bluuebunny/crossref_metadata_2025 huggingface dataset:
Decision making
Authors: van Loon P.P.  , Binnekamp R.  , Burger J.
Published: February 2025

Introduction; 1 Decision making in an architectural design process; 2 The Sjoelbak game: a decision-based design situation explained; 3 Decision-based design by means of the combination of sub-solutions; 4 A general phase model for the combination of sub-solutions; 5 Decision making in the combination process; 6 Management of the combination process; 7 A case study: Stedelijk Museum Amsterdam; 7.1 Project history; 7.2 Description of original single-input tool; 7.3 Description of multi-stakeholder tool; 8 The measurement and addition of stakeholder preferences; 8.1 Boolean and tri-valued veto preferences; 8.2 Multi-valued relative preferences; 8.3 Implementing a limited veto and relative preference system; 9 Conclusion; References
Legal Knowledge Representation: A Twofold Experience in the Domain of Intellectual Property Law
Authors: Contissa Giuseppe  , Laukyte Migle
Published: February 2025

This paper analyzes the representation of legal knowledge, and of Intellectual Property (or IP) law in particular. This is done by looking at two ways of representing the IP domain: through an IP ontology and by way of rule representation. And although these two solutions differ in many respects, they share the conceptual problems specific to this domain. This paper is based on research conducted under the EU-funded project ALIS (IST-2004-2.4.9).
The TIL-Script Language
Authors: Ciprich Nikola  , Duží Marie  , Košinár Michal
Published: February 2025

Multi-agent system is a system of autonomous, intelligent but resource-bounded agents. Particular agents have to be able to make decisions on their own, based on the activities of the other agents and events within the system as well as its environment. Thus the agents have to communicate and collaborate with each other as well as with their environment. They communicate by exchanging messages encoded in a near-to-natural language. Traditional first-order languages are not expressive enough to meet the demands of MAS communication. Therefore we make use of the powerful system of Transparent Intensional Logic (TIL). The paper introduces the software variant of TIL, namely the TIL-Script functional programming language. We describe its syntax and semantic, as well as the way the TIL-Script facilities are integrated into the whole multi-agent system.
Concepts and Ontologies
Authors: Duží Marie  , Materna Pavel
Published: February 2025

We introduce a new theory of concepts conceived as structured abstract entities. The theory is based on the key notion of Transparent Intensional Logic (TIL), known as TIL construction. The rich procedural semantics of TIL makes it possible to explicitly analyze all the semantically salient features of natural language expressions. We illustrate how to make use of TIL theory of concepts in distinguishing analytical and empirical concepts, and particular kinds of necessities. We also deal with a rigorous specification of requisite relations between intensions such as properties. Finally, ontology is characterised as a relatively stable part of the system that should play an integrating role. We show how to make use of TIL rich theory in specification of the content of ontologies in a multi-agent system.
Boolean Constraints for XML Modeling
Authors: Hartmann Sven  , Link Sebastian  , Trinh Thu
Published: February 2025

The study of integrity constraints has been identified as one of the major challenges in XML database research. The main difficulty is finding a balance between the expressiveness and the existence of automated reasoning tools for different classes of constraints.
Development of a Real-Time Image-Guided Surgery System for Stereo-Endoscopic Sinus Surgery
Authors: Hattori Asaki  , Suzuki Naoki  , Otori Nobuyoshi  , Iimura Jiro  , Moriyama Hiroshi
Published: February 2025

We describe an image-guided surgery system for endoscopic sinus surgery. The system has three components: stereoscopic endoscope, optical location sensor and graphic workstation. The optical location sensor measures the movement of the endoscope and the patient's head. Using the sensor's data, the graphic workstation captures the endoscopic video image and superimposes 3D organ models onto the image in real-time. After a phantom experiment, we used this system during endoscopic sinus surgery. The surgeons were able to observe the inner structure of the patient stereoscopically in a 3D field of view.
Simulating Visual Impairment to Detect Hospital Way-Finding Difficulties
Authors: Koneczny Sonja  , Rousek Justin B.  , Hallbeck M. Susan
Published: February 2025

As people age, they not only face declining vision, but, due to physiology, increased health problems which necessitate way-finding through healthcare facilities. In this pilot study on way-finding in a hospital setting, 50 healthy, sighted participants donned one of five commonly encountered low-vision impairment simulators. Each tried to find their way along common hospital paths. Data on the obstacles the participants faced was gathered objectively via observation as well as subjectively by post-scenario questionnaires. The results of the study show that for low-vision people, decorative elements often create major disturbances in way-finding. Combined with other age related conditions, this may put patients at a high risk of tripping and falling. In addition, changes in lighting often are misleading and may cause corridors to appear crooked or doorways to appear larger/smaller than they are. The sizes of text on signs as well as the placement, illumination and size of the signs themselves may be unsatisfactory. Most of these problems can easily be detected by the use of low-vision simulation, then categorized and eliminated. Hospitals can improve their facility to reduce potential slips and falls as well as frustration using these data.
Development and Initial Validation of a Virtual Reality Haptically Augmented Surgical Knot-Tying Trainer for the Autosuture
Authors: Kurenov Sergei  , Punak Sukitti  , Peters Jorg  , Lee Constance  , Cendan Juan
Published: February 2025

