bluuebunny/crossref_metadata_2025 huggingface dataset:
Biomechanical Analysis of Forces Sustained by Iliac Screws in Spinal Instrumentation for Deformity Treatment: Preliminary Results
Authors: Perrault Frederique D.  , Aubin Carl-Eric  , Wang Xiaoyu  , Schwend Richard M.
Published: February 2025

Iliac screws used in long instrumentation for deformity treatment are subject to large forces, which may sometimes lead to fixation failures (intra- and postoperatively). The objective of this study was to analyze the biomechanics of iliac screw fixations. The study was based on a patient-specific simulation of a neuromuscular scoliosis case with a long instrumentation to the pelvis. A multi body flexible model was created using a preoperative 3D reconstructed spine and pelvis. The side bending radiographs were used to personalize the mechanical properties. The instrumentation construct was modeled as rigid bodies and flexible beams connected by kinematic joints. Three instrumentation parameters were studied: the connector length, the inter rod connectors and the use of sacral screws. The simulations showed that the forces and torques at the iliac screws were lowered by 9% and 25% respectively by reducing the lateral connector length (from 20 to 10 mm). An inter rod connector did not significantly reduce the iliac screw loads. Sacral screws reduced the functional loads on the iliac screws, but hardware related problems may be shifted onto the sacral screws. Sacral screws in conjunction with inter rod connectors reduced the loads at iliac screws without overloading the sacral screws. The preliminary results showed that the forces at the iliac screws could be lowered through different instrumentation parameters. In the next step of the study, the model validation will be further completed and used to evaluate other instrumentation factors by means of an experimental design framework. The knowledge of loading biomechanics at the iliac screw fixation is important for finding solutions to reduce the risk of failure, such as improving preoperative planning, instrumentation techniques and iliac screw construct design.
A multibody-based approach to the computation of spine intervertebral motions in scoliotic patients
Authors: Abedrabbo Gabriel  , Fisette Paul  , Absil Pierre-Antoine  , Mahaudens Philippe  , Detrembleur Christine  , Raison Maxime  , Banse Xavier  , Aubin Carl-Eric  , Mousny Maryline
Published: February 2025

In idiopathic scoliotic patients, dynamical intervertebral efforts acting between vertebrae seem to be correlated with the spinal deformity. The quantification of these efforts, which is useful for the orthopedic surgeons to set up their surgical planning is the final objective of the present research. As a first step, we focus in this contribution on the geometrical reconstruction of the spine and especially on the rotation sequences between vertebrae in a multibody approach. The reconstruction process is performed in the standing position with possible bending, using an optimization process based on geometrical data reconstructed from radiographs. The obtained results will serve as input for the subsequent gait motion for which the limited set of geometrical information must be compensated.
Force and Touch Make Video Games ‘Serious’ for Dexterity Rehabilitation
Authors: Confalonieri Michele  , Guandalini Giovanni  , Da Lio Mauro  , De Cecco Mariolino
Published: February 2025

Computerized interfaces are able to represent 3D immersive simulations. Most of them make use of joystick, mouse, gloves, or grasp pressure transducers. Those have the drawback of ‘filtering’ the user interaction and/or de-locate the touch with respect to the visual stimulus. To overcome this we developed dexterity rehabilitation games on a novel touch interface that measures also force. The system allows dexterity training through ‘direct’ manipulation of virtual objects in 3D. Two dimensions via the touch screen, the third by the force channel. Tactile feedback is provided with a vibration device mounted on the screen back.
The ENSAT registry: A digital repository supporting adrenal cancer research
Authors: Stell Anthony  , Sinnott Richard
Published: February 2025

The very nature of rare diseases means that information is often sparse and highly distributed, and as a result progress in the field is more challenging to conduct. ENSAT-CANCER is an EU-FP7 funded initiative to develop a virtual research environment (VRE) offering a digitally interconnected infrastructure for distributed clinicians specialising in rare adrenal tumours to communicate and collaborate with distributed biomedical research communities. The core of the VRE is a registry that holds vital patient information from specialist centres around Europe, covering different types of adrenal tumours. The VRE also hosts a range of other enabling services including sample barcoding, bio-sample exchange mechanisms, an integrated linkage scheme to other trials and studies, summary statistics and report generation, image hosting – all of which are available in a seamless, security-driven environment. This paper presents the key challenges of this endeavour, the technical solutions that have been developed to address them and reporting the uptake and adoption of the work (currently at 2472 patient records and rising).
Digital Pathology in Personalized Cancer Therapy
Authors: Słodkowska Janina  , García-Rojo Marcial
Published: February 2025

