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Brief Commentary: Using a Logic Model to Integrate Public Health Informatics Into Refinements of Public Health Surveillance System 简要评论:使用逻辑模型将公共卫生信息学融入公共卫生监测系统的改进中
Pub Date : 2024-02-28 DOI: 10.5121/hiij.2024.13102
GV Fant
The COVID-19 pandemic has been a watershed moment in public health surveillance, highlighting the crucial role of data-driven insights in informing health actions and policies. Revisiting key concepts— public health, epidemiology in public health practice, public health surveillance, and public health informatics—lays the foundation for understanding how these elements converge to create a robust public health surveillance system framework. Especially during the COVID-19 pandemic, this integration was exemplified by the WHO efforts in data dissemination and the subsequent global response. The role of public health informatics emerged as instrumental in this context, enhancing data collection, management, analysis, interpretation, and dissemination processes. A logic model for public health surveillance systems encapsulates the integration of these concepts. It outlines the inputs and outcomes and emphasizes the crucial actions and resources for effective system operation, including the imperative of training and capacity development.
COVID-19 大流行是公共卫生监测领域的一个分水岭,凸显了数据驱动的洞察力在为卫生行动和政策提供信息方面的关键作用。重温关键概念--公共卫生、公共卫生实践中的流行病学、公共卫生监测和公共卫生信息学--为理解这些要素如何融合在一起创建一个强大的公共卫生监测系统框架奠定了基础。特别是在 COVID-19 大流行期间,世卫组织在数据传播和随后的全球响应方面所做的努力体现了这种融合。在这种情况下,公共卫生信息学发挥了重要作用,加强了数据收集、管理、分析、解释和传播过程。公共卫生监测系统的逻辑模型概括了这些概念的整合。它概述了投入和成果,强调了系统有效运行的关键行动和资源,包括培训和能力发展的必要性。
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引用次数: 0
Integrating Machine Learning in Clinical Decision Support Systems 将机器学习融入临床决策支持系统
Pub Date : 2024-02-28 DOI: 10.5121/hiij.2024.13101
Tanay Subramanian
This review article examines the role of machine learning (ML) in enhancing Clinical Decision Support Systems (CDSSs) within the modern healthcare landscape. Focusing on the integration of various ML algorithms, such as regression, random forest, and neural networks, the review aims to showcase their potential in advancing patient care. A rapid review methodology was utilized, involving a survey of recent articles from PubMed and Google Scholar on ML applications in healthcare. Key findings include the demonstration of ML's predictive power in patient outcomes, its ability to augment clinician knowledge, and the effectiveness of ensemble algorithmic approaches. The review highlights specific applications of diverse ML models, including moment kernel machines in predicting surgical outcomes, k-means clustering in simplifying disease phenotypes, and extreme gradient boosting in estimating injury risk. Emphasizing the potential of ML to tackle current healthcare challenges, the article highlights the critical role of ML in evolving CDSSs for improved clinical decision-making and patient care. This comprehensive review also addresses the challenges and limitations of integrating ML into healthcare systems, advocating for a collaborative approach to refine these systems for safety, efficacy, and equity.
