Indian journal of medical informatics最新文献

{"title":"Association of air pollution on birth outcomes in New Delhi - a pilot study on the potential of HMIS data for environmental public health tracking.","authors":"Melina S Magsumbol, Archna Singh, Arpita Ghosh, Neelam Kler, Pankaj Garg, Anup Thakur, Arshad Beg, Atul Srivastava, Shakoor Hajat","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>The study objective was to assess the gaps in current hospital health management information systems (ie. paper based records of prenatal, delivery, neonatal, discharge data) for environmental studies. This study also considers the feasibility of linking patient-level hospital data with ambient air pollution data recorded in real time by air quality monitoring stations.</p><p><strong>Methods: </strong>This retrospective hospital based cohort study used a semi-ecologic design to explore the association of air pollution with a neonate's birth weight and gestational age. Maternal and neonatal data from 2007-2012 were encoded and linked with air pollution data based on distance to the nearest air quality monitoring station. Completeness and accuracy of neonatal anthropometric measures, maternal demographic information, nutritional status and maternal risk factors (gestational diabetes, anaemia, hypertension, etc.) were assessed.</p><p><strong>Results: </strong>The records of 10,565 births in Sir Ganga Ram hospital in New Delhi were encoded and linked with real time air quality data. These were records of women who reported a New Delhi address during the time of delivery. The distance of each address to all the monitoring stations were recorded. Birth records were assigned pollution exposure levels averaged across records from monitoring stations within 10 kilometers of the address during the pregnancy period.</p><p><strong>Conclusion: </strong>This pilot study will highlight the potential of hospital management information system in linking administrative hospital record data with information on environmental exposure. The linked health-exposure dataset can then be used for studying the impact of various environmental exposures on health outcomes. Mother's educational attainment, occupation, residential history, nutritional status, tobacco and alcohol use during pregnancy need to be documented for better health risk assessments or case management. Health institutions can provide data for public health researchers and environmental scientists and can serve as the backbone of an environmental public health tracking system.</p>","PeriodicalId":91274,"journal":{"name":"Indian journal of medical informatics","volume":"8 2","pages":"52-56"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180496","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}

{"title":"Training Needs of Telemedicine Staff – A Pilot Study","authors":"Zayapragassarazan Z, Santosh Kumar","doi":"10.7490/F1000RESEARCH.1113537.1","DOIUrl":"https://doi.org/10.7490/F1000RESEARCH.1113537.1","url":null,"abstract":"In this pilot study an attempt was made to assess the training needs of telemedicine practioners and telemedicine project staff working in the telemedicine units. A pre-validated self administered ‘Telemedicine Training Needs Assessment Tool’ containing 12 items was administered among 92 telemedicine practioners and project staff working in various telemedicine units in India. The responses revealed the mixed expectations with regard to their training in telemedicine. About 28% of the respondents were found to possess high level of competencies, 43% possess moderate level of competencies and 29% possessed low level of competencies with respect to telemedicine and its related activities. The findings of the study suggest that although the respondents of the present study are involved in telemedicine related works three-fourth of them requires formal training in the telemedicine.","PeriodicalId":91274,"journal":{"name":"Indian journal of medical informatics","volume":"7 1","pages":"122-127"},"PeriodicalIF":0.0,"publicationDate":"2013-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71307142","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}

