bluuebunny/crossref_metadata_2025 huggingface dataset:
Three-Dimensional versus Two-Dimensional Video Endoscopy
Authors: Pichler Cletus von  , Radermacher K.  , Boeckmann W.  , Rau G.  , Jakse G.
Published: February 2025

Stereoscopic visualisation systems are available for the medical application in clinical routine, especially in the field of endoscopic or minimal invasive surgery. As we have shown in laboratory studies in 1991 the use of stereoscopic visualisation systems leads to a significant improvement of endoscopic manipulation. A broader diffusion of these systems in clinical routine will be based on quantitative evaluation of the influence of stereoscopic visualisation systems on the intervention. As a first approach we performed a clinical field study to compare 2D and 3D video endoscopy in laparoscopic interventions in urological surgery.
Health Informatics Deontology Code
Authors: Callens S.  , Nys H.
Published: February 2025

One main objective of SEISMED (Secure Environment for Information Systems in Medicine) is to develop a consistent, harmonised and transferable framework which can be used to efficiently implement security and data protection in computerised information systems throughout Europe. In order to provide guidelines for professional conduct and to promote international cooperation, it would be useful to have an international deontology code for the protection of medical data. The purpose of such a code would be to provide general guidelines as a foundation for national codes that may be developed within individual countries.
Telematics in community pharmacies to support responsible self-medication. The TESEMED project
Authors: Sanz F  , Loza MI  , Ahlgrimm ED  , Baetens P  , Cuypers J  , Cranz H  , Coronel M  , Fernández -López JL  , De Mora A  , Sosa-Iudicissa M
Published: February 2025

A project devoted to the development and testing of telematic applications to be used in community pharmacies to provide information and education on the relevant use or OTC (non-prescription) drugs is presented. Two user types are envisaged (community pharmacy professionals and customers) and, consequently. two types of systems will be considered. A comprehensive bibliographic review of the state of the art is included.
Modelisation of a Criterion of Proximity: Application to Medical Thesauri
Authors: Petiot Dominique  , Burgun Anita  , Le Beux Pierre
Published: February 2025

Proximity is a concept related to distance or common features between things. In the medical domain, proximity is based on semantic characteristics of the terms. Proximity between medical terms is in relation with the position of the terms within a terminology and with the common features between terms. We suggest a model of calculation of proximity between medical concepts which takes into account these two approaches.
Integration Architecture : The ISAR project
Authors: Beuscart Régis  , Souf Nathalie  , Blassel Nathalie  , Gourdin Christian  , Modjeddi Bijan
Published: February 2025

The University Hospital of Lille has developed an Integrated Hospital Information System to improve the management of information within the medical units and to facilitate the communication of data between these units. The system is centred on the patient. The physicians, after the first benefit of the basic procedures, want to develop or to acquire complementary applications that could help them in their daily work, to improve the diagnosis or treatment processes. The European ISAR programme tried to integrate 6 AIM Projects on a HIS. These Projects were elicited from 6 European consortiums, able to provide prototypes or pre-competitive products.
DADIVOX: Integration of Medical Audit and an Electronic Patient Record for use in Diabetes Mellitus Out-patient Clinics in Denmark
Authors: Boye Niels
Published: February 2025

Diabetes is a chronic disease with characteristic long-term complications compromising important functions of the body, such as vision, kidney-function, nerves, and blood-vessels. Strict metabolic control, a high degree of self-care and tertiary prophylactic treatment of complications can prevent deterioration of body functions or cushion the impact on life-quality of the diabetic patient. Diabetes treatment is a complex, multidisciplinary task.
Use of Electronic Healthcare Records to Improve Primary Healthcare Services in the Greek Islands
Authors: Ginis A.  , Deftereos S.  , Sotiriou D.
Published: February 2025

This paper describes the results obtained by using the HEALTH.one Electronic Healthcare Record(EHR) software at Greek Primary Care institutions. It was found that the use of HEALTH.one greatly facilitates every day practise. The features of the software used and the customisation made for the Greek Primary Care institutes are also described. The results of the statistical analysis of the EHR database of Amorgos island (in Cyclades) are presented as an example.
An Experiment towards a Document-Centered Hypertextual Computerised Patient Record
Authors: Bouaud Jacques  , Séroussi Brigitte  , Zweigenbaum Pierre
Published: February 2025

The use of computerised patient records (CPRs) is dramatically subject to physicians' acceptance. A hospital wide study of users' requirements, as part of a European project, led to a document-centered approach to CPR, where efficient and relevant access was emphasized. Current WWW technology facilitated the rapid test of the proposed functionalities. From an actual paper patient record, the result is a mock-up of a hypertextual document-based patient record, enhanced after physicians' feedback, and design directions.
On the Reliability of the Suggested Diagnosis of a Neural Network System in Acute Abdominal Pain
Authors: Pesonen Erkki
Published: February 2025

