bluuebunny/crossref_metadata_2025 huggingface dataset:
Manajemen Kegawatdaruratan Tertelan Bur (Studi Kasus) Emergency Management of Ingestion Bur (Case Study)
Authors: Isnaini Fitri
Published: January 2022

ABSTRACTEmergency conditions of ingestion of foreign objects in dental practice may occur, one of which is ingestion of burs. Most of the cases, the foreign object passes through the digestive tract without difficulty, but some may require surgery. Immediate removal of the object may be necessary because long-term retention leads to complications and even death. Case: 21 years old man underwent dental procedures, a few minutes after preparation, the bur came off and then swallowed. The patient is referred to the radiology and nutrition department, given laxatives, electrolyte fluids, high-fiber foods, multiply water. The bur is eliminated from the body after 4 days. Conclusion: Dentists and dental therapist should have the skills in emergency management of bur ingestion. Things that need to be considered to prevent the emergency are pre-action preparation (area isolation and double cek of theinstruments), effective communication between patient doctors (delivering instructions in case of an emergency), informed consent, good coordination and preparedness between medical staff include radiology, nutrition, and nurses. Keyword : Ingestion Bur; Dentistry; EmergenciesABSTRAKKondisi darurat tertelan benda asing dalam praktik kedokteran gigi dapat terjadi, salah satunya adalah tertelan bur. Sebagian besar kasus, benda asing melewati saluran pencernaan tanpa kesulitan, tetapi beberapa mungkin memerlukan pembedahan. Pengangkatan objek sesegera mungkin diperlukan karena retensi jangka panjang menyebabkan komplikasi dan bahkan kematian. Kasus: Laki-laki berumur 21 tahun menjalani prosedur perawatan gigi, beberapa menit setelah preparasi, bur terlepas dan kemudian tertelan. Pasien dirujuk ke bagian radiologi dan gizi, diberikan obat pencahar, cairan elektrolit, makanan tinggi serat, dan instruksi perbanyak minum air. Bur keluar dari tubuh setelah 4 hari. Kesimpulan: Dokter gigi dan perawat gigi harus memiliki keterampilan dalam manajemen kedaruratan menelan bur. Hal yang perlu diperhatikan untuk mencegah kecelakaan kerja adalah persiapan tindakan awal (isolasi area, pengecekan ulang  instrument), komunikasi yang efektif antar dokter pasien (penyampaian instruksi jika terjadi keadaan darurat), inform consent, koordinasi dan kesiapsiagaan yang baik antara bagian medis yaitu  radiologi, nutrisi, dan perawat.Kata kunci: Tertelan Bur; Kedokteran gigi; kedaruratan
PENINGKATAN KEBERSIHAN GIGI DAN MULUT MELALUI PENGGUNAAN MEDIA FLIPCHART SISWA SD GMIM TUMPENGAN DESA SEA II KECAMATAN PINELENG
Authors: Koch Novarita Mariana , Yuliana Ni Made
Published: January 2022

Dental and oral hygiene is a condition in which the teeth in the oral cavity are clean, free from plaque , debris, tartar and food scraps on the surface of the teeth as well as no bad breath. By cleaning from food debris left between the teeth, the dental and oral hygiene can be achieved properly. Health maintenance requires supporting facilities that can help attempt to improve the degree of oral health, one of which is by the use of media. Media or props are aids for the promotion of dental health that can be seen, heard, touched, or smelled in order to facilitate communication and disseminate information. This study aims to determine the effectiveness of using flipchart media in improving dental and oral hygiene among elementary students. We undertook the research at SD GMIM Tumpengan, Sea II Village, Pineleng District with a sample of 74 people. The study was conducted with an analytical survey with a cross-sectional study approach, using the T test. In conclusion, our work shows that flipcharts are effective in improving oral and dental hygiene.
PERBANDINGAN PENYULUHAN CARA MENYIKAT GIGI TERHADAP PENURUNAN NILAI DEBRIS INDEX MENGGUNAKAN MEDIA VIDEO DENGAN MEDIA PHANTOM PADA MURID SDN 2 HAJIMENA LAMPUNG SELATAN TAHUN 2020
Authors: Arianto Arianto , Meilendra Karsal
Published: January 2022

Maintaining dental and oral hygiene by brushing teeth at the right time has not become a habit of Indonesian society. To make people aware of health, it is necessary to do health socialization by conducting counseling. In the process of delivering material to the target, the selection of the right media and methods is very helpful in achieving efforts to change people's behavior. Media is a component in extension. Video media and phantom media are media that can be used in health education. The purpose of counseling is to get a more perfect understanding, namely by seeing, listening, demonstrating and demonstrating to the target audience a process with correct procedures, for example by showing how to brush teeth properly and correctly.The purpose of this study was to determine the comparison of counseling on how to brush teeth to decrease the value of the debris index using video media with phantom media for students of SDN 2 Hajimena South Lampung in 2020. This type of research is a quasi experiment. This research method used pre-experimental with one group pre and posttest design approach. The research was conducted at SDN 2 Hajimena Natar South Lampung. The population in this study were all students of SDN 2 Hajimena Natar South Lampung for grades IV, V and grade VI in 2020, totaling 112 people. The sample in this study were 112 people. The variables used in this research are Vedio Media, Demonstration Method and Debris Index. The results of the T-test resulted in P value = 0.043. The results of this analysis showed that there was a difference between counseling using video media and phantom media.
APLIKASI ABDHI BERBASIS ANDROID SEBAGAI MEDIA PENDIDIKAN KESEHATAN GIGI DI MASA PENDEMI COVID-19
Authors: Pawarti Pawarti , Fathiah Fathiah , Maryani Yeni , Susatyo Jojok
Published: January 2022

