Studies in Health Technology and Informatics最新文献

Systemic Risk Management Plan for Electronic Medical Records (EMR): Why and How? 电子病历 (EMR) 的系统风险管理计划：为什么和如何？

Studies in Health Technology and Informatics Pub Date : 2023-12-11 DOI: 10.3233/SHTI200016

Ziniya Zahedi, Faisal Mahmud, Cesar Pinto

{"title":"Systemic Risk Management Plan for Electronic Medical Records (EMR): Why and How?","authors":"Ziniya Zahedi, Faisal Mahmud, Cesar Pinto","doi":"10.3233/SHTI200016","DOIUrl":"10.3233/SHTI200016","url":null,"abstract":"Electronic patient data use and handling are critical issues in terms of privacy, confidentiality, security, and the Health Insurance Portability and Accountability Act (HIPAA) regulations. The risks associated with electronic patient data are not limited to identity theft but rather include a person's social, economic, and psychological well-being. However, there have not been many studies that have focused on the associated risk factors that could lead to these situations. This paper identifies those risks related to electronic patient data breaches by means of a grounded theory approach and develops a systemic risk management plan that enables engineering managers and risk managers to more effectively and efficiently overcome risks associated with electronic patient data. Purpose: The purpose of this paper is to identify the risks associated with electronic patient data breach using a grounded theory approach and also to recommend a set of guidelines to support a better, effective, and efficient system and thereby overcome these risks. Patients and methods: No patients were involved either to participate in this study or any of their opinions are reflected with this research.","PeriodicalId":39242,"journal":{"name":"Studies in Health Technology and Informatics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39028374","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}

引用次数: 0

Virtual Reality Assessment Reveals Myopic Regression After ICL Implantation in High Myopia. 虚拟现实评估揭示了高度近视患者植入 ICL 后的近视消退。

Studies in Health Technology and Informatics Pub Date : 2023-12-11 DOI: 10.3233/SHTI200014

Jianqing Lan, Yan Zhang, Ying Cui, Cheng Yang, Xue Li, Wenjuan Xie, Juan Li, Shujun Wang, Mark Wiederhold, Brenda Wiederhold, Hang Chu, Li Yan, Jin Zeng

{"title":"Virtual Reality Assessment Reveals Myopic Regression After ICL Implantation in High Myopia.","authors":"Jianqing Lan, Yan Zhang, Ying Cui, Cheng Yang, Xue Li, Wenjuan Xie, Juan Li, Shujun Wang, Mark Wiederhold, Brenda Wiederhold, Hang Chu, Li Yan, Jin Zeng","doi":"10.3233/SHTI200014","DOIUrl":"10.3233/SHTI200014","url":null,"abstract":"Purpose: To investigate the correlative factors of vision regression after Implantable Collamer Lens (ICL) surgery from the perspective of binocular vision and to develop a predictive model for the refractive change over the long term.Methods: This was a prospective study of 30 subjects (60 implants), who underwent ICL surgery at Guangdong General Hospital. Corrected distance visual acuity, uncorrected distance visual acuity, spherical equivalent (SE), axial length and binocular examination using virtual reality were analyzed before, 1 month and 1 year after the surgery.Results: Mean SE was (-12.01 ± 0.86) D preoperatively, (-0.44 ± 0.13)D 1 month postoperatively and (-0.97 ± 0.15)D 1 year postoperatively. The average regression 1 year postoperatively (-0.53 ± 0.25D of SE) was significant (P = 0.01). Mean axial length at the base line and 1 year after the surgery was (28.35 ± 0.39) mm and (28.91 ± 0.57) mm. The regression was correlated with the binocular equilibrium difference (r = 0.553, P = 0.002), and the degree of perceptual eye position shift, especially the horizontal shift (r = -0.620, P = 0.000). The important variables relevant to myopic regression were preoperative horizontal perceptual eye position shift (B = -0.007, P = 0.001) and binocular equilibrium difference (B = 0.146, P = 0.012).Conclusion: Perceptual eye position deviation and the binocular equilibrium difference could cause binocular gazing instability, and the unstable retinal image created a 'micro retinal-defocus phenomena', leading to an elongation of the axial length and resulting in myopic regression after ICL surgery.","PeriodicalId":39242,"journal":{"name":"Studies in Health Technology and Informatics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39028372","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}

引用次数: 0

Construction of Guideline-Based Decision Tree for Medication Recommendation. 构建基于指南的用药推荐决策树。

