bluuebunny/crossref_metadata_2025 huggingface dataset:
Value versus Use for Patients: Findings from an ICT supported Cystic Fibrosis Self-Management Project
Authors: Roehrer Erin  , Cummings Elizabeth  , Ellis Leonie  , Turner Paul
Published: February 2025

This paper presents findings from the implementation of an online symptom monitoring diary that was part of a broader project aimed to support self-management of cystic fibrosis and the development of an online community of practice (CoP). The findings challenge conventional perspectives on how value is acquired by patients and their families from electronic tools designed to provide them with support. Additionally, the findings highlight complex relationships between user needs and subsequent tool use that challenge approaches to the measurement of value from ehealth projects.
An IT Architecture for Systems Medicine
Authors: Ganzinger Matthias  , Gietzelt Matthias  , Karmen Christian  , Firnkorn Daniel  , Knaup Petra
Published: February 2025

Systems medicine aims to support treatment of complex diseases like cancer by integrating all available data for the disease. To provide such a decision support in clinical practice, a suitable IT architecture is necessary. We suggest a generic architecture comprised of the following three layers: data representation, decision support, and user interface. For the systems medicine research project “Clinically-applicable, omics-based assessment of survival, side effects, and targets in multiple myeloma” (CLIOMMICS) we developed a concrete instance of the generic architecture. We use i2b2 for representing the harmonized data. Since no deterministic model exists for multiple myeloma we use case-based reasoning for decision support. For clinical practice, visualizations of the results must be intuitive and clear. At the same time, they must communicate the uncertainty immanent in stochastic processes. Thus, we develop a specific user interface for systems medicine based on the web portal software Liferay.
Interactive Resistance Chair to Promote Strengthening Exercise in Older Adults
Authors: Jeong In cheol  , Finkelstein Joseph
Published: February 2025

We developed a strengthening exercise support system which can be remotely managed and clinically supervised via internet. Older adults may potentially benefit from such an exercise system however functionality of this system requires validation before commencement of field studies in older adults. The aim of this study was to introduce and assess validity of a prototype telerehabilitation system supporting computer-assisted home-based strengthening exercise. The system included a resistance chair with a set of movement and physiologic sensors. Real-time feedback on exercise performance was displayed on a touch screen dashboard. Personalized exercise parameters were managed by a rehabilitation team via a designated telerehabilitation site. Assessment of the system demonstrated sufficient validity in real-time identification of exercise performance and cardiovascular parameters. We concluded that the interactive resistance chair has a potential in promoting strengthening exercise and it is warranted for further evaluation in community dwelling older adults.
Reuse of EHRs to Support Clinical Research in a Hospital of Reference
Authors: Mayer Miguel A.  , Furlong Laura I.  , Torre Pilar  , Planas Ignasi  , Cots Francesc  , Izquierdo Elisabet  , Portabella Jordi  , Rovira Javier  , Gutierrez-Sacristan Alba  , Sanz Ferran
Published: February 2025

Most hospitals have already implemented information systems and Electronic Health Records (EHRs), but the reuse of such data for research is still infrequent. We present a pilot project on the exploitation of clinical information from a Spanish hospital database in the context of the European Medical Information Framework project (EMIF). Specific use cases such as patients with diabetes mellitus type 2, obesity and dementia were assessed, by exploiting EHR data integrated from several separated clinical databases. The possibility to analyse the features of specific groups of patients based on their diagnosis codes can provide new data about relationships between different conditions that can contribute for decision-making, healthcare and research.
Improvement of the quality of medical databases: data-mining-based prediction of diagnostic codes from previous patient codes
Authors: Djennaoui Mehdi  , Ficheur Grégoire  , Beuscart Régis  , Chazard Emmanuel
Published: February 2025

Introduction. Diagnoses and medical procedures collected under the French system of information are recorded in a nationwide database, the “PMSI national database”, which is accessible for exploitation. Quality of the data in this database is directly related to the quality of coding, which can be of poor quality. Among the proposed methods for the exploitation of health databases, data mining techniques are particularly interesting. Our objective is to build sequential rules for missing diagnoses prediction by data mining of the PMSI national database.
Consumer Sleep Tracking Devices: A Critical Review
Authors: Lee Jeon  , Finkelstein Joseph
Published: February 2025