Dental caries is still a priority for children's health problems, the prevalence of dental caries in children aged 3-4 years in West Kalimantan is 49.83% in 2018. Dental caries in children who are not treated can cause chewing disorders which result in growth disorders. Lack of maternal knowledge about how to care for teeth is one of the causes of dental caries in children. Mother's knowledge about how to care for teeth can be obtained from counseling and communication media. The development of communication media tools such as cellphones, smartphones, and iPhones makes it easier for people to access information including information about health. During the Covid-19 pandemic, face-to-face counseling activities were not possible due to health protocols, therefore counseling using applications is a solution in conveying messages to the public, especially about how to care for children's teeth. The purpose of this study was to examine the effect of android-based counseling called the ABDI application on maternal knowledge in caring for children's teeth.This type of research is a quasi-experimental study with a pretest and postest control design. The population in this study were pregnant women and mothers under five at the Puskesmas UPTD West Pontianak. As samples were 76 pregnant women and mothers under five who visited the Puskesmas UPTD West Pontianak in June 2020. Data analysis used T-test to determine differences in maternal knowledge before and after using the ABDHI application.The results of the univariate analysis showed that there was an increase in the knowledge score of 14.5 after counseling using the ABDHI application, this increase was greater than the control group of 8.7. Bivariate analysis showed that there was a significant difference in knowledge before and after counseling using the ABDHI application with a value of p = 0.00 and there was a difference in knowledge between the experimental group and the control group with a value of p = 0.001. Keywords: ABDHI application, Mother's knowledge
Efek gel ekstrak daun kemangi (Ocimum sanctum l.) terhadap luas ulkus traumatikus pada Rattus norvegicus
Authors: Sa'adah Nikmatus , Hendarti Hening Tuti , Prehananto Herlambang , Soebadi Bagus , Pertiwi Eka Putri , Adriansyah Agus Aan
Published: January 2022

Introduction: Traumatic ulcers are damage to the mucosal tissue of the oral cavity which causes some of the epithelial structures to be lost to exceed the basement membrane or even reach the lamina propia. The causes of ulcers is trauma, which can be physical, mechanical, thermal or chemical trauma. One of traditional treatments for traumatic ulcers is basil (Ocimum sanctum L.) leaves which contain such as alkaloids, saponins, flavonoids, and tannins as anti-inflammatory. This research was aimed to prove the effect of basil leaves (Ocimum sanctum L.) extract gel with a concentration of 0.5%, 1%, and 1.5% to traumatic ulcer area in Rattus norvegicus. Method: Laboratory experimental study with a post test only control group design. The basil leaves extract made into a gel concentration of 0.5%, 1, and 1.5%, and the control group using a CMC-Na gel, applied to Rattus norvegicus which had been made before by a traumatic ulcer. Traumatic ulcer area measurements using digital calipers on day 0, day 3, day 5, and day 7. The data were analyzed by oneway ANOVA test. Results: The significance value on one way anova test of research group was 0,000. Average traumatic ulcer area in research group smaller than control group. Conclusion: There was an effect of basil leaves (Ocimum sanctum L.) extract gel to traumatic ulcer area in Rattus norvegicus.
Relationship of Dental Caries with Quality of Life in Early Childhood at Baiturrohim PAUD, Palembang City
Authors: Azizah Nur , Ismalayani Ismalayani , Wijaya Dhandi
Published: January 2022

Quality of life is a person's ability to enjoy normal life activities. Healthy living is part of the quality of life, because it is healthy not only physically but also mentally and socially healthy. Oral health is an inseparable part of general health because dental and oral health conditions can affect daily life. This study aims to determine the relationship between dental caries and quality of life in early childhood. This cross sectional study conducted in February 2021 at PAUD Baiturrohim, Palembang. The subject consisted of 67 children taken by simple random sampling. Dental caries status was measured using the def-t index and children's quality of life was measured using the Early Childhood Oral Health Impact Scale (ECOHIS). Data were analyzed using the Chi-Square test with a 95% confidence interval. The def-t index category in early childhood in Baiturrohim PAUD with very high criteria was 56.7%, high criteria  was 16.4%, moderate and low criateria were 10.4% respectively and very low criteria was 6%. The quality of life in early childhood in Baiturrohim PAUD with bad criteria was 53.7%, moderate criteria was 25.4%, and good criteria was 25.4%. It was found that there is a significant relationship between the incidence of dental caries and quality of life (p0.05).
Characteristics of Age and Oral Hygiene Status on Palatine Tonsil Size in Chronic Tonsillitis Patients
Authors: Karina Tias Ayu , Yohana Winny , Rodian Moch.
Published: January 2022