The development of small molecule inhibitors of the growth factor receptors and discovery of somatic mutations of the thyrosine kinase domain resulted in new paradigms for the cancers therapy. Digital microscopy is an important tool for surgical pathologists. The achievements in the digital pathology field have modified the workflow of pathomorphology labs, enhanced the pathologists' role in the diagnostics and increased their contribution to the personalized targeted medicine. Digital image analysis is now available in a variety of platforms to improve quantification performance of diagnostic pathology. The authors describe the state of digital microscopy as it applies to the field of quantitative immunohistochemistry of biomarkers related to the clinical personalized targeted therapy of breast cancer, non-small lung cancer and colorectal cancer: HER-2, EGFR, KRAS and BRAF genes. The information is derived from the experience of the authors and review of the literature.
Digital Pathology for Education
Authors: Huisman André
Published: February 2025

The use of digital slides for educational purposes (both for medical students and during pathology traineeships) will eventually accelerate the acceptance of digital pathology in general. This chapter describes the advantages of using digital slides especially for education. Also the requirements for using digital slides for this purpose are evaluated, including software requirements, the slide scanner and the IT infrastructure needed to provide a robust infrastructure to end users.
Business Process Modeling in Healthcare
Authors: Ruiz Francisco  , Garcia Felix  , Calahorra Luis  , Llorente César  , Gonçalves Luis  , Daniel Christel  , Blobel Bernd
Published: February 2025

The importance of the process point of view is not restricted to a specific enterprise sector. In the field of health, as a result of the nature of the service offered, health institutions' processes are also the basis for decision making which is focused on achieving their objective of providing quality medical assistance. In this chapter the application of business process modelling – using the Business Process Modelling Notation (BPMN) standard is described. Main challenges of business process modelling in healthcare are the definition of healthcare processes, the multi-disciplinary nature of healthcare, the flexibility and variability of the activities involved in health care processes, the need of interoperability between multiple information systems, and the continuous updating of scientific knowledge in healthcare.
An Application of Symbolic Dynamics for FHRV assessment
Authors: Cesarelli Mario  , Romano Maria  , Bifulco Paolo  , Improta Gianni  , D'Addio Gianni
Published: February 2025

Fetal heart rate variability is surely one of the most important parameters to monitor fetal wellbeing. Linear studies, widely employed to study fetal heart variability and its correlations with the development of the autonomous nervous system, have shown some limitations in highlight dynamics potentially relevant. During the last decades, therefore, nonlinear analysis methods have gained a growing interest to analyze the chaotic nature of cardiac activity. Techniques investigating nonlinear dynamics have been already successfully employed in adults, to analyze different physiological and pathological states. Concerning fetal monitoring, instead, a smaller number of papers is available in the literature; even if symbolic dynamics was recently employed to quantify fetal heart rate regularity, demonstrating that the use of this technique may lead to a better and more differentiated understanding of normal fetal physiological development. In this work, we applied the symbolic dynamics to analyze fetal heart rate variability in healthy fetuses at the end of a physiological pregnancy. Our results confirmed the potentiality of the technique to highlight differences between signals characterized by more or less variability.
A “Meta”-Perspective on “Bit Rot” of Biomedical Research Data
Authors: Dickmann Frank  , Grütz Romanus  , Rienhoff Otto
Published: February 2025

Research data management (RDM) is an important topic for biomedical research due to the issue of “bit rot”. RDM aims to implement access to reliable digital data for local and distributed research groups. A key aspect for the understanding of data is the use of metadata. This understanding has been investigated on the basis of two use cases of the DFG project LABIMI/F: RDM for genome data and biomedical image data. The results show that metadata can improve research not only for others but also for the researcher himself. However, RDM is still far from integrating all biomedical data. In addition, RDM is not (yet) a valid approach for clinical trial data management.
Application of Usability Metrics in a Multi-User and Multimedia EHR Evaluation Framework
Authors: Kopanitsa Georgy  , Tsvetkova Zhanna  , Veseli Hasan
Published: February 2025

Electronic health records are replacing conventional paper-based health records. For a doctor it is a working instrument, which can significantly reduce the time spent on paper work. Patients can benefit from accessing the electronic health records even though they usually do not have a medical background. Therefore, when specifying a graphical user interface (GUI) it is necessary to take into account the requirements of the different users: e.g. the functionality for the doctors and the presentation of data in an understandable manner for the patients. The study aims to review and analyze metrics used to evaluate the usability of user interfaces in health information systems. The scope of the search included the analysis of existing usability evaluating metrics that are applied both in healthcare and other domains, where the standard of storage and presentation of information are applied. We identified a set of metrics and evaluation methods that provide holistic evaluation facilities for graphical user interfaces.
Finding Online Health-Related Information: Usability Issues Of Health Portals
Authors: Gurel Koybasi Nergis A.  , Cagiltay Kursat
Published: February 2025

As Internet and computers become widespread, health portals offering online health-related information become more popular. The most important point for health portals is presenting reliable and valid information. Besides, portal needs to be usable to be able to serve information to users effectively. This study aims to determine usability issues emerging when health-related information is searched on a health portal. User-based usability tests are conducted and eye movement analyses are used in addition to traditional performance measures. Results revealed that users prefer systematic, simple and consistent designs offering interactive tools. Moreover, content and partitions needs to be shaped according to the medical knowledge of target users.
An Integration of Emergency Department Information and Ambulance Systems
Authors: Al-Harbi Nada  , El-Masri Samir  , Saddik Basema
Published: February 2025

