Medical informatics and the Internet in medicine最新文献_第8页

Representing different views of acupuncture in a single ontology. 在一个单一的本体论中代表不同的针灸观点。

Medical informatics and the Internet in medicine Pub Date : 2005-06-01 DOI: 10.1080/14639230500298925

Y Gao, S Kay

引用次数: 0

Measuring clinical performance using routinely collected clinical data. 使用常规收集的临床数据来衡量临床表现。

Medical informatics and the Internet in medicine Pub Date : 2005-06-01 DOI: 10.1080/14639230500298966

D R Prytherch, J S Briggs, P C Weaver, P Schmidt, G B Smith

引用次数: 14

Temporal and spatial organization of doctors' computer usage in a UK hospital department. 英国某医院科室医生电脑使用的时空组织。

Medical informatics and the Internet in medicine Pub Date : 2005-06-01 DOI: 10.1080/14639230500298693

H M G Martins, P Nightingale, M R Jones

引用次数: 2

The Tees Confidentiality Model: mechanisms for implementing the sealed envelope. Tees保密模型:实现密封信封的机制。

Medical informatics and the Internet in medicine Pub Date : 2005-06-01 DOI: 10.1080/14639230500298792

Jim Longstaff, Mike Lockyer

引用次数: 1

Identification of echocardiographic indices for the early detection of left-ventricular systolic dysfunction in beta-thalassaemia via Self-Organizing Maps: a data-exploration study. 通过自组织图识别β -地中海贫血早期检测左心室收缩功能障碍的超声心动图指标:一项数据探索研究。

Medical informatics and the Internet in medicine Pub Date : 2005-03-01 DOI: 10.1080/14639230400026897

Spyros Deftereos, Dimitra Georgonikou, Andreas Persidis, Christos Andronis, Athanassios Aessopos

{"title":"Identification of echocardiographic indices for the early detection of left-ventricular systolic dysfunction in beta-thalassaemia via Self-Organizing Maps: a data-exploration study.","authors":"Spyros Deftereos, Dimitra Georgonikou, Andreas Persidis, Christos Andronis, Athanassios Aessopos","doi":"10.1080/14639230400026897","DOIUrl":"https://doi.org/10.1080/14639230400026897","url":null,"abstract":"Congestive heart failure (CHF) remains the primary cause of death in patients suffering from beta-thalassaemia major. Its early detection allows the prompt initiation of aggressive chelation therapy, when the condition can still be reversed. We aimed at identifying echocardiographic indices for the early detection of left ventricular (LV) systolic dysfunction, the physiological abnormality underlying CHF, in these patients. We used Self-Organizing Maps (SOMs)--an artificial neural network--for identifying novel correlations within our Electronic Healthcare Record (EHCR) database on beta-thalassaemia. We sought echocardiographic parameters that are correlated to future deterioration of the LV ejection fraction and therefore constitute early signs of LV systolic dysfunction. At the same time, we evaluated SOMs as tools for exploring clinical datasets and make recommendations on the setup of the SOM algorithm that is appropriate for such tasks. We found that high values of the LV end-systolic diameter index and of the E/A ratio are early indications of LV systolic dysfunction. From a technical point of view, zero-mean unit-variance normalization of the input data, a large initial neighbourhood radius and a rectangular SOM grid produced optimal maps for the purpose of detecting clinical correlations. We have successfully used SOMs for exploring a clinical dataset and for creating novel medical hypotheses. A clinical study has been launched to confirm these hypotheses, and initial results are encouraging.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"30 1","pages":"37-53"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230400026897","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24915183","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

A knowledge audit of the managers of primary care organizations: top priority is how to use routinely collected clinical data for quality improvement. 初级保健机构管理者的知识审计:首要任务是如何使用常规收集的临床数据来提高质量。

Medical informatics and the Internet in medicine Pub Date : 2005-03-01 DOI: 10.1080/14639230400028455

Simon De Lusignan, Sally Wells, Adrienne Shaw, Gill Rowlands, Tessa Crilly

{"title":"A knowledge audit of the managers of primary care organizations: top priority is how to use routinely collected clinical data for quality improvement.","authors":"Simon De Lusignan, Sally Wells, Adrienne Shaw, Gill Rowlands, Tessa Crilly","doi":"10.1080/14639230400028455","DOIUrl":"https://doi.org/10.1080/14639230400028455","url":null,"abstract":"Technology has provided improved access to the rapidly expanding evidence base and to computerized clinical data recorded as part of routine care. A knowledge audit identifies from within this mass of information the knowledge requirements of a professional group or organization, enabling implementation of an appropriately tailored knowledge-management strategy. The objective of the study is to describe perceived knowledge gaps and recommend an appropriate knowledge-management strategy for primary care. The sample comprised 18 senior managers of Primary Care Trusts: the Chairman, Chief Executive Officer, or Research and Development Lead. A series of interviews were recorded verbatim, transcribed and analysed. Knowledge requirements were broad, suggesting that a broadly based knowledge-management strategy is needed in primary care. The biggest gap in current knowledge identified is how to perform needs assessment and quality improvement using aggregated routinely collected, general practice computer data.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"30 1","pages":"69-80"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230400028455","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24915185","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: 18

