Databases and Information Systems Commons^™

Acceptance And Usage Of Electronic Health Record Systems In Small Medical Practices, Ritu Tannan

Walden Dissertations and Doctoral Studies

One of the objectives of the U.S. government has been the development of a nationwide health information infrastructure, including adoption and use of an electronic health records (EHR) system. However, a 2008 survey conducted by the National Center for Health Statistics indicated a 41.5% usage of the EHR system by physicians in office-based practices. The purpose of this study was to explore opinions and beliefs on the barriers to the diffusion of an ERH system using Q-methodology. Specifically, the research questions examined the subjectivity in the patterns of perspectives at the preadoption stage of the nonusers and at the postadoption …

An Evaluation Of The Usability Of A Computerized Decision Support System For Nursing Homes, M. Fossum, M. Ehnfors, Ann L. Fruhling, A. Ehrenberg

Interdisciplinary Informatics Faculty Publications

Background: Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices.

Objective: This study describes facilitators and barriers that impact the ability of nursing personnel to effectively use a clinical CDSS for planning and treating pressure ulcers (PUs) and malnutrition and for following the suggested risk assessment guidelines for the care of nursing home residents.

Methods: We employed a qualitative descriptive design using varied …

Going Mobile: Launching A Mobile Website And Other Mobile Resources, Elizabeth Palena Hall, Alexandra Gomes, Laura E. Abate, Paul Levett, Morgan Wilcoxson, Steven W. Brown, Jolinda Thompson, John B. Lopez, Velda Jones

Himmelfarb Library Faculty Posters and Presentations

In spring 2010, the staff of Himmelfarb Health Sciences Library met to discuss ideas for a mobile web page and review ways to reach out to users in the mobile environment. By fall 2010, the library launched a mobile website and LibGuide, including drop-in help sessions provided for students. This poster presentation is an overview of the mobile support that the library currently provides to users.

A Pda Intervention To Sustain Smoking Cessation In Clients With Socioeconomic Vulnerability, Lynne Buchanan, Deepak Khazanchi

Information Systems and Quantitative Analysis Faculty Publications

This article describes a pilot study to explore use of a personal digital assistant (PDA) to sustain smoking cessation after discharge in clients with socioeconomic vulnerability. The major aim is to describe technology acceptance (perceived ease of use, usefulness, and attitude), portability, technical difficulty, satisfaction, and use time. The sample includes 31 medical surgical clients with average age of 47.35 (±13.3), average household income of $13,629 (±8,204), average number in the household of 2.67 (±2.22), and average education of 11th grade. The results demonstrate mean use time of 9.28 (±3.23) hr, or about 1 hr over 8 weeks. Technology acceptance …

A Correlational Study Of Telework Frequency, Information Communication Technology, And Job Satisfaction Of Home-Based Teleworkers, Shana P. Webster-Trotman

Walden Dissertations and Doctoral Studies

In 2008, 33.7 million Americans teleworked from home. The Telework Enhancement Act (S. 707) and the Telework Improvements Act (H.R. 1722) of 2009 were designed to increase the number of teleworkers. The research problem addressed was the lack of understanding of factors that influence home-based teleworkers' job satisfaction. Job dissatisfaction has been found to have a significant impact on voluntary turnover. The purpose of the study was to assess the relationship among telework frequency, information communication technology (ICT), and job satisfaction. The research questions were designed to answer whether correlational relationships exist among telework frequency, ICT, and job satisfaction and …

Authentication Of Biometric Features Using Texture Coding For Id Cards, Jonathan Blackledge, Eugene Coyle

Conference papers

The use of image based information exchange has grown rapidly over the years in terms of both e-to-e image storage and transmission and in terms of maintaining paper documents in electronic form. Further, with the dramatic improvements in the quality of COTS (Commercial-Off-The-Shelf) printing and scanning devices, the ability to counterfeit electronic and printed documents has become a widespread problem. Consequently, there has been an increasing demand to develop digital watermarking techniques which can be applied to both electronic and printed images (and documents) that can be authenticated, prevent unauthorized copying of their content and, in the case of printed …

The Use Of Human Patient Simulators To Enhance The Clinical Decision Making Of Nursing Students, Sharon Kay Powell-Laney

Walden Dissertations and Doctoral Studies

One of the newest teaching modalities in nursing education is the use of human patient simulators (HPS). An HPS simulation scenario creates a software program vignette in which students interact with a manikin to practice caring for critical patients in a risk-free environment. Although used extensively in schools of nursing, there is little research that examines if these expensive simulators improve the clinical decision-making ability of nursing students. The purpose of this experimental differentiated treatment study was to assess if HPS technology leads to increased clinical decision-making ability and clinical performance more than the teaching modality of a paper and …

Application Of Ict Iii: Use Of Information And Mobile Computing Technologies In Healthcare Facilities Of Saudi Arabia, Abdul Ahad Siddiqi, Munir Ahmed, Yasser M. Alginahi, Abdulrahman Alharby

International Conference on Information and Communication Technologies

Information technology forms an important part of the healthcare solution. Accurate and up-to-date information is essential to continuous quality improvement in any organization, and particularly so in an area as complex as healthcare. Therefore, diverse information systems must be integrated across the healthcare enterprise. The knowledge base in the medical field is large, complex, and growing rapidly. It includes scientific knowledge, as well as familiarity with the day-to-day business of providing healthcare. It is crucial to identify the processes in the healthcare sector that would most benefit from the support of information technology. This study is focused on the analysis …

