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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]
  • 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
       
  • Survey Determinant Factors of Telemedicine Strategic Planning from the
           Managers and Experts Perspective in the Health Department, Isfahan
           University of Medical Sciences

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Hamid Keshvari, Asefeh Haddadpoor, Behjat Taheri, Mehran Nasri, Pezhman Aghdak.
      Introduction: Awareness of Outlook, objectives, benefits and impact of telemedicine technology that can promote services quality, reduce costs, increase access to Specialized and subspecialty services, and immediately guide the health system subconsciously to the introduction greater use of technology. Therefore, the aim of this study was to determine the strengths, weaknesses, opportunities and threats in the telemedicine strategic planning from the managers and experts perspective in the health department, Isfahan University of Medical Sciences, in order to take a step towards facilitating strategic planning and approaching the equity aim in health in the province. Method: This is a descriptive–analytical study, that data collection was done cross-sectional. The study population was composed of all managers and certified experts at the health department in Isfahan university of Medical Sciences. The sample size was 60 patients according to inclusion criteria. Information was collected by interview method. Researcher attempted to use the structured and specific questionnaire Then were investigated the viewpoints of experts and managers about determinative factors (strengths, weaknesses, opportunities and threats) in the strategic planning telemedicine. Data were analyzed using descriptive statistics (frequency, mean) and software SPSS 19. Results: Data analysis showed that change management (100%) and continuity of supply of credit (79/3%) were weakness point within the organization and strengths of the program were, identity and health telemedicine programs (100%), goals and aspirations of the current directors of the organization and its compliance with the goals of telemedicine (100%), human resources interested using computers in daily activities in peripheral levels (93/1%). Also organization in the field of IT professionals, had opportunities, and repayment specialist’s rights by insurance organizations is a threat for it. Conclusions: According to the strengths, weaknesses, opportunities and threats points determined by managers and experts, and compare it with success and failure factors, which are defined by different researchers, it seems will be fail to implement of telemedicine in the province at present. But according to the strengths identified by managers and experts, there are a lot of potential for telemedicine in the province, and may be used, in relation to telemedicine projects, with a 3 or 5 year strategic plan, and taking steps to get closer to the equity aim in health.

      PubDate: Wed, 29 Oct 2014 10:18:17 GMT
       
  • Telemetric Detection of Chronic Obstructive Pulmonary Disease and
           Investigation of Quality of Life for People Working in Shipbuilding
           Industry

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Agoritsa Koulouri, Konstantinos Gourgoulianis, Chryssi Hatzoglou, Zoe Roupa.
      Introduction: Chronic Obstructive Pulmonary Disease (COPD) has a significant impact on quality of life-related health. Aim: It was the detection of Chronic Obstructive Pulmonary Disease by using telemetric methods and the investigation of the quality of life for people working in Shipbuilding Industry compared with a control group. Methods: A group of one hundred men working in the shipbuilding industry aged 51.8 ± 8.2 years old and a control group of one hundred men of the general population aged 51.1 ± 6.4 years were studied. All participants completed the General Health Questionnaire – 28, the Fagerstrom test and a form with demographic characteristics. Pulmonary function test results were electronically sent to a specialist for evaluation. Results: People working in the shipbuilding zone had significantly lower values (p

      PubDate: Wed, 29 Oct 2014 10:16:47 GMT
       
  • Evaluation of Extracorporeal Shock Wave Lithotripsy (ESWL): Efficacy in
           Treatment of Urinary System Stones

