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From pen-and-paper questionnaire to a computer-assisted instrument for self-triage in the ophthalmic emergency department: Process and validation

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computerS IN BIOLOGY AND MEDICINE 2015年 66卷 258-262页

作者： Eijk, Eva S. V. Bettink-Remeijer, Marijke Wefers Timman, Reinier Busschbach, Jan J. V. Rotterdam Ophthalm Inst NL-3011 BH Rotterdam Netherlands Erasmus MC Dept Psychiat Sect Med Psychol & Psychotherapy Rotterdam Netherlands Rotterdam Eye Hosp Rotterdam Netherlands

Background/Aims: The ISET (Instrument for SElf-Triage) is a validated pen-and-paper instrument for patient self-triage in ophthalmic emergency departments. The aim of the present study is to develop a validated computer-assisted ISET (ca-ISET) with a touch screen. Methods: In the emergency department of the Eye Hospital Rotterdam, the Netherlands, successive computer-assisted versions of the ISET were tested by patients visiting the emergency department. The versions were developed by iteratively prototyping, testing, analysing and refining the computer-assisted ISET. In three test cycles, 16, 53 and 75 patients >= 18 years old, visiting the emergency department for the first time with their ophthalmic complaint, were monitored while using the ca-ISET. They were debriefed, and their input was used to adapt the computer-assisted ISET. To validate the ca-ISET, a sensitivity outcome of.80 and a specificity of.70 was required (CI=95%). The ca-ISET sensitivity and specificity were tested by comparing ca-ISET triage outcome to triage outcome as decided by the regular triage assistant. Results: ISET accuracy increased from 0.69 in the first test to 0.79 in the third test. Sensitivity increased from 0.66 (CI 0.13-0.98) to 0.80 (0.51-0.95). Specificity increased from 0.69 (0.39-0.90) to 0.78 (0.65-0.88). To improve validity and usability, several adjustments were made in the text and the flow chart of the computer-assisted ISET. Conclusions: A ca-ISET prototype was developed, with minor textual modification of the pen-and-paper version. The new ca-ISET was validated by comparing against triage decided by the regular triage assistant. (C) 2015 Elsevier Ltd. All rights reserved.

关键词： Eye injuries Triage Telemedicine Self-report Hospital emergency service computer-assisted decision making Patient participation computer software application Decision tree

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Reviving 30 Year Old Technology: Lessons Learned from Transferring Patient Data Using Data Matrix Codes

Reviving 30 Year Old Technology: Lessons Learned from Transf...

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European-Federation-for-Medical-Informatics (EFMI) Special Topic Conference (STC)

作者： Brix, Tobias Johannes Neuhaus, Philipp Storck, Michael Soto-Rey, Inaki Dugas, Martin Univ Munster Inst Med Informat Munster Germany

ISBN: (纸本)9781614999591;9781614999584

In patient care and medical research patient data often has to be transferred between different electronic systems. These systems can be very heterogeneous, sometimes even legacy systems, and thus, often do not support standardized interfaces for data transfer. Since nowadays barcode scanners are commonly used in clinical routine and smartphones are accessible to most patients, we implemented different interfaces based on Data Matrix codes to transfer patient data between several medical applications. Objective of this work is to show different use cases in which Data Matrix codes have been successfully applied and discuss the lessons we have learned during the process of implementation and practical usage.

关键词： Bar Codes computer software application Electronic Medical Record

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Influence of perioperative anesthesia methods or anesthetic agents preferred for gastric cancer surgery on the survival of patients: a narrative review

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AIN SHAMS JOURNAL OF ANESTHESIOLOGY 2022年第1期14卷 1-6页

作者： Yilmaz, Fulya Bas, Koray Univ Hlth Sci Izmir Bozyaka Training & Res Hosp Dept Anaesthesiol & Reanimat Saim Cikrikci Caddesi 59 Karabaglar TR-35170 Izmir Turkey Univ Hlth Sci Izmir Bozyaka Training & Res Hosp Dept Gen Surg Izmir Turkey

