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PubMed1999

The Health Management Information System of Romania.

In Romania a Health Management Information System (HMIS) project is in progress. The project covers the main activities of the Ministry of Health (MoH), of the 42 District Health Authorities and more than 250 other health care units. The first applications will be implemented at the middle of 1999. The paper shows the context of the HMIS among other Health Information Systems in Romania, its main parts and some organizational issues of the HMIS project, achievements and difficulties encountered.

Database Management Systems↗
PubMed1999

The hip status: a telemedical application.

Biomedical informatics and biomedical engineering are interdisciplinary sciences that are growing fast and have a significant impact on healthcare delivery. The University Medical Centre in Ljubljana and the Medical Faculty through its institutes have initiated the building of their own telemedicine systems. These systems concern only the medical informatics field. However, in this work a telemedical application that uses a combination of biomedical engineering methods and methods of biomedical informatics is presented. This telemedical application was built at the Department of Surgery and it was named "The Hip Status Application". Its aims are to provide services of preventive medicine and health promotion for people with potential problems with the hip-joint, guidance for people that have already underwent an operation of implantation of hip endoprosthesis, or have in any other way affected hip-joints, remote system consultation for diagnostic purposes, etc. The application is still under evaluation, and it is meant as a start of a new era of engineering-powered telemedical applications at the Department of Surgery following the trends in the most developed countries of the World.

Arthroplasty, Replacement, Hip↗
PubMed1999

Real-time medical applications and telecommunications.

Telecommunications play an important role in telemedicine. Many forms of telecommunication services based on different telecommunication technologies are developed for various needs. The paper deals with complex real-time applications which demand high telecommunication requirements. At the beginning, medical applications are categorised and real-time applications qualified as multimedia applications. Requirements for multimedia elements are listed separately. Later on, short introduction of related telecommunication protocols is given. Real-time medical applications can show their ability in case of guaranteed quality of services delivered by telecommunication network as it is explained in the end.

Humans↗
PubMed1999

WWW as a teaching resource for introductory medical informatics in primary care.

This pro and contra report assesses the current state of the WWW as a teaching aid for Medical Informatics, using the experience gained from the delivery of a module to a heterogeneous group of health workers enrolled in an MSc/PgDip in Primary Care. The students were expected to act as both information consumers in a directed bibliographic retrieval task and information providers for Primary Care. The students' perceptions as to the usefulness and local relevance of current resources on the world wide web (WWW) are discussed.

Curriculum↗
PubMed1999

Communication between the higher education and industry.

The paper presents the starting premise and the general frame of the Tempus Project CME-02555-96, entitled "Know How Transfer form University to Industry". It is intended to be a study for establishing a frame and methods for communication between academic, scientific and research bodies and industry. This project continues the efforts made in the RENEHEMA Tempus project aiming to support the improvement of communication between higher education and industry. Following the conclusions of the RENEHEMA conference the strategy adopted by the management board focused on the Internet technology and free market mechanisms to fulfill the project objectives.

Communication↗
PubMed1999

The need for evaluation when managing the IMIA.ORG web-site.

The International Medical Informatics Association (IMIA) has built up a web-site to support international scientific exchange and facilitate organizational tasks. Regular monitoring is required to get information on whether the site is actually used and by whom. Main aspects of the evaluation are function, structure and contents. As main evaluation methods the logfile analysis and user questionnaires are used. The number of visits to IMIA's web-site has constantly increased in the last year. In January 1998 the site had 418 visits, in December 1998 there were 6002 visits. The user questionnaire showed that the web-site offers an adequate platform for the members. It is concluded that the members as the main target group are reached by the service and in addition that the growing number of non-members require further development of the public part of the site.

Evaluation Studies as Topic↗
PubMed1999

GIN AUSTRIA. Assuring quality and relevance on Internet-health-informations for patients.

