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Sample records for based patient information

  1. Ontology-Based Information Gathering System for Patients with Chronic Diseases: Lifestyle Questionnaire Design

    OpenAIRE

    Benmimoune, Lamine; Hajjam, Amir; Ghodous, Parisa; Andres, Emmanuel; Talha, Samy; Hajjam, Mohamed

    2015-01-01

    The aim of this paper is to describe an original approach which consists of designing an Information Gathering System (IGS). This system gathers the most relevant information related to the patient. Our IGS is based on using questionnaire ontology and adaptive engine which collects relevant information by prompting the whole significant questions in connection with the patient' s medical background. The formerly collected answers are also taken into consideration in the questions selection pr...

  2. Development of Patient Status-Based Dynamic Access System for Medical Information Systems

    Directory of Open Access Journals (Sweden)

    Chang Won Jeong

    2015-06-01

    Full Text Available Recently, the hospital information system environment using IT communication technology and utilization of medical information has been increasing. In the medical field, the medical information system only supports the transfer of patient information to medical staff through an electronic health record, without information about patient status. Hence, it needs a method of real-time monitoring for the patient. Also, in this environment, a secure method in approaching healthcare through various smart devices is required. Therefore, in this paper, in order to classify the status of the patients, we propose a dynamic approach of the medical information system in a hospital information environment using the dynamic access control method. Also, we applied the symmetric method of AES (Advanced Encryption Standard. This was the best encryption algorithm for sending and receiving biological information. We can define usefulness as the dynamic access application service based on the final result of the proposed system. The proposed system is expected to provide a new solution for a convenient medical information system.

  3. [Trial of information sharing for home-based patient care using Cybozu Live , a cloud-based groupware].

    Science.gov (United States)

    Asahina, Kan

    2011-12-01

    Home-based patient care involves several different care services of specialties, so that it is crucial to share patient information effectively among the caregivers. To overcome the problems with conventional means for storing and sharing information, we introduced Cybozu Live , a cloud-based groupware provided for free of charge. As a result, the amount of information shared increased while telephone and facsimile transactions dramatically decreased. A questionnaire survey revealed that the caregivers generally appreciated the use of this groupware; they felt that more information was needed for tasks while the load of using telephone and facsimile is minimal. We found the followings through our experiences: 1 ) Simply sharing information can largely contribute to supporting patients and their families; 2 ) Awareness of patients, families and caregivers is more important in the homecare information sharing than are numerical data; 3 ) Effective information sharing creates a sense of togetherness of the team beyond mere co-operation among the staff; 4 ) Effective information sharing provides learning opportunities for caregivers; and 5 ) An appropriate tool such as Cybozu Live is needed for effective information sharing. PMID:22189308

  4. Wavelet-Based ECG Steganography for Protecting Patient Confidential Information in Point-of-Care Systems.

    Science.gov (United States)

    Ibaida, Ayman; Khalil, Ibrahim

    2013-12-01

    With the growing number of aging population and a significant portion of that suffering from cardiac diseases, it is conceivable that remote ECG patient monitoring systems are expected to be widely used as point-of-care (PoC) applications in hospitals around the world. Therefore, huge amount of ECG signal collected by body sensor networks from remote patients at homes will be transmitted along with other physiological readings such as blood pressure, temperature, glucose level, etc., and diagnosed by those remote patient monitoring systems. It is utterly important that patient confidentiality is protected while data are being transmitted over the public network as well as when they are stored in hospital servers used by remote monitoring systems. In this paper, a wavelet-based steganography technique has been introduced which combines encryption and scrambling technique to protect patient confidential data. The proposed method allows ECG signal to hide its corresponding patient confidential data and other physiological information thus guaranteeing the integration between ECG and the rest. To evaluate the effectiveness of the proposed technique on the ECG signal, two distortion measurement metrics have been used: the percentage residual difference and the wavelet weighted PRD. It is found that the proposed technique provides high-security protection for patients data with low (less than 1%) distortion and ECG data remain diagnosable after watermarking (i.e., hiding patient confidential data) and as well as after watermarks (i.e., hidden data) are removed from the watermarked data. PMID:23708767

  5. Implementing health information technology in a patient-centered manner: patient experiences with an online evidence-based lifestyle intervention.

    Science.gov (United States)

    Lyden, Jennifer R; Zickmund, Susan L; Bhargava, Tina D; Bryce, Cindy L; Conroy, Molly B; Fischer, Gary S; Hess, Rachel; Simkin-Silverman, Laurey R; McTigue, Kathleen M

    2013-01-01

    The patient-centered care (PCC) model and the use of health information technology (HIT) are major initiatives for improving U.S. healthcare quality and delivery. A lack of published data on patient perceptions of Internet-based care makes patient-centered implementation of HIT challenging. To help ascertain patients' perceptions of an online intervention, patients completing a 1-year web-based lifestyle intervention were asked to complete a semistructured interview. We used qualitative methodology to determine frequency and types of interview responses. Overall satisfaction with program features was coded on a Likert-type scale. High levels of satisfaction were seen with the online lifestyle coaching (80%), self-monitoring tools (57%), and structured lesson features (54%). Moderated chat sessions and online resources were rarely used. Frequently identified helpful aspects were those that allowed for customized care and shared decision-making consistent with the tenets of PCC. Unhelpful program aspects were reported less often. Findings suggest that despite challenges for communicating effectively in an online forum, the personalized support, high-tech data management capabilities, and easily followed evidence-based curricula afforded by HIT may be a means of providing PCC and improving healthcare delivery and quality. PMID:24004039

  6. HIN5/439: A Web-based Information Sharing System for Patient Referral

    OpenAIRE

    Jae Ok, L; Won-Ki, M; Mi Na, K; Won-Sub, K; Kyoung Soo, L; Tae-Hwan, L; Han Ik, C

    1999-01-01

    Introduction It is essential to have a proper health care delivery system for the efficient management of clinical resources for a nation. In Korea, we have observed numerous problems of missing or delaying clinical information when referring patients to a nearby secondary or tertiary care hospital. Patient referral is usually done at random but no reliable information is provided for appropriate care. Furthermore, no follow-up information is sent back to referring institutions when the care ...

  7. Characterization of mammographic masses based on level set segmentation with new image features and patient information

    International Nuclear Information System (INIS)

    Computer-aided diagnosis (CAD) for characterization of mammographic masses as malignant or benign has the potential to assist radiologists in reducing the biopsy rate without increasing false negatives. The purpose of this study was to develop an automated method for mammographic mass segmentation and explore new image based features in combination with patient information in order to improve the performance of mass characterization. The authors' previous CAD system, which used the active contour segmentation, and morphological, textural, and spiculation features, has achieved promising results in mass characterization. The new CAD system is based on the level set method and includes two new types of image features related to the presence of microcalcifications with the mass and abruptness of the mass margin, and patient age. A linear discriminant analysis (LDA) classifier with stepwise feature selection was used to merge the extracted features into a classification score. The classification accuracy was evaluated using the area under the receiver operating characteristic curve. The authors' primary data set consisted of 427 biopsy-proven masses (200 malignant and 227 benign) in 909 regions of interest (ROIs) (451 malignant and 458 benign) from multiple mammographic views. Leave-one-case-out resampling was used for training and testing. The new CAD system based on the level set segmentation and the new mammographic feature space achieved a view-based Az value of 0.83±0.01. The improvement compared to the previous CAD system was statistically significant (p=0.02). When patient age was included in the new CAD system, view-based and case-based Az values were 0.85±0.01 and 0.87±0.02, respectively. The study also demonstrated the consistency of the newly developed CAD system by evaluating the statistics of the weights of the LDA classifiers in leave-one-case-out classification. Finally, an independent test on the publicly available digital database for screening

  8. Attitudes toward technology-based health information among adult emergency department patients with drug or alcohol misuse☆,☆☆

    OpenAIRE

    Choo, Esther K.; Ranney, Megan L.; Wong, Zerlina; Mello, Michael J

    2012-01-01

    Technology-based screening and interventions are emerging solutions to the challenge of addressing substance use in the emergency department (ED). A standardized questionnaire of adult patients at a large-volume, urban, academic ED assessed interest in, and potential barriers to, technology-based substance use information. Questionnaire topics included substance use, access to technology, preferences for health information, and perceived barriers to technology interventions. Among the 430 par...

  9. The experiential health information processing model: supporting collaborative web-based patient education

    Directory of Open Access Journals (Sweden)

    Wathen C Nadine

    2008-12-01

    Full Text Available Abstract Background First generation Internet technologies such as mailing lists or newsgroups afforded unprecedented levels of information exchange within a variety of interest groups, including those who seek health information. With emergence of the World Wide Web many communication applications were ported to web browsers. One of the driving factors in this phenomenon has been the exchange of experiential or anecdotal knowledge that patients share online, and there is emerging evidence that participation in these forums may be having an impact on people's health decision making. Theoretical frameworks supporting this form of information seeking and learning have yet to be proposed. Results In this article, we propose an adaptation of Kolb's experiential learning theory to begin to formulate an experiential health information processing model that may contribute to our understanding of online health information seeking behaviour in this context. Conclusion An experiential health information processing model is proposed that can be used as a research framework. Future research directions include investigating the utility of this model in the online health information seeking context, studying the impact of collaborating in these online environments on patient decision making and on health outcomes are provided.

  10. Information technology for patient empowerment in healthcare

    CERN Document Server

    Grando, Maria Adela; Bates, David

    2015-01-01

    The authors explore novel information-based mechanisms that are changing the way patients are involved in their own health care. The book covers models, frameworks and technologies to improve patient-to-provider communication, patient interaction with information technologies, patient education and involvement in health care decision processes, and patient access, understanding and control over their clinical data.

  11. Discrete wavelet transform and singular value decomposition based ECG steganography for secured patient information transmission.

    Science.gov (United States)

    Edward Jero, S; Ramu, Palaniappan; Ramakrishnan, S

    2014-10-01

    ECG Steganography provides secured transmission of secret information such as patient personal information through ECG signals. This paper proposes an approach that uses discrete wavelet transform to decompose signals and singular value decomposition (SVD) to embed the secret information into the decomposed ECG signal. The novelty of the proposed method is to embed the watermark using SVD into the two dimensional (2D) ECG image. The embedding of secret information in a selected sub band of the decomposed ECG is achieved by replacing the singular values of the decomposed cover image by the singular values of the secret data. The performance assessment of the proposed approach allows understanding the suitable sub-band to hide secret data and the signal degradation that will affect diagnosability. Performance is measured using metrics like Kullback-Leibler divergence (KL), percentage residual difference (PRD), peak signal to noise ratio (PSNR) and bit error rate (BER). A dynamic location selection approach for embedding the singular values is also discussed. The proposed approach is demonstrated on a MIT-BIH database and the observations validate that HH is the ideal sub-band to hide data. It is also observed that the signal degradation (less than 0.6%) is very less in the proposed approach even with the secret data being as large as the sub band size. So, it does not affect the diagnosability and is reliable to transmit patient information. PMID:25187409

  12. HL7 document patient record architecture: an XML document architecture based on a shared information model.

    OpenAIRE

    Dolin, R H; Alschuler, L.; Behlen, F.; Biron, P. V.; BOYER S.; Essin, D.; Harding, L.; Lincoln, T.; Mattison, J E; Rishel, W.; Sokolowski, R.; Spinosa, J.; Williams, J. P.

    1999-01-01

    The HL7 SGML/XML Special Interest Group is developing the HL7 Document Patient Record Architecture. This draft proposal strives to create a common data architecture for the interoperability of healthcare documents. Key components are that it is under the umbrella of HL7 standards, it is specified in Extensible Markup Language, the semantics are drawn from the HL7 Reference Information Model, and the document specifications form an architecture that, in aggregate, define the semantics and stru...

  13. Computerized tracking of mammography patients: value of a radiology information system integrated with a personal-computer data base.

    Science.gov (United States)

    Frank, M S; Johnson, J A

    1994-09-01

    OBJECTIVE. We investigated the advantages of using a radiology information system as the primary data source for a mammographic patient-tracking system that is based on a personal-computer local-area network and that requires almost no data entry. HARDWARE AND SOFTWARE. Our mammographic data base is maintained on a file server that provides cross-platform access to both Macintosh and IBM-compatible personal computers. Locally developed software automatically transfers mammographic data from our radiology information system to the file server's mammographic data base. The data transferred include patients' demographics (e.g., hospital identification number, address, referring physician) and the complete mammographic report. With the use of specific terminology, the need for follow-up can be automatically gleaned from the mammographic report and coded within the data base. Graphically oriented, commercially available software provides easy access to this information from any personal computer on our department's network. The software provides considerable flexibility for searching and manipulating the data without the need for customized data-base programming. Redundant data entry and associated errors are drastically reduced, as are personnel requirements for maintaining the system. Relative to most commercial radiology information systems, a personal computer facilitates the steps involved in tracking patients and obtaining highly customized analyses of the mammographic data base. The data in the mammographic data base exactly match those in the hospital's registration data and are easily transferred to other personal-computer programs for ancillary processing. CONCLUSION. This technique is ideal for departments that use a general-purpose radiology information system for mammographic reporting, yet need a more powerful but user-friendly and low-cost method for tracking their mammography patients. PMID:8079872

  14. HL7 document patient record architecture: an XML document architecture based on a shared information model.

    Science.gov (United States)

    Dolin, R H; Alschuler, L; Behlen, F; Biron, P V; Boyer, S; Essin, D; Harding, L; Lincoln, T; Mattison, J E; Rishel, W; Sokolowski, R; Spinosa, J; Williams, J P

    1999-01-01

    The HL7 SGML/XML Special Interest Group is developing the HL7 Document Patient Record Architecture. This draft proposal strives to create a common data architecture for the interoperability of healthcare documents. Key components are that it is under the umbrella of HL7 standards, it is specified in Extensible Markup Language, the semantics are drawn from the HL7 Reference Information Model, and the document specifications form an architecture that, in aggregate, define the semantics and structural constraints necessary for the exchange of clinical documents. The proposal is a work in progress and has not yet been submitted to HL7's formal balloting process. PMID:10566319

  15. Blood glucose testing and primary prevention of diabetes mellitus type 2 - evaluation of the effect of evidence based patient information

    Directory of Open Access Journals (Sweden)

    Giani Guido

    2010-01-01

    Full Text Available Abstract Background Evidence-based patient information (EBPI has been recognised as important tool for informed choice in particular in the matter of preventive options. An objective, on the best scientific evidence-based consumer information about subthreshold elevated blood glucose levels (impaired fasting glucose and impaired glucose tolerance and primary prevention of diabetes, is not available yet. Thus we developed a web-based EBPI and aim to evaluate its effects on informed decision making in people 50 years or older. Methods/Design We conduct a web-based randomised-controlled trial to evaluate the effect of information about elevated blood glucose levels and diabetes primary prevention on five specific outcomes: (i knowledge of elevated blood glucose level-related issues (primary outcome; (ii attitudes to a metabolic testing; (iii intention to undergo a metabolic testing; (iv decision conflict; (v satisfaction with the information. The intervention group receives a specially developed EBPI about subthreshold elevated blood glucose levels and diabetes primary prevention, the control group information about this topic, available in the internet. The study population consists of people between 50 and 69 years of age without known diabetes. Participants will be recruited via the internet page of the cooperating health insurance company, Techniker Krankenkasse (TK, and the internet page of the German Diabetes Centre. Outcomes will be measured through online questionnaires. We expect better informed participants in the intervention group. Discussion The design of this study may be a prototype for other web-based prevention information and their evaluation. Trial registration Current Controlled Trial: ISRCTN22060616.

  16. A comparison of two informative SNP-based strategies for typing Pseudomonas aeruginosa isolates from patients with cystic fibrosis

    OpenAIRE

    Syrmis, Melanie W.; Kidd, Timothy J.; Moser, Ralf J.; Kay A Ramsay; Gibson, Kristen M; Anuj, Snehal; Bell, Scott C.; Wainwright, Claire E.; Grimwood, Keith; Nissen, Michael,; Sloots, Theo P.; Whiley, David M.

    2014-01-01

    Background Molecular typing is integral for identifying Pseudomonas aeruginosa strains that may be shared between patients with cystic fibrosis (CF). We conducted a side-by-side comparison of two P. aeruginosa genotyping methods utilising informative-single nucleotide polymorphism (SNP) methods; one targeting 10 P. aeruginosa SNPs and using real-time polymerase chain reaction technology (HRM10SNP) and the other targeting 20 SNPs and based on the Sequenom MassARRAY platform (iPLEX20SNP). Metho...

  17. Development and Implementation of Team-Based Panel Management Tools: Filling the Gap between Patient and Population Information Systems.

    Science.gov (United States)

    Watts, Brook; Lawrence, Renée H; Drawz, Paul; Carter, Cameron; Shumaker, Amy Hirsch; Kern, Elizabeth F

    2016-08-01

    Effective team-based models of care, such as the Patient-Centered Medical Home, require electronic tools to support proactive population management strategies that emphasize care coordination and quality improvement. Despite the spread of electronic health records (EHRs) and vendors marketing population health tools, clinical practices still may lack the ability to have: (1) local control over types of data collected/reports generated, (2) timely data (eg, up-to-date data, not several months old), and accordingly (3) the ability to efficiently monitor and improve patient outcomes. This article describes a quality improvement project at the hospital system level to develop and implement a flexible panel management (PM) tool to improve care of subpopulations of patients (eg, panels of patients with diabetes) by clinical teams. An in-depth case analysis approach is used to explore barriers and facilitators in building a PM registry tool for team-based management needs using standard data elements (eg, laboratory values, pharmacy records) found in EHRs. Also described are factors that may contribute to sustainability; to date the tool has been adapted to 6 disease-focused subpopulations encompassing more than 200,000 patients. Two key lessons emerged from this initiative: (1) though challenging, team-based clinical end users and information technology needed to work together consistently to refine the product, and (2) locally developed population management tools can provide efficient data tracking for frontline clinical teams and leadership. The preliminary work identified critical gaps that were successfully addressed by building local PM registry tools from EHR-derived data and offers lessons learned for others engaged in similar work. (Population Health Management 2016;19:232-239). PMID:26440062

  18. A DICOM-RT Based ePR radiation therapy information system for decision-support of brain tumor patients

    Science.gov (United States)

    Liu, B. J.; Law, M.; Huang, H. K.; Zee, C. S.; Chan, L.

    2006-03-01

    The need for comprehensive clinical image data and relevant information in image-guided Radiation Therapy (RT) is becoming steadily apparent. Multiple standalone systems utilizing the most technological advancements in imaging, therapeutic radiation, and computerized treatment planning systems acquire key data during the RT treatment course of a patient. One example are patients treated for brain tumors of greater sizes and irregular shapes that utilize state-of-the-art RT technology to deliver pinpoint accurate radiation doses. Various treatment options are available to the patient from Radiation Therapy to Stereotactic Radiosurgery and utilize different RT modalities. The disparate and complex data generated by the RT modalities along with related data scattered throughout the RT department in RT Information/Management systems, Record & Verify systems, and Treatment Planning Systems (TPS) compromise an efficient clinical workflow since the data crucial for a clinical decision may be time-consuming to retrieve, temporarily missing, or even lost. To address these shortcomings, the ACR-NEMA Standards Committee extended its DICOM (Digital Imaging & Communications in Medicine) Standard from Radiology to RT by ratifying seven DICOM RT objects starting in 1997. However, they are rarely used by the RT community in daily clinical operations. In the past, the research focus of an RT department has primarily been developing new protocols and devices to improve treatment process and outcomes of cancer patients with minimal effort dedicated to integration of imaging and information systems. By combining our past experience in medical imaging informatics research, DICOM-RT expertise, and system integration, our research involves using a brain tumor case model to show proof-of-concept that a DICOM-Standard electronic patient record (ePR) system can be developed as a foundation to perform medical imaging informatics research in developing decision-support tools and knowledge

  19. Governing PatientsLikeMe: information production and research through an open, distributed, and data-based social media network

    OpenAIRE

    Tempini, Niccolò

    2015-01-01

    Many organizations develop social media networks with the aim of engaging a wide range of social groups in the production of information that fuels their processes. This effort appears to crucially depend on complex data structures that allow the organization to connect and collect data from a myriad of local contexts and actors. One such organization, PatientsLikeMe, is developing a platform with the aim of connecting patients with one another while collecting self-reported medical data, whi...

  20. A DICOM-RT based ePR radiation therapy information system for managing brain tumor patients

    Science.gov (United States)

    Liu, Brent J.; Law, Maria; Huang, H. K.; Zee, C. S.; Chan, Lawrence

    2005-04-01

    The need for comprehensive clinical image data and relevant information in image-guided Radiation Therapy (RT) is becoming steadily apparent. Multiple standalone systems utilizing the most technological advancements in imaging, therapeutic radiation, and computerized treatment planning systems acquire key data during the RT treatment course of a patient. One example are patients treated for brain tumors of greater sizes and irregular shapes that utilize state-of-the-art RT technology to deliver pinpoint accurate radiation doses. One such system, the Cyberknife, is a radiation treatment system that utilizes image-guided information to control a multi-jointed, six degrees of freedom, robotic arm to deliver precise and required radiation dose to the tumor site of a cancer patient. The image-guided system is capable of tracking the lesion orientations with respect to the patient"s position throughout the treatment process. This is done by correlating live radiographic images with pre-operative, CT and MR imaging information to determine relative patient and tumor position repeatedly over the course of the treatment. The disparate and complex data generated by the Cyberknife system along with related data is scattered throughout the RT department compromising an efficient clinical workflow since the data crucial for a clinical decision may be time-consuming to retrieve, temporarily missing, or even lost. To address these shortcomings, the ACR-NEMA Standards Committee extended its DICOM (Digital Imaging & Communications in Medicine) Standard from Radiology to RT by ratifying seven DICOM RT objects starting in 1997. However, they are rarely used by the RT community in daily clinical operations. In the past, the research focus of an RT department has primarily been developing new protocols and devices to improve treatment process and outcomes of cancer patients with minimal effort dedicated to integration of imaging and information systems. Our research, tightly

  1. [Information programs for patients during gastroenterological rehabilitation].

    Science.gov (United States)

    Ikas, G

    2002-04-01

    Patient education especially groups for patients with inflammatory bowel disease belong to the typical tasks of Reha-medicine. In the Reha-Clinic "Ob der Tauber", Bad Mergentheim these patients are informed in special Colitis/Crohn-groups for eleven years now. Normally approximately ten patients with IBD are treated in our house at the same time. These patients participate in a nearly closed group in which they are taught in three weeks blocks. Three hours a week the patients are informed by doctors, one hour a week a diet assistant teaches the participants. The psychotherapeutic group takes place regularly once a week. The aim of the patient information or health education is to reach a mostly complete information of the patients about inflammatory bowel disease, that means to inform them about all diagnostic and therapeutic possibilities. Another important purpose of team work is the support of dynamic group processes like reduction of anxiety and the influence on the patients for developing an active positive attitude towards their disease. The participating therapist (doctors, psychotherapist, diet-assistant) have created a structured concept which was modified during the last years. Resulting from the interactive work between therapist and patients this concept is improved continuously. This development however is delayed by the shortcomming of bad personal capacities and the lack of possibilities for the therapist to improve their pedagogic and psychotherapeutic abilities. At the moment their education is based on autodidactic methods and empathy. For a standardization of the program including all hospitals the extended curriculum of the GRVS is useful. An evaluation concerning the therapeutic benefit of patient information has not been done yet. PMID:11930302

  2. Profile Based Information Retrieval

    Directory of Open Access Journals (Sweden)

    Athar shaikh,

    2011-04-01

    Full Text Available This paper present Profile Based information retrieval system(PBIR. This system provide the user to register with it and based on the users registered areas of interest the system searches the related and efficient information form the world wide web using the technique of web text mining and arranges the unstructured data into structured format and present it to the user. This system also stores the previously searched data and based on users areas of interest and rating awarded to the interest by the user his profile will be updated at particular scheduled time.

  3. Management of patient information trends and challenges in member states based on the findings of the second global survey on e-health

    CERN Document Server

    2013-01-01

    Enhancing the competencies of health professionals is only one of the ways health care services can be improved. The management of information in particular has been shown to impact the quality of health care service delivery. A powerful approach is to improve the tools with which health and health-related data and information are collected stored accessed disseminated and used. This publication covers areas related to the management of patient information at three levels (local health care facility regional/district and national). It analyses the trends in the progression from paper-based inf

  4. Evidence-based neurosurgery. Basic concepts for the appraisal and application of scientific information to patient care (Part II).

    Science.gov (United States)

    Esene, Ignatius N; Baeesa, Saleh S; Ammar, Ahmed

    2016-07-01

    Medical evidence is obtainable from approaches, which might be descriptive, analytic and integrative and ranked into levels of evidence, graded according to quality and summarized into strengths of recommendation. Sources of evidence range from expert opinions through well-randomized control trials to meta-analyses. The conscientious, explicit, and judicious use of current best evidence in making decisions related to the care of individual patients defines the concept of evidence-based neurosurgery (EBN). We reviewed reference books of clinical epidemiology, evidence-based practice and other previously related articles addressing principles of evidence-based practice in neurosurgery. Based on existing theories and models and our cumulative years of experience and expertise conducting research and promoting EBN, we have synthesized and presented a holistic overview of the concept of EBN. We have also underscored the importance of clinical research and its relationship to EBN. Useful electronic resources are provided. The concept of critical appraisal is introduced. PMID:27356649

  5. Patient representatives' views on patient information in clinical cancer trials

    DEFF Research Database (Denmark)

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-01-01

    future simplified and more attractive informed consent forms. CONCLUSIONS: The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language......, structured text and illustrations to improve the informed consent process and thereby patient enrolment into clinical trials....

  6. High-quality Health Information Provision for Stroke Patients

    Science.gov (United States)

    Du, Hong-Sheng; Ma, Jing-Jian; Li, Mu

    2016-01-01

    Objective: High-quality information provision can allow stroke patients to effectively participate in healthcare decision-making, better manage the stroke, and make a good recovery. In this study, we reviewed information needs of stroke patients, methods for providing information to patients, and considerations needed by the information providers. Data Sources: The literature concerning or including information provision for patients with stroke in English was collected from PubMed published from 1990 to 2015. Study Selection: We included all the relevant articles on information provision for stroke patients in English, with no limitation of study design. Results: Stroke is a major public health concern worldwide. High-quality and effective health information provision plays an essential role in helping patients to actively take part in decision-making and healthcare, and empowering them to effectively self-manage their long-standing chronic conditions. Different methods for providing information to patients have their relative merits and suitability, and as a result, the effective strategies taken by health professionals may include providing high-quality information, meeting patients’ individual needs, using suitable methods in providing information, and maintaining active involvement of patients. Conclusions: It is suggested that to enable stroke patients to access high-quality health information, greater efforts need to be made to ensure patients to receive accurate and current evidence-based information which meets their individual needs. Health professionals should use suitable information delivery methods, and actively involve stroke patients in information provision. PMID:27569241

  7. Tailored Patient Information Some Issues and Questions

    CERN Document Server

    Reiter, E R; Reiter, Ehud; Osman, Liesl

    1997-01-01

    Tailored patient information (TPI) systems are computer programs which produce personalised heath-information material for patients. TPI systems are of growing interest to the natural-language generation (NLG) community; many TPI systems have also been developed in the medical community, usually with mail-merge technology. No matter what technology is used, experience shows that it is not easy to field a TPI system, even if it is shown to be effective in clinical trials. In this paper we discuss some of the difficulties in fielding TPI systems. This is based on our experiences with 2 TPI systems, one for generating asthma-information booklets and one for generating smoking-cessation letters.

  8. The patient's opinion of informed consent

    International Nuclear Information System (INIS)

    To evaluate the quality of the information provided by informed consent forms for angiography and interventional radiology on the basis of the patients opinion. A descriptive study was performed based on an anonymous survey distributed among patients who were to undergo angiography and interventional radiology, and had previously been informed and provided with the corresponding informed consent form. A descriptive and analytical statistical study was carried out to compare the responses to the questions concerning different factors (Mann-Whitney U test). Of the 182 surveys completed 75.3% corresponded to diagnostic procedures and the remaining 24.7% to therapeutic procedures. When the responses to closed-ended questions were analyzed, 90.1% of respondents considered the amount of information provided by the document to be sufficient 75.3% declared that they found the form easy to comprehend and 34.1% responded that reading it had calmed their nerves. Statistically significant differences were observed, depending on whether the form corresponded to diagnostic or therapeutic procedures, concerning the questions related to comprehension of the document and to the feeling upon reading it, with those used for diagnostic procedures obtaining better scores. There was a statistically significant difference between the responses of the patients to the question concerning their feeling upon reading the document and the responses of family members, with the patients responding more favorably than their relatives. The consent forms prepared for angiography and interventional radiology procedures are acceptable to the patients concerned with respect to both the quantity and the quality of the information. (Author) 22 refs

  9. Informing evidence-based decision-making for patients with comorbidity: availability of necessary information in clinical trials for chronic diseases.

    Directory of Open Access Journals (Sweden)

    Cynthia M Boyd

    Full Text Available BACKGROUND: The population with multiple chronic conditions is growing. Prior studies indicate that patients with comorbidities are frequently excluded from trials but do not address whether information is available in trials to draw conclusions about treatment effects for these patients. METHODS AND FINDINGS: We conducted a literature survey of trials from 11 Cochrane Reviews for four chronic diseases (diabetes, heart failure, chronic obstructive pulmonary disease, and stroke. The Cochrane Reviews systematically identified and summarized trials on the effectiveness of diuretics, metformin, anticoagulants, longacting beta-agonists alone or in combination with inhaled corticosteroids, lipid lowering agents, exercise and diet. Eligible studies were reports of trials included in the Cochrane reviews and additional papers that described the methods of these trials. We assessed the exclusion and inclusion of people with comorbidities, the reporting of comorbidities, and whether comorbidities were considered as potential modifiers of treatment effects. Overall, the replicability of both the inclusion criteria (mean [standard deviation (SD]: 6.0 (2.1, range (min-max: 1-9.5 and exclusion criteria (mean(SD: 5.3 (2.1, range: 1-9.5 was only moderate. Trials excluded patients with many common comorbidities. The proportion of exclusions for comorbidities ranged from 0-42 percent for heart failure, 0-55 percent for COPD, 0-44 percent for diabetes, and 0-39 percent for stroke. Seventy of the 161 trials (43.5% described the prevalence of any comorbidity among participants with the index disease. The reporting of comorbidities in trials was very limited, in terms of reporting an operational definition and method of ascertainment for the presence of comorbidity and treatments for the comorbidity. It was even less common that the trials assessed whether comorbidities were potential modifiers of treatment effects. CONCLUSIONS: Comorbidities receive little attention

  10. Patient representatives' views on patient information in clinical cancer trials

    DEFF Research Database (Denmark)

    Dellson, Pia; Nilbert, Mef; Carlsson, Christina

    2016-01-01

    of future simplified and more attractive informed consent forms. CONCLUSIONS: The emotional and cognitive responses to written patient information reported by patient representatives provides a basis for revised formats in future trials and add to the body of information that support use of plain language...

  11. Obtaining useful information from expert based sources.

    OpenAIRE

    Slawson, D. C.; Shaughnessy, A. F.

    1997-01-01

    Clinicians rely heavily on expert based systems-consultation with colleagues, journal reviews and textbooks, and continuing education activities-to obtain new information. The usefulness of sources such as these depends on the relevance and validity of the information and the work it takes to obtain it. Useful information can be distinguished from the useless by asking three questions: Does the information focus on an outcome that my patients care about? Is the issue common to my practice, an...

  12. Pharmacogenetic information for patients on drug labels

    Directory of Open Access Journals (Sweden)

    Haga SB

    2014-10-01

    Full Text Available Susanne B Haga, Rachel Mills, Jivan Moaddeb Center for Applied Genomics and Precision Medicine, Department of Medicine, Duke University, Durham, NC, USA Abstract: Advances in pharmacogenetic research have improved our understanding of adverse drug responses and have led to the development of pharmacogenetic tests and targeted drugs. However, the extent of the communication process and provision of information to patients about pharmacogenetics is unclear. Pharmacogenetic information may be included in sections of a drug's package insert intended for patients, which is provided directly to patients or communicated via the health provider. To determine what pharmacogenetic information, if any, is included in patient-targeted sections of the drug label, we reviewed the labels listed in the US Food and Drug Administration's Table of Pharmacogenomic Biomarkers in Drug Labels. To date, 140 drugs include pharmacogenetic-related information in the approved label. Our analysis revealed that pharmacogenetic information is included in patient-targeted sections for a minority (n=29; 21% of drug labels, with no obvious pattern associated with the inclusion of pharmacogenetic information. Therefore, patients are unlikely to learn about pharmacogenetics through written materials dispensed with the drug. Given that there are also inconsistencies with regard to inclusion of pharmacogenetic information in the patient counseling information section, it is also unlikely that patients are receiving adequate pharmacogenetic information from their provider. The inconsistent presence of pharmacogenetic information in patient-targeted sections of drug labels suggests a need to review the criteria for inclusion of information in patient-targeted sections in order to increase consistency and patient knowledge of pharmacogenetic information. Keywords: pharmacogenomics, pharmacogenetics, US Food and Drug Administration, drug safety, patient education

  13. An Evaluation of the Rates of Repeat Notifiable Disease Reporting and Patient Crossover Using a Health Information Exchange-based Automated Electronic Laboratory Reporting System

    OpenAIRE

    Gichoya, Judy; Gamache, Roland E.; Vreeman, Daniel J.; Dixon, Brian E.; Finnell, John T.; Grannis, Shaun

    2012-01-01

    Patients move across healthcare organizations and utilize services with great frequency and variety. This fact impacts both health information technology policy and patient care. To understand the challenges faced when developing strategies for effective health information exchange, it is important to understand patterns of patient movement and utilization for many healthcare contexts, including managing public-health notifiable conditions. We studied over 10 years of public-health notifiable...

  14. Roles for Information professionals in patient education: Librarians' perspective

    Directory of Open Access Journals (Sweden)

    Susan L. MacDonald

    2010-07-01

    Full Text Available Through an examination of librarians’ contributions to the PEPTalk research project, this article highlights roles for information professionals at various stages in the design and clinical implementation of an information system that delivers patient education. The Personal Education Plan (PEPTalk was a collaborative, multi-disciplinary research project (2005-2006 based at the University Health Network’s Princess Margaret Hospital that designed an information system to provide web-based health information resources to both patients and clinicians under a shared umbrella of patient education. This article provides an overview of the PEPTalk project methods and outcomes, and documents the contributions of librarians throughout the design and clinical implementation stages of the project. Librarians brought expertise about information seeking behaviours of both patients and clinicians to the project; liaised across institutional and professional boundaries; developed a classification system for online learning objects, and educated project team about information and health literacies. The contributions of librarians on the PEPTalk project illustrate the need for boundary spanners, information brokers, knowledge translators, and change champions in the design and implementation of patient education delivery systems. There are new roles emergent at the intersections of clinical practice and health information provision. There is a need for the traditional skills and expertise of librarians and other information professionals in tailoring health information. Yet the design and implementation of patient education systems also require the development of new skills and the application of advanced information literacy as it pertains to both clinicians and patients.

  15. Patient information in radiooncology. Results of a patient survey

    International Nuclear Information System (INIS)

    Background: As a result of increased interest and public demand, providing patients with adequate information about radiooncology has become more and more difficult for the doctor. Insufficient patient information can not only cause anxiety for the patient, but can also lead to legal action against the physician. In order to gain a deeper insight into our clinical practice of providing patient information, we developed a special questionnaire. We describe our first experiences in using this questionnaire at our institute. Patients and methods: We examine the amount of information and level of satisfaction, as well as the agreement of assessment between patient and physician after the provision of standard patient information before and at the end of radiotherapy. 51 consecutive patients were interviewed with a newly designed questionnaire. The first questioning with 13 items was carried out before radiotherapy and the second with ten items was done at the end of treatment. Sum scores for information and satisfaction were defined and agreement was measured by the weighted κ coefficient. Results: Global level of information and satisfaction was good, and a significant increase in information level and a significant decline in satisfaction were seen between questionnaire 1 and 2. Agreement between patient and physician was fair, for example intent of treatment resulted in a κ coefficient of 0.34, and poor for the doctor's role with a κ coefficient of -0.002. Only 52% of the patients who received palliative radiotherapy rated correctly the non-curative intent of treatment, whereas 86% of the patients who received curative radiotherapy made a correct statement. Before radiotherapy, emotional state was often both negatively and positively assessed by the patients. Conclusion: Our short questionnaire is simple and easy to understand. It provides insights into patient information with respect to assessment of the information, satisfaction level, and agreement between

  16. Patient-Reported Outcomes, Patient-Reported Information

    OpenAIRE

    Baldwin, Mike; Spong, Andrew; Doward, Lynda; Gnanasakthy, Ari

    2012-01-01

    Internet communication is developing. Social networking sites enable patients to publish and receive communications very easily. Many stakeholders, including patients, are using these media to find new ways to make sense of diseases, to find and discuss treatments, and to give support to patients and their caregivers. We argue for a new definition of patient-reported information (PRI), which differs from the usual patient-reported outcomes (PRO). These new emergent data from the social web ha...

  17. Prediction of axillary lymph node metastases in breast cancer patients based on pathologic information of the primary tumor

    OpenAIRE

    Wu, Jia-Long; Tseng, Hsin-Shun; Yang, Li-Heng; Wu, Hwa-Koon; Kuo, Shou-Jen; Chen, Shou-Tung; Chen, Dar-Ren

    2014-01-01

    Background Axillary lymph nodes (ALN) are the most commonly involved site of disease in breast cancer that has spread outside the primary lesion. Although sentinel node biopsy is a reliable way to manage ALN, there are still no good methods of predicting ALN status before surgery. Since morbidity in breast cancer surgery is predominantly related to ALN dissection, predictive models for lymph node involvement may provide a way to alert the surgeon in subgroups of patients. Material/Methods A t...

  18. Demands on patient information, exemplified by radiotherapy

    International Nuclear Information System (INIS)

    Background: Under existing law which goes back to a decision of the supreme court of the German Reich in 1894, any medical intervention, even if performed lege artis and successfully, meets the elements of physical injury both in terms of civil and criminal law and, thus, is illegal. This unlawfulness can only be validly reversed by the patient's informed consent which requires adequate effective patient information. Methods: The relevant principles in patient information on potential risks elaborated by the West German administration of justice are outlined by 22 theses. Subsequently, supreme and highest court decisions are listed, briefly summarizing the jurisdiction on patient information relevant to radiotherapists. Conclusion and Perspectives: tendencies to gain financial profit from improper patient information can be resolutely steered against right from the start. (orig.)

  19. Extracting Information from Electronic Medical Records to Identify the Obesity Status of a Patient Based on Comorbidities and Bodyweight Measures.

    Science.gov (United States)

    Figueroa, Rosa L; Flores, Christopher A

    2016-08-01

    Obesity is a chronic disease with an increasing impact on the world's population. In this work, we present a method of identifying obesity automatically using text mining techniques and information related to body weight measures and obesity comorbidities. We used a dataset of 3015 de-identified medical records that contain labels for two classification problems. The first classification problem distinguishes between obesity, overweight, normal weight, and underweight. The second classification problem differentiates between obesity types: super obesity, morbid obesity, severe obesity and moderate obesity. We used a Bag of Words approach to represent the records together with unigram and bigram representations of the features. We implemented two approaches: a hierarchical method and a nonhierarchical one. We used Support Vector Machine and Naïve Bayes together with ten-fold cross validation to evaluate and compare performances. Our results indicate that the hierarchical approach does not work as well as the nonhierarchical one. In general, our results show that Support Vector Machine obtains better performances than Naïve Bayes for both classification problems. We also observed that bigram representation improves performance compared with unigram representation. PMID:27402260

  20. Knowledge, information and communication among cancer patients

    International Nuclear Information System (INIS)

    Objective: Knowledge, information and communication, within oncology, are a core clinical strength for the out-come of the disease and inadequate communication, can cause distress for the patient and their families. Design: A senior doctor conducted this study by filling in the performa after interviewing the subject of the study. Place and duration of study: This study was done in Oncology Department of Service Hospital, Lahore and was completed in four months. Subjects and Method: One hundred cancer patients were interviewed regarding their knowledge about their disease, its causes, prognosis, and information supplied by the health-care providers. They were also asked about their satisfaction regarding this information, deficiencies and pitfalls in this information, need for more information, which should supply the information from among the hospital team or their relative, attitude of the family and their communication regarding the disease. Results: Study revealed that the knowledge about the disease and its causes was present in 53% and 7% respectively. The patients (59%) wanted more information. Majority perceived that the information was not adequate and needed more information and 68% thought that more information would reduce their anxiety. The attitude of family was found encouraging in 87% of patients and 42% were communicating with other family members regarding their diseases. Conclusion: Knowledge about the disease and its cause should be increasingly supplied by the doctors, as it will reduce the anxiety and have a good effect on health. Communication among the family members needs to be improved. (author)

  1. Information Based Fault Diagnosis

    DEFF Research Database (Denmark)

    Niemann, Hans Henrik; Poulsen, Niels Kjølstad

    2008-01-01

    Fault detection and isolation, (FDI) of parametric faults in dynamic systems will be considered in this paper. An active fault diagnosis (AFD) approach is applied. The fault diagnosis will be investigated with respect to different information levels from the external inputs to the systems. These...... inputs are disturbance inputs, reference inputs and auxilary inputs. The diagnosis of the system is derived by an evaluation of the signature from the inputs in the residual outputs. The changes of the signatures form the external inputs are used for detection and isolation of the parametric faults....

  2. Information Based Fault Diagnosis

    DEFF Research Database (Denmark)

    Niemann, Hans Henrik; Poulsen, Niels Kjølstad

    Fault detection and isolation, (FDI) of parametric faults in dynamic systems will be considered in this paper. An active fault diagnosis (AFD) approach is applied. The fault diagnosis will be investigated with respect to different information levels from the external inputs to the systems. These...... inputs are disturbance inputs, reference inputs and auxilary inputs. The diagnosis of the system is derived by an evaluation of the signature from the inputs in the residual outputs. The changes of the signatures form the external inputs are used for detection and isolation of the parametric faults....

  3. A web-based laboratory information system to improve quality of care of tuberculosis patients in Peru: functional requirements, implementation and usage statistics

    Directory of Open Access Journals (Sweden)

    Yale Gloria

    2007-10-01

    Full Text Available Abstract Background Multi-drug resistant tuberculosis patients in resource-poor settings experience large delays in starting appropriate treatment and may not be monitored appropriately due to an overburdened laboratory system, delays in communication of results, and missing or error-prone laboratory data. The objective of this paper is to describe an electronic laboratory information system implemented to alleviate these problems and its expanding use by the Peruvian public sector, as well as examine the broader issues of implementing such systems in resource-poor settings. Methods A web-based laboratory information system "e-Chasqui" has been designed and implemented in Peru to improve the timeliness and quality of laboratory data. It was deployed in the national TB laboratory, two regional laboratories and twelve pilot health centres. Using needs assessment and workflow analysis tools, e-Chasqui was designed to provide for improved patient care, increased quality control, and more efficient laboratory monitoring and reporting. Results Since its full implementation in March 2006, 29,944 smear microscopy, 31,797 culture and 7,675 drug susceptibility test results have been entered. Over 99% of these results have been viewed online by the health centres. High user satisfaction and heavy use have led to the expansion of e-Chasqui to additional institutions. In total, e-Chasqui will serve a network of institutions providing medical care for over 3.1 million people. The cost to maintain this system is approximately US$0.53 per sample or 1% of the National Peruvian TB program's 2006 budget. Conclusion Electronic laboratory information systems have a large potential to improve patient care and public health monitoring in resource-poor settings. Some of the challenges faced in these settings, such as lack of trained personnel, limited transportation, and large coverage areas, are obstacles that a well-designed system can overcome. e-Chasqui has the

  4. Roles for Information professionals in patient education: Librarians' perspective

    OpenAIRE

    Susan L. MacDonald; Todie Winter; Robert Luke

    2010-01-01

    Through an examination of librarians’ contributions to the PEPTalk research project, this article highlights roles for information professionals at various stages in the design and clinical implementation of an information system that delivers patient education. The Personal Education Plan (PEPTalk) was a collaborative, multi-disciplinary research project (2005-2006) based at the University Health Network’s Princess Margaret Hospital that designed an information system to provide web-based he...

  5. Evaluation of internet derived patient information

    Science.gov (United States)

    Ward, JBM; Leach, P

    2012-01-01

    INTRODUCTION The internet is a widely used, powerful resource for patients to research medical conditions. There is an extensive amount of information available on the internet. It is important for patient information to be accurate and in an easily accessible format. This article aims to assess the quality of patient information on hydrocephalus and compares the findings with recent evaluations in other surgical specialties. METHODS The term ‘hydrocephalus’ was searched for on the search engines http://www.google.com/, http://www.bing.com/ and http://www.yahoo.com/. The top 20 results of these searches were assessed using the University of Michigan consumer health website evaluation checklist. RESULTS The quality of patient information websites on hydrocephalus is highly variable. Websites rarely provide sufficient authorship information, do not review their information regularly enough and only reference material occasionally. The background of the provider was found to influence the quality of the website, with academic and care providers creating the best websites. CONCLUSIONS On comparing our findings with those of recent studies from other surgical specialties, it was found that there was often a conflict of interest between the background of the provider and the information supplied. It is recommended that clinicians personally research material for their patients to be able to guide them to suitable, accurate websites. PMID:22943222

  6. Online information seeking by patients with bipolar disorder

    DEFF Research Database (Denmark)

    Conell, Jörn; Bauer, Rita; Glenn, Tasha;

    2016-01-01

    -based, anonymous survey, translated into 12 languages, was completed by 1222 patients in 17 countries as a convenience sample between March 2014 and January 2016. All patients had a diagnosis of bipolar disorder from a psychiatrist. Data were analyzed using descriptive statistics and generalized estimating...... or participated in online support groups. Most patients (62 %) searched a couple times a year. Online information seeking helped about 2/3 to cope (41 % of the entire sample). About 2/3 did not discuss Internet findings with their doctor. CONCLUSION: Online information seeking helps many patients to...

  7. Towards patient-related information needs.

    Science.gov (United States)

    Braun, Loes; Wiesman, Floris; van den Herik, Jaap; Hasman, Arie; Korsten, Erik

    2005-01-01

    The quality of health care depends, among others, on the quality of a physician's domain knowledge. Since it is impossible to keep up with all new findings and developments, physicians usually have gaps in their domain knowledge. To handle exceptional cases, access to the full range of medical literature is required. The specific literature needed for appropriate treatment of the patient is described by a physician's information need. Physicians are often unaware of their information needs. To support them, this paperThis research is part of the MIA project (Medical Information Agent), which is funded by NWO (grant number 634.000.021). aims at presenting a first step towards automatically formulating patient-related information needs. We start investigating how we can model a physician's information needs in general. Then we propose an approach to instantiate the model into a representation of a physician's information needs using the patient data as stored in a medical record. Our experiments show that this approach is feasible. Since the number of formulated patient-related information needs is rather high, we propose the use of filters. Future research will focus on the combination of personalization and filtering. It is expected that the resultant set of information needs will have a manageable size and contributes to the quality of health care. PMID:16160374

  8. Patient Education as an Information System, Healthcare Tool and Interaction

    OpenAIRE

    Pirhonen, Antti; Silvennoinen, Minna; Sillence, Elizabeth

    2014-01-01

    Patient education (PE) has a crucial role in the function of a healthcare organisation. For the care process of a patient, it is essential to get the right information at the right moment and in the right form. This paper analyses PE as the primary mode of interaction between a patient and a healthcare organisation. The approach is illustrated with a study among nurses based on their conceptions about PE. Practical implications and the potential of ICT in PE in particular are discussed.

  9. The Knowledge Based Information Economy

    OpenAIRE

    Eliasson, Gunnar; Fölster, Stefan; Lindberg, Thomas; Pousette, Tomas; Erol TAYMAZ

    1990-01-01

    Working Paper No. 256 is published as "The Knowledge Based Information Economy" (authors: Gunnar Eliasson, Stefan Fölster, Thomas Lindberg, Tomas Pousette and Erol Taymaz). Stockholm: Industrial Institute for Economic and Social Research and Telecon, 1990.

  10. Informed patient consent: a historical perspective.

    Science.gov (United States)

    Dowd, S B; Wilson, B

    1995-01-01

    This article reviews the concept of informed patient consent by examining two long-term studies in which adequate consent was not obtained from study participants: the radiation experiments sponsored by the U.S. government beginning in the 1940s and the Tuskegee Syphilis Experiment conducted from 1932 to 1972. The article discusses how these experiments represent a violation of informed consent guidelines and research ethics. It also explores the ethical implications of the experiments to radiologic technologists today and discusses the technologist's role in obtaining patient consent in research and clinical practice settings. PMID:8570838

  11. Accessing Patient Information for Probabilistic Patient Models Using Existing Standards.

    Science.gov (United States)

    Gaebel, Jan; Cypko, Mario A; Lemke, Heinz U

    2016-01-01

    Clinical decision support systems (CDSS) are developed to facilitate physicians' decision making, particularly for complex, oncological diseases. Access to relevant patient specific information from electronic health records (EHR) is limited to the structure and transmission formats in the respective hospital information system. We propose a system-architecture for a standardized access to patient specific information for a CDSS for laryngeal cancer. Following the idea of a CDSS using Bayesian Networks, we developed an architecture concept applying clinical standards. We recommend the application of Arden Syntax for the definition and processing of needed medical knowledge and clinical information, as well as the use of HL7 FHIR to identify the relevant data elements in an EHR to increase the interoperability the CDSS. PMID:27139392

  12. Wikipedia and osteosarcoma: a trustworthy patients' information?

    Science.gov (United States)

    Leithner, Andreas; Maurer-Ertl, Werner; Glehr, Mathias; Friesenbichler, Joerg; Leithner, Katharina; Windhager, Reinhard

    2010-01-01

    The English version of the online encyclopedia, Wikipedia, has been recently reported to be the prominent source of online health information. However, there is little information concerning the quality of information found in Wikipedia. Therefore, we created a questionnaire asking for scope, completeness, and accuracy of information found on osteosarcoma. Three independent observers tested the English version of Wikipedia, as well as the patient version and the health professional version of the US National Cancer Institute (NCI) website. Answers were verified with authoritative resources and international guidelines. The results of our study demonstrate that the quality of osteosarcoma-related information found in the English Wikipedia is good but inferior to the patient information provided by the NCI. Therefore, non-peer-reviewed commonly used websites offering health information, such as Wikipedia, should include links to more definitive sources, such as those maintained by the NCI and professional international organizations on healthcare treatments. Furthermore, frequent checks should make sure such external links are to the highest quality and to the best-maintained aggregate sites on a given healthcare topic. PMID:20595302

  13. A Patient Safety Information Model for Interoperability.

    Science.gov (United States)

    Rodrigues, Jean Marie; Dhingra-Kumar, Neelam; Schulz, Stefan; Souvignet, Julien

    2016-01-01

    Current systems that target Patient Safety (PS) like mandatory reporting systems and specific vigilance reporting systems share the same information types but are not interoperable. Ten years ago, WHO embarked on an international project to standardize quality management information systems for PS. The goal is to support interoperability between different systems in a country and to expand international sharing of data on quality and safety management particularly for less developed countries. Two approaches have been used: (i) a bottom-up one starting with existing national PS reporting and international or national vigilance systems, and (ii) a top-down approach that uses the Patient Safety Categorial Structure (PS-CAST) and the Basic Formal Ontology (BFO) upper level ontology versions 1 and 2. The output is currently tested as an integrated information system for quality and PS management in four WHO member states. PMID:27139388

  14. Scoliosis related information on the internet in China: can patients benefit from this information?

    Directory of Open Access Journals (Sweden)

    Hongda Bao

    Full Text Available There has been an increasing popularity of searching health related information online in recent years. Despite that considerable amount of scoliosis patients have shown interest in obtaining scoliosis information through Internet, previous studies have demonstrated poor quality of online information. However, this conclusion may vary depending on region and culture. Since China has a restricted Internet access outside of its borders, the aim of this study is to evaluate the quality of scoliosis information available online using recognized scoring systems and to analyze the Internet as a source of health information in China.A survey-based questionnaire was distributed to 280 respondents at outpatient clinics. Information on demographics and Internet use was collected. Binary logistic analysis was performed to identify possible predictors for the use of Internet. In addition, the top 60 scoliosis related websites assessed through 4 search engines were reviewed by a surgeon and the quality of online information was evaluated using DISCERN score and JAMA benchmark.Use of the Internet as a source for scoliosis related information was confirmed in 87.8% of the respondents. College education, Internet access at home and urban residence were identified as potential predictors for Internet use. However, the quality of online scoliosis related information was poor with an average DISCERN score of 27.9±11.7 and may be misleading for scoliosis patients.The study outlines the profile of scoliosis patients who use the Internet as a source of health information. It was shown that 87.8% of the scoliosis patients in outpatient clinics have searched for scoliosis related information on Internet. Urban patients, higher education and Internet access at home were identified as potential predictors for Internet search. However, the overall quality of online scoliosis related information was poor and confusing. Physician based websites seemed to contain more

  15. Isotope-based quantum information

    CERN Document Server

    G Plekhanov, Vladimir

    2012-01-01

    The present book provides to the main ideas and techniques of the rapid progressing field of quantum information and quantum computation using isotope - mixed materials. It starts with an introduction to the isotope physics and then describes of the isotope - based quantum information and quantum computation. The ability to manipulate and control electron and/or nucleus spin in semiconductor devices provides a new route to expand the capabilities of inorganic semiconductor-based electronics and to design innovative devices with potential application in quantum computing. One of the major challenges towards these objectives is to develop semiconductor-based systems and architectures in which the spatial distribution of spins and their properties can be controlled. For instance, to eliminate electron spin decoherence resulting from hyperfine interaction due to nuclear spin background, isotopically controlled devices are needed (i.e., nuclear spin-depleted). In other emerging concepts, the control of the spatial...

