{"title":"Interface for Accessing Pharmacological Information","authors":"T. Karlsson","doi":"10.1109/CBMS.2008.110","DOIUrl":"https://doi.org/10.1109/CBMS.2008.110","url":null,"abstract":"Pharmacological therapy is an increasingly complex medical activity. Databases with information on drug-drug interactions, side-effects etc. would complement traditional electronic patient journal systems and provide decision support for pharmacological therapy. To facilitate the use of such databases, drug terminology is essential to allow communication with existing information systems. Well- specified software interfaces would encourage and simplify usage of drug databases. This paper reports a software interface for accessing drug information.","PeriodicalId":377855,"journal":{"name":"2008 21st IEEE International Symposium on Computer-Based Medical Systems","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133652941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Mercurio, S. Maglio, A. Agrusti, G. D. Nunzio, R. Cataldo, I. Mitri, M. Favetta, A. Massafra, G. Marsella, D. Vergara, M. Maffia
{"title":"Network P2P for exploring and visualization of proteomic data produced by two dimensional electrophoresis","authors":"G. Mercurio, S. Maglio, A. Agrusti, G. D. Nunzio, R. Cataldo, I. Mitri, M. Favetta, A. Massafra, G. Marsella, D. Vergara, M. Maffia","doi":"10.1109/CBMS.2008.74","DOIUrl":"https://doi.org/10.1109/CBMS.2008.74","url":null,"abstract":"Our working group has started a project aiming at the development of analysis algorithms devoted to images produced by two-dimensional electrophoresis (2-DE) for general applications in the field of proteomics. General analysis problems have been addressed, with the ultimate goal of the maximization of the \"automation level\" of the analysis procedure, without reducing the accuracy now reachable only with manual intervention. For this purpose, the working group is analyzing 2-DE images that a real ready stored or that will be produced by means of the instrumentation and the know-how of the biologists participating to the project. It's obvious that the \"key\" for the project success is primarily the availability of many images produced by different groups, but especially their \"comparability\", and their significant \"clinical contextualization\". For these reasons, the group has started the implementation of federation of heterogeneous biobanks of images founded on open registry/repository for P2P architecture (ebXML RR), on images stored with standard metadata for their comparability (EFMI MIP) (A. Horsch et al., 2005), and on standard electronic documents for their clinical contextualization (HL7 CDA) (G. Mercurio and A. Rossi Mori). This paper summarizes the concepts of the initiative, describes its current state and presents an overview of related work.","PeriodicalId":377855,"journal":{"name":"2008 21st IEEE International Symposium on Computer-Based Medical Systems","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134465578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MapFace - An Editor for MetaMap Transfer (MMTx)","authors":"K. Kaiser, T. Gschwandtner, P. Martini","doi":"10.1109/CBMS.2008.116","DOIUrl":"https://doi.org/10.1109/CBMS.2008.116","url":null,"abstract":"Mapping concepts from medical terminologies, such as the UMLS, to medical documents is a prerequisite for many tasks of (automatically) processing documents. Due to the nature of the UMLS and the tools to accomplish the mapping, it is not always possible to achieve a correct and unambiguous mapping. This drawback led us to the development of an editor for correcting the obtained information. Our editor, MapFace, visualizes information received by the MetaMap Transfer (MMTx) program and enables users to edit and correct this information on both a conceptual and a syntactical level. By means of this functionality we are able to provide further processing steps with correct and appropriate input. Furthermore, the visualization features enable users to validate or even generate hypotheses, as well as support the better understanding of medical text.","PeriodicalId":377855,"journal":{"name":"2008 21st IEEE International Symposium on Computer-Based Medical Systems","volume":"38 12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114148257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dajie Zhang, D. Albert, Cord Hockemeyer, D. Breen, Z. Kulcsár, G. Shorten, A. Aboulafia, E. Lövquist