这篇综述文章探讨了机器学习(ML)在加强现代医疗保健领域临床决策支持系统(CDSS)方面的作用。文章重点关注回归、随机森林和神经网络等各种 ML 算法的整合,旨在展示它们在促进患者护理方面的潜力。我们采用了快速综述方法,包括对 PubMed 和谷歌学术中有关医疗保健领域应用 ML 的最新文章进行调查。主要研究结果包括证明了 ML 对患者预后的预测能力、增强临床医生知识的能力以及集合算法方法的有效性。综述重点介绍了各种 ML 模型的具体应用,包括矩核机在预测手术结果中的应用、k-均值聚类在简化疾病表型中的应用,以及极梯度提升在估计伤害风险中的应用。文章强调了 ML 在应对当前医疗保健挑战方面的潜力,强调了 ML 在发展 CDSS 以改善临床决策和患者护理方面的关键作用。这篇全面的综述还探讨了将 ML 整合到医疗保健系统中的挑战和局限性,提倡采用合作的方法来完善这些系统,以提高安全性、有效性和公平性。
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引用次数: 0
DETECTION OF CRACKLES AND WHEEZES IN LUNG SOUND USING TRANSFER LEARNING 利用迁移学习方法检测肺音中的噼啪声和喘息声
Pub Date : 2023-05-27 DOI: 10.5121/hiij.2023.12201
H. Gulzar, Jiyun Li, Arslan Manzoor, Sadaf Rehmat, U. Amjad, H. Khan
In recent years, deep learning models have improved how well various diseases, particularly respiratory ailments, can be diagnosed. In order to assist in offering a diagnosis of respiratory pathologies in digitally recorded respiratory sounds, this research will provide an evaluation of the effectiveness of several deep learning models connected with the raw lung auscultation sounds in detecting respiratory pathologies. We will also determine which deep learning model is most appropriate for this purpose. With the development of computer -systems that can collect and analyze enormous volumes of data, the medical profession is establishing several non-invasive tools. This work attempts to develop a non-invasive technique for identifying respiratory sounds acquired by a stethoscope and voice recording software via machine learning techniques. This study suggests a trained and proven CNN-based approach for categorizing respiratory sounds. A visual representation of each audio sample is constructed, allowing resource identification for classification using methods like those used to effectively describe visuals. We used a technique called Mel Frequency Cepstral Coefficients (MFCCs). Here, features are retrieved and categorized via VGG16 (transfer learning) and prediction is accomplished using 5-fold cross-validation. Employing various data splitting techniques, Respiratory Sound Database obtained cutting-edge results, including accuracy of 95%, precision of 88%, recall score of 86%, and F1 score of 81 %. We trained and tested the model using a sound database made by the International Conference on Biomedical and Health Informatics (ICBHI) in 2017 and annotated by experts with a classification of the lung sound.
近年来,深度学习模型提高了各种疾病的诊断水平,尤其是呼吸系统疾病。为了帮助在数字记录的呼吸声音中提供呼吸疾病的诊断,本研究将对几种与原始肺听诊声音相关的深度学习模型在检测呼吸疾病方面的有效性进行评估。我们还将确定哪种深度学习模型最适合此目的。随着能够收集和分析大量数据的计算机系统的发展,医学界正在建立一些非侵入性工具。这项工作试图开发一种非侵入性技术,用于识别由听诊器和语音记录软件通过机器学习技术获得的呼吸声音。这项研究提出了一种训练有素且经过验证的基于cnn的呼吸音分类方法。构建每个音频样本的可视化表示,允许使用用于有效描述视觉效果的方法进行资源识别和分类。我们使用了一种称为Mel频率倒谱系数(MFCCs)的技术。在这里,通过VGG16(迁移学习)检索和分类特征,并使用5倍交叉验证完成预测。呼吸声数据库采用多种数据分割技术,准确率达到95%,精密度达到88%,召回率达到86%,F1得分达到81%。我们使用2017年国际生物医学与健康信息学会议(ICBHI)的声音数据库对模型进行了训练和测试,并由专家用肺音分类进行了注释。
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引用次数: 0
Identification of Socioeconomic Variables Responsible for Hypertensive Kidney Disease among Bangladeshi Adults 孟加拉国成年人高血压肾病的社会经济变量鉴定
Pub Date : 2023-02-27 DOI: 10.5121/hiij.2023.12101
K. Bhuyan
The study was conducted to identify some socioeconomic variables responsible for the prevalence of hypertensive kidney disease among Bangladeshi adults of 18 years and above. For this, 498 males and 497 females, totalling 995 adults of both urban and rural localities were investigated. In the sample there were 17.6% hypertensive adults and 18.9% of them were suffering from hypertension and kidney disease simultaneously. Beside other percentages of respondents, there were 19.6% elderly people of ages 50 years and above, 30.2% obese adults, 67.0% diabetic patients, 44.4% involved in sedentary activity and 33.1% smokers. The overall percentage of hypertensive kidney patients was 3.3. These group of patients were discriminated from the remaining 96.7% adults. During discrimination duration of diabetes was identified as most responsible variable followed by age, body mass index, sedentary activity, smoking habit, etc. The risk of prevalence of hypertensive kidney disease was 12.25 times in diabetic patients suffering for 15 years and above compared to the risk of prevalence in other adults. The risk was 8.43 times in elderly people, 16.80 times in obese adults, 2.50 times in adults involved in sedentary activity, and 1.91 times in smoker adults. Higher risk rate was also observed in adults of lower economic group of families.
