scholarly journals Investigation of RIS/PACS Information Systems’ Incorporation in Greek Public Hospitals

2020 ◽  
Vol 6 (1) ◽  
pp. 32-44
Author(s):  
Kleanthis Konstantinidis ◽  
Ioannis Apostolakis
Keyword(s):  
Information Systems ◽  
Medical Imaging ◽  
Communication Systems ◽  
Medical Images ◽  
Public Hospitals ◽  
Empirical Literature ◽  
P Value ◽  
Web Based ◽  
Wide Range ◽  
Significant Difference

Purpose: The objective of this study is to assess the current level of Radiological Information Systems (RIS) and Picture Archiving and Communication Systems (PACS) incorporation in greek public hospitals through a national web-based survey. Since there are no previous studies on this field of medical imaging management in Greece, we look forward to export useful conclusions about RIS/PACS incorporation and set the foundation for further investigation. Material and Methods: A comprehensive measurement instrument that integrates the existing theoretical and empirical literature knowledge on Information Systems (IS) evaluation was properly modified and used for the purpose of this study. A web-based survey was conducted via Google Form questionnaire, which was distributed to the entire population of radiologists and radiologic technologists (potential users) of all greek public hospitals (urban and rural), in order to identify the availability of RIS/PACS Information Systems (IS), the level of incorporation through system’s impact on users satisfaction and their operating capacities (i.e. computerized activities and processes). Results: A total of 49 valid responses out of 77 collected questionnaires were received from all 124 greek public hospitals, which represents a response rate of 39.5%. Our very first findings indicate that establishment of RIS/PACS has not been fulfilled so far for the vast majority of greek public hospitals. Almost half of the participants (51%) responded that they use only the capabilities of PACS as a repository for medical images, instead of implementing all capabilities of RIS. Also, although 85.7% of the participants responded that they use disc publisher for medical imaging exams copies, only 6.1% responded that has gone totally filmless or paperless. 59.2% of the respondents has access to 5 or more workstations and 100% of the respondents agrees that ER and clinics should connect on hospital's RIS/PACS for viewing medical images, receiving electronic reports and updating patients' electronic files. Overall findings from statistical techniques demonstrate a statistically significant difference in perceived information (p-value=0.021) and service quality (p-value=0.036) with age of respondents. Finally, open feedback answers indicate that greek public hospitals have still many to set to successfully incorporate and exploit the wide range of RIS/PACS capabilities to improve quality, effectiveness and efficiency of patient care services. Discussions: Although, most of the respondents have an adequate level in the operation of information systems, lack of RIS/PACS usage training is noted, as well as users’ support from their own organization IT staff. Also, structural deficiencies worry system’s users, making them intolerant to adopting the system in daily practice. The recommendations of this study include RIS/PACS incorporation in every medical imaging department of greek hospitals, users training and support, as well as updating infrastructures where needed.

scholarly journals Cataract surgery practice patterns worldwide: a survey

2021 ◽  
Vol 6 (1) ◽  
pp. e000464
Author(s):  
Tommaso Rossi ◽  
Mario R Romano ◽  
Danilo Iannetta ◽  
Vito Romano ◽  
Luca Gualdi ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Practice Patterns ◽  
Scientific Evidence ◽  
Public Hospitals ◽  
P Value ◽  
Evidence Based ◽  
Surgical Volume ◽  
Significant Difference ◽  
Type Of Institution ◽  
Surgical Setting

ObjectiveTo report the results of a global survey on cataract practice patterns related to preoperative, intraoperative and postoperative care, surgical setting and personnel allocation.Methods and analysisAn online 28 questions survey was sent to 240 ophthalmologists asking to describe prevailing trends in their institutions across 38 countries and 5 continents. Questions inquired country, institution, surgical volume and setting, anaesthesia, preoperative and intraoperative examination and postsurgical care. Statistical analysis used crosstabs lambda statistics for non-parametric nominal variables. P value less than 0.05 was considered statistically significant.Results209/240 (87%) ophthalmologists responded: 38% representing public hospitals, 36% private practices and 26% academic sites; overall surgical volume was between 241 700 and 410 500 cataracts per year. There was a significant correlation between type of institution and surgical volume. Complete results available in online (https://freeonlinesurveys.com/r/W6BcLLxy).ConclusionCataract surgery related patterns of perioperative care showed significant difference among respondents, regardless to type of institution, surgical volume and country. Many evidence-based procedures are unevenly practiced around the world and some widespread and expensive habits lack solid scientific evidence while consuming enormous amount of resources both monetary and human. There is a need to reach consensus and share evidence-based practice patterns.

