bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Psychogeriatrics in Healthy Living and Active Ageing
Authors: Molinari Enrico  , Spatola Chiara  , Pietrabissa Giada  , Pagnini Francesco  , Castelnuovo Gianluca
Published: February 2025

A healthy and active life is a key issue for elderly citizens, above all when psychological complications such as depression and anxiety disorders, late delusion or loneliness can be observed. Moreover, medical pathologies in elderly patients often have a multi-factorial etiology and many psychopathological dimensions and psychosocial risk factors are underestimated. From the perspective of clinical health psychology, psychogeriatrics could play an important role in promoting active ageing and a healthy lifestyle in elderly persons through tailored clinical approaches based on specific research and advanced professional training in this area. More research is needed in order to study which determinants affect the process of an active and functional ageing. Possible research ageing areas are: 1) evaluation of psychosocial risk-protective factors related to the individual's biography and personality. 2) Evaluation of enrichment programs and clinical protocols focused on the management of different topics such as health system areas, behavioral areas, social and physical environment areas, psychological factors and economic determinants. The goal of Psychogeriatrics endeavors to develop and evaluate interventions designed to stimulate improvement in friendship, self-esteem and subjective well-being, as well as to reduce loneliness among older citizens. 3) Evaluation of self-management programs in chronic disease conditions (such as obesity, diabetes, hypertension, poor nutrition, physical inactivity, alcohol abuse and tobacco smoking), that could enhance risk factors for health in elderly citizens. Typical key elements of self-management, such as decision making, problem solving, motivation, self-efficacy, resource utilization, and citizen's empowerment have to be studied.
ICD-11 and SNOMED CT Common Ontology: Circulatory System
Authors: Rodrigues Jean-Marie  , Schulz Stefan  , Rector Alan  , Spackman Kent  , Millar Jane  , Campbell James  , Üstün Bedirhan  , Chute Christopher G.  , Solbrig Harold  , Mea Vincenzo Della  , Persson Kristina Brand
Published: February 2025

The improvement of semantic interoperability between data in electronic health records and aggregated data for health statistics requires efforts to carefully align the two domain terminologies ICD and SNOMED CT. Both represent a new generation of ontology-based terminologies and classifications. The proposed alignment of these two systems and, in consequence, the validity of their cross-utilisation, requires a specific resource, named Common Ontology. We present the ICD-11 SNOMED CT Common Ontology building process including: a) the principles proposed for aligning the two systems with the help of a common model of meaning, b) the design of this common ontology, and c) preliminary results of the application to the diseases of the circulatory system.
The Effect Object Paradigm – a Means to Support Medication Safety with Clinical Decision Support
Authors: Patapovas Andrius  , Pfistermeister Barbara  , Tarkhov Aleksey  , Terfloth Lothar  , Maas Renke  , Fromm Martin F.  , Kornhuber Johannes  , Prokosch Hans-Ulrich  , Bürkle Thomas
Published: February 2025

Background: In many countries, officially approved drug information known as summary of product characteristics (SPC) is mostly available in text form, which cannot be used for Clinical Decision Support Systems (CDSS). It may be essential however to substantiate CDSS advice with such legally binding text snippets. In an attempt to link various drug data sources including SPC towards a CDSS to support medication safety in psychiatric patients we arrived at the notion of an effect object.
Frame Semantics-based Study of Verbs across Medical Genres
Authors: Wandji Tchami Ornella  , L'Homme Marie-Claude  , Grabar Natalia
Published: February 2025

The field of medicine gathers actors with different levels of expertise. These actors must interact, although their mutual understanding is not always completely successful. We propose to study corpora (with high and low levels of expertise) in order to observe their specificities. More specifically, we perform a contrastive analysis of verbs, and of the syntactic and semantic features of their participants, based on the Frame Semantics framework and the methodology implemented in FrameNet. In order to achieve this, we use an existing medical terminology to automatically annotate the semantics classes of participants of verbs, which we assume are indicative of semantics roles. Our results indicate that verbs show similar or very close semantics in some contexts, while in other contexts they behave differently. These results are important for studying the understanding of medical information by patients and for improving the communication between patients and medical doctors.
Discovering Health Knowledge in the BC Nurse Practitioners Encounter Codes
Authors: Kuo Mu-Hsing  , Sangster-Gormley Esther  , Zou Jin  , Borycki Elizabeth  , Schreiber Rita  , Feddema April
Published: February 2025

Integrating the Nurse Practitioner (NP) role into clinical practice settings is new in British Columbia (BC), Canada. Encounter codes are unique numeric codes assigned to specific types of patient care services performed by NPs. In this study we apply knowledge discovery techniques to analyze the encounter codes extracted from the BC Ministry of Health database to understand the most common practice activities carried out by NPs and what diseases patients sought care for from NPs. The analysis produced important information about NPs' practice patterns. This work leads to a better understanding of NP practice patterns in BC.
Pediatric Emergency Department Crowding: Survival Tree Clustering for Length of Patient Stay
Authors: Windal Féryal  , Jeribi Karama  , Ficheur Grégoire  , Degoul Samuel  , Martinot Alain  , Beuscart Régis  , Renard Jean-Marie
Published: February 2025

