WorldWideScience

Sample records for based patient information

  1. Readability analysis of internet-based patient information regarding skull base tumors.

    Science.gov (United States)

    Misra, Poonam; Kasabwala, Khushabu; Agarwal, Nitin; Eloy, Jean Anderson; Liu, James K

    2012-09-01

    Readability is an important consideration in assessing healthcare-related literature. In order for a source of information to be the most beneficial to patients, it should be written at a level appropriate for the audience. The National Institute of Health recommends that health literature be written at a maximum level of sixth grade. This is not uniformly found in current health literature, putting patients with lower reading levels at a disadvantage. In February 2012, healthcare-oriented education resources were retrieved from websites obtained using the Google search phrase skull base tumors. Of the first 25 consecutive, unique website hits, 18 websites were found to contain information for patients. Ten different assessment scales were utilized to assess the readability of the patient-specific web pages. Patient-oriented material found online for skull base tumors was written at a significantly higher level than the reading level of the average US patient. The average reading level of this material was found to be at a minimum of eleventh grade across all ten scales. Health related material related to skull base tumors available through the internet can be improved to reach a larger audience without sacrificing the necessary information. Revisions of this material can provide significant benefit for average patients and improve their health care. PMID:22810759

  2. [Development of Internet-based system to collect and provide drug information for patients/consumers].

    Science.gov (United States)

    Kurimoto, Fuki; Hori, Satoko; Satoh, Hiroki; Miki, Akiko; Sawada, Yasufumi

    2013-01-01

    For drug fostering and evolution, it is important to collect information directly from patients on the efficacy and safety of drugs as well as patient needs. At present, however, information gathered by healthcare professionals, pharmaceutical companies, or governments is not sufficient. There is concern that patients may fail to recognize the importance of providing information voluntarily. The present study was conducted to provide drug information to patients/consumers, to enlighten them on the importance of providing drug information by themselves, and to develop an Internet website, called "Minkusu," for collecting drug information from patients. This website is based on a registration system (free of charge). It is designed to provide information on proper drug use, and to collect opinions about drugs. As of May 31, 2012, a total of 1149 people had been registered. The male/female ratio of registered members was approximately 1:1, and patients/consumers accounted for 23%. According to the results of a questionnaire survey, several patient/consumer members appreciated the usefulness of the information service, and they took an opportunity to know of the concepts of drug development and evolution (Ikuyaku, in Japanese) through the information services provided by this site. In conclusion, the developed information system would contribute to the proper use of drugs by patients/consumers and to the promotion of drug development and evolution.

  3. A Systematic Approach to Find a Professional Audiology Clinic: Patient-Based Information.

    Science.gov (United States)

    Kim, Gungu; Kim, Gibbeum; Na, Wondo; Han, Woojae

    2016-09-01

    This brief communication introduced a systematic way to find a professional audiology clinic developed for patients and professionals by the American Academy of Audiology, American Speech-Language-Hearing Association, and Healthy Hearing. Patients can access each organization's website to find professionals and/or clinics based on criteria such as location, hours, special areas, types of service, reviews and rating by previous patients, and kinds of insurance accepted. Such a system may protect the patients from information overload, guarantee accurate information, and help them find themselves professional audiologists who can assist them. We expect professional organizations to adopt this system as soon as possible and link hearing-impaired patients with professional audiologists in Korea. PMID:27626086

  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.

  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. An Efficient User Interface Design for Nursing Information System Based on Integrated Patient Order Information.

    Science.gov (United States)

    Chu, Chia-Hui; Kuo, Ming-Chuan; Weng, Shu-Hui; Lee, Ting-Ting

    2016-01-01

    A user friendly interface can enhance the efficiency of data entry, which is crucial for building a complete database. In this study, two user interfaces (traditional pull-down menu vs. check boxes) are proposed and evaluated based on medical records with fever medication orders by measuring the time for data entry, steps for each data entry record, and the complete rate of each medical record. The result revealed that the time for data entry is reduced from 22.8 sec/record to 3.2 sec/record. The data entry procedures also have reduced from 9 steps in the traditional one to 3 steps in the new one. In addition, the completeness of medical records is increased from 20.2% to 98%. All these results indicate that the new user interface provides a more user friendly and efficient approach for data entry than the traditional interface. PMID:27332405

  7. Improving access to computer-based library and drug information services in patient-care areas.

    Science.gov (United States)

    Tobia, R C; Bierschenk, N F; Knodel, L C; Bowden, V M

    1990-01-01

    A project to increase access to drug and biomedical information through electronic linkage of drug information and library services to three patient-care areas is described. In February 1987, microcomputer work stations were installed in the Bexar County Hospital District's hospital emergency department, medical residents' office, and ambulatory-care clinic, as well as in The University of Texas Health Science Center's library reference area and drug information service office. Drug information was available on compact disk through the Micromedex Computerized Clinical Information System (CCIS) database, which includes DRUGDEX, POISINDEX, EMERGINDEX, and IDENTIDEX. Each work station was also connected to the library's computer via modem, allowing access to the Library Information System, books, journals, audiovisual materials, miniMEDLINE, and an electronic mail system. During the six-month project, the system was used 5487 times by 702 people. The system was successful in providing drug and other information in clinical settings and in introducing clinical staff members to new information technology. To increase access to the system after the project ended, the CD-ROM version was discontinued, and the distributed tape version of CCIS for VAX computers was added to the library's online information system, making drug information more available throughout the campus and teaching hospitals. In 1988-89 an average of 200 people accessed the tape version of CCIS each month. Although it is difficult to replace the convenience of an onsite library, at least some drug and biomedical information needs in the clinical setting can be met through computer networking.

  8. 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.

  9. DELirium Prediction Based on Hospital Information (Delphi) in General Surgery Patients.

    Science.gov (United States)

    Kim, Min Young; Park, Ui Jun; Kim, Hyoung Tae; Cho, Won Hyun

    2016-03-01

    To develop a simple and accurate delirium prediction score that would allow identification of individuals with a high probability of postoperative delirium on the basis of preoperative and immediate postoperative data.Postoperative delirium, although transient, is associated with adverse outcomes after surgery. However, there has been no appropriate tool to predict postoperative delirium.This was a prospective observational single-center study, which consisted of the development of the DELirium Prediction based on Hospital Information (Delphi) score (n = 561) and its validation (n = 533). We collected potential risk factors for postoperative delirium, which were identified by conducting a comprehensive review of the literatures.Age, low physical activity, hearing impairment, heavy alcoholism, history of prior delirium, intensive care unit (ICU) admission, emergency surgery, open surgery, and increased preoperative C-reactive protein were identified as independent predictors of postoperative delirium. The Delphi score was generated using logistic regression coefficients. The maximum Delphi score was 15 and the optimal cut-off point identified with the Youden index was 6.5. Generated area under the (AUC) of the receiver operating characteristic (ROC) curve was 0.911 (95% CI: 0.88-0.94). In the validation study, the calculated AUC of the ROC curve based on the Delphi score was 0.938 (95% Cl: 0.91-0.97). We divided the validation cohort into the low-risk group (Delphi score 0-6) and high-risk group (7-15). Sensitivity of Delphi score was 80.8% and specificity 92.5%.Our proposed Delphi score could help health-care provider to predict the development of delirium and make possible targeted intervention to prevent delirium in high-risk surgery patients.

  10. 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.

  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. A System Design for Studying Geriatric Patients with Dementia and Hypertension Based on Daily Living Information

    Science.gov (United States)

    Xu, Weifeng; Betz, Willian R.; Frezza, Stephen T.; Liu, Yunkai

    2011-08-01

    Geriatric patients with dementia and hypertension (DAH) suffer both physically and financially. The needs of these patients mainly include improving the quality of daily living and reducing the cost of long-term care. Traditional treatment approaches are strained to meet these needs. The goal of the paper is to design an innovative system to provide cost-effective quality treatments for geriatric patients with DAH by collecting and analyzing the multi-dimensional personal information, such as observations in daily living (ODL) from a non-clinical environment. The proposed ODLs in paper include activities, cleanliness, blood pressure, medication compliance and mood changes. To complete the system design, an incremental user-centered strategy is exploited to assemble needs of patients, caregivers, and clinicians. A service-oriented architecture (SOA) is employed to make full use of existing devices, software systems, and platforms. This health-related knowledge can be interpreted and utilized to help patients with DAH remain in their homes safely and improve their life quality while reducing medical expenditures.

  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. 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...... responses. Subthemes related to the former included individual preferences and perceptions of effect, while subthemes related to the latter were comprehensibility and layout. Based on these observations the patient representatives provided suggestions for improvement, which largely included development...

  18. 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).

  19. 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

  20. Patient information leaflets: friend or foe?

    Science.gov (United States)

    Pines, A

    2015-10-01

    Every registered medication has an information insert in its package. This patient leaflet provides information on the product, which includes clinical pharmacology, recommended dose, mode of administration, how supplied, and a large section contains warnings and contraindications, adverse reactions, and precautions. Most of the prescribers do not read the patient information leaflets and do not discuss it with the users, whereas some patients do read it thoroughly. This may create worries and uncertainties resulting in reduced compliance to treatment. With easy access of patients to information on drugs that they use, mainly through the electronic media, it is very important that the text and contents of these patient leaflets are simple to understand and readable. Although information from official health agencies is superior to net-based sources, the patient information leaflets should be improved and become more user-friendly and less frightening. PMID:25668438

  1. 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

  2. Patient choice, Internet based information sources, and perceptions of health care: Evidence from Sweden using survey data from 2010 and 2013

    OpenAIRE

    Wahlstedt, Emma; Ekman, Björn

    2016-01-01

    Background Several countries have increased patients’ abilities to choose their health care providers, frequently under the assumption that patients are themselves the best agents to make such decisions. In parallel, national and regional health authorities have enhanced access to Internet based information sources (IBIS) to assist patients in making an informed choice. Relatively little, however, is known about the effect that the use of such sources has on key outcomes, including patients’ ...

  3. Informed patients: legal fiction or reality?

    NARCIS (Netherlands)

    Brink-Muinen, A. van den; Dulmen, S. van; Bensing, J.

    2003-01-01

    Background: Shared decision making is based on the assumption that it is acceptable, even important and probably favourable to involve patients in the decision-making process. To achieve this goal, patients need to be informed about the content and the aim of the treatment, alternative treatments, p

  4. 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...

  5. How can clinical biobanks and patient information be adapted for research – Establishing a hospital based data warehouse solution

    Directory of Open Access Journals (Sweden)

    Wenche Reed

    2012-04-01

    Full Text Available The use of human biological material and related clinical information is central in basic research, translational research and clinical research. Extracting this information from hospital information systems is time-consuming and labor intensive. Establishing a data warehouse is a possible solution to extract the information in an efficient and secure way. An information model for a data warehouse has been developed at the Oslo University Hospital in collaboration with Akershus University Hospital. Being hospitals, the overall information model is patientcentered. The model also allows for appropriate data exchange between different organizations. The model is described with a focus on some of the major conditions for success with respect to the legal and organizational framework of Norwegian hospitals. A web-based information and tracking system for clinical biobanks is an important element of the model, and one of the aims of the national project Biobank Norway

  6. 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.

  7. 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

  8. 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

  9. 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

  10. Using information technology for patient education: realizing surplus value?

    Science.gov (United States)

    Stoop, Arjen P; van't Riet, Annemarie; Berg, Marc

    2004-08-01

    Computer-based patient information systems are introduced to replace traditional forms of patient education like brochures, leaflets, videotapes and, to a certain extent, face-to-face communication. In this paper, we claim that though computer-based patient information systems potentially have many advantages compared to traditional means, the surplus value of these systems is much harder to realize than often expected. By reporting on two computer-based patient information systems, both found to be unsuccessful, we will show that building computer-based patient information systems for patient education requires a thorough analysis of the advantages and limitations of IT compared to traditional forms of patient education. When this condition is fulfilled, however, these systems have the potential to improve health status and to be a valuable supplement to (rather than a substitute for) traditional means of patient education. PMID:15288913

  11. Using information technology for patient education: realizing surplus value?

    Science.gov (United States)

    Stoop, Arjen P; van't Riet, Annemarie; Berg, Marc

    2004-08-01

    Computer-based patient information systems are introduced to replace traditional forms of patient education like brochures, leaflets, videotapes and, to a certain extent, face-to-face communication. In this paper, we claim that though computer-based patient information systems potentially have many advantages compared to traditional means, the surplus value of these systems is much harder to realize than often expected. By reporting on two computer-based patient information systems, both found to be unsuccessful, we will show that building computer-based patient information systems for patient education requires a thorough analysis of the advantages and limitations of IT compared to traditional forms of patient education. When this condition is fulfilled, however, these systems have the potential to improve health status and to be a valuable supplement to (rather than a substitute for) traditional means of patient education.

  12. 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.

  13. Atlas-based neuroinformatics via MRI: harnessing information from past clinical cases and quantitative image analysis for patient care.

    Science.gov (United States)

    Mori, Susumu; Oishi, Kenichi; Faria, Andreia V; Miller, Michael I

    2013-01-01

    With the ever-increasing amount of anatomical information radiologists have to evaluate for routine diagnoses, computational support that facilitates more efficient education and clinical decision making is highly desired. Despite the rapid progress of image analysis technologies for magnetic resonance imaging of the human brain, these methods have not been widely adopted for clinical diagnoses. To bring computational support into the clinical arena, we need to understand the decision-making process employed by well-trained clinicians and develop tools to simulate that process. In this review, we discuss the potential of atlas-based clinical neuroinformatics, which consists of annotated databases of anatomical measurements grouped according to their morphometric phenotypes and coupled with the clinical informatics upon which their diagnostic groupings are based. As these are indexed via parametric representations, we can use image retrieval tools to search for phenotypes along with their clinical metadata. The review covers the current technology, preliminary data, and future directions of this field.

  14. 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

  15. 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...

  16. 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

  17. High-quality Health Information Provision for Stroke Patients

    Institute of Scientific and Technical Information of China (English)

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

    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.

  18. 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.

  19. 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...

  20. Informing the cancer patient and family.

    Science.gov (United States)

    Kallergis, G

    2009-01-01

    One of the questions the therapist poses himself while informing a patient is: whom shall I inform about the diagnosis, treatment and prognosis? If we unconditionally accepted the view that information belongs to the patient from an ethical and legal standpoint, we would automatically exclude the partner and the family. Therefore, the therapist should raise another question: what is the benefit to the patient? To answer the question and the resulting dilemma, we have to leverage the long experience of family therapy and tailor it to the cases we are dealing with. It should be taken into consideration that patient and family are a dynamic system which was balanced before the onset of the disease, but is now disrupted, entering into crisis. Therefore, denial mechanism and personality characteristics we have previously elaborated on, and communication among members play a crucial role in determining the information strategy and the way family should be approached. The steps to approach the patient - family are: 1) Firstly, we evaluate the patient's degree of denial and personality characteristics. Then we receive information about the patient's family so that we can have a rough idea about intrafamily dynamics. 2) Then we gather information from the nurses about the family atmosphere: simple information about the patient's and relatives' relationship like who comes to the hospital, who shows interest in the patient, whether someone is being quarrelsome or not are crucial to assess the dynamics of their relationships. 3) We summon patient and family members in our office. 4) We decide on the steps to inform the patient, and we apply them. Involving family members with the patient seems to improve the results of information and forge concession and therapeutic alliance, which are necessary parameters in the therapeutic follow-up. Usually, doctors and nurses approach patient and family using their experience. Therefore, we need a training that will equip health

  1. 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...

  2. 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.)

  3. 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...

  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

    Patient compliance is key to successful treatment of patients in day surgery. Noncompliance can put the patient at risk and is costly. To increase patient compliance, patient empowerment is essential. Patients having day surgery are responsible for preparing them self for surgery and postoperative...... to empower patients through tailored individualized information. Performing 6500 operations per year at our Day Surgery Centre, health professionals need a computer based system to create individualized information material. Health professionals must be able to adapt the information material quickly...... 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 supports...

  5. 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.

  6. 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

  7. 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...

  8. 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

  9. Increasing information accessibility for patients in obstetrics-gynecology domain.

    Science.gov (United States)

    Crişan-Vida, Mihaela; Stoicu-Tivadar, Lăcrămioara

    2014-01-01

    It is important for the patient to have access to personal medical information in order to manage information for increased quality of medical care and life. The paper presents a module added to an Obstetrics-Gynaecology Department information system (OGD IS) supporting patient empowerment. The patient is accessing the system easily using laptops or mobile devices. The application accessed by the patient is web-based, implemented in Visual Studio. NET, using ASP.NET pages and C# language, and the application is published in the Windows Azure cloud. The solution is user friendly using familiar devices and is ubiquitous using the cloud solution. A module for translating medical terms in colloquial ones is integrated in the system. For certain situations the patient will get information related to life style influencing health status as how and what to eat or what type of exercise it is recommended.

  10. 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

  11. The Influence of Health Literacy and Patient Activation on Patient Information Seeking and Sharing.

    Science.gov (United States)

    Ledford, Christy J W; Cafferty, Lauren A; Russell, Travis C

    2015-01-01

    This study provided an assessment of how patients looked for information to prepare for a clinical appointment and whether they shared those findings with their provider. A cross-sectional survey allowed insight into patient attitudes, motivations, and behavior in clinical real time. At two hospital-based clinics, 243 patients completed surveys before and after clinical appointments. Younger patients with higher communicative and critical health literacy prepared for clinical appointments with information searches. The predicted association of health literacy and patient activation with information sharing was not supported. This study shows that patients with higher patient activation perceived that their providers responded more positively to patient-obtained medical information. The role of critical health literacy may show that individuals choosing to seek information are considering not just their ability to conduct the search but also their ability to synthesize and critically analyze the results of the information search. An implication for providers is to become skilled in directly asking or passively surveying what outside information sources the patient has engaged with, no matter if the patient does or does not introduce the information.

  12. 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.

  13. 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

  14. 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

  15. 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

  16. Processing of laser Doppler flowmetry signals from healthy subjects and patients with varicose veins: Information categorisation approach based on intrinsic mode functions and entropy computation.

    Science.gov (United States)

    Humeau-Heurtier, Anne; Klonizakis, Markos

    2015-06-01

    The diagnosis of pathologies from signal processing approaches has shown to be of importance. This can provide noninvasive information at the earliest stage. In this work, the problem of categorising - in a quantifiable manner - information content of microvascular blood flow signals recorded in healthy participants and patients with varicose veins is addressed. For this purpose, laser Doppler flowmetry (LDF) signals - that reflect microvascular blood flow - recorded both at rest and after acetylcholine (ACh) stimulation (an endothelial-dependent vasodilator) are analyzed. Each signal is processed with the empirical mode decomposition (EMD) to obtain its intrinsic mode functions (IMFs). An entropy measure of each IMFs is then computed. The results show that IMFs of LDF signals have different complexity for different physiologic/pathological states. This is true both at rest and after ACh stimulation. Thus, the proposed framework (EMD + entropy computation) may be used to gain a noninvasive understanding of LDF signals in patients with microvascular dysfunctions.

  17. 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...

  18. 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.

  19. Intraoperative patient information handover between anesthesia providers

    Science.gov (United States)

    Choromanski, Dominik; Frederick, Joel; McKelvey, George Michael; Wang, Hong

    2014-01-01

    Abstract Currently, no reported studies have evaluated intraoperative handover among anesthesia providers. Studies on anesthetic handover in the US recovery room setting observed that handover processes are insufficient and, in many instances, significant intraoperative events are disregarded. An online survey tool was sent to anesthesia providers at US anesthesia residency programs nationwide (120 out of the 132 US programs encompassing around 4500 residents and their academic MDAs) and a smaller survey selection of CRNAs (10 institutions about 300 CRNAs in the metropolitan area of Detroit, MI, USA) to collect information on handover practices. The response rate to this survey (n = 216) was comprised of approximately 5% (n = 71) of the resident population in US anesthesia programs, 5% (n = 87) of MDAs , and 20% (n = 58) of the CRNAs. Out of all respondents (n = 212), 49.1 % had no hand-over protocol at their institution and 88% of respondents who did have institutional handover protocols believed them insufficient for effective patient handover. In addiiton, 84.8% of all responders reported situations where there was insufficient information received during a patient handover. Only 7% of the respondents reported never experiencing complications or mismanagement due to poor or incomplete hand-overs. In contrast, 60% reported rarely having complications, 31% reported sometimes having complications, and 3% reported frequent complications. In conclusion, handover transition of patient care is a vulnerable and potentially life-threatening event in the operating room. Our preliminary study suggests that current intraoperatvive handover practices among anesthesia providers are suboptimal and that national patient handover guidelines are required to improve patient safety. PMID:25332710

  20. Management Guidelines for Patients Choosing the Renal Supportive Care (RSC) Pathway: Information and Web-based Treatment Protocols Available to All.

    Science.gov (United States)

    Crail, Susan M

    2013-04-16

    Available guidelines fall into 2 categories - medication guides and service provision guides Few guidelines exist for the management of patients choosing to not have dialysis apart from those covering end of life (EOL) management and general ones for the management of chronic kidney disease. Most guidelines are only based on low level evidence, relying on expert opinion or current practice. This limits their usage when advising on matters such as trials of dialysis and caution should be applied when discussing these matters. More data is needed before firmer recommendations can be made. Units in Australia and New Zealand should consider maintaining registers of 'at risk' patients to allow greater input into symptom management and end-of-life support.

  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. 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.

  4. Context based multimedia information retrieval

    DEFF Research Database (Denmark)

    Mølgaard, Lasse Lohilahti

    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...... topics from a large collection of the transcribed speech to improve retrieval of spoken documents. The context modelling is done using a variant of probabilistic latent semantic analysis (PLSA), to extract properties of the textual sources that refl ect how humans perceive context. We perform PLSA...... of Wikipedia , as well as text-based semantic similarity. The final aspect investigated is how to include some of the structured data available in Wikipedia to include temporal information. We show that a multiway extension of PLSA makes it possible to extract temporally meaningful topics, better than using...

  5. [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

  6. 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...

