scholarly journals Operating Protocol and Networking Issues of a Telemedicine Platform Integrating from Wireless Home Sensors to the Hospital Information System

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Massimiliano Donati ◽  
Tony Bacchillone ◽  
Luca Fanucci ◽  
Sergio Saponara ◽  
Filippo Costalli

Chronic heart failure (CHF) is among the major causes of hospitalization for elderly citizens. Its considerable impact on patient quality of life, the resources congestion, and the related costs can be efficiently mitigated using remote wireless biosensors networks placed at patient home, able to communicate in secure way over the public Internet with the cardiology departmental Hospital Information System (HIS). In this way, physicians can monitor the situation of several patients at distance and quickly realize and act alterations in vital parameters. In this scenario, the Health@Home (H@H) platform is conceived. The pool of Bluetooth sensors enables patients to daily collect vital signs at home in noninvasive fashion. A home gateway receives and processes all signals before sending them to a server node in charge of interfacing with the usual HIS. The novel concept of operating protocol (OP) represents a list of actions, remotely configurable, that the domestic network has to follow (required measurements, transmissions, comparisons with personalized thresholds, etc.). The first medical tests on 30 patients (1 month) allowed to verify the model, both from the patient and the medical perspective. The main evaluation metrics were usability, flexibility, and reliability of the communication from sensors to HIS.

2017 ◽  
Vol 18 (6) ◽  
pp. 16-21
Author(s):  
Ewa Brożyna

This article presents topic of Dynamic Passenger Information Systems which are more and more often used in the public transport. It focuses on analysis of utility and passengers’ satisfaction of this type of system. In the first chapter there are information about DPI system that is used by one of the larger organizer of public transport – KZK GOP (Komunikacyjny Związek Komunalny Górnośląskiego Okręgu Przemysłowego). In next part of article there is online research results made by author in March – April 2017 among the passengers of KZK GOP. Research goal was knowing the utility and passengers’ satisfaction of DPI system KZK GOP. There took part 635 people in research. Respondents judged the performance quality of DPI system KZK GOP as sufficient (average rating: 3,18 on scale from 1 to 5 where 5 was the highest rate). Analysis of this research summary will let to more detailed knowing passengers’ opinion for DPI system KZK GOP and will let to suggest the actions which goal will be improvement this system.


2019 ◽  
Vol 79 (1) ◽  
pp. 147-157 ◽  
Author(s):  
Eirini Dimidi ◽  
S. Mark Scott ◽  
Kevin Whelan

The aim of this narrative review is to assess and present evidence on the mechanisms of action of probiotics in constipation, their effectiveness and their utilisation by patients and healthcare professionals. Chronic constipation is a common bothersome disorder that has a considerable impact on patients' quality of life. Probiotics have been increasingly investigated for their effectiveness in various disorders, including chronic constipation. Probiotics may affect gut motility and constipation through their impact on the gut microbiota and fermentation, the central and enteric nervous system and the immune system. However, evidence for the effectiveness of probiotics in the management of constipation remains varied, with some strains demonstrating improvements, while others show no effect. Despite the uncertainty in evidence and the fact that the majority of healthcare professionals do not recommend probiotics for constipation, an increased prevalence of probiotic use by people with constipation has been shown. Therefore, there is a need for public health strategies to inform the public about where strong evidence of probiotic effectiveness exist, and where evidence is still weak. Education of healthcare professionals on the increased utilisation of probiotics for constipation by the public and on current evidence for the effectiveness of specific strains is also required.


2019 ◽  
Vol 32 (1) ◽  
pp. 108-119 ◽  
Author(s):  
Mehrdad Farzandipour ◽  
Mahtab Karami ◽  
Mohsen Arbabi ◽  
Sakine Abbasi Moghadam

Purpose Data comprise one of the key resources currently used in organizations. High-quality data are those that are appropriate for use by the customer. The quality of data is a key factor in determining the level of healthcare in hospitals, and its improvement leads to an improved quality of health and treatment and ultimately increases patient satisfaction. The purpose of this paper is to assess the quality of emergency patients’ information in a hospital information system. Design/methodology/approach This cross-sectional study was conducted on 385 randomly selected records of patients admitted to the emergency department of Shahid Beheshti Hospital in Kashan, Iran, in 2016. Data on five dimensions of quality, including accuracy, accessibility, timeliness, completeness and definition, were collected using a researcher-made checklist and were then analyzed in SPSS. The results are presented using descriptive statistics, such as frequency distribution and percentage. Findings The overall quality of emergency patients’ information in the hospital information system was 86 percent, and the dimensions of quality scored 87.7 percent for accuracy, 86.8 percent for completeness, 83.9 percent for timeliness, 79 percent for definition and 62.1 percent for accessibility. Originality/value Increasing the quality of patient information at emergency departments can lead to improvements in the timely diagnosis and management of diseases and patient and personnel satisfaction, and reduce hospital costs.