Consumer sleep tracking devices are widely advertised as effective means to monitor and manage sleep quality and to provide positive effects on overall heath. However objective evidence supporting these claims is not always readily available. The goal of this study was to perform a comprehensive review of available information on six representative sleep tracking devices: BodyMedia FIT, Fitbit Flex, Jawbone UP, Basis Band, Innovative Sleep Solutions SleepTracker, and Zeo Sleep Manager Pro. The review was conducted along the following dimensions: output metrics, theoretical frameworks, systematic evaluation, and FDA clearance. The review identified a critical lack of basic information about the devices: five out of six devices provided no supporting information on their sensor accuracy and four out of six devices provided no information on their output metrics accuracy. Only three devices were found to have related peer-reviewed articles. However in these articles wake detection accuracy was revealed to be quite low and to vary widely (BodyMedia, 49.9±3.6%; Fitbit, 19.8%; Zeo, 78.9% to 83.5%). No supporting evidence on how well tracking devices can help mitigate sleep loss and manage sleep disturbances in practical life was provided.
How to Represent the Decision Process in a Medication Plan: the Case of the Swiss Cohort of Inflammatory Bowel Diseases
Authors: Ehrler Frederic  , Baumann Philippe  , Lovis Christian
Published: February 2025

Inflammatory bowel diseases (IBD) belong to healthcare problems impacting the quality of life and inducing important costs for the healthcare system. There is still no magical cure against this kind of diseases, but many promising therapies are under investigation. In order to study the efficiency and side effects of the existing drugs and to evaluate new ones, large numbers of patients are followed in long term cohort studies. The particular constraints associated to the follow up of patients with IBD require the implementation of adapted and efficient tools. On the one hand, clinicians must be able to perform daily changes to the patient treatment in order to adapt it for its best efficiency and react to side effects. On the other hand, the tool must provide long term view on the data to allow large scale analyses regarding the efficiency of the investigated treatment. There are few solutions allowing a clear visualization of the treatment plan of the patients in the long term that indicates clearly the changes and the adverse events. In this work, we propose a new integrated tool that offers a clear temporal view over the patients' treatment.
A framework for evaluating mHealth tools for Older Patients on Usability
Authors: Wildenbos G.A.  , Peute L.W.  , Jaspers M.W.M.
Published: February 2025

Mobile health (mHealth) apps can play a significant role in supporting older patients. The aging process is yet related to progressive degradation of sensory, physical and cognitive abilities. mHealth apps with touch screen based interfaces thus need to be adapted to the, often impaired, skills and special needs of older patients. However, existing design guidelines for mHealth apps do not address the aging barriers that older users face in working with touch screen based applications. By means of a constructed conceptual framework on cognitive, motivational, physical and visual impairments of older adults, this study revealed possible aging barriers concerning identified usability issues of an mHealth app for older patients. Insights into the aging process barriers that underlie usability issues supports developers in (re)designing mHealth apps that are better attuned to the needs of the older patient population.
Mobile ECG Systems and Cardiovascular Risk: A Systematic Review
Authors: Landínez Sebastián F.  , Villamil César A.  , López Diego M.  , Blobel Bernd
Published: February 2025

Problem: Cardiovascular diseases (CVD) are the number one cause of death globally. According to WHO (World Health Organization), 80% of these deaths occur in low- and middle-income countries. CVDs are associated to risk factors such as obesity, smoking, sedentary lifestyle, and others. The scientific community keeps searching for new parameters, like ECG signal analysis, to improve cardiovascular risk evaluation.
Development of a Metabolic Syndrome Personal Health Record System
Authors: López Diego M.  , Álvarez-Rosero Rosa E.  , Sierra-Torres Carlos H.
Published: February 2025

According to the International Diabetes Federation (IDF), a quarter of the world population is affected with metabolic syndrome (MS). The paper describes the development process of a Personal Health Record System (PHR) for the management of MS. Following the recommendations of ISO 9241-210:2010, a PHR for the promotion of physical activity and healthy nutrition was implemented.
Photodocumentation of Allergic Severity under Conjunctival Provocation
Authors: Astvatsatourov Anatoli  , Reydelet Yann  , Mösges Ralph
Published: February 2025

The aim of this work was to evaluate conjunctival redness as an objective allergy symptom during the conjunctival provocation test (CPT). The CPT is an instillation of ophthalmic solution containing an allergen into the ocular mucosa. Allergic severity using the CPT was evaluated in the multicenter, randomized, controlled, double-blind, dose-finding study of 159 patients with birch pollen allergy where the mucosal sensitivity of the eye was assessed based on subjective and objective symptoms such as itching and redness, respectively. High-resolution digital photos were taken, arranged in image matrices, and analyzed by an external central observer to assess conjunctival redness. The photodocumentation method described here was successfully applied in a dose-finding study using the CPT. The evaluations of allergic severity carried out by an external observer agreed with the investigators' assessments.
Image-Based Assessment of Allergic Inflammation under Conjunctival Provocation
Authors: Astvatsatourov Anatoli  , Mösges Ralph
Published: February 2025

Conjunctival redness is an objective allergy symptom which can be analyzed using objective computer imaging methods. To evaluate allergic inflammation of the eyes, a robust and precise image-based method was developed and applied to analyze allergic hyperemia under the conjunctival provocation test (CPT). High-resolution digital photos were taken and analyzed via digital analysis software to obtain and document conjunctival redness. The evaluations made using this newly developed image-based method concurred with the study investigators' assessments: the therapeutic effects of the highest doses were superior to the lowest dose.
A Query Tool Enabling Clinicians and Researchers to Explore Patient Cohorts
Authors: Lim Choi Keung Sarah N.  , Khan Omar  , Asadipour Ali  , Dereli Huseyin  , Zhao Lei  , Robbins Tim  , Arvanitis Theodoros N.
Published: February 2025

