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Journal Cover   Acta Informatica Medica
  [SJR: 0.217]   [H-I: 4]   Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 0353-8109 - ISSN (Online) 1986-5988
   Published by ScopeMed Homepage  [96 journals]
  • History of Medical Informatics

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Zekerijah Sabanovic.


      PubDate: Tue, 14 Apr 2015 03:09:34 GMT
       
  • The Most Influential Scientists in the Development of Medical Informatics
           (5): Charles Edwin Molnar

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Izet Masic.


      PubDate: Tue, 14 Apr 2015 03:08:23 GMT
       
  • Is the Mean H-index of 38.5 Right for 40 Researchers'

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Huseyin Bayramlar, Remzi Karadag.


      PubDate: Tue, 14 Apr 2015 03:06:58 GMT
       
  • A Rare Case of Biliary Leakage After Laparoscopic
           Cholecystectomy–Diagnostic Evaluation and Nonsurgical Treatment: a
           Case Report

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Zlatan Mehmedovic, Majda Mehmedovic, Jasmin Hasanovic.
      Although laparoscopic cholecystectomy has become a gold standard in treatment of symptomatic cholelithiasis, it is associated with higher risk of intraoperative lesions and primarily lesions of biliary ducts. In small percentage of cases biliary fistulas occur, most commonly after leakage from cystic duct stump or accessory bile ducts – Luschka’s duct. We report of a patient who had episodes of abdominal pain following routine laparoscopic cholecystectomy for acute calculous gallbladder. Results of conducted diagnostics verify the presence of biliary fistula caused by obstruction of bile pathways by stagnant pus and microcalculi of common bile duct, with development of biloma presumably caused by pressure injection of contrast material during ERCP procedure. Endoscopic sphincterectomy via ERCP enabled healing of formed biliary fistula, whilst continuous percutaneous ultrasound guided drainage of biloma was method of choice in later treatment of our patient. It is important to note that diagnostic evaluation of biliary fistula is very challenging and that timely nonsurgical treatment is of great benefit for patient.

      PubDate: Tue, 14 Apr 2015 03:05:53 GMT
       
  • Bathing Epilepsy: Report of Three Caucasian Cases

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Florian Dashi, Arsen Seferi, Arben Rroji, Eugen Enesi, Mentor Petrela.
      Introduction: Bathing epilepsy is a specific type of reflex epilepsy triggered by domestic bathing in water. It is a geographically specific epilepsy syndrome that is more prevalent in India Cases in Caucasian population are very rarely reported. These cases share many similar clinical features and a similar prognosis to the Indian cases. Case report: We describe three cases of bathing epilepsy in Albanian population; two cases with well controlled seizures and one with drug-resistant seizures.

      PubDate: Tue, 14 Apr 2015 03:03:27 GMT
       
  • Information Technology – a Tool for Development of the Teaching
           Process at the Faculty of Medicine, University of Sarajevo

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Izet Masic, Edin Begic.
      Introduction: Information Technologies, taking slow steps, have found its application in the teaching process of Faculty of Medicine, University of Sarajevo. Online availability of the teaching content is mainly intended for users of the Bologna process. Aim: The aim was to present the level of use of information technologies at the Faculty of Medicine, University of Sarajevo, comparing two systems, old system and the Bologna process, and to present new ways of improving the teaching process, using information technology. Material and methods: The study included the period from 2012 to 2014, and included 365 students from the old system and the Bologna Process. Study had prospective character. Results: Students of the old system are older than students of the Bologna process. In both systems higher number of female students is significantly present. All students have their own computers, usually using the Office software package and web browsers. Visits of social networks were the most common reason for which they used computers. On question if they know to work with databases, 14.6% of students of the old system responded positively and 26.2% of students of the Bologna process answered the same. Students feel that working with databases is necessary to work in primary health care. On the question of the degree of computerization at the university, there were significant differences between the two systems (p

      PubDate: Tue, 14 Apr 2015 03:01:41 GMT
       
  • Nurses Readiness and Electronic Health Records

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Mahdi Habibi-Koolaee, Reza Safdari, Hamid Bouraghi.
      Background: The importance of the electronic health records in health care well known to everybody, as well as, the role of nurses to provide clinical care; they have a valuable role in successful implementation of electronic systems. The aim of this paper is to assess the nurses’ readiness for EHR implementation. Methods and Materials: This was a descriptive cross sectional study, conducted in 2013. Using cluster sampling, 310 nurses selected from teaching hospitals at Tehran University of Medical Sciences (TUMS). A self-structured questionnaire was used for gathering data. Data management and analysis was performed using SPSS for windows by using descriptive statistics. Results: 85.9% of nurses, participated in the study. The Microsoft Word (58.8%) was the higher level of skill according to ICDL. The mean of computer skills, knowledge and attitude of nurses towards EHR was 43.4%, 51.2% and 65.2%, respectively. In overall, the mean of readiness of nurses was 57.2%. Establish proper communication among providers and prevent duplications was the most positive attitude and complexity of service delivery was the most negative attitude toward EHR. Conclusion: The most obvious finding to emerge from this study is that it should be considered in the education, training and participation of nurses, it should be ensured the level of knowledge and attitude toward EHR and finally, some related courses in Health Information Systems suggested including the curriculum of nursing.

      PubDate: Tue, 14 Apr 2015 02:59:15 GMT
       
  • Electronic Health Records: Critical Success Factors in Implementation

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Reza Safdari, Marjan Ghazisaeidi, Mohamad Jebraeily.
      Introduction: EHR implementation results in the improved quality of care, customer-orientation and timely access to complete information. Despite the potential benefits of EHR, its implementation is a difficult and complex task whose success depends on many factors. The purpose of this research is indeed to identify the key success factors of EHR. Method and materials: This is a cross-sectional survey conducted with participation of 340 work forces from different types of job from Hospitals of TUMS in 2014. Data were collected using a self-structured questionnaire which was estimated as both reliable and valid. The data were analyzed by SPSS software descriptive statistics and analytical statistics. Results: 58.2% of respondents were female and their mean age and work experience were 37.7 and 11.2 years, respectively and most respondents (52.5%) was bachelor. In terms of job, the maximum rate was related to nursing (33 %) and physician (21 %). the main category of critical success factors in Implementation EHRs, the highest rate related to Project Management (4.62) and lowest related to Organizational factors (3.98). Conclusion: success in implementation EHRs requirement more centralization to project management and human factors. Therefore must be Creating to EHR roadmap implementation, establishment teamwork to participation of end-users and select prepare leadership, users obtains sufficient training to use of system and also prepare support from maintain and promotion system.

      PubDate: Tue, 14 Apr 2015 02:55:40 GMT
       
  • Determining the Awareness and Attitude of Employees in Deputy of Health of
           Isfahan University of Medical Science toward Telemedicine and its
           Advantages

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Hamid Keshvari, Asefeh Haddadpoor, Behjat Taheri, Mehran Nasri.
      Introduction: The useful capabilities of information and communication technologies for improving health services are becoming widely known. However many of the managers and policymakers of health systems are not yet familiar with these technologies, their dimensions and applications and the advantages of these new technologies for creating added value in health systems. Therefore the goal of this study is to determine the awareness and attitude of employees working for Deputy of Health of Isfahan University of Medical Science regarding telemedicine and its advantages. Method: This study uses a descriptive – analytical method with sectional information gathering. The investigated population consisted of all managers and experts employed by Deputy of health of Isfahan University of Medical Science. The sample size was determined based on inclusion criteria to be 60 people. The data gathering tool was a questionnaire designed by the researcher in order to determine the awareness and attitude of the subjects. In order to determine the validity and reliability of the questionnaire content validity method and Cronbach’s alpha were used. The information was analyzed using descriptive (frequency, average) and analytical (Spearman correlation test and independent t-test) statistics with the help of SPSS19 software. Findings: Research findings showed that the awareness and attitude of managers and experts toward telemedicine was mediocre. Spearman correlation test showed that there is a correlation between the educational degree and awareness of the subject, however the correlation coefficient was lower than 0.5 which shows a weak correlation (0.451). On the other hand, the calculated P-value of 0.008 showed that there is a meaningful relation between the education and awareness of managers regarding telemedicine. Conclusion: Due to importance of awareness and attitude in acceptance of new technologies, one can say that currently there is not enough readiness for planning and implementation of telemedicine projects in the Deputy of health. Therefore changes in the organizational culture, organizational structures and infrastructure, current plans and educating the employees in order to improve their awareness and attitude is of great importance.