The Autosuture™Endostitch™device (Covidien, CT) is difficult to learn. In particular, the handle requires the use of a toggle which is unique in this instrument. We have developed a virtual reality trainer for the device that offers the use of the actual instrument handle while creating a visible virtual instrument tip complete with virtual needle and suture on a monitor. This report represents the development and initial validation experiments for the device.
Modeling Torsion of Blood Vessels in Surgical Simulation and Planning
Authors: Li Hao  , Leow Wee Kheng  , Chiu Ing-Sh
Published: February 2025

This paper proposes a hybrid approach for modeling torsion of blood vessels that undergo deformation and joining. The proposed model takes 3D mesh of the blood vessel as input. It first fits a generalized cylinder to extract the blood vessel's medial axis. Then, it uses rotation minimizing frame as a reference to model and measure the torsion of blood vessel after deformation. In general, the proposed approach can incorporate any kind of deformation algorithms. In our experiments, differential geometry method is used as an example. The test results show that our algorithm can correctly and effectively evaluate the amount of torsion caused by blood vessel deformation. In addition, it can also determine the configuration of the blood vessel with minimum torsion.
Predictive Surgical Simulation of Aorta Reconstruction in Cardiac Surgery
Authors: Li Hao  , Leow Wee Kheng  , Qi Yingyi  , Chiu Ing-Sh
Published: February 2025

This paper proposes a method for performing predictive simulation of complex cardiac surgery. It computes complex surgical results given a small amount of user inputs. In this way, the surgeon can easily explore various surgical options without having to go through all the detailed steps of the surgical procedure. Test results, using aorta reconstruction as an application example, show that the proposed method can generate realistic simulation results given different kinds of user inputs, thus demonstrating the feasibility of the approach.
A Mixed Reality Simulator for Feline Abdominal Palpation Training in Veterinary Medicine
Authors: Parkes Rebecca  , Forrest Neil  , Baillie Sarah
Published: February 2025

The opportunities for veterinary students to practice feline abdominal palpation are limited as cats have a low tolerance to being examined. Therefore, a mixed reality simulator was developed to complement clinical training. Two PHANToM premium haptic devices were positioned either side of a modified toy cat. Virtual models of the chest and some abdominal contents were superimposed on the physical model. The haptic properties of the virtual models were set by seven veterinarians; values were adjusted while the simulation was being palpated until the representation was satisfactory. Feedback from the veterinarians was encouraging suggesting that the simulator has a potential role in student training.
The FMA Database Browser: A Key Component of an Interactive Image Visualization Pipeline
Authors: Petrinec Kresimir  , Savitsky Eric  , Stark Adam
Published: February 2025

University of California at Los Angeles (UCLA) Center for Advanced Surgical and Interventional Technology (CASIT) researchers are developing an interactive image visualization pipeline with the ability to rapidly visualize and efficiently interact with patient-specific image datasets. The pipeline enables patient-specific image datasets acquired in a Digital Imaging and Communications in Medicine (DICOM) format to be converted into a three-dimensional (3D) deformable format that facilitates future simulation-based interactivity. UCLA CASIT researchers have developed a standalone FMA database browser which provides manual assignment of Foundation Model of Anatomy (FMA) identification codes (IDCs) to surfaces generated from patient-specific DICOM format data and to the reference 3D model. The FMA database browser is a key component of this innovative image visualization pipeline.
Visualizing Treatment Options for Breast Reconstructive Surgery
Authors: Qualter John  , Fana Melissa  , Deluccia Nicolette  , Colen Kari  , Scharf Carrie  , Hazen Alexes
Published: February 2025

We propose that high-fidelity animations enhanced with real-time 3d interactivity, that demonstrate various breast reconstruction procedures will assist in a patient's decision-making process. These computer based modules will in no way replace a consultation with the physician; instead they will be added to the armamentarium of patient education.
Evaluation of Hidden Markov Model for P300 Detection in EEG Signal
Authors: Rastjoo Ali  , Arabalibeik Hossein
Published: February 2025

Hidden Markov Model (HMM) was evaluated for P300 detection in electroencephalogram (EEG) signal. In some applications like the brain-computer interface (BCI), where real time detection is a concern, HMM could be a useful tool. Wavelet enhanced independent component analysis (wICA) was used for electrooculogram (EOG) artifact removal and B-spline wavelet transform for background EEG noise cancellation. HMM results are enhanced by a multilayer perceptron (MLP) neural network. Accuracy of the proposed HMM classifier is 81.6% on the validation dataset.
A Real-time Knot Detection Algorithm for Suturing Simulation
Authors: Sankaranarayanan Ganesh  , De Suvranu
Published: February 2025

