Aim： To improve workflow and usability by introduction of a new electronic patient record （EPR） and database. Methods： Establishment of an EPR based on open source technology （MySQL database and PI-IP scripting l...Aim： To improve workflow and usability by introduction of a new electronic patient record （EPR） and database. Methods： Establishment of an EPR based on open source technology （MySQL database and PI-IP scripting language） in a tertiary care andrology center at a university clinic. Workflow analysis, a benchmark comparing the two systems and a survey for usability and ergonomics were carried out. Results： Workflow optimizations （electronic ordering of laboratory analysis, elimination of transcription steps and automated referral letters） and the decrease in time required for data entry per patient to 71% ± 27%, P 〈 0.05, lead to a workload reduction. The benchmark showed a significant performance increase （highest with starting the respective system： 1.3 ± 0.2 s vs. 11.1 ± 0.2 s, mean ± SD）. In the survey, users rated the new system at least two ranks higher over its predecessor （P 〈 0.01） in all sub-areas. Conclusion： With further improvements, today＇s EPR can evolve to substitute paper records, saving time （and possibly costs）, supporting user satisfaction and expanding the basis for scientific evaluation when more data is electronically available. Newly introduced systems should be versatile, adaptable for users, and workflow-oriented to yield the highest benefit. If ready-made software is purchased, customization should be implemented during rollout. （Asian J Andro12006 Mar; 8： 235-241）展开更多
In Slovenia, children with special needs have been included to primary schools since 1998. Since then, teachers have had a lot of work to be done. Every year they have to prepare an individualized programme for each c...In Slovenia, children with special needs have been included to primary schools since 1998. Since then, teachers have had a lot of work to be done. Every year they have to prepare an individualized programme for each child with special needs. They have to set goals that each child with special needs has to achieve at a particular subject. Pupils have different teachers every year and to make their work easier, the author is considering making a website database with basic information about them. This database would state the goals that the pupil achieved in the past year, which strategy of teaching proved to be the best for him or her and what the areas he or she needs help with are. Teachers would be collecting this data during the primary education, after the final evaluation this database would also be made available to the secondary school of the pupil in concern. This database should be located on the website of Ministry of Education, Science, Culture and Sports. It would be available to primary schools, but protected by a password which would grant the school access to the data of their students only. In secondary schools, teachers could also access to the information, so they would not have to be discovering appropriate teaching strategies that worked for a pupil in the past all over again. This would enable better conditions and a successful education for pupils with special needs.展开更多
Mazu is the most famous goddess of canal transport in China,and one of the three folk beliefs in China.Japan is our neighbor across the sea.As early as 1000 years ago,Japan was influenced by the Mazu ceremonial cultur...Mazu is the most famous goddess of canal transport in China,and one of the three folk beliefs in China.Japan is our neighbor across the sea.As early as 1000 years ago,Japan was influenced by the Mazu ceremonial culture.Through big data analysis,this study conducted database counting,screening,and analysis on the Mazu culture in Diaolong,the full-text database of Chinese and Japanese ancient books.Besides,it explored the hot topics of concern and emotional attitudes,and then analyzed the important role of Mazu culture in the cultural exchange and mutual learning between China and Japan in the new era,with a view to completing the contemporary task of“people-to-people bond”and achieving common development.展开更多
Smart devices collaborate in increasing the quantity of information hugely. Therefore, traditional archiving couldn’t support this explosion of information. The electronic archive will lead to many advantages such as...Smart devices collaborate in increasing the quantity of information hugely. Therefore, traditional archiving couldn’t support this explosion of information. The electronic archive will lead to many advantages such as faster access, privacy and security, data accessibility, and distribution of authorities between administrative levels. This paper will discuss electronic archiving and whether it is a necessity or an administrative luxury. This research shed some light on three main topics, which are general archiving, distributed database systems, and a case study.展开更多