  16. Isotope-based quantum information

    International Nuclear Information System (INIS)

    The present book provides to the main ideas and techniques of the rapid progressing field of quantum information and quantum computation using isotope - mixed materials. It starts with an introduction to the isotope physics and then describes of the isotope - based quantum information and quantum computation. The ability to manipulate and control electron and/or nucleus spin in semiconductor devices provides a new route to expand the capabilities of inorganic semiconductor-based electronics and to design innovative devices with potential application in quantum computing. One of the major challenges towards these objectives is to develop semiconductor-based systems and architectures in which the spatial distribution of spins and their properties can be controlled. For instance, to eliminate electron spin decoherence resulting from hyperfine interaction due to nuclear spin background, isotopically controlled devices are needed (i.e., nuclear spin-depleted). In other emerging concepts, the control of the spatial distribution of isotopes with nuclear spins is a prerequisite to implement the quantum bits (or qbits). Therefore, stable semiconductor isotopes are important elements in the development of solid-state quantum information. There are not only different algorithms of quantum computation discussed but also the different models of quantum computers are presented. With numerous illustrations this small book is of great interest for undergraduate students taking courses in mesoscopic physics or nanoelectronics as well as quantum information, and academic and industrial researches working in this field.

  17. Aelius Aristides as Informed Patient and Physician.

    Science.gov (United States)

    Petridou, Georgia

    2016-01-01

    Aelius Aristides, one of the most renowned orators of the so-called second sophistic, has often been thought of as the paradigmatic patient who surrendered his physical and psychological health to Asclepius, and spent a large part of his life in the temple of the god at Pergamum blindly following divine orders on diet and regimen. This study looks at the Hieroi Logoi as an illness narrative and argues against such a simplistic view and in favour of a more complex picture: Aristides is a far cry far from the submissive patient, who idly resided in the Pergamene Asclepieion relying exclusively on the therapeutic powers of the god and his human helpers. In fact, through a close reading of a selection of passages from the Hieroi Logoi a whole new image of Aristides emerges: the informed patient who is not only in possession of the basics of the medical discourse but who also functions as a physician of sorts, taking both his own life and the lives of others into his hands. This new type of patient, the knowledgeable patient, who is well-versed in medical matters and envisages himself as an active agent of the healing process and an equally important partner in the medical encounter, ties well with other testimonies we have about knowledgeable patients mostly to be found amongst the members of the socio-political elite of the time. PMID:26946690

  18. Helping patients to give informed consent.

    Science.gov (United States)

    Dorrity, Austin; Mee, Steve; Buckley, Alison; Corless, Louise

    This is the second article in a seven-part series demonstrating the value of analysing patient narratives in nursing and nurse education. Part 1 reviewed the evidence regarding the use of narrative and focused on unintended communication. This article draws on a story exploring consent and capacity, and demonstrates the lessons that can be learnt for all fields of nursing. We hope your reflections on the narratives will help to inform your professional practice and provide evidence for revalidation. PMID:27145672

  19. Informal patient payments in oncology practice

    Directory of Open Access Journals (Sweden)

    Fomenko, Tetiana

    2012-07-01

    Full Text Available BACKGROUND: In Europe, new cases of cancer are diagnosed in 4 million people yearly, of whom 837 000 die. In Ukraine of 160 000 new cases almost 100 000 die. With proper treatment, one third of cancer cases is curable, but informal payments (IPP in health care limit access to treatment. We aimed to explore the experience of people treated for cancer to identify obstacles in obtaining health care and the expert opinion about health care for cancer patients in Ukraine.METHODS: The study is exploratory. Semi-structured in-depth interviews were conducted with 15 convenience sample patients or their relatives as well as with three experts between October 2011 – April 2012. RESULTS. Solicitation or receipt of IPP depends on the organizational culture. Respondents do not mind about IPP, but want this to be their own decision. IPP are often considered a “thank” to the medical staff for the service. The significant percentage of expenditures while in treatment for patients is due to purchases of medicines at their own expense. The problem of a long process of diagnostics and incomplete information by the medical staff about the stage of cancer and possible prognoses are essential for the respondents. According to experts not sufficient number of specialists and equipment for proper diagnosis and treatment is another problem. The attitude of medical staff to the patient with cancer largely depends on the personal features of the staff.CONCLUSIONS: Significant problems perceived by cancer patients are related to purchase of medicines at their own expense, structural and organizational features of hospitals, where they are staying for the treatment. Informal payments largely depend on the personal qualities of medical staff. The government must ensure fairness and equal access in getting care in oncology practice because it mainly affects the health of the nation.

  20. [Quality control of printed patient information].

    Science.gov (United States)

    Herm, Kerstin; Linden, Michael

    2013-05-01

    Printed material is an important part in patient information and is called bibliotherapy. It is subject to quality control similar to any other types of treatment. This paper presents an outline of important quality criteria and methods of quality control. Important quality criteria are: (a) Correctness and validity of content evaluated by mentioning the expertise of the authors, appraisal through external experts, reference to scientific literature, and empirical tests of the content, (b) Readability in respect to text structure measured by the "Flesch-Reading-Ease-Formula" supported by fair graphical design including fond and structure of text, (c) Comprehensibility tested by feedback of patients or standardized by the Hamburg comprehensibility rating, (d) Utility including securing availability, acceptance, differential indication and use. Writing and publication of patient leaflets must be accompanied by quality control measures. PMID:23446824

  1. Information based universal feature extraction

    Science.gov (United States)

    Amiri, Mohammad; Brause, Rüdiger

    2015-02-01

    In many real world image based pattern recognition tasks, the extraction and usage of task-relevant features are the most crucial part of the diagnosis. In the standard approach, they mostly remain task-specific, although humans who perform such a task always use the same image features, trained in early childhood. It seems that universal feature sets exist, but they are not yet systematically found. In our contribution, we tried to find those universal image feature sets that are valuable for most image related tasks. In our approach, we trained a neural network by natural and non-natural images of objects and background, using a Shannon information-based algorithm and learning constraints. The goal was to extract those features that give the most valuable information for classification of visual objects hand-written digits. This will give a good start and performance increase for all other image learning tasks, implementing a transfer learning approach. As result, in our case we found that we could indeed extract features which are valid in all three kinds of tasks.

  2. Solving Information-Based Problems: Evaluating Sources and Information

    Science.gov (United States)

    Brand-Gruwel, Saskia; Stadtler, Marc

    2011-01-01

    The focus of this special section is on the processes involved when solving information-based problems. Solving these problems requires from people that they are able to define the information problem, search and select usable and reliable sources and information and synthesise information into a coherent body of knowledge. An important aspect…

  3. Sound source information to improve cardiothoracic patients' comfort.

    Science.gov (United States)

    Mackrill, Jamie; Cain, Rebecca; Jennings, Paul; England, Michelle

    Hospital sound has been well documented through acoustic measurement and the classification of its adverse effects on patients and nurses. However, little consideration has been given to how the perception of these unavoidable soundscapes can be improved. For instance, does a better understanding of the variety of sounds improve patients' feeling? This paper begins to answer this and documents a pilot questionnaire-based study looking at the effects and potential benefits of sound source information (SSI) on patients' subjective reactions to a ward soundscape. The study was carried out from July to September 2011 with 31 patients in a cardiothoracic ward. Although strong inferences were not made, it was found that this simple intervention created a 21-26% positive change perception (pcomfortable. PMID:23588015

  4. Knowledge, mistakes, communication with patients and informed consent

    Directory of Open Access Journals (Sweden)

    Alessandra De Palma

    2013-04-01

    Full Text Available BACKGROUND Communication is very important in medical activity, particularly to maintain or re-establish trust-based relationships between patients, doctors, nurses and all the people who work in Hospital or for the Italian National Health Service. Health services include the relationship between doctors and patients: the partnership is important as much as the technical ability in Medicine. But it is difficult to learn empathy: doctors are not taught about that at University, nor afterwards, at least not sufficiently. CONCLUSIONS The informed consent form, even if it is very detailed, is not the real answer to that problem.

  5. The helpful patient record system: problem oriented and knowledge based.

    OpenAIRE

    Bayegan, Elisabeth; Tu, Samson

    2002-01-01

    In contrast to existing computerized patient record systems, which merely offer static functionality for storage and presentation, a helpful patient record system is a problem-oriented, knowledge-based system which provides the clinician with situation-specific information from the patient record, relevant to the activity within the patient care process. We suggest extending the data model of current patient record systems with (1) knowledge for recognizing and interpreting care situations, (...

  6. [Supervised administration of Alzheimer's patients using information communication technology].

    Science.gov (United States)

    Noda, Yasuha; Sakata, Yoshifumi; Kubota, Masakazu; Uemura, Kengo; Kihara, Takeshi; Kimura, Toru; Ino, Masashi; Tsuji, Teruyuki; Hayashi, Michiyuki; Kinoshita, Ayae

    2014-12-01

    Drug adherence is central to the treatment of dementia, which might reduce compliance due to memory loss, particularly among home-based patients with dementia. In order to improve drug adherence, we suggest the efficient and effective supervised administration by use of information communication technology(ICT). ICT makes face-to-face real-time communication possible, and it also enables picture sharing. Therefore, it might be useful to apply ICT to controlling and supervising medication for patients with dementia to improve drug adherence. Accordingly, we enrolled patients who were supposed to take a newly prescribed anti-dementia patch containing the choline esterase inhibitor rivastigmine(Rivastach®)and investigated the effect of ICT-based intervention for drug adherence, emotional change, and cognitive change, utilizing Skype, a free communication software program. Scheduled Skype interventions increased drug adherence ratio, levels of subjective satisfaction, and instrumental activities of daily living(IADL). Furthermore, we can provide patients and their caregivers with a feeling of safety through regular bidirectional communication, as patients can easily consult medical staff regarding the adverse effects of newly prescribed drugs. Instead of frequent visits to their primary physicians, ICT-based communications can be used as a substitute for supervision of medication, given the availability of the telecommunication system. By directly connecting the medical institution to the home, we expect that this ICT-based system will expand into the geriatric care field, including the care of elderly individuals living alone. PMID:25595075

  7. Informing cancer patient in relation to his type of personality: the emotional-hyperthymic (dramatizing) patient.

    Science.gov (United States)

    Kallergis, G

    2011-01-01

    Informing a cancer patient has been an issue of particular interest to the scientific community over the last 50 years. Since 1989 we have been studying the characters or personality types based on the Kahana and Bibring's approach as part of Consultation-Liaison (C-L) Psychiatry. The question posed was how these characters or personality types could be useful in the process of informing the cancer patient. The aim of this paper was to describe the emotional-hyperthymic character or type of personality thoroughly, so that any physician can make a diagnosis and tailor the information strategy to the patient's needs. The qualitative method of research through groups with doctors and nurses was used, while the research within groups lasted for 5 years. The degree of patients' denial varied between "large" and "very large" and sometimes was "medium". Initially, the degree of information was "minimal", then "small" until it reached "medium". A discordance was evident between what the patient showed and what the family reported about him. The patient presented himself as courageous and extrovert, but the relatives considered him as faint-hearted. PMID:22331735

  8. Cancer Carepartners: Improving patients' symptom management by engaging informal caregivers

    Directory of Open Access Journals (Sweden)

    Silveira Maria J

    2011-11-01

    Full Text Available Abstract Background Previous studies have found that cancer patients undergoing chemotherapy can effectively manage their own symptoms when given tailored advice. This approach, however, may challenge patients with poor performance status and/or emotional distress. Our goal is to test an automated intervention that engages a friend or family member to support a patient through chemotherapy. Methods/Design We describe the design and rationale of a randomized, controlled trial to assess the efficacy of 10 weeks of web-based caregiver alerts and tailored advice for helping a patient manage symptoms related to chemotherapy. The study aims to test the primary hypothesis that patients whose caregivers receive alerts and tailored advice will report less frequent and less severe symptoms at 10 and 14 weeks when compared to patients in the control arm; similarly, they will report better physical function, fewer outpatient visits and hospitalizations related to symptoms, and greater adherence to chemotherapy. 300 patients with solid tumors undergoing chemotherapy at two Veteran Administration oncology clinics reporting any symptom at a severity of ≥4 and a willing informal caregiver will be assigned to either 10 weeks of automated telephonic symptom assessment (ATSA alone, or 10 weeks of ATSA plus web-based notification of symptom severity and problem solving advice to their chosen caregiver. Patients and caregivers will be surveyed at intake, 10 weeks and 14 weeks. Both groups will receive standard oncology, hospice, and palliative care. Discussion Patients undergoing chemotherapy experience many symptoms that they may be able to manage with the support of an activated caregiver. This intervention uses readily available technology to improve patient caregiver communication about symptoms and caregiver knowledge of symptom management. If successful, it could substantially improve the quality of life of veterans and their families during the stresses of

  9. A Web-Based Psychoeducational Program for Informal Caregivers of Patients With Alzheimer’s Disease: A Pilot Randomized Controlled Trial

    Science.gov (United States)

    Wrobel, Jérémy; Cantegreil-Kallen, Inge; Dub, Timothée; Rouquette, Alexandra; Rigaud, Anne-Sophie

    2015-01-01

    Background Although several face-to-face programs are dedicated to informal caregivers of persons with dementia, they are not always accessible to overburdened or isolated caregivers. Based on a face-to-face intervention program, we adapted and designed a Web-based fully automated psychoeducational program (called Diapason) inspired by a cognitive approach. Objective This study aimed to evaluate through a pilot unblinded randomized controlled trial the efficacy and acceptability of a Web-based psychoeducational program for informal caregivers of persons with Alzheimer’s disease (PWAD) based on a mixed methods research design. Methods We recruited and randomized offline 49 informal caregivers of a PWAD in a day care center in Paris, France. They either received the Web-based intervention and usual care for 3 months (experimental group, n=25) or only usual care (control group, n=24). Caregivers’ perceived stress (PSS-14, primary outcome), self-efficacy, burden, perceived health status, and depression (secondary outcomes) were measured during 3 face-to-face on-site visits: at baseline, at the end of the program (month 3), and after follow-up (month 6). Additionally, semistructured interviews were conducted with experimental group caregivers at month 6 and examined with thematic analysis. Results Intention-to-treat analysis did not show significant differences in self-perceived stress between the experimental and control groups (P=.98). The experimental group significantly improved their knowledge of the illness (d=.79, P=.008) from baseline to month 3. Of the 25 participants allocated to the experimental group, 17 (71%) finished the protocol and entirely viewed at least 10 of 12 online sessions. On average, participants used the website 19.72 times (SD 12.88) and were connected for 262.20 minutes (SD 270.74). The results of the satisfaction questionnaire showed that most participants considered the program to be useful (95%, 19/20), clear (100%, 20/20), and

  10. Effective information spreading based on local information in correlated networks

    CERN Document Server

    Gao, Lei; Pan, Liming; Tang, Ming; Zhang, Hai-Feng

    2016-01-01

    Using network-based information to facilitate information spreading is an essential task for spreading dynamics in complex networks, which will benefit the promotion of technical innovations, healthy behaviors, new products, etc. Focusing on degree correlated networks, we propose a preferential contact strategy based on the local network structure and local informed density to promote the information spreading. During the spreading process, an informed node will preferentially select a contact target among its neighbors, basing on their degrees or local informed densities. By extensively implementing numerical simulations in synthetic and empirical networks, we find that when only consider the local structure information, the convergence time of information spreading will be remarkably reduced if low-degree neighbors are favored as contact targets. Meanwhile, the minimum convergence time depends non-monotonically on degree-degree correlation, and moderate correlation coefficients result in most efficient info...

  11. Information-seeking behavior of cardiovascular disease patients in Isfahan University of Medical Sciences hospitals

    OpenAIRE

    Zamani, Maryam; Soleymani, Mohammad Reza; Afshar, Mina; Shahrzadi, Leila; Zadeh, Akbar Hasan

    2014-01-01

    Background: Patients, as one of the most prominent groups requiring health-based information, encounter numerous problems in order to obtain these pieces of information and apply them. The aim of this study was to determine the information-seeking behavior of cardiovascular patients who were hospitalized in Isfahan University of Medical Sciences hospitals. Materials and Methods: This is a survey research. The population consisted of all patients with cardiovascular disease who were hospitaliz...

  12. Informal information for web-based engineering catalogues

    Science.gov (United States)

    Allen, Richard D.; Culley, Stephen J.; Hicks, Ben J.

    2001-10-01

    Success is highly dependent on the ability of a company to efficiently produce optimal designs. In order to achieve this companies must minimize time to market and possess the ability to make fully informed decisions at the early phase of the design process. Such decisions may include the choice of component and suppliers, as well as cost and maintenance considerations. Computer modeling and electronic catalogues are becoming the preferred medium for the selection and design of mechanical components. In utilizing these techniques, the designer demands the capability to identify, evaluate and select mechanical components both quantitatively and qualitatively. Quantitative decisions generally encompass performance data included in the formal catalogue representation. It is in the area of qualitative decisions that the use of what the authors call 'Informal Information' is of crucial importance. Thus, 'Informal Information' must often be incorporated into the selection process and selection systems. This would enable more informed decisions to be made quicker, without the need for information retrieval via discussion with colleagues in the design environment. This paper provides an overview of the use of electronic information in the design of mechanical systems, including a discussion of limitations of current technology. The importance of Informal Information is discussed and the requirements for association with web based electronic catalogues are developed. This system is based on a flexible XML schema and enables the storage, classification and recall of Informal Information packets. Furthermore, a strategy for the inclusion of Informal Information is proposed, and an example case is used to illustrate the benefits.

  13. Chemotherapy and information-seeking behaviour: characteristics of patients using mass-media information sources.

    NARCIS (Netherlands)

    Muusses, L.D.; Weert, J.C.M. van; Dulmen, S. van; Jansen, J.

    2012-01-01

    Objective: Fulfilling patients' information needs can help them cope with illness and improve their well-being. Little research has been conducted on the characteristics of patients using different information sources. This study aims to get insight into which information sources patients receiving

  14. Web-Based Information Extraction Technology

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Information extraction techniques on the Web are the current research hotspot. Now many information extraction techniques based on different principles have appeared and have different capabilities. We classify the existing information extraction techniques by the principle of information extraction and analyze the methods and principles of semantic information adding, schema defining,rule expression, semantic items locating and object locating in the approaches. Based on the above survey and analysis,several open problems are discussed.

  15. Ontology-based Information Retrieval

    DEFF Research Database (Denmark)

    Styltsvig, Henrik Bulskov

    In this thesis, we will present methods for introducing ontologies in information retrieval. The main hypothesis is that the inclusion of conceptual knowledge such as ontologies in the information retrieval process can contribute to the solution of major problems currently found in information......, as well as how to fuse together the ideas of ontological similarity and ontological indexing into a realistic information retrieval scenario. To achieve the recognition of semantic knowledge in a text, shallow natural language processing is used during indexing that reveals knowledge to the level of noun...

  16. Recommendations for responsible monitoring and regulation of clinical software systems. American Medical Informatics Association, Computer-based Patient Record Institute, Medical Library Association, Association of Academic Health Science Libraries, American Health Information Management Association, American Nurses Association.

    Science.gov (United States)

    Miller, R A; Gardner, R M

    1997-01-01

    In mid-1996, the FDA called for discussions on regulation of clinical software programs as medical devices. In response, a consortium of organizations dedicated to improving health care through information technology has developed recommendations for the responsible regulation and monitoring of clinical software systems by users, vendors, and regulatory agencies. Organizations assisting in development of recommendations, or endorsing the consortium position include the American Medical Informatics Association, the Computer-based Patient Record Institute, the Medical Library Association, the Association of Academic Health Sciences Libraries, the American Health Information Management Association, the American Nurses Association, the Center for Healthcare Information Management, and the American College of Physicians. The consortium proposes four categories of clinical system risks and four classes of measured monitoring and regulatory actions that can be applied strategically based on the level of risk in a given setting. The consortium recommends local oversight of clinical software systems, and adoption by healthcare information system developers of a code of good business practices. Budgetary and other constraints limit the type and number of systems that the FDA can regulate effectively. FDA regulation should exempt most clinical software systems and focus on those systems posing highest clinical risk, with limited opportunities for competent human intervention. PMID:9391932

  17. How health information is received by diabetic patients?

    Directory of Open Access Journals (Sweden)

    Firoozeh Zare-Farashbandi

    2015-01-01

    Full Text Available Background: Knowledge of correct information-seeking behavior by the patients can provide health specialists and health information specialists with valuable information in improving health care. This study aimed to investigate the passive receipt and active seeking of health information by diabetic patients. Materials and Methods: A survey method was used in this research on 6426 diabetic patients of whom 362 patients were selected by a no percentage stratified random sampling. The Longo information-seeking behavior questionnaire was used to collect data and they were analyzed by SPSS 20 software. Results: The most common information source by diabetic patients was practitioners (3.12. The minimum usage among the information sources were from charity organizations and emergency phone lines with a usage of close to zero. The amount of health information gained passively from each source has the lowest average of 4.18 and usage of this information in making health decision has the highest average score of 5.83. Analysis of the data related to active seeking of information showed that knowledge of available medical information from each source has the lowest average score of 3.95 and ability in using the acquired information for making medical decisions has the highest average score of 5.28. The paired t-test showed that differences between passive information receipt (41.68 and active information seeking (39.20 considered as statistically significant (P < 0.001. Conclusion: Because diabetic patients are more passive information receivers than active information seekers, the health information must be distributed by passive means to these patients. In addition, information-seeking behavior during different time periods should be investigated; to identify more effective distribution of health information.

  18. Theoretical bases of information protection. Textbook

    International Nuclear Information System (INIS)

    The textbook presents the basic concepts and methods of information security, based on mathematical apparatus transformation and research information signals, measurement technology, transmission and processing of information, signals and data, on noise proof encoding, using modern information channels of information transmission, on encryption and decryption algorithms, quilted and cryptography, digital signature and so on. Along with algorithmic and technical methods are considered protection of confidential and commercial information, protection against unauthorized access, intellectual property protection, legislative protection of information, and international standards of information security.

  19. Hospitals need to customise care according to patients' differing information-seeking behaviour

    DEFF Research Database (Denmark)

    Riiskjær, Erik; Ammentorp, Jette; Nielsen, Jørn Flohr;

    2014-01-01

    INTRODUCTION: The aim of the study was to describe how often patients seek information about their disease in connection with contact to a hospital and to elucidate how information-seeking behaviour is related to the patients' perception of this contact. MATERIAL AND METHODS: The study was based ...

  20. Cognitive Investigation Study of Patients Admitted for Cosmetic Surgery: Information, Expectations, and Consent for Treatment

    OpenAIRE

    Barone, Mauro; Cogliandro, Annalisa; La Monaca, Giuseppe; Tambone, Vittoradolfo; Persichetti, Paolo

    2015-01-01

    Background In all branches of medicine, it is the surgeon's responsibility to provide the patient with accurate information before surgery. This is especially important in cosmetic surgery because the surgeon must focus on the aesthetic results desired by the patient. Methods An experimental protocol was developed based on an original questionnaire given to 72 patients. The nature of the responses, the patients' motivation and expectations, the degree of patient awareness regarding the planne...

  1. Imaging based, patient specific dosimetry

    International Nuclear Information System (INIS)

    that this can be performed is either by sequential planar scintillation camera measurements or by SPECT methods. Scintillation cameras generally have a low spatial resolution and sensitivity (cps/MBq) due to the collimator. The resolution is in order of 1-2 cm depending on the source location and radionuclide characteristics. Image noise is also a major problem since only a small activity is given for pre-planning which can degrade the image quality. Dosimetry using 2D planar imaging and the conjugate-view activity quantitation method have been used for many years. The quantification of the activity includes several approximations. In a planar acquisition the source depth in the patient is not resolved which makes the correction for photon attenuation and unwanted contribution from scattered photons to the image less accurate and consistent. Furthermore, contributions from activity uptakes that overlap the volume of interest in the image is a major problem. For calculation of the absorbed dose, the organ mass also needs to be determined, which can be made using patient CT images, or, using less accurate estimations from standardized phantom geometries. The energy deposition and transport is done based on pre-calculated dose factors from standardized phantom geometries. Despite these problems, the conjugate-view method has been the major choice for many dosimetrical studies. SPECT provide a possibility for 3D activity measurements. In this method, correction for non-homogeneous photon attenuation, scatter and loss of spatial resolution due to the collimator are today quite accurate when incorporated in iterative reconstruction methods. SPECT also allows for an accurate 3D absorbed dose calculation in that the patient's geometry can be taken into consideration if a co-registered CT study of the patient is available. Modern hybrid SPECT/CT cameras make such calculations relatively straight-forward. A major advantage using SPECT imaging is also that the absorbed dose

  2. Spatial Information Based Medical Image Registration using Mutual Information

    Directory of Open Access Journals (Sweden)

    Benzheng Wei

    2011-06-01

    Full Text Available Image registration is a valuable technique for medical diagnosis and treatment. Due to the inferiority of image registration using maximum mutual information, a new hybrid method of multimodality medical image registration based on mutual information of spatial information is proposed. The new measure that combines mutual information, spatial information and feature characteristics, is proposed. Edge points are used as features, obtained from a morphology gradient detector. Feature characteristics like location, edge strength and orientation are taken into account to compute a joint probability distribution of corresponding edge points in two images. Mutual information based on this function is minimized to find the best alignment parameters. Finally, the translation parameters are calculated by using a modified Particle Swarm Optimization (MPSO algorithm. The experimental results demonstrate the effectiveness of the proposed registration scheme.

  3. Satisfaction with information provided to Danish cancer patients

    DEFF Research Database (Denmark)

    Ross, Lone; Petersen, Morten Aagaard; Johnsen, Anna Thit; Lundstrøm, Louise Hyldborg; Grønvold, Mogens

    2013-01-01

    To validate five items (CPWQ-inf) regarding satisfaction with information provided to cancer patients from health care staff, assess the prevalence of dissatisfaction with this information, and identify factors predicting dissatisfaction.......To validate five items (CPWQ-inf) regarding satisfaction with information provided to cancer patients from health care staff, assess the prevalence of dissatisfaction with this information, and identify factors predicting dissatisfaction....

  4. NLM Evidence-based Information At Your Fingertips - NMA

    Energy Technology Data Exchange (ETDEWEB)

    McMurray, L.

    2010-08-02

    The National Library of Medicine: Evidenced-Based Information at Your Fingertips workshop is designed specifically for physicians attending the Community Medicine and Public Health Section portion of the National Medical Association 2010 Annual Convention and Scientific Assembly. This course seeks to address the digital divide issue by teaching participants to use the NLM resources and to improve their ability to use health information echnology to treat their patients and develop strategies to eliminate race-based disparities in health.

  5. Information modelling and knowledge bases XXV

    CERN Document Server

    Tokuda, T; Jaakkola, H

    2014-01-01

    Because of our ever increasing use of and reliance on technology and information systems, information modelling and knowledge bases continue to be important topics in those academic communities concerned with data handling and computer science. As the information itself becomes more complex, so do the levels of abstraction and the databases themselves. This book is part of the series Information Modelling and Knowledge Bases, which concentrates on a variety of themes in the important domains of conceptual modeling, design and specification of information systems, multimedia information modelin

  6. Information Audit Based on Image Content Filtering

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    At present, network information audit system is almost based on text information filtering, but badness information is embedded into image or image file directly by badness information provider, in order to avoid monitored by. The paper realizes an information audit system based on image content filtering. Taking the pornographic program identification for an example, the system can monitor the video including any abnormal human body information by matching the texture characters with those defined in advance, which consist of contrast, energy, correlation measure and entropy character measure and so on.

  7. HOSPITAL INFORMATION SYSTEMS: A STUDY OF ELECTRONIC PATIENT RECORDS

    Directory of Open Access Journals (Sweden)

    Pedro Luiz Cortês

    2011-05-01

    Full Text Available The importance of patient records, also known as medical records, is related to different needs and objectives, as they constitute permanent documents on the health of patients. With the advancement of information technologies and systems, patient records can be stored in databases, resulting in a positive impact on patient care. Based on these considerations, a research question that arises is “what are the benefits and problems that can be seen with the use of electronic versions of medical records?” This question leads to the formulation of the following hypothesis: although problems can be identified during the process of using electronic record systems, the benefits outweigh the difficulties, thereby justifying their use. To respond to the question and test the presented hypothesis, a research study was developed with users of the same electronic record system, consisting of doctors, nurses, and administrative personnel in three hospitals located in the city of São Paulo, Brazil. The results show that, despite some problems in their usage, the benefits of electronic patient records outweigh possible disadvantages.

  8. Rule-based information integration

    OpenAIRE

    Keijzer, de, S.; Keulen, van, H.

    2005-01-01

    In this report, we show the process of information integration. We specifically discuss the language used for integration. We show that integration consists of two phases, the schema mapping phase and the data integration phase. We formally define transformation rules, conversion, evolution and versioning. We further discuss the integration process from a data point of view.

  9. Patients' need for information prior to colonic surgery.

    Science.gov (United States)

    Sjöstedt, Lisbeth; Hellström, Renee; Stomberg, Margareta Warrén

    2011-01-01

    Perioperative information and communication between patients and health professionals is central to the quality of care and patient involvement for elective colon surgery. Enhanced recovery after surgery (ERAS) means that the care process is accelerated with comprehensive information and additional requirements on an individual. The purpose of this study was to identify nurses' and doctors' experience of patients' need for information before intraoperative care. Nurses (n = 39) with different specialties and professional experience were interviewed in focus groups. Ten anesthesiologists with differing professional experience were interviewed individually. Data were analyzed with qualitative content analysis. The result shows the need to provide information to reduce anxiety, to make the patient feel safe, to explain postoperative pain management, and to provide a comprehensive care pathway. There was no difference between the informants' perception of patients' information needs. All respondents agreed that patients generally have a great need for information. The perioperative information should be repeated at different points in time. The patients' need for information on diagnosis is recurrent. Knowledge, good communication, and attitude from a multiprofessional perspective support the patient's feeling comfortable and involved in the care prior to surgery. PMID:21979401

  10. [The information of the schizophrenic patient: actuality].

    Science.gov (United States)

    Palazzolo, J; Brousse, G; Favre, P; Llorca, P-M

    2005-01-01

    schizophrenia can come alive talking about things in the past before they became ill. It's as if their life grinded to halt when they became sick. I'm stuck in the mid seventies, and that's the music I like. Everybody I know with schizophrenia is quite isolated socially and I don't really know why. That is especially true for the older people in my age group. Younger people seem to be doing much better. Many still live with their parents. Most older people live alone. There is also the odd person who recovers well, returns to a career, and marries someone without schizophrenia. In cases where marriage predates the onset of schizophrenia, the outcome is often divorce although women are more likely to stick with their husbands with schizophrenia than vice versa, especially if there are already children. I hope the next generation who appears to be less disabled survives better than people of my age with schizophrenia. The goal of community integration is one that requires: more effective treatments and/or more financial support and/or a compassionate non-discriminating community. The combination of early diagnosis and atypical medications will change the face of schizophrenia. I'm not expecting more financial support from the government, but many more people with schizophrenia will start working again instead. Their social networks will develop but social networks are probably the hardest hit in schizophrenia. It's better that you never lose your friends in the first place". This testimony shows how the information of the schizophrenic patient is necessary, and underlines the importance of the relationships between the patient and his family. Our article insists on this theme, rarely developed in the literature. PMID:15959449

  11. Image matching navigation based on fuzzy information

    Institute of Scientific and Technical Information of China (English)

    田玉龙; 吴伟仁; 田金文; 柳健

    2003-01-01

    In conventional image matching methods, the image matching process is mostly based on image statistic information. One aspect neglected by all these methods is that there is much fuzzy information contained in these images. A new fuzzy matching algorithm based on fuzzy similarity for navigation is presented in this paper. Because the fuzzy theory is of the ability of making good description of the fuzzy information contained in images, the image matching method based on fuzzy similarity would look forward to producing good performance results. Experimental results using matching algorithm based on fuzzy information also demonstrate its reliability and practicability.

  12. Individual patient information to select patients for different radiation techniques

    NARCIS (Netherlands)

    Quik, E. H.; Feenstra, T. L.; Postmus, D.; Slotman, B. J.; Leemans, C. R.; Krabbe, P. F. M.; Langendijk, J. A.

    2016-01-01

    Background and purpose: Proton therapy is an emerging technique in radiotherapy which results in less dose to the normal tissues with similar target dose than photon therapy, the current standard. Patient-level simulation models support better decision making on which patients would benefit most. Ma

  13. OPIC: Ontology-driven Patient Information Capturing system for epilepsy.

    Science.gov (United States)

    Sahoo, Satya S; Zhao, Meng; Luo, Lingyun; Bozorgi, Alireza; Gupta, Deepak; Lhatoo, Samden D; Zhang, Guo-Qiang

    2012-01-01

    The widespread use of paper or document-based forms for capturing patient information in various clinical settings, for example in epilepsy centers, is a critical barrier for large-scale, multi-center research studies that require interoperable, consistent, and error-free data collection. This challenge can be addressed by a web-accessible and flexible patient data capture system that is supported by a common terminological system to facilitate data re-usability, sharing, and integration. We present OPIC, an Ontology-driven Patient Information Capture (OPIC) system that uses a domain-specific epilepsy and seizure ontology (EpSO) to (1) support structured entry of multi-modal epilepsy data, (2) proactively ensure quality of data through use of ontology terms in drop-down menus, and (3) identify and index clinically relevant ontology terms in free-text fields to improve accuracy of subsequent analytical queries (e.g. cohort identification). EpSO, modeled using the Web Ontology Language (OWL), conforms to the recommendations of the International League Against Epilepsy (ILAE) classification and terminological commission. OPIC has been developed using agile software engineering methodology for rapid development cycles in close collaboration with domain expert and end users. We report the result from the initial deployment of OPIC at the University Hospitals Case Medical Center (UH CMC) epilepsy monitoring unit (EMU) as part of the NIH-funded project on Sudden Unexpected Death in Epilepsy (SUDEP). Preliminary user evaluation shows that OPIC has achieved its design objectives to be an intuitive patient information capturing system that also reduces the potential for data entry errors and variability in use of epilepsy terms. PMID:23304354

  14. Patient information and education with modern media: the Spine Society of Europe Patient Line

    OpenAIRE

    Pellisé, Ferran; SELL, P.

    2009-01-01

    The role of the patient as an active partner in health care, and not just a passive object of diagnostic testing and medical treatment, is widely accepted. Providing information to patients is considered a crucial issue and the central focus in patient educational activities. It is necessary to educate patients on the nature of the outcomes and the benefits and risks of the procedures to involve them in the decision-making process and enable them to achieve fully informed consent. Information...

  15. Patient autonomy and relatives' right to know genetic information.

    Science.gov (United States)

    Gilbar, Roy

    2007-12-01

    One of the most difficult issues doctors face is a conflict between their professional duties. Such a conflict may arise when doctors know that information has implications not only for patients but also for family members but their duty of confidentiality prevents them from disclosing it. A comparative analysis of English and Israeli medical law reveals that the doctors' duty is based on two principles: a liberal perception of patient autonomy and an overriding utilitarian principle of prevention of harm. However, socio-medical research indicates that these principles do not entirely reflect the views of patients and doctors and are too narrow to deal with the complex situations in practice. Thus, it is argued that the doctor's legal duty of confidentiality should be reconsidered and qualified when it concerns the family. It is suggested that if medical law seeks to recognize the various interests family members have in genetic information then we should consider a different approach, founded on a relational interpretation of autonomy and communitarian notions of solidarity and moral responsibility. This approach perceives confidentiality and privacy as embracing the family unit, based on the view that close relatives are not entirely outside the private sphere of the individual but rather are integral to his or her identity. Thus, to the utilitarian mechanism available in medical law this approach adds a social criterion: The effect any decision (to disclose or not to disclose) will have on the familial relationship and on the dynamics of the particular family. This will provide a more flexible and workable alternative for doctors to resolve familial tensions over access to genetic information. PMID:18284110

  16. Liguistic scale based information processing

    Czech Academy of Sciences Publication Activity Database

    Mareš, Milan; Mesiar, Radko

    Antalya : b-Quadrat Verlag, 2007 - (Pedrycz, W.; Aliev, R.; Jamshidi, M.; Turksen, B.), s. 56-62 ISBN 3-933609-24-2. [International Conference on Soft Computing, Computing with Words and Perception in Systems /4./. Antalya (TR), 27.08.2007-28.08.2007] R&D Projects: GA MŠk(CZ) 1M0572 Institutional research plan: CEZ:AV0Z10750506 Keywords : Fuzzy set * triangular norm * information processing * fuzzy logic * linguistics Subject RIV: BB - Applied Statistics, Operational Research

  17. Patient Education as an Information System, Healthcare Tool and Interaction

    Science.gov (United States)

    Pirhonen, Antti; Silvennoinen, Minna; Sillence, Elizabeth

    2014-01-01

    Patient education (PE) has a crucial role in the function of a healthcare organisation. For the care process of a patient, it is essential to get the right information at the right moment and in the right form. This paper analyses PE as the primary mode of interaction between a patient and a healthcare organisation. The approach is illustrated…

  18. An assessment of the preoperative information given to patients in the province of Karaman

    Directory of Open Access Journals (Sweden)

    Ali Şahin

    2015-11-01

    Full Text Available The purpose of this research was to determine the status of information provision for patients in the preoperative period. Two hundred fifty patients undergoing surgery in the Karaman Public Hospital. A questionnaire prepared by the authors based on information in the literature and consisting of questions intended to determine patients’ sociodemographic characteristics and the preoperative provision of information was used as a data collection tool. Data were expressed as number, percentage, mean and standard deviation. Mean age of patients was 45±21.08 years. We determined that 47.2% had been given information concerning preoperative procedures and preoperative preparations, and that 7.6% had been given this information by nurses. In the light of the study findings, we conclude that physicians and nurses need to be more proactive in providing patients with preoperative information and that, considering the forgetfulness factor, such information should also be provided in written form.

  19. The Information Flow Analyzing Based on CPC

    Institute of Scientific and Technical Information of China (English)

    ZHANG Zhang; LI Hui

    2005-01-01

    The information flow chart within product life cycle is given out based on collaborative production commerce (CPC) thoughts. In this chart, the separated information systems are integrated by means of enterprise knowledge assets that are promoted by CPC from production knowledge. The information flow in R&D process is analyzed in the environment of virtual R&D group and distributed PDM. In addition, the information flow throughout the manufacturing and marketing process is analyzed in CPC environment.

  20. Information integrity and privacy for computerized medical patient records

    Energy Technology Data Exchange (ETDEWEB)

    Gallegos, J.; Hamilton, V.; Gaylor, T.; McCurley, K.; Meeks, T.

    1996-09-01

    Sandia National Laboratories and Oceania, Inc. entered into a Cooperative Research and Development Agreement (CRADA) in November 1993 to provide ``Information Integrity and Privacy for Computerized Medical Patient Records`` (CRADA No. SC93/01183). The main objective of the project was to develop information protection methods that are appropriate for databases of patient records in health information systems. This document describes the findings and alternative solutions that resulted from this CRADA.

  1. Development of an electronic radiation oncology patient information management system

    OpenAIRE

    Mandal Abhijit; Asthana Anupam; Aggarwal Lalit

    2008-01-01

    The quality of patient care is critically influenced by the availability of accurate information and its efficient management. Radiation oncology consists of many information components, for example there may be information related to the patient (e.g., profile, disease site, stage, etc.), to people (radiation oncologists, radiological physicists, technologists, etc.), and to equipment (diagnostic, planning, treatment, etc.). These different data must be integrated. A comprehensive informatio...

  2. AML Guide: Information for Patients and Caregivers

    Science.gov (United States)

    ... to have children later on) {{ Bone problems {{ Heart problems {{ Learning problems. Adults who are treated for AML may have {{ Fertility problems {{ Thyroid problems {{ Problems ... child’s learning skills should be checked. Want more information? You ...

  3. Painters and patients: how art informs medicine.

    Science.gov (United States)

    Wear, D

    1991-01-01

    This essay describes three movements in art--impressionism, cubism, and abstract expressionism--and how artists within each movement differed in their portrayal of reality. With this background, the author proposes that inquiry into the motives and methods of artists within each movement may help in our understanding of how a person experiences, interprets, and portrays reality. This, in turn, may translate into a recognition of the multiplicity of perspectives and the uniqueness of each patient's lived experience of his or her illness and that the doctor's vantage point on reality may not mesh with that of the patient. PMID:1936735

  4. Context based multimedia information retrieval

    OpenAIRE

    Mølgaard, Lasse Lohilahti; Hansen, Lars Kai; Larsen, Jan

    2009-01-01

    The large amounts of digital media becoming available require that new approaches are developed for retrieving, navigating and recommending the data to users in a way that refl ects how we semantically perceive the content. The thesis investigates ways to retrieve and present content for users with the help of contextual knowledge. Our approach to model the context of multimedia is based on unsupervised methods to automatically extract meaning. We investigate two paths of context modelling. T...

  5. INFORMATION-BASED CONFLICT IN AFRICA

    Directory of Open Access Journals (Sweden)

    Brett Van Niekerk

    2013-11-01

    Full Text Available For a long time, the African continent was regarded as the ‘Dark Continent’. The rapid assimilation of information technologies into the African economies has placed Africa firmly on a trajectory that will see it compete and integrate with the developed world. As nations and organisations become more information-centric, it is natural that conflicts and competition amongst the various nations or organisations will become increasingly information-based. In this article, the authors reflect upon information-based conflict in Africa. Areas of information conflict that are discussed include censorship, communications intercepts, the use of information and communications to instigate violence and uprisings, and the possibility of cyberwarfare. The article shows that the use of technology to conduct information conflict in Africa is prevalent, and that it is likely to increase.

  6. PATIENT PERCEPTION REGARDING PREOPERATIVE INFORMATION TO ANXIETY TOWARDS SURGERY

    Directory of Open Access Journals (Sweden)

    Devpriya

    2015-06-01

    Full Text Available OBJECTIVE: Surgeries are seen as stressors that activate preoperative fear. Preparing the patients prior to surgery through preoperative instruction develop crucial to anxiety level. The objective of study is to evaluate the perception of patients regarding anxiety prior to surgery. M ETHODS : A total of 273 patients attending the outpatient department of Hospital were taken in the study. All the patients were aged 20 - 60 years. The anxiety was measured by means of different questions like fear of surgery, pain due to surgery, postoperati ve complication, preoperative information of surgery etc. Student’s t - test, one - way ANOVA was performed to obtain the mean values of anxiety using SPSS 16.0 for Windows. RESULTS: It was found that all of the patients received preoperative information about the surgery to be done and most of them obtained information from doctors ( 27.6%, hospital management staff ( 24.3%, and nurses ( 22.5%. Fear of surgery ( 18.6% and pain ( 17.4% are most common factors among study participants. Significant results of anx iety was found with educational level and age ( p=0.000. CONCLUSION: All the patients got information prior to the surgery and main source of information were doctors, hospital management staff and nurses. Mostly patients were anxious of surgery and post - operative pain. Still, health professionals should plan to deliver appropriate information to help patients against this fear.

  7. Information-time based futures pricing

    Science.gov (United States)

    Yen, Simon; Wang, Jai Jen

    2009-09-01

    This study follows Clark [P.K. Clark, A subordinated stochastic process model with finite variance for speculative prices, Econometrica 41 (1973) 135-155] and Chang, Chang and Lim [C.W. Chang, S.K. Chang, K.G. Lim, Information-time option pricing: Theory and empirical evidence, Journal of Financial Economics 48 (1998) 211-242] to subordinate an information-time based directing process into calendar-time based parent processes. A closed-form futures pricing formula is derived after taking into account the information-time setting and the stochasticity of the spot price, interest rate, and convenience yield. According to the empirical results on the TAIEX and TFETX data from 1998/7/21 to 2003/12/31, the information-time based model performs better than its calendar-time based counterpart and the cost of carry model, especially when the information arrival intensity estimates become larger.

  8. [Verbal patient information through nurses--a case of stroke patients].

    Science.gov (United States)

    Christmann, Elli; Holle, Regina; Schüssler, Dörte; Beier, Jutta; Dassen, Theo

    2004-06-01

    The article represents results of a theoretical work in the field of nursing education, with the topic: Verbal Patient Information through Nurses--A Case of Stroke Patients. The literature review and analysis show that there is a shortage in (stroke) patient information generally and a lack of successful concepts and strategies for the verbal (stroke) patient information through nurses in hospitals. The authors have developed a theoretical basis for health information as a nursing intervention and this represents a model of health information as a "communicational teach-and-learn process", which is of general application to all patients. The health information takes place as a separate nursing intervention within a non-public, face-to-face communication situation and in the steps-model of the nursing process. Health information is seen as a learning process for patients and nurses too. We consider learning as information production (constructivism) and information processing (cognitivism). Both processes are influenced by different factors and the illness-situation of patients, personality information content and the environment. For a successful health information output, it is necessary to take care of these aspects and this can be realized through a constructivational understanding of didactics. There is a need for an evaluation study to prove our concept of health information. PMID:15281356

  9. Patient education, risk communication and informed choice

    OpenAIRE

    Andermann, Anne; Austoker, Joan; Joan Austoker

    2000-01-01

    This thesis describes research carried out to explore the needs, expectations and experiences of the increasing number of women with a family history of breast cancer who present to primary care. This work was intended to inform clinical practice and policy, and to directly address women's needs where possible. Although a great deal of research has looked at the experiences of women with a family history of breast cancer in a specialist setting, when this work began, no ...

  10. Informal caregivers of patients with COPD: Home Sweet Home?

    Directory of Open Access Journals (Sweden)

    Nienke Nakken

    2015-09-01

    Full Text Available The burden of chronic obstructive pulmonary disease (COPD on society is increasing. Healthcare systems should support patients with COPD in achieving an optimal quality of life, while limiting the costs of care. As a consequence, a shift from hospital care to home care seems inevitable. Therefore, patients will have to rely to a greater extent on informal caregivers. Patients with COPD as well as their informal caregivers are confronted with multiple limitations in activities of daily living. The presence of an informal caregiver is important to provide practical help and emotional support. However, caregivers can be overprotective, which can make patients more dependent. Informal caregiving may lead to symptoms of anxiety, depression, social isolation and a changed relationship with the patient. The caregivers' subjective burden is a major determinant of the impact of caregiving. Therefore, the caregiver's perception of the patient's health is an important factor. This article reviews the current knowledge about these informal caregivers of patients with COPD, the impact of COPD on their lives and their perception of the patient's health status.

  11. Informal caregivers of patients with COPD: Home Sweet Home?

    Science.gov (United States)

    Nakken, Nienke; Janssen, Daisy J A; van den Bogaart, Esther H A; Wouters, Emiel F M; Franssen, Frits M E; Vercoulen, Jan H; Spruit, Martijn A

    2015-09-01

    The burden of chronic obstructive pulmonary disease (COPD) on society is increasing. Healthcare systems should support patients with COPD in achieving an optimal quality of life, while limiting the costs of care. As a consequence, a shift from hospital care to home care seems inevitable. Therefore, patients will have to rely to a greater extent on informal caregivers. Patients with COPD as well as their informal caregivers are confronted with multiple limitations in activities of daily living. The presence of an informal caregiver is important to provide practical help and emotional support. However, caregivers can be overprotective, which can make patients more dependent. Informal caregiving may lead to symptoms of anxiety, depression, social isolation and a changed relationship with the patient. The caregivers' subjective burden is a major determinant of the impact of caregiving. Therefore, the caregiver's perception of the patient's health is an important factor. This article reviews the current knowledge about these informal caregivers of patients with COPD, the impact of COPD on their lives and their perception of the patient's health status. PMID:26324811

  12. Enterprise ontology based development of information systems

    OpenAIRE

    Albani, Antonia; Dietz, Jan L.G.

    2011-01-01

    For the development of enterprise information systems, the utilisation of a suitable methodology is essential, providing necessary methods and techniques for modelling the business domain and for designing the supporting information systems. Several methodologies exist and are widely applied in practice nowadays, but most of them lack a theoretical foundation. In this paper, we demonstrate an information system development methodology based on the notions of enterprise ontology and business c...

  13. Complementarity of information sent via different bases

    DEFF Research Database (Denmark)

    Wu, Shengjun; Yu, Sixia; Mølmer, Klaus

    2009-01-01

    We discuss quantitatively the complementarity of information transmitted by a quantum system prepared in a basis state in one out of several different mutually unbiased bases (MUBs). We obtain upper bounds on the information available to a receiver who has no knowledge of which MUB was chosen by...... the sender. These upper bounds imply a complementarity of information encoded via different MUBs and ultimately ensure the security in quantum key distribution protocols....

  14. Designing Patient-facing Health Information Technologies for the Outpatient Settings: A Literature Review

    Directory of Open Access Journals (Sweden)

    Yushi Yang

    2016-04-01

    Full Text Available Introduction: The implementation of health information technologies (HITs has changed the dynamics of doctor–patient communication in outpatient settings. Designing patient-facing HITs provides patients with easy access to healthcare information during the visit and has the potential to enhance the patient-centred care.   Objectives: The objectives of this study are to systematically review how the designs of patient-facing HITs have been suggested and evaluated, and how they may potentially affect the doctor–patient communication and patient-centred care.   Method: We conducted an online database search to identify articles published before December 2014 relevant to the objectives of this study. A total of nine papers have been identified and reviewed in this study.   Results: Designing patient-facing HITs is at an early stage. The current literature has been exploring the impact of HITs on doctor–patient communication dynamics. Based on the findings of these studies, there is an emergent need to design more patient-centred HITs. There are also some papers that focus on the usability evaluation of some preliminary prototypes of the patient-facing HITs. The design styles of patient-facing HITs included sharing the health information with the patients on: (1 a separate patient display, (2 a projector, (3 a portable tablet, (4 a touch-based screen and (5 a shared computer display that can be viewed by both doctors and patients. Each of them had the strengths and limitations to facilitate the patient-centred care, and it is worthwhile to make a comparison of them in order to identify future research directions.   Conclusion: The designs of patient-facing HITs in outpatient settings are promising in facilitating the doctor-patient communication and patient engagement. However, their effectiveness and usefulness need to be further evaluated and improved from a systems perspective.

  15. Readability of patient information can be improved

    DEFF Research Database (Denmark)

    Pilegaard, Morten; Ravn, Hanne Berg

    2012-01-01

    ethics committee (REC) members appreciate this problem. Material and methods: A retrospective analysis of ten REC applications were subjected to a naïve reading followed by structural analysis to generate themes and subthemes to guide structured REC member focus-group interviews. This analysis informed a...... prospective survey where REC members registered terms and phrases posing comprehension barriers to lay receivers. Results: Main barriers of comprehension were aspects of contents presentation and specialised terminology. Problematic terms centred mainly on epidemiology, design, descriptive and topographic...

  16. Parallel Patient Karyotype Information System using Multi-threads

    Directory of Open Access Journals (Sweden)

    Chantana CHANTRAPORNCHAI

    2015-09-01

    Full Text Available Human cytogenetic data are the typical laboratory results from hospitals. Karyogram is used to show the chromosome characteristics. The characteristics are written as karyotype strings. For a particular patient, there may be many records of karyotype strings due to several visits. These data for many patients are increasingly large and must be stored properly for further investigation and analysis. This research introduces the information system for the hospital for keeping the karyotypes of patients and applies the parallel method for searching required karyotypes, extracting related patient information. Particularly, we exploit the technology of Node.js with multithreads while splitting queries to search in parallel. The search method is integrated to the cytogenetic information system which is aimed to use for studying karyotypes of leukemia patients.

  17. Information and shared decision-making are top patients' priorities

    Directory of Open Access Journals (Sweden)

    Bronstein Alexander

    2006-02-01

    Full Text Available Abstract Background The profound changes in medical care and the recent stress on a patient-centered approach mandate evaluation of current patient priorities. Methods Hospitalized and ambulatory patients at an academic medical center in central Israel were investigated. Consecutive patients (n = 274 indicated their first and second priority for a change or improvement in their medical care out of a mixed shortlist of 6 issues, 3 related to patient-physician relationship (being better informed and taking part in decisions; being seen by the same doctor each time; a longer consultation time and 3 issues related to the organizational aspect of care (easier access to specialists/hospital; shorter queue for tests; less charges for drugs. Results Getting more information from the physician and taking part in decisions was the most desirable patient choice, selected by 27.4% as their first priority. The next choices – access and queue – also relate to more patient autonomy and control over that of managed care regulations. Patients studied were least interested in continuity of care, consultation time or cost of drugs. Demographic or clinical variables were not significantly related to patients' choices. Conclusion Beyond its many benefits, being informed by their doctor and shared decision making is a top patient priority.

  18. Patient Preferences for Information on Post-Acute Care Services.

    Science.gov (United States)

    Sefcik, Justine S; Nock, Rebecca H; Flores, Emilia J; Chase, Jo-Ana D; Bradway, Christine; Potashnik, Sheryl; Bowles, Kathryn H

    2016-07-01

    The purpose of the current study was to explore what hospitalized patients would like to know about post-acute care (PAC) services to ultimately help them make an informed decision when offered PAC options. Thirty hospitalized adults 55 and older in a Northeastern U.S. academic medical center participated in a qualitative descriptive study with conventional content analysis as the analytical technique. Three themes emerged: (a) receiving practical information about the services, (b) understanding "how it relates to me," and (c) having opportunities to understand PAC options. Study findings inform clinicians what information should be included when discussing PAC options with older adults. Improving the quality of discharge planning discussions may better inform patient decision making and, as a result, increase the numbers of patients who accept a plan of care that supports recovery, meets their needs, and results in improved quality of life and fewer readmissions. [Res Gerontol Nurs. 2016; 9(4):175-182.]. PMID:26815304

  19. Agent Based Patient Scheduling Using Heuristic Algorithm

    Directory of Open Access Journals (Sweden)

    Juliet A Murali

    2010-01-01

    Full Text Available This paper describes about an agent based approach to patient scheduling using experience based learning. A heuristic algorithm is also used in the proposed framework. The evaluation on different learning techniques shows that the experience based learning (EBL gives better solution. The processing time decreases as the experience increases. The heuristic algorithm make use of EBL in calculating the processing time. The main objective of this patient scheduling system is to reduce the waiting time of patient in hospitals and to complete their treatment in minimum required time. The framework is implemented in JADE. In this approach the patients and resources are represented as patient agents (PA and resource agents (RA respectively. Even though mathematical model give optimal solution, the computational complexity increases for large size problems. Heuristic solution gives better solution for large size problems. The comparisons of the proposed framework with other scheduling rules shows that an agent based approach to patient scheduling using EBL is better.

  20. Matchmaking Semantic Based for Information System Interoperability

    CERN Document Server

    Wicaksana, I Wayan Simri

    2011-01-01

    Unlike the traditional model of information pull, matchmaking is base on a cooperative partnership between information providers and consumers, assisted by an intelligent facilitator (the matchmaker). Refer to some experiments, the matchmaking to be most useful in two different ways: locating information sources or services that appear dynamically and notification of information changes. Effective information and services sharing in distributed such as P2P based environments raises many challenges, including discovery and localization of resources, exchange over heterogeneous sources, and query processing. One traditional approach for dealing with some of the above challenges is to create unified integrated schemas or services to combine the heterogeneous sources. This approach does not scale well when applied in dynamic distributed environments and has many drawbacks related to the large numbers of sources. The main issues in matchmaking are how to represent advertising and request, and how to calculate poss...