In this paper we propose an Emergency Department Information System that will be integrated with the ambulance system to improve the communication, enhance the quality of provided emergency services and facilitate information sharing. The proposed system utilizes new advanced technologies such as mobile web services that overcome the problems of interoperability between different systems, HL7 and GPS. The system is unique in that it allows ambulance officers to locate the nearest specialized hospital and allows access to the patient's electronic health record as well as providing the hospital with required information to prepare for the incoming patient.
Subliminal Control on CDA final descent operations
Authors: de Jonge Hugo  , Mulder Geert  , Visser Dries
Published: February 2025

In this article a final descent approach procedure is evaluated that performs near-idle descents of tightly sequenced arrivals over a curved approach path towards a single heavy loaded runway. An operational concept is applicable in which a Final Approach Spacing Tool (FAST) assists the Controller with advisories to maintain stability of the arrival flow. Calculated small subliminal control instructions are processed automatically, whilst other more significant required instructions are assumed to be given by the Controller. This process is modelled in MATLAB / Simulink, using an aircraft performance model with realistic modelled flight dynamics, including randomised uncertainties. Simulation results demonstrate significant stability differences for including or excluding assistance by subliminal control instructions. Also, the model gives indications for the maximum achievable runway throughput of an arrival runway in segregated mode fed by a dedicated flow of near-idle CDA operations. The achievable reactivity of the control loop is decisive to improve control on arrival sequence stability, whilst pro-active measures will help to increase the stability.
Effectiveness Evaluation for Short-Term Group Pre-Deployment VR Computer-Assisted Stress Inoculation Training Provided to Polish ISAF Soldiers
Authors: Ilnicki Stanislaw  , Wiederhold Brenda K.  , Maciolek Justyna  , Kosinska Ludmila  , Szymanska Sylwia  , Zbyszewski Maciej  , Siatkowska Anna  , Opalko-Piotrkiewicz Ewelina  , Ilnicki Piotr  , Filarowska Monika  , Glibowska Anna  , Borzetka Dorota  , Pleskacz Katarzyna  , Murawski Piotr
Published: February 2025

The goal of this study was to assess effectiveness of a short collective stress inoculation training (SIT) conducted according to the methodology of the Virtual Reality Medical Center of San Diego (Training of Physiological Control Exposure to Virtual Stressor while Maintaining Physiological Control). The results obtained indicate a short-term effectiveness of the training as a method of tension reduction. However, in the long-term perspective these results are ambiguous and they suggest a need of further research. In order to extend the analysis effects of temperamental factors on training effectiveness was presented.
Using Portable EEG Devices to Evaluate Emotional Regulation Strategies During Virtual Reality Exposure
Authors: Rey Beatriz  , Rodríguez Alejandro  , Alcañiz Mariano
Published: February 2025

As Virtual Reality (VR) is starting to be used to train emotional regulation strategies, it would be interesting to propose objective techniques to monitor the emotional reactions of participants during the virtual experience. In this work, the main goal is to analyze if portable EEG systems are adequate to monitor brain activity changes caused by the emotional regulation strategies applied by the participants. The EEG signals captured from subjects that navigate through a virtual environment designed to induce a negative mood will be compared between three experimental groups that will receive different instructions about the emotional regulation strategies to apply. The study will allow us to validate the possibilities of portable EEG devices to monitor emotional regulation strategies during VR exposure.
Inter-Reality in the Evaluation and Treatment of Psychological Stress Disorders: the INTERSTRESS Project
Authors: Cipresso Pietro  , Gaggioli Andrea  , Serino Silvia  , Raspelli Simona  , Vigna Cinzia  , Pallavicini Federica  , Riva Giuseppe
Published: February 2025

“Psychological stress” occurs when an individual perceives that environmental demands tax or exceed his or her adaptive capacity. According to the Cochrane Database of Systematic Reviews, the best validated approach covering both stress management and stress treatment is the Cognitive Behavioral (CBT) approach. CBT has undergone a very large number of trials in research contexts. However, it has been less efficacious in clinical contexts and it has become obvious that CBT has some failings when applied in general practice. INTERSTRESS is a EU-funded project that aims to design, develop and test an advanced ICT-based solution for the assessment and treatment of psychological stress that is able to address three critical limitations of CBT: a) the therapist is less relevant than the specific protocol used. b) the protocol is not customized to the specific characteristics of the patient; c) the focus of the therapy is more on the top-down model of change (from cognitions to emotions) than on the bottom-up (from emotions to cognitions). To reach this goal the INTERSTRESS project applies an innovative paradigm for e-health – Interreality – that integrates assessment and treatment within a hybrid environment, bridging physical and virtual worlds. On one side, the patient is continuously assessed in the virtual and real worlds by tracking the behavioral and emotional status in the context of challenging tasks (customization of the therapy according to the characteristics of the patient). On the other side, feedback is continuously provided to improve both the appraisal and the coping skills of the patient through a conditioned association between effective performance state and task execution behaviors (improvement of self efficacy). Within this conceptual framework, it is possible to set up and test psychological treatments that could be extended also beyond the traditional research and clinical setting by using more and more emerging mobile technology to deliver real-time interventions during daily activities and ecological contexts.
Home Care and Technology: A Case Study
Authors: Stroulia Eleni  , Nikolaidis Ioanis  , Liu Lili  , King Sharla  , Lessard Lysanne
Published: February 2025