One problem in the use of neural networks in medical decision making has been the evaluation of the reliability of the output of the networks. We analysed the classification of the Learning vector quantization neural network in the diagnosis of acute abdominal pain. Our aim was to find information, which could help the user of the system to evaluate the confidence on the suggested diagnosis. The classification of the algorithm, which is based on so called codebook vectors, was analysed and the confidence for each codebook vector was approximated separately. From these confidence values the classification results were classified in three classes: sure (all correct), probable (more than 75% correct) and possible (less than 75% correct). Approximately 11% of the cases were classified in sure classes, 34% in probable classes and 55% in possible classes. These evaluations give the user of this neural network system a better basis on the use of the diagnosis suggested by the network in the decision making.
3D Representation and volume determination of the prostate from ultrasound images
Authors: Crivianu-Gaiţă Daniela  , Miclea FI.  , Gaşpar A.  , Mărgineanţu D.  , Holban Şt.
Published: February 2025

The purpose of the paper is to present an approach on reconstruction of 3D objects from their 2D projections and calculation of their volume. As an application, the authors have developed a software system for the detection of the men's prostate from echographic images and on the modelling and calculation of its volume.
An Intelligent Tutoring System for Malaria Based on the Health-2000 Large-Scale Integrated Expert System
Authors: Boyom S.F.  , Kwankam S.Y.  , Kouam L.  , Asoh D.A.  , Kouokam F.G.
Published: February 2025

In response to the need for converting diagnostic systems into intelligent tutoring systems, we have developed a futuristic tool to assist in the training of doctors, nurses, health technicians and pharmacists. It is part of an integrated hospital information system, christened Health-2000, which combines a system for medical diagnosis and a system for fault diagnosis among its many features. The main function of the intelligent tutoring system is to provide training in two main areas: the development and use of tutorial software aimed at improving health care, and how to combat malaria.
Health Care Reform: The New Possibilities Offered by Informatics
Authors: Várhelyi Tamás
Published: February 2025

The fact that informatics is becoming available nowadays coincides with the universal tendency towards the demand for the reform of the structure and the financing of public health. However, the application of informatics not only helps to solve the already existing problems, but it opens up new possibilities for cure and prevention fundamentally reshaping the whole public health from many respects. During the reform introducing the personal health card helps to solve the problems.
Bifurcation Analysis of a Physiological Model of the Baroreceptive Control
Authors: Signorini M.G.  , Cerutti S.
Published: February 2025

The observation of biological systems suggests the hypothesis that nonlinear mechanisms could be involved in the control of their functions. The analysis of cardiovascular system, starting from the measurement of its state variables, seems to confirm the nonlinear nature of the control mechanisms and the presence of fractal structures in those signals. The goal of this study is to verify if a physiological control system is able to generate complex and also chaotic dynamics when periodically forced by a sinusoidal input at different frequencies. The paper analyzes a simple physiological model which accounts for the oscillations in the arterial blood pressure signal generated by the action of the baroreceptive control. The model was proposed by Kitney in 1979 and it considers the effect of the respiration signal like an external periodically forcing term. Using this model, a variety of nonlinear behaviors like the frequency entrainment, the phase locking and the frequency shift can be reproduced in different experimental situations. A study of the dynamics of the baroreceptive model through a structural stability analysis is proposed. The bifurcation diagrams classifies the different dynamical behavior of the model for different values of respiratory frequency and gain of baroreceptive system parameters. Other model parameters are fixed at realistic values. The large number of bifurcations of different types indicate that the dynamics of the model can be very complex. In fact, for values of parameters in physiological range, multiplicity of attractors, subharmonics of various periods, period doublings, quasiperiodic solutions and strange attractors get up. Results are in agreement with the hypothesis that a nonlinear dynamic model underlines the variability control.
Medical Informatics and Telematics: Overview of European Research
Authors: Sosa-Iudicissa Marcelo  , Rossing Niels
Published: February 2025

International experiences reveal the important role played by scientific research and the systematic study of problems, in effectively tackling change in the health sector. This statement could also apply to medical informatics and telematics, as in nowadays they have transcended the somewhat narrow scope of teaching and academic research, to enter the social and policy making agendas.
3D Determination of Spinal Deformities and Postural Variability by Means of Opto-Electronic Device. Recent Algorithmic Improvements
Authors: D' Amico M.  , Roncoletta P.
Published: February 2025

In the evaluation of spinal deformities it is very important to have the possibility to quantify: the patient's status, the progression of the pathology, the loss of physiological shape of the spine, the loss of functionality and the self correction capability of the subject to intentionally reduce his/her spinal deformity. These kind of information, allow to plan a therapeutical intervention as well as to monitor continuously the efficacy of the therapy applied. The aim of this paper is to present the recent reached improvements in a specially developed procedure we proposed for the extraction of various clinical parameters and a complete 3D description of the posture and Spine shape by means of non-ionising approach.
Geometrical Modelling of Vertebrae: Influence of 3-D Kriging Profile and Control Points on Posterior Elements Extrapolation
Authors: Delorme S.  , Dansereau J.  , Aubin C.-É.  , de Guise J.  , Labelle H.
Published: February 2025