Due to the increasing amount of health information being gathered and the potential benefit of data reuse, it is now becoming a necessity for tools, which collect and analyse this data, to support integration of heterogeneous datasets, as well as provide intuitive user interfaces, which allow clinicians and researchers to query the data without needing to form complex SQL queries. The West Midlands Query Tool consists of an easy-to-use graph-based GUI, which interacts with a flexible middleware application. It has the main objective of querying heterogeneous data sources for exploring patient cohorts through a query builder and criteria set.
Abstractive Summarization of Drug Dosage Regimens for Supporting Drug Comparison
Authors: Ugon Adrien  , Berthelot Hélène  , Venot Alain  , Favre Madeleine  , Duclos Catherine  , Lamy Jean-Baptiste
Published: February 2025

Complicated dosage regimens often reduce adherence to drug treatments. The ease-of-administration must thus be taken into account when prescribing. Given one drug, there exists often several dosage regimens. Hence, comparison to similar drugs is difficult. Simplifying and summarizing them appears to be a required task for supporting General Practitioners to find the drug with the simplest regimen for the patient. We propose a summarization in two steps: first prunes out all low-importance information, and second proceed to fusion of remaining information. Rules for pruning and fusion strategies were designed by an expert in drug models. Evaluation was conducted on a dataset of 169 drugs. The agreement rate was 27.2%. We demonstrate that applying rules leads to a result that is correct by a computational point of view, but the result is often meaningless for the GP. We conclude with recommendations for further work.
Using Rapid Ethnography to Support the Design and Implementation of Health Information Technologies
Authors: Ackerman Sara  , Gleason Nathaniel  , Gonzales Ralph
Published: February 2025

Ethnography is the defining practice – and art – of anthropology. Among health information technology (IT) developers, however, ethnography remains a little used and undervalued mode of inquiry and representation. In this chapter we demonstrate that ethnography can make important contributions to the design and implementation of more user-oriented health IT devices and systems. In particular, we propose ‘rapid ethnography’ as a pragmatic strategy that draws on classic ethnographic methods, but emphasizes shorter periods of fieldwork and quick turnaround of findings to inform (re)design, programming and implementation efforts. Rapid ethnography is theoretically and empirically situated in science and technology studies' explorations of a) the entanglement of social and technical dimensions of technology use; b) how getting tools to ‘work’ requires aligning interests across a wide range of human and non-human actors; and c) the ways in which humans and technology transform each other as they interact. We provide two detailed case studies to illustrate the evolution and uses of rapid ethnography at a U.S. academic medical center. By providing deeper insights into the experiences of users, and the contexts and communities in which new tools are introduced, rapid ethnography can serve as a valuable component of Techno-Anthropology and health IT innovation.
Is Europe Falling Behind in Data Mining? Copyright's Impact on Data Mining in Academic Research
Authors: Handke Christian  , Guibault Lucie  , Vallbé Joan-Josep
Published: February 2025

With the diffusion of digital information technology, data mining (DM) is widely expected to increase the productivity of all kinds of research activities. Based on bibliometric data, we demonstrate that the share of DM-related research articles in all published academic papers has increased substantially over the last two decades. We develop an ordinal categorization of countries according to essential aspects of the copyright system affecting the costs and benefits of DM research. We demonstrate that countries in which data mining for academic research requires the express consent of rights holders, data mining makes up a significantly smaller share of total research output. To our knowledge, this is the first time that an empirical study identified a significant negative association between copyright protection and innovation. We also show that within countries where DM requires express consent by rights holders, there is an inverse relationship between rule of law indicators and the share of DM related articles in all research articles.
Texture Analysis of Recurrence Plots Based on Wavelets and PSO for Laryngeal Pathologies Detection
Authors: Souza Taciana A.  , Vieira Vinícius J. D.  , Correia Suzete E. N.  , Costa Silvana L. N. C.  , de A. Costa Washington C.  , Souza Micael A.
Published: February 2025

This paper deals with the discrimination between healthy and pathological speech signals using recurrence plots and wavelet transform with texture features. Approximation and detail coefficients are obtained from the recurrence plots using Haar wavelet transform, considering one decomposition level. The considered laryngeal pathologies are: paralysis, Reinke's edema and nodules. Accuracy rates above 86% were obtained by means of the employed method.
Personalised Medicine Possible With Real-Time Integration of Genomic and Clinical Data To Inform Clinical Decision-Making
Authors: Martin-Sanchez Fernando  , Turner Maureen  , Johnstone Alice  , Heffer Leon  , Rafael Naomi  , Advisory Group  , Bakker Tim  , Thorne Natalie  , Macciocca Ivan  , Gaff Clara
Published: February 2025

Despite widespread use of genomic sequencing in research, there are gaps in our understanding of the performance and provision of genomic sequencing in clinical practice. The Melbourne Genomics Health Alliance (the Alliance), has been established to determine the feasibility, performance and impact of using genomic sequencing as a diagnostic tool.
Designing an Innovative Data Architecture for the Los Angeles Data Resource (LADR)
Authors: Mukherjee Sukrit  , Jenders Robert A.  , Delta Sebastien
Published: February 2025

The Los Angeles Data Resource (LADR) is a joint project of major Los Angeles health care provider organizations. The LADR helps clinical investigators to explore the size of potential research study cohorts using operational clinical data across all participating institutions. The Charles R. Drew University of Medicine and Science (CDU) LADR team sought to develop an innovative data architecture that would aggregate de-identified clinical data from safety-net providers in the community into CDU LADR node. This in turn would be federated with the other nodes of LADR for a shared view in a way that was never available before. This led to a self-service system to assess patients matching study criteria at each medical center and to search patients by demographics, ICD-9 codes, lab results and medications.
Patient Empowerment through Personal Medical Recommendations
Authors: Kondylakis Haridimos  , Koumakis Lefteris  , Kazantzaki Eleni  , Chatzimina Maria  , Psaraki Maria  , Marias Kostas  , Tsiknakis Manolis
Published: February 2025

Patients today have ample opportunities to inform themselves about their disease and possible treatments using the Internet. While this type of patient empowerment is widely regarded as having a positive influence on the treatment, there exists the problem that the quality of information that can be found on online is very diverse. This paper presents a platform which empowers patients by allowing searching in a high quality document repository. In addition, it automatically provides intelligent and personalized recommendations according to the individual preferences and medical conditions.
What Medical Informaticians Do With and Think About an International Medical Informatics Listserv: Member Survey Preliminary Findings
Authors: Kuziemsky Craig  , Adams Martha B.  , Kaplan Bonnie  , Ravvaz Kourosh  , Koppel Ross
Published: February 2025

A survey of members of the American Medical Informatics Association (AMIA) listserv Forum on implementation and optimization asked how members perceived the Forum, and suggestions for improvement. Respondents appear to be remarkably engaged with the Forum's debates, information sharing, educational and practical teachings, comments, and immediacy.
Product-based Safety Certification for Medical Devices Embedded Software
Authors: Neto José Augusto  , Figueiredo Damásio Jemerson  , Monthaler Paul  , Morais Misael
Published: February 2025

Worldwide medical device embedded software certification practices are currently focused on manufacturing best practices. In Brazil, the national regulatory agency does not hold a local certification process for software-intensive medical devices and admits international certification (e.g. FDA and CE) from local and international industry to operate in the Brazilian health care market. We present here a product-based certification process as a candidate process to support the Brazilian regulatory agency ANVISA in medical device software regulation. Center of Strategic Technology for Healthcare (NUTES) medical device embedded software certification is based on a solid safety quality model and has been tested with reasonable success against the Class I risk device Generic Infusion Pump (GIP).
Influence Diagram As a Support Tool for Clinical Decisions In Cardiopulmonary And Metabolic Rehabilitation
Authors: da Silva Klahr Patrícia  , Corrêa Coronel Christian  , Cabral Robinson Caroline  , Fonseca João Marcelo  , Dias Flores Cecília  , Della Méa Plentz Rodrigo
Published: February 2025

An influence diagram (ID) is a method of graphical representation of uncertain knowledge, which can be employed to support decisions in health care using probabilistic reasoning. We aimed to describe the development of an ID to support the decision-making process in phase II at Cardiopulmonary and Metabolic Rehabilitation Program (CPMR). The development of the ID was carried out through the identification of relevant variables and their possible values, as well as the identification of details of each variable, in order to find a network structure that appropriately connects the nodes that represent the variables, with arcs linking acyclic graphs, and to build the graph using specialized knowledge and the conditional probability table for each node in the graph. In spite of the complexity of the interactions, the model obtained with the ID seems to contribute in the decision-making process in phase II CPMR, providing a second opinion to the health pratictioner and helping in diagnostic, therapeutic and decision-making processes, since it is useful in situations with non-linear modeling or with absent or uncertain information.
Evaluating the Impact of Player Experience in the Design of a Serious Game for Upper Extremity Stroke Rehabilitation
Authors: Cordeiro d'Ornellas Marcos  , Cargnin Diego João  , Cervi Prado Ana Lúcia
Published: February 2025