  1. Information on actual medication use and drug-related problems in older patients: questionnaire or interview?

    Science.gov (United States)

    Willeboordse, Floor; Grundeken, Lucienne H; van den Eijkel, Lisanne P; Schellevis, François G; Elders, Petra J M; Hugtenburg, Jacqueline G

    2016-04-01

    Background Information on medication use and drug-related problems is important in the preparation of clinical medication reviews. Critical information can only be provided by patients themselves, but interviewing patients is time-consuming. Alternatively, patient information could be obtained with a questionnaire. Objective In this study the agreement between patient information on medication use and drug-related problems in older patients obtained with a questionnaire was compared with information obtained during an interview. Setting General practice in The Netherlands. Method A questionnaire was developed to obtain information on actual medication use and drug-related problems. Two patient groups ≥65 years were selected based on general practitioner electronic medical records in nine practices; I. polypharmacy and II. ≥1 predefined general geriatric problems. Eligible patients were asked to complete the questionnaire and were interviewed afterwards. Main outcome measure Agreement on information on medication use and drug-related problems collected with the questionnaire and interview was calculated. Results Ninety-seven patients participated. Of all medications used, 87.6 % (95 % CI 84.7-90.5) was reported identically in the questionnaire and interview. Agreement for the complete medication list was found for 45.4 % (95 % CI 35.8-55.3) of the patients. On drug-related problem level, agreement between questionnaire and interview was 75 %. Agreement tended to be lower in vulnerable patients characterized by ≥4 chronic diseases, ≥10 medications used and low health literacy. Conclusion Information from a questionnaire showed reasonable agreement compared with interviewing. The patients reported more medications and drug-related problems in the interview than the questionnaire. Taking the limitations into account, a questionnaire seems a suitable tool for medication reviews that may replace an interview for most patients. PMID:26830412

  2. Quality of Web-based information systems

    Directory of Open Access Journals (Sweden)

    Kazimierz Worwa

    2010-12-01

    Full Text Available The scope and complexity of current World Wide Web applications vary widely: from smallscale, short-lived services to large-scale enterprise applications distributed across the Internet and corporate intranets and extranets. As Web applications have evolved, the demands placed on Web-based systems and the complexity of designing, developing, maintaining, and managing these systems have also increased significantly. They provided vast, dynamic information in multiple media formats (graphics, images, and video. Web site design for these and many other applications demand balance among information content, aesthetics, and performance. In accordance with the growth of the Internet and World Wide Web, there has been some research on quality issues of Web-based software systems. The differences between the Web-based information systems and conventional information systems are discussed in a paper from the perspective of software quality

  3. Patient information provision: its effect on patient anxiety and the role of health information services and libraries.

    Science.gov (United States)

    Bolton, V; Brittain, M

    1994-06-01

    This article is concerned with the importance of communicating information to patients as an aid to recovery by decreasing anxiety. Recent research suggests that pre-operative information helps to decrease post-operative stress and leads to a quicker recovery. The health belief model has proven to be an effective predictor of individuals' responses towards health-related matters. It is described as a useful theoretical framework for medical professionals in deciding the content and quantity of information that each patient should receive. A study for further research is suggested, exploring the hypothesis that reading about illness significantly helps to reduce anxiety when the patient has added emotional support from a health professional. The existing problem of who is ultimately responsible for giving information to patients is highlighted in the general practice, hospital and public settings. Recommendations are made for the improvement of patient information provision in these three areas. Librarians are seen as being in a good position to liaise with medical professionals to provide the most effective health information service possible for patients and the consumer in general. PMID:10172100

  4. Internet chemotherapy information: impact on patients and health professionals

    Science.gov (United States)

    Davies, E; Yeoh, K-W

    2012-01-01

    Background: Reliable information can improve patients' knowledge of chemotherapy. As internet chemotherapy information (ICI) is increasingly viewed as a valuable patient education tool, we investigated the impact of ICI on patient care and analysed health professionals' (HPs') attitudes towards ICI. Methods: The following questionnaires were distributed: (1) self-administered questionnaire randomly given to 261 patients receiving chemotherapy (80% returned); and (2) separate questionnaire given to 58 HPs at the same UK Oncology Centre (83% returned). Results: Just over half of the patient respondents accessed the internet regularly. They were younger, with higher incomes and qualifications. Key search topics included chemotherapy modes of action, symptom management and treatment success, and most considered ICI useful. More than half wanted to discuss ICI with HPs but most did not get the opportunity. Although the majority of HP respondents supported the need for patients to retrieve ICI, most questioned the accuracy of ICI and did not routinely recommend its use. Conclusion: This study has shown that ICI is generally perceived by patients to be a valuable information resource. Given the potential impact of ICI, the following should be addressed in future studies: (1) inequalities in accessing ICI; (2) maintaining the quality of ICI (with clear guidance on recommended websites); (3) bridging the gap between the perception of ICI by patients and HPs; (4) integration of ICI with traditional consultation models. PMID:22262319

  5. Patient information about radiation therapy: a survey in Europe

    International Nuclear Information System (INIS)

    Background and purpose: We performed a survey to evaluate the present status and means of information given to patients treated by radiotherapy. A short questionnaire was sent, with the help of ESTRO, to 746 European heads of department with a request to send specific documents used for informing the patient. Within 2 months (March and April 1996) we received 290 answers (39%) and 97 centres sent documents. Materials and methods: Analysis of the questionnaire and the documents was performed quantitatively with usual statistical methods and qualitatively with a socio-anthropological method of content analysis. Results: Analysis of the questionnaire shows the major role of the radiation oncologist in giving information and writing documents. The 298 different samples sent from 97 centres represent a wide panel with a booklet of general information (59 booklets/57 centres), practical advice and specific explanations (177 documents/49 centres) and informed consent (36 documents/28 centres). The anthropological study was centred on the way information was given, evaluation of the patient's understanding and analysis of documents sent. Conclusion: This preliminary survey needs to be completed by a study, including the patient's point of view and needs, about the information given

  6. Systematic Review of Quality of Patient Information on Liposuction in the Internet

    Science.gov (United States)

    Zuk, Grzegorz; Eylert, Gertraud; Raptis, Dimitri Aristotle; Guggenheim, Merlin; Shafighi, Maziar

    2016-01-01

    Background: A large number of patients who are interested in esthetic surgery actively search the Internet, which represents nowadays the first source of information. However, the quality of information available in the Internet on liposuction is currently unknown. The aim of this study was to assess the quality of patient information on liposuction available in the Internet. Methods: The quantitative and qualitative assessment of Web sites was based on a modified Ensuring Quality Information for Patients tool (36 items). Five hundred Web sites were identified by the most popular web search engines. Results: Two hundred forty-five Web sites were assessed after duplicates and irrelevant sources were excluded. Only 72 (29%) Web sites addressed >16 items, and scores tended to be higher for professional societies, portals, patient groups, health departments, and academic centers than for Web sites developed by physicians, respectively. The Ensuring Quality Information for Patients score achieved by Web sites ranged between 8 and 29 of total 36 points, with a median value of 16 points (interquartile range, 14–18). The top 10 Web sites with the highest scores were identified. Conclusions: The quality of patient information on liposuction available in the Internet is poor, and existing Web sites show substantial shortcomings. There is an urgent need for improvement in offering superior quality information on liposuction for patients intending to undergo this procedure.

  7. Image Filtering Based on Improved Information Entropy

    Institute of Scientific and Technical Information of China (English)

    JINGXiaojun; LIUYulin; XIONGYuqing

    2004-01-01

    An image filtering based on improved information entropy is proposed in this paper, which can overcome the shortcomings of hybrid linear and non-linear filtering algorithm. Due to the shortcomings of information entropy in the field of data fusion, we introduce the consistency constraint factor of sub-source report and subsource performance difference parameter, propose the concept of fusion entropy, utilize its amendment and regularity function on sub-source decision-making matrix, bring into play the competency, redundency and complementarity of information fusion, suppress and delete fault and invalid information, strengthen and preserve correct and useful information, overcome the risk of error reporting on single source critical point and the shortcomings of reliability and error tolerating, add the decision-making criteria of multiple sub-source fusion, finally improve filtering quality. Subsequent experiments show its validity and improved filtering performance, thus providing a new way of image filtering technique.

  8. Improving information for community-based adaptation

    Energy Technology Data Exchange (ETDEWEB)

    Huq, Saleemul

    2011-10-15

    Community-based adaptation aims to empower local people to cope with and plan for the impacts of climate change. In a world where knowledge equals power, you could be forgiven for thinking that enabling this type of adaptation boils down to providing local people with information. Conventional approaches to planning adaptation rely on 'expert' advice and credible 'science' from authoritative information providers such as the Intergovernmental Panel on Climate Change. But to truly support the needs of local communities, this information needs to be more site-specific, more user-friendly and more inclusive of traditional knowledge and existing coping practices.

  9. Giving information to family members of patients in the intensive care unit: Iranian nurses' ethical approaches.

    Science.gov (United States)

    Farahani, Mansoureh A; Gaeeni, Mina; Mohammadi, Nooreddin; Seyedfatemi, Naima

    2014-01-01

    Receiving information related to patients hospitalized in the intensive care unit is among the most important needs of the family members of such patients. When health care professionals should decide whether to be honest or to give hope, giving information becomes an ethical challenge We conducted a research to study the ethical approaches of Iranian nurses to giving information to the family members of patients in the intensive care units. This research was conducted in the intensive care units of three teaching hospitals in Iran. It employed a qualitative approach involving semi-structured and in-depth interviews with a purposive sample of 12 nurses to identify the ethical approaches to giving information to family members of the intensive care unit patients. A conventional content analysis of the data produced two categories and five subcategories. The two categories were as follows: a) informational support, and b) emotional support. Informational support had 2 subcategories consisting of being honest in giving information, and providing complete and understandable information. Emotional support in giving information had 3 sub-categories consisting of gradual revelation, empathy and assurance. Findings of the study indicated that ethical approaches to giving information can be in the form of either informational support or emotional support, based on patients' conditions and prognoses, their families' emotional state, the necessity of providing a calm atmosphere in the ICU and the hospital, and other patients and their families' peace. Findings of the present study can be used as a basis for further studies and for offering ethical guidelines in giving information to the families of patients hospitalized in the ICU. PMID:25512830

  10. RFID based patient registration in mass casualty incidents

    Directory of Open Access Journals (Sweden)

    Nestler, Simon

    2011-01-01

    Full Text Available In MCIs (mass casualty incidents the EMC (emergency medical chief has to gain an overview on all patients at the scene. When using paper based patient tags the patient-related information remains at the patients themselves and the information relay is complex. We propose a mobile, RFID based solution, which makes the local patient-related information available to all relief workers at the scene. As a consequence all processes in an MCI are more transparent and the resulting medication and transport of the injured is more efficient. The introduction of RFID enhanced patient tags leads to various usability challenges which are discussed in this paper. Furthermore, three different implementations show, how these challenges can be solved in the future. These solutions have been evaluated in a disaster control exercise in order to get an impression of the practical suitability of the proposed solutions. The future introduction of RFID tags in rescue and emergency services can be based on this work.

  11. CORBA Based Information Integration Platform for CIMS

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    A new information integration platform for computer integrated manufacturing system(CIMS) is presented, which is based on agent and CORBA. CORBA enhances the system integration be-cause it is an industry-standard for interoperable, distributed objects across heterogeneous hardware andsoftware platform. Agent technology is used to improve intelligence of integration system. In order to im-plement the information integration platform, we use network integration server to integrate network, de-sign a generic database agent to integrate database, adopt multi-agent based architecture to integrate appli-cation, and utilize wrapper as CORBA object to integrate legacy code.

  12. Adherence to oral anticoagulants in patients with atrial fibrillation—a population-based retrospective cohort study linking health information systems in the Valencia region, Spain: a study protocol

    Science.gov (United States)

    Sanfélix-Gimeno, G; Rodríguez-Bernal, C L; Hurtado, I; Baixáuli-Pérez, C; Librero, J; Peiró, S

    2015-01-01

    Introduction Adherence to oral anticoagulation (OAC) treatment, vitamin K antagonists or new oral anticoagulants, is an essential element for effectiveness. Information on adherence to OAC in atrial fibrillation (AF) and the impact of adherence on clinical outcomes using real-world data barely exists. We aim to describe the patterns of adherence to OAC over time in patients with AF, estimate the associated factors and their impact on clinical events, and assess the same issues with conventional measures of primary and secondary adherence—proportion of days covered (PDC) and persistence—in routine clinical practice. Methods and analysis This is a population-based retrospective cohort study including all patients with AF treated with OAC from 2010 to date in Valencia, Spain; data will be obtained from diverse electronic records of the Valencia Health Agency. Primary outcome measure: adherence trajectories. Secondary outcomes: (1) primary non-adherence; (2) secondary adherence: (a) PDC, (b) persistence. Clinical outcomes: hospitalisation for haemorrhagic or thromboembolic events and death during follow-up. Analysis: (1) description of baseline characteristics, adherence patterns (trajectory models or latent class growth analysis models) and conventional adherence measures; (2) logistic or Cox multivariate regression models, to assess the associations between adherence measures and the covariates, and logistic multinomial regression models, to identify characteristics associated with each trajectory; (3) Cox proportional hazard models, to assess the relationship between adherence and clinical outcomes, with propensity score adjustment applied to further control for potential confounders; (4) to estimate the importance of different healthcare levels in the variations of adherence, logistic or Cox multilevel regression models. Ethics and dissemination This study has been approved by the corresponding Clinical Research Ethics Committee. We plan to disseminate the

  13. Balancing the presentation of information and options in patient decision aids: an updated review

    OpenAIRE

    Abhyankar, P.; Volk, R.J.; Blumenthal-Barby, J.; Bravo, P.; A. Buchholz; Ozanne, E.; Vidal, D.C.; Col, N.; Stalmeier, P F M

    2013-01-01

    Background Standards for patient decision aids require that information and options be presented in a balanced manner; this requirement is based on the argument that balanced presentation is essential to foster informed decision making. If information is presented in an incomplete/non-neutral manner, it can stimulate cognitive biases that can unduly affect individuals’ knowledge, perceptions of risks and benefits, and, ultimately, preferences. However, there is little clarity about what const...

  14. Cognitive Function in Patients Undergoing Arthroplasty: The Implications for Informed Consent

    Directory of Open Access Journals (Sweden)

    N. Demosthenous

    2011-01-01

    Full Text Available Obtaining informed consent for an operation is a fundamental daily interaction between orthopaedic surgeon and patient. It is based on a patient's capacity to understand and retain information about the proposed procedure, the potential consequences of having it, and the alternative options available. We used validated tests of memory on 59 patients undergoing lower limb arthroplasty to assess how well they learned and recalled information about their planned procedure. All patients showed an ability to learn new material; however, younger age and higher educational achievement correlated with better performance. These results have serious implications for orthopaedic surgeons discussing planned procedures. They identify groups of patients who may require enhanced methods of communicating the objectives, risks, and alternatives to surgery. Further research is necessary to assess interventions to improve communication prior to surgery.

  15. Language-based multimedia information retrieval

    OpenAIRE

    Jong, de, Franciska; Gauvain, J.L.; Hiemstra, D.; Netter, K.

    2000-01-01

    This paper describes various methods and approaches for language-based multimedia information retrieval, which have been developed in the projects POP-EYE and OLIVE and which will be developed further in the MUMIS project. All of these project aim at supporting automated indexing of video material by use of human language technologies. Thus, in contrast to image or sound-based retrieval methods, where both the query language and the indexing methods build on non-linguistic data, these methods...

  16. Informal, Incidental and Ad Hoc: The Information-Seeking and Learning Strategies of Health Care Patients

    Science.gov (United States)

    Papen, Uta

    2012-01-01

    When people are ill, they want to know what is happening to them and how they can get better. Current health policies support patients' access to health information and encourage them to take part in decisions regarding their health. But little is known about how patients learn and the difficulties they may encounter in the process. This paper…

  17. Giving information to family members of patients in the intensive care unit: Iranian nurses’ ethical approaches

    Science.gov (United States)

    Farahani, Mansoureh A; Gaeeni, Mina; Mohammadi, Nooreddin; Seyedfatemi, Naima

    2014-01-01

    Receiving information related to patients hospitalized in the intensive care unit is among the most important needs of the family members of such patients. When health care professionals should decide whether to be honest or to give hope, giving information becomes an ethical challenge We conducted a research to study the ethical approaches of Iranian nurses to giving information to the family members of patients in the intensive care units. This research was conducted in the intensive care units of three teaching hospitals in Iran. It employed a qualitative approach involving semi-structured and in-depth interviews with a purposive sample of 12 nurses to identify the ethical approaches to giving information to family members of the intensive care unit patients. A conventional content analysis of the data produced two categories and five subcategories. The two categories were as follows: a) informational support, and b) emotional support. Informational support had 2 subcategories consisting of being honest in giving information, and providing complete and understandable information. Emotional support in giving information had 3 sub-categories consisting of gradual revelation, empathy and assurance. Findings of the study indicated that ethical approaches to giving information can be in the form of either informational support or emotional support, based on patients’ conditions and prognoses, their families’ emotional state, the necessity of providing a calm atmosphere in the ICU and the hospital, and other patients and their families’ peace. Findings of the present study can be used as a basis for further studies and for offering ethical guidelines in giving information to the families of patients hospitalized in the ICU. PMID:25512830

  18. Informed consent in dental practice: experiences of Dutch patients.

    OpenAIRE

    Schouten, B.C.; Friele, R.

    2001-01-01

    Aim: To assess experiences of the Dutch population concerning the implementation of some of their rights by dentist. Methods: A postal questionnaire. Participants: All 1,616 participants of the 'Consumer Panel Health Care' in the Netherlands. Results: 78.8 % of the subjects responded. Patients were satisfied with the general information they received from their dentist. Their experiences of receiving information about specific legislation-related issues, however, were less positive. A conside...

  19. Patient privacy, consent, and identity management in health information exchange

    CERN Document Server

    Hosek, Susan D

    2013-01-01

    As a step toward improving its health information technology (IT) interoperability, the Military Health System is seeking to develop a research roadmap to better coordinate health IT research efforts, address IT capability gaps, and reduce programmatic risk for its enterprise projects. This report identifies gaps in research, policy, and practice involving patient privacy, consent, and identity management that need to be addressed to improve the quality and efficiency of care through health information exchange.

  20. Danglers in Patient Information Leaflets and Technical Manuals

    DEFF Research Database (Denmark)

    Køhler Simonsen, Henrik

    2014-01-01

    Dangling participles and other types of ambiguous or unclear sentence constructions in directive and informative medical and technical texts, such as patient information leaflets (PILs) and technical manuals, render instructions unclear and potentially dangerous for the layman reader, i.e. a pati......Dangling participles and other types of ambiguous or unclear sentence constructions in directive and informative medical and technical texts, such as patient information leaflets (PILs) and technical manuals, render instructions unclear and potentially dangerous for the layman reader, i......, and readability on the basis of two corpora: a corpus of PILs (PILcorp) and a corpus of technical manuals (TECHcorp). The hypothesis is that patient information leaflets will contain fewer dangling constructions than technical manuals because of the strict regulations on product information texts including PILs...... in fact been proved. The analysis and the discussion showed that dangling participles are not very frequent in PILs, but much more common in technical manuals. The data showed that there were no “ludicrous” danglers,(see Matthews and Matthews 2008:146), in PILcorp. However, the analysis showed that both...

  1. Orthognathic surgery: is patient information on the Internet valid?

    Science.gov (United States)

    Aldairy, T; Laverick, S; McIntyre, G T

    2012-08-01

    The aims of this study were to evaluate the quality and reliability of UK websites providing information on orthognathic and jaw surgery to patients. An Internet search engine (www.google.com) was used to identify websites containing medical information on 'orthognathic surgery' and 'jaw surgery'. Of over 144,000 links for orthognathic surgery and 700,000 for jaw surgery, the first 100 were examined in detail. After excluding discussion groups, news and video feeds, and removing duplicate sites, only 25 relevant websites remained which were then evaluated using the DISCERN instrument (www.discern.org.uk/discern_instrument.php). Through the 16 questions assessing the reliability and quality of the consumer information which are scored from 1 to 5, a relative index of the quality of the information is produced. The maximum score attainable for an excellent website is 80. Of the 25 websites that were scored, DISCERN indicated the majority of websites fell well below the maximum score. The highest score achieved by one of the websites according to the DISCERN tool was 64 of 80 and the lowest score achieved was 21 of 80. The websites achieving maximum and minimum score were Wikipedia and qualitydentistry.com, respectively. By directing patients to validated websites, clinicians can ensure patients find appropriate information; however, further development of websites relating to orthognathic surgery is required. Internet information should be updated on a regular basis to account for improvements in orthodontic and surgical care. PMID:21459834

  2. Navigating the cancer information environment: The reciprocal relationship between patient-clinician information engagement and information seeking from nonmedical sources

    Science.gov (United States)

    Moldovan-Johnson, Mihaela; Tan, Andy SL; Hornik, Robert C

    2014-01-01

    Prior theory has argued and empirical studies have shown that cancer patients rely on information from their health care providers as well as lay sources to understand and make decisions about their disease. However, research on the dynamic and interdependent nature of cancer patients’ engagement with different information sources is lacking. This study tested the hypotheses that patient-clinician information engagement and information seeking from nonmedical sources influence one another longitudinally among a representative cohort of 1,293 cancer survivors in Pennsylvania. The study hypotheses were supported in a series of lagged multiple regression analyses. Baseline seeking information from nonmedical sources positively predicted subsequent patient-clinician information engagement at one-year follow-up. The reverse relationship was also statistically significant; baseline patient-clinician information engagement positively predicted information seeking from nonmedical sources at follow-up. These findings suggest that cancer survivors move between nonmedical to clinician sources in a dynamic way to learn about their disease. PMID:24359259

  3. Sensor management based on fisher information gain

    Institute of Scientific and Technical Information of China (English)

    Tian Kangsheng; Zhu Guangxi

    2006-01-01

    Multi-sensor system is becoming increasingly important in a variety of military and civilian applications. In general, single sensor system can only provide partial information about environment while multi-sensor system provides a synergistic effect, which improves the quality and availability of information. Data fusion techniques can effectively combine this environmental information from similar and/or dissimilar sensors. Sensor management, aiming at improving data fusion performance by controlling sensor behavior, plays an important role in a data fusion process. This paper presents a method using fisher information gain based sensor effectiveness metric for sensor assignment in multi-sensor and multi-target tracking applications. The fisher information gain is computed for every sensor-target pairing on each scan. The advantage for this metric over other ones is that the fisher information gain for the target obtained by multi-sensors is equal to the sum of ones obtained by the individual sensor, so standard transportation problem formulation can be used to solve this problem without importing the concept of pseudo sensor. The simulation results show the effectiveness of the method.

  4. Web-based Construction Information Management System

    Directory of Open Access Journals (Sweden)

    David Scott

    2012-11-01

    Full Text Available Centralised information systems that are accessible to all parties in a construction project are powerful tools in the quest to improve efficiency and to enhance the flow of information within the construction industry. This report points out the maturity of the necessary IT technology, the availability and the suitability of existing commercial products.Some of these products have been studied and analysed. An evaluation and selection process based on the functions offered in the products and their utility is presented. A survey of local construction personnel has been used to collect typical weighting data and performance criteria used in the evaluation process.

  5. BrucellaBase: Genome information resource.

    Science.gov (United States)

    Sankarasubramanian, Jagadesan; Vishnu, Udayakumar S; Khader, L K M Abdul; Sridhar, Jayavel; Gunasekaran, Paramasamy; Rajendhran, Jeyaprakash

    2016-09-01

    Brucella sp. causes a major zoonotic disease, brucellosis. Brucella belongs to the family Brucellaceae under the order Rhizobiales of Alphaproteobacteria. We present BrucellaBase, a web-based platform, providing features of a genome database together with unique analysis tools. We have developed a web version of the multilocus sequence typing (MLST) (Whatmore et al., 2007) and phylogenetic analysis of Brucella spp. BrucellaBase currently contains genome data of 510 Brucella strains along with the user interfaces for BLAST, VFDB, CARD, pairwise genome alignment and MLST typing. Availability of these tools will enable the researchers interested in Brucella to get meaningful information from Brucella genome sequences. BrucellaBase will regularly be updated with new genome sequences, new features along with improvements in genome annotations. BrucellaBase is available online at http://www.dbtbrucellosis.in/brucellabase.html or http://59.99.226.203/brucellabase/homepage.html. PMID:27164438

  6. Canonical analysis based on mutual information

    DEFF Research Database (Denmark)

    Nielsen, Allan Aasbjerg; Vestergaard, Jacob Schack

    2015-01-01

    Canonical correlation analysis (CCA) is an established multi-variate statistical method for finding similarities between linear combinations of (normally two) sets of multivariate observations. In this contribution we replace (linear) correlation as the measure of association between the linear...... combinations with the information theoretical measure mutual information (MI). We term this type of analysis canonical information analysis (CIA). MI allows for the actual joint distribution of the variables involved and not just second order statistics. While CCA is ideal for Gaussian data, CIA facilitates...... analysis of variables with different genesis and therefore different statistical distributions and different modalities. As a proof of concept we give a toy example. We also give an example with one (weather radar based) variable in the one set and eight spectral bands of optical satellite data in the...

  7. Knowledge-based information systems in practice

    CERN Document Server

    Jain, Lakhmi; Watada, Junzo; Howlett, Robert

    2015-01-01

    This book contains innovative research from leading researchers who presented their work at the 17th International Conference on Knowledge-Based and Intelligent Information and Engineering Systems, KES 2013, held in Kitakyusha, Japan, in September 2013. The conference provided a competitive field of 236 contributors, from which 38 authors expanded their contributions and only 21 published. A plethora of techniques and innovative applications are represented within this volume. The chapters are organized using four themes. These topics include: data mining, knowledge management, advanced information processes and system modelling applications. Each topic contains multiple contributions and many offer case studies or innovative examples. Anyone that wants to work with information repositories or process knowledge should consider reading one or more chapters focused on their technique of choice. They may also benefit from reading other chapters to assess if an alternative technique represents a more suitable app...

  8. Including patients’ perspectives in patient information leaflets: A polyocular approach

    DEFF Research Database (Denmark)

    Fage-Butler, Antoinette Mary

    2013-01-01

    asymmetries. The paper contributes theoretically in its innovative use of perspectivist theory in relation to text, and in identifying that the insights of polyocularity could valuably inform a new health communication paradigm, as current health communication paradigms do not fully recognize patients......Existing research reveals that patients’ perspectives are missing from mandatory patient information leaflets (PILs). At the same time, there is overwhelming consensus that they should be included in this genre, and a corresponding need for potential approaches to tackle this problem. This paper......’ perspectives. Apart from its theoretical contributions, the paper includes guidelines to support the production of PILs where patients’ perspectives are included. The guidelines are informed by practices that have characterised previous polyocular communication events, as well as research into how to maximize...

  9. Empowering Patients through Healthcare Technology and Information? The Challenge of becoming a Patient 2.0

    DEFF Research Database (Denmark)

    Brodersen, Søsser Grith Kragh; Lindegaard, Hanne

    2015-01-01

    as Patient 1.0). Based on several empirical field studies, interviews and written material, we argue that changes to socio-material assemblages may have implications beyond the immediate gains anticipated by politicians (e.g., reduced hospitalisation time, investments in new technology, patients...... at patient empowerment (e.g., pamphlets, training instructions) change how patients are framed in established networks; the emergent chronic patient frame challenges the traditional functioning of established patient-doctor relationships. Theoretically, we draw on the concepts of discipline (Foucault, 1975...

  10. Adherence to oral anticoagulants in patients with atrial fibrillation—a population-based retrospective cohort study linking health information systems in the Valencia region, Spain: a study protocol

    OpenAIRE

    Sanfélix-Gimeno, G; Rodríguez-Bernal, C L; Hurtado, I.; Baixáuli-Pérez, C; Librero, J; Peiró, S

    2015-01-01

    Introduction Adherence to oral anticoagulation (OAC) treatment, vitamin K antagonists or new oral anticoagulants, is an essential element for effectiveness. Information on adherence to OAC in atrial fibrillation (AF) and the impact of adherence on clinical outcomes using real-world data barely exists. We aim to describe the patterns of adherence to OAC over time in patients with AF, estimate the associated factors and their impact on clinical events, and assess the same issues with convention...

  11. Empower the patients with a dialogue-based web application

    DEFF Research Database (Denmark)

    Bjørnes, Charlotte D.; Cummings, Elizabeth; Nøhr, Christian

    2012-01-01

    -based web application was designed and implemented to accommodate patients' information and communication needs in short stay hospital settings. To ensure the system meet the patients' needs, both patients and healthcare professionals were involved in the design process by applying various participatory...... methods. Contextualization of the new application was also central in all phases to ensure a focus not only on the technology itself, but also the way it is used and in which relations and contexts. In evaluation of the tool, the patients' descriptions as user substantiate that the use of Internet......Based on a clinical intervention study this paper adds to the significance of users involvement in design processes and substantiate the potential of online, flexible health informatics tools as useful components to accommodate organizational changes that short stay treatment demands. A dialogue...

  12. STB Based Multimedia Information Publication System

    Directory of Open Access Journals (Sweden)

    Xuan Li

    2011-08-01

    Full Text Available The development of communication network has promoted the development of network multimedia. Nowadays, multimedia information can be displayed in various ways. Therefore, an efficient publication system is very necessary for users to distribute and display multimedia content fast and efficiently. To satisfy user's requirement, the set-top box (STB based multimedia publication system is designed and implemented. The STB based system proposed in this paper adopted distributed B/S architecture, which is reasonably divided into five modules according to their own functions, consisting of information center, sharing database, time-sharing distribute engine, group controller and STB terminals. The performance and flexibility of this framework is very favorable. Its control logic is separated from physical time-sharing data transmission, in order to improve scalability and reliability. Data transmission is optimized to support a large number of terminals with special algorithms. Time-sharing engine is used to improve robustness of system when sources exceed the capacity of STB.  Evaluation result shows that the system designed in this paper can provide high-quality information display services for terminal users with a relative low hardware cost. The kind of information publication system has been applied in retail stores, restaurants in Shanghai, Beijing and Nigeria.

  13. Heterogeneous information-based artificial stock market

    Science.gov (United States)

    Pastore, S.; Ponta, L.; Cincotti, S.

    2010-05-01

    In this paper, an information-based artificial stock market is considered. The market is populated by heterogeneous agents that are seen as nodes of a sparsely connected graph. Agents trade a risky asset in exchange for cash. Besides the amount of cash and assets owned, each agent is characterized by a sentiment. Moreover, agents share their sentiments by means of interactions that are identified by the graph. Interactions are unidirectional and are supplied with heterogeneous weights. The agent's trading decision is based on sentiment and, consequently, the stock price process depends on the propagation of information among the interacting agents, on budget constraints and on market feedback. A central market maker (clearing house mechanism) determines the price process at the intersection of the demand and supply curves. Both closed- and open-market conditions are considered. The results point out the validity of the proposed model of information exchange among agents and are helpful for understanding the role of information in real markets. Under closed market conditions, the interaction among agents' sentiments yields a price process that reproduces the main stylized facts of real markets, e.g. the fat tails of the returns distributions and the clustering of volatility. Within open-market conditions, i.e. with an external cash inflow that results in asset price inflation, also the unitary root stylized fact is reproduced by the artificial stock market. Finally, the effects of model parameters on the properties of the artificial stock market are also addressed.

  14. Building Information Modelling Incorporating Technology Based Assessment

    OpenAIRE

    Murphy, Maurice; Scott, Lloyd

    2011-01-01

    Building Information Modelling (BIM) is currently being developed as a virtual learning tool for construction and surveying students in the Dublin Institute of Technology. This advanced technology is also used to develop a technology based assessment practice for enhancing the learning environment of construction and surveying students. A theoretical design framework is presented in this paper, which combines advanced technology and assessment theory to create a virtual learning environment. ...

  15. Web-based Spatial Information Management Systems

    OpenAIRE

    Carswell, James

    2002-01-01

    In this paper we discuss the innovative software solutions offered by e-SpatialTM technology for the deployment of web-based and mobile spatial information management systems. This technology has been developed within the Oracle 9i Database environment and allows users to build and deploy spatially enabled Internet applications on any Oracle supported hardware platform and on any device running a Java Virtual Machine (e.g., standard web browsers, PDAs and other mobile devices). The paper focu...

  16. How to inform relatives and loved ones of a patient's death.

    Science.gov (United States)

    Guest, Mags

    2016-04-20

    Rationale and key points ▶ Informing relatives and loved ones of a patient's death is a sensitive and often stressful task frequently undertaken by nurses. ▶ Effective communication skills and demonstrating compassion are essential when informing relatives and loved ones of a patient's death. ▶ The nurse should use suitable language and choose an appropriate environment to ensure that information is conveyed clearly, sensitively and without interruptions. Reflective activity Clinical skills articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: 1. How you think this article will change your practice when informing relatives and loved ones of a patient's death. 2. How you could use this article to educate your colleagues. Subscribers can upload their reflective accounts at: rcni.com/portfolio . PMID:27097210

  17. Towards a new kind of patient information leaflet?

    DEFF Research Database (Denmark)

    Fage-Butler, Antoinette Mary

    There is general consensus amongst patients, academics and regulatory agencies that mandatory PILs, which accompany all medication in the EU, do not communicate effectively with patients. This is problematic as patients have stated that they want to receive information on their medication; they are...... needs adequately. Trust has been linked to successful risk communication in the literature, and according to trust theory, trust may be a byproduct of discourses of care, whereby receivers’ needs are met. The dissertation is an example of applied research, seeking to identify possible solutions to...... applicability: it should help to support the writing of more patient centered PILs. Of course, consideration would need to be given to how these statement functions could convert into expressions in PILs, as statement functions relate to Discourse (Gee, 1996, p.6), rather than to language. The PhD ends by...

  18. Development of an electronic radiation oncology patient information management system

    Directory of Open Access Journals (Sweden)

    Mandal Abhijit

    2008-01-01

    Full Text Available The quality of patient care is critically influenced by the availability of accurate information and its efficient management. Radiation oncology consists of many information components, for example there may be information related to the patient (e.g., profile, disease site, stage, etc., to people (radiation oncologists, radiological physicists, technologists, etc., and to equipment (diagnostic, planning, treatment, etc.. These different data must be integrated. A comprehensive information management system is essential for efficient storage and retrieval of the enormous amounts of information. A radiation therapy patient information system (RTPIS has been developed using open source software. PHP and JAVA script was used as the programming languages, MySQL as the database, and HTML and CSF as the design tool. This system utilizes typical web browsing technology using a WAMP5 server. Any user having a unique user ID and password can access this RTPIS. The user ID and password is issued separately to each individual according to the person′s job responsibilities and accountability, so that users will be able to only access data that is related to their job responsibilities. With this system authentic users will be able to use a simple web browsing procedure to gain instant access. All types of users in the radiation oncology department should find it user-friendly. The maintenance of the system will not require large human resources or space. The file storage and retrieval process would be be satisfactory, unique, uniform, and easily accessible with adequate data protection. There will be very little possibility of unauthorized handling with this system. There will also be minimal risk of loss or accidental destruction of information.

  19. DIGITAL ONCOLOGY PATIENT RECORD - HETEROGENEOUS FILE BASED APPROACH

    Directory of Open Access Journals (Sweden)

    Nikolay Sapundzhiev

    2010-12-01

    Full Text Available Introduction: Oncology patients need extensive follow-up and meticulous documentation. The aim of this study was to introduce a simple, platform independent file based system for documentation of diagnostic and therapeutic procedures in oncology patients and test its function.Material and methods: A file-name based system of the type M1M2M3.F2 was introduced, where M1 is a unique identifier for the patient, M2 is the date of the clinical intervention/event, M3 is an identifier for the author of the medical record and F2 is the specific software generated file-name extension.Results: This system is in use at 5 institutions, where a total of 11 persons on 14 different workstations inputted 16591 entries (files for 2370. The merge process was tested on 2 operating systems - when copied together all files sort up as expected by patient, and for each patient in a chronological order, providing a digital cumulative patient record, which contains heterogeneous file formats.Conclusion: The file based approach for storing heterogeneous digital patient related information is an reliable system, which can handle open-source, proprietary, general and custom file formats and seems to be easily scalable. Further development of software for automatic checks of the integrity and searching and indexing of the files is expected to produce a more user-friendly environment

  20. Volume-Based F-18 FDG PET/CT Imaging Markers Provide Supplemental Prognostic Information to Histologic Grading in Patients With High-Grade Bone or Soft Tissue Sarcoma

    DEFF Research Database (Denmark)

    Andersen, Kim Francis; Fuglo, Hanna Maria; Rasmussen, Sine Hvid;

    2015-01-01

    The aim of the study is to assess the prognostic value of different volume-based calculations of tumor metabolic activity in the initial assessment of patients with high-grade bone sarcomas (BS) and soft tissue sarcomas (STS) using F-18 FDG PET/CT.A single-site, retrospective study from 2002 to...

  1. The Effects of Viewing and Preferences for Online Cancer Information Among Patients' Loved Ones.

    Science.gov (United States)

    Lauckner, Carolyn

    2016-01-01

    Emotional and psychological distress is common among loved ones of cancer patients, who sometimes report more severe mental health issues than the patients themselves. In addition, many loved ones feel as though their information needs are not being met, which can lead them to seek out additional information online. This survey research examined the experiences of cancer patients' loved ones in viewing online content about the disease and the emotional outcomes of such browsing sessions. Participants (N = 191) were recruited from cancer- and caregiver-related nonprofits and online discussion boards. Results indicated that patients' loved ones were active users of online cancer Web sites. They primarily viewed and expressed a desire for information-based, rather than support-based, content. Many individuals desired in-depth treatment information, and those who viewed it had significantly more hope. Interestingly, multiple regression analysis revealed that viewing user-generated content was associated only with negative emotions, illustrating the potential dangers of social media spaces. Overall, this study shows the need for supporting patients' loved ones during their almost inevitable viewings of online cancer information. More research is needed in order to determine the best methods of mitigating potential negative effects of cancer Web sites and developing a useful online resource for this population. PMID:26636409

  2. Information on the Internet for asplenic patients: a systematic review

    Science.gov (United States)

    Downing, Mark A.; Omar, Ahmed H.; Sabri, Elham; McCarthy, Anne E.

    2011-01-01

    Background Asplenic patients in general have poor knowledge about their condition. Patients are increasingly turning to the Internet for their health care information, therefore this is a resource that many asplenic patients will use. The aim of our study was to determine the quality of information on the Internet for asplenic patients. Methods We identified websites by entering “splenectomy OR spleen removal” into 3 Internet search engines on July 28, 2008. The top 50 English-language websites from each search engine were included in our analysis. We evaluated the websites with our own 21-point content scale as well as 4 commonly used quality-assessment tools. All websites were analyzed independently by 2 reviewers. Correlations were made between the quality assessment instruments, content, readability and target audience. Results We included 89 websites in the study. The mean content score percentage for all websites was 49% (95% confidence interval 44%–54%). The long-term risk of infection was mentioned in 84% of websites, and the need for vaccination was mentioned in 79%. The mean quality assessment tool score was 61%, and the mean reading grade level was 11. Conclusion Whereas websites on average did not cover most of the information that asplenic patients should receive, the long-term risk of serious infection and the need for vaccination was consistently mentioned. Websites were inconsistent with respect to adhering to standards advocated by the quality assessment instruments we used, and the mean reading grade level was far above what is recommended for patient literature. PMID:21651833

  3. A Clinician-Guided Nonsurgical Cosmetic Patient Information Module: Preliminary Findings.

    Science.gov (United States)

    Warren, Hermine Jan

    2015-01-01

    In 2011, nearly 13 million nonsurgical cosmetic procedures were performed, representing a 6% increase from the previous year. Patients often present with unrealistic treatment expectations based on beauty industry standards and misinformation. In addition, because of the lack of competency standardization in this area, providers frequently deliver inconsistent educational information to their patients. The initial goal of the project was to evaluate the clinician-guided module, a 13-slide PowerPoint presentation that was disseminated to key stakeholders for preliminary review. A convenience sample of 10 women, aged 30-64 years, was recruited. Following exposure to the module, each participant was asked to fill out an evaluation composed of both closed- and open-ended responses, noting her experience with this type of educational tool. Quantitative data were analyzed using comparison of means, whereas qualitative data were examined for the emergence of themes. Initial findings suggested that patients and health care providers found the clinician-guided module informative and visually appealing and that they would recommend this module to peers and colleagues. Potential social change from this project may surface through increased patient knowledge and empowerment, awareness, safety, and satisfaction. The final project will compare the clinician-guided patient information module to standard patient information evaluating treatment expectations of dermal fillers. The ultimate impact of a clinician-guided information module may improve standardization in this arena and thus be of particular interest to members of the nonsurgical cosmetic community. PMID:26313674

  4. 76 FR 63355 - Proposed Information Collection (Prevalence and Clinical course of Depression Among patients with...

    Science.gov (United States)

    2011-10-12

    ... AFFAIRS Proposed Information Collection (Prevalence and Clinical course of Depression Among patients with... depression in heart failure patients. DATES: Written comments and recommendations on the proposed collection... information technology. Title: Prevalence and Clinical Course of Depression Among Patients with Heart...

  5. ICT use for information management in healthcare system for chronic disease patient

    Science.gov (United States)

    Wawrzyniak, Zbigniew M.; Lisiecka-Biełanowicz, Mira

    2013-10-01

    Modern healthcare systems are designed to fulfill needs of the patient, his system environment and other determinants of the treatment with proper support of technical aids. A whole system of care is compatible to the technical solutions and organizational framework based on legal rules. The purpose of this study is to present how can we use Information and Communication Technology (ICT) systemic tools in a new model of patient-oriented care, improving the effectiveness of healthcare for patients with chronic diseases. The study material is the long-term process of healthcare for patients with chronic illness. Basing on the knowledge of the whole circumstances of patient's ecosystem and his needs allow us to build a new ICT model of long term care. The method used is construction, modeling and constant improvement the efficient ICT layer for the patient-centered healthcare model. We present a new constructive approach to systemic process how to use ICT for information management in healthcare system for chronic disease patient. The use of ICT tools in the model for chronic disease can improve all aspects of data management and communication, and the effectiveness of long-term complex healthcare. In conclusion: ICT based model of healthcare can be constructed basing on the interactions of ecosystem's functional parts through information feedback and the provision of services and models as well as the knowledge of the patient itself. Systematic approach to the model of long term healthcare assisted functionally by ICT tools and data management methods will increase the effectiveness of patient care and organizational efficiency.

  6. Whiplash associated disorders: a review of the literature to guide patient information and advice

    OpenAIRE

    McClune, T; Burton, A Kim; Waddell, Gordon

    2002-01-01

    Objectives: To review the literature and provide an evidence based framework for patient centred information and advice on whiplash associated disorders. Methods: A systematic literature search was conducted, which included both clinical and non-clinical articles to encompass the wide range of patients’ informational needs. From the studies and previous reviews retrieved, 163 were selected for detailed review. The review process considered the quantity, consistency, and relevan...

  7. Information-Technology Based Physics Education

    Science.gov (United States)

    Kim, J. S.; Lee, K. H.

    2001-04-01

    Developing countries emphasize expansion of the educated population but demand for quality improvement follows later. Current science education reform is driven in part by post cold war restructuring of the global economy and associated focus on the education of a more scientifically literate society, due to the industrial change from labor-intensive to high-technology type, and the societal change inherent in the present information era. Industry needs employees of broad and flexible background with inter disciplinary training, engineers with better physics training, and well trained physicists. Education researches have proved that active-learning based methods are superior to the traditional methods and the information technology (IT) has lot to offer in this. Use of IT for improving physics education is briefly discussed with prospects for collaboration in the Asia-Pacific region via Asian Physics Education Network (ASPEN), UNESCO University Foundation Course in Physics (UUFCP), etc.

  8. An efficient steganography method for hiding patient confidential information.

    Science.gov (United States)

    Al-Dmour, Hayat; Al-Ani, Ahmed; Nguyen, Hung

    2014-01-01

    This paper deals with the important issue of security and confidentiality of patient information when exchanging or storing medical images. Steganography has recently been viewed as an alternative or complement to cryptography, as existing cryptographic systems are not perfect due to their vulnerability to certain types of attack. We propose in this paper a new steganography algorithm for hiding patient confidential information. It utilizes Pixel Value Differencing (PVD) to identify contrast regions in the image and a Hamming code that embeds 3 secret message bits into 4 bits of the cover image. In order to preserve the content of the region of interest (ROI), the embedding is only performed using the Region of Non-Interest (RONI). PMID:25569937

  9. HIV Drug-Resistant Patient Information Management, Analysis, and Interpretation

    OpenAIRE

    Singh, Yashik; Mars, Maurice

    2012-01-01

    Introduction The science of information systems, management, and interpretation plays an important part in the continuity of care of patients. This is becoming more evident in the treatment of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS), the leading cause of death in sub-Saharan Africa. The high replication rates, selective pressure, and initial infection by resistant strains of HIV infer that drug resistance will inevitably become an important health car...

  10. Effect of Health Information Technology Expenditure on Patient Level Cost

    OpenAIRE

    Lee, Jinhyung; Dowd, Bryan

    2013-01-01

    Objectives This study investigate the effect of health information technology (IT) expenditure on individual patient-level cost using California Office of Statewide Health Planning and Development (OSHPD) data obtained from 2000 to 2007. Methods We used a traditional cost function and applied hospital fixed effect and clustered error within hospitals. Results We found that a quadratic function of IT expenditure best fit the data. The quadratic function in IT expenditure predicts a decrease in...

  11. A Computer Based Biomedical Information System. I. Logic Foundation and Techniques

    Science.gov (United States)

    Syner, James C.

    A digital computer based biomedical information system was designed to service the needs of physicians engaged in patient care and clinical research, and scientists engaged in laboratory research. The system embraces all functions of information processing which include information collection, storage, retrieval, analyses and display. The…

  12. INIS information retrieval based on IBM's IRMS

    International Nuclear Information System (INIS)

    An information retrieval system for the INIS data base is described. It allows for batch processing on an IBM/360 or /370 computer operated under OS or VS. The program package consists basically of IBM's IRMS system which was converted from DOS to OS and adapted for INIS requirements. Sections 1-9 present the system from the user's point of view, deliberately omitting all the programming details. Program descriptions with data set definitions and file formats are given in sections 10-12. (author)

  13. Lay perceptions of evidence-based information – a qualitative evaluation of a website for back pain sufferers

    OpenAIRE

    Nilsen Elin S; Glenton Claire; Carlsen Benedicte

    2006-01-01

    Abstract Background In an evidence-informed patient choice the patient has access to research-based information about the effectiveness of health care options and is encouraged to use this information in treatment decisions. This concept has seen growing popularity in recent years. However, we still know relatively little about users' attitudes to the use of research-based information, possibly because people have been unexposed to this type of information. After developing the BackInfo websi...

  14. Flexible patient information search and retrieval framework: pilot implementation

    Science.gov (United States)

    Erdal, Selnur; Catalyurek, Umit V.; Saltz, Joel; Kamal, Jyoti; Gurcan, Metin N.

    2007-03-01

    Medical centers collect and store significant amount of valuable data pertaining to patients' visit in the form of medical free-text. In addition, standardized diagnosis codes (International Classification of Diseases, Ninth Revision, Clinical Modification: ICD9-CM) related to those dictated reports are usually available. In this work, we have created a framework where image searches could be initiated through a combination of free-text reports as well as ICD9 codes. This framework enables more comprehensive search on existing large sets of patient data in a systematic way. The free text search is enriched by computer-aided inclusion of additional search terms enhanced by a thesaurus. This combination of enriched search allows users to access to a larger set of relevant results from a patient-centric PACS in a simpler way. Therefore, such framework is of particular use in tasks such as gathering images for desired patient populations, building disease models, and so on. As the motivating application of our framework, we implemented a search engine. This search engine processed two years of patient data from the OSU Medical Center's Information Warehouse and identified lung nodule location information using a combination of UMLS Meta-Thesaurus enhanced text report searches along with ICD9 code searches on patients that have been discharged. Five different queries with various ICD9 codes involving lung cancer were carried out on 172552 cases. Each search was completed under a minute on average per ICD9 code and the inclusion of UMLS thesaurus increased the number of relevant cases by 45% on average.

  15. [Sharing information of urological cancer patient in terminal stage using Cybozulive® for home medical care].

    Science.gov (United States)

    Yumura, Yasushi; Hattori, Yusuke; Gobara, Ayako; Takamoto, Daiji; Yasuda, Kengo; Nakamura, Masafumi; Noguchi, Kazumi; Asahina, Kan; Kamijo, Takeo

    2014-09-01

    It is very important to share patient information because home patient care involves several different specialties of care. We introduced Cybozulive ® , a cloud-based free groupware, for 14 terminal-stage patients with urological cancer to share information among doctors and co-medical staff. This system enables access to patient information regardless of time and place. Of the 14 patients (mean age 74.4 years), 11 died of cancer. The average period in which Cybozulive® was used for the patients was 210 days. The average number of entries to the electronic bulletin board in this period was 88.4. We were able to obtain more information about the patients from the website. There was no difference in the average number of times that the patient consulted the out patient clinic before and after the introduction of Cybozulive® (before 7.0 ; after 6.3). After introduction of this system, eleven patients were hospitalized in our department 21 times. Eighteen of these 21 times, since we had acquired patient information from the website beforehand, there was a quick response for management of the emergency admission. This system could be used to construct a network for home care and may be helpful for sharing patient information in homecare. PMID:25293794

  16. Factors Associated with Strain in Informal Caregivers of Stroke Patients

    Directory of Open Access Journals (Sweden)

    Jen-Wen Hung

    2012-10-01

    Full Text Available Background: Stroke is one of the most prevalent causes of adult disability and handicap. Informal caregivers play an important role in poststroke care. However, informal caregivers may experience strain, which threatens the recovery of stroke subjects. This study aimed to describe changes in strain experienced by informal caregivers from 3 to 6 months after the stroke, and identify the predicting factors.Methods: We recruited pairs of inpatients with ischemic stroke and informal caregivers from a tertiary referral hospital and interviewed them at 3 and 6 months after the stroke. Caregiver strain was evaluated using the Caregiver Strain Index (CSI, with a CSI Ÿ 7 indicating considerable caregiver strain. Various factors associated with caregiver strain were analyzed using generalized estimating equations.Results: Eighty-nine stroke patients and caregivers completed the study. Considerable strain was reported in 46% and 43% of the caregivers at the 3rd and 6th month, respectively. Patient factors such as severe disabilities (Barthel Index ŷ 60, poor cognition (Mini-Mental State Examination ŷ 23, depression (Beck Depression Inventory [BDI] Ÿ 10, and recurrent stroke were predictors for caregiver strain. Caregiver factors, such as changed employment status, help from formal caregivers, and depression (BDI Ÿ 10 were also associated with considerable caregiver strain.Conclusions: Nearly 50% of caregivers experienced considerable strain. Interventions aimed at reducing the caregivers’ strain should focus on enhancing the functional and emotional status of stroke subjects, prevention of recurrent stroke, and efficient management of depression symptoms in caregivers.

  17. Preface: Internet-Based Management Information Systems

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ Recent decades have witnessed a paradigm shift in management information systems research from a technology orientation to a combined focus on technology and management. This shift stems from advances in information technology coupled with information technology fusion that brings information technology and businesses together. Information technology fusion is characterized by technology transparency in that information technology is no longer seen as an addition to a product or servicebut an inherent element of the product or service, so it is transparent to the users. Information technology fusion is also characterized by technology pervasiveness in that information technology now deeply penetrates many businesses who now rely on information technology for survival.

  18. Genome Informed Trait-Based Models

    Science.gov (United States)

    Karaoz, U.; Cheng, Y.; Bouskill, N.; Tang, J.; Beller, H. R.; Brodie, E.; Riley, W. J.