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Dzelaludin Junuzovic, Jelena Kovacevic Prstojevic, Munira Hasanbegovic, Zahid Lepara.
      Introduction: Elimination of stone is determined by size and its localization. Stone from the ureter in 80% of cases can be eliminated spontaneously. If the stone by its characteristics is not spontaneously eliminated, taken are further steps and therapeutic protocols to solve this problem. Material and methods: The study was prospective, open and comparative. It was conducted at the Urology Clinic Clinical Center of Sarajevo University in the period from 2007 to 2013. The study included 404 patients with urinary tract lithiasis treated by ESWL. ESWL treatment is performed on the machine Siemens Model Lithostar Multiline, which has a combined ultrasonographic and fluoroscopic display, large energy density in order to obtain optimum focus (without damaging surrounding tissue) and minimal pain that on rare occasions requires for mild sedation-sedation. Results: From a total of 404 patients included in the study there were 234 (57.92%) male and 170 (42.08%) female patients. The most common type of stone both in female and male patients was calcium type. From a total of 262 calcium stones, 105 of them (40.07%) was present in female patients and 157 (59.92%) in male. Share of infectious type of stone in female patients was 63 (49.60%) and 64 among males (50.39%). Other stones were less abundant in both the gender groups and their total number was only 17. In women their frequency was 2 (13.33%) and 13 among males (86.67%). There was a significant difference in the frequency of different types of stones by gender (χ2 = 11.47, p = 0.009). Conclusion: There was no statistically significant correlation between the number of treatments and localization of stones in the ureter, as well as a statistically significant correlation between the size of the stone and the localization of calculus in the ureter.

      PubDate: Wed, 29 Oct 2014 10:14:36 GMT
       
  • Ultrasound Measurement of Cervical Length as Predictor of Threatened
           Preterm Birth: a Predictive Model

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Mohammad Abou El-Ardat, Fatima Gavrankapetanovic, Khalil A. Abou El-Ardat, Sanjin Dekovic, Senad Murtezic, EldarMehmedbasic, Nadja Hiros.
      Introduction: The incidence of preterm delivery has been increasing even in developed countries and remains a serious problem for fetuses and neonates. Although many predictors for preterm delivery have been proposed, complete prediction and prevention have not yet been established. Aims: To examine the potential association between sonographic measurement of cervical length and threatened preterm birth (TPTB) in pregnant woman at 24-36 weeks of gestation. Materials and methods: A cross-sectional study included a total of 360 pregnant woman at 24-36 weeks of gestation categorized in two groups: TPTB group (n=160) and non TPTB group (n=200). The study was carried out at the Department of Obstetrics and Gynecology of the Clinical Center University of Sarajevo (KCUS). Sociodemographic and clinical characteristics of patients were obtained from medical records and physical examination by gynecologist. Transvaginal sonography was carried out by GE Voluson 730. Results: There was a significant association between TPTB and sonographic measurement of cervical length

      PubDate: Wed, 29 Oct 2014 10:13:13 GMT
       
  • Preoperative Kidney Tumor Embolization as Procedure for Therapy of
           Advanced Kidney Cancer

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Suad Jaganjac, L. Schefe, Edin Avdagi&#;, Hajrudin Spahovi&#;, Mustafa Hiros.
      Introduction: Preoperative kidney tumor embolization is standard procedure for therapy in advanced kidney cancer. Preoperative embolization has a goal to reduce intraoperative bleeding and also to shorten the time of surgery. Materials and methods: We retrospectively observed 50 patients between 2000-2011, in which the preoperative embolization was performed. Mean age of patients was 64 years. All patients with preoperative embolization were compared with the group of 51 patients from Urology Sarajevo, who underwent nephrectomy without preoperative embolization. Results: Symptoms that are dominating among patients were haematuria and pain. Analysis of mean size of tumors based on CT evaluation showed statistically significance in between the biggest size of tumors in group from Hamburg( 9.11±3cm) and the smallest size of tumors in Sarajevo group (4.94±1.6cm) p=0.0001. Reason for this is difference in selection of patients for treatment in Hamburg from Sarajevo. Conclusion: Kidney as functional finishing organ is extremely suitable for transcatheter therapeutic procedures. The gold standard in the treatment of advanced and metastatic tumor is the nephrectomy. As preparation for nephrectomy in metastatic cancer total capillary embolization is performed. After embolization, surgery is shorter, procedure can be done 24-48 hours after embolization or delayed nephrectomy done 2-3 weeks after the intervention.