Video games have become a major entertainment industry and one of the most popular leisure forms, ranging from laboratory experiments to a mainstream cultural medium. Indeed, current games are multimodal and multidimensional products, relying on sophisticated features including not only a narrative-driven story but also impressive graphics and detailed settings. All of these elements helped to create a seamless and appealing product that have resulted in a growing number of players and in the number of game genres. Although video games have been used in education, simulation, and training, another application that exploits serious gaming is the exploration of player experience in the context of game research. Recent advances in the natural user interfaces and player experience have brought new perspectives on the in-game assessment of serious games. This paper evaluates the impact of player experience in the design of a serious game for upper extremity stroke rehabilitation. The game combines biofeedback and mirror neurons both in single and multiplayer mode. Results have shown that the game is a feasible solution to integrate serious games into the physical therapy routine.
On the Development of a Hospital-Patient Web-Based Communication Tool: A Case Study From Norway
Authors: Granja Conceição  , Dyb Kari  , Bolle Stein Roald  , Hartvigsen Gunnar
Published: February 2025

Surgery cancellations are undesirable in hospital settings as they increase costs, reduce productivity and efficiency, and directly affect the patient. The problem of elective surgery cancellations in a North Norwegian University Hospital is addressed. Based on a three-step methodology conducted at the hospital, the preoperative planning process was modeled taking into consideration the narratives from different health professions. From the analysis of the generated process models, it is concluded that in order to develop a useful patient centered web-based communication tool, it is necessary to fully understand how hospitals plan and organize surgeries today. Moreover, process reengineering is required to generate a standard process that can serve as a tool for health ICT designers to define the requirements for a robust and useful system.
Indexing Publicly Available Health Data with Medical Subject Headings (MeSH): An Evaluation of Term Coverage
Authors: Marc David T.  , Zhang Rui  , Beattie James  , Gatewood Laël C.  , Khairat Saif S.
Published: February 2025

As part of the Open Government Initiative, the United States federal government published datasets to increase collaboration, transparency, consumer participation, and research, and are available online at HealthData.gov. Currently, HealthData.gov does not adequately support the accessibility goal of the Open Government Initiative due to issues of retrieving relevant data because of inadequately cataloguing and lack of indexing with a standardized terminology. Given the commonalities between the HealthData.gov and MEDLINE metadata, Medical Subject Headings (MeSH) may offer an indexing solution, but there needs to be a formal evaluation of the efficacy of MeSH for covering the dataset concepts. The purpose of this study was to determine if MeSH adequately covers the HealthData.gov concepts. The noun and noun phrases from the HealthData.gov metadata were extracted and mapped to MeSH using MetaMap. The frequency of no exact, partical and no matches with MeSH terms were determined. The results of this study revealed that about 70% of the HealthData.gov concepts partially or exactly matched MeSH terms. Therefore, MeSH may be a favorable terminology for indexing the HealthData.gov datasets.
InfoRoute: the CISMeF Context-specific Search Algorithm
Authors: Merabti Tayeb  , Lelong Romain  , Darmoni Stefan
Published: February 2025

Objective. The aim of this paper was to present a practical InfoRoute algorithm and applications developed by CISMeF to perform a contextual information retrieval across multiple medical websites in different health domains.
Managing OMICS-Data: Considerations for the Design of a Clinical Research IT-Infrastructure
Authors: Umbach Nadine  , Löhnhardt Benjamin  , Sax Ulrich
Published: February 2025

Biomarker-based translational research enables deep insight into cellular processes and human diseases. As a result, high-throughput technologies promulgating a fast and cost-effective generation of data are widely used to advance our understanding in the molecular background of individuals. However, the increasing volume and complexity of data increases the need for sustainable infrastructures and state-of-the-art tools allowing management, analysis, and integration of OMICS data. To address these challenges, we have performed site visits of core facilities with a focus on high-throughput technologies to explore their (IT) infrastructure, organizational aspects, and data management strategies. Different stakeholders were interviewed regarding requirements and needs for dealing with high-throughput data. We have identified four different fields of action: (1) the interface from biorepositories to service providers of high-throughput technologies, (2) aspects within services providers, (3) the interface from service providers to bioinformatical analysis, and (4) organizational and other aspects. For each field, recommendations and strategies were developed for implementation of a seamless pipeline from biorepositories to highly specialized high-throughput laboratories including the sustainable management and integration of OMICS data.
Architecture to Summarize Patient-Level Data Across Borders and Countries
Authors: Bastião Silva Luís A.  , Días Carlos  , van der Lei Johan  , Oliveira José Luis
Published: February 2025

Translational medicine is becoming fundamental in promoting information flow between basic research and clinical practice, and in improving patients' health. The need for efficient systems to process and share information from multiple sources – including distinct areas of medicine – is a pressing need in biomedical research. Nevertheless, healthcare information systems are fragmented over different databases, medical institutions, and geographical locations.
A model-Driven Approach to Customize the Vocabulary of Communication Boards: Towards More Humanization of Health Care
Authors: Franco Natália M.  , Medeiros Gabriel F.  , Silva Edson A.  , Murta Angela S.  , P. Machado Aydano  , Fidalgo Robson N.
Published: February 2025