    2013-12-01

    Trait-based approaches are powerful tools for representing microbial communities across both spatial and temporal scales within ecosystem models. Trait-based models (TBMs) represent the diversity of microbial taxa as stochastic assemblages with a distribution of traits constrained by trade-offs between these traits. Such representation with its built-in stochasticity allows the elucidation of the interactions between the microbes and their environment by reducing the complexity of microbial community diversity into a limited number of functional ';guilds' and letting them emerge across spatio-temporal scales. From the biogeochemical/ecosystem modeling perspective, the emergent properties of the microbial community could be directly translated into predictions of biogeochemical reaction rates and microbial biomass. The accuracy of TBMs depends on the identification of key traits of the microbial community members and on the parameterization of these traits. Current approaches to inform TBM parameterization are empirical (i.e., based on literature surveys). Advances in omic technologies (such as genomics, metagenomics, metatranscriptomics, and metaproteomics) pave the way to better-initialize models that can be constrained in a generic or site-specific fashion. Here we describe the coupling of metagenomic data to the development of a TBM representing the dynamics of metabolic guilds from an organic carbon stimulated groundwater microbial community. Illumina paired-end metagenomic data were collected from the community as it transitioned successively through electron-accepting conditions (nitrate-, sulfate-, and Fe(III)-reducing), and used to inform estimates of growth rates and the distribution of metabolic pathways (i.e., aerobic and anaerobic oxidation, fermentation) across a spatially resolved TBM. We use this model to evaluate the emergence of different metabolisms and predict rates of biogeochemical processes over time. We compare our results to observational

  19. Chinese Internet Searches Provide Inaccurate and Misleading Information to Epilepsy Patients

    Institute of Scientific and Technical Information of China (English)

    Jian-Ming Liu; Ru-Xiang Xu; Yong-Sheng Hu; Lian-Kun Ren; Hui Qiao; Hu Ding; Zhi-Liang Liu

    2015-01-01

    Background: Most patients with epilepsy want to learn as much as possible about the disease, and many have turned to the internet for information.Patients are likely to use information obtained from the internet to control their epilepsy, but little is known about the accuracy of this information.In this survey, we have assessed the feasibility and usability ofinternet-based interventions for the treatment of epilepsy.Methods: Data were collected from an internet search.Different search terms were used to obtain general information on epilepsy together with information about medication, types of epilepsy, treatment, women's health, and other information.The accuracy of the information was evaluated by a group of experts.Results: A total of 1320 web pages were assessed.The majority were websites related to health.A large number (80.2%) of web pages contained content related to the search term.A significant number of web pages 450/1058 (42.5%) claimed to provide information from a credible source;however, only 206/1058 (19.5%) of the information was accurate and complete;326/1058 (30.8%) was accurate but incomplete;328/1058 (31.0%) was correct but nonstandard, and 198/1058 (18.8%) was inaccurate.The authenticity of the information was not significantly different between the two search engines (x2 =0.009, P =0.924).No significant difference was observed in the information obtained from a specialist or nonspecialist source (x2 =7.538, P =0.057).There was also no correlation between the quality of the information and the priority (x2 =6.880, P =0.076).Conclusions: Searching for information about epilepsy on the internet is convenient, but the information provided is not reliable.Too much information is inaccurate or for advertisement purposes, and it is difficult for patients to find the useful information.Turning to the internet for medical knowledge may be harmful.Physicians should be aware that their patients may search for information on the internet and

  20. Chinese Internet Searches Provide Inaccurate and Misleading Information to Epilepsy Patients

    Directory of Open Access Journals (Sweden)

    Jian-Ming Liu

    2015-01-01

    Full Text Available Background: Most patients with epilepsy want to learn as much as possible about the disease, and many have turned to the internet for information. Patients are likely to use information obtained from the internet to control their epilepsy, but little is known about the accuracy of this information. In this survey, we have assessed the feasibility and usability of internet-based interventions for the treatment of epilepsy. Methods: Data were collected from an internet search. Different search terms were used to obtain general information on epilepsy together with information about medication, types of epilepsy, treatment, women′s health, and other information. The accuracy of the information was evaluated by a group of experts. Results: A total of 1320 web pages were assessed. The majority were websites related to health. A large number (80.2% of web pages contained content related to the search term. A significant number of web pages 450/1058 (42.5% claimed to provide information from a credible source; however, only 206/1058 (19.5% of the information was accurate and complete; 326/1058 (30.8% was accurate but incomplete; 328/1058 (31.0% was correct but nonstandard, and 198/1058 (18.8% was inaccurate. The authenticity of the information was not significantly different between the two search engines (χ2 = 0.009, P = 0.924. No significant difference was observed in the information obtained from a specialist or nonspecialist source (χ2 = 7.538, P = 0.057. There was also no correlation between the quality of the information and the priority (χ2 = 6.880, P = 0.076. Conclusions: Searching for information about epilepsy on the internet is convenient, but the information provided is not reliable. Too much information is inaccurate or for advertisement purposes, and it is difficult for patients to find the useful information. Turning to the internet for medical knowledge may be harmful. Physicians should be aware that their patients may search for

  1. Cloud based emergency health care information service in India.

    Science.gov (United States)

    Karthikeyan, N; Sukanesh, R

    2012-12-01

    A hospital is a health care organization providing patient treatment by expert physicians, surgeons and equipments. A report from a health care accreditation group says that miscommunication between patients and health care providers is the reason for the gap in providing emergency medical care to people in need. In developing countries, illiteracy is the major key root for deaths resulting from uncertain diseases constituting a serious public health problem. Mentally affected, differently abled and unconscious patients can't communicate about their medical history to the medical practitioners. Also, Medical practitioners can't edit or view DICOM images instantly. Our aim is to provide palm vein pattern recognition based medical record retrieval system, using cloud computing for the above mentioned people. Distributed computing technology is coming in the new forms as Grid computing and Cloud computing. These new forms are assured to bring Information Technology (IT) as a service. In this paper, we have described how these new forms of distributed computing will be helpful for modern health care industries. Cloud Computing is germinating its benefit to industrial sectors especially in medical scenarios. In Cloud Computing, IT-related capabilities and resources are provided as services, via the distributed computing on-demand. This paper is concerned with sprouting software as a service (SaaS) by means of Cloud computing with an aim to bring emergency health care sector in an umbrella with physical secured patient records. In framing the emergency healthcare treatment, the crucial thing considered necessary to decide about patients is their previous health conduct records. Thus a ubiquitous access to appropriate records is essential. Palm vein pattern recognition promises a secured patient record access. Likewise our paper reveals an efficient means to view, edit or transfer the DICOM images instantly which was a challenging task for medical practitioners in the

  2. The Perceived Information in Obtained From the Informed Consent in Iranian Patients With Cancer in Clinical Studies

    OpenAIRE

    2014-01-01

    Objective: One of the basic issues in clinical studies is to receive the informed consent; that is to say, all the activities applied in patient’s involvement in the information, decision-making, ability and volunteering in diagnosis, cure and care. In as much as most cancer patients require information about their individual needs, the present study is conducted to determine the perceived information from the informed consent of clinical studies in cancer patients. Methods: This is a descrip...

  3. Partial order similarity based on mutual information

    CERN Document Server

    Tibély, Gergely; Palla, Gergely

    2016-01-01

    Comparing the ranking of candidates by different voters is an important topic in social and information science with a high relevance from the point of view of practical applications. In general, ties and pairs of incomparable candidates may occur, thus, the alternative rankings are described by partial orders. Various distance measures between partial orders have already been introduced, where zero distance is corresponding to a perfect match between a pair of partial orders, and larger values signal greater differences. Here we take a different approach and propose a similarity measure based on adjusted mutual information. In general, the similarity value of unity is corresponding to exactly matching partial orders, while a low similarity is associated to a pair of independent partial orders. The time complexity of the computation of this similarity measure is $\\mathcal{O}(\\left|{\\mathcal C}\\right|^3)$ in the worst case, and $\\mathcal{O}(\\left|{\\mathcal C}\\right|^2\\ln \\left|{\\mathcal C}\\right|)$ in the typi...

  4. Tailored patient information using a database system: Increasing patient compliance in a day surgery setting

    DEFF Research Database (Denmark)

    Grode, Jesper Nicolai Riis; Grode, Louise; Steinsøe, Ulla;

    2013-01-01

    setup information letter templates, generate information material based on existing templates and support translation of content. Statistics on compliance taken prior to system introduction will be compared to post-system introduction statistics to confirm that the novelty of the system efficiently...

  5. Iterative evaluation of a web-based health information resource.

    Science.gov (United States)

    Rosenfeld, Lindsay; Shepherd, Amy; Agunwamba, Amenah A; McCray, Alexa T

    2013-08-01

    This article presents the research process and methods used to evaluate and improve a web-based health information resource, called "Community Connect to Research," intended for the public. The research process was iterative and involved collaboration with many partners. Two formal evaluations were conducted in 2009 and 2010 using key informant interviews, usability interviews, focus groups, an online survey, and readability and suitability assessment tools. These methods provided users' perspectives on the overall design, content, and literacy demands of the website as well as valuable feedback on their interaction with the website. The authors subsequently redesigned Community Connect to Research, making significant improvements on the basis of what they learned from the evaluation. The second evaluation revealed that the redesign addressed many issues found in the first evaluation and identified additional areas of possible improvement. Overall, both evaluations suggested that participants believed that the website was useful and valuable, indicating that Community Connect to Research is a health information resource that provides patients and families with accessible, relevant, and high-quality information. Regular formal evaluation is an essential tool for effective ongoing enhancement of health information resources meant for the public. PMID:23577665

  6. MobiDis: Toward a Patient Centric Healthcare Information System.

    Science.gov (United States)

    Ricci, Fabrizio L; Serbanati, Luca D

    2005-01-01

    The paper presents some results of the MobiDis project. MobiDis is an information system that includes healthcare consumers and providers in a unique, virtual organisation aimed at promoting a patient centric paradigm in healthcare. It allows logons from desktop or laptop computers, as well as wireless PDAs or tablet PCs connected to Internet. In MobiDis the clinical data of each consumer are stored in the consumer's virtual healthcare record (VHR), a highly structured entity that exists on the network and is simultaneously updated with information from multiple locations. The MobiDis architecture creates an environment for VHRs by providing them with a large variety of services. In order to prove that our proposed architectural solution meets the project goals a prototype was developed. The paper describes the MobiDis architecture and the VHR services, and briefly presents the prototype. PMID:16160316

  7. Concept Tree Based Information Retrieval Model

    Directory of Open Access Journals (Sweden)

    Chunyan Yuan

    2014-05-01

    Full Text Available This paper proposes a novel concept-based query expansion technique named Markov concept tree model (MCTM, discovering term relationship through the concept tree deduced by term markov network. We address two important issues for query expansion: the selection and the weighting of expansion search terms. In contrast to earlier methods, queries are expanded by adding those terms that are most similar to the concept of the query, rather than selecting terms that are similar to a signal query terms. Utilizing Markov network which is constructed according to the co-occurrence information of the terms in collection, it generate concept tree for each original query term, remove the redundant and irrelevant nodes in concept tree, then adjust the weight of original query and the weight of expansion term based on a pruning algorithm. We use this model for query expansion and evaluate the effectiveness of the model by examining the accuracy and robustness of the expansion methods, Compared with the baseline model, the experiments on standard dataset reveal that this method can achieve a better query quality

  8. An XML-based information model for archaeological pottery

    Institute of Scientific and Technical Information of China (English)

    LIU De-zhi; RAZDAN Anshuman; SIMON Arleyn; BAE Myungsoo

    2005-01-01

    An information model is defined to support sharing scientific information on Web for archaeological pottery. Apart from non-shape information, such as age, material, etc., the model also consists of shape information and shape feature information. Shape information is collected by Lasers Scanner and geometric modelling techniques. Feature information is generated from shape information via feature extracting techniques. The model is used in an integrated storage, archival, and sketch-based query and retrieval system for 3D objects, native American ceramic vessels. A novel aspect of the information model is that it is totally implemented with XML, and is designed for Web-based visual query and storage application.

  9. Information Status of the Patients about Radiological Examinations and Encountered Ethical and Medical Issues

    Directory of Open Access Journals (Sweden)

    Ramazan Büyükkaya1

    2015-03-01

    Full Text Available Aim: It is observed that the patient compliance and technical quality is increased in sufficiently informed patients by the doctor at the examinations requested from the radiology clinics. We aimed to point to rate of the patients have been informed by the doctor about ultrasound and interventional radiological examinations requested from the clinical disciplines and accordingly encountered medical and ethic problems. Methods: Simple yes or no questions were asked to 1000 patients (550 male, mean age 44, 450 women, mean age 42 admitted to our clinic to assess their level of information about the investigation. Whether the patients were informed by the doctor, know why and what is the examination wanted and knowledge about the way of technique were asked to the patients simply and clearly. Results: 880 of 1000 (88% patients were not informed by the doctor about tests, 710 patients (71% had no information about the examination. Patients with information about research (290 patients classified according to source of the information; 120 patients were informed by the physician (41.4%, 90 patients (31% had examination before, 44 patients (15.2% received information from the relatives and other patients examined, while the remaining 36 patients (12.4% were found information from a variety of media organs and from the internet. Conclusion: As a result of our research it is concluded that information status of the patients about radiological examinations is insufficient and the patients are not informed adequately by clinicians. Patient non-compliance during the examination because of having no information or false information decreases the quality of the investigation and makes it difficult to reach the diagnosis.

  10. How Do Cancer Patients Navigate the Public Information Environment? Understanding Patterns and Motivations for Movement Among Information Sources

    Science.gov (United States)

    Romantan, Anca; Kelly, Bridget J.; Stevens, Robin S.; Gray, Stacy W.; Hull, Shawnika J.; Ramirez, A. Susana; Hornik, Robert C.

    2010-01-01

    Little is known about how patients move among information sources to fulfill unmet needs. We interviewed 43 breast, prostate, and colorectal cancer patients. Using a grounded theory approach, we identified patterns and motivations for movement among information sources. Overall, patients reported using one source (e.g., newspaper) followed by the use of another source (e.g., Internet), and five key motivations for such cross-source movement emerged. Patients’ social networks often played a central role in this movement. Understanding how patients navigate an increasingly complex information environment may help clinicians and educators to guide patients to appropriate, high-quality sources. PMID:20204573

  11. 77 FR 50548 - Agency Information Collection: (PACT Qualitative Evaluation: Patient & Caregiver Interviews...

    Science.gov (United States)

    2012-08-21

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection: (PACT Qualitative Evaluation: Patient & Caregiver Interviews...). SUPPLEMENTARY INFORMATION: Title: PACT Qualitative Evaluation: Patient & Caregiver Interviews. OMB...

  12. Information Work Support Based on Activity Data

    OpenAIRE

    Schmidt, Benedikt

    2013-01-01

    In industrial and post industrial nations like Germany and the USA more than a quarter of the workforce mainly works with information. Most of the work done by these information workers is the production, supervision and dissemination of information at computer workplaces. Information workers frequently works on multiple tasks in parallel. Few guidelines regulate and structure the work process. Therefore, the successful execution of the work requires a high degree of individual planning. ...

  13. Implementing Cloud Computing Based Information Systems

    OpenAIRE

    Robu Maximilian Iosif

    2013-01-01

    Adoption of a new information system involves much more than simply buying hardware and software, it also includes changes in jobs, skills, management and organization. Most times a new information system is implemented to redesign the organization. Knowledge of application life cycle phases of information systems development is the main success factor in implementing such a system. This article will present some elements of the implementation of information systems in the context of cloud co...

  14. Patient perception about preoperative information to allay anxiety towards major surgery

    Directory of Open Access Journals (Sweden)

    Kelly Lu Ting Ee

    2013-03-01

    Full Text Available Abstract: Surgeries are seen as stressors that triggerpreoperative anxiety. Preparing the patients for surgerythrough preoperative teaching becomes crucial to allayanxiety level. In a cross sectional descriptive studyconducted on eighty patients (age: 18–65 yr who hadundergone open abdominal surgery, 78.8% (n=63 statedthat they experienced anxiety prior to surgery. Amongthese anxious respondents, 47.5% (n=38 experiencedhigh state anxiety. Three of the top information thatpatients perceived as important to allay anxiety towardsmajor surgery were: details of surgery, details of nursingcare to surgery and information on anaesthesia. Nursesworking in the surgical wards need to proactively addresspatients’ psychological concerns towards surgery andprovide preoperative information based on patients’needs to allay anxiety.

  15. The effects of preparatory sensory information on ICU patients.

    Science.gov (United States)

    Shi, Shu-Feng; Munjas, Barbara A; Wan, Thomas T H; Cowling, W Richard; Grap, Mary Jo; Wang, Bill B L

    2003-04-01

    Preparatory sensory information (PSI) has been found to have significant effects in reducing distress, tension, restlessness, negative moods, and anxiety, and also in reducing length of postoperative hospitalization during various threatening medical events, but no evidence has demonstrated the effect of PSI on a patient during ICU hospitalization. On the basis of Lazarus' theory, a structural equation model was developed to examine the role of the nursing intervention, PSI, as a significant factor influencing patients' processes of cognitive appraisals and coping, adaptational responses, and patient care outcomes during ICU hospitalization. The analytical model examined the net effect of PSI on outcomes, controlling for the effects of mastery, interpersonal trust, social support, socioeconomic status, severity of illness, age, and gender. A quasi-experiment was executed in four large acute care hospitals. Data were collected from 41 subjects in the control group and from 42 in the treatment group receiving PSI before ICU admission. Structural equation modeling was employed to test the proposed analytic model. The initial tests of model fit indicate that the original model did not fit the data well with GFI = 0.85, AGFI = 0.76, RMSEA = 0.059, p_close = 0.28, and critical N = 78. A revised model was developed, and the fit indices suggested an adequate fit with GFI = 0.90, AGFI = 0.84, RMSEA = 0.00, p_close = 0.89, and critical N = 109. These findings provide empirical support for Lazarus' theory on stress, appraisal, and coping. The findings also verify the beneficial effects of the nursing intervention of PSI on ICU patients. PMID:12617360

  16. Brainstorming Design for Health: Helping Patients Utilize Patient-Generated Information on the Web

    Science.gov (United States)

    Huh, Jina; Hartzler, Andrea; Munson, Sean; Anderson, Nick; Edwards, Kelly; Gore, John L.; McDonald, David; O’Leary, Jim; Parker, Andrea; Streat, Derek; Yetisgen-Yildiz, Meliha; Pratt, Wanda; Ackerman, Mark S.

    2013-01-01

    Researchers and practitioners show increasing sinterest in utilizing patient-generated information on the Web. Although the HCI and CSCW communities have provided many exciting opportunities for exploring new ideas and building broad agenda in health, few venues offer a platform for interdisciplinary and collaborative brainstorming about design challenges and opportunities in this space. The goal of this workshop is to provide participants with opportunities to interact with stakeholders from diverse backgrounds and practices—researchers, practitioners, designers, programmers, and ethnographers—and together generate tangible design outcomes that utilize patient-generated information on the Web. Through small multidisciplinary group work, we will provide participants with new collaboration opportunities, understanding of the state of the art, inspiration for future work, and ideally avenues for continuing to develop research and design ideas generated at the workshop. PMID:24499843

  17. MedlinePlus Connect: Linking Patient Portals and Electronic Health Records to Health Information

    Science.gov (United States)

    ... Patient portals, patient health record (PHR) systems, and electronic health record (EHR) systems can use MedlinePlus Connect to provide health information for patients, families, and healthcare providers using standard ...

  18. Patients' use of the Internet for pain-related medical information

    NARCIS (Netherlands)

    de Boer, Maaike J.; Versteegen, Gerbrig J.; van Wijhe, Marten

    2007-01-01

    Objective: Patients increasingly use the Internet for medical information. For doctor-patient communication it is important to gain insight into the use and impact of medical Internet searches of patients. This study aims to evaluate patients' use of the Internet for information about their pain pro

  19. Informed Systems: Enabling Collaborative Evidence Based Organizational Learning

    OpenAIRE

    Mary M. Somerville; Niki Chatzipanagiotou

    2015-01-01

    Objective – In response to unrelenting disruptions in academic publishing and higher education ecosystems, the Informed Systems approach supports evidence based professional activities to make decisions and take actions. This conceptual paper presents two core models, Informed Systems Leadership Model and Collaborative Evidence-Based Information Process Model, whereby co-workers learn to make informed decisions by identifying the decisions to be made and the information required for those dec...

  20. Older cancer patients' information and support needs surrounding treatment: An evaluation through the eyes of patients, relatives and professionals

    Directory of Open Access Journals (Sweden)

    van Weert Julia CM

    2009-01-01

    Full Text Available Abstract Background Providing cancer patients with adequate treatment information is important for patients' health, well-being and satisfaction. Nurses play an important role in patient education. So far, few studies focused on the specific information needs of older cancer patients surrounding chemotherapy treatment. Given the growing incidence of cancer among older individuals, insight in these needs is crucial. This article describes the views of older cancer patients, their relatives and professionals on older patients' specific communication needs regarding chemotherapy treatment. Methods A qualitative design was used. Five focus group interviews were held with older cancer patients and their partners (two groups and professionals with a background in nursing, oncology, gerontology and/or patient-provider communication (three groups. In addition, face to face in-depth interviews were conducted with older cancer patients. A total number of 38 patients and relatives participated, with a mean age of 67.6 years. The focus groups and interviews were audio-recorded for subsequent transcription and analysis. Results Older people have more difficulties processing and remembering information than younger ones. A trustful environment appears to be a prerequisite for reflection of older patients on the information provided and individualized information is essential to enhance memory of information. However, the results show that both patients and professionals experienced insufficient exploration of the patients' personal situation and individual information needs. Patients also strengthened the importance of sensitive communication, e.g. showing empathy en emotional support, throughout the continuum of cancer care. Moreover, potential areas of improvement were identified, including engaging the patients' relatives and encouraging patients and relatives to ask questions. Conclusion Patient education should be more tailored to older cancer patients

  1. A Software Tool for Removing Patient Identifying Information from Clinical Documents

    OpenAIRE

    Friedlin, F. Jeff; McDonald, Clement J.

    2008-01-01

    We created a software tool that accurately removes all patient identifying information from various kinds of clinical data documents, including laboratory and narrative reports. We created the Medical De-identification System (MeDS), a software tool that de-identifies clinical documents, and performed 2 evaluations. Our first evaluation used 2,400 Health Level Seven (HL7) messages from 10 different HL7 message producers. After modifying the software based on the results of this first evaluati...

  2. Estimating the value of information in strategies for identifying patients at high risk of cardiovascular disease

    OpenAIRE

    Tom Marshall

    2006-01-01

    Background There are many different potential strategies for identification of patients eligible for primary prevention of cardiovascular disease. The ability to use a more efficient strategy has a value. This paper models the costs and benefits of a number of identification strategies and estimates the additional value of an information-based strategy. Design Modelling study. Methods Ten-year Framingham cardiovascular risk was calculated for each individual in a population of 4471 pers...

  3. Leading article: Use of smartphones to pass on information about patients - what are the current issues?

    Science.gov (United States)

    Rokadiya, S; McCaul, J A; Mitchell, D A; Brennan, P A

    2016-07-01

    Many doctors now use mobile devices such as smartphones to communicate with one another about their patients, and sometimes this is without the knowledge and approval of their employer. We know of little information about the use of texting and other web-based messaging services by doctors in hospitals, so we reviewed relevant published studies to assess the safety and usefulness of current methods of digital communication. PMID:27185230

  4. Informatics-based Learning Resources for Patients and their Relatives in recovery

    OpenAIRE

    Moen, Anne; Smørdal, Ole

    2006-01-01

    In this paper we describe experiences from design of an informatics-based learning resource for patients and relatives. The prototype, REPARERE (learning REsource for PAtients and RElatives during REcovery), aims to support patients and their family recovering from heart surgery in meeting challenges in to daily living post discharge. Using recovery experiences and patient teaching material, REPARERE includes examples of textual information, video-clips, images and illustrations relevant to t...

  5. Tag disambiguation based on social network information

    OpenAIRE

    Qasim, Syed Sumair

    2011-01-01

    Within 20 years the Web has grown from a tool for scientists at CERN into a global information space. While returning to its roots as a read/write tool, its entering a more social and participatory phase. Hence a new, improved version called the Social Web where users are responsible for generating and sharing content on the global information space, they are also accountable for replicating the information. This collaborative activity can be observed in two of the most widely practised Socia...

  6. Association-rule based information source selection

    OpenAIRE

    Yang, Hui; Zhang, Minjie; Shi, Zhongzhi

    2004-01-01

    The proliferation of information sources available on the Wide World Web has resulted in a need for database selection tools to locate the potential useful information sources with respect to the user's information need. Current database selection tools always treat each database independently, ignoring the implicit, useful associations between distributed databases. To overcome this shortcoming, in this paper, we introduce a data-mining approach to assist the process of database selection by...

  7. The Relationship between Information Systems Strategic Management Based on Balanced Scorecard and Information Systems Performance

    OpenAIRE

    Maryam Ebrahimi; Alireza Hassanzadeh; Shaban Elahi; Mahshid Ebrahimi

    2013-01-01

    In the present study, the model of information technology balanced scorecard (ITBSC) was used, because of the importance of information systems (IS) performance evaluation. Moreover, information systems strategic management based on systems performance was considered in order to formulate the information systems strategy based on the results of the systems performance. The information systems strategic management was analyzed on the basis of balanced scorecard maturity model. The research aim...

  8. Comparing the security risks of paper-based and computerized patient record systems

    Science.gov (United States)

    Collmann, Jeff R.; Meissner, Marion C.; Tohme, Walid G.; Winchester, James F.; Mun, Seong K.

    1997-05-01

    How should hospital administrators compare the security risks of paper-based and computerized patient record systems. There is a general tendency to assume that because computer networks potentially provide broad access to hospital archives, computerized patient records are less secure than paper records and increase the risk of breaches of patient confidentiality. This assumption is ill-founded on two grounds. Reasons exist to say that the computerized patient record provides better access to patient information while enhancing overall information system security. A range of options with different trade-offs between access and security exist in both paper-based and computerized records management systems. The relative accessibility and security of any particular patient record management system depends, therefore, on administrative choice, not simply on the intrinsic features of paper or computerized information management systems.

  9. Information Clustering Based on Fuzzy Multisets.

    Science.gov (United States)

    Miyamoto, Sadaaki

    2003-01-01

    Proposes a fuzzy multiset model for information clustering with application to information retrieval on the World Wide Web. Highlights include search engines; term clustering; document clustering; algorithms for calculating cluster centers; theoretical properties concerning clustering algorithms; and examples to show how the algorithms work.…

  10. Completeness of Information Sources Used to Prepare Best Possible Medication Histories for Pediatric Patients

    Science.gov (United States)

    Dersch-Mills, Deonne; Hugel, Kimberly; Nystrom, Martha

    2011-01-01

    Background: Medication reconciliation can reduce medication errors and mortality. With limited availability of clinical pharmacists, it is important to determine the resources that will yield the most complete information about a patient’s medication history. Objective: To identify the most time-efficient sources of information about medication history for use by clinicians in a pediatric care setting. Methods: In July and August 2009, newly admitted pediatric patients (under 18 years of age) were identified, and a best possible medication history (BPMH) was compiled from the admission history in each patient’s chart, a provincial prescription database, a community pharmacy record, and an “informed interview”. Each individual source of information was compared with the BPMH and given a completeness score based on 3 pieces of information about each medication (name, dose, and frequency). Results: Data were collected for 99 pediatric patients. Of these, 76 (77%) were taking at least one medication, and 49 (50%) were taking at least one prescription medication. Among patients who were taking at least one medication, the informed interview, based on background information from other sources, resulted in the most comprehensive medication history, with a median completeness score of 100% (interquartile range [IQR] 90% to 100%). The admission history had a median completeness score of 33% (IQR 4% to 56%), with documentation of dose and frequency lacking most frequently. Information from community pharmacies had a median completeness score of 67% (IQR 42% to 87%), but this source was available for only 24 of the 99 patients. The prescription database was the least complete source, with a median completeness score of 0% (IQR 0% to 37%). Conclusion: An informed interview by a trained professional resulted in the most complete medication history. Admission histories represented the next most complete source. The data from this study indicated a need for education on

  11. 基于CDA双向转诊信息交互的研究与实现%Study and Realization of Information Exchange for Two-way Transfer of Patients Based on CDA

    Institute of Scientific and Technical Information of China (English)

    许庆; 徐静; 耿庆山; 周毅; 周凌宏

    2011-01-01

    The new medical reform has promoting local healthy departments of many regions to explore the development of territorial health platform. Dual referral has become an important procedure in territorial health platform, due to help treatment go down into the Communities effectively , and distribute or utilize health resources rationally . So this paper presents a practical solution that achieve region-based platform to provide dual referral. There are two processes. First is analyze the business and processes of dual referral, information of dual referral model (D-MIM), determine the lists of the activities, even the location of data sets and elements in the information model. The second is based on HL7 standard to Construct and analyze dual referral information, share the dual referral summary based on HL7 CDA standard for dual referral business and so on.%新医改推动各地卫生部门对区域卫生平台建设的探索,双向转诊因其在促进患者有效诊疗下沉和区域卫生资源合理流动方面的巨大作用,成为区域卫生平台中的重要衔接环.分析了双向转诊业务和流程,抽象出双向转诊信息模型,确定双向转诊的活动列表、数据集以及数据集的数据元在信息模型中的位置和表达方式;通过构建与解析基于HL7标准的双向转诊信息、共享基于HL7 CDA标准的双向转诊摘要等技术,为实现基于区域平台的双向转诊业务提供可行性方案.

  12. A quality assessment of patient leaflets on misoprostol induced labour – does written information adhere to international standards for patient involvement and informed consent?

    DEFF Research Database (Denmark)

    Clausen, Jette Aaroe; Juul, Mette; Rydahl, Eva

    2016-01-01

    Objectives: The need for thorough patient information is increasing as maternity care becomes more medicalised. The aim was to assess the quality of written patient information on labour induction. In most Danish hospitals misoprostol is the first-choice drug for induction in low-risk pregnancies...

  13. Informing Patients About Placebo Effects: Using Evidence, Theory, and Qualitative Methods to Develop a New Website

    Science.gov (United States)

    Greville-Harris, Maddy; Bostock, Jennifer; Din, Amy; Graham, Cynthia A; Lewith, George; Liossi, Christina; O’Riordan, Tim; White, Peter; Yardley, Lucy

    2016-01-01

    Background According to established ethical principles and guidelines, patients in clinical trials should be fully informed about the interventions they might receive. However, information about placebo-controlled clinical trials typically focuses on the new intervention being tested and provides limited and at times misleading information about placebos. Objective We aimed to create an informative, scientifically accurate, and engaging website that could be used to improve understanding of placebo effects among patients who might be considering taking part in a placebo-controlled clinical trial. Methods Our approach drew on evidence-, theory-, and person-based intervention development. We used existing evidence and theory about placebo effects to develop content that was scientifically accurate. We used existing evidence and theory of health behavior to ensure our content would be communicated persuasively, to an audience who might currently be ignorant or misinformed about placebo effects. A qualitative ‘think aloud’ study was conducted in which 10 participants viewed prototypes of the website and spoke their thoughts out loud in the presence of a researcher. Results The website provides information about 10 key topics and uses text, evidence summaries, quizzes, audio clips of patients’ stories, and a short film to convey key messages. Comments from participants in the think aloud study highlighted occasional misunderstandings and off-putting/confusing features. These were addressed by modifying elements of content, style, and navigation to improve participants’ experiences of using the website. Conclusions We have developed an evidence-based website that incorporates theory-based techniques to inform members of the public about placebos and placebo effects. Qualitative research ensured our website was engaging and convincing for our target audience who might not perceive a need to learn about placebo effects. Before using the website in clinical trials

  14. Quality of Web-based information on obsessive compulsive disorder

    Directory of Open Access Journals (Sweden)

    Klila H

    2013-11-01

    Full Text Available Hedi Klila,1 Anne Chatton,2 Ariane Zermatten,2 Riaz Khan,2 Martin Preisig,1,3 Yasser Khazaal2,4 1Department of Psychiatry, Lausanne University Hospital, Lausanne, Switzerland; 2Department of Mental Health and Psychiatry, Geneva University Hospitals, Geneva, Switzerland; 3Lausanne University, Lausanne, Switzerland; 4Geneva University, Geneva, Switzerland Background: The Internet is increasingly used as a source of information for mental health issues. The burden of obsessive compulsive disorder (OCD may lead persons with diagnosed or undiagnosed OCD, and their relatives, to search for good quality information on the Web. This study aimed to evaluate the quality of Web-based information on English-language sites dealing with OCD and to compare the quality of websites found through a general and a medically specialized search engine. Methods: Keywords related to OCD were entered into Google and OmniMedicalSearch. Websites were assessed on the basis of accountability, interactivity, readability, and content quality. The "Health on the Net" (HON quality label and the Brief DISCERN scale score were used as possible content quality indicators. Of the 235 links identified, 53 websites were analyzed. Results: The content quality of the OCD websites examined was relatively good. The use of a specialized search engine did not offer an advantage in finding websites with better content quality. A score ≥16 on the Brief DISCERN scale is associated with better content quality. Conclusion: This study shows the acceptability of the content quality of OCD websites. There is no advantage in searching for information with a specialized search engine rather than a general one. Practical implications: The Internet offers a number of high quality OCD websites. It remains critical, however, to have a provider–patient talk about the information found on the Web. Keywords: Internet, quality indicators, anxiety disorders, OCD, search engine

  15. Information Commitments: Evaluative Standards and Information Searching Strategies in Web-Based Learning Environments

    Science.gov (United States)

    Wu, Ying-Tien; Tsai, Chin-Chung

    2005-01-01

    "Information commitments" include both a set of evaluative standards that Web users utilize to assess the accuracy and usefulness of information in Web-based learning environments (implicit component), and the information searching strategies that Web users use on the Internet (explicit component). An "Information Commitment Survey" (ICS),…

  16. Model-based immunization information routing.

    OpenAIRE

    Wang, D.; Jenders, R. A.

    2000-01-01

    We have developed a model for clinical information routing within an immunization registry. Components in this model include partners, contents and mechanisms. Partners are classified into senders, receivers and intermediates. Contents are classified into core contents and management information. Mechanisms are classified into topological control, temporal control, process control and communication channel control. Immunization reminders, forecasts and recalls in e-mail, fax and regular mail ...

  17. ERDA energy information data base subject thesaurus

    International Nuclear Information System (INIS)

    The technical staff of the ERDA Technical Information Center, during its subject indexing activities, develops and structures a vocabulary that allows consistent machine storage and retrieval of information necessary to the accomplishment of the ERDA mission. This thesaurus incorporates that structured vocabulary. Terms in the thesaurus are listed alphabetically; each alphabetic entry is accompanied by a ''word block'' containing all the terms associated with the entry

  18. The effects of informed consent format on preoperative anxiety in patients undergoing inferior third molar surgery

    OpenAIRE

    Torres Lagares, Daniel; Heras Meseguer, Marisa; Azcárate Velázquez, Francisco; Hita Iglesias, Pilar; Ruiz de León, Gonzalo; Hernández Pacheco, Esther; Gutiérrez Pérez, José Luis

    2013-01-01

    Objectives: To evaluate the effect of informed consent format on preoperative anxiety of patients. Material and Methods: We performed a prospective study (91 patients) undergoing lower third molar extraction. Patients were distributed into three groups. Informed consent for surgery was obtained through a written document, an oral interview or a video recording. Afterwards, patients were asked about their anxiety level and the effect the informed consent had had on it. Results: Whereas the inf...

  19. Photodiode based dosemeter for patient dose monitoring

    International Nuclear Information System (INIS)

    This work describes the performance of a dosemeter, based on a photodiode device, compared to an ionization chamber for on-line dose monitoring applied to the patient during radiotherapy procedures. The dosemeter is constituted by two photodiodes, connected without polarisation to a digital current integrator. The dosemeter was tested in a water phantom and 60Co gamma ray. The depth dose distribution and the variation response with depth of the dosemeter were obtained. The results were compared to those obtained with a secondary standard, take as reference dosemeter. The response of this dosemeter had a deviation of 0,7 % from the ion chamber performance in water phantom measurement. The response variation with depth was less than 1 %. This is better than 8 % of diodes, determined by other authors. The developed device can substitute ion chambers in some routine absorbed dose to water measurements, with advantage of low cost and robust form. It has better performance than diodes, for given dose for patient. (author)

  20. Mutual information-based feature selection for radiomics

    Science.gov (United States)

    Oubel, Estanislao; Beaumont, Hubert; Iannessi, Antoine

    2016-03-01

    Background The extraction and analysis of image features (radiomics) is a promising field in the precision medicine era, with applications to prognosis, prediction, and response to treatment quantification. In this work, we present a mutual information - based method for quantifying reproducibility of features, a necessary step for qualification before their inclusion in big data systems. Materials and Methods Ten patients with Non-Small Cell Lung Cancer (NSCLC) lesions were followed over time (7 time points in average) with Computed Tomography (CT). Five observers segmented lesions by using a semi-automatic method and 27 features describing shape and intensity distribution were extracted. Inter-observer reproducibility was assessed by computing the multi-information (MI) of feature changes over time, and the variability of global extrema. Results The highest MI values were obtained for volume-based features (VBF). The lesion mass (M), surface to volume ratio (SVR) and volume (V) presented statistically significant higher values of MI than the rest of features. Within the same VBF group, SVR showed also the lowest variability of extrema. The correlation coefficient (CC) of feature values was unable to make a difference between features. Conclusions MI allowed to discriminate three features (M, SVR, and V) from the rest in a statistically significant manner. This result is consistent with the order obtained when sorting features by increasing values of extrema variability. MI is a promising alternative for selecting features to be considered as surrogate biomarkers in a precision medicine context.

  1. Quality assessment of patient leaflets on misoprostol-induced labour: does written information adhere to international standards for patient involvement and informed consent?

    Science.gov (United States)

    Clausen, Jette Aaroe; Rydahl, Eva

    2016-01-01

    Objectives The need for thorough patient information is increasing as maternity care becomes more medicalised. The aim was to assess the quality of written patient information on labour induction. In most Danish hospitals, misoprostol is the first-choice drug for induction in low-risk pregnancies. Misoprostol has been associated with adverse side effects and severe outcomes for mother and child and is not registered for obstetric use in Denmark. Setting Secondary care hospitals in Denmark. Data Patient information leaflets from all hospitals that used misoprostol as an induction agent by June 2015 (N=13). Design Patient leaflets were evaluated according to a validated scoring tool (International Patient Decision Aid Standards instrument, IPDAS), core elements in the Danish Health Act, and items regarding off-label use and non-registered medication. Two of the authors scored all leaflets independently. Outcome measures Women's involvement in decision-making, information on benefits and harms associated with the treatment, other justifiable treatment options, and non-registered treatment. Results Generally, the hospitals scored low on the IPDAS checklist. No hospitals encouraged women to consider their preferences. Information on side effects and adverse outcomes was poorly covered and varied substantially between hospitals. Few hospitals informed about precautions regarding outpatient inductions, and none informed about the lack of evidence on the safety of this procedure. None informed that misoprostol is not registered for induction or explained the meaning of off-label use or use of non-registered medication. Elements such as interprofessional consensus, long-term experience, and health authorities' approval were used to add credibility to the use of misoprostol. Conclusions Central criteria for patient involvement and informed consent were not met, and the patient leaflets did not inform according to current evidence on misoprostol-induced labour. Our findings

  2. Information on antidepressants for psychiatric inpatients: the divide between patient needs and professional practice

    Directory of Open Access Journals (Sweden)

    Desplenter FA

    2013-06-01

    Full Text Available Background: Medicine information is an integral part of patient care and a patient right. In particular, patients with a mental health diagnosis have a need for information on medicines. Objective: This study aims to describe the current practice on information provision on antidepressants to inpatients in psychiatric hospitals.Methods: A qualitative study was conducted consisting of semi-structured interviews with health care professionals (n=46 and patients (n=17 in 11 Flemish psychiatric hospitals. Two topic guides were designed for conducting the interviews with these respective stakeholders. The issues addressed in the topic guides related to: organization of information provision in the hospital, information on demand of the patient, information provision by health care professionals, information for relatives, evaluation of provided information, interdisciplinary contacts on information provision and satisfaction on current practice of information provision. The interviews were analysed according to the five stages of the framework analysis.Results: Psychiatrists and nurses are the key players to provide information on antidepressants. Their approach depends on patient characteristics and mental state. Information is provided mainly orally. Health care professionals consider non-verbal cues of patients to verify if information has been understood. Health care professionals reported lack of time and lack of interdisciplinary contacts as negative aspects. Patients indicated that health care professionals take too little initiative to provide medicine information. Conclusions: Patients are informed about their antidepressants through various pathways. Although the awareness is present of the importance of the individual approach and efforts are done to tailor information to the individual patient, improvement is still possible. Tailoring communication; assessing patient needs and preferences; matching of health care professional style and

  3. An Ontology-Based Representation Architecture of Unstructured Information

    Institute of Scientific and Technical Information of China (English)

    GU Jin-guang; CHEN He-ping; CHEN Xin-meng

    2004-01-01

    Integrating with the respective advantages of XML Schema and Ontology, this paper puts forward a semantic information processing architecture-OBSA to solve the problem of heterogeneity of information sources and uncertainty of semantic.It introduces an F-Logic based semantic information presentation mechanism, presents a design of an ontology-based semantic representation language and a mapping algorithm converting Ontology to XML DTD/Schema, and an adapter framework for accessing distributed and heterogeneous information.

  4. Theory of Dynamic Diagnosis Based on Integrated Maintenance Information

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Based on the concept of an integrated maintenance information system and related information environment, this paper discusses the process of troubleshooting in modern maintenance in detail, and gives a model of dynamic diagnosis of faults, in which a reasoning program is designed through taking advantage of information fusion and time analysis. In the end, the authors present the logic process of dynamic diagnosis through a typical example, and proposes a dynamic diagnostic system based on information fusion.

  5. Enterprise Human Resources Information Mining Based on Improved Apriori Algorithm

    OpenAIRE

    Lei He; Jiaxin Qi

    2013-01-01

    With the unceasing development of information and technology in today’s modern society, enterprises’ demand of human resources information mining is getting bigger and bigger. Based on the enterprise human resources information mining situation, this paper puts forward a kind of improved Apriori algorithm based model on the enterprise human resources information mining, this model introduced data mining technology and traditional Apriori algorithm, and improved on its basis, divid...

  6. Effective Performance of Information Retrieval by using Domain Based Crawler

    OpenAIRE

    Dr. P. Premchand; Sk. Abdul Nabi

    2013-01-01

    World Wide Web continuously introduces new capabilities and attracts many people[1]. It consists of more than 60 billion pages online. Due to this explosion in size, the information retrieval system or Search Engines are being upgraded day by day and it can be used to access the information effectively and efficiently. In this paper, we have addressed Domain Based Information Retrieval (DBIR) System. In this system we crawl the information from the web and added all links to the data base whi...

  7. The role of the medical school-based consumer health information service.

    Science.gov (United States)

    La Rocco, A

    1994-01-01

    Historically, medical information has been provided to patients at the physician's discretion. Although this method never has been wholly satisfactory, the trend toward bureaucratic organization of medical care, characterized by impersonal patient encounters and prompted by increased emphasis on cost controls, has restricted patient information even further. Yet, at the same time, the upsurge in consumer power has created patient demand for more health information. Consumers feel they have a right to expect help in obtaining information so they can make informed decisions with respect to their medical care. This paper focuses on the medical school-based consumer health service in this context. In particular, it calls attention to the medical school library as the foundation for expanded health information resources, pointing to the tools of information retrieval, as well as the substantive information contained in the medical, nursing, and allied health literature. In this setting, the consumer health librarian is called upon to act as a mediator in providing quality-filtered information to the patron, while at the same time remaining within the confines of professional expertise as a librarian. Important sources of health information are highlighted, particularly online databases, drug indexes, therapeutic texts, and physician specialist directories. PMID:8136760

  8. Cultural competency, autonomy, and spiritual conflicts related to Reiki/CAM therapies: Should patients be informed?

    Science.gov (United States)

    Arvonio, Maria Marra

    2014-02-01

    The use of complementary and alternative medicines (CAM) such as Reiki is on the rise in healthcare centers. Reiki is associated with a spirituality that conflicts with some belief systems. Catholic healthcare facilities are restricted from offering this therapy because it conflicts with the teachings of the Catholic Church. However, hospitals are offering it without disclosing the spiritual aspects of it to patients. This article will address the ethical concerns and possible legal implications associated with the present process of offering Reiki. It will address these concerns based on the Joint Commission's Standard of Cultural Competency and the ethical principles of autonomy and informed consent. A proposal will also be introduced identifying specific information which Reiki/CAM practitioners should offer to their patients out of respect of their autonomy as well as their cultural, spiritual, and religious beliefs. PMID:24899738

  9. Medical Communication-related Informational Need and Resource Preferences Among Family Caregivers for Head and Neck Cancer Patients.

    Science.gov (United States)

    Longacre, Margaret L; Galloway, Thomas J; Parvanta, Claudia F; Fang, Carolyn Y

    2015-12-01

    Despite advances in treatment, head and neck cancer (HNC) patients often experience considerable functional impairment during and following treatment. As a result, family caregivers are essential in a patient's recovery; however, few caregivers are well-prepared to handle the extensive caregiving needs of this patient population. To date, little is known about HNC caregivers' informational needs in this role. Thus, we surveyed a sample of HNC caregivers about their informational needs including those related to interacting in the medical context as a caregiver and meeting patient needs. We also asked these caregivers their preferences for obtaining caregiving information. We conducted a cross-sectional study of 59 family caregivers for HNC patients who had completed radiation therapy at a comprehensive cancer center. The majority of caregivers (74.6%) reported having high informational need at diagnosis related to interacting as a caregiver. Although the need for such information decreased over time, over half still had a high need for information at treatment end. Importantly, caregivers who desired information about reducing patient pain and distress also reported having greater informational needs on issues related to interacting in the medical context. Further, the caregivers most often preferred to receive information from health-care professionals as a first source. However, preferring an informal (e.g., Internet) resource at first was significantly associated with needing information on how to talk to a doctor or nurse. The development of evidence-based resources and tools for HNC caregivers as well as clinicians may help caregivers more effectively manage patient symptoms and warrants further attention. Further, Internet resources may represent an effective resource for providing caregivers with strategies toward enhancing communication with healthcare professionals. PMID:25893922

  10. A semantic-based model to assess information for intelligence

    OpenAIRE

    Besombes, J.; Cholvy, L.; Dragos, V.

    2012-01-01

    This paper addresses the problem of information evaluation for Intelligence. Starting from NATO recommendations for assessing information, we propose a semantic-based model to evaluate information. We also define a semi-automatic evaluation process in which an ontology is used to detect similar items of information. Semantically similar items are then presented to an operator in charge to estimate their correlations. Items of information are electronic documents exploited for intelligence pur...

  11. INFORMATION BASED METAPHORS: FROM BRAIN TO NETWORK

    Directory of Open Access Journals (Sweden)

    Marcos Cortez Campomar

    2009-10-01

    Full Text Available Metaphoric language has grown in popularity over the last years. Once simple figure of speech, metaphors were transformed into a respectable approach for organizational analysis. The brain metaphor constitutes an attractive system of ideas for studying organizational phenomena. In this paper, it is used the brain metaphor as a point of departure in developing another informational metaphor: the network metaphor. It is suggested that the latter might provide a better perspective for studying contemporary organizations in this age of information and telecommunications.

  12. Internet-based intelligent information processing systems

    CERN Document Server

    Tonfoni, G; Ichalkaranje, N S

    2003-01-01

    The Internet/WWW has made it possible to easily access quantities of information never available before. However, both the amount of information and the variation in quality pose obstacles to the efficient use of the medium. Artificial intelligence techniques can be useful tools in this context. Intelligent systems can be applied to searching the Internet and data-mining, interpreting Internet-derived material, the human-Web interface, remote condition monitoring and many other areas. This volume presents the latest research on the interaction between intelligent systems (neural networks, adap

  13. Context-aware Semantics-based Information Retrieval

    DEFF Research Database (Denmark)

    Kessler, Carsten

    user judgments. Second, the relevant contextual aspects have to be modeled in a way that supports interaction with semantics-based knowledge bases. The Semantic Web is based on nominal data and it is therefore inherently difficult to integrate information from the Sensor Web, which is an increasingly...... important source of contextual information. The second part of this thesis introduces an approach based on semantic rules that bridge these two worlds to enable context-aware information retrieval from the Semantic Web. It demonstrates how user preferences can be modeled in the Semantic Web Rule Language......Information retrieval can benefit from contextual information to adapt the results to a user’s current situation and personal preferences. In this respect, semantics-based information retrieval is especially challenging because a change in context may require modifications to the knowledge base at...

  14. Speech Intelligibility Prediction Based on Mutual Information

    DEFF Research Database (Denmark)

    Jensen, Jesper; Taal, Cees H.

    2014-01-01

    to the mutual information between critical-band amplitude envelopes of the clean signal and the corresponding noisy/processed signal. The resulting intelligibility predictor turns out to be a simple function of the mean-square error (mse) that arises when estimating a clean critical-band amplitude...

  15. Use of information sources by cancer patients: results of a systematic review of the research literature

    Directory of Open Access Journals (Sweden)

    Kalyani Ankem

    2006-01-01

    Full Text Available Objectives. Existing findings on cancer patients' use of information sources were synthesized to 1 rank the most and least used information sources and the most helpful information sources and to 2 find the impact of patient demographics and situations on use of information sources. Method. . To synthesize results found across studies, a systematic review was conducted. Medline and CINAHL were searched to retrieve literature on cancer patients' information source use. The retrieved articles were carefully selected according to predetermined criteria, and several articles were eliminated in a systematic approach. Analysis. The twelve articles that met the criteria were systematically analysed by extracting data from articles and summarizing data for the purpose of synthesis to determine the meaning of findings on most used information sources, least used information sources, most helpful information sources, effect of patient characteristics on preference for an information source, and effect of patient situations on preference for an information source. Results. In descending order of use, health care professionals, medical pamphlets, and family and friends were most used information sources. Internet and support groups were least used. In descending order of helpfulness, books, health care professionals and medical pamphlets were found to be most helpful information sources. Younger patients used health care professionals and certain forms of written information sources more than older patients. Conclusion. . The systematic review shows that many areas of cancer patients' information source use have been either neglected or barely analysed. An in-depth understanding of cancer patients' use of information sources and the characteristics in information sources they consider to be helpful is important for developing successful interventions to better inform patients.

  16. Brain Tumor Detection Based On Symmetry Information

    OpenAIRE

    G., Narkhede Sachin; Khairnar, Vaishali

    2013-01-01

    Advances in computing technology have allowed researchers across many fields of endeavor to collect and maintain vast amounts of observational statistical data such as clinical data, biological patient data, data regarding access of web sites, financial data, and the like. This paper addresses some of the challenging issues on brain magnetic resonance (MR) image tumor segmentation caused by the weak correlation between magnetic resonance imaging (MRI) intensity and anatomical meaning. With th...

  17. Zigbee Based Wearable Remote Healthcare Monitoring System for Elderly Patients

    Directory of Open Access Journals (Sweden)

    Khalifa AlSharqi

    2014-10-01

    Full Text Available Remote health care monitoring system (RHCMS has drawn considerable attentions for the last decade. As the aging population are increasing and at the same time the health care cost is skyrocketing there has been a need to monitor a patient from a remote location. Moreover, many people of the World are out of the reach of existing healthcare systems. To solve these problems many research and commercial versions of RHCMS have been proposed and implemented till now. In these systems the performance was the main issue in order to accurately measure, record, and analyze patients’ data. With the ascent of wireless network RHCMS can be widely deployed to monitor the health condition of a patient inside and outside of the hospitals. In this work we present a ZigBee based wireless healthcare monitoring system that can provide real time online information about the health condition of a patient. The proposed system is able to send alarming messages to the healthcare professional about the patient’s critical condition. In addition the proposed system can send reports to a patient monitoring system, which can be used by the healthcare professionals to make necessary medical advices from anywhere of the World at any time.

  18. Pattern recognition of quantum information based on pattern-distance

    Institute of Scientific and Technical Information of China (English)

    Dong Daoyi; Chen Zonghai; Jiang Shengxiang

    2005-01-01

    Looking upon every encoding state of quantum information systems as a quantum information pattern, A kind of pattern-distance between different patterns as a measurement of comparability of quantum information patterns is defined, and two kinds of recognition algorithms based on pattern-distance for quantum information are proposed. They can respectively recognize quantum information with known objective pattern and unknown objective pattern. In the two algorithms, the phases and occurrence probabilities of different eigenpatterns of quantum information are sufficiently considered. Two examples demonstrate the feasibility and effectiveness of the two recognition methods. These algorithms point out a new and important path for applications of quantum information and pattern recognition.

  19. Information criterion based fast PCA adaptive algorithm

    Institute of Scientific and Technical Information of China (English)

    Li Jiawen; Li Congxin

    2007-01-01

    The novel information criterion (NIC) algorithm can find the principal subspace quickly, but it is not an actual principal component analysis (PCA) algorithm and hence it cannot find the orthonormal eigen-space which corresponds to the principal component of input vector.This defect limits its application in practice.By weighting the neural network's output of NIC, a modified novel information criterion (MNIC) algorithm is presented.MNIC extractes the principal components and corresponding eigenvectors in a parallel online learning program, and overcomes the NIC's defect.It is proved to have a single global optimum and nonquadratic convergence rate, which is superior to the conventional PCA online algorithms such as Oja and LMSER.The relationship among Oja, LMSER and MNIC is exhibited.Simulations show that MNIC could converge to the optimum fast.The validity of MNIC is proved.

  20. Multiple Component Based Information Tracking System

    Directory of Open Access Journals (Sweden)

    Mathi Seelan.V

    2011-06-01

    Full Text Available Tracking Browsing history in internet is essential because web contents changes dynamically and webusers would like to re-visit the web pages which they have visited in the past. The paper proposes andbuilds a System which integrates popular search engines and browsing history Information TrackingSystem (I-TS, Information Track System in a single website. That tracks and maintains the browsinghistory for various components, as per users needs. I-TS consists of three main components, named asSearch System, Keyword Summary and Item Viewed Summary. Search Area System as a Meta-searchengine will direct to a commercial search engine, get the hits, do further analysis and derive a number ofmost relevant domain sites. Keyword Summary will extract the keyword, count, item (web, image, video,news and date time. Item Name Summary will first extract the URL with item, count and item name. TheProposed System is implemented and Results are shown below.

  1. Informal work and formal plans: Articulating the active role of patients in cancer trajectories

    DEFF Research Database (Denmark)

    Dalsted, R.; Hølge-Hazelton, Bibi; Kousgaard, MB; Andersen, John Sahl

    2013-01-01

    Formal pathways models outline that patients should receive information in order to experience a coherent journey but do not describe an active role for patients or their relatives. The aim of this is paper is to articulate and discuss the active role of patients during their cancer trajectories....... participation. When looking at integrated care from the perspective of patients, the development of a more holistic and personalized approach is needed....... patients' requests were not sufficiently supported in the professional organisation of work or formal planning. Patients' insertion and use of information in their trajectories challenged professional views and working processes. And the design of the formal pathway models limits the patients' active...

  2. Wire-based tracking using mutual information

    OpenAIRE

    Andrade-Cetto, J.; Thomas, Federico

    2006-01-01

    Wire-based tracking devices are an affordable alternative to costly tracking devices. They consist of a fixed base and a platform, attached to the moving object, connected by six wires whose tension is maintained along the tracked trajectory. One important shortcoming of this kind of devices is that they are forced to operate in reduced workspaces so as to avoid singular configurations. Singularities can be eliminated by adding more wires but this causes more wire interferences, and a higher ...

  3. ALL (Acute Lymphoblastic Leukemia) Guide: Information for Patients and Caregivers

    Science.gov (United States)

    ... you plan questions to ask your doctor about treatment. Induction Therapy. Induction therapy is the first round of treatment with chemotherapy. ... patients need to start induction chemotherapy right away. Induction therapy is done in the hospital. Patients are often ...

  4. The Influence of Information Technology on Patient-Physician Relationships

    OpenAIRE

    Weiner, Michael; Biondich, Paul

    2006-01-01

    Interpersonal relationships and information are intertwined as essential cornerstones of health care. Although information technology (IT) has done much to advance medicine, we are not even close to realizing its full potential. Indeed, issues related to mismanaging health information often undermine relationship-centered care. Information technology must be implemented in ways that preserve and uplift relationships in care, while accommodating major deficiencies in managing information and m...

