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Blood Glucose Regulation in Patients with Type 1 Diabetes by Robust Optimal Safety Critical Control 稳健性最优安全临界控制对1型糖尿病患者血糖调节的影响
Pub Date : 2021-06-17 DOI: 10.30699/fhi.v10i1.286
Navid Moshtaghi Yazdani, R. Kardehi Moghaddam
Introduction: Diabetes disease is a group of metabolic diseases in which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced. Designing an automated system for regulating blood glucose in patients with diabetes is a solution that researchers have been paying close attention to in recent years. Therefore, safety is the minimum requirement for safety-critical systems such as the artificial pancreas. The present study introduces a safe, robust, performance-guaranteed optimal controller that can safely regulate blood glucose in the disturbance.Material and Methods: In this section, first, regulate blood glucose levels in simulation studies is evaluated. For this purpose, a dynamic model is used. The model includes a virtual patient, an insulin pump, and a continuous blood glucose level sensor. The virtual patient model represents the dynamics of insulin-glucose, carbohydrate-glucose, and exercise-glucose.Results: The need to not reset the controller parameters for patients in each category is one of the suggested controller's benefits. However, the PID controller needs to reset the parameters for each group of patients, the predictive control method requires the estimated model of the patient, and its performance is different on different days because the insulin-glucose dynamics for an individual changes day by day.Conclusion: Taking into account different sensitivities of body tissue to insulin, the results of evaluating the controller for two different groups of patients have shown that the controller is resistant to day-to-day changes in patients who may experience changes in insulin sensitivity, even with stress or medication and will not lose its optimal function. Based on the simulation results, the proposed controller can reduce the external disturbances' effect, whose amplitude is to a good extent within the body's physiological range.
导语:糖尿病是一组代谢疾病,患者血糖升高,要么是因为胰腺不能产生足够的胰岛素,要么是因为细胞对产生的胰岛素没有反应。设计一种自动调节糖尿病患者血糖的系统是近年来研究人员密切关注的一个解决方案。因此,对于像人工胰腺这样的安全关键系统来说,安全性是最低要求。本研究介绍了一种安全、鲁棒、性能保证的最优控制器,可以在干扰下安全地调节血糖。材料与方法:在本节中,首先对调节血糖水平的模拟研究进行评价。为此,使用了动态模型。该模型包括一个虚拟病人、一个胰岛素泵和一个连续血糖水平传感器。虚拟患者模型代表胰岛素-葡萄糖、碳水化合物-葡萄糖和运动-葡萄糖的动态。结果:不需要为每个类别的患者重置控制器参数是建议的控制器的好处之一。但是PID控制器需要对每组患者的参数进行重置,预测控制方法需要对患者的模型进行预估,并且由于个体胰岛素-葡萄糖动态每天都在变化,因此PID控制器在不同日子的表现也不同。结论:考虑到身体组织对胰岛素的不同敏感性,对两组不同患者的控制器评估结果表明,即使在压力或药物作用下,控制器也能抵抗可能发生胰岛素敏感性变化的患者的日常变化,并且不会失去其最佳功能。仿真结果表明,所设计的控制器能够很好地减小外界干扰的影响,其幅度在人体的生理范围内。
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引用次数: 1
Evaluation of the effect of informing patients through text messaging on antibiotic prescription by physicians in outpatient setting: a study protocol 通过短信告知患者对门诊医师抗生素处方的影响评估:一项研究方案
Pub Date : 2021-05-14 DOI: 10.30699/fhi.v10i1.281
Hassan Vakili Arki, Ehsan Nabovati, M. Saberi, Pourya Eslami, Z. Taherzadeh, S. Eslami
Introduction: Irrational prescription of antibiotics has become a major global concern, and not only does it have health-related consequences, but it also affects countries’ overall economy. Based on reports and studies, antibiotics are prescribed in approximately 50% of prescriptions in Iran which can demand by patients as a major cause. It is anticipated that increasing the awareness and understanding of both physicians and patients, regarding the antibiotic use and resistance, could play an important role in the rational prescription of antibiotic medications. In this study, we will examine the effect of informing patients via text message right before their appointment on the proportion of prescribed antibiotic medications.Material and Methods: In this study, a randomized control trial (RCT) will be conducted. The setting in which the study will be carry out, consists of 64 physicians (29 general physician and 35 specialist). Unit of randomization will be physicians based on the proportion of their prescriptions that include antibiotic medications (PIA). The first arm of the study is the intervention group, which consists of the patients receiving three text messages in the clinic’s waiting rooms. The second arm is the control group, and consists of the patients who won’t be receiving any text messages. The content of the text messages focuses on the consequences of self-medication with antibiotics, the fact that the use of antibiotics is not an option for curing viral diseases including cold, and it also asks the patients not to demand antibiotics by trusting their physicians.Results: The main variable that will be measured is the proportion of prescriptions that include antibiotic medications.Conclusion: This trial will be the first one to evaluate the patients’ role in the proportion of prescriptions that include antibiotic medications. It is hypothesized that patients’ demand for antibiotic medication is one of the main causes of irrational antibiotic prescription by physicians.