Studies in Health Technology and Informatics Pub Date : 2023-12-11 DOI: 10.3233/SHTI200015

Wei Zhao, Xuehan Jiang, Ke Wang, Xingzhi Sun, Gang Hu, Guotong Xie

引用次数: 0

Mental Health Patient Portals Aimed at Depression: A Picture Close to Reality. 针对抑郁症的心理健康患者门户网站：贴近现实的图片。

Studies in Health Technology and Informatics Pub Date : 2023-12-11 DOI: 10.3233/SHTI200608

Mahsa Rabbani, Mahdi Nasiri, Arash Mowla, Roxana Sharifian

{"title":"Mental Health Patient Portals Aimed at Depression: A Picture Close to Reality.","authors":"Mahsa Rabbani, Mahdi Nasiri, Arash Mowla, Roxana Sharifian","doi":"10.3233/SHTI200608","DOIUrl":"10.3233/SHTI200608","url":null,"abstract":"Patient portals can have positive consequences in the empowerment of people with depression by raising awareness about their condition. Patient portals are important yet challenging technologies in the field of mental health care. We conducted a scoping review aiming to investigate some important characteristics and features of the mental health websites and related patient portal services for the target audience including people with depression. For this purpose, two reviewers independently entered the keywords in the popular search engines including Google, Yahoo, and Bing in April 2019, in order to find mental health websites that provide patient portal service targeting depression. Examination of the inclusion and exclusion criteria led finally to the selection of 31 websites. We found out that some features of patient portals including the online questionnaires, messaging between the patient and the healthcare provider, and medication refill were more consistent with the areas on which the mental healthcare providers focus, and thus can be effective in improving the progression of these areas. It is essential for patient portal providers to put more focus on expressing the patient portal's features and objectives on their websites. Besides, it is also necessary to conduct further research to investigate the obstacles and facilitators of the interactive features of the patient portals in the field of mental health care, particularly depression.","PeriodicalId":39242,"journal":{"name":"Studies in Health Technology and Informatics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39028375","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}

引用次数: 0

Mettertron - Bridging Metadata Repositories and Terminology Servers. Mettertron -桥接元数据存储库和术语服务器。

Studies in Health Technology and Informatics Pub Date : 2023-09-12 DOI: 10.3233/SHTI230721

Jan Schladetzky, Ann-Kristin Kock-Schoppenhauer, Cora Drenkhahn, Josef Ingenerf, Joshua Wiedekopf

引用次数: 0

Design and Implementation of an ETL-Process to Transfer Wound-Related Data into a Standardized Common Data Model. 将伤口相关数据转换为标准化公共数据模型的etl流程的设计与实现。

Studies in Health Technology and Informatics Pub Date : 2023-09-12 DOI: 10.3233/SHTI230723

Mareike Przysucha, Jens Hüsers, Daniil Liberman, Oliver Kersten, Aphrodite Schlüter, Sebastian Fraas, Dorothee Busch, Maurice Moelleken, Cornelia Erfurt-Berge, Joachim Dissemond, Ursula Hübner

{"title":"Design and Implementation of an ETL-Process to Transfer Wound-Related Data into a Standardized Common Data Model.","authors":"Mareike Przysucha, Jens Hüsers, Daniil Liberman, Oliver Kersten, Aphrodite Schlüter, Sebastian Fraas, Dorothee Busch, Maurice Moelleken, Cornelia Erfurt-Berge, Joachim Dissemond, Ursula Hübner","doi":"10.3233/SHTI230723","DOIUrl":"https://doi.org/10.3233/SHTI230723","url":null,"abstract":"For observational studies, which are relevant especially for chronic conditions like chronic wounds, the Observational Medical Outcomes Partnership (OMOP) Common Data Model (CDM) offers a standardized database schema. In this study an ETL process for the transition of wound related data was developed. After understanding the data in general and mapping the relevant codes to concepts available in OMOP, the ETL process was implemented. In a first step, a generic algorithm to convert data to a csv format was implemented in Java. The resulting csv file was then processed within KNIME to be loaded into an OMOP CDM conformant database. During the whole ETL process, HL7 FHIR CodeSystem and ConceptMap resources were used for coding and mapping. First clinical test cases to retrieve data were successfully processed as an example to demonstrate the feasibility and usefulness. They concerned wound size at the first visit and the main issues of patients in the wound quality of life questionnaire (n = 24). In general, the ETL process worked well, yet some challenges arose, like post coordinated SNOMED codes or conditions, which might occur more than once.","PeriodicalId":39242,"journal":{"name":"Studies in Health Technology and Informatics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10220563","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}

