Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium最新文献

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Desktop teleradiology in support of rural orthopedic trauma care. 桌面远程放射学支持农村骨科创伤护理。
J G Reid, J J McGowan, M A Ricci, G McFarlane
{"title":"Desktop teleradiology in support of rural orthopedic trauma care.","authors":"J G Reid,&nbsp;J J McGowan,&nbsp;M A Ricci,&nbsp;G McFarlane","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>Research has shown that diagnostic quality images for most teleradiology applications requires a sophisticated telemedicine system and access to a large amount of bandwidth. While the ideal standards have been set by those involved in evaluating teleradiology, these standards are impractical for many small rural health centers which deliver routine trauma care. While there is no disagreement about the ultimate need for this level of teleradiology support, the purpose of this research was to determine whether Orthopedists would be able to read plain radiographs of orthopedic trauma injuries using a desktop teleradiology system in support of rural trauma care.</p><p><strong>Method: </strong>Two radiology residents and two orthopedic residents viewed forty radiographs, twenty through a desktop teleradiology system and twenty in person. Diagnostic findings and certainty of diagnosis were recorded.</p><p><strong>Findings: </strong>There was no statistically significant difference between modalities in orthopedic residents' ability to correctly diagnose orthopedic trauma injuries. Further, for those instances when the diagnosis was imprecise, the residents were aware of their inability to make an accurate diagnosis.</p><p><strong>Conclusion: </strong>Although the study was relatively limited and further research needs to be done, the use of desktop teleradiology in support of rural orthopedic trauma consultation is a promising alternative to the more expensive forms of telemedicine technology.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"403-7"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233474/pdf/procamiaafs00001-0440.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Puya: a method of attracting attention to relevant physical findings. 普亚:一种将注意力吸引到相关物理发现上的方法。
W D de Estrada, S Murphy, G O Barnett
{"title":"Puya: a method of attracting attention to relevant physical findings.","authors":"W D de Estrada,&nbsp;S Murphy,&nbsp;G O Barnett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Puya is a method that compares the physical exam in an electronic clinical note with a set of stereotypical physical exam sentences that have been previously classified as \"normal\". The note is then displayed in a web browser with normal findings clearly delineated. The list of stereotypical sentences comes from a set of physical findings found within extensive electronic medical record. This list is then screened to select only those that represent \"normal\" findings, a process that yields 96% total agreement among 4 clinicians surveyed. This final list of stereotypical \"normal\" sentences accounts for 64% of the clinical narrative text. Sentences in the clinical note that do not match sentences in the \"normal\" list are assumed to be \"abnormal\". Puya screened 98 clinical notes consisting of 610 individual sentences. Puya achieved a sensitivity of 100%, a specificity of 63%, a positive predictive value of 44% and a negative predictive value of 100%. This leads to an application that reduces informational noise.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"509-13"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233598/pdf/procamiaafs00001-0545.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conceptual mapping of user's queries to medical subject headings. 用户查询到医学主题标题的概念映射。
Y L Zieman, H L Bleich
{"title":"Conceptual mapping of user's queries to medical subject headings.","authors":"Y L Zieman,&nbsp;H L Bleich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes a way to map users' queries to relevant Medical Subject Headings (MeSH terms) used by the National Library of Medicine to index the biomedical literature. The method, called SENSE (SEarch with New SEmantics), transforms words and phrases in the users' queries into primary conceptual components and compares these components with those of the MeSH vocabulary. Similar to the way in which most numbers can be split into numerical factors and expressed as their product--for example, 42 can be expressed as 2*21, 6*7, 3*14, 2*3*7,--so most medical concepts can be split into \"semantic factors\" and expressed as their juxtaposition. Note that if we split 42 into its primary factors, the breakdown is unique: 2*3*7. Similarly, when we split medical concepts into their \"primary semantic factors\" the breakdown is also unique. For example, the MeSH term 'renovascular hypertension' can be split morphologically into reno, vascular, hyper, and tension--morphemes that can then be translated into their primary semantic factors--kidney, blood vessel, high, and pressure. By \"factoring\" each MeSH term in this way, and by similarly factoring the user's query, we can match query to MeSH term by searching for combinations of common factors. Unlike UMLS and other methods that match at the level of words or phrases, SENSE matches at the level of concepts; in this way, a wide variety of words and phrases that have the same meaning produce the same match. Now used in PaperChase, the method is surprisingly powerful in matching users' queries to Medical Subject Headings.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"519-22"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233300/pdf/procamiaafs00001-0555.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A method for representing search results in three dimensions. 一种在三维空间中表示搜索结果的方法。