  7. 以信息化手段为基础的肠造口患者延续护理实践%Transitional nursing practice for colostomy patient based on information technology

    Institute of Scientific and Technical Information of China (English)

    袁宝芳; 帅敏

    2015-01-01

    Objective: To investigate the effect of transitional care for colostomy patient based on information technology.Methods: For grade A hospitals colostomy surgery patients,we provide transitional nursing based on information technology.Hospital patients and their families to watch video about ostomy care,ostomy care learning manuals patients after discharge by telephone,QQ,or we chat,blog,or e-mail and other information technology platform to obtain timely guidance and assistance of specialist nurses.Result: Totally 152 cases of patients with stoma complications,there are 112 patients in the hospital without having to be able to solve the problem.Conclusion: The majority of hospitals do not have the time dedicated telecare equipment,the use of patients or their families'smartphones,to provide patients with the information in the extended care can improve the quality of care,should be widely applied.%目的:探讨以信息化手段为基础的延续护理在肠造口患者中的应用.方法:对某三级甲等医院肠造口术后患者进行信息化延续护理,住院期间患者及家属观看造口护理视频、学习造口护理手册、接受规范化健康教育与操作指导;出院后患者通过电话、QQ或微信、博客或电子邮件等信息技术手段获得专科护士的及时指导帮助.结果:152例造口并发症的患者中有112例无需到医院就诊就能解决问题.结论:目前大部分医院不具备专用远程护理设备,利用患者或家属的智能手机,为患者提供信息化延续护理能提高护理服务的质量,值得推广应用.

  8. 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

  9. 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.

  10. 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...

  11. 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

  12. Tumor information extraction in radiology reports for hepatocellular carcinoma patients

    Science.gov (United States)

    Yim, Wen-wai; Denman, Tyler; Kwan, Sharon W.; Yetisgen, Meliha

    2016-01-01

    Hepatocellular carcinoma (HCC) is a deadly disease affecting the liver for which there are many available therapies. Targeting treatments towards specific patient groups necessitates defining patients by stage of disease. Criteria for such stagings include information on tumor number, size, and anatomic location, typically only found in narrative clinical text in the electronic medical record (EMR). Natural language processing (NLP) offers an automatic and scale-able means to extract this information, which can further evidence-based research. In this paper, we created a corpus of 101 radiology reports annotated for tumor information. Afterwards we applied machine learning algorithms to extract tumor information. Our inter-annotator partial match agreement scored at 0.93 and 0.90 F1 for entities and relations, respectively. Based on the annotated corpus, our sequential labeling entity extraction achieved 0.87 F1 partial match, and our maximum entropy classification relation extraction achieved scores 0.89 and 0. 74 F1 with gold and system entities, respectively. PMID:27570686

  13. Tumor information extraction in radiology reports for hepatocellular carcinoma patients.

    Science.gov (United States)

    Yim, Wen-Wai; Denman, Tyler; Kwan, Sharon W; Yetisgen, Meliha

    2016-01-01

    Hepatocellular carcinoma (HCC) is a deadly disease affecting the liver for which there are many available therapies. Targeting treatments towards specific patient groups necessitates defining patients by stage of disease. Criteria for such stagings include information on tumor number, size, and anatomic location, typically only found in narrative clinical text in the electronic medical record (EMR). Natural language processing (NLP) offers an automatic and scale-able means to extract this information, which can further evidence-based research. In this paper, we created a corpus of 101 radiology reports annotated for tumor information. Afterwards we applied machine learning algorithms to extract tumor information. Our inter-annotator partial match agreement scored at 0.93 and 0.90 F1 for entities and relations, respectively. Based on the annotated corpus, our sequential labeling entity extraction achieved 0.87 F1 partial match, and our maximum entropy classification relation extraction achieved scores 0.89 and 0. 74 F1 with gold and system entities, respectively. PMID:27570686

  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. 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...

  16. Recall in Older Cancer Patients: Measuring Memory for Medical Information

    Science.gov (United States)

    Jansen, Jesse; van Weert, Julia; van der Meulen, Nienke; van Dulmen, Sandra; Heeren, Thea; Bensing, Jozien

    2008-01-01

    Purpose: Remembering medical treatment information may be particularly taxing for older cancer patients, but to our knowledge this ability has never been assessed in this specific age group only. Our purpose in this study was to investigate older cancer patients' recall of information after patient education preceding chemotherapy. Design and…

  17. 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...

  18. 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...... retrieval. This utilization of ontologies has a number of challenges. Our focus is on the use of similarity measures derived from the knowledge about relations between concepts in ontologies, the recognition of semantic information in texts and the mapping of this knowledge into the ontologies in use......, 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...

  19. Associations Between Patient Characteristics and the Amount of Arthritis Medication Information Patients Receive.

    Science.gov (United States)

    Geryk, Lorie Love; Blalock, Susan; DeVellis, Robert F; Morella, Kristen; Carpenter, Delesha Miller

    2016-10-01

    Little is known about factors associated with the receipt of medication information among arthritis patients. This study explores information source receipt and associations between demographic and clinical/patient characteristics and the amount of arthritis medication information patients receive. Adult patients with osteoarthritis (OA) or rheumatoid arthritis (RA; n = 328) completed an online cross-sectional survey. Patients reported demographic and clinical/patient characteristics and the amount of arthritis medication information received from 15 information sources. Bivariate and multivariate linear regression analyses were used to investigate whether those characteristics were associated with the amount of medication information patients received. Arthritis patients received the most information from health professionals, followed by printed materials, media sources, and interpersonal sources. Greater receipt of information was associated with greater medication adherence, taking more medications, greater medication-taking concerns, more satisfaction with doctor medication-related support, and Black compared to White race. RA patients reported receiving more information compared to OA patients, and differences were found between RA patients and OA patients in characteristics associated with more information receipt. In conclusion, arthritis patients received the most medication information from professional sources, and both positive (e.g., greater satisfaction with doctor support) and negative (e.g., more medication-taking concerns) characteristics were associated with receiving more medication information.

  20. Associations Between Patient Characteristics and the Amount of Arthritis Medication Information Patients Receive.

    Science.gov (United States)

    Geryk, Lorie Love; Blalock, Susan; DeVellis, Robert F; Morella, Kristen; Carpenter, Delesha Miller

    2016-10-01

    Little is known about factors associated with the receipt of medication information among arthritis patients. This study explores information source receipt and associations between demographic and clinical/patient characteristics and the amount of arthritis medication information patients receive. Adult patients with osteoarthritis (OA) or rheumatoid arthritis (RA; n = 328) completed an online cross-sectional survey. Patients reported demographic and clinical/patient characteristics and the amount of arthritis medication information received from 15 information sources. Bivariate and multivariate linear regression analyses were used to investigate whether those characteristics were associated with the amount of medication information patients received. Arthritis patients received the most information from health professionals, followed by printed materials, media sources, and interpersonal sources. Greater receipt of information was associated with greater medication adherence, taking more medications, greater medication-taking concerns, more satisfaction with doctor medication-related support, and Black compared to White race. RA patients reported receiving more information compared to OA patients, and differences were found between RA patients and OA patients in characteristics associated with more information receipt. In conclusion, arthritis patients received the most medication information from professional sources, and both positive (e.g., greater satisfaction with doctor support) and negative (e.g., more medication-taking concerns) characteristics were associated with receiving more medication information. PMID:27668523

  1. Patient-Reported Safety Information: A Renaissance of Pharmacovigilance?

    Science.gov (United States)

    Härmark, Linda; Raine, June; Leufkens, Hubert; Edwards, I Ralph; Moretti, Ugo; Sarinic, Viola Macolic; Kant, Agnes

    2016-10-01

    The role of patients as key contributors in pharmacovigilance was acknowledged in the new EU pharmacovigilance legislation. This contains several efforts to increase the involvement of the general public, including making patient adverse drug reaction (ADR) reporting systems mandatory. Three years have passed since the legislation was introduced and the key question is: does pharmacovigilance yet make optimal use of patient-reported safety information? Independent research has shown beyond doubt that patients make an important contribution to pharmacovigilance signal detection. Patient reports provide first-hand information about the suspected ADR and the circumstances under which it occurred, including medication errors, quality failures, and 'near misses'. Patient-reported safety information leads to a better understanding of the patient's experiences of the ADR. Patients are better at explaining the nature, personal significance and consequences of ADRs than healthcare professionals' reports on similar associations and they give more detailed information regarding quality of life including psychological effects and effects on everyday tasks. Current methods used in pharmacovigilance need to optimise use of the information reported from patients. To make the most of information from patients, the systems we use for collecting, coding and recording patient-reported information and the methodologies applied for signal detection and assessment need to be further developed, such as a patient-specific form, development of a severity grading and evolution of the database structure and the signal detection methods applied. It is time for a renaissance of pharmacovigilance.

  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. 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

  4. 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.

  5. Readability of patient information and consent documents in rheumatological studies

    DEFF Research Database (Denmark)

    Hamnes, Bente; van Eijk-Hustings, Yvonne; Primdahl, Jette

    2016-01-01

    BACKGROUND: Before participation in medical research an informed consent must be obtained. This study investigates whether the readability of patient information and consent documents (PICDs) corresponds to the average educational level of participants in rheumatological studies in the Netherlands...

  6. 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...

  7. 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.

  8. 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

  9. 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.

  10. Methodology base and problems of information technologies

    Science.gov (United States)

    Sovetov, Boris Y.

    1993-04-01

    Information product qualitative forming and effective use is the aim of any information technology. Information technology as a system provides both computer-aided problem solving for the user and automation of information processes, which in turn support the problem solving process. That's why the information technology methods are the methods for data transmission, processing, and storage. The tools of methodology, mathematics, algorithms, hardware, software, and information are the tools of information technology. We propose to differ between global, basic, and applied information technologies depending on information product significance and characteristics of models, methods, and tools used. The global technology is aimed to use information resources in the social sphere as a whole. The basic technology is oriented on the application sphere (industry, scientific research, design, training). Transition towards new information technology should have in its concern business area model merged with the formal model of problem solving: computing organization based on the data concept; user's intellectual interface development.

  11. 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.

  12. 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

  13. 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.

  14. [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

  15. [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.

  16. Latinos and Cancer Information: Perspectives of Patients, Health Professionals and Telephone Cancer Information Specialists

    Science.gov (United States)

    Kaplan, Celia P.; Nápoles, Anna; Davis, Sharon; Lopez, Monica; Pasick, Rena J.; Livaudais-Toman, Jennifer; Pérez-Stable, Eliseo J.

    2016-01-01

    Semi-structured interviews were conducted with 16 Latino cancer patients diagnosed in California; 10 health professionals from the San Francisco Bay Area and Fresno, California; and 10 Cancer Information Services (CIS) information specialists from the regional offices handling calls from Spanish-speakers. Interview guides were designed by the investigators to answer three main research questions: 1) How do Latinos obtain information about cancer and what types of information do they access?; 2) What sources of cancer information do they seek out and find credible?; and 3) What are the barriers and facilitators to Latinos obtaining cancer information? Stakeholders generally viewed health professionals as the most credible source of cancer information. All groups regarded family and friends as important sources of information. Patients and health professionals tended to differ on the value of print materials. Although patients found them generally useful, health professionals tended to view them as inadequate for meeting the informational needs of their Latino patients due to the challenge of low health literacy. Health professionals also tended to undervalue Internet resources compared to patients and CIS specialists. All stakeholders viewed language, ethnic discordance and the impact on patients of the initial diagnosis as barriers to effective communication of cancer information. Health professionals and CIS specialists, but not patients, mentioned low literacy as a barrier. Our findings underscore the importance of the physician-patient relationship as a point of intervention to address the unmet informational and psychosocial needs of Latino cancer patients.

  17. 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

  18. 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.

  19. Neuroticism and reactions to social comparison information among cancer patients

    NARCIS (Netherlands)

    Van der Zee, K; Buunk, B; Sanderman, R

    1998-01-01

    In an experimental study neuroticism was examined as a moderator of breast cancer patients' affective reactions to social comparison information about a fellow patient. Fifty-seven women with breast cancer completed Eysenck's Personality Questionnaire and received social comparison information about

  20. Seeking health information: what sources do your patients use?

    Science.gov (United States)

    Cutilli, Carolyn Crane

    2010-01-01

    Healthcare professionals believe that it is important for patients to be educated about health for optimal outcomes. For education to occur, healthcare professionals need to know where patients seek information. The concept of health information-seeking behavior (HISB) focuses on how patients obtain information (strategies/actions). Theories/ models are presented to describe how patients obtain information and what they do with information that is available. The most recent HISB research has examined the use of the Internet for health information. Although the Internet is utilized by many individuals, studies show that the most common and trusted source of information is healthcare professionals. Individuals use other sources of health information (e.g., TV, radio, newspaper, magazines, Internet, and family/friends/coworkers) to supplement information provided by healthcare professionals. When and how individuals use supplemental information varies and is associated with many factors such as race, education, income, health literacy, and health status. Utilizing health information also depends on an individual's health orientation. As nurses, we need to utilize knowledge about HISB to assist patients in obtaining health information to optimize health outcomes.

  1. 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...

  2. 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

  3. 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.

  4. Readability of patient information can be improved

    DEFF Research Database (Denmark)

    Pilegaard, Morten; Ravn, Hanne Berg

    2012-01-01

    Introduction: The number of participants in medical experiments has declined and consent often rests on perilous ground because the participant information sheet (PIS) on which informed consent rests preserves identification with the expert environment. This study explores to which extent research...... 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...

  5. 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…

  6. 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.

  7. 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...

  8. 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.

  9. 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 ...

  10. 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...

  11. 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.

  12. The role of patient-clinician information engagement and information seeking from nonmedical channels in fruit and vegetable intake among cancer patients.

    Science.gov (United States)

    Moldovan-Johnson, Mihaela; Martinez, Lourdes; Lewis, Nehama; Freres, Derek; Hornik, Robert C

    2014-12-01

    Previous research suggests positive effects of health information seeking on prevention behaviors such as diet, exercise, and fruit and vegetable consumption. The present study builds upon this research and strengthens causal claims from it by examining the lagged effect of patient-clinician information engagement on fruit and vegetable consumption as well as the indirect effect on the outcome through seeking information from nonmedical channels. The results are based on data collected from a randomly drawn sample of breast, prostate, and colorectal cancer patients from the Pennsylvania Cancer Registry who completed mail surveys in the Fall of 2006 and 2007. There was a 65% response rate for baseline subjects (resulting n = 2,013); of those, 1,293 were interviewed 1 year later, and 1,257 were available for our analyses. Results show a positive lagged main effect of patient-clinician information engagement at baseline on fruit and vegetable consumption at follow-up (B = 0.26, SE = 0.10, p = .01). The mediation analysis shows that patient-clinician information engagement leads to increased fruit and vegetable consumption among cancer patients, in part through patients' information seeking from nonmedical channels. Implications of these findings for the cancer patient population and for physicians are discussed.

  13. 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.

  14. Information security requirements in patient-centred healthcare support systems.

    Science.gov (United States)

    Alsalamah, Shada; Gray, W Alex; Hilton, Jeremy; Alsalamah, Hessah

    2013-01-01

    Enabling Patient-Centred (PC) care in modern healthcare requires the flow of medical information with the patient between different healthcare providers as they follow the patient's treatment plan. However, PC care threatens the stability of the balance of information security in the support systems since legacy systems fall short of attaining a security balance when sharing their information due to compromises made between its availability, integrity, and confidentiality. Results show that the main reason for this is that information security implementation in discrete legacy systems focused mainly on information confidentiality and integrity leaving availability a challenge in collaboration. Through an empirical study using domain analysis, observations, and interviews, this paper identifies a need for six information security requirements in legacy systems to cope with this situation in order to attain the security balance in systems supporting PC care implementation in modern healthcare.

  15. Implementing AORN recommended practices for transfer of patient care information.

    Science.gov (United States)

    Seifert, Patricia C

    2012-11-01

    The Joint Commission estimates that 80% of serious medical errors are associated with miscommunication during patient transfers. Patient transfers may occur between a wide array of settings: between physicians' offices or preoperative areas and traditional ORs or ambulatory settings, between emergency departments or interventional suites and the OR, and between other areas where the exchange of patient information occurs. AORN's "Recommended practices for transfer of patient care information" serves as a guide for establishing achievable practices that promote a safe level of care during perioperative patient transfers. Strategies for the successful implementation of the recommended practices include promoting teamwork, including with the patient and the patient's family members; developing effective communication skills; documenting processes; creating and adhering to policies and procedures; and establishing quality management programs.

  16. 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

  17. INFORMATION-BASED CONFLICT IN AFRICA

    OpenAIRE

    Brett Van Niekerk; Manoj S. Maharaj

    2013-01-01

    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 auth...

  18. 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...

  19. 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.

  20. 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.

  1. 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.

  2. Managing the unmet psychosocial and information needs of patients with cancer

    Directory of Open Access Journals (Sweden)

    Kathleen Abrahamson

    2010-11-01

    Full Text Available Kathleen Abrahamson1, Morgan Durham1, Rebekah Fox21Department of Public Health, Western Kentucky University, Bowling Green, KY, USA; 2Department of Communication, Texas State University, San Marcos, TX, USAAbstract: In this article, we synthesize current literature regarding the unmet needs of cancer patients, with a specific focus on interventions that address psychosocial distress, social support, and information deficits. Research indicates many patients diagnosed with cancer express unmet needs in terms of emotional distress, decision-making support, and practical concerns such as childcare, transportation, and financial assistance. Four types of system-level barriers to the meeting of patient psychosocial and information-based needs emerge from the literature: underidentification of needs due to inadequate assessment, time constraints on cancer care providers, lack of adequate reimbursement for psychosocial and information services, and barriers related to communication of disease-related information. There is also evidence that unmet need, especially unmet information need, is related to the level of patient health literacy. Patient empowerment through the resolution of unmet needs increases patient participation in care, and is especially crucial in regards to understanding risks and benefits of treatment. There is evidence that some interventions are effective for some patients, and that even relatively simple interventions can reduce psychosocial and information-based needs. The challenge is therefore to discover which intervention will be effective for each individual patient, and to attain the skills and resources necessary to intervene appropriately.Keywords: cancer, unmet need, health literacy, intervention

  3. 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

  4. Model transformation based information system modernization

    Directory of Open Access Journals (Sweden)

    Olegas Vasilecas

    2013-03-01

    Full Text Available Information systems begin to date increasingly faster because of rapidly changing business environment. Usually, small changes are not sufficient to adapt complex legacy information systems to changing business needs. A new functionality should be installed with the requirement of putting business data in the smallest possible risk. Information systems modernization problems are beeing analyzed in this paper and a method for information system modernization is proposed. It involves programming code transformation into abstract syntax tree metamodel (ASTM and model based transformation from ASTM into knowledge discovery model (KDM. The method is validated on example for SQL language.

  5. Paper electrocardiograph strips may contain overlooked clinical information in screen-detected type 2 diabetes patients

    DEFF Research Database (Denmark)

    Fleischer, Jesper; Charles, Morten; Tarnow, Lise;

    2012-01-01

    manually but may contain overlooked information revealing cardiac autonomic dysfunction. The aim of this study was to investigate whether clinical information may be lost using manual R wave to R wave (RR) interval measurements in the calculation of heart rate variability (HRV) in patients with type 2......2DM patients. CONCLUSIONS: Paper ECG strips may contain overlooked clinical information on the status of autonomic function in patients with T2DM. In our study, manual measurements of RR intervals were inferior to the computer-assisted method. Based on this study, we recommend cautiousness...

  6. 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...

  7. Product Information Platform Based on STEP

    Institute of Scientific and Technical Information of China (English)

    WANG Taiyong; ZHANG Zhiwei

    2009-01-01

    The intemational standard ISO 10303.called STEP.has been used to deal with problems in the ex change of product models and the associated data between difierent computer-aided systems.A platform based on STEP for managing product information is presented.This platform includes three components:a product geometry information model,a product feature model and a product visualization model.An information extracting pattern,in which information is extracted from low level elements to high level ones,is adopted in establishing the product geometry information model.Relative elements lists are created based on the extracted product information.With the traversing of these lists,feature extraction methods are proposed,which take advantage of boundary information in product model and avoid the determination of concavity and convexity of curves.Information correlating to features iS stored in a structure named as feature block and the product visualization model iS founded from it.The feature block is used in the platform for information communication and synchronous update among the three components.

  8. 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

  9. Visual Information Processing Based on Qualitative Mapping

    Institute of Scientific and Technical Information of China (English)

    LI Hua; LIU Yongchang; LI Chao

    2007-01-01

    Visual information processing is not only an important research direction in fields of psychology,neuroscience and artificial intelligence etc,but also the research base on biological recognition theory and technology realization.Visual information processing in existence,e.g.visual information processing facing to nerve calculation,visual information processing using substance shape distilling and wavelet under high yawp,ANN visual information processing and etc,are very complex in comparison.Using qualitative Mapping,this text describes the specific attributes in the course of visual information processing and the results are more brief and straightforward.So the software program of vision recognition is probably easier to realize.

  10. 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

  11. 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

  12. 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.

  13. 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. PMID:27482498

  14. 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.

  15. Success Probability Assessment Based on Information Entropy

    Directory of Open Access Journals (Sweden)

    Xuan Chen

    2010-04-01

    Full Text Available The Bayesian method is superior to the classical statistical method on condition of small sample test. However, its evaluation results are not so good if subjective prior information is intervened. The success probability assessment about the success or failure tests of weapon products focussed in this paper, and a fusing evaluation method based on information entropy is proposed. Firstly, data from equivalent surrogate tests is converted into the prior information of an equivalent source by the information entropy theory. Secondly, the prior distribution of the success probability is identified via the Bootstrap method, and the posterior distribution is provided by the Bayesian method with the information of prototype tests in succession. Lastly, an example is given, and the results show that the proposed method is effective and valuable.Defence Science Journal, 2010, 60(3, pp.271-275, DOI:http://dx.doi.org/10.14429/dsj.60.353

  16. Security of healthcare information systems based on the CORBA middleware.

    Science.gov (United States)

    Blobel, B; Holena, M

    1997-01-01

    The development of healthcare systems in accordance to the "Shared Care" paradigm results in co-operative health information systems across the boundaries of organisational, technological, and policy domains. Increasingly, these distributed and heterogeneous systems are based on middleware approaches, such as CORBA. Regarding the sensitivity of personal and medical data, such open, distributed, and heterogeneous health information systems demand a high level of data protection and data security, both with respect to patient information and with respect to users. The security concepts and measures available and additionally needed in health information systems based on CORBA architecture are described in this paper. The proposed security solution is also open to other middleware approaches, such as DHE or HL7.

  17. 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.

  18. 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.

  19. 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.

  20. 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...