Health care aides (HCAs) are the backbone of the home care system and provide a range of services to people who, for various reasons related to chronic conditions and aging, are not able to take care of themselves independently. The demand for HCA services will increase and the current HCA supply will likely not keep up with this increasing demand without fundamental changes in the current environment. Information and communication technology (ICT) can address some of the workflow challenges HCAs face. In this project, we conducted an ethnographic study to document and analyse HCAs' workflows and team interactions. Based on our findings, we designed an ICT tool suite, integrating easily available existing and newly developed (by our team) technologies to address these issues. Finally, we simulated the deployment of our technologies, to assess the potential impact of these technological solutions on the workflow and productivity of HCAs, their healthcare teams and client care.
Analysis of Continuous Oxygen Saturation Data for Accurate Representation of Retinal Exposure to Oxygen in the Preterm Infant
Authors: Cirelli Josie  , McGregor Carolyn  , Graydon Brenda  , James Andrew
Published: February 2025

Maintaining blood oxygen saturation within the intended target range for preterm infants receiving neonatal intensive care is challenging. Supplemental oxygen is believed to lead to increased risk of retinopathy of prematurity and hence managing the level of oxygen within this population is important within their care. Current quality improvement activities use coarse hourly spot readings to measure supplemental oxygen levels as associated with targeted ranges that vary based on gestational age. In this research we use Artemis, a real-time online healthcare analytics platform to ascertain if the collection of second by second data provides a better representation of retinal exposure to oxygen than an infrequent, intermittent spot reading. We show that Artemis is capable of producing more accurate information from the higher frequency data, as it includes all the episodic events in the activity of the hour, which provides a better understanding of oxygen fluctuation ranges which affect the physiological status of the infant.
The Long and Twisting Path: An Efficiency Evaluation of an Electronic Whiteboard System
Authors: Rasmussen Rasmus  , Kushniruk Andre
Published: February 2025

Electronic whiteboard systems are becoming increasingly popular as replacements for the dry-erase whiteboards previously used for communication and workflow coordination at Emergency Departments. With this it also becomes increasingly important that these systems do not disrupt or delay the working practices of the departments where they are taken into use. Usability evaluations should therefore be employed as part of developing and implementing these systems. We report on a subset of the results from a larger usability study of a electronic whiteboard and find that there are inefficiencies, which could be mitigated by a relatively simple redesign and thus improve the usability of the system.
User-State Sensing for Virtual Health Agents and TeleHealth Applications
Authors: Gratch Jonathan  , Morency Louis-Philippe  , Scherer Stefan  , Stratou Giota  , Boberg Jill  , Koenig Sebastian  , Adamson Todd  , Rizzo Albert
Published: February 2025

Nonverbal behaviors play a crucial role in shaping outcomes in face-to-face clinical interactions. Experienced clinicians use nonverbals to foster rapport and “read” their clients to inform diagnoses. The rise of telemedicine and virtual health agents creates new opportunities, but it also strips away much of this nonverbal channel. Recent advances in low-cost computer vision and sensing technologies have the potential to address this challenge by learning to recognize nonverbal cues from large datasets of clinical interactions. These techniques can enhance both telemedicine and the emerging technology of virtual health agents. This article describes our current research in addressing these challenges in the domain of PTSD and depression screening for U.S. Veterans. We describe our general approach and report on our initial contribution: the creation of a large dataset of clinical interview data that facilitates the training of user-state sensing technology.
A Portable Immersive Surgery Training System Using RGB-D Sensors
Authors: Guo Xinqing  , Lopez Luis D.  , Yu Zhan  , Steiner Karl V.  , Barner Kenneth E.  , Bauer Thomas L.  , Yu Jingyi
Published: February 2025

Surgical training plays an important role in assisting residents to develop critical skills. Providing effective surgical training, however, remains as a challenging task. Existing videotaped training instructions can only show imagery from a fixed viewpoint that lacks both depth perception and interactivity. We present a new portable immersive surgical training system that is capable of acquiring and displaying high fidelity 3D reconstructions of actual surgical procedures. Our solution utilizes a set of Microsoft Kinect sensors to simultaneously recover the participants, the surgical environment, and the surgical scene itself. We then develop a space-time navigator to allow the trainees to witness and explore a prior procedure as if they were there. Preliminary feedback from residents shows that our system is much more effective than conventional videotaped system.
Hierarchical Task Analysis of Hybrid Rigid Scope Natural Orifice Translumenal Endoscopic Surgery (NOTES) Cholecystectomy Procedures
Authors: Nemani Arun  , Sankaranarayanan Ganesh  , Roberts Kurt  , Panait Lucian  , Cao Caroline  , De Suvranu
Published: February 2025