{"title":"Developing Competence Assessment Procedure for Spinal Anaesthesia","authors":"Dajie Zhang, D. Albert, Cord Hockemeyer, D. Breen, Z. Kulcsár, G. Shorten, A. Aboulafia, E. Lövquist","doi":"10.1109/CBMS.2008.25","DOIUrl":"https://doi.org/10.1109/CBMS.2008.25","url":null,"abstract":"Traditional approaches of assessment in the medical domain are insufficient for evaluating trainees' technical skills. Currently, many European medical training bodies are attempting to introduce competence-based training programmes for technical skills as well as other domains (e.g., communication, professional behaviour, clinical cognition). These efforts are limited due to the absence of appropriate assessment tools. Based on Competence-based Knowledge Space Theory (CbKST), a collaborative project MedCAP intends to develop a valid and reliable competence assessment procedure for one important medical skill, spinal anaesthesia. The paper briefly overviews the current states of training and assessment for medical procedural skills, describes the core ideas of CbKST, and introduces the ongoing project that will transfer the innovative approach of CbKST in personalized learning and competence assessment to the medical domain.","PeriodicalId":377855,"journal":{"name":"2008 21st IEEE International Symposium on Computer-Based Medical Systems","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125168997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Inan, M. Etemadi, Richard M. Wiard, L. Giovangrandi, G. Kovacs
{"title":"Evaluating the Foot Electromyogram Signal as a Noise Reference for a Bathroom Scale Ballistocardiogram Recorder","authors":"O. Inan, M. Etemadi, Richard M. Wiard, L. Giovangrandi, G. Kovacs","doi":"10.1109/CBMS.2008.78","DOIUrl":"https://doi.org/10.1109/CBMS.2008.78","url":null,"abstract":"A bathroom scale ballistocardiogram (BCG) recorder has been developed in our group as a potential home monitor for heart failure outpatients. While the signal quality obtained by this device is as high as elaborate table- and bed-based BCG systems discussed previously in the literature, the standing posture required by this system may lead to undesired motion induced noise in the signal, particularly for elderly patients. Electromyogram (EMG) signals from the feet are proposed as a noise reference for the standing BCG measurement. The correlation between these signals and the BCG noise is quantified for a case with low (eyes open) and higher (eyes closed) involuntary movement on the scale. For the six subjects considered in this trial, the foot EMG appears to be a valuable reference for BCG movement noise estimation. Additionally, the fact that many bathroom scales have electrodes on the feet for various body fat percentage estimates makes the measurement highly practical for future implementations.","PeriodicalId":377855,"journal":{"name":"2008 21st IEEE International Symposium on Computer-Based Medical Systems","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125586228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Towards Pervasive Health and Wellbeing Services","authors":"N. Saranummi","doi":"10.1109/CBMS.2008.141","DOIUrl":"https://doi.org/10.1109/CBMS.2008.141","url":null,"abstract":"Summary form only given. Health services are today facing a number of interacting challenges. It is generally accepted that major, even radical, changes are required in health services to deliver better health outcomes at an affordable cost. IT is a change driver both in the horizontal and vertical directions. Horizontally we see the emergence and extension of a generic IT infrastructure that eventually will allow anytime, anywhere access to information and knowledge and context aware decision making. In the vertical direction IT enables a more effective and efficient health service environment. Standards and guidelines for an interoperable electronic patient record (EPR) have been developed and are today endorsed by industry and governments. Several countries are investing into a nation-wide \"backbone\" for health information and EPR exchange. The creation of the \"backbone\" allows separating data from processes. It's the processes (services) where the biggest potential and challenge is for improving the effectiveness and efficiency of health services. Another change driver is the expansion of (traditional) healthcare into a \"health continuum\" with the aim to engage and empower people to proactively manage their health and illness. This extends to the ageing people that can be assisted with tools and services to remain independent and integrated with the society. A third driver is the integration of medicine, life sciences, and engineering and physical sciences. These drivers point towards an application landscape that is characterized by \"3 P's\": pervasive, personal and personalized. In the keynote, we define what these three P's contain and how they relate to each other.","PeriodicalId":377855,"journal":{"name":"2008 21st IEEE International Symposium on Computer-Based Medical Systems","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126340495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyung-Won Koh, S. Maddula, J. Lambert, R. Hergenröder, L. Hildebrand
