Medical informatics = Medecine et informatique最新文献

A network-based training environment: a medical image processing paradigm. 基于网络的训练环境:医学图像处理范例。

Medical informatics = Medecine et informatique Pub Date : 1998-10-01 DOI: 10.3109/14639239809025365

L Costaridou, G Panayiotakis, P Sakellaropoulos, D Cavouras, J Dimopoulos

{"title":"A network-based training environment: a medical image processing paradigm.","authors":"L Costaridou, G Panayiotakis, P Sakellaropoulos, D Cavouras, J Dimopoulos","doi":"10.3109/14639239809025365","DOIUrl":"https://doi.org/10.3109/14639239809025365","url":null,"abstract":"The capability of interactive multimedia and Internet technologies is investigated with respect to the implementation of a distance learning environment. The system is built according to a client-server architecture, based on the Internet infrastructure, composed of server nodes conceptually modelled as WWW sites. Sites are implemented by customization of available components. The environment integrates network-delivered interactive multimedia courses, network-based tutoring, SIG support, information databases of professional interest, as well as course and tutoring management. This capability has been demonstrated by means of an implemented system, validated with digital image processing content, specifically image enhancement. Image enhancement methods are theoretically described and applied to mammograms. Emphasis is given to the interactive presentation of the effects of algorithm parameters on images. The system end-user access depends on available bandwidth, so high-speed access can be achieved via LAN or local ISDN connections. Network based training offers new means of improved access and sharing of learning resources and expertise, as promising supplements in training.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"23 4","pages":"277-87"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239809025365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20829713","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: 7

Enhancing security and improving interoperability in healthcare information systems. 加强医疗保健信息系统的安全性和互操作性。

Medical informatics = Medecine et informatique Pub Date : 1998-10-01 DOI: 10.3109/14639239809025367

D A Gritzalis

引用次数: 25

Hippocrates: an integrated platform for telemedicine applications. 希波克拉底:远程医疗应用的集成平台。

Medical informatics = Medecine et informatique Pub Date : 1998-10-01 DOI: 10.3109/14639239809025364

L Makris, E V Kopsacheilis, M G Strintzis

引用次数: 4

Backpropagation and adaptive resonance theory in predicting suicidal risk. 反向传播和自适应共振理论预测自杀风险。

Medical informatics = Medecine et informatique Pub Date : 1998-10-01 DOI: 10.3109/14639239809025368

I Modai, S Greenstain, A Weizman, S Mendel

{"title":"Backpropagation and adaptive resonance theory in predicting suicidal risk.","authors":"I Modai, S Greenstain, A Weizman, S Mendel","doi":"10.3109/14639239809025368","DOIUrl":"https://doi.org/10.3109/14639239809025368","url":null,"abstract":"The ability of backpropagation and adaptive resonance theory (ART) neural networks to predict the probability of complete suicide, within a two year span, in major psychiatric patients was investigated. Variables associated with suicide risk were collected from the files of 161 hospitalized psychiatric patients with a 10 year or greater history of illness. 84 patients were hospitalized due to suicide attempts and 77 had no previous suicide attempts or ideations. Suicide attempts were rated as medically serious suicide attempts (MSSA) or non-MSSA and used for training the systems. The ability of the neural networks was evaluated by screening the extremes of the suicidal spectrum (1) 54 records of patients who committed suicide and (2) 150 records of patients who never had suicidal thoughts. The records were taken from 3 hospitals, in various geographic regions in Israel. Neither neural network system is reliable in predicting suicide, however, records from one hospital, Gehah Hospital, were better identified than those from the two other hospitals (p < 0.05 for PPV; p < 0.01 for specificity). At present, neural networks are not reliable instruments for evaluating suicidal risk due to the significant number of false positive results. When low risk was indicated reliability was greater (NPV = 75.28%, specificity = 97.10% with ART; NPV = 91.76%, specificity = 95.12% with backpropagation). However, PPV, NPV and specificity rates of both systems achieved with Gehah Hospital records suggest that using a direct-subjective questionnaire may produce better results in the future. ART and backpropagation performed similarly in all measurements.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"23 4","pages":"325-30"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239809025368","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20829721","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: 8

A multi-agent architecture for teaching dermatology. 皮肤病学教学的多主体体系结构。

Medical informatics = Medecine et informatique Pub Date : 1998-10-01 DOI: 10.3109/14639239809025366

I D Zaharakis, A D Kameas, G C Nikiforidis

{"title":"A multi-agent architecture for teaching dermatology.","authors":"I D Zaharakis, A D Kameas, G C Nikiforidis","doi":"10.3109/14639239809025366","DOIUrl":"https://doi.org/10.3109/14639239809025366","url":null,"abstract":"This work proposes the integration of computer-aided instruction systems in the curricula of medical education, and describes an intelligent tutoring system used for teaching Dermatology. The Dermatology Tutor uses a self-organized society of autonomous software agents which have different capabilities or roles. The society contains tutor, medical and information agents which participate in the tutoring process and collaborate through deliberation in order to achieve a tutoring task. The agents are built according to a BDI architecture, which implements the mental attitudes of beliefs (B), desires (D) and intentions (I). Each medical agent is a specialist in a medical field, while a tutoring agent, which implements a widely accepted dermatology teaching process, coordinates the overall operation of the system. Depending on the subject that is to be taught during any session, the tutoring agent forms teams of medical agents, which in turn use search agents to retrieve information. Although the presented multi-agent architecture is dedicated to teaching dermatology (since the tutor agent is specialized in Dermatology), it can be extended to other domains also with the incorporation of other tutor agents.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"23 4","pages":"289-307"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239809025366","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20829715","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: 11