scholarly journals Diagnosa Preeklampsia pada Ibu Hamil Menggunakan Sistem Informasi Berbasis Web

2019 ◽  
Vol 2 (2) ◽  
pp. 18-27
Author(s):  
Fajaria Nur Aini ◽  
Melyana Nurul Widyawati ◽  
Bedjo Santoso
Keyword(s):  
Information System ◽  
Information Systems ◽  
Pregnant Women ◽  
Community Health Center ◽  
Intervention Group ◽  
Diagnostic System ◽  
Control Group ◽  
P Value ◽  
Web Based ◽  
Time Required

This study aims to produce a preeclampsia diagnostic system online and to determine the difference in the speed of time required to diagnose preeclampsia using a web-based information system with a manual system. This research method is to arrange a framework with a quasi experimental research design with a post test only with control group. This research was conducted at the Community Health Center. The results showed that the majority of respondents were healthy pregnant women namely in the intervention group of 20 pregnant women (30.30%) and in the control group of 15 pregnant women (22.73%). The smallest number of diagnoses is in the case of superimposed preeclampsia. Web-based information systems are also able to increase diagnostic speeds to 7.21%. Statistical test results using the Independent T-Test obtained a P-value of 0.041 <0.05 (α). Conclusion, there is a difference in the time of diagnosis of preeclampsia using a web-based information system with a manual system.   Keywords: Diagnosis, Preeclampsia, Information Systems, Web

scholarly journals Architecture of distributed picture archiving and communication systems for storing and processing high resolution medical images

2018 ◽  
Vol 177 ◽  
pp. 05004
Author(s):  
Victoria Tokareva
Keyword(s):  
Medical Imaging ◽  
Communication Systems ◽  
Medical Images ◽  
International Standards ◽  
Software Infrastructure ◽  
Picture Archiving ◽  
Technical Specifications ◽  
Picture Archiving And Communication ◽  
Pacs Server ◽  
New Generation

New generation medicine demands a better quality of analysis increasing the amount of data collected during checkups, and simultaneously decreasing the invasiveness of a procedure. Thus it becomes urgent not only to develop advanced modern hardware, but also to implement special software infrastructure for using it in everyday clinical practice, so-called Picture Archiving and Communication Systems (PACS). Developing distributed PACS is a challenging task for nowadays medical informatics. The paper discusses the architecture of distributed PACS server for processing large high-quality medical images, with respect to technical specifications of modern medical imaging hardware, as well as international standards in medical imaging software. The MapReduce paradigm is proposed for image reconstruction by server, and the details of utilizing the Hadoop framework for this task are being discussed in order to provide the design of distributed PACS as ergonomic and adapted to the needs of end users as possible.

Access to Computer Systems with Graphical User Interface by Touch: Haptic Discrimination of Icons

1995 ◽  
Vol 39 (11) ◽  
pp. 742-746 ◽  
Author(s):  
Seongil Lee
Keyword(s):  
Information Systems ◽  
User Interfaces ◽  
Communication Systems ◽  
Discrimination Performance ◽  
Display Type ◽  
Line Drawings ◽  
Tactile Displays ◽  
Significant Difference ◽  
Tactile Communication ◽  
Congenitally Blind

The inherently visual nature of graphical user interfaces often makes it difficult for visually impaired or blind people to access current information systems. The purpose of this study is to examine the possibility of using haptic modality for “blind access” to graphical information systems by examining haptic discrimination performance of icons under geometrically transformed conditions. Seven sighted and five congenitally blind subjects discriminated ten icons by touch using the raised line drawings and the Optacon. Two haptic tasks were performed for each subject: 1) naming the icons, and 2) matching the icons under geometrical transformations. The performance in haptic discrimination of icons was dependent on display type and transformation. No significant difference in accuracy and latency between sighted and blind subjects could be found for the two-dimensional tactile displays employed in the study. The results of this study may have implications in the design of tactile communication systems.