  5. Brain Tumor Detection Based on Bilateral Symmetry Information

    Directory of Open Access Journals (Sweden)

    Narkhede Sachin,

    2014-06-01

    Full Text Available Advances in computing technology have allowed researchers across many fields of endeavor to collect and maintain vast amounts of observational statistical data such as clinical data, biological patient data, data regarding access of web sites , financial data, and the like. Brain Magnetic Resonance Imaging (MRI segmentation is a complex problem in the field of medical imaging despite various presented methods. MR image of human brain can be divided into several sub-regions especially soft tissues such as gray matter, white matter and cerebrospinal fluid. Although edge information is the main clue in image segmentation, it can’t get a better result in analysis the content of images without combining other information. The segmentation of brain tissue in the magnetic resonance imaging (MRI is very important for detecting the existence and outlines of tumors. In this thesis , an algorithm about segmentation based on the symmetry character of brain MRI image is presented. Our goal is to detect the position and boundary of tumors automatically. Experiments were conducted on real pictures, and the results show that the algorithm is flexible and convenient.

  6. Personalized Recommendations Based on Users' Information-Centered Social Networks

    Science.gov (United States)

    Lee, Danielle

    2013-01-01

    The overwhelming amount of information available today makes it difficult for users to find useful information and as the solution to this information glut problem, recommendation technologies emerged. Among the several streams of related research, one important evolution in technology is to generate recommendations based on users' own social…

  7. PATIENT PERCEPTION REGARDING PREOPERATIVE INFORMATION TO ANXIETY TOWARDS SURGERY

    OpenAIRE

    Devpriya; Shanti Prakash

    2015-01-01

    OBJECTIVE: Surgeries are seen as stressors that activate preoperative fear. Preparing the patients prior to surgery through preoperative instruction develop crucial to anxiety level. The objective of study is to evaluate the perception of patients regarding anxiety prior to surgery. M ETHODS : A total of 273 patients attending the outpatient department of Hospital were taken in the study. All the patients were aged 20 - 60 years. The anxiety was measured by me...

  8. Information Technology & Goals of Standards-Based Instruction

    OpenAIRE

    Douglas A. Archbald

    2001-01-01

    This article examines goals of standards-based reform in education and ways in which developments in information technology have facilitated those goals. Since standards-based reform is a rather general concept, I begin by developing a more specific formulation which I refer to as the “standards-based instruction and assessment” model. Developments in information technology over the last fifteen years have contributed in important ways to the goals of standards-based reform at the policy leve...

  9. Energy information data base: report number codes

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-09-01

    Each report processed by the US DOE Technical Information Center is identified by a unique report number consisting of a code plus a sequential number. In most cases, the code identifies the originating installation. In some cases, it identifies a specific program or a type of publication. Listed in this publication are all codes that have been used by DOE in cataloging reports. This compilation consists of two parts. Part I is an alphabetical listing of report codes identified with the issuing installations that have used the codes. Part II is an alphabetical listing of installations identified with codes each has used. (RWR)

  10. Energy information data base: report number codes

    International Nuclear Information System (INIS)

    Each report processed by the US DOE Technical Information Center is identified by a unique report number consisting of a code plus a sequential number. In most cases, the code identifies the originating installation. In some cases, it identifies a specific program or a type of publication. Listed in this publication are all codes that have been used by DOE in cataloging reports. This compilation consists of two parts. Part I is an alphabetical listing of report codes identified with the issuing installations that have used the codes. Part II is an alphabetical listing of installations identified with codes each has used

  11. Dynamic Gesture Recognition Based on Depth Information

    Directory of Open Access Journals (Sweden)

    GU, D.

    2015-08-01

    Full Text Available Human machine interaction by body language is becoming popular recently. With the help of 3D camera, video stream with depth information provides more detailed data to describe a movement. This paper proposed an algorithm to recognize dynamic gestures. Data preparation is needed first to eliminate some distractions. Then the start and the end of a possible meaningful gesture should be made clear. Finally, Dynamic Time Warping (DTW is employed to calculate the similarity between a sample stream and the template. The test results show that the algorithm works well

  12. Web-Based Information System for SME

    OpenAIRE

    Hornof, Johan

    2010-01-01

    Nowadays, every single company needs to operate with large amount of data to support daily operation. Although there is pretty good market offer with information systems for managing various kinds of data, only small part of them is suitable for the company that does not deal with sale of goods but provides services, particularly marketing services or IT services (e.g. programming). This thesis describes the design and development of such a system which has a main goal to satisfy the needs of...

  13. Transforming Health Care Delivery Through Consumer Engagement, Health Data Transparency, and Patient-Generated Health Information

    Science.gov (United States)

    Wald, J. S.

    2014-01-01

    Summary Objectives Address current topics in consumer health informatics. Methods Literature review. Results Current health care delivery systems need to be more effective in the management of chronic conditions as the population turns older and experiences escalating chronic illness that threatens to consume more health care resources than countries can afford. Most health care systems are positioned poorly to accommodate this. Meanwhile, the availability of ever more powerful and cheaper information and communication technology, both for professionals and consumers, has raised the capacity to gather and process information, communicate more effectively, and monitor the quality of care processes. Conclusions Adapting health care systems to serve current and future needs requires new streams of data to enable better self-management, improve shared decision making, and provide more virtual care. Changes in reimbursement for health care services, increased adoption of relevant technologies, patient engagement, and calls for data transparency raise the importance of patient-generated health information, remote monitoring, non-visit based care, and other innovative care approaches that foster more frequent contact with patients and better management of chronic conditions. PMID:25123739

  14. Economic Burden for Informal Caregivers of Lung and Colorectal Cancer Patients

    OpenAIRE

    Van Houtven, Courtney Harold; Ramsey, Scott D; Hornbrook, Mark C.; Atienza, Audie A.; van Ryn, Michelle

    2010-01-01

    This study quantified the economic burden for informal caregivers of lung cancer and colorectal cancer patients, by cancer type, phase of disease, stage at diagnosis, patient age, and relationship, and found this burden to be substantial.

  15. An Evaluation of Applying Knowledge Base to Academic Information Service

    Directory of Open Access Journals (Sweden)

    Seok-Hyoung Lee

    2013-06-01

    Full Text Available Through a series of precise text handling processes, including automatic extraction of information from documents with knowledge from various fields, recognition of entity names, detection of core topics, analysis of the relations between the extracted information and topics, and automatic inference of new knowledge, the most efficient knowledge base of the relevant field is created, and plans to apply these to the information knowledge management and service are the core requirements necessary for intellectualization of information. In this paper, the knowledge base, which is a necessary core resource and comprehensive technology for intellectualization of science and technology information, is described and the usability of academic information services using it is evaluated. The knowledge base proposed in this article is an amalgamation of information expression and knowledge storage, composed of identifying code systems from terms to documents, by integrating terminologies, word intelligent networks, topic networks, classification systems, and authority data.

  16. [Does WIKIPEDIA provide evidence-based health care information? A content analysis].

    Science.gov (United States)

    Mühlhauser, Ingrid; Oser, Friederike

    2008-01-01

    Patients and consumers are increasingly searching the Internet for medical and healthcare information. Using the criteria of evidence-based medicine the present study analyses the websites of Wikipedia and two major German statutory health insurances for content and presentation of patient information. 22 senior students of health sciences and education evaluated one topic each. In a first step, they identified the evidence for their specific question. Afterwards they used their results as reference for the evaluation of the three websites. Using a check list each student and a second researcher independently rated content and presentation of the information offered. All these websites failed to meet relevant criteria, and key information such as the presentation of probabilities of success on patient-relevant outcomes, probabilities of unwanted effects, and unbiased risk communication was missing. On average items related to the objectives of interventions, the natural course of disease and treatment options were only rated as "partially fulfilled". Overall, there were only minor differences between the three providers, except for items related to the specific nature of the websites such as disclosure of authorship, conflict of interest and support offers. In addition, the Wikipedia information tended to achieve lower comprehensibility. In conclusion, the quality of the healthcare information provided by Wikipedia and two major German statutory health insurances is comparable. They do not meet important criteria of evidence-based patient and consumer information though. PMID:19209572

  17. Image Interpretation System for Informed Consent to Patients by Use of a Skeletal Tracking

    Directory of Open Access Journals (Sweden)

    Naoki Kamiya

    2012-07-01

    Full Text Available In recent years, a variety of medical images are used for diagnosis. However, it is difficult to understand these images by patient without anatomical knowledge. In particular, CT images consist of large number of slice images. It causes a lack of understanding about positional information in their body. This will adversely affect the first-person informed consent (IC. We developed an image interpretation system for the patient. Our purpose of this system is patient participation in clinical site. This system is based on the skeletal tracking for recognizing patient’s hand movements and determines the relative position of the body. The skeletal tracking has been implemented using the Microsoft Kinect sensor with official SDK (KinectSDK-v1.0-bata2-x86. We performed association of tracking marker and a CT number. Finally, the calculated CT images are displayed on the iPad handled with the patient. We tested the effectiveness of the proposed system in cooperation with volunteer subjects without anatomical knowledge. As a result, they were able to properly identify the proposed position of the cross-sectional image than before.

  18. Content-Based Information Retrieval and Digital Libraries

    OpenAIRE

    Wan, Gary (Gang); Liu, Zao

    2008-01-01

    This paper discusses the applications and importance of content-based information retrieval technology in digital libraries. It generalizes the process and analyzes current examples in four areas of the technology. Content-based information retrieval has been shown to be an effective way to search for the type of multimedia documents that are increasingly stored in digital libraries. As a good complement to traditional textbased information retrieval technology, content-based information retr...

  19. XML-based product information processing method for product design

    Science.gov (United States)

    Zhang, Zhen Yu

    2012-01-01

    Design knowledge of modern mechatronics product is based on information processing as the center of the knowledge-intensive engineering, thus product design innovation is essentially the knowledge and information processing innovation. Analysis of the role of mechatronics product design knowledge and information management features, a unified model of XML-based product information processing method is proposed. Information processing model of product design includes functional knowledge, structural knowledge and their relationships. For the expression of product function element, product structure element, product mapping relationship between function and structure based on the XML model are proposed. The information processing of a parallel friction roller is given as an example, which demonstrates that this method is obviously helpful for knowledge-based design system and product innovation.

  20. Evaluating Written Patient Information for Eczema in German: Comparing the Reliability of Two Instruments, DISCERN and EQIP.

    Directory of Open Access Journals (Sweden)

    Megan E McCool

    Full Text Available Patients actively seek information about how to cope with their health problems, but the quality of the information available varies. A number of instruments have been developed to assess the quality of patient information, primarily though in English. Little is known about the reliability of these instruments when applied to patient information in German. The objective of our study was to investigate and compare the reliability of two validated instruments, DISCERN and EQIP, in order to determine which of these instruments is better suited for a further study pertaining to the quality of information available to German patients with eczema. Two independent raters evaluated a random sample of 20 informational brochures in German. All the brochures addressed eczema as a disorder and/or therapy options and care. Intra-rater and inter-rater reliability were assessed by calculating intra-class correlation coefficients, agreement was tested with weighted kappas, and the correlation of the raters' scores for each instrument was measured with Pearson's correlation coefficient. DISCERN demonstrated substantial intra- and inter-rater reliability. It also showed slightly better agreement than EQIP. There was a strong correlation of the raters' scores for both instruments. The findings of this study support the reliability of both DISCERN and EQIP. However, based on the results of the inter-rater reliability, agreement and correlation analyses, we consider DISCERN to be the more precise tool for our project on patient information concerning the treatment and care of eczema.

  1. Information Status of the Patients about Radiological Examinations and Encountered Ethical and Medical Issues

    OpenAIRE

    Ramazan Büyükkaya; Ayla Büyükkaya2; Beyhan Öztürk1; et al.

    2015-01-01

    Aim: It is observed that the patient compliance and technical quality is increased in sufficiently informed patients by the doctor at the examinations requested from the radiology clinics. We aimed to point to rate of the patients have been informed by the doctor about ultrasound and interventional radiological examinations requested from the clinical disciplines and accordingly encountered medical and ethic problems. Methods: Simple yes or no questions were asked to 1000 patients (550 mal...

  2. WMN-based city traffic information acquisition system

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Traffic information acquisition system is an essential part of the intelligent transportation system (ITS). This paper presents a novel traffic information acquisition system, i.e., a dynamic traffic information acquisition system based on wireless mesh networks (WMN). The system comprises of probe vehicles and wireless mesh networks. Compared to the conventional systems, it is independent of other network infrastructures and easy to implement. It can acquire the real-time traffic information correctly with lower cost.

  3. Enterprise Information System Architecture Based on Web 2.0

    Institute of Scientific and Technical Information of China (English)

    YI Xiushuang; WANG Yu; LIU Jinghong; WEN Zhankao

    2006-01-01

    Enterprise information systems with a great use of Web 2.0 technologies will be more open, free, and more efficient.With the contrast between classic Web technologies and Web 2.0 technologies, we represent a sample of enterprise information system based on Web 2.0, and show how the use of Web 2.0 technologies changes the system data exchange model of the enterprise information systems and how it improves the efficiency and effectiveness of information systems.

  4. Information Fusion Based Decoupling Control for Multivariable Nonlinear System

    OpenAIRE

    2015-01-01

    A decoupling control method based on information fusion estimation for a nonlinear system is presented in the paper. For each main channel and its coupled channels of the system, according to the information fusion theorem, the estimation of the system future state is obtained by fusing the information of the desired output trajectory of the system. Furthermore, approximate optimal control rule is obtained by fusing the system future state information and the control energy soft constraint in...

  5. Study of informing cancer patients of the disease with the optimized security strategy based on AQ score%基于AQ评分告知癌症患者病情的最优化安全策略的探讨

    Institute of Scientific and Technical Information of China (English)

    范俊求; 范进满

    2012-01-01

    Objective To study the optimized security strategy for informing cancer patients with the disease,and let patients be fully informed and even more actively cooperate with doctors while they are under treatment.Methods Grouped with adversity quotient (AQ) score,these cancer patients were in comparison with those who had been informed by other ways without support strategy,and different groups of patients were estimated in different strategies in accordance with self-rating anxiety scale (SAS) and self-rating depression scale (SDS).Results With certain strategies,high and low AQ score groups' SAS and SDS scores stably restored in 1 day to 1 week,and the differences had statistical significance(P < 0.01 ).The patients were well-informed without any difficulty and actively cooperated with treatment.No related factors led to self-mutilation,suicide and other serious incidents.While the SAS and SDS scores of the control group who were not informed by the strategy were not satisfactorily recovered,and the patients could not actively cooperate with the doctors.Especially being notified after 1 d to 1 week,the SAS and SDS scores had no significant improvement,and the differences had no statistical significance compared with themselves ( P > 0.05 ).It is difficult to avoid the occurrence of serious incidents.Conclusion Based on AQ score,it is safe and effective to inform cancer patients of their disease condition by individual strategies.It not only respects patients rights,but also gains the active cooperation of the patients,and is helpful for treatment with minimizing adverse effects.%目的 研究和探讨告知癌症患者病情的最优化安全策略,让患者充分知情,治疗上更积极配合.方法 采用逆境商数量表(AQ)评分进行分组,并纳入已通过其他途径知情的非策略支持的肿瘤患者比对,结合焦虑自评量表(SAS)和抑郁自评量表(SDS)对不同组别患者在采用不同策略的情况下进行评测.结果 采用一定

  6. DEFENSE MECHANISMS FOR COMPUTER-BASED INFORMATION SYSTEMS

    OpenAIRE

    Majid Alshammari; Christian Bach

    2013-01-01

    Nowadays, corporations and a government agencies relay on computer-based information system to manage their information, this information may be classified, so it will be dangerous if it is disclosed by unauthorized persons. Therefore, there is urgent need for defense. In this research, defense has been categorized into four mechanisms technical defense, operation defense, management defense, and physical defense based on the logic of computer and network security. Also, each mechanism has be...

  7. Intelligent Agent-Based System for Digital Library Information Retrieval

    Institute of Scientific and Technical Information of China (English)

    师雪霖; 牛振东; 宋瀚涛; 宋丽哲

    2003-01-01

    A new information search model is reported and the design and implementation of a system based on intelligent agent is presented. The system is an assistant information retrieval system which helps users to search what they need. The system consists of four main components: interface agent, information retrieval agent, broker agent and learning agent. They collaborate to implement system functions. The agents apply learning mechanisms based on an improved ID3 algorithm.

  8. Ontology Based Information Retrieval for E-Tourism

    OpenAIRE

    G.Sudha Sadasivam; Kavitha, C.; M.SaravanaPriya

    2010-01-01

    This paper reports work done in the E-Tourism project. The overall goal of the project is to improve information creation, maintenance and delivery in the tourism industry by introducing semantic technologies. This paper analyzes the weakness of keyword based techniques and proposes need for semantic based intelligent information retrieval for tourism domain. The Semantic Web is an evolving development of the World Wide Web in which the meaning of information and services on the web is define...

  9. Music information retrieval based on tonal harmony

    NARCIS (Netherlands)

    de Haas, W.B.

    2012-01-01

    With the emergence of large scale digitalisation of music, content-based methods to maintain, structure, and provide access to digital music repositories have become increasingly important. This doctoral dissertation covers a wide range of methods that aim to aid in the organisation of music informa

  10. CICERO: Control Information system Concepts based\

    CERN Multimedia

    2002-01-01

    RD38 : Modern High Energy Physics experiments and accelerators require sophisticated control systems to ensure their safe operation and to optimise their performance. Due to their complexity and to the large number of sensors needed for these purposes, they turn out to be difficult and costly to maintain with the present technology. The situation will seriously worsen with the LHC era. Various R\\&D departments of industrial companies are directly concerned with similar difficulties in power plants and complex automated systems. We propose to combine our efforts to study the various aspects of this problem. We intend to outline the main building blocks of generic control information system. As a result of this study we aim to provide technical solutions which could later be the major components of a basic turnkey system for medium to large scale HEP experiments and accelerators.

  11. Comparison of patient comprehension of rapid HIV pre-test fundamentals by information delivery format in an emergency department setting

    Directory of Open Access Journals (Sweden)

    Clark Melissa A

    2007-09-01

    Full Text Available Abstract Background Two trials were conducted to compare emergency department patient comprehension of rapid HIV pre-test information using different methods to deliver this information. Methods Patients were enrolled for these two trials at a US emergency department between February 2005 and January 2006. In Trial One, patients were randomized to a no pre-test information or an in-person discussion arm. In Trial Two, a separate group of patients were randomized to an in-person discussion arm or a Tablet PC-based video arm. The video, "Do you know about rapid HIV testing?", and the in-person discussion contained identical Centers for Disease Control and Prevention-suggested pre-test information components as well as information on rapid HIV testing with OraQuick®. Participants were compared by information arm on their comprehension of the pre-test information by their score on a 26-item questionnaire using the Wilcoxon rank-sum test. Results In Trial One, 38 patients completed the no-information arm and 31 completed the in-person discussion arm. Of these 69 patients, 63.8% had twelve years or fewer of formal education and 66.7% had previously been tested for HIV. The mean score on the questionnaire for the in-person discussion arm was higher than for the no information arm (18.7 vs. 13.3, p ≤ 0.0001. In Trial Two, 59 patients completed the in-person discussion and 55 completed the video arms. Of these 114 patients, 50.9% had twelve years or fewer of formal education and 68.4% had previously been tested for HIV. The mean score on the questionnaire for the video arm was similar to the in-person discussion arm (20.0 vs. 19.2; p ≤ 0.33. Conclusion The video "Do you know about rapid HIV testing?" appears to be an acceptable substitute for an in-person pre-test discussion on rapid HIV testing with OraQuick®. In terms of adequately informing ED patients about rapid HIV testing, either form of pre-test information is preferable than for patients

  12. Parkinson's Disease Research Web - Information for Patients and Caregivers

    Science.gov (United States)

    ... Program (ETSP) CounterACT Program Bioengineering Neural Interfaces Program Stem Cell Research Health Disparities Research Labs at NINDS Offices and ... Parkinson's disease. Helpful Information Links NIH information on stem cell research . NIH Senior Health: Parkinson's Disease Medline Plus: Parkinson's ...

  13. Patients and professionals have different views on online patient information about cleft lip and palate (CL/P).

    Science.gov (United States)

    van den Bosch, S; Koudstaal, M; Versnel, S; Maal, T; Xi, T; Nelen, W; Bergé, S; Faber, M

    2016-06-01

    Parents of children with a cleft lip and/or palate (CL/P) and patients with CL/P actively search for online information about CL/P. The quality of this information has not been sufficiently evaluated. The aim of this study was to define quality criteria for online information about CL/P and assess the quality of frequently accessed websites. Patients, parents, and professionals were equally involved in all stages of this study. A literature review was performed to obtain known quality criteria for online information. These criteria were prioritized by patients, parents, and professionals. The most important criteria were used to rate the quality of four websites on CL/P. Forty-two quality items were extracted from the literature. Patients, parents, and professionals agreed on the importance of 16 of these items. New groups of patients, parents, and professionals assessed four websites on CL/P. Although the groups were like-minded in their overall assessment of the quality of the websites, distinct differences emerged between the groups in relation to certain items. This study shows the importance of patient participation in healthcare research, as well as a feasible approach to do so. Involving patients in composing online health information will set different priorities, which is necessary in establishing high quality information. PMID:26718136

  14. Internet-based information and foreign direct investment (FDI) location decision making: An information cost perspective

    OpenAIRE

    Kachwamba, Muhajir; Sæbø, Øystein

    2012-01-01

    Information and communication technology (ICT) is considered to play an important role to reduce information cost for potential foreign investors. While a growing body of literature has suggested such connections, conceptual clarity is yet to be achieved. This study introduces a conceptual framework based on the Information-theoretic approach and transaction cost perspective to explore how ICT may reduce information cost. To illustrate our proposed framework, we apply it to examine the role o...

  15. IVVI: Intelligent vehicle based on visual information

    OpenAIRE

    Armingol, José M.; Escalera, Arturo de la; Hilario, Cristina; Collado, Juan Manuel; Carrasco, Juan Pablo; Flores, Marco Javier; Pastor, José M.; Francisco J. Rodríguez

    2007-01-01

    Human errors are the cause of most traffic accidents, with drivers’ inattention and wrong driving decisions being the two main sources. These errors can be reduced, but not completely eliminated. That is why Advanced Driver Assistance Systems (ADAS) can reduce the number, danger and severity of traffic accidents. Several ADAS, which nowadays are being researched for Intelligent vehicles, are based on Artificial Intelligence and Robotics technologies. In this article a research platform for th...

  16. Game Based Learning for Information Literacy Instruction.

    OpenAIRE

    Walsh, Andrew

    2013-01-01

    Game based learning is receiving increased attention, including from the New Media Corporation’s Consortium's 2012 Horizon Report (Johnson, Adams &and Cummins, 2012), who detail it as one of their important trends in Higher Education, with a time to adoption of two to three years. Gamification is also creeping into many areas of life outside education, paving the way for its acceptance within libraries and education. For Health and Fitness, devices such as the Fitbit and Jawbone Up allow exer...

  17. Extension of information entropy-based measures in incomplete information systems

    Institute of Scientific and Technical Information of China (English)

    LI Ren-pu; HUANG Dao; GAO Mao-ting

    2005-01-01

    It is helpful for people to understand the essence of rough set theory to study the concepts and operations of rough set theory from its information view. In this paper we address knowledge expression and knowledge reduction in incomplete information systems from the information view of rough set theory. First, by extending information entropy-based measures in complete information systems, two new measures of incomplete entropy and incomplete conditional entropy are presented for incomplete information systems. And then, based on these measures the problem of knowledge reduction in incomplete information systems is analyzed and the reduct definitions in incomplete information system and incomplete decision table are proposed respectively. Finally,the reduct definitions based on incomplete entropy and the reduct definitions based on similarity relation are compared. Two equivalent relationships between them are proved by theorems and an in equivalent relationship between them is illustrated by an example. The work of this paper extends the research of rough set theory from information view to incomplete information systems and establishes the theoretical basis for seeking efficient algorithm of knowledge acquisition in incomplete information systems.

  18. Research on BIM-based Construction Domain Text Information Management

    Directory of Open Access Journals (Sweden)

    Shaohua Jiang

    2013-06-01

    Full Text Available Construction project produces a large amount of unstructured information throughout the whole lifecycle, most of them is text information. Building information modeling (BIM can support lifecycle information management of construction project, so BIM-based construction domain text information integration management can improve the efficiency and quality of project management to a large extent. The concept of BIM and its implementation platform, as well as the data exchange standard, i.e. industry foundation class (IFC, are introduced firstly. Then this paper puts forward a systematic unstructured construction domain text information management system framework, and the implementation of BIM-based text information integration methodology: the unstructured text information is transformed to structured information by means of text mining to facilitate information retrieval and ranking; then the text information is classified according to the IFC standard, and is associated with entities in BIM to realize the integration of text information and BIM. Finally, this paper takes contract document as an example for verification. The proposed method can improve text information management ability and efficiency of construction domain.

  19. Relationship of Internet health information use with patient behavior and self-efficacy: experiences of newly diagnosed cancer patients who contact the National Cancer Institute's Cancer Information Service.

    Science.gov (United States)

    Bass, Sarah Bauerle; Ruzek, Sheryl Burt; Gordon, Thomas F; Fleisher, Linda; McKeown-Conn, Nancy; Moore, Dirk

    2006-03-01

    This study examines the relationship of Internet health information use with patient behavior and self-efficacy among 498 newly diagnosed cancer patients. Subjects were classified by types of Internet use: direct use (used Internet health information themselves), indirect use (used information accessed by friends or family), and non-use (never accessing Internet information). Subjects were recruited from callers of the National Cancer Institute's (NCI's) Cancer Information Service, Atlantic Region. They were classified by type of Internet use at enrollment and interviewed by telephone after 8 weeks. There were significant relationships among Internet use and key study variables: subject characteristics, patient task behavior, and self-efficacy. Subjects' Internet use changed significantly from enrollment to 8 week follow-up; 19% of nonusers and indirect users moved to a higher level of Internet use. Significant relationships also were found among Internet use and perceived patient-provider relationship, question asking, and treatment compliance. Finally, Internet use was also significantly associated with self-efficacy variables (confidence in actively participating in treatment decisions, asking physicians questions, and sharing feelings of concern). The results of this study show that patients who are newly diagnosed with cancer perceive the Internet as a powerful tool, both for acquiring information and for enhancing confidence to make informed decisions. PMID:16537289

  20. INFORMATION ARCHITECTURE ANALYSIS USING BUSINESS INTELLIGENCE TOOLS BASED ON THE INFORMATION NEEDS OF EXECUTIVES

    Directory of Open Access Journals (Sweden)

    Fabricio Sobrosa Affeldt

    2013-08-01

    Full Text Available Devising an information architecture system that enables an organization to centralize information regarding its operational, managerial and strategic performance is one of the challenges currently facing information technology. The present study aimed to analyze an information architecture system developed using Business Intelligence (BI technology. The analysis was performed based on a questionnaire enquiring as to whether the information needs of executives were met during the process. A theoretical framework was applied consisting of information architecture and BI technology, using a case study methodology. Results indicated that the transaction processing systems studied did not meet the information needs of company executives. Information architecture using data warehousing, online analytical processing (OLAP tools and data mining may provide a more agile means of meeting these needs. However, some items must be included and others modified, in addition to improving the culture of information use by company executives.

  1. A Location-Based Business Information Recommendation Algorithm

    Directory of Open Access Journals (Sweden)

    Shudong Liu

    2015-01-01

    Full Text Available Recently, many researches on information (e.g., POI, ADs recommendation based on location have been done in both research and industry. In this paper, we firstly construct a region-based location graph (RLG, in which region node respectively connects with user node and business information node, and then we propose a location-based recommendation algorithm based on RLG, which can combine with user short-ranged mobility formed by daily activity and long-distance mobility formed by social network ties and sequentially can recommend local business information and long-distance business information to users. Moreover, it can combine user-based collaborative filtering with item-based collaborative filtering, and it can alleviate cold start problem which traditional recommender systems often suffer from. Empirical studies from large-scale real-world data from Yelp demonstrate that our method outperforms other methods on the aspect of recommendation accuracy.

  2. Information processing speed in patients with multiple sclerosis.

    Science.gov (United States)

    Rao, S M; St Aubin-Faubert, P; Leo, G J

    1989-08-01

    We have recently proposed that the cognitive deficits of patients with multiple sclerosis (MS) share numerous characteristics associated with the syndrome of subcortical dementia. One such characteristic, slowness of mental processing, was evaluated in the present study. Thirty-six MS patients were compared to 26 normal controls of equivalent age, education, and verbal intelligence on the Sternberg memory scanning test. As anticipated, the motor-involved MS patients had an overall slower reaction time than did controls. Their scanning rate, a measure of pure cognitive speed, was also significantly slower than controls. These results suggest that MS patients exhibit a slowing of mental processing independent of motor involvement. PMID:2760182

  3. Sample-Based Vegetation Distribution Information Synthesis.

    Directory of Open Access Journals (Sweden)

    Chanchan Xu

    Full Text Available In constructing and visualizing a virtual three-dimensional forest scene, we must first obtain the vegetation distribution, namely, the location of each plant in the forest. Because the forest contains a large number of plants, the distribution of each plant is difficult to obtain from actual measurement methods. Random approaches are used as common solutions to simulate a forest distribution but fail to reflect the specific biological arrangements among types of plants. Observations show that plants in the forest tend to generate particular distribution patterns due to growth competition and specific habitats. This pattern, which represents a local feature in the distribution and occurs repeatedly in the forest, is in line with the "locality" and "static" characteristics in the "texture data", making it possible to use a sample-based texture synthesis strategy to build the distribution. We propose a vegetation distribution data generation method that uses sample-based vector pattern synthesis. A sample forest stand is obtained first and recorded as a two-dimensional vector-element distribution pattern. Next, the large-scale vegetation distribution pattern is synthesized automatically using the proposed vector pattern synthesis algorithm. The synthesized distribution pattern resembles the sample pattern in the distribution features. The vector pattern synthesis algorithm proposed in this paper adopts a neighborhood comparison technique based on histogram matching, which makes it efficient and easy to implement. Experiments show that the distribution pattern synthesized with this method can sufficiently preserve the features of the sample distribution pattern, making our method meaningful for constructing realistic forest scenes.

  4. Enterprise Human Resources Information Mining Based on Improved Apriori Algorithm

    Directory of Open Access Journals (Sweden)

    Lei He

    2013-05-01

    Full Text Available With the unceasing development of information and technology in today’s modern society, enterprises’ demand of human resources information mining is getting bigger and bigger. Based on the enterprise human resources information mining situation, this paper puts forward a kind of improved Apriori algorithm based model on the enterprise human resources information mining, this model introduced data mining technology and traditional Apriori algorithm, and improved on its basis, divided the association rules mining task of the original algorithm into two subtasks of producing frequent item sets and producing rule, using SQL technology to directly generating frequent item sets, and using the method of establishing chart to extract the information which are interested to customers. The experimental results show that the improved Apriori algorithm based model on the enterprise human resources information mining is better in efficiency than the original algorithm, and the practical application test results show that the improved algorithm is practical and effective.

  5. Deciding what information is necessary: do patients with advanced cancer want to know all the details?

    Directory of Open Access Journals (Sweden)

    Russell BJ

    2011-05-01

    Full Text Available Bethany J Russell, Alicia M WardSouthern Adelaide Palliative Services, Repatriation General Hospital, Daw Park, SA, AustraliaAbstract: Communicating effectively with patients who have advanced cancer is one of the greatest challenges facing physicians today. Whilst guiding the patient through complex diagnostic and staging techniques, treatment regimens and trials, the physician must translate often imprecise or conflicting data into meaningful personalized information that empowers the patient to make decisions about their life and body. This requires understanding, compassion, patience, and skill. This narrative literature review explores current communication practices, information preferences of oncology patients and their families, and communication strategies that may assist in these delicate interactions. Overwhelmingly, the literature suggests that whilst the majority of patients with advanced cancer do want to know their diagnosis and receive detailed prognostic information, this varies not only between individuals but also for a given individual over time. Barriers to the delivery and understanding of information exist on both sides of the physician–patient relationship, and family dynamics are also influential. Despite identifiable trends, the information preferences of a particular patient cannot be reliably predicted by demographic, cultural, or cancer-specific factors. Therefore, our primary recommendation is that the physician regularly asks the patient what information they would like to know, who else should be given the information and be involved in decision making, and how that information should be presented.Keywords: metastatic, communication, prognosis, physician–patient relations

  6. Exposure to and Intention to Discuss Cancer-Related Internet Information Among Patients With Breast Cancer

    Science.gov (United States)

    Bylund, Carma L.; D'Agostino, Thomas A.; Ostroff, Jamie; Heerdt, Alexandra; Li, Yuelin; Dickler, Maura

    2012-01-01

    Purpose: Previous studies have reported a significant number of patients with breast cancer seek cancer-related information from the Internet. Most studies have asked whether a patient has ever read Internet information since her diagnosis. The purpose of this study was to assess the frequency with which patients with breast cancer come to physician appointments having recently read and intending to discuss cancer-related information from the Internet. Patients and Methods: We asked 558 patients with breast cancer who were waiting to see their physicians about their experiences reading cancer-related information from the Internet and their intent to discuss the information in their current visit. Results: Fifteen percent reported reading cancer-related Internet information in the past month. Patients who had read such information in the past month were younger, had been diagnosed more recently, and were more likely to be attending a new visit. Of those who had read in the past month, 45% reported intending to discuss what they had read with their physician. Nineteen percent of patients reported having ever read breast cancer–related Internet information since their diagnosis. Conclusion: The proportion of patients with breast cancer planning to discuss Internet information during their current physician visit was relatively small. Few characteristics were associated with recent Internet use or intent to discuss. PMID:22548010

  7. Competency Based Hospital Radiopharmacy Training. Additional Information

    International Nuclear Information System (INIS)

    Quality management systems in nuclear medicine are vital to a high level of nuclear medicine (NM) practice. Trained and competent staffs are essential for achieving high standards and growth in NM. One of the key bottlenecks for NM is the shortfall in human resources, especially of radiopharmacists. There is an acute shortage in most Member States and in some countries an absence of nationally registered pharmacists with radiopharmacy experience. Most nuclear medicine facilities operate their radiopharmacies (commonly referred to as the hot laboratories) with the support of technologists and radiographers. Recent surveys have found the level of training amongst technologists to be extremely variable. Most had little or no training in hot laboratory practices. The survey also indicated the poor state of hot laboratories in many countries. Basic quality systems in the hot laboratory could be improved significantly with better training. This competency-based education manual is designed with those radiopharmacy practitioners in mind. This competency-based trainer's manual provides trainers in each of the IAEA regions with the essentials of a training programme for all radiopharmacy practitioners. The competency-based training is a two week programme followed up with three months of practice achievements. The syllabus provides a standardized approach to lectures, practical sessions, and interactive workshops focusing on critical aspects of hot laboratory practices. The trainers, with the assistance of this manual, can deliver essential skills, competencies, and underpinning knowledge to operate safely and effectively in their hot laboratory. The course focuses on simple but practical steps that could be undertaken to improve staff performance. In addition, a basic framework of quality management principles related to radiopharmacy practices is also covered. Further, the syllabus can be adapted to the particular needs and characteristics of any training centre, country

  8. UML MODELING AND SYSTEM ARCHITECTURE FOR AGENT BASED INFORMATION RETRIEVAL

    Directory of Open Access Journals (Sweden)

    D. Muhammad Noorul Mubarak

    2015-12-01

    Full Text Available In this current technological era, there is an enormous increase in the information available on web and also in the online databases. This information abundance increases the complexity of finding relevant information. To solve such challenges, there is a need for improved and intelligent systems for efficient search and retrieval. Intelligent Agents can be used for better search and information retrieval in a document collection. The information required by a user is scattered in a large number of databases. In this paper, the object oriented modeling for agent based information retrieval system is presented. The paper also discusses the framework of agent architecture for obtaining the best combination terms that serve as an input query to the information retrieval system. The communication and cooperation among the agents are also explained. Each agent has a task to perform in information retrieval.

  9. Food Security Information Platform Model Based on Internet of Things

    Directory of Open Access Journals (Sweden)

    Lei Zhang

    2015-06-01

    Full Text Available According to the tracking and tracing requirements of food supply chain management and quality and safety, this study built food security information platform using the Internet of things technology, with reference to the EPC standard, the use of RFID technology, adopting the model of SOA, based on SCOR core processes, researches the food security information platform which can set up the whole process from the source to the consumption of the traceability information, provides food information, strengthens the food identity verification, prevents food identification and information of error identification to the consumer and government food safety regulators, provides good practices for food safety traceability.

  10. The standard for the duty to inform patients about risks: from the responsible dentist to the reasonable patient.

    NARCIS (Netherlands)

    Brands, W.G.

    2006-01-01

    Complaints or claims against dentists by dissatisfied patients usually consist of three parts: the dentist did not perform the treatment as s/he should have done; the dentist did not inform the patient properly about the risks involved with the treatment; the dentist did not keep records. In most ca

  11. Information from the Internet and the doctor-patient relationship: the patient perspective – a qualitative study

    Directory of Open Access Journals (Sweden)

    Murray Elizabeth

    2007-08-01

    Full Text Available Abstract Background Both doctors and patients may perceive the Internet as a potential challenge to existing therapeutic relationships. Here we examine patients' views of the effect of the Internet on their relationship with doctors. Methods We ran 8 disease specific focus groups of between 2 and 8 respondents comprising adult patients with diabetes mellitus, ischaemic heart disease or hepatitis C. Results Data are presented on (i the perceived benefits and (ii limitations of the Internet in the context of the doctor-patient relationship, (iii views on sharing information with doctors, and (iv the potential of the Internet for the future. Information from the Internet was particularly valued in relation to experiential knowledge. Conclusion Despite evidence of increasing patient activism in seeking information and the potential to challenge the position of the doctor, the accounts here do not in any way suggest a desire to disrupt the existing balance of power, or roles, in the consultation. Patients appear to see the Internet as an additional resource to support existing and valued relationships with their doctors. Doctors therefore need not feel challenged or threatened when patients bring health information from the Internet to a consultation, rather they should see it as an attempt on the part of the patient to work with the doctor and respond positively.

  12. Information Integration Platform for Patient-Centric Healthcare Services: Design, Prototype and Dependability Aspects

    Directory of Open Access Journals (Sweden)

    Yohanes Baptista Dafferianto Trinugroho

    2014-03-01

    Full Text Available Technology innovations have pushed today’s healthcare sector to an unprecedented new level. Various portable and wearable medical and fitness devices are being sold in the consumer market to provide the self-empowerment of a healthier lifestyle to society. Many vendors provide additional cloud-based services for devices they manufacture, enabling the users to visualize, store and share the gathered information through the Internet. However, most of these services are integrated with the devices in a closed “silo” manner, where the devices can only be used with the provided services. To tackle this issue, an information integration platform (IIP has been developed to support communications between devices and Internet-based services in an event-driven fashion by adopting service-oriented architecture (SOA principles and a publish/subscribe messaging pattern. It follows the “Internet of Things” (IoT idea of connecting everyday objects to various networks and to enable the dissemination of the gathered information to the global information space through the Internet. A patient-centric healthcare service environment is chosen as the target scenario for the deployment of the platform, as this is a domain where IoT can have a direct positive impact on quality of life enhancement. This paper describes the developed platform, with emphasis on dependability aspects, including availability, scalability and security.

  13. Web-based Distributed Medical Information System for Chronic Viral Hepatitis

    Science.gov (United States)

    Yang, Ying; Qin, Tuan-fa; Jiang, Jian-ning; Lu, Hui; Ma, Zong-e.; Meng, Hong-chang

    2008-11-01

    To make a long-term dynamic monitoring to the chronically ill, especially patients of HBV A, we build a distributed Medical Information System for Chronic Viral Hepatitis (MISCHV). The Web-based system architecture and its function are described, and the extensive application and important role are also presented.

  14. [Design and Implementation of a Mobile Operating Room Information Management System Based on Electronic Medical Record].

    Science.gov (United States)

    Liu, Baozhen; Liu, Zhiguo; Wang, Xianwen

    2015-06-01

    A mobile operating room information management system with electronic medical record (EMR) is designed to improve work efficiency and to enhance the patient information sharing. In the operating room, this system acquires the information from various medical devices through the Client/Server (C/S) pattern, and automatically generates XML-based EMR. Outside the operating room, this system provides information access service by using the Browser/Server (B/S) pattern. Software test shows that this system can correctly collect medical information from equipment and clearly display the real-time waveform. By achieving surgery records with higher quality and sharing the information among mobile medical units, this system can effectively reduce doctors' workload and promote the information construction of the field hospital. PMID:26485982

  15. Thermodynamics of information processing based on enzyme kinetics: An exactly solvable model of an information pump

    Science.gov (United States)

    Cao, Yuansheng; Gong, Zongping; Quan, H. T.

    2015-06-01

    Motivated by the recent proposed models of the information engine [Proc. Natl. Acad. Sci. USA 109, 11641 (2012), 10.1073/pnas.1204263109] and the information refrigerator [Phys. Rev. Lett. 111, 030602 (2013), 10.1103/PhysRevLett.111.030602], we propose a minimal model of the information pump and the information eraser based on enzyme kinetics. This device can either pump molecules against the chemical potential gradient by consuming the information to be encoded in the bit stream or (partially) erase the information initially encoded in the bit stream by consuming the Gibbs free energy. The dynamics of this model is solved exactly, and the "phase diagram" of the operation regimes is determined. The efficiency and the power of the information machine is analyzed. The validity of the second law of thermodynamics within our model is clarified. Our model offers a simple paradigm for the investigating of the thermodynamics of information processing involving the chemical potential in small systems.

  16. Thermodynamics of information processing based on enzyme kinetics: An exactly solvable model of an information pump.

    Science.gov (United States)

    Cao, Yuansheng; Gong, Zongping; Quan, H T

    2015-06-01

    Motivated by the recent proposed models of the information engine [Proc. Natl. Acad. Sci. USA 109, 11641 (2012)] and the information refrigerator [Phys. Rev. Lett. 111, 030602 (2013)], we propose a minimal model of the information pump and the information eraser based on enzyme kinetics. This device can either pump molecules against the chemical potential gradient by consuming the information to be encoded in the bit stream or (partially) erase the information initially encoded in the bit stream by consuming the Gibbs free energy. The dynamics of this model is solved exactly, and the "phase diagram" of the operation regimes is determined. The efficiency and the power of the information machine is analyzed. The validity of the second law of thermodynamics within our model is clarified. Our model offers a simple paradigm for the investigating of the thermodynamics of information processing involving the chemical potential in small systems. PMID:26172671

  17. Patient versus informant reported quality of life in the earliest phases of Alzheimer's disease

    DEFF Research Database (Denmark)

    Vogel, Asmus; Mortensen, Erik Lykke; Hasselbalch, Steen G; Andersen, Birgitte B; Waldemar, Gunhild

    2006-01-01

    The study investigated if patient and informant reported Quality of Life (QoL) differed in early Alzheimer's disease (AD). In addition, we examined whether anosognosia had an impact on the agreement between patient and informant ratings of QoL and whether anosognosia, dementia severity, depression...

  18. Digital multimedia books produced using iBooks Author for pre-operative surgical patient information.

    Science.gov (United States)

    Briggs, Matthew; Wilkinson, Caroline; Golash, Aprajay

    2014-10-01

    Presenting patients with medical information and ensuring informed consent can be difficult due to patients with varying levels of literacy, physical and mental disabilities and spoken languages. Patients obtaining information from external sources, such as the internet, can also be problematic as the information can be irrelevant, inaccurate or misleading. A patient satisfaction study was performed in order to assess the effectiveness of using ebooks in order to communicate pre and post surgical information to neurosurgical patients. 3 digital books were produced using iBooks Author (a free desktop publishing program designed by Apple) including ACDF (anterior cervical discectomy and fusion), lumbar laminectomy and lumbar discectomy. Each book contained written information organised into sections and chapters along with an array of multimedia elements including 3D animations, interactive diagrams, 3D models of anatomy and patient experience videos. 32 volunteer patients were then presented with the digital books via an iPad during their preoperative assessment and then asked to complete a questionnaire. The results demonstrated a demand for this type of digital presentation of medical information and also showed patients no longer felt the need to seek further information from external sources. PMID:25390936

  19. Informed consent for the administration of an intravenous contrast agent: importance and determinants of patient refusal

    International Nuclear Information System (INIS)

    We proposed to determine the proportion of patients who refuse to undergo intravenous contrast administration and the factors that influence their refusal. Our series consisted of 442 patients who were supposed to undergo imaging studies involving the intravenous injection of an iodine contrast. In a personal interview, the patients were issued a questionnaire specifically designed for this study. The following parameters were recorded: sex, age, inpatient or outpatient status, medical history available, person who informed them about the procedure, person signing the informed consent (patient or other) , highest academic degree, attitude toward receiving the information and degree of concern after reading and signing the consent form. In our series 8.6% of the patients (95% confidence interval: 6-11.2) refused to sign the informed consent form. In addition, there were a number of patients who delayed the procedure or hindered the daily work schedule by some other means. When the relationship between each of the variables studied and refusal to sign the consent form was assessed, significant associations were observed between the latter and the academic level of the patient, his or her degree of concern and having received the information from a trained person. There was also a nearly significant trend toward the association between refusal and the patient's background. Relatively few patients refuse to sign the informed consent to receive intravenous contrast administration but this negative decision interferes with the health care practice. It is possible to identify certain correctable factors that influence the patient in this respect. (Author) 13 refs

  20. Information Theoretic Similarity Measures for Content Based Image Retrieval.

    Science.gov (United States)

    Zachary, John; Iyengar, S. S.

    2001-01-01

    Content-based image retrieval is based on the idea of extracting visual features from images and using them to index images in a database. Proposes similarity measures and an indexing algorithm based on information theory that permits an image to be represented as a single number. When used in conjunction with vectors, this method displays…

  1. Perceived Quality of Informed Refusal Process: A Cross-Sectional Study from Iranian Patients' Perspectives.

    Science.gov (United States)

    Farzandipour, Mehrdad; Sheikhtaheri, Abbas; Sadeqi Jabali, Monireh

    2015-12-01

    Patients have the right to refuse their treatment; however, this refusal should be informed. We evaluated the quality of the informed refusal process in Iranian hospitals from patients' viewpoints. To this end, we developed a questionnaire that covered four key aspects of the informed refusal process including; information disclosure, voluntariness, comprehension, and provider-patient relationship. A total of 284 patients who refused their treatment from 12 teaching hospitals in the Isfahan Province, Iran, were recruited and surveyed to produce a convenience sample. Patients' perceptions about the informed refusal process were scored and the mean scores of the four components were calculated. The findings showed that the practice of information disclosure (9.6 ± 6.4 out of 22 points) was perceived to be moderate, however, comprehension (2.3 ± 1.4 out of 4 points), voluntariness (8.7 ± 1.5 out of 12 points) and provider-patient relationship (10.2 ± 5.2 out of 16 points) were perceived to be relatively good. We found that patients, who refused their care before any treatment had commenced, reported a lower quality of information disclosure and voluntariness. Patients informed by nurses and those who had not had a previous related admission, reported lower scores for comprehension and relationship. In conclusion, the process of obtaining informed refusal was relatively satisfactory except for levels of information disclosure. To improve current practices, Iranian patients need to be better informed about; different treatment options, consequences of treatment refusal, costs of not continuing treatment and follow-ups after refusal. Developing more informative refusal forms is needed. PMID:24720479

  2. Cancer patients' preferences for written prognostic information provided outside the clinical context.

    Science.gov (United States)

    Davey, H M; Butow, P N; Armstrong, B K

    2003-10-20

    Cancer patients' preferences for written prognostic information independent of the clinical context have not previously been investigated. This study aimed to assist a state cancer organisation to provide information to patients by assessing patients' understanding of statistical information; eliciting their preferences for framing, content and presentation; and assessing the acceptability of a card sort for obtaining preferences. With the exception of conditional and relative survival, initial difficulties in understanding statistical concepts were improved with a plain language explanation. Analysis of the interview transcripts revealed that participants generally supported the provision of written information about survival in booklets and on the Internet. They wanted positive, relevant and clear information. Participants said that the use of, and preferences for, this information would be affected by a patient's age, time since diagnosis, ability to cope with having cancer and the perceived credibility of the information source. They found the card sort acceptable, saying it made the assessment of understanding and selection of preferences easy. This study has identified two fundamental, and sometimes conflicting, factors underlying patients' preferences: the communication of hope and the need to understand information it has also identified patient characteristics thought to influence preferences. These factors and characteristics need to be taken into account when developing written prognostic information for patients. PMID:14562016

  3. Patients and Loved Ones: Information about MRSA in Healthcare Settings

    Science.gov (United States)

    ... to Prevent MRSA Infections? To prevent MRSA infections, doctors, nurses, and other healthcare workers: Clean their hands with ... of patients can help make sure that all doctors, nurses, and other healthcare providers clean their hands with ...

  4. A geographical information based multimedia information system development for nuclear control

    International Nuclear Information System (INIS)

    Current information technology is centered on the internet and changes our daily working pattern, particularly with multimedia information. Rapid development of information processing hardware and software has enabled us to deploy multimedia information management system of low hit counts and small amount of information volume on the desktop computer and publish multimedia information directly to the workgroup intranet with no particular additional hardware and software. Success of the timely development of the information system depends on the adoption of the proper direction and scale of information technology. The nuclear control mainly consists of safeguards, physical protection and export/import control. This paper provides an investigation on the application of openly available multiple media information to the nuclear control information management system. Information system with spatial map, image data including satellite imagery, audio, and video makes users easy to understand the current status and communicate each other easily. The Digital Terrain Elevation Data (DTED) Level 0 of the U.S. NIMA (National Imagery and Mapping Agency) is used as a base map. The multimedia information system is mainly built with Microsoft PowerPoint 2000 and Office Web component. A database with the second normal form was applied to the Office Web component. The importance of the information security was stressed

  5. Knowledge and awareness of informed consent among orthodontists and patients: A pilot study

    Science.gov (United States)

    Alagesan, Anitha; Vaswani, Vina; Vaswani, Ravi; Kulkarni, Uma

    2015-01-01

    Aim: Despite fixed professional opinion of what might constitute optimal treatment, patients must be informed of the various treatment options available in orthodontics to manage their clinical problem. The purpose of this study was to compare and evaluate the knowledge and awareness among practicing orthodontists and patients with regard to informed consent in clinical practice and research. Materials and Methods: Twenty-five orthodontists and 25 patients were enrolled in a questionnaire study which was descriptive and cross-sectional in the nature. The questionnaire focused on the following aspects; contents of informed consent, at what age and who can give consent. Results: The study showed a majority of orthodontists (79.14%) were aware of knowledge regarding informed consent when compared to patients(35.14%). Conclusion: The overall result showed the huge gap that exists between orthodontists and patients and thus making it categorical for patients to be more involved in the decision-making process. PMID:26604580

  6. Risk of Pathologic Upgrading or Locally Advanced Disease in Early Prostate Cancer Patients Based on Biopsy Gleason Score and PSA: A Population-Based Study of Modern Patients

    Energy Technology Data Exchange (ETDEWEB)

    Caster, Joseph M.; Falchook, Aaron D. [Department of Radiation Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (United States); Hendrix, Laura H. [Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (United States); Chen, Ronald C., E-mail: Ronald_chen@med.unc.edu [Department of Radiation Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (United States); Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (United States); Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (United States)

    2015-06-01

    Purpose: Radiation oncologists rely on available clinical information (biopsy Gleason score and prostate-specific antigen [PSA]) to determine the optimal treatment regimen for each prostate cancer patient. Existing published nomograms correlating clinical to pathologic extent of disease were based on patients treated in the 1980s and 1990s at select academic institutions. We used the Surveillance, Epidemiology, and End Results (SEER) database to examine pathologic outcomes (Gleason score and cancer stage) in early prostate cancer patients based on biopsy Gleason score and PSA concentration. Methods and Materials: This analysis included 25,858 patients whose cancer was diagnosed between 2010 and 2011, with biopsy Gleason scores of 6 to 7 and clinical stage T1 to T2 disease, who underwent radical prostatectomy. In subgroups based on biopsy Gleason score and PSA level, we report the proportion of patients with pathologically advanced disease (positive surgical margin or pT3-T4 disease) or whose Gleason score was upgraded. Logistic regression was used to examine factors associated with pathologic outcomes. Results: For patients with biopsy Gleason score 6 cancers, 84% of those with PSA <10 ng/mL had surgical T2 disease with negative margins; this decreased to 61% in patients with PSA of 20 to 29.9 ng/mL. Gleason score upgrading was seen in 43% (PSA: <10 ng/mL) to 61% (PSA: 20-29.9 ng/mL) of biopsy Gleason 6 patients. Patients with biopsy Gleason 7 cancers had a one-third (Gleason 3 + 4; PSA: <10 ng/mL) to two-thirds (Gleason 4 + 3; PSA: 20-29.9 ng/mL) probability of having pathologically advanced disease. Gleason score upgrading was seen in 11% to 19% of patients with biopsy Gleason 4 + 3 cancers. Multivariable analysis showed that higher PSA and older age were associated with Gleason score upgrading and pathologically advanced disease. Conclusions: This is the first population-based study to examine pathologic extent of disease and pathologic Gleason score

  7. Risk of Pathologic Upgrading or Locally Advanced Disease in Early Prostate Cancer Patients Based on Biopsy Gleason Score and PSA: A Population-Based Study of Modern Patients

    International Nuclear Information System (INIS)

    Purpose: Radiation oncologists rely on available clinical information (biopsy Gleason score and prostate-specific antigen [PSA]) to determine the optimal treatment regimen for each prostate cancer patient. Existing published nomograms correlating clinical to pathologic extent of disease were based on patients treated in the 1980s and 1990s at select academic institutions. We used the Surveillance, Epidemiology, and End Results (SEER) database to examine pathologic outcomes (Gleason score and cancer stage) in early prostate cancer patients based on biopsy Gleason score and PSA concentration. Methods and Materials: This analysis included 25,858 patients whose cancer was diagnosed between 2010 and 2011, with biopsy Gleason scores of 6 to 7 and clinical stage T1 to T2 disease, who underwent radical prostatectomy. In subgroups based on biopsy Gleason score and PSA level, we report the proportion of patients with pathologically advanced disease (positive surgical margin or pT3-T4 disease) or whose Gleason score was upgraded. Logistic regression was used to examine factors associated with pathologic outcomes. Results: For patients with biopsy Gleason score 6 cancers, 84% of those with PSA <10 ng/mL had surgical T2 disease with negative margins; this decreased to 61% in patients with PSA of 20 to 29.9 ng/mL. Gleason score upgrading was seen in 43% (PSA: <10 ng/mL) to 61% (PSA: 20-29.9 ng/mL) of biopsy Gleason 6 patients. Patients with biopsy Gleason 7 cancers had a one-third (Gleason 3 + 4; PSA: <10 ng/mL) to two-thirds (Gleason 4 + 3; PSA: 20-29.9 ng/mL) probability of having pathologically advanced disease. Gleason score upgrading was seen in 11% to 19% of patients with biopsy Gleason 4 + 3 cancers. Multivariable analysis showed that higher PSA and older age were associated with Gleason score upgrading and pathologically advanced disease. Conclusions: This is the first population-based study to examine pathologic extent of disease and pathologic Gleason score

  8. Informal Financial Assistance for Patients With a Hematological Malignancy: Implications for Oncology Social Work Practice.