The Influence Of Affect, Attitude And Usefulness In The Acceptance Of Telemedicine Systems, Soussan Djamasbi,, Ann L. Fruhling, Eleanor T. Loiacono

Information Systems and Quantitative Analysis Faculty Publications

Grounded in current theories of affect this study examines the role positive and negative moods play on the acceptance of a specialized telemedicine system for microbiology consultation and diagnostics, referred to as telepathology. From a laboratory experiment using microbiology laboratory assistants, the notion that healthcare users’ attitude is an important factor in the acceptance behavior of a healthcare information system is supported. A regression analysis of the data revealed the need to tailor the IS Technology Acceptance Model for the healthcare field. Specifically, our results show that ease of use which is thought to be a main antecedent of end-user …

Persuading Consumers To Form Precise Search Engine Queries, Gondy Leroy

CGU Faculty Publications and Research

Today’s search engines provide a single textbox for searching. This input method has not changed in decades and, as a result, consumer search behaviour has not changed either: few and imprecise keywords are used. Especially with health information, where incorrect information may lead to unwise decisions, it would be beneficial if consumers could search more precisely. We evaluated a new user interface that supports more precise searching by using query diagrams. In a controlled user study, using paper-based prototypes, we compared searching with a Google interface with drawing new or modifying template diagrams. We evaluated consumer willingness and ability to …

Archetype Alignment: A Two-Level Driven Semantic Matching Approach To Interoperability In The Clinical Domain, Damon Berry, Jesus Bisbal

Conference Papers

Semantic interoperability between electronic health record systems and other information systems in the health domain implies agreement about the structure and the meaning of the information that is communicated. There are still a number of similar but different EHR system approaches. Some of the newer approaches adopt the two-layer model approach where a generic reference model is constrained by archetypes into valid clinical concepts which can be exchanged. The meaning of the concepts that are represented by an archetype can be conveyed by embedding codes from a commonly recognised terminology at appropriate points in the archetype. However, as the number …

A Generic Approach To Computer-Based Clinical Practice Guideling Management Using The Eca Rule Paradigm And Active Databases, Bing Wu, Kudakwashe Dube

Articles

The increasing demand for reduced cost and improved quality of service in healthcare has prompted the call for better management of medical knowledge. The main emphasis has been on knowledge that is acquired through experience and medical research and then formalised into Clinical Practice Guidelines (CPGs). This paper presents a generic approach to CPG information and knowledge management that uses the Event-Condition-Action (ECA) rule paradigm and active databases within a unified management framework. The paper focuses on an approach for facilitating the use and management of CPGs by clinicians through delivering the CPGs at the point-of-care by a computerised mechanism.

Evaluating Online Health Information: Beyond Readability Formulas, Gondy Leroy, Stephen Helmreich, James Cowie, Trudi Miller '08, Wei Zheng '08

CGU Faculty Publications and Research

Although understanding health information is important, the texts provided are often difficult to understand. There are formulas to measure readability levels, but there is little understanding of how linguistic structures contribute to these difficulties. We are developing a toolkit of linguistic metrics that are validated with representative users and can be measured automatically. In this study, we provide an overview of our corpus and how readability differs by topic and source. We compare two documents for three groups of linguistic metrics. We report on a user study evaluating one of the differentiating metrics: the percentage of function words in a …

Droid: The Drosophila Interactions Database, A Comprehensive Resource For Annotated Gene And Protein Interactions, Jingkai Yu, Svetlana Pacifico, Guozhen Liu, Russell L. Finley Jr

Wayne State University Associated BioMed Central Scholarship

Abstract

Background

Charting the interactions among genes and among their protein products is essential for understanding biological systems. A flood of interaction data is emerging from high throughput technologies, computational approaches, and literature mining methods. Quick and efficient access to this data has become a critical issue for biologists. Several excellent multi-organism databases for gene and protein interactions are available, yet most of these have understandable difficulty maintaining comprehensive information for any one organism. No single database, for example, includes all available interactions, integrated gene expression data, and comprehensive and searchable gene information for the important model organism, Drosophila melanogaster. …

Learning Causal Models For Noisy Biological Data Mining: An Application To Ovarian Cancer Detection, Ghim-Eng Yap, Ah-Hwee Tan, Hwee Hwa Pang

Research Collection School Of Computing and Information Systems

Undetected errors in the expression measurements from highthroughput DNA microarrays and protein spectroscopy could seriously affect the diagnostic reliability in disease detection. In addition to a high resilience against such errors, diagnostic models need to be more comprehensible so that a deeper understanding of the causal interactions among biological entities like genes and proteins may be possible. In this paper, we introduce a robust knowledge discovery approach that addresses these challenges. First, the causal interactions among the genes and proteins in the noisy expression data are discovered automatically through Bayesian network learning. Then, the diagnosis of a disease based on …

An Event-Driven Approach To Computerizing Clinical Guidelines Using Xml, Bing Wu, Essam Mansour, Kudakwashe Dube, Jianxin Li

Conference Papers

Clinical events form the basis of patient care practice. Their computerization is an important aid to the work of clinicians. Clinical guidelines or protocols direct clinicians and patients on when and how to handle clinical problems. Thus, clinical guidelines are an encapsulation of clinical events. Hence, an event-driven approach to computerizing the management of clinical guidelines is worthy of investigation. In our framework, called SpEM, the main clinical guideline management dimensions are specification, execution, and manipulation. This paper presents an event-driven approach, within the context of the SpEM framework, to manage clinical guidelines. The event-driven approach is based on the …

Gaussian Mixture Models And Neural Networks For Automatic Speaker Identification, Usha Gