Authors:Emmanuel Kusi ACHAMPONG Pages: 31 - 36 Abstract: Electronic health records (EHR) have been changing how patients’ records are accessed and used in healthcare facilities. Teaching hospitals have been in the process of changing their patients’ records to electronic formats. These transformations make the EHR easily accessible to health professionals and improve the quality of patient service. Nevertheless, the implementation of EHR has come with challenges for medical students’ access to patients for their training. There have been legal and ethical challenges that come with access to the EHR by medical students. Generally, medical students cannot have access to the EHR for the training. This can affect the training of medical students who are eventually going to use the EHR to provide service to patients. This paper considers EHR access and its uses by medical students. PubDate: 2022-06-30 Issue No:Vol. 44, No. 2 (2022)
Authors:Michael OLAND, Virginia NICULESCU Pages: 37 - 47 Abstract: As healthcare and care management is a people-centric endeavor, the processes and workflows involved are ripe for efficiency gains. One historic business approach to streamlining processes is using workflow or business process management systems and techniques. A process is defined as a set of steps, or tasks, that are undertaken to get something done. In business, processes are typically divided into core and support processes, with core processes being the primary value creation processes while support processes are there to allow the primary processes to be complete. A similar division of healthcare processes exists involving organizational and medical treatment. Within these classifications are several subcategories of processes that tend to split along complexity and repeatability lines. Business process management has a similar division of processes, called production processes and knowledge-intensive processes. Over time, two different approaches to handling these processes have evolved: workflow management systems and adaptive or dynamic case management. Given how the split in business processes parallels the separation in health care processes, we argue that workflow and case management techniques and tools can efficiently solve similar problems in the health care domain. This paper provides a comparative analysis of the classical workflow-systems versus case-management techniques. To illustrate their specific advantages in a practical way, we demonstrate how they can or have been applied to sample processes, such as radiology, telehealth management, and care coordination. PubDate: 2022-06-30 Issue No:Vol. 44, No. 2 (2022)
Authors:Cristian DINU, Ionuţ MARELE, Oana ALMĂŞAN, Raluca ROMAN, Mihaela BĂCIUŢ, Mihaela HEDEŞIU Pages: 48 - 56 Abstract: Purpose: The aim of this study was to evaluate the number of maxillofacial fractures and their characteristics. Materials and methods: A retrospective, analytical, and observational study was performed. The research was conducted over a one-and-a-half-year period, between January 2017 to August 2018. The inclusion criteria were the presence of fracture on a radiological examination. The exclusion criteria were the absence of a maxillofacial fracture as well as patients with incomplete data. Age, gender, place of residence, diagnosis, concomitant fractures, the origin of trauma, imaging examinations, type of surgical therapy, and the number of days of hospitalization were assessed. Results: The data for this study originated from the results of observations of 139 patients hospitalized at the Oral and Maxillofacial Surgery Clinic. The sample's mean age was 35.53 years (SD: 17.45 years), and 86.3% of the subjects were males. Seventy-one cases (51.08%) were from urban areas. Fracture of the mandible (n=78; 56.1%) was the most common diagnosis, followed by fracture of the zygomatic bone (n=33; 23.74%). The most common associated fractures were fractures of the mandible in multiple locations (37.05%) and the LeFort fracture type (n=7, 5%). Aggression was the most prevalent etiological cause (48.2%), followed by accidental falls (23%). For the duration of the patients’ hospitalization, the mean occupancy rate was 3.31 days. Treatment comprised closed fracture reduction (41.2% of patients), followed by open reduction and immobilization in 29% of the subjects. Conclusions: Current treatment approaches and developing prevention strategies are essential for trauma outcomes and patients’ quality of life. PubDate: 2022-06-30 Issue No:Vol. 44, No. 2 (2022)
Authors:Valeriu Mihai BUT, Dinu BOLUNDUŢ, Sorana Daniela BOLBOACĂ, Adriana Elena BULBOACĂ Pages: 57 - 72 Abstract: Our study evaluated the medical student's attitude toward online medical training implementation during COVID-19 lockdown in a single university. A questionnaire was developed and distributed to the undergraduate students at the Faculty of Medicine, Iuliu Haţieganu University of Medicine and Pharmacy, Romania. Following a cross-sectional design, the study was carried out from May 20th to August 20th 2020. We studied the differences between the responses of Medicine students (Medicine) and other specializations (OtherS), respectively between three groups according to the year of the study (freshman - Fr first year, sophomores - So intermediate years, and seniors - Se last year of study). The Medicine students' attitude towards online professional education was significantly different than OherS (students with other specialties than Medicine) concerning 6 out of 11 questions (P-values < 0.018). Similar, significant differences were observed on 7/11 questions when comparing Fr, So, Se (P-values < 0.015), but only 4/7 differences were similar to Medicine vs. OtherS. The participants agreed that online education helped continue the academic year in the context of COVID-19 pandemic, but the medical skills development has suffered. Our study showed that students' needs, as well as their perceptions, are different both between specializations (Medicine vs. OtherS) as well as years of study (Fr, So, and Se). PubDate: 2022-06-30 Issue No:Vol. 44, No. 2 (2022)
Authors:Ilie-Andrei CONDURACHE, Sorana D. BOLBOACĂ Pages: 73 - 86 Abstract: Introduction: The act of plagiarism is represented by using someone else’s information or research without the author’s consent and/or without the author’s full acknowledgement. Detection of plagiarism can be easily made using computer software that identifies fragments of texts as not original. Aim: This study aimed to highlight and compare the performance in detecting a specific type of plagiarism (copy-paste) in different types of documents between free and commercial software. Material and Method: A document of 808 words was created using eight fragments of texts from eight different sources. Two other versions of the document were then created: one with approximately 43% of the text similar and another with the entire text paraphrased. Seven software programs were used for the similarity analysis of each of the three texts (4 commercial and 3 free). Results: The original document showed differences in detection performances (Turnitin – 97% observed similarity, and Plagiarism detector – 93% observed similarity, had the highest performance). In the document with 43% similarity, the performance was affected across all programs, but Plagiarism detector had the best performance (43% observed similarity). None of the evaluated software could detect the original sources in the entire paraphrased document. Conclusion: Among the tested software, Turnitin proved to be the best commercial software and Plagiarism detector the best free software for testing academic documents similarity, differences between them being minimal. PubDate: 2022-06-30 Issue No:Vol. 44, No. 2 (2022)
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