    Science.gov (United States)

    McGrath, Pam

    2015-01-01

    The article presents original research findings on informal financial assistance for hematological patients; that is, the gifts from family, friends, and communities that help patients cope with the financial hardship associated with cancer. The qualitative study involved interviews with 45 hematology patients that were audio-recorded, transcribed, coded, and then thematically analyzed. The findings examine the differing perspectives that individuals and families bring to the notion of informal financial aid, provide examples of individuals who require and receive informal financial assistance, and conclude with descriptions of those who require informal financial assistance but it is not available. The implications of the findings for oncology social work practice are explored. PMID:26671243

  9. Trust-Based Information System Architecture for Personal Wellness

    OpenAIRE

    Ruotsalainen, P.; Nykänen, P.; Seppälä, A.; Blobel, Bernd

    2014-01-01

    Modern eHealth, ubiquitous health and personal wellness systems take place in an unsecure and ubiquitous information space where no predefined trust occurs. This paper presents novel information model and an architecture for trust based privacy management of personal health and wellness information in ubiquitous environment. The architecture enables a person to calculate a dynamic and context-aware trust value for each service provider, and using it to design personal privacy policies for tru...

  10. CHOQUET AGGREGATION BASED DECISION MAKING UNDER Z-INFORMATION

    OpenAIRE

    Lala M. Zeinalova

    2014-01-01

    The concept of decision making under uncertainty is usually associated with information that may be incomplete, not reliable or imprecise, so there are several types of uncertainty. A partial absence of beliefs and fuzziness are some of the aspects of uncertainty. In this paper we consider a somewhat different framework for representing our knowledge. Zadeh suggested a Z-number notion, based on a reliability of the given information. In this study we apply Z- information to decision making in...

  11. Role-based Integration Method of Enterprise Information System

    Institute of Scientific and Technical Information of China (English)

    YU Ming-hui; FEI Qi; CHEN Xue-guang

    2002-01-01

    This paper analyzes the current situation of enterprise information system and methods of system integration at first. Then a role-based analyzing method is proposed. It can help confirm the keystone of the construction of information system and the direction of system integration. At last, a case study on theintegration of material dispatching information system in a large-scale project is presented briefly. It shows that this new method is more effective than the others are.

  12. An Innovative Thinking-Based Intelligent Information Fusion Algorithm

    OpenAIRE

    Huimin Lu; Liang Hu; Gang Liu; Jin Zhou

    2013-01-01

    This study proposes an intelligent algorithm that can realize information fusion in reference to the relative research achievements in brain cognitive theory and innovative computation. This algorithm treats knowledge as core and information fusion as a knowledge-based innovative thinking process. Furthermore, the five key parts of this algorithm including information sense and perception, memory storage, divergent thinking, convergent thinking, and evaluation system are simulated and modeled...

  13. Food Security Information Platform Model Based on Internet of Things

    OpenAIRE

    Lei Zhang; Shanhong Zhu

    2015-01-01

    According to the tracking and tracing requirements of food supply chain management and quality and safety, this study built food security information platform using the Internet of things technology, with reference to the EPC standard, the use of RFID technology, adopting the model of SOA, based on SCOR core processes, researches the food security information platform which can set up the whole process from the source to the consumption of the traceability information, provides food informati...

  14. Acid-base disturbance in patients with cirrhosis

    DEFF Research Database (Denmark)

    Henriksen, Jens H; Bendtsen, Flemming; Møller, Søren

    2015-01-01

    PURPOSE: Acid-base disturbances were investigated in patients with cirrhosis in relation to hemodynamic derangement to analyze the hyperventilatory effects and the metabolic compensation. METHODS: A total of 66 patients with cirrhosis and 44 controls were investigated during a hemodynamic study......, and effects of unidentified ions (all Pacid-base disturbances could not be identified. CONCLUSION: Hypocapnic alkalosis is related to disease severity and hyperdynamic systemic circulation in patients with cirrhosis. The metabolic compensation includes...... alterations in serum albumin and water retention that may result in a delicate acid-base balance in these patients....

  15. Selective information seeking: can consumers' avoidance of evidence-based information on colorectal cancer screening be explained by the theory of cognitive dissonance?

    OpenAIRE

    Mühlhauser, Ingrid; Kasper, Jürgen; Steckelberg, Anke

    2007-01-01

    Background: Evidence-based patient information (EBPI) is a prerequisite for informed decision-making. However, presentation of EBPI may lead to irrational reactions causing avoidance, minimisation and devaluation of the information. Objective: To explore whether the theory of cognitive dissonance is applicable to medical decision-making and useful to explain these phenomena. Setting and participants: 261 volunteers from Hamburg (157 women), ≥50 years old without diagnosis of colorectal cancer...

  16. Selective information seeking: can consumers' avoidance of evidence-based information on colorectal cancer screening be explained by the theory of cognitive dissonance?

    OpenAIRE

    Steckelberg, A; Kasper, J.; Mühlhauser, I

    2007-01-01

    Background: Evidence-based patient information (EBPI) is a prerequisite for informed decision-making. However, presentation of EBPI may lead to irrational reactions causing avoidance, minimisation and devaluation of the information. Objective: To explore whether the theory of cognitive dissonance is applicable to medical decision-making and useful to explain these phenomena. Setting and participants: 261 volunteers from Hamburg (157 women), >=50 years old without diagnosis of col...

  17. Evidence-based practice for information professionals a handbook

    CERN Document Server

    Booth, Andrew

    2004-01-01

    Examines to what extent the skills and techniques of evidence-based practice are transferable to the areas of professional practice of librarians and information professionals? Is it desirable for information professionals to integrate research findings into their day-to-day decision making?

  18. Web Based Information System for Heat Supply Monitoring

    OpenAIRE

    Stoyanov, Borislav; Strahilov, Strahil

    2016-01-01

    The paper presents web based information system for heat supply monitoring. The proposed model  and information system for gathering data from heating station heat-flow meters and regulators is software realized. The novel system with proved functionality can be commercialized at the cost of minimal investments, finding wildly use on Bulgarian market as cheap and quality alternative of the western systems.

  19. Document Indexing for Image-Based Optical Information Systems.

    Science.gov (United States)

    Thiel, Thomas J.; And Others

    1991-01-01

    Discussion of image-based information retrieval systems focuses on indexing. Highlights include computerized information retrieval; multimedia optical systems; optical mass storage and personal computers; and a case study that describes an optical disk system which was developed to preserve, access, and disseminate military documents. (19…

  20. Study of accessibility and quality of the patient information about medicines in Latvia

    Directory of Open Access Journals (Sweden)

    Ozolina V.

    2012-10-01

    Full Text Available Receipt of adequate amount of accurate patient information on medicines before their use is one of the main cornerstones of the treatment. Without the information medicines cannot be used safely and effectively. Basically, it can be argued that the information is converting the pharmacologically active substance into the medicinal product. Main source of information for patients in Latvia is Package leaflets. Label of medicines and patient information leaflet are drawn up in compliance with regulatory requirements, but for people it is often difficult to understand information contained in the package leaflets due to the complex language. The readability test – introduced as a mandatory requirement for marketing authorization and renewal of marketing authorization of medicines – improves the quality of package leaflets making them more patient “friendly”.

  1. Informed Systems: Enabling Collaborative Evidence Based Organizational Learning

    Directory of Open Access Journals (Sweden)

    Mary M. Somerville

    2015-12-01

    Full Text Available Objective – In response to unrelenting disruptions in academic publishing and higher education ecosystems, the Informed Systems approach supports evidence based professional activities to make decisions and take actions. This conceptual paper presents two core models, Informed Systems Leadership Model and Collaborative Evidence-Based Information Process Model, whereby co-workers learn to make informed decisions by identifying the decisions to be made and the information required for those decisions. This is accomplished through collaborative design and iterative evaluation of workplace systems, relationships, and practices. Over time, increasingly effective and efficient structures and processes for using information to learn further organizational renewal and advance nimble responsiveness amidst dynamically changing circumstances. Methods – The integrated Informed Systems approach to fostering persistent workplace inquiry has its genesis in three theories that together activate and enable robust information usage and organizational learning. The information- and learning-intensive theories of Peter Checkland in England, which advance systems design, stimulate participants’ appreciation during the design process of the potential for using information to learn. Within a co-designed environment, intentional social practices continue workplace learning, described by Christine Bruce in Australia as informed learning enacted through information experiences. In addition, in Japan, Ikujiro Nonaka’s theories foster information exchange processes and knowledge creation activities within and across organizational units. In combination, these theories promote the kind of learning made possible through evolving and transferable capacity to use information to learn through design and usage of collaborative communication systems with associated professional practices. Informed Systems therein draws from three antecedent theories to create an original

  2. Nuclear burst detection information transfers system based on BD Navigation

    International Nuclear Information System (INIS)

    The article introduces the character of BD Navigation System.The feasibility of using BD Navigation System is analyzed. Nuclear explosion information transmission system based on BD Navigation System is designed and implemented. (authors)

  3. Personalized Multimedia Information Retrieval based on User Profile Mining

    Directory of Open Access Journals (Sweden)

    Pengyi Zhang

    2013-10-01

    Full Text Available This paper focuses on how to retrieve personalized multimedia information based on user interest which can be mined from user profile. After analyzing the related works, a general structure of the personalized multimedia information retrieval system is given, which combines online module and offline module. Firstly, we collect a large-sale of photos from multimedia information sharing websites. Then, we record the information of the users who upload the multimedia information. For a given user, we save his history data which could describe the multimedia data. Secondly, the relationship between contents of multimedia data and semantic information is analyzed and then the user interest model is constructed by a modified LDA model which can integrate all the influencing factors in the task of multimedia information retrieval. Thirdly, the query distributions of all the topics can be estimated by the proposed modified LDA model. Thirdly, based on the above offline computing process, the online personalized multimedia information ranking algorithm is given which utilize the user interest model and the query word. Fourthly, multimedia information retrieval results are obtained using the proposed personalized multimedia information ranking algorithm. Finally, performance evaluation is conducted by a series of experiments to test the performance of the proposed algorithm compared with other methods on different datasets.

  4. Cloud and Open BIM-Based Building Information Interoperability Research

    OpenAIRE

    Du Juan; Qin Zheng

    2014-01-01

    The emergence of Open BIM effectively improves the interoperability of building information. Besides, cloud technology supports virtualization and QoA (Quality of Assurance) in the case of the distributed system and multi-user collaboration. Based on the cloud and the Open BIM, this paper puts forward the cloud services models and the cloud-based Open BIM building information interaction framework, and further illustrates the architecture of cloud deployment pattern and...

  5. Determinants of subjective and objective burden of informal caregiving of patients with psychotic disorders

    OpenAIRE

    Flyckt, Lena; Fatouros-Bergman, Helena; Koernig, Thomas

    2015-01-01

    Background: In a previous study, the objective burden of informal caregiving to patients with psychotic disorders amounted to 22 hours/week, and the subjective burden was huge with predominately anxiety and depression as main symptoms. In this study, determinants of the informal caregiving burden are analyzed to find foci for interventions to ease the size of burden. Methods: Patients with psychotic disorders (n = 107) and their informal caregivers (n = 118) were included. They were assessed ...

  6. Burden of informal care giving to patients with psychoses: A descriptive and methodological study

    OpenAIRE

    Flyckt, Lena; Löthman, Anna; Jörgensen, Leif; Rylander, Anders; Koernig, Thomas

    2013-01-01

    Background: There is a lack of studies of the size of burden associated with informal care giving in psychosis. Aims: To evaluate the objective and subjective burden of informal care giving to patients with psychoses, and to compare a diary and recall method for assessments of objective burden. Method: Patients and their informal caregivers were recruited from nine Swedish psychiatric outpatient centres. Subjective burden was assessed at inclusion using the CarerQoL and COPE index scales. The...

  7. Security of electronic medical information and patient privacy: what you need to know.

    Science.gov (United States)

    Andriole, Katherine P

    2014-12-01

    The responsibility that physicians have to protect their patients from harm extends to protecting the privacy and confidentiality of patient health information including that contained within radiological images. The intent of HIPAA and subsequent HIPAA Privacy and Security Rules is to keep patients' private information confidential while allowing providers access to and maintaining the integrity of relevant information needed to provide care. Failure to comply with electronic protected health information (ePHI) regulations could result in financial or criminal penalties or both. Protected health information refers to anything that can reasonably be used to identify a patient (eg, name, age, date of birth, social security number, radiology examination accession number). The basic tools and techniques used to maintain medical information security and patient privacy described in this article include physical safeguards such as computer device isolation and data backup, technical safeguards such as firewalls and secure transmission modes, and administrative safeguards including documentation of security policies, training of staff, and audit tracking through system logs. Other important concepts related to privacy and security are explained, including user authentication, authorization, availability, confidentiality, data integrity, and nonrepudiation. Patient privacy and security of medical information are critical elements in today's electronic health care environment. Radiology has led the way in adopting digital systems to make possible the availability of medical information anywhere anytime, and in identifying and working to eliminate any risks to patients. PMID:25467897

  8. Patients' increasing search for health information on internet.

    OpenAIRE

    Schee, E. van der; Delnoij, D.

    2004-01-01

    Background: The number of web sites on the internet, providing health information, discussion groups, internet doctors or selling drugs is increasing fast. In 2001, the number was rated over 100.000 (Risk and Dzenowagis, 2001). The growing number of websites on these topics might be expected to match growing numbers of people using the internet to search for health information. However, no knowledge is available on this development. Aim: To monitor the development in the use of internet by th...

  9. Communication Between Patients and Providers and Informed Decision Making

    OpenAIRE

    Elmore, Joann G.; Ganschow, Pamela S; Geller, Berta M.

    2010-01-01

    Women with ductal carcinoma in situ (DCIS) need to comprehend the meaning of the diagnosis and the potential benefits and harms of treatment options. Full and understandable information is a requirement, not an option. However, with DCIS, as with many areas of medicine, a high level of uncertainty about the disease remains. In this article, we define informed medical decision making, review challenges to its implementation, and provide suggestions on how to improve communication with women ab...

  10. Transplant Information Portal for Patient Management in Organ Transplant

    OpenAIRE

    Vari, Sandor G; Godo, Ferenc; Geza NAGY; Fehervari, Imre; Markovics, Gyula; Brugal, Gerard

    2001-01-01

    The RETRANSPLANT (HC 4028 & IN 4028) project sponsored by European Commission - Directorate General XIII, Telecommunications, Information Market and Exploitation of Research, Telematics Application for Health, aimed to develop a portal to bridge the various and geographically dispersed institutions playing a role in the complex process of organ collection from a donor and transplantation into one or several recipients. The generic model used was kidney transplantation and the information and ...

  11. [Cystic Fibrosis Cloud database: An information system for storage and management of clinical and microbiological data of cystic fibrosis patients].

    Science.gov (United States)

    Prieto, Claudia I; Palau, María J; Martina, Pablo; Achiary, Carlos; Achiary, Andrés; Bettiol, Marisa; Montanaro, Patricia; Cazzola, María L; Leguizamón, Mariana; Massillo, Cintia; Figoli, Cecilia; Valeiras, Brenda; Perez, Silvia; Rentería, Fernando; Diez, Graciela; Yantorno, Osvaldo M; Bosch, Alejandra

    2016-01-01

    The epidemiological and clinical management of cystic fibrosis (CF) patients suffering from acute pulmonary exacerbations or chronic lung infections demands continuous updating of medical and microbiological processes associated with the constant evolution of pathogens during host colonization. In order to monitor the dynamics of these processes, it is essential to have expert systems capable of storing and subsequently extracting the information generated from different studies of the patients and microorganisms isolated from them. In this work we have designed and developed an on-line database based on an information system that allows to store, manage and visualize data from clinical studies and microbiological analysis of bacteria obtained from the respiratory tract of patients suffering from cystic fibrosis. The information system, named Cystic Fibrosis Cloud database is available on the http://servoy.infocomsa.com/cfc_database site and is composed of a main database and a web-based interface, which uses Servoy's product architecture based on Java technology. Although the CFC database system can be implemented as a local program for private use in CF centers, it can also be used, updated and shared by different users who can access the stored information in a systematic, practical and safe manner. The implementation of the CFC database could have a significant impact on the monitoring of respiratory infections, the prevention of exacerbations, the detection of emerging organisms, and the adequacy of control strategies for lung infections in CF patients. PMID:26895996

  12. The development of component-based information systems

    CERN Document Server

    Cesare, Sergio de; Macredie, Robert

    2015-01-01

    This work provides a comprehensive overview of research and practical issues relating to component-based development information systems (CBIS). Spanning the organizational, developmental, and technical aspects of the subject, the original research included here provides fresh insights into successful CBIS technology and application. Part I covers component-based development methodologies and system architectures. Part II analyzes different aspects of managing component-based development. Part III investigates component-based development versus commercial off-the-shelf products (COTS), includi

  13. Measuring and improving patient safety through health information technology: The Health IT Safety Framework.

    Science.gov (United States)

    Singh, Hardeep; Sittig, Dean F

    2016-04-01

    Health information technology (health IT) has potential to improve patient safety but its implementation and use has led to unintended consequences and new safety concerns. A key challenge to improving safety in health IT-enabled healthcare systems is to develop valid, feasible strategies to measure safety concerns at the intersection of health IT and patient safety. In response to the fundamental conceptual and methodological gaps related to both defining and measuring health IT-related patient safety, we propose a new framework, the Health IT Safety (HITS) measurement framework, to provide a conceptual foundation for health IT-related patient safety measurement, monitoring, and improvement. The HITS framework follows both Continuous Quality Improvement (CQI) and sociotechnical approaches and calls for new measures and measurement activities to address safety concerns in three related domains: 1) concerns that are unique and specific to technology (e.g., to address unsafe health IT related to unavailable or malfunctioning hardware or software); 2) concerns created by the failure to use health IT appropriately or by misuse of health IT (e.g. to reduce nuisance alerts in the electronic health record (EHR)), and 3) the use of health IT to monitor risks, health care processes and outcomes and identify potential safety concerns before they can harm patients (e.g. use EHR-based algorithms to identify patients at risk for medication errors or care delays). The framework proposes to integrate both retrospective and prospective measurement of HIT safety with an organization's existing clinical risk management and safety programs. It aims to facilitate organizational learning, comprehensive 360 degree assessment of HIT safety that includes vendor involvement, refinement of measurement tools and strategies, and shared responsibility to identify problems and implement solutions. A long term framework goal is to enable rigorous measurement that helps achieve the safety

  14. Improving information extraction using a probability-based approach

    DEFF Research Database (Denmark)

    Kim, S.; Ahmed, Saeema; Wallace, K.

    2007-01-01

    Information plays a crucial role during the entire life-cycle of a product. It has been shown that engineers frequently consult colleagues to obtain the information they require to solve problems. However, the industrial world is now more transient and key personnel move to other companies or...... retire. It is becoming essential to retrieve vital information from archived product documents, if it is available. There is, therefore, great interest in ways of extracting relevant and sharable information from documents. A keyword-based search is commonly used, but studies have shown that these...

  15. Research on extraction of aeromagnetic weak information based on GIS

    International Nuclear Information System (INIS)

    This paper introduces the meaning of weak information extraction and discusses the theoretic foundation of aeromagnetic weak information extraction and expounds the principle of selected mathematic-physics methods. A kind of data visualization method--'1/4 standard deviation', which is favorable for displaying weak information, is proposed in the GIS software platform. The validity test of weak information extraction has been completed based on the GIS platform in Dongsheng area. Results indicate that the weak anomaly enhancement technique may effectively restrain the interfering noise, improve the signal-to-noise ratio and further delineate the prospective targets of sandstone uranium deposits

  16. Coalmine Safety Assurance Information System Based on GIS

    Institute of Scientific and Technical Information of China (English)

    LIU Qiao-xi; MAO Shan-jun; MA Ai-nai; MAO Yun-de; BAO Qing-guo

    2003-01-01

    The mine ventilation and safety is one of the most important factors to influence on the coal production.More attention has been paid to manage safety information in scientific, efficient, and real-time way. Therefore, it is important to develop a practical mine safety assurance information system (CSAIS). Based on analyzing the actual management mode for ventilation and safety on mine, the paper studies the structure and function of the mine safety assurance information system based on GIS in detail. Moreover, it also suggests some applications and solutions. By combining with the practical situation, the paper realizes the whole function of the present system.

  17. MedlinePlus-based health information prescriptions: a comparison of email vs paper delivery

    Directory of Open Access Journals (Sweden)

    Emily Coberly

    2013-05-01

    Full Text Available Background The internet can provide evidence-based patient education to overcome time constraints of busy ambulatory practices. Health information prescriptions (HIPs can be effectively integrated into clinic workflow, but compliance to visit health information sites such as MedlinePlus is limited.Objective Compare the efficacy of paper (pHIP and email (eHIP links to deliver HIPs; evaluate patient satisfaction with the HIP process and MedlinePlus information; assess reasons for noncompliance to HIPs.Method Of 948 patients approached at two internal medicine clinics affiliated with an academic medical centre, 592 gave informed consent after meeting the inclusion criteria. In this randomised controlled trial, subjects were randomised to receive pHIP or eHIP for accessing an intermediate website that provided up to five MedlinePlus links for physician-selected HIP conditions. Patients accessing the intermediate website were surveyed by email to assess satisfaction with the health information. Survey non-responders were contacted by telephone to determine the reasons for no response.Results One hundred and eighty-one patients accessed the website, with significantly more ‘filling’ eHIP than pHIP (38% vs 23%; P < 0.001. Most (82% survey respondents found the website information useful, with 77% favouring email for future HIPs delivery. Lack of time, forgot, lost instructions or changed mind were reasons given for not accessing the websites.Conclusions Delivery of MedlinePlus-based HIPs in clinic is more effective using email prescriptions than paper. Satisfaction with the HIP information was high, but overall response was low and deserves further investigation to improve compliance and related outcomes.

  18. Building information modeling based on intelligent parametric technology

    Institute of Scientific and Technical Information of China (English)

    ZENG Xudong; TAN Jie

    2007-01-01

    In order to push the information organization process of the building industry,promote sustainable architectural design and enhance the competitiveness of China's building industry,the author studies building information modeling (BIM) based on intelligent parametric modeling technology.Building information modeling is a new technology in the field of computer aided architectural design,which contains not only geometric data,but also the great amount of engineering data throughout the lifecycle of a building.The author also compares BIM technology with two-dimensional CAD technology,and demonstrates the advantages and characteristics of intelligent parametric modeling technology.Building information modeling,which is based on intelligent parametric modeling technology,will certainly replace traditional computer aided architectural design and become the new driving force to push forward China's building industry in this information age.

  19. Informal caregivers of patients with COPD: Home Sweet Home?

    NARCIS (Netherlands)

    Nakken, N.; Janssen, D.J.; Bogaart, E.H. van den; Wouters, E.F.; Franssen, F.M.; Vercoulen, J.H.; Spruit, M.A.

    2015-01-01

    The burden of chronic obstructive pulmonary disease (COPD) on society is increasing. Healthcare systems should support patients with COPD in achieving an optimal quality of life, while limiting the costs of care. As a consequence, a shift from hospital care to home care seems inevitable. Therefore,

  20. Informed consent in dental practice: experiences of Dutch patients.

    NARCIS (Netherlands)

    Schouten, B.C.; Friele, R.

    2001-01-01

    Aim: To assess experiences of the Dutch population concerning the implementation of some of their rights by dentist. Methods: A postal questionnaire. Participants: All 1,616 participants of the 'Consumer Panel Health Care' in the Netherlands. Results: 78.8 % of the subjects responded. Patients were

  1. Archetype based patient data modeling to support treatment of pituitary adenomas.

    Science.gov (United States)

    Chalopin, Claire; Lindner, Dirk; Kropf, Stefan; Denecke, Kerstin

    2015-01-01

    The treatment of patients with pituitary adenoma requires the assessment of various patient data by the clinician. Because of their heterogeneity, they are stored in different sub-information systems, limiting a fast and easy access. The objective of this paper is to apply and test the tools provided by the openEHR Foundation to model the patient data relevant for diagnosis and treatment of the disease with the future intention to implement a centralised standard-based information platform. This platform should support the clinician in the treatment of the disease and improve the information exchange with other healthcare institutions. Some results of the domain modeling, so far obtained, are presented, and the advantages of openEHR emphasized. The free tools and the large database of existing structured and standard archetypes facilitated the modeling task. The separation of the domain modeling from the application development will support the next step of development of the information platform. PMID:26262034

  2. Knowledge-based system for flight information management. Thesis

    Science.gov (United States)

    Ricks, Wendell R.

    1990-01-01

    The use of knowledge-based system (KBS) architectures to manage information on the primary flight display (PFD) of commercial aircraft is described. The PFD information management strategy used tailored the information on the PFD to the tasks the pilot performed. The KBS design and implementation of the task-tailored PFD information management application is described. The knowledge acquisition and subsequent system design of a flight-phase-detection KBS is also described. The flight-phase output of this KBS was used as input to the task-tailored PFD information management KBS. The implementation and integration of this KBS with existing aircraft systems and the other KBS is described. The flight tests are examined of both KBS's, collectively called the Task-Tailored Flight Information Manager (TTFIM), which verified their implementation and integration, and validated the software engineering advantages of the KBS approach in an operational environment.

  3. Web-based E-commerce information consultation system

    International Nuclear Information System (INIS)

    This paper discusses an on-line e-Commerce information consultation system. It uses NLP and Robot techniques, to provide information retrieval more easily for users, and find required content answers not large amount of documents from variety of e-Commerce markets and products information from Internet. It can supplies more convenient, quicker and exact queried results. On the design of the our system framework, we integrate FAQ database with Internet as a knowledge base, which makes user be able to not only query existing EC products information, but also just-in-time information. An intelligent web crawler is integrated to help users to gather specific information from EC sites. We briefly introduce the function and realization of each part of the system and test the system. (authors)

  4. Using health information technology to manage a patient population in accountable care organizations.

    Science.gov (United States)

    Wu, Frances M; Rundall, Thomas G; Shortell, Stephen M; Bloom, Joan R

    2016-06-20

    Purpose - The purpose of this paper is to describe the current landscape of health information technology (HIT) in early accountable care organizations (ACOs), the different strategies ACOs are using to develop HIT-based capabilities, and how ACOs are using these capabilities within their care management processes to advance health outcomes for their patient population. Design/methodology/approach - Mixed methods study pairing data from a cross-sectional National Survey of ACOs with in-depth, semi-structured interviews with leaders from 11 ACOs (both completed in 2013). Findings - Early ACOs vary widely in their electronic health record, data integration, and analytic capabilities. The most common HIT capability was drug-drug and drug-allergy interaction checks, with 53.2 percent of respondents reporting that the ACO possessed the capability to a high degree. Outpatient and inpatient data integration was the least common HIT capability (8.1 percent). In the interviews, ACO leaders commented on different HIT development strategies to gain a more comprehensive picture of patient needs and service utilization. ACOs realize the necessity for robust data analytics, and are exploring a variety of approaches to achieve it. Research limitations/implications - Data are self-reported. The qualitative portion was based on interviews with 11 ACOs, limiting generalizability to the universe of ACOs but allowing for a range of responses. Practical implications - ACOs are challenged with the development of sophisticated HIT infrastructure. They may benefit from targeted assistance and incentives to implement health information exchanges with other providers to promote more coordinated care management for their patient population. Originality/value - Using new empirical data, this study increases understanding of the extent of ACOs' current and developing HIT capabilities to support ongoing care management. PMID:27296880

  5. Applying Multiple Methods to Comprehensively Evaluate a Patient Portal’s Effectiveness to Convey Information to Patients

    Science.gov (United States)

    Krist, Alex H; Aycock, Rebecca A; Kreps, Gary L

    2016-01-01

    Background Patient portals have yet to achieve their full potential for enhancing health communication and improving health outcomes. Although the Patient Protection and Affordable Care Act in the United States mandates the utilization of patient portals, and usage continues to rise, their impact has not been as profound as anticipated. Objective The objective of our case study was to evaluate how well portals convey information to patients. To demonstrate how multiple methodologies could be used to evaluate and improve the design of patient-centered portals, we conducted an in-depth evaluation of an exemplar patient-centered portal designed to promote preventive care to consumers. Methods We used 31 critical incident patient interviews, 2 clinician focus groups, and a thematic content analysis to understand patients’ and clinicians’ perspectives, as well as theoretical understandings of the portal’s use. Results We gathered over 140 critical incidents, 71.8% (102/142) negative and 28.2% (40/142) positive. Positive incident categories were (1) instant medical information access, (2) clear health information, and (3) patient vigilance. Negative incident categories were (1) standardized content, (2) desire for direct communication, (3) website functionality, and (4) difficulty interpreting laboratory data. Thematic analysis of the portal’s immediacy resulted in high scores in the attributes enhances understanding (18/23, 78%), personalization (18/24, 75%), and motivates behavior (17/24, 71%), but low levels of interactivity (7/24, 29%) and engagement (2/24, 8%). Two overarching themes emerged to guide portal refinements: (1) communication can be improved with directness and interactivity and (2) perceived personalization must be greater to engage patients. Conclusions Results suggest that simple modifications, such as increased interactivity and personalized messages, can make portals customized, robust, easily accessible, and trusted information sources

  6. China’s First Multilingual Information Processing Base Launched

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Wuhan China Multilingual Information Processing Base officially opened recently at the Wuhan Eastlake Hi-Tech Innovation Center. In accordance with the country’s strategy on service outsourcing and the international translation service industry, Wuhan began to put its development plan for a multilingual data processing base into practice.

  7. Need for online information and support of patients with systemic sclerosis

    NARCIS (Netherlands)

    Vaart, R. van der; Repping-Wuts, H.; Drossaert, C.H.; Taal, E.; Knaapen-Hans, H.K.; Laar, M.A. van der

    2013-01-01

    OBJECTIVE: Interactive health communication applications (IHCAs) offer interesting possibilities to support systemic sclerosis (SSc) patients, since SSc is an uncommon, severe disease that needs a multidisciplinary treatment. This study aimed to investigate patients' needs for a hospital-based IHCA.

  8. Patients' increasing search for health information on internet.

    NARCIS (Netherlands)

    Schee, E. van der; Delnoij, D.

    2004-01-01

    Background: The number of web sites on the internet, providing health information, discussion groups, internet doctors or selling drugs is increasing fast. In 2001, the number was rated over 100.000 (Risk and Dzenowagis, 2001). The growing number of websites on these topics might be expected to matc

  9. Internet information on xerostomia : what should patients expect?

    NARCIS (Netherlands)

    Delli, K.; Livas, C.; Spijkervet, F. K.; Vissink, A.

    2015-01-01

    ObjectiveTo assess the qualitative standards of the information distributed via the Internet regarding xerostomia. Materials and MethodsA comprehensive electronic search was performed for xerostomia' and dry mouth' separately using four search engines. The first 30 results from each search term-engi

  10. Monitoring of MMCA-based Military Electronic Information System

    Institute of Scientific and Technical Information of China (English)

    ZHANG De-yu,; PAN Cheng-sheng; YANG Jing-yu

    2005-01-01

    A multiplex monitoring and control architecture (MMCA) for military supervision based on common information model (CIM) is put forward after analyzing the features of military system. Information format based on CIM can be compatible with other protocols by mapping data type into that of SNMP, DMI and CMIP, etc. And in order to realize transparence and dynamic expansibility of MMCA administrator, CIM object manager and CIM object provider are designed based on monitoring mechanism of agent extensibility--AgentX that MMCA agent uses.

  11. Naftidrofuryl for intermittent claudication: meta-analysis based on individual patient data

    OpenAIRE

    De Backer, T; Vander Stichele, R; Lehert, P; Van Bortel, L.

    2009-01-01

    Objective To assess the efficacy of naftidrofuryl compared with placebo in treating the symptoms of intermittent claudication. Design Meta-analysis based on individual patient data. Data sources Medline, International Pharmaceutical Abstracts, Embase, Science Citation Index, and the Cochrane trial registers. Reference lists of retrieved articles were checked. Authors and companies were approached for additional information and individual patient data. Inclusion criteria Double blind, randomis...

  12. Consultations with general practitioners on patient safety measures based on routinely collected data in primary care

    OpenAIRE

    Tsang, C; Majeed, A; Aylin, P

    2012-01-01

    OBJECTIVES To gauge the opinions of doctors working, or interested, in general practice on monitoring patient safety using administrative data. The findings will inform the development of routinely collected data-based patient safety indicators in general practice and elsewhere in primary care. DESIGN Non-systematic participant recruitment, using personal contacts and colleagues' recommendations. SETTING Face-to-face consultations at participants' places of work, between June 2010 a...

  13. Supporting Case-Based Learning in Information Security with Web-Based Technology

    Science.gov (United States)

    He, Wu; Yuan, Xiaohong; Yang, Li

    2013-01-01

    Case-based learning has been widely used in many disciplines. As an effective pedagogical method, case-based learning is also being used to support teaching and learning in the domain of information security. In this paper, we demonstrate case-based learning in information security by sharing our experiences in using a case study to teach security…

  14. Information Management System based on Principles of Adaptability and Personalization

    Directory of Open Access Journals (Sweden)

    Dragan Ðokic

    2015-07-01

    Full Text Available Among the most significant values of a business system that contribute to its competitiveness in comparison with others, the leading point and the highest value, second to the human factor, is the information at the company’s disposal, unified in the company’s know how. Unfortunately, the sole awareness of the importance and significance of information is mostly not enough. It is for this reason that this resource is unfairly neglected and is insufficiently used. What results from this situation is that information is mostly unavailable and insufficiently protected. This paper will show one of the possible models of systems for managing information based on principles of adaptability and personalization which aims towards adequate, fast, efficient and secure access to protected information in the company. The subject of this manuscript is to explore the possibilities of modern information and communication technology application in developing information management system based on principles of adaptability and personalization. The main part of this system is the portal for intelligent document management. The solution proposed in the dissertation is based on integration and implementation of services for adaptation in modern document management systems.

  15. Patient sources of information and decision factors in selecting cosmetic surgeons.

    Science.gov (United States)

    Nowak, L I; Washburn, J H

    1998-01-01

    This paper presents the results of an exploratory study designed to examine influential information sources and decision factors in the selection of plastic surgeons for cosmetic versus medical procedures. Physician referrals were found to be the most influential sources of information for both groups. Word-of-mouth and magazine and newspaper articles were also important information sources for cosmetic patients. Primary selection factors were significantly different between groups, with board certification the most influential for cosmetic patients and recommendation by physician most influential for medical patients. PMID:10185452

  16. An exploratory study on the information needs of prostate cancer patients and their partners

    Directory of Open Access Journals (Sweden)

    Angelos P. Kassianos

    2016-06-01

    Full Text Available The aim of this study is to explore the information needs of men with prostate cancer and their partners retrospectively at various points in the treatment process. An online questionnaire was used to collect information from men with prostate cancer and their partners about information needs, and when these developed. Readers of a Prostate Care Cookbook and members of a Prostate Cancer Charity were invited to participate: 73 men with prostate cancer and 25 partners completed the questionnaire. Responses showed that participants develop their information needs close to diagnosis. Less educated men with prostate cancer and partners developed their needs closer to the time after diagnosis than those with higher education. Partners develop an interest on information related to treatment and interaction earlier than patients. Patients prioritised treatment and disease-specific information. Patients and partners differ in how their information needs develop. Medical information is prioritized by patients as opposed to practical information by partners. Health care provision can be tailored to meet the different needs of prostate cancer patients and their partners at different times in the treatment process

  17. An Exploratory Study on the Information Needs of Prostate Cancer Patients and Their Partners.

    Science.gov (United States)

    Kassianos, Angelos P; Raats, Monique M; Gage, Heather

    2016-06-23

    The aim of this study is to explore the information needs of men with prostate cancer and their partners retrospectively at various points in the treatment process. An online questionnaire was used to collect information from men with prostate cancer and their partners about information needs, and when these developed. Readers of a Prostate Care Cookbook and members of a Prostate Cancer Charity were invited to participate: 73 men with prostate cancer and 25 partners completed the questionnaire. Responses showed that participants develop their information needs close to diagnosis. Less educated men with prostate cancer and partners developed their needs closer to the time after diagnosis than those with higher education. Partners develop an interest on information related to treatment and interaction earlier than patients. Patients prioritised treatment and disease-specific information. Patients and partners differ in how their information needs develop. Medical information is prioritized by patients as opposed to practical information by partners. Health care provision can be tailored to meet the different needs of prostate cancer patients and their partners at different times in the treatment process. PMID:27403460

  18. Providing patient information and education in practice: the role of the health librarian.

    Science.gov (United States)

    Truccolo, Ivana

    2016-06-01

    In this article, guest writer Ivana Truccolo presents an overview of her work at the Scientific and Patient Library of a Cancer Comprehensive Centre in Italy coordinating the patient education process. She discusses the historical evolution of the concept of patient education and how this has run alongside the role of the health librarian in the provision of consumer health information. Details are provided about various patient education programmes in place at the Centre. In particular, various activities are discussed including patient education classes, the development of patient education handouts and a narrative medicine programme which includes a literary competition. The article concludes with a specific outline of the role the health librarian can play in the provision of consumer health information and patient education. H.S. PMID:27168259

  19. Integrating patient voices into health information for self-care and patient-clinician partnerships: Veterans Affairs design recommendations for patient-generated data applications.

    Science.gov (United States)

    Woods, Susan S; Evans, Neil C; Frisbee, Kathleen L

    2016-05-01

    Electronic health record content is created by clinicians and is driven largely by intermittent and brief encounters with patients. Collecting data directly from patients in the form of patient-generated data (PGD) provides an unprecedented opportunity to capture personal, contextual patient information that can supplement clinical data and enhance patients' self-care. The US Department of Veterans Affairs (VA) is striving to implement the enterprise-wide capability to collect and use PGD in order to partner with patients in their care, improve the patient healthcare experience, and promote shared decision making. Through knowledge gained from Veterans' and healthcare teams' perspectives, VA created a taxonomy and an evolving framework on which to design and develop applications that capture and help physicians utilize PGD. Ten recommendations for effectively collecting and integrating PGD into patient care are discussed, addressing health system culture, data value, architecture, policy, data standards, clinical workflow, data visualization, and analytics and population reach. PMID:26911810

  20. Concept bases: A support to information systems integration

    OpenAIRE

    Falquet, Gilles; Bonjour, Michel

    1994-01-01

    In this paper, we describe a technique for integrating heterogeneous information systems using concept bases. A concept base is build on top of each system to integrate, in order to semantically enrich its description. Each concept is described at three different levels: terminological definition, formal characterization, and representation in the underlying system. The different concept bases are then used to compare the concepts represented in the different systems and to establish correspo...

  1. VAT Base Broadening, Self Supply, and The Informal Sector

    OpenAIRE

    John Piggott; John Whalley

    1998-01-01

    We develop a general equilibrium tax model to evaluate the impacts of equal yield base broadening in indirect taxes from high rate narrow based (typically manufactures) taxes to broad based taxes (including services) such as a VAT. We capture differences in choice of mode of supply between market goods, such as manufactures, which cannot be supplied other than through the market, and self-suppliable services and informal sector supplied products. Using this formulation, we are able to provide...

  2. The Role of Information Technology in Patient Satisfaction

    OpenAIRE

    ÇAM, Handan

    2016-01-01

    Abstract. Competition comes into prominence in health field as it is in all the fields in the world and in Turkey. The companies pursue the recently established information systems and market fit closely in order to increase the competitive power. Turkey is experiencing quite radical transformations in health-care sector during the last 10 years. In this sense, the objective of the study is to determine the usage level of Central Physician Appointment System (CPAS) within the scope of technol...

  3. Internet Use Frequency and Patient-Centered Care: Measuring Patient Preferences for Participation Using the Health Information Wants Questionnaire

    OpenAIRE

    Xie, Bo; Wang, Mo; Feldman, Robert; Zhou, Le

    2013-01-01

    Background The Internet is bringing fundamental changes to medical practice through improved access to health information and participation in decision making. However, patient preferences for participation in health care vary greatly. Promoting patient-centered health care requires an understanding of the relationship between Internet use and a broader range of preferences for participation than previously measured. Objective To explore (1) whether there is a significant relationship between...

  4. DAIDS: a Distributed, Agent-based Information Dissemination System

    Directory of Open Access Journals (Sweden)

    Pete Haglich

    2007-10-01

    Full Text Available The Distributed Agent-Based Information Dissemination System (DAIDS concept was motivated by the need to share information among the members of a military tactical team in an atmosphere of extremely limited or intermittent bandwidth. The DAIDS approach recognizes that in many cases communications limitations will preclude the complete sharing of all tactical information between the members of the tactical team. Communications may be limited by obstructions to the line of sight between platforms; electronic warfare; or environmental conditions, or just contention from other users of that bandwidth. Since it may not be possible to achieve a complete information exchange, it is important to prioritize transmissions so the most critical information from the standpoint of the recipient is disseminated first. The challenge is to be able to determine which elements of information are the most important to each teammate. The key innovation of the DAIDS concept is the use of software proxy agents to represent the information needs of the recipient of the information. The DAIDS approach uses these proxy agents to evaluate the content of a message in accordance with the context and information needs of the recipient platform (the agent's principal and prioritize the message for dissemination. In our research we implemented this approach and demonstrated that it provides nearly a reduction in transmission times for critical tactical reports by up to a factor of 30 under severe bandwidth limitations.

  5. Investigation of network-based information system model

    Energy Technology Data Exchange (ETDEWEB)

    Konrad, A.M.; Perez, M.; Rivera, J.; Rodriguez, Y.; Durst, M.J.; Merrill, D.W.; Holmes, H.H.

    1996-09-01

    The objective of the DOE-LBNL summer student research program in computer and information sciences focused on investigating database- based http-based information architectures, and implementation of a prototype using DOE`s Comprehensive Epidemiologic Data Resource (CEDR) metadata or Epidemiology Guide content. We were successful in identifying the components of such an information system, and appropriate configuration given the requirements, and in implementing a prototype. This work comprised investigation of various information systems architectures or variants, evaluation and selection of various tools, products, and packages, preparation of databases, database content, output formats, and graphical (World Wide Web- compatible) interfaces. We successfully prepared and demonstrated network access to content from both the CEDR structured documentation and from the DOD Epidemiology Guides (site archive records).

  6. GRAMMAR RULE BASED INFORMATION RETRIEVAL MODEL FOR BIG DATA

    Directory of Open Access Journals (Sweden)

    T. Nadana Ravishankar

    2015-07-01

    Full Text Available Though Information Retrieval (IR in big data has been an active field of research for past few years; the popularity of the native languages presents a unique challenge in big data information retrieval systems. There is a need to retrieve information which is present in English and display it in the native language for users. This aim of cross language information retrieval is complicated by unique features of the native languages such as: morphology, compound word formations, word spelling variations, ambiguity, word synonym, other language influence and etc. To overcome some of these issues, the native language is modeled using a grammar rule based approach in this work. The advantage of this approach is that the native language is modeled and its unique features are encoded using a set of inference rules. This rule base coupled with the customized ontological system shows considerable potential and is found to show better precision and recall.

  7. Audiotaped social comparison information for cancer patients undergoing radiotherapy : Differential effects of procedural, emotional and coping information

    NARCIS (Netherlands)

    Bennenbroek, FTC; Buunk, BP; Stiegelis, HE; Hagedoorn, M; Sanderman, R; Van den Bergh, ACM; Botke, G; Buunk, Abraham (Bram)

    2003-01-01

    The present study focused on the effects of social comparison information on subjective understanding of radiation therapy, validation of emotions, and self-efficacy of cancer patients undergoing radiation therapy. The effects of three different audiotapes, containing different kinds of social compa

  8. Empirical studies on informal patient payments for health care services: a systematic and critical review of research methods and instruments

    Directory of Open Access Journals (Sweden)

    Pavlova Milena

    2010-09-01

    Full Text Available Abstract Background Empirical evidence demonstrates that informal patient payments are an important feature of many health care systems. However, the study of these payments is a challenging task because of their potentially illegal and sensitive nature. The aim of this paper is to provide a systematic review and analysis of key methodological difficulties in measuring informal patient payments. Methods The systematic review was based on the following eligibility criteria: English language publications that reported on empirical studies measuring informal patient payments. There were no limitations with regard to the year of publication. The content of the publications was analysed qualitatively and the results were organised in the form of tables. Data sources were Econlit, Econpapers, Medline, PubMed, ScienceDirect, SocINDEX. Results Informal payments for health care services are most often investigated in studies involving patients or the general public, but providers and officials are also sample units in some studies. The majority of the studies apply a single mode of data collection that involves either face-to-face interviews or group discussions. One of the main methodological difficulties reported in the publication concerns the inability of some respondents to distinguish between official and unofficial payments. Another complication is associated with the refusal of some respondents to answer questions on informal patient payments. We do not exclude the possibility that we have missed studies that reported in non-English language journals as well as very recent studies that are not yet published. Conclusions Given the recent evidence from research on survey methods, a self-administrated questionnaire during a face-to-face interview could be a suitable mode of collecting sensitive data, such as data on informal patient payments.

  9. A Global Information System Model Based on Mobile Infrastructure

    Directory of Open Access Journals (Sweden)

    OCTAVIAN DOSPINESCU

    2006-01-01

    Full Text Available The informative messages represent in every organization a central element for sending data about financial situations, group meetings or special events which will happen in the future. This paper intends to present a model for a global information system based on technologies and infrastructures that already exist in mobile environments. The proposed system has real chances of success in Al. I. Cuza University in order to manage the transmission of the students’ grade situations.

  10. ICT, INFORMATIONAL INNOVATION AND KNOWLEDGE-BASED ECONOMY

    OpenAIRE

    Mohamed Neffati

    2012-01-01

    This paper suggests explaining the main important role of new economicinformation providing competitive advantages which help economic development. It highlightsa new ‘intelligent model» which produces and chooses the right competitive information, as aresult of informational innovation which ensures the maintaining of the stability of economicgrowth in a new knowledge based economy. The proposed model describes the major role ofinformation in different kinds of innovations which provide an ...

  11. From Conventional to Knowledge Based Geographical Information Systems

    OpenAIRE

    Fischer, Manfred M.

    1994-01-01

    Artificial intelligence (Al) has received an explosion of interest during the last five years in various fields. There is no longer any question that expert systems and neural networks will be of central importance for developing the next generation of more intelligent geographic information systems. Such knowledge based geographic information systems will especially play a key role in spatial decision and policy analysis related to issues such as environmental monitoring and m...

  12. Web-Based Naval Fleet Logistics Information System

    OpenAIRE

    Li, Yanfeng

    2007-01-01

    Shipboard Supply Officers' training focuses on maintaining accountability and very little on operational logistics, which is only presented at predeployment briefs that last one or two days. Many Supply Officers suffer information overload during these briefs, thus making the effectiveness of the briefs questionable. On the other hand, there is insufficient information on port services and lessons learned for effective planning. This project proposes the implementation of a Web-Based Logi...

  13. Recommendation Based on Opportunistic Information Sharing Between Tourists

    OpenAIRE

    Spindler, Alexandre de; Norrie, Moira C.; Grossniklaus, Michael

    2008-01-01

    We propose a new approach to collaborative filtering in mobile tourist information systems based on spatiotemporal proximity in social contexts. The approach is motivated by a survey of festival visitors confirming that similarities of interests extend beyond events defining specific social contexts. We show how opportunistic information sharing in mobile ad hoc networks can be used to realize decentralized collaborative filtering appropriate for mobile environments and show its equivalence t...

  14. A Novel Marketing Strategy based on Information Technology

    Institute of Scientific and Technical Information of China (English)

    Zhang Xiao

    2012-01-01

    Marketing, electronic data interchange, internet data center, electric ordering system Abstract:Marketing is the process of performing market research, selling products and/or services to customers and promoting them via advertising to further enhance sales. It generates the strategy that underlies sales techniques, business communication, and business developments. Information technology is the acquisition, processing, storage and dissemination of vocal, pictorial, textual and numerical information by a microelectronics-based combination of computing and telecommunications.

  15. Moving Target Information Extraction Based on Single Satellite Image

    Directory of Open Access Journals (Sweden)

    ZHAO Shihu

    2015-03-01

    Full Text Available The spatial and time variant effects in high resolution satellite push broom imaging are analyzed. A spatial and time variant imaging model is established. A moving target information extraction method is proposed based on a single satellite remote sensing image. The experiment computes two airplanes' flying speed using ZY-3 multispectral image and proves the validity of spatial and time variant model and moving information extracting method.

  16. Interface design for an audio based information retrieval system

    OpenAIRE

    Johnson, James Robert

    1992-01-01

    This project involves a telephone-based information retrieval system. Users interact with the computer by pressing buttons on a telephone keypad and listening to the computer respond by way of a speech synthesizer. The purpose of this project is to redesign and revise an existing information retrieval system. The goals of this project include simplifying the job of the menu designer and providing a way so experience can aid users to perform a given task faster than previously possible. Key...

  17. Guided and Team-Based Learning for Chemical Information Literacy

    OpenAIRE

    Loo, Jeffery L.

    2013-01-01

    This case study recounts a process of course design, conduct, and evaluation for a single-session chemical information literacy class using guided and team-based learning. This approach incorporates active learning, worked examples, process worksheets, and POGIL elements. The instruction followed an iterative cycle of learning exercises whereby (1) the instructor introduces an information problem or task through a short presentation, (2) student teams collaboratively work through process work...

  18. Information systems: the key to evidence-based health practice.

    OpenAIRE

    2000-01-01

    Increasing prominence is being given to the use of best current evidence in clinical practice and health services and programme management decision-making. The role of information in evidence-based practice (EBP) is discussed, together with questions of how advanced information systems and technology (IS&T) can contribute to the establishment of a broader perspective for EBP. The author examines the development, validation and use of a variety of sources of evidence and knowledge that go beyo...

  19. Chaotic Observer-based Synchronization Under Information Constraints

    OpenAIRE

    Fradkov, Alexander L.; Andrievsky, Boris; Evans, Robin J.

    2005-01-01

    Limit possibilities of observer-based synchronization systems under information constraints (limited information capacity of the coupling channel) are evaluated. We give theoretical analysis for multi-dimensional drive-response systems represented in the Lurie form (linear part plus nonlinearity depending only on measurable outputs). It is shown that the upper bound of the limit synchronization error (LSE) is proportional to the upper bound of the transmission error. As a consequence, the upp...

  20. An Innovative Thinking-Based Intelligent Information Fusion Algorithm

    Directory of Open Access Journals (Sweden)

    Huimin Lu

    2013-01-01

    Full Text Available This study proposes an intelligent algorithm that can realize information fusion in reference to the relative research achievements in brain cognitive theory and innovative computation. This algorithm treats knowledge as core and information fusion as a knowledge-based innovative thinking process. Furthermore, the five key parts of this algorithm including information sense and perception, memory storage, divergent thinking, convergent thinking, and evaluation system are simulated and modeled. This algorithm fully develops innovative thinking skills of knowledge in information fusion and is a try to converse the abstract conception of brain cognitive science to specific and operable research routes and strategies. Furthermore, the influences of each parameter of this algorithm on algorithm performance are analyzed and compared with those of classical intelligent algorithms trough test. Test results suggest that the algorithm proposed in this study can obtain the optimum problem solution by less target evaluation times, improve optimization effectiveness, and achieve the effective fusion of information.

  1. A frequency estimation algorithm based on cross information fusion

    International Nuclear Information System (INIS)

    To improve frequency estimation accuracy, a frequency estimation algorithm based on cross information fusion was proposed. The algorithm was suitable for signals of short duration and low signal-to-noise ratio (SNR), which are common in engineering. Firstly, several different signal groups were obtained by grouping multisegment signals according to the guidelines of combination. Secondly, rotation factors were obtained according to complementary information of multisegment signals in each signal group. Thirdly, the average cross information fusion spectrum was achieved by the arithmetic mean value of all the cross information fusion spectra, which were calculated according to rotation factors. Finally, the average cross information fusion spectrum was peak-picked to get the frequency estimator. Algorithm analysis and experimental results showed that compared with the existing algorithms, the proposed algorithm was superior in precision, robustness, and noise immunity. (paper)

  2. The Perception and Practice of Evidence Based Library and Information Practice

    Directory of Open Access Journals (Sweden)

    Vahideh Zarea Gavgani

    2009-12-01

    Full Text Available Objective – Evidence based library and information services help to link best evidence with decision making in library practice. Current library and information science practice operates in both a knowledge and evidence‐based environment. Health service librarians provide information services in an evidence based health care context to improve patient care. But the evidence based practice movement has influenced many fields of human knowledge, including librarianship. Therefore, this study seeks to answer the following questions: 1 What are the perceptions of Iranian medical librarians regarding the use of an evidence based approach in their decision making processes? 2 Do Iranian medical librarians apply an evidence based approach in their professional work? 3 How do Iranian medical librarians practice an evidence based approach? 4 What are the barriers and limitations for Iranian medical librarians who engage in evidence based library and information practice (EBLIP?Methods – This study utilized a survey to discover medical librarians’ attitudes and perceptions towards the use of an evidence based approach to library practice in Iran. Data was collected using a structured questionnaire to identify medical librarians’ attitudes toward EBLIP.Results – The findings of the study indicate that Iranian medical librarians are aware of EBLIP and that they utilize an evidence based approach towards their LIS work. They practice the five steps of an evidence based answering cycle in formulating, locating, assessing, applying, and redefining questions. However, they have less knowledge about levels of evidence, research methodologies, and critical appraisal. Conclusions – Medical librarians in Iran are familiar with the concept of an evidence based approach. More training is needed in some elements of evidence based practice to improve their approach to evidence based library and information practice.

