bluuebunny/crossref_metadata_2025_split huggingface dataset:
Surgical Complications after Right Hepatectomy for Live Liver Donation: Largest Single-Center Western World Experience
Authors: Gorgen Andre , Goldaracena Nicolas , Zhang Wei , Rosales Roizar , Ghanekar Anand , Lilly Les , Cattral Mark , Greig Paul , McCluskey Stuart , McGilvray Ian , Selzner Nazia , Bhat Mamatha , Selzner Markus , Levy Gary , Grant David , Sapisochin Gonzalo 
Published: March 2018

AbstractThe authors assessed the incidence, management, and risk factors for postoperative complications after right lobe (RL) live donor hepatectomy in a high-volume center in North America. All donors undergoing an RL live donor hepatectomy between 2000 and 2017 at our institution were included. The primary outcome was the development of complications (both medical and surgical). Predictors of postoperative complications were determined by logistic regression. A total of 587 patients underwent RL live donor hepatectomy. Among those, 187 postoperative complications were diagnosed in 141 (24%) patients. One patient had >90-day morbidity, and there were no donor deaths. Overall complications were significantly higher in the first era, 2000 to 2008 (81 [57.4%]) versus the second era, 2009 to 2017 (60 [42.6%]) (p = 0.01). On multivariate analysis, the only predictor of postoperative complications was the center volume of RL live donor hepatectomy in the previous 12 months with an odds ratio of 0.97 (95% confidence interval: 0.95–0.99). In conclusion, increasing center volume is associated with lower rates of postoperative complications after RL living liver donation.
Berliner Gesellschaft für Psychiatrie und Neurologie
Authors: Holdorff B. 
Published: March 2018

ZusammenfassungNach der Gründung der “Berliner medicinisch- psychologischen Gesellschaft”, der späteren Berliner Gesellschaft für Psychiatrie und Nervenkrankheiten (Neurologie) 1867 durch Wilhelm Griesinger (1817–1868) und andere Gründungsmitglieder war die BGPN ein Forum der sich rasch entwickelnden Neuropsychiatrie, das auch von außeruniversitären Polikliniken und Instituten genutzt wurde für die Berichte aus der Hirnlokalisationsforschung, Semiologie und Nosologie peripherer Nerven- und Rückenmarkerkrankungen einschließlich der Elektrodiagnostik, später der morphologischen Identifizierung degenerativer Hirnkrankheiten. Psychiatrische Themen waren über Jahrzehnte unterrepräsentiert. Jüdische Kollegen nahmen zunächst als Polikliniker, nach dem ersten Weltkrieg als Chefärzte neugegründeter Neurologieabteilungen die Rolle einer einzigartigen Avantgarde ein. Die Verbrechen unter der NS-Herrschaft, die Wiedergründung der BGPN nach dem zweiten Weltkrieg, die Teilung in Ost- und West-Sektionen bis zu ihrer Wiedervereinigung 1991 und die in ihr fortbestehende Einheit von Psychiatrie und Neurologie bestimmten die weitere Geschichte der BGPN.
Health Informatics Training at the University of Missouri
Authors: Reid J.C. , Mitchell J.A. , Balas E.A. 
Published: March 2018

AbstractHealth informatics training has a long tradition at the University of Missouri. The current program prepares future researchers for the rapidly changing field of health informatics. This paper describes the training program, the fellowships, the interdisciplinary strengths of the program, and representative projects. Research opportunities range from information analyses of basic medical sciences through development of clinical information systems to the evaluation of information systems. The informatics training program at the University of Missouri promotes evidence-based medical informatics and has a strong emphasis on the organizational aspects of successful information system implementation.
Health Informatics and Health Management Education at Central Queensland University
Authors: Hovenga E.J.S. , Whymark G.K 
Published: March 2018