不合理的抗生素处方已成为全球关注的主要问题,它不仅具有与健康相关的后果,而且还影响各国的整体经济。根据报告和研究,伊朗约50%的处方中使用抗生素,这可能是患者需求的主要原因。提高医患双方对抗生素使用和耐药性的认识和了解,将对合理处方抗生素发挥重要作用。在这项研究中,我们将检查在预约前通过短信通知患者对处方抗生素药物比例的影响。材料与方法:本研究采用随机对照试验(RCT)。该研究将在64名医生(29名普通医生和35名专科医生)的环境中进行。随机分组单位将根据医生处方中抗生素药物(PIA)的比例。研究的第一组是干预组,由在诊所候诊室接收三条短信的病人组成。第二组是对照组,由不接收任何短信的患者组成。这些短信的内容侧重于使用抗生素自行用药的后果,以及使用抗生素不是治疗包括感冒在内的病毒性疾病的一种选择的事实,并要求患者通过信任他们的医生而不要使用抗生素。结果:测量的主要变量是处方中含抗生素药物的比例。结论:该试验将首次评估患者在含抗生素药物处方比例中的作用。假设患者对抗生素药物的需求是医生不合理抗生素处方的主要原因之一。
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引用次数: 0
Investigation of Anti-Coronavirus, Anti-HCV, Nucleotide Inhibitors, and Bioactive Molecules efficacy Against RNA-directed RNA polymerase of Nipah Virus: Molecular Docking Study 抗冠状病毒、抗丙型肝炎病毒、核苷酸抑制剂和生物活性分子对尼帕病毒RNA定向RNA聚合酶的疗效研究:分子对接研究
Pub Date : 2021-03-03 DOI: 10.21203/RS.3.RS-294115/V1
Peter T. Habib
Introduction: The infections with the Nipah virus (NiV) are highly infectious and may lead to severe febrile encephalitis. High mortality rates in southeastern Asia, including Bengal, Malaysia, Papua New Guinea, Vietnam, Cambodia, Indonesia, Madagascar, the Philippines, Thailand, and India, have been reported in NiV outbreaks. Considering the high risk of an epidemic, NiV was declared a priority pathogen by the World Health Organization. However, for the treatment of this infection, there is no effective therapy or approved FDA medicines. RNA-dependent polymerase RNA (RdRp) plays an important role in viral replication among the nine well-known proteins of NiV.Material and Methods: Fourteen antiviral molecules have been computerized for NiV RNA-dependent RNA polymerase and demonstrated a potential inhibition effect against coronavirus (NiV-RdRp). A multi-step molecular docking process, followed by extensive analyzes of molecular binding interactions, binding energy estimates, synthetic accessibility assessments, and toxicity tests.Results: Molecular docking analysis reveals that Uprifosbuvir is the most suitable inhibitor for RdRp of Nipah Virus regarding the binding affinity and binding in the target cavity. Although, such studies need clinical confirmation.Conclusion: The role of anti-viral molecules as a ligand against RNA-dependent RNA polymerase is critical important in the current era. Computational tools such as molecular docking has proven its power in the analysis of molecules interaction. Our analysis reveals the Uprifosbuvir might be a candidate RdRp inhibitor. This study should further investigate the properties of the already identified anti-viral molecules followed by a pharmacological investigation of these in-silico findings in suitable models.