  1. Prioritizing the Preferences of Iranian Cancer Patients Regarding Acquisition of Health Information: Strategy for Patient Education.

    Science.gov (United States)

    Zadeh, Jamileh Mahdi; Fard, Farahnaz Ghahreman; Madani, Raihaneh; Iravani, Homa; Kahouei, Mehdi

    2016-01-01

    Recognizing cancer patients' preferences to obtain health information can help improve and reform the methods of communicating and providing proper services and consequently lead to effective patient education. The present cross-sectional study to prioritize the preferences of cancer patients regarding the acquisition of health informationwas conducted on cancer patients referred to hospitals affiliated to Semnan University of Medical Sciences in 2015. An anonymous self-administered questionnaire was developed. In the field of side effects of medications, 50 (46.7%) reported knowing about weight change, in the area of achieving relative health, 62(57.9%) announced awareness about diet, and 45 (42.1%) reported physical complications as a first regarding information needs. In the area of obtaining information, 50 (46.7%) tended to take their information through means outside of the hospital setting. These results can help with design of clinical information systems, as they inform the most relevant and useful coverage designed for cancer patients. Providing useful information through healthcare providers, the media and clinical information systems can act as a major source of social support for cancer patients. PMID:27356722

  2. 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.

  3. 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…

  4. 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

  5. Hiding Information into Palette-Based Image

    Institute of Scientific and Technical Information of China (English)

    WU Hong-tao; ZHU Bo-cheng; YANG Yi-xian

    2005-01-01

    After pointing out the weakness of the known palette-based image information hiding by palette matrix,a new spacial effective robust information hiding algorithm is proposed,which can resist the operation of ‘select all’,‘copy’,‘paste’ from cover to original,and can resist gently modification the palette matrix,and can resist the image format changed between true color image and palette-based image.The hiding capacity can reach 25% of the number of pixel index matrix.Due to the advisement of information hiding security an update algorithm is proposed at the end of the paper,with the capacity reduced and vision effect increased.

  6. 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.

  7. 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...

  8. 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....... The two corpora are analysed and categorised by means of selected theoretical considerations on dangling constructions, and selected examples from the two corpora are analysed by means of a Readability Test Tool (see Simpson 2012), which produces a number of readability indicators. This hypothesis has...

  9. [Consumer study on the use of patient information leaflets].

    Science.gov (United States)

    Leemans, L; Heylen, N; Quanten, A; Deferme, S

    2011-12-01

    The aim of this study was to get a clear idea of the reading frequency of the patient information leaflet (PIL) and to set up a profile of the reader in specific. Apart from that, we also wanted to evaluate the impact of the internet in the patient's search for information on health and medication. Do patients consult the digital PIL and is the FAGG website known by common people? In order to answer these research questions, a specific inquiry was performed in 800 respondents. Some interesting conclusions can be drawn: only one out of four participants reads the full PIL when purchasing a medicine they never used before. People who always read the PIL are mainly older than 65. However, the largest amount of people who never reads the PIL is also situated in the plus 65 scale. In general, men show little interest in reading the PIL unlike woman, who read clearly more often the PIL. The parts of the PIL most often read by patients are the sections on dosage (section 3) and side effects (section 4). Unfortunately, too little attention is paid to the section 2, which contains the most warnings, such as contra-indications. The most important reason why the PIL is not read is because patients believe they get sufficient information from the doctor and the pharmacist. Another remark is that the internet is used by more than half of the respondents to search for health-related information. There is also a remarkable difference between men and woman, men rarely search for health information or information on medicines on the internet. The number of respondents searching for leaflets on the internet is quite limited. Additionally, the Federal Agency Medicines and Health Products (FAMHP) website is unknown to most internet users. We can conclude that the actual PIL is read too little. In order to make the PIL more appealing and even more patient friendly than it is actually, taking patients' needs into account should be a priority. The digital leaflet should be drawn

  10. Construction and Practice of Patients Comprehensive Service Platform in Hospital Based on Information Technology%基于信息技术的医院患者综合服务平台建设

    Institute of Scientific and Technical Information of China (English)

    阮海萍; 李妹霞; 陈建成

    2016-01-01

    Objective To construct a platform of customer service and supervision system with integration of reservation, reception, guidance, convenience, consultation, follow-up, complaint, monitoring, questionnaire and network public opinion supervision .Methods To achieve business integration and to redesign service process based on the information integration and fusion technology .Results The hospital customer service center has adopted the system to establish a communication and interaction platform between the hospital and patients , not on-ly having improved the availability and punctuality of various patient services but also promoted the service aware -ness and quality of hospital staff .Conclusion The system can improve the quality of hospital services and patient satisfaction , create a good public supervision environment , maintain the reputation of the hospital , enhance the hospital brand and competitiveness , and bring social and economic benefits , and thus can be promoted for more prevalent application .%目的:构建集预约、接待、导医、便民、咨询、随访、投诉、督查、问卷和网络舆情监管为一体的医院客服舆情服务系统平台。方法依托信息集成与融合技术,实现业务整合,再造服务流程。结果医院客服中心利用该系统在医院与患者之间建立沟通互动平台,不仅提高患者各类服务可及性、时效性,也提高医务人员服务意识和服务质量。结论该系统使用后实现医院客户服务闭环管理,可提升医院服务品质,提高患者满意度,为医院营造良好的舆论环境,维护医院良好声誉,提升医院品牌和竞争力,社会和经济效益显著,可推广应用。

  11. Spatial information semantic query based on SPARQL

    Science.gov (United States)

    Xiao, Zhifeng; Huang, Lei; Zhai, Xiaofang

    2009-10-01

    How can the efficiency of spatial information inquiries be enhanced in today's fast-growing information age? We are rich in geospatial data but poor in up-to-date geospatial information and knowledge that are ready to be accessed by public users. This paper adopts an approach for querying spatial semantic by building an Web Ontology language(OWL) format ontology and introducing SPARQL Protocol and RDF Query Language(SPARQL) to search spatial semantic relations. It is important to establish spatial semantics that support for effective spatial reasoning for performing semantic query. Compared to earlier keyword-based and information retrieval techniques that rely on syntax, we use semantic approaches in our spatial queries system. Semantic approaches need to be developed by ontology, so we use OWL to describe spatial information extracted by the large-scale map of Wuhan. Spatial information expressed by ontology with formal semantics is available to machines for processing and to people for understanding. The approach is illustrated by introducing a case study for using SPARQL to query geo-spatial ontology instances of Wuhan. The paper shows that making use of SPARQL to search OWL ontology instances can ensure the result's accuracy and applicability. The result also indicates constructing a geo-spatial semantic query system has positive efforts on forming spatial query and retrieval.

  12. 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.

  13. Oil monitoring methods based on information theory

    Institute of Scientific and Technical Information of China (English)

    XIA Yan-chun; HUO Hua

    2009-01-01

    To evaluate the Wear condition of machines accurately,oil spectrographic entropy,mutual information and ICA analysis methods based on information theory are presented.A full-scale diagnosis utilizing all channels of spectrographic analysis can be obtained.By measuring the complexity and correlativity,the characteristics of wear condition of machines can be shown clearly.The diagnostic quality is improved.The analysis processes of these monitoring methods are given through the explanation of examples.The availability of these methods is validated and further research fields are demonstrated.

  14. 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.

  15. 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

  16. 77 FR 50548 - Agency Information Collection: (PACT Qualitative Evaluation: Patient & Caregiver Interviews...

    Science.gov (United States)

    2012-08-21

    ... needed to evaluate the universal Patient Aligned Care Teams (PACT) Systems Redesign, document patients... information on patient characteristics and their experiences with self-managing chronic conditions,...

  17. [Prevention and Information for Patients Undergoing Periodontal Treatment: Potentials for Improvement from the Patients' Perspective].

    Science.gov (United States)

    Klingenberg, A; Walther, W; Dörfer, C E; Szecsenyi, J

    2016-05-01

    2 334 patients from 29 dental practices took part in a written survey on their experiences with dental treatment in general as well as treatment of periodontal disease (response rate 80.8%). 72.6% of all participating patients fully agreed that they could recommend their dentist to their friends. 63.6% of patients undergoing treatment of periodontitis (N=328) rated this treatment as "excellent". However, for important aspects (prevention, patient information, treatment) potentials for improvement became obvious. 43.7% of patients treated for periodontitis were not completely satisfied with information on how this disease develops; 40.7% saw potentials for better information on preventive care (dental-hygiene, nutrition). An even higher percentage of patients actually not treated for periodontitis was interested in more information on prevention (51.4%). The results of the survey show that dentists should offer information and exercise on how to prevent periodontal desease more actively. There is a lack of research on the present state of affairs and potentials for improvement concerning treatment and prevention of periodontitis including the patients' perspective. PMID:26086539

  18. 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...

  19. Lay-friendliness in translated Patient Information Leaflets

    DEFF Research Database (Denmark)

    Jensen, Matilde Nisbeth; Zethsen, Karen Korning

    -friendly information as it must be “written and designed to be clear and understandable, enabling the users to act appropriately” (Article 63(2) of EU Directive 2001/83/EC). Despite the legal requirements and the intensified focus on lay-friendly health communication, many studies have shown that PILs are often...... References Askehave, Inger & Zethsen, Karen. (2002). “Translating for laymen”. Perspectives: Studies in Translatology 10 (1): 15-29. Directive 2001/83/EC of the European Parliament and of the Council of 6 November 2001. MHRA – Medicines and Healthcare products Regulatory Agency. (2005). Always Read...... the Leaflet: Getting the best information with every medicine. London: The Stationary Office. Pander Maat, Henk and Lentz, Leo. 2010. “Improving the usability of patient information leaflets”. Patient Education and Counseling 80 (1): 113-119....

  20. 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...

  1. 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.

  2. 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...

  3. Information Priority Based Multicast Routing in MANETs

    Directory of Open Access Journals (Sweden)

    Rajashekhar

    2011-07-01

    Full Text Available The routing efficiency in Mobile Ad Hoc Networks (MANETs suffers from frequent batterydrains, mobility and large variation of received signal strength. Thus, nodes and links in MANETsbecome more vulnerable and unstable. Multicast routing in MANETs for group communication requiresestablishment of reliable links between neighbouring nodes called as reliability pair beginning from thesource and extending such reliability pairs enroute to the destination. If there are multiple paths fromsource to every multicast destination, the reliability of source information may be enhanced by sendinghigher priority information on higher priority path.In this paper, we propose a scheme of Information Priority based Multicast Routing in MANETsusing multiple paths (IPMRM. IPMRM operates in following phases. (1 Reliability pair factorcomputation based on node power level, received differential signal strength between the nodes andmobility. (2 Pruning neighbor nodes that have reliability pair factor lesser than a threshold. (3 Findingmulticast mesh routes with multiple paths to a destination using request and reply packets. (4 Priorityassignment to multiple paths based on minimum value of reliability pair factor of a path and informationtransfer from source to multicast destination. (4 Route maintenance against link failures. The simulationresults for packet delivery ratio and control overhead demonstrate better performance of IPMRM overOn Demand Multicast Routing Protocol (ODMRP and Enhanced ODMRP (EODMRP.

  4. Information Filtering Based on Users' Negative Opinions

    Science.gov (United States)

    Guo, Qiang; Li, Yang; Liu, Jian-Guo

    2013-05-01

    The process of heat conduction (HC) has recently found application in the information filtering [Zhang et al., Phys. Rev. Lett.99, 154301 (2007)], which is of high diversity but low accuracy. The classical HC model predicts users' potential interested objects based on their interesting objects regardless to the negative opinions. In terms of the users' rating scores, we present an improved user-based HC (UHC) information model by taking into account users' positive and negative opinions. Firstly, the objects rated by users are divided into positive and negative categories, then the predicted interesting and dislike object lists are generated by the UHC model. Finally, the recommendation lists are constructed by filtering out the dislike objects from the interesting lists. By implementing the new model based on nine similarity measures, the experimental results for MovieLens and Netflix datasets show that the new model considering negative opinions could greatly enhance the accuracy, measured by the average ranking score, from 0.049 to 0.036 for Netflix and from 0.1025 to 0.0570 for Movielens dataset, reduced by 26.53% and 44.39%, respectively. Since users prefer to give positive ratings rather than negative ones, the negative opinions contain much more information than the positive ones, the negative opinions, therefore, are very important for understanding users' online collective behaviors and improving the performance of HC model.

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

    Science.gov (United States)

    Mandal, Abhijit; Asthana, Anupam Kumar; Aggarwal, Lalit Mohan

    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 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. PMID:19052391

  6. 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.

  7. 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...

  8. 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

  9. 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

  10. 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

    uptake value of primary tumor (MTV40%) and total lesion glycolysis (TLG) as prognostic variables and identification of optimal discriminating cut-off values were performed through ROC curve analysis. Patients were grouped according to the cut-off values. All deaths were considered an event in survival......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 2012 including 92 patients with histologically verified high-grade BS (N = 37) or STS (N = 55). All patients underwent a pretreatment F-18 FDG PET/CT scan. Clinical data were registered. Measurements of the accuracy of metabolic tumor volume with a preset threshold of 40% of the maximum standardized...

  11. 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...

  12. 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.

  13. 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).

  14. Transmission and storage of medical images with patient information.

    Science.gov (United States)

    Acharya U, Rajendra; Subbanna Bhat, P; Kumar, Sathish; Min, Lim Choo

    2003-07-01

    Digital watermarking is a technique of hiding specific identification data for copyright authentication. This technique is adapted here for interleaving patient information with medical images, to reduce storage and transmission overheads. The text data is encrypted before interleaving with images to ensure greater security. The graphical signals are interleaved with the image. Two types of error control-coding techniques are proposed to enhance reliability of transmission and storage of medical images interleaved with patient information. Transmission and storage scenarios are simulated with and without error control coding and a qualitative as well as quantitative interpretation of the reliability enhancement resulting from the use of various commonly used error control codes such as repetitive, and (7,4) Hamming code is provided.

  15. 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

  16. 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...

  17. Compact storage of medical images with patient information.

    Science.gov (United States)

    Acharya, R; Anand, D; Bhat, S; Niranjan, U C

    2001-12-01

    Digital watermarking is a technique of hiding specific identification data for copyright authentication. This technique is adapted here for interleaving patient information with medical images to reduce storage and transmission overheads. The text data are encrypted before interleaving with images to ensure greater security. The graphical signals are compressed and subsequently interleaved with the image. Differential pulse-code-modulation and adaptive-delta-modulation techniques are employed for data compression, and encryption and results are tabulated for a specific example.

  18. 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)

  19. Relevance model in information retrieval based on information science perspective

    Science.gov (United States)

    Zeng, Dan

    2011-10-01

    Relevance models in relevance research is the main research issue in information retrieval and information science. Relevance research of information retrieval can be divided into the system-oriented school and the user-oriented schoo1.The evaluation of relevance is closely related to user's experiences, cognitive status and thinking, and includes the interaction of several level. On this basis, a four-dimension model (information resource, representation of user problem time and components) and an interactive model are critically illuminated. A better understanding of the cognitive model, the episode model and the stratified model is of great importance to the interactive model.

  20. C-PHIS: a concept map-based knowledge base framework to develop personal health information systems.

    Science.gov (United States)

    Karla, Pramukh R; Gurupur, Varadraj P

    2013-10-01

    In this paper we describe the development of a Personal Health Information System using a knowledge base developed using concept maps. Here we describe a solution for providing the critical need to develop an information capturing system that helps domain experts in developing a graphical representation of the aforementioned knowledge base which can then be converted to a machine-actable form of information. A prototype application has been developed using this information capturing system that clearly demonstrates the use of the knowledge base framework using concept maps to develop Personal Health Information System for lung cancer patients.

  1. 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

  2. Speech Intelligibility Prediction Based on Mutual Information

    DEFF Research Database (Denmark)

    Jensen, Jesper; Taal, Cees H.

    2014-01-01

    This paper deals with the problem of predicting the average intelligibility of noisy and potentially processed speech signals, as observed by a group of normal hearing listeners. We propose a model which performs this prediction based on the hypothesis that intelligibility is monotonically related...... 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 using...... a minimum mean-square error (mmse) estimator based on the noisy/processed amplitude. The proposed model predicts that speech intelligibility cannot be improved by any processing of noisy critical-band amplitudes. Furthermore, the proposed intelligibility predictor performs well ( ρ > 0.95) in predicting...

  3. Neck stoma patients: is vital information displayed at the bedside?

    Science.gov (United States)

    Darr, Adnan; Siddiq, Somiah; Jolly, Karan; Spinou, Catherine

    Tracheostomies are common procedures in head and neck and critical care practice, with 50% of airway-related deaths attributable to complications such as occlusion or displacement. The National Tracheostomy Safety Project (NTSP) published guidance regarding emergency management of neck stoma patients. A prospective multicentre regional audit of all neck stoma inpatients (ward and intensive care unit (ICU) settings) was conducted. Bed spaces were assessed for tracheostomy care bundles and essential stoma information, as recommended by the NTSP guidelines. The results demonstrate inadequate ward compliance across all three trusts, with ICU compliance greater in comparison to a ward environment. Of note, crucial information regarding the nature of stoma and whom to contact in the event of an emergency, was not displayed in the majority of cases. A greater awareness of the NTSP guidance and implementation of vital information is a necessity across all disciplines in order to reduce stoma complication-related morbidity and mortality. PMID:26972996

  4. Using an information warehouse to screen patients for clinical trials: a prototype.

    Science.gov (United States)

    Kamal, Jyoti; Pasuparthi, Kabardhi; Rogers, Patrick; Buskirk, Jason; Mekhjian, Hagop

    2005-01-01

    Success of a clinical trial recruitment process for drug discovery and new treatments depends on screening and identifying eligible patients in a timely manner. This can be a complex and tedious process that in many instances requires a research nurse to manually track patients that may be eligible. At the Ohio State University Medical Center (OSUMC) we have developed a web-based functional prototype that uses the data stored in the Information Warehouse (IW) to screen patients that meet the eligibility criteria for clinical trials. Using this prototype, a researcher can apply a set of inclusion/exclusion criteria pertinent to a research protocol and instantly find patients that may qualify for the clinical trial without revealing their identity. A researcher has access to all detailed historical clinical information such as lab results, diagnosis codes, pathology reports and clinical notes.

  5. 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.

  6. 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

  7. 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

  8. Vision Based Geo Navigation Information Retreival

    Directory of Open Access Journals (Sweden)

    Asif Khan

    2016-01-01

    Full Text Available In order to derive the three-dimensional camera position from the monocular camera vision, a geo-reference database is needed. Floor plan is a ubiquitous geo-reference database that every building refers to it during construction and facility maintenance. Comparing with other popular geo-reference database such as geo-tagged photos, the generation, update and maintenance of floor plan database does not require costly and time consuming survey tasks. In vision based methods, the camera needs special attention. In contrast to other sensors, vision sensors typically yield vast information that needs complex strategies to permit use in real-time and on computationally con-strained platforms. This research work show that map-based visual odometer strategy derived from a state-of-the-art structure-from-motion framework is particularly suitable for locally stable, pose controlled flight. Issues concerning drifts and robustness are analyzed and discussed with respect to the original framework. Additionally, various usage of localization algorithm in view of vision has been proposed here. Though, a noteworthy downside with vision-based algorithms is the absence of robustness. The greater parts of the methodologies are delicate to scene varieties (like season or environment changes because of the way that they utilize the Sum of Squared Differences (SSD. To stop that, we utilize the Mutual Information which is exceptionally vigorous toward global and local scene varieties. On the other hand, dense methodologies are frequently identified with drift drawbacks. Here, attempt to take care of this issue by utilizing geo-referenced pictures. The algorithm of localization has been executed and experimental results are available. Vision sensors possess the potential to extract information about the surrounding environment and determine the locations of features or points of interest. Having mapped out landmarks in an unknown environment, subsequent observations

  9. 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...

  10. Mutual information-based facial expression recognition

    Science.gov (United States)

    Hazar, Mliki; Hammami, Mohamed; Hanêne, Ben-Abdallah

    2013-12-01

    This paper introduces a novel low-computation discriminative regions representation for expression analysis task. The proposed approach relies on interesting studies in psychology which show that most of the descriptive and responsible regions for facial expression are located around some face parts. The contributions of this work lie in the proposition of new approach which supports automatic facial expression recognition based on automatic regions selection. The regions selection step aims to select the descriptive regions responsible or facial expression and was performed using Mutual Information (MI) technique. For facial feature extraction, we have applied Local Binary Patterns Pattern (LBP) on Gradient image to encode salient micro-patterns of facial expressions. Experimental studies have shown that using discriminative regions provide better results than using the whole face regions whilst reducing features vector dimension.

  11. 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.

  12. 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

  13. 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.

  14. 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. ...

  15. 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...

  16. 78 FR 53506 - Proposed Information Collection (Care Coordination Home Telehealth (CCHT) Patient Satisfaction...

    Science.gov (United States)

    2013-08-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Proposed Information Collection (Care Coordination Home Telehealth (CCHT) Patient Satisfaction... forms of information technology. Titles: Care Coordination Home Telehealth (CCHT) Patient...

  17. 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...... were not met, and the patient leaflets did not inform according to current evidence on misoprostol-induced labour. Our findings indicate that patients receive very different, sometimes contradictory, information with potential ethical implications. Concerns should be given to outpatient inductions...