The objective of this study is to analyse the length of patient stay in Pediatric emergency department according to diagnosis and the number of patients over a 3 year-period. A survival tree was used, to explore the underlying construct of overcrowding depending of the length of patient stay. The tree was used to cluster 55.183 patients with respect to length of stay where partitioning is based on covariates such as the number of patients, the diagnosis and existence of complementary exams. The hazard ratio test was used to determine optimal partition. The approach is illustrated using Electronic Medical Record Software database available at the Pediatric Emergency Department of Lille University Hospital.
Ci4SeR – Curation Interface for Semantic Resources – Evaluation with Adverse Drug Reactions
Authors: Souvignet Julien  , Asfari Hadyl  , Declerck Gunnar  , Lardon Jérémy  , Trombert-Paviot Béatrice  , Jaulent Marie-Christine  , Bousquet Cédric
Published: February 2025

Evaluation and validation have become a crucial problem for the development of semantic resources. We developed Ci4SeR, a Graphical User Interface to optimize the curation work (not taking into account structural aspects), suitable for any type of resource with lightweight description logic. We tested it on OntoADR, an ontology of adverse drug reactions. A single curator has reviewed 326 terms (1020 axioms) in an estimated time of 120 hours (2.71 concepts and 8.5 axioms reviewed per hour) and added 1874 new axioms (15.6 axioms per hour). Compared with previous manual endeavours, the interface allows increasing the speed-rate of reviewed concepts by 68% and axiom addition by 486%. A wider use of Ci4SeR would help semantic resources curation and improve completeness of knowledge modelling.
Cross Hospital Bed Management System
Authors: Abedian S.  , Kazemi H.  , Riazi H.  , Bitaraf E.
Published: February 2025

The lack of adequate numbers of hospital beds to accommodate the injured is a main problem in public hospitals. For control of occupancy of bed, we design a dynamic system that announces status of bed when it change with admission or discharge of a patient. This system provide a wide network in country for bed management, especially for ICU and CCU beds that help us to distribute injured patient in the hospitals.
A novel EEG-based spelling system using N100 and P300
Authors: Sato Hikaru  , Washizawa Yoshikazu
Published: February 2025

P300-speller is one of the most popular EEG-based spelling systems proposed by Farwell and Donchin. P300-speller has a 6×6 character matrix and requires at least 12 flashes to input one character. This restricts increasing of the information transfer rate (ITR) by decreasing the number of flashes. In this paper, a novel spelling system is proposed to reduce the number of flashes by sequential stimulation of images. In order to determine the command, the proposed system utilizes two kinds of the event-related brain potentials (ERP), N100 and P300 whereas P300-speller utilizes only P300. Thanks to using both N100 and P300, the proposed system achieves higher accuracy and faster spelling speed than P300-speller. Our experiment by ten subjects showed that ITR of the proposed system is an average of 0.25bit/sec improved compared to P300-speller.
Progressive Testing of Health Self-efficacy and Literacy for Personalized Engagement
Authors: Hsueh Pei-Yun Sabrina  , Zhu XinXin  , Ramakrishnan Sreeram
Published: February 2025

Patient engagement can be enhanced through continuous monitoring of patient' health knowledge and self-efficacy levels across different co-morbid conditions and key aspects in health improvement and recovery. While selfreported test batteries and computerized instruments have been designed to perform evaluation of patient literacy and self-efficacy, they are not practical to be used in scenarios where concurrent tests are needed to understand the change over time. In this paper we propose an adaptive system that can progressively compose the most pertinent test for each user based on the provisional estimates of a patient's latent trait being measured. This requires modeling not only the latent health literacy and self-efficacy levels of patients and the difficulty and discriminating factors of test items, but also the temporal dependency among concurrent tests. The goal is to account for changes over the course of patient engagement history as the basis for devising personalized patient plans.
Effects of Pathological Respiratory Pattern on Heart Rate Turbulence in Sleep Apnea
Authors: D'Addio Giovanni  , De Felice Alberto  , Insalaco Giuseppe  , Romano Maria  , Cesarelli Mario
Published: February 2025