In this work, we present an efficient real-time method to detect knots in a virtual-reality suturing simulator. The knot detection method exploits the self-collision information on pairs of thread segments to detect the knot. Once the knot is detected, it is frozen for further evaluation in the simulator. This method was successfully tested for standard knots that are applied with the intracorporeal technique. We have shown that our method can detect knots in real-time for various thread lengths.
Local Flaps: A Real-Time Finite Element Based Solution to the Plastic Surgery Defect Puzzle
Authors: Sifakis Eftychios  , Hellrung Jeffrey  , Teran Joseph  , Oliker Aaron  , Cutting Court
Published: February 2025

One of the most fundamental challenges in plastic surgery is the alteration of the geometry and topology of the skin. The specific decisions made by the surgeon concerning the size and shape of the tissue to be removed and the subsequent closure of the resulting wound may have a dramatic affect on the quality of life for the patient after the procedure is completed. The plastic surgeon must look at the defect created as an organic puzzle, designing the optimal pattern to close the hole aesthetically and efficiently. In the past, such skills were the distillation of years of hands-on practice on live patients, while relevant reference material was limited to two-dimensional illustrations. Practicing this procedure on a personal computer [1] has been largely impractical to date, but recent technological advances may come to challenge this limitation. We present a comprehensive real-time virtual surgical environment, based on finite element modeling and simulation of tissue cutting and manipulation. Our system demonstrates the fundamental building blocks of plastic surgery procedures on a localized tissue flap, and provides a proof of concept for larger simulation systems usable in the authoring of complex procedures on elaborate subject geometry.
A Comparative Study of Monoscopic and Stereoscopic Display for a Probe-Positioning Task
Authors: Wang Guangyu  , Mercier Laurence  , Collins D. Louis  , Cooperstock Jeremy R.
Published: February 2025

We conducted a comparative study of task performance under both monoscopic and stereoscopic display conditions, in order to assess the role of stereoscopy in supporting an understanding of three-dimensional content, and ease of interaction with the data. As our application context is that of neurosurgical visualization, the experimental goal we chose was to define a straight, vessel-free path from the cortical surface to a targeted tumor. The scene consists of a volumetric representation of the brain vasculature and a simulated tumor, as well as a separately controlled pen-like virtual probe. Under both viewing conditions, participants were able to manipulate the volume and probe using a tangible user interface, thus obtaining hand-coupled motion cues. Results indicate that on average, participants were able to perform the task in the stereographic mode in only 75% of the time and with half the error as in the monoscopic condition.
Tactile Feedback Exceeds Visual Feedback to Display Tissue Slippage in a Laparoscopic Grasper
Authors: Westebring-van der Putten E.P.  , Lysen W.W.  , Henssen V.D.  , Koopmans N.  , Goossens R.H.M.  , van den Dobbelsteen J.J.  , Dankelman J.  , Jakimowcz J.
Published: February 2025

Virtual reality can help to learn basic laparoscopic tasks. However, no haptic feedback, which alerts for tissue slippage, is provided by most simulators, although, it might be of influence for the decrease of errors. This study explored whether visual or tactile feedback can be used to alert the surgeon of tissue slippage. Twenty-four participants performed a laparoscopic grasping task and where provided with either visual or tactile feedback about tissue slippage. The reaction time with the visual feedback was compared to the reaction time with tactile feedback signal. The results showed that when tissue slippage is simulated, tactile feedback shows significant faster reaction times (269ms) than visual feedback signals (398ms).
Sectional Analysis of Learning on the KAIST-Ewha Colonoscopy Simulation II
Authors: Yi Sun Young  , Ryu Kum Hei  , Woo Hyun Soo  , Ahn Woojin  , Kim Woo Seok  , Jung Hoeryong  , Cho Jang Ho  , Lee Doo Yong
Published: February 2025

The goal of this study is to validate the KAIST-Ewha Colonoscopy Simulation II as a training tool by examining the sectional learning curve of the trainees' performance on the simulation. Nine subjects including three fellows and six residents in the internal medicine participated in this study. All the subjects practiced the colonoscopy on the simulation until their performance surpasses the criteria preset by colonoscopy experts. Performance of the subjects during all the trials was measured in terms of eight performance indices and analyzed according to the colon segments. The results show that the trainees' skills significantly improved through training on the KAIST-Ewha Colonoscopy Simulation II. Particularly, most of the improvement appeared in the sigmoid and descending colon. On the other hand, there was little improvement in the ascending colon.
The Evolution of Medical Simulators
Authors: Combs C. Donald  , Walia Meenal K.
Published: February 2025

Medical simulators continue to evolve, developing capabilities that make their use in medical and health professions education more likely. Among these capabilities are: wireless communication, portability, compactness, and user-friendliness. Demands for effective team training and decision support will drive the next generation of medical simulators.
Transducer Minimization and Information Compression for NooJ Dictionaries
Authors: Mesfar Slim  , Silberztein Max
Published: February 2025

