bluuebunny/crossref_metadata_2025 huggingface dataset:
Telehomecare Technologies Enhance Self-management and Empowerment among Pa- tients with Chronic Obstructive Pulmonary Disease (COPD) – Where does Health Literacy Fit into this Equation?
Authors: Hæsum Lisa Korsbakke Emtekær  , Ehlers Lars  , Hejlesen Ole K
Published: February 2025

Chronic obstructive pulmonary disease (COPD) is a chronic disease characterised by a graduate decline of pulmonary function and it constitutes a provable burden on society. Tele-homecare technology (THC) is a young field of research that has shown potential with regards to enhancing the level of self-management among COPD patients. Self-management is closely connected to health literacy. Health literacy and THC have shown great potential in terms of reducing healthcare costs and improving quality of life for COPD patients. The objective of this poster is to raise awareness regarding the potential of using THC to improve the level of health literacy.
What a Catch! Traits that Define Good Annotators
Authors: Forbush Tyler B.  , Shen Shuying  , South Brett R.  , DuValla Scott L.
Published: February 2025

Human annotation and chart review is an important process in biomedical informatics research, but which humans are best suited for the job? Domain expertise, such as medical or linguistic knowledge is desirable, but other factors may be equally important. The University of Utah has a group of 20+ reviewers with backgrounds in medicine and linguistics, and 10 key traits have surfaced in those best able to annotate quickly and with high quality. To identify reviewers with these key traits, we created a hiring process that includes interviewing candidates, testing their medical and linguistic knowledge, and having them complete an annotation exercise on realistic medical text. Each step is designed to assess the key traits and allow the investigator to choose the skill set required for each project.
Telepharmacology in Clinical practice?
Authors: Leskosek Brane  , Ferk Polonca
Published: February 2025

The role and collaboration of a pharmacologist with other members of the health care team is very important with his/her knowledge about prescribing, administration and pharmacodynamics of drugs as well as about using the existing drug related information systems. It seems optimal for a health care system to use telepharmacology which means a special pharmacological team (and information system) on duty available 24h to different medical specialists via remote multimedia link.
Barriers to the Reuse of Routinely Recorded Clinical Data: A Field Report
Authors: Dentler Kathrin  , ten Teije Annette  , de Keizer Nicolette  , Cornet Ronald
Published: February 2025

Today, clinical data is routinely recorded in vast amounts, but its reuse can be challenging. A secondary use that should ideally be based on previously collected clinical data is the computation of clinical quality indicators. In the present study, we attempted to retrieve all data from our hospital that is required to compute a set of quality indicators in the domain of colorectal cancer surgery. We categorised the barriers that we encountered in the scope of this project according to an existing framework, and provide recommendations on how to prevent or surmount these barriers. Assuming that our case is not unique, these recommendations might be applicable for the design, evaluation and optimisation of Electronic Health Records.
A Method for Probing Disease Relatedness Using Common Clinical Eligibility Criteria
Authors: Boland Mary Regina  , Miotto Riccardo  , Weng Chunhua
Published: February 2025

Clinical trial eligibility criteria define fine-grained characteristics of research volunteers for various disease trials and hence are a promising data source for disease profiling. This paper explores the feasibility of using disease-specific common eligibility features (CEFs) for representing diseases and understanding their relatedness. We extracted disease-specific CEFs from eligibility criteria on ClinicalTrials.gov for three illustrative categories – cancers, mental disorders and chronic diseases – each including seven diseases. We then constructed disease-specific CEF networks to assess the degree of overlap among the diseases. Using these automatically derived networks, we observed several findings that were confirmed in medicine. For example, we highlighted connections among schizophrenia, epilepsy and depression. We also identified a link between Crohn's disease and arthritis. These observations confirm the value of using clinical trial eligibility criteria for identifying disease relatedness. We further discuss the implications of CEFs for standardizing clinical trial eligibility criteria through reuse.
Automatically Identifying Health- and Clinical-Related Content in Wikipedia
Authors: Liu Feifan  , Moosavinasab Soheil  , Agarwal Shashank  , Bennett Andrew S.  , Yu Hong
Published: February 2025

Physicians are increasingly using the Internet for finding medical information related to patient care. Wikipedia is a valuable online medical resource to be integrated into existing clinical question answering (QA) systems. On the other hand, Wikipedia contains a full spectrum of world's knowledge and therefore comprises a large partition of non-health-related content, which makes disambiguation more challenging and consequently leads to large overhead for existing systems to effectively filter irrelevant information. To overcome this, we have developed both unsupervised and supervised approaches to identify health-related articles as well as clinically relevant articles. Furthermore, we explored novel features by extracting health related hierarchy from the Wikipedia category network, from which a variety of features were derived and evaluated. Our experiments show promising results and also demonstrate that employing the category hierarchy can effectively improve the system performance.
A Formal Representation for Numerical Data Presented in Published Clinical Trial Reports
Authors: Tong Maurine  , Hsu William  , Taira Ricky K
Published: February 2025

