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Medical informatics conference papers: a content analysis of research in a new discipline.

One of the hallmarks of a mature discipline is a varied and robust body of literature describing the research activities of the discipline. Medical informatics has rapidly become an accepted scientific discipline, having emerged from two long established disciplines (medical and computer science). This study looks at one form of scientific communication as a descriptive indicator of the maturity of medical informatics as a discipline. Conference proceedings were selected because they represent one of the first means of communication within a discipline in a semiformal format. Findings confirm that conference papers report research, development, and application projects across a wide range of topics; identify a possible trend toward increased funding; and show widespread use of empirical and quantitative research and analytical techniques. Deficiencies in the conference papers are also discussed.

Congresses as Topic↗

Sensors, medical image and signal processing. Findings from the Section on Sensor, Signal and Imaging Informatics.

OBJECTIVES: To summarize current excellent research in the field of sensor, signal and imaging informatics. METHODS: Synopsis of the articles selected for the IMIA Yearbook of Medical Informatics 2006. RESULTS: The selection process for this yearbook's section 'Sensor, signal and imaging informatics' results in six excellent articles, representing research in five different nations. We selected a cross section of the wide range of application, ranging from model based image segmentation, image retrieval and data mining, image based diagnosis assistance, bio-impedance based skin cancer screening, brain computer interfaces to MRI based computational models for fluid-structure-interactions. CONCLUSIONS: The selected articles indicate a small but meaningful extract from the research field of sensors, signal and image processing, which has a wide range of applications in medical informatics. The articles present excellent research with a possibility of having high relevance for the future in patient care.

Awards and Prizes↗

Leadership in nursing informatics.

Nursing informatics is a 21st century science with great potential for improving the quality, safety, and efficiency of health care. Perinatal, neonatal, and women's health nurses have an opportunity to contribute and lead in informatics. Leaders must learn about current informatics issues from essential resources, including the literature, professional organizations, and education programs, to develop successful strategies for innovation, collaboration, and implementation. Most important, nurses must be accountable for humanizing the use of technology using a nursing model.

Computer User Training↗

IMIA Working Group 13: organizational impact of medical informatics.

In 1993 the International Medical Informatics Association approved a working group whose purpose focused on the people and organizational issues surrounding the use of computers in health care. This article outlines two key concepts that act as the guiding principles for the working group's efforts. The concepts are: applying the knowledge of human behaviors toward the use of information or information technology within a health care environment and effectively incorporating human factors, culture, change, and organizational and human engineering in the medical informatics processes. These concepts are further supported by functional statements and a strategy to ensure the principles are effectively diffused in the medical informatics community. The concepts, functional statements and process were adopted by the working group and are outlined in this article.

Attitude to Computers↗

Applications of ePerSpace Service Management platform in health care.

The ePerSpace project has created a distributed service management platform with wide ranging applications at home and globally anywhere else outside home. The project has created an open and trusted home platform where home devices can seamlessly work together providing personalised services, provisioning content adaptation, and managing a variety of services via a residential gateway. Using the personalisation information the system can recognise and form specific user communities towards which specific services such as health care can be directed. This paper presents the main concept and components of the ePerSpace Service Management and discusses its potential in health care applications.

Computer Communication Networks↗

Positive attitudes and failed queries: an exploration of the conundrums of consumer health information retrieval.

Several studies have found that consumers report a high level of satisfaction with the Internet as a health information resource. Belied by this positive attitude, however, are other studies reporting that consumers were often unsuccessful in searching for health information. In this paper, we present an interview and observation study in which we asked health consumers to search for health information on the Internet after first stating their search goals. Upon the conclusion of the session they were asked to evaluate their searches. We found that many consumers were unable to find satisfactory information when performing a specific query, while in general the group viewed health information retrieval (HIR) on the Internet in a positive light. We analyzed the observed search sessions to determine what factors accounted for the failure of specific searches and positive attitudes, and also discussed potential informatics solutions.

Adult↗

Continuous quality improvement through use of perinatal clinical record and AGUSTINA database.