Introduction: Tonsillitis is an inflammation of the palatine tonsils that caused by the invasion of microorganisms into the mucous membranes of the tonsils. Age is related to the tonsils immunological activity on the size of the palatine tonsils. Oral hygiene is one of determinant risk factor for chronic tonsillitis. This study aims to provide a characteristics of age and oral hygiene in determining the size of the palatine tonsils in chronic tonsillitis patients. Methods: This systematic literature review was conducted online from January to March 2021 against articles reporting on age, palatine tonsils size, and oral hygiene on chronic tonsillitis. The search for articles referred to Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) which conducted through PubMed, PMC, Science Direct, and Google Scholar with the with the publication year 2015-2020. Selected articles met the criteria according to the PICO framework (Population, Intervention, Comparison, Outcome). The articles were screened by checking for duplication, reading the titles and abstracts, and the full text articles. Results: Twelve in 16 research articles (75%) mentioned that there was a relation between age and enlargement of the size of the palatine tonsils in chronic tonsillitis patients, and one in 16 articles (6,25%) mentioned that there was no relation between age and tonsillar hypertrophy. Three articles (18,75%) mentioned the role and relationship of bacteria in the oral cavity related to the process of the occurrence of chronic tonsillitis. Two in 3 research articles (67%) mentioned that there was a relation between the oral hygiene status and enlargement of the size of the palatine tonsils in chronic tonsillitis patients. One in 3 articles (33%) mentioned that there was no relation. Conclusion: Ages 5-15 years had T3 tonsil size (70%), ages 13-15 years had T2 tonsil size (80%), ages 16-48 years had T2 tonsil size (76.30%) and ages 19-25 years had T3 tonsil size (53%). This means that all ages could be experience of tonsil enlargement in chronic tonsillitis. Adults had bad oral hygiene status (76.30%), meanwhile in children only 14.47% in chronic tonsillitis patients.
The Effectiveness of Brushing Teeth Video to Improve Autism Parent’s Skill in Brushing Teeth at SLB 2 Provinsi Jambi Year 2020
Authors: Riyadi Slamet , Rosmawati Rosmawati , Sri Gumilar Mira
Published: January 2022

Childrens with Autism have difficulty to clean their oral cavity because less of ability in motor skills. Case reports show that the average autistic child has dental caries and periodontal disease due to the inability to brush their teeth properly. Autistic children spend a lot of time with their families so that the role of families, especially parents, is very important in the development of children with autism. This study aims to determine the effectiveness of brush teeth video counseling to improve brushing teeth skill in parents of autistic children at SLB 2 Provinsi Jambi. Study design is a quasi experimental study. The independent variable was the video counsellling of brushing teeth and the dependent variable was the parent’s ability of brushing teeth. The Sample in this study were parents of autistic children who met the inclusion and exclusion criteria. The average age of the respondents was 41 years (CI: 38 - 44). Wilcoxon test showed p value 0, 0001 (0.05) means significant difference of brushing skills between treatment group and control group. Mann Whitney showed p value 0.0042 (0.05), means significant difference between before and after intervention in the treatment group. Providing education on brushing skills to children with autism cannot be done instantly, it is necessary for the role of parents in teaching tooth brushing skills to be carried out continuously until children can brush their teeth independently. There is an improvement in brushing skills in parents of autistic children through counseling using videos on how to brush teeth.
DETERMINAN KEPATUHAN MASYARAKAT TERHADAP KEBIJAKAN PEMBATASAN KEGIATAN MASYARAKAT DALAM PENCEGAHAN PENYEBARAN COVID-19
Authors: Quamila Chandrika Fahira , Arso Septo Pawelas , Kusumastuti Wulan
Published: January 2022

Semarang merupakan kota dengan jumlah kasus COVID-19 tertinggi di Jawa Tengah. Guna mencegah penyebaran COVID-19, maka diberlakukan kebijakan Pembatasan Kegiatan Masyarakat (PKM). Namun, masih terdapat banyak masyarakat yang tidak patuh terhadap kebijakan tersebut sehingga jumlah kasus COVID-19 di Kota Semarang semakin meningkat. Penelitian ini dilakukan untuk mengetahui faktor-faktor yang memiliki hubungan dengan kepatuhan masyarakat terhadap kebijakan PKM di Kota Semarang. Jenis penelitian yang digunakan adalah kuantitatif dengan desain cross-sectional. Sebanyak 140 responden didapatkan melalui metode accidental sampling. Analisis data dilakukan secara univariat dan bivariat menggunakan uji statistik non-parametrik. Hasil penelitian menunjukkan bahwa sikap (p=0,039), sarana prasarana (p=0,002), pengawasan (p=0,002), dukungan tokoh masyarakat (p=0,000), dukungan kewenangan (p=0,018), kejelasan kebijakan (p=0,000), dan konsistensi kebijakan (p=0,040) merupakan faktor-faktor yang memiliki hubungan dengan kepatuhan masyarakat terhadap kebijakan PKM di Kota Semarang.
KELAS PIJAT BAYI DARING KEPADA ORANGTUA DI MASA PANDEMIC COVID-19
Authors: Khuzaiyah Siti , Chabibah Nur , Khanifah Milatun
Published: January 2022