Assessing the quality of and integrating clinical trial reports are necessary to practice evidence-based medicine. In particular, the numerical data is essential to understanding the strength and quality of the clinical trial study. In this paper, we present a formal representation for standardizing numerical data in published clinical trial reports, and our efforts towards developing computational tools to capture and visualize this representation. The approach includes two aspects: a process model used to precisely define experimental context behind the numerical value; and a spreadsheet, an intuitive and familiar tool used to organize numerical data. We demonstrated this representation using clinical trial reports on non-small cell lung cancer (NSCLC). We performed a preliminary evaluation to determine the usefulness of this formalism for identifying the characteristics, quality and significance of a clinical trial. Our initial results demonstrate that the representation is sufficiently expressive to capture reported numerical information in published papers.
Measurement of T2 Value by Using 3.0T MRI for Patient with Ankle Arthritis
Authors: Ahn Jae Ouk
Published: February 2025

This study intended to evaluate shape of ankle joint cartilage and damage to the ankle joint cartilage by measuring changes in T2 value of cartilage of healthy people without ankle arthritis and patients with ankle arthritis. The multi-echo technique was used for 20 healthy persons who had no ankle arthritis in the past or in the present clinically and 20 patients who were examined to have ankle arthritis in order to obtain T2 map image of knee joint cartilage. We divided the talotibial joint into medial position, middle position and lateral position to calculate the mean values of T2 in 18 spots that included anterior part, middle part and posterior part of cartilage of neck bone and ankle bone. Mean T2 values were measured in the healthy people group and the ankle arthritis patient group. According to the measurement results, the mean T2 value of the ankle arthritis patient group was measured to be higher than that of the healthy people group.
Multi-lingual Search Engine to Access PubMed Monolingual Subsets: A Feasibility Study
Authors: Darmoni Stéfan J.  , Soualmia Lina F.  , Griffon Nicolas  , Grosjean Julien  , Kerdelhué Gaétan  , Kergourlay Ivan  , Dahamna Badisse
Published: February 2025

PubMed contains many articles in languages other than English but it is difficult to find them using the English version of the Medical Subject Headings (MeSH) Thesaurus. The aim of this work is to propose a tool allowing access to a PubMed subset in one language, and to evaluate its performance.
Safety First! Managing Risks for a Daisy Chain of Medical Devices Connected to the IT-Network – First Experiences Applying IEC 80001-1
Authors: Ahlbrandt Janko  , Röhrig Rainer
Published: February 2025

The best way to ensure patient safety is to eliminate errors. To avoid errors and resulting harm from medical devices, there are rules and laws in Germany to ensure a certain quality and process [1,2]. This does not cover scenarios where devices are connected to a data network, forming a medical IT network. Arising risks need to be addressed by operating organizations, such as hospitals. International standard IEC 80001-1 offers a process for this and defines roles and responsibilities [3]. The aim of our study was to assess the application of risk management for a small initial project. We studied a daisy chain of medical devices connected to the IT network. The number of involved proprietary protocols and interface-definitions complicates the risk management, if just for the number of involved manufacturers. Identified risks could all be addressed and did not block the setup's deployment. Risk management creates an extra effort, but can reduce harm and potential financial liabilities. We can recommend starting with small projects to familiarize with the process.
CUDA Implementation of Histogram Stretching Function for Improving X-ray Image
Authors: Lee Yong H.  , Kim Kwan W.  , Kim Soon S.
Published: February 2025

This paper presents a method to improve the contrast of digital X-ray image using CUDA program on a GPU. The histogram is commonly used to get the statistical distribution of the contrast in image processing. To increase the visibility of the image in real time, we use the histogram stretching function. It is difficult to implement the function on a GPU because the CUDA program is due to handle the complex process to transfer the source data and the processed results between the memory of GPU and the host system. As a result, we show to operate the histogram stretching function quickly on GPU by the CUDA program.
Data Governance for Health Care Providers
Authors: Andronis Katerina  , Moysey Kevin
Published: February 2025

Data governance is characterised from broader definitions of governance. These characteristics are then mapped to a framework that provides a practical representation of the concepts. This representation is further developed with operating models and roles. Several information related scenarios covering both clinical and non-clinical domains are considered in information terms and then related back to the data governance framework. This assists the reader in understanding how data governance would help address the issues or achieve a better outcome. These elements together enable the reader to gain an understanding of the data governance framework and how it applies in practice. Finally, some practical advice is offered for establishing and operating data governance as well as approaches for justifying the investment.
Extended Communication Possibilities for Nurses: Taking Context Into Consideration
Authors: Klemets Joakim  , Kristiansen Lill
Published: February 2025