In this paper, we describe the use of an incremental construction method of minimal, acyclic, deterministic FST. The approach consists in constructing a transducer in a single step by adding new strings one by one and minimizing the resultant automaton incrementally. Then, we present a new method to encode the morphological information associated with the dictionary entries. The new encoding unifies a large number of word forms' analyses, thus reducing the number of terminal states of the dictionary's FST, that triggers a more efficient minimization process. Finally, we present experimental results on the FST that represents the Arabic dictionary.
Toyota A3 Report: A Tool for Process Improvement in Healthcare
Authors: Lee Te-Shu  , Kuo Mu-Hsing
Published: February 2025

It is proposed that the A3 problem solving process be used by hospital staff to improve its healthcare workflow. A hypothetical case study is given to demonstrate the applicability and benefits of the methodology. The research results show that A3 is a useful tool for healthcare organizations seeking to continuously improve their healthcare service quality
Mobile ICT Support for the Continuum of Care
Authors: Miyazaki Masako  , Ohyanagi Toshio  , Liu Lili  , Dobbs Bonnie  , Rowe Marguerite  , Sutphen Steve  , Miller James  , Cook Albert
Published: February 2025

The Wireless Wearable Physiological Monitor (WWPM) is designed to provide unobtrusive, regular, remote physiological monitoring of clients within their home environment. Its goal is to provide enough health support functions to enable its user to remain at home while being under a limited form of medical supervision. The WWPM solution will reduce the care burden on families and friends while providing a level of continuous care for the ill or elderly. The WWPM solution is a combination of non-invasive sensors that monitor a person's physiological data and a two-way communication system that allows the physiological data to be sent to a central computer application. The central application can interpret the data received and automatically prompt the client to take appropriate action or alert a care provider who can intervene with the needed support. The central application is intended for use by care providers within the traditional continuum, that is, as a component in a patient's health management or care plan. It is this combination of data, professional care and communication that will produce the medical and behavioral outcomes necessary for individuals to manage their health outside of traditional health service institutions.
An EHR-Based Paradigm Shift in the Operation of Mental Health and Addiction Services
Authors: Moselle Kenneth A.
Published: February 2025

This paper responds to a commonly expressed belief, or perhaps hope, that full implementation of the electronic health record (EHR) will promote a “paradigm shift” in the delivery of health services, enhancing both service system efficiency and effectiveness in ways that would not have otherwise been possible. A model is proposed that defines stages in the development of the EHR in terms of two sets of functional components: 1) information management tools used to support the delivery of care; and 2) decision support tools that use information drawn from the EHR to promote functional integration among the components of complex service systems. “Paradigm shift” is defined operationally within this framework in terms of evolution of the EHR through these stages. The concept of “clinical interoperability” (anchored in a semantically interoperable EHR) is elaborated upon and presented as the sine qua non for a distinctive form of paradigm change that centres on support for care delivery within any given location in the system, and on EHR-based support for client movement through the system. The Vancouver Island Health Authority/Infoway Bridges, now deployed across the full array of hospital and community-based mental health and addiction services, is an example of an EHR that leverages the semantically interoperable components of an EHR to support a paradigm shift in clinical interoperability for the mental health and addictions service system.
Comparative Study of Heuristic Evaluation and Usability Testing Methods
Authors: Thyvalikakath Thankam Paul  , Monaco Valerie  , Thambuganipalle Himabindu  , Schleyer Titus
Published: February 2025

Usability methods, such as heuristic evaluation, cognitive walk-throughs and user testing, are increasingly used to evaluate and improve the design of clinical software applications. There is still some uncertainty, however, as to how those methods can be used to support the development process and evaluation in the most meaningful manner. In this study, we compared the results of a heuristic evaluation with those of formal user tests in order to determine which usability problems were detected by both methods. We conducted heuristic evaluation and usability testing on four major commercial dental computer-based patient records (CPRs), which together cover 80% of the market for chairside computer systems among general dentists. Both methods yielded strong evidence that the dental CPRs have significant usability problems. An average of 50% of empirically-determined usability problems were identified by the preceding heuristic evaluation. Some statements of heuristic violations were specific enough to precisely identify the actual usability problem that study participants encountered. Other violations were less specific, but still manifested themselves in usability problems and poor task outcomes. In this study, heuristic evaluation identified a significant portion of problems found during usability testing. While we make no assumptions about the generalizability of the results to other domains and software systems, heuristic evaluation may, under certain circumstances, be a useful tool to determine design problems early in the development cycle.
eDoc Evaluation – At Eighteen Months into the Challenge
Authors: Stansfield Katherine  , Yetman Linda  , Renwick Catherine
Published: February 2025

