Factors influencing Internet usage in older adults (65 years and above) living in rural and urban Sweden
Older adults living in rural and urban areas have shown to distinguish themselves in technology adoption; a clearer profile of their Internet use is important in order to provide better technological and health-care solutions. Older adults’ Internet use was investigated across large to midsize cities and rural Sweden. The sample consisted of 7181 older adults ranging from 59 to 100 years old. Internet use was investigated with age, education, gender, household economy, cognition, living alone/or with someone and rural/urban living. Logistic regression was used. Those living in rural areas used the Internet less than ...
Source: Health Informatics Journal - August 27, 2015 Category: Information Technology Authors: Berner, J., Rennemark, M., Jogreus, C., Anderberg, P., Skoldunger, A., Wahlberg, M., Elmstahl, S., Berglund, J. Tags: Articles Source Type: research

Supporting self-management of obesity using a novel game architecture
Obesity has commonly been addressed using a ‘one size fits all’ approach centred on a combination of diet and exercise. This has not succeeded in halting the obesity epidemic, as two-thirds of American adults are now obese or overweight. Practitioners are increasingly highlighting that one’s weight is shaped by myriad factors, suggesting that interventions should be tailored to the specific needs of individuals. Health games have potential to provide such tailored approach. However, they currently tend to focus on communicating and/or reinforcing knowledge, in order to suscitate learning in the participan...
Source: Health Informatics Journal - August 27, 2015 Category: Information Technology Authors: Giabbanelli, P. J., Crutzen, R. Tags: Articles Source Type: research

Implementation of smart pump technology in a paediatric intensive care unit
Patient safety is a matter of major concern that involves every health professional. Nowadays, emerging technologies such as smart pumps can diminish medication errors as well as standardise and improve clinical practice with the subsequent benefits for patients. The aim of this paper was to describe the smart pump implementation process in a paediatric intensive care unit (PICU) and to present the most relevant infusion-related programming errors that were prevented. This was a comparative study between CareFusion Alaris Guardrails® and Hospira MedNet® systems, as well as a prospective and intervention study with ...
Source: Health Informatics Journal - August 27, 2015 Category: Information Technology Authors: Manrique-Rodriguez, S., Sanchez-Galindo, A. C., de Lorenzo-Pinto, A., Gonzalez-Vives, L., Lopez-Herce, J., Carrillo-Alvarez, A., Sanjurjo-Saez, M., Fernandez-Llamazares, C. M. Tags: Articles Source Type: research

A multi-agent-based, semantic-driven system for decision support in epidemic management
The objective is to enhance the performance in information retrieval in a dynamic decision-making environment while concealing technical complexity from inexperienced users. We illustrate how a prototype system can be developed by considering an epidemiology management scenario in which spatio-temporal analysis is undertaken of a specified epidemic. (Source: Health Informatics Journal)
Source: Health Informatics Journal - August 27, 2015 Category: Information Technology Authors: Li, S., Mackaness, W. A. Tags: Articles Source Type: research

Healthcare information on YouTube: A systematic review
This article reviews the peer-reviewed literature addressing the healthcare information available on YouTube. Inclusion and exclusion criteria were determined, and the online databases PubMed and Web of Knowledge were searched using the search phrases: (1) YouTube* AND Health* and (2) YouTube* AND Healthcare*. In all, 18 articles were reviewed, with the results suggesting that (1) YouTube is increasingly being used as a platform for disseminating health information; (2) content and frame analysis were the primary techniques employed by researchers to analyze the characteristics of this information; (3) YouTube contains mis...
Source: Health Informatics Journal - August 27, 2015 Category: Information Technology Authors: Madathil, K. C., Rivera-Rodriguez, A. J., Greenstein, J. S., Gramopadhye, A. K. Tags: Articles Source Type: research

Development and refinement of new statistical methods for enhanced syndromic surveillance during the 2012 Olympic and Paralympic Games
Prior to the 2012 London Olympic and Paralympic Games, new statistical methods had to be developed for the enhanced syndromic surveillance during the Games. Different methods were developed depending on whether or not historical data were available. Practical solutions were needed to cope with the required daily reporting and data quality issues. During the Games, nearly 4800 signals were tested on average each day, generating statistical alarms that were assessed to provide information on areas of potential public health concern and reassurance that no major adverse incident had occurred. Graphical abstra...
Source: Health Informatics Journal - May 28, 2015 Category: Information Technology Authors: Morbey, R. A., Elliot, A. J., Charlett, A., Andrews, N., Verlander, N. Q., Ibbotson, S., Smith, G. E. Tags: Articles Source Type: research

Using integrated bio-physiotherapy informatics in home health-care settings: A qualitative analysis of a point-of-care decision support system
The growing need to gain efficiencies within a home care setting has prompted home care practitioners to focus on health informatics to address the needs of an aging clientele. The remote and heterogeneous nature of the home care environment necessitates the use of non-intrusive client monitoring and a portable, point-of-care graphical user interface. Using a grounded theory approach, this article examines the simulated use of a graphical user interface by practitioners in a home care setting to explore the salient features of monitoring the activity of home care clients. The results demonstrate the need for simple, intera...
Source: Health Informatics Journal - May 28, 2015 Category: Information Technology Authors: Canally, C., Doherty, S., Doran, D. M., Goubran, R. A. Tags: Articles Source Type: research

