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Internet-of-things based machine learning enabled medical decision support system for prediction of health issues 基于物联网的机器学习医疗决策支持系统,用于预测健康问题
Q2 MEDICAL INFORMATICS Pub Date : 2023-11-12 DOI: 10.1007/s12553-023-00790-y
Manju Lata Sahu, Mithilesh Atulkar, Mitul Kumar Ahirwal, Afsar Ahamad
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引用次数: 0
Improvement of outpatient service processes: a case study of the university of Hong Kong-Shenzhen hospital 门诊服务流程的改进:以香港大学深圳医院为例
Q2 MEDICAL INFORMATICS Pub Date : 2023-11-10 DOI: 10.1007/s12553-023-00788-6
Jingsong Chen, Bráulio Alturas
Abstract Purpose This work presents a case study of the University of Hong Kong-Shenzhen Hospital (HKU-SZH), which was the first to implement an outpatient appointments registration system. The research question is to determine which factors influence patient satisfaction most. Methods The study provides an anatomy of the hospital outpatient process through various methods and theories, including a literature review, field research, expert consultation, business process improvement (BPI) theory and information technology, with the aim of identifying the objectives and strategies of the hospital for improving its outpatient process. A quantitative analysis was performed using a questionnaire survey to identify the defects and weaknesses of the current model. The principles, methods and techniques of BPI theory are used to analyse various problems existing in the outpatient process and the extent of their influence. A structural equation model has been established for scientific and quantitative analysis, which can help identify the goals of optimization and measure improvement in the outpatient process and patient satisfaction. Results It was determined the source of inefficiency of the current outpatient service process. By means of outpatient process improvement, the study aims to increase the hospital’s efficiency and raise the level of patient satisfaction so that it may enhance its comprehensive competence. In addition, an effective and operable methodology will be generated, which is expected to serve as a reference for other hospitals to improve their operation and management. Conclusions It was found that service attitude, service value and waiting time have a significant influence on patient satisfaction.
摘要目的本研究以香港大学深圳医院为例,该医院是第一个实施门诊预约挂号制度的医院。研究的问题是确定哪些因素对患者满意度影响最大。方法通过文献综述、实地调研、专家咨询、业务流程改进(BPI)理论和信息技术等多种方法和理论对医院门诊流程进行剖析,以确定医院门诊流程改进的目标和策略。使用问卷调查进行定量分析,以确定当前模型的缺陷和弱点。运用BPI理论的原理、方法和技术,分析门诊过程中存在的各种问题及其影响程度。建立结构方程模型,进行科学定量分析,确定优化目标,衡量门诊流程改善程度和患者满意度。结果确定了当前门诊服务流程效率低下的原因。通过对门诊流程的改进,提高医院的效率,提高患者的满意度,从而提高医院的综合竞争力。此外,还将形成一套有效和可操作的方法,有望为其他医院改进运营和管理提供参考。结论服务态度、服务价值和候诊时间对患者满意度有显著影响。
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引用次数: 0
Artificial intelligence for healthcare in Africa: a scientometric analysis 人工智能在非洲的医疗保健:科学计量分析
Q2 MEDICAL INFORMATICS Pub Date : 2023-11-06 DOI: 10.1007/s12553-023-00786-8
Basile Njei, Ulrick Sidney Kanmounye, Mouhand F. Mohamed, Anim Forjindam, Nkafu Bechem Ndemazie, Adedeji Adenusi, Stella-Maris C. Egboh, Evaristus S. Chukwudike, Joao Filipe G. Monteiro, Tyler M. Berzin, Akwi W. Asombang
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引用次数: 0
Selection of consistent breath biomarkers of abnormal liver function using feature selection: a pilot study 使用特征选择选择肝功能异常的一致呼吸生物标志物:一项初步研究
Q2 MEDICAL INFORMATICS Pub Date : 2023-11-06 DOI: 10.1007/s12553-023-00787-7
Rakesh Kumar Patnaik, Yu-Chen Lin, Ming Chih Ho, J. Andrew Yeh
