Pub Date : 1900-01-01DOI: 10.1504/IJEH.2015.075352
P. Ahluwalia, Gregory Gimpel, U. Varshney
This paper investigates how electronic healthcare technology can address a pervasive societal problem: homelessness. Mental illness, a leading cause of homelessness, can be treated successfully with proper medication. Few psychiatric patients, however, adhere to the medication regimen prescribed by their doctors. We employ a systems thinking approach to model the multi-dimensional decision system by which patients choose whether or not to take medication. We identify that interventions raising patients' self-efficacy will significantly improve medication adherence among mentally ill patients and that it can translate into a reduction of homelessness. This paper makes two key research contributions: it calls attention to the study of medication adherence within electronic healthcare research and it proposes a systems dynamics model that highlights how, when addressing complex societal challenges, affordances during one time period can become constraints in another.
{"title":"ICT interventions impacting big societal challenges: an electronic healthcare approach to homelessness","authors":"P. Ahluwalia, Gregory Gimpel, U. Varshney","doi":"10.1504/IJEH.2015.075352","DOIUrl":"https://doi.org/10.1504/IJEH.2015.075352","url":null,"abstract":"This paper investigates how electronic healthcare technology can address a pervasive societal problem: homelessness. Mental illness, a leading cause of homelessness, can be treated successfully with proper medication. Few psychiatric patients, however, adhere to the medication regimen prescribed by their doctors. We employ a systems thinking approach to model the multi-dimensional decision system by which patients choose whether or not to take medication. We identify that interventions raising patients' self-efficacy will significantly improve medication adherence among mentally ill patients and that it can translate into a reduction of homelessness. This paper makes two key research contributions: it calls attention to the study of medication adherence within electronic healthcare research and it proposes a systems dynamics model that highlights how, when addressing complex societal challenges, affordances during one time period can become constraints in another.","PeriodicalId":341094,"journal":{"name":"Int. J. Electron. Heal.","volume":"228 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113959060","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}
Pub Date : 1900-01-01DOI: 10.1504/ijeh.2022.10044709
R. Costa, L. Pereira, Rui Gonçalves, Á. Dias, Carlos M. Jerónimo, Natália Teixeira
{"title":"Healthcare management and leadership roles","authors":"R. Costa, L. Pereira, Rui Gonçalves, Á. Dias, Carlos M. Jerónimo, Natália Teixeira","doi":"10.1504/ijeh.2022.10044709","DOIUrl":"https://doi.org/10.1504/ijeh.2022.10044709","url":null,"abstract":"","PeriodicalId":341094,"journal":{"name":"Int. J. Electron. Heal.","volume":"243 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115000494","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}
Pub Date : 1900-01-01DOI: 10.1504/IJEH.2015.075327
Shalini Bhartiya, D. Mehrotra
Sharing relevant and authorised health data referred as electronic health records (EHRs) among interoperable e-health environments requires identification and mitigation of security gaps accruing out of these collaborations. Ensuring confidentiality and availability of EHR during transit requires a standard access control framework that can efficiently and securely realise collaborations. Disparity in access policies often result in policy conflicts and rule redundancy. The framework must encompass heterogeneity of workflow and frequently changing demands of health professionals and resolves policy conflicts and reduces rule-redundancy. This paper proposes a framework and its verification for integrating access control policies based on similarities between user and resource hierarchies of healthcare units. The framework comprises of a hierarchical similarity analyser (HSA) that assign a security level to each attribute generated on the similarities obtained. The verification of the framework is performed through access control policy testing (ACPT) developed by National Institute of Standards and Technology (NIST).
在可互操作的电子卫生环境中共享被称为电子健康记录(EHRs)的相关和授权的健康数据，需要识别和缓解这些协作所产生的安全漏洞。确保电子病历在传输过程中的保密性和可用性需要一个标准的访问控制框架，可以有效和安全地实现协作。访问策略的差异往往会导致策略冲突和规则冗余。该框架必须包含工作流程的异质性和卫生专业人员不断变化的需求，并解决政策冲突和减少规则冗余。本文提出了一个基于医疗保健单位用户和资源层次相似性的访问控制策略集成框架及其验证。该框架由层次相似性分析器(HSA)组成，该分析器为获得的相似性生成的每个属性分配安全级别。通过NIST (National Institute of Standards and Technology)开发的访问控制策略测试(ACPT)对框架进行验证。
{"title":"An access control framework for secured sharing of electronic health records using hierarchy similarity analyser","authors":"Shalini Bhartiya, D. Mehrotra","doi":"10.1504/IJEH.2015.075327","DOIUrl":"https://doi.org/10.1504/IJEH.2015.075327","url":null,"abstract":"Sharing relevant and authorised health data referred as electronic health records (EHRs) among interoperable e-health environments requires identification and mitigation of security gaps accruing out of these collaborations. Ensuring confidentiality and availability of EHR during transit requires a standard access control framework that can efficiently and securely realise collaborations. Disparity in access policies often result in policy conflicts and rule redundancy. The framework must encompass heterogeneity of workflow and frequently changing demands of health professionals and resolves policy conflicts and reduces rule-redundancy. This paper proposes a framework and its verification for integrating access control policies based on similarities between user and resource hierarchies of healthcare units. The framework comprises of a hierarchical similarity analyser (HSA) that assign a security level to each attribute generated on the similarities obtained. The verification of the framework is performed through access control policy testing (ACPT) developed by National Institute of Standards and Technology (NIST).","PeriodicalId":341094,"journal":{"name":"Int. J. Electron. Heal.","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127413495","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}