Scoliosis appears as a 3-D curvilinear deformation incorporating intrinsic vertebral geometric deformities which must be considered in the geometrical modelling of the scoliotic spine. The modelling approach consists to deform a reference vertebra (one for each anatomical level) using a mathematical technique known as ‘kriging’, in order to fit it to 6 control points reconstructed by stereoradiography mostly located on the anterior region of the vertebra. The objective of this project is then to evaluate the effect of adding control points on the posterior elements as well as the effect of changing the kriging profile (drift and fluctuation). Geometrical models were generated for typical normal (T8 and L3) and scoliotic (T6 and L2) vertebrae. The best kriging profile is the one using linear drift and fluctuation. On the other hand, adding control points on the posterior elements (spinous, transverse and articular processes extremities) allows improvement of the geometrical modelling for both normal and scoliotic vertebrae while adding points on the vertebral body is not a profitable strategy to predict scoliotic deformities of the posterior elements. Further studies on a larger population of scoliotic vertebrae will allow verification of these conclusion and determination of the optimal number of control points to obtain an adequate and representative vertebral geometry for clinical evaluation as well as for simulations on biomechanical models.
Three-Dimensional (3D) Postural Evaluation of Normal Human Subjects
Authors: LeBlanc R.  , Labelle H.  , Rivard C.-H.  , Poitras B.  , Kratzenberg J.
Published: February 2025

We have developed a new technique for clinical evaluation of the human posture based on magnetic field 3D digitization. The aim of this study was to identify key morphological parameters that could be of interest in the comprehension of postural habits in normal subjects. Nineteen subjects have been evaluated. External anatomical marks are digitized. These anatomical marks defined 3 distinct regions: the head, the shoulder girdle, and the pelvic girdle. The postural evaluation gives the relative position of each region one to another and in relation to an axis system. Measurement error is 6,0 mm. The most interesting parameters are the level of the shoulders, the pelvic obliquity and the trunk shift in the postero-anterior view and the angle of the shoulder-blades vs. the shoulders in the transverse plane (p< 0,0005). With these results, we now know a little bit more about posture at least in normal subjects. This 3D technique will probably be seen as an interesting clinical tool for postural evaluation and specially for AIS patients. This technique is non-invasive and could be used for clinical follow-up in order to evaluate the evolution of the posture in the scoliotic patients.
Correlation of the Quantec Scanner Measurements with X-Ray Measurements in Scoliosis
Authors: Sakka S.A.  , Macindoe S.  , Mehta M.H.
Published: February 2025

Computerised Surface Topography is relatively a new non invasive method of assessing spinal deformities. Our experience has been with the Quantec system. The angles measured by the Quantec scanner are not the same as the Cobb angles measured from X-rays. They are topographical measurements of the spinal deformity. To evaluate the accuracy of the Quantec scanner in predicting the degree of spinal deformity a comparative correlation study was carried out. The X- rays and Quantec scans of 128 patients aged between 2 and 60 yr. (27 males, 101 females) were studied. All patients had their X-rays and scans in the same week. There were 202 curves measured. 32 were classified as single, 82 double curves and two with triple curves. 101 curves were right sided and 101 left sided. The size of the curves on X -ray ranged from 0- 96° with a mean of 27.5° and 95% confidence level of 2.5°. With the Quantec scanner the size of the curves ranged between 0-88° with a mean of 24.4° and 95% confidence level of 2.1°. The difference between the Cobb angles and the Q angles ranged from 0 -24° with a mean of -2° and 95% confidence level of 1.1°. The Quantec scanner overestimated the size of the curve by 0 - 22° with a mean of 3.94° in 119 curves and underestimated the deformity by 0- 24° with a mean of 7.4° in 83 curves relative to the Cobb angle measurement. The Correlation Coefficient for all curves was 0.90. This varied as expected at different levels being 0.91 for thoracic curves, 0.92 for thoraco-lumbar and least, 0.85 for the lumbar curves. The mathmatical equation relating the two angles is Q angle = 3.84 + 0.753x Cobb angle ( with an r2= 0.801). This shows high correlation between the two methods of assessing the severity of the spinal deformity.
The In Patient Scoliosis Rehabilitation. A “Worst - Case” Analysis
Authors: Weiss H.-R.  , El Obeidi N.  , Lohschmidt K.
Published: February 2025