Pijat bayi merupakan asuhan yang memberikan manfaat sangat banyak untuk bayi. Pijat bayi yang dilaksanakan oleh orangtua setiap hari akan memberikan manfaat lebih optimal bagi bayi. Orangtua, khususnya ibu dapat mempelajari ilmu pijat bayi melalui kegiatan kelas pijat bayi. Selama masa pandemic, kelas pijat bayi dapat diikuti secara daring. Tujuan kegiatan ini adalah untuk meningkatkan keterampilan pijat bayi para ibu melalui daring. Metode kegiatan pengabdian masyarakat ini adalah dengan memberikan pelatihan daring menggunakan platform zoom, dilanjutkan dengan pendampingan melalui group WhatsApp selama sebulan hingga peserta mampu melakukan gerakan pijat bayi secara benar. Hasil dari kegiatan ini menunjukkan bahwa terdapat peningkatan pengetahuan dan keterampilan peserta kelas pijat bayi. Diharapkan akan semakin banyak ibu yang mengikuti kelas pijat bayi di masa pandemic seperti saat ini, sehingga ibu dapat memberikan stimulasi tumbuh kembang bayi secara lebih optimal.
Correction of metabolic disturbances by functional food compositions in experimental obesity in CD-1 and agouti-yellow mice
Authors: Lebedev Petr , Peresypkina Anna , Gustinovich Vasiliy , Godunov Oleg , Gustinovich Vladimir , Zatolokina Maria , Goliusov Artem , Pokrovskii Mikhail
Published: January 2022

Background: To determine the most promising composition, the possibility of correction of metabolic disturbances was investigated with the use of functional food compositions in CD1 and agouti-yellow mice in experimental obesity.Methods: Agouti-yellow and CD1 mice were divided into 10 groups (control, 1/1, 1/9, 2/1, 2/9 in each line) according to diets. For 4 weeks, the groups ate a high-calorie diet. Starting with week 5th, composition 1 was added to the diet in groups 1/1 (60% lard + 39% standard laboratory feed + 1% composition 1 + 10% fructose solution), 1/9 (60% lard + 31% standard laboratory feed + 9% composition 1 + 10% fructose solution); composition 2 was added to the diet in groups 2/1 (60% lard + 39% standard laboratory feed + 1% composition 2 + 10% fructose solution), 2/9 (60% lard + 39% standard laboratory feed + 9% composition 2 + 10% fructose solution). On the day 56th, each animal was weighed, blood was taken for biochemical analysis (glucose, LDL, cholesterol and HDL) and organs (the skin of the anterior abdominal wall, skeletal muscle tissue in the area of the lateral surface of the thigh, liver, kidneys with perirenal tissue, pancreas, and thymus) were taken for histological examination.Results: In agouti-yellow mice, group 2/9, the greatest decrease in blood glucose level was observed compared to the control group by 34.6% (p < 0.05). Consumption of compositions in groups 1/9 and 2/9 led to a significant decrease in LDL and a significant decrease in total cholesterol level by 21.9% (p < 0.05) and 18.8% (p < 0.05) respectively compared to the control group. HDL was significantly higher in groups 1/9, 2/9 than in the control group. In CD-1 mice, group 2/9 showed the best result in glucose level (mean 5.78 mmol/l) among all groups receiving functional food compositions and the control group. The most pronounced decrease in LDL was observed in groups 1/9, 2/9 compared to the control group (p < 0.05). HDL value in group 2/9 significantly exceeded the mean value in the control group, by 54.8% (p < 0.05). Body mass of agouti-yellow mice and CD-1 mice in groups 1/1, 2/1, 1/9, and 2/9 significantly decreased compared to control groups. According to the results of histological examination of organs and tissues, functional food composition 2 turned out to be the most promising.Conclusion: According to the results of the study, the most promising composition was selected (composition 2). Feeding animals with this composition improved histological pictures of studied organs and tissues, biochemical blood parameters and effectively reduced body mass in both experimental animal lines, CD-1, and agouti-yellow mice, compared to the control groups. Keywords: CD-1 mice, agouti-yellow mice, experimental obesity, LDL, cholesterol
On Semantic Spatiotemporal Space and Knowledge with the Concept of “Dark-Matter”
Authors: Chen Xing , Yasushi Kiyoki
Published: January 2022

It is highlighted for machine learning models implementing functions based on data training without program coding. Artificial neural network is one of the efficient machine learning models. Different from the other machine learning models like artificial neural network, we have presented semantic computing models which represent “meaning” of machine learning results. In our model, semantic spaces are created based on training data sets. Data calculations are performed on the space. Data are mapped to semantic spaces and presented as points in semantic spaces. The mapped positions of data represent the “meaning” of data. In this paper, we first present our new discovery in the formation of semantic spaces. We use the word “matter” to represent features of semantic spaces which are related to the non-temporal data. As the same time, we use the word “dark-matter” to represent the features of semantic spaces which are temporally changed. We use the word “energy” to represent matrixes which are used in the semantic computations to generate output data. We reveal that the “dark-matter” is the spatiotemporal matrix and present a mechanism of “memory” for implementing the semantic computation. The most important contribution of this paper is that we developed a new mechanism for implementing machine learning with “knowledge” in the “memory.” In the paper, we use case studies to illustrate the concepts and the mechanism. At the beginning, we present an example on creating a semantic space from a “chaotic state” to an “ordered state.” After that, we use examples to illustrate the mechanism of the “memory” and the semantic computation. The space expansion and the space division are also illustrated by examples.
An Analysis Method for Heating Network Leaks Monitoring
Authors: Triapitcin Ilia , Dahanayake Ajantha
Published: January 2022