Pub Date : 1900-01-01DOI: 10.1504/ijeh.2022.10047862
Mohamed Sarrab, Fatma Alshohoumi, Abdulla AlHamadani
{"title":"Privacy policies of IoT-based healthcare: an empirical analysis study of the data collection practices of existing IoT medical applications","authors":"Mohamed Sarrab, Fatma Alshohoumi, Abdulla AlHamadani","doi":"10.1504/ijeh.2022.10047862","DOIUrl":"https://doi.org/10.1504/ijeh.2022.10047862","url":null,"abstract":"","PeriodicalId":341094,"journal":{"name":"Int. J. Electron. Heal.","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124118476","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}
Pub Date : 1900-01-01DOI: 10.1504/IJEH.2022.10040002
R. Costa, L. Pereira, Á. Dias, Rui Gonçalves, Carlos M. Jerónimo
{"title":"Balanced scorecard adoption in healthcare","authors":"R. Costa, L. Pereira, Á. Dias, Rui Gonçalves, Carlos M. Jerónimo","doi":"10.1504/IJEH.2022.10040002","DOIUrl":"https://doi.org/10.1504/IJEH.2022.10040002","url":null,"abstract":"","PeriodicalId":341094,"journal":{"name":"Int. J. Electron. Heal.","volume":"116 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113989954","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}
Pub Date : 1900-01-01DOI: 10.1504/IJEH.2020.113177
Märten Veskmäe
{"title":"Finding opportunities to induce growth of medication history usage: evidence from Estonian population level panel data","authors":"Märten Veskmäe","doi":"10.1504/IJEH.2020.113177","DOIUrl":"https://doi.org/10.1504/IJEH.2020.113177","url":null,"abstract":"","PeriodicalId":341094,"journal":{"name":"Int. J. Electron. Heal.","volume":"208 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122790883","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}
Pub Date : 1900-01-01DOI: 10.1504/IJIS.2018.10016181
T. Z. Choudhury, M. Kamruzzaman, L. Islam
: Acute coronary syndrome (ACS), one of the leading causes of mortality in Bangladesh, occurs when a plaque in the coronary artery suddenly ruptures and obstructs the flow of blood to the heart causing myocardial tissue necrosis. In this study, a total of 140 participants were enrolled including 70 ACS patients and 70 non-ACS controls. The total and differential WBC counts, myeloperoxidase (MPO) activity, ischemia-modified albumin (IMA), interleukin-6 (IL-6) and complement functions were investigated and the values were compared between the study groups. We found the total WBC count, neutrophil to lymphocyte ratio (NLR), plasma MPO activity, serum IMA, and IL-6 levels were significantly higher in the ACS patients while the complement-mediated bactericidal activity was significantly lower. The results on NLR, MPO activity, and IL-6 levels demonstrate activation of cellular and soluble inflammatory mediators in ACS, which may be potential diagnostic biomarkers. in (final of H 2 Then 100 µL of test was added to start the reaction. The change in absorbance at 460 was followed for 2 minutes using a Genesys spectrophotometer. The final was expressed in Units/mg of total protein in the plasma sample where 1 unit of MPO was defined as the amount needed to degrade 1 µmole of H 2 O 2 per minute at 25ºC.
{"title":"Investigation of the cellular and soluble markers of inflammation for the assessment of cardiovascular risk in patients with acute coronary syndrome in Bangladesh","authors":"T. Z. Choudhury, M. Kamruzzaman, L. Islam","doi":"10.1504/IJIS.2018.10016181","DOIUrl":"https://doi.org/10.1504/IJIS.2018.10016181","url":null,"abstract":": Acute coronary syndrome (ACS), one of the leading causes of mortality in Bangladesh, occurs when a plaque in the coronary artery suddenly ruptures and obstructs the flow of blood to the heart causing myocardial tissue necrosis. In this study, a total of 140 participants were enrolled including 70 ACS patients and 70 non-ACS controls. The total and differential WBC counts, myeloperoxidase (MPO) activity, ischemia-modified albumin (IMA), interleukin-6 (IL-6) and complement functions were investigated and the values were compared between the study groups. We found the total WBC count, neutrophil to lymphocyte ratio (NLR), plasma MPO activity, serum IMA, and IL-6 levels were significantly higher in the ACS patients while the complement-mediated bactericidal activity was significantly lower. The results on NLR, MPO activity, and IL-6 levels demonstrate activation of cellular and soluble inflammatory mediators in ACS, which may be potential diagnostic biomarkers. in (final of H 2 Then 100 µL of test was added to start the reaction. The change in absorbance at 460 was followed for 2 minutes using a Genesys spectrophotometer. The final was expressed in Units/mg of total protein in the plasma sample where 1 unit of MPO was defined as the amount needed to degrade 1 µmole of H 2 O 2 per minute at 25ºC.","PeriodicalId":341094,"journal":{"name":"Int. J. Electron. Heal.","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128815566","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}
Pub Date : 1900-01-01DOI: 10.1504/ijeh.2022.10041335
T. Lopes, Igor Fontana De Nardin, C. Costa, R. R. Righi
{"title":"A new transparent cloud-based model for sharing medical images with data compression and proactive resource elasticity","authors":"T. Lopes, Igor Fontana De Nardin, C. Costa, R. R. Righi","doi":"10.1504/ijeh.2022.10041335","DOIUrl":"https://doi.org/10.1504/ijeh.2022.10041335","url":null,"abstract":"","PeriodicalId":341094,"journal":{"name":"Int. J. Electron. Heal.","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130746855","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}
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