  18. Developing a Web-Based Nursing Practice and Research Information Management System: A Pilot Study.

    Science.gov (United States)

    Choi, Jeeyae; Lapp, Cathi; Hagle, Mary E

    2015-09-01

    Many hospital information systems have been developed and implemented to collect clinical data from the bedside and have used the information to improve patient care. Because of a growing awareness that the use of clinical information improves quality of care and patient outcomes, measuring tools (electronic and paper based) have been developed, but most of them require multiple steps of data collection and analysis. This necessitated the development of a Web-based Nursing Practice and Research Information Management System that processes clinical nursing data to measure nurses' delivery of care and its impact on patient outcomes and provides useful information to clinicians, administrators, researchers, and policy makers at the point of care. This pilot study developed a computer algorithm based on a falls prevention protocol and programmed the prototype Web-based Nursing Practice and Research Information Management System. It successfully measured performance of nursing care delivered and its impact on patient outcomes successfully using clinical nursing data from the study site. Although Nursing Practice and Research Information Management System was tested with small data sets, results of study revealed that it has the potential to measure nurses' delivery of care and its impact on patient outcomes, while pinpointing components of nursing process in need of improvement. PMID:26176636

  19. Developing a Web-Based Nursing Practice and Research Information Management System: A Pilot Study.

    Science.gov (United States)

    Choi, Jeeyae; Lapp, Cathi; Hagle, Mary E

    2015-09-01

    Many hospital information systems have been developed and implemented to collect clinical data from the bedside and have used the information to improve patient care. Because of a growing awareness that the use of clinical information improves quality of care and patient outcomes, measuring tools (electronic and paper based) have been developed, but most of them require multiple steps of data collection and analysis. This necessitated the development of a Web-based Nursing Practice and Research Information Management System that processes clinical nursing data to measure nurses' delivery of care and its impact on patient outcomes and provides useful information to clinicians, administrators, researchers, and policy makers at the point of care. This pilot study developed a computer algorithm based on a falls prevention protocol and programmed the prototype Web-based Nursing Practice and Research Information Management System. It successfully measured performance of nursing care delivered and its impact on patient outcomes successfully using clinical nursing data from the study site. Although Nursing Practice and Research Information Management System was tested with small data sets, results of study revealed that it has the potential to measure nurses' delivery of care and its impact on patient outcomes, while pinpointing components of nursing process in need of improvement.

  20. 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.

  1. 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

  2. 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 ...

  3. 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

    2012-01-01

    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.

  4. 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

  5. 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

  6. 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...

  7. 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...

  8. Learning based on patient case reviews: an interview study

    Directory of Open Access Journals (Sweden)

    Søndergaard Jens

    2008-09-01

    Full Text Available Abstract Background Recent theories on adult learning recommend that learning is situated in real-life contexts. Learning is considered a continuous process in which every new experience builds on, and integrates with, previously accumulated experiences. Reviewing and reflecting on patient cases is in line with this learning approach. There has, however, been remarkably little research into how patient cases might be applied in professional education. The purpose of this article is to present family physicians' perceptions of the learning process initiated by reviewing patient cases. Methods Thirteen family physicians, who had all participated in a large project on cancer diagnosis in family practice (the CAP-project, currently carried out at the Research Unit for General Practice, University of Aarhus were interviewed on their experiences of reviewing patient cases. In the CAP-project family physicians (n = 467, 81% in the County of Aarhus (640 000 inhabitants completed 2,212 (83% detailed questionnaires on all newly diagnosed patients with cancer encountered in their practices during a one year period (2004–2005. In order to complete the questionnaire the family physicians were required to perform a systematic case review of each patient: they had to consult their records to provide dates of symptom-presentation, investigations and treatments initiated, and reflect on previous encounters with the patients to give detailed information on his/hers knowledge of the patients' care seeking behaviour, mental health and risk factors. The purpose of this article is to present indebt interview-data on family physicians' perceptions of the learning process initiated by reviewing patient cases, and their evaluations of using patient case reviews as a learning method in family practice. Results The process of reflection initiated by reviewing patient cases enabled family physicians to reconsider their clinical work procedures which potentially supported

  9. Information Needs of Cancer Patients and Perception of Impact of the Disease, of Self-Efficacy, and Locus of Control.

    Science.gov (United States)

    Keinki, C; Seilacher, E; Ebel, M; Ruetters, D; Kessler, I; Stellamanns, J; Rudolph, I; Huebner, J

    2016-09-01

    The aim of our study was to investigate the relationship between information needs and cancer patients' perceptions of the impact of the disease, self-efficacy, and locus of control. Using a standardized questionnaire, we obtained data from patients who attended a series of lectures. The questionnaire included questions on their information needs, sources of information, satisfaction with information, and short questionnaires on self-efficacy, perception of the disease, and locus of control of reinforcement. Data was obtained from 185 patients. Our results showed that the sources of information that were most often used were physicians (84 %), print media (68 %), and the Internet (59 %); online fora (7.5 %), non-medical practitioners (9.7 %), and telephone-based counseling (8.6 %) were only used by a minority. Patients with a high perception of their own control over the disease more often used any source of information available to them and were more often interested in acquiring additional information. Higher self-efficacy was significantly associated with the need for information on all topics. Patients with a higher external locus of control significantly more often used sources of information and had significantly more need for additional information. By contrast, there were no associations with an internal locus of control. Neither external nor internal locus of control showed any associations with satisfaction with information. Information needs seem to be higher in patients with a high external locus of control and low self-efficacy. Physicians, other professionals, and institutions that provide information may take these relationships into consideration for tailoring their services to patients.

  10. Developing and testing a patient information booklet for thrombolysis used in acute stroke.

    Science.gov (United States)

    Knapp, Peter; Wanklyn, Peter; Raynor, D K; Waxman, Robin

    2010-12-01

    Objective  Thrombolysis decreases the chance of post-stroke dependence, although its use carries significant risk, notably of intra-cerebral haemorrhage. Patients (and families) face an important risk/benefit decision before consenting. We drafted a patient information booklet for this purpose, and applied performance-based readability testing with the aim that the most important information in the booklet could be found and understood. Methods  The booklet was developed with reference to best practice in information writing and design. We User-Tested its performance on 56 people without prior experience of stroke. After reading the booklet they were asked to find and explain 15 pieces of information. The booklet was revised according to its performance and re-tested, until each item was found and understood by at least 80% of participants. Key findings  The four-page information booklet contained approximately 900 words, organised into six sections. A risk-palette graphic showed the chance of positive and negative outcomes. The booklet was tested on four participant cohorts and revised, including more bold text, re-wording, changing the title and changing the graphic to a coloured bar chart. Testing the final version on the fourth cohort of 20 people showed that each of the 15 tested items of information met the target of at least 80% participants being able to find and understand it. Conclusions  The use of information design and User Testing produced a booklet that is understandable by people with no prior experience of stroke. User Testing is an inexpensive and quick method to ensure that information intended for patients is usable.

  11. 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),…

  12. Canonical analysis based on mutual information

    DEFF Research Database (Denmark)

    Nielsen, Allan Aasbjerg; Vestergaard, Jacob Schack

    2015-01-01

    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......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...

  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. 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.

  16. 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...

  17. 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.

  18. 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.

  19. 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

  20. 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.

  1. 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.

  2. Physicians' communicative strategies in interacting with Internet-informed patients: results from a qualitative study.

    Science.gov (United States)

    Caiata-Zufferey, Maria; Schulz, Peter J

    2012-01-01

    This article describes the strategies used by physicians to interact with Internet-informed patients, alongside illustrating the motives underlying such strategies. Semistructured interviews were conducted with a sample of 17 physicians from primary care and medical specialist practices in the Italian part of Switzerland. The sample was diversified in terms of specialty, age, and gender. Data collection and analysis were driven by grounded theory and supported by a computer-assisted qualitative analysis program. A typology of four communicative strategies has been outlined. The adoption of these strategies is shaped by physicians' general attitude toward Internet-informed patients, based on their conception of medical information for lay people through the Internet. However, this general attitude is mediated by doctors' interpretation of the specific communicative context, that is, their appraisal of three aspects: the patient's health literacy, the relevance of the online information to be discussed, and their own communicative efficacy. At the end, the process of interpretation underlying the strategies is discussed to expand on it and to identify implications for practice and research.

  3. 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...

  4. Information and decision support needs in patients with type 2 diabetes.

    Science.gov (United States)

    Weymann, Nina; Härter, Martin; Dirmaier, Jörg

    2016-03-01

    Diabetes and its sequelae cause a growing burden of morbidity and mortality. For many patients living with diabetes, the Internet is an important source of health information and support. In the course of the development of an Interactive Health Communication Application, combining evidence-based information with behavior change and decision support, we assessed the characteristics, information, and decision support needs of patients with type 2 diabetes.The needs assessment was performed in two steps. First, we conducted semi-structured interviews with 10 patients and seven physicians. In the second step, we developed a self-assessment questionnaire based on the results of the interviews and administered it to a new and larger sample of diabetes patients (N = 178). The questionnaire comprised four main sections: (1) Internet use and Internet experience, (2) diabetes knowledge, (3) relevant decisions and decision preferences, and (4) online health information needs. Descriptive data analyses were performed.In the questionnaire study, the patient sample was heterogeneous in terms of age, time since diagnosis, and glycemic control. (1) Most participants (61.7%) have searched the web for health information at least once. The majority (62%) of those who have used the web use it at least once per month. (2) Diabetes knowledge was scarce: Only a small percentage (1.9%) of the respondents answered all items of the knowledge questionnaire correctly. (3) The most relevant treatment decisions concerned glycemic control, oral medication, and acute complications. The most difficult treatment decision was whether to start insulin treatment. Of the respondents, 69.4 percent thought that medical decisions should be made by them and their doctor together. (4) The most important information needs concerned sequelae of diabetes, blood glucose control, and basic diabetes information.The Internet seems to be a feasible way to reach people with type 2 diabetes. The heterogeneity of the

  5. Fragile Watermarking Based on Robust Hidden Information

    Institute of Scientific and Technical Information of China (English)

    张新鹏; 王朔中

    2003-01-01

    Block-wise fragile watermarks can be used to reveal maliciously tampered areas in multimedia products. However a forged content containing a cloned fragile watermark can be constructed by using a series of watermarked data. To defeat this type of counter-feit attack, a novel fragile watermarking technique is proposed in which different pseudo-random data are selected for different host products, and the generated fragile watermark is dependent upon the selected information. While inserting the fragile watermark, the pseudo-random information is also robustly embedded into the host data. Because of the difference between the selected information,different watermarked data cannot be used to forge illegal contents containing a valid fragile watermark.

  6. 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

  7. 基于信息、管理、关系框架的延续护理在维持性血液透析患者中的应用研究%Application of Extended Care on the Maintance Hemodialysis Patients Based on Information,Management and Relations

    Institute of Scientific and Technical Information of China (English)

    张彬; 林璟华; 陈华玲

    2016-01-01

    Objective Observation extended care based on information ,management and relations in the framework of the application results in maintenance hemodialysis patients in .Methods Select 122 cases of hemodialysis patients on main‐tenance hemodialysis who were hemodialyzed from January 2015 to March for the first time in our department as subjects . The patients were randomly divided into a control group and the test group .61 patients in the control group received conven‐tional extended care ,while in experimental group received based on extended care information management ,relations frame‐work .Then compare the observed indicators for two maintenance hemodialysis patients after the intervention .Results Self-care ability score and quality of life scores in the experimental group after the intervention of hemodialysis patients were significantly higher than the test group ,while the incidence of complications was significantly lower (P <0 .05) .Conclusion On maintenance hemodialysis for patients with extended care based on information ,management ,relationship framework will help to improve their self -care capacity ,reduce the likelihood of complications and improve quality of life .%目的:观察基于信息、管理、关系框架的延续护理在维持性血液透析患者中的应用效果。方法选择2014年1月~2015年3月在我科行首次血液透析的122例维持性血液透析患者作为研究对象,随机分为对照组和试验组,各61例。对照组接受常规延续护理。试验组接受基于信息、管理、关系框架的延续护理。并对两组干预后的各项观察指标进行比较分析。结果试验组干预后自护能力评分和生活质量评分均显著高于对照组,并发症发生率显著低于对照组(P<0.05)。结论对维持性血液透析患者实施基于信息、管理、关系框架的延续护理,有利于提高其自护能力,降低并发症发生率,改善患者生活质量。

  8. 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.

  9. Image-based information, communication, and retrieval

    Science.gov (United States)

    Bryant, N. A.; Zobrist, A. L.

    1980-01-01

    IBIS/VICAR system combines video image processing and information management. Flexible programs require user to supply only parameters specific to particular application. Special-purpose input/output routines transfer image data with reduced memory requirements. New application programs are easily incorporated. Program is written in FORTRAN IV, Assembler, and OS JCL for batch execution and has been implemented on IBM 360.

  10. 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.

  11. 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...

  12. 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.

  13. Educating patients about warfarin therapy using information technology: A survey on healthcare professionals’ perspectives

    Directory of Open Access Journals (Sweden)

    Mullan J

    2012-06-01

    Full Text Available Objective: To explore healthcare professionals’ views about the benefits and challenges of using information technology (IT resources for educating patients about their warfarin therapy.Methods: A cross-sectional survey of both community and hospital-based healthcare professionals (e.g., doctors, pharmacists and nurses involved using a purpose-designed questionnaire. The questionnaires were distributed using a multi-modal approach to maximise response rates.Results: Of the total 300 questionnaires distributed, 109 completed surveys were received (43.3% response rate. Over half (53.2% of the healthcare participants were aged between 40-59 years, the majority (59.5% of whom were female. Fifty nine (54.1% participants reported having had no access to warfarin-specific IT-based patient education resources, and a further 19 (38.0% of the participants who had IT-access reported that they never used such resources. According to the healthcare participants, the main challenges associated with educating their patients about warfarin therapy included: patient-related factors, such as older age, language barriers, cognitive impairments and/or ethnic backgrounds or healthcare professional factors, such as time constraints. The healthcare professionals reported that there were several aspects about warfarin therapy which they found difficult to educate their patients about which is why they identified computers and interactive touch screen kiosks as preferred IT devices to deliver warfarin education resources in general practices, hospital-based clinics and community pharmacies. At the same time, the healthcare professionals also identified a number of facilitators (e.g., to reinforce warfarin education, to offer reliable and easily comprehensible information and barriers (e.g., time and costs of using IT resources, difficulty in operating the resources that could impact on the effective implementation of these devices in educating patients about their

  14. 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…

  15. Balancing digital information-sharing and patient privacy when engaging families in the intensive care unit.

    Science.gov (United States)

    Brown, Samuel M; Aboumatar, Hanan J; Francis, Leslie; Halamka, John; Rozenblum, Ronen; Rubin, Eileen; Sarnoff Lee, Barbara; Sugarman, Jeremy; Turner, Kathleen; Vorwaller, Micah; Frosch, Dominick L

    2016-09-01

    Patients in intensive care units (ICUs) may lack decisional capacity and may depend on proxy decision makers (PDMs) to make medical decisions on their behalf. High-quality information-sharing with PDMs, including through such means as health information technology, could improve communication and decision making and could potentially minimize the psychological consequences of an ICU stay for both patients and their family members. However, alongside these anticipated benefits of information-sharing are risks of unwanted disclosure of sensitive information. Approaches to identifying the optimal balance between access to digital health information to facilitate engagement and protecting patient privacy are urgently needed. We identified eight themes that should be considered in balancing health information access and patient privacy: 1) potential benefits to patients from PDM data access; 2) potential harms to patients from such access; 3) the moral status of families within the patient-clinician relationship; 4) the scope of relevant information provided to PDMs; 5) issues around defining PDMs' authority; 6) methods for eliciting and documenting patient preferences about their family's information access; 7) the relevance of methods for ascertaining the identity of PDMs; and 8) the obligations of hospitals to prevent privacy breaches by PDMs. We conclude that PDMs should typically have access to health information from the current episode of care when the patient is decisionally impaired, unless the patient has previously expressed a clear preference that PDMs not have such access.

  16. 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...

  17. [Development of integrated clinical abilities by simulated patient assisted problem-based learning tutorial].

    Science.gov (United States)

    Norose, Takahiko

    2013-01-01

    In Hokkaido Pharmaceutical University, problem-based learning (PBL) has been introduced as a part of the laboratory and practice curriculum for all school years to promote active learning skills and enhance students' problem-solving ability. The PBL program at our school has been developed using a tutorial study based on scenarios and learning strategies, such as experiments and/or standardized patients (SPs) and role-playing, according to students' developmental stage and learning objectives. The course "Practice VIII/Principles of Clinical Communication" for the fifth-grade students is an example of the new PBL program to improve students' clinical communication skills and ability to design a care plan for patients. We divided 196 students into 49 groups (each group had 4 members). We used the large-class PBL model, in which the students had discussions with several facilitators. The students were presented with a patient-case scenario, in which they were first provided with a brief background of the patient. Afterward, students interviewed SPs to obtain detailed information, based on which a care plan was designed for each patient. Students role-played with SPs as a part of patient support, consulted using the patient care plan, and made Subjective information, Objective information, Assessment, and Plan (SOAP) notes at the end. Some students commented that the PBL program was very helpful in understanding how to design a patient care plan and that they understood the importance of communication in obtaining information for designing a patient care plan.

  18. 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...

  19. 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

  20. 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

  1. 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...

  2. 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)

  3. 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.

  4. 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...

  5. 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.

  6. INFORMATION SYSTEMS: NEW ONTOLOGIES-BASED SCENARIOS

    Directory of Open Access Journals (Sweden)

    Susana Herrea

    2006-11-01

    Full Text Available While ontology is still a fertile area of research in the field of Philosophy, Ontologies currently stands for research, development, and application fields in disciplines related with computing, information and knowledge. Information Systems (IS are essentially knowledge artifacts that capture and represent knowledge in certain domains. Considering that ontologies is generally used to specify and communicate knowledge in a domain, and the growing recognition that ontological principles and concepts can be fruitfully applied to the IS field, one could say that an IS has its own implicit ontology when attributing meaning to the symbols used. Explicitly, however, ontology may play different roles in an IS. The scenarios presented in this article allow visualizing the roles that ontologies are now playing or will play in the near future in IS. There is a wide range of uses for ontologies in the different scenarios - they vary from the conceptual analysis of IS modeling techniques to their use as support for IS design, development and application. Our knowledge on the roles played by ontologies in IS is expected to be expanded.

  7. 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.

  8. 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.

  9. 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.

  10. 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...

  11. 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.

  12. Library Instruction at a University-Based Information Center: The Informative Interview

    Science.gov (United States)

    Cooper, Noelle P.

    1976-01-01

    The Mechanized Information Center, a department of The Ohio State University Libraries, offers to the campus community several batch-mode information services from commercially available data bases. The search request interview provides an opportunity for instruction regarding OSU's computer-based literature searches, automated library facilities,…

  13. 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.

  14. 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

  15. 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.

  16. 78 FR 76193 - Agency Information Collection (Care Coordination Home Telehealth (CCHT) Patient Satisfaction...

    Science.gov (United States)

    2013-12-16

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection (Care Coordination Home Telehealth (CCHT) Patient Satisfaction... Retaining Nurses at State Homes).'' SUPPLEMENTARY INFORMATION: Title: Care Coordination Home...

  17. Patient information leaflets for medicines: using consumer testing to determine the most effective design.

    Science.gov (United States)

    Dickinson, D; Raynor, D K; Duman, M

    2001-05-01

    Comprehensive medicine information leaflets for patients are now mandatory across the European Union. In 1997, the European Commission (EC) proposed a prescriptive 'model' for the leaflets and a method for consumer testing. This exploratory study compared consumers' ability to use a leaflet based on the EC model leaflet and an alternative leaflet based on best practice in information design (Mark II). The leaflets were tested in two matched groups of 20 consumers, who were required to find, and understand, 15 pieces of information in the leaflets. The target that each question should be answered correctly by 16 out of 20 consumers, was achieved for three of the 15 points in the EC leaflet, compared with eight in the Mark II leaflet. Open questioning confirmed the problems with the EC leaflet, including a failure to understand key concepts about medicine interactions and contraindications. This research demonstrates the benefits of consumer testing, ensuring that leaflets are patient-orientated. A rigid model leaflet would prevent these benefits from being utilised.

  18. 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

  19. 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 ...

  20. 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.

  1. 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...

  2. 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

  3. 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.

  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. 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.

  6. Constructing a knowledge-based database for dermatological integrative medical information.

    Science.gov (United States)

    Shin, Jeeyoung; Jo, Yunju; Bae, Hyunsu; Hong, Moochang; Shin, Minkyu; Kim, Yangseok

    2013-01-01

    Recently, overuse of steroids and immunosuppressive drugs has produced incurable dermatological health problems. Traditional medical approaches have been studied for alternative solutions. However, accessing relevant information is difficult given the differences in information for western medicine (WM) and traditional medicine (TM). Therefore, an integrated medical information infrastructure must be utilized to bridge western and traditional treatments. In this study, WM and TM information was collected based on literature searches and information from internet databases on dermatological issues. Additionally, definitions for unified terminology and disease categorization based on individual cases were generated. Also a searchable database system was established that may be a possible model system for integrating both WM and TM medical information on dermatological conditions. Such a system will yield benefits for researchers and facilitate the best possible medical solutions for patients. The DIMI is freely available online.

  7. 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

  8. 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

  9. 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

  10. Middleware-based Dynamic Traffic Information Collection System

    Directory of Open Access Journals (Sweden)

    Lei Wu

    2014-03-01

    Full Text Available According to traffic information of multi-source heterogeneity and complexity of information processing, hence, the architecture of the dynamic traffic information collection system based on middleware is proposed, which enhances the system stability, generality, and efficiency depending on the high integration and scalability of middleware. This middleware-based system unifies and encodes the data from all sorts of detectors, and integrates the multi-mode transmission, data preprocessing, and data fusion. Compared with the traditional traffic information collection system, the proposed system overcomes the data loss, data noise, and especially the data multiple source, decreases the data redundancy, and ensures the data accuracy with better security and expandability

  11. 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.

  12. 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.

  13. Design of Object-based Information System Prototype

    Directory of Open Access Journals (Sweden)

    Suhyeon Yoo

    2014-06-01

    Full Text Available Researchers who use science and technology information were found to ask an information service in which they can excerpt the contents they needed, rather than using the information at article level. In this study, we micronized the contents of scholarly articles into text, image, and table and then constructed a micro-content DB to design a new information system prototype based on this micro-content. After designing the prototype, we performed usability test for this prototype so as to confirm the usefulness of the system prototype. We expect that the outcome of this study will fulfill the segmented and diversified information need of researchers.

  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. [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.

  16. 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.

  17. Brain Tumor Database, a free relational database for collection and analysis of brain tumor patient information.

    Science.gov (United States)

    Bergamino, Maurizio; Hamilton, David J; Castelletti, Lara; Barletta, Laura; Castellan, Lucio

    2015-03-01

    In this study, we describe the development and utilization of a relational database designed to manage the clinical and radiological data of patients with brain tumors. The Brain Tumor Database was implemented using MySQL v.5.0, while the graphical user interface was created using PHP and HTML, thus making it easily accessible through a web browser. This web-based approach allows for multiple institutions to potentially access the database. The BT Database can record brain tumor patient information (e.g. clinical features, anatomical attributes, and radiological characteristics) and be used for clinical and research purposes. Analytic tools to automatically generate statistics and different plots are provided. The BT Database is a free and powerful user-friendly tool with a wide range of possible clinical and research applications in neurology and neurosurgery. The BT Database graphical user interface source code and manual are freely available at http://tumorsdatabase.altervista.org.