      PubDate: Tue, 14 Apr 2015 02:53:20 GMT
       
  • Selective Inhibition on RAGE-binding AGEs Required by Bioactive Peptide
           Alpha-S2 Case in Protein from Goat Ethawah Breed Milk: Study of Biological
           Modeling

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Fatchiyah Fatchiyah, Ferlany Hardiyanti, Nashi Widodo.
      Background: Advanced Glycation End Products (AGE) play a pivotal role in the development various degenerative diseases such as diabetes, cardiovascular disease, stroke, neuropathy, and nephropathy. Different studies have been done to employ AGEs as drug targets for the diseases therapy. In previous study, we have found bioactive peptide from Ethawah goat milk for anti-diabetic that may work through inhibition of AGE receptor function. However, the mechanism of bioactive peptides inhibits AGE- AGE receptor (RAGE) bonding still not clear yet. Therefore we investigated the inhibition mechanism by calculate the potential energy binding among the peptides, AGEs and RAGE using molecular docking system. Methods: Modeling 3D-structure was predicted by SWISS-MODEL web server. The virtual interaction was analyzed by docking system using HEX 8.0, Pymol and Discovery Studio 4.0 software. Results: this study showed that AGEs (Argypirimidine, Imidazole, Pentosidine and Pyrraline) bind to C-domain of RAGE. The total energy binding of RAGE with Argypirimidine, Imidazole, Pentosidine and Pyrraline were 378.35kJ/mol, -74.57kJ/mol, -301.25kJ/mol and -400.72kJ/mol, respectively. We have found three peptides among eight peptides from Ethawah goat milk, which are able bind to C-domain of RAGE, there are CSN1S2 f41-47, CSN1S2 f182-189, and CSN1S2 f214-221. The CSN1S22 f41-47 at arginine residue 47 interacts with proline162, leusine163 and leusine158 of RAGE. The total binding energy between CSN1S2 f41-47, CSN1S2 f182-189, and CSN1S2 f214-221 with RAGE were -378.35 kJ/mol, -359.97kJ/mol, -356.78 kJ/mol, respectively. Total binding energy and binding pattern indicated that RAGE more prefer bind with peptide and block AGE bind to functional site of RAGE. Further analysis showed that complex peptide-RAGE shifted binding site of AGE on function domain RAGE. Conclusion: This study suggested that the peptides from Ethawah goat milk may act as an inhibitor of AGEs-RAGE interaction that impaired signal transduction cascade at the cellular level.

      PubDate: Tue, 14 Apr 2015 02:51:14 GMT
       
  • Comparison of Specific Ovarian Tumor Markers by Elecsys Analyzer 2010

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Lejla Hasanbegovic, Selma Alicelebic, Nedeljka Sljivo.
      Background: the most widely used tumor marker in ovarian cancer, often considered the ‘gold standard’ is CA125 but reliable clinical evidence demonstrates that human epididymis protein (HE4), used alone or in combination with CA125, substantially improves the accuracy of screening and/or disease monitoring. Aim: to evaluate the reliability of the determination a tumor marker HE4 in comparison with CA125 on the Elecsys analyzer 2010 in epithelial ovarian cancer, benign ovarian cyst and healthy controls. Methods: we prospectively determined CA125 and HE4 serum levels in the Biochemical-Immunological-Haematological “Medical Laboratory” Ilidza, Sarajevo, B&H between June 1st and December 31st 2011. Electro-chemiluminescence immunoassay (ECLIA) methods for quantitative determination in vitro were performed on the Roche/Hitachi Elecsys 2010 Immunoassay Analyzer. Standard methods of descriptive statistics were performed for the data analysis. Results: univariate statistical analyze of tumor marker control serum revealed a high reliability for both CA125 and HE4 determination (p>0.05). Levey-Jennings charts of quality control data show that the target and the obtained values of both markers control sera do not differ significantly in relation to the ideal value. In a total number of 60 patients compared values of tumor markers show a high correlation (r=0.85). This study confirmed higher sensitivity and specificity of HE4 tumor marker compared with CA125. ROC-AUC values show that the diagnostic performance of HE4 was significantly higher compared with CA125. Conclusion: We concluded that HE4 was better than CA125 as a single tumor marker.

      PubDate: Tue, 14 Apr 2015 02:49:19 GMT
       
  • The Ocular Trauma Score as a Method for the Prognostic Assessment of
           Visual Acuity in Patients with Close Eye Injuries

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Raif Serdarevic.
      Introduction: Traumatic injuries of the eye are the most common cause of loss of visual function. In our study we performed Ocula Trauma Score (OTS). We compared with the values of visual acuity of injury and thus get an accurate model for determining the prognostic value of the final visual acuity before treatment of the patient. This model is a reliable test for both the ophthalmologist and the patient. Aim of study: The aim of this study was to show the socioepidemiological and demographic profile, as well as the most common mechanism in ophthalmic injuries, so to determine the final visual acuity and assessment and evaluation of sensitivity and specificity of ocular trauma score (OTS), and most importantly to determine the prognostic value final visual acuity after eye injuries. Material and Method: We conducted a clinical-epidemiological, retrospective-prospective study at the Department of Ophthalmology, Clinical Centre University in Sarajevo in the period 2009-2011. A sample of 124 patients with diagnosed closed of eye injuries were recruited. We applied Classifying Closed Globe Injury, performed Calculating the OTS and convert of total raw points into % chance of vision outcomes. Results: Comparison of age groups by gender shows that there is no statistically significant (x2 = 5.155; p = 0.2718). Of the total number of closed eye injuries (N = 124) at the admission from groups D and E with the worst vision were 29 patients (23.38%), in group C had low visual acuity of 20 (16.12%), in group B the mean visual acuity 33 (26.61%), and in group A well-preserved visual acuity 42 (33.87%) patients. On the demission patients with well-preserved visual function was 84 (67.74%), with a medium of visual function 10 (80.64%), while the poorer visual function was 4 (3.225%) and 7 (5.645%) patients had a sense of light and projections and 1 (0.8%) patient had lost visual acuity-amaurosis. 18 (14:51%) patients did not take their eyesight due to a fresh post-operative recovery. Conclusion: Data on each patient are based on the possibility of such characteristics of the mechanism of injuries presentation of vision at the beginning of disease, injury and zones relative afferent pupillary defect possibility assumptions what will be with the vision postoperatively.

      PubDate: Tue, 14 Apr 2015 02:47:57 GMT
       
  • Design and Implementation of a Software for Teaching Health Related Topics
           to Deaf Students: the First Experience in Iran

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Maryam Ahmadi, Masoomeh Abbasi, Kambiz Bahaadinbeigy.
      Introduction: Deaf are not able to communicate with other community members due to hearing impaired . Providing health care for deaf is more complex because of their communication problems. Multimedia tools can provide multiple tangible concepts (movie, subtitles, and sign language) for the deaf and hard of hearing. In this study, identify the priority health needs of deaf students in primary schools and health education software has been created. Method: Priority health needs and software requirements were identified through interviews with teachers in primary schools in Tehran. After training videos recorded, videos edited and the required software has been created in stages. Results: As a result, health care needs, including: health, dental, ear, nails, and hair care aids, washing hands and face, the corners of the bathroom. Expected Features of the software was including the use of sign language, lip reading, pictures, animations and simple and short subtitles. Discussion: Based on the results of interviews and interest of educators and students to using of educational software for deaf health problems, we can use this software to help Teachers and student’s families to education and promotion the health of deaf students for learn effectively.