GIN AUSTRIA (Gesundheitsinformationsnetz AUSTRIA) offers patients and consumers reliable medical knowledge about diseases, wellness and disease management in an understandable way and enables them to quick and incessant access to informations about the Austrian health system and Austrian health organizations. To improve the quality of the database and to achieve full customer (patients, citizens) satisfaction a systematic approach for implementing total quality management is also applied. Focusing the attention on understanding and responding to customer needs, systematic and continuous improving of the IS and total involvement of all participants are the three core TQM principles at this project. The second focus of the project is the development and the implementation (prototype) of a medical dictionary or rather medical thesaurus as interface for patients, who are not used to scientific terms and expressions. This interface is based on the controlled vocabulary of the MeSH-Thesaurus (german version).

Austria↗
PubMed1999

A method for an automated decomposition of a complex term into its conceptual components.

The paper deals with the improvement of the MAOUSSC model (Modèle d'Aide et d'Orientation d'un Utilisateur au Sein des Systèmes de Codage) and system. Its specific purpose is the automation of the description of medical and surgical procedures. We have developed an automatic decomposition method using a linguistic and conceptual approach based on the UMLS knowledge base. This work concerns the processing of 100 procedure wordings from the digestive surgery domain. We introduce a prototype of such a system automating the decomposition through a web interface.

Artificial Intelligence↗
PubMed1999

Towards a multilingual morpheme thesaurus for medical free-text retrieval.

We introduce a methodology for the segmentation of complex compounds into medically plausible morphemes. A tool for thesaurus compilation and management is presented, and design principles for a multilingual morpheme thesaurus are outlined. Our goal is to enhance the quality of medical free-text retrieval by replacing lexically based through morpheme-based search procedures.

Germany↗
PubMed2000

Compound acquisition strategies.

Compound acquisition has always been a very important component in the discovery and development of new biologically active entities. With the rapid advances in high throughput screening coupled with the ever-decreasing time requirements for the discovery phase, the number and quality of compounds screened is of great importance. This presentation will discuss some of the techniques and processes that can be used in compound acquisition.

Combinatorial Chemistry Techniques↗
PubMed2000

Linkage disequilibrium mapping using single nucleotide polymorphisms--which population?

There is considerable interest in the potential of single nucleotide polymorphisms (SNPs) for mapping complex traits which are determined by genes of small individual effect (oligogenes). It is thought likely that many oligogenes are themselves common polymorphisms, perhaps biallelic, for which there is effectively neutral selection reflected in late age of onset. The extent of detectable linkage disequilibrium between SNP x SNP pairs and SNP x oligogene pairs is of considerable interest, particularly in the context of identifying 'favourable' populations. Unfortunately data are sparse and few populations have been extensively sampled. Polymorphisms with the appropriate characteristics that have been studied are blood groups in the Rhesus and MNS systems for which there are extensive data on four pairs of biallelics. These might be regarded as surrogates for SNP-SNP or SNP-oligogene pairs. By developing and applying an approach, previously used for major genes, to evaluate association (rho) in SNP haplotypes, it is evident that, with some exceptions, there is little difference between isolates and large populations. Furthermore it is apparent that there is useful linkage disequilibrium even for the MN-Ss locus pair (0.195 cM apart), in both large populations and isolates. This is somewhat more favourable to linkage disequilibrium mapping than a recent simulation suggests.

Alleles↗
PubMed2000

Measuring the readership of a health-related Website.

A national database of telemedicine was set up with the sponsorship of the British government to provide a source of information to anyone researching the field or proposing a telemedicine project. To monitor the readership of the database we subscribed to a free Internet service called Extreme Tracking. Since the Website was launched there have been over 9000 visits from over 5000 different Internet addresses. The peak was in the week after launch, when it had 400 visitors in four days. Subsequently, the number of visits tailed off slightly, but nine months later the database was still attracting about 800 visits per month. The majority of visits were via links from other Websites. Of the 288 different Websites identified, the one operated by the UK National Health Service (NHS) Information Authority generated the most visits, suggesting that many readers were from within the NHS. The second most common form of referral was from search engines. Most visits were on weekdays and during normal UK working hours. Taken together with the fact that the Internet domain that generated most visits was the '.uk' one, we concluded that most readers were based in the UK and accessed the site as part of their jobs rather than as a spare-time activity. This is encouraging for the take-up of telemedicine in the UK.

Bibliometrics↗