UNLABELLED: This paper reviews the development of the field of medical informatics in Latin America. It also describes the results of a computer-based data management system, named AGUSTINA, which is comprised of maternal and infant data on 7570 deliveries that occurred between June, 1990 and December, 1996 in a hospital in the surroundings of Buenos Aires, Argentina. These data were fundamental for the instrumentation of preventive community-oriented activities in the area. Finally, this paper describes recommendations for future actions in the area of medical informatics in Latin America. ABBREVIATIONS: PCR: perinatal clinical record; CLAP, Centro Latino-Americano de Perinato-logia; WHO, World Health Organization; PAHO, Pan-American Health Organization; E-Mail, electronic mail; WWW, world wide web; FTP, file transfer protocol.

Adolescent↗

Informatics for nurse managers: integrating clinical expertise, business applications, and technology.

Nurse managers must become familiar with computers, information systems, and nursing informatics in order to be competitive in the future. Knowledge and skills for identifying critical data elements, organizing the data into information, and presenting it for decision making can be learned through formal and informal education. After learning to use computers and to apply nursing informatics, nurse managers will be equipped to make more relevant, data-driven management decisions. This article describes how nurse managers can identify business applications relevant to management, learn how to use them, and put nursing informatics to work in very practical ways.

Clinical Competence↗

Bridging the gap between biological and clinical informatics in a graduate training program.

Several training programs in biomedical informatics in the United States are attempting to integrate biological and clinical informatics. However, significant differences in the cultures underlying these two disciplines pose barriers to a uniform educational solution. This paper recounts the experience at Columbia University in adapting a graduate program with an initial focus on clinical informatics to train bioinformaticians. The analysis begins by considering the development of the medical and biological informatics cultures over a 17-year period. Then we review how two separate curricula evolved to serve the needs of each group. Interviews with bioinformatics students and faculty indicated some dissatisfaction with the curriculum that developed within clinical informatics. Their comments are considered in the light of an analysis of the relationship between the application domains of biomedical informatics as a discipline. In response, a new curriculum was developed in which bioinformatics and clinical informatics are regarded as subdivisions of the same subject. A key feature of this curriculum is a new course, Theory and Methods in Biomedical Informatics, which presents informatics principles in their general form, and illustrates their application with examples drawn from across the biomedical spectrum. The paper concludes with suggestions for integrating informatics training programs at other institutions.

Computational Biology↗

Teaching medical informatics a la carte: a curriculum for the professional palate.

Health professionals as well as students vary greatly in their appetite for medical informatics and evidence-based medicine. The information professional is challenged by the need for instructional programs that support the use of medical informatics to a diverse audience. For teaching programs to be successfully received, the information professional must be able to offer an adaptable curriculum that can be arranged to meet the differing needs of a wide range of health professionals. The Educational Services Department at New York University Medical Center has designed and implemented a multidisciplinary curriculum that serves as a model for health and information professionals to meet a variety of goals and objectives. This paper describes how the curriculum evolved. It is presented as a menu of offerings that may be coordinated and adapted to meet the varying skills and needs of clinicians, basic scientists, residency training programs, medical student clerkships, and nursing and allied health programs. Informatics programs that may include workshops in basic computer skills, identification of information resources, the structure of information, developing search strategies in support of evidence-based medicine, identifying qualitative journal literature, and critical appraisal of the literature, are easily adapted to any audience and schedule.

Academic Medical Centers↗

Multi media and broadband communication services: a new paradigm for medical imaging.

This paper is attempting given a summery of the major building blocks and driving forces in the developments of medical informatics and medical imaging in special. The role of multi-media and broadband communication will be described. The paper should give an indication where the author sees medical imaging in the world of informatics, focusing from R&D to product developments, with emphases on standards and prototyping. The author will also define the molecule and atoms of medical informatics and medical imaging. The architecture of the CEN TC 251/4 draft standard will be described in relation to the general objectives of CEN TC 251.

Computer Communication Networks↗