In order to get more information about the efficiency of a scoliosisspecific back school according to Schroth, we started with this prospective study in 1989/90. We applied the following inclusion criteria: 1. Idiopathic scoliosis 2. Risser < 4 3. No bracing or electro-stimulation 4. First follow-up during an inpatient repeat treatment after 1-3 years. 5. Valuable fullsize radiograph not older than 6 months before the beginning of an in-patient treatment. 6. First in-patient treatment in 1989 or 1990. 181 scoliosis patients with an average age of 12.76 years and an average Cobb angle of 27 degrees could be included in this study. The mean Risser sign was 1.4, the average fol- low-up period was 33 months. A relative progression (curvature increase of 5 degrees or more per year) wasn't evident in any case. A group selection was made on the basis of the inclusion criteria of a follow-up investigation during a repeat treatment. For this reason we questioned with the help of a questionnaire also those patients without a repeat treatment and first treatment at our center 1989 or 1990. 116 patients fulfilled the inclusion criteria with the exception of point 4. 45 patients couldn't be reached, 13 showed a Cobb increase according to their own information. Thus, when evaluating the whole group, a relative progression of 5% has been obtained. If all “drop outs” are evalutated as therapy failures we found a progression rate of still less than 20% which is still better than natural history.
Comparison of Lamina Hook to Pedicle Screw Anchors for Correction of Double Structural Adolescent Idiopathic Scoliosis
Authors: Sato S.  , Asher M.A.
Published: February 2025

40 patients (33 females, 7 males; age 11 to 22 yr.) operated for structural double-torsion scoliosis were followed for a minimum 2 years to compare the corrective effect of lumbar pedicle screws to lamina hooks. The lumbar curves anchored bilaterally with the screws were rotated directly in 23 patients (S group), while the curves were corrected with a 90° rod rotation maneuver using the hooks in 17 patients (H group). The S group represented significantly better coronal plane deformity correction and trended toward better transverse plane correction than the H group. Although sagittal plane regional curves were sometimes slightly, even significantly decreased, the global sagittal plane L1 and lower instrumented vertebra alignment was sometimes significantly improved in the S group. Lumbar pedicle screw anchors offered definite advantages to lamina hooks in the correction of double structural scoliosis.
Priorities and Long Term Tasks in Research of Idiopathic Scoliosis
Authors: Sevastik J.A.
Published: February 2025

The need for development of new effective methods of active conservative treatment of the early thoracospinal deformity in scoliosis along pathophysiological concepts, demands intesified research of the etiology, the pathogenesis and the pathomechanism of this condition. However, the possibility for development of etiologic treatment or for neutralization of the factor triggering the deformity are at present beyond accessible reach. Therefore, research of the pathomechanism of idiopathic scoliosis is the only feasible way for success. Segmental analysis of the functional anatomy and the kinematics of the normal spine and of the disturbed muscular function in scoliosis, would provide better understanding of the initial evolution of the deformity and probably also the grounds for new methods of treatment. Moreover, analysis of the hereditary background of the patient might contribute to identification of the patients at risk.
Tactile Sensor Method for Thoracoscopic Detection of Intrapulmonary Nodules
Authors: Ohtsuka Toshiya  , Kohno Tadasu  , Nakajima Jun  , Miyaji Kagami  , Furuse Akira  , Omata Sadao
Published: February 2025

We have developed a tactile sensor which can be used to quantify the hardness of objects and applied it to thoracoscopic surgery for the localization of small invisible nodules in the lung.
Simulation of Jaw-Movements for the Musculoskeletal Diagnoses
Authors: WeingÄrtner T.  , Dillmann R.
Published: February 2025

Simulations of static and dynamic aspects of the functionality of the human body are getting more important as the complexity of operations increases. The preoperative planning of maxillofacial operations like the repositioning of the jaw is an example for such operation. Here, but also in other medical fields, simulation can help to estimate the results of a procedure or can facilitate the diagnosis through a better view of the anatomy and pathology of the patient.
Teaching and Assessing Clinical Skills Using Virtual Reality
Authors: Kaufman David M.  , Bell Wayne
Published: February 2025

The need to improve the teaching and assessing of students' procedural skills has been well 0 encounters, often with little or no supervision. Assessment of these skills has depended on rudimentary physical models, or standardized patients. The limitations of these methods also are well known. A new technology known as “Virtual Reality” has tremendous potential to assist medical educators in teaching and assessing clinical skills of students, residents and physicians in practice.
Image Guided Surgery and Its Potential
Authors: Vosburgh Kirby G.
Published: February 2025

The use of higher technology in medicine promises improved outcomes and enhanced productivity. That is, successful techniques will lead to lower cost, higher quality care for a larger population. In surgery, these changes range from the more efficient use of skilled medical practitioners, through improvements to conventional practice (a recent example is the shift to endoscopic surgery in the abdomen), to the creation of new procedures which capitalize on the availability of information in new forms._Image Guided Surgery may be defined as the use of advanced technology to help the surgeon see with l)Better resolution 2) Orientation and context setting 3) Higher contrast, and 4) Vision inside “solid Objects”, including the elimination ofocclusion by the surgeon's tools or other external items. We describe here the current imaging processes and their limitations with regard to direct guidance of therapy The physical properties of real time image acquisition systems are described along with the mechanisms for inherent and enhanced contrast. Examples of the use with surgical instruments or other interventional devices for image-monitored and guided procedures are then discussed, and future prospects elucidated.
Ultrasonic wave propagation in porous media: Determination of acoustic parameters and high frequency limit of the classical models
Authors: Leclaire Ph.  , Kelders L.  , Lauriks W.  , Glorieux C.  , Thoen J.
Published: February 2025