Due to the versatile nature of nurses' work, whether contact requests can be initiated or received depends on the situation the nurses find themselves in. Through a qualitative study influenced by the participatory design methodology, we uncover issues with a communication system at a hospital when nurses are situated in different contexts. Based on the findings, we suggest a new system design where nurses can initiate and receive contact requests on a heterogeneous set of devices. Further, we argue that the new system should allow communication of context information to aid nurses to assert whether to engage in a communication request or not.
Parametric Mogramming with Var-Oriented Modeling and Exertion-Oriented Programming Languages
Authors: Sobolewski Michael  , Burton Scott  , Kolonay Raymond
Published: February 2025

The Service ORiented Computing EnviRonment (SORCER) targets service abstractions for transdisciplinary concurrent engineering with support for true service-oriented (SO) computing. SORCER's models are expressed in a top-down Var-oriented Modeling Language (VML) unified with programs in a bottom-up Exertion-Oriented Language (EOL). In this paper the basic concepts of mogramming are presented. On the one hand, modeling with service variables allows for computational fidelity within multiple types of evaluations. On the other hand, any combination of local and remote services can be described in EOL as a collaborative federation of engineering applications, tools, and utilities. An example of aircraft conceptual design application is given to illustrate how parametric models can participate in service-oriented engineering analyses.
The Role of Three Building Models in Shanghai Urban Transformation: Case study of Shanghai Old Town
Authors: Yu Lu
Published: February 2025

After 150 years of urban development, Shanghai's inner city has become a hybrid pattern of different building types. These different building types reflect their own social, economic, cultural and technical background in history and play various roles in forming urban space,and influencing citizens' lives in contemporary Shanghai.
Development of a Tele ENT Program to Support Distant Military Treatment Facilities for the European Regional Medical Command
Authors: Faulkner Jeffery  , Taylor Erica  , Nessen Shawn  , Boedeker David  , Boedeker Ben
Published: February 2025

Two hundred forty-five thousand patients seek care at Landstuhl Regional Medical Center. They battle lengthy commutes, costly procedures, and limited specialty care in order to consult their physicians. Implementing telemedical procedures at hospitals such at LRMC is believed to reduce travel time, decrease costs, and increase specialization. Healthcare providers who were trained in Tele ENT procedures unanimously accepted the technology as an alternative way to care for patients. Expansion of telemedical procedures in hospitals is deemed to reduce health care costs and to be accepted by providers.
Personal Training Simulator for Asynchronous Learning of Obstetric Ultrasound
Authors: Liu Li  , Kutarnia Jason  , Pedersen Peder C.  , Belady Petra
Published: February 2025

To meet the challenges of providing affordable, efficient ultrasound training, a low-cost, portable personal ultrasound training simulator with structured curriculums and integrated assessment methods has been developed. By using extended image volumes for training, the realistic experience of scanning over a larger body surface is emulated.
Usability of HL7 and SNOMED CT Standards in Java Persistence API Environment
Authors: Antal Gábor  , Végh Ádám Zoltán  , Bilicki Vilmos
Published: February 2025

Due to the need for an efficient way of communication between the different stakeholders of healthcare (e.g. doctors, pharmacists, hospitals, patients etc.), the possibility of integrating different healthcare systems occurs. However, during the integration process several problems of heterogeneity might come up, which can turn integration into a difficult task. These problems motivated the development of healthcare information standards. The main goal of the HL7 [1] family of standards is the standardization of communication between clinical systems and the unification of clinical document formats on the structural level. The SNOMED CT [2, 3] standard aims the unification of the healthcare terminology, thus the development of a standard on lexical level. The goal of this article is to introduce the usability of these two standards in Java Persistence API (JPA) [4] environment, and to examine how standard-based system components can be efficiently generated. First, we shortly introduce the structure of the standards, their advantages and disadvantages. Then, we present an architecture design method, which can help to eliminate the possible structural drawbacks of the standards, and makes code generating tools applicable for the automatic production of certain system components.
Arranging ISO 13606 Archetypes into a Knowledge Base Using UML Connectors
Authors: Kopanitsa Georgy
Published: February 2025

To enable the efficient reuse of standard based medical data we propose to develop a higher-level information model that will complement the archetype model of ISO 13606. This model will make use of the relationships that are specified in UML to connect medical archetypes into a knowledge base within a repository. UML connectors were analysed for their ability to be applied in the implementation of a higher-level model that will establish relationships between archetypes. An information model was developed using XML Schema notation. The model allows linking different archetypes of one repository into a knowledge base. Presently it supports several relationships and will be advanced in future.
Integration of Telehealth and Telecare: The Implementation Model for Chronic Disease Management in the Veneto Region
Authors: Mancin Silvia  , Centis Giorgia
Published: February 2025