      PubDate: Wed, 29 Oct 2014 10:12:04 GMT
       
  • Back Pain in Children and Diagnostic Value of 99mTc MDP Bone Scintigraphy

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Khaled Alkhawaldeh, Ali AL Ghuweri, Jane Kawar, Amany Jaafreh.
      Aim: The aim of our study is to assess the diagnostic value of Technituim-99m-Methyle diphosphonate (99mTc-MDP) Bone scintigraphy in the assessment of children with back pain. Methods: Included in this retrospective study were 68 child referred to us complaining of back pain (mean age of 13+ 2). There were 45 boys and 23 girls. All children have been investigated with conventional x-ray which revealed normal or inconclusive result. All underwent bone scintigraphy after the injection of 99mTc-MDP with calculated doses according to there body weights. Results: Bone scintigraphy revealed 17 (25%) abnormal scans in 11 boys and 6 girls. Scans findings were suggestive of spondylolysis (n=4); malignancy including primary tumors and metastases (n=3); infection including osteomyelitis and discitis (n=3); sacroiliitis (n=2); benign tumors (n=2); pseudo fractures in ribs (n=1); necrosis in femoral head epiphysis(n=1) and nonskeletal- renal retention due to hydronephrosis (n=1). Sensitivity, specificity and accuracy of bone scan in detecting gross skeletal abnormality as a cause for back pain were 94% and 100% and 99% respectively. Conclusion: Bone isotope scan is a sensitive imaging modality in the assessment of pediatric patients with back pain. It is a reliable modality to detect and role out most benign and aggressive serious etiologies.

      PubDate: Wed, 29 Oct 2014 10:10:32 GMT
       
  • The Perceptions of Professionalism by 1st and 5th Grade Medical Students

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Zalika Klemenc-Ketis,, Helena Vrecko.
      Introduction: Professionalism is essential for the development of mature physicians but not much education is devoted to that theme. Aim: We aimed to determine the views of undergraduate medical students on medical professionalism. Methods: This was a qualitative study, based on focus groups of the first and fifth-year undergraduate medical students. Transcripts of the focus groups were independently evaluated by two researches. Segments of transcripts, identified as important, were marked as verbatims. A grounded theory method with open coding was applied. A list of codes was developed and reviewed by both researchers until the consensus was reached. Then, the codes were reviewed and put into the categories and dimensions. Results: Students recognized 10 main medical professionalism dimensions (empathy, respect, responsibility, autonomy, trust, communication, difference between professional and private life, team work, partnership) and two dimensions associated with it (physician’s characteristics, external factors). Slight change of the attitudes towards a more self-centred future physicians’ figure was observed in the fifth-year medical students. Conclusion: The students have an appropriate picture of the physicians’ figure even at the beginning of their medical studies but still needs an education in professionalism. It seems that the fifth-year students perceive physicians as more self-centred when compared to their first-year colleagues.

      PubDate: Wed, 29 Oct 2014 10:09:02 GMT
       
  • Intelligent Data Analysis: the Best Approach for Chronic Heart Failure
           (CHF) Follow Up Management

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Niloofar Mohammadzadeh, Reza Safdari, Alireza Baraani, Farshid Mohammadzadeh.
      Objective: Intelligent data analysis has ability to prepare and present complex relations between symptoms and diseases, medical and treatment consequences and definitely has significant role in improving follow-up management of chronic heart failure (CHF) patients, increasing speed ​​and accuracy in diagnosis and treatments; reducing costs, designing and implementation of clinical guidelines. The aim: The aim of this article is to describe intelligent data analysis methods in order to improve patient monitoring in follow and treatment of chronic heart failure patients as the best approach for CHF follow up management. Methods: Minimum data set (MDS) requirements for monitoring and follow up of CHF patient designed in checklist with six main parts. All CHF patients that discharged in 2013 from Tehran heart center have been selected. The MDS for monitoring CHF patient status were collected during 5 months in three different times of follow up. Gathered data was imported in RAPIDMINER 5 software. Results: Modeling was based on decision trees methods such as C4.5, CHAID, ID3 and k-Nearest Neighbors algorithm (K-NN) with k=1. Final analysis was based on voting method. Decision trees and K-NN evaluate according to Cross-Validation. Conclusion: Creating and using standard terminologies and databases consistent with these terminologies help to meet the challenges related to data collection from various places and data application in intelligent data analysis. It should be noted that intelligent analysis of health data and intelligent system can never replace cardiologists. It can only act as a helpful tool for the cardiologist’s decisions making.