Objective: This work presents a Modeling Language and its technological infrastructure to customize the vocabulary of Communication Boards (CB), which are important tools to provide more humanization of health care.
Pain Documentation: Validation of a Reference Model
Authors: Gesner Emily  , Collins Sarah A.  , Rocha Roberto
Published: February 2025

Over the last decade, interoperability of the Electronic Health Record (EHR) is becoming more of a reality. However, inconsistencies in documentation such as pain are considered a barrier to obtaining this goal. In order to be able to remedy this issue, it is necessary to validate reference models that have been created based upon requirements defined by Health Level 7 (HL7), Logical Names and Codes (LOINC) and the Intermountain Clinical Element Model using external published sources and guidelines. Using pain as an example of complex and inconsistent documentation, it was found that the reference model based upon these standards is valid because the data elements identified are broad and can meet the needs of each sub-domain within the primary domain of pain.
Video Conferencing Services in Healthcare: One Communication Platform to Support All
Authors: Budrionis Andrius  , Hasvold Per  , Hartvigsen Gunnar  , Bellika Johan Gustav
Published: February 2025

We present a novel approach to the design of video conferencing (VC) systems, taking advantage of recent technological achievements in web-based implementation. Delivering VC functionality as a service over the Internet opens new grounds for easier integration, support, and application in many scenarios, since hardware-agnostic ad-hoc VC connections are a feature of the proposed architecture. Validity is demonstrated through latency measures in surgical telementoring service and comparing them to reported thresholds.
Nursing Clinical Documentation System Structured on NANDA-I, NOC, and NIC Classification Systems
Authors: Peres Heloisa Helena C.  , de Almeida Lopes M. da Cruz Diná  , Tellez Michelle  , de Cassia Gengo e Silva Rita  , dos S. Diogo Regina Celia  , Ortiz Diley Cardoso F.  , Ortiz Dóris R.
Published: February 2025

Information is a key feature that health professionals need to exercise their profession with efficiency and quality. This study aims to present the experience of the usage of an electronic system for clinical documentation in nursing in a university hospital. It is a methodological research of technology production. The system was developed in four phases: Conception, Elaboration, Construction, and Transition, and was named Electronic Documentation System of the University of São Paulo Nursing Process (PROCEnf-USP™). The knowledge base of PROCEnf-USP™ was organized in hierarchy of domains and classes, according to NNN linkages.
Impact of Specific Alerts in Potassium-Increasing Drug-Drug Interactions
Authors: Eschmann Emmanuel  , Beeler Patrick E.  , Blaser Jürg
Published: February 2025

Alerts in potassium(K+)-increasing drug-drug interactions (DDIs) are often ignored due to their low specificity. Although different approaches have been implemented to address DDIs, subsequent clinical studies revealed poor adherence to such alerts. We therefore suggest a novel alert concept currently being evaluated in a randomized clinical trial in a large teaching hospital. Highly specific reminders (to monitor K+) and alerts (of hyperkalaemia) are displayed to the physicians of the intervention group, whereas reminders and alerts are suppressed in the control group. Preliminary analysis shows a high alert specificity. Furthermore, the physicians of the intervention group reacted significantly faster to a problematic situation arising during a K+-increasing DDI compared to the physicians of the control group, indicating that this concept has an impact on physician behaviour.
Internal domain-specific language based on Arden Syntax and FHIR
Authors: Kimura Eizen  , Ishihara Ken
Published: February 2025

We demonstrate the concept of Arden Syntax, which is like Domain Specific Language (DSL), for describing decision support rules that take advantage of modern programming language concepts. Using object relational mapper and meta programming enables the conceptualization of FHIR resources from various data sources, and reduces the complexity of knowledge retrieval in decision rules.
A Model for Usability Evaluation for the Development and Implementation of Consumer eHealth Interventions
Authors: Parry David  , Carter Philip  , Koziol-McLain Jane  , Feather Jacqueline
Published: February 2025

Consumer eHealth products are often used by people in their own homes or other settings without dedicated clinical supervision, and often with minimal training and limited support – much as eCommerce and eGovernment applications are currently deployed. Internet based self-care systems have been advocated for over a decade as a way to reduce costs and allow more convenient care, and – because of the expectation that they will be used to reduced health cost –, by increasing self-care and avoiding hospitalization.
Usability Analysis Of A Customized Documentation System For Nurse Population-Health Managers
Authors: Sheets Lincoln  , Luan Zhijian  , Dillon Tina
Published: February 2025