Psychological barriers to Internet usage among older adults in the UK. 英国老年人使用互联网的心理障碍。

Medical informatics and the Internet in medicine Pub Date : 2005-03-01 DOI: 10.1080/14639230500066876

Nichola Adams, David Stubbs, Valerie Woods

{"title":"Psychological barriers to Internet usage among older adults in the UK.","authors":"Nichola Adams, David Stubbs, Valerie Woods","doi":"10.1080/14639230500066876","DOIUrl":"https://doi.org/10.1080/14639230500066876","url":null,"abstract":"The Internet is an important tool in assisting the older population to lead independent and social lives. However, the majority of Internet users are under 55. This study investigated the following psychological barriers to Internet use by older adults: perceived usefulness, perceived ease of use, Internet efficacy, perceived complexity of navigation and perceived complexity of terminology. Twenty-three subjects (aged 55 - 75 years) were interviewed in the UK. The influences of age, computer and Internet experience, and training on these psychological barriers were explored. The results showed that the majority of the older adults who had a positive perception of usefulness, ease of use, and efficacy of the Internet or e-mail, used the Internet or e-mail more often. In addition, it was found that computer or Internet experience increased perceptions of ease of use and efficacy of the Internet and reduced perceived complexity of navigation. There was no difference between the two age groups (55 - 65 and 66 - 75 years) in these psychological barriers. It was concluded that increased marketing of the Internet (aimed at the older user), more simple and uniformly designed Internet pages, more user-friendly online help and error message terminology, and increased provision of training for the older user would assist uptake of the World Wide Web.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"30 1","pages":"3-17"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230500066876","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25205766","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: 148

The digital divide: Internet and e-mail use by the elderly. 数字鸿沟:老年人使用互联网和电子邮件。

Medical informatics and the Internet in medicine Pub Date : 2005-03-01 DOI: 10.1080/14639230500066900

Joan M Kiel

引用次数: 172

ECG and XML: an instance of a possible XML schema for the ECG telemonitoring. ECG和XML:用于ECG远程监控的可能的XML模式的实例。

Medical informatics and the Internet in medicine Pub Date : 2005-03-01 DOI: 10.1080/14639230400020270

Paola Di Giacomo, Fabrizio L Ricci

{"title":"ECG and XML: an instance of a possible XML schema for the ECG telemonitoring.","authors":"Paola Di Giacomo, Fabrizio L Ricci","doi":"10.1080/14639230400020270","DOIUrl":"https://doi.org/10.1080/14639230400020270","url":null,"abstract":"Management of many types of chronic diseases relies heavily on patients' self-monitoring of their disease conditions. In recent years, Internet-based home telemonitoring systems allowing transmission of patient data to a central database and offering immediate access to the data by the care providers have become available. The adoption of Extensible Mark-up Language (XML) as a W3C standard has generated considerable interest in the potential value of this language in health informatics. However, the telemonitoring systems often work with only one or a few types of medical devices. This is because different medical devices produce different types of data, and the existing telemonitoring systems are generally built around a proprietary data schema. In this paper, we describe a generic data schema for a telemonitoring system that is applicable to different types of medical devices and different diseases, and then we present an architecture for the exchange of clinical information as data, signals of telemonitoring and clinical reports in the XML standard, up-to-date information in each electronic patient record and integration in real time with the information collected during the telemonitoring activities in the XML schema, between all the structures involved in the healthcare process of the patient.","PeriodicalId":80069,"journal":{"name":"Medical informatics and the Internet in medicine","volume":"30 1","pages":"25-36"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14639230400020270","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25205771","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

Attitudes and skills of Hong Kong Chinese medicine practitioners towards computerization in practice: a cluster analysis. 香港中医对电脑化的态度及技巧:聚类分析。

Medical informatics and the Internet in medicine Pub Date : 2005-03-01 DOI: 10.1080/14639230400026939

Moon Fai Chan, Mary C Day, Lorna Kp Suen, Sonny Hm Tse, Tf Tong

引用次数: 15