Medical informatics and the Internet in medicine最新文献_第10页

Design and acceptability of patient-oriented computerized diabetes care reminders for use at the point of care. 面向患者的电脑化糖尿病护理提醒器的设计和可接受性。

Medical informatics and the Internet in medicine Pub Date : 2004-06-01 DOI: 10.1080/14639230412331280413

C N Sciamanna, D R Gifford, R J Smith

引用次数: 11

A quality evaluation methodology of health web-pages for non-professionals. 面向非专业人员的卫生网页质量评价方法。

Medical informatics and the Internet in medicine Pub Date : 2004-06-01 DOI: 10.1080/14639230410001684396

Vincenzo Currò, Paola Sabrina Buonuomo, Roberta Onesimo, Paola de Rose, Andrea Vituzzi, Gian Luca di Tanna, Alessandro D'Atri

{"title":"A quality evaluation methodology of health web-pages for non-professionals.","authors":"Vincenzo Currò, Paola Sabrina Buonuomo, Roberta Onesimo, Paola de Rose, Andrea Vituzzi, Gian Luca di Tanna, Alessandro D'Atri","doi":"10.1080/14639230410001684396","DOIUrl":"https://doi.org/10.1080/14639230410001684396","url":null,"abstract":"Primary objective: The proposal of an evaluation methodology for determining the quality of healthcare web sites for the dissemination of medical information to non-professionals.Methods and procedures: Three (macro) factors are considered for the quality evaluation: medical contents, accountability of the authors, and usability of the web site. Starting from two results in the literature the problem of whether or not to introduce a weighting function has been investigated. This methodology has been validated on a specialized information content, i.e., sore throats, due to the large interest such a topic enjoys with target users. The World Wide Web was accessed using a meta-search system merging several search engines. A statistical analysis was made to compare the proposed methodology with the obtained ranks of the sample web pages.Main outcome and results: The statistical analysis confirms that the variables examined (per item and sub factor) show substantially similar ranks and are capable of contributing to the evaluation of the main quality macro factors. A comparison between the aggregation functions in the proposed methodology (non-weighted averages) and the weighting functions, derived from the literature, allowed us to verify the suitability of the method.Conclusions: The proposed methodology suggests a simple approach which can quickly award an overall quality score for medical web sites oriented to non-professionals.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"29 2","pages":"95-107"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230410001684396","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24684898","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: 32

Use of on-line evidence databases by Australian public health practitioners. 澳大利亚公共卫生从业人员使用在线证据数据库。

Medical informatics and the Internet in medicine Pub Date : 2004-06-01 DOI: 10.1080/14639230410001723437

Armita Adily, Johanna Westbrook, Enrico Coiera, Jeanette Ward

{"title":"Use of on-line evidence databases by Australian public health practitioners.","authors":"Armita Adily, Johanna Westbrook, Enrico Coiera, Jeanette Ward","doi":"10.1080/14639230410001723437","DOIUrl":"https://doi.org/10.1080/14639230410001723437","url":null,"abstract":"Objective: To investigate use of a web-based portal, known as the Clinical Information Access Program (CIAP), and evidence databases in an Australian population health workforce.Methods: Self-administered postal survey of 104 staff in a regional Division of Population Health in Sydney, Australia. The main outcome measures were CIAP use and organization support for CIAP use. Two thirds of the respondents agreed that using CIAP was a legitimate part of their practice. However, half agreed that staff were encouraged to use it. One in five respondents (21%) used CIAP weekly. CIAP use was significantly associated with medical qualification or, among non-medical staff, with having at least a Masters qualification. CIAP use was not associated with occupational category, gender, age, employment status nor years of experience. Use of specific evidence databases such as Cochrane also differed significantly by respondents' characteristics.Conclusions: There has been only partial uptake of on-line databases among this population health workforce, particularly according to attainment of relevant postgraduate qualifications. As CIAP is a resource for evidence-based practice, greater effort to increase its use is recommended to ensure population health does not fall behind hospital-based clinicians.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"29 2","pages":"127-36"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230410001723437","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24684793","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: 10

Stereo-assisted landmark detection for the analysis of changes in 3-D facial shape. 用于分析三维面部形状变化的立体辅助地标检测。

Medical informatics and the Internet in medicine Pub Date : 2004-06-01 DOI: 10.1080/14639230410001725967