Obstructive sleep apnea syndrome (OSAS) is characterized by recurrent episodes of partial or complete upper-airway obstruction during sleep. Although cardiac autonomic impairment is involved in the development of cardiovascular disease in OSAS, the mechanism underlying this derangement is rather unknown. It can be assessed by a recently introduced analysis of the heart rate turbulence (HRT). The aim of the paper is to describe the effects of pathological respiratory pattern on HRT in OSAS. HRT has been assessed by turbulence onset (TO) and turbulence slope (TS) indexes in 20 polysomnographic recordings of severe OSAS patients, and separately calculated during both normal (NR) and obstructive apnea (OA) respiratory pattern. Results showed that, although there is an overall depressed HRT for both indexes, while the TO during OA phases is not significantly different from those of NR epochs, the TS during OA phases is very significantly higher than in NR phases. This novel finding shows a previously unknown paradoxical increase of TS during OA episodes, followed by a marked decrease during subsequent NR phases, where OSAS patient show higher sympathetic tone. Such deeper understanding of the integrated autonomic response in different OSAS pathophysiological conditions could be useful to address an overall cardiorespiratory assessment and treatment in sleep-related breathing disorders.
Mobility Parameters in Health Applications – A Literature Review
Authors: Loechte Nina  , Von Bargen Tobias  , Haux Reinhold
Published: February 2025

Independent mobility is linked to self-determined life and quality of life. [1] Since human mobility follows reproducible pattern [2], it may be useful to assess mobility in health applications. This article represents a literature review which considers the question which parameters represent mobility, how they are assessed (are tracking technologies used?) and their relation to health. There are several mobility parameters which were grouped into quantitative, qualitative and combined parameters. Especially combined parameters seem to be useful in health applications, which should motivate further research.
Activity Trackers: A Critical Review
Authors: Lee Jeon  , Finkelstein Joseph
Published: February 2025

The wearable consumer health devices can be mainly divided into activity trackers, sleep trackers, and stress management devices. These devices are widely advertised to provide positive effects on the user's daily behaviours and overall heath. However, objective evidence supporting these claims appears to be missing. The goal of this study was to review available evidence pertaining to performance of activity trackers. A comprehensive review of available information has been conducted for seven representative devices and the validity of marketing claims was assessed. The device assessment was based on availability of verified output metrics, theoretical frameworks, systematic evaluation, and FDA clearance. The review identified critical absence of supporting evidence of advertised functions and benefits for the majority of the devices. Six out of seven devices did not provide any information on sensor accuracy and output validity at all. Possible underestimation or overestimation of specific health indicators reported to consumers was not clearly disclosed to the public. Furthermore, significant limitations of these devices which can be categorized into user restrictions, user responsibilities and company disclaimers could not be easily found or comprehended by unsophisticated users and may represent a serious health hazard.
Exploiting Parallel Corpora to Scale Up Multilingual Biomedical Terminologies
Authors: Hellrich Johannes  , Hahn Udo
Published: February 2025

Creating and maintaining biomedical terminologies for multiple natural languages is a resource-expensive task, typically carried out by human domain experts. We here report on efforts to computationally support this process by treating term acquisition as a machine translation-guided classification problem capitalizing on parallel corpora. We report on experiments for French, German, Spanish and Dutch parts of a UMLS-derived terminology for which we generated 18k, 23k, 19k and 12k new terms and synonyms, respectively. Based on expert assessments of a novel German terminology segment about 80% of the newly acquired terms were judged as bio-medically reasonable and terminologically valid.
Development of a Medical Module For Disaster Information Systems
Authors: Çalik Elif  , Atilla Rıdvan  , Kaya Hilal  , Aribaş Alirıza  , Cengiz Hakan  , Dicle Oğuz
Published: February 2025

This study aims to improve a medical module which provides a real-time medical information flow about pre-hospital processes that gives health care in disasters; transferring, storing and processing the records that are in electronic media and over internet as a part of disaster information systems. In this study which is handled within the frame of providing information flow among professionals in a disaster case, to supply the coordination of healthcare team and transferring complete information to specified people at real time, Microsoft Access database and SQL query language were used to inform database applications. System was prepared on Microsoft .Net platform using C# language. Disaster information system-medical module was designed to be used in disaster area, field hospital, nearby hospitals, temporary inhabiting areas like tent city, vehicles that are used for dispatch, and providing information flow between medical officials and data centres. For fast recording of the disaster victim data, accessing to database which was used by health care professionals was provided (or granted) among analysing process steps and creating minimal datasets. Database fields were created in the manner of giving opportunity to enter new data and search old data which is recorded before disaster. Web application which provides access such as data entry to the database and searching towards the designed interfaces according to the login credentials access level. In this study, homepage and users' interfaces which were built on database in consequence of system analyses were provided with www.afmedinfo.com web site to the user access. With this study, a recommendation was made about how to use disaster-based information systems in the field of health. Awareness has been developed about the fact that disaster information system should not be perceived only as an early warning system. Contents and the differences of the health care practices of disaster information systems were revealed. A web application was developed supplying a link between the user and the database to make date entry and data query practices by the help of the developed interfaces.
Blood Bag Temperature Monitoring System
Authors: Aalaei Shokoufeh  , Amini Shahram  , Keramati Mohammad Reza  , Shahraki Hadi  , Abu-Hanna Ameen  , Eslami Saeed
Published: February 2025