A WWW-based information system on resistance of bacteria to antibiotics. 基于www的细菌抗生素耐药性信息系统。

Medical informatics = Medecine et informatique Pub Date : 1998-07-01 DOI: 10.3109/14639239809001396

J Schindler, Z Schindler, J Schindler

{"title":"A WWW-based information system on resistance of bacteria to antibiotics.","authors":"J Schindler, Z Schindler, J Schindler","doi":"10.3109/14639239809001396","DOIUrl":"https://doi.org/10.3109/14639239809001396","url":null,"abstract":"The information system on resistance of bacteria to antibiotics (WARN--World Antibiotic Resistance Network) is implemented as a WWW server at Charles University in Prague (http:/(/)www.warn.cas.cz). Its main goal is to give information about problems of antibiotic resistance of bacteria and to process data on isolated strains. The WARN web-site contains six main topics. Four of them form the core of the system: Topics of Interest bring information on selected timely topics in antibiotic resistance--pneumococci, staphylococci, beta-lactamases, glycopeptide--and aminoglycoside resistance. Global Monitor brings references and reports on resistance in the world as well as recommended method of surveillance. The topic Data contains raw data on strains in particular countries and hospitals. Data can be viewed in their original form as a list of records (strains) or processed to provide statistics about the resistance rates in the selected country or hospital respectively. The topic Search allows one to search for one or several terms in the whole document. Counts of accessed pages show, that there is a standing demand for information about the serious problems of antibiotic therapy of infectious diseases.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"23 3","pages":"179-85"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239809001396","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20698503","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: 1

A browser based image bank, useful tool or expensive toy? 一个基于浏览器的图片库，有用的工具还是昂贵的玩具?

Medical informatics = Medecine et informatique Pub Date : 1998-07-01 DOI: 10.3109/14639239809001399

P J Liepins, K M Curran, C R Renshaw, M N Maisey

{"title":"A browser based image bank, useful tool or expensive toy?","authors":"P J Liepins, K M Curran, C R Renshaw, M N Maisey","doi":"10.3109/14639239809001399","DOIUrl":"https://doi.org/10.3109/14639239809001399","url":null,"abstract":"DIBS, the Digital Image Banking System, is a web browser based environment for depositing and withdrawing generic medical images. These can be annotated or modified on an individual's computer for use in talks and lectures. DIBS is programmed in 'C', to query and update a database as well as producing web pages on the 'fly'. Images are deposited using an interactive form, minimizing data entry and are received in a digital format or are digitized on demand. Three interfaces allow DIBS to be searched; an image map of the human body presents a simple graphical interface, whilst more specific searches can be performed by selecting categories from predefined scrolling menus or using a full text search. When a DIBS search is performed, preview thumbnail images and descriptions are provided, linked to the full size images that can be saved locally along with the text description. DIBS offers fast and convenient access to a wide range of medical images, eliminating the time consuming process of producing one's own slides or borrowing from colleagues. It is proving to be a useful tool within our Medical School but some copyright, ethical and image security issues still need to be resolved.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"23 3","pages":"199-206"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239809001399","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20698506","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: 8

A web-based data collection system for clinical studies using Java. 基于web的临床研究数据收集系统。

Medical informatics = Medecine et informatique Pub Date : 1998-07-01 DOI: 10.3109/14639239809001402

H Sippel, C Ohmann

引用次数: 23

Telepathology applications of the Internet multimedia electronic mail. 远程病理学在因特网多媒体电子邮件中的应用。

Medical informatics = Medecine et informatique Pub Date : 1998-07-01 DOI: 10.3109/14639239809001404

V Della Mea, C A Beltrami

{"title":"Telepathology applications of the Internet multimedia electronic mail.","authors":"V Della Mea, C A Beltrami","doi":"10.3109/14639239809001404","DOIUrl":"https://doi.org/10.3109/14639239809001404","url":null,"abstract":"Telepathology is based on the sharing of medical images coming from the microscope, and comprises different applications: intra-operative telediagnosis, second opinion teleconsultation, reference case archives, remote data and image processing, quality assessment. Since the Internet is available worldwide, it can be of interest to define which of these tasks can be performed by means of some telepathology method based on it. This paper focuses particularly on the use of Internet multimedia electronic mail for exchanging multimedia cases. To test the validity of the proposed approach for transmission of multimedia cases, the first step is to evaluate its diagnostic accuracy. Trials involving the transmission of 299 cases have been carried out between two departments of Pathology in Italy (at the University of Udine and at the City Hospital of Trento, respectively) in order to evaluate the diagnostic accuracy as well as the time needed for acquisition and transmission. First results show that good diagnostic agreement can be reached, but the time needed for transmission, generally low, is not sufficiently affordable to be adopted in those cases where time is important. In particular, telepathology through multimedia e-mail can be adopted for second opinion consultation, remote image processing, quality assessment and continuing education possibly by means of software that integrates acquisition and delivery of cases with HIS functionalities.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"23 3","pages":"237-44"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239809001404","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20698510","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: 40

Lessons learned from an Internet GP information system. 互联网全科医生信息系统的经验教训。

Medical informatics = Medecine et informatique Pub Date : 1998-07-01 DOI: 10.3109/14639239809001405

J S Briggs, M P Bradley

引用次数: 2