Elena Usova, Alexey Yakovlev, Georgy Kopanitsa, Oleg Metsker, Madina Alieva, Tatiana Makarova, Lev Malishevskii, Ekaterina Murashko, Elizaveta Kessenikh, Sergey Trusov, Asiiat Alieva, Alexandra Konradi
{"title":"Prognostic Value of Ceramide Dynamics in Patients with Acute Coronary Syndrome.","authors":"Elena Usova, Alexey Yakovlev, Georgy Kopanitsa, Oleg Metsker, Madina Alieva, Tatiana Makarova, Lev Malishevskii, Ekaterina Murashko, Elizaveta Kessenikh, Sergey Trusov, Asiiat Alieva, Alexandra Konradi","doi":"10.3233/SHTI241087","DOIUrl":"10.3233/SHTI241087","url":null,"abstract":"<p><p>A dynamic study of ceramide concentrations and their association with recurrent event risk could enhance our understanding of cardiovascular complications. To assess the prognostic value of ceramide concentrations (Cer(d18:1/16:0), Cer(d18:1/18:0), Cer(d18:1/24:1), Cer(d18:1/24:0)) and their dynamics in combination with standard clinical and laboratory parameters and therapeutic interventions in ACS patients. Among 110 ACS patients, triple blood sampling was performed for targeted lipidomic analysis using high-performance liquid chromatography-tandem mass spectrometry. All ceramide concentrations peaked at admission and decreased by the 3rd day of hospitalization and at the 3-month follow-up. The difference between Cer(d18:1/18:0) concentration 3 months after hospital discharge and its baseline value on admission was strongly associated with recurrent events, independent of prior statin treatment. The association of the Cer(d18:1/18:0) change from 3rd day of hospitalization and its baseline concentration on admission with prognosis varied depending on the glycemic profile.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"321 ","pages":"175-179"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690311","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}
Lisa A Stojmanovski Mercieca, Cynthia Formosa, Nachiappan Chockalingam, Vincent Cassar
{"title":"Extending the Scope of Telemedicine to Podiatric Medicine.","authors":"Lisa A Stojmanovski Mercieca, Cynthia Formosa, Nachiappan Chockalingam, Vincent Cassar","doi":"10.3233/SHTI241069","DOIUrl":"https://doi.org/10.3233/SHTI241069","url":null,"abstract":"<p><p>The COVID-19 pandemic has accelerated the adoption of telemedicine in healthcare. This study explores the feasibility of telemedicine for foot and ankle care in primary settings, using a mixed-methods approach with online questionnaires, focus groups, and interviews. Stakeholders, including patients, podiatrists, and senior healthcare managers, agreed on the need for a telemedicine service. Recommendations include creating evidence-based guidelines, providing professional training, and enhancing community education. The research highlights the necessity for structured telemedicine services, identifying gaps in existing pandemic responses and the need for further guidelines and training.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"321 ","pages":"89-93"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690278","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}
Dominic Aeschbacher, Jessica Meisner, Marko Miletic, Murat Sariyar
{"title":"Use and Evaluation of GANs for Synthetic Data Generation in Pharmacogenetics.","authors":"Dominic Aeschbacher, Jessica Meisner, Marko Miletic, Murat Sariyar","doi":"10.3233/SHTI241100","DOIUrl":"https://doi.org/10.3233/SHTI241100","url":null,"abstract":"<p><p>Pharmacogenetics (PGx) explores the influence of genetic variability on drug efficacy and tolerability. Synthetic Data Generation (SDG) has emerged as a promising alternative to the labor-intensive process of collecting real-world PGx data, which is required for high-qualitative prediction models. This study investigates the performance of two Generative Adversarial Network (GAN) models, CTGAN and CTAB-GAN+, in generating synthetic PGx data. The benchmarking is based on utility metrics (Hellinger distance and Random Forest accuracy) and ϵ-identifiability. Results demonstrate that synthetic data generated by CTAB-GAN+ can surpass the original dataset in terms of utility. For instance, CTAB-GAN+ achieves higher Random Forest accuracy compared to the original data, indicating better predictive performance. These improvements suggest that synthetic data not only capture the essential patterns of the original data but also enhance model generalization and prediction capabilities, providing a more robust training ground for machine learning models. Consequently, SDG offers a promising solution to address data scarcity and imbalance in pharmacogenetic research.