尼帕病毒感染具有高度传染性,可导致严重的发热性脑炎。在东南亚,包括孟加拉、马来西亚、巴布亚新几内亚、越南、柬埔寨、印度尼西亚、马达加斯加、菲律宾、泰国和印度,已经报告了NiV暴发的高死亡率。考虑到疫情的高风险,新冠肺炎被世界卫生组织宣布为优先病原体。然而,对于这种感染的治疗,没有有效的治疗方法或FDA批准的药物。RNA依赖聚合酶RNA (RNA-dependent polymerase RNA, RdRp)在病毒复制过程中起着重要作用。材料和方法:已有14种抗病毒分子被计算机化用于NiV RNA依赖的RNA聚合酶,并显示出对冠状病毒(NiV- rdrp)的潜在抑制作用。一个多步骤的分子对接过程,随后进行广泛的分子结合相互作用分析,结合能估计,合成可及性评估和毒性测试。结果:分子对接分析表明,从结合亲和力和靶腔内结合的角度来看,乌普非布韦是尼帕病毒RdRp最合适的抑制剂。虽然,这样的研究需要临床证实。结论:抗病毒分子作为RNA依赖性RNA聚合酶的配体在当今时代具有重要的作用。像分子对接这样的计算工具已经证明了它在分析分子相互作用方面的能力。我们的分析表明,乌普里斯布韦可能是一种候选的RdRp抑制剂。本研究应进一步研究已鉴定的抗病毒分子的特性,然后在合适的模型中对这些计算机上的发现进行药理学研究。
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引用次数: 1
Vaccine Design, Adaptation, and Cloning Design for Multiple Epitope-Based Vaccine Derived From SARS-CoV-2 Surface Glycoprotein (S), Membrane Protein (M) and Envelope Protein (E): In silico approach 基于SARS-CoV-2表面糖蛋白(S)、膜蛋白(M)和包膜蛋白(E)的多表位疫苗的设计、适应性和克隆设计
Pub Date : 2021-02-15 DOI: 10.30699/FHI.V10I1.279
Peter T. Habib
Introduction: The SARS Coronavirus-2 (SARS-CoV-2) pandemic has become a global epidemic that has increased the scientific community's concern about developing and finding a counteraction against this lethal virus. So far, hundreds of thousands of people have been infected by the pandemic due to contamination and spread. This research was therefore carried out to develop potential epitope-based vaccines against the SARS-CoV-2 virus using reverse vaccinology and immunoinformatics approaches.Material and Methods: The material of SARS-COV2 Surface Glycoprotein (S), Membrane Protein (M), and Envelope Protein (E) were downloaded from the NCBI protein database. Each protein has undergone epitopes prediction for MHC class I epitopes, MHC class II epitopes, and Antibody of B-cell epitopes. Selected epitopes according to their antigenicity score was tested for allergenicity and toxicity. Finally, filtered epitopes were used in vaccine construction. Vaccines were constructed, docked against Toll-like receptor 3, and undergone Molecular Dynamic simulation. The vaccine with the best scores, subjected to immune stimulation and cloning design.Results: Three vaccines were constructed, COVac-1, COVac-2, and COVac-3. Each vaccine was submitted into a deep investigation. The molecular dynamic simulation determines the stability and physical movement of protein atoms and molecules. After Molecular dynamics simulation, COVac-1 was having the best scores. COVac-1 was then subjected to immune simulation analysis to insure the stimulation of innate and adaptive immunity. After passing the immune simulation, COVac-1 was integrated into E.coli pET-30b plasmid using in silico cloning design.Conclusion:Viral pandemics are threatened to face humanity today. The best scenario to fight against any pandemic is utilizing the full power of computational biology, especially immune-informatics, to design and discover in silico new vaccines or molecules that may stimulate the immune system against the invader pathogens or inhibit the pathogen life cycle.