Storage and transportation of red blood cells (RBCs) outside the standard temperature range as defined by guidelines can lead to hemolysis. One of the main factors believed to cause hemolysis is temperature.Infusion of the corrupted RBCs leads to haemolytic reactions which are severe and life-threatening. We developed a temperature monitoring system to monitor temperature changes of each blood bag during storage and transportation. The main objective of the present study was evaluating the accuracy of the temperature monitoring system and studying its feasibility. Validating the system relied on accurate digital thermometers that latch on a blood bag. To evaluate the feasibility, a case study was performed on 20 RBC bags transported from hospital blood bank to the cardiac surgery intensive care unit and the heart operating room. The results indicated that 12% of 25605 recorded temperatures (per minute) were outside the standard range. Minimum and maximum temperatures were 0.5°C and 16°C that were below and above the standard, respectively. The system was shown to be easily handled by users. The system is capable to alarm when a blood bag's temperature is outside the standard temperature and prevents blood corruption. This system can be used as a decision support system in blood transfusion services to improve storage and transportation conditions of the blood bags.
A framework for privacy-preserving access to next-generation EHRs
Authors: Koufi Vassiliki  , Malamateniou Flora  , Tsohou Aggeliki  , Vassilacopoulos George
Published: February 2025

Although personalized medicine is optimizing the discovery, development and application of therapeutic advances, its full impact on patient and population healthcare management has yet to be realized. Electronic health Records (EHRs), integrated with data from other sources, such as social care data, Personal Healthcare Record (PHR) data and genetic information, are envisaged as having a pivotal role in realizing this individualized approach to healthcare. Thus, a new generation of EHRs will emerge which, in addition to supporting healthcare professionals in making well-informed clinical decisions, shows potential for novel discovery of associations between disease and genetic, environmental or process measures. However, a broad range of ethical, legal and technical reasons may hinder the realization of future EHRs due to potential security and privacy breaches. This paper presents a HIPAA-compliant framework that enables privacy-preserving access to next-generation EHRs.
Virtual Patients in Massive Open Online Courses – Design Implications and Integration Strategies
Authors: Stathakarou Natalia  , Zary Nabil  , Kononowicz Andrzej A.
Published: February 2025

Massive Open Online Courses (MOOCs) are raising extensive attention across disciplines, while it becomes evident that rethinking of learning designs that work well in these environments is needed. In the field of medical education, where the technology of MOOCs is not widely adopted yet, we wish to investigate the potential offered by virtual patients for the purpose of clinical reasoning skills training. In this paper we describe three use case scenarios employing virtual patients' features in MOOCs: (1) collective evaluation of decision making in the context of uncertainty; (2) collective repurposing of cases and division of discussion into subgroups focusing on local variances in healthcare; (3) division of content in short cases for flexible selection and adaptive learning with virtual patients. We also present technical requirements for implementing the use case scenarios and future work plans.
Supporting Patient Screening to Identify Suitable Clinical Trials
Authors: Bucur Anca  , Van Leeuwen Jasper  , Chen Njin-Zu  , Claerhout Brecht  , De Schepper Kristof  , Perez-Rey David  , Alonso-Calvo Raul  , Pugliano Lina  , Saini Kamal
Published: February 2025

To support the efficient execution of post-genomic multi-centric clinical trials in breast cancer we propose a solution that streamlines the assessment of the eligibility of patients for available trials. The assessment of the eligibility of a patient for a trial requires evaluating whether each eligibility criterion is satisfied and is often a time consuming and manual task. The main focus in the literature has been on proposing different methods for modelling and formalizing the eligibility criteria. However the current adoption of these approaches in clinical care is limited. Less effort has been dedicated to the automatic matching of criteria to the patient data managed in clinical care. We address both aspects and propose a scalable, efficient and pragmatic patient screening solution enabling automatic evaluation of eligibility of patients for a relevant set of trials. This covers the flexible formalization of criteria and of other relevant trial metadata and the efficient management of these representations.
Evaluation of Intelligent Mobile Web Pre-fetching System for Mobile Cloud Environment
Authors: Hussien Nur Syahela  , Sulaiman Sarina  , Shamsuddin Siti Mariyam
Published: February 2025

Nowadays, users'interaction with a system has been a major factor to be considered in a mobile application development. In addition, existing studies also show that usability is a priority and a critical factor in a mobile cloud application adoption. Efficiency and effectiveness of a user interface is required to allow users to focus on the functions of an application. In order to evaluate the usability of an interface, a questionnaire and Keystroke Level Model (KLM) are proposed to measure concerned elements of a user interaction with intelligent mobile cloud computing (MCC). The result shows only 2.4 seconds is needed to access the data using the intelligent mobile web pre-fetching system that is 82.6%of improvement in efficiency as compared to the total time for traditional MCC that is 13.82 seconds.
Monitoring falls in elderly people: Lessons from a community-based project
Authors: Pirnejad Habibollah  , Huq Golenur  , Basilkis Jim  , Maeder Anthony
Published: February 2025