M H Miller
{"title":"A method for representing search results in three dimensions.","authors":"M H Miller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper presents a new method for representing results of an information retrieval search in a three dimensional environment. Aside from the fact that users find 3-D interfaces visually appealing, there are strong practical reasons for developing 3-D representations of search results. Traditional information retrieval systems present results in ordered lists which are difficult to browse, and exclude useful information. The current method employs a multivariate statistical method called Local Latent Semantic Indexing (LLSI) to create meaningful local dimensions in which to view search results. A prototype Internet-ready system is described which utilizes Virtual Reality Modeling Language (VRML) to display search results. Preliminary tests of this system with a small collection of MEDLINE articles are very encouraging.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"533-7"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233567/pdf/procamiaafs00001-0569.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Internet access to a medical case repository for teaching and analysis. Internet接入医学案例库,用于教学和分析。
H Kindler, T M Fliedner, D Densow
{"title":"Internet access to a medical case repository for teaching and analysis.","authors":"H Kindler,&nbsp;T M Fliedner,&nbsp;D Densow","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The acute radiation syndrome is a rare disease. Teaching its treatment and the achievement of scientific progress require a sufficient number of accessible case histories. An information system for standardized recording of acute radiation syndrome case histories has been established in the framework of the World Health Organization Radiation Medical Emergency Preparedness and Assistance Network Centers. The information system has been realized in client/server architecture. The centers are able to access the database by easy to use graphical user interfaces via the Internet. Focusing on optimization of network traffic and flexible information retrieval the hypertext transfer protocol has not been applied. At the moment the system is tested on the campus of the University of Ulm before it will be installed at the other centers.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"543-7"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233561/pdf/procamiaafs00001-0579.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maintaining the integrity of a Web-based medical vocabulary glossary. 维护基于web的医学词汇表的完整性。
R M Aryel, J Cai, H C Chueh, G O Barnett
{"title":"Maintaining the integrity of a Web-based medical vocabulary glossary.","authors":"R M Aryel,&nbsp;J Cai,&nbsp;H C Chueh,&nbsp;G O Barnett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medical vocabulary databases are vital components of electronic medical record (EMR) systems. While their performance and efficiency has been extensively explored by many authors, few have dealt with the maintenance of their semantic integrity. Clinicians' preference for an optimistic system has introduced a need for monitoring and filtering proposed additions to the vocabulary tables. We propose the use of batch processing and memo-posting as means of implementing a World-Wide-Web-based Controlled Vocabulary Glossary as a monitored optimistic system.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"600-4"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233558/pdf/procamiaafs00001-0635.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Partitioning a vocabulary's IS-A hierarchy into trees. 将词汇表的IS-A层次结构划分为树。
H Gu, Y Perl, J Geller, M Halper, J J Cimino, M Singh
{"title":"Partitioning a vocabulary's IS-A hierarchy into trees.","authors":"H Gu,&nbsp;Y Perl,&nbsp;J Geller,&nbsp;M Halper,&nbsp;J J Cimino,&nbsp;M Singh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Controlled medical vocabularies are useful in application areas such as medical information-systems and decision-support. However, such vocabularies are large and complex, and working with them can be daunting. It is important to provide a means for orienting users to the vocabulary's contents. This paper introduces a methodology for partitioning a vocabulary into small, meaningful pieces. The partitioning is done with respect to the vocabulary's IS-A hierarchy. The methodology, based on a set of rules for refining the IS-A hierarchy, is a process carried out by a user in conjunction with the computer. The methodology is demonstrated on a complex portion of a vocabulary.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"630-4"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233245/pdf/procamiaafs00001-0665.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Logical Observation Identifier Names and Codes (LOINC) to exchange laboratory data among three academic hospitals. 使用逻辑观察标识名称和代码(LOINC)在三所学术医院之间交换实验室数据。