The integration of health and social care is the latest dogma for improving the quality of care for chronic and frail patients. In the Veneto Region, a unique platform has been developed for the provision of both telecare and telehealth to chronic patients that are equipped at home with a personal health system for real time detection of emergencies situations and to measure their clinical parameters according to a plan scheduled by their clinician. The integrated service is centrally managed by a regional eHealth center that represents the point of intermediation between the patient and the health and social care professionals.
Bedside Patient Data Viewer Using RFID and e-Ink Technology
Authors: Nikodijevic Aleksandar  , Pichler Patrick  , Forjan Mathias  , Sauermann Stefan
Published: February 2025

In the daily routine of hospitals, which work with paper based medical records, the staff has to find the appropriate patient file if it needs information about the patient. With the introduction of ELGA the Austrian hospitals have to use specific standards for their clinical documentation. These structured documents can be used to feed an e-Ink reader with information about every patient in a hospital. Combined with RFID and security measures, the clinical staff is supported during the patient file searching process. The developed experimental setup of the Bedside Patient Data Viewer demonstrates a prototype of such a system. An Amazon Kindle Paperwhite is used to display processed data, supplied by a Raspberry Pi with an attached RFID module for identification purposes. Results show that such a system can be implemented, however a lot of organizational and technical issues remain to be solved.
VR Mobile Solutions For Chronic Stress Reduction in Young Adults
Authors: Gao Kenneth  , Boyd Chelsie  , Wiederhold Mark D.  , Wiederhold Brenda K.
Published: February 2025

Chronic stress in young adults has become a growing problem within recent decades and many are unable to find cost-effective and accessible treatment for psychological stress in their daily lives. We analyze the market of using a mobile application, Positive Technology, as a solution. Eleven participants, aged between 18 and 24, participated in the exercise. Self-reported stress reduction was measured via an online marketing survey, while physiological measurements were monitored via peripheral devices. Secondary goals assessed the app's ease-of-use, accessibility, and cost. Results indicate that participants enjoyed the availability of the mobile solution and found the app to be fun and easy to learn. Stress levels were reduced in 73% of the participants, with higher effects in females and in participants aged 18–24. We conclude that the mobile platform is an effective means of delivering psychological stress reduction, and could provide an accessible, cost-effective solution.
The Impact of Electronic Health Records on Client Safety in Aged Care Homes
Authors: Jiang Tao  , Yu Ping
Published: February 2025

This study collects and critically reviews the published literature to synthesize the risk factors for client safety in residential aged care and the potential contributions of electronic health records to reducing these risks. Three major types of risk factors for client safety were identified: risk factors related to the person's health; those related to the health and aged care system serving the person and those related to human error. Multiple strategies at all levels of an aged care organization are needed to reduce risks and improve client safety. Electronic health records can be one of the effective organizational mechanisms because it improves access to better information and integrates intelligent functions to support point-of-care decision making.
Evaluation of Ambient Assisted Living Interventions – Which Tool to Choose?
Authors: Østensen Elisabeth  , Svagård Ingrid  , Fossberg Anne B.  , Moen Anne
Published: February 2025

This paper discusses suggested evaluation frameworks' appropriateness for a study introducing Ambient Assisted Living (AAL) interventions. Specifically, we look at how well proposals cover these dimensions: impact on society, impact on professionals, and impact on patients. We discuss three widely used approaches for such assessments: RE-AIM, MAST, and UTAUT. Our assessment showed careful selection of elements from all three models seems needed to sufficiently cover the dimensions. RE-AIM provides a broad framework; MAST adds aspects of transferability and ethics, and UTAUT adds perception of technology and future use. All these approaches lack pivotal aspects concerning inclusion of patients' or citizens' point of view in a study's planning phase. To ensure rigor and include meaningful use from citizens' perspective, we added these aspects to our study.
FinCC and the National Documentation Model in EHR - User Feedback and Development Suggestions
Authors: Kinnunen Ulla-Mari  , Junttila Kristiina  , Liljamo Pia  , Sonninen Anna Liisa  , Härkönen Mikko  , Ensio Anneli
Published: February 2025

The structure of the Finnish nursing documentation model is based on the decision-making process and a standardized nursing terminology: Finnish Care Classification (FinCC). Nearly 20,000 nurses use the FinCC although not all healthcare organizations utilize it. Development projects for the common national nursing documentation framework have been carried out, for example, in 2010–2011 the aim of a project by the Ministry of Social Affairs and Health and the National Institute of Health and Welfare was to suggest recommendations for the Finnish nursing documentation model. The final report of the project was sent to different organizations all over the country for further feedback statements. The aim of this paper is to summarize the message of the statements (n=37) from primary and specialized care, universities including universities of applied science, professional nursing associations, trade unions and national authorities. Development suggestions for the FinCC and electronic health records will be introduced.
A Total Design and Implementation of an Intelligent Mobile Chemotherapy Medication Administration
Authors: Kuo Ming-Chuan  , Chang Polun
Published: February 2025