AbstractHealth informatics education is relatively new in Australia. It began at Central Queensland University in the early 1990s with the development of postgraduate programs in health administration and information systems. The University has a long tradition of distance education. The adoption of this approach for our combined health informatics and management courses enabled program delivery to students located anywhere in Australia and beyond. This paper describes course development and planned future developments
Health Informatics Education and Research at the University of Athens
Authors: Mantas J. 
Published: March 2018

AbstractIn Europe, coordinated activities in healthcare informatics education started in the late 1980s with the establishment of European courses in health telematics. At the same time the European Commission foresaw the need for spreading the knowledge of Information Technology (IT) in the healthcare sector. Therefore the EC, since then, has supported the initiatives that aim to create awareness, stimulate diffusion, and educate and train the users (healthcare professionals) in the application of IT in health care [I] Initiatives, such as the NIGHTINGALE project, are essential for the planning and implementation of strategies for training the nursing profession in using and applying healthcare information systems. Other projects are the IT EDUCTRA project, which is a practical project in the field of education and training of healthcare professionals in information technologies, and the ERASMUS Master’s Course, which aims at giving those working (or intending to work) in the health service and related activities, a broad advanced postgraduate education in health informatics.
Electronic Healthcare Records: an essential part of Health Telematics Applications
Authors: Engelbrecht R. , Hildebrand C. , Moser W. 
Published: March 2018

AbstractA healthcare record should ideally be a repository of data, describing a person’s health and how it is being supported; and not, as it is now, describing a person’s diseases and treatment only. The healthcare record is the basis for monitoring and decisions. Therefore it should be open and available to all authorized health professionals and to the patient. To make this easier is one of the major advantages of electronic healthcare records (EHCR). The computer-based patient record could make major contributions to improving the healthcare system. This is the motivation to initiatives, projects and routine implementations of electronic patient records. The European Union and national initiatives have put major efforts into the support of this main field of medical information processing.
Twenty Five Years of Medical Informatics Education at Heidelberg/Heilbronn: Discussion of a Specialized Curriculum for Medical Informatics
Authors: Leven F.J. , Haux R. 
Published: March 2018

AbstractThe specialized university curriculum for medical informatics (MI) at the University of Heidelberg/School of Technology Heilbronn is one of the oldest educational approaches in the field of medical informatics, and has been successful for 25 years with about 1,000 graduates (Diplom-Informatikerin der Medizin or Diplom-Informatiker der Medizin). It belongs to the category of dedicated master’s programs for medical informatics and is based on the concept of medical informatics as a medical discipline in its own right. The curriculum is oriented towards the total spectrum of medical informatics ranging from health care economics, biosignal and medical image processing, medical documentation, to information and knowledge processing in medicine. It is a 4.5-year program with strong emphasis on the methodological foundations of medical informatics and on practical education in a number of specific laboratories. Thirty-five students are admitted each semester, and in total about 440 students are enrolled. The faculty consists of 17 full-time members and about 25 part-time lecturers. We report on characteristics, structure and contents of the new 5th version of the curriculum and discuss the features of a specialized curriculum for medical informatics with respect to the challenges for medical informatics in the 21st century.
Countdown to 2001: The Computer-based Patient Record After the Institute of Medicine Report
Authors: Steen E. B. , Detmer D. E. 
Published: March 2018

Abstract:A 1991 Institute of Medicine report called computer-based patient records (CPRs) an essential technology for health care and recommended widespread implementation of CPRs within a decade. Although a broader understanding of CPRs has been achieved and more leadership for CPR development exists today, substantial work remains to be accomplished. Critical tasks include developing a detailed specification of the CPR concept, strengthening standards development efforts through greater federal funding and involvement, developing national policy on key issues, and identifying funding sources for CPR system implementation. This article reviews the major views and issues of the 1991 IOM report and relates them to subsequent developments.
Medical Informatics, Statistics and Epidemiology Education: In the Framework of the Tempus-Phare Joint European Project
Authors: Zvárová Jana 
Published: March 2018