      PubDate: Tue, 14 Apr 2015 02:46:48 GMT
       
  • Ultrasound in Detection of Developmental Hip Dysplasia in Premature Born
           Children

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Verica Misanovic, Selma Dizdar, Fedzat Jonuzi, Hajra Maksic-Kovacevic, Selma Rahmanovic.
      Introduction: Developmental hip dysplasia represents the most common deformation of locomotor system in children. Developmental modulation of the hip is expressed during first year of life which is important for early diagnosis and treatment. Therefore, in the practice, it is very important to set a diagnosis early with application of simple and convenient methods (ultrasound) in order to achieve fast and efficient therapeutical effect and avoid permanent disability. Aim: The aim of this paper is to point out the increase of prematurely born infants and their survival thanks to the development of Unit for Intensive Neonatal Care at the Pediatric Clinics in Sarajevo. Material and methods: Clinical investigation included 150 infants (77 girls and 73 boys) in whom the developmental hip dysplasia was diagnosed with clinical exam, ultrasound exam and x-ray of the hips. The exams were done in period of January 2012 to August 2014 Results: Two groups of patients were formed. The first one consisted of premature infants, total number of 75 (34 girls and 41 boys), with developmental hip dysplasia that was diagnosed at the first exam at the Ultrasound unit of the Pediatric clinics and at the Intensive Neonatal Care Unit of the Pediatric Clinics in Sarajevo. Second (control) group consistsed of patients-on term infants who had diagnosed one of developmental hip dysplasia, total of 75 (43 girls and 32 boys) during first exam in the Ultrasound unit of the Pediatric clinics in Sarajevo. Conclusion: The frequency of premature birth is between 5 and 10% of all labors and demonstrates increasing trend. We suggest ultrasound examination of hips in each newborn, term or premature, at the age of 6 weeks after birth.

      PubDate: Tue, 14 Apr 2015 02:45:00 GMT
       
  • Combined Use of Cytogenetic and Molecular Methods in Prenatal Diagnostics
           of Chromosomal Abnormalities

    • Abstract: 2015-04-14T04-32-20Z
      Source: Acta Informatica Medica
      Meliha Stomornjak-Vukadin, Ilvana Kurtovic-Basic, Lejla Mehinovic, Rijad Konjhodzic.
      Aim: The aim of prenatal diagnostics is to provide information of the genetic abnormalities of the fetus early enough for the termination of pregnancy to be possible. Chromosomal abnormalities can be detected in an unborn child through the use of cytogenetic, molecular- cytogenetic and molecular methods. In between them, central spot is still occupied by cytogenetic methods. In cases where use of such methods is not informative enough, one or more molecular cytogenetic methods can be used for further clarification. Combined use of the mentioned methods improves the quality of the final findings in the diagnostics of chromosomal abnormalities, with classical cytogenetic methods still occupying the central spot. Material and methods: Conducted research represent retrospective-prospective study of a four year period, from 2008 through 2011. In the period stated, 1319 karyotyping from amniotic fluid were conducted, along with 146 FISH analysis. Results: Karyotyping had detected 20 numerical and 18 structural aberrations in that period. Most common observed numerical aberration were Down syndrome (75%), Klinefelter syndrome (10%), Edwards syndrome, double Y syndrome and triploidy (5% each). Within observed structural aberrations more common were balanced chromosomal aberrations then non balanced ones. Most common balanced structural aberrations were as follows: reciprocal translocations (60%), Robertson translocations (13.3%), chromosomal inversions, duplications and balanced de novo chromosomal rearrangements (6.6% each). Conclusion: With non- balanced aberrations observed in the samples of amniotic fluid, non- balanced translocations, deletions and derived chromosomes were equally represented. Number of detected aneuploidies with FISH, prior to obtaining results with karyotyping, were 6.

      PubDate: Tue, 14 Apr 2015 02:43:14 GMT
       
  • The Most Influential Scientists in the Development of Medical Informatics
           (4): Allan Cormack

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Izet Masic.


      PubDate: Sun, 22 Feb 2015 10:13:10 GMT
       
  • Early Prenatal Diagnosis of Thoracopagus Twins by Ultrasound

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Mahmoud Alkhateeb, Mahmoud Mashaqbeh, Sami Magableh, Rafiq Hadad, Quteiba Nseer, Abdelkhaleg Alshboul.
      Introduction: Conjoined twins are identical twins joined in utero. It’s a rare phenomenon and present a unique challenge to obstetricians and pediatric surgeons. Conjoined twins are complex complication of monozygotic twinning, which is associated with high perinatal mortality. Case report: At our clinic complete anomaly scan was done, the patients was found to have monozygotic twins of 15 weeks gestation and carrying a conjoint twin. Our ultrasound revealed fully developed heads facing each other, joint at the thorax and sharing a common abdomen. These twins share a single heart with two atrium and two ventricle. They decide for termination of pregnancy after taken the opinion of religious people. Termination of pregnancy was performed by many methods and we chose to use cytotec tablets which inserted vaginally and the outcome was conjoint twin with two bodies fused from the upper thorax to lower belly. Both fetuses are female and died immediately after termination of pregnancy.

      PubDate: Sun, 22 Feb 2015 10:12:12 GMT
       
  • Value Innovation in Hospital: Increase Organizational IQ by Managing
           Intellectual Capitals

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Mahtab Karami, Mashallah Torabi.
      Hospital is a complex organization rich in intellectual capitals. Effective management of these assets in line with innovating value to reach strategic goals and objectives can lead to increasing organizational IQ. In hospital with high organizational IQ, Increasing syntropy in intellectual capitals can convert it to an agile, learner, innovative, and smart organization.

      PubDate: Sun, 22 Feb 2015 10:10:09 GMT
       
  • Predictors of Patients’ Satisfaction with Health Care Services in
           Three Balkan Countries (Macedonia, Bulgaria and Serbia): a Cross Country
           Survey

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Vladimir Lazarevik, Blasko Kasapinov.
      Background: Patients’ satisfaction with provided healthcare services is one of the factors to measure the overall quality of the delivered health care. Main objective of our study was to determine the common predictors associated with patients ‘satisfaction in three Balkan countries. Methods: We conducted web based survey among population in Macedonia, Serbia and Bulgaria using paid campaign over the social network Facebook. A questionnaire consisted of 31 questions was developed following studies on patients’ satisfaction conducted elsewhere. Descriptive analysis was performed to assess the predictors associated with patients’ satisfaction. In addition we performed content analysis to all open-ended responses. Results and discussion: In total 4118 respondents participated in the survey. Main predictors associated with low users satisfaction with the health care services in three surveyed countries are waiting time to appointments, huge administrative procedures, and attitudes of the medical personnel towards the patients. The analysis showed that there are many similarities in user experiences in three countries, but also there are some differences. Conclusions: The health care systems in these three counties are organized around centralized and monopolistic position of one health insurance fund that serves as main purchaser of health care services. Top three indicators of patients’ satisfaction across three countries are trust and overall satisfaction with the attention of the doctors, as well as satisfaction with the outcome of the treatment. Long waiting time and huge administrative procedures are determined as common predictor for lower patients’ satisfaction across these Balkan countries. Patients’ privacy protection is issue for concern in all three countries.

      PubDate: Sun, 22 Feb 2015 10:07:59 GMT
       
  • Importance of Dental Records in Forensic Dental Identification

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Petro Waleed, Feras Baba, Salem Alsulami, Bassel Tarakji.
      Introduction: The patient’s record maintains all the diagnostic information with regards to patients and contains valuable information that can be beneficial to the dentist as well as legal authorities during forensic human identification. Aim: Objective of the study was to compare dental records with an ideal dental record form, as well as to compare between dental records of private clinics and academic hospitals and to assess the awareness and the knowledge of the dentists regarding the maintenance of their dental records accurate for medico-legal purposes. Material and Methods: A comparative cross-sectional study between records kept in private clinics and academic teaching hospitals in Khartoum locality. Results: Our results showed that Students are more likely to encounter accurate dental records more than dentists in private clinics. In conclusion Students are more aware regarding medicolegal purposes of maintenance of dental records. Accurate maintenance of dental records is more among dental students. Therefore, private clinics encounter dental records as financial documents

      PubDate: Sun, 22 Feb 2015 10:05:31 GMT
       
  • An Assessment of Sexual Dimorphism in Relation to Facial Asymmetry in
           Esthetically Pleasing Faces

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Yagnesh Rajpara, Tarulatha R. Shyagali.
      Objective: The aim of the study is to detect gender-wise difference in the skeletal asymmetry in the esthetically pleasing faces. Materials and methods: a cross sectional study was conducted on 25 females and 25 males of age 18 -25 years using the posterior-anterior cephalograms. The selected part of grummon’s frontal analysis for analyzing the vertical skeletal asymmetries, mandibular morphology, transverse asymmetry and mandibular deviation was used. The obtained data was subjected to independent student’s‘t’ test for comparing the difference between males and females. Results: there was statistically significant difference between the males and females for the measurements like Gonion-Menton length for the mandibular morphology and for the transverse parameters like zygomatico frontal suture length, jular length and antegonial notch length. There was no significant difference for the sidedness of asymmetry for the males and females. Conclusion: frontal facial asymmetry showed sexual dimorphism with males showing greater asymmetric values than the females. The asymmetry showed right sided prominence for both the males and females. This knowledge can be utilized for planning facial reconstruction and remodeling surgeries.