This study shows task analysis results for the suturing task in the hybrid rigid scope Natural Orifice Translumenal Endoscopic Surgery (NOTES) cholecystectomy procedure. A hierarchical task analysis tree was constructed from the video recordings of the NOTES procedure and time analysis for the suturing subtask was performed. Results indicate that the “Pull Suture Through” subtask requires the greatest time (25.4 sec) and the “Re-bite” subtask had the highest variation (6.6 sec). Intra-rater reliability test (k = 0.68) also showed consistency of the results obtained from the video motion analysis.
TPM: Cloud-based Tele-PTSD Monitor Using Multi-Dimensional Information
Authors: Xu Roger  , Mei Gang  , Zhang Guangfan  , Gao Pan  , Pepe Aaron  , Li Jiang
Published: February 2025

An automated system that can remotely and non-intrusively screen individuals at high risk for Post-Traumatic Stress Disorder (PTSD) and monitor their progress during treatment would be desired by many Veterans Affairs (VAs) as well as other PTSD treatment and research organizations. In this paper, we present an automated, cloud-based Tele-PTSD Monitor (TPM) system based on the fusion of multiple sources of information. The TPM system can be hosted in a cloud environment and accessed through landline or cell phones, or on the Internet through a web portal or mobile application (app).
An Ontolological Treatment of Clinical Prediction Rules Implementing the Alvarado Score
Authors: Corrigan Derek  , Taweel Adel  , Fahey Tom  , Arvanitis Theodoras  , Delaney Brendan
Published: February 2025

A lack of acceptance has hindered the widespread adoption and implementation of clinical prediction rules (CPRs). The use of clinical decision support systems (CDSSs) has been advocated as one way of facilitating a broader dissemination and validation of CPRs. This requires computable models of clinical evidence based on open standards rather than closed proprietary content. The on-going TRANSFoRm project has developed ontological models of CPRs suitable for providing CPR based decision support. This paper presents a description of the design and implementation of the ontology model for CPRs that has been proposed. The conceptual validity of the ontology is discussed using the example of a specific CPR in the form of the Alvarado Score for acute appendicitis. We demonstrate how the model is used to query the structure of this particular rule, providing a computable representation suitable for CPRs in general.
Project I-COP – Architecture of Software Tool for Decision Support in Oncology
Authors: Blaha Milan  , Janča Dalibor  , Klika Petr  , Mužík Jan  , Dušek Ladislav
Published: February 2025

This article briefly describes the development of the I-COP tool, which is designed to promote education and decision making of clinical oncologists. It is based on real data from medical facilities, which are processed, stored in database, analyzed and finally displayed in an interactive software application. Used data sources are shortly described in individual sections together with the functionality of developed tools. The final goal of this project is to provide support for work and education within each involved partner center. Clinical oncologists are therefore supposed to be the authors and users at the same time.
A comparison of English and French Approaches to Providing Patients Access to Summary Care Records: Scope, Consent, Cost
Authors: De Lusignan Simon  , Seroussi Brigitte
Published: February 2025

Online access to records is part of the process of empowering patients. National health services in both France and England have introduced systems to provide online access to summary health data. The English system was called the “Summary Care Record (SCR),” made accessible to patients through “HealthSpace”. The French system Dossier Médical Personnel (DMP) is a patient controlled record clinicians enter data into. The objective was to compare the programmes and lessons from the introduction of patient access. We carried out a literature review. The English system has been progressively de-scoped, with HeathSpace due to close in 2013, only 0.01% of the population signing up for “advanced accounts”. The French system slowly grows as more documents are added; though only 0.31% of the population have opened a DMP. The English SCR has an opt-out consent model, whereas the French DMP is patient controlled opt-in consent model. The SCR sits within an NHS intranet while the DMP sits on the Internet. Both systems have costs of around 200million Euro. Providing patients online access to their medical records is potentially empowering. However, the English HealthSpace and SCR have failed to deliver and are due to be withdrawn as methods of providing patients online access. The French system is still in operation but much criticized for its high costs and low uptake. The design of these systems does not appear to have met patients' needs or been readily integrated into physicians workflow.
Propensity of people with long-term conditions to use personal health records
Authors: Gu Yulong  , Day Karen
Published: February 2025

Introduction: An exploratory study was conducted to understand patient propensity to use a Personal Health Record (PHR) linked to their primary care clinicians' Electronic Health Record (EHR). Individuals with long-term conditions rely on information exchange for effective self-care. PHRs could be helpful. The research questions were: How do we know if certain people will use PHRs for self-care?
Wearable Textile-Based Phototherapy Systems
Authors: van Os Koen  , Cherenack Kunigunde
Published: February 2025