Objectives. This paper describes an evaluation of a community-based fall-detection project using smart phone based tri-axial accelerometry to identify factors that affect adoption and use of such technology by elderly people.
Buckling behavior of 6082-T6 aluminum alloy columns with box-section and L-section under eccentric compression
Authors: Zhai Ximei  , Sun Lijuan  , Zhao Yuanzheng
Published: February 2025

Experimental studies of 29 pin-ended columns, including 13 box-type and 16 L-type, extruded from 6082-T6 aluminum alloy under eccentric compression, were performed in this paper. The buckling behavior, stability strength and deformation preformation of all the specimens were obtained. A numerical investigation of aluminum alloy columns under eccentric compression was conducted by using finite element analysis software ABAQUS, and the simulation results were verified with experimental results of 29 columns. The results showed that the FE model proposed by this paper can well predict the stability bearing capacity and the deformation characteristic for aluminum alloy columns under eccentric compression. Finally, based on the experimental data and a number of numerical calculation results, a revised interaction equation recommended by Chinese Code for Design of Aluminum Structures to predict the stability bearing capacity of 6082-T6 aluminum alloy specimens loaded by eccentric compression is proposed.
Impact of traditional and modern building materials on the thermal behavior and energy consumption of a courtyard house in the hot and dry climate
Authors: Fezzioui Naïma  , Benyamine Mébirika  , Larbi Saleh  , Draoui Belkacem  , Roulet Claude-Alain
Published: February 2025

In this work, we studied the thermal behavior of mono or multilayer walls of various compositions consisting of traditional and modern building materials, in order to identify those that provide good comfort and better energy conservation in conditioning case in the context of a hot and dry climate for a courtyard house. The study is conducted with the TRNSYS-COMIS software. The thermo physical properties of modern building materials are those adopted by the Algerian regulations and those of adobe were determined in the laboratory LASIE at the University of La Rochelle. The results of this study show the impact of inertia on winter consumption, as well as the effectiveness of roof insulation in reducing cooling requirements. The adobe has good properties to improve comfort and energy savings but its stabilization with cement, to improve its mechanical properties decreases its thermal qualities.
Engineering properties of Class-F fly ash-based geopolymer concrete
Authors: Albitar M.  , Visintin P.  , Ali M.S. Mohamed
Published: February 2025

Concrete is the most utilized building material in the world. Ordinary Portland Cement (OPC) is a core ingredient in the manufacturing process of concrete. For every tonne of OPC produced, approximately one tonne of carbon dioxide is released into the atmosphere. Increasing environmental awareness means alternative binders are being considered in the ever growing demand for building construction. The development of geopolymer concrete aims to reduce the need for OPC concrete by using constituents that would otherwise be considered as industrial waste to form a binder. This study presents an experimental program aimed to develop an optimum mix design using fly ash. The engineering properties of this mix was tested, analyzed and compared with prediction models developed for OPC-based concrete. The comparison suggests that existing OPC models provide reasonably accurate predictions of the elastic moduli and stress-strain relationships, whereas they slightly underestimate flexural and splitting tensile strengths.
The effects of residual moisture on asphalt concrete strength
Authors: Usman Nura
Published: February 2025

This research was conducted to evaluate the effect of residual moisture in asphalt concrete mixture. Superpave method of mix design was adopted; two laboratory tests (i.e. resilient modulus and indirect tensile strength tests) were conducted on two different set of samples. One set was prepared using well dried aggregates while the other set was prepared with poorly dried aggregates (2% moisture). The results obtained shows that, specimens prepared with well dried aggregates are stronger compared to specimens prepared with poorly dried aggregates.
Evaluation of sulphate attack on concrete incorporating high volume palm oil fuel ash
Authors: Shehu I.A.  , Awal A.S.M.A.  , Mohammad S.  , Sulaiman A.
Published: February 2025

In recent years, the requirement of sustainability has given rise to application of high volume industrial waste in the production of building materials. Fly ash has been found to perform satisfactorily in this regard, and this development is expected to continue in the years ahead because of technological, economical and ecological advantages of the material. This study focuses the potentials of high volume palm oil fuel ash (HVPOFA) replacement of ordinary Portland cement (OPC) and presents experimental results on the effect of sulphate attack. Concrete cube specimens containing 50, 60 and 70% POFA were made alongside with mortar bars made of the same material composition were immersed in 10% magnesium sulphate (MgSO4) solution. Mass and strength loss of concrete cube as well as expansion of mortar bars were studied using wet and drying circle method. The results obtained and observations made were compared with those of 100% OPC specimens. It has been found that the expansion and mass loss significantly decreased with the increase in POFA content, which clearly demonstrates that the replacement of cement with high volume POFA is advantageous particularly in aggressive sulphate environment.
A Wize Mirror for Lifestyle Improvement
Authors: Benassi Antonio  , Colantonio Sara  , Giorgi Daniela  , Magrini Massimo  , Martinelli Massimo  , Pascali Maria Antonietta  , Righi Marco  , Salvetti Ovidio
Published: February 2025