Results on the ultrasonic wave propagation in porous materials are presented with emphasis on the measurement of acoustic parameters and on the discrepancy between experimental results and theoretical predictions for the attenuation at high frequencies. This discrepancy can be observed in Biomedical Engineering where the propagation in different sorts of bones is studied as well as in the fields of Geophysics and Material Science. In the present study, the slow wave propagation in polyurethane foams saturated by different gases is investigated in a frequency range of [70-800 kHz]. Methods are presented to determine the tortuosity and the viscous and thermal characteristic lengths. The experimental results, obtained using standard ultrasonic and vacuum equipments, show that an excess attenuation occurs when the wavelength is not sufficiently large compared to the lateral dimensions of the fibers. This effect constitutes a limit of the classical models of equivalent phases. It is evaluated with the help of a model of ultrasonic scattering. A numerical simulation of osteoporosis using Biot's model is also presented.
THE IN VITRO MEASUREMENT OF ULTRASOUND IN CANCELLOUS BONE
Authors: Langton C.M.  , Hodgskinson R.
Published: February 2025

This paper describes our recent findings on the relationships between ultrasonic measurements (velocity and broadband ultrasonic attenuation) and some physical properties of human and bovine cancellous bone (density, trabecular orientation and Young's modulus of elasticity). We have found velocity to be an extremely effective measure of Young's modulus (R2≈ 95%). When velocity is combined with a measure of apparent density R2improves to approximately 97%. We demonstrate that this is due to the ability of ultrasound velocity to measure structural anisotropy in the tissue.
Integration of Information in the Health Care Environment
Authors: Procter Paula M
Published: February 2025

The central theme of the paper is to explore the issues surrounding the development of European-wide knowledgeable nurse practitioners for effective and efficient patient care in an information intensive health care environment. Examination will be made of the current information systems' practice linking with future perceived trends in health care. Where practicable, comparisons will be made between nurses' and other health care disciplines' approach to the introduction of information systems and how ‘shared’ approaches could be beneficial to all professions and the patients in care. The paper will conclude with a vision for the future and consideration will be given to where European nurses should position themselves to remain accountable and autonomous practitioners in health care.
Does TISS pave a way towards the nurses care documentation ?
Authors: Bürkle T  , Michel A  , Horch W  , Dudeck J  , Schleifenbaum L
Published: February 2025

New functions have been integrated in the Gießen Hospital Information System WING to support the classification of all intensive care patients into the Therapeutic Intervention Scoring System TISS. The use of those functions has been pushed by legal requirements which made it essential to assess the staffing of intensive care wards in comparison with the accumulated TISS scores. This paper describes the experiences made within two years of TISS scoring. We think that TISS gave a major impact to the construction and implementation of nursing documentation into our HIS.
Doctor Friendly Electronic Patient Record
Authors: Slavec Smiljana  , Rems Miran  , Cerkvenik Gregor
Published: February 2025

In this paper we would like to show importance of using modern information technology in implementation and development of health information systems. Our main focus is on doctor’s work. Doctors will use computer only if they will see clear advantages. Traditional data gathering and display are not sufficient, so modern software should provide speech interfacing and computer graphics in various applications and enable the use of electronic mail, hand held computers, electronic data interchange, etc. among other features. This paper tries to show the needs for applications of those features. They are already implemented as part of our hospital information systems.
A JAVA-Based Multimedia Tool for Clinical Practice Guidelines
Authors: Maojo Victor  , Herrero Carlos  , Valenzuela Francisco  , Crespo Jose  , Lazaro Pablo  , Pazos Alejandro
Published: February 2025

We have developed a specific language for the representation of Clinical Practice Guidelines (CPGs) and Windows C++ and platform independent JAVA applications for multimedia presentation and edition of electronically stored CPGs. This approach facilitates translation of guidelines and protocols from paper to computer-based flowchart representations. Users can navigate through the algorithm with a friendly user interface and access related multimedia information within the context of each clinical problem. CPGs can be stored in a computer server and distributed over the World Wide Web, facilitating dissemination, local adaptation, and use as a reference element in medical care. We have chosen the Agency for Health Care and Policy Research’s heart failure guideline to demonstrate the capabilities of our tool.
Telemedicine: Evaluation or Stagnation
Authors: O'Rourke Michael  , Gallivan Stephen
Published: February 2025