The chemotherapy medication administration is a process involved many stakeholders and efforts. Therefore, the information support system cannot be well designed if the entire process was not carefully examined and reengineered first. We, from a 805-teaching medical center, did a process reengineering and involved physicians, pharmacists and IT engineers to work together to design a mobile support solution. System was implemented in March to July, 2013. A 6" android handheld device with 1D BCR was used as the main hardware. 18 nurses were invited to evaluate their perceived acceptance of system based on Technology Acceptance Model for Mobile Service Model. Time saved was also calculated to measure the effectiveness of system. The results showed positive support from nurses. The estimated time saved every year was about 288 nursing days. We believe our mobile chemotherapy medication administration support system is successful in terms of acceptance and real impacts.
A Survey on Information Seeking Behaviour of Nurses at a Private Hospital in Greece
Authors: Argyri Paraskevi  , Kostagiolas Petros  , Diomidous Marianna
Published: February 2025

The paper deals with the investigation of the information seeking behavior of nursing staff of a private hospital in Greece. It is assumed that the information seeking behaviour has an effect on the nursing care and practices. A survey was conducted through a specially designed questionnaire distributed within 2013 to registered nurses of a major private Hospital in Athens. Nonparametric descriptive statistics have been carried out through SPSS version 20. The information needs of nurses are related to their work role and include information for nursing interventions and hospital infections control. The online scientific content is considered as the main source of information, while lack of time is considered as the main obstacle when seeking information. Regarding the effects of information, nurses believe that information quality and availability influences nursing care as well as nursing practices. Development of appropriate information services and information literacy skills for nurses is required.
Rollende Arztpraxis – First Results of an Ambulant Mobile Care Model for Rural Areas
Authors: Schwartze Jonas  , Wolf Klaus-Hendrik  , Von Bargen Tobias  , Rochon Maike  , Wagner Markus  , Bannenberg Uwe  , Drews Markus  , Fischer Thomas  , Hellwig Torben  , Hofmann Stefan  , Höft-Budde Petra  , Jäger Ralf  , Lorenz Stefan  , Naumann Ruth  , Plischke Maik  , Reytarowski Jörg  , Richter Constanze  , Steinbrügge Christina  , Ziegenspeck Anja  , Von Ingelheim Julius  , Haux Reinhold
Published: February 2025

German medical care is going to suffer from a decreasing number of general practitioners due to demographic change. We study if ambulatory care in rural areas can be complementary ensured by a mobile care unit. A medical care van – the “rolling medical practice” (RMP) – has been constructed based on care scenarios created for rural communities in northern Germany. Performance and acceptance of the RMP is evaluated by constant monitoring of anonymized medical documentation and questionnaires. The RMP is visiting six villages on two days a week in a three-week interval. It is constructed from a standard van with a custom box body fully equipped for general care needs. Actually treated care cases meet expectations and are acute as well as chronicle symptoms. Case numbers range from 6 to 50 visits in 5 month. We showed that almost full ranged mobile medical care, as supplement to general medical supply is possible.
Enabling Healthcare IT Governance: Human Task Management Service for Administering Emergency Department's Resources for Efficient Patient Flow
Authors: Rodriguez Salvador  , Aziz Ayesha  , Chatwin Chris
Published: February 2025

The use of Health Information Technology (HIT) to improve healthcare service delivery is constantly increasing due to research advances in medical science and information systems. Having a fully automated process solution for a Healthcare Organization (HCO) requires a combination of organizational strategies along with a selection of technologies that facilitate the goal of improving clinical outcomes. HCOs, requires dynamic management of care capability to realize the full potential of HIT. Business Process Management (BPM) is being increasingly adopted to streamline the healthcare service delivery and management processes. Emergency Departments (EDs) provide a case in point, which require multidisciplinary resources and services to deliver effective clinical outcomes. Managed care involves the coordination of a range of services in an ED. Although fully automated processes in emergency care provide a cutting edge example of service delivery, there are many situations that require human interactions with the computerized systems; e.g. Medication Approvals, care transfer, acute patient care. This requires a coordination mechanism for all the resources, computer and human, to work side by side to provide the best care. To ensure evidence-based medical practice in ED, we have designed a Human Task Management service to model the process of coordination of ED resources based on the UK's NICE Clinical guideline for managing the care of acutely ill patients. This functionality is implemented using Java Business process Management (jBPM).
Active Ageing: Intergenerational Relationships and Social Generativity
Authors: Rossi Giovanna  , Boccacin Lucia  , Bramanti Donatella  , Meda Stefania G.
Published: February 2025