This paper discusses the problem of fostering lifestyle changes towards healthier habits via tailored user guidance. We present a novel multisensory device, the Wize Mirror, which will be able to detect semeiotic face signs related to cardio-metabolic risk, and encourage users to reduce their risk by improving their lifestyle. Offering a proper user guidance requires solving three main issues: user profiling, definition of a wellness index based on biophysical data, and personalized guidance by means of coaching and supportive messages. For each of these issues, the solutions proposed in the EU FP7 Project SEMEOTICONS are presented, highlighting their advantages with respect to the state-of-the-art.
The Impact of University Provided Nurse Electronic Medical Record Training on Health Care Organizations: An Exploratory Simulation Approach
Authors: Abrahamson Kathleen  , Anderson James G.  , Borycki Elizabeth M.  , Kushniruk Andre W.  , Malovec Shannon  , Espejo Angela  , Anderson Marilyn
Published: February 2025

Training providers appropriately, particularly early in their caregiving careers, is an important aspect of electronic medical record (EMR) implementation. Considerable time and resources are needed to bring the newly hired providers ‘up to speed’ with the actual use practices of the organization. Similarly, universities lose valuable clinical training hours when students are required to spend those hours learning organization-specific EMR systems in order to participate in care during clinical rotations. Although there are multiple real-world barriers to university/health care organization training partnerships, the investment these entities share in training care providers, specifically nurses, to use and understand EMR technology encourages a question: What would be the cumulative effect of integrating a mutually agreed upon EMR system training program in to nursing classroom training on downstream hospital costs in terms of hours of direct caregiving lost, and benefits in terms of number of overall EMR trained nurses hired? In order to inform the development of a large scale study, we employed a dynamic systems modeling approach to simulate the theoretical relationships between key model variables and determine the possible effect of integrating EMR training into nursing classrooms on hospital outcomes. The analysis indicated that integrating EMR training into the nursing classroom curriculum results in more available time for nurse bedside care. Also, the simulation suggests that efficiency of clinical training can be potentially improved by centralizing EMR training within the nursing curriculum.
Patient Access to Their Health Record Using Open Source EHR
Authors: Chelsom John  , Dogar Naveed
Published: February 2025

In both Europe and North America, patients are beginning to gain access to their health records in electronic form. Using the open source cityEHR as an example, we have focussed on the needs of clinical users to gather requirements for patient access and have implemented these requirements in a new application called cityEHR-PA. The development of a separate application for patient access was necessary to address requirements for security and ease of use. The use of open standards throughout the design of the EHR allows the possibility of third parties to develop applications for patient access, consuming the individual patient record extracted from the full EHR.
Usability Testing of a Prototype Multi-User Telehealth Kiosk
Authors: Courtney Karen L.  , Matthews Judith T.  , McMillan Julie M.  , Person Mecca Laurel  , Smailagic Asim  , Siewiorek Daniel
Published: February 2025

The overall purpose of this study was to learn how community-dwelling older adults would interact with our prototype multi-user telehealth kiosk and their views about its usability. Seven subjects participated in laboratory-based usability sessions to evaluate the physical design, appearance, functionality and perceived ease of use of a multi-user telehealth kiosk prototype. During usability testing participants recommended 18 new features (29% of comments), identified 15 software errors (23% of comments) and 29 user interface errors (47% of comments).
Nursing Handover using an Electronic Application for Community Nurses
Authors: Michaud-Hamilton Nicole  , Frisch Noreen  , Roudsari Abdul
Published: February 2025

Handover from one healthcare professional is an essential component of patient care. This can be a challenge in the community setting where care occurs in the patient's home and clinicians do not have the benefit of face-to-face interactions with colleagues. The purpose of this study was to explore the nurses' perceptions of handover and their views on using an electronic application as opposed to their current email system. Nurses completed two surveys, one prior to viewing the application and the second after reviewing the application. Both surveys were analyzed by educational preparation and age to explore whether either factor influenced opinions of handover or the electronic application. Nurses reported that handover was important and standardization of reporting improved their knowledge of their patients' care plan.
Supporting Dementia in the Community: A Human Factors Perspective
Authors: Antonio Marcy  , Borycki Elizabeth M.  , Kushniruk Andre W.
Published: February 2025

There is a knowledge gap regarding the human factors that can lead to successful implementation and adoption of health technologies specific for supporting people with dementia (PD) and their spousal caregivers (SC). This paper extends and applies a community-based framework to review some recent examples of technologies and studies that have targeted this population. Examined characteristics include the: people, environment, task management, technology implementation and design, and the ethical and socio-technical considerations associated with technologies used to support PD in the community.
Analysis and Typology of Global eHealth Platforms – A Survey on Five Continents
Authors: Stroetmann Karl A.
Published: February 2025