{"title":"Error Resilient Transmission and Security filtering of Medical Images","authors":"M. Jain","doi":"10.3850/978-981-07-1403-1_871","DOIUrl":"https://doi.org/10.3850/978-981-07-1403-1_871","url":null,"abstract":"Introduction \u0000Medical images should be subjected to loss-less compression, a technique that stems from mathematical theory of communication (Shannon, 1948). Loss-less compression techniques use variable length codes, (David Huffman, 1952). Compression ratio achieved is not very satisfactory in Huffman. Hence Run length encoding, yields a more effective compression algorithm that increases the compression ratio on medical images. \u0000 \u0000Objectives \u0000- To provide lossless compression of Medical images by applying Wavelet transform and run length encoding \u0000- To provide security mechanism by eliminating the textual content in Medical images \u0000 \u0000Proposed System \u0000With the DICOM standard, it is easy to eliminate textual information such as patient name and ID.We use Daubechies' wavelets and analysis techniques to detect the high frequency variation in the diagonal direction that is indicative of text. Only sensitive patient identification information is eliminated while retaining the medical information in the image. Encoding and decoding can be done by applying Run length technique. Excellent results have been obtained in experiments using a large set of real world medical images many with superimposed text. \u0000Methodology \u0000 \u0000Matlab Software Version 7.0.1 consists of various modules: \u00001.The Input Module to retrieve the Medical Image as input. \u00002.Provide security feature by changing the DICOM unique identifier (UID). \u00003.Wavelet decomposition module to provide wavelet compression using Daubechies wavelet of order 2. \u00004.Compression Module to compress the input image by applying Run Length encoding. \u00005. Reconstruct original image from compressed image data applying Run Length decoding . \u00006.Wavelet reconstruction to decompress the image and extract the Original Image. \u0000 \u0000Simulation Result and discussion \u0000Simulation: The Images used in this project are shown in the Figure below.The Images for transformation are scanned directly from IPRO GE SYTEC 1800-i CT SCANNER.These Images are in DICOM format and are then converted to .dcm. \u0000Results \u0000In this thesis we have developed a technique for wavelet transforms.Wavelet transform making it attractive both in terms of speed and memory needs and enhancing security features also. It is found that the proposed method gives more than 34% average improvement in the PSNR value in the bpp range of 0.0625 to 1.00 and highly reduction in Mean square error with a better quality of the reconstructed medical image judged on the basis of the human visual system (HVS). \u0000 \u0000So, finally we can conclude that the proposed Wavelet based method is very suitable for low bit rate compression, high compression ratios, can perform lossless coding, high PSNR, low MSEs as well as good visual quality of the reconstructed medical image at low bit rates. It can also maintain the high diagnostic quality of the compressed image.","PeriodicalId":91274,"journal":{"name":"Indian journal of medical informatics","volume":"6 1","pages":"52-55"},"PeriodicalIF":0.0,"publicationDate":"2012-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70004586","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}

{"title":"Identifying relevant medical reports from an assorted report collection using the multinomial naïve Bayes classifier and the UMLS.","authors":"Vijayaraghavan Bashyam, Craig Morioka, Suzie El-Saden, Alex At Bui, Ricky K Taira","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A patient's electronic medical record contains a large number of medical reports and imaging studies. Identifying the relevant information in order to make a diagnosis can be a time consuming process that can easily overwhelm the physician. Summarizing key clinical information for physicians evaluating brain tumor patients is an ongoing research project at our institution. Notably, identifying documents associated with brain tumor is an important step in collecting the data relevant for summarization. Current electronic medical record systems lack meta-information which is useful in structuring heterogeneous medical information. Thus, identifying reports relevant to a particular task cannot be easily retrieved from a structured database. This necessitates content analysis methods for identifying relevant reports. This paper reports a system designed to identify brain-tumor related reports from an assorted collection of clinical reports. A large collection of clinical reports was obtained from our university hospital database. A domain expert manually annotated the documents classifying them into `related' and ùnrelated' categories. A multinomial naïve Bayes classifier was trained to use word level and UMLS concept level features from the reports to identify brain tumor related reports from the assorted collection. The system was trained on 90% and tested on 10% of the manually annotated corpus. A ten-fold cross validation is reported. Performance of the system was best (f-score 94.7) when the system was trained using both word level and UMLS concept level features. Using UMLS concepts improved classifier accuracy.</p>","PeriodicalId":91274,"journal":{"name":"Indian journal of medical informatics","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141994","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}