We describe an evaluation plan for electronic clinical documentation. Guided by Canada Health Infoway Benefits Evaluation Framework, the evaluation was performed across a single organization with four health care sites and included reviews of documentation practices from the nursing and health disciplines. Data collection methods included chart audits, shadowing, surveys and focus group meetings. Key recommendations drawn from the data analysis will help to guide documentation format and practice improvements.
Strategies to Increase Familiarization and Acceptance of Electronic Health Records among Health Professionals and Consumers
Authors: Burdyny Cynthia  , Findlater Susan  , Caron Marie-Pier  , Ajaz Mubasshir
Published: February 2025

There are many reasons an organization may choose to implement electronic health records. The challenge is to acknowledge the benefits and deficiencies of the electronic health record, to understand the driving forces for implementation and the barriers to it, and to effect change in the workplace and consumer behaviour. Indeed, one challenge is the determination of the organizational stance with regard to these factors. If all of these factors are seriously considered and the risks to implementation measured, a successful implementation should ensue.
Mobile Phones As Mediators of Health Behavior Change in Cardiovascular Disease in Developing Countries
Authors: Chan Connie V.  , Kaufman David R.
Published: February 2025

The global burden of cardiovascular diseases (CVD) is becoming a growing problem in developing countries. Successful self-management of CVD is dependent on a multitude of factors, including social support, communication with health care providers, careful monitoring, and other determinants. The growing market penetration and the communication properties of mobile phones create opportunities for innovation in promoting CVD self-management through support of lifestyle and behavior modification. Mobile phones support various modes of communication and interaction, have fewer adoption barriers, and are more prevalent than other available technologies in developing countries. However, mobile phone interventions are not without many challenges such as mobile infrastructure, electric infrastructure, access to mobile devices, and appropriate user interfaces for interaction. In this paper, we discuss current evidence as well as research opportunities to explore the role of mobile phones in supporting behavior modification in developing countries.
An Embedded Fingerprints Classification System based on Weightless Neural Networks
Authors: Conti V.  , Militello C.  , Sorbello F.  , Vitabile S.
Published: February 2025

Automatic fingerprint classification provides an important indexing scheme to facilitate efficient matching in large-scale fingerprint databases in Automatic Fingerprint Identification Systems (AFISs). The paper presents a new fast fingerprint classification module implementing on embedded Weightless Neural Network (RAM-based neural network). The proposed WNN architecture uses directional maps to classify fingerprint images in the five NIST classes (Left Loop, Right Loop, Whorl, Arch and Tented Arch) without anyone enhancement phase. Starting from the directional map, the WNN architecture computes the fingerprint classification rate. The proposed architecture is implemented on Celoxica RC2000 board employing a Xilinx Virtex-II 2v6000 FPGA and it is computationally few expensive regards execution time and used hardware resources. To validate the goodness of proposed classificator, three different tests have been executed on two databases: a proprietary and FVC database. The best classification rate obtained is of 85.33% with an execution time of 1.15ms.
Challenges of Internet Evolution: Attitude and Technology
Authors: Rubina Jon Mikel
Published: February 2025

This paper analyzes two challenges of Internet evolution by evaluating the dynamics of change against the outstanding aspects of the current situation. To understand these challenges, a model that exposes the factors that drive the dynamics of Internet evolution is discussed first. The conclusion drawn is that attitude and technology are the two vectors that lead the evolution of Internet. Secondly, the contemporary context with regard to technology development and information society attitudes is analyzed. Finally, it is concluded that the necessity of a paradigm shift in the attitude of organizations and the threat of unsustainable technology development are two of the main challenges towards the future Internet.
Software Security Vulnerabilities Seen As Feature Interactions
Authors: Jourdan Guy-Vincent
Published: February 2025

The security of software applications is an important domain, and one that mixes formalisms (e.g. when dealing with cryptography and security protocols) with very ad hoc, low level practical solutions. In this paper, we look at a subset of the “security” field: the production of secure, general purpose software from a software engineering viewpoint. We call this simply “software security”. We show that, when we analyze this particular subset of the field, many if not most problems turn out to be instances of feature interactions problems. We illustrate our claim by looking at three of the top ten most common vulnerabilities in Web application as published by OWASP (the three that are in fact software security issues) and show that in each instance, we can express the problem as a feature interactions problem. We also reach the same conclusion with one of the latest generalized software security vulnerability, “ClickJacking”.
The Co-Definition of Self: Conversations in Virtual Reality
Authors: Cantamesse Matteo
Published: February 2025

Conversation analysis can take the form of a qualitative methodology for the exploration of discursive productions, whose main goal is the formulation of hypotheses for reading psychosocial interaction through descriptive models of interlocution. Therefore, in this study, conversations in a shared Virtual Environment have been analyzed in order to understand the specific structure, dynamics, and phenomenology of Virtual Reality effects on the “interactive micro-chains” that constitute the communicative thread of daily experience.
Cost Effectiveness of Virtual Reality Graded Exposure Therapy with Physiological Monitoring for the Treatment of Combat Related Post Traumatic Stress Disorder
Authors: Wood Dennis Patrick  , Murphy Jennifer  , McLay Robert  , Koffman Robert  , Spira James  , Obrecht Robert E.  , Pyne Jeff  , Wiederhold Brenda K.
Published: February 2025