A J Naftel, M J Trenouth

{"title":"Stereo-assisted landmark detection for the analysis of changes in 3-D facial shape.","authors":"A J Naftel, M J Trenouth","doi":"10.1080/14639230410001725967","DOIUrl":"https://doi.org/10.1080/14639230410001725967","url":null,"abstract":"In this paper, a semi-automated approach to 3-D landmark digitization of the face is described which uses a combination of active shape model-driven feature detection and stereophotogrammetric analysis. The study aims to assess whether the proposed method is capable of detecting statistically significant changes in facial soft tissue shape due to mandibular repositioning in a cross-sectional patient sample. A hybrid stereophotogrammetric and structured-light imaging system is used for acquiring 3-D face models in the first instance. A landmark-based statistical analysis of facial shape change is then carried out using procrustes registration, principal component analysis and thin plate spline warping on the 2-D facial midline profiles and automatically digitized 3-D landmarks. The proposed method is validated both statistically and visually by characterizing shape changes induced by mandibular repositioning in a heterogeneous cross-sample of 20 orthodontic patients. It is shown that the method is capable of distinguishing between changes in facial morphology due to simulated surgical correction and changes due to other factors such as growth and normal variation within the patient sample. The study shows that the proposed method may be useful for auditing outcomes of clinical treatment or surgical intervention which result in changes to facial soft tissue morphology.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"29 2","pages":"137-55"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230410001725967","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24684794","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

Automatic construction of gene relation networks using text mining and gene expression data. 基于文本挖掘和基因表达数据的基因关系网络自动构建。

Medical informatics and the Internet in medicine Pub Date : 2004-06-01 DOI: 10.1080/14639230412331280422

Thomas Karopka, Thomas Scheel, Sven Bansemer, Anne Glass

{"title":"Automatic construction of gene relation networks using text mining and gene expression data.","authors":"Thomas Karopka, Thomas Scheel, Sven Bansemer, Anne Glass","doi":"10.1080/14639230412331280422","DOIUrl":"https://doi.org/10.1080/14639230412331280422","url":null,"abstract":"Microarray gene expression analysis is a powerful high-throughput technique that enables researchers to monitor the expression of thousands of genes simultaneously. Using this methodology huge amounts of data are produced which have to be analysed. Clustering algorithms are used to group genes together based on a predefined distance measure. However, clustering algorithms do not necessarily group the genes in a biological meaningful way. Additional information is needed to improve the identification of disease relevant genes. The primary objective of our project is to support the analysis of microarray gene expression data by construction of gene relation networks (GRNs). Required information can not be found in a structured representation like a database. In contrast, a large number of relations are described in biomedical literature. The main outcome of this project is the implementation of a software system that provides clinicians and researchers with a tool that supports the analysis of microarray gene expression data by mapping known relationships from the biomedical literature to local gene expression experiments.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"29 2","pages":"169-83"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230412331280422","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24684796","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: 20

Older adults' attitudes towards and perceptions of "smart home" technologies: a pilot study. 老年人对“智能家居”技术的态度和看法:一项试点研究。

Medical informatics and the Internet in medicine Pub Date : 2004-06-01 DOI: 10.1080/14639230410001684387

George Demiris, Marilyn Rantz, Myra Aud, Karen Marek, Harry Tyrer, Marjorie Skubic, Ali Hussam

{"title":"Older adults' attitudes towards and perceptions of \"smart home\" technologies: a pilot study.","authors":"George Demiris, Marilyn Rantz, Myra Aud, Karen Marek, Harry Tyrer, Marjorie Skubic, Ali Hussam","doi":"10.1080/14639230410001684387","DOIUrl":"https://doi.org/10.1080/14639230410001684387","url":null,"abstract":"Primary objective: The study aim is to explore the perceptions and expectations of seniors in regard to \"smart home\" technology installed and operated in their homes with the purpose of improving their quality of life and/or monitoring their health status.Research design and methods: Three focus group sessions were conducted within this pilot study to assess older adults' perceptions of the technology and ways they believe technology can improve their daily lives. Themes discussed in these groups included participants' perceptions of the usefulness of devices and sensors in health-related issues such as preventing or detecting falls, assisting with visual or hearing impairments, improving mobility, reducing isolation, managing medications, and monitoring of physiological parameters. The audiotapes were transcribed and a content analysis was performed.Results: A total of 15 older adults participated in three focus group sessions. Areas where advanced technologies would benefit older adult residents included emergency help, prevention and detection of falls, monitoring of physiological parameters, etc. Concerns were expressed about the user-friendliness of the devices, lack of human response and the need for training tailored to older learners.Conclusions: All participants had an overall positive attitude towards devices and sensors that can be installed in their homes in order to enhance their lives.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"29 2","pages":"87-94"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230410001684387","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24684897","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: 684

A tool for the design of clinical forms supporting end-user integration. 用于设计支持最终用户集成的临床表单的工具。

Medical informatics and the Internet in medicine Pub Date : 2004-03-01 DOI: 10.1080/14639230310001639072