      PubDate: Sun, 22 Feb 2015 10:03:54 GMT
       
  • Managing the Security of Nursing Data in the Electronic Health Record

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Mahnaz Samadbeik, Zahra Gorzin, Masomeh Khoshkam, Masoud Roudbari.
      Background: The Electronic Health Record (EHR) is a patient care information resource for clinicians and nursing documentation is an essential part of comprehensive patient care. Ensuring privacy and the security of health information is a key component to building the trust required to realize the potential benefits of electronic health information exchange. This study was aimed to manage nursing data security in the EHR and also discover the viewpoints of hospital information system vendors (computer companies) and hospital information technology specialists about nursing data security. Methods: This research is a cross sectional analytic-descriptive study. The study populations were IT experts at the academic hospitals and computer companies of Tehran city in Iran. Data was collected by a self-developed questionnaire whose validity and reliability were confirmed using the experts’ opinions and Cronbach’s alpha coefficient respectively. Data was analyzed through Spss Version 18 and by descriptive and analytic statistics. Results: The findings of the study revealed that user name and password were the most important methods to authenticate the nurses, with mean percent of 95% and 80%, respectively, and also the most significant level of information security protection were assigned to administrative and logical controls. There was no significant difference between opinions of both groups studied about the levels of information security protection and security requirements (p>0.05). Moreover the access to servers by authorized people, periodic security update, and the application of authentication and authorization were defined as the most basic security requirements from the viewpoint of more than 88 percent of recently-mentioned participants. Conclusions: Computer companies as system designers and hospitals information technology specialists as systems users and stakeholders present many important views about security requirements for EHR systems and nursing electronic documentation systems. Prioritizing of these requirements helps policy makers to decide what to do when planning for EHR implementation. Therefore, to make appropriate security decisions and to achieve the expected level of protection of the electronic nursing information, it is suggested to consider the priorities of both groups of experts about security principles and also discuss the issues seem to be different between two groups of participants in the research.

      PubDate: Sun, 22 Feb 2015 10:02:29 GMT
       
  • The Relationship Between Perceived Stress and Computer Technology
           Attitude: an Application on Health Sciences Students

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Pakize Ozyurek, Nuray Oztasan, Ibrahim Kilic.
      Introduction: The aim of this study is to define attitudes of students in health sciences towards perceived personal stress and computer technologies, and to present the relationship between stress and computer technology attitudes. Methods: In this scope, this study has a descriptive nature and thus a questionnaire has been applied on 764 students from Afyon Kocatepe University Health Sciences High School, Turkey for data gathering. Descriptive statistics, independent samples, t test, one way ANOVA, and regression analysis have been used for data analysis. Findings: In the study, it is seen that female (=3,78) have a more positive attitude towards computer technology than male students ( =3,62). according to the results of regression analysis of the study, the regression model between computer technology attitude (CTA) and perceived stress (PS) has been found meaningful (F=16,291; p

      PubDate: Sun, 22 Feb 2015 09:59:30 GMT
       
  • The Effect of Applying Podcast Multimedia Teaching System on Motivational
           Achievement and Learning Among the Boy Students

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Ali Yazdanpanah Nozari, Hasan Siamian.
      Background: Traditional education classes are no more effective because they are tied to a particular place and time. Podcast complete the defection of other educational resources. In this study we aimed to address whether utilizing podcast multimedia training system has an effect on the motivational achievement and students learning of the Arabic course in high school. Methods: In this practical-purposed, descriptive and quasi-experimental study, pre- and post-test method in control and experiment groups was used. Researchers used simple random sampling method to form the groups. Results: The results showed the normal distribution of data according to the value of z (0.09) in the pre- and post-tests in both control and experiment groups. Therefore, the data distribution was normal (P>0.925). Significant differences between experimental and control groups in terms of academic level were not observed in the pre-test. There was no significant difference between the motivational achievement of education in post-test of control and experiment group (p>0.89). Conclusion: The results showed that teaching with podcast multimedia systems significantly increased learning of Arabic in the high school level. But of motivation reinforcement between traditional method and system for multimedia podcasts, showed no significant differences. Each variety of multimedia techniques can be beneficial for a specific course. Therefore, more studies on the effectiveness of podcast method in different courses to determine its effects are necessary.

      PubDate: Sun, 22 Feb 2015 09:57:44 GMT
       
  • Work-related Mental Consequences: Implications of Burnout on Mental Health
           Status Among Health Care Providers

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Ioanna V. Papathanasiou.
      Introduction: Burnout can create problems in every aspect of individual’s’ human life. It may have an adverse effect on interpersonal and family relations and can lead to a general negative attitude towards life. Aim: The purpose of this study is to investigate whether burnout is associated with the mental health status of health care providers. Material and Methods: The sample in this study consisted of 240 health care employees. The Greek version of Maslach’s Burnout Inventory (MBI) was used for measuring burnout levels and the Greek version of the Symptoms Rating Scale for Depression and Anxiety (SRSDA) questionnaire was used to evaluate health care providers’ mental health status. Descriptive statistics were initially generated for sample characteristics. Normality was checked by the Kolmogorov-Smirnov test and data was processed with parametric tests. General linear models with MBI dimensions as independent variables and SRSDA subscales as dependent variables were used to determine the relation between burnout and mental health status. Statistics were processed with SPSS v. 17.0 (SPSS, Chicago, IL, USA). Statistical significance was set at p=0.05. Results: The average age of the sample is 40.00±7.95 years. Regarding gender the percentage of men is 21.40% (N=49) and of women is 78.60% (N=180). Overall the professional burnout of health care workers is moderate. The mean score for emotional exhaustion is 26.41, for personal accomplishment 36.70 and for depersonalization 9.81. The mean for each subscale of SRSDA is 8.23±6.79 for Depression Beck-21, 3.96±4.26 for Depression Beck-13, 4.91±4.44 for Melancholia, 6.32±4.35 for Asthenia and 6.36±4.72 for Anxiety. The results of general linear models with the MBI dimensions as independent variables and the SRSDA subscales as dependent variables are shown that emotional exhaustion and personal accomplishment are statistically correlated with all subscales of SRSDA, while depersonalization is not correlated with any SRSDA subscale. Conclusions: Burnout appears to implicate mental health status of healthcare providers in work index. Emotional exhaustion is the burnout dimension that is correlated the most with employees’ mental health.

      PubDate: Sun, 22 Feb 2015 09:56:41 GMT
       
  • Minimum Data Set for Cystic Fibrosis Registry: a Case Study in Iran

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Leila R Kalankesh,, Saeed Dastgiri,, Mandana Rafeey,, Narmin Rasouli, Leila Vahedi.
      Background: over the last 25 years several national registries of CF have been set up. Such systems can be very useful in providing an integrated resource for improving patient care and conducting research on the disease. Minimum Data Set is a common set of data items that should be used to collect and report data in the registry. The principal aim of this research was to determine minimum data set for the CF registry in north-west of Iran. Methods: data items collected by several selected registries of cystic fibrosis were studied and an initial set of data was selected by the researchers. A group of experts including epidemiologists, pediatricians, and CF specialists were asked to review the proposed data elements and score them based on their importance by using a nine-point Likert scale. The items scored as important or highly important by more than 50 % of the experts, were included in final list of minimum data set. Availability of data was evaluated through reviewing medical records of 144 patients hospitalized in Children Hospital located in Tabriz. Results: overall six classes of data (46 items) were identified in the selected registry systems for cystic fibrosis: patient demographics, administrative data, survival status, diagnostic procedures, genetic and clinical manifestations, and therapeutics. Thirty two data elements from all six categories of data were approved by the experts as the minimum data set for cystic fibrosis registry system. Availability of data in administrative category and survival class was 100 percent. Collecting data on medications was feasible in 100% of the cases as well. In class of demographic data, accessibility of patient name, age, gender, place of birth, and date of birth was 100 percent. In group of diagnostic procedures, partial availability of data was found for sweat test and genetic test. No data was found on the antenatal screening, exercise tolerance test, and glucose tolerance test. Conclusion: this work can be considered as a first step toward establishing CF registry system in Iran. Minimum data set can be also useful in designing electronic registry or electronic patient records for those suffering from CF toward integration of their fragmented records across continuum of the health care system in order to improve quality of shared patient care.