D M Baorto, J J Cimino, C A Parvin, M G Kahn
{"title":"Using Logical Observation Identifier Names and Codes (LOINC) to exchange laboratory data among three academic hospitals.","authors":"D M Baorto,&nbsp;J J Cimino,&nbsp;C A Parvin,&nbsp;M G Kahn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Using a standard set of names and codes to exchange electronic laboratory data would facilitate multiinstitutional research and data pooling. This need has led to the development of the Logical Observation Identifier Names and Codes (LOINC) database and its test naming convention. We conducted a study which required 3 academic hospitals (in 2 separate medical centers) to extract raw laboratory data from their local information system for a defined patient population, translate tests into LOINC, and provide aggregate data which could then be used to compare laboratory utilization. We found that the coding of local tests into LOINC can often be complex, especially the \"Kind of Property\" field, and apparently trivial differences in choices made by individual institutions can result in nonmatches in electronically pooled data. In our study, 72-86% of the failures of LOINC to match the same tests between different institutions were due to differences in local coding choices. LOINC has tremendous potential to eliminate the needing for detailed human inspection during the pooling of laboratory data from diverse sites, and perhaps even a built-in capability to adjust matching stringency by selecting subsets of LOINC fields required to match. However, a quality, standard coding procedure at all sites is critical.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"96-100"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233525/pdf/procamiaafs00001-0135.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Demystifying mental health information needs through integrated definition (IDEF) activity and data modeling. 通过综合定义(IDEF)活动和数据建模揭开心理健康信息需求的神秘面纱。
K J Hoffman
{"title":"Demystifying mental health information needs through integrated definition (IDEF) activity and data modeling.","authors":"K J Hoffman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Today, the process of mental health assessments and treatment are difficult to describe and assimilate into other medical areas. Integrated patient summaries and treatment descriptions are poorly standardized. Any aggregate data analysis must rely on the very few standardized patient data points that may include some demographic information, diagnosis and codable procedures. This paper describes one of the first published attempts to use business process reengineering (BPR) Integrated Computer Assisted Manufacturing Definition (IDEF) activity and data modeling within a focused clinical setting. The clinician's desire to focus on patient care has been used to create both a current and an idealized activity and data model. Clinical patient information was used to build an analyzable database. This provides the potential to track a patient in data throughout a continuum of care. Conceptually, outcomes management is able to use clinical, rather than administrative or claims, data. These models were used to create a prototype for a computer-based patient record which would allow outcomes management. It was tested successfully as a proof of concept.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"111-5"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233347/pdf/procamiaafs00001-0150.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automated measurement of retinal vascular tortuosity. 视网膜血管弯曲度的自动测量。
W E Hart, M Goldbaum, B Côté, P Kube, M R Nelson
{"title":"Automated measurement of retinal vascular tortuosity.","authors":"W E Hart,&nbsp;M Goldbaum,&nbsp;B Côté,&nbsp;P Kube,&nbsp;M R Nelson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Automatic measurement of blood vessel tortuosity is a useful capability for automatic ophthalmological diagnostic tools. We describe a suite of automated tortuosity measures for blood vessel segments extracted from RGB retinal images. The tortuosity measures were evaluated in two classification tasks: (1) classifying the tortuosity of blood vessel segments and (2) classifying the tortuosity of blood vessel networks. These tortuosity measures were able to achieve a classification rate of 91% for the first problem and 95% on the second problem, which confirms that they capture much of the ophthalmologists' notion of tortuosity.</p>","PeriodicalId":79455,"journal":{"name":"Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium","volume":" ","pages":"459-63"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2233372/pdf/procamiaafs00001-0495.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20288606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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