Medical informatics = Medecine et informatique最新文献_第6页

The General Practice Morbidity Database Project Wales--a methodology for primary care data extraction. 威尔士全科医生发病率数据库项目——一种初级保健数据提取方法。

Medical informatics = Medecine et informatique Pub Date : 1997-04-01 DOI: 10.3109/14639239709010891

J Evans, C Rogers, S Kaul

引用次数: 5

Measuring facial swelling using three-dimensional imaging. 使用三维成像测量面部肿胀。

Medical informatics = Medecine et informatique Pub Date : 1997-04-01 DOI: 10.3109/14639239709010888

J Bowskill, C Baldock, P W Booth

{"title":"Measuring facial swelling using three-dimensional imaging.","authors":"J Bowskill, C Baldock, P W Booth","doi":"10.3109/14639239709010888","DOIUrl":"https://doi.org/10.3109/14639239709010888","url":null,"abstract":"Requirements exist clinically for quantitative analysis of facial swelling. A quick and non-invasive measurement of facial volume is desirable. The acquisition of three-dimensional images, corresponding to spatial models of patients' facial surfaces, has been facilitated using a Spatial Vision System (SVS) developed by Thorn EMI Central Research Laboratories (UK). The SVS acquires four video images (two step pairs) and constructs a three-dimensional surface representation using stereo matching of spatial features acquired using 'speckled' illumination. Pre- and post-operative binary volumetric images are then spatially aligned using surface matching algorithms. Accuracy of registration is optimized using Match Volume Excavation. Segmentation of post-operative swelling is achieved by volume differencing in combination with morphological erosion. Volumetric quantification is achieved using a method of three-dimensional region growing, giving the number of connected voxels in the image volume from a user selected seed point. Accuracy of image acquisition has ben quantified by imaging a range of hemispherical phantoms of known volumes. The mean error in repeated measurement of volume was found to be within 3.5%. The perception of temporal changes in facial swelling is highly subjective. Further work is being undertaken to develop and Enhanced Reality visualization tool in which graphical swelling annotations are combined with real-time patient images.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 2","pages":"155-64"},"PeriodicalIF":0.0,"publicationDate":"1997-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709010888","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20245026","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: 5

Design of CSCW applications for medical teleconsultation and remote diagnosis support. CSCW在医疗远程会诊和远程诊断支持中的应用设计。

Medical informatics = Medecine et informatique Pub Date : 1997-04-01 DOI: 10.3109/14639239709010885

E V Kopsacheilis, I Kamilatos, M G Strintzis, L Makris

引用次数: 14

A layered architecture for computer-based simulation supporting skills learning: an X-ray imaging paradigm. 支持技能学习的计算机模拟的分层体系结构:x射线成像范例。

Medical informatics = Medecine et informatique Pub Date : 1997-04-01 DOI: 10.3109/14639239709010889

L Costaridou, G Panayiotakis, C Efstratiou, C Papananikolaou, N Pallikarakis

引用次数: 1

A system for efficient scheduling of patient tests in hospitals. 一种有效安排医院病人检查的系统。

Medical informatics = Medecine et informatique Pub Date : 1997-04-01 DOI: 10.3109/14639239709010890

S Kokkotos, E V Ioannidis, C D Spyropoulos

{"title":"A system for efficient scheduling of patient tests in hospitals.","authors":"S Kokkotos, E V Ioannidis, C D Spyropoulos","doi":"10.3109/14639239709010890","DOIUrl":"https://doi.org/10.3109/14639239709010890","url":null,"abstract":"Patient tests in hospital environments involve a significant percentage of hospital resources. The patient must occupy some of his/her time, personnel and equipment have to be allocated, co-operation between hospital laboratories and departments must be ensured, tests should be performed within rigid time limits and the results should be ready before due times imposed by doctors, nurses or other medical personnel. From the patient's point of view there must be almost no distress, while hospital management wants as much equipment utilization as possible. In the present paper we propose a system for efficient scheduling of patient tests, while obeying all temporal and managerial limitations as well as observing all medical procedures. This system, which we call HOSTESS, uses a new approach, the dynamic distributed scheduling for managing the patient test requests in large hospitals, with many laboratories that perform a multitude of tests. The system is designed as a modular expandable application, in order to perform efficiently under heavy loads. Doctors, nurses, laboratory technicians and other personnel enter their requests and HOSTESS creates consistent schedules for every equipment needed in the required tests.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 2","pages":"179-90"},"PeriodicalIF":0.0,"publicationDate":"1997-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709010890","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20244900","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: 6

'Learning Diabetes'--a multi-media learning package for patients, carers and professionals to improve chronic disease management. “学习糖尿病”——为患者、护理人员和专业人员提供的多媒体学习包，以改善慢性病管理。

Medical informatics = Medecine et informatique Pub Date : 1997-01-01 DOI: 10.3109/14639239709089836