In this paper, we discuss the phototherapy concepts developed by Philips in the EU FP7 PLACE-it project. These concepts demonstrate the use of e-textiles for medical applications in a meaningful way. By introducing a comfortable, wearable technology, Philips has enabled a new world of devices which provide comfortable home treatment of different diseases and complaints. Here, we show concepts and clinical validation, and give insight in the development steps to be taken to build this kind of devices.
Telepathology As A Method To Optimize Quality In Organ Transplantation: A Feasibility And Reliability Study Of The Virtual Benching Of Liver Graft
Authors: Mammas Constantinos S.  , Geropoulos Spyros  , Saatsakis George  , Konstantinidou Anastasia  , Lemonidou Chryssa  , Patsouris Eustratios
Published: February 2025

Aim: To search feasibility and reliability of Telemedicine Systems (TS) in the procurement of Liver Transplantation. Material and Methods; By an experimental TS, twenty six (n=26) specialists based on a hundred and thirty (N=130) simulated remote image examinations, assessed sensitivity-specificity of the remote examination of Liver Graft (LG) about diseases and damages (Virtual Benching=VB). Results: Analysis showed: injuries (sensitivity=96%), injuries of the capsula (sensitivity=91.7%), hematomas (sensitivity=91,7%), non neplasmatic diseases (specificity=100%), tumors (sensitivity=100%). Conclusion The VB of LG after retrieval is feasible and reliable for prevention of damaged liver grafts from being sent to the recipient hospital and for transplant planning.
Tracking and Visualizing Chronic Headache Trends through the Use of Linked Mobile and Desktop Websites
Authors: Filipi Jennifer M.  , Khairat Saif
Published: February 2025

Many people suffering from chronic headaches use headache diaries to help track trends in their episodes. Studies have shown that electronic headache diaries are more effective than paper diaries for both patients and providers. We de-signed and implemented a full-size and mobile Web-based headache tracker and a database management system to store the data from the websites. The fullsize website allows users to retrieve their data by viewing or downloading a table of the raw values they entered, or they can see a graphical visualization linking the severity of their headaches to any of several variables. Through this system's capacity to illustrate trends and track contributing factors for headaches, users, researchers and health service providers may gain better understanding of and control over chronic headaches.
Medical data analysis and coding using natural language processing techniques in order to derive structured data information
Authors: Nikiforou Aggeliki  , Ponirou Paraskevi  , Diomidous Marianna
Published: February 2025

Medical data are, most of the times, very complex both in form and content. One of the greatest challenges for the IT community in healthcare is to enable the full utilization of these data by information systems. This explicit variety combined with the fact that data usually derives from diverse systems are great obstacles to this task. The result is that data stored in medical information systems usually do not accurately represent reality. In order to eliminate the fallacy between stored and real data, specialized applications that facilitate and accelerate data import into information systems must be developed. This is the goal of Natural Language Processing, the scientific field that combines computer science and linguistics. As a result NLP systems use applications for the coding and standardization of information, known as controlled medical vocabularies. The result of these processes is data that can be used by various technologies, such as clinical data warehouses and decision support systems, the functionality of which is fully dependable on the completeness and accuracy of the data on which their analysis is imposed.
Scientific Papers for Health Informatics
Authors: Pereira Samáris Ramiro  , Duarte Jacy Marcondes  , Bandiera-Paiva Paulo
Published: February 2025

From the hypothesis that the development of scientific papers, mainly in interdisciplinary areas such as Health Informatics, may bring difficulties to the author, as had its communicative efficacy decreased or compromising their approval for publication; we aim to make considerations on the main items to good players making this kind of text. The scientific writing has peculiarities that must be taken into consideration when it writes: general characteristics, such as simplicity and objectivity, and characteristics of each area of knowledge, such as terminology, formatting and standardization. The research methodology adopted is bibliographical. The information was based on literature review and the authors' experience, teachers and assessors of scientific methodology in peer review publications in the area. As a result, we designed a checklist of items to be checked before submission of a paper to a scientific publication vehicle in order to contribute to the promotion of research, facilitating the publication and increase its capacity in this important area of knowledge.
The Effect of Military Motion-Assisted Memory Desensitization and Reprocessing Treatment On The Symptoms Of Combat-Related Post Traumatic Stress Disorder: First Preliminary Results
Authors: Vermetten Eric  , Meijer Lydia  , van der Wurff Peter  , Mert Agali
Published: February 2025