This contribution is a reflection on the concept of active ageing from the perspective of relational sociology. At the same time, it offers practical implications and outlines possible future courses of action, in the face of demographic and relational scenarios rapidly changing, and the challenges that each day people of all generations are called to cope with. Active ageing is quite a recent concept and indicates an attitude towards ageing that enhances the quality of life as people become older. The goal of active ageing is to enable people to realise their potential for physical, social and mental well-being and to participate in social life also in the last stage of the life cycle. In this phase, the presence of a network of support, security and care adequate to the possible onset of problems and criticalities is crucial. Relational sociology frames the phenomenon of an ageing population in a dense network of social relations, primarily at the level of family and community. For this reason, as supported by the most recent sociological literature and evidence from studies conducted in Italy and abroad (cf. SHARE), it is extremely important to investigate the link between active ageing, intergenerational orientation (solidarity and exchanges) and practices of prosociality (i.e. engagement in third-sector activities and volunteering in later life).
A case study on parsing chemotherapy related free-text data
Authors: Prodan Ante  , Curry Joanne
Published: February 2025

When modelling and simulating healthcare related processes, free-text data is often the only possible source of information. This data may contain vocabulary variations such as mistyped, misspelled and/or abbreviated words. This paper describes a semi-automated approach to free-text normalisation based on a combination of commonly used techniques and local expertise of medical oncology nurses. The approach emphasises the effectiveness of the vocabulary creation process through an interactive software application. When local knowledge is successfully captured, normalisation of large data sets can be done very rapidly with a high accuracy rate achieved. Furthermore, the techniques for localised normalisation can have significant benefits to free-text parsing accuracy when data is aggregated from multiple sites (hospitals). This research may lead to increased understanding of issues associated with chemotherapy related free-text data which in turn may impact patient treatment safety.
Description and analysis of design and intended use for Epidemiologic Dynamic Data Collection Platform in China
Authors: Qi Xiaopeng  , Egana Nilva  , Meng Yujie  , Chen Qianqian  , Peng Zhiyong  , Ma Jiaqi
Published: February 2025

Disease surveillance systems can be extremely valuable tools and a critical step in system implementation is data collection. In order to obtain quality data efficiently and align the public health business process, Epidemiologic Dynamic Data Collection platform (EDDC) was developed and applied in China. We describe the design of EDDC and assess the platform from six dimensions (service, system, information, use, users and benefit) under the DeLone and McLean Information System Success Model. Objective indicators were extracted from each dimension with the aim of describing the system in detail. The characteristics of functions, performances, usages and benefits of EDDC were reflected under the analysis framework. The limitations and future directions of EDDC are offered for wide use in public health data collection.
A Context-Sensitive Image Annotation Recommendation Engine for Radiology
Authors: Mabotuwana Thusitha  , Qian Yuechen  , Sevenster Merlijn
Published: February 2025

In the typical radiology reading workflow, a radiologist would go through an imaging study and annotate specific regions of interest. The radiologist has the option to select a suitable description (e.g., “calcification”) from a list of predefined descriptions, or input the description directly as free-text. However, this process is time-consuming and the descriptions are not standardized over time, even for the same patient or the same general finding. In this paper, we describe an approach that presents finding descriptions based on textual information extracted from a patient's prior reports. Using 133 finding descriptions obtained in routine oncology workflow, we demonstrate how the system can be used to reduce keystrokes by up to 86% in about 38% of the instances. We have integrated our solution into a PACS and discuss how the system can be used in a clinical setting to improve the image annotation workflow efficiency and promote standardization of finding descriptions.
Towards National eHealth Implementation – A Comparative Study on WHO/ITU National eHealth Strategy Toolkit In Iran
Authors: Riazi Hossein  , Jafarpour Maryam  , Bitaraf Ehsan
Published: February 2025

Experiences has shown that utilization of ICT in health sector requires national commitment and planned efforts to make the best use of existing capacity. Establishing the main directions as well as planning the detailed steps needed are key to achieving longer-term goals such as health sector efficiency, reform or more fundamental transformation. Collaboration between the health and ICT sectors, both public and private, is central to this effort. As the major United Nations agencies for health and telecommunications respectively, the World Health Organization (WHO) and the International Telecommunication Union (ITU) have recognized the importance of collaboration for eHealth in their global resolutions, which encourage countries to develop national eHealth strategies; the National eHealth Strategy Toolkit is the proof of these recommendations. In this study a mapping of eHealth components in WHO/ITU National eHealth Strategy Toolkit and our national eHealth vision is presented.
Arranging ISO 13606 Archetypes into a Knowledge Base
Authors: Kopanitsa Georgy
Published: February 2025

To enable the efficient reuse of standard based medical data we propose to develop a higher level information model that will complement the archetype model of ISO 13606. This model will make use of the relationships that are specified in UML to connect medical archetypes into a knowledge base within a repository. UML connectors were analyzed for their ability to be applied in the implementation of a higher level model that will establish relationships between archetypes. An information model was developed using XML Schema notation. The model allows linking different archetypes of one repository into a knowledge base. Presently it supports several relationships and will be advanced in future.
An Open-Source, Mobile-Friendly Search Engine for Public Medical Knowledge
Authors: Samwald Matthias  , Hanbury Allan
Published: February 2025

