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2015 EN
Josceli Maria Tenório · Ivan Torres Pisa
Studies show a gap between the expressions commonly used by health consumers and health professionals. To bridge this gap, consumer health vocabularies are presented as a solution. The aim of this paper is to describe an on-going project to create a consumer health vocabulary (CHV) in the Brazilian Portuguese language. This project will be developed in three phases: terms extraction and connection to compose a CHV graph structure, human validation, and computacional application development. We expect to make a CHV beta version (including approximately 5,000 valid consumer terms stored in a database graph) available. This project can contribute to the improvement of CHVs.
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2015 EN
Haridimos Kondylakis · Lefteris Koumakis · Eleni Kazantzaki
+4 more
Patients today have ample opportunities to inform themselves about their disease and possible treatments using the Internet. While this type of patient empowerment is widely regarded as having a positive influence on the treatment, there exists the problem that the quality of information that can be found on online is very diverse. This paper presents a platform which empowers patients by allowing searching in a high quality document repository. In addition, it automatically provides intelligent and personalized recommendations according to the individual preferences and medical conditions.
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2015 EN
Maria B. Schachner · Francisco J. Recondo · Janine A. Sommer
+4 more
In clinical practice, nurses perform different activities that exceed direct care of patients, and influence workload and time administration among different tasks. When implementing changes in an electronic nursing record, it is important to measure how it affects the time committed to documentation. The objective of this study was to determine the time dedicated to different activities, including those related to electronic documentation prior to implementing a redesigned nurse chart in an Electronic Health Record at the Hospital Italiano de Buenos Aires. An observational work sampling study was performed. Nursing activities observed were categorized as direct care, indirect care, support, non-patient related, and personal activities. During the study, 74 nurses were observed and 2,418 observations were made in the Intensive Care Unit (32.22%), the Intermediate Care Unit (29.57%), and the General Care Unit (38.21%). Nurses' activities included 37.40% of direct care, 41.18% of indirect care, 0.43% support tasks, 11.14% non-related to patient tasks, and 9.77% personal activities. The results allow for the estimation of the impact of a nursing e-chart on nurses' activities, workflow and patient care.
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2015 EN
Maria Hägglund · Peter Bolin · Sabine Koch
The objective of the study is to describe the lung cancer care process as experienced by patients, as well as to perform a qualitative analysis of problems they encounter throughout the patient journey. A user-centered design approach was used and data collected through two focus group meetings with patients. We present the results in the form of a patient journey model, descriptions of problems related to the journey as expressed by patients and proposed eHealth services discussed by patients in the focus groups. The results indicate that not only is the patient journey fragmented and different for each patient going through it depending upon their specific type of lung cancer and treatment options, but their experiences are also highly individual and dependent on their personal needs and interpretations of the process. Designing eHealth to improve the patient journey will therefore require flexibility and adaptability to the individual's needs.
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2015 EN
Nøhr, Christian · Villumsen, Sidsel Maria Monrad · Ahrenkiel, Stephanie Bernth
+1 more
According to the literature, Denmark has a leading position in the dissemination and use of health informatics. However, there is a lack of systematically collected and documented experience of telemedicine solutions in Denmark. This evidence is being established with a new project, which maps out all telemedicine initiatives in Denmark. Data on all the initiatives is collected in a single database and some of the data is analyzed in this paper. It is shown that there are a very large number of telemedicine initiatives in Denmark and that the elements from the national strategy for telemedicine are clearly visible in the telemedicine map. The very large number of projects could, however, also indicate a lack of national coordination of initiatives and a need for evaluation activities to systematically collect and communicate the learning outcomes from all the new projects.
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2015 EN
Emmanuel Chazard · Milena Soriano Marcolino · Chloé Dumesnil
+7 more
In 722 cities of Minas Gerais (Brazil), primary care patients can have their ECGs remotely interpreted by cardiologists of the Telehealth Network of Minas Gerais (TNMG), a public telehealth service. As of December 2014, more than 1.9 million ECGs were interpreted. This study analyzed the database of all ECGs performed by the TNMG on primary care patients from 2009 to 2013 (n=1,101,993). Structured patient data and the results of automated ECG interpretation by the Glasgow Program are described. Mean patient age is 51 years old, 59% of them are women. The average body mass index is 25.9 kg/m2, with an average increase of 0.15 kg/m2 per civil year. Those patients notably have hypertension (33.2%), family history of coronary artery disease (14.5%), smoking (6.9%), diabetes (5.8%), obesity (5.8%) or Chagas Disease (3.0%). Seventy percent of ECGs are normal. This percentage is higher in women (72.3%) and decreases in average by 7.4 every 10 years of life. There are notably 12% of possible myocardial infarction, 10% of possible left ventricular hypertrophy and 8% of possible supraventricular extra systole.
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2015 EN
Lincoln F. Silva · Giomar O. Sequeiros · Maria Lúcia O. Santos
+3 more
Breast cancer is the second most common cancer in the world. Currently, there are no effective methods to prevent this disease. However, early diagnosis increases chances of remission. Breast thermography is an option to be considered in screening strategies. This paper proposes a new dynamic breast thermography analysis technique in order to identify patients at risk for breast cancer. Thermal signals from patients of the Antonio Pedro University Hospital (HUAP), available at the Mastology Database for Research with Infrared Image - DMR-IR were used to validate the study. First, each patient's images are registered. Then, the breast region is divided into subregions of 3x3 pixels and the average temperature from each of these regions is observed in all images of the same patient. Features of the thermal signals of such subregions are calculated. Then, the k-means algorithm is applied over feature vectors building two clusters. Silhouette index, Davies-Bouldin index and Calinski-Harabasz index are applied to evaluate the clustering. The test results showed that the methodology presented in this paper is able to identify patients with breast cancer. Classification techniques have been applied on the index values and 90.90% hit rate has been achieved.
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2015 EN
Andreia Cristina de Souza · Claudia Maria Cabral Moro · Zilma Silveira Nogueira Reis
Brazil has a long tradition in the use of health information systems, however--until now--there is no consensus on the minimum data set from which to compose discharge summaries. This article describes the methodology used by a group of experts--members of WG1 of ISOTC 215 Health Informatics Brazilian mirror committee--to define the information model of the discharge summary. This paper describes the current status of the standardization process and the first pilot tests with this infomation content.
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2015 EN
Vladimir Ribeiro Pinto Pizzo · Paula Brito Gonçalves · Lívia Maria Goncalves Barbosa
+3 more
We analyzed trends in pharmaceutical interventions during the implementation of a new computerized physician order entry (CPOE) process in a tertiary hospital in Brazil. The new process utilized an eletronic interface that was designed in-house and an automatic order extension program. The new process reduced the number of order transcriptions and mitigated other potential CPOE-related errors [1].
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2015 EN
Diego Garcia · Claudia Maria Cabral Moro · Lilian Mie Mukai Cintho
UNLABELLEDThe lack of a unique, standardized format for representing data and knowledge is one of the existing difficulties to integrating decision support into Electronic Health Records (EHRs).OBJECTIVEPropose an archetype-based model to allow the integration of Clinical Practice Guidelines (CPG) and EHRs; design and implement this proposed model.RESULTSA generic model was designed for the integration of CPG into EHRs, and an archetype-based EHR for Chronic Kidney Disease Prevention based on rules from CPGs, was made as a proof of concept of this novel integration.