scholarly journals The effect of Curcuminvs. Curcumin combined Antibiotic Ointmentson the Healing of skin wound

2021 ◽  
Vol 14 (3) ◽  
pp. 1587-1593
Author(s):  
Emad K. Abbas ◽  
Hussein H. Echrish ◽  
Sabaa A. Mohammed
Keyword(s):  
Wound Healing ◽  
Normal Saline ◽  
Biological Effects ◽  
Skin Wound ◽  
Control Group ◽  
P Value ◽  
Average Weight ◽  
Wide Range ◽  
Significant Difference ◽  
Animal House

Background:Turmeric is typically used as a spicy food preservative and colorant. It has been proved that curcumin has a wide range of biological effects including anti-inflammatory, anti-viral, anti-fungal, and curcumin activity that can improve antibiotic activity on the wounds. Objectives: To evaluate the effects of Curcumin with and without antibiotics on skin wound treatment. Materials and Methods: The protocol was approved by the animal house in medical college / Basra university. This study used nine male rabbits aged about 6 months and an average weight of (1.083 g). Each group consists of 3 rabbits: control group (normal saline) A, topical curcumin in group B, topical curcumin, and tetracycline ointment in group C. Regular treatments were given to rabbits in therapeutic groups. Result: The lowest Mean ± SDof swelling of suturing area was noted in both groups that treated by curcumin alone (9.07 ± 0.97 vs 15±1 mm, p value = 0.002) and that treated with curcumine and antibiotic (9.1±0.9vs 15±1 mm, p value = 0.002) versus the control group ( that treated by normal saline) and the lowest Mean ± SD of elevation of suture line was noted in both group that treated by curcumin alone (2.63 ± 0.06 vs 4.07±0.21 mm, p value >0.001) and that treated with curcumin and antibiotic (2.7 ± 0.2 vs 4.07±0.21 mm, p value =0.001) versus control group. There is no significant statistical difference between the Mean ± SD neither of swelling of suture area nor of elevation of suture lines of groups that treated by curcumin alone and group that treated with curcumin and antibiotic [(9.07 ± 0.97 vs 9.1 ±0.9, p value=0.97),(2.63±0.06 vs 2.7 ± 0.2, p value=0.61) respectively]. The histopathological evaluation is consistent with morphological changes as at day 3 of wound healing in both groups that treated by curcumine with and without antibiotic, there is formation a thin layer of keratin and absence of features that indicate delay wound healing such as hemorrhage, inflammatory cell infiltrate of (Neutrophils, macrophages and lymphocytes) and debris, which are detected in control group. Furthermore, at day 7 of control group, there is decrease of inflammation, presence of gap between the two edgesof the wound but no keratin formation. No clear histopathological difference in wound healing between tested groups that treated by curcumin with and without antibiotic. Conclusion: There issignificant clinical and histological evidences that the curcumin not only prevent delay of wound healing but it is also enhanced wound healing. No significant difference in using curcumin alone or combine it with local antibiotic.

scholarly journals PERBANDINGAN NYERI YANG TERJADI 24 JAM PASCA OPERASI PADA PENDERITA YANG DIBERIKAN ANESTESIA UMUM DAN ANESTESIA SPINAL

e-CliniC ◽  
2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Fiska M. Muhammad ◽  
Lucky Kumaat ◽  
Iddo Posangi
Keyword(s):  
General Anesthesia ◽  
Spinal Anesthesia ◽  
Emotional Experience ◽  
P Value ◽  
Inhalation Anesthesia ◽  
Vas Score ◽  
Post Operative Pain ◽  
Wide Range ◽  
Significant Difference ◽  
Anesthesia Spinal