      PubDate: Tue, 14 Oct 2014 04:46:28 GMT
       
  • Correlation Between the Findings of Optical Coherent Retinal Tomography
           (OCT), Stereo Biomicroscopic Images from Fundus of an Eye and Values from
           Visual Acuity of Diabetic Macular Edema

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Faruk Nisic, Samir Turkovic, Milka Mavija, Nina Jovanovic, Emina Halilovic-Alimanovic.
      Introduction: Diabetic maculopathy is the major cause of reduced visual acuity in patients with non-proliferative diabetic retinopathy and occurs on average in 29% of patients who have diabetes for 20 or more years. The aim: The aim of this study is to re examine the correlation between the findings of optical coherence retinal tomography, stereo biomicroscopic images from fundus of an eye and values from visual acuity of diabetic macular edema. In addition, the aim is to show the importance of various ophthalmic tests for establishing diagnosis in time. Material and methods: The research sample consisted of 90 subjects-patients from Cabinet for photographic documentation, fluorescein angiography and laser photocoagulation in Department of Ophthalmology at the University Clinical Centre in Sarajevo. The study was a one-year long, prospective, clinical and manipulative. Results: Research has shown a positive correlation between the various tests that are applied for the diagnosis of diabetic macular edema. Accurate and early diagnosis is of great importance for the treatment in time of this disease by applying laser photocoagulation, intravitreal injections of Anti-VEGF drugs or surgical treatment by Pars Plana Vitrectomy.

      PubDate: Mon, 08 Sep 2014 22:59:35 GMT
       
  • The Most Influential Scientists in Development of Medical Informatics (1)

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Izet Masic.


      PubDate: Thu, 21 Aug 2014 11:55:32 GMT
       
  • Critical Thinking: The Development of an Essential Skill for Nursing
           Students

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Ioanna V. Papathanasiou, Christos F. Kleisiaris, Evangelos C. Fradelos, Katerina Kakou, Lambrini Kourkouta.
      Critical thinking is defined as the mental process of actively and skillfully perception, analysis, synthesis and evaluation of collected information through observation, experience and communication that leads to a decision for action. In nursing education there is frequent reference to critical thinking and to the significance that it has in daily clinical nursing practice. Nursing clinical instructors know that students face difficulties in making decisions related to clinical practice. The main critical thinking skills in which nursing students should be exercised during their studies are critical analysis, introductory and concluding justification, valid conclusion, distinguish of facts and opinions, evaluation the credibility of information sources, clarification of concepts and recognition of conditions. Specific behaviors are essentials for enhancing critical thinking. Nursing students in order to learn and apply critical thinking should develop independence of thought, fairness, perspicacity in personal and social level, humility, spiritual courage, integrity, perseverance, self-confidence, interest for research and curiosity. Critical thinking is an essential process for the safe, efficient and skillful nursing practice. The nursing education programs should adopt attitudes that promote critical thinking and mobilize the skills of critical reasoning.

      PubDate: Thu, 21 Aug 2014 11:54:36 GMT
       
  • Telemedicine in Gastroenterohepatology

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Muharem Zildzic, Nizama Salihefendic, Ferid Krupic, Emina Beganovic, Lejla Zunic, Izet Masic.
      Telemedicine itself is not the medical profession, it is not a medical specialty, but the way in which the medical profession conduct its activity. Therefore we are talking about tele otorhinolaryngology, tele cardiology or tele pathology. In the definition of a multitude of telemedicine that can be found in the literature is the following: Telemedicine is a system that supports the process of health care by providing ways and means for more efficient exchange of information that allows multitude of activities related to health care, including health care and health personnel, including education, administration and treatment. Telemedicine applications include: tele diagnosis, tele consultation, tele monitoring, tele-care, tele consultations and remote access to information contained in one or more databases. It turned out that telemedicine is an important factor in technological, professional, financial and organizational uniformity of development of the health system. Telemedicine, although a new area, to a large extent already changed the ways of providing health care, and even more influence on the ways of designing the future of medicine.