Virtual Reality Graded Exposure Therapy (VRGET) is an effective treatment for combat-related PTSD. We summarize the outcomes of a VRGET pilot study with 12 participants who completed one to multiple combat tours in support of the War on Terrorism and who were subsequently diagnosed with combat-related PTSD. Details of the collaborative program amongst the Virtual Reality Medical Center (VRMC), Office of Naval Research, the Naval Medical Center San Diego (NMCSD) and the Navy Hospital Camp Pendleton are discussed as is the VRGET outcomes of significant reductions in PTSD symptoms severity. We also described the estimated cost-effectiveness of VRGET for the treatment of combat-related PTSD, as contrasted to Treatment as Usual (TAU) for combat-related PTSD.
Mobile Immersive Virtual Technologies for Professional Communities of Practice
Authors: De Micheli Caterina  , Galimberti Carlo
Published: February 2025

This paper presents the development of an Immersive Virtual Technology (IVT) system serving a community of practice consisting of psychotherapists who use virtual environments for therapy and treatment of anxiety disorders. The psychosocial theoretical background includes the ethnomethodological approach, Situated Action Theory and the Intersubjectivity of the Utterance model. The dialogical importance promoted at each level of the analysis phases becomes the key to a deeper and more fluid understanding of the assumptions and meaning that guide the actions of and interactions between therapists and patients. The entire system design process is inspired by a dialogical perspective, which aims to effectively and non-rigidly integrate the design stages, analysis in context of use, ergonomic evaluation, creation of the virtual reality (VR) system, and final work on the clinical protocol in use.
Eating Disorders on the Web: Risks and Resources
Authors: Mulè Alice  , Sideli Lucia
Published: February 2025

Our work is aimed at exploring the recent literature data on web sites, forums, and blogs, which promote eating disorders as normal life styles and their implication in the changes of the psychopatology of such disorders. We also want to understand whether new technologies have an impact in the course of the disorders or, on the other hand, whether they can also represent an instrument for searching help or information about them. The search strategy included a search of PsycINFO, Medline, and Ovid databases to identify research reports about pro-ana sites and their implication on the course of anorexia using the following key words: pro-ana, thinspiration, anorexia-web, online help eating disorders, anorexia nation.
Evaluating Pain in Intensive Care
Authors: Suominen Hanna  , Lundgrén-Laine Heljä  , Salanterä Sanna  , Salakoski Tapio
Published: February 2025

Optimal pain management is essential for good care outcomes, but assessing pain is particularly complex in intensive care, as patients are often unable to communicate. We hypothesize that the task could be supported through human language technology. To evaluate the feasibility of such tools, we study how pain is documented in electronic Finnish free-text intensive care nursing notes by statistically comparing annotations of ten nursing professionals on a set of 1548 documents. The aspects considered include the amount and writing style of pain-related notes, pain intensity, and given pain care. More than half of the documents contained information relevant for patients' pain status but it was expressed usually indirectly. Also pain medication was commented as free-text. Although annotators' pain intensity evaluations diverged, the substantial amount of pain-related notes encourages developing computational tools for pain assessment.
Identification and Usability of Data-based Nurse Staffing Indicators: A Pilot Study in Kuopio University Hospital
Authors: Pitkäaho Taina  , Partanen Pirjo  , Vehviläinen-Julkunen Katri  , Miettinen Merja
Published: February 2025

Objectives: The pilot study is a part of the Magnet hospital research project in Northern Savo in Finland, which is a collaboration between the University of Kuopio and Kuopio University Hospital (KUH) in 2006-2012. The purpose was to identify, describe and assess nurse staffing indicators from the data system of KUH. Donabedian's structure-process-outcome model (SPO) and the preliminary nurse staffing model by Partanen were used as a framework.
Narrative Text in Structured Documentation of Medication Risks and Side Effects
Authors: Jylhä Virpi  , Saranto Kaija
Published: February 2025

Electronic patient records enable the use of patient data for clinical, administrative and research purposes. However, utilising electronic data requires a structured documentation model in which standardised nursing classifications are used. Finnish Care Classification (FinCC) is based on the Clinical Care Classification. FinCC version 1.1 used in this study contains Finnish Classification of Nursing Diagnosis and Interventions. This study aims to analyse how nurses have used narrative text to complement the documentation of medication risks and side effects when the Finnish Care Classification is used. The results of this study show that content of narrative text does not always correspond with the FinCC codes used. The content of narrative text does not follow the nursing process. Especially the use of nursing diagnosis seems to be difficult. This study indicates a need for continuing education about structured documentation. Further research is needed to analyse the relationship between nursing diagnosis and interventions as well as how other components are complemented with narrative text.
eEvidence: Supplying Evidence to the Patient Interaction
Authors: Procter Paula M.  , Kan Min-Yen  , Lee Siu Yin  , Zubaidah Siti  , Yip Wai Kin  , Jhao Jin  , Arthur David  , Li Goh Mien
Published: February 2025