J L Day, G Rayman, L Hall, P Davies

{"title":"'Learning Diabetes'--a multi-media learning package for patients, carers and professionals to improve chronic disease management.","authors":"J L Day, G Rayman, L Hall, P Davies","doi":"10.3109/14639239709089836","DOIUrl":"https://doi.org/10.3109/14639239709089836","url":null,"abstract":"A multi-media program for those with insulin and non-insulin dependent diabetes, and for their carers, has been produced. It is delivered on CDROM and contains an extensive amount of very high quality generated video of patients using short clips (maximum 2 min) totalling 2.5 h in 240 files using MPEG compression. The video is combined with a wide range of graphic based activities engaging the user in fully interactive processes and allowing them to obtain extensive understanding of the disease and to relate to attitudes and perceptions about it from those with the same condition. The program is robust and appears to meet the educational needs for its extent of interactivity, degree of choice for the user and provision of information based on real patient experience. It is easily used and modified to meet users of different socio-cultural needs and can be translated into different languages. It offers the opportunity not only for increased learning and improved self-management of those with diabetes, but also greater understanding by those who care for them, both professional and non-professional. Using the same framework, programs are being developed for other chronic diseases including asthma and hypertension.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 1","pages":"91-104"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709089836","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20129206","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: 23

Educational video game for juvenile diabetes: results of a controlled trial. 青少年糖尿病教育视频游戏:一项对照试验的结果。

Medical informatics = Medecine et informatique Pub Date : 1997-01-01 DOI: 10.3109/14639239709089835

S J Brown, D A Lieberman, B A Germeny, Y C Fan, D M Wilson, D J Pasta

{"title":"Educational video game for juvenile diabetes: results of a controlled trial.","authors":"S J Brown, D A Lieberman, B A Germeny, Y C Fan, D M Wilson, D J Pasta","doi":"10.3109/14639239709089835","DOIUrl":"https://doi.org/10.3109/14639239709089835","url":null,"abstract":"Packy & Marlon, an interactive video game designed to improve self-care among children and adolescents with diabetes, was evaluated in a six-month randomized controlled trial. In the game, players take the role of animated characters who manage their diabetes by monitoring blood glucose, taking insulin injections, and choosing foods, while setting out to save a diabetes summer camp from marauding rats and mice who have stolen the diabetes supplies. Study participants were patients aged 8 to 16 from two separate diabetes clinics. Each participant received a Super Nintendo video game system at an initial clinic visit and was randomly assigned to receive either Packy & Marlon (treatment group, N = 31) or an entertainment video game containing no diabetes-related content (control group, N = 28). Participants were interviewed and a parent filled out a questionnaire at baseline, three months, and six months. The findings in this study indicate that well-designed, educational video games can be effective interventions. There was improvement in the treatment group relative to the control group in terms of diabetes-related self-efficacy (p = 0.07), communication with parents about diabetes (p = 0.025), and self-care behaviours (p = 0.003), and a decrease in unscheduled urgent doctor visits (p = 0.08). There were no significant differences between the groups in knowledge about diabetes or in glycated haemoglobin (HbA1c) levels. Since participants in the study were in general well-controlled patients who were receiving excellent medical care, future research is contemplated involving youngsters who are not under good glycaemic control.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 1","pages":"77-89"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709089835","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20129204","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: 492

Computers in diabetes '96. 1996年糖尿病中的计算机。

Medical informatics = Medecine et informatique Pub Date : 1997-01-01 DOI: 10.3109/14639239709089837

E D Lehmann

引用次数: 10

Application of information technology in clinical diabetes care--a special issue. Part 2. Models and education. 信息技术在糖尿病临床护理中的应用——专题第2部分。模型和教育。

Medical informatics = Medecine et informatique Pub Date : 1997-01-01 DOI: 10.3109/14639239709089830

E D Lehmann

引用次数: 16

Minimal model of food absorption in the gut. 肠道食物吸收的最小模型。

Medical informatics = Medecine et informatique Pub Date : 1997-01-01 DOI: 10.3109/14639239709089833

D R Worthington

{"title":"Minimal model of food absorption in the gut.","authors":"D R Worthington","doi":"10.3109/14639239709089833","DOIUrl":"https://doi.org/10.3109/14639239709089833","url":null,"abstract":"Of the physiological subsystems involved in glucose metabolism, all have now been modelled with continuous-time compartmental models except the gut. To address this omission, three progressively more complex models of the conversion of food by the gut into the rate of appearance of glucose in plasma were identified, using two different sample input foods which were tested on a type 1 diabetic patient. The minimal model that achieved a reasonable match with measured values had one compartment. Two model parameters specific to the food modelled were glycaemic value (grams of glucose per gram of food), and the fractional turnover rate, corresponding to a combination of the gastric emptying time constant and other rate limiting metabolic processes. Parameters specific to the individual were compartmental volumes, specifically for the glucose distribution space. It was only possible to achieve an adequate model prediction with a one compartmental model by explicitly incorporating transport delay into the model. By combining this model with models of insulin production and glucose disposal, the glycaemic response of an identified food may also be predicted for patients with type 2 diabetes mellitus. This predicted responses, along with the predicted response for bread or glucose, enables calculation of the Glycaemic Index for the food from its glycaemic value, time constant, and transport delay, along with the insulin production and glucose disposal model parameters for the individual patient. These three minimal model parameters therefore embody all the information of the Glycaemic Index, and more, allowing a continuous prediction of the effect of eating a given food over time. Together with a means of combining the parameters of individual foods into a combination set for a composite meal, this minimal model could enable diabetic patients to predict the time course of glycaemic action for a meal and to adjust treatment accordingly.","PeriodicalId":76132,"journal":{"name":"Medical informatics = Medecine et informatique","volume":"22 1","pages":"35-45"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/14639239709089833","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20129344","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: 34