  3. Information Technology & Goals of Standards-Based Instruction

    Directory of Open Access Journals (Sweden)

    Douglas A. Archbald

    2001-11-01

    Full Text Available This article examines goals of standards-based reform in education and ways in which developments in information technology have facilitated those goals. Since standards-based reform is a rather general concept, I begin by developing a more specific formulation which I refer to as the “standards-based instruction and assessment” model. Developments in information technology over the last fifteen years have contributed in important ways to the goals of standards-based reform at the policy level, but difficult organizational and technical challenges still have to be overcome to realize more fully the goal of standards-based instruction and assessment in instructional management and practice within schools and classrooms.

  4. Ontology Based Resolution of Semantic Conflicts in Information Integration

    Institute of Scientific and Technical Information of China (English)

    LU Han; LI Qing-zhong

    2004-01-01

    Semantic conflict is the conflict caused by using different ways in heterogeneous systems to express the same entity in reality.This prevents information integration from accomplishing semantic coherence.Since ontology helps to solve semantic problems, this area has become a hot topic in information integration.In this paper, we introduce semantic conflict into information integration of heterogeneous applications.We discuss the origins and categories of the conflict, and present an ontology-based schema mapping approach to eliminate semantic conflicts.

  5. NLM Evidence-based Information at Your Fingertips - NBNA

    Energy Technology Data Exchange (ETDEWEB)

    Womble, R.

    2010-08-06

    The workshop titled, National Library of Medicine: Evidence-based Information At Your Fingertips, is a computer training class designed to meet the needs of nurses who require access to information on specific medical topics and on the adverse health effects of exposure to hazardous substances. The Specialized Information Services Division of the National Library of Medicine (NLM) is sponsoring this workshop for the National Black Nurses Association to increase the awareness of health professionals of the availability and value of the free NLM medical, environmental health, and toxicology databases.

  6. Research on urban land information system based on GIS

    Institute of Scientific and Technical Information of China (English)

    LI Liang-bao; ZOU Zhi-chong

    2006-01-01

    Urban land utilization plays an important role in city development. We establish the "Urban Land Information System based on GIS" in order to inspect urban land structure and utilize a model automatically. A series of codes abstracted from urban land sustainable utilization significance are used as measures in land inspection. GIS tools combined with "Urban Land Information System" make visible codes calculations and statistical results possible. Useful mathematic methods are cited to analyze the degree urban land sustainable and optimize land structure. By scientific system analysis, relationships among modules and system structure are illustrated clearly. As a result this study has drawn out the "Urban Land Information System" model.

  7. Informal Kinship-Based Fostering Around the World: Anthropological Findings

    Science.gov (United States)

    Leinaweaver, Jessaca

    2015-01-01

    Anthropological research around the world has documented informal, kinship-based foster care cross culturally. That research suggests that children are more likely to benefit from informal kinship-based fostering in cultural contexts where fostering expands the pool of relatives rather than substituting one parent for another, fostering is expected to provide children with positive opportunities for learning and development, and/or children are granted some autonomy or decision-making power. However, informal kinship-based fostering seems to place children at risk in cultural contexts where the process of children’s attachment to caregivers resembles the Western child development model, communities are highly stratified along socioeconomic lines, and/or exploitation of children is permitted. The article concludes with a discussion of implications for both research and policy. PMID:26973709

  8. Estimating the value of information in strategies for identifying patients at high risk of cardiovascular disease

    Directory of Open Access Journals (Sweden)

    Tom Marshall

    2006-06-01

    Conclusions Because strategies prioritising patients by estimated cardiovascular risk dominate alternative strategies, it is possible to estimate the value of information in terms of reduced resources to achieve the same results. These resource savings largely represent savings in staff time.

  9. Individual information beam broadcasting system using a PAL-SLM based CGH beam former for the location based information services

    Science.gov (United States)

    Osawa, Shunichi; Itoh, Hideo; Nakamura, Yoshiyuki; Nishimura, Takuichi; Lin, Xin; Tokuda, Masamitsu

    2006-01-01

    As an implementation of ubiquitous information service environments, we have been researching location-based information service systems at indoor and short distance area. The system should provide adequate information services, which fit the user's attributes, such as language, knowledge level and the volume of information, what is so-called "Right now, Here, and for Me" information services. Keeping privacy and security of the user is an important issue. Spatial optical communication technique is used for the system because the technique is easy to implement a location- and direction-based communication system. Information broadcasting in an area can be realized by an omnidirectional modulated light emission. However, the omnidirectional beam causes spill out of secure information to others, and has lower energy conservation than a focused beam communication. In this paper, a new spatial optical information broadcasting system, which can focus modulated beams only to intended users. CGH (Computer Generated Hologram) technique on a SLM (Spatial Light Modulator) is proposed and demonstrated. The system is composed of a PAL-SLM (Parallel Aligned Nematic Liquid Crystal Spatial Light Modulator), an eye-safe semiconductor laser or a semiconductor laser pumped YAG laser for the beam emitter, and an infrared video camera with an infrared LED illuminator for user locator. Experimental results of beam deflecting characteristics are described on beam uniformity, deflecting angle and the enhancement, communication characteristics, and real time tracking of user with a corner-reflecting sheet.

  10. OASIS C Based Home Health Agency Patient Outcome, Process...

    Data.gov (United States)

    U.S. Department of Health & Human Services — OASIS C Based Home Health Agency Patient Outcome, Process and Potentially Avoidable Event Reports This report includes the state mean values for all measures...

  11. Ethical Considerations about EHR-Mediated Results Disclosure and Pathology Information Presented via Patient Portals.

    Science.gov (United States)

    Davis, Kristina A; Smith, Lauren B

    2016-01-01

    Electronic health records (EHR) now include patient portals where patients can obtain clinical reports, including notes, radiology reports, and laboratory/anatomic pathology results. Although portals increase patient access to information, no guidelines have been developed for hospitals about appropriate delays in posting different types of pathology reports to the EHR. Delays exist as a matter of policy to allow physicians time to answer questions and provide emotional support when discussing sensitive results with patients. Some types of results are more sensitive than others, however, including results of cancer, genetic, and HIV testing. Ethical questions about patient access to test results online are discussed. PMID:27550567

  12. Drug information for patients: bringing together the messages from prescriber, pharmacist and manufacturer *

    OpenAIRE

    Herxheimer, Andrew; Davies, Charles

    1982-01-01

    Patients may receive information about their medicine from the prescriber, the pharmacist and the manufacturer (in a package insert). If it is to be used effectively, all this information must be integrated: the different sources should complement, and not seem to contradict one another. Prescribers and pharmacists should therefore have at hand the text of any package inserts that patients will receive with prescribed medicines. In addition, doctors might be helped by an aide-mémoire, remindi...

  13. Changes Over Time in the Utilization of Disease-Related Internet Information in Newly Diagnosed Breast Cancer Patients 2007 to 2013

    Science.gov (United States)

    Kahana, Eva; Kuhr, Kathrin; Ansmann, Lena; Pfaff, Holger

    2014-01-01

    Background As the number of people with Internet access rises, so does the use of the Internet as a potentially valuable source for health information. Insight into patient use of this information and its correlates over time may reveal changes in the digital divide based on patient age and education. Existing research has focused on patient characteristics that predict Internet information use and research on treatment context is rare. Objective This study aims to (1) present data on the proportion of newly diagnosed breast cancer patients treated in German breast centers from 2007 to 2013 who used the Internet for information on their disease, (2) look into correlations between Internet utilization and sociodemographic characteristics and if these change over time, and (3) determine if use of Internet information varies with the hospitals in which the patients were initially treated. Methods Data about utilization of the Internet for breast cancer–specific health information was obtained in a postal survey of breast cancer patients that is conducted annually in Germany with a steady response rate of 87% of consenting patients. Data from the survey were combined with data obtained by hospital personnel (eg, cancer stage and type of surgery). Data from 27,491 patients from 7 consecutive annual surveys were analyzed for this paper using multilevel regression modeling to account for clustering of patients in specific hospitals. Results Breast cancer patients seeking disease-specific information on the Internet increased significantly from 26.96% (853/3164) in 2007 to 37.21% (1485/3991) in 2013. Similar patterns of demographic correlates were found for all 7 cohorts. Older patients (≥70 years) and patients with <10 years of formal education were less likely to use the Internet for information on topics related to their disease. Internet use was significantly higher among privately insured patients and patients living with a partner. Higher cancer stage and a

  14. A Modeling Framework for Gossip-based Information Spread

    CERN Document Server

    Bakhshi, Rena; Fokkink, Wan; van Steen, Maarten

    2011-01-01

    We present an analytical framework for gossip protocols based on the pairwise information exchange between interacting nodes. This framework allows for studying the impact of protocol parameters on the performance of the protocol. Previously, gossip-based information dissemination protocols have been analyzed under the assumption of perfect, lossless communication channels. We extend our framework for the analysis of networks with lossy channels. We show how the presence of message loss, coupled with specific topology configurations,impacts the expected behavior of the protocol. We validate the obtained models against simulations for two protocols.

  15. 78 FR 45538 - The Patient Preference Initiative: Incorporating Patient Preference Information Into the Medical...

    Science.gov (United States)

    2013-07-29

    ... Premarket Approval and De Novo Classifications'' (77 FR 18828; March 28, 2012). This guidance document... patient preference data may be used in a broader context of the total product life cycle (TPLC) of medical... important role in device innovation and postmarket analysis. For example, patient dissatisfaction with...

  16. Effects of video information on anxiety, stress and depression of patients undergoing coronary angiography

    International Nuclear Information System (INIS)

    Objective: Anxiety and stress are common in patients undergoing invasive procedures. Coronary angiography is a definitive diagnostic evaluation for coronary artery disease and valvular disease. It is necessary to give information to the patients in order to minimize levels of anxiety and stress to this invasive procedure. The aim of this study was to evaluate the effect of patients education by video on levels of anxiety, stress and depression of patients undergoing coronary angiography. Methodology: In a quasi-experimental, pretest-posttest design, 128 patients were randomly assigned to either control or experimental group. Control group received verbal routine education by nurses and experimental group received an informative video about coronary angiography procedure as well as pre and post angiography interventions. Using Depression, Anxiety, Stress Scale (DASS-21) levels of these variables were measured before and after education. Results: Seventy eight (60.9%) males and fifty (39.1%) females participated in the study. There was a statistically significant reduction in the Anxiety, stress and depression levels of experimental group after video information (P = .000). There was a statistically significant correlation between sex with anxiety (P = .000) and stress (P = .04). Conclusions: The use of patients education by informative video is a useful method for decreasing psychological parameters of patients undergoing coronary angiography procedure. Results of the study confirm the usefulness of video information prior to an Invasive angiography procedure. (author)

  17. Ranking streamflow model performance based on Information theory metrics

    Science.gov (United States)

    Martinez, Gonzalo; Pachepsky, Yakov; Pan, Feng; Wagener, Thorsten; Nicholson, Thomas

    2016-04-01

    The accuracy-based model performance metrics not necessarily reflect the qualitative correspondence between simulated and measured streamflow time series. The objective of this work was to use the information theory-based metrics to see whether they can be used as complementary tool for hydrologic model evaluation and selection. We simulated 10-year streamflow time series in five watersheds located in Texas, North Carolina, Mississippi, and West Virginia. Eight model of different complexity were applied. The information-theory based metrics were obtained after representing the time series as strings of symbols where different symbols corresponded to different quantiles of the probability distribution of streamflow. The symbol alphabet was used. Three metrics were computed for those strings - mean information gain that measures the randomness of the signal, effective measure complexity that characterizes predictability and fluctuation complexity that characterizes the presence of a pattern in the signal. The observed streamflow time series has smaller information content and larger complexity metrics than the precipitation time series. Watersheds served as information filters and and streamflow time series were less random and more complex than the ones of precipitation. This is reflected the fact that the watershed acts as the information filter in the hydrologic conversion process from precipitation to streamflow. The Nash Sutcliffe efficiency metric increased as the complexity of models increased, but in many cases several model had this efficiency values not statistically significant from each other. In such cases, ranking models by the closeness of the information-theory based parameters in simulated and measured streamflow time series can provide an additional criterion for the evaluation of hydrologic model performance.

  18. My Cancer Genome: Evaluating an Educational Model to Introduce Patients and Caregivers to Precision Medicine Information.

    Science.gov (United States)

    Kusnoor, Sheila V; Koonce, Taneya Y; Levy, Mia A; Lovly, Christine M; Naylor, Helen M; Anderson, Ingrid A; Micheel, Christine M; Chen, Sheau-Chiann; Ye, Fei; Giuse, Nunzia B

    2016-01-01

    This study tested an innovative model for creating consumer-level content about precision medicine based on health literacy and learning style principles. "Knowledge pearl" videos, incorporating multiple learning modalities, were created to explain genetic and cancer medicine concepts. Cancer patients and caregivers (n=117) were randomized to view professional-level content directly from the My Cancer Genome (MCG) website (Group A; control), content from MCG with knowledge pearls embedded (Group B), or a consumer translation, targeted at the sixth grade level, with knowledge pearls embedded (Group C). A multivariate analysis showed that Group C, but not Group B, showed greater knowledge gains immediately after viewing the educational material than Group A. Statistically significant group differences in test performance were no longer observed three weeks later. These findings suggest that adherence to health literacy and learning style principles facilitates comprehension of precision medicine concepts and that ongoing review of the educational information is necessary. PMID:27570660

  19. Structural segmentation for multimedia content-based information retrieval

    Science.gov (United States)

    Carli, Marco; Degli Esposti, Alberto; Micarelli, Alessandro; Neri, Alessandro

    2001-12-01

    In this contribution we propose a novel semantic-based architecture to manage multimedia data. We propose an innovatory approach, introducing an abstraction level to study the relationships among the low level attributes, as color, motion, in a systematic way, before the visual image content estimation. Aim of this analysis is to unify the descriptors information and to gather them into structures that we call over-regions, which represent particular configurations of the objects to be recognized. This step will allow for the higher abstraction level effective object-based or event-based image recognition. The case-based reasoning paradigm is used in our approach for the high level analysis.

  20. Embedding Patient Education in Mobile Platform for Patients With Heart Failure: Theory-Based Development and Beta Testing.

    Science.gov (United States)

    Athilingam, Ponrathi; Osorio, Richard E; Kaplan, Howard; Oliver, Drew; O'neachtain, Tara; Rogal, Philip J

    2016-02-01

    Health education is an important component of multidisciplinary disease management of heart failure. The educational information given at the time of discharge after hospitalization or at initial diagnosis is often overwhelming to patients and is often lost or never consulted again. Therefore, the aim of this developmental project was to embed interactive heart failure education in a mobile platform. A patient-centered approach, grounded on several learning theories including Mayer's Cognitive Theory of Multimedia Learning, Sweller's Cognitive Load, Instructional Design Approach, and Problem-Based Learning, was utilized to develop and test the mobile app. Ten heart failure patients, who attended an outpatient heart failure clinic, completed beta testing. A validated self-confidence questionnaire was utilized to assess patients' confidence in using the mobile app. All participants (100%) reported moderate to extreme confidence in using the app, 95% were very likely to use the app, 100% reported the design was easy to navigate, and content on heart failure was appropriate. Having the information accessible on their mobile phone was reported as a positive, like a health coach by all patients. Clinicians and nurses validated the content. Thus, embedding health education in a mobile app is proposed in promoting persistent engagement to improve health outcomes. PMID:26765655

  1. Pilot study on virtual imaging for patient information on radiotherapy planning and delivery

    International Nuclear Information System (INIS)

    It is widely accepted that health professionals might sometimes underestimate cancer patients' needs for information on the complex process of radiotherapy (RT) planning and delivery. Furthermore, relatives might also feel excluded from the treatment of their loved ones. This pilot study was carried out in order to assess whether both patients and their relatives would welcome further information on RT planning and delivery using the virtual reality (VR) system VERT. One hundred and fifty patients with different types of cancer receiving radical RT were included in the study. Patients and relatives were shown using VERT on a one-to-one basis with an oncologist or a radiographer, a standard room where RT is given, a linear accelerator, and how RT is planned and delivered using their own planning CT Scans. Patients welcomed this information as it helped them to reduce their fears about RT. Relatives felt also more involved in the treatment of their loved one. The results obtained in this pilot study show that VR aids could become an important tool for delivering information on RT to both patients and relatives. - Highlights: • Virtual imaging helps patients to better understand RT planning and delivery. • Virtual imaging reduces the fear factor. • Virtual imaging improves patients and relatives satisfaction

  2. Patient versus informant reporting of ICD symptoms in Parkinson's disease using the QUIP: validity and variability.

    Science.gov (United States)

    Papay, Kimberly; Mamikonyan, Eugenia; Siderowf, Andrew D; Duda, John E; Lyons, Kelly E; Pahwa, Rajesh; Driver-Dunckley, Erika D; Adler, Charles H; Weintraub, Daniel

    2011-03-01

    Questions exist regarding the validity of patient-reporting of psychiatric symptoms in Parkinson's disease (PD). We assessed observer variability and validity in reporting of impulse control disorder (ICD) symptoms in PD by using the Questionnaire for Impulsive-Compulsive Disorders in Parkinson's Disease (QUIP). PD patients and their informants (71 pairs) completed the QUIP to assess four ICDs (compulsive gambling, buying, sexual behavior, and eating) in patients. Trained raters then administered a diagnostic interview. Sensitivity of the QUIP for a diagnosed ICD was 100% for both patient- and informant-completed instruments, and specificity was 75% for both raters. Approximately 40% of patients without an ICD diagnosis had a positive QUIP, suggesting that many PD patients experience subsyndromal ICD symptoms that require ongoing monitoring. Agreement between patient- and informant-reporting of any ICD behaviors on the QUIP was moderate (kappa=0.408), and for individual ICDs was highest for gambling (kappa=0.550). Overall, a negative QUIP from either the patient or informant rules out the possibility of an ICD, while a positive QUIP requires a follow-up diagnostic interview and ongoing monitoring to determine if symptoms currently are, or in the future become, clinically significant. PMID:21186135

  3. Patients' perception of quality of pre-operative informed consent in athens, Greece: a pilot study.

    Directory of Open Access Journals (Sweden)

    Matthew E Falagas

    Full Text Available BACKGROUND: We sought to perform a study to record and evaluate patients' views of the way surgeons communicate informed consent (IC in Greece. METHODOLOGY/PRINCIPAL FINDINGS: A prospective pilot study was carried out in Athens from 9/2007 to 4/2008. The study sample was extracted from patients, operated by eight different surgeons, who volunteered to fill in a post-surgery self-report questionnaire on IC. A composite delivered information index and a patient-physician relationship index were constructed for the purposes of the analysis. In total, 77 patients (42 males volunteered to respond to the questionnaire. The delivered information index scores ranged from 3 to 10, the mean score was 8, and the standard deviation (SD was 1.9. All patients were aware of their underlying diagnosis and reason for surgery. However, a considerable proportion of the respondents (14.3% achieved a score below or equal to 5. The patient-physician relationship scores ranged from 0 to 20, the mean score was 16 and the standard deviation (SD was 4.3. The better the patient-physician relationship, the more information was finally delivered to the patient from the physician (Spearman's rank-order correlation coefficient was 0.4 and p<0.001. Delivered information index was significantly higher among participants who comprehended the right to informed consent, compared to participants who did not (p<0.001, and among participants who were given information regarding other possible therapeutic options (p = 0.001. 43% of the respondents answered that less than 10 minutes were spent on the consent process, 58.4% of patients stated that they had not been informed about other possible therapeutic choices and 28.6% did not really comprehend their legal rights to IC. CONCLUSIONS: Despite the inherent limitations and the small sample size that do not permit to draw any firm conclusions, results indicate that a successful IC process may be associated with specific elements such as

  4. Does informed consent influence therapeutic outcome? A clinical trial of the hypnotic activity of placebo in patients admitted to hospital.

    OpenAIRE

    Dahan, R.; Caulin, C; Figea, L; Kanis, J. A.; Caulin, F; Segrestaa, J M

    1986-01-01

    To examine whether written informed consent might influence the results of clinical trials the effect of placebo when given with or without informed consent to patients suffering from insomnia was studied. The study was a single blind observer blinded trial, and patients were paired according to sex, age, and hospital environment. Randomisation assigned the first patient of each pair to the control group (without informed consent) or the group to give informed consent. Of the 56 patients, 26 ...

  5. The effect of pre-operative information in relieving anxiety in oral surgery patients

    OpenAIRE

    Leung, WK; Ng, SKS; Chau, AWL

    2004-01-01

    Appropriate stress management of patients is essential for smooth running of invasive or surgical dental procedures conducted under local anaesthesia. Objective: The current study analysed the effectiveness of pre-operative information provision for anxiety reduction during dentoalveolar surgery in patients with high- or low-trait anxiety. Methods: Patients scheduled for oral surgical procedures performed by six private dental practitioners were invited to participate in the study. They were ...

  6. The role of companions in aiding older cancer patients to recall medical information.

    OpenAIRE

    J. Jansen; Weert, J.C.M. van; Wijngaards-de Meij, L.; Van Dulmen, S.; Heeren, T. J.; Bensing, J M

    2010-01-01

    Objectives: This study investigates information recall in unaccompanied and accompanied older cancer patients and their companions.Methods: One hundred cancer patients (aged >/=65 years) and 71 companions completed a recall questionnaire after a nursing consultation preceding chemotherapy treatment. Recall was checked against the actual communication in video-recordings of the consultations. Patients also completed measures of anxiety and memory-related beliefs.Results: Findings revealed that...

  7. On Building an Ontological Knowledge Base for Managing Patient Safety Events.

    Science.gov (United States)

    Liang, Chen; Gong, Yang

    2015-01-01

    Over the past decade, improving healthcare quality and safety through patient safety event reporting systems has drawn much attention. Unfortunately, such systems are suffering from low data quality, inefficient data entry and ineffective information retrieval. For improving the systems, we develop a semantic web ontology based on the WHO International Classification for Patient Safety (ICPS) and AHRQ Common Formats for patient safety event reporting. The ontology holds potential in enhancing knowledge management and information retrieval, as well as providing flexible data entry and case analysis for both reporters and reviewers of patient safety events. In this paper, we detailed our efforts in data acquisition, transformation, implementation and initial evaluation of the ontology. PMID:26262039

  8. A psychoanalytically informed hospitalization-based treatment of personality disorders.

    Science.gov (United States)

    Vermote, Rudi; Luyten, Patrick; Verhaest, Yannic; Vandeneede, Bart; Vertommen, Hans; Lowyck, Benedicte

    2015-06-01

    This study presents a model of psychic change in personality disorders focusing on three dimensions: felt safety, mentalization and self-object relations. Based upon this model a hospitalization-based therapy program was created. Four scales to measure these three dimensions on the Object Relation Interview are discussed: the Felt Safety Scale, the Reflective Functioning Scale and the Bion Grid Scale and the Differentiation-Relatedness Scale. A naturalistic symptom outcome study of the program showed a large effect on both symptoms and personality functioning. Furthermore, trajectory based on pre-treatment patient characteristics (i.e., anaclitic versus introjective personality styles). Importantly, we also found a relation between symptomatic and personality change and change in felt safety and object relations. At 5-year follow-up, patients showed sustained improvement in symptomatic distress and further improvement in terms of personality and interpersonal functioning. PMID:26173889

  9. Listener: a probe into information based material specification

    DEFF Research Database (Denmark)

    Ramsgaard Thomsen, Mette; Karmon, Ayelet

    2011-01-01

    This paper presents the thinking and making of the architectural research probe Listener. Developed as an interdisciplinary collaboration between textile design and architecture, Listener explores how information based fabrication technologies are challenging the material practices of architecture...... the Listener project. Firstly, the paper presents the design strategy leading to the development of bespoke interfaces between parametric design and CNC based textile fabrication. Secondly, by integrating structural and actuated materials the paper presents the making of a new class of materials that...

  10. Model-Based Information Extraction From Synthetic Aperture Radar Signals

    Science.gov (United States)

    Matzner, Shari A.

    2011-07-01

    Synthetic aperture radar (SAR) is a remote sensing technology for imaging areas of the earth's surface. SAR has been successfully used for monitoring characteristics of the natural environment such as land cover type and tree density. With the advent of higher resolution sensors, it is now theoretically possible to extract information about individual structures such as buildings from SAR imagery. This information could be used for disaster response and security-related intelligence. SAR has an advantage over other remote sensing technologies for these applications because SAR data can be collected during the night and in rainy or cloudy conditions. This research presents a model-based method for extracting information about a building -- its height and roof slope -- from a single SAR image. Other methods require multiple images or ancillary data from specialized sensors, making them less practical. The model-based method uses simulation to match a hypothesized building to an observed SAR image. The degree to which a simulation matches the observed data is measured by mutual information. The success of this method depends on the accuracy of the simulation and on the reliability of the mutual information similarity measure. Electromagnetic theory was applied to relate a building's physical characteristics to the features present in a SAR image. This understanding was used to quantify the precision of building information contained in SAR data, and to identify the inputs needed for accurate simulation. A new SAR simulation technique was developed to meet the accuracy and efficiency requirements of model-based information extraction. Mutual information, a concept from information theory, has become a standard for measuring the similarity between medical images. Its performance in the context of matching a simulation image to a SAR image was evaluated in this research, and it was found to perform well under certain conditions. The factors that affect its performance

  11. A secure biometrics-based authentication scheme for telecare medicine information systems.

    Science.gov (United States)

    Yan, Xiaopeng; Li, Weiheng; Li, Ping; Wang, Jiantao; Hao, Xinhong; Gong, Peng

    2013-10-01

    The telecare medicine information system (TMIS) allows patients and doctors to access medical services or medical information at remote sites. Therefore, it could bring us very big convenient. To safeguard patients' privacy, authentication schemes for the TMIS attracted wide attention. Recently, Tan proposed an efficient biometrics-based authentication scheme for the TMIS and claimed their scheme could withstand various attacks. However, in this paper, we point out that Tan's scheme is vulnerable to the Denial-of-Service attack. To enhance security, we also propose an improved scheme based on Tan's work. Security and performance analysis shows our scheme not only could overcome weakness in Tan's scheme but also has better performance. PMID:23996083

  12. Consenting of the vulnerable: the informed consent procedure in advanced cancer patients in Mexico

    Directory of Open Access Journals (Sweden)

    Verástegui Emma L

    2006-12-01

    Full Text Available Abstract Background A topic of great concern in bioethics is the medical research conducted in poor countries sponsored by wealthy nations. Western drug companies increasingly view Latin America as a proper place for clinical research trials. The region combines a large population, modern medical facilities, and low per capita incomes. Participants from developing countries may have little or non alternative means of treatment other than that offered through clinical trials. Therefore, the provision of a valid informed consent is important. Methods To gain insight about some aspects of the informed consent procedure in a major cancer centre in Mexico, we conducted a three-step evaluation process: 1 a ten point multiple choice survey questionnaires, was used to explore some aspects of the patients' experiences during the informed consent process, 2 researchers' knowledge about specific aspects of the informed consent was evaluated in this study using survey questionnaires; and 3 the comprehensibility, readability and number of pages of the consent forms were analysed. The socioeconomic and educational level of the patients, were also considered. Results were reported using a numerical scale. Results Thirty five patients, 20 doctors, and 10 individuals working at the hospital agreed to participate in the study. Eighty three percent of the patients in the study were classified as living in poverty; education level was poor or non existent, and 31% of the patients were illiterate. The consent forms were difficult to understand according to 49% of the patients, most doctors agreed that the forms were not comprehensible to the patients. The average length of the IC documents analysed was 14 pages, and the readability average score was equivalent to 8TH Grade. Conclusion The results presented in this work describe some relevant characteristics of the population seen at public health care institutions in Mexico. Poverty, limited or no education, and the

  13. 76 FR 78740 - Agency Information Collection (Prevalence and Clinical Course of Depression Among Patients With...

    Science.gov (United States)

    2011-12-19

    ... AFFAIRS Agency Information Collection (Prevalence and Clinical Course of Depression Among Patients With... Control No. 2900- 0719.'' SUPPLEMENTARY INFORMATION: Titles: Prevalence and Clinical Course of Depression.... Abstracts: The data collected will be used to evaluate the prevalence of clinical depression and...

  14. Adverse drug reaction reports of patients and healthcare professionals-differences in reported information

    NARCIS (Netherlands)

    Rolfes, Leàn; van Hunsel, Florence; Wilkes, Sarah; Grootheest, Kees van; Puijenbroek, Eugène van

    2015-01-01

    PURPOSE: This study aims to explore the differences in reported information between adverse drug reaction (ADR) reports of patient and healthcare professionals (HCPs), and, in addition, to explore possible correlation between the reported elements of information. METHODS: This retrospective study co

  15. Information kan reducere unødvendig tørstetid hos elektive kirurgiske patienter

    DEFF Research Database (Denmark)

    Risom, Martin; Vedtofte, Jakob; Sørensen, Martin Kryspin;

    2012-01-01

    This prospective study was aimed at identifying the time of thirst above the recommended two hours after repeated information campaigns. Elective surgical patients ≥ 15 years of age were eligible to answer the questionnaire in four different periods between which information campaigns were carried...

  16. Looking beyond the Internet: Examining Socioeconomic Inequalities in Cancer Information Seeking among Cancer Patients

    Science.gov (United States)

    Lee, Chul-joo; Ramirez, Susana; Lewis, Nehama; Gray, Stacy W.; Hornik, Robert C.

    2014-01-01

    The gap in cancer information seeking between high-socioeconomic status (SES) cancer patients and low-SES cancer patients deserves serious attention considering the importance of information and knowledge in cancer control. We thus explored the association of SES, as measured by education, with cancer patients’ overall cancer information seeking, and with seeking from each source (i.e., the Internet, mass media, medical sources, and non-medical interpersonal sources) and across two topic categories (i.e., treatment, quality of life). We then asked whether the effect of education on treatment information seeking is reduced among those who are particularly motivated to control treatment choices. We conducted a survey with breast, prostate, and colon cancer patients diagnosed in 2005 (N = 2,013), who were randomly drawn from the Pennsylvania Cancer Registry in the fall of 2006. We found that education was more strongly associated with Internet use than with the use of other sources regardless of topics. Also, when information was sought from mass media, education had a greater association with treatment information seeking than with quality-of-life information seeking. Preference for active participation in treatment decision making, however, did not moderate the effect of education on treatment information seeking. The implications of these findings for public health research and cancer patient education were discussed. PMID:22356137

  17. An information based approach to improving overhead imagery collection

    Science.gov (United States)

    Sourwine, Matthew J.; Hintz, Kenneth J.

    2011-06-01

    Recent growth in commercial imaging satellite development has resulted in a complex and diverse set of systems. To simplify this environment for both customer and vendor, an information based sensor management model was built to integrate tasking and scheduling systems. By establishing a relationship between image quality and information, tasking by NIIRS can be utilized to measure the customer's required information content. Focused on a reduction in uncertainty about a target of interest, the sensor manager finds the best sensors to complete the task given the active suite of imaging sensors' functions. This is done through determination of which satellite will meet customer information and timeliness requirements with low likelihood of interference at the highest rate of return.

  18. Personality traits and group-based information behaviour

    DEFF Research Database (Denmark)

    Hyldegård, Jette

    2009-01-01

    Introduction. The relationship between hypothesised behaviour resulting from a personality test and actual information behaviour resulting from a group-based assignment process is addressed in this paper. Methods. Three voluntary groups of ten librarianship and information science students were...... followed during a project assignment. The long version of the commonly-used NEO-PI-R test instrument was employed to describe and compare each group member's personality traits at a more detailed level. Data were also collected through a process survey, a diary and an interview. Analysis. The calculation.......ti. Results. Information behaviour associated with personality traits was identified, but the presence of personality effects tended to vary with the perceived presence of the social context. Conclusions. Some matches were identified between group members' personality traits and their actual information...

  19. Mobile Police Information System Based on Web Services

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The demand for communications anywhere, anytime, and on any device without recording the date is growing with the development of modern information technologies. Current wireless communications enable people to freely exchange information, while web services provide loosely-coupled, language-neutral, and platform-independent ways of linking applications within organizations, across enterprises, and across the Internet. This paper describes a mobile information system for police service, which integrates wireless communication technologies and web service technologies. The system satisfies the special demands of police information systems, such as security and interoperability. Policemen in the system can use various kinds of mobile terminals, such as mobile phones, tablet PCs, personal digital assistants, and laptops equipped with wireless LAN or GPRS to access data in the central database. The system is based on web services with a secure web service architecture and simple object access protocol message passing.

  20. On long-only information-based portfolio diversification framework

    Science.gov (United States)

    Santos, Raphael A.; Takada, Hellinton H.

    2014-12-01

    Using the concepts from information theory, it is possible to improve the traditional frameworks for long-only asset allocation. In modern portfolio theory, the investor has two basic procedures: the choice of a portfolio that maximizes its risk-adjusted excess return or the mixed allocation between the maximum Sharpe portfolio and the risk-free asset. In the literature, the first procedure was already addressed using information theory. One contribution of this paper is the consideration of the second procedure in the information theory context. The performance of these approaches was compared with three traditional asset allocation methodologies: the Markowitz's mean-variance, the resampled mean-variance and the equally weighted portfolio. Using simulated and real data, the information theory-based methodologies were verified to be more robust when dealing with the estimation errors.

  1. Cloud-based hospital information system as a service for grassroots healthcare institutions.

    Science.gov (United States)

    Yao, Qin; Han, Xiong; Ma, Xi-Kun; Xue, Yi-Feng; Chen, Yi-Jun; Li, Jing-Song

    2014-09-01

    Grassroots healthcare institutions (GHIs) are the smallest administrative levels of medical institutions, where most patients access health services. The latest report from the National Bureau of Statistics of China showed that 96.04 % of 950,297 medical institutions in China were at the grassroots level in 2012, including county-level hospitals, township central hospitals, community health service centers, and rural clinics. In developing countries, these institutions are facing challenges involving a shortage of funds and talent, inconsistent medical standards, inefficient information sharing, and difficulties in management during the adoption of health information technologies (HIT). Because of the necessity and gravity for GHIs, our aim is to provide hospital information services for GHIs using Cloud computing technologies and service modes. In this medical scenario, the computing resources are pooled by means of a Cloud-based Virtual Desktop Infrastructure (VDI) to serve multiple GHIs, with different hospital information systems dynamically assigned and reassigned according to demand. This paper is concerned with establishing a Cloud-based Hospital Information Service Center to provide hospital information software as a service (HI-SaaS) with the aim of providing GHIs with an attractive and high-performance medical information service. Compared with individually establishing all hospital information systems, this approach is more cost-effective and affordable for GHIs and does not compromise HIT performance. PMID:25015761

  2. CHOQUET AGGREGATION BASED DECISION MAKING UNDER Z-INFORMATION

    Directory of Open Access Journals (Sweden)

    Lala M. Zeinalova

    2014-07-01

    Full Text Available The concept of decision making under uncertainty is usually associated with information that may be incomplete, not reliable or imprecise, so there are several types of uncertainty. A partial absence of beliefs and fuzziness are some of the aspects of uncertainty. In this paper we consider a somewhat different framework for representing our knowledge. Zadeh suggested a Z-number notion, based on a reliability of the given information. In this study we apply Z- information to decision making in business problem and suggest the framework for decision making on a base of Z-numbers. The method associates with the construction of a non-additive measure as a lower prevision and uses this capacity in Choquet integral for constructing a utility function. An example of real-world business problem is used to illustrate the proposed approach.

  3. Information Gain Based Dimensionality Selection for Classifying Text Documents

    Energy Technology Data Exchange (ETDEWEB)

    Dumidu Wijayasekara; Milos Manic; Miles McQueen

    2013-06-01

    Selecting the optimal dimensions for various knowledge extraction applications is an essential component of data mining. Dimensionality selection techniques are utilized in classification applications to increase the classification accuracy and reduce the computational complexity. In text classification, where the dimensionality of the dataset is extremely high, dimensionality selection is even more important. This paper presents a novel, genetic algorithm based methodology, for dimensionality selection in text mining applications that utilizes information gain. The presented methodology uses information gain of each dimension to change the mutation probability of chromosomes dynamically. Since the information gain is calculated a priori, the computational complexity is not affected. The presented method was tested on a specific text classification problem and compared with conventional genetic algorithm based dimensionality selection. The results show an improvement of 3% in the true positives and 1.6% in the true negatives over conventional dimensionality selection methods.

  4. INFORMATION CONTENT BASED SEMANTIC SIMILARITY FOR CROSS ONTOLOGICAL CONCEPTS

    Directory of Open Access Journals (Sweden)

    K.SARULADHA,

    2011-06-01

    Full Text Available Semantic similarity mechanism is mandatory in information retrieval, information integration, ontology mapping and psycholinguistics. The objective of this work is to develop a computational approach whichassesses semantic similarity among concepts from different and independent ontologies without constructing apriori a shared ontology. This paper explores the possibility of adapting the existing single ontology information content based approaches and propose methods for assessing semantic similarity among concepts from different multiple ontologies. The proposed approaches are corpus independent and they correlate well with the human judgements. The proposed approaches have been experimented with two biomedical ontologies: SNOMED-CT (Systemized nomenclature of medical clinical terms and Mesh (Medical subject headings and the results are reported. The proposed approaches outperform the other path length based computational methods as it achieves the highest correlation.

  5. Text-Independent Speaker Verification Based on Information Theoretic Learning

    Directory of Open Access Journals (Sweden)

    Sheeraz Memon

    2011-07-01

    Full Text Available In this paper VQ (Vector Quantization based on information theoretic learning is investigated for the task of text-independent speaker verification. A novel VQ method based on the IT (Information Theoretic principles is used for the task of speaker verification and compared with two classical VQ approaches: the K-means algorithm and the LBG (Linde Buzo Gray algorithm. The paper provides a theoretical background of the vector quantization techniques, which is followed by experimental results illustrating their performance. The results demonstrated that the ITVQ (Information Theoretic Vector Quantization provided the best performance in terms of classification rates, EER (Equal Error Rates and the MSE (Mean Squared Error compare to Kmeans and the LBG algorithms. The outstanding performance of the ITVQ algorithm can be attributed to the fact that the IT criteria used by this algorithm provide superior matching between distribution of the original data vectors and the codewords.

  6. Shuttle Program Information Management System (SPIMS) data base

    Science.gov (United States)

    1983-01-01

    The Shuttle Program Information Management System (SPIMS) is a computerized data base operations system. The central computer is the CDC 170-730 located at Johnson Space Center (JSC), Houston, Texas. There are several applications which have been developed and supported by SPIMS. A brief description is given.

  7. Complex Protection System of Metadata-based Distributed Information Systems

    OpenAIRE

    Kourilov, Denis; Lyadova, Lyudmila

    2008-01-01

    A description of architecture and approaches to the implementation of a protection system of metadatabased adaptable information systems is suggested. Various protection means are examined. The system described is a multilevel complex based on a multiagent system combining IDS functional abilities with structure and logics protection means.

  8. Chemical Information in Scirus and BASE (Bielefeld Academic Search Engine)

    Science.gov (United States)

    Bendig, Regina B.

    2009-01-01

    The author sought to determine to what extent the two search engines, Scirus and BASE (Bielefeld Academic Search Engines), would be useful to first-year university students as the first point of searching for chemical information. Five topics were searched and the first ten records of each search result were evaluated with regard to the type of…

  9. Quality of Web-Based Information on Cannabis Addiction

    Science.gov (United States)

    Khazaal, Yasser; Chatton, Anne; Cochand, Sophie; Zullino, Daniele

    2008-01-01

    This study evaluated the quality of Web-based information on cannabis use and addiction and investigated particular content quality indicators. Three keywords ("cannabis addiction," "cannabis dependence," and "cannabis abuse") were entered into two popular World Wide Web search engines. Websites were assessed with a standardized proforma designed…

  10. Content Based Image Retrieval and Information Theory: A General Approach.

    Science.gov (United States)

    Zachary, John; Iyengar, S. S.; Barhen, Jacob

    2001-01-01

    Proposes an alternative real valued representation of color based on the information theoretic concept of entropy. A theoretical presentation of image entropy is accompanied by a practical description of the merits and limitations of image entropy compared to color histograms. Results suggest that image entropy is a promising approach to image…

  11. Designing Patient-Focused Information: An Opportunity for Communicating Anatomically Related Information

    Science.gov (United States)

    Evans, Darrell J. R.

    2008-01-01

    Literature clearly demonstrates that there has been a large increase in the time devoted to teaching oral communication skills within medical curricula worldwide. In contrast, the ability to communicate with patients through written means does not appear to be a feature in many programmes, despite its fundamental importance in creating…

  12. How do radiation oncology health professionals inform breast cancer patients about the medical and technical aspects of their treatment?

    International Nuclear Information System (INIS)

    Background and purpose: Radiation therapy patients need information to make treatment decisions, understand treatment and manage side effects. The purpose of this study was to (1) Identify information about radiation therapy routinely provided to breast cancer patients; (2) Determine which health professionals provide information; (3) Examine whether information is routinely provided at the same time points; and (4) Determine whether health professionals and patients place similar importance on specific information. Materials and methods: Health professionals in radiation therapy departments in Australia and New Zealand completed self-administered questionnaires. Results were analysed and compared to patient responses from a previous study. Results: Forty-one of 52 departments participated in this survey. Information provision was inconsistent between departments in terms of how and when information was given. Although the types of information provided to patients appeared to align with patients' needs, health professionals and patients placed different levels of importance on specific information. Conclusions: A wide range of information are provided to patients. However, the priority given to different information needs and the focus of information provision may not be optimal from the perspectives of patients. Further research needs to be conducted to determine patients' information needs and to develop specific information resources tailored to meet these needs

  13. Need for Information and Psychological Correlates among Patients with Cardiovascular Diseases

    OpenAIRE

    Cappelletti, ER; D’Addario, M; Greco, A.; Magrin, ME; Miglioretti, M; Monzani, D.; Pancani, L; Sarini, M; Scrignaro, M; Vecchio, L; Steca, P.

    2014-01-01

    Several studies on chronic diseases have underlined the need for personalized healthcare, taking into account patients’ information needs and preferences, to support their proactive health management. However, little research has been conducted to determine cardiovascular disease patients’ information needs and the psychological factors associated with these needs. Our study aimed to explore the priorities and the correlates of information needs among patients with coronary disease. 357 newly...

  14. Discovering How to Think about a Hospital Patient Information System by Struggling to Evaluate It: A Committee’s Journal

    OpenAIRE

    Schulman, Joseph; Kuperman, Gilad J.; Kharbanda, Anupam; Kaushal, Rainu

    2007-01-01

    Parallel to the monumental problem of replacing paper-and-pen–based patient information management systems with electronic ones is the problem of evaluating the extent to which the change represents an improvement. All clinicians must grapple with this daunting challenge; those with little or no informatics expertise may be particularly surprised by the attendant difficulties. To do so successfully, they must be able to explicitly conceptualize the daily clinical work—a prerequisite for appre...

  15. Case Study: Evidence-Based Interventions Enhancing Diabetic Foot Care Behaviors among Hospitalized DM Patients

    Directory of Open Access Journals (Sweden)

    Titis Kurniawan

    2011-01-01

    Full Text Available Background: Improving diabetic patients’ foot care behaviors is one of the most effective strategies in minimizing diabetic foot ulceration and its further negative impacts, either in diabetic hospitalized patients or outpatients.Purpose: To describe foot care knowledge and behaviors among hospitalized diabetic patients, to apply selected foot care knowledge and behaviors improvement evidence, and to evaluate its effectiveness.Method: Four diabetic patients who were under our care for at least three days and could communicate in Thai language were selected from a surgical ward in a university hospital. The authors applied educational program based on patients’ learning needs, provided diabetic foot care leaflet, and assisted patients to set their goal and action plans. In the third day of treatment, we evaluated patients’ foot care knowledge and their goal and action plan statements in improving foot care behaviors.Result: Based on the data collected among four hospitalized diabetic patients, it was shown that all patients needed foot care behaviors improvement and the educational program improved hospitalized patients’ foot care knowledge and their perceived foot care behaviors. The educational program that combined with goal setting and action plans method was easy, safe, and seemed feasibly applicable for diabetic hospitalized patients.Conclusion: The results of this study provide valuable information for improvement of hospitalized diabetic patients’ foot care knowledge and behaviors. The authors recommend nurses to use this evidence-based practice to contribute in improving the quality of diabetic care.Keywords: Intervention, diabetic foot care, hospitalized diabetic patients

  16. The Internet as a Source of Information for Patients Prior to Rhinoplasty

    Science.gov (United States)

    Zieliński, Tomasz; Rykała, Jan; Kruk-Jeromin, Julia

    2011-01-01

    Objectives To determine the prevalence of Internet use by patients considering rhinoplasty and to identify the impact of such information on their decisions. Methods Prospective analysis of the impact of information received via the Internet by patients considering rhinoplasty on their decision-making prior to surgery. Eighty six patients, scheduled for post-traumatic or aesthetic rhinoplasty, received a questionnaire, consisting of 19 questions, which sought to evaluate their perception of the importance of the Internet information to them and also collected relevant demographic and sociological data. Results Respondents searched online for descriptions of medical procedures, information about how to contact other patients, pre- and post-operative pictures and making contact with a doctor. Patients considering aesthetic rhinoplasty received medical information from a third party or via the Internet. Individuals requiring post-traumatic surgical treatment were usually referred by family doctor. Conclusion Patients planning nasal aesthetic surgery form their opinions after consulting friends and searching the Internet, which can act as an important medical assistance. PMID:21949579

  17. Patient-Provider Communications in Outpatient Clinic Settings: A Clinic-Based Evaluation of Mobile Device and Multimedia Mediated Communications for Patient Education

    Science.gov (United States)

    Schooley, Benjamin; San Nicolas-Rocca, Tonia

    2015-01-01

    Background Many studies have provided evidence of the importance of quality provider-patient communications and have suggested improvements to patient understanding by using video-based instruction. Objective The objective of this study was to understand how mobile information technology assisted video and three-dimensional (3D) image instruction, provided by a health care worker, influences two categories of outcome: (1) patient understanding of information about their condition and detailed medical discharge instructions; and (2) patient perceptions and attitudes toward their health care providers, which included physicians, nurses, and staff. We hypothesize that video and 3D image instruction, provided on a mobile, tablet hardware platform, will improve patient understanding about the diagnostic testing, diagnoses, procedures, medications, and health topics provided to them. We also propose that use of the tablet/video combination will result in improved attitudinal evaluation by patients of their providers and the treatment plan. Methods This study evaluated a hospital clinic-based trial (patient N=284) of video and 3D image instruction, provided on a mobile, tablet hardware platform, and its potential to improve patient understanding about the diagnostic testing, diagnoses, procedures, medications, and health topics provided to them. Results Results showed strong evidence that the system was perceived as helpful for improving patient understanding, and that it improved communication between physicians and patients (P<.001). The advanced age of some patients had no effect on their perceptions of the tablet-based mediation. Physician comments provided useful insights on effective use of such systems in the future. Implications for further development and future research are discussed. Conclusions This study added to the body of evidence that computer-assisted video instructional systems for patients can improve patient understanding of medical instructions from

  18. Information needs of early-stage prostate cancer patients: A comparison of nine countries

    International Nuclear Information System (INIS)

    Background and purpose: Providing information to patients can improve their medical and psychological outcomes. We sought to identify core information needs common to most early-stage prostate cancer patients in participating countries. Material and methods: Convenience samples of patients treated 3-24 months earlier were surveyed in Canada, England, Italy, Germany, Poland, Portugal, Netherlands, Spain, and Turkey. Each participant rated the importance of addressing each of 92 questions in the diagnosis-to-treatment decision interval (essential/desired/no opinion/avoid). Multivariate modelling determined the extent of variance accounted by covariates, and produced an unbiased prediction of the proportion of essential responses for each question. Results: Six hundred and fifty-nine patients responded (response rates 45-77%). On average, 35-53 questions were essential within each country; similar questions were essential to most patients in most countries. Beyond cross-country similarities, each country showed wide variability in the number and which questions were essential. Multivariate modelling showed an adjusted R-squared with predictors country, age, education, and treatment group of only 6% of the variance. A core of 20 questions were predicted to be essential to >2/3 of patients. Conclusions: Core information can be identified across countries. However, providing the core should only be a first step; each country should then provide information tailored to the needs of the individual patient.

  19. Architecture of a consent management suite and integration into IHE-based regional health information networks

    Directory of Open Access Journals (Sweden)

    Köster Lennart

    2011-10-01

    Full Text Available Abstract Background The University Hospital Heidelberg is implementing a Regional Health Information Network (RHIN in the Rhine-Neckar-Region in order to establish a shared-care environment, which is based on established Health IT standards and in particular Integrating the Healthcare Enterprise (IHE. Similar to all other Electronic Health Record (EHR and Personal Health Record (PHR approaches the chosen Personal Electronic Health Record (PEHR architecture relies on the patient's consent in order to share documents and medical data with other care delivery organizations, with the additional requirement that the German legislation explicitly demands a patients' opt-in and does not allow opt-out solutions. This creates two issues: firstly the current IHE consent profile does not address this approach properly and secondly none of the employed intra- and inter-institutional information systems, like almost all systems on the market, offers consent management solutions at all. Hence, the objective of our work is to develop and introduce an extensible architecture for creating, managing and querying patient consents in an IHE-based environment. Methods Based on the features offered by the IHE profile Basic Patient Privacy Consent (BPPC and literature, the functionalities and components to meet the requirements of a centralized opt-in consent management solution compliant with German legislation have been analyzed. Two services have been developed and integrated into the Heidelberg PEHR. Results The standard-based Consent Management Suite consists of two services. The Consent Management Service is able to receive and store consent documents. It can receive queries concerning a dedicated patient consent, process it and return an answer. It represents a centralized policy enforcement point. The Consent Creator Service allows patients to create their consents electronically. Interfaces to a Master Patient Index (MPI and a provider index allow to

  20. Information Needs of Cancer Patients are Influenced by Time Since Diagnosis, Stage of Cancer, Patients’ Age, and Preferred Role in Treatment‐related Decisions. A review of: Kalyani, Ankem. “Factors Influencing Information Needs Among Cancer Patients: A Meta‐Analysis.” Library & Information Science Research; 28.1 (2006 7-23.

    Directory of Open Access Journals (Sweden)

    John Loy

    2006-09-01

    Full Text Available Objective – The author aims to study the aggregate influence of demographic and situational variables on the information needs of cancer patients, in order to inform the provision of information to those patients. Design – Meta-analysis. Setting – Research articles published in the MEDLINE and CINAHL databases. Subjects – English language studies published between 1993 and 2003. An initial search set of 196 studies from MEDLINE and 283 studies from CINAHL were identified. Following rigorous assessment, 12 studies met the inclusion criteria. Methods – A comprehensive search of the databases was conducted, initially combining “neoplasm” with “cancer patients” using the Boolean “or”. These results were then combined with five separate searches using the following terms; information need(s, information seeking, information seeking behaviour, information source(s and information resource(s. This identified in total 479 English language articles. Based on a review of titles and abstracts, 110 articles were found covering information resources or the information needs of cancer patients. These articles were then subjected to the further inclusion criteria and limited to studies which included: analysis of information needs and/or information sources of cancer patients; adults as subjects of the research; and application of quantitative research methods and relevant statistics. This eliminated a further 35 papers. Twelve of the remaining 75 studies were selected for meta‐analysis based on their use of the same variables measured consistently in comparable units. The final 12 studies included various forms of cancer, and no distinction was made among them. All 12 studies appeared in peer‐reviewed journals. Main results – The meta‐analysis found there was consistently no difference between the information needs of men and women. Five subsets were identified within the meta‐analysis, and findings for each can be stated as

  1. Web-based Semantic and Personalized Information Retrieval

    Directory of Open Access Journals (Sweden)

    Khaled M. Fouad

    2012-05-01

    Full Text Available Effective retrieval of the most relevant documents on the topic of interest from the Web is difficult due to the large amount of information in all types of formats. Studies have been conducted on ways to improve the efficiency of information retrieval (IR systems. To arrive to suitable solutions in IR systems, machines need additional semantic information that helps in understanding Web documents. In this paper, the definition of semantic IR model is investigated, oriented to the exploitation of domain ontology and WordNet to support semantic IR capabilities in Web documents, stressing on the use of ontologies in the semantic-based perspective. The system that uses Semantic Web and agent to support more expressive queries and more accurate results is proposed. The examination of the proposed system is performed by an experiment that is based on relevance based evaluation, and user satisfaction based evaluation. The results of the experiment shows that the proposed system, which is based on Semantic Web and agent, can improve the accuracy and effectiveness for retrieving relevant Web documents in specific domain.

  2. Managing geometric information with a data base management system

    Science.gov (United States)

    Dube, R. P.

    1984-01-01

    The strategies for managing computer based geometry are described. The computer model of geometry is the basis for communication, manipulation, and analysis of shape information. The research on integrated programs for aerospace-vehicle design (IPAD) focuses on the use of data base management system (DBMS) technology to manage engineering/manufacturing data. The objectives of IPAD is to develop a computer based engineering complex which automates the storage, management, protection, and retrieval of engineering data. In particular, this facility must manage geometry information as well as associated data. The approach taken on the IPAD project to achieve this objective is discussed. Geometry management in current systems and the approach taken in the early IPAD prototypes are examined.

  3. Least Dependent Component Analysis Based on Mutual Information

    CERN Document Server

    Stögbauer, H; Astakhov, S A; Grassberger, P; St\\"ogbauer, Harald; Kraskov, Alexander; Astakhov, Sergey A.; Grassberger, Peter

    2004-01-01

    We propose to use precise estimators of mutual information (MI) to find least dependent components in a linearly mixed signal. On the one hand this seems to lead to better blind source separation than with any other presently available algorithm. On the other hand it has the advantage, compared to other implementations of `independent' component analysis (ICA) some of which are based on crude approximations for MI, that the numerical values of the MI can be used for: (i) estimating residual dependencies between the output components; (ii) estimating the reliability of the output, by comparing the pairwise MIs with those of re-mixed components; (iii) clustering the output according to the residual interdependencies. For the MI estimator we use a recently proposed k-nearest neighbor based algorithm. For time sequences we combine this with delay embedding, in order to take into account non-trivial time correlations. After several tests with artificial data, we apply the resulting MILCA (Mutual Information based ...