{"title":"Feature Selection by Lorentzian Peak Reconstruction for ^1NMR Post-Processing","authors":"Hyung-Won Koh, S. Maddula, J. Lambert, R. Hergenröder, L. Hildebrand","doi":"10.1109/CBMS.2008.43","DOIUrl":"https://doi.org/10.1109/CBMS.2008.43","url":null,"abstract":"In recent years, nuclear magnetic resonance spectroscopy (NMR) has become more and more popular in the field of metabolomic analysis. Analyzing and interpreting the obtained data is thus still challenging due to its complex and nontrivial characteristics. Further analysis of the obtained data is still mainly based on manual assignment, manual analysis and expert knowledge, and therefore time consuming. Common approaches towards automated post processing methods are often based on binning, which leads to loss of information in any case. This paper addresses an approach for reconstructing a one-dimensional NMR spectrum into a set of distinct lorentzian peak lines as an impressive feature selection and data reduction method and evaluates the performance on a real-world as well as on different simulated spectra.","PeriodicalId":377855,"journal":{"name":"2008 21st IEEE International Symposium on Computer-Based Medical Systems","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128291945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Revlin Abbi, E. El-Darzi, C. Vasilakis, P. Millard
{"title":"A Gaussian Mixture Model Approach to Grouping Patients According to their Hospital Length of Stay","authors":"Revlin Abbi, E. El-Darzi, C. Vasilakis, P. Millard","doi":"10.1109/CBMS.2008.69","DOIUrl":"https://doi.org/10.1109/CBMS.2008.69","url":null,"abstract":"In this paper we propose a new approach capable of determining clinically meaningful patient groups from a given dataset of patient spells. We hypothesise that the skewed distribution of length of stay (LOS) observations, often modelled in the past using mixed exponential equations, is composed of several homogeneous groups that together form the overall skewed LOS distribution. We show how the Gaussian mixture model (GMM) can be used to approximate each group, and discuss each group's possible clinical interpretation and statistical significance. In addition, we show how the health professional can use the outcome of the grouping approach to answer several questions about individual patients and their likely LOS in hospital. Our results demonstrate that the grouping of stroke patient spells estimated by the GMM resembles the clinical experience of stroke patients and the different stroke recovery patterns.","PeriodicalId":377855,"journal":{"name":"2008 21st IEEE International Symposium on Computer-Based Medical Systems","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122276134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Local Hölder Regularity-Based Modeling of RR Intervals","authors":"J. L. Véhel, O. Barrière","doi":"10.1109/CBMS.2008.65","DOIUrl":"https://doi.org/10.1109/CBMS.2008.65","url":null,"abstract":"We analyze the local regularity of RR traces from ECG through the computation of the so-called Holder exponents. These exponents are at the basis of multifractal analysis, which has been shown to be relevant in the study of RR data. While multifractal analysis yields a global picture of the (statistical) distribution of regularity, we focus here on its time evolution. We show that this evolution is strongly correlated with the signal itself, a feature that seems to have remained unnoticed so far. We use this fact to build realistic synthetic RR traces.","PeriodicalId":377855,"journal":{"name":"2008 21st IEEE International Symposium on Computer-Based Medical Systems","volume":"699 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125253013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Information Quality in Healthcare: Coherence of Data Compared between Organization's Electronic Patient Records","authors":"M. Miettinen, Maritta Korhonen","doi":"10.1109/CBMS.2008.64","DOIUrl":"https://doi.org/10.1109/CBMS.2008.64","url":null,"abstract":"In this paper we present a case-based analysis of health care data quality problems in a situation, where data of diabetes patient are combined from different information systems. Nationally uniform integrated health care information systems shall become more important when meeting the demands of patient centered care in the future. During the development of several electronic health records it has become clear that the integration of the data is still challenging. Data collected in various systems can have quality faults, it can for instance be non-coherent or include contradictory information, or the desired data is completely missing, as proved to be in our case as well. The quality of the content of patient information and the process of data production constitute a central part of good patient care, and more attention should be paid to them.","PeriodicalId":377855,"journal":{"name":"2008 21st IEEE International Symposium on Computer-Based Medical Systems","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129120172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}