      PubDate: Thu, 21 Aug 2014 11:53:08 GMT
       
  • The Status of Hospital Information Systems in Iranian Hospitals

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Maryam Jahanbakhsh, Mohammed Sharifi, Masar Ayat.
      Background: The area of e-Health is broad and has an excellent growth potential. An increasing number of experts believe that e-Health will fuel the next breakthroughs in health system improvements throughout the world, but there is frequent evidence of unsustainable use of e-Health systems in medical centres, particularly hospitals, for different reasons in different countries. Iran is also a developing country which is presently adopting this promising technology for its traditional healthcare delivery but there is not much information about the use of e-Health systems in its hospitals, and the weakness and opportunities of utilization of such Hospital Information Systems (HIS). Methods: For this research, a number of Hospitals from Isfahan, Iran, are selected using convenient sampling. E-health research professionals went there to observe their HIS and collect required data as a qualitative survey. The design of interview questions was based on the researchers’ experiences and knowledge in this area along with elementary interviews with experts on HIS utilization in hospitals. Results: Efficient administration of e-health implementation improves the quality of healthcare, reduces costs and medical errors, makes healthcare resources available to rural areas, etc. However, there are numerous issues affecting the successful utilization of e-health in Hospitals, such as a lack of a perfect HIS implementation plan and well-defined strategy, inadequate IT-security for the protection of e-health-related data, improper training and educational issues, legal challenges, privacy concerns, improper documentation of lessons learned, resistance to the application of new technologies, and finally a lack of recovery plan and disaster management. These results along with some informative stories are extracted from interview sessions to uncover associated challenges of HIS utilization in Iranian hospitals. Conclusion: The utilization of e-health in Iranian hospitals, particularly those in Isfahan, is subject to several challenges and there is no proper long-term strategy plans for HIS initiation, development, and improvement in Iranian hospitals. In order to address these problems, six recommendations are provided. Hence, human resource and e-health professionals from third party consultancy companies along with medical university scholars have to assist such hospitals to undertake the proposed solutions in order to provide proper plans to overcome future challenges and have a mature HIS in accordance with expected HIS utilization from hospitals and medical universities.

      PubDate: Thu, 21 Aug 2014 11:51:02 GMT
       
  • Bibliometric Analysis of Stem Cell Publications in Iran

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Shafi Habibi, Maryam Ahmadi, Shahram Sedghi, Fateme Hosseini.
      Objective: The purpose of this study is to examine qualitative and quantitative states of stem cell research in Iran in order to extract information production patterns. Methods: The data were extracted by searching through the Science Citation Index (SCI) Expanded database related to January 2013. The number of published articles and frequency of their citation were used as indices of the quality and quantity of information production. Results: Total number of Iranian stem cell articles and proceedings indexed in Web of Science until 2012 was 709. The highest frequency belonged to the multiple institution category (45-50% of the articles during 2005-2012). The highest CPP rate (29.7) belonged to the international articles written by the authors from other countries with Iranian coauthors. Conclusion: Although cooperation between more authors from different institutions and countries can increase the quality of scientific articles, results of this research showed that international research must be distinguished in terms of author sequence.

      PubDate: Thu, 21 Aug 2014 11:47:38 GMT
       
  • Evaluation of the Scientific Outputs of Researchers with Similar H Index:
           a Critical Approach

    • Abstract: Publication year: 2014
      Source:Acta Informatica Medica
      Hemmat Gholinia Ahangar,, Hasan Siamian, Mousa Yaminfirooz.
      Background and Purpose: h-index has been always reviewed as one of the most useful criteria for evaluating the scientific outputs of researchers by the sciencometric experts. In this study, the h-index of 40 Iranian researchers accompanied with its relationship to assessment criteria of scientific outputs such as the number of articles, scientific age, number of citations and self-citation were reviewed. Materials and Methods: The first part of this study was related to the literature review. But the information of 40 Iranian researchers’ Citation Reports was observational extracted from WOS database and the Pearson correlation coefficient test was used to answer the research hypotheses. Results: Citation analysis showed that 40 selected researchers published 877 articles in web of science up to 9 January 2013. These articles have been cited 3858 time. The average of their h-index was estimated 38.5 ±12.12 Correlation coefficient test showed that there was a significant and direct relationship between the h-index and the number of papers, the number of citations and self-citation (Sig>0.05) but there was no significant relationship between scientific age and h-index (Sig> 0.05). Conclusions: Analysis of the data showed that the quantitative and qualitative indicators of the researchers with the same h-index had considerable differences. Therefore, only the h-index should not be a criterion for scientific ranking of the researchers and other complementary indexes such as M parameter and G index along with h-index must be used to be able to more accurately determine the degree of scientific influence of the researchers with the same h.

      PubDate: Thu, 21 Aug 2014 11:46:25 GMT
       
 
 
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