2020 ◽  
pp. 1-2
Author(s):  
Aparna Mohan ◽  
James Chacko ◽  
Preethi Mohan

Abstract- Research primarily focusses on pursuing in-depth knowledge for the progress of the science and society. Publishing the work is crucial for its communication among the scientific community and to the public. Conducting the research demands extensive time and effort but the entire struggle goes futile unless the work got published in a reputed journal. A researcher confronts many such dilemma as the appraisal of his effort depends upon the quality of conducting and publishing the work. Current setting demands increasing publication for professional accreditation and upgradation of research profile pressurizing authors which results in many ethical lapses in their works. This paper intends to highlight such lapses commonly seen in current research practices. The match between the study design and the research objectives, various components like sample size, methods of recruiting participants against inclusion and exclusion criteria and allocating the subjects to different groups, time period for collecting data or conducting the study, enlisting the confounding variables influencing the results, maintenance of data transparency and arriving at conclusions without considering the alternatives have considerable impact over its credibility. Improper execution of the work could affect its replicability and such negligence in research influences its quality making the entire work insignificant. Summary - The current academic and research settings have forced the scholars and researchers to conduct extensive research for increasing their publications and upgrading their research profile. This led to many works with uncertain credibility, reflected in the execution of the study as well as with its publication. This article points out a few among such works from different aspects which could influence the result of the study. Such trends in research is making the whole resource and time futile and the entire work insignificant.


Author(s):  
Rizal Akhiar Ramadhan ◽  
Ahmaddul Hadi

ABSTRACTThe Village Management Information System is a system that produces information to support the management operations function and determine actions in the Village Government organization and Government on it. This system is designed and built based on the web to make it easier for relevant parties to interact with the system. The purpose of the design and construction of this system is to be able to realize orderly village government administration so as to produce the right information so that Village Governments and Governments at the top level can make decisions or policies that are also appropriate and to be able to shorten the time of administration by the public. The method of building this system begins by analyzing the system that is running and analyzing the system to be built. After analyzing the system, then designing the system using the Unified Modeling Languege modeling, MySQL Database Management System and built using the CodeIgniter Framework. The Village Management Information System was built based on observations made in Talawi Hilie Village, Talawi District, Sawahlunto City. With the construction of this system the Village Government can eliminate problems in the process of village administration, the community can save time in conducting village administration administration, and the Village Government and other relevant agencies can improve productivity and quality of work. Keywords: Information System, UML, MySql, codeIgniter.


Author(s):  
Latif Al-Hakim

This chapter presents a framework for a Web-based hospital information system to manage the surgery-management process (SMP). The framework can be used to manage any other hospital information system processes. The developed framework challenges the traditional hospital Web strategies with a dual aim: first, to improve customer satisfaction in an environment that often imposes unexplained deviation from planned activities, and second, to create a system that is an effective decision-support system for SMP. The chapter identifies factors affecting SMP decisions and employs a descriptive modeling technique known as IDEF3 to map the information flow within and between elements of SMP. The IDEF3 process mapping becomes part of an integrated Web-based system of multiple stages. Each stage has three levels of accessibility. The first level of the Web system is accessible to the public, the second level is accessible to patients and their designated representatives, and the third level is accessible only to hospital professionals.


Author(s):  
Helen Machareth ◽  
Cláudia Coeli ◽  
Rejane Pinheiro

ABSTRACTIntroductionThe Hospital Information System of the Brazilian Unified Health System (SIH-SUS) can be an important tool in evaluating care through comparisons of mortality rates among hospitals. However, the SIH-SUS has limited availability of data on comorbidities, which are needed in order to measure the severity of patients' condition for risk adjustment when comparing mortality among hospitals. ObjectivesTo analyze previous hospital admissions as an indicator of severity of patients' condition using as an example hip fracture admissions. ApproachWe analyzed 1984 patients with 62 years of age or older with hip fracture who were admitted to the public health system in Rio de Janeiro City between 2010 and 2011. The causes of previous hospital admissions were obtained through probabilistic record linkage with the SIH-SUS for all causes of admissions between 2008 and 2010. We analyzed the association between the patient having had a any previous admission, adjusted by sex and age, with hospital death, through a logistic regression model. We also analyzed the association between groups of causes of admission with hospital death. ResultsHaving had at least one previous hospital admission due to any cause before the admission for hip fracture was associated with a 77% increase in the odds of hospital death (CI 95% = 1.06 – 2.94). Among comorbidities, the most relevant were severe or moderate kidney disease with OR = 20.196 (CI 95% = 3.042 – 134.092), ischemic diseases with OR = 9.099 (CI 95% = 0.973 – 85.106), pneumonia with OR = 3.619 (CI 95% = 0.977 – 13.401) and diverse fractures and lesions with OR = 2.041 (CI 95% = 0.900 – 4.627). We were not able to analyze the association for some comorbidities due to an absence in outcome variability in some groups. ConclusionResults point to a promising use of previous hospital admissions in the Hospital Information System as a proxy for patient's risk adjustment.


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