      PubDate: Sun, 22 Feb 2015 09:55:35 GMT
       
  • Physiological Cost Index and Comfort Walking Speed in Two Level Lower Limb
           Amputees Having No Vascular Disease

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Teuta Osmani Vllasolli, Nikola Orovcanec, Beti Zafirova, Blerim Krasniqi, Ardiana Murtezani, Valbona Krasniqi, Bukurije Rama.
      Background: The Physiological Cost Index (PCI) was introduced by MacGregor to estimate the energy cost in walking of healthy people, also it has been reported for persons with lower limb amputation, walking with prosthesis. Objective: To assess energy cost and walking speed in two level lower limb amputation: transfemoral and transtibial amputation and to determine if the age and prosthetic walking supported with walking aids have impact on energy cost and walking speed. Methods: A prospective cross sectional study was performed in two level lower limb amputees with no vascular disease who were rehabilitated at the Department of Prosthetics and Orthotics at the University Clinical Center of Kosovo. The Physiological Cost Index (PCI) was assessed by five minutes of continuous indoor walking at Comfort Walking Speed (CWS). Results: Eighty three lower limb amputees were recruited. It is shown relevant impact of level of amputation in PCI (t=6.8, p

      PubDate: Sun, 22 Feb 2015 09:54:23 GMT
       
  • Meta-analysis as Statistical and Analytical Method of Journal’s
           Content Scientific Evaluation

    • Abstract: 2015-02-23T09-31-19Z
      Source: Acta Informatica Medica
      Izet Masic, Edin Begic.
      Introduction: A meta-analysis is a statistical and analytical method which combines and synthesizes different independent studies and integrates their results into one common result. Goal: Analysis of the journals “Medical Archives”, “Materia Socio Medica” and “Acta Informatica Medica”, which are located in the most eminent indexed databases of the biomedical milieu. Material and methods: The study has retrospective and descriptive character, and included the period of the calendar year 2014. Study included six editions of all three journals (total of 18 journals). Results: In this period was published a total of 291 articles (in the “Medical Archives” 110, “Materia Socio Medica” 97, and in “Acta Informatica Medica” 84). The largest number of articles was original articles. Small numbers have been published as professional, review articles and case reports. Clinical events were most common in the first two journals, while in the journal “Acta Informatica Medica” belonged to the field of medical informatics, as part of pre-clinical medical disciplines. Articles are usually required period of fifty to fifty nine days for review. Articles were received from four continents, mostly from Europe. The authors are most often from the territory of Bosnia and Herzegovina, then Iran, Kosovo and Macedonia. Conclusion: The number of articles published each year is increasing, with greater participation of authors from different continents and abroad. Clinical medical disciplines are the most common, with the broader spectrum of topics and with a growing number of original articles. Greater support of the wider scientific community is needed for further development of all three of the aforementioned journals.

      PubDate: Sun, 22 Feb 2015 09:53:03 GMT
       
  • Extensive Operation as One of the Solution for Patients with the
           Insufficient Proximal Landing Zone for TEVAR in Aortic Dissection –
           short term results

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Mirsad Kacila, Haris Vranic, Slavenka Straus.
      Objective: In our study we wanted to showed the safety, feasibility, efficacy and way how to solve the problems of endovascular repair for aortic dissection with insufficient proximal Landing Zone. Methods: The clinical data of all the patients with insufficient proximal Landing Zone (PLZ) for endovascular repair for aortic aneurism and dissection Stanford type B for the period from October 2013 to June 2014 was prospectively reviewed. According to the classification proposed by Mitchell et al, aortic Zone 0 was involved in 3 cases, Zone 1 in 1 case, Zone 2 in 9 cases and Zone 3 in 6 cases (19 patients in total). A hybrid surgical procedure of supraortic debranching and revascularization, with direct anastomosed truncus brachiocephalicus and left common carotid artery, were performed to obtain an adequate aortic PLZ. Revascularization of the left subclavian artery was carried out on the patient with dissection Stanford type B and short PLZ 2. Results: There was no significant difference of risk factors between Zone 0, Zone 1, and Zone 2 (Table1.), but the length of the PLZ significantly differed between groups (p

      PubDate: Sun, 21 Dec 2014 05:16:19 GMT
       
  • The Most Influential Scientists in the Development of the Medical
           Informatics (3): Peter Leo Reichertz

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Izet Masic.


      PubDate: Fri, 19 Dec 2014 15:01:56 GMT
       
  • Vision Loss and RNFL Thinning after Internal Carotid Arter Occlusion and
           Middle Cerebral Artery Infarction

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Alime Gunes, Seden Demirci, Ayse Umul.
      Introduction: Ischaemic, traumatic or neoplasmic damage to the optic chiasm, optic tract or lateral geniculate nucleus affects the retinal ganglion cell (RGC) axons, detected as reduced retinal nerve fiber layer (RNFL) thickness around the optic nerve head. We report a case of vision loss and reduced RNFL thickness after internal carotid artery (ICA) occlusion and middle cerebral artery (MCA) infarction. Case report: A 33-year-old woman with a 3-month history of vision loss in right eye and left hemiplegia. The best corrected visual acuity was 1.0 in left eye and there was no light perception in the right eye. Ocular motility, intra-ocular pressure, anterior segments were normal in the both eyes. Her fundus examinations were normal except optic atrophy in the right eye. Visual field test was not performed because of cooperation difficulties. Magnetic resonance imaging (MRI) revealed an infarction of the right MCA. Computed tomographic angiography showed right ICA occlusion. Optical coherence tomography (OCT) demonstrated 6 clock hours of RNFL thinning in the right eye. Average RNFL thickness of the right and left eyes were 53μm, 96 μm respectively. Conclusions: Our findings show that a relatively short period of ICA occlusion and MCA infarction can cause vision loss and thinning of the RNFL.

      PubDate: Fri, 19 Dec 2014 15:00:28 GMT
       
  • Effect Transformation of the Micro Electrode Recording (MER) Data to Fast
           Fourier Transform (FFT) for the Main Target Nucleus Determination for
           STN-DBS

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Hulagu Kaptan, Murat Ayaz, Hakan Ekmekçi.
      Introduction: Advanced PD stimulation of the STN reduces tremor, rigidity, and bradykinesia. Due to hemorrhagic complications the use of micro electrode recordings during DBS operation was still questioning for some of surgeons. But use micro electrodes were still the best choice for the positioning during surgery of DBS. Aim: The aim of the current study was to investigate the effect transformation of the micro electrode recording data to fast fourier transform for the main target nucleus determination. This process needs a multidisciplinary approach from neurosurgery, neurology and specialists on electrophysiology such as biophysics. Case report: We present the case of a 63 year-old male with medically intractable PD is focused on behalf of the surgical treatment. Patient had a 4-year history of progressively severe hand tremor on right side. The patient was successfully treated unilaterally with the STN DBS.