Abstract:Medicine and health care should react to the changing composition of the population, to diseases and new treatments, to the needs of medical ethics and law, and to changing economic conditions and to social needs. The main goal of health care is to improve the health status of the population. To reach this goal the appropriate use of available information, including for example biomedical knowledge, epidemiological data or patient data, is necessary. The need for education in this field of medical informatics, statistics, and epidemiology is a requirement to solve health-care problems, to develop a long-term perspective and successful functioning of health-care systems. The information sciences can play an important role in promoting the construction of basic data, vocabularies and decision procedures, as well as developing formal methods for problem solving.
Trends in Integrated Clinical Workstations
Authors: Timmers T. , van Mulligen E. M. 
Published: March 2018

AbstractDuring the last decade, several projects aiming at integrated clinical workstations have been described and several prototypes have been demonstrated. In most of these projects, the clinical workstation accesses information and functionality provided by the present proprietary legacy systems of health-care institutions. We discuss trends in integrated clinical workstations from the viewpoints of software engineering and integration, considering that the clinical workstation itself basically consists of three layers: a presentation layer, a data integration layer, and a communication layer. The software engineering view on clinical workstations focuses on the development of basic building blocks from which clinical workstations, specific to a particular medical domain, can be composed. The integration view on clinical workstations addresses methods and techniques to deal with the, in general, intrinsically closed information systems in health-care institutions.
Health and Clinical Management – Maximising Health Care Efficiency for Better Outcomes
Authors: Kubias D. ,   Section Editor for the IMIA Yearbook Section on Health and Clinical Management
Published: March 2018

Summary

Objectives:
To present some of last year’s best papers in the field of health and clinical management.

Method:
Synopsis of the best articles selected for the IMIA Yearbook 2010.

Results:
All five selected articles present promising results, each in a different subtopic of health care management. From automated clinical syndrome detection to global population surveillance, through improving alerting systems’ impact, the selected articles should give an idea of how IT, not only can, but how it does help in health care management.

Conclusions:
While some people fear that computers might, one day, replace humans in health care, this is very far from being the case. What literature shows is that IT merely provides health care professionals with valuable tools that let them spend more time with their patients, prevent them from missing critical information, support them in their decision making and thus help improve their efficiency.
In Cereo and in Silico: Tissue Microarray (TMA) Techniques and Bioinformatics Are Thriving Forces in Medical Science and Personalized Medicine
Authors: Lang E. 
Published: March 2018

Summary

Objectives:
Tissue microarray (TMA) techniques are among the most promising developments in biomedicine during the last decade. Bioinformatics techniques are indispensable for storing and processing the masses of data related with tissue archive administration and investigation of raw data. Interrelationship between experimental and computational work will be shown.

Methods:
Tissue specimen arrays allow parallel analysis of huge amounts of samples. TMA techniques thus produce enormous masses of raw data, and optimal use of data can only be made using modern bioinformatics techniques based on huge storage systems, scalable multilayer software architecture and high-throughput algorithms for retrieval and statistical processing. Further crucial issues addressed by informatics techniques are specimen identification during the whole processing chain, and anonymization whenever scientific work is performed without regard to a certain patient.

Results:
TMA supported by bioinformatics methods has helped in identification of biomarkers, mainly in cancer diagnosis. Moreover, it provides powerful means of quality assurance and training in histopathology.