Objectives: To evaluate a medical data management system of a mammogram unit in a department of Radiology. Methods: This is a qualitative and quantitative assessment study in Fann Teaching Hospital between April 2014 ...Objectives: To evaluate a medical data management system of a mammogram unit in a department of Radiology. Methods: This is a qualitative and quantitative assessment study in Fann Teaching Hospital between April 2014 and June 2015 one year after its implementation. The quantitative component consisted of the audit of the database to determine the socio-demographic characteristics of patients and the results of mammograms. The qualitative component assessed users’ experience. For analysis, quantitative data were extracted and transferred to Microsoft Excel. For scale variables, we calculated the averages and extremes. For qualitative variables, we established percentages. Results: During the study period, 433 patients underwent mammograms. The average age of patients was 48 years. The completion rate maintained above 85% was below 26% in the first two months of use. As to the completeness given examinations, it was still above 83%. The results of mammogram examinations were normal in the majority of cases: 96% for the right breast and 95.2% for the left breast. All users had a favourable opinion about the database. The reasons were better work organization, comprehensiveness, accessibility and standardization of information about the patient and especially the immediate availability of statistics. For 60% of these health professionals, complaints related to the use of the software were the time-consuming of filling data. Conclusion: This study mainly describes the perception of health professionals on the computerization of radiological examinations. It offers some advantages, proposes improvements and opens avenues for reflection on the globalization of the computerization of patient records in Radiology.展开更多
目的:为解决传统临床病种库系统存在的依赖大量人工判断、缺乏辅助标注、电子病历数据可用性差等问题,设计一种基于后结构化技术的临床病种库系统。方法:先通过I2B2标准以及双向长短期记忆网络(bi-directional long short-term memory,B...目的:为解决传统临床病种库系统存在的依赖大量人工判断、缺乏辅助标注、电子病历数据可用性差等问题,设计一种基于后结构化技术的临床病种库系统。方法:先通过I2B2标准以及双向长短期记忆网络(bi-directional long short-term memory,BiLSTM)模型构建实体识别模型,形成病历模板库,然后组合病历模板库形成关系模板,抽取复杂的医学实体,实现电子病历的后结构化。之后,基于电子病历后结构化技术构建包括病历结构化、结构化评估、数据标注、常规功能和系统管理5个模块的临床病种库系统。结果:该系统可以将电子病历文本转化为结构化语言,提供更精细化的数据要素提取、更智能的结构化服务,提高了临床和科研工作的效率。结论:该系统提高了临床病种的数据可用性,减轻了用户数据加工的工作强度,保证了数据应用的高质量,为医学研究、临床辅助决策打下了坚实的基础。展开更多
文摘Aim： To improve workflow and usability by introduction of a new electronic patient record （EPR） and database. Methods： Establishment of an EPR based on open source technology （MySQL database and PI-IP scripting language） in a tertiary care andrology center at a university clinic. Workflow analysis, a benchmark comparing the two systems and a survey for usability and ergonomics were carried out. Results： Workflow optimizations （electronic ordering of laboratory analysis, elimination of transcription steps and automated referral letters） and the decrease in time required for data entry per patient to 71% ± 27%, P 〈 0.05, lead to a workload reduction. The benchmark showed a significant performance increase （highest with starting the respective system： 1.3 ± 0.2 s vs. 11.1 ± 0.2 s, mean ± SD）. In the survey, users rated the new system at least two ranks higher over its predecessor （P 〈 0.01） in all sub-areas. Conclusion： With further improvements, today＇s EPR can evolve to substitute paper records, saving time （and possibly costs）, supporting user satisfaction and expanding the basis for scientific evaluation when more data is electronically available. Newly introduced systems should be versatile, adaptable for users, and workflow-oriented to yield the highest benefit. If ready-made software is purchased, customization should be implemented during rollout. （Asian J Andro12006 Mar; 8： 235-241）
文摘In Slovenia, children with special needs have been included to primary schools since 1998. Since then, teachers have had a lot of work to be done. Every year they have to prepare an individualized programme for each child with special needs. They have to set goals that each child with special needs has to achieve at a particular subject. Pupils have different teachers every year and to make their work easier, the author is considering making a website database with basic information about them. This database would state the goals that the pupil achieved in the past year, which strategy of teaching proved to be the best for him or her and what the areas he or she needs help with are. Teachers would be collecting this data during the primary education, after the final evaluation this database would also be made available to the secondary school of the pupil in concern. This database should be located on the website of Ministry of Education, Science, Culture and Sports. It would be available to primary schools, but protected by a password which would grant the school access to the data of their students only. In secondary schools, teachers could also access to the information, so they would not have to be discovering appropriate teaching strategies that worked for a pupil in the past all over again. This would enable better conditions and a successful education for pupils with special needs.