该研究旨在确定孟加拉国18岁及以上成年人中高血压肾病患病率的一些社会经济变量。为此,调查了498名男性和497名女性,共995名城乡成年人。样本中高血压成年人占17.6%,其中18.9%的人同时患有高血压和肾脏疾病。除其他比例外,50岁及以上老年人占19.6%,肥胖成年人占30.2%,糖尿病患者占67.0%,久坐不动者占44.4%,吸烟者占33.1%。高血压肾病患者的总比例为3.3%。这组患者与其余96.7%的成年人有所区别。在歧视期间,糖尿病病程被确定为最重要的变量,其次是年龄、体重指数、久坐活动、吸烟习惯等。15年及以上糖尿病患者患高血压肾病的风险是其他成年人的12.25倍。老年人的风险是8.43倍,肥胖成年人的风险是16.80倍,久坐不动的成年人的风险是2.50倍,吸烟者的风险是1.91倍。家庭经济水平较低的成年人患糖尿病的风险也较高。
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引用次数: 0
Chinese Pharmacists Law Modification, How to Protect Patients‘ Interests? 中国药师法修改,如何保护患者利益?
Pub Date : 2022-11-30 DOI: 10.5121/hiij.2022.11401
Long-Fong Wang
The pharmacy profession is relatively new in China. Recently, the demand for pharmacists has increased as China's hospital system has been unable to support a large patient population due to the increasing demand for health care. This paper discusses how to improve the Chinese pharmacist law. To make reasonable laws on pharmacists, used to regulate and manage communication between pharmacists and patients, the ethical relationships, financial support and degree requirement, and governance of pharmacists. Improving pharmacist laws can help improve the quality of pharmacists' work, protect patient privacy, and enhance pharmacists' work efficiency. I will use government reports and authoritative data collected by myself as examples to analyze what needs to be improved in pharmacist law.
药学职业在中国相对较新。最近,由于对医疗保健的需求不断增加,中国的医院系统已无法支持大量患者,因此对药剂师的需求也有所增加。本文就如何完善我国药师法进行了探讨。制定合理的药师法律,用于规范和管理药师与患者的沟通、伦理关系、财务支持和学位要求、药师的治理。完善药师法律有利于提高药师工作质量,保护患者隐私,提高药师工作效率。我将以政府报告和自己收集的权威数据为例,分析药师法需要改进的地方。
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引用次数: 0
E-Health Preventing Pediatric Home Accidents 电子健康预防儿科家庭事故
Pub Date : 2022-08-31 DOI: 10.5121/hiij.2022.11301
Chiraz Bouderbali, Ghalem Belalem
Pediatric home accidents still a nightmare for parents, especially for who don’t know how to act in such situations. With the digital health advancements, it will be possible to avoid the disasters of these accidents, especially falls. In this paper, we will present the definition of each of home accidents and ehealth, the motivations and the challenges of this work, related works and propose a prototype to avoid falls disasters with a discussion of the positive and negative points of this prototype and finally make a comparison between our approach and the related works.
儿科家庭事故对父母来说仍然是一场噩梦,尤其是对那些不知道如何应对这种情况的父母来说。随着数字健康的进步,这些事故的灾难,特别是跌倒,将有可能避免。在本文中,我们将介绍每个家庭事故和电子健康的定义,这项工作的动机和挑战,相关工作,并提出一个原型来避免跌倒灾害,讨论这个原型的积极和消极的点,最后将我们的方法与相关工作进行比较。
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引用次数: 0
Towards a Standard of Modelling Annotations in the E-Health Domain 电子健康领域注解建模标准的探讨
Pub Date : 2021-11-30 DOI: 10.5121/hiij.2021.10401
Zayneb Mannai, Anis Kalboussi, A. Hadj Kacem
A large number of annotation systems in e-health domain have been implemented in the literature. Several factors distinguish these systems from one another. In fact, each of these systems is based on a separate paradigm, resulting in a disorganized and unstructured vision. As part of our research, we attempted to categorize them based on the functionalities provided by each system, and we also proposed a model of annotations that integrates both the health professional and the patient in the process of annotating the medical file.