Background: Gastric cancer is a major global public health problem. It is the fourth most common cancer and the second cause of cancer-related deaths worldwide. Despite advances in the field of medical and radiation oncology, surgical resection is a crucial intervention and remains the mainstay of gold standard treatment. Recently, the effects of anesthesia method(s) and/or anesthetic agent(s) on survival for different types of cancers gained attention. So, we want to summarize the evidences of anesthesia methods and/or anesthetic agents preferred for gastric cancer surgery on the survival. Main body: The Web of Science software was used for the search and the analysis. To analyze scientific productivity of all scientific papers published about survival of patients due to the anesthesia methods or anesthetic agents on gastric cancer in Science Citation Index Expanded (SCI-E) from 1980 to December 5, 2020, the date of the search was searched by using the terms of "gastric cancer," "survival," and "anesthesia" in the topic search section of the software. As a result, overall, fifteen papers were related to our topic. Four of these studies compared total intravenous anesthesia (TIVA) with general anesthesia, five of these compared general anesthesia with general anesthesia combined with epidural anesthesia/analgesia for gastric cancer, and three of these studies investigated effect of anesthetic agents for gastric cells in in vitro conditions. Other publications were review on this topic. Conclusions: The important role of anesthesia in treatment of gastric cancer patients is still controversial. Further prospective randomized studies are needed.

关键词： Anesthesia Anesthetic drugs computer software application Gastric cancer Survival General anesthesia

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Impact of Web-Based Self-Scheduling on Finalization of Well-Child Appointments in a Primary Care Setting: Retrospective Comparison Study

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JMIR MEDICAL INFORMATICS 2021年第3期9卷 e23450页

作者： North, Frederick Nelson, Elissa M. Majerus, Rebecca J. Buss, Rebecca J. Thompson, Matthew C. Crum, Brian A. Mayo Clin Dept Med Div Community Internal Med 200 First St SW Rochester MN 55905 USA Mayo Clin Enterprise Off Access Management Rochester MN 55905 USA Mayo Clin Dept Neurol Rochester MN 55905 USA

Background: Web-booking of flights, hotels, and sports events has become commonplace in the travel and entertainment industry, but self-scheduling of health care appointments on the web is not yet widely used. An electronic health record that integrates appointment scheduling and patient web-based access to medical records creates an opportunity for patient self-scheduling. The Mayo Clinic developed and implemented a feature in its Patient Online Services (POS) web and mobile platform that allows software-managed self-scheduling of well-child visits. Objective: This study aims to examine the use of a new self-scheduling appointment feature within POS in both web and mobile formats and determine the use characteristics, outcomes, and efficiency of self-scheduling compared with staff scheduling. Methods: Within a primary care setting, we collected 13 months of all appointment activity for the well-child visit for children aged 2-12 years. As these specific appointment types are for minors, self-scheduling is performed by parents or other proxies. We compared the appointment actions of scheduling and cancelling for both self-scheduled and staff-scheduled appointments. The frequency in which patients were using self-scheduling outside of normal business hours was quantified, and we compared no-show outcomes of finalized appointments. Results: Of the 1099 patients who performed any self-scheduling actions, 73.1% (803/1099) exclusively used self-scheduling and self-cancelling software. For those with access to self-scheduling (patients registered with the Mayo Clinic POS), 4.92% (1201/24,417) of all well-child appointment-scheduling actions were self-scheduled. Staff scheduling required more than a single appointment step (eg, schedule, cancel, reschedule) in 28.32% (3729/13,168) compared with only 6.93% (53/765) of self-scheduled appointments (P<.001). Self-scheduling appointment actions took place outside of regular business hours 29.5% (354/1201) of the time. No-shows

关键词： electronic health record schedules patient appointment preventive health service office visit outpatient care software tool computer software application mobile applications child health pediatric preventive care self

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Programming Features and Technical Analysis of computer software Java