Abstract Purpose Breath profiling has gained importance in recent years as it is a non-invasive technique to identify biomarkers for various diseases. Breath profiling of abnormal liver function in individuals for identifying potential biomarkers in exhaled breath could be a useful diagnostic tool. The objective of this study was to identify potential biomarkers in exhaled breath that remain stable and consistent during different physiological states, including rest and brief workouts, intending to develop a non-invasive diagnostic tool for detecting abnormal liver function. Method Our study employed a gas chromatography and mass-spectrometer quantified dataset for analysis. Machine learning techniques, including feature selection and model training, were used to rank and evaluate potential biomarkers' contributions to the model's performance. Statistical methods were applied to filter significant and consistent biomarkers. The final selected biomarkers were iterated for all possible combinations using machine learning algorithms to determine their accuracy range. Furthermore, classification models were used to evaluate the performance metrics of the biomarkers and compare models. Result The final selected biomarkers, including 2-Myristynoyl Pantetheine, Pterin-6 Carboxylic Acid, Methyl Mercaptan, N-Acetyl Cysteine, and Butyric Acid, exhibited stable levels in exhaled breath during different physiological states. They showed high accuracy and precision in detecting abnormal liver function. Our machine learning models achieved an accuracy rate ranging from 0.7 to 0.95 in all conditions, with precision, recall, prediction probability, and a 95% confidence interval ranging from 0.84 to 0.94, using various combinations of these biomarkers. Conclusion Our statistical and machine learning analysis identified significant and potential biomarkers that contribute to the detection of abnormal liver function. These biomarkers were consistent across different physiological states of the body in both patient and healthy groups. The use of breath samples and feature selection machine learning methods proved to be an accurate and reliable approach for identifying these biomarkers. Our findings provide valuable insights for future research in this field and can inform the development of non-invasive and cost-effective diagnostic tests for liver disease.
摘要目的近年来,呼吸谱分析作为一种非侵入性技术来识别各种疾病的生物标志物已经变得越来越重要。对个体异常肝功能进行呼吸谱分析,以识别呼出气体中的潜在生物标志物,可能是一种有用的诊断工具。本研究的目的是确定在不同生理状态下(包括休息和短暂锻炼)呼气中保持稳定和一致的潜在生物标志物,旨在开发一种检测肝功能异常的非侵入性诊断工具。方法采用气相色谱和质谱仪定量数据集进行分析。使用机器学习技术,包括特征选择和模型训练,对潜在生物标志物对模型性能的贡献进行排名和评估。采用统计学方法筛选具有显著性和一致性的生物标志物。最后选择的生物标志物使用机器学习算法迭代所有可能的组合,以确定其准确性范围。此外,使用分类模型来评估生物标志物的性能指标并比较模型。结果最终选择的生物标志物包括2-肉豆油酰基Pantetheine、Pterin-6 Carboxylic Acid、Methyl Mercaptan、N-Acetyl半胱氨酸和Butyric Acid,在不同的生理状态下呼出的气体中具有稳定的水平。检测肝功能异常具有较高的准确性和精密度。我们的机器学习模型在所有条件下的准确率范围为0.7至0.95,精度,召回率,预测概率和95%置信区间范围为0.84至0.94,使用这些生物标志物的各种组合。我们的统计和机器学习分析确定了有助于检测肝功能异常的重要和潜在的生物标志物。这些生物标志物在患者和健康组的身体不同生理状态中是一致的。使用呼吸样本和特征选择机器学习方法被证明是识别这些生物标志物的准确可靠的方法。我们的发现为该领域的未来研究提供了有价值的见解,并可以为肝病的非侵入性和成本效益诊断测试的发展提供信息。
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引用次数: 0
Radiotherapy infrastructure for brain metastasis treatment in Africa: practical guildelines for implementation of a stereotactic radiosurgery (SRS) program 非洲脑转移瘤放射治疗基础设施:实施立体定向放射外科 (SRS) 计划的实用指南
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2023-11-01 DOI: 10.1007/s12553-023-00799-3
Emmanuel Fiagbedzi, Francis Hasford, S. Tagoe, Andrew Nisbet
{"title":"Radiotherapy infrastructure for brain metastasis treatment in Africa: practical guildelines for implementation of a stereotactic radiosurgery (SRS) program","authors":"Emmanuel Fiagbedzi, Francis Hasford, S. Tagoe, Andrew Nisbet","doi":"10.1007/s12553-023-00799-3","DOIUrl":"https://doi.org/10.1007/s12553-023-00799-3","url":null,"abstract":"","PeriodicalId":12941,"journal":{"name":"Health and Technology","volume":"63 1","pages":"893 - 904"},"PeriodicalIF":2.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139292296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Significance of Digital Health Technologies (DHTs) to manage communicable and non-communicable diseases in Low and Middle-Income Countries (LMICs) 数字卫生技术(DHT)对中低收入国家(LMICs)管理传染性和非传染性疾病的意义
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2023-11-01 DOI: 10.1007/s12553-023-00792-w