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"321 ","pages":"240-244"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690234","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":"Preparing for Hospital at Home: A Review of the Current Landscape of Training Practices.","authors":"Kerstin Denecke, Daniel Reichenpfader","doi":"10.3233/SHTI241060","DOIUrl":"10.3233/SHTI241060","url":null,"abstract":"<p><p>Hospital at Home (HaH) is a model of care that provides hospital-level care in the patient's home, requiring a unique set of competencies and skills from both multidisciplinary care teams and informal caregivers. These skills are often different from those required in traditional hospital settings. The aim of this paper is to consolidate the information of HaH-related education and training to support the development of standardized curricula to ensure safe hospitalization at home. We compiled relevant information from the scientific literature on HaH approaches and studies and conducted a web search. Our results indicate that healthcare professionals are trained in short training sessions, covering specific skills needed in the HaH context. These skills comprise, among others, communication, medication safety, infection control, and wound care. Patients and their families receive training in recognizing symptoms of deterioration and self-care. Concrete guidelines or standardized training programs are still missing. Future research should thus focus on developing standardized HaH training protocols and programs for both staff and patients to ensure patient safety at home.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"321 ","pages":"48-52"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690309","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}
Abdel Rahman Alsaify, Tourjana Islam Supti, Mahmood Alzubaidi, Mowafa Househ
{"title":"Mobile Health Technologies and Their Features Affecting Medication Adherence Among Cancer Patients: A Scoping Review.","authors":"Abdel Rahman Alsaify, Tourjana Islam Supti, Mahmood Alzubaidi, Mowafa Househ","doi":"10.3233/SHTI241064","DOIUrl":"10.3233/SHTI241064","url":null,"abstract":"<p><p>This scoping review explores mobile health (mHealth) technologies and their features affecting medication adherence in cancer patients. Among 11 selected studies, predominantly from the USA, mHealth tools, particularly smartphone apps, were examined for their features in managing cancer patient's medication adherence. The studies highlighted the importance of adherence in continuous cancer therapy, with mHealth tools offering reminders and interactive features, that aim to enhance patient engagement. However, the review identified research gaps, emphasizing the need for broader investigations into diverse mHealth tools beyond apps, including electronic capsules and smart pill dispensers. Additionally, it underscored the absence of information on costs, user input, integration with electronic health records, and data management. While acknowledging potential positive impacts on adherence, the review calls for more comprehensive research to substantiate these findings in clinical oncology.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"321 ","pages":"64-68"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690303","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":"Utilizing RAG and GPT-4 for Extraction of Substance Use Information from Clinical Notes.","authors":"Fatemeh Shah-Mohammadi, Joseph Finkelstein","doi":"10.3233/SHTI241070","DOIUrl":"https://doi.org/10.3233/SHTI241070","url":null,"abstract":"<p><p>This research investigates the application of a hybrid Retrieval-Augmented Generation (RAG) and Generative Pre-trained Transformer (GPT) pipeline for extracting and categorizing substance use information from unstructured clinical notes. The aim is to enhance the accuracy and efficiency of identifying substance use mentions and determining their status in patient documentation. By integrating RAG to pre-filter and focus the input for GPT, the pipeline strategically narrows the scope of analysis to the most relevant text segments, thereby improving the precision and recall of the extraction. Utilizing the Medical Information Mart for Intensive Care III dataset, the performance of the pipeline was evaluated through manual verification, assessing various metrics including recall, precision, F1-score, and accuracy. The results demonstrated high precision rates (up to 0.99 for drug and alcohol mentions), and substantial recall (0.88 across all substances for status of the usage).</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"321 ","pages":"94-98"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690252","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}
Bram van Dijk, Saif Ul Islam, Jim Achterberg, Hafiz Muhammad Waseem, Parisis Gallos, Gregory Epiphaniou, Carsten Maple, Marcel Haas, Marco Spruit
{"title":"A Novel Taxonomy for Navigating and Classifying Synthetic Data in Healthcare Applications.","authors":"Bram van Dijk, Saif Ul Islam, Jim Achterberg, Hafiz Muhammad Waseem, Parisis Gallos, Gregory Epiphaniou, Carsten Maple, Marcel Haas, Marco Spruit","doi":"10.3233/SHTI241104","DOIUrl":"https://doi.org/10.3233/SHTI241104","url":null,"abstract":"<p><p>Data-driven technologies have improved the efficiency, reliability and effectiveness of healthcare services, but come with an increasing demand for data, which is challenging due to privacy-related constraints on sharing data in healthcare contexts. Synthetic data has recently gained popularity as potential solution, but in the flurry of current research it can be hard to oversee its potential. This paper proposes a novel taxonomy of synthetic data in healthcare to navigate the landscape in terms of three main varieties. Data Proportion comprises different ratios of synthetic data in a dataset and associated pros and cons. Data Modality refers to the different data formats amenable to synthesis and format-specific challenges. Data Transformation concerns improving specific aspects of a dataset like its utility or privacy with synthetic data. Our taxonomy aims to help researchers in the healthcare domain interested in synthetic data to grasp what types of datasets, data modalities, and transformations are possible with synthetic data, and where the challenges and overlaps between the varieties lie.