Abstract: Pain can be described as an unpleasant sensory and emotional experience associated with tissue damage which has already occured or potentially will be occurred. General anesthesia is oftenly perfomed on a wide range of surgical procedures. There are two techniques of general anesthesia: inhalation anesthesia and intravenous anesthesia. Spinal anesthesia is one of the simplest and most reliable of regional anesthesia technique. This study aimed to compare the pain between general anesthesia and spinal anesthesia 24 hours post operative. This was an analytical prospective study. Samples were 24 patients consisting of 12 patients with general anesthesia and 12 patients with spinal anesthesia. The inclusion criteria were patients aged 20-60 years old, duration of operation 1-4 hours, and the operations were caesarean section and hysterectomy. The pain assessment used VAS score as well as blood pressure, pulse, and respiration. Data were statistically analyzed by using the Mann-Whitney test and showed a p-value 0.876. Conclusion: There was no significant difference in 24-hour-post-operative pain using VAS score among patients with general anesthesia and with spinal anesthesia.Keywords: VAS scores, general anesthesia, spinal anesthesia.Abstrak: Nyeri dapat digambarkan sebagai suatu pengalaman sensorik dan emosional yang tidak menyenangkan yang berkaitan dengan kerusakan jaringan yang sudah atau berpotensi terjadi. Anestesia umum sering dilalukan pada berbagai macam prosedur pembedahan dan terbagi atas anestesia inhalasi dan anestesia intravena. Anestesia spinal merupakan salah satu anestesia yang paling sederhana dan paling dapat diandalkan dari tehnik anestesia regional. Penelitian ini bertujuan untuk mengetahui perbandingan nyeri pada pemberian anestesia umum dan anestesia spinal 24 jam pasca operasi. Penelitian ini menggunakan metode analitik prospektif. Terdapat 24 sampel yang terbagi atas 12 penggunaan anestesia umum dan 12 penggunaan anestesia spinal, dengan kriteria rentang umur pasien 20-60 tahun, lama operasi 1-4 jam serta jenis pembedahan seksio sesarea dan histerektomi. Penilaian nyeri menggunakan skor VAS serta tekanan darah, nadi dan respirasi. Data diolah dengan menggunakan program SPSS versi 20. Hasil uji statistik Mann-Whitney mendapatkan nilai p= 0,876 yang menunjukkan tidak terdapat perbedaan bermakna dari skor VAS. 24 jam pasca operasi dengan anestesia umum dan anestesia spinal. Simpulan: Tidak terdapat perbedaan bermakna nyeri 24 jam pasca operaasi dinilai dengan skor VAS pada pemberian anestesia umum dan anestesia spinal.Kata kunci: Skor VAS, anestesia general, anestesia spinal

scholarly journals Implementation of the OSTRC Handball Injury Prevention Exercises in Professional Handball

2021 ◽  
Vol 21 (2) ◽  
pp. 136-141
Author(s):  
Wesam Saleh A. Al Attar ◽  
Nawaf Al Masoudi ◽  
Ali Al Zubeadi ◽  
Ahmed Qasem
Keyword(s):  
Injury Prevention ◽  
Response Rate ◽  
P Value ◽  
Web Based ◽  
Trauma Research ◽  
Gcc Countries ◽  
Survey Response Rate ◽  
Significant Difference ◽  
The Mean ◽  
Implementation Level

Purpose. The Oslo Sports Trauma Research Center (OSTRC) handball injury prevention exercise is an evidence-based injury prevention exercise designed to prevent handball injury. This study aimed to assess the implementation of the OSTRC handball injury prevention exercises among professional handball players in the Gulf Cooperation Council (GCC) countries. Materials and methods. A web-based survey to acquire information regarding the implementation of OSTRC handball injury prevention exercises was distributed to 267 professional handball players in six GCC countries.  Results. A total of 250 handball players from the GCC countries responded to the survey (response rate 93.6%). The mean (±SD (Standard Deviation)) of the total implementation score was 13 (±2.558), with no statistically significant difference between the GCC countries, with a P-value of 0.123. The highest mean score was shown from Bahrain at 13.60 (±2.614), while the lowest was from Qatar at 12.10 (±2.427). Conclusions. A low implementation level of the OSTRC handball prevention exercises among the handball players in the GCC countries was reported in the current study.