Telemedicine is attracting attention as a new means of delivery health care, but research indicates a low level of useful analysis of projects This paper reviews the potential of telemedicine and suggests the use of appropriate evaluation techniques can enable that potential to be realised. The importance of quantifying benefits and introduction of wider perspectives is discussed and advocated.
Cardiac Electrical Instability of the Arrhythmogenic Tissue Substrate Assessed by Means of Wavelet Transform
Authors: Popescu M.  , Laskaris N.  , Merloi A.  , Chiladakis I.  , Stathopoulos C.  , Manolis A.  , Cristea P.  , Bezerianos A.
Published: February 2025

The unstable activation wavefront from the tissue responsible for the production of ventricular tachycardia (VT) gives rise to beat-variable signals components that are eluded during the averaging step of high resolution ECG (HRECG). We used a mathematical model of small variations in a largely repetitive waveform to evaluate the beat-to-beat variance of the HRECG signal. The ability of the Morlet Wavelet Transform to discriminate the different factors responsible for the beat-variability (the alignment error and the beat-variable signal component) has been assessed on simulated signals. The performance evaluation on real ECG signals from normal subjects and patients with a documented history of ventricular tachycardia showed that the dynamics of the arrhythmogenic substrate as revealed by wavelet transform offers a significant improvement in ventricular tachycardia risk assessment.
Strategic plan for promoting ICNP in Romania
Authors: Moisil Ioana  , Tieru Constanta  , Telman Marieta  , Cioara Elisabeta
Published: February 2025

Preparing Romanian nursing community for the newcoming health information systems is not an easy task and has to start with the structuring of nursing information. That means that the free text of nursing documentation has to be mould, in a first stage, into a nursing language . Then, using a classification system, it will be possible for it to be captured in an electronic health record.
An EKG Monitor Network
Authors: Komocar Mihajlo  , Atanaskovic Srecko  , Savic Zoran  , Ignjatic Dejan
Published: February 2025

A networkable kardiomonitor CM-3 is described as well as the associated central monitoring device CEMON. CM-3 allows archiving as well as efficient control of all relevant measurements, alarms and trend data in the last 2 years of use of the equipment. This data is easily reviewed, printed or saved on removable media to be included in the hospital patient documentation. The network is based on standard Ethernet bus architecture and PC Ethernet adapters. This high speed medium allows efficient real time control and immediate reaction to each alarm situation. Easy integration with other parts of the hospital information system is possible. In addition, critical monitor files can be efficiently backed up and possibilities are open for hierarchical storage with high security options.
Primary Care Informatics: Bhorugram India: Revisited
Authors: Singh AK  , Kohli M  , Trell E  , Kohli S  , Wigertz O
Published: February 2025

A Primary Health Care Informatics project was initiated in 1990 at Bhorugram, Rajasthan, India. It was reported in MIE91 with initial, encouraging results. The evaluation of the information system has been successful in all operational terms, and the Fully Immunised Child (FIC) could be used as a local cardinal index to monitor and evaluate the quality of care, cost-effectiveness and community participation. Health Systems and Health Economy Research alike have long searched for apt quality and performance markers that in themselves could embrace and express a number of aspects and factors. The FIC index is shown to well meet the criteria Of such a cardinal measure in the MCHC services. We, also, demonstrate an implementation strategy for establishing Information Systems in Primary Health Care Centres in Developing countries.
Can Computers Improve the Health of the Nation?
Authors: Gillies Alan
Published: February 2025

In this paper the author considers whether the use of computers can be demonstrated to have a positive impact upon the effectiveness of health screening, in accordance with the Health of the Nation document. It is based upon a study of 1.1 million patients registered with 283 general practices in the North West region of the UK.
Galen-In-Use : An EU Project applied to the development of a new national coding system for surgical procedures : NCAM
Authors: Rodrigues Jean Marie  , Trombert-Paviot Béatrice  , Baud Robert  , Wagner Judith  , Rusch Philippe  , Meusnier Florence
Published: February 2025

GALEN has developed a language independent common reference model based on a medically oriented ontology and practical tools and techniques for managing healthcare terminology including natural language processing. GALEN-IN-USE is the current phase which applied the modelling and the tools to the development or the updating of coding systems for surgical procedures in different national coding centres co-operating within the European Federation of Coding Centre (EFCC) to create a multilingual knowledge repository for multicultural Europe. NCAM (Nomenclature Commune des Actes Médicaux) is the new French multipurpose coding system for surgical procedures. The labels are processed from the intermediate dissections to the Grail representation and the natural language generation by the electronically related Medical Informatics research centres network of Saint Etienne, Manchester, Geneva and Nijmegen The national coding centre is able to retrieve the initial labels with different categories of concepts, to compare the professional language proposed by expert clinicians to the French generated controlled vocabulary and to finalise the linguistic labels of the coding system in relation with the meanings of the conceptual system structure.
Clinical Applications of Intranet-Technology
Authors: Dugas M.
Published: February 2025

Several areas of HTML-applications using intranet-technology are presented, which are in routine use in our hospital: CBT for nurses and medical students, drug information, electronic literature retrieval systems and laboratory information systems.
Security Threats and Solutions in Distributed, Interoperable Health Information Systems Using Middleware
Authors: Blobel Bernd  , Holena Martin
Published: February 2025