Applying artificial intelligence technology to support decision-making in nursing: A case study in Taiwan
This study applied artificial intelligence to help nurses address problems and receive instructions through information technology. Nurses make diagnoses according to professional knowledge, clinical experience, and even instinct. Without comprehensive knowledge and thinking, diagnostic accuracy can be compromised and decisions may be delayed. We used a back-propagation neural network and other tools for data mining and statistical analysis. We further compared the prediction accuracy of the previous methods with an adaptive-network-based fuzzy inference system and the back-propagation neural network, identifying differenc...
Source: Health Informatics Journal - May 28, 2015 Category: Information Technology Authors: Liao, P.-H., Hsu, P.-T., Chu, W., Chu, W.-C. Tags: Articles Source Type: research

Dissemination of a theory-based online bone health program: Two intervention approaches
This study used a small-group approach (32 intervention groups), and to effectively manage those groups, an eLearning management program was used as an upper layer of the Web intervention. Both interventions were implemented successfully with high retention rates (80.7% at 18 months). The theory-based approaches and the online infrastructure used in this study showed a promising potential as an effective platform for online behavior studies. Further replication studies with different samples and settings are needed to validate the utility of this intervention structure. (Source: Health Informatics Journal)
Source: Health Informatics Journal - May 28, 2015 Category: Information Technology Authors: Nahm, E.-S., Resnick, B., Bellantoni, M., Zhu, S., Brown, C., Brennan, P. F., Charters, K., Brown, J., Rietschel, M., Pinna, J., An, M., Park, B. K., Plummer, L. Tags: Articles Source Type: research

Examining user satisfaction with single sign-on and computer application roaming within emergency departments
This study focuses on the perception of satisfaction with the implementation of single sign-on technologies within a midsized integrated delivery health network’s five emergency departments. We contribute to theory with the following: (1) the development of a construct called facilitated technology interruptions, (2) validation of the construct facilitated technology interruptions, and (3) application of a quantitative method to test the relationship between facilitated technology interruptions and user satisfaction. We surveyed five emergency departments and proposed five hypotheses. We found the positive relationsh...
Source: Health Informatics Journal - May 28, 2015 Category: Information Technology Authors: Hope, P., Zhang, X. Tags: Articles Source Type: research

Protecting privacy in a clinical data warehouse
Peking University has several prestigious teaching hospitals in China. To make secondary use of massive medical data for research purposes, construction of a clinical data warehouse is imperative in Peking University. However, a big concern for clinical data warehouse construction is how to protect patient privacy. In this project, we propose to use a combination of symmetric block ciphers, asymmetric ciphers, and cryptographic hashing algorithms to protect patient privacy information. The novelty of our privacy protection approach lies in message-level data encryption, the key caching system, and the cryptographic key man...
Source: Health Informatics Journal - May 28, 2015 Category: Information Technology Authors: Kong, G., Xiao, Z. Tags: Articles Source Type: research

Using electronic health record systems to optimize admission decisions: The Creatinine case study
This study evaluated the contribution of EHR and HIE networks to physicians by investigating whether health information technology can lead to more efficient admission decisions by reducing redundant admissions in the stressful environment of emergency. Log-files were retrieved from an integrative and interoperable EHR that serves seven main Israeli hospitals. The analysis was restricted to a group of patients seen in the emergency departments who were administered a Creatinine test. The assessment of the contribution of EHR to admission decisions used various statistical analyses and track log-file analysis. We showed tha...
Source: Health Informatics Journal - March 16, 2015 Category: Information Technology Authors: Ben-Assuli, O., Shabtai, I., Leshno, M. Tags: Articles Source Type: research

Embedding the shapes of regions of interest into a Clinical Document Architecture document
In this study, we design and implement interoperable methods based on the HL7 Clinical Document Architecture and the eXtensible Markup Language Stylesheet Language for Transformation standards to seamlessly exchange and visually present the shapes of regions of interest using web browsers. We also propose a new integration architecture for a Clinical Document Architecture generator that enables embedding of regions of interest and simultaneous auto-generation of corresponding style sheets. Using the Clinical Document Architecture document and style sheet, a sender can transmit clinical documents and medical images together...
Source: Health Informatics Journal - March 16, 2015 Category: Information Technology Authors: Minh, N. H., Yi, B.-K., Kim, I. K., Song, J. H., Binh, P. V. Tags: Articles Source Type: research

Development of an automated model to predict the risk of elderly emergency medical admissions within a month following an index hospital visit: A Hong Kong experience
Conclusion: This simple, accurate and objective risk prediction model has been computerized into an automated screening tool to recruit high-risk elderly patients discharged from all public hospitals in Hong Kong into the Community Health Call Centre service with an aim to prevent avoidable hospitalizations. (Source: Health Informatics Journal)
Source: Health Informatics Journal - March 16, 2015 Category: Information Technology Authors: Tsui, E., Au, S., Wong, C., Cheung, A., Lam, P. Tags: Articles Source Type: research

Brain Tumor Database, a free relational database for collection and analysis of brain tumor patient information
In this study, we describe the development and utilization of a relational database designed to manage the clinical and radiological data of patients with brain tumors. The Brain Tumor Database was implemented using MySQL v.5.0, while the graphical user interface was created using PHP and HTML, thus making it easily accessible through a web browser. This web-based approach allows for multiple institutions to potentially access the database. The BT Database can record brain tumor patient information (e.g. clinical features, anatomical attributes, and radiological characteristics) and be used for clinical and research purpos...
Source: Health Informatics Journal - March 16, 2015 Category: Information Technology Authors: Bergamino, M., Hamilton, D. J., Castelletti, L., Barletta, L., Castellan, L. Tags: Articles Source Type: research