The World Wide Web has become an important source of information for medical practitioners. To complement the capabilities of currently available web search engines we developed FindMeEvidence, an open-source, mobile-friendly medical search engine. In a preliminary evaluation, the quality of results from FindMeEvidence proved to be competitive with those from TRIP Database, an established, closed-source search engine for evidence-based medicine.
TeamTreat – a communication platform for concerted cancer treatment
Authors: Lenz Stefan  , Panholzer Torsten  , Emmerich Philipp  , Ückert Frank
Published: February 2025

TeamTreat is an internet platform providing a case record for cancer patients across and inside the primary and secondary health care sector. Due to the slow progress of cross-institutional integration in healthcare IT, we created an alternative low-level approach to this problem and put special emphasis on an easy access for healthcare professionals regardless of the specific IT infrastructure they use. Physicians use the platform to share and collect information to achieve a collaborative treatment of cancer. Furthermore, the data in the case record is searchable for clinical researchers to find suitable patients for inclusion in clinical trials. Reading access for patients is also possible.
A Causal Loop Approach to the Study of Diagnostic Errors
Authors: Guo Shijing  , Roudsari Abdul  , Garcez Artur d'Avila
Published: February 2025

Missed, wrong or delayed diagnosis has a direct effect on patient safety. Diagnostic errors have been discussed at length, however it still lacks a systematic approach. This study proposed a more systematic way of studying diagnostic errors by using a causal loop diagram. A systematic review was used to find the key factors which may cause diagnostic errors and their interrelationships. A causal loop diagram, as a qualitative model at the first stage of system dynamics modeling, was produced to map all the factor and interrelationships. The diagram provides not only the direct and indirect factors affecting correct diagnosis, but also a clear view of how the change of one factor in the model triggers changes of other factors and then the change of the number of final diagnostic errors.
Matching Study to Registry data: Maintaining Data Privacy in a Study on Family based Colorectal Cancer
Authors: Nasseh Daniel  , Engel Jutta  , Mansmann Ulrich  , Tretter Werner  , Stausberg Jürgen
Published: February 2025

Confidentiality of patient data in the field of medical informatics is an important task. Leaked sensitive information within this data can be adverse to and being abused against a patient. Therefore, when working with medical data, appropriate and secure models which serve as guidelines for different applications are needed. Consequently, this work presents a model for performing a privacy preserving record linkage between study and registry data. The model takes into account seven requirements related to data privacy. Furthermore, this model is exemplified with a study on family based colorectal cancer in Germany. The model is very strict and excludes possible violations towards data privacy protection to a reasonable degree. It should be applicable to similar use cases which are in need of a mapping between medical data of a study and a registry database.
Prediction on short-term burst pressure of plastic pipe reinforced by cross-winding steel wires
Authors: Luo Xiangpeng  , Zheng Jinyang  , Xu Ping  , Guo Weican  , Shi Jianfeng
Published: February 2025

A plastic pipe reinforced by cross-winding steel wires (PSP) is composed of two layers of thermoplastic high density polyethylene (HDPE) matrix and a high strength cross-winding steel wire mesh skeleton. PSP has been widely used in construction materials and structures. Based on mechanical properties analysis of PSP and the fracture of steel wires as the failure criterion, the prediction model of short-term burst pressure at room temperature was established. It was revealed that the main factors influencing stress of steel wires were modulus of HDPE and elastic constants of composite layer. Burst experiments were conducted for PSP, and the results agree well with the theoretical results, which show that our proposed model can be employed to predict the burst pressure of PSP. Finally, the effects of the steel wire number and the winding angle on the burst pressure were analyzed.
Multimodal image data fusion for Alzheimer's Disease diagnosis by sparse representation
Authors: Ortiz Andrés  , Fajardo Daniel  , Górriz Juan M.  , Ramírez Javier  , Martínez-Murcia Francisco J.
Published: February 2025

Alzheimer's Diasese (AD) diagnosis can be carried out by analysing functional or structural changes in the brain. Functional changes associated to neurological disorders can be figured out by positron emission tomography (PET) as it allows to study the activation of certain areas of the brain during specific task development. On the other hand, neurological disorders can also be discovered by analysing structural changes in the brain which are usually assessed by Magnetic Resonance Imaging (MRI). In fact, computer-aided diagnosis tools (CAD) that have been recently devised for the diagnosis of neurological disorders use functional or structural data. However, functional and structural data can be fused out in order to improve the accuracy and to diminish the false positive rate in CAD tools. In this paper we present a method for the diagnosis of AD which fuses multimodal image (PET and MRI) data by combining Sparse Representation Classifiers (SRC). The method presented in this work shows accuracy values up to 95% and clearly outperforms the classification outcomes obtained using single-modality images.
Projecting MRI brain images for the detection of Alzheimer's Disease
Authors: Martínez-Murcia Francisco Jesús  , Górriz Juan Manuel  , Ramírez Javier  , Álvarez Illán Ignacio  , Salas-González Diego  , Segovia Fermín  , Alzheimer's Disease Neuroimaging Initiative
Published: February 2025