Modern district heating (DH) systems are complex engineering structures that play an essential role in large city infrastructures. DH networks have many sensors, nodes, and methods for monitoring the status of the DH network. Sensing, processing, analytical actuation (SPA) of incoming information handled by the SPA semantic Computing method can be applied to similar problems. The SPA Semantic Computing method searches for correlations between the sets of incoming data and to identify the correct scenario to respond to events. This article explores the integration of SPA functions to analyze multivariate sensing data, including data from multivariable sensors and infrared images, for creating a monitoring system for DH networks. The focus is to assess whether the SPA approach is a suitable candidate to use to monitor the emergency events of the DH network. Specific target data for the assessment are [1] multi-parameter DH network sensor data, such as water temperature, sweat rate, energy delivered, etc., and [2] infrared image data from a camera mounted on the unmanned aerial vehicle (UAV) for monitoring the location of the underground DH network leaks. A multivariate computational model, a mathematical model of meaning (MMM), and a spatial image filtering method are proposed for integrating SPA semantic computing for emergency leak detection in DH networks.
Content Analysis of Medical and Health Apps’ Privacy Policies
Authors: Brumen Boštjan
Published: January 2022

Privacy is a fundamental human right and is widely end extensively protected in the western industrialized world. The recent advances in technologies, especially in the use of applications developed and designed for mobile devices, have led to the rise of its abuse on one hand and a higher awareness of the importance of privacy on the other side. Legal texts protecting privacy have attempted to rectify some of the problems, but the ecosystem giants and mobile apps developers adapted. In this paper, we analyze which data mobile apps developers are collecting. We have focused on a sample of apps in the medical and health field. The research was done using collocations analysis. A relationship between a base word and its collocative partners was sought. The initial visual results have led us to more detailed studies that unveiled some worrying patterns. Namely, applications are collect data about the users and their activities, but also about their family members, medical diagnoses, treatments, and alike, going well beyond the “need to function” / functionality threshold.
A Mobility and Activity Integration System Supporting Sensitivity to Contexts in Dynamic Routing – Emotional MaaS –
Authors: Kawashima Koichiro , Hayashi Yasuhiro , Kiyoki Yasushi , Mita Tetsuya
Published: January 2022

Dynamic routing with combinations of mobility and activity is expected as new methodology for supporting sensitivity to various contexts for traveling. It is important to realize the dynamics by integrating “mobility and activity” in physical and cyber spaces. This paper presents a mobility and activity integration system for making routing plans from an original point to a destination with a scenario as “sensitivity to context” on the route. The “sensitivity to context” expresses reactions to the intentions and situations of a moving user. This system applies semantic computing to find out the appropriate mobility and activity, that dynamically calculates semantic associations between user’s intentions and mobility services. This system makes a moving plan reflecting “sensitivity to context” created by query creation operators for synthesizing and expressing “everyday intention” and “mobility situation.” This system has a distance calculation function for “feature value vectors” expressing the means of mobility and the features of facility spots, and outputs some expected means of moving towards the destination with activities on the route.
Personalized Virtual Campus Journey Adaptation to User Controlled Experience
Authors: Esanov Bakhtiyor , Dahanayake Ajantha
Published: January 2022

Increasingly, educational institutes are migrating into mobile platforms and mobile app technology to communicate, advertise, and dissimilate education-related information to their stakeholders using virtual campus journey mobile apps. Campus journey mobile apps generally provide standardized generic customization to their user base, incorporating a list of favorite touchpoints based on the users’ frequent behaviors. In the literature, personalization, and customization, definitions are mixed-up and inter-changed with no proper separation of these two concepts. In this research, the personalized virtual journey is examined according to the user’s preference. It includes creating and updating the personalized virtual campus journey path as an activity of the user and having it as an integral part of the personalized virtual campus journey application. This research presents the concept structure, design, implementation, and evaluation results of the personalized virtual campus journey mobile app development according to the user’s preferences with the user given the ability to control his or her own virtual journey experience.
Hazards for the Implementation and Use of Artificial Intelligence Enabled Digital Health Interventions, a UK Perspective
Authors: Harrison Stuart , Despotou George , Arvanitis Theodoros N.
Published: January 2022

Background: Artificial Intelligence (AI) has seen an increased application within digital healthcare interventions (DHIs). DHIs use entails challenges about their safety assurance. Exacerbated by regulatory requirements, in the UK, this places the onus of safety assurance not only on the manufacturer, but also on the operator of a DHI. Clinical Safety claims and evidencing safe implementation and use of AI-based DHIs require expertise, to understand and act to control or mitigate risk. Current health software standards, regulation, and guidance do not provide the insight necessary for safer implementation. Objective: To interpret published guidance and policy related to AI and justify clinical safety assurance of DHIs. Method: Assessment of UK health regulation policy, standards, and AI institution insights, utilizing a published Hazard Assessment framework, to structure safety justifications, and articulate hazards relating to AI-based DHIs. Results: AI enabled DHI hazard identification, relating to implementation and use within healthcare delivery organizations. Conclusion: By application of the method, we postulate that UK research of AI DHIs highlighted issues that may affect safety, in need of consideration to justify safety of a DHI.
AI Enhanced Person-Centred Care Services for Monitoring Stroke Outpatient Rehabilitation
Authors: Šendelj Ramo , Ognjanović Ivana , Roganović Milovan , Krikščiūnienė Dalia
Published: January 2022