简介:SARS冠状病毒-2 (SARS- cov -2)大流行已成为全球流行病,这增加了科学界对开发和找到对抗这种致命病毒的对策的关注。到目前为止,由于污染和传播,已有数十万人感染了大流行。因此,开展这项研究是为了利用反向疫苗学和免疫信息学方法开发针对SARS-CoV-2病毒的潜在基于表位的疫苗。材料和方法:从NCBI蛋白数据库下载SARS-COV2表面糖蛋白(S)、膜蛋白(M)和包膜蛋白(E)的材料。每种蛋白都进行了MHC I类表位、MHC II类表位和b细胞表位抗体的表位预测。根据抗原评分选择表位进行致敏性和毒性检测。最后,筛选后的表位用于疫苗构建。构建了针对toll样受体3的疫苗,并进行了分子动力学模拟。获得得分最高的疫苗,进行免疫刺激和克隆设计。结果:构建了covac1、covac2和covac3 3种疫苗。每一种疫苗都经过了深入的调查。分子动力学模拟决定了蛋白质原子和分子的稳定性和物理运动。经过分子动力学模拟,covac1得分最高。然后对covac1进行免疫模拟分析,以确保对先天免疫和适应性免疫的刺激。免疫模拟通过后,采用硅克隆设计将covac1整合到大肠杆菌pET-30b质粒中。结论:病毒大流行今天正威胁着人类。对抗任何流行病的最佳方案是充分利用计算生物学,特别是免疫信息学的力量,在计算机上设计和发现新的疫苗或分子,这些疫苗或分子可以刺激免疫系统对抗入侵病原体或抑制病原体的生命周期。
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引用次数: 5
Artificial Intelligence in Colonoscopy: Improving Medical Diagnostic of Colorectal Cancer 人工智能在结肠镜检查中的应用:改善结直肠癌的医学诊断
Pub Date : 2020-03-04 DOI: 10.30699/FHI.V9I1.209
S. Bernard, A. A. Parikesit
Introduction- Colorectal cancer (CRC) is a development of abnormal cells either in colon or rectum. CRC considered being the 3rd leading cause of death in 2018 only behind lung and breast cancer. It first arises during pre-cancerous stages called as polyps. The detection and removal of polyp is important to increase the survival rate of patient. Various method of polyp detection are available. However, only colonoscopy remains the gold standard in detection and removal of polyps. Several studies showed how Artificial Intelligence (AI) used in colonoscopy area particularly in detecting polyps, assessing physicians and predicting patient with high risk of CRC. The aim of this study is to describe the involvement of AI in colonoscopy and its impact in reducing the Materials and methods– Search for journal articles conducted between May and June 2016 from various resources including PubMed and Google Scholar.  6 research journals were reviewed and all the advantages and limitations were discussed throughout this study. Results– Various study showed that AI able to improve medical diagnostic of CRC in several ways, including in the improvement of adenoma detection rate (ADR) in terms of medical diagnostic, finding physicians associated with high Adenoma Detection Rate (ADR) and predicting patients with high risk of CRC. In addition, the use of AI in colonoscopy also associated with limitations including require large amount of datasets and advance computational resources in order to generate accurate output. Conclusion– The utilization of AI in colonoscopy shows how it able to improve the diagnosis accuracy and survival rate of patients associated with CRC despite several limitations that were identified during the study. However in the future, instead of allowing it to fully automatically conducting diagnosis, it still needs to be accompanied by physicians conducting the operation as there is no hundred percent perfect algorithms.  
结直肠癌(CRC)是结肠或直肠中异常细胞的发展。2018年,结直肠癌被认为是仅次于肺癌和乳腺癌的第三大死因。它首先出现在被称为息肉的癌前阶段。息肉的发现和切除对提高患者的生存率具有重要意义。有多种方法可以检测息肉。然而,只有结肠镜检查仍然是检测和切除息肉的金标准。一些研究显示了人工智能(AI)在结肠镜检查领域的应用,特别是在发现息肉、评估医生和预测CRC高风险患者方面。本研究的目的是描述人工智能在结肠镜检查中的参与及其在减少材料和方法方面的影响-搜索2016年5月至6月期间从各种资源(包括PubMed和Google Scholar)进行的期刊文章。我们审查了6种研究期刊,并在整个研究过程中讨论了所有的优势和局限性。结果——多项研究表明,人工智能能够在多个方面提高结直肠癌的医学诊断,包括在医学诊断方面提高腺瘤检出率(ADR),发现腺瘤检出率(ADR)高的相关医生,预测结直肠癌的高危患者。此外,人工智能在结肠镜检查中的应用也存在局限性,包括需要大量的数据集和先进的计算资源才能产生准确的输出。结论:人工智能在结肠镜检查中的应用表明,尽管在研究中发现了一些局限性,但它能够提高结直肠癌相关患者的诊断准确性和生存率。但在未来,由于没有100%完美的算法,它不可能完全自动地进行诊断,还需要医生陪同进行手术。
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引用次数: 3
Developing an Intelligent System for Prediction of Optimal Dose of Warfarin in Iranian Adult Patients with Artificial Heart Valve 伊朗成年人工心脏瓣膜患者华法林最佳剂量智能预测系统的开发
Pub Date : 2019-12-24 DOI: 10.30699/fhi.v8i1.213
M. Aghazadeh, A. Orooji, Mehran Kamkar Haghighi