Recent advances in the process of diagnosis of neurodegenerative diseases, such as Alzheimer's Disease, rely on the use of molecular imaging that allow the interpretation of different metabolic biomarkers in the brain. However these procedures are considered of invasive nature, as they involve the injection of radioactive markers. On the other hand, Magnetic Resonance Imaging (MRI) is perhaps the most widely used and less invasive medical imaging technique, although its ability to detect Alzheimer's Disease has revealed limited. In this paper, a new method that simplifies the process of analysing 3D MRI brain images using a two dimensional projection is proposed. Our system outperforms other methods that use MRI, achieving up to a 86% of accuracy and significantly reducing the computational load. Additionally, it allows the visual analysis and interpretation of the images, which can be of great help in the diagnosis of this and other types of dementia.
Framework for Effective Population Health Management Solutions
Authors: Hertel Cheryl  , McArdle Kevin
Published: February 2025

As the cost of health care continues to rise, it has become imperative for care organizations to move from a volume-based system of care to one of value-based care. In order to make this shift, health care organizations must have the ability to manage entire populations as well as manage care at the individual level. To proactively manage populations and individuals within these populations, organizations must be able to know, identify and predict what will happen within a population, engage patients and providers to take action and manage outcomes to improve health and care. During this session, attendees will explore the technology needed to enable organizations to more easily facilitate consumer engagement, care management and coordination, provider network management and data acquisition.
A Knowledge Translation Project on Best Practices in End-of-life Care
Authors: Lau Francis  , Barwich Doris  , Hilliard Neil  , Partridge Colin  , Hobson Bruce  , Price Morgan  , McGregor Douglas  , Bassi Jesdeep  , Lee Dennis  , Kim Julie  , Pyke Joanna  , Randhawa Gurprit
Published: February 2025

This is a knowledge translation project to promote the uptake of best practices in end-of-life (EOL) care within the primary care setting in British Columbia (BC) through the use of tools embedded into electronic medical records (EMRs). The knowledge-to-action model is used to engage primary care providers in co-designing, adopting and evaluating the EOL care toolkit built for 3 EMRs. The toolkit has a set of EMR-specific data entry templates, query/report functions and access to additional downloadable resources. It is based on the EOL learning module designed and offered by the BC General Practice Services Committee's Practice Support Program to improve EOL care by primary care providers in the province. Our web-based distribution method allows providers to download and install the toolkit then take part to evaluate its use and impact. Initial feedback from phases 1–3 (of 4) has been favorable and has led to iterative improvements.
Using Personal Health Records to Scaffold Perceived Self-Efficacy for Health Promotion
Authors: Monkman Helen  , Kushniruk Andre W.
Published: February 2025

According to Bandura (1977), believing in one's ability to achieve a goal is one of the best predictors that a goal will be accomplished. Given its predictive power, the concept of belief in one's ability to succeed, or perceived self-efficacy, is well researched for its influence on health promotion. It has been argued that a paradigm shift must occur away from illness treatment towards illness prevention and health promotion, for healthcare to accommodate the needs of the population. Personal Health Records (PHRs) may be a tool to help facilitate this paradigm shift. PHRs are repositories of information that individuals can use to access, manage, and share their personal health information. An extension of Bandura's model of self-efficacy will be presented here which identifies opportunities for PHRs to enhance perceived self-efficacy through mastery, social modeling, social persuasion, and physiological state. Bolstering self-efficacy through PHR tools will expand the utility of PHRs beyond self-management to also facilitate health promotion and illness prevention and gains in self-efficacy are also likely to transcend into other areas of consumers' lives.
Readiness of Nurse Executives and Leaders to Advocate for Health Information Systems Supporting Nursing
Authors: Oakes Mary  , Frisch Noreen  , Potter Pamela  , Borycki Elizabeth
Published: February 2025

Literature suggests that nurses at all levels remain unprepared to make use of full use of technologies required for current practice. Specifically, nurses lack sufficient background to engage with information systems, electronic records, and unit-level and aggregated data that could support understanding of the contributions of nursing services to care and the development of best practice guidelines. Given that nursing leadership is needed in this area, the authors conducted a review of graduate nursing curricula preparing nurses to take on leadership, management and executive roles. Findings revealed that only 12 out of 36 graduate nursing programs on the west coast of the US and Canada required any content in informatics, and five more offered elective opportunities. Implications for education and practice are discussed.