methodologies, presented a mapping in the literature, in order to identify the most relevant aspects that are addressed by security researchers of health information, as to the development of computerized systems. They conclude through the results, some important aspects, for which the managers of computerized health systems should remain alert.
Network Security Vulnerabilities and Personal Privacy Issues in Healthcare Information Systems: A case study in a private hospital in Turkey
Authors: Namoğlu Nihan  , Ülgen Yekta
Published: February 2025

Healthcare industry has become widely dependent on information technology and internet as it moves from paper to electronic records. Healthcare Information System has to provide a high quality service to patients and a productive knowledge share between healthcare staff by means of patient data. With the internet being commonly used across hospitals, healthcare industry got its own share from cyber threats like other industries in the world. The challenge is allowing knowledge transfer to hospital staff while still ensuring compliance with security mandates. Working in collaboration with a private hospital in Turkey; this study aims to reveal the essential elements of a 21stcentury business continuity plan for hospitals while presenting the security vulnerabilities in the current hospital information systems and personal privacy auditing standards proposed by regulations and laws. We will survey the accreditation criteria in Turkey and counterparts in US and EU. We will also interview with medical staff in the hospital to understand the needs for personal privacy and the technical staff to perceive the technical requirements in terms of network security configuration and deployment. As hospitals are adopting electronic transactions, it should be considered a must to protect these electronic health records in terms of personal privacy aspects.
The new Greek national e-prescription system: an effective tool for improving quality of care and containing medication costs
Authors: Pangalos G.  , Asimakopoulos D.  , Pagkalos I.
Published: February 2025

The national e-prescription system of Greece was first introduced in 2010 and already covers more than 80% of all prescriptions prescribed today (more than 5 million per month). Its introduction provided a powerful tool for improving patient services and public health planning. The system is also already a valuable source of planning, control and transparency data for the Greek healthcare system. In addition, the experience from its application at national level in Greece has also shown that e-Prescription systems can also provide a very useful tool for better administrative control and for containing unnecessary expenditure related to medication use.
Architecture and Implementation for a System Enabling Smartphones to Access Smart Card Based Healthcare Records
Authors: Karampelas Vasilios  , Pallikarakis Nicholas  , Mantas John
Published: February 2025

The healthcare researchers', academics' and practitioners' interest concerning the development of Healthcare Information Systems has been on a steady rise for the last decades. Fueling this steady rise has been the healthcare professional need of quality information, in every healthcare provision incident, whenever and wherever this incident may take place. In order to address this need a truly mobile health care system is required, one that will be able to provide a healthcare provider with accurate patient-related information regardless of the time and place that healthcare is provided. In order to fulfill this role the present study proposes the architecture for a Healthcare Smartcard system, which provides authenticated healthcare professionals with remote mobile access to a Patient's Healthcare Record, through their Smartphone. Furthermore the research proceeds to develop a working prototype system.
Videoconferencing in Acute and Non-acute Medical Work
Authors: Lundvoll Nilsen Line  , Andreassen Hege Kristin
Published: February 2025

In this paper, we explore the use of videoconferences (VCs) in medical practice, and discuss how characteristics of the context affect the use of VCs. Forty-seven VCs were observed and videotaped, and 41 semi-structured interviews were conducted. Our findings suggest the use of VCs for acute collaborative work differs from the non-acute use of VCs. Non-acute use facilitates collaboration throughout the entire patient trajectory, while acute use facilitates medical problem solving in the moment. Strict specialization and division of labor reduce the cases to discuss and the discussion of complex treatment trajectories. Acute collaborative work is past and present work, while non-acute collaboration reflects past, present, and future treatment, that is, an overall trajectory.
The Quest for Active and Healthy Ageing: What Cyberpsychology Can Offer
Authors: Wiederhold Brenda K.  , Riva Giuseppe
Published: February 2025

The European Commission identified active and healthy ageing as a societal challenge common to all European countries, and an area which presents considerable potential for Europe to lead the world in providing innovative responses to this challenge (http://ec.europa.eu/active-healthy-ageing). To tackle the challenge of an ageing population, the European Commission launched the European Innovation Partnership (EIP) on Active and Healthy Ageing. What can cyberpsychology offer to this process? After presenting the main features of cyberpsychology, this paper identifies in patient engagement and positive technologies the key assets that will allow the technological innovations constantly being developed to provide greater help and care in enabling elderly people to live more normal, happier, fulfilling lives.
Methodology Case Study of the Application of Haptics to Combat Medic Training Programs
Authors: Gao Kenneth  , Wiederhold Brenda K.  , Kong Lingjun  , Wiederhold Mark D.
Published: February 2025

Of the available training methods for emergency responders, including other methods based on computer technology, virtual reality video game training with haptics (tactile) features will be shown to provide the most effective transfer of skills to real-world emergency situations, providing a model for the development of new training products for combat medics and civilian first responders. This paper aims to provide a methodological case study of haptics use in medical training programs and highlight achievements in terms of performance. Review of these cases show that the addition of haptics to an existing simulation-based training program increases user performance in terms of completion time, error rates, and learning rate. With this case study, haptics can be further incorporated into training programs designed for military combat medics.
Positive Technology as a Driver for Health Engagement
Authors: Graffigna Guendalina  , Barello Serena  , Wiederhold Brenda K.  , Bosio A. Claudio  , Riva Giuseppe
Published: February 2025