Introduction: Artificial intelligence (AI) research within medicine is growing rapidly. AI is poised to transform medical practice. AI has been studied in several areas of healthcare and medical practice, including diagnosing, treating and caring of patients. Warfarin is one of the most commonly prescribed oral anticoagulant. Among all anticoagulants, warfarin has long been listed among the top ten drugs causing adverse drug events. Due to narrow therapeutic range and significant side effects, warfarin dosage determination becomes a challenging task in clinical practice. The purpose of this study was to determine exact dose of warfarin needed for patients with artificial heart valve using artificial neural networks (ANN).Development: To achieved the best model, some multi-layer perceptron ANNs were constructed with different structures. The dataset used included 846 patients who had been referred to the PT clinic in Tehran heart center in the second six months of the year 2013. Finally, the best structure of ANN for warfarin dose was investigated and used for prediction system developments. In this paper the implementation of ANNs and proposed system in MatLab environment are described.Application: The effectiveness of ANNs were evaluated in terms of classification performance using 10fold cross-validation procedure and the results showed that the best model is a network that has 7 neurons in its hidden layer with an average absolute error of 0.1, disturbance rate of 0.33 and regression of 0.87. Conclusion: The achieved results reveal that ANN-based system is a suitable tool for warfarin dose prediction in Iranian patients with an artificial heartvalve. However, no system can be guaranteed to achieve 100% accuracy, but using such methods can reduce medical errors and thereby improve health care and patient safety.
导读:医学领域的人工智能(AI)研究正在迅速发展。人工智能将改变医疗实践。人工智能在医疗保健和医疗实践的几个领域得到了研究,包括诊断、治疗和护理病人。华法林是最常用的口服抗凝剂之一。在所有抗凝血药物中,华法林一直被列为引起药物不良事件的十大药物之一。由于华法林的治疗范围窄、副作用大,其剂量的确定在临床实践中成为一项具有挑战性的任务。本研究的目的是利用人工神经网络(ANN)确定人工心脏瓣膜患者所需华法林的确切剂量。研究进展:为了获得最佳模型,构建了不同结构的多层感知器人工神经网络。使用的数据集包括2013年下半年转介到德黑兰心脏中心PT诊所的846名患者。最后,研究了华法林剂量神经网络的最佳结构,并将其用于预测系统的开发。本文介绍了人工神经网络在MatLab环境下的实现和系统设计。应用:采用10倍交叉验证程序对人工神经网络的分类性能进行评估,结果表明,最佳模型是隐藏层有7个神经元的网络,平均绝对误差为0.1,干扰率为0.33,回归率为0.87。结论:基于神经网络的系统是伊朗人工心脏瓣膜患者华法林剂量预测的合适工具。然而,没有任何系统可以保证达到100%的准确性,但使用这些方法可以减少医疗错误,从而改善医疗保健和患者安全。
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引用次数: 0
Improving Diagnosis Accuracy of Diabetic Disease Using Radial Basis Function Network and Fuzzy Clustering 利用径向基函数网络和模糊聚类提高糖尿病疾病诊断准确率
Pub Date : 2019-11-12 DOI: 10.30699/fhi.v8i1.203
H. Hosseini, Amid Khatibi Bardsiri
Introduction: Nowadays, medical sciences and physicians face a huge amount of data. Diabetes is one of the most expensive glands in the world. Since it is not always easy to diagnose the disease, the physician should examine the outcome of patient tests and decisions made in the past for patients with similar conditions to make an appropriate decision. Due to the large number of patients and the multiple tests performed on each patient, an automated tool for exploring previous patients is needed.Materials and Methods: One of the most important methods used to derive data is data mining. Due to the high number of diabetic patients, timely diagnosis and treatment of this disease can reduce the risk of death and its associated medical costs. So far, different systems have been proposed for the diagnosis and prediction of diabetes, but fuzzy logic based systems are used in this study to increase accuracy and efficiency. In the proposed model, fuzzy clustering is first grouped into separate clusters, and then the radial neural network is predicted for each patient with diabetes mellitus. A compatible neuro-fuzzy inference system has also been used to diagnose diabetes.Results: In this paper different classification techniques have been used in MATLAB software to diagnose diabetes mellitus and to classify patients as diabetic and non diabetic. The dataset used is extracted from the UCI database. The accuracy of the proposed method is 97.14% which is significantly higher than other models of diabetes diagnosis.Conclusion: The application of two fuzzy models has significantly improved the accuracy of diagnosis of diabetes compared to other models proposed in this field.