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"321 ","pages":"259-263"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690232","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":"Leveraging Cancer Therapy Peptide Data: A Case Study on Machine Learning Application in Accelerating Cancer Research.","authors":"Georgios Feretzakis, Athanasios Anastasiou, Stavros Pitoglou, Aikaterini Sakagianni, Zoi Rakopoulou, Konstantinos Kalodanis, Vasileios Kaldis, Evgenia Paxinou, Dimitris Kalles, Vassilios S Verykios","doi":"10.3233/SHTI241068","DOIUrl":"https://doi.org/10.3233/SHTI241068","url":null,"abstract":"<p><p>This study leverages the DCTPep database, a comprehensive repository of cancer therapy peptides, to explore the application of machine learning in accelerating cancer research. We applied Principal Component Analysis (PCA) and K-means clustering to categorize cancer therapy peptides based on their physicochemical properties. Our analysis identified three distinct clusters, each characterized by unique features such as sequence length, isoelectric point (pI), net charge, and mass. These findings provide valuable insights into the key properties that influence peptide efficacy, offering a foundation for the design of new therapeutic peptides. Future work will focus on experimental validation and the integration of additional data sources to refine the clustering and enhance the predictive power of the model, ultimately contributing to the development of more effective peptide-based cancer treatments.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"321 ","pages":"84-88"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690288","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":"Generative 3D Cardiac Shape Modelling for in-silico Trials.","authors":"Andrei Gasparovici, Alex Serban","doi":"10.3233/SHTI241090","DOIUrl":"https://doi.org/10.3233/SHTI241090","url":null,"abstract":"<p><p>We propose a deep learning method to model and generate synthetic aortic shapes based on representing shapes as the zero-level set of a neural signed distance field, conditioned by a family of trainable embedding vectors with encode the geometric features of each shape. The network is trained on a dataset of aortic root meshes reconstructed from CT images by making the neural field vanish on sampled surface points and enforcing its spatial gradient to have unit norm. Empirical results show that our model can represent aortic shapes with high fidelity. Moreover, by sampling from the learned embedding vectors, we can generate novel shapes that resemble real patient anatomies, which can be used for in-silico trials.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"321 ","pages":"190-194"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690282","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}
Patrick Schmutz, Arthur Krauss, Sven Dörflinger, Arndt Becker, Andreas Polanc, Claudia Salm, Frank Peters-Klimm, Gudrun Hübner, Christian Erhardt, Christian Thies
{"title":"Using the German National Medication Plan for Clinical Studies in Practice-Based Research Networks.","authors":"Patrick Schmutz, Arthur Krauss, Sven Dörflinger, Arndt Becker, Andreas Polanc, Claudia Salm, Frank Peters-Klimm, Gudrun Hübner, Christian Erhardt, Christian Thies","doi":"10.3233/SHTI241082","DOIUrl":"10.3233/SHTI241082","url":null,"abstract":"<p><p>The German National Medication Plan (GNMP) can be a valuable and interoperable data source for clinical studies, due to its digital specification and mandatory provisioning for chronically ill patients. Digital transfer of a patients current GNMP from the Patient Data Management System (PDMS) into electronic case report forms would avoid error prone manual data capturing. It is also essential for studies in practice-based research networks (PBRN), where data capturing must have as little impact as possible on everyday practice. The following issues are currently preventing seamless digital integration: There is no standardized interoperable export of the GNMP from PDMS. In the current form, pharmaceutical catalogs are needed to decode the contained pharmaceutical registration numbers. As accessibility to the pharmaceutical catalogs is restricted, there is no generic access to the actual information needed for study data evaluation. In order to conduct studies, feasible workarounds for these issues had to be implemented in the standard operating procedures, tools and participating GP practices. To overcome the GNMP's current lack of digital interoperability, the proposed solution combines semi-automated data export from PDMS at the GP practice and manual database search at the study center with a semi-automated processing pipeline to balance workload between GP practices, study management and evaluation.</p>","PeriodicalId":94357,"journal":{"name":"Studies in health technology and informatics","volume":"321 ","pages":"150-154"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142690244","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}