The University of Missouri's population health management pilot employs 22 Nurse Care Managers (NCM) to manage medical casework for approximately 10,000 patients. We studied the NCMs' documentation system to identify interruptions to their clinical workflow, and identify missing functionality. We used an interview script and Morae software to observe and record five NCMs at work, measuring time on task, click counts, and task completion. We also documented quantitative and qualitative responses to a directed interview. All tasks were completed satisfactorily, with completion times of 443±275 seconds and click counts of 58±23. Surveys on a scale of 1 (worst) to 5 (best) scored “ease of use” at 3.4±1.1, “integration of functions” at 3.0±1.2, and “ease of learning” at 2.6±1.5. Overall, the system is functional and reliable but could be improved to support workflow.
Effects of electronic prescription on pharmacy productivity
Authors: Suomi Reima  , Lähteenoja Markus  , Peura Sirpa
Published: February 2025

Electronic prescriptions affect pharmacy workflows. In this study, we measure the workflow efficiency in pharmacies in 2006 and 2012: both, in traditional workflow when electronic prescription was not in use, and in new direct delivery workflow, which is the mandated workflow model in the case of electronic prescriptions.
Teleconsultations to Provide Support for Primary Care Practitioners and Improve Quality of care – the Experience of a Large Scale Telehealth Service in Brazil
Authors: Marcolino Milena Soriano  , Pereira Afonso dos Santos Julia  , Santos Neves Daniel  , Alkmim Maria Beatriz Moreira
Published: February 2025

This observational restrospective study was designed to assess teleconsultations performed by a public telehealth service in Brazil. A satisfaction survey was used to assess the impact on clinical practice. A total of 63,975 teleconsultations were performed, from April 2007 to November 2014. Family physicians (33%) and dermatologists (19%) answered most queries. From January to February 2014 (n=895), the most frequent queries were about etiology (30%) and pharmacological treatment (25%). The satisfaction survey in 2014 (n=571) showed that teleconsultations avoided patient referal in 78%. This study aims to shows the potential of telehealth to provide support to primary care practitioners in remote cities.
A plug&play Brain Computer Interface solution for AAL systems
Authors: Mora Niccolò  , De Munari Ilaria  , Ciampolini Paolo
Published: February 2025

We present a complete BCI-enabled (Brain Computer Interface) solution for Ambient Assisted Living system control. BCI are alternative, augmentative communication means capable of exploiting just the brain waveforms to infer intent, thus potentially posing as a technological bridge capable of overcoming limitations in the usual neuromuscular pathways. The module was completely developed in a customized way, encompassing hardware and software components. We demonstrate the effectiveness of the approach on a practical control scenario in which the user can issue 4 different commands, at his own pace and will, in real-time. No initial calibration is necessary, in line with the aimed plug&play approach. Results are very promising, especially in false positives rejection, well improving over literature.
Proposal for SVG2DOT:
Authors: Minatani Kazunori
Published: February 2025

For this study, I developed a software that converts SVG outputs from Inkscape to tactile graphics. Inkscape is easy to learn because it can be manipulated like any other typical drawing application and has a layer function which is enables robust support in the creation of tactile graphics In a simple evaluation, it is confirmed that the method of drawing a master in Inkscape and converting it with SVG2DOT was nearly as efficient as using a conventional tactile graphics drawing application.
Development of a Portable Two-Way Communication and Information Device for Deafblind People
Authors: Ozioko Oliver  , Hersh Marion
Published: February 2025

This paper presents research on the development of a wearable two-way communication and information device for deafblind people who use tactile communications methods, namely the British deafblind manual alphabet and/or Braille. The device has two components: a glove worn by the deafblind person and a handheld display with keypad to be used by their hearing and sighted communication partner. Users can send messages using pressure sensors embedded in the glove and receive them by means of vibration on the palm. The two components are linked by Bluetooth and the use of Bluetooth to communicate with computers, mobile phones and other Bluetooth enabled devices is being investigated. The design was informed by feedback obtained from a survey of deafblind people and interviews with staff in two organisations for deafblind people. Research and development of the device is still ongoing.
Feasibility of using MIRA with adult patients presenting with upper limb motor dysfunction post neurological damage
Authors: McGlinchey Mark  , Curtis Alexandra  , Ritchie Rachel  , Jones Gareth D.
Published: February 2025

Computer-based technology is an emerging modality to facilitate upper limb rehabilitation post neurological damage. A feasibility project using MIRA technology in an adult outpatient neurophysiotherapy service was conducted. Ten patients trialled nine MIRA games that promoted discrete and continuous unilateral and bilateral upper limb movements. The effect of MIRA use on usual service operation as well as any adverse events was noted. Patient views of using MIRA were explored through self-reported questionnaires. For six patients, comparison of amount and frequency of active upper limb exercises using MIRA and typical prescribed upper limb exercises was made. Use of MIRA did not negatively affect service operation and was not associated with any adverse event reporting. The majority of patients enjoyed using MIRA and felt that it was a useful modality to supplement existing prescribed upper limb exercises. Those with previous experience of technology expressed the most positive feedback. There is evidence that MIRA tasks may facilitate intensive repetitive upper limb movements, although some patients reported in-exercise discomfort. In conclusion, it was feasible to use MIRA with adult patients post neurological damage presenting with upper limb motor dysfunction, particularly those patients with proximal upper limb motor dysfunction previously familiar with computer use or gaming experience.
Comparing three knowledge communication strategies – Diffusion, Dissemination and Translation – through randomized controlled studies
Authors: Lane Joseph P.  , Stone Vathsala I.
Published: February 2025