  18. 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…

  19. 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

  20. Sources and types of online information that breast cancer patients read and discuss with their doctors

    Science.gov (United States)

    MALONEY, ERIN K.; D’AGOSTINO, THOMAS A.; HEERDT, ALEXANDRA; DICKLER, MAURA; LI, YUELIN; OSTROFF, JAMIE S.; BYLUND, CARMA L.

    2015-01-01

    Objectives Most research examining the impact of patients seeking online health information treats internet information homogenously, rather than recognizing that there are multiple types and sources of available information. The present research was conducted to differentiate among sources and types of internet information that patients search for, intend to discuss with their doctors, and recall discussing with their doctors, and to determine how accurate and hopeful patients rate this information. Methods We surveyed 70 breast cancer patients recruited from the waiting rooms of breast medical oncology and surgery clinics. The main variables in the study were as follows: (1) the sources and types of online information patients have read, intended to discuss, and actually discussed with their doctors, and (2) how accurately and hopefully they rated this information to be. Results Patients read information most frequently from the websites of cancer organizations, and most often about side effects. Patients planned to discuss fewer types of information with their doctors than they had read about. They most often intended to discuss information from cancer organization websites or WebMD, and the material was most often about alternative therapies, side effects, and proven or traditional treatments. Some 76.8% of total participants rated the information they had read as very or somewhat accurate, and 61% rated the information they had read as very or somewhat hopeful. Significance of Results Internet information varies widely by source and type. Differentiating among sources and types of information is essential to explore the ways in which online health information impacts patients’ experiences. PMID:24182945

  1. Illness Perception and Information Behaviour of Patients with Rare Chronic Diseases

    Science.gov (United States)

    Katavic, Snježana Stanarevic; Tanackovic, Sanjica Faletar; Badurina, Boris

    2016-01-01

    Introduction: This study examined possible correlations between health information behaviour and illness perception among patients with rare chronic diseases. Illness perception is related to coping strategies used by patients, and some health information behaviour practices may be associated with better coping and more positive perception of…

  2. 21 CFR 880.6300 - Implantable radiofrequency transponder system for patient identification and health information.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Implantable radiofrequency transponder system for... radiofrequency transponder system for patient identification and health information. (a) Identification. An implantable radiofrequency transponder system for patient identification and health information is a...

  3. 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;

    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...

  4. 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.

  5. Kinetic energy decomposition scheme based on information theory.

    Science.gov (United States)

    Imamura, Yutaka; Suzuki, Jun; Nakai, Hiromi

    2013-12-15

    We proposed a novel kinetic energy decomposition analysis based on information theory. Since the Hirshfeld partitioning for electron densities can be formulated in terms of Kullback-Leibler information deficiency in information theory, a similar partitioning for kinetic energy densities was newly proposed. The numerical assessments confirm that the current kinetic energy decomposition scheme provides reasonable chemical pictures for ionic and covalent molecules, and can also estimate atomic energies using a correction with viral ratios.

  6. 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...

  7. Development and evaluation of a decision aid about fertility preservation for Dutch breast cancer patients : informing patients about fertility preservation

    NARCIS (Netherlands)

    Garvelink, Mirjam Marjolein

    2014-01-01

    In the Netherlands, information provision about fertility preservation (FP) for young women with breast cancer is not sufficient. Since an increasing number of Dutch breast cancer patients will face this preference-sensitive decision each year, there is a clear need for improvement of information pr

  8. Personalized Patient Education and the Internet: Linking health information to the Electronic Patient Record (STEPPS in burn care)

    NARCIS (Netherlands)

    P.V. Doupi (Persephone)

    2005-01-01

    markdownabstract__Abstract__ For patients and their carers, information seeking and processing is an integral part of managing disease or coping with a health condition. The nature and content of that information may vary widely; from general medical knowledge, to practical details on diagnosis and

  9. Location-based health information services: a new paradigm in personalised information delivery

    Directory of Open Access Journals (Sweden)

    Boulos Maged

    2003-01-01

    Full Text Available Abstract Brute health information delivery to various devices can be easily achieved these days, making health information instantly available whenever it is needed and nearly anywhere. However, brute health information delivery risks overloading users with unnecessary information that does not answer their actual needs, and might even act as noise, masking any other useful and relevant information delivered with it. Users' profiles and needs are definitely affected by where they are, and this should be taken into consideration when personalising and delivering information to users in different locations. The main goal of location-based health information services is to allow better presentation of the distribution of health and healthcare needs and Internet resources answering them across a geographical area, with the aim to provide users with better support for informed decision-making. Personalised information delivery requires the acquisition of high quality metadata about not only information resources, but also information service users, their geographical location and their devices. Throughout this review, experience from a related online health information service, HealthCyberMap http://healthcybermap.semanticweb.org/, is referred to as a model that can be easily adapted to other similar services. HealthCyberMap is a Web-based directory service of medical/health Internet resources exploring new means to organise and present these resources based on consumer and provider locations, as well as the geographical coverage or scope of indexed resources. The paper also provides a concise review of location-based services, technologies for detecting user location (including IP geolocation, and their potential applications in health and healthcare.

  10. 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 ...

  11. 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

  12. 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?

  13. 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 f...

  14. 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…

  15. 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

  16. Leveraging on information technology to enhance patient care: a doctor's perspective of implementation in a Singapore academic hospital.

    Science.gov (United States)

    Ong, B K C

    2002-11-01

    Information technology (IT) can improve the safety of patient care by minimising prescribing errors and organising patient-specific information from diverse databases. Apart from legibility, prescribing safety is enhanced as online access to databases carrying patient drug history, scientific drug information and guideline reference, and patient-specific information is available to the physician. Such specific information includes discharge summaries, surgical procedure summaries, laboratory data and investigation reports. In addition, decision support and prompts can be built in to catch errant orders. For such system implementations to work, the IT backbone must be fast, reliable and simple to use. End-user involvement and ownership of all aspects of development are key to a usable system. However, the hospital leadership must also have the will to mandate and support these development efforts. With such support, the design and implementation team can then map out a strategy where the greatest impact is achieved in both safety and enhanced information flow. The system should not be considered a finished work, but a continual work in progress. The National University Hospital's continuously updated Computerised Patient Support System (CPSS) is an example of an IT system designed to manage information and facilitate prescribing. It is a client-server based, one-point ordering and information access portal for doctors that has widespread adoption for drug prescription at outpatient and discharge medication usage areas. This system has built in safety prompts and rudimentary decision support. It has also become the choice means of accessing patient-related databases that impact on diagnoses and management.

  17. 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”.

  18. 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.

  19. Is information always a good thing? Helping patients make "good" decisions.

    Science.gov (United States)

    Ubel, Peter A

    2002-09-01

    In most cases, patient preferences are crucial in making good health care decisions. For example, choices between chemotherapy and radiation treatment usually hinge on trade-offs that only patients can decide about. In recognition of the importance of patient preferences in clinical decisions, health services researchers have begun developing decision aids to help patients understand complex medical information. But these decision aids might lead to "bad choices"-choices that are inconsistent with people's stated preferences. In this paper, the author provides examples of how people make inconsistent medical decisions, and briefly discusses future directions for exploring ways of structuring information so that patients are less likely to make inconsistent choices.

  20. 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...

  1. 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

  2. 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

  3. [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.

  4. [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

  5. INFORMATION DISPLAY: CONSIDERATIONS FOR DESIGNING COMPUTER-BASED DISPLAY SYSTEMS.

    Energy Technology Data Exchange (ETDEWEB)

    O' HARA,J.M.; PIRUS,D.; BELTRATCCHI,L.

    2004-09-19

    This paper discussed the presentation of information in computer-based control rooms. Issues associated with the typical displays currently in use are discussed. It is concluded that these displays should be augmented with new displays designed to better meet the information needs of plant personnel and to minimize the need for interface management tasks (the activities personnel have to do to access and organize the information they need). Several approaches to information design are discussed, specifically addressing: (1) monitoring, detection, and situation assessment; (2) routine task performance; and (3) teamwork, crew coordination, collaborative work.

  6. 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

  7. 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.

  8. 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

  9. 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

  10. 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.

  11. 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.

  12. Synthetic information prediction system for crisis mine based on GIS

    Institute of Scientific and Technical Information of China (English)

    Yuxin Ye; Ping Yu; Shi Wang; Shuisheng Ye

    2006-01-01

    Reserves of some kinds of the crisis mines will be lack now or from now on, because of lacking seriously reserves of mineral resources and the crisis of exploring bases in support. So that it is urgent to predict, appraise, development and utilize the replaceable resources of the crisis mines. The mineral resources prediction software system of synthetic information is intelligent GIS which is used to quantitative prediction of large-scale synthetic information mineral target. It takes the geological body and the mineral resource body as a unit. And it analyzes the ore deposit genesis and metallotect, knows the spatial distribution laws of the ore deposit and ore body, and establish the prospecting model based on the concept of establishing the three-dimensional space of a mine. This paper will primarily discuss some important problems as follows: the secondary development of various kinds of data(including geology, geophysical prospecting, geochemical prospecting and remote sensing, etc); process synthetically and establish the synthetic information interpretative map base; correspond prospecting model with synthetic information of ore deposit; divided into statistical units of metallogenic information synthetic anomalies based on the synthetic information anomalies of ore control, then research the metallogenic information variable of unit synthetically and make quantitative prediction according to choose the quantitative prediction math model which is suitable to the demands of large-scale precision; at last, finish the target area optimization of ore deposit (body).

  13. 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;

    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....... METHODS AND THEORY: An in-depth case study of patient trajectories at a Danish hospital and surrounding municipality using individual interviews with patients. Theory about trajectory and work by Strauss was included. RESULTS: Patients continuously took initiatives to organize their treatment and care......' 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 participation...

  14. [Anesthesia management of geriatric patients with arterial pressure-based cardiac output monitoring FloTrac sensor for emergency surgery].

    Science.gov (United States)

    Yamamoto, Shunsuke; Goto, Koji; Yasuda, Norihisa; Kusaka, Junya; Hidaka, Seigo; Miyakawa, Hiroshi; Noguchi, Takayuki

    2009-06-01

    In cases of emergency surgery for geriatric patients, immediate anesthesia induction and careful intraoperative management is necessary without sufficient preoperative information. We report anesthesia management of a 96-year and a 90-year old patients with FloTrac sensor which is an arterial pressure-based cardiac output monitoring device and is able to manage critical patients effectively and safely during anesthesia.

  15. 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)

  16. Developing Visualization Techniques for Semantics-based Information Networks

    Science.gov (United States)

    Keller, Richard M.; Hall, David R.

    2003-01-01

    Information systems incorporating complex network structured information spaces with a semantic underpinning - such as hypermedia networks, semantic networks, topic maps, and concept maps - are being deployed to solve some of NASA s critical information management problems. This paper describes some of the human interaction and navigation problems associated with complex semantic information spaces and describes a set of new visual interface approaches to address these problems. A key strategy is to leverage semantic knowledge represented within these information spaces to construct abstractions and views that will be meaningful to the human user. Human-computer interaction methodologies will guide the development and evaluation of these approaches, which will benefit deployed NASA systems and also apply to information systems based on the emerging Semantic Web.

  17. 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.

  18. 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,

  19. 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

  20. 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

  1. Evaluating hydrological model performance using information theory-based metrics

    Science.gov (United States)

    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 m...

  2. 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.

  3. 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

  4. 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.

  5. 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. ...... alterations in serum albumin and water retention that may result in a delicate acid-base balance in these patients.......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...

  6. 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

  7. 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

  8. 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.

  9. 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

  10. 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.

  11. 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

  12. 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

  13. Towards a new kind of patient information leaflet?

    DEFF Research Database (Denmark)

    Fage-Butler, Antoinette Mary

    perspective. Methodologically, it contributes to Foucauldian research by clarifying to what extent Foucauldian discourse analysis may be considered a methodology, devising strategies necessary for the analysis, and indicating how Foucauldian discourse analysis can be used to promote understanding...... the methodology of Foucauldian discourse analysis to unpack the discourses in PILs. As the problems with PILs are communicative, the approach that is adopted in this PhD is to identify and analyze the discursive correlates of sender, message and receiver. The message relates to the discourses of risk and trust...... generation (discourses that generate trust). The receiver is the patient, discursively constructed. The sender is reflected in the subject positions that are present in the discourses of risk and trust generation and the discursive construction of the patient. Foucauldian discourse methodology thus offers...

  14. 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…

  15. 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...

  16. Application of Information Visualization Techniques in Representing Patients' Temporal Personal History Data

    Science.gov (United States)

    Noah, Shahrul Azman; Yaakob, Suraya; Shahar, Suzana

    The anthropometries and nutrients records of patients are usually vast in quantity, complex and exhibit temporal features. Therefore, the information acceptance among users will become blur and give cognitive burden if such data is not displayed using effective techniques. The aim of this study is to apply, use and evaluate Information Visualization (IV) techniques for displaying the Personal History Data (PHD) of patients for dietitians during counseling sessions. Since PHD values change consistently with the counseling session, our implementation mainly focused on quantitative temporal data such as Body Mass Index (BMI), blood pressure and blood glucose readings. This data is mapped into orientation circle type of visual representation, whereas data about medicinal and supplement intake are mapped into timeline segment which is based on the thickness of lines as well as the colors. A usability testing has been conducted among dietitians at Faculty of Allied Health Sciences, UKM. The result of the testing has shown that the use of visual representations capable of summarising complex data which ease the dietitian task of checking the PHD.

  17. 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

  18. Informal work and formal plans: articulating the active role of patients in cancer trajectories

    DEFF Research Database (Denmark)

    Dalsted, Rikke Juul; Hølge-Hazelton, Bibi; Brostrøm Kousgaard, Marius;

    2012-01-01

    Introduction: Formal pathway 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. Methods and theory: An in-depth case study of patient trajectories at a Danish hospital and surrounding municipality using individual interviews with patients. Theory about trajectory and work by Strauss was included. Results: Patients continuously took initiatives to organize their treatment....... The 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...

  19. 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.

  20. 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

  1. 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

  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. 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.

  4. Next-generation personalised medicine for high-risk paediatric cancer patients - The INFORM pilot study.

    Science.gov (United States)

    Worst, Barbara C; van Tilburg, Cornelis M; Balasubramanian, Gnana Prakash; Fiesel, Petra; Witt, Ruth; Freitag, Angelika; Boudalil, Miream; Previti, Christopher; Wolf, Stephan; Schmidt, Sabine; Chotewutmontri, Sasithorn; Bewerunge-Hudler, Melanie; Schick, Matthias; Schlesner, Matthias; Hutter, Barbara; Taylor, Lenka; Borst, Tobias; Sutter, Christian; Bartram, Claus R; Milde, Till; Pfaff, Elke; Kulozik, Andreas E; von Stackelberg, Arend; Meisel, Roland; Borkhardt, Arndt; Reinhardt, Dirk; Klusmann, Jan-Henning; Fleischhack, Gudrun; Tippelt, Stephan; Dirksen, Uta; Jürgens, Heribert; Kramm, Christof M; von Bueren, Andre O; Westermann, Frank; Fischer, Matthias; Burkhardt, Birgit; Wößmann, Wilhelm; Nathrath, Michaela; Bielack, Stefan S; Frühwald, Michael C; Fulda, Simone; Klingebiel, Thomas; Koscielniak, Ewa; Schwab, Matthias; Tremmel, Roman; Driever, Pablo Hernáiz; Schulte, Johannes H; Brors, Benedikt; von Deimling, Andreas; Lichter, Peter; Eggert, Angelika; Capper, David; Pfister, Stefan M; Jones, David T W; Witt, Olaf

    2016-09-01

    The 'Individualized Therapy for Relapsed Malignancies in Childhood' (INFORM) precision medicine study is a nationwide German program for children with high-risk relapsed/refractory malignancies, which aims to identify therapeutic targets on an individualised basis. In a pilot phase, reported here, we developed the logistical and analytical pipelines necessary for rapid and comprehensive molecular profiling in a clinical setting. Fifty-seven patients from 20 centers were prospectively recruited. Malignancies investigated included sarcomas (n = 25), brain tumours (n = 23), and others (n = 9). Whole-exome, low-coverage whole-genome, and RNA sequencing were complemented with methylation and expression microarray analyses. Alterations were assessed for potential targetability according to a customised prioritisation algorithm and subsequently discussed in an interdisciplinary molecular tumour board. Next-generation sequencing data were generated for 52 patients, with the full analysis possible in 46 of 52. Turnaround time from sample receipt until first report averaged 28 d. Twenty-six patients (50%) harbored a potentially druggable alteration with a prioritisation score of 'intermediate' or higher (level 4 of 7). Common targets included receptor tyrosine kinases, phosphoinositide 3-kinase-mammalian target of rapamycin pathway, mitogen-activated protein kinase pathway, and cell cycle control. Ten patients received a targeted therapy based on these findings, with responses observed in some previously treatment-refractory tumours. Comparative primary relapse analysis revealed substantial tumour evolution as well as one case of unsuspected secondary malignancy, highlighting the importance of re-biopsy at relapse. This study demonstrates the feasibility of comprehensive, real-time molecular profiling for high-risk paediatric cancer patients. This extended proof-of-concept, with examples of treatment consequences, expands upon previous personalised oncology endeavors

  5. Next-generation personalised medicine for high-risk paediatric cancer patients - The INFORM pilot study.

    Science.gov (United States)

    Worst, Barbara C; van Tilburg, Cornelis M; Balasubramanian, Gnana Prakash; Fiesel, Petra; Witt, Ruth; Freitag, Angelika; Boudalil, Miream; Previti, Christopher; Wolf, Stephan; Schmidt, Sabine; Chotewutmontri, Sasithorn; Bewerunge-Hudler, Melanie; Schick, Matthias; Schlesner, Matthias; Hutter, Barbara; Taylor, Lenka; Borst, Tobias; Sutter, Christian; Bartram, Claus R; Milde, Till; Pfaff, Elke; Kulozik, Andreas E; von Stackelberg, Arend; Meisel, Roland; Borkhardt, Arndt; Reinhardt, Dirk; Klusmann, Jan-Henning; Fleischhack, Gudrun; Tippelt, Stephan; Dirksen, Uta; Jürgens, Heribert; Kramm, Christof M; von Bueren, Andre O; Westermann, Frank; Fischer, Matthias; Burkhardt, Birgit; Wößmann, Wilhelm; Nathrath, Michaela; Bielack, Stefan S; Frühwald, Michael C; Fulda, Simone; Klingebiel, Thomas; Koscielniak, Ewa; Schwab, Matthias; Tremmel, Roman; Driever, Pablo Hernáiz; Schulte, Johannes H; Brors, Benedikt; von Deimling, Andreas; Lichter, Peter; Eggert, Angelika; Capper, David; Pfister, Stefan M; Jones, David T W; Witt, Olaf

    2016-09-01

    The 'Individualized Therapy for Relapsed Malignancies in Childhood' (INFORM) precision medicine study is a nationwide German program for children with high-risk relapsed/refractory malignancies, which aims to identify therapeutic targets on an individualised basis. In a pilot phase, reported here, we developed the logistical and analytical pipelines necessary for rapid and comprehensive molecular profiling in a clinical setting. Fifty-seven patients from 20 centers were prospectively recruited. Malignancies investigated included sarcomas (n = 25), brain tumours (n = 23), and others (n = 9). Whole-exome, low-coverage whole-genome, and RNA sequencing were complemented with methylation and expression microarray analyses. Alterations were assessed for potential targetability according to a customised prioritisation algorithm and subsequently discussed in an interdisciplinary molecular tumour board. Next-generation sequencing data were generated for 52 patients, with the full analysis possible in 46 of 52. Turnaround time from sample receipt until first report averaged 28 d. Twenty-six patients (50%) harbored a potentially druggable alteration with a prioritisation score of 'intermediate' or higher (level 4 of 7). Common targets included receptor tyrosine kinases, phosphoinositide 3-kinase-mammalian target of rapamycin pathway, mitogen-activated protein kinase pathway, and cell cycle control. Ten patients received a targeted therapy based on these findings, with responses observed in some previously treatment-refractory tumours. Comparative primary relapse analysis revealed substantial tumour evolution as well as one case of unsuspected secondary malignancy, highlighting the importance of re-biopsy at relapse. This study demonstrates the feasibility of comprehensive, real-time molecular profiling for high-risk paediatric cancer patients. This extended proof-of-concept, with examples of treatment consequences, expands upon previous personalised oncology endeavors

  6. 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.

  7. 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.

  8. Semantic analysis based forms information retrieval and classification

    Science.gov (United States)

    Saba, Tanzila; Alqahtani, Fatimah Ayidh

    2013-09-01

    Data entry forms are employed in all types of enterprises to collect hundreds of customer's information on daily basis. The information is filled manually by the customers. Hence, it is laborious and time consuming to use human operator to transfer these customers information into computers manually. Additionally, it is expensive and human errors might cause serious flaws. The automatic interpretation of scanned forms has facilitated many real applications from speed and accuracy point of view such as keywords spotting, sorting of postal addresses, script matching and writer identification. This research deals with different strategies to extract customer's information from these scanned forms, interpretation and classification. Accordingly, extracted information is segmented into characters for their classification and finally stored in the forms of records in databases for their further processing. This paper presents a detailed discussion of these semantic based analysis strategies for forms processing. Finally, new directions are also recommended for future research. [Figure not available: see fulltext.

  9. 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 ...

  10. 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.

  11. 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...

  12. 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...

  13. 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...