Nursing demands that all care offered to patients is appropriately assessed, delivered and evaluated; the care offered must be up to date and supported by adequately researched published evidence. A basic logic suggests that information and communications technology can help the nurse in maintaining his/her care provision to the highest level through presenting relevant evidence.
Nursing Informatics for Future Nurse Scholars: Lessons Learned with the Doctorate of Nursing Practice (DNP)
Authors: Trangenstein Patricia A.  , Weiner Elizabeth E.  , Gordon Jeffrey S.  , McArthur Donna
Published: February 2025

The addition of the DNP created challenges that resulted in a re-evaluation of the leveling of informatics competencies across the nursing curriculum. The knowledge and skills needed by informatics nurse specialists was differentiated from those needed by three levels of nurses (entry level practitioner, advanced practice nurse, and nurse scholar (both PhD and DNP)). After a thorough review of the literature and examination of various competencies and definition for nursing informatics, a new model was proposed and guided the creation and implementation of a core course in informatics for DNP students.
Enhancing Nursing Informatics Competencies and Critical Thinking Skills Using Wireless Clinical Simulation Laboratories
Authors: Cholewka Patricia A.  , Mohr Bernard
Published: February 2025

Nursing students at New York City College of Technology are assigned client care experiences that focus on common alterations in health status. However, due to the unpredictability of client census within any healthcare facility, it is not possible for all students to have the same opportunity to care for clients with specific medical conditions. But with the use of patient simulators in a dedicated Clinical Simulation Laboratory setting, students can be universally, consistently, and repeatedly exposed to programmed scenarios that connect theory with the clinical environment. Outcomes from using patient simulators include improved nursing knowledge base, enhanced critical thinking, reflective learning, and increased understanding of information technology for using a Personal Digital Assistant and documenting care by means of an electronic Patient Record System. An innovative nursing education model using a wireless, inter-connective data network was developed by this college in response to the need for increasing nursing informatics competencies and critical thinking skills by students in preparation for client care.
The Development of an Incident Event Reporting System for Nursing Students
Authors: Chiou Shwu-Fen  , Huang Ean-Wen  , Chuang Jen-Hsiang
Published: February 2025

Incident events may occur when nursing students are present in the clinical setting. Their inexperience and unfamiliarity with clinical practice put them at risk for making mistakes that could potentially harm patients and themselves. However, there are deficiencies with incident event reporting systems, including incomplete data and delayed reports. The purpose of this study was to develop an incident event reporting system for nursing students in clinical settings and evaluate its effectiveness. This study was undertaken in three phases. In the first phase, a literature review and focus groups were used to develop the architecture of the reporting system. In the second phase, the reporting system was implemented. Data from incident events that involved nursing students were collected for a 12-month period. In the third phase, a pre-post trial was undertaken to evaluate the performance of the reporting system. The ASP.NET software and Microsoft Access 2003 were used to create an interactive web-based interface and design a database for the reporting system. Email notifications alerted the nursing student's teacher when an incident event was reported. One year after installing the reporting system, the number of reported incident events increased tenfold. However, the time to report the incident event and the time required to complete the reporting procedures were shorter than before implementation of the reporting system. The incident event reporting system appeared to be effective in more comprehensively reporting the number of incident events and shorten the time required for reporting them compared to traditional written reports.
Using Social Software to Transform Informatics Education
Authors: Skiba Diane J.  , Barton Amy J.
Published: February 2025

The increased availability of Web 2.0 tools, specifically social software, has changed how users interact on the web. Web 2.0 tools allow users to create, share and disseminate information and knowledge with relative ease. Web 2.0 tools, such as social writing, networking and bookmarking tools, are impacting not only how we educate students but also how nurses deliver patient care. This paper describes how an informatics education program is educating their students to use social software as learners as well as practicing informatics specialists.
Structured Terminologies in Clinical Information Systems: Implementation through Collaboration
Authors: Haskell Robert E.  , Hardiker Nicholas R.  , Watkins Tera J.  , Lundberg Cynthia B.  , Brokel Jane M.  , Wilson Marisa L.
Published: February 2025

The structure and content of the dialog with a clinical end-user is a critical aspect of clinical information system use, data capture and retrieval, and efficient and effective health care. This dialog is driven ultimately by embedded structures and processes that: a) provide functional models of clinical expression in support of professional practice, and b) determine how structured terminologies ought to populate these models. Based on diverse practical experience, this study identifies challenges to implementing structured clinical terminologies, categorizing them by both stakeholder group and application area. Collaboration across all stakeholders and across a wide range of application areas is identified as a key ingredient to successful terminology implementation and use.
Capturing Business Requirements for the Swedish National Information Structure
Authors: Kajbjer Karin  , Johansson Catharina
Published: February 2025