Although the symptoms of Post-Traumatic Stress Disorder (PTSD) in the general and military population seem very similar, combat-related PTSD (cr-PTSD) is typically thought to be more severe due to the repeated and prolonged exposure of traumatic events. Therapeutic adherence is reported a problem in military populations compromising treatment efficacy. Therefore, a new potential supplementary treatment is specially designed for patients with cr-PTSD. This intervention is called Military Motion Memory Desensitization and Reprocessing (3MDR). The treatment incorporates key elements of successful treatments as Virtual Reality Exposure (VRE) and Eye Movement Desensitization Reprocessing (EMDR) and adds motion to the condition. We aimed at designing a treatment procedure that preserved dual task processing principle, yet introduced new engagement by performing the desensitization during motion by to walking on a treadmill. Moreover, we aimed at exposure to real high-affect pictures of deployment setting. Subjects walk a repetitive cycle while walking and viewing high affect pictures of deployment scenes. Dual task processing was maintained by an oscillating ball. Aspects of presence are adhered to, to maximize possible positive outcome. METHOD: Two veterans with chronic PTSD, received four weekly sessions of 3MDR therapy. The indicator of effectiveness was difference in CAPS (Clinical Administrated PTSD Scale)-score. The treatment was designed on the Computer Assisted Rehabilitation Environment (CAREN) facility. RESULTS: The 3MDR treatment did further decrease PTSD symptoms. Patients were highly satisfied about the treatment and had no attention to drop out. CONCLUSION: The results of the two cases suggest that the 3MDR treatment is a successful, more additional treatment that goes further into the patients affect where other treatment may stagnate. The presence was highly appreciated. Further research with more patients needs to be performed to obtain more reliable results.
Psychophysiological Correlates of Flow During Daily Activities
Authors: Gaggioli Andrea  , Cipresso Pietro  , Serino Silvia  , Riva Giuseppe
Published: February 2025

Flow is an optimal experience characterized by the perception of high challenges and high skills, positive affect, complete absorption in the activity carried out and intrinsic motivation. Although much research has examined the psychological features of flow, little is known about its biological underpinnings. The present study aimed at contributing to this gap by investigating the psychophysiological correlates of flow experience during daily routines. To this end, 15 university students took part in an experience sampling study, in which they provided real-time information on daily activities and associated experience while cardiac activity was monitored. After seven days of observation, 32 flow events were identified among 10 participants. A multilevel regression analysis revealed a significant correlation between optimal experience and specific cardiovascular indexes. In particular, the experience of flow was associated with increased heart rate and increased LF/HF ratio, suggesting relative sympathetic enhancement. These findings are in line with those obtained by previous related studies and indicate the feasibility of investigating physiological correlates of subjective experience in ecological contexts.
Management Evaluation about Introduction of Electric Medical Record in the National Hospital Organization
Authors: Nakagawa Yoshiaki  , Tomita Naoko  , Irisa Kaoru  , Yoshihara Hiroyuki  , Nakagawa Yoshinobu
Published: February 2025

Introduction of Electronic Medical Record (EMR) into a hospital was started from 1999 in Japan. Then, most of all EMR company said that EMR improved efficacy of the management of the hospital. National Hospital Organization (NHO) has been promoting the project and introduced EMR since 2004. NHO has 143 hospitals, 51 hospitals offer acute-phase medical care services, the other 92 hospitals offer medical services mainly for chronic patients. We conducted three kinds of investigations, questionnaire survey, checking the homepage information of the hospitals and analyzing the financial statements of each NHO hospital. In this financial analysis, we applied new indicators which have been developed based on personnel costs. In 2011, there are 44 hospitals which have introduced EMR. In our result, the hospital with EMR performed more investment of equipment/capital than personnel expenses. So, there is no advantage of EMR on the financial efficacy.
Use of Electronic Dental Records in Brazil
Authors: Abramovicz-Finkelsztain Renata  , Barsottini Claudia G.N.  , Marin Heimar Fatima
Published: February 2025

This study aims to provide both a quantitative and a qualitative analysis of the usability of the most popular electronic dental records in Brazil regarding its clinical and administrative features. The softwares not only will be evaluated regarding their usage among the Brazilian dental professionals but also regarding their functionalities (present, used and desired) and the difficulties encountered by the dentists during their use.
Measuring the Performance of Electronic Health Records: A Case Study in Residential Aged Care in Australia
Authors: Yu Ping  , Qian Siyu  , Yu Hui  , Lei Jianbo
Published: February 2025

Measuring the performance of electronic health records (EHR) is an important, yet un-resolved challenge. Various measurements have addressed different aspects of EHR success, yet a holistic, comprehensive measurement tool needs to be developed to capture the potential EHR success variables completely. A self-administered questionnaire survey instrument was developed based on the theoretical framework of the DeLone and McLean Information Systems Success Model. It measures nigh variables of EHR success: system quality, information quality, service quality, training, self efficacy, intention to use, use, user satisfaction and net benefits. The instrument was used to measure the performance of aged care EHR systems in three aged care organizations. The results suggest that the instrument was reliable.
What Type of Innovation Effects Can You Expect When Offering E-Services in the AAL Domain
Authors: Carlsson Bertil  , Vimarlund Vivian
Published: February 2025