导读:如今,医学科学和医生面临着大量的数据。糖尿病是世界上最昂贵的腺体之一。由于诊断这种疾病并不总是容易的,医生应该检查病人的检查结果和过去对有类似情况的病人作出的决定,以作出适当的决定。由于患者数量众多,而且每个患者都要进行多次检查,因此需要一种自动化的工具来探索以前的患者。材料和方法:用于导出数据的最重要的方法之一是数据挖掘。由于糖尿病患者人数众多,及时诊断和治疗这种疾病可以降低死亡风险和相关的医疗费用。到目前为止,已经提出了不同的系统用于糖尿病的诊断和预测,但本研究采用基于模糊逻辑的系统来提高准确性和效率。在该模型中,首先将模糊聚类划分为单独的聚类,然后对每个糖尿病患者进行径向神经网络预测。一个兼容的神经模糊推理系统也被用于诊断糖尿病。结果:本文在MATLAB软件中采用了不同的分类技术对糖尿病进行诊断,并将患者分为糖尿病患者和非糖尿病患者。使用的数据集是从UCI数据库中提取的。该方法的准确率为97.14%,显著高于其他糖尿病诊断模型。结论:两种模糊模型的应用相比于该领域的其他模型,显著提高了糖尿病诊断的准确性。
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引用次数: 1
Factors Affecting Telemedicine Acceptance in Patients with Parkinson's Disease 影响帕金森病患者远程医疗接受程度的因素
Pub Date : 2019-11-10 DOI: 10.30699/fhi.v8i1.158
Nasim Saboorizadeh, M. Firoozabadi, N. Mohammadzadeh
Introduction: Many diseases require constant monitoring todays, and online communication with patients for timely intervention is necessary. In this study, based on the results of these studies, we investigated the factors affecting telemedicine admission in Parkinson's patients.Material and methods: This research was a descriptive survey. The tool of this research is a researcher-made questionnaire that was based on library and internet studies in valid databases such as Medline, Science direct (Elsevier), and searching for original research articles between 2000 and 2017. To search for keywords in the design of a telemedicine software, Parkinson's disease, Technology Acceptance Model in English-language databases.The questions were designed with the Likert spectrum. The validity of the questionnaire was assessed by the opinions of five experts. Content validity index was measured and item with CVI score higher than 0.79 was considered appropriate. Reliability was assessed through Cronbach's alpha. Statistical sample was determined using sample size determination method in two cities of Tehran and Shiraz. In this study, structural equation modeling (SEM) was used. SPSS software version 16 was used for data analysis. The final data analysis was done by modeling in Smart PLS version 3 softwareResults: For each t-statistic, the path between the two variables was examined, and the statistics whose magnitude was greater than 1.96, at a confidence level of 95%, considering the same path that represents the strength and power of the effect between the two variables, the research hypotheses were statistically and in sample. Examined. Of the 19 hypotheses considered for the adoption of the research technology model, 16 were accepted.Conclusion: Ease of use is one of the most influential factors on attitudes in Parkinson's patients in Iran. Technology anxiety is one of the most important factor that reduce the acceptance of portable smart systems. The Parkinson's patient user does not recognize recreation as a useful system, but the inclusion of educational content to promote health in the program will make Parkinson's patients more welcomed. If the software is prescribed by the therapist, its acceptance rate in Parkinson's patients will increase.