As a subproject for the National Information Structure project of the National Board of Health and Welfare, four different stakeholder groups were used to capture business requirements. These were: Subjects of care, Health professionals, Managers/Research and Industry. The process is described with formulating goal models, concept, process and information models.
Using Electronic Patient Record with PDA, Benefits and Nursing Staffs' Know-how to Use Technology
Authors: Malmqvist Satu
Published: February 2025

Research is ongoing looking for new health care processes regeneration and rationalisation. Instrument and tool technology has come to health care while patient documents have become electronic. The process has to make sure, that patient records are of a high quality and all information readily available if it is to improve patient care.
Analyzing and Modeling of the Web-based Self Care Record System for Hypertension Patients – Focused on Blood Pressure and Drug Management
Authors: Hye Jung Jang  , Nam Hyun Kim
Published: February 2025

This study reviews and analyzes three web-based self care record systems for hypertension patients that are selected by many Korean medical web sites suggesting the new web-based self care record system for hypertension patients. Also, this study can aim to increase the effectiveness of the web-based self-care record system focused on blood pressure and drug management for hypertension patients. Three web-sites (National Hypertension Center; http://www.hypertension.or.kr, Korea Hypertension Diabetes Deagu Institute; http://khyddi.cdc.go.kr, Health Korea http://www.healthkorea.net) were selected during the period from April 1 to April 7, 2008. This study represents the comparative analysis table of three web-based self care record systems for hypertension patients and the constructed system flow diagrams that were drew by MS Visio 2003.
Analysis of the Gap between Nurses' Expectations and Satisfaction on a Home-made Discharge Planning System
Authors: Hsu Chiao-Ling  , Chang Ming-Lee  , Chang Polun
Published: February 2025

The objective of this study was to evaluate the nurses' expectations and satisfactory on this system. A questionnaire composed of ease-to-use and usefulness questions under Expectation before Implementation, Perception after Implementation and Satisfaction was designed for evaluation. We observed that even the system was designed with very simple IT techniques and passive cooperation with IT people, it could still positively valued by the users if they could participate the entire process. However, more IT resources and better team work is important to design a system which can meet users' expectation.
A Strategy for Preparing Contents for a Computerized Documentation System
Authors: Kim Hyeoneui  , Dykes Patricia  , Goldsmith Denise  , Millar Sally
Published: February 2025

One of the challenges hospitals face with in computerizing a documentation system is preparing documentation contents in a way that sufficiently reflects existing best nursing practice while reconciling heterogeneous formats and expressions of the same contents across settings. We have identified a strategy to support analyzing the existing documentation contents collected from various paper forms across Partners HealthCare System (PHS). We introduce the process and the tool that we have developed to support the content preparation efforts.
Developing a Clinical Informatics System which Supports a Model of Partnership among Caregivers, Patients, and Families
Authors: Bergeron Daniel F.  , Hyrkas Kristiina
Published: February 2025

Partnership Care Delivery is an evidence-based practice model being developed at this institution. It emphasizes interdisciplinary collaboration, in which all members of the healthcare team work with the patient as active participants in care processes. In order to achieve true partnership among disciplines, and to engage the patient and family, it was important to create supportive clinical informatics. The new system will provide access to scientifically sound information and empower synergy of interdisciplinary teams united as partners with patients and families through shared information.
Connecting Humans and Health through Health Information Exchange
Authors: Sensmeier Joyce  , Casey Halley Elizabeth
Published: February 2025

To address healthcare quality, efficiency and safety, a national health information technology (IT) initiative was announced by the President of the United States in 2004 to make Electronic Health Records (EHR) available to most Americans within 10 years. The National Health IT Agenda has advanced with recognition of interoperability standards for Personal Health Records (PHR) and Population Health information exchange. This session will illustrate the national processes, timeline, stakeholders and benefits of adoption of interoperability standards to enable health information exchange.
The Applicaton of Data Mining Skill on Identifying Critical Factors in the Web-based Incident Reporting System
Authors: Lee Ting-Ting
Published: February 2025

The purpose of this is study was to apply data mining skill to explore the fall critical factors. Feature selection and variable screening were applyed on the total of 725 incidents as the first two screening steps. The neuronetwork model was – MLP (multilayer perceptron) 19-7-2 with sensitiviy and specificity as 50.00% and 84.42, respectively. The result could be utilized for futher intervention studys to validate the finings.
Exploring the Encodability of Comprehensive Discharge Information with the Unified Modeling Language
Authors: Choi Jeeyae  , Schuster Lois  , Frost Debra  , Larocca Ann Marie
Published: February 2025

Ineffective discharge processes often break the continuum of care, adversely affecting patients' outcome. In order to overcome such challenges and provide continuity of care to patients, an effective and smooth discharge process is important. A discharge information system that automatically processes data elements entered for discharge information is essential. In this preliminary study, a discharge information model was partially developed and encoded using UML, in order to form the foundation of an automated system.