Georg Duftschmid, Thomas Wrba

{"title":"A tool for the design of clinical forms supporting end-user integration.","authors":"Georg Duftschmid, Thomas Wrba","doi":"10.1080/14639230310001639072","DOIUrl":"https://doi.org/10.1080/14639230310001639072","url":null,"abstract":"Computer-based forms are a common input medium for recording medical data by the electronic mode. Efficient documentation requires that the forms satisfy the specific needs and habits of clinical end-users in the collection of data. This can be effectively achieved by integrating the clinician in the process of designing the forms. However, most development environments used for the implementation of clinical forms are customized for computer specialists and are too technical in nature to be used by clinicians. We present a tool for the development of clinical forms, which supports the integration of end-users in the design process of the forms. The tool is customized for users from the medical domain, allowing interactive and intuitive development of forms based on the configuration of predefined components instead of programming. Clinicians may even design highly functional, complex forms autonomously without having to involve computer specialists at all. All collected data are stored on the basis of a generic data model favouring data retrieval. The described application has been successfully used at the University of Vienna and Graz medical schools since 1997 and 1999, respectively.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"29 1","pages":"29-41"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230310001639072","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24572150","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: 4

An online tool for investigating clinical decision making. 用于调查临床决策的在线工具。

Medical informatics and the Internet in medicine Pub Date : 2004-03-01 DOI: 10.1080/14639230410001662660

D T Parry, E C Parry, N S Pattison

{"title":"An online tool for investigating clinical decision making.","authors":"D T Parry, E C Parry, N S Pattison","doi":"10.1080/14639230410001662660","DOIUrl":"https://doi.org/10.1080/14639230410001662660","url":null,"abstract":"Background: Induction of labour is a common clinical intervention. There has been a recent rise in rates of induction of labour and wide variation between published hospital rates without obvious explanation. Clinician variation has been suggested as a reason.Objective: The study described aimed to examine clinical decision making, whilst removing individual patient bias. To achieve this clinical behaviour was studied by the use of imaginary clinical scenarios presented to clinicians by computer. Unlike retrospective audit, the rates thus generated are unaffected by differences in casemix, pressure of time, work or other factors and allow direct comparison between clinicians and comparison with clinical guidelines.Methods: Data about 15 imaginary pregnant women are presented to the clinician, each may have symptoms or signs of hypertensive disorders, intrauterine growth restriction (IUGR) and/or postdates. From the decision made in each scenario, and the information revealed about each scenario, a set of 'decision rules' is created for each clinician, describing in what circumstances they would induce labour. Data from the National Women's Hospital (Auckland, New Zealand) is then examined using these rules and the induction of labour rate thus generated presented to the clinician.Results: Sixteen clinicians were interviewed. Their induction of labour rate ranged from 10-31%.Conclusions: Clinician variation in decision making is evident about the intervention when to induce labour. The system is available on the WWW at http://csrs2.aut.ac.nz/scenario","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"29 1","pages":"75-85"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230410001662660","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24572154","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: 2

Enhanced quality and quantity of retrieval of Critically Appraised Topics using the CAT Crawler. 使用CAT爬虫提高了批判性评价主题检索的质量和数量。

Medical informatics and the Internet in medicine Pub Date : 2004-03-01 DOI: 10.1080/14639230310001655849

P Dong, A Mondry

{"title":"Enhanced quality and quantity of retrieval of Critically Appraised Topics using the CAT Crawler.","authors":"P Dong, A Mondry","doi":"10.1080/14639230310001655849","DOIUrl":"https://doi.org/10.1080/14639230310001655849","url":null,"abstract":"As healthcare moves towards the implementation of Evidence-Based Medicine (EBM), Critically Appraised Topics (CATs) become useful in helping physicians to make clinical decisions. A number of academic and healthcare organizations have set up web-based CAT libraries. The primary objective of the presented work is to provide a one-stop search and download site that allows access to multiple CAT libraries. A web-based application, namely the CAT Crawler, was developed to serve physicians with an adequate access to available appraised topics on the Internet. Important information is extracted automatically and regularly from CAT websites, and consolidated by checking the uniqueness and availability. The principle of meta-search is incorporated into the implementation of the search engine, which finds relevant topics following keyword input. The retrieved result directs the physician to the original resource page. A full-text article of a particular topic can be converted into a proper format for downloading to Personal Digital Assistant (PDA) devices. In summary, the application provides physicians with a common interface to retrieve relevant CATs on particular clinical topics from multiple resources, and thus speeds up the decision making process.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"29 1","pages":"43-55"},"PeriodicalIF":0.0,"publicationDate":"2004-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230310001655849","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24572151","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

Representation of inter-patient relations within electronic healthcare record architectures. 电子医疗记录体系结构中患者间关系的表示。

Medical informatics and the Internet in medicine Pub Date : 2004-03-01 DOI: 10.1080/14639230310001636372

Georg Duftschmid, Walter Gall

引用次数: 3