Development of person-centred care (PCC) services require adjustment to specific domain of application and integration with existing processes implemented in healthcare institution. This poster present PCC services for monitoring stroke outpatient rehabilitation, enhanced by modern ICT technologies (thus enabling adjustments to different kind of patients, which is especially relevant due to potential consequences of the stroke and caused degree of disability).
FAIR and Quality Assured Data – The Use Case of Trueness
Authors: Stausberg Jürgen , Harkener Sonja , Jenetzky Ekkehart , Jersch Patrick , Martin David , Rupp Rüdiger , Schönthaler Martin
Published: January 2022

The FAIR Guiding Principles do not address the quality of data and metadata. Therefore, data collections could be FAIR but useless. In a funding initiative of registries for health services research, trueness of data received special attention. Completeness in the definition of recall was selected to represent this dimension in a cross-registry benchmarking. The first analyses of completeness revealed a diversity of its implementation. No registry was able to present results exactly as requested in a guideline on data quality. Two registries switched to a source data verification as alternative, the three others downsized to the dimension integrity. The experiences underline that the achievement of appropriate data quality is a matter of costs and resources, whereas the current Guiding Principles quote for a transparent culture regarding data and metadata. We propose the extension to FAIR-Q, data collections should not only be findable, accessible, interoperable, and reusable, but also quality assured.
Development of an Expert Knowledge-Based Genomic Variant Prioritisation Platform
Authors: Sucre Aurora , Maclair Gregory , Martinez Iride , Vidales Concha , Epelde Gorka , Garin-Muga Alba
Published: January 2022

Considering the growing interest towards next generation sequencing (NGS) and data analysis, and the substantial challenges associated to fully exploiting these technologies and data without the proper experience, an expert knowledge-based user-friendly analytical tool was developed to allow non-bioinformatics experts to process NGS genomic data, automatically prioritise genomic variants and make their own annotations. This tool was developed using a user-centred methodology, where an iterative process was followed until a useful product was developed. This tool allows the users to set-up the pre-processing pipeline, filter the obtained data, annotate it using external and local databases (DBs) and help on deciding which variants are more relevant for each study, taking advantage of its customised expert-based scoring system. The end users involved in the project concluded that CRIBOMICS was easy to learn, use and interact with, reducing the analysis time and possible errors of variant prioritisation for genetic diagnosis.
Pro-Active Detection of Potentially Wrong Diagnoses Due to Substantial Changes of Laboratory Measurements
Authors: Abu Baker Motaas , Calderara Fabienne , Holm Jürgen , Sariyar Murat
Published: January 2022

For guiding decisions on medical diagnoses and diagnoses, it is crucial to receive valid laboratory test results. However, such results can be implausible for the physician, even if the measurements are within the range of known reference values. There are technical sources of implausible results that are related to the laboratory environment, which are frequently not detected through usual measures for ensuring technical validity. Here, we describe the development of a quality assurance tool that tackles this problem and replaces the current manual statistical analyses at the Center for Laboratory Medicine in St Gallen (ZLM). Further analysis of the factors responsible for shifts in laboratory test results requires to collect and analyze data related to reagents as well as calibration or reference probes. Due to a lack of standard operating procedures in many laboratories with respect to these processes, this remains one of the big challenges.
The Clinical and Biochemical Parameter Data: Effect of High Blood Glucose on Diabetic Nephropathy Among Non-Insulin-Dependent Diabetes Mellitus (NIDDM), Thailand
Authors: Srichompoo Chitkamon , Potarin Warantorn , Noo-In Supattra , Phuwilert Patcharin , Khiewkhern Santisith
Published: January 2022

Background: Diabetic nephropathy (DN) is one of the long-term complications of patients with type 2 diabetes. The leading causes of DN are high blood glucose and hyper systolic blood pressure. Methods: A retrospective cohort study was performed to explore the effects of high blood sugar and hyper systolic blood pressure on DN among 660 non-insulin-dependent diabetes mellitus. Data was collected from the HosXP program and medical records from 2016 to 2020. The Forest plot was used to examine the effect of hypertriglyceridemia and hyper systolic blood pressure with DN. Results: The results confirmed that the factors associated with DN were male, age ≥ 60years, diabetic duration ≥ 10 years, systolic BP ≥ 130 mmHg, and HbA1c ≥ 6%. Conclusion: The health promotion program should be comprised of the control of blood glucose and systolic blood pressure procedure especially male patients with age ≥ 60 years and diabetic duration ≥ 10 years.
ABiMed: Towards an Innovative Clinical Decision Support System for Medication Reviews and Polypharmacy Management
Authors: Mouazer Abdelmalek , Leguillon Romain , Leroy Bertille , Sedki Karima , Simon Christian , Falcoff Hector , Schuers Matthieu , Dubois Sophie , Bousquet Cédric , Soualmia Lina , Letord Catherine , Darmoni Stéfan , Bouaud Jacques , Séroussi Brigitte , Tsopra Rosy , Lamy Jean-Baptiste
Published: January 2022