Driven by the diverse needs for exchanging patient, other healthcare and health system data with the aim to improve the overall quality and efficiency of healthcare provision, regions and countries globally have been developing electronic platforms to gather and exchange such data. Based on an initial sample of more than 50 potential cases, eight such platforms were analysed in detail. This covered issues like core public health policy goals pursued, and major patient and other healthcare data access and exchange characteristics driving the platforms surveyed. This allows for arriving at an initial, pragmatic typology of such platforms. It provides for a better understanding of the main objective(s) and the major thrust of the underlying national (or district-related) health policy to develop and implement such infrastructures.
Building a Patient-Centered Hospital Web Site: Best Practices in China
Authors: Huang Edgar
Published: February 2025

In this case study, based on six criteria, four Chinese hospitals were chosen from a national sample to showcase, through content analysis and in-depth interviews, the best practices of serving patients online. The extensive findings have addressed the following three questions: what these hospitals have in common in their Web development, what problems and challenges they are facing, and how they have excelled in serving their patients online. The study concludes that, like larger hospitals, smaller hospitals can also excel in creating an outstanding Web site to serve their patients so long as they truly care about their patients, have a clear vision and strong expertise in IT development. The study also concludes that Chinese private hospitals can learn from these state-owned hospitals in establishing a good reputation through professional and responsible interaction with patients. The four hospitals studied may shed light on the Web development in many other Chinese hospitals that are going through the same healthcare new media adoption. The findings from this study can also help Chinese hospitals form their visions in serving patients online.
Functional Assessment Model for Hospital Information Systems in I.R. Iran
Authors: Abedian Somayyeh  , Bitaraf Ehsan  , Riazi Hossein
Published: February 2025

Evaluation of Hospital Information Systems (HIS) enables the assessment of the extent to which HISs are fulfilling their objectives in supporting the services of healthcare delivery. This paper presents an overview of evaluation in health informatics and hospital information systems and provides a framework for the evaluation of Iranian Hospital Information Systems in a national scope.
Multi-agent Architecture for the Multi-Skill Tasks Modeling at the Pediatric Emergency Department
Authors: Ajmi Ines  , Zgaya Hayfa  , Hammadi Slim  , Gammoudi Lotfi  , Martinot Alain  , Beuscart Régis  , Renard Jean-Marie
Published: February 2025

Patient journey in the Pediatric Emergency Department is a highly complex process. Current approaches for modeling are insufficient because they either focus only on the single ancillary units, or therefore do not consider the entire treatment process of the patients, or they do not account for the dynamics of the patient journey modeling. Therefore, we propose an agent based approach in which patients and emergency department human resources are represented as autonomous agents who are able to react flexible to changes and disturbances through pro-activeness and reactiveness. The main aim of this paper is to present the overall design of the proposed multi-agent system, emphasizing its architecture and the behavior of each agent of the model. Besides, we describe inter-agent communication based on the agent interaction protocol to ensure cooperation between agents when they perform the coordination of tasks for the users. This work is integrated into the ANR HOST project (ANR-11-TecSan-010).
Toward a Patient Safety Upper Level Ontology
Authors: Souvignet Julien  , Rodrigues Jean-Marie
Published: February 2025

Patient Safety (PS) standardization is the key to improve interoperability and expand international share of incident reporting system knowledge. By aligning the Patient Safety Categorial Structure (PS-CAST) to the Basic Formal Ontology version 2 (BFO2) upper level ontology, we aim to provide more rigor on the underlying organization on the one hand, and to share instances of concepts of categorial structure on the other hand. This alignment is a big step in the top-down approach, to build a complete and standardized domain ontology in order to facilitate the basis to a WHO accepted new information model for Patient Safety.
A new approach for cleansing geographical dataset using Levenshtein distance, prior knowledge and contextual information
Authors: Ugon Adrien  , Nicolas Thomas  , Richard Marion  , Guerin Patrick  , Chansard Pascal  , Demoor Christophe  , Toubiana Laurent
Published: February 2025

Epidemiological studies are necessary to take public health decisions. Their relevance depends on the quality of data. Doctors in continuous care collect a big amount of data that can be used for epidemiological purpose, but spatial data may be dirty; based on city names, the localization is imprecise, even more if it is misspelled. The only way to identify a city without ambiguity is to use its identifier, which can be retrieved by cleansing geographical textual data. In France, cities are organized in administrative zones called departments and some city names are shared by several cities in several departments. The clear identification of the department and the city name allows to deduce the city unique identifier and to make some spatial analysis such as epidemiological studies. In this paper, we propose a method to cleanse such data, using several steps. After having standardized the text to cleanse, we use the Levenshtein distance to generate a first set of propositions. Finally, the propositions are filtered, by removing the less likely candidates, so that it remains only one, which becomes the chosen city. Tested on a dataset of 9818 entries, we obtained 89.1% of concordance, whereas the standard Levenshtein distance obtained 70.5%. This demonstrates that our method has better results.
A template-based computerized instruction entry system helps the comunication between doctors and nurses
Authors: Takeda Toshihiro  , Mihara Naoki  , Nakagawa Rie  , Manabe Shiro  , Shimai Yoshie  , Teramoto Kei  , Matsumura Yasushi
Published: February 2025