  4. Integrating genome-based informatics to modernize global disease monitoring, information sharing, and response

    DEFF Research Database (Denmark)

    Aarestrup, Frank Møller; Brown, Eric W; Detter, Chris;

    2012-01-01

    -causing microbes, and in the near future these technologies will be suitable for routine use in national, regional, and global public health laboratories. With additional improvements in instrumentation, these next- or third-generation sequencers are likely to replace conventional culture-based and molecular...... typing methods to provide point-of-care clinical diagnosis and other essential information for quicker and better treatment of patients. Provided there is free-sharing of information by all clinical and public health laboratories, these genomic tools could spawn a global system of linked databases of...

  5. Information, consent and treatment of patients with Morgellons disease: an ethical perspective.

    Science.gov (United States)

    Söderfeldt, Ylva; Groß, Dominik

    2014-04-01

    Morgellons is a medically contested diagnosis with foremost dermatological symptoms. Patients experience fibers emerging from the skin, together with a range of other somatic, psychiatric, and neurological complaints. Within the medical community, it is generally held to be a variation of delusional parasitosis/delusional infestation, which is usually treated with antipsychotics. Little attention has been paid in the literature to the ethical aspects of treating patients with Morgellons disease. The communicative strategies suggested in the literature display significant ethical issues, primarily the use of therapeutic privilege, i.e. withholding information from the patient. Since this limits patient autonomy, that approach is ethically problematic. Instead, the physician has an ethical obligation to respect the patient's autonomy, provide full information, and seek consent before initiating a psychiatric referral. PMID:24671866

  6. The information-seeking behaviour of paediatricians accessing web-based resources.

    LENUS (Irish Health Repository)

    Prendiville, T W

    2012-02-01

    OBJECTIVES: To establish the information-seeking behaviours of paediatricians in answering every-day clinical queries. DESIGN: A questionnaire was distributed to every hospital-based paediatrician (paediatric registrar and consultant) working in Ireland. RESULTS: The study received 156 completed questionnaires, a 66.1% response. 67% of paediatricians utilised the internet as their first "port of call" when looking to answer a medical question. 85% believe that web-based resources have improved medical practice, with 88% reporting web-based resources are essential for medical practice today. 93.5% of paediatricians believe attempting to answer clinical questions as they arise is an important component in practising evidence-based medicine. 54% of all paediatricians have recommended websites to parents or patients. 75.5% of paediatricians report finding it difficult to keep up-to-date with new information relevant to their practice. CONCLUSIONS: Web-based paediatric resources are of increasing significance in day-to-day clinical practice. Many paediatricians now believe that the quality of patient care depends on it. Information technology resources play a key role in helping physicians to deliver, in a time-efficient manner, solutions to clinical queries at the point of care.

  7. Physician-patient communication from the perspective of library and information science.

    Science.gov (United States)

    Baker, L M; Connor, J J

    1994-01-01

    The physician-patient communication process has received little attention from library and information science (LIS) professionals. A limited review of other literature on this topic was undertaken to gain some understanding of the information exchange from an LIS perspective. The authors were interested in four issues, including how information is defined; how information-seeking behavior is portrayed; what barriers to information exist in the exchange process; and what role, if any, information plays in health outcomes. Studies have been conducted by researchers in various disciplines who have defined communication as a giving and seeking activity between the physician and the patient. Barriers to good communication, erected by either party or by both, prevent the participants from experiencing a satisfactory encounter. Because information can play a role in health outcomes, various strategies have been tried to improve the communication process. These studies provide a better understanding of the physician-patient encounter and suggest new areas of patient-centered research for LIS professionals. PMID:8136759

  8. IMMAN: free software for information theory-based chemometric analysis.

    Science.gov (United States)

    Urias, Ricardo W Pino; Barigye, Stephen J; Marrero-Ponce, Yovani; García-Jacas, César R; Valdes-Martiní, José R; Perez-Gimenez, Facundo

    2015-05-01

    The features and theoretical background of a new and free computational program for chemometric analysis denominated IMMAN (acronym for Information theory-based CheMoMetrics ANalysis) are presented. This is multi-platform software developed in the Java programming language, designed with a remarkably user-friendly graphical interface for the computation of a collection of information-theoretic functions adapted for rank-based unsupervised and supervised feature selection tasks. A total of 20 feature selection parameters are presented, with the unsupervised and supervised frameworks represented by 10 approaches in each case. Several information-theoretic parameters traditionally used as molecular descriptors (MDs) are adapted for use as unsupervised rank-based feature selection methods. On the other hand, a generalization scheme for the previously defined differential Shannon's entropy is discussed, as well as the introduction of Jeffreys information measure for supervised feature selection. Moreover, well-known information-theoretic feature selection parameters, such as information gain, gain ratio, and symmetrical uncertainty are incorporated to the IMMAN software ( http://mobiosd-hub.com/imman-soft/ ), following an equal-interval discretization approach. IMMAN offers data pre-processing functionalities, such as missing values processing, dataset partitioning, and browsing. Moreover, single parameter or ensemble (multi-criteria) ranking options are provided. Consequently, this software is suitable for tasks like dimensionality reduction, feature ranking, as well as comparative diversity analysis of data matrices. Simple examples of applications performed with this program are presented. A comparative study between IMMAN and WEKA feature selection tools using the Arcene dataset was performed, demonstrating similar behavior. In addition, it is revealed that the use of IMMAN unsupervised feature selection methods improves the performance of both IMMAN and WEKA

  9. KBGIS-2: A knowledge-based geographic information system

    Science.gov (United States)

    Smith, T.; Peuquet, D.; Menon, S.; Agarwal, P.

    1986-01-01

    The architecture and working of a recently implemented knowledge-based geographic information system (KBGIS-2) that was designed to satisfy several general criteria for the geographic information system are described. The system has four major functions that include query-answering, learning, and editing. The main query finds constrained locations for spatial objects that are describable in a predicate-calculus based spatial objects language. The main search procedures include a family of constraint-satisfaction procedures that use a spatial object knowledge base to search efficiently for complex spatial objects in large, multilayered spatial data bases. These data bases are represented in quadtree form. The search strategy is designed to reduce the computational cost of search in the average case. The learning capabilities of the system include the addition of new locations of complex spatial objects to the knowledge base as queries are answered, and the ability to learn inductively definitions of new spatial objects from examples. The new definitions are added to the knowledge base by the system. The system is currently performing all its designated tasks successfully, although currently implemented on inadequate hardware. Future reports will detail the performance characteristics of the system, and various new extensions are planned in order to enhance the power of KBGIS-2.

  10. Effective Performance of Information Retrieval by using Domain Based Crawler

    Directory of Open Access Journals (Sweden)

    Dr. P. Premchand

    2013-08-01

    Full Text Available World Wide Web continuously introduces new capabilities and attracts many people[1]. It consists of more than 60 billion pages online. Due to this explosion in size, the information retrieval system or Search Engines are being upgraded day by day and it can be used to access the information effectively and efficiently. In this paper, we have addressed Domain Based Information Retrieval (DBIR System. In this system we crawl the information from the web and added all links to the data base which are related to a specific domain. It simply ignores which are not related to that domain. Because of that we can save the Storage Space (SS and Searching Time (ST and as a result it improves the performance of the system. It is an extension of Effective Performance of Web Crawler (EPOW System [2], in which it has two Crawler modules. The first one is Basic Crawler. It consists of multiple downloaders to achieve parallelization policy . The second one is Master Crawler, which is used to filter the URLs send by the Basic Crawler based on the Domain and sends back to the Basic Crawler to extract the related links. All these related links are collectively stored into the database under a unique domain name.

  11. Cooperative coalition for formation flight scheduling based on incomplete information

    Directory of Open Access Journals (Sweden)

    Meng Linghang

    2015-12-01

    Full Text Available This study analyzes the cooperative coalition problem for formation scheduling based on incomplete information. A multi-agent cooperative coalition framework is developed to optimize the formation scheduling problem in a decentralized manner. The social class differentiation mechanism and role-assuming mechanism are incorporated into the framework, which, in turn, ensures that the multi-agent system (MAS evolves in the optimal direction. Moreover, a further differentiation pressure can be achieved to help MAS escape from local optima. A Bayesian coalition negotiation algorithm is constructed, within which the Harsanyi transformation is introduced to transform the coalition problem based on incomplete information to the Bayesian-equivalent coalition problem based on imperfect information. The simulation results suggest that the distribution of agents’ expectations of other agents’ unknown information approximates to the true distribution after a finite set of generations. The comparisons indicate that the MAS cooperative coalition algorithm produces a significantly better utility and possesses a more effective capability of escaping from local optima than the proposal-engaged marriage algorithm and the Simulated Annealing algorithm.

  12. From patient deference towards negotiated and precarious informality: An Eliasian analysis of English general practitioners' understandings of changing patient relations.

    Science.gov (United States)

    Brown, Patrick; Elston, Mary Ann; Gabe, Jonathan

    2015-12-01

    This article contributes to sociological debates about trends in the power and status of medical professionals, focussing on claims that deferent patient relations are giving way to a more challenging consumerism. Analysing data from a mixed methods study involving general practitioners in England, we found some support for the idea that an apparent 'golden age' of patient deference is receding. Although not necessarily expressing nostalgia for such doctor-patient relationships, most GPs described experiencing disruptive or verbally abusive interactions at least occasionally and suggested that these were becoming more common. Younger doctors tended to rate patients as less respectful than their older colleagues but were also more likely to be egalitarian in attitude. Our data suggest that GPs, especially younger ones, tend towards a more informal yet limited engagement with their patients and with the communities in which they work. These new relations might be a basis for mutual respect between professionals and patients in the consulting room, but may also generate uncertainty and misunderstanding. Such shifts are understood through an Eliasian framework as the functional-democratisation of patient-doctor relations via civilising processes, but with this shift existing alongside decivilising tendencies involving growing social distance across broader social figurations. PMID:26517293

  13. Patient-Specific, Time-Varying Predictors of Post-ICU Informal Caregiver Burden

    Science.gov (United States)

    Schulz, Richard; Chelluri, Lakshmipathi; Pinsky, Michael R.

    2010-01-01

    Background: The outcomes of informal caregivers of survivors of critical illness likely depend on patient characteristics, which may change over time. To date, few studies have examined patient-specific predictors of post-ICU informal caregiver burden, and none has tested whether predictors vary after hospital discharge. Methods: We designed a prospective, longitudinal observational study, enrolling 48 patient-caregiver dyads from four ICUs in a university hospital. Informal caregiver depression symptoms were measured with the Center for Epidemiologic Studies Depression scale. Lifestyle disruption was measured with the Activity Restriction Scale. Linear regression models were built to test for patient- and caregiver-specific predictors of depression symptoms and lifestyle disruption 2, 6, and 12 months after ICU admission. Results: Patients had a mean (SD) age of 52.5 (19.7) years, 67% were men, median (interquartile range) Acute Physiology and Chronic Health Evaluation score was 52 (38.5, 65). The caregivers had a mean (SD) age of 52.8 (12.8) years, 91.2% were women, and 48% were spouses. Predictors of caregiver depression symptoms were patient gender (men) at 2 and 12 months and tracheostomy at 12 months. Predictors of lifestyle disruption were patient education (more common among high school graduates) and patient gender (men) at 2 months, and tracheostomy, functional dependency, and patient gender (men) at 12 months. Conclusions: The determinants of post-ICU informal caregiver burden likely depend on characteristics of the patient as well as the caregiver and may vary over time. Further research is necessary to better understand the longitudinal determinants of burden in order to develop more effective caregiver interventions. PMID:19762552

  14. Neighborhood Hypergraph Based Classification Algorithm for Incomplete Information System

    Directory of Open Access Journals (Sweden)

    Feng Hu

    2015-01-01

    Full Text Available The problem of classification in incomplete information system is a hot issue in intelligent information processing. Hypergraph is a new intelligent method for machine learning. However, it is hard to process the incomplete information system by the traditional hypergraph, which is due to two reasons: (1 the hyperedges are generated randomly in traditional hypergraph model; (2 the existing methods are unsuitable to deal with incomplete information system, for the sake of missing values in incomplete information system. In this paper, we propose a novel classification algorithm for incomplete information system based on hypergraph model and rough set theory. Firstly, we initialize the hypergraph. Second, we classify the training set by neighborhood hypergraph. Third, under the guidance of rough set, we replace the poor hyperedges. After that, we can obtain a good classifier. The proposed approach is tested on 15 data sets from UCI machine learning repository. Furthermore, it is compared with some existing methods, such as C4.5, SVM, NavieBayes, and KNN. The experimental results show that the proposed algorithm has better performance via Precision, Recall, AUC, and F-measure.

  15. AN OVERVIEW OF SEARCHING AND DISCOVERING WEB BASED INFORMATION RESOURCES

    Directory of Open Access Journals (Sweden)

    Cezar VASILESCU

    2010-01-01

    Full Text Available The Internet becomes for most of us a daily used instrument, for professional or personal reasons. We even do not remember the times when a computer and a broadband connection were luxury items. More and more people are relying on the complicated web network to find the needed information.This paper presents an overview of Internet search related issues, upon search engines and describes the parties and the basic mechanism that is embedded in a search for web based information resources. Also presents ways to increase the efficiency of web searches, through a better understanding of what search engines ignore at websites content.

  16. Open source based cadastral information system : ANCFCC-MOROCCO

    CERN Document Server

    Elasri, Hicham; Jamila, Aatab; Karima, Ganoun

    2012-01-01

    This present project is developing a geographic information system to support the cadastral business. This system based on open source solutions which developed within the National Agency of Land Registry, Cadastre and Cartography (ANCFCC) enabling monitoring and analysis of cadastral procedures as well as offering consumable services by other information systems: consultation and querying spatial data. The project will also assist the various user profiles in the completion of production tasks and the possibility to eliminate the deficiencies identified to ensure an optimum level of productivity

  17. The Geographic Information Grid System Based on Mobile Agent

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    We analyze the deficiencies of current application systems, and discuss the key requirements of distributed Geographic Information service (GIS). We construct the distributed GIS on grid platform. Considering the flexibility and efficiency, we integrate the mobile agent technology into the system. We propose a new prototype system, the Geographic Information Grid System (GIGS) based on mobile agent. This system has flexible services and high performance, and improves the sharing of distributed resources. The service strategy of the system and the examples are also presented.

  18. Application of aerial image based information for coastal habitat research

    DEFF Research Database (Denmark)

    Juel, Anders

    2014-01-01

    and dynamic properties we are however challenged in assessing the state of our coastal habitats while the basic drivers of this complexity are still poorly understood. This thesis provides insight into the possibilities of extracting information from widely available aerial image data for vegetation mapping...... and research in coastal terrestrial habitats. It further presents new insight into the mechanisms determining the spatial patterns of vegetation across coastal landscapes. These topics are investigated by combining fine-scale vegetation information from a comprehensive field programme with object-based image...

  19. Color Restoration Method Based on Spectral Information Using Normalized Cut

    Institute of Scientific and Technical Information of China (English)

    Tetsuro Morimoto; Tohru Mihashi; Katsushi Ikeuchi

    2008-01-01

    This paper proposes a novel method for color restoration that can effectively apply accurate color based on spectral information to a segmented image using the normalized cut technique. Using the proposed method, we can obtain a digital still camera image and spectral information in different environments. Also, it is not necessary to estimate reflectance spectra using a spectral database such as other methods. The synthesized images are accurate and high resolution. The proposed method effectively works in making digital archive contents. Some experimental results are demonstrated in this paper.

  20. How Informative Are Interest Rate Survey-based Forecasts?

    Directory of Open Access Journals (Sweden)

    Mateus A. Feitosa

    2008-10-01

    Full Text Available This paper studies the information content of survey-based predictions for the Brazilian short-term interest rate. We perform vector autoregression analysis to test for the dynamic relationship between market expectations of interest rates and spot interest rates, and a single regression forecasting approach. Empirical results suggest that surveys may be useful in assessing market expectations (contain relevant information and in building Central Bank credibility. Within an inflation targeting framework they are crucial in order to receive timely feedback on market sentiment regarding the conduct of monetary policy.

  1. Modified maximum likelihood registration based on information fusion

    Institute of Scientific and Technical Information of China (English)

    Yongqing Qi; Zhongliang Jing; Shiqiang Hu

    2007-01-01

    The bias estimation of passive sensors is considered based on information fusion in multi-platform multisensor tracking system. The unobservable problem of bearing-only tracking in blind spot is analyzed. A modified maximum likelihood method, which uses the redundant information of multi-sensor system to calculate the target position, is investigated to estimate the biases. Monte Carlo simulation results show that the modified method eliminates the effect of unobservable problem in the blind spot and can estimate the biases more rapidly and accurately than maximum likelihood method. It is statistically efficient since the standard deviation of bias estimation errors meets the theoretical lower bounds.

  2. Evaluation of computer based information systems in NPP control rooms

    International Nuclear Information System (INIS)

    Starting with a brief description of the way computer based information systems assist the operational staff of NPPs in keeping the plant within operational condition limits and in guaranteeing the plant's continuous safe state, the paper classifies these systems according to a four staged qualification model for instrumentation and control (I and C) equipment. Safety class is thereby determined by evaluating the control philosophy of the entire plant, the kind of information the I and C equipment presents and whether it is a backup or stand alone information source for the particular process system. The last aspect is one of the most important points in evaluating computer based information systems. It determines to a vast extent the requirements applied to that system concerning system design and quality assurance (QA). To standardize QA measures and design requirements, the Technischer Ueberwachungs-Verein Bayern (TUV Bayern) developed the Guideline for Evaluating Measuring and I and C Equipment in Nuclear Plants. Within this surveillance-guideline requirement, categories are defined for every safety class containing a large variety of measures derived from current rules and regulations as well as from state of the art industry practice. These measures make up an image of the complex process of evaluating computers in NPPs and how this challenge is met by TUV Bayern. After the theoretical background is presented, the second part of the paper outlines some major steps of evaluating a computer based information system, by giving an example based on practice to show how different tests are necessary to achieve an acceptable evaluation. The paper ends with a brief summary of those maintenance aspects necessary to keep an evaluated system at a high reliability and performance level. (author). 20 refs

  3. Antecedent Characteristics of Online Cancer Information Seeking Among Rural Breast Cancer Patients: An Application of the Cognitive-Social Health Information Processing (C-SHIP) Model

    OpenAIRE

    Shaw, Bret R.; DuBenske, Lori L.; Han, Jeong Yeob; Cofta-Woerpel, Ludmila; Bush, Nigel; Gustafson, David H.; McTavish, Fiona

    2008-01-01

    Little research has examined the antecedent characteristics of patients most likely to seek online cancer information. This study employs the Cognitive-Social Health Information Processing (C-SHIP) model as a framework to understand what psychosocial characteristics precede online cancer-related information seeking among rural breast cancer patients who often have fewer healthcare providers and limited local support services. Examining 144 patients who were provided free computer hardware, In...

  4. Implementing Electronic Tablet-Based Education of Acute Care Patients.

    Science.gov (United States)

    Sawyer, Tenita; Nelson, Monica J; McKee, Vickie; Bowers, Margaret T; Meggitt, Corilin; Baxt, Sarah K; Washington, Delphine; Saladino, Louise; Lehman, E Philip; Brewer, Cheryl; Locke, Susan C; Abernethy, Amy; Gilliss, Catherine L; Granger, Bradi B

    2016-02-01

    Poor education-related discharge preparedness for patients with heart failure is believed to be a major cause of avoidable rehospitalizations. Technology-based applications offer innovative educational approaches that may improve educational readiness for patients in both inpatient and outpatient settings; however, a number of challenges exist when implementing electronic devices in the clinical setting. Implementation challenges include processes for "on-boarding" staff, mediating risks of cross-contamination with patients' device use, and selling the value to staff and health system leaders to secure the investment in software, hardware, and system support infrastructure. Strategies to address these challenges are poorly described in the literature. The purpose of this article is to present a staff development program designed to overcome challenges in implementing an electronic, tablet-based education program for patients with heart failure. PMID:26830181

  5. Family perceptions of the usability and value of chronic disease web-based patient portals.

    Science.gov (United States)

    Byczkowski, Terri L; Munafo, Jennifer K; Britto, Maria T

    2014-06-01

    The objective of this study was to understand perceptions of the usability and value of web-based patient portals among parents of children with a chronic condition (diabetes, juvenile idiopathic arthritis, and cystic fibrosis). The design was a cross-sectional telephone survey with semistructured interviews and was conducted at a tertiary children's hospital. Parent ratings of their experiences with and the value of a web-based portal and reasons for not using the portal were ascertained. Most parents agreed that the portal information was accurate, timely, and useful. Confidentiality and seeing worrisome health-related information about their child was not a major concern, and parents felt that the portal helped to improve their understanding of and ability to manage their child's condition. In conclusion, the results of this study support the notion that web-based patient portals have the potential to be a useful tool for parents of children with a chronic disease. PMID:24056751

  6. RSS based CERN Alerter. Information broadcast to all CERN offices.

    CERN Multimedia

    Otto, R

    2007-01-01

    Nearly every large organization uses a tool to broadcast messages and information across the internal campus (messages like alerts announcing interruption in services or just information about upcoming events). These tools typically allow administrators (operators) to send "targeted" messages which are sent only to specific groups of users or computers, e/g only those located in a specified building or connected to a particular computing service. CERN has a long history of such tools: CERNVMS€™s SPM_quotMESSAGE command, Zephyr and the most recent the NICE Alerter based on the NNTP protocol. The NICE Alerter used on all Windows-based computers had to be phased out as a consequence of phasing out NNTP at CERN. The new solution to broadcast information messages on the CERN campus continues to provide the service based on cross-platform technologies, hence minimizing custom developments and relying on commercial software as much as possible. The new system, called CERN Alerter, is based on RSS (Really Simpl...

  7. Educational Status, Aware Ness and Sources of Information of Osteoporosis Patients

    Directory of Open Access Journals (Sweden)

    Yeşim Gökçe Kutsal

    2002-09-01

    Full Text Available Osteoporosis is one of the major public health problems. Higher prevalence of most chronic diseases has been encountered in less educated subjects. Aim of this study was to assess educational status, knowledge and sources of information among subjects with osteoporosis. A multicentered trial involving 10 centers was carried out. Patients with bone mineral densities below –2.5 standard deviations either in femoral or lomber region were included in the study. Age, sex, height, weight, educational status, clothing style, drugs used for osteoporosis, age at menarche, age at menopause, type of menopause, oral contraception, presence of chronic disease, smoking status, physical activity level, calcium intake, knowledge about osteoporosis and sources of information was gathered using a questionnaire. 54 % of our patients had knowledge about osteoporosis. Doctors were the most commonly utilized source of information (56.8%. Patients were divided into 3 groups according to educational status: less than 5 years (392 patients, 68.9 %, 6 to 8 years (53 patients, 9.3 % and more than 9 years (124 patients, 21.8 %. Body mass index, presence of obesity, smoking status and physical activity levels were significantly different between the groups. Knowledge about osteoporosis was compared according to years of formal education. 43.7 % of patients with formal education less than five years, 62.3 % of patients with formal education 6-8 years and 83.7 % of patients with formal education more than 9 years had knowledge about osteoporosis. Knowledge about osteoporosis was significantly different between groups. Patients within different geographical regions were compared. Educational status, clothing style, smoking status, activity levels, calcium intake and knowledge about osteoporosis was found to be statistically significantly different between the groups. Education of both patients and doctors will lead to better understanding of concept of “bone health”.

  8. Radiology information system: a workflow-based approach

    International Nuclear Information System (INIS)

    Introducing workflow management technology in healthcare seems to be prospective in dealing with the problem that the current healthcare Information Systems cannot provide sufficient support for the process management, although several challenges still exist. The purpose of this paper is to study the method of developing workflow-based information system in radiology department as a use case. First, a workflow model of typical radiology process was established. Second, based on the model, the system could be designed and implemented as a group of loosely coupled components. Each component corresponded to one task in the process and could be assembled by the workflow management system. The legacy systems could be taken as special components, which also corresponded to the tasks and were integrated through transferring non-work- flow-aware interfaces to the standard ones. Finally, a workflow dashboard was designed and implemented to provide an integral view of radiology processes. The workflow-based Radiology Information System was deployed in the radiology department of Zhejiang Chinese Medicine Hospital in China. The results showed that it could be adjusted flexibly in response to the needs of changing process, and enhance the process management in the department. It can also provide a more workflow-aware integration method, comparing with other methods such as IHE-based ones. The workflow-based approach is a new method of developing radiology information system with more flexibility, more functionalities of process management and more workflow-aware integration. The work of this paper is an initial endeavor for introducing workflow management technology in healthcare. (orig.)

  9. Lisfranc injuries: Patient- and physician-based functional outcomes

    OpenAIRE

    O'Connor, P. A.; Yeap, S.; Noël, J.; Khayyat, G.; Kennedy, J. G.; Arivindan, S.; McGuinness, A. J.

    2002-01-01

    The purpose of this study was to assess functional outcome of patients with a Lisfranc fracture dislocation of the foot by applying validated patient- and physician-based scoring systems and to compare these outcome tools. Of 25 injuries sustained by 24 patients treated in our institution between January 1995 and June 2001, 16 were available for review with a mean follow-up period of 36 (10–74) months. Injuries were classified according to Myerson. Outcome instruments used were: (a) Medical O...

  10. Reconciling evidence-based medicine and patient-centred care: defining evidence-based inputs to patient-centred decisions.

    Science.gov (United States)

    Weaver, Robert R

    2015-12-01

    Evidence-based and patient-centred health care movements have each enhanced the discussion of how health care might best be delivered, yet the two have evolved separately and, in some views, remain at odds with each other. No clear model has emerged to enable practitioners to capitalize on the advantages of each so actual practice often becomes, to varying degrees, an undefined mishmash of each. When faced with clinical uncertainty, it becomes easy for practitioners to rely on formulas for care developed explicitly by expert panels, or on the tacit ones developed from experience or habit. Either way, these tendencies towards 'cookbook' medicine undermine the view of patients as unique particulars, and diminish what might be considered patient-centred care. The sequence in which evidence is applied in the care process, however, is critical for developing a model of care that is both evidence based and patient centred. This notion derives from a paradigm for knowledge delivery and patient care developed over decades by Dr. Lawrence Weed. Weed's vision enables us to view evidence-based and person-centred medicine as wholly complementary, using computer tools to more fully and reliably exploit the vast body of collective knowledge available to define patients' uniqueness and identify the options to guide patients. The transparency of the approach to knowledge delivery facilitates meaningful practitioner-patient dialogue in determining the appropriate course of action. Such a model for knowledge delivery and care is essential for integrating evidence-based and patient-centred approaches. PMID:26456314

  11. Oncologists' non-verbal behavior and analog patients' recall of information.

    Science.gov (United States)

    Hillen, Marij A; de Haes, Hanneke C J M; van Tienhoven, Geertjan; van Laarhoven, Hanneke W M; van Weert, Julia C M; Vermeulen, Daniëlle M; Smets, Ellen M A

    2016-06-01

    Background Information in oncological consultations is often excessive. Those patients who better recall information are more satisfied, less anxious and more adherent. Optimal recall may be enhanced by the oncologist's non-verbal communication. We tested the influence of three non-verbal behaviors, i.e. eye contact, body posture and smiling, on patients' recall of information and perceived friendliness of the oncologist. Moreover, the influence of patient characteristics on recall was examined, both directly or as a moderator of non-verbal communication. Material and methods Non-verbal communication of an oncologist was experimentally varied using video vignettes. In total 194 breast cancer patients/survivors and healthy women participated as 'analog patients', viewing a randomly selected video version while imagining themselves in the role of the patient. Directly after viewing, they evaluated the oncologist. From 24 to 48 hours later, participants' passive recall, i.e. recognition, and free recall of information provided by the oncologist were assessed. Results Participants' recognition was higher if the oncologist maintained more consistent eye contact (β = 0.17). More eye contact and smiling led to a perception of the oncologist as more friendly. Body posture and smiling did not significantly influence recall. Older age predicted significantly worse recognition (β = -0.28) and free recall (β = -0.34) of information. Conclusion Oncologists may be able to facilitate their patients' recall functioning through consistent eye contact. This seems particularly relevant for older patients, whose recall is significantly worse. These findings can be used in training, focused on how to maintain eye contact while managing computer tasks. PMID:27031166

  12. Evaluation of Different Hospital Information Systems Software to Meet the Self-Care Management Informational Needs of Patients

    Directory of Open Access Journals (Sweden)

    Rangraz Jeddi F.* PhD,

    2015-01-01

    Full Text Available Aims Hospital information system may offer a way to increased self-care management. The aim of this study was to determine the patients’ informational needs for self-care management and evaluation of different HIS software according to these needs. Materials & Methods This descriptive cross-sectional study was done during 2011-2012 in Kashan City, Iran at two phases; compiling the required information, and evaluation. The questionnaire items were discussed in three conversation sessions with 20 faculty members by Delphi technique. 15 HIS software provider companies in Iran were selected purposefully and 2 hospitals from each company were participated in the study. Data were analyzed by SPSS 16 software using Chi-square test. Findings 7 items in the health protection dimension were covered by HIS software; “Need to consult with attending physicians”, “Length of disease duration”, “Diagnostic and treatment cost resource”, “Different treatment approach”, “Convenient information recourses”, “Offer good information resources”, and “Prognosis”. No item of health promotion dimension were supported by any HIS software. 6 items in the health maintenance dimension were covered completely by all HIS software; “Blood Sugar”, “hct”, “hb”, “Blood Group Type”, “CBC/Diff”, and “Electrolytes”. Conclusion Present HIS software can not meet the self-care management informational needs of recently discharged patients and should be improved.

  13. Problem-Based Learning and Information Literacy: A Natural Partnership

    Directory of Open Access Journals (Sweden)

    Kate Wenger

    2014-11-01

    Full Text Available Due to student overreliance on search engines and the time constraints of one-shot instruction sessions, librarians struggle to teach many of the information literacy skills that students need to conduct successful research. Problem-based learning (PBL provides a way to integrate information literacy naturally into an assignment or course by guiding students through the research process as they work to find a solution to a problem. This article first explains the PBL process, then describes the design and implementation of a PBL project in a required first-year general education course. Finally, it details the Association of College & Research Libraries’ (ACRL Information Literacy Competency Standards for Higher Education addressed by the project, as well as possible future modifications.

  14. Chaotic observer-based synchronization under information constraints

    Science.gov (United States)

    Fradkov, Alexander L.; Andrievsky, Boris; Evans, Robin J.

    2006-06-01

    Limitations of observer-based synchronization systems under information constraints (limited information capacity of the coupling channel) are evaluated. We give theoretical analysis for multidimensional drive-response systems represented in the Lurie form (linear part plus nonlinearity depending only on measurable outputs). It is shown that the upper bound of the limit synchronization error (LSE) is proportional to the upper bound of the transmission error. As a consequence, the upper and lower bounds of LSE are proportional to the maximum rate of the coupling signal and inversely proportional to the information transmission rate (channel capacity). Optimality of the binary coding for coders with one-step memory is established. The results are applied to synchronization of two chaotic Chua systems coupled via a channel with limited capacity.

  15. Agreement between touch-screen and paper-based patient-reported outcomes for patients with fibromyalgia

    DEFF Research Database (Denmark)

    Wæhrens, E E; Amris, K; Bartels, E M;

    2015-01-01

    OBJECTIVES: To compare data based on computerized and paper versions of health status questionnaires (HSQs) for sampling patient-reported outcomes (PROs) in patients with fibromyalgia (FM). In addition, to examine associations between patient characteristics (age, education, computer experience......) and differences between versions. Finally, to evaluate the acceptability of computer-based questionnaires among patients with FM. METHOD: The study population comprised female patients diagnosed with FM. All patients completed six HSQs: the Fibromyalgia Impact Questionnaire (FIQ), the Major Depression...

  16. Analysis of an electronic medication reconciliation and information at discharge programme for frail elderly patients.

    Science.gov (United States)

    Moro Agud, Marta; Menéndez Colino, Rocío; Mauleón Ladrero, María Del Coro; Ruano Encinar, Margarita; Díez Sebastián, Jesús; Villamañán Bueno, Elena; Herrero Ambrosio, Alicia; González Montalvo, Juan Ignacio

    2016-08-01

    Background During care transitions, discrepancies and medication errors often occur, putting patients at risk, especially older patients with polypharmacy. Objective To assess the results of a medication reconciliation and information programme for discharge of geriatric patients conducted through hospital information systems. Setting A 1300-bed university hospital in Madrid, Spain. Method A prospective observational study. Geriatricians selected candidates for medication reconciliation at discharge, and sent an electronic inter-consultation request to the pharmacy department. Pharmacists reviewed the medication list, comparing it with electronic prescriptions, medication previously prescribed by primary care physicians and other medical records, and resolved any discrepancies. An individualized and tailored drug information at discharge sheet was sent to geriatricians and made available to primary care physicians. Main outcome measure The number and type of discrepancies, the number, type and severity of errors, and the main pharmacological groups involved. Results Medication reconciliation was performed for 118 patients with a mean age of 87 years (SD 5.9), involving a total of 2054 medications, or 17.4 per patient. Discrepancies were found in 723 (35 %) drugs, 105 of which were considered medication errors (15 %); 66 patients (56 %) had at least one error. This gave 0.9 reconciliation errors per patient reviewed and 1.6 per patient with errors. Of the 105 errors, 14 (13 %) were considered serious. The most frequent errors were incomplete prescriptions (40 %) and omissions (35 %). Conclusion An electronic medication reconciliation programme helps pharmacists detect serious medication errors in frail elderly patients and provides complete and up-to-date written information to prevent additional errors at home. PMID:27306652

  17. A CONCEPTUAL FRAMEWORK FOR ONTOLOGY BASED INFORMATION RETRIEVAL

    Directory of Open Access Journals (Sweden)

    J.UMA MAHESWARI

    2010-10-01

    Full Text Available Improving Information retrieval by employing the use of ontologies to overcome the limitations of syntactic search has been one of the inspirations since its emergence. This paper proposes a conceptualframework to exploit ontology based Information retrieval. This framework constitutes of five phases namely Query parsing, word stemming, ontology matching, weight assignment, ranking and Information retrieval. In the first phase, the user query is parsed into sequence of words. The parsed contents are curtailed to identify the significant word by ignoring superfluous terms such as “to”, “is”,”ed”, “about” and the like in the stemming phase. The objective of the stemming phase is to throttle feature descriptors to root words, which in turn will increase efficiency; this reduces the time consumed for searching the superfluous terms, which may not significantly influence the effectiveness of the retrieval process. In the third phase ontology matching is carried out by matching the parsed words with the relevant terms in the existing ontology. If the ontology does not exist, it is recommended to generate the required ontology. In the fourth phase the weights are assigned based on the distance between the stemmed words and the terms in the ontology uses improved matchmaking algorithm. The range of weights varies from 0 to 1 based on the level of distance in the ontology (superclass- ubclass. The aggregate weights are calculated for the all the combination of stemmed words. The combination with the highest score is ranked as the best and the corresponding information is retrieved. The conceptual workflow is illustrated with an e-governance casestudy Academic Information System.

  18. A web-based self-help intervention for partners of cancer patients based on Acceptance and Commitment Therapy: a protocol of a randomized controlled trial

    OpenAIRE

    Köhle, N.; Drossaert, C.H.C.; Schreurs, K.; Hagedoorn, Mariët; Verdonck- de Leeuw, Irma M.; Bohlmeijer, E.T.

    2015-01-01

    Background There is a growing recognition that cancer not only affects the lives of the patients, but also the lives of their partners. Partners of cancer patients are highly involved in the illness trajectory by providing informal care and they often experience distress. However, supporting interventions for this group are scarce and existing interventions bear several limitations. On the basis of the need for theory- and evidence-based supportive interventions for partners of cancer patient...

  19. Information quality and dynamics of patients' interactions on tonsillectomy web resources

    Directory of Open Access Journals (Sweden)

    Marianne Arsenault

    2016-05-01

    Full Text Available Information technologies have drastically altered the way patients gather health-related information. By analysing web resources on tonsillectomy, we expose information quality and dynamics of patients' interactions in the online continuum. Readability was assessed using Flesch Reading Ease (FRE, Flesch Kincaid Grade Level (FKGL, Simple Measure of Gobbledygook (SMOG, and Gunning Fog Index (GFI. Comprehensibility and actionability were assessed using the Patient Education Materials Assessment Tool (PEMAT. Metrics of forums included author characteristics (level of disclosure, gender, age, avatar image, etc., posts' motive (community support vs. medical information and content (word count, emoticon use, number of replies, etc.. Analysis of 6 professional medical websites, of 10 health information portals, and of 3 discussion forums totalizing 1369 posts on 358 threads, from January 1, 2007 to December 31, 2014, reveals that online resources exceed understandability recommendations. Women were more present on online health forums (68.2% of authors disclosing their gender and invested themselves more in their avatar. Authors replying were significantly older than authors of original posts (39.7 ± 0.8 years vs. 29.2 ± 0.9 years, p < 0.001. The degree of self-disclosure was inversely proportional to the requests for medical information (p < 0.001. Men and women were equally seeking medical information (men: 74.0%, women: 77.0% and community support (men: 65.7%, women: 70.4%, however women responded more supportively (women 86.2%, men 59.1%, p < 0.001. The dynamics of patients' interactions used to overcome accessibility difficulties encountered is complex. This work outlines the necessity for comprehensible medical information to adequately answer patients' needs.

  20. Implementation of Web-based Information Systems in Distributed Organizations

    DEFF Research Database (Denmark)

    Bødker, Keld; Pors, Jens Kaaber; Simonsen, Jesper

    2004-01-01

    This article presents results elicited from studies conducted in relation to implementing a web-based information system throughout a large distributed organization. We demonstrate the kind of expectations and conditions for change that management face in relation to open-ended, configurable, and....... In line with comparable approaches from the knowledge management area (Dixon 2000; Markus 2001), we relate to, refine, and operationalize the models from an overall organizational view by identifying and characterizing four different and general implementation contexts...... context specific web-based information systems like Lotus QuickPlace. Our synthesis from the empirical findings is related to two recent models, the improvisational change management model suggested by Orlikowski and Hofman (1997), and Gallivan's (2001) model for organizational adoption and assimilation...

  1. Artificial Bee Colony Algorithm Based on Information Learning.

    Science.gov (United States)

    Gao, Wei-Feng; Huang, Ling-Ling; Liu, San-Yang; Dai, Cai

    2015-12-01

    Inspired by the fact that the division of labor and cooperation play extremely important roles in the human history development, this paper develops a novel artificial bee colony algorithm based on information learning (ILABC, for short). In ILABC, at each generation, the whole population is divided into several subpopulations by the clustering partition and the size of subpopulation is dynamically adjusted based on the last search experience, which results in a clear division of labor. Furthermore, the two search mechanisms are designed to facilitate the exchange of information in each subpopulation and between different subpopulations, respectively, which acts as the cooperation. Finally, the comparison results on a number of benchmark functions demonstrate that the proposed method performs competitively and effectively when compared to the selected state-of-the-art algorithms. PMID:25594992

  2. Agents Based e-Commerce and Securing Exchanged Information

    Science.gov (United States)

    Al-Jaljouli, Raja; Abawajy, Jemal

    Mobile agents have been implemented in e-Commerce to search and filter information of interest from electronic markets. When the information is very sensitive and critical, it is important to develop a novel security protocol that can efficiently protect the information from malicious tampering as well as unauthorized disclosure or at least detect any malicious act of intruders. In this chapter, we describe robust security techniques that ensure a sound security of information gathered throughout agent’s itinerary against various security attacks, as well as truncation attacks. A sound security protocol is described, which implements the various security techniques that would jointly prevent or at least detect any malicious act of intruders. We reason about the soundness of the protocol usingSymbolic Trace Analyzer (STA), a formal verification tool that is based on symbolic techniques. We analyze the protocol in key configurations and show that it is free of flaws. We also show that the protocol fulfils the various security requirements of exchanged information in MAS, including data-integrity, data-confidentiality, data-authenticity, origin confidentiality and data non-repudiability.

  3. A GIS-based Power Transmission Management Information System

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    <正>Based on analyzing the shortcomings of electric power enterprise in traditional operation pattern,this paper combines components GIS with the application of management information system,and uses the structure which unifies three layers C/S and B/S.Also,proposed using the GPS intellectualization patrol.This may be useful to guarantees the transmission line’s operation to be safe and stable.

  4. Diffusion of Electronic Medical Record Based Public Hospital Information Systems

    OpenAIRE

    Cho, Kyoung Won; Kim, Seong Min; An, Chang-Ho; Chae, Young Moon

    2015-01-01

    Objectives This study was conducted to evaluate the adoption behavior of a newly developed Electronic Medical Record (EMR)-based information system (IS) at three public hospitals in Korea with a focus on doctors and nurses. Methods User satisfaction scores from four performance layers were analyzed before and two times after the newly develop system was introduced to evaluate the adoption process of the IS with Rogers' diffusion theory. Results The 'intention to use' scores, the most importan...

  5. User-Based Information Search across Multiple Social Media

    OpenAIRE

    Gåre, Marte Lise

    2015-01-01

    Most of todays Internet users are registered to one or more social media applications. As so many are registered to multiple application, it has become difficult to locate friends, former colleagues, peers and acquaintances. Reasons for this include private profiles, name collisions, multiple usernames, lack of profile attributes and profile picture. The system designed and implemented in this thesis enable automatic user-based information search across multiple social media without relyi...

  6. Informational and Technological Progress in the Knowledge Based Society

    OpenAIRE

    Alina-Petronela Haller

    2011-01-01

    Technological and informational progress is among the leading factors that allow the increasing degree of economical liberalization and the shaping of a society that is based, first of all, an knowledge. From the first industrial revolution, the progress has manifested increasingly strong, it has changed lifestyles, it has significantly improved the people living standards and it has became the desire of all countries regardless of their level of development. The knowledge, in quantitative an...

  7. Nonlinear image processing based on optimization of generalized information methods

    OpenAIRE

    Bajkova, Anisa T.

    2002-01-01

    A range of nonlinear image reconstruction procedures based on extremizing the generalized Shannon entropy, Kullback-Leibler cross-entropy and Renyi information measures and proposed by the author in early papers is presented. The ``generalization'' assumes search for the solution over the space of real bipolar or complex functions. Such an approach allows, first, to reconstruct signals of any type and physical nature and, secondly, to decrease nonlinear intensity image distortions caused by m...

  8. Cooperative coalition for formation flight scheduling based on incomplete information

    OpenAIRE

    Meng Linghang; Xu Xiaohao; Zhao Yifei

    2015-01-01

    This study analyzes the cooperative coalition problem for formation scheduling based on incomplete information. A multi-agent cooperative coalition framework is developed to optimize the formation scheduling problem in a decentralized manner. The social class differentiation mechanism and role-assuming mechanism are incorporated into the framework, which, in turn, ensures that the multi-agent system (MAS) evolves in the optimal direction. Moreover, a further differentiation pressure can be ac...

  9. Evaluation of a website providing information on regional health care services for patients with rheumatoid arthritis: an observational study

    OpenAIRE

    Meesters, Jorit J L; de Boer, Ingeborg G.; van den Berg, Marleen H; Fiocco, Marta; Vliet Vlieland, Thea P. M.

    2011-01-01

    Studies on the effectiveness of information provision for patients with arthritis through the Internet are scarce. This study aimed to describe rheumatoid arthritis (RA) patients’ knowledge and information needs before and after launching a website providing information on regional health care services for patients with rheumatic conditions. The intervention consisted of a weekly updated website comprising practical information on regional health care services for patients with arthritis. In ...

  10. The Role of Health Literacy and Social Networks in Arthritis Patients' Health Information-Seeking Behavior: A Qualitative Study

    OpenAIRE

    Janette Ellis; Judy Mullan; Anthony Worsley; Nagesh Pai

    2012-01-01

    Background. Patients engage in health information-seeking behaviour to maintain their wellbeing and to manage chronic diseases such as arthritis. Health literacy allows patients to understand available treatments and to critically appraise information they obtain from a wide range of sources. Aims. To explore how arthritis patients' health literacy affects engagement in arthritis-focused health information-seeking behaviour and the selection of sources of health information available through ...

  11. Corporate system of monitoring network informational resources based on agent-based approach

    OpenAIRE

    Lande, D. V.; Dodonov, V. A.; T V Kovalenko

    2016-01-01

    The paper provides a agent-based model, which describes distribution of informative messages, containing links to informational resources in the Internet. The results of modeling have been confirmed by studying a real network of Twitter microblogs. The paper describes stages of building a corporate system of monitoring network informational resources, the content of which is determined by links in microblogs. The advantages of such approach are set forth.

  12. GPS and GPRS Based Telemonitoring System for Emergency Patient Transportation

    Directory of Open Access Journals (Sweden)

    K. Satyanarayana

    2013-01-01

    Full Text Available Telemonitoring during the golden hour of patient transportation helps to improve medical care. Presently there are different physiological data acquisition and transmission systems using cellular network and radio communication links. Location monitoring systems and video transmission systems are also commercially available. The emergency patient transportation systems uniquely require transmission of data pertaining to the patient, vehicle, time of the call, physiological signals (like ECG, blood pressure, a body temperature, and blood oxygen saturation, location information, a snap shot of the patient, and voice. These requirements are presently met by using separate communication systems for voice, physiological data, and location that result in a lot of inconvenience to the technicians, maintenance related issues, in addition to being expensive. This paper presents design, development, and implementation of such a telemonitoring system for emergency patient transportation employing ARM 9 processor module. This system is found to be very useful for the emergency patient transportation being undertaken by organizations like the Emergency Management Research Institute (EMRI.

  13. SOPC BASED WIRELESS REMOTE PATIENT MONITORING USING ULTRA LIGHTWEIGHT CRYPTOGRAPHY

    Directory of Open Access Journals (Sweden)

    A. Arun

    2014-01-01

    Full Text Available Remote Patient Monitoring (RPM provides flexible and powerful patient surveillance through wearable devices at anytime and anywhere. This can be achieved by using a Body Sensor Network (BSN, which is deployed on a human body for monitoring the healthcare. The mobile healthcare management with increased feasibility and handiness introduced several noteworthy challenges for the provider, policy makers, patient and hospitals. A significant challenge is to provide round-the-clock healthcare services to those patients who require it via wearable medical devices. In addition to this, the sensors collect the personal medical data where the security and privacy are important components in RPM. As a result, one of the most significant and challenging concern to deal with is how to secure the personal information of the patients and to eliminate their privacy issue. This study presents System on Programmable Chip (SoPC implementation of Remote Patient Monitoring System (RPM with Ultra Lightweight algorithms for security issues. Humming Bird 2 (HB-2, PRESENT and HIGHT algorithms were implemented since the wearable medical devices require fewer areas to achieve portability. The comparison results shows that Degree of Confusion of HB-2 is 50.43 which outstand the other, the efficiency of the entire algorithm implemented in SoPC are higher comparing with conventional Field Programmable Gate Array (FPGA implementation. The comparison was extended and in Particular, power and area consumption of HB-2 is less than PRESENT and HIGHT algorithm, which is more suitable for RPM devices.

  14. An IP-SAN System Based on Information Hiding Technology

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    With the development of data intensive application, such as multimedia, data warehouse, and online analysis processing, online data is increasing rapidly, hence the need for high performance SAN (Storage Area Network) becomes more and more urgent Currently, IP SAN, which is based on iSCSI technology, is used widely Meanwhile, it also faces some challenges In this paper, we point out the security problem in SAN system, and present a new secure storage model, which is based on traditional IP SAN system and takes full advantage of information hiding technology, to improve the safety of the storage system.

  15. Content-based Image Retrieval by Information Theoretic Measure

    Directory of Open Access Journals (Sweden)

    Madasu Hanmandlu

    2011-09-01

    Full Text Available Content-based image retrieval focuses on intuitive and efficient methods for retrieving images from databases based on the content of the images. A new entropy function that serves as a measure of information content in an image termed as 'an information theoretic measure' is devised in this paper. Among the various query paradigms, 'query by example' (QBE is adopted to set a query image for retrieval from a large image database. In this paper, colour and texture features are extracted using the new entropy function and the dominant colour is considered as a visual feature for a particular set of images. Thus colour and texture features constitute the two-dimensional feature vector for indexing the images. The low dimensionality of the feature vector speeds up the atomic query. Indices in a large database system help retrieve the images relevant to the query image without looking at every image in the database. The entropy values of colour and texture and the dominant colour are considered for measuring the similarity. The utility of the proposed image retrieval system based on the information theoretic measures is demonstrated on a benchmark dataset.Defence Science Journal, 2011, 61(5, pp.415-430, DOI:http://dx.doi.org/10.14429/dsj.61.1177

  16. Patient-derived tumor xenograft strategies for informed management of patients with metastatic melanoma.

    Science.gov (United States)

    Qassemyar, Ahmad; Gabert, Pierre-Elliott; Kluza, Jerome; Duquennoy-Martinot, Véronique; Mortier, Laurent; Marchetti, Philippe; Guerreschi, Pierre

    2016-06-01

    Metastatic melanoma has benefited from immunotherapy and targeted therapy advances. Faced with the inescapable onset of treatment resistance, the choice of a second-line treatment can be guided by a patient-derived tumor xenograft (PDTX). This new approach requires an excellent multidisciplinary collaboration where the surgeon has a key role to play. Each patient included (stage IIIC or IV) presented with subcutaneous melanoma metastasis that could be surgically resected. The surgeon performed orthotopic PDTX on CB17-SCID mice. To validate the model, tumor material was amplified over three successive generations of animals to obtain cohorts compatible with carrying out a study to compare treatment response by targeted therapy (vemurafenib versus controls). Tumors were characterized (histologically and genetically) at all stages of the generations' amplification. Functional imaging by fluorine-18 fluorodeoxyglucose PET scan was performed for the third generation PDTX. Seventeen patients with a mutated BRAF V600E subcutaneous metastasis were included, yielding 257 PDTX. Clinical, histological, and genetic characteristics of the grafted tumors were stable over the three mice generations. The treatment response to vemurafenib was observed for all PDTX. The fluorine-18 fluorodeoxyglucose PET scan evidenced a decreased in glucose uptake in the treated tumors. PDTX models are being widely used in fundamental research and are more compatible with clinical issues. If PDTX are simple and easily reproducible in metastatic melanoma, an organized multidisciplinary platform is essential to implement them. In our experience, surgeons have a key role to play in the cohesion of this new therapeutic approach. PMID:26983079

  17. Geographic information system data from ambulances applied in the emergency department: effects on patient reception

    DEFF Research Database (Denmark)

    Raaber, Nikolaj; Pedersen, Iben Duvald; Riddervold, Ingunn Skogstad;

    2016-01-01

    BACKGROUND: Emergency departments (ED) recognize crowding and handover from prehospital to in-hospital settings to be major challenges. Prehospital Geographical Information Systems (GIS) may be a promising tool to address such issues. In this study, the use of prehospital GIS data was implemented...... data was displayed in the ED. Data included real-time estimated time of arrival, distance to ED, dispatch criteria, patient data and ambulance contact information. Data was used by coordinating nurses for time activation of TT and MET involved in the initial treatment of severely-injured or critically...... were reported. DISCUSSION: The contradiction of measured median wait time and nurses perceived improved timing of team activation may result from having both RT- ETA and supplemental patient information not only for seriously-injured or critically-ill patients received by the TT and MET, but for all...

  18. The Frequentist Information Criterion (FIC): The unification of information-based and frequentist inference

    CERN Document Server

    LaMont, Colin H

    2015-01-01

    The failure of the information-based Akaike Information Criterion (AIC) in the context of singular models can be rectified by the definition of a Frequentist Information Criterion (FIC). FIC applies a frequentist approximation to the computation of the model complexity, which can be estimated analytically in many contexts. Like AIC, FIC can be understood as an unbiased estimator of the model predictive performance and is therefore identical to AIC for regular models in the large-observation-number limit ($N\\rightarrow \\infty$) . In the presence of unidentifiable parameters, the complexity exhibits a more general, non-AIC-like scaling ($\\gg N^0$). For instance, both BIC-like ($\\propto\\log N$) and Hannan-Quinn-like ($\\propto \\log \\log N$) scaling with observation number $N$ are observed. Unlike the Bayesian model selection approach, FIC is free from {\\it ad hoc} prior probability distributions and appears to be widely applicable to model selection problems. Finally we demonstrate that FIC (information-based inf...

  19. A survey of cancer patients' unmet information and coordination needs in handovers -- a cross-sectional study

    DEFF Research Database (Denmark)

    Søndergaard, Eva Gad; Grøne, Bettina Haastrup; Wulff, Christian Nielsen; Larsen, Pia Veldt; Søndergaard, Jens

    2013-01-01

    handovers. The objectives of this study were to examine cancer patients' unmet needs for information and coordination in handovers and to analyse the association between patients' demographic and clinical characteristics and unmet information and coordination needs.......The care responsibilities for cancer patients are frequently handed over from one healthcare professional to another. These handovers are known to pose a threat to the safety of patients and the efficiency of the healthcare system. Little is known about specific needs of cancer patients in...

  20. Internet Use Frequency and Patient-Centered Care: Measuring Patient Preferences for Participation Using the Health Information Wants Questionnaire

    Science.gov (United States)

    Wang, Mo; Feldman, Robert; Zhou, Le

    2013-01-01

    Background The Internet is bringing fundamental changes to medical practice through improved access to health information and participation in decision making. However, patient preferences for participation in health care vary greatly. Promoting patient-centered health care requires an understanding of the relationship between Internet use and a broader range of preferences for participation than previously measured. Objective To explore (1) whether there is a significant relationship between Internet use frequency and patients’ overall preferences for obtaining health information and decision-making autonomy, and (2) whether the relationships between Internet use frequency and information and decision-making preferences differ with respect to different aspects of health conditions. Methods The Health Information Wants Questionnaire (HIWQ) was administered to gather data about patients’ preferences for the (1) amount of information desired about different aspects of a health condition, and (2) level of decision-making autonomy desired across those same aspects. Results The study sample included 438 individuals: 226 undergraduates (mean age 20; SD 2.15) and 212 community-dwelling older adults (mean age 72; SD 9.00). A significant difference was found between the younger and older age groups’ Internet use frequencies, with the younger age group having significantly more frequent Internet use than the older age group (younger age group mean 5.98, SD 0.33; older age group mean 3.50, SD 2.00; t 436=17.42, P<.01). Internet use frequency was positively related to the overall preference rating (γ=.15, P<.05), suggesting that frequent Internet users preferred significantly more information and decision making than infrequent Internet users. The relationships between Internet use frequency and different types of preferences varied: compared with infrequent Internet users, frequent Internet users preferred more information but less decision making for diagnosis (γ=.57