  14. Image-domain shading correction for cone-beam CT without prior patient information.

    Science.gov (United States)

    Fan, Qiyong; Lu, Bo; Park, Justin C; Niu, Tianye; Li, Jonathan G; Liu, Chihray; Zhu, Lei

    2015-01-01

    used as image quality metrics. Within selected regions of interest, the average CT number error was reduced from around 300 HU to 42 and 38 HU, and the spatial nonuniformity error was reduced from above 17.5% to 2.1% and 1.7% for the pelvis and the head patients, respectively. As our method suppresses only low-frequency shading artifacts, patient anatomy and contrast were retained in the corrected images for both cases. Our shading correction algorithm on CBCT images offers several advantages. It has a high efficiency, since it is deterministic and directly operates on the reconstructed images. It requires no prior information or assumptions, which not only achieves the merits of CBCT-based treatment monitoring by retaining the patient anatomy, but also facilitates its clinical use as an efficient image-correction solution. PMID:26699555

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. Contextual Information Retrieval based on Algorithmic Information Theory and Statistical Outlier Detection

    CERN Document Server

    Martinez, Rafael; Rodriguez, Francisco de Borja; Camacho, David

    2007-01-01

    The main contribution of this paper is to design an Information Retrieval (IR) technique based on Algorithmic Information Theory (using the Normalized Compression Distance- NCD), statistical techniques (outliers), and novel organization of data base structure. The paper shows how they can be integrated to retrieve information from generic databases using long (text-based) queries. Two important problems are analyzed in the paper. On the one hand, how to detect "false positives" when the distance among the documents is very low and there is actual similarity. On the other hand, we propose a way to structure a document database which similarities distance estimation depends on the length of the selected text. Finally, the experimental evaluations that have been carried out to study previous problems are shown.

  1. Recovery of speed of information processing in closed-head-injury patients

    NARCIS (Netherlands)

    Zwaagstra, R.; Schmidt, I; Vanier, M

    1996-01-01

    After severe traumatic brain injury, patients almost invariably demonstrate a slowing of reaction time, reflecting a slowing of central information processing. Methodological problems associated with the traditional method for the analysis of longitudinal data (MANOVA) severely complicate studies on

  2. 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...... 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-ill patients....... 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 patients transported...

  3. 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...

  4. 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...

  5. 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...

  6. Measuring trends in performance across time: providing information to cancer patients.

    Science.gov (United States)

    Fitch, Margaret I; McAndrew, Alison; Harth, Tamara

    2013-01-01

    Providing relevant, up-to-date information is identified as a quality standard of cancer care. Cancer programs need to be able to evaluate whether they are meeting the standard and to monitor their performance on an ongoing basis. Routine collection of clearly defined data, using reliable and valid measures, provides cancer program leaders with dependable information upon which to make decisions and monitor trends in performance over time. This article describes one cancer centre's experience in using standardized data collection regarding provision of patient information. The Cancer Patient Information Importance-Satisfaction Scale has been administered routinely in an outpatient setting over eight years. The profile we create from the data assists us in making informed decisions about patient education initiatives.

  7. 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

  8. 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.

  9. 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.

  10. 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)

  11. 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

  12. 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

  13. 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

  14. 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 ...

  15. Patient information and patient preparation in orthognathic surgery : A medical audit study

    NARCIS (Netherlands)

    Rittersma, J.; Casparie, A.F.; Reerink, E.

    1980-01-01

    In 110 patients who had undergone various kinds of orthognathic surgery, patient satisfaction was measured by means of a written questionnaire. Ninety-four percent expressed satisfaction, both with regard to total preparation and the final outcome of the surgical procedure itself. Twenty to forty p

  16. 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...

  17. 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...

  18. 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.

  19. Design and implementation of a smart card based healthcare information system.

    Science.gov (United States)

    Kardas, Geylani; Tunali, E Turhan

    2006-01-01

    Smart cards are used in information technologies as portable integrated devices with data storage and data processing capabilities. As in other fields, smart card use in health systems became popular due to their increased capacity and performance. Their efficient use with easy and fast data access facilities leads to implementation particularly widespread in security systems. In this paper, a smart card based healthcare information system is developed. The system uses smart card for personal identification and transfer of health data and provides data communication via a distributed protocol which is particularly developed for this study. Two smart card software modules are implemented that run on patient and healthcare professional smart cards, respectively. In addition to personal information, general health information about the patient is also loaded to patient smart card. Health care providers use their own smart cards to be authenticated on the system and to access data on patient cards. Encryption keys and digital signature keys stored on smart cards of the system are used for secure and authenticated data communication between clients and database servers over distributed object protocol. System is developed on Java platform by using object oriented architecture and design patterns.

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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

  6. 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...

  7. Using case-mix information in strategic hospital marketing. Deriving market research from patient data.

    Science.gov (United States)

    Little, A

    1992-01-01

    Hospital survival requires adaptation, adaptation requires understanding, and understanding requires information. These are the basic equations behind hospital strategic marketing, and one of the answers may lie in hospitals' own patient-data systems. Marketers' and administrators' enlightened application of case-mix information could become one more hospital survival tool.

  8. Online Health Information Tool Effectiveness for Older Patients : A Systematic Review of the Literature

    NARCIS (Netherlands)

    Bolle, Sifra; Van Weert, Julia C M; Daams, Joost G.; Loos, Eugène F.; De Haes, Hanneke C J M; Smets, Ellen M A

    2015-01-01

    Online health information tools (OHITs) have been found to be effective in improving health outcomes. However, the effectiveness of these tools for older patients has been far from clear. This systematic literature review therefore provides an overview of online health information tool effectiveness

  9. Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures

    NARCIS (Netherlands)

    Kinnersley, P.; Phillips, K.; Savage, K.; Kelly, M.J.; Farrell, E.; Morgan, B.; Whistance, R.; Lewis, V.; Mann, M.K.; Stephens, B.L.; Blazeby, J.; Elwyn, G.; Edwards, A.G.

    2013-01-01

    BACKGROUND: Achieving informed consent is a core clinical procedure and is required before any surgical or invasive procedure is undertaken. However, it is a complex process which requires patients be provided with information which they can understand and retain, opportunity to consider their optio

  10. 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...

  11. Study on GIS-based sport-games information system

    Science.gov (United States)

    Peng, Hongzhi; Yang, Lingbin; Deng, Meirong; Han, Yongshun

    2008-10-01

    With the development of internet and such info-technologies as, Information Superhighway, Computer Technology, Remote Sensing(RS), Global Positioning System(GPS), Digital Communication and National Information Network(NIN),etc. Geographic Information System (GIS) becomes more and more popular in fields of science and industries. It is not only feasible but also necessary to apply GIS to large-scale sport games. This paper firstly discussed GIS technology and its application, then elaborated on the frame and content of Sport-Games Geography Information System(SG-GIS) with the function of gathering, storing, processing, sharing, exchanging and utilizing all kind of spatial-temporal information about sport games, and lastly designed and developed a public service GIS for the 6th Asian Winter Games in Changchun, China(CAWGIS). The application of CAWGIS showed that the established SG-GIS was feasible and GIS-based sport games information system was able to effectively process a large amount of sport-games information and provide the real-time sport games service for governors, athletes and the public.

  12. 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.

  13. Syllable-Based Reading Strategy for Mastery of Scientific Information

    Science.gov (United States)

    Bhattacharya, Alpana

    2006-01-01

    This article describes a strategic approach for reading and comprehending scientific information from a middle school science textbook. First, the word-reading skills of children with and without reading difficulties are compared. Second, studies investigating the effectiveness of a syllable-based reading approach on the word-reading skills of…

  14. Content-Based Information Retrieval from Forensic Databases

    NARCIS (Netherlands)

    Geradts, Z.J.M.H.

    2002-01-01

    In forensic science, the number of image databases is growing rapidly. For this reason, it is necessary to have a proper procedure for searching in these images databases based on content. The use of image databases results in more solved crimes; furthermore, statistical information can be obtained

  15. 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…

  16. Virtual World-Based Information Security Learning: Design and Evaluation

    Directory of Open Access Journals (Sweden)

    Ryoo, Jungwoo

    2016-09-01

    Full Text Available There has been a growing interest and enthusiasm for the application of virtual worlds in learning and training. This research proposes a design framework of a virtual world-based learning environment that integrates two unique features of the virtual world technology, immersion and interactivity, with an instructional strategy that promotes self-regulatory learning. We demonstrate the usefulness and assess the effectiveness of our design in the context of information security learning. In particular, the information security learning module implemented in Second Life was incorporated into an Introduction to Information Security course. Data from pre- and post- learning surveys were used to evaluate the effectiveness of the learning module. Overall, the results strongly suggest that the virtual world-based learning environment enhances information security learning, thus supporting the effectiveness of the proposed design framework. Additional results suggest that learner traits have an important influence on learning outcomes through perceived enjoyment. The study offers useful design and implementation guidelines for organizations and universities to develop a virtual world-based learning environment. It also represents an initial step towards the design and explanation theories of virtual world-based learning environments.

  17. 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…

  18. Computer-Based Information Services in Medicine: A Feasibility Study.

    Science.gov (United States)

    Cox, P. H.; And Others

    The objectives of this study were to examine the need and potential demand for computer-based information services in the University of Otago medical libraries, to evaluate the various databases of interest, and to recommend the best means of access to such services. Data were collected through user and library surveys, an extensive literature…

  19. 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…

  20. Performance-based readability testing of participant information for a Phase 3 IVF trial

    Directory of Open Access Journals (Sweden)

    Silcock Jonathan

    2009-09-01

    Full Text Available Abstract Background Studies suggest that the process of patient consent to clinical trials is sub-optimal. Participant information sheets are important but can be technical and lengthy documents. Performance-based readability testing is an established means of assessing patient information, and this study aimed to test its application to participant information for a Phase 3 trial. Methods An independent groups design was used to study the User Testing performance of the participant information sheet from the Phase 3 'Poor Responders' trial of In Vitro Fertilisation (IVF. 20 members of the public were asked to read it, then find and demonstrate understanding of 21 key aspects of the trial. The participant information sheet was then re-written and re-designed, and tested on 20 members of the public, using the same 21 item questionnaire. Results The original participant information sheet performed well in some places. Participants could not find some answers and some of the found information was not understood. In total there were 30 instances of information being not found or not understood. Answers to three questions were found but not understood by many of the participants, these related to aspects of the drug timing, Follicle Stimulating Hormone and compensation. Only two of the 20 participants could find and show understanding of all question items when using the original sheet. The revised sheet performed generally better, with 17 instances of information being not found or not understood, although the number of 'not found' items increased. Half of the 20 participants could find and show understanding of all question items when using the revised sheet. When asked to compare the versions of the sheet, almost all participants preferred the revised version. Conclusion The original participant information sheet may not have enabled patients fully to give valid consent. Participants seeing the revised sheet were better able to understand the

  1. 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…

  2. Direction of Information Flow in Alzheimer's Disease and MCI Patients

    Directory of Open Access Journals (Sweden)

    Fabrizio Vecchio

    2011-01-01

    Full Text Available Is directionality of electroencephalographic (EEG synchronization abnormal in amnesic mild cognitive impairment (MCI and Alzheimer's disease (AD? And, do cerebrovascular and AD lesions represent additive factors in the development of MCI as a putative preclinical stage of AD? Here we reported two studies that tested these hypotheses. EEG data were recorded in normal elderly (Nold, amnesic MCI, and mild AD subjects at rest condition (closed eyes. Direction of information flow within EEG electrode pairs was performed by directed transfer function (DTF at δ (2–4 Hz, θ (4–8 Hz, α1 (8–10 Hz, α2 (10–12 Hz, β1 (13–20 Hz, β2 (20–30 Hz, and γ (30–40 Hz. Parieto-to-frontal direction was stronger in Nold than in MCI and/or AD subjects for α and β rhythms. In contrast, the directional flow within interhemispheric EEG functional coupling did not discriminate among the groups. More interestingly, this coupling was higher at θ, α1, α2, and β1 in MCI with higher than in MCI with lower vascular load. These results suggest that directionality of parieto-to-frontal EEG synchronization is abnormal not only in AD but also in amnesic MCI, supporting the additive model according to which MCI state would result from the combination of cerebrovascular and neurodegenerative lesions.

  3. 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

    of themselves appeared in newspapers, and self-management and telecare technologies were seen as ways to change elderly patients practices. Transformation of the traditional healthcare system remains on the agenda, and it continues to challenge the traditional view of the patient role (framed in this article...... and relatives who function as expert caregivers). To accurately reflect this phenomenon, Mort et al. (2003) suggested using the terms 'remote doctors' and 'absent patients'. Likewise, Oudshoorn (2008) highlighted how the absence of face-to-face interaction implies that healthcare professionals rely more...

  4. 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

  5. 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...

  6. 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

  7. Online Health Information Tool Effectiveness for Older Patients: A Systematic Review of the Literature.

    Science.gov (United States)

    Bolle, Sifra; van Weert, Julia C M; Daams, Joost G; Loos, Eugène F; de Haes, Hanneke C J M; Smets, Ellen M A

    2015-01-01

    Online health information tools (OHITs) have been found to be effective in improving health outcomes. However, the effectiveness of these tools for older patients has been far from clear. This systematic literature review therefore provides an overview of online health information tool effectiveness for older patients using a two-dimensional framework of OHIT functions (i.e., providing information, enhancing information exchange, and promoting self-management) and outcomes (i.e., immediate, intermediate, and long-term outcomes). Comprehensive searches of the PubMed, EMBASE, and PsycINFO databases are conducted to identify eligible studies. Articles describing outcomes of patient-directed OHITs in which a mean sample or subgroup of age ≥65 years was used are included in the literature review. A best evidence synthesis analysis provides evidence that OHITs improve self-efficacy, blood pressure, hemoglobin levels, and cholesterol levels. Limited evidence is found in support of OHIT effects on knowledge, perceived social support, health service utilization, glycemic control, self-care adherence, exercise performance, endurance, and quality of life. OHITs seem promising tools to facilitate immediate, intermediate, and long-term outcomes in older patients by providing information, enhancing information exchange, and promoting self-management. However, future studies should evaluate the effectiveness of OHITs for older patients to achieve stronger levels of evidence. PMID:26165846

  8. Information retrieval and terminology extraction in online resources for patients with diabetes.

    Science.gov (United States)

    Seljan, Sanja; Baretić, Maja; Kucis, Vlasta

    2014-06-01

    Terminology use, as a mean for information retrieval or document indexing, plays an important role in health literacy. Specific types of users, i.e. patients with diabetes need access to various online resources (on foreign and/or native language) searching for information on self-education of basic diabetic knowledge, on self-care activities regarding importance of dietetic food, medications, physical exercises and on self-management of insulin pumps. Automatic extraction of corpus-based terminology from online texts, manuals or professional papers, can help in building terminology lists or list of "browsing phrases" useful in information retrieval or in document indexing. Specific terminology lists represent an intermediate step between free text search and controlled vocabulary, between user's demands and existing online resources in native and foreign language. The research aiming to detect the role of terminology in online resources, is conducted on English and Croatian manuals and Croatian online texts, and divided into three interrelated parts: i) comparison of professional and popular terminology use ii) evaluation of automatic statistically-based terminology extraction on English and Croatian texts iii) comparison and evaluation of extracted terminology performed on English manual using statistical and hybrid approaches. Extracted terminology candidates are evaluated by comparison with three types of reference lists: list created by professional medical person, list of highly professional vocabulary contained in MeSH and list created by non-medical persons, made as intersection of 15 lists. Results report on use of popular and professional terminology in online diabetes resources, on evaluation of automatically extracted terminology candidates in English and Croatian texts and on comparison of statistical and hybrid extraction methods in English text. Evaluation of automatic and semi-automatic terminology extraction methods is performed by recall

  9. 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.

  10. 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 ...

  11. 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 paper investigates how textile design can be understood as a model for architectural production providing new strategies for material specification and allowing the thinking of material as inherently variegated and performative. The paper traces the two fold information based strategies present...... in 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...

  12. 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.

  13. 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.

  14. 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

  15. 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

  16. 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.

  17. Do patient preferences for health information vary by health literacy or numeracy? A qualitative assessment.

    Science.gov (United States)

    Gaglio, Bridget; Glasgow, Russell E; Bull, Sheana S

    2012-01-01

    Seeking health information can be a complicated process for a patient. Patients must know the topic of interest, where to look or ask, how to assess and comprehend, and how to evaluate the credibility and trustworthiness of the sources. In this study, the authors describe preferences of patients with multiple risk factors for cardiovascular disease with varying health literacy and numeracy abilities for receiving health information. Participants were recruited from 2 health care systems. Health literacy and numeracy were assessed and participants completed an orally administered survey consisting of open-ended questions about obtaining health information and preferences for health information. In-depth interviews were conducted with a subset of participants. A diverse sample of 150 individuals (11.3% Latino, 37.3% African American, 44.7% with income less than $15,000/year) participated. Most participants had adequate functional health literacy, while 65% had low numeracy skills. Regardless of health literacy or numeracy ability, participants overwhelmingly preferred to receive health information during a face-to-face conversation with their health care provider. While individuals with adequate functional health literacy identified a variety of health information sources, actions are needed to ensure multiple modalities are available and are in plain, clear language that reinforces patients' understanding and application of information to health behavior.

  18. 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.

  19. 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.

  20. 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

  1. 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.

  2. A Spread Willingness Computing-Based Information Dissemination Model

    Directory of Open Access Journals (Sweden)

    Haojing Huang

    2014-01-01

    Full Text Available This paper constructs a kind of spread willingness computing based on information dissemination model for social network. The model takes into account the impact of node degree and dissemination mechanism, combined with the complex network theory and dynamics of infectious diseases, and further establishes the dynamical evolution equations. Equations characterize the evolutionary relationship between different types of nodes with time. The spread willingness computing contains three factors which have impact on user’s spread behavior: strength of the relationship between the nodes, views identity, and frequency of contact. Simulation results show that different degrees of nodes show the same trend in the network, and even if the degree of node is very small, there is likelihood of a large area of information dissemination. The weaker the relationship between nodes, the higher probability of views selection and the higher the frequency of contact with information so that information spreads rapidly and leads to a wide range of dissemination. As the dissemination probability and immune probability change, the speed of information dissemination is also changing accordingly. The studies meet social networking features and can help to master the behavior of users and understand and analyze characteristics of information dissemination in social network.

  3. 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

  4. 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.

  5. 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

  6. 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.

  7. 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...

  8. 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.

  9. 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.

  10. 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.

  11. 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...

  12. Therapeutic patient education in heart failure: do studies provide sufficient information about the educational programme?

    Science.gov (United States)

    Albano, Maria Grazia; Jourdain, Patrick; De Andrade, Vincent; Domenke, Aukse; Desnos, Michel; d'Ivernois, Jean-François

    2014-05-01

    Therapeutic patient education programmes on heart failure have been widely proposed for many years for heart failure patients, but their efficiency remains questionable, partly because most articles lack a precise programme description, which makes comparative analysis of the studies difficult. To analyse the degree of precision in describing therapeutic patient education programmes in recent randomized controlled trials. Three major recent recommendations on therapeutic patient education in heart failure inspired us to compile a list of 23 relevant items that an 'ideal' description of a therapeutic patient education programme should contain. To discover the extent to which recent studies into therapeutic patient education in heart failure included these items, we analysed 19 randomized controlled trials among 448 articles published in this field from 2005 to 2012. The major elements required to describe a therapeutic patient education programme were present, but some other very important pieces of information were missing in most of the studies we analysed: the patient's educational needs, health literacy, projects, expectations regarding therapeutic patient education and psychosocial status; the educational methodology used; outcomes evaluation; and follow-up strategies. Research into how therapeutic patient education can help heart failure patients will be improved if more precise descriptions of patients, educational methodology and evaluation protocols are given by authors, ideally in a standardized format.

  13. Information needs of neuro-oncology patients and their caregivers: a pilot study

    Directory of Open Access Journals (Sweden)

    Khryshchuk, Olga

    2012-07-01

    Full Text Available BACKGROUND: Patients with primary brain tumors (PBT often have acute depression, anxiety and complications of social adaptation. The goal of this study was to examine difficulties and information needs of patients with PBT and their caregivers during diagnostic and treatment period. METHODS: Thirteen in-depth interviews were conducted with convenience sample of nine patients and four caregivers who were under treatment in the Kyiv “Feofaniya” clinic in October 2011 – April 2012. Convenience strategy was used because of poor availability of the target group. Data collection was stopped when saturation was achieved.RESULTS: PBT patients and their caregivers need information about diagnosis and prognosis, while uncertainty about the future is increased due to a long diagnostic period and delayed contacts with neuro-oncology professionals. In making decision, patients rely on the doctors, which confirms the paternalistic relationships. Most patients avoid talking about their feelings with the family and tend to deny the change of roles in the family due to illness. Those who consider chances of recovery as high express need for psychological support, but those who are emotionally suppressed and scared, don’t want to discuss their state with professionals. Caregivers also experience increased responsibility and fear about the future. Possibly, religious patients have lower information needs and willingness to discuss the disease and its treatment with the doctor. CONCLUSIONS: During the diagnostics patients face problems of uncertainty regarding the diagnosis, the availability of appropriate health professional, and the treatment strategy. Communication with doctor and quality of information provided to the patient is important as well as professional psychological support for patients and their caregivers. Limitations of the study include poor sample strategy, all participants were recruited from a single clinic, which is not the typical for

  14. 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

  15. 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...

  16. 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

  17. 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.

  18. 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.)

  19. Developing a mobile application to better inform patients and enable effective consultation in implant dentistry.

    Science.gov (United States)

    Canbazoglu, Erokan; Salman, Yucel Batu; Yildirim, Mustafa Eren; Merdenyan, Burak; Ince, Ibrahim Furkan

    2016-01-01

    The field of dentistry lacks satisfactory tools to help visualize planned procedures and their potential results to patients. Dentists struggle to provide an effective image in their patient's mind of the end results of the planned treatment only through verbal explanations. Thus, verbal explanations alone often cannot adequately help the patients make a treatment decision. Inadequate attempts are frequently made by dentists to sketch the procedure for the patient in an effort to depict the treatment. These attempts however require an artistic ability not all dentists have. Real case photographs are sometimes of help in explaining and illustrating treatments. However, particularly in implant cases, real case photographs are often ineffective and inadequate. The purpose of this study is to develop a mobile application with an effective user interface design to support the dentist-patient interaction by providing the patient with illustrative descriptions of the procedures and the end result. Sketching, paper prototyping, and wire framing were carried out with the actual user's participation. Hard and soft dental tissues were modeled using three dimensional (3D) modeling programs and real cases. The application enhances the presentation to the patients of potential implants and implant supported prosthetic treatments with rich 3D illustrative content. The application was evaluated in terms of perceived ease of use and perceived usefulness through an online survey. The application helps improve the information sharing behavior of dentists to enhance the patients' right to make informed decisions. The paper clearly demonstrates the relevance of interactive communication technologies for dentist-patient communication.