      PubDate: Fri, 19 Dec 2014 14:59:24 GMT
       
  • Muscle Atrophy in Intensive Care Unit Patients

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Konstantinos Koukourikos, Areti Tsaloglidou, Labrini Kourkouta.
      Introduction: The muscle atrophy is one of the most important and frequent problems observed in patients in Intensive Care Units. The term describes the disorder in the structure and in the function of the muscle while incidence rates range from 25-90 % in patients with prolonged hospitalization. Purpose: This is a review containing all data related to the issue of muscle atrophy and is especially referred to its causes and risk factors. The importance of early diagnosis and early mobilization are also highlighted in the study. Material and methods: a literature review was performed on valid databases such as Scopus, PubMed, Cinhal for the period 2000-2013 in English language. The following keywords were used: loss of muscle mass, ICU patients, immobilization, bed rest. Results: From the review is concluded that bed rest and immobilization in order to reduce total energy costs, are the main causes for the appearance of the problem. The results of the reduction of the muscle mass mainly affect the musculoskeletal, cardiovascular and respiratory system. The administration of the cortisone, the immobility, the sepsis and hyperglycemia are included in the risk factors. The prevention is the primary therapeutic agent and this is achieved due to the early mobilization of the patients, the use of neuromuscular electrical stimulation and the avoidance of exposure to risk factors. Conclusions: The prevention of muscle atrophy is a primary goal of treatment for the patients in the ICU, because it reduces the incidence of the disease, reduces the time spent in ICU and finally improves the quality of patients’ life.

      PubDate: Fri, 19 Dec 2014 14:55:21 GMT
       
  • Health Based Geographic Information Systems (GIS) and their Applications

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Evangelos C. Fradelos, Ioanna V. Papathanasiou, Dimitra Mitsi, Konstantinos Tsaras, Christos F. Kleisiaris, Lambrini Kourkouta.
      Medical researches as well as the study of the Earth’s surface, better still, geography are interlinked with each other; their relationship dates from antiquity. The science of Geographic Information Systems and, by extension, Geomatics engineering belongs to a discipline which is constantly developing at a global level. This sector has many applications regarding medical / epidemiological research and generally, the social sciences. Furthermore, this discipline may act as a decision making tool in the healthcare sector and it might contribute to the formulation of policies into the healthcare sector. The use of GIS so as to solve public health issues has an exponential increase and has been vital to the understanding and treatment of health problems in different geographic areas. In recent years, the use of various information technology services and software has lead health professionals to work more effectively.

      PubDate: Fri, 19 Dec 2014 14:54:12 GMT
       
  • Development of Hospital Information Systems: User Participation and
           Factors Affecting It

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Bahlol Rahimi, Reza Safdari, Mohamad Jebraeily.
      Introduction: Given the large volume of data generated in hospitals, in order to efficiently management them; using hospital information system (HIS) is critical. User participation is one of the major factors in the success of HIS that in turn leads Information needs and processes to be correctly predicted and also their commitment to the development of HIS to be augmented. The purpose of this study is to investigate the participation rate of users in different stages of HIS development as well as to identify the factors affecting it. Method and materials: This is a descriptive–cross sectional study which was inducted in 2014.The study population consists of 140 HIS users (from different types of job including physicians, nurses, laboratory, radiology and HIM staffs) from Teaching Hospitals Affiliated to Urmia University of Medical Sciences. Data were collected using a self-structured questionnaire which was estimated as both reliable and valid.The data were analyzed by SPSS software descriptive statistics and analytical statistics (t-test and chi-square). Results: The highest participation rate of users in the four-stage development of the HIS was related to the implementation phase (2.88) and the lowest participation rate was related to analysis (1.23).The test results showed that the rate of user participation was not satisfactory in none of the stages of development (P< 0.05).The most important factors in increasing user participation include established teamwork from end-users and the support of top managers from HIS development. Conclusion: According to the results obtained from the study, it seems that health care administrators must have a detailed plan for user participation prior to the development and purchase of HIS so that they identify the real needs as well as increase their commitment and motivations to develop, maintain and upgrade the system, and in this way, the success of the system will be assured.

      PubDate: Fri, 19 Dec 2014 14:52:57 GMT
       
  • The Amount of Media and Information Literacy Among Isfahan University of
           Medical Sciences’ Students Using Iranian Media and Information
           Literacy Questionnaire (IMILQ)

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Hasan Ashrafi-rizi, Amir Ramezani, Hamed Aghajani Koupaei, Zahra Kazempour.
      Introduction: Media and Information literacy (MIL) enables people to interpret and make informed judgments as users of information and media, as well as to become skillful creators and producers of information and media messages in their own right. The purpose of this research was to determine the amount of Media and Information Literacy among Isfahan University of Medical Sciences’ students using Iranian Media and Information Literacy Questionnaire (IMILQ). Methods: This is an applied analytical survey research in which the data were collected by a researcher made questionnaire, provided based on specialists’ viewpoints and valid scientific works. Its validity and reliability were confirmed by Library and Information Sciences specialists and Cronbach’s alpha (r=0.89) respectively. Statistical population consisted of all students in Isfahan University of Medical Sciences (6000 cases) and the samples were 361. Sampling method was random stratified sampling. Data were analyzed by descriptive and inferential statistics. Results: The findings showed that the mean level of Media and Information Literacy among Isfahan University of Medical Sciences’ students was 3.34±0.444 (higher than average). The highest mean was promotion of scientific degree with 3.84±0.975 and the lowest mean was difficulties in starting research with 2.50±1.08. There was significant difference between educational degree, college type and family’s income and amount of Media and Information Literacy. Conclusion: The results showed that the students didn’t have enough skills in starting the research, defining the research subject as well as confining the research subject. In general, all students and education practitioners should pay special attention to factors affecting in improving Media and Information Literacy as a main capability in using printed and electronic media.

      PubDate: Fri, 19 Dec 2014 14:51:33 GMT
       
  • Real Time Processing and Transferring ECG Signal by a Mobile Phone

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Mahsa Raeiatibanadkooki, Saeed Rahati Quachani, Mohammadmahdi Khalilzade, Kambiz Bahaadinbeigy.
      The real-time ECG signal processing system based on mobile phones is very effective in identifying continuous ambulatory patients. It could monitor cardiovascular patients in their daily life and warns them in case of cardiac arrhythmia. An ECG signal of a patient is processed by a mobile phone with this proposed algorithm. An IIR low-pass filter is used to remove the noise and it has the 55 Hz cutoff frequency and order 3. The obtained SNR showed a desirable noise removal and it helps physicians in their diagnosis. In this paper, Hilbert transform was used and the R peaks are important component to differ normal beats from abnormal ones. The results of sensitivity and positive predictivity of algorithm are 96.97% and 95.63% respectively. If an arrhythmia occurred, 4 seconds of this signal is displayed on the mobile phone then it will be sent to a remote medical center by TCP/IP protocol.

      PubDate: Fri, 19 Dec 2014 14:50:29 GMT
       
  • Factors Affecting Journal Quality Indicator in Scopus (SCImago Journal
           Rank) in Obstetrics and Gynecology Journals: a Longitudinal Study
           (1999-2013)

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Jamshid Jamali, Mohammad Salehi-Marzijarani, Seyyed Mohammad Taghi Ayatollahi.
      Introduction: Awareness of the latest scientific research and publishing articles in top journals is one of the major concerns of health researchers. In this study, we first introduced top journals of obstetrics and gynecology field based on their Impact Factor (IF), Eigenfactor Score (ES) and SCImago Journal Rank (SJR) indicator indexed in Scopus databases and then the scientometric features of longitudinal changes of SJR in this field were presented. Method and material: In our analytical and bibiliometric study, we included all the journals of obstetrics and gynecology field which were indexed by Scopus from 1999 to 2013. The scientometric features in Scopus were derived from SCImago Institute and IF and ES were obtained from Journal Citation Report through the Institute for Scientific Information. Generalized Estimating Equation was used to assess the scientometric features affecting SJR. Result: From 256 journals reviewed, 54.2% and 41.8% were indexed in the Pubmed and the Web of Sciences, respectively. Human Reproduction Update based on the IF (5.924±2.542) and SJR (2.682±1.185), and American Journal of obstetrics and gynecology based on the ES (0.05685±0.00633) obtained the first rank among the other journals. Time, Index in Pubmed, H_index, Citable per Document, Cites per Document, and IF affected changes of SJR in the period of study. Discussion: Our study showed a significant association between SJR and scientometric features in obstetrics and gynecology journals. According to this relationship, SJR may be an appropriate index for assessing journal quality.