Despite the fact that older adults are healthier than in the past, the current trend of an ageing population implies an increased risk and severity of chronic diseases. Low-resource healthcare systems face increased organizational healthcare costs, which is likely to result in an allocation of limited health resources. Healthcare organizations themselves must deal with patients' increasing need for a more active role in all the steps of the care & cure process. Technological advances may play a crucial role in sustaining people's health management in daily life, but only if it is “ecologically” designed and well-attuned to people's health needs and expectations. Healthcare is more and more called to orient innovative research approaches that recognize the crucial role of a person's engagement in health and well-being. This will enable patients to reach a higher quality of life and achieve a general psychophysical well-being. Thus, positive technological innovation can sustain people's engagement in health and invoke community empowerment, as we shall discuss in this document.
Translating MeSH Concepts
Authors: Soualmia Lina F.  , Letord Catherine  , Merabti Tayeb  , Griffon Nicolas  , Manel Jacques  , Darmoni Stéfan J.
Published: February 2025

The concept-oriented structure of the MeSH® thesaurus is not yet in common use. Nevertheless, it has been shown that a concept-based querying of PubMed may be of interest. To take full advantage of the concept-oriented structure of MeSH in the information retrieval tool associated with the CISMeF catalogue, it was necessary to translate such concepts into French.
Evaluation of a Context-based Prescription Alert System: A Clinical Perspective
Authors: Miyo Kengo  , Kawazoe Yoshimasa  , Yamaguchi Izumi  , Tatsukawa Akimichi  , Ohe Kazuhiko
Published: February 2025

Medication alert systems have been implemented worldwide. The purpose of this study is evaluation of the medication alert systems from a clinical perspective. We surveyed physicians with regard to their reactions to the medication alerts. We collected the revised prescription information and assessed risk avoidance in all cases. The system reviewed 51,006 prescriptions and produced 16,718 physician alerts related to 13,823 prescriptions over the course of 1 month. We identified 45 prescriptions that were revised following the alert and four cases in which patient treatment may have been discontinued or adverse drug events (ADEs) may have occurred if the alerts had not been issued. We demonstrated that the system prevented these potential medication errors. This study adopted a clinical perspective and demonstrated that a real-time alert system can contribute to prevention of ADEs.
Experience of De-identification System Development for Clinical Research in Tertiary Hospital
Authors: Shin Soo-Yong  , Lyu Yongman  , Shin Yongdon  , Choi Hyo Joung  , Park Jihyun  , Kim Woo-Sung  , Lee Jae Ho
Published: February 2025

To protect patients' privacy and to improve the convenience of research, Asan Medical Center (AMC) has been developing a de-identification system for biomedical research, which mainly consists of three components: de-identification tool, search tool, and chart review tool. The de-identification tool can substitute a randomly assigned research ID for a hospital patient ID, remove the identifiers in the structured format, and mask them in the unstructured format, i.e., texts. The search tool can find the number of patients which satisfies given criteria. The chart review tool can provide de-identified patient's clinical data for review. We found that clinical data warehouse was essential for successful implementation of de-identification system, and this system should be tightly linked to an electronic institutional review board system for easy operation of honest brokers.
Statistical Text Classifier to Detect Specific Type of Medical Incidents
Authors: Wong Zoie Shui-Yee  , Akiyama Masanori
Published: February 2025

WHO Patient Safety has put focus to increase the coherence and expressiveness of patient safety classification with the foundation of International Classification for Patient Safety (ICPS). Text classification and statistical approaches has showed to be successful to identifysafety problems in the Aviation industryusing incident text information. It has been challenging to comprehend the taxonomy of medical incidents in a structured manner. Independent reporting mechanisms for patient safety incidents have been established in the UK, Canada, Australia, Japan, Hong Kong etc. This research demonstrates the potential to construct statistical text classifiers to detect specific type of medical incidents using incident text data. An illustrative example for classifying look-alike sound-alike (LASA) medication incidents using structured text from 227 advisories related to medication errors from Global Patient Safety Alerts (GPSA) is shown in this poster presentation. The classifier was built using logistic regression model. ROC curve and the AUC value indicated that this is a satisfactory good model.
Challenges in Predicting Health Needs and Disease Patterns – A Case Study on the Implementation of an Electronic Hospital Separation Record in Sri Lanka
Authors: Kariyawasam Nadish C.  , Dayaratne Buddika  , Turner Paul
Published: February 2025

This paper presents analysis and insights arising from the pilot implementation of a national electronic hospital separation record system in Sri Lanka. The paper reveals that while a successful technical implementation has been achieved, numerous socio-technical challenges remain. The paper provides a tangible example of the difficulties faced by developing countries when being encouraged to rush to introduce national e-health systems. Critically, over-confidence in the accuracy, validity and inviolability of electronic data poses real challenges for local and national decision-making around prediction of disease patterns and health needs.
Design and Implementation of a Shared Treatment Plan in a Federated Health Information Exchange
Authors: Spahni Stéphane  , Guardia Alberto  , Boggini Thomas  , Geissbuhler Antoine
Published: February 2025

The poster presents the design and implementation of a shared treatment plan for providing unified views of medications for professionals and patients as a new added-value service on the regional healthcare network “e-toile”. Strategies for integrating this service with other institutions infrastructures are also presented.