The objective of the AAL-FOOD project (funded by the AAL Joint Programme and VINNOVA) is to develop e-services that assist elderly in their procurement, preparation and the social construct of eating food to maintain a diverse nutritional intake, and hence stay healthy longer. The project consists of members from Denmark, Italy, Netherlands, Romania and Sweden. The AAL-FOOD project has so far completed collecting user requirements from potential users in Italy, Romania and the Netherlands and identified opportunities for design solutions made available through an IT-platform under development. Service classifications have been identified as well as identification of 13 potential e-services which in turn have been ranked in accordance of technical feasibility and implementation. Here we present preliminary results from on-going evaluation work conducted in the AAL-FOOD project. The evaluation aims at identifying effects of innovations through the offering of e-services directed at elderly within their homes.
Construction of the Integrated Multicentre Discharge Summary Database
Authors: Takahiro Suzuki  , Shunsuke Doi  , Shinsuke Fujita  , Yutaka Hatakeyama  , Masayuki Honda  , Yasushi Matsumura  , Gen Shimada  , Mitsuhiro Takasaki  , Shusaku Tsumoto  , Hideto Yokoi  , Katsuhiko Takabayashi
Published: February 2025

We started a multi-year project to collect discharge summaries from multiple hospitals and create a big text database to build a common document vector space, and develop various applications such as the autoselection of the disease. As the first step, we extracted discharge summary from two hospitals. Using a text mining method, we carried out a DPC selection. There was a difference in term structure and number of terms between the discharge summaries from both hospitals. Nevertheless, the selection rate of the disease is resembled closely.
Detecting Software Failures in the MAUDE Database: A Preliminary Analysis
Authors: Pecoraro Fabrizio  , Luzi Daniela
Published: February 2025

The MAUDE (Manufacturer and User facility Device Experience) was analyzed to identify challenges in detecting software failure causing Medical Device (MD) adverse events.
Legal Issues Among Doctors in the Implementation of Teleconsultation: A Study at AIIMS, New Delhi, INDIA
Authors: Meher Sushil Kumar  , Biswas Ashutosh  , Ratha Bikram K.
Published: February 2025

Telemedicine is an essential technology for providing high-quality health care to rural people. Though India has not yet passed any legislation on telemedicine related issues, a beginning has however been made. Guidelines and Standards for Practice of Telemedicine in India have already been recommended by the Ministry of Information Technology, Govt. of India.
Social Network Integration of the ICD11 Revision Platform
Authors: Della Mea Vincenzo  , Vuattolo Omar  , Celik Can  , Ustun Bedirhan
Published: February 2025

Classification revision and update can be defined as a social experience, with the participating community of experts behaving like a social network. ICD11 is being revised using an innovative web based process, for which we envisioned also tools for social platforms integration. The present poster preliminarily describes the Facebook tools developed for soliciting expert and participation in the ICD11 revision process.
Electronic Teaching Materials for Inter-Professional Education in a College of Medical Professionals
Authors: Toyama Hinako  , Inoue Rie  , Ito Yumi  , Sakamoto Chieko  , Ishikawa Toru  , Eda Tetsuya  , Saito Keiichi
Published: February 2025

In order to promote the utilization of digital clinical information among medical professionals, an education program and electronic teaching materials involving fictitious model patients were developed for students in a health and welfare college. The purposes of this program were for students to learn the role of each medical professional and to understand the medical records written by each medical staff member in interdisciplinary medicine (a collaborative approach to medicine). The materials for fictitious patients, including medical records, study results, medical images and the associated documents, were stored in a database on a virtual private network. The electronic medical records were easily modified according to the specialty of the students in each class. Fictional medical records of patients with lacunar infarction, fracture of the distal radius, fracture of the femur, diabetes mellitus and breast cancer were generated and evaluated in inter-professional education classes.
Preliminary Comparison of mHealth Architectures Based on MU2 Criteria
Authors: Song Joon Hyun  , Kim Il Kon  , Yi Byoung-Kee
Published: February 2025

Mobile Health (MH) is a hot topic in the health IT industry because it can make a big difference in healthcare services. Before adopting Mobile Health technology, however, we must ensure that it provides safe and reliable services to users and it should be evaluated by authoritative criteria. In US, Electronic Health Record (EHR) systems are evaluated through Meaningful Use (MU). Although MU focuses on EHR systems, it can't be thought of without MH. So in this paper we derive proper evaluation criteria for MH from MU criteria and evaluate existing MH architectures that are currently being surveyed in ISO/AWI TR 17522 – Provisions for Health Applications on Mobile/Smart Devices.
PARENT Joint Action: Increasing the Added Value of Patient Registries in a Cross-Border Setting
Authors: Meglič Matic  , Doupi Persephone  , Pristaš Ivan  , Skalkidis Yannis  , Zaletel Metka  , Orel Andrej
Published: February 2025

Patient registries are poorly interoperable and as a result data exchange or aggregation across organizations, regions and countries for secondary purposes (i.e. research and public health) is difficult to perform. PARENT Joint Action aims to provide EU Member States with a set of guidelines, recommendations and tools to support setting-up, management and governance of interoperable patient registries, thus helping EU Member States to drive down cost and interoperability risks of patient registries as well as improving secondary us-age of registry data in a cross-border setting.