Conclusions:
Further statistical analyses seem to be necessary to detect if certain biomarkers are present in nearly all kinds of specimen of the concerned patient, which would allow effective mass screening based on easily accessible specimen. Some investigations showed low dependence on the specimen localization, whereas others suggest to be extremely careful in material selection for the recipient block.
eHealth in North America
Authors: Newsham D. , Bates D. W. , Borycki E. M. 
Published: March 2018

Summary
Objective: The overall objective of this paper is to provide an overview of the current status of electronic health record (EHR) adoption and implementation in Canada and the United States.
Methods: A review and synthesis of the empirical and grey literature about adoption of electronic health records in Canada and the United States was undertaken.
Results: Both Canada and the United States have experienced increases in their adoption rates. More specifically, 2012 adoption statistics reveal that the electronic medical record adoption rate in the United States is 69% and in Canada it is 57%. Significant investment by both governments has increased adoption of electronic records across North America.
Conclusions: In the United States and Canada there has been a significant rise in the adoption of electronic records by health professionals with the aid of national government incentive programs.
Evidence-based Practice
Authors: Douali N. , Staccini P. 
Published: March 2018

Summary
Objectives: To provide an overview of outstanding current research conducted in Education and Consumer Informatics.
Method: Synopsis of the articles on education and consumer health informatics published in 2012 and selected for the IMIA Yearbook of Medical Informatics 2013.
Results: Architecture of monitoring or telehealth information systems for patients with chronic disease must include wireless devices to aid in the collection of personal data. Data acquisition technologies have an impact on patients' willingness to participate in telehealth programmes. Patients are more likely to prefer mobile applications over web-based applications. Social media is widely used by clinicians. Especially younger clinicians use it for personal purposes and for reference materials retrieval. Questions remain on optimal training requirements and on the effects on clinician behavior and on patient outcomes. A high level of e-Health literacy by patients will promote increased adoption and utilization of personal health records.
Conclusion: The selected articles highlight the need for training of clinicians to become aware of existing telehealth systems, in order to correctly inform and guide patients to take part in telehealth systems and adopt personal healthcare records (PHR).
Cervical Stenosis in Adult Arthrogryposis: A Case Report and Review of the Literature
Authors: Ho Allen , Mohole Jyodi , Sussman Eric , Pendharkar Arjun , Singh Harminder 
Published: March 2018

AbstractArthrogryposis multiplex congenita is a rare, nonprogressive congenital disorder that describes a constellation of conditions characterized by multiple joint contractures. Spinal pathology and deformity are common; however, the majority of the literature on arthrogryposis is focused on pediatric management. There exist very few reports on long-term outcomes and management of adults with arthrogryposis. We present a case of cervical spinal stenosis in an adult female with arthrogryposis that underwent posterior cervical decompression and fusion. A review of spine-related sequelae seen in adults with arthrogryposis and considerations for spinal surgery for these patients is discussed.
Health and Clinical Management:
Authors: Kubias D. ,   Section Editor for the IMIA Yearbook Section on Health and Clinical Management
Published: March 2018

SummarySummarize some of last year’s best research in the field of Health and Clinical Management.Synopsis of articles selected for the IMIA Yearbook 2012.Five articles, from international peer-reviewed journals, have been selected in this section.The selected articles illustrate some of the topics of health and clinical management: from patient safety issues over the possibilities offered by technological devices to building knowledge from data present in electronic patient records.
Knowledge Representation and Management: Towards Patient Health Self-management
Authors: Rassinoux A.-M. ,   Section Editor for the IMIA Yearbook Section on Knowledge Representation and Management
Published: March 2018

SummaryTo summarize excellent current research in the field of knowledge representation and management (KRM).A synopsis of the articles selected for the IMIA Yearbook 2012 is provided and an attempt to highlight the current trends in the field of health management is sketched.Among the five selected papers, two confirm the benefit of exploiting open-source language toolkits for the automatic extraction of medical concepts, assertions and/or relationships from clinical texts. One paper aims at exploiting domain-specific terminologies to improve the parsing of biomedical noun phrases, and another one aims at discovering rare diseases associations embedded into disparate textual sources. Finally, the last paper describes a collaborative search approach integrated into a homegrown EHR search engine.This selected set of papers confirms that natural language processing, as well as knowledge extraction, discovering and retrieval, are still active and fruitful research fields. Although these papers are not directly focusing on personal health informatics applications„ important features are highlighted and tailored to fit the requirements of patient health self-management. Delivering timely, friendly and secure access to functional, accurate, up-to-date and sustainable personal health records is a significant challenging task for supporting self-managed healthcare.
Der diagnostische Nutzen einer zusätzlichen 68Ga-PSMA-PET vor der 223Ra-Dichlorid-Therapie bei Patienten mit metastasiertem Prostatakarzinom
Authors: Rahbar Kambiz , Konnert Julia , Bögemann Martin , Stegger Lars , Bräuer Axel 
Published: March 2018