Polypharmacy in elderly is a public health problem with both clinical (increase of adverse drug events) and economic issues. One solution is medication review, a structured assessment of patients’ drug orders by the pharmacist for optimizing the therapy. However, this task is tedious, cognitively complex and error-prone, and only a few clinical decision support systems have been proposed for supporting it. Existing systems are either rule-based systems implementing guidelines, or documentary systems presenting drug knowledge. In this paper, we present the ABiMed research project, and, through literature reviews and brainstorming, we identified five candidate innovations for a decision support system for medication review: patient data transfer from GP to pharmacists, use of semantic technologies, association of rule-based and documentary approaches, use of machine learning, and a two-way discussion between pharmacist and GP after the medication review.
Utilizing Shared Big Data to Identify Liver Cancer Dedifferentiation Markers
Authors: Borziak Kirill , Finkelstein Joseph
Published: January 2022

Big data reanalysis has the potential to generate novel comparative analyses which aim to generate novel hypotheses and knowledge. However, this approach is underutilized in the realm of cancer research, particularly for cancer stem cells (CSCs). CSCs are a rare subset of tumor cells, which dedifferentiate from healthy adult cells, and have the potential for self-renewal and treatment resistance. This analysis utilizes two publically available single-cell RNA-seq datasets of liver cancer and adult liver cell types to demonstrate how reanalysis of big data can lead to valuable new discoveries. We identify 519 differentially expressed genes between liver CSCs and healthy liver cell types. Here we report the potential novel liver CSC dedifferentiation factor, Msh Homeobox 2, which was significantly upregulated in liver CSCs by 1.36 fold (p-value < 1E-10). These findings have the potential to further advance our knowledge of genes governing the formation of CSCs.
Healthcare Professionals’ Perceptions and Opinions on “Do not Attempt Resuscitation” (DNAR) Order and Documentation
Authors: Kuusisto Hanna , Keränen Tapani , Saranto Kaija
Published: January 2022

Insights on end-of-life care decisions, such as do not attempt resuscitation (DNAR), vary between institutions and individual health care professionals. At the era of electronic patient records (EPR), the information of DNAR order may still be recorded in multiple locations making it difficult to find and interpret. A link to a structured web-based questionnaire was sent to all physicians and nurses working in Tampere University Hospital special responsibility area covering a catchment area of 900 000 Finns. Perceptions on DNAR order and documentation was surveyed. In total 934 subjects responded, of which 727 (77%) were nurses and 219 (23%) physicians covering all specialties. We found substantial variation in DNAR order interpretation and documentation among all health care professionals possibly causing information breakdown and compromised end-of-life care.
Designing an Electronic Shared Care Plan to Enable Person-Centred, Team-Based Home Care
Authors: Wilkinson Susi , Borycki Elizabeth M.
Published: January 2022

Optimization of interdisciplinary team-based care is an important strategy to improve home health care for older adults. An electronic, shared care plan was designed with aim to support shifts toward greater client and family involvement and interdisciplinary team functioning. Content for the home health collaborative care plan (HHCCP) was determined through a review of existing care plans, engagement with client and family partners, and usability testing by home health clinicians using a paper prototype. Client and family consultation and usability testing led to the identification of new and unique requirements for the HHCCP. We provide an example of how a paper prototype was used to validate and determine additional requirements for electronic clinical documentation and conclude that end users should be involved in the design of electronic clinical documentation as early as possible.
Length of Stay Prediction in Neurosurgery with Russian GPT-3 Language Model Compared to Human Expectations
Authors: Danilov Gleb , Kotik Konstantin , Shevchenko Elena , Usachev Dmitriy , Shifrin Michael , Strunina Yulia , Tsukanova Tatyana , Ishankulov Timur , Lukshin Vasiliy , Potapov Alexander
Published: January 2022

Patients, relatives, doctors, and healthcare providers anticipate the evidence-based length of stay (LOS) prediction in neurosurgery. This study aimed to assess the quality of LOS prediction with the GPT3 language model upon the narrative medical records in neurosurgery comparing to doctors’ and patients’ expectations. We found no significant difference (p = 0.109) between doctors’, patients’, and model’s predictions with neurosurgeons tending to be more accurate in prognosis. The modern neural network language models demonstrate feasibility in LOS prediction.
Drawing on the Doctor-Patient Relationship in e-Health Services
Authors: Wynn Rolf
Published: January 2022

The doctor-patient relationship has been the cornerstone of medical practice. As e-health is coming to play an increasingly important role, it is necessary to consider how e-health can draw on, integrate and safeguard aspects of this relationship and thereby improve services and engage patients.
Students’ Satisfaction and e-Learning Courses in Covid-19 Pandemic Era: A Case Study
Authors: Erfannia Leila , Sharifian Roxana , Yazdani Azita , Sarsarshahi Aida , Rahati Rezvaneh , Jahangiri Saeedeh
Published: January 2022