  20. Space-Based Information Infrastructure Architecture for Broadband Services

    Science.gov (United States)

    Price, Kent M.; Inukai, Tom; Razdan, Rajendev; Lazeav, Yvonne M.

    1996-01-01

    This study addressed four tasks: (1) identify satellite-addressable information infrastructure markets; (2) perform network analysis for space-based information infrastructure; (3) develop conceptual architectures; and (4) economic assessment of architectures. The report concludes that satellites will have a major role in the national and global information infrastructure, requiring seamless integration between terrestrial and satellite networks. The proposed LEO, MEO, and GEO satellite systems have satellite characteristics that vary widely. They include delay, delay variations, poorer link quality and beam/satellite handover. The barriers against seamless interoperability between satellite and terrestrial networks are discussed. These barriers are the lack of compatible parameters, standards and protocols, which are presently being evaluated and reduced.

  1. Multiagent Based Information Dissemination in Vehicular Ad Hoc Networks

    Directory of Open Access Journals (Sweden)

    S.S. Manvi

    2009-01-01

    Full Text Available Vehicular Ad hoc Networks (VANETs are a compelling application of ad hoc networks, because of the potential to access specific context information (e.g. traffic conditions, service updates, route planning and deliver multimedia services (Voice over IP, in-car entertainment, instant messaging, etc.. This paper proposes an agent based information dissemination model for VANETs. A two-tier agent architecture is employed comprising of the following: 1 'lightweight', network-facing, mobile agents; 2 'heavyweight', application-facing, norm-aware agents. The limitations of VANETs lead us to consider a hybrid wireless network architecture that includes Wireless LAN/Cellular and ad hoc networking for analyzing the proposed model. The proposed model provides flexibility, adaptability and maintainability for traffic information dissemination in VANETs as well as supports robust and agile network management. The proposed model has been simulated in various network scenarios to evaluate the effectiveness of the approach.

  2. 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.

  3. Level of knowledge and sources of information about the rheumatoid arthritis in Estonian patients.

    Science.gov (United States)

    Põlluste, Kaja; Kallikorm, Riina; Lember, Margus

    2014-05-01

    The objective of this paper was to find out how many patients with rheumatoid arthritis (RA) know about several aspects of disease, to explain the associations between the level of self-rated knowledge and patients' background and health status and to compare the importance of the main sources of information. A random sample (n = 1,259) of adult Estonian RA patients was selected from the Estonian Health Insurance Fund Database. The patients completed a self-administered questionnaire, which included information about their socio-demographic and disease characteristics, use of health services, information about the disease, and sources of information. Regression analysis was used to calculate the associations between the independent variables and level of self-rated knowledge about several aspects of RA. The results of the study indicated that the self-reported ratings of knowledge about the disease in Estonian RA patients were rather low. Health professionals were mentioned as the primary sources of information, but the longer disease history and more frequent use of health services as considerable predictors of higher ratings of knowledge refer to role of personal experience in obtaining knowledge about the disease as well.

  4. Information management in software engineering: A hypertext based approach

    Energy Technology Data Exchange (ETDEWEB)

    Garg, P.K.

    1989-01-01

    Large scale software systems requires automated support for the communication and coordination of cooperative effort required to manage, create, store, print, and use large volumes of information. Hypertext is a flexible, general purpose, non-linear model for storing textual information. The thesis of this dissertation is that software engineering information should be managed using a hypertext based approach. Previous models of software engineering information do not provide the flexibility and generality of a hypertext model. We describe the design and implementation of an Intelligent Software Hypertext System (Ishys), for management of software engineering information. In Ishys, Basic Templates (BTs) are nodes of a hypertext, which can have point-to-point and node-to-node links. Forms are sequences of BTs which can be used to model software life cycle documents. Compositions are arbitrary collections of BTs. Projects represent partitions of the hypertext such that each project has the same forms. Tasks are responsibilities of agents which use or produce forms. Tasks are composed of actions which use or produce BTs. Actions are composed of primitive actions which are commands provided through Ishys. In a general user mode, users create information in Ishys by instantiating BTs. In a super user mode, users define the projects, forms, BTs, tasks, actions, and primitive actions. Structured communication about BTs is supported through annotations attached to different points within BTs. To illustrate the flexibility and generality of the hypertext based approach we show how a hypertext can support generalizations, specializations, revisions, and aggregations. To illustrate the power of hypertext systems in supporting collaborative work, we discuss how a hypertext system can support two models for composition of node composition: (1) the assembly line model, and (2) the exploratory assembly model.

  5. 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

  6. 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.

  7. DTN Routing Algorithm Based on Perceptions of Node Mobile Information

    Directory of Open Access Journals (Sweden)

    Wang En

    2013-08-01

    Full Text Available Due to the high mobility of nodes in DTN, the topology is changing forever. On this base, putting forward an efficient routing protocol becomes a hot topic in this area. Focus on the moving character of nodes, putting forward a routing algorithm in DTN (BMI based on perceptions of node mobile information. This algorithm improved from the classical routing protocol spray and wait. First, change the wait phase to active routing. Then consider the moving information of meeting nodes and purpose nodes, choose a node which has a higher possibility to meet the purpose node. Simulation results show that, this algorithm can significantly improve the delivery ratio and reduce the delay.

  8. Local Stereo Matching Based on Information Entropy of Image

    Science.gov (United States)

    Geng, Yingnan

    2016-09-01

    Adaptive support-window algorithm is one of the simplest local algorithms for stereo matching. An important problem for adaptive support-window algorithm is to determine the appropriate support-window size, which is always hard to do and limits the validity of adaptive support-window algorithm. An appropriate support-window size must be selected adaptively based on image features. In this paper, information entropy of image is defined for stereo matching in the RGB vector space. Based on adaptive support-window, a new support-window selection algorithm, which uses information entropy of image to quantify image features such as illumination color and number of object contained in an image, is proposed. Experimental results evaluated on the Middlebury stereo benchmark show that our algorithm outperforms the conventional adaptive support-window algorithms.

  9. 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 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....... 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...

  10. 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

  11. 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.

  12. 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...

  13. 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.

  14. A cloud-based information repository for bridge monitoring applications

    Science.gov (United States)

    Jeong, Seongwoon; Zhang, Yilan; Hou, Rui; Lynch, Jerome P.; Sohn, Hoon; Law, Kincho H.

    2016-04-01

    This paper describes an information repository to support bridge monitoring applications on a cloud computing platform. Bridge monitoring, with instrumentation of sensors in particular, collects significant amount of data. In addition to sensor data, a wide variety of information such as bridge geometry, analysis model and sensor description need to be stored. Data management plays an important role to facilitate data utilization and data sharing. While bridge information modeling (BrIM) technologies and standards have been proposed and they provide a means to enable integration and facilitate interoperability, current BrIM standards support mostly the information about bridge geometry. In this study, we extend the BrIM schema to include analysis models and sensor information. Specifically, using the OpenBrIM standards as the base, we draw on CSI Bridge, a commercial software widely used for bridge analysis and design, and SensorML, a standard schema for sensor definition, to define the data entities necessary for bridge monitoring applications. NoSQL database systems are employed for data repository. Cloud service infrastructure is deployed to enhance scalability, flexibility and accessibility of the data management system. The data model and systems are tested using the bridge model and the sensor data collected at the Telegraph Road Bridge, Monroe, Michigan.

  15. Complexity measurement based on information theory and kolmogorov complexity.

    Science.gov (United States)

    Lui, Leong Ting; Terrazas, Germán; Zenil, Hector; Alexander, Cameron; Krasnogor, Natalio

    2015-01-01

    In the past decades many definitions of complexity have been proposed. Most of these definitions are based either on Shannon's information theory or on Kolmogorov complexity; these two are often compared, but very few studies integrate the two ideas. In this article we introduce a new measure of complexity that builds on both of these theories. As a demonstration of the concept, the technique is applied to elementary cellular automata and simulations of the self-organization of porphyrin molecules.

  16. 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.

  17. 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...

  18. 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...

  19. 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...

  20. 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...

  1. Simple group password-based authenticated key agreements for the integrated EPR information system.

    Science.gov (United States)

    Lee, Tian-Fu; Chang, I-Pin; Wang, Ching-Cheng

    2013-04-01

    The security and privacy are important issues for electronic patient records (EPRs). The goal of EPRs is sharing the patients' medical histories such as the diagnosis records, reports and diagnosis image files among hospitals by the Internet. So the security issue for the integrated EPR information system is essential. That is, to ensure the information during transmission through by the Internet is secure and private. The group password-based authenticated key agreement (GPAKE) allows a group of users like doctors, nurses and patients to establish a common session key by using password authentication. Then the group of users can securely communicate by using this session key. Many approaches about GAPKE employ the public key infrastructure (PKI) in order to have higher security. However, it not only increases users' overheads and requires keeping an extra equipment for storing long-term secret keys, but also requires maintaining the public key system. This investigation presents a simple group password-based authenticated key agreement (SGPAKE) protocol for the integrated EPR information system. The proposed SGPAKE protocol does not require using the server or users' public keys. Each user only remembers his weak password shared with a trusted server, and then can obtain a common session key. Then all users can securely communicate by using this session key. The proposed SGPAKE protocol not only provides users with convince, but also has higher security. PMID:23328913

  2. 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.

  3. A Frame Based Architecture for Information Integration in CIMS

    Institute of Scientific and Technical Information of China (English)

    吴信东

    1992-01-01

    This paper foumulates and architecture for information integration in computer integrated manufacturing systems(CIMS).The architecture takes the frame structure as single link among applications and between applications and physical storage.All the advantages in form features based intgrated systems can be found in the frame-based architecture as the frame structrue here takes from features as its primitives.But other advantage,e.g.,default knowledge and dynamic domain knowledge can be attached to frames and the frame structure is easy to be changed and extended,which cannot be found ing form reatures based systems,can also be showed in frame based architectures as the frame structure is a typical knowledge representation scheme in artificial intelligence and many researches and interests have put on it.

  4. 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

  5. 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.

  6. Characterization of Cardiac Patients Based on the Synergy Model

    Directory of Open Access Journals (Sweden)

    Tavangar

    2014-10-01

    Full Text Available Background Cardiac patients need comprehensive support due to the adverse effects of this disease on different aspects of their lives. Synergy intervention is a model that focuses on patients' requirements. Objectives This study aimed to determine the eightfold characteristic of cardiac patients based on the synergy model that represent their clinical requirements. Materials and Methods In this descriptive cross-sectional study, 40 cardiac patients hospitalized at the cardiac care unit (CCU of Yazd Afshar Hospital were randomly selected. The data were collected by using a two-part check-list including demographic characteristics and also by studying eight characteristics of patients through interviewing and reviewing their records. The results were analyzed using descriptive statistics such as frequency (percentage and analytical statistics such as Spearman and Mann-Whitney test with the SPSS software, version 18. Results The results showed that among patients' internal characteristics, reversibility (70.6%, vulnerability (68.6%, and predictability (80.4% at level 1 (the minimum score had the highest frequency and stability (49% and complexity (54.9% were at level 3 (average score. Among external characteristics participation in decision-making (80.4% at level 1 had the highest frequency while care (62.7% and recourses (98% were at level 3. Conclusions Ignoring any of the eightfold characteristics based on the synergy model interferes with comprehensive support of cardiac patients. Therefore, it is necessary for professional health practitioners, especially nurses, to consider patients' eightfold characteristics in order to provide quality care.

  7. Assessing the information desire of patients with advanced cancer by providing information with a decision aid, which is evaluated in a randomized trial: a study protocol

    Directory of Open Access Journals (Sweden)

    van der Graaf Winette TA

    2011-02-01

    Full Text Available Abstract Background There is a continuing debate on the desirability of informing patients with cancer and thereby involving them in treatment decisions. On the one hand, information uptake may be hampered, and additional stress could be inflicted by involving these patients. On the other hand, even patients with advanced cancer desire information on risks and prognosis. To settle the debate, a decision aid will be developed and presented to patients with advanced disease at the point of decision making. The aid is used to assess the amount of information desired. Factors related to information desire are explored, as well as the ability of the medical oncologist to judge the patient's information desire. The effects of the information on patient well-being are assessed by comparing the decision aid group with a usual care group. Methods/Design This study is a randomized controlled trial of patients with advanced colorectal, breast, or ovarian cancer who have started treatment with first-line palliative chemotherapy. The trial will consist of 100 patients in the decision aid group and 70 patients in the usual care group. To collect complete data of 170 patients, 246 patients will be approached for the study. Patients will complete a baseline questionnaire on sociodemographic data, well-being measures, and psychological measures, believed to predict information desire. The medical oncologist will judge the patient's information desire. After disease progression is diagnosed, the medical oncologist offers the choice between second-line palliative chemotherapy plus best supportive care (BSC and BSC alone. Randomization will take place to determine whether patients will receive usual care (n = 70 or usual care and the decision aid (n = 100. The aid offers information about the potential risks and benefits of both treatment options, in terms of adverse events, tumour response, and survival. Patients decide for each item whether they desire the

  8. Towards Web-based representation and processing of health information

    Directory of Open Access Journals (Sweden)

    Oldfield Eddie

    2009-01-01

    Full Text Available Abstract Background There is great concern within health surveillance, on how to grapple with environmental degradation, rapid urbanization, population mobility and growth. The Internet has emerged as an efficient way to share health information, enabling users to access and understand data at their fingertips. Increasingly complex problems in the health field require increasingly sophisticated computer software, distributed computing power, and standardized data sharing. To address this need, Web-based mapping is now emerging as an important tool to enable health practitioners, policy makers, and the public to understand spatial health risks, population health trends and vulnerabilities. Today several web-based health applications generate dynamic maps; however, for people to fully interpret the maps they need data source description and the method used in the data analysis or statistical modeling. For the representation of health information through Web-mapping applications, there still lacks a standard format to accommodate all fixed (such as location and variable (such as age, gender, health outcome, etc indicators in the representation of health information. Furthermore, net-centric computing has not been adequately applied to support flexible health data processing and mapping online. Results The authors of this study designed a HEalth Representation XML (HERXML schema that consists of the semantic (e.g., health activity description, the data sources description, the statistical methodology used for analysis, geometric, and cartographical representations of health data. A case study has been carried on the development of web application and services within the Canadian Geospatial Data Infrastructure (CGDI framework for community health programs of the New Brunswick Lung Association. This study facilitated the online processing, mapping and sharing of health information, with the use of HERXML and Open Geospatial Consortium (OGC services

  9. Health information, behavior change, and decision support for patients with type 2 diabetes: development of a tailored, preference-sensitive health communication application

    Directory of Open Access Journals (Sweden)

    Weymann N

    2013-10-01

    Full Text Available Nina Weymann,1 Martin Härter,1 Frank Petrak,2 Jörg Dirmaier11Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, 2Clinic of Psychosomatic Medicine and Psychotherapy, LWL University Hospital, Ruhr-University Bochum, Bochum, GermanyPurpose: Patient involvement in diabetes treatment such as shared decision-making and patient self-management has significant effects on clinical parameters. As a prerequisite for active involvement, patients need to be informed in an adequate and preference-sensitive way. Interactive Health Communication Applications (IHCAs that combine web-based health information for patients with additional support offer the opportunity to reach great numbers of patients at low cost and provide them with high-quality information and support at the time, place, and learning speed they prefer. Still, web-based interventions often suffer from high attrition. Tailoring the intervention to patients’ needs and preferences might reduce attrition and should thereby increase effectiveness. The purpose of this study was to develop a tailored IHCA offering evidence-based, preference-sensitive content and treatment decision support to patients with type 2 diabetes. The content was developed based on a needs assessment and two evidence-based treatment guidelines. The delivery format is a dialogue-based, tunneled design tailoring the content and tone of the dialogue to relevant patient characteristics (health literacy, attitudes toward self-care, and psychological barriers to insulin treatment. Both content and tailoring were revised by an interdisciplinary advisory committee.Conclusion: The World Wide Web holds great potential for patient information and self-management interventions. With the development and evaluation of a tailored IHCA, we complement face-to-face consultations of patients with their health care practitioners and make them more efficient and satisfying for both sides. Effects of the

  10. Developing a web-based information resource for palliative care: an action-research inspired approach

    Directory of Open Access Journals (Sweden)

    Gliddon Terry

    2007-09-01

    Full Text Available Abstract Background General Practitioners and community nurses rely on easily accessible, evidence-based online information to guide practice. To date, the methods that underpin the scoping of user-identified online information needs in palliative care have remained under-explored. This paper describes the benefits and challenges of a collaborative approach involving users and experts that informed the first stage of the development of a palliative care website 1. Method The action research-inspired methodology included a panel assessment of an existing palliative care website based in Victoria, Australia; a pre-development survey (n = 197 scoping potential audiences and palliative care information needs; working parties conducting a needs analysis about necessary information content for a redeveloped website targeting health professionals and caregivers/patients; an iterative evaluation process involving users and experts; as well as a final evaluation survey (n = 166. Results Involving users in the identification of content and links for a palliative care website is time-consuming and requires initial resources, strong networking skills and commitment. However, user participation provided crucial information that led to the widened the scope of the website audience and guided the development and testing of the website. The needs analysis underpinning the project suggests that palliative care peak bodies need to address three distinct audiences (clinicians, allied health professionals as well as patients and their caregivers. Conclusion Web developers should pay close attention to the content, language, and accessibility needs of these groups. Given the substantial cost associated with the maintenance of authoritative health information sites, the paper proposes a more collaborative development in which users can be engaged in the definition of content to ensure relevance and responsiveness, and to eliminate unnecessary detail. Access to

  11. A hospital information system based on Common Object Request Broker Architecture (CORBA) for exchanging distributed medical objects--an approach to future environment of sharing healthcare information.

    Science.gov (United States)

    Ohe, K

    1998-01-01

    Tightly related subsystems in a HIS have to exchange medical data flexibly by the data object rather than by the battery of the data. We developed a CPR subsystem based on Common Object Request Broker Architecture (CORBA) that retrieves and stores clinical information in the object-oriented database via Internet Intra-ORB Protocol (IIOP). The system is hybridized with the legacy HIS applications on the client terminals. We believe that our solution and the experiences will contribute to the future CORBA-based environment in which computerized patient information is shared among hospitals, clinics, and tightly related systems.

  12. Problem decomposition by mutual information and force-based clustering

    Science.gov (United States)

    Otero, Richard Edward

    The scale of engineering problems has sharply increased over the last twenty years. Larger coupled systems, increasing complexity, and limited resources create a need for methods that automatically decompose problems into manageable sub-problems by discovering and leveraging problem structure. The ability to learn the coupling (inter-dependence) structure and reorganize the original problem could lead to large reductions in the time to analyze complex problems. Such decomposition methods could also provide engineering insight on the fundamental physics driving problem solution. This work forwards the current state of the art in engineering decomposition through the application of techniques originally developed within computer science and information theory. The work describes the current state of automatic problem decomposition in engineering and utilizes several promising ideas to advance the state of the practice. Mutual information is a novel metric for data dependence and works on both continuous and discrete data. Mutual information can measure both the linear and non-linear dependence between variables without the limitations of linear dependence measured through covariance. Mutual information is also able to handle data that does not have derivative information, unlike other metrics that require it. The value of mutual information to engineering design work is demonstrated on a planetary entry problem. This study utilizes a novel tool developed in this work for planetary entry system synthesis. A graphical method, force-based clustering, is used to discover related sub-graph structure as a function of problem structure and links ranked by their mutual information. This method does not require the stochastic use of neural networks and could be used with any link ranking method currently utilized in the field. Application of this method is demonstrated on a large, coupled low-thrust trajectory problem. Mutual information also serves as the basis for an

  13. Informative value of Patient Reported Outcomes (PRO) in Health Technology Assessment (HTA)

    OpenAIRE

    Brettschneider, Christian; Lühmann, Dagmar; Raspe, Heiner

    2011-01-01

    Background "Patient-Reported Outcome" (PRO) is used as an umbrella term for different concepts for measuring subjectively perceived health status e. g. as treatment effects. Their common characteristic is, that the appraisal of the health status is reported by the patient himself. In order to describe the informative value of PRO in Health Technology Assessment (HTA) first an overview of concepts, classifications and methods of measurement is given. The overview is complemented by an empir...

  14. Managing the unmet psychosocial and information needs of patients with cancer

    OpenAIRE

    Abrahamson, Kathleen, RN,MS

    2010-01-01

    Kathleen Abrahamson1, Morgan Durham1, Rebekah Fox21Department of Public Health, Western Kentucky University, Bowling Green, KY, USA; 2Department of Communication, Texas State University, San Marcos, TX, USAAbstract: In this article, we synthesize current literature regarding the unmet needs of cancer patients, with a specific focus on interventions that address psychosocial distress, social support, and information deficits. Research indicates many patients diagnosed with cancer express unmet...

  15. Producing patient-avatar identification in animation video information on spinal anesthesia by different narrative strategies

    DEFF Research Database (Denmark)

    Høybye, Mette Terp; Vesterby, Martin; Jørgensen, Lene Bastrup;

    2014-01-01

    Visual approaches to health information reduce complexity and may bridge challenges in health literacy. But the mechanisms and meanings of using animated video in communication with patients undergoing surgery are not well described. By comparing two versions of a two-dimensional animated video o...... didactic model for qualifying patient behavior. Animation video creates a high degree of identification that may work to reduce pre-surgical anxiety....

  16. Are We Being Informed Correctly During the Patient Transfer to the Intensive Care Units?

    OpenAIRE

    Münire Babayiğit; Zehra Baykal Tutal; Necla Dereli; Handan Güleç; Mustafa Alparslan Babayiğit; Eyüp Horasanlı

    2016-01-01

    Objective: We aimed to demonstrate to what extent do the right information in patients’ inter-hospital transfers due to the intensive care indications Material and Method: In this study, 38 patients who applied to our general intensive care unit (ICU) from the other hospitals were included. The demographic data of patients, declarations before ICU admission and diagnosis after admission, the reason and accuracy of the transfer, the overall stay time and the treatments in ICU were recorded....

  17. Price-Based Information Routing in Complex Satellite Networks for

    Science.gov (United States)

    Hussein, I.; Su, J.; Wang, Y.; Wyglinski, A.