引用次数: 0

Analysis of the Usage Context of an mHealth Application for Equestrians. 马术运动员移动健康应用的使用背景分析。

Studies in Health Technology and Informatics Pub Date : 2023-09-12 DOI: 10.3233/SHTI230702

Laura Haase

{"title":"Analysis of the Usage Context of an mHealth Application for Equestrians.","authors":"Laura Haase","doi":"10.3233/SHTI230702","DOIUrl":"https://doi.org/10.3233/SHTI230702","url":null,"abstract":"Introduction: One possibility to support veterinarians in times of a vet shortage is by providing animal owners with a technical decision support for deciding whether their animal needs to be seen by a vet. As the first step in the user-centered development of such an mHealth application for equestrians, an analysis of the context of use was done.Methods: The analysis was carried out by reviewing existing literature and conducting an online survey with 100 participants.Results: Characteristics of the user group and the usage context are presented using an adaptation of the four layers of diversity. Many equestrians are lacking health-related knowledge and competencies as well as social networks supporting them in decision making and gaining further information. This may apply to owners of other animal species in broad ranges as well.Conclusion: The results of the analysis provide information to software developers and researchers on mHealth applications for pet owners in general and equestrians in particular to focus their work on the users' needs and therefore provide efficient results/software.","PeriodicalId":39242,"journal":{"name":"Studies in Health Technology and Informatics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10224079","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}

引用次数: 0

Menstrual Cycle Tracking Apps: An Applied Combined Medical and Data Privacy Scoring. 月经周期跟踪应用程序:医疗和数据隐私评分的应用组合。

Studies in Health Technology and Informatics Pub Date : 2023-09-12 DOI: 10.3233/SHTI230715

Yasmin Nielsen-Tehranchian, Veronika Strotbaum, Monika Pobiruchin

引用次数: 0

Evaluating Interoperability in German Critical Incident Reporting Systems. 评估德国关键事件报告系统的互操作性。

Studies in Health Technology and Informatics Pub Date : 2023-09-12 DOI: 10.3233/SHTI230722

Laura Tetzlaff, Anne-Maria Purohit, Jacob Spallek, Christine Holmberg, Thomas Schrader

{"title":"Evaluating Interoperability in German Critical Incident Reporting Systems.","authors":"Laura Tetzlaff, Anne-Maria Purohit, Jacob Spallek, Christine Holmberg, Thomas Schrader","doi":"10.3233/SHTI230722","DOIUrl":"https://doi.org/10.3233/SHTI230722","url":null,"abstract":"Introduction: In industrialised countries, one in ten patients suffers harm during hospitalization. Critical Incident Reporting Systems (CIRS) aim to minimize this by learning from errors and identifying potential risks. However, a lack of interoperability among the 16 CIRS in Germany hampers their effectiveness.Methods: This study investigates reports' syntactic and semantic interoperability across seven different reporting systems. Syntactic interoperability was examined using WHO's Minimal Information Models (MIM), while semantic interoperability was evaluated with SNOMED concepts.Results: The findings reveal a low structural overlap, with only two terms correctly represented in the SNOMED CT terminology. In addition, most systems showed no syntactic interoperability.Conclusion: Improving interoperability is essential for increasing the effectiveness and usability of CIRS. The study suggests a unified data model such as MIM or using Health Level 7 Fast Healthcare Interoperability Resources (HL7 FHIR) resources and expanding SNOMED CT with patient safety-relevant terms for semantic interoperability. Given the current lack of both syntactic and semantic interoperability in CIRS, developing a patient safety ontology is recommended for efficient critical incident analysis too.","PeriodicalId":39242,"journal":{"name":"Studies in Health Technology and Informatics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10220559","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}

引用次数: 0

Comparison and Incorporation of Reasoning and Learning Approaches for Cancer Therapy Research. 癌症治疗研究中推理与学习方法的比较与结合。

Studies in Health Technology and Informatics Pub Date : 2023-09-12 DOI: 10.3233/SHTI230709

Andre Thevapalan, Daan Apeldoorn, Gabriele Kern-Isberner, Ralf G Meyer, Mathias Nietzke, Torsten Panholzer

引用次数: 0