文献中已经实现了大量电子卫生领域的标注系统。有几个因素将这些系统彼此区分开来。事实上,这些系统中的每一个都是基于一个单独的范例,导致了一个无组织和非结构化的愿景。作为我们研究的一部分,我们尝试根据每个系统提供的功能对它们进行分类,并且我们还提出了一个在注释医疗文件的过程中集成卫生专业人员和患者的注释模型。
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引用次数: 1
Lasers – It’s Role in Periodontal Regeneration 激光在牙周再生中的作用
Pub Date : 2018-11-30 DOI: 10.5121/hiij.2018.7401
Princy Anna Mathew, V. More, Jagadish Pai B.S
The use of lasers has evolved as clinical experience along with scientific investigation. The dental lasers of today have benefited from decades of laser research and have their basis in certain theories from the field of quantum mechanics. When used efficaciously and ethically, lasers are an exceptional modality of treatment for many clinical conditions that dental specialists treat on a daily basis. The concept of using lasers for the treatment of periodontal disease elicits very strong reactions from all sides of spectrum. Evidence suggests that lasers are useful as an adjunct or alternative to traditional approaches in periodontal therapy. Future direction of lasers would be towards a minimally invasive regenerative procedures along with laser assisted calculus detection systems using laser fluorescence that is optical coherence tomography and a laser system which selectively and completely removes the plaque and calculus that is under development. With recent advances and development of wide range of laser wavelengths, different instrument designs and different delivery systems, the purpose of this review is to determine the application and current concept of lasers in the regeneration of periodontal tissues.
随着科学研究的发展,激光的使用已经成为临床经验。今天的牙科激光器得益于几十年的激光研究,并以量子力学领域的某些理论为基础。当有效和道德地使用时,激光是牙科专家每天治疗的许多临床病症的特殊治疗方式。使用激光治疗牙周病的概念引起了光谱各方面的强烈反应。有证据表明,激光作为传统牙周治疗方法的辅助或替代方法是有用的。激光的未来方向将是微创再生手术,以及激光辅助结石检测系统,该系统使用激光荧光(光学相干断层扫描)和激光系统,可以选择性地完全去除正在开发的斑块和结石。随着激光波长范围的扩大、仪器设计的不同和传输系统的发展,本文综述了激光在牙周组织再生中的应用和现状。
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引用次数: 1
An EHealth Adoption Framework for Developing Countries: A Systematic Review 发展中国家电子医疗采用框架:系统回顾
Pub Date : 1900-01-01 DOI: 10.5121/hiij.2021.10301
A. Semwanga, H. Namatovu, Swaib Kyanda Kaawaase, M. Magumba
There is growing interest in the rate of eHealth uptake resulting from the increased potential to advance the quality of healthcare services in both the developed and developing countries. Although the implementation of information and communication technology to support healthcare delivery would greatly address the quality and accessibility challenges in healthcare as well as reduction in the cost of healthcare delivery, the adoption of eHealth has not been fully realized. This study aimed at conducting a systematic literature review to establish the factors associated with the adoption of eHealth and propose a context-specific framework for successful adoption of eHealth technologies in developing countries such as Uganda. The systematic literature review process was guided by the Systematic Review Protocol. The review of 29 journals from the period 2009-2021 showed that, although the most widely used frameworks in the developing countries were Technology Adoption Model (TAM), Unified Theory of Acceptance and Use of Technology (UTAUT) framework and Technology Organization Environment (TOE) framework, there were other salient factors reported by other researchers that contributed to the adoption of eHealth in developing countries. A novel framework for adoption of eHealth in the local context with eight (8) dimensions namely; Socio-demographic, Technology, Information, Socio-cultural, Organization, Governance, Ethical and legal and Financial dimensions is derived and presented as result of the research.
由于发达国家和发展中国家提高保健服务质量的潜力越来越大,人们对电子保健的使用率越来越感兴趣。虽然实施信息和通信技术以支持保健服务将极大地解决保健服务的质量和可及性挑战,并降低保健服务的成本,但电子保健的采用尚未完全实现。本研究旨在进行系统的文献综述,以确定与采用电子健康相关的因素,并为乌干达等发展中国家成功采用电子健康技术提出一个具体的框架。系统文献综述过程以系统综述方案为指导。对2009-2021年期间29份期刊的审查表明,尽管发展中国家使用最广泛的框架是技术采用模型(TAM)、技术接受和使用统一理论(UTAUT)框架和技术组织环境(TOE)框架,但其他研究人员报告的其他突出因素也有助于发展中国家采用电子卫生。在本地环境中采用电子健康的新框架,具有八(8)个维度,即;社会人口,技术,信息,社会文化,组织,治理,道德和法律以及金融维度是研究的结果。
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引用次数: 3
期刊
Health Informatics - An International Journal
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