Increasingly, distributed, interoperable healthcare information systems, which meet the shared care paradigm, work across the boundaries of policy, organisational, and technological domains and are based on middleware concepts. Especially in healthcare with its sensitive personal and medical data, such systems require advanced data security measures. In the paper, a common object-oriented security model for middleware systems and advertisements for implementation are proposed, corresponding the security requirement of both the user and the application environment.
Nursing Information and Data Set Evaluation Center
Authors: Marek K.  , Kneedler J.  , Zielstorff R.  , Delaney C.  , Marr P.  , Averill C.  , Millholland D.K.
Published: February 2025

The American Nurses Association (ANA) has established the Nursing Information and Data Set Evaluation Center (NIDSEC) . The purpose of this Center is to develop and disseminate standards pertaining to information systems that support the documentation of nursing practice, and to evaluate voluntarily submitted information systems against these standards. The target audience for these standards includes both consumers and vendors of clinical information systems. The need for an evaluation center arises out of a long history of calls for standards pertaining to nursing data and to information systems. These calls have come from the Secretary of Health and Human Services Commission on Nursing, the National Commission on Nursing Implementation Project (NICNIP). Standards will be developed to evaluate the completeness, accuracy and appropriateness of four dimensions of nursing data sets and the systems that contain them: 1) Nomenclature; 2) Clinical Content; 3) Clinical Data Repository; and 4) General System Characteristics.
Implementation of a Patient Management System in a Children's Hospital
Authors: Westbrooke L.A.  , Carr R.L.
Published: February 2025

Implementing systems to the clinical areas within the hospital setting, is increasing as rapidly as technology is changing. This paper describes the requirements and problems identified during an implementation of a patient management system to a major Paediatric Hospital. The system implemented was developed within the I.S. Department of the hospital and provides a high degree of functionality and ease of use for clinical and clerical staff. It also offers case-based interfaces to clinical and business management systems outside the patient care setting.
Application of the Internet for Nursing Education
Authors: Majima Y.
Published: February 2025

I made home page to support home care. We can utilize to nursing education by using home page on the internet. This can provide information to not only nursing students and nurses but also the person needing home care in community and home. It does not matter whether time or location. So such home page about nursing is valid. In this studies, it appeared that we must devise presentation method of media when we create home page about nursing and practical skill lesson.
The International Classification for Nursing Practice: A Progress Report
Authors: Clark Dame J.
Published: February 2025

This paper will review and report progress on the development of the International Classification for Nursing Practice. This project, begun in 1990 by the International Council of Nurses, aims to develop a standardised vocabulary and classification of nursing phenomena (nursing diagnoses), nursing interventions, and nursing outcomes which can be used in both electronic and paper records to describe and compare nursing practice across clinical settings. An Alpha Version of the Classification of Nursing Phenomena and Nursing Interventions was released for further development and field testing in 1996 and an outline for a Classification of Nursing Outcomes in 1997. Nurses around the world, and other classification experts, have been invited to participate in the development of the Beta Version which it is hoped will be ready for release in 1999.
Nursing Intervention Intensity and Focus: Indicators of Process for Outcomes Studies
Authors: Grobe S.J.  , Hughes L.C.  , Robinson L.  , Adler D.C.  , Nuamah I.  , McCorkle R.
Published: February 2025

Outcomes research has become increasingly important in the current health care environment and for informatics research efforts. Recent efforts in automating clinical data for use in outcomes studies has focused attention on the need to represent the processes of care in the classic structure-process-outcome models of care. This paper reports on use of the Nursing Intervention Lexicon and Taxonomy for classifying interventions to characterize two process of care variables: intervention intensity and intervention focus. Study results demonstrate that these variables are descriptive and provide promise for describing processes of nursing care for describing clinical care.
Proposals and Solutions for Autonomy of the Disabled and Elderly
Authors: Bianchi Bandinelli Rolando  , Saba Antonina
Published: February 2025

The aim of this paper is to present DEFIE (Disabled and Elderly people Flexible Integrated Environment) a project of the CEC to develop a multimedia integrated system that allows the elderly and motor and/or sensory impaired to command and control domestic and working environments with a high degree of self-sufficiency and safety. The goal of this study has been to implement a precompetitive prototype of a modular system capable of satisfying the needs of a heterogeneous group of disabled and elderly users.
Fully Automated Health Monitoring at Home
Authors: Tamura T.  , Togawa T.  , Ogawa M.  , Yamakoshi K
Published: February 2025