      PubDate: Fri, 19 Dec 2014 14:47:51 GMT
       
  • Implementation of Internet Training on Posture Reform of Computer Users in
           Iran

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Zohreh Keykhaie, Iraj Zareban, Mahnaz Shahrakipoor, Maryam Hormozi, Javad Sharifi-Rad, Gholamreza Masoudi, Fatemeh Rahimi.
      Background and Purpose: Musculoskeletal disorders are of common problems among computer (PC) users. Training of posture reform plays a significant role in the prevention of the emergence, progression and complications of these diseases. The present research was performed to study the effect of the Internet training on the posture reform of the Internet users working in two Iranian universities including Sistan and Baluchestan University and Islamic Azad University of Zahedanin 2014. Materials and Method: This study was a quasi-experimental intervention with control group and conducted in two Iranian universities including Sistan and Baluchestan University and Islamic Azad University of Zahedan. The study was done on 160 PC users in the two groups of intervention (80 people) and control (80 people). Training PowerPoint was sent to the intervention group through the Internet and a post test was given to them after 45 days. Statistical software of SPSS 19 and statistical tests of Kolmogrov, t-test, Fisher Exact test, and correlation coefficient were used for data analysis. Results: After the training, the mean scores of knowledge, attitude, performance and self-efficacy in the intervention group were 24.21 ± 1.34, 38.36 ± 2.89, 7.59 ± 1.16, and 45.06 ± 4.11, respectively (P

      PubDate: Fri, 19 Dec 2014 14:46:18 GMT
       
  • Pedobarography in Diagnosis and Clinical Application

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Amira Skopljak, Mirsad Muftic, Aziz Sukalo, Izet Masic.
      Introduction: Pedobarography as a new diagnostic tool enables measuring the pressure between the foot and the floor during dynamic loading. Dynamic analysis of the foot shows advantage over static analysis due to its capabilities for detecting high load points in certain diseases and in certain phases of walking. Pedobarography as a new method in the context of rehabilitation include wide range of clinical entities. Goal: To show the advantages of pedobarography as new diagnostic and rehabilitation method in prevention programs. Material and methods: A prospective study included 100 patients with diabetes mellitus type 2. Research was conducted in the Primary Health Care Center of the Sarajevo Canton and the Center for Physical Medicine and Rehabilitation. The test parameters were: Test of balance–symmetric load for the test, the number of comorbidity, clinical examination of foot deformity, test with 10 g monofilament, HbA1c. From the total sample 45 patients (Group I) were selected, aged 50-65 years, which underwent pedobarography (on the appliance Novel Inc., Munich with EMEDTM platform) and robotic fabrication of individual orthopedic insoles, followed by control pedobarography. Plantar pressure was determined using standard pedobarography, computer recorded parameters: peak pressure (kPa), force (Ns), area (cm). Results: The average age of the respondents was 59.4±11.38 years; altered results on the balance test were present in 34% of patients; 61% of respondents have ≤2 comorbidity. In the total sample, the average number of foot deformity was 2.84. Flat feet have 66% of respondents, and valgus position 57%. The average HbA1c values were 7.783±1.58% (min.5–max.15.0). All subjects (45) after the first, and after the second measurement of peak pressure, have values above 200 kPa, or are in the designated zone of peak pressure that needs to be corrected. In a study was determined the correlation between the number of deformities and peak pressure, the number of deformities and the area upon which plantar pressure act, test with 10g monofilament and peak pressure. Conclusion: Within the framework of prevention programs early diagnosis, detection of sensitivity disorders, adequate treatment and taking load from the feet with the help of pedobarography, are of great importance for the patient suffering from diabetes

      PubDate: Fri, 19 Dec 2014 14:44:57 GMT
       
  • Ovarian Reserve After Laparoscopic Treatment of Unilateral Ovarian
           Endometrioma

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Jadranka Georgievska, Slavejko Sapunov, Svetlana Cekovska, Kristin Vasilevska.
      Aim: To evaluate the effect of laparoscopic treatment of unilateral ovarian endometrioma on ovarian reserve using ultrasonographic markers, ovarian volume and antral follicle count (AFC), and two biochemical markers, serum levels of Follicle-stimulating hormone (FSH) and Estradiol (E2). Material and methods: This prospective study included 40 patients in their reproductive age, between 18 and 40 years old. They were treated laparoscopically for unilateral ovarian endometrioma. Markers of ovarian reserve were investigated before and three months after surgery. Transvaginal ultrasound examination was used for measurement of ovarian volume and AFC. Biochemical markers (FSH and E2 levels) were determined by chemiluminescent tests. Results: Ovarian volume was significantly reduced after surgery. There was significant increase of AFC and non-significant increase of E2 levels in treated patients after three months. Conclusions: Laparoscopic cystectomy of unilateral ovarian endometrioma decreased ovarian reserve immediately after surgery with decrease of ovarian volume. But ovarian reserve was increased after three months with increase of AFC and estradiol levels.

      PubDate: Fri, 19 Dec 2014 14:42:48 GMT
       
  • Effects of Programmed Kinesiologic Stimulus to Hemodynamics at Peripheral
           Artery Disease of Lower Limbs

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Abel Baltic, Izet Radjo, Ifet Mahmutovic, Indira Mahmutovic.
      Goal: The goal of the article is to examine level of hemodynamic improvement in the peripheral artery diseases of lower limbs among patients on medication therapy and patients included in programmed physical activities simultaneously with the medication therapy. Material and methods: Prospective-retrospective study includes 100 patients of the Clinic for Vascular Disease, Clinical Center of Sarjevo University ( CCUS). It has been found out that the majority of patients in both groups were males. Average age of patients in control group was 48.60±3.82. Average value of claudication distance for patients in control group was 277 m, while the value for patients in test group was 270 m. Results: At the end of research the analysis of average PSV values proved significant difference in relation to examined groups (p

      PubDate: Fri, 19 Dec 2014 14:41:33 GMT
       
  • Laser Hemorrhoidoplasty Procedure vs Open Surgical Hemorrhoidectomy: a
           Trial Comparing 2 Treatments for Hemorrhoids of Third and Fourth Degree

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Halit Maloku, Zaim Gashi, Ranko Lazovic, Hilmi Islami, Argjira Juniku-Shkololli.
      Objective: According to the ‘‘vascular’’ theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. Hemorrhoid laser procedure (LHP) is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation. Aim: Our aim was to compare the hemorrhoid laser procedure with open surgical procedure for outpatient treatment of symptomatic hemorrhoids. Material and method: A comparison trial between hemorrhoid laser procedure or open surgical hemorrhoidectomy was made. This study was conducted at Aloka hospital in Kosovo. Patients with symptomatic grade III or grade IV hemorrhoids with minimal or complete mucosal prolapse were eligible for the study: 20 patients treated with the laser hemorrhoidoplasty, and 20 patients–with open surgery hemorrhoidectomy. Operative time and postoperative pain with visual analog scale, were evaluated. Results: A total number of 40 patients (23 men and 17 women, mean age, 46 years) entered the trial. Significant differences between laser hemorrhoidoplasty and open surgical procedure were observed in operative time and early postoperative pain. There was a statistically significant difference between the two groups regarding the early postoperative period: 1 week, 2 weeks, 3 weeks and 1 month after respective procedure (p

      PubDate: Fri, 19 Dec 2014 14:40:13 GMT
       
  • Metabolic Syndrome in Patients Undergoing Coronary Angiography

    • Abstract: 2014-12-22T14-18-05Z
      Source: Acta Informatica Medica
      Derya Atik, Cem Atik, Hilal Karatepe.
      Introduction: Metabolic Syndrome (MetS) is basically a cluster of cardiovascular risks that involve changes in metabolic and hemodynamic indicators; various organizations have defined it with small differences. Metabolic syndrome is a lethal endocrinopathy starting with insulin resistance and inviting a chain of systemic disorders such as abdominal obesity, glucose intolerance or diabetes mellitus (DM), dyslipidemia, hypertension (HT) and coronary artery disease (CAD). Material and methods: This prospective and descriptive study was conducted at the Cardiology Clinic of a Private Hospital in Osmaniye between January 2014 and May 2014. The study population included all patients who were administered a CA procedure at the Cardiology Clinic of Private New Life Hospital in Osmaniye in 2014. Results: The majority of the patients were male (63.3%), the mean age was 59.09±10.98, vast majority of them had social security (98.5%), 32.8% of them smoked, 7.2% had peripheral arterial disease (PAD), 52.5% were diagnosed with DM, 24.8% with HT, percutaneous transluminal coronary angioplasty (PTCA) or stent was administered to 40.3% of the patients who underwent CA and coronary artery bypass grafting (CABG) was decided for 15.5% of them. 41.8% of the patients met the MetS diagnosis criteria. The mean BMI was found to be 28.61±4.68, the mean FBS to be 143.20±74.83, the mean triglyceride value to be 168.73±96.94 and the mean HDL value to be 37.04±9.20. Although male gender came first among the patients who underwent CA, the prevalence of MetS did not show a statistically significant correlation with gender, mean age or smoking. The prevalence of HT, PAD and DM was significantly higher in the patients who met the MetS criteria. The mean values of FBS, HDL, CK-MB, triglyceride and cholesterol were also significantly higher in the patients who met the MetS criteria. As BMI increased, the rate at which MetS criteria are met also increased. Conclusion: The objective is to prevent diabetes and cardiovascular diseases. Weight loss achieved with proper nutrition and an exercise program will have a reversing effect on all the disorders seen in metabolic syndrome.