International Core Journal of Engineering

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International Core Journal of Engineering 2021年第8期7卷 182-186页

作者： Jiaqiao Xu

With the rapid development of computer technology, various programming languages continue to improve and innovate, and the scopes of their daily applications are also expanding. Java occupies a unique corner in computer software development due to its orientation, independence, directness, and other advantages, and it is a programming language necessary for many computer applications. This paper further analyzes the programming advantages that Java occupies in software development through a brief introduction to the basic definition and characteristics of the Java programming language. Besides, through the mainstream application of the main technology of Java programming, this paper further analyzes and summarizes the Java programming language. We hope that the research on Java programming characteristics and technical analysis can provide references for related parties.

关键词： Java Programming Technical Analysis computer software application

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The Effect of Automated Mammogram Orders Paired With Electronic Invitations to Self-schedule on Mammogram Scheduling Outcomes: Observational Cohort Comparison

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JMIR MEDICAL INFORMATICS 2021年第12期9卷 e27072页

作者： North, Frederick Nelson, Elissa M. Buss, Rebecca J. Majerus, Rebecca J. Thompson, Matthew C. Crum, Brian A. Mayo Clin Div Community Internal Med Dept Internal Med 200 First St SW Rochester MN 55905 USA Mayo Clin Enterprise Off Access Management Rochester MN 55905 USA Mayo Clin Dept Neurol Rochester MN 55905 USA

Background: Screening mammography is recommended for the early detection of breast cancer. The processes for ordering screening mammography often rely on a health care provider order and a scheduler to arrange the time and location of breast imaging. Self-scheduling after automated ordering of screening mammograms may offer a more efficient and convenient way to schedule screening mammograms. Objective: The aim of this study was to determine the use, outcomes, and efficiency of an automated mammogram ordering and invitation process paired with self-scheduling. Methods: We examined appointment data from 12 months of scheduled mammogram appointments, starting in September 2019 when a web and mobile app self-scheduling process for screening mammograms was made available for the Mayo Clinic primary care practice. Patients registered to the Mayo Clinic Patient Online Services could view the schedules and book their mammogram appointment via the web or a mobile app. Self-scheduling required no telephone calls or staff appointment schedulers. We examined uptake (count and percentage of patients utilizing self-scheduling), number of appointment actions taken by self-schedulers and by those using staff schedulers, no-show outcomes, scheduling efficiency, and weekend and after-hours use of self-scheduling. Results: For patients who were registered to patient online services and had screening mammogram appointment activity, 15.3% (14,387/93,901) used the web or mobile app to do either some mammogram self-scheduling or self-cancelling appointment actions. Approximately 24.4% (3285/13,454) of self-scheduling occurred after normal business hours/on weekends. Approximately 9.3% (8736/93,901) of the patients used self-scheduling/cancelling exclusively. For self-scheduled mammograms, there were 5.7% (536/9433) no-shows compared to 4.6% (3590/77,531) no-shows in staff-scheduled mammograms (unadjusted odds ratio 1.24, 95% CI 1.13-1.36;P<.001). The odds ratio of no-shows for self-sched

关键词： electronic health record schedule patient appointment preventive health service office visit outpatient care mammogram software tool computer software application mobile applications self-schedule app EHR screening diagnostic cancer

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application analysis of Industrial software in Training the Engineering Ability of Mechanical Professional Education

Application analysis of Industrial Software in Training the ...

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作者： Li Wang Yihua Feng Peidong Yuan Mechanical and Automotive Engineering Qilu University of Technology(Shandong Academy of Sciences)

To adapt to China's strategy of strengthening manufacturing power and improving the digitalization of R&D and design tools and key processes,colleges and universities must improve the ability of the students to use digitalized tools comprehensively during the process of personnel *** University of Technology has played a positive role in promoting the students' understanding and mastery of theoretical knowledge by offering various courses and using engineering software in practical teaching,which has played an important role in cultivating/promoting the engineering abilities of the students.

关键词： industrial software digital tools engineering ability training computer software application practical teaching

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