Muhammad Aizaz, Faisal Khan, Babar Ali, Shahbaz Ahmad, Khansa Naseem, Smriti Mishra, Farrakh Ali Abbas, Guiwen Yang
{"title":"Significance of Digital Health Technologies (DHTs) to manage communicable and non-communicable diseases in Low and Middle-Income Countries (LMICs)","authors":"Muhammad Aizaz, Faisal Khan, Babar Ali, Shahbaz Ahmad, Khansa Naseem, Smriti Mishra, Farrakh Ali Abbas, Guiwen Yang","doi":"10.1007/s12553-023-00792-w","DOIUrl":"https://doi.org/10.1007/s12553-023-00792-w","url":null,"abstract":"","PeriodicalId":12941,"journal":{"name":"Health and Technology","volume":"13 1","pages":"883 - 892"},"PeriodicalIF":2.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139301681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Direct digital radiography: Exploring applications, misuse, and training needs in medical imaging 直接数字放射摄影:探索医学影像的应用、滥用和培训需求
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2023-11-01 DOI: 10.1007/s12553-023-00791-x
M. Abuzaid, W. Elshami, Ali Abdelrazig, Sonyia McFadden
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引用次数: 0
FAIR sharing of health data: a systematic review of applicable solutions 公平共享健康数据:对适用解决方案的系统审查
IF 2.5 Q2 MEDICAL INFORMATICS Pub Date : 2023-11-01 DOI: 10.1007/s12553-023-00789-5
Paul Guillot, M. Bøgsted, C. Vesteghem
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引用次数: 0
Factors influencing medical imaging technology uptake by private hospitals 影响民营医院医学影像技术应用的因素
Q2 MEDICAL INFORMATICS Pub Date : 2023-10-31 DOI: 10.1007/s12553-023-00774-y
Francisco Reyes-Santias, Octavio Cordova-Arevalo, Ivan Busto Dominguez, Manel Antelo
Abstract Purpose This article analyses the factors influencing the uptake of computed tomography (CT) and magnetic resonance imaging (MRI) technologies by a sample of private hospitals located in Galicia-North of Portugal European Region. Methods Regarding adoption, associations with the different variables were analysed by means of binary logistic regression for CT and MRI of data from 24 private hospitals for the period 2006–2019. The sample data used to perform the regression analyses were panel data (Wooldridge in Econometric Analysis of Cross Section and Panel Data, Cambridge, Massachusetts, 1) and statistical significance was established at p ≤ 0.05. Results We find that hospital size, proxied by the number of beds, best explains the decision to adopt CT technology, while the only sociodemographic variable that affects the adoption decision is age above 64 years. Hospital size is also the main explanatory variable for MRI technology adoption, and in this case, all sociodemographic variables, except for population density, affect the adoption decision. Conclusions The availability of a CT scanner reduces the probability of a private hospital adopting MRI technology. Contracts with Public Sector have a counterfactual effect on CT uptake and a negative influence on MRI uptake.
摘要目的分析影响葡萄牙北部加利西亚地区私立医院CT和MRI技术应用的因素。方法对2006-2019年24家民营医院的CT和MRI数据进行二元logistic回归分析,分析采用率与不同变量的相关性。进行回归分析的样本数据为面板数据(Wooldridge in Econometric Analysis of Cross Section and panel data, Cambridge, Massachusetts, 1), p≤0.05具有统计学显著性。结果我们发现医院规模(以床位数量为代表)最能解释采用CT技术的决定,而影响采用决策的唯一社会人口变量是64岁以上的年龄。医院规模也是MRI技术采用的主要解释变量,在这种情况下,除人口密度外,所有社会人口统计学变量都会影响采用决策。结论CT扫描仪的可用性降低了私立医院采用MRI技术的可能性。与公共部门的合同对CT吸收有反事实效应,对MRI吸收有负面影响。
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引用次数: 0
Trimodality image registration of ultrasound, cardiac computed tomography, and magnetic resonance imaging for transcatheter aortic valve implantation and replacement image guidance 超声、心脏计算机断层扫描和磁共振成像的三模态图像配准用于经导管主动脉瓣植入和置换术的图像引导
Q2 MEDICAL INFORMATICS Pub Date : 2023-10-23 DOI: 10.1007/s12553-023-00785-9
Aisyah Rahimi, Azira Khalil, Shahrina Ismail, Aminatul Saadiah Abdul Jamil, Muhammad Mokhzaini Azizan, Khin Wee Lai, Amir Faisal
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引用次数: 0
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