      PubDate: Fri, 19 Dec 2014 14:38:50 GMT
       
  • Occupational Overuse Syndrome (Technological Diseases): Carpal Tunnel
           Syndrome, a Mouse Shoulder, Cervical Pain Syndrome

    • Abstract: 2014-11-13T08-33-20Z
      Source: Acta Informatica Medica
      Merita Tiric-Campara, Ferid Krupic, Mirza Biscevic, Emina Spahic, Kerima Maglajlija, Zlatan Masic, Lejla Zunic, Izet Masic.
      Technological diseases are diseases of the modern era. Some are caused by occupational exposures, and are marked with direct professional relation, or the action of harmful effects in the workplace. Due to the increasing incidence of these diseases on specific workplaces which may be caused by one or more causal factors present in the workplace today, these diseases are considered as professional diseases. Severity of technological disease usually responds to the level and duration of exposure, and usually occurs after many years of exposure to harmful factor. Technological diseases occur due to excessive work at the computer, or excessive use of keyboards and computer mice, especially the non-ergonomic ones. This paper deals with the diseases of the neck, shoulder, elbow and wrist (cervical radiculopathy, mouse shoulder and carpal tunnel syndrome), as is currently the most common diseases of technology in our country and abroad. These three diseases can be caused by long-term load and physical effort, and are tied to specific occupations, such as occupations associated with prolonged sitting, working at the computer and work related to the fixed telephone communication, as well as certain types of sports (tennis, golf and others).

      PubDate: Tue, 04 Nov 2014 10:31:02 GMT
       
  • The Most Influential Scientists in the Development of the Medical
           Informatics (2): Morris F. Collen

    • Abstract: 2014-11-13T08-33-20Z
      Source: Acta Informatica Medica
      Izet Masic.


      PubDate: Fri, 31 Oct 2014 00:21:41 GMT
       
  • Identification of an Alternate Maxillary Apical Base Landmark from
           Pre-existing Substitutions

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Kunal S. Patel, Narayan Kulkarni, Varun Pratap Singh, Kartik Parikh.
      Background: Cephalometrically the position of maxilla is usually assessed by point A, which is one of the most common cephalometric landmarks used for spatial analysis of maxilla, however in certain scenarios we require a alternative landmark. Aims: In this study a nearest alternative maxillary apical base landmark was identified for Point A substitutions given by different authors. Methods and Material: A cross sectional study was conducted on thirty (30) good quality lateral cephalograms. Only those lateral cephalograms were selected where Point A was easily identified. Landmarks: Sella (S), Nasion (N), Point A and three substitution points Y, L, X were traced. Angles formed by SN with Point A (Angle SNA) and three substitution points (Angle SNY, SNX, SNL) were measured. Correlation of angle SNA with angles SNY, SNX and SNL were derived. Statistical analysis used: Results: Mean and standard deviation for Angles SNA, SNY, SNL and SNX were calculated individually for males and females. ‘T’ Test was applied to determine statistical significance for all the parameters i.e Age, Angles SNA, SNY, SNL and SNX respectively. Karl Pearson correlation coefficient was carried out to determine the statistical significant correlation for Angle SNA with SNY, SNL and SNX. Results: A mean value of 82.80 ±1.90, 83.10 ±1.80, 78.30 ±2.90 and 78.70 ±2.70 for Angle’s SNA, SNY, SNL and SNX respectively was observed. A statistically significant correlation was observed between angles SNA & SNY, SNL, SNX & strong positive correlation was observed with angle SNY. Conclusions: We conclude that Point Y is the most nearing maxillary apical base landmark to Point A. Hence maxillary apical base landmark can be substituted by Point Y where identification of point A is not obvious.

      PubDate: Wed, 29 Oct 2014 10:25:55 GMT
       
  • A Design Protocol to Develop Radiology Dashboards

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Mahtab Karami.
      Aim: The main objective of this descriptive and development research was to introduce a design protocol to develop radiology dashboards. Material and methods: The first step was to determine key performance indicators for radiology department. The second step was to determine required infrastructure for implementation of radiology dashboards. Infrastructure was extracted from both data and technology perspectives. The third step was to determine main features of the radiology dashboards. The fourth step was to determine the key criteria for evaluating the dashboards. In all these steps, non-probability sampling methods including convenience and purposive were employed and sample size determined based on a persuasion model. Results: Results showed that there are 92 KPIs, 10 main features for designing dashboards and 53 key criteria for dashboards evaluation. As well as, a Prototype of radiology management dashboards in four aspects including services, clients, personnel and cost-income were implemented and evaluated. Applying such dashboards could help managers to enhance performance, productivity and quality of services in radiology department.

      PubDate: Wed, 29 Oct 2014 10:23:46 GMT
       
  • Outcome of Endovenous Laser Ablation of Varicose Veins

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Nedzad Rustempasic, Alemko Cvorak, Alija Agincic.
      Introduction: In Bosnia and Herzegovina according to available data, treatment of incompetent superficial lower extremity varicose veins by endovenous laser ablation (EVLA) has been introduced two years ago and so far no paper has been published regarding results of EVLA treatment of patients from our country. We wanted to present our results with EVLA treatment. Aim of study: to evaluate and compare primary posttreatment outcomes of endovenous laser ablation (EVLA) with classical surgical method of varicose vein treatment. Patients and methods: The study was clinical and prospective. It was carried out at Clinic for vascular surgery in Sarajevo where fifty-eight (58) patients received surgical treatment for varicose veins and in Aesthetic Surgery Center “ Nasa mala klinika“ in Sarajevo were sixty-one (61) patients with varicose veins were treated by endovenous laser ablation. Total 119 patients (limbs) with pathologic reflux only in great saphenous vein were evaluated between 1st of January 2013 and 31st of April 2014. Following primary outcome endpoints were evaluated: mean day of return to normal everyday activities, patient subjective quantification of pain during first seven days after intervention, incidence of deep venous thrombosis (DVT), incidence of wound bleeding requiring surgical intervention, incidence of peri-saphenous vein hematoma and infection rate. Results: Mean of return to normal activities (expressed in days after intervention); EVLA vs. stripping (surgery) =1.21vs12.24, T test 13,619; p=0, 000, p0,05 , respectively.) Conclusion: EVLA offers better patient recovery in terms of significantly lower post treatment pain, faster return to everyday activities and lower incidence of bruising (hematomas).

      PubDate: Wed, 29 Oct 2014 10:20:39 GMT
       
  • Organizational Factors that Affect the Implementation of Information
           Technology: Perspectives of Middle Managers in Iran

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Hosein Barzekar, Mahtab Karami.
      Objective: to examine the organizational factors affecting the application of information technology in hospitals. Since the organizational factors are one of the most important determinants of successful projects, by understanding their impact and identifying them it can help planning a systematic IT implementation. Methods: In this cross-sectional descriptive study 110 middle managers were chosen from teaching hospitals. Structured questionnaire was used for the data collection. Results: There was a significant relationship between organization resource, organizational knowledge, process, management structure and values and goals with implementation of information technology. Conclusion: Findings showed that organizational factors had a considerable impact on implementation of information technology. Top managers must consider the important aspects of effective organizational factors.

      PubDate: Wed, 29 Oct 2014 10:19:27 GMT
       
 
 
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