The present study is conducted to determine the status of e-learning, student satisfaction and the relationship between these two variables in Zahedan University of Medical Sciences (ZAUMS). According to a descriptive study, there was just a significant difference between the mean score of e-Learning experience and student satisfaction, and a positive correlation between the education level and student satisfaction. Also, there was a positive correlation between all variables of e-learning and student satisfaction The findings showed that the more capable learners were outcome of better educational content, stronger e-learning infrastructure, better support and assessment of e-learning quality, which, in turn, resulted in the greater the students’ satisfaction. As a result, the experiences from the evaluation of e-learning in the Covid-19 pandemic period may be regarded a good guide in improving the course during the Covid-19 pandemic, and also it can be considered a key factor in providing educations in the post-Covid-19 period.
Multilingual Approach to COVID-19 Online Learning Response on OpenWHO.org
Authors: Utunen Heini , Ndiaye Ngouille , Attias Melissa , Mattar Lama , Tokar Anna , Gamhewage Gaya
Published: January 2022

In pursuit of equitable access to emergency-related knowledge, the World Health Organization (WHO) translates COVID-19 and other infectious disease courses into multiple languages on its open-access online learning platform OpenWHO.org. Languages spoken by vulnerable or underserved populations in low- and middle-income countries and in outbreak-prone and affected areas are prioritized. Accessing learning in preferred languages enhances uptake and comprehension. In this study, we assess and compare the initial enrollment levels and global reach of these multilingual courses. On average, OpenWHO’s 38 COVID-19 courses have each been translated into 4.8 languages. The platform hosts courses in 55 different languages with 10.4 million words translated. The findings identify which available languages were most utilized for COVID-19 learning to inform course production and outreach strategies. Languages were used differently across geographic regions, calling for localized learning offerings. A streamlined multilingual publishing scheme, ensuring quick and effective delivery of diverse languages, is critical to achieving greater equity of access to knowledge.
User-Based Evaluation of a Data-Driven Medical Education Platform
Authors: Zikos Dimitrios , Sprague Cassie E.
Published: January 2022

TrainCoMorb is an online data-driven training platform for medical students and residents who can practice recognizing comorbidities and their attributable risk for negative hospital outcomes. This is a subsequent cross-sectional evaluation study designed to examine four dimensions of the platform (navigation, usefulness, validity, features) and their association with external factors (age, experience in simulation systems, opinion about data-driven education). Eighteen medical residents participated in a scenario-based evaluation session and completed an online survey. The residents evaluated the four composite dimensions with scores between 3.77 and 4.15 (5-scale) and thought highly of data-driven medical education. Those more familiar with clinical simulation systems, and more positive about data-driven education, evaluated the “usefulness”, “validity”, and “features” dimensions with higher scores. TrainComorb is intended to be a supplementary tool for the education of future physicians, and this user-based evaluation study provided positive feedback that it could serve its intended scope.
Development of a Clinical Decision Support System for Smart Algorithms in Emergency Medicine
Authors: Vogel Stefan , Reiswich Andreas , Ritter Zully , Schmucker Michael , Fuchs Angela , Pischek-Koch Kerstin , Wache Stefanie , Esslinger Katrin , Dietrich Michael , Kesztyüs Tibor , Krefting Dagmar , Haag Martin , Blaschke Sabine
Published: January 2022

The development of clinical decision support systems (CDSS) is complex and requires user-centered planning of assistive interventions. Especially in the setting of emergency care requiring time-critical decisions and interventions, it is important to adapt a CDSS to the needs of the user in terms of acceptance, usability and utility. In the so-called ENSURE project, a user-centered approach was applied to develop the CDSS intervention. In the context of this paper, we present a path to the first mockup development for a CDSS interface by addressing Campbell’s Five Rights within the CDSS workflow.
The Biopsychosocial Actor in the Contexts of Health and Human Services Informatics
Authors: Hakula Jaakko
Published: January 2022

The paradigm for health and human services informatics (HHSI) was developed by Finnish researchers. The four entities of the HHSI paradigm and their interrelations form the basics for informatics research and education in the University of Eastern Finland. The focus of the essay is on the entities of actors and action related to different conceptions of agency. The entities of data and technology are the backbones of digitalization. The further aim of the study is to modernize the Holistic Concept of Man (HCM) metaphor to take the form of the biopsychosocial (BPS) actor. The HCM metaphor with its Husserlian-Heideggerian backgrounds is renovated towards a more realistic model of an individual actor or decision-maker described by the BSP model. As the BSP actor is embedded in the contexts of the HHSI paradigm, the notion of the BPS-D actor or decision-maker emerges. The BPS-D actor is a hybrid agent, who has cognitive, emotional, informational, and action-oriented connections to other possible agencies and artificial systems in the digitalized encounter. The very context of future research is the HHSI neo-paradigm.
Radiotherapy Information System in Cancer Treatment Improvement: A Case Study at the Brazilian National Cancer Institute
Authors: Gonçalves Antônio Augusto , Cheng Cezar , de Castro Silva Sandro Luís Freire , Cavalcante Emmanuel Tenorio , Pereira Barbosa Jose Geraldo , Santos Sabbadini Francisco
Published: January 2022

Radiotherapy is one of the main means of treating cancer patients. Its application has grown worldwide. Around 50% of all cancer patients should receive radiation. Brazil faces a shortage of radiotherapy treatment because of a lack of enough treatment units, equipment availability, well-trained staff, and fair reimbursement. The Radiotherapy Information System (RIS) implementation to manage information about patient scheduling is vital to improve the efficiency of care and reduce the waiting time to start cancer treatment. The information system deployed can be indicated as a disruptive innovation in the Brazilian public health system, considering the radical improvement in the cancer treatment process at the Brazilian National Cancer Institute.