The aim of this study was to provide adequate home health monitoring for the elderly at home using fully automated signal measurement with personal identification to support daily health care and to improve quality of life. We attempted to develop a home health monitoring system that did not provide any restrictions during sleep, bathing and excretion. A new room including bath and toilet was constructed. The system consisted of monitoring devices and a computer terminal for collecting data. The data were automatically obtained from monitoring devices situated at the bed, bath and toilet and were transferred to a data terminal and stored for further analysis. Where subjects live with their spouse or family, personal identification is required to store data individually. For the bathtub data, personal identification was performed using ECG data. Sampled data were reduced by wavelet transform and distinguished by a neural network. The data acquisition system is now underway and data are being extensively collected.
Can Medical Informatics Deliver? - How Useful is the Present Communication Infrastructure in Health Care?
Authors: Rienhoff O.
Published: February 2025

With a short excursion into the history of Medical Informatics the fatal role of too far reaching promises is analysed. Famous persons and funding projects finally failed because they could not deliver. Especially leading-edge research and system developments risk to initiate new funds by promising routine availability much too early. While this can be excused for the first three decades of post-war development, it cannot be accepted that even today naive vendors and scientists looking for funding promise too much and thus endanger strategic developments.
Healthcard Interoperability
Authors: Markwell D.C.
Published: February 2025

This paper is based on work undertaken by the author in the EU funded Eurocards Concerted Action and in the EU/G7 Healthcard Interoperability Feasibility Study during 1996. Interoperability is discussed in the relation to the way it may apply to different healthcard functions. Technical and organisational aspects of Healthcard Interoperability are considered and the technical architecture proposed by the EU and G7 initiatives is outlined. The paper concludes that interoperability adds to the likely value and longevity of a Healthcard System, and is feasible using the proposed architecture.
The Clinical Advantages of Editable Real-Time Volume Rendering in a Medical Virtual Environment: VolMed
Authors: Oyama Hiroshi  , Wakao Fumihiko  , Takahira Yukihiro
Published: February 2025

Segmentation for a medical virtual environment is a process of image diagnosis. It should be performed by clinical doctors, otherwise the data may be meaningless for using clinical purposes. At the National Cancer Center, in Japan, we have recently developed interactive, editable real-time volume rendering software (VolMed), based on Volren-6 software, with the ability to interactively edit the 3D images of a patient's virtual cancer and virtual organs, in a virtual environment. Doctors can see proposed solutions to clinical problems as 3D images, using real-time volume rendering. We conclude that interactive editing is very important for clinical use, and also decreases the time required to create the virtual cancer images used for surgical simulation, pre-surgical planning and 3D invasion diagnoses.
New Concept of an Integrated IT&T-based Dental Workstation for Quality Assurance in Oral Health Care
Authors: Koch Sabine  , Wagner Ina-Veronika  , Schneidera Werner  , Hana Fei
Published: February 2025

During the last five years, quality development has become a most important issue in oral health care. In every day practice, quality development meets, however, a considerable number of objective obstacles, mainly due to the lack of direct access to the information necessary in a specific clinical work situation and due to the absence of knowledge on own performance in relation to quality goals. The EU-TAP project ORQUEST has identified different clinical work situations and built up an integrated IT&T-platform composed of different software modules and hardware components for each clinical work situation in order to allow for adequate IT&T-support in specific clinical situations.
Experimental Assessment of the Feasability of Integrating an Endoscopic Imaging System into an Existing Hospital Information System
Authors: Chen Tse-Sheng  , Gough Tom G  , Lin H C  , Lin X Z
Published: February 2025

The National Cheng Kung University (NCKU) Hospital operates a comprehensive integrated hospital information system. This was designed and installed as an integral component of the building of the hospital, which opened in 1988. The information system provides a service to all staff in the hospital, administrative and clinical, across the whole of the hospital. To make sure that the information is accessible, where and when it is needed, a comprehensive communications network consisting of both hardware and software mechanisms supports the information system. This paper explores the requirements for a computerised image system for endoscopy and assesses two approaches to the implementation of such a system, as a stand-alone system and as a subsystem of the NCKU hospital information system already in place. The latter would satisfy the original design specification of developing a single system to cover all aspects of hospital operation but places additional demands on the endoscopy systems designer to ensure integration. Both operational modes are set out in the paper and their implications assessed.
Quality Management in the Doctor's Consulting Room
Authors: Slot Harm Bruins  , de Vos Cees  , Berghs Bert  , Hooymans Martin  , Bakker Ab
Published: February 2025

Clinical research and the measurement of quality in healthcare have similar properties. Clinical research is generally restricted to university and teaching hospitals because of it's time consuming nature while quality management and subsequent quality measurement are of interest to all medical doctors. To serve both purposes a Kaplan Meier satellite module was developed as an add-on to a medical workstation. Kaplan Meier survival statistics has interesting possibilities as a clinical tool for the measurement and graphic visualisation of quality of care. It does express the clinical behaviour of a patient population in terms of cumulative survival, patency or any other binary phenomenon. A vascular surgeon collected cumulative patency data on 340 vascular reconstructions with this Kaplan Meier module within 6 months without any perceptable influence on the normal outpatient clinic routines. The module is easy to operate, easy to maintain and very adaptable to any clinical question.