文摘Mazu is the most famous goddess of canal transport in China,and one of the three folk beliefs in China.Japan is our neighbor across the sea.As early as 1000 years ago,Japan was influenced by the Mazu ceremonial culture.Through big data analysis,this study conducted database counting,screening,and analysis on the Mazu culture in Diaolong,the full-text database of Chinese and Japanese ancient books.Besides,it explored the hot topics of concern and emotional attitudes,and then analyzed the important role of Mazu culture in the cultural exchange and mutual learning between China and Japan in the new era,with a view to completing the contemporary task of“people-to-people bond”and achieving common development.
文摘Smart devices collaborate in increasing the quantity of information hugely. Therefore, traditional archiving couldn’t support this explosion of information. The electronic archive will lead to many advantages such as faster access, privacy and security, data accessibility, and distribution of authorities between administrative levels. This paper will discuss electronic archiving and whether it is a necessity or an administrative luxury. This research shed some light on three main topics, which are general archiving, distributed database systems, and a case study.
文摘Objectives: To evaluate a medical data management system of a mammogram unit in a department of Radiology. Methods: This is a qualitative and quantitative assessment study in Fann Teaching Hospital between April 2014 and June 2015 one year after its implementation. The quantitative component consisted of the audit of the database to determine the socio-demographic characteristics of patients and the results of mammograms. The qualitative component assessed users’ experience. For analysis, quantitative data were extracted and transferred to Microsoft Excel. For scale variables, we calculated the averages and extremes. For qualitative variables, we established percentages. Results: During the study period, 433 patients underwent mammograms. The average age of patients was 48 years. The completion rate maintained above 85% was below 26% in the first two months of use. As to the completeness given examinations, it was still above 83%. The results of mammogram examinations were normal in the majority of cases: 96% for the right breast and 95.2% for the left breast. All users had a favourable opinion about the database. The reasons were better work organization, comprehensiveness, accessibility and standardization of information about the patient and especially the immediate availability of statistics. For 60% of these health professionals, complaints related to the use of the software were the time-consuming of filling data. Conclusion: This study mainly describes the perception of health professionals on the computerization of radiological examinations. It offers some advantages, proposes improvements and opens avenues for reflection on the globalization of the computerization of patient records in Radiology.
文摘目的:为解决传统临床病种库系统存在的依赖大量人工判断、缺乏辅助标注、电子病历数据可用性差等问题,设计一种基于后结构化技术的临床病种库系统。方法:先通过I2B2标准以及双向长短期记忆网络(bi-directional long short-term memory,BiLSTM)模型构建实体识别模型,形成病历模板库,然后组合病历模板库形成关系模板,抽取复杂的医学实体,实现电子病历的后结构化。之后,基于电子病历后结构化技术构建包括病历结构化、结构化评估、数据标注、常规功能和系统管理5个模块的临床病种库系统。结果:该系统可以将电子病历文本转化为结构化语言,提供更精细化的数据要素提取、更智能的结构化服务,提高了临床和科研工作的效率。结论:该系统提高了临床病种的数据可用性,减轻了用户数据加工的工作强度,保证了数据应用的高质量,为医学研究、临床辅助决策打下了坚实的基础。