In a hospital, doctors and nurses shares roles in treating admitted patients. Communication between them is necessary and communication errors become the problem in medical safety. In Japan, verbal instruction is prohibited and doctors write their instruction on paper instruction slips. However, because it is difficult to ascertain revision history and the active instructions on instruction slips, human errors can occur. We developed template-based computerized instruction entry system to reduce ward workloads and contribute to medical safety. Templates enable us to input the instructions easily and standardize the descriptions of instructions. By standardizing and combine the instruction into one template for one instruction item, the systems could prevent instructions overlap. We created sets of templates (e.g., admission set, preoperative set), so that doctors could enter their instructions easily. Instructions entered via any of the sets can be subdivided into separate items by the system before being submitted, and can also be changed on a per-item basis. The instructions were displayed as calendar form. Calendar form represents the instruction shift and current active instructions. We prepared 382 standardized instruction templates. In our system, 66% of instructions were entered via templates, and 34% were entered as free-text comments. Our system prevents communication errors between medical staff.
Integrated Wireless Sensor Network for Monitoring Pregnant Women
Authors: Niţulescu Adina  , Crişan-Vida Mihaela  , Stoicu-Tivadar Lăcrămioara  , Bernad Elena
Published: February 2025

The paper presents an integrated monitoring system for pregnant women in the third trimester using a mobile cardiotocograph and body sensors. The medical staff has a useful tool to detect abnormalities and prevent unfortunate events in time. The mobile cardiotocograph sends data in real time to a Smartphone that communicates the information in a cloud. The physician accesses the data using the hospital ObgGyn application. The advantage of using this system is that the pregnant woman can follow her pregnancy status evolution from home, and the physician receives alarms from the system if the data is not in normal range and has available information about the health status at any time and location.
Cross-institutional document exchange system using clinical document architecture (CDA) with virtual printing method
Authors: Mihara Naoki  , Ueda Kanayo  , Manabe Shirou  , Takeda Toshihiro  , Shimai Yoshie  , Horishima Hiroyuki  , Murata Taizo  , Fujii Ayumi  , Matsumura Yasushi
Published: February 2025

Recently one patient received care from several hospitals at around the same time. When the patient visited a new hospital, the new hospital's physician tried to get patient information the previous hospital. Thus, patient information is frequently exchanged between them. Many types of healthcare facilities have implemented an electronic medical record system, but in Japan, healthcare information exchange is often done by paper. In other words, after a clinical doctor prints a referral document and sends it to another hospital's physician, another hospital's doctor receives it and scans to store the EMR in his own hospital's system. It is a wasteful way to exchange healthcare information about a patient. In order to solve this problem, we have developed a cross-institutional document exchange system using clinical document architecture (CDA) with a virtual printing method.
Internet-based remote consultations – general practitioner experience and attitudes in Norway and Germany
Authors: Kampik Timotheus  , Larsen Frank  , Bellika Johan Gustav
Published: February 2025

The objective of the study was to identify experiences and attitudes of German and Norwegian general practitioners (GPs) towards Internet-based remote consultation solutions supporting communication between GPs and patients in the context of the German and Norwegian healthcare systems.
A Recommender System for Medical Imaging Diagnostic
Authors: Monteiro Eriksson  , Valente Frederico  , Costa Carlos  , Oliveira José Luís
Published: February 2025

The large volume of data captured daily in healthcare institutions is opening new and great perspectives about the best ways to use it towards improving clinical practice. In this paper we present a context-based recommender system to support medical imaging diagnostic. The system relies on data mining and context-based retrieval techniques to automatically lookup for relevant information that may help physicians in the diagnostic decision.
Multimedia Health Records: user-centered design approach for a multimedia uploading service
Authors: Plazzotta Fernando  , Mayan John C.  , Storani Fernando D.  , Ortiz Juan M.  , Lopez Gastón E.  , Gimenez Gastón M.  , Luna Daniel R.
Published: February 2025

Multimedia elements add value to text documents by transmitting information difficult to express in words. In healthcare, many professional and services keep this elements in their own repositories. This brings the problem of information fragmentation in different silos which hinder its access to other healthcare professionals. On the other hand patients have clinical data of their own in different formats generated in different healthcare organizations which is not accessible to professionals within our healthcare network. This paper describes the design, development and implementation processes of a service which allows media elements to be loaded in a patient clinical data repository (CDR) either through an electronic health record by professionals (EHR) or through a personal health record (PHR) by patients, in order to avoid fragmentation of the information.