MO008B LYMPHOCYTE SUBSET CHANGES IN PRIMARY MEMBRANEOUS NEPHROPATHY

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Nooshin Dalili ◽  
Fatemeh Pour-Reza Gholi ◽  
Katayoun Hasanzadeh ◽  
Sara Assadiasl
Keyword(s):  
B Cells ◽  
B Cell ◽  
B Lymphocytes ◽  
Standard Treatment ◽  
Control Group ◽  
P Value ◽  
Healthy Controls ◽  
Memory B Cell ◽  
Wide Range ◽  
Significant Difference

Abstract Background and Aims Primary membranous nephropathy (PMN) is the most common cause of nephrotic syndrome (NS) in adults. Rituximab a chimeric monoclonal anti-CD20 antibody has been supposed to eliminate autoantibody-producing B cells via direct signaling, complement-mediated cytotoxicity (CMC), and antibody-dependent cellular cytotoxicity (ADCC). According to the fact that a wide range of B lymphocytes may carry this marker, we aimed to identify which subset is more (or less) frequent in PMN patients and which one is more affected by rituximab administration. Method Three groups were enrolled in the present study. They included a healthy control group and two patient groups having the clinical, laboratory, and pathological diagnostic criteria of PMN, comprising either patients on standard treatment or patients on standard treatment plus rituximab. The latter group was studied just before receiving rituximab (pre-rituximab) and two months later (post rituximab). Peripheral blood mononuclear cells (PBMCs) were isolated using Ficoll-hypaque (inno-train, Germany) gradient. Afterward, cells were adjusted to a concentration of 1 _ 106 cells/mL and stained with mouse antihuman CD19-Cy5-conjugated antibody (Cytognos, Spain), mouse antihuman CD24-PE-conjugated antibody (Cytognos, Spain), and mouse antihuman CD38-FITC-conjugated antibody (Cytognos, Spain). Flow cytometry performed by FACS Calibur (BDFacs Calibur Becton Dickinson, USA). Results The total lymphocyte percentage was higher in PMN patients receiving either standard treatment or rituximab than in healthy controls (standard-treatment vs. control: P value = 0.001, pre-rituximab vs. control: P value =0.001). In post-rituximab analysis, CD19+ cell count showed notable reduction (P value = 0.003) B CD19+CD24+CD38- cells, representing the memory B cell population, did not show any significant difference between healthy controls and patients. Furthermore, the count of these cells did not decrease significantly two months after rituximab administration. The subset of CD19+CD24-CD38+ B lymphocytes, a class of naïve/mature lymphocytes with normal function, was significantly higher in the control group than in standard treatment patients (P value = 0.01). However, no statistically significant difference was found in CD19+CD24-CD38+B lymphocytes neither between the rituximab and control groups nor between pre-rituximab and post-rituximab patients. Conclusion The number of regulatory B cells decreased in both standard treatment and rituximab-receiving PMN patients and the proportion of naïve/mature B-lymphocytes was lower in the former group. Moreover, the memory B cells count did not reduce significantly two months after rituximab administration. Hence, it might be the best choice to target the memory B cell subset in immunosuppressive therapy while avoiding the Breg or naïve/mature B lymphocyte depletion to obtain more favorable sustained outcomes.

scholarly journals effect of HIV/AIDS education prevention using web-based she smart on knowledge, attitudes, and practice in adolescent girls

2022 ◽  
Vol 5 (1) ◽  
pp. 31-36
Author(s):  
Komala Dewi Muslimin ◽  
Yusring Sanusi Baso ◽  
Healthy Hidayanty ◽  
Syafruddin Syarif ◽  
Aminuddin Aminuddin ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Sampling Technique ◽  
Aids Education ◽  
Early Marriage ◽  
P Value ◽  
Web Based ◽  
Significant Difference ◽  
Before And After ◽  
Marriage Problems ◽  
Hiv Aids

From year to year the number of cases of people with HIV/AIDS has increased. This increase is also experienced in Indonesia, where adolescents infected with HIV/AIDS show a number that tends to rise. It is characterized by a teenager's ignorance about reproductive health and knowledge of his sexual state. So many teenagers are at risk for early marriage problems, pregnancy, sexually transmitted infections, and also HIV/AIDS. To look at the influence of HIV/AIDS education on the knowledge, attitudes, and Practice of Adolescent girls. Use Pre-Experiment with one group pre-test and post-test design. Sampling technique using purposive sampling and obtained the number of 47 students. The research was conducted in Senior High School 12 Makassar in September-October 2021. Data analysis using the McNemar Test. And statistical test results showed there was an influence on the use of HIV/AIDS education using web-based She Smart on knowledge where p-value = 0,000, attitude with a value of p-value = 0.000, and no significant difference in action with p-value = 0.500.  There is an influence on the use of web-based HIV/AIDS education using She Smart on knowledge and attitudes but no significant influence on actions before and after an intervention.

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