Die Bildgebung spielt eine wichtige Rolle bei der Auswahl derjenigen Patienten mit metastasiertem, kastrastionsrefraktärem Prostatakarzinom, die für eine 223Ra-Dichlorid-Therapie von Knochenmetastasen geeignet sind. Das Ziel dieser Studie war zu untersuchen, ob eine zusätzliche 68Ga-PSMA-PET einen inkrementellen Nutzen gegenüber der konventionellen Bildgebung bei der Auswahl geeigneter Patienten für diese Therapie aufweist.Bei 27 konsekutiv für eine 223Ra- Dichlorid-Therapie vorgestellten Patienten wurde eine zusätzliche 68Ga-PSMA-PET/CT durchgeführt. Die Tracerverteilung wurde systematisch ausgewertet in Hinblick auf die Detektion von viszeralen Metastasen und von ossären Metastasen ohne adäquate Speicherung in der Skelettszintigraphie.Zusätzliche viszerale Metastasen wurden mittels 68Ga-PSMA-PET bei 4 Patienten (15 %) detektiert (3 Leber, 1 Nebenniere), wobei in der Folge das therapeutische Vorgehen bei 2 der 4 Patienten geändert wurde. Mit der PET wurde eine ausgedehntere Knochenmetastasierung im Vergleich zur Skelettszintigraphie bei 9 Patienten (33 %) nachgewiesen. Bei dreien dieser Patienten war der “Mismatch” ausgedehnt genug, um die Durchführung der 223Ra-Dichlorid-Therapie in Frage zu stellen.Die zusätzliche Durchführung einer 68Ga-PSMA-PET als Torwächter zwischen konventioneller Bildgebung und der 223Ra-Dichlorid-Therapie kann wichtige zusätzliche Informationen liefern über das Vorliegen von viszeralen Metastasen und von ossären Tumormanifestationen ohne adäquaten Knochenstoffwechsel. Dieses kann bei einer signifikanten Zahl von Patienten zu einer Änderung des therapeutischen Managements führen und sollte in zukünftigen klinischen Studien berücksichtigt werden.
EFSUMB Recommendations and Clinical Guidelines for Intestinal Ultrasound (GIUS) in Inflammatory Bowel Diseases
Authors: Maconi Giovanni , Nylund Kim , Ripolles Tomas , Calabrese Emma , Dirks Klaus , Dietrich Christoph , Hollerweger Alois , Sporea Ioan , Saftoiu Adrian , Maaser Christian , Hausken Trygve , Higginson Antony , Nürnberg Dieter , Pallotta Nadia , Romanini Laura , Serra Carla , Gilja Odd 
Published: March 2018

AbstractThe accuracy and usefulness of gastrointestinal ultrasound (GIUS) for detecting activity and complications of inflammatory bowel diseases (IBD), has been reported in studies, promoting this technique as an important tool for the management of IBD patients. Whilst well recognised by international guidelines, standardization and general agreement in the definition of the luminal and extra-intestinal features, still need to be well defined.A task force group of 17 experts in GIUS faced this issue, by developing recommendations and clinical guidelines for the use of GIUS in IBD, under the auspices of EFSUMB. This article presents the consensus on the current data on sonographic features of IBD and summarises the accuracy of different sonographic modalities for the management of IBD patients.