导言:现在很多疾病都需要持续监测,与患者在线沟通,及时干预是必要的。本研究在这些研究结果的基础上,探讨了影响帕金森病患者远程医疗入院的因素。材料与方法:本研究为描述性调查。本研究的工具是一份研究人员制作的问卷,该问卷基于Medline、Science direct(爱思唯尔)等有效数据库中的图书馆和互联网研究,并搜索2000年至2017年间的原创研究文章。在英语数据库中检索远程医疗软件设计中的关键词,帕金森病,技术接受模型。这些问题是按照李克特谱设计的。问卷的效度由五位专家的意见来评估。测量内容效度指数,认为CVI得分大于0.79的项目为适宜项目。通过Cronbach’s alpha评估信度。采用样本量测定法对德黑兰和设拉子两个城市进行统计样本测定。本研究采用结构方程模型(SEM)。采用SPSS 16版软件进行数据分析。最后的数据分析是在Smart PLS version 3软件中建模完成的。结果:对于每个t统计量,检查了两个变量之间的路径,并且在95%的置信水平下,考虑到代表两个变量之间影响强度和威力的相同路径,研究假设是统计和样本内的。检查。在考虑采用研究技术模型的19个假设中,有16个被接受。结论:易用性是影响伊朗帕金森病患者态度的重要因素之一。技术焦虑是降低便携式智能系统接受度的最重要因素之一。帕金森患者用户并不认为娱乐是一个有用的系统,但在程序中包含促进健康的教育内容将使帕金森患者更受欢迎。如果软件是由治疗师开的处方,帕金森患者的接受率将会提高。
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引用次数: 2
Big Data from A to Z 大数据从A到Z
Pub Date : 2019-10-02 DOI: 10.30699/FHI.V8I1.202
Elham Nazari, Marziyeh Afkanpour, H. Tabesh
The rapid development of technology over the past 20 years has led to explosive data growth in various industries, including defense industries, healthcare. The analysis of generated Big Data has recently been addressed by many researchers, because today's Big Data analysis are one of the most important and most profitable areas of development in Data Science and companies that are able to extract valuable knowledge among the massive amount of data at logical time can earn significant advantages . Accordingly, in this survey, we investigate definition of the Big Data and the data sources. Also look at advantages, challenges, applications, analysis and platforms used in the Big Data.
在过去的20年里,技术的快速发展导致了各个行业的数据爆炸式增长,包括国防工业、医疗保健。对生成的大数据的分析最近被许多研究人员所关注,因为今天的大数据分析是数据科学发展中最重要和最有利可图的领域之一,能够在逻辑时间内从大量数据中提取有价值的知识的公司可以获得显著的优势。因此,在本次调查中,我们对大数据的定义和数据来源进行了探讨。同时也要了解大数据的优势、挑战、应用、分析和平台。
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引用次数: 4
Design the Conceptual Model of Teleconsultation System for Dental Diseases 设计口腔疾病远程会诊系统的概念模型
Pub Date : 2019-10-02 DOI: 10.30699/fhi.v8i1.205
F. Moghbeli, M. Langarizadeh, Yashil Ahadi Moghadam, Susan Hasanpour Heidari
Introduction: Worldwide, people living in rural and remote area with the lack of access to medical care are vulnerable. Despite of improvement in dentistry, dental caries is still one of the prevalent problems among people. By using tele-dentistry and transforming electronic patient information, dental services can be delivered specially in remote area so leads to improve public dental health.Methods: This is an applied development study and 24 dentists and dental radiologists were participated in this survey. The questionnaire was filled out by participant to obtain information about requirement for designing the conceptual model for teleconsultation system for dental problems. Collected data was analyzed by descriptive statics with SPSS version 22 software.Results: According to results patient name and last name, gender, emergency level, sign of the problem, patient history in patient demographic and clinical information section and in system capabilities section, dedicate the space for dentist to diagnosis and the space for seeing diagnosis report by patient was the 100 percent requirement considered. After requirement analysis conceptual model as use case diagram was designed.Conclusion: According to results, using tele-dentistry can improve relationship between specialists and patients without considering the distance and eventually improve public oral health in society.
导言:在世界范围内,生活在农村和偏远地区的人们缺乏获得医疗保健的机会,是弱势群体。尽管牙科技术有了很大的进步,但龋齿仍然是人们普遍存在的问题之一。通过使用远程牙科和转换电子患者信息,可以提供牙科服务,特别是在偏远地区,从而改善公共牙科健康。方法:采用应用开发研究方法,对24名牙科医师和牙科放射科医师进行调查。通过问卷调查,了解对设计口腔问题远程会诊系统概念模型的需求。使用SPSS 22版软件对收集的数据进行描述性统计分析。结果:在患者人口统计与临床信息板块和系统功能板块中,根据患者姓名、性别、急诊级别、问题体征、患者病史,考虑了将牙医诊断专用空间和患者查看诊断报告专用空间设置为100%的要求。在需求分析的基础上,设计了用例图形式的概念模型。结论:远程牙科可以在不考虑距离的情况下改善医患关系,最终改善社会公共口腔健康。
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引用次数: 1
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Frontiers in Health Informatics
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