    Future space-based situational awareness and space surveillance systems are envisioned to include a large array of satellites that seek to cooperatively achieve full awareness over given space and terrestrial domains. Given the complexity of the communication network architecture of such a system, in this paper we build on the system architecture that was proposed by the presenting author in the 2008 AMOS conference and propose an efficient, adaptable and scalable price-based routing and bandwidth allocation algorithm for the generation, routing and delivery of surveillance information in distributed wireless satellite networks. Due to the potentially large deployments of these satellites, the access points employed in a centralized network control scheme would easily be overwhelmed due to lack of spectral bandwidth, synchronization issues, and multiple access coordination. Alternatively, decentralized schemes could facilitate the flow and transference of information between data gatherers and data collectors via mechanisms such as (multi-hop) routing, allocation of spectral bandwidths per relaying node, and coordination between adjacent nodes. Although there are numerous techniques and concepts focusing on the network operations, control, and management of sensor networks, existing solution approaches require the use of information for routing, allocation, and decision-making that may not be readily available to the satellites in a timely fashion. This is especially true in the literature on price-based routing, where the approach is almost always game theoretic or relies on optimization techniques. Instead of seeking such techniques, in this paper we present algorithms that will (1) be energy-aware, (2) be highly adaptable and responsive to demands and seek delivery of information to desired nodes despite the fact that the source and destination are not globally known, (3) be secure, (4) be efficient in allocating bandwidth, (5) be decentralized and allow for

  18. Information quality measurement of medical encoding support based on usability.

    Science.gov (United States)

    Puentes, John; Montagner, Julien; Lecornu, Laurent; Cauvin, Jean-Michel

    2013-12-01

    Medical encoding support systems for diagnoses and medical procedures are an emerging technology that begins to play a key role in billing, reimbursement, and health policies decisions. A significant problem to exploit these systems is how to measure the appropriateness of any automatically generated list of codes, in terms of fitness for use, i.e. their quality. Until now, only information retrieval performance measurements have been applied to estimate the accuracy of codes lists as quality indicator. Such measurements do not give the value of codes lists for practical medical encoding, and cannot be used to globally compare the quality of multiple codes lists. This paper defines and validates a new encoding information quality measure that addresses the problem of measuring medical codes lists quality. It is based on a usability study of how expert coders and physicians apply computer-assisted medical encoding. The proposed measure, named ADN, evaluates codes Accuracy, Dispersion and Noise, and is adapted to the variable length and content of generated codes lists, coping with limitations of previous measures. According to the ADN measure, the information quality of a codes list is fully represented by a single point, within a suitably constrained feature space. Using one scheme, our approach is reliable to measure and compare the information quality of hundreds of codes lists, showing their practical value for medical encoding. Its pertinence is demonstrated by simulation and application to real data corresponding to 502 inpatient stays in four clinic departments. Results are compared to the consensus of three expert coders who also coded this anonymized database of discharge summaries, and to five information retrieval measures. Information quality assessment applying the ADN measure showed the degree of encoding-support system variability from one clinic department to another, providing a global evaluation of quality measurement trends. PMID:23958646

  19. Revision of the Measurement Tool for Patients' Health Information Protection Awareness

    Science.gov (United States)

    Song, Youngshin; Lee, Miyoung; Jun, Younghee; Lee, Yoonhee; Cho, Jeonghwa; Kwon, Myoungjin

    2016-01-01

    Objectives Despite the importance of the protection of patients' health information in clinical settings, little is known about the awareness of this concept in nursing students due to the lack of a suitable measurement tool. Hence, this study attempted to redevelop the Patients' Health Information Protection Awareness Scale, and evaluate its construct validity and reliability for nursing students. Methods A cross-sectional descriptive study was conducted. Nursing students who were in their 3rd and 4th year were recruited from 10 universities in Korea to assess the construct validity, and 30 experts (27 nurses and 3 faculty members) participated in the content validation process. Results The content validity assessment indicated that 23 items were ideal. The assessment of construct validity using exploratory factor analysis revealed three factors: communication, management, and referrals. They together accounted for 54.1% of the variance in scale scores. The three-factor scale had good fit in the confirmatory factor analysis. Scale reliability was confirmed, with a Cronbach's alpha of 0.94 for all items. Conclusions This study was the first attempt to redevelop the Patients' Health Information Protection Awareness Scale for student nurses. The 23-item scale was shown to be a reliable and valid tool. It facilitates the assessment of nursing students' awareness of patient information protection. Academic nursing programs and health organizations can use its scores to implement adequate education plans to safeguard information in nursing students. PMID:27525162

  20. 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

  1. Healthy Aging Promotion through Neuroscientific Information-Based Strategies.

    Science.gov (United States)

    Seinfeld, Sofia; Sanchez-Vives, Maria V

    2015-10-01

    To ensure the well-being of a rapidly growing elderly population, it is fundamental to find strategies to foster healthy brain aging. With this intention, we designed a program of scientific-based lectures aimed at dissemination by established neuroscientists about brain function, brain plasticity and how lifestyle influences the brain. We also carried out a pilot study on the impact of the lectures on attendees. The objective was to provide information to elderly people in order to encourage them to identify unhealthy and healthy daily habits, and more importantly, to promote behavioral changes towards healthy brain aging. Here we report on our experience. In order to determine the impact of the lectures in the daily routine of the attendees, we asked them to fill out questionnaires. Preliminary results indicate that neuroscientific information-based strategies can be a useful method to have a positive impact on the lives of elderly, increase their awareness on how to improve brain function and promote positive lifestyle modifications. Furthermore, based on self-reported data, we also found that through this strategy it is possible to promote behavioral changes related to nutrition, sleep, and realization of physical and cognitively stimulating activities. Finally, based on the results obtained, the importance of promoting self-efficacy and the empowerment of the older populations is highlighted.

  2. Evidence-based guidelines for teaching patient-centered interviewing.

    Science.gov (United States)

    Smith, R C; Marshall-Dorsey, A A; Osborn, G G; Shebroe, V; Lyles, J S; Stoffelmayr, B E; Van Egeren, L F; Mettler, J; Maduschke, K; Stanley, J M; Gardiner, J C

    2000-01-01

    In a rare study of effectiveness of an interviewing method, we previously reported a randomized controlled trial demonstrating that training in a step-by-step patient-centered interviewing method improved residents' knowledge, attitudes, and skills and had a consistently positive effect on trained residents' patients. For those who wish to use this evidence-based patient-centered method as a template for their own teaching, we describe here for the first time our training program--and propose that the training can be adapted for students, physicians, nurse practitioners, physician assistants, and other new learners as well. Training was skills-oriented and experiential, fostered positive attitudes towards patient-centered interviewing, and used a learner-centered approach which paid special attention to the teacher-resident relationship and to the resident's self-awareness. Skills training was guided by a newly identified patient-centered interviewing method that described the step-by-step use of specific behaviors.

  3. KBGIS-II: A knowledge-based geographic information system

    Science.gov (United States)

    Smith, Terence; Peuquet, Donna; Menon, Sudhakar; Agarwal, Pankaj

    1986-01-01

    The architecture and working of a recently implemented Knowledge-Based Geographic Information System (KBGIS-II), designed to satisfy several general criteria for the GIS, is described. The system has four major functions including query-answering, learning and editing. The main query finds constrained locations for spatial objects that are describable in a predicate-calculus based spatial object 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 performing all its designated tasks successfully. Future reports will relate performance characteristics of the system.

  4. Using video-taped examples of standardized patient to teach medical students taking informed consent

    OpenAIRE

    SHIRIN HABIBI KHORASANI; SEDIGHEH EBRAHIMI

    2015-01-01

    Introduction: Medical student should be trained in medical ethics and one of the most essential issues in this field is taking informed consents. In this research, we compared the effect of effectiveness of teaching methods on students’ ability in taking informed consent from patients. Methods: This semi-experimental study was carried out on fifty eight subjects from the 4th-year students of Shiraz University of Medical Sciences who attended in medical ethics course befor...

  5. Τhe right of thalassanemic patients to information regarding treatment and research

    Directory of Open Access Journals (Sweden)

    Maria Roditou

    2013-07-01

    Full Text Available Thalassanemia is one of the most common monogenic disorders in Mediterranean countries, S.Asia and Africa. The main clinical manifestations include severe anemia which requires blood transfusion, liver and spleen swelling bone diseases and skeletal complications, iron chelation and retardation of physical development. The annual incidence is 5-10 while in Greece 3000 persons suffer from thalassanemia. Αim:The aim of the present study was to investigate the knowledge of patients with thalassemia in major issues of their illness Methods-Material: The research was carried out (October 2007- May 2008 with the use of anonymous questionnaires addressed to thalassanemic patients (n=330 over 18 years of age who are being transfused in various hospitals in the Athens region. Results: 87% of the respondents declare that they suffer from β-thalassanemia, 54% are women and 50% are between 30-39 years of age, 88% of the respondents states that they are adequately informed regarding transfusion procedures, 81% reply the same regarding the nature of their disease and 76% also seem satisfied with information on the need to examine other members of the family. Percentages of satisfaction regarding the information provided are lower as far as the following issues are concerned: implications (67%, genetics of the disease (65%, side effects from medication (56% and patients' rights (49%. As far as information on even more specific issues is concerned, the replies which consider this information as inadequate range from 32-40%. Conclusions: According to the findings information is considered to be sufficient as far as practical and procedural matters are concerned, but it lacks behind as far as patients' rights, information regarding new therapeutic methods and possibility of participation in research protocols are concerned. The respondents' wish for better and broader information on all investigated issues is more than obvious.

  6. Adapting the Content of Cancer Web Sites to the Information Needs of Patients: Reliability and Readability

    OpenAIRE

    Alba-Ruiz, Ruben; Bermúdez-Tamayo, Clara; Pernett, Jaime Jiménez; Garcia-Gutierrez, Jose Francisco; Cózar-Olmo, José Manuel; Valero-Aguilera, Beatriz

    2013-01-01

    Background: People who use the Internet to research health topics do not usually find all the information they need and do not trust what they read. This study was designed to assess the reliability, accessibility, readability, and popularity of cancer Web sites in Spanish and to analyze the suitability of Web site content in accordance with the specific information needs of cancer patients. Materials and Methods: This was a two-phase, cross-sectional, descriptive study. The first ph...

  7. Patient compliance based on genetic medicine: a literature review

    OpenAIRE

    Schneider, Kai Insa; Schmidtke, Jörg

    2013-01-01

    For this literature review, medical literature data bases were searched for studies on patient compliance after genetic risk assessment. The review focused on conditions where secondary or tertiary preventive options exist, namely cancer syndromes (BRCA-related cancer, HNPCC/colon cancer), hemochromatosis, thrombophilia, smoking cessation, and obesity. As a counterpart, patient compliance was assessed regarding medication adherence and medical advice in some of the most epidemiologically impo...

  8. Older Cancer Patients’ User Experiences With Web-Based Health Information Tools: A Think-Aloud Study

    Science.gov (United States)

    Romijn, Geke; Smets, Ellen M A; Loos, Eugene F; Kunneman, Marleen; van Weert, Julia C M

    2016-01-01

    Background Health information is increasingly presented on the Internet. Several Web design guidelines for older Web users have been proposed; however, these guidelines are often not applied in website development. Furthermore, although we know that older individuals use the Internet to search for health information, we lack knowledge on how they use and evaluate Web-based health information. Objective This study evaluates user experiences with existing Web-based health information tools among older (≥ 65 years) cancer patients and survivors and their partners. The aim was to gain insight into usability issues and the perceived usefulness of cancer-related Web-based health information tools. Methods We conducted video-recorded think-aloud observations for 7 Web-based health information tools, specifically 3 websites providing cancer-related information, 3 Web-based question prompt lists (QPLs), and 1 values clarification tool, with colorectal cancer patients or survivors (n=15) and their partners (n=8) (median age: 73; interquartile range 70-79). Participants were asked to think aloud while performing search, evaluation, and application tasks using the Web-based health information tools. Results Overall, participants perceived Web-based health information tools as highly useful and indicated a willingness to use such tools. However, they experienced problems in terms of usability and perceived usefulness due to difficulties in using navigational elements, shortcomings in the layout, a lack of instructions on how to use the tools, difficulties with comprehensibility, and a large amount of variety in terms of the preferred amount of information. Although participants frequently commented that it was easy for them to find requested information, we observed that the large majority of the participants were not able to find it. Conclusions Overall, older cancer patients appreciate and are able to use cancer information websites. However, this study shows the importance

  9. Towards optimised information about clinical trials; identification and validation of key issues in collaboration with cancer patient advocates

    DEFF Research Database (Denmark)

    Dellson, P; Nilbert, M; Bendahl, P-O;

    2011-01-01

    Clinical trials are crucial to improve cancer treatment but recruitment is difficult. Optimised patient information has been recognised as a key issue. In line with the increasing focus on patients' perspectives in health care, we aimed to study patients' opinions about the written information us...

  10. A Malware Detection Scheme Based on Mining Format Information

    Science.gov (United States)

    Bai, Jinrong; Wang, Junfeng; Zou, Guozhong

    2014-01-01

    Malware has become one of the most serious threats to computer information system and the current malware detection technology still has very significant limitations. In this paper, we proposed a malware detection approach by mining format information of PE (portable executable) files. Based on in-depth analysis of the static format information of the PE files, we extracted 197 features from format information of PE files and applied feature selection methods to reduce the dimensionality of the features and achieve acceptable high performance. When the selected features were trained using classification algorithms, the results of our experiments indicate that the accuracy of the top classification algorithm is 99.1% and the value of the AUC is 0.998. We designed three experiments to evaluate the performance of our detection scheme and the ability of detecting unknown and new malware. Although the experimental results of identifying new malware are not perfect, our method is still able to identify 97.6% of new malware with 1.3% false positive rates. PMID:24991639

  11. Optimized LSB Matching Steganography Based on Fisher Information

    Directory of Open Access Journals (Sweden)

    Yifeng Sun

    2012-08-01

    Full Text Available This paper proposes an optimized LSB matching steganography based on Fisher Information. The embedding algorithm is designed to solve the optimization problem, in which Fisher information is the objective function and embedding transferring probabilities are variables to be optimized. Fisher information is the quadratic function of the embedding transferring probabilities, and the coefficients of quadratic term are determined by the joint probability distribution of cover elements. By modeling the groups of elements in a cover image as Gaussian mixture model, the joint probability distribution of cover elements for each cover image is obtained by estimating the parameters of Gaussian mixture distribution. For each sub-Gaussian distribution in Gaussian mixture distribution, the quadratic term coefficients of Fisher information are calculated, and the optimized embedding transferring probabilities are solved by quadratic programming. By maximum posteriori probability principle, cover pixels are classified as the categories corresponding to sub-Gaussian distributions. At last, in order to embed message bits, pixels chose to add or subtract one according to the optimized transferring probabilities of the category. The experiments show that the security performance of this new algorithm is better than the existing LSB matching.

  12. ONTOLOGY BASED WEB PAGE ANNOTATION FOR EFFECTIVE INFORMATION RETRIEVAL

    Directory of Open Access Journals (Sweden)

    S.Kalarani

    2010-11-01

    Full Text Available Today’s World Wide Web has large volume of data – billions of documents. So it is a time consuming process to discover effective knowledge from the input data. With today's keyword approach the amount of time and effort required to find the right information is directly proportional to the amount of information on the web.The web has grown exponentially and people are forced to spend more and more time in search for the information they are looking for. Lack of personalization as well as inability to easily separate commercial from non-commercial searches is among other limitations of today's web search technologies. This paper proposes a prototype relation-based search engine. “OntoLook” which has been designed in a virtual semantic web environment. The architecture has been proposed. The Semantic Web is well recognized as an effective infrastructure to enhance visibility of knowledge on the Web. The core of the Semantic Web is “ontology”, which is used to explicitly represent our conceptualizations. Ontology engineering in the Semantic Web isprimarily supported by languages such as RDF, RDFS and OWL. This paper discusses the requirements of ontology in the context of the Web, compares the above three languages with existing knowledge representation formalisms, and surveys tools for managing and applying ontology. Advantages of using ontology in both knowledge-base-style and database-style applications are demonstrated using one real world applications.

  13. 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

  14. Multifractal Dimensional Dependence Assessment Based on Tsallis Mutual Information

    Directory of Open Access Journals (Sweden)

    José M. Angulo

    2015-07-01

    Full Text Available Entropy-based tools are commonly used to describe the dynamics of complex systems. In the last few decades, non-extensive statistics, based on Tsallis entropy, and multifractal techniques have shown to be useful to characterize long-range interaction and scaling behavior. In this paper, an approach based on generalized Tsallis dimensions is used for the formulation of mutual-information-related dependence coefficients in the multifractal domain. Different versions according to the normalizing factor, as well as to the inclusion of the non-extensivity correction term are considered and discussed. An application to the assessment of dimensional interaction in the structural dynamics of a seismic real series is carried out to illustrate the usefulness and comparative performance of the measures introduced.

  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 Inventory...

  16. Caring for caregivers and patients: Research and clinical priorities for informal cancer caregiving.

    Science.gov (United States)

    Kent, Erin E; Rowland, Julia H; Northouse, Laurel; Litzelman, Kristin; Chou, Wen-Ying Sylvia; Shelburne, Nonniekaye; Timura, Catherine; O'Mara, Ann; Huss, Karen

    2016-07-01

    Informal/family caregivers are a fundamental source of care for cancer patients in the United States, yet the population of caregivers and their tasks, psychosocial needs, and health outcomes are not well understood. Changes in the nature of cancer care and its delivery, along with the growing population of survivors and their caregivers, warrant increased attention to the roles and demands of caregiving. This article reviews current evidence presented at a 2-day meeting examining the state of the science of informal cancer caregiving that was convened by the National Cancer Institute and the National Institute of Nursing Research. The meeting sought to define who is an informal cancer caregiver, summarize the state of the science in informal cancer caregiving, and describe both the kinds of interventions developed to address caregiving challenges and the various outcomes used to evaluate their impact. This article offers recommendations for moving science forward in 4 areas: 1) improving the estimation of the prevalence and burden of informal cancer caregiving; 2) advancing the development of interventions designed to improve outcomes for cancer patients, caregivers, and patient-caregiver dyads; 3) generating and testing strategies for integrating caregivers into formal health care settings; and 4) promoting the use of technology to support informal cancer caregivers. Cancer 2016;122:1987-95. © 2016 American Cancer Society. PMID:26991807

  17. Missing Clinical Information in NHS hospital outpatient clinics: prevalence, causes and effects on patient care

    Directory of Open Access Journals (Sweden)

    Moorthy Krishna

    2011-05-01

    Full Text Available Abstract Background In Britain over 39,000 reports were received by the National Patient Safety Agency relating to failures in documentation in 2007 and the UK Health Services Journal estimated in 2008 that over a million hospital outpatient visits each year might take place without the full record available. Despite these high numbers, the impact of missing clinical information has not been investigated for hospital outpatients in the UK. Studies in primary care in the USA have found 13.6% of patient consultations have missing clinical information, with this adversely affecting care in about half of cases, and in Australia 1.8% of medical errors were found to be due to the unavailability of clinical information. Our objectives were to assess the frequency, nature and potential impact on patient care of missing clinical information in NHS hospital outpatients and to assess the principal causes. This is the first study to present such figures for the UK and the first to look at how clinicians respond, including the associated impact on patient care. Methods Prospective descriptive study of missing information reported by surgeons, supplemented by interviews on the causes. Data were collected by surgeons in general, gastrointestinal, colorectal and vascular surgical clinics in three teaching hospitals across the UK for over a thousand outpatient appointments. Fifteen interviews were conducted with those involved in collating clinical information for these clinics. The study had ethics approval (Hammersmith and Queen Charlotte's & Chelsea Research Ethics Committee, reference number (09/H0707/27. Participants involved in the interviews signed a consent form and were offered the opportunity to review and agree the transcript of their interview before analysis. No patients were involved in this research. Results In 15% of outpatient consultations key items of clinical information were missing. Of these patients, 32% experienced a delay or disruption

  18. AGRIS: Categorization and information retrieval based on IBM's IRMS

    International Nuclear Information System (INIS)

    The subject breakdown of the AGRIS data base by categories interlinked with object and geographical codes is described. The use of these categories and codes in a mechanized information retrieval system is then considered. The system is a modification of IBM's Information Retrieval and Management System (IRMS); it allows for batch processing on an IBM/360 or /370 computer operated under OS or VS. As IRMS was developed for use with a controlled vocabulary, the search possibilities on the AGRIS files are necessarily limited. An artificial vocabulary is presented, derived from the AGRIS subject categories, object codes, geographic codes, language codes, and bibliographic data: type of record, literary indicator, volume/issue number, and the country code of the submitting centre. The use of the IRMS system for AGRIS is described, with details of programming deliberately omitted. Program descriptions with data set definitions and file formats are presented separately

  19. MODEL SELECTION METHOD BASED ON MAXIMAL INFORMATION COEFFICIENT OF RESIDUALS

    Institute of Scientific and Technical Information of China (English)

    课秋衡; 蒋杭进; 丁义明

    2014-01-01

    The traditional model selection criterions try to make a balance between fitted error and model complexity. Assumptions on the distribution of the response or the noise, which may be misspecified, should be made before using the traditional ones. In this ar-ticle, we give a new model selection criterion, based on the assumption that noise term in the model is independent with explanatory variables, of minimizing the association strength between regression residuals and the response, with fewer assumptions. Maximal Information Coefficient (MIC), a recently proposed dependence measure, captures a wide range of associ-ations, and gives almost the same score to different type of relationships with equal noise, so MIC is used to measure the association strength. Furthermore, partial maximal information coefficient (PMIC) is introduced to capture the association between two variables removing a third controlling random variable. In addition, the definition of general partial relationship is given.

  20. OSIS: A PC-based oil spill information system

    International Nuclear Information System (INIS)

    Warren Spring Laboratory and BMT Ceemaid Ltd. are cooperating to produce an Oil Spill Information System (OSIS) that will have worldwide application. OSIS is based on EUROSPILL, a spill simulation model originally developed under programs sponsored by the European Commission and the Marine Pollution Control Unit of the United Kingdom government's Department of Transport. OSIS is implemented in the Microsoft Windows 3.x graphical environment on a personal computer. A variety of options enables the user to input information on continuous or instantaneous spills of different types of oil under variable environmental conditions, to simulate the fate of oil and the trajectory of a spill. Model results are presented in the forms of maps, charts, graphs, and tables, displayed in multiple windows on a color monitor. Color hard copy can be produced, and OSIS can be linked to other Windows software packages, providing the opportunity to create a suite of spill incident management tools