This paper describes a series of three randomized controlled case studies comparing the effectiveness of three strategies for communicating new research-based knowledge (Diffusion, Dissemination, Translation), to different Assistive Technology (AT) stakeholder groups. Pre and post intervention measures for level of knowledge use (unaware, aware, interested, using) via the LOKUS instrument, assessed the relative effectiveness of the three strategies. The latter two approaches were both more effective than diffusion but also equally effective. The results question the value added by tailoring research findings to specific audiences, and instead supports the critical yet neglected role for relevance in determining knowledge use by stakeholders.
Centrifuge Modeling of Downdrag Induced Bending Moments on Batter Piles
Authors: Kokkali Panagiota  , Tessari Anthony  , Abdoun Tarek
Published: February 2025

Pile-founded floodwalls are commonly used in the New Orleans area to protect low-lying areas from flooding. They are usually referred to as T-walls due to their inverted “T” shape. The T-walls consist of reinforced concrete and are supported by long batter piles. They are relatively expensive compared to earthen levees, however, they are extremely robust and their small footprint is very advantageous. Since the soils in Southern Louisiana contain soft and compressible silt and clay these floodwalls need to be designed to resist not only the flood loads, but also the bending moments induced on the batter piles due to the soil settlement. The current T-wall design procedure does not account for the settlement-induced bending moments. Over the last two years, Rensselaer Polytechnic Institute, Virginia Polytechnic Institute and State University and the United States Army Corps of Engineers have collaborated in order to investigate this phenomenon. To this end, a series of centrifuge tests has been performed at the Center for Earthquake Engineering Simulation at RPI. Different pile configurations and loading scenarios were explored aiming at (a) gaining insight into the mechanisms and magnitudes of downdrag-induced bending moments and (b) providing reliable data sets that can be used to validate numerical models, which can then be used to develop an integrated design procedure for pile supported T-walls. This paper describes and discusses one of these centrifuge tests that indicated considerable increase of the bending moments on the batter piles when simulating 13 prototype years of consolidation of the foundation soil under the weight of a symmetrical levee embankment.
Análisis del Comportamiento de Presas Construidas con Núcleos de Arcilla Compactadas en la Rama Súper Húmeda
Authors: Buriticá García Julián  , Pacheco de Assis André
Published: February 2025

En este trabajo se presentan simulaciones numéricas de flujo, estabilidad de taludes y tensión deformación en secciones típicas hipotéticas, para una presa homogénea y una presa heterogénea con núcleo impermeable, construida con un material limo arcilloso típico de la región de Brasilia, Distrito Federal, Brasil. Los parámetros utilizados en las simulaciones numéricas fueron obtenidos a partir de una campaña experimental de ensayos de caracterización física, compactación, compresión edométrica, permeabilidad, triaxiales saturados tipo CD y microscopia electrónica de barrido presentadas por Buriticá (2013) para cuerpos de prueba compactados en la humedad óptima, humedad óptima +2% y humedad óptima + 5%, para analizar el cambio de esos parámetros en la rama húmeda de la curva de compactación. En términos generales las secciones heterogéneas presentaron comportamiento adecuado y favorable. Por otro lado, los taludes de las secciones homogéneas construidas con este material, mostraron bajos factores de seguridad durante el descenso rápido del nivel de agua, lo que quiere decir que puede ser conveniente el uso de este tipo de presas, siempre y cuando exista material suficiente en el lugar de las obras para construir taludes con menor inclinación y se tomen los cuidados necesarios en la selección del equipo de compactación, aprovechamiento de la estación seca, control de las zonas de préstamo, sellamiento de las áreas compactadas y acompañamiento por medio de instrumentación geotécnica durante las fases de construcción y operación.
The Vista tower Buenos Aires. Case of deep and complex excavation in urban area
Authors: Laria Tomas Alejandro  , Laiun Jorge Gabriel  , Sfriso Alejo Oscar
Published: February 2025

The Vista Tower is a building project under construction in the Palermo neighborhood of Buenos Aires, Argentina. It is a 36-storey tower for offices and residences, built on a structure formed by 5 underground and 2 above-ground basements, reaching a depth of 18.50m at the foundation mat. This excavation is one of the deepest and most challenging in recent years in Buenos Aires due to the few precedents of similar excavation and the many different type of limitation that it presents along its perimeter. In this paper we describe the support methods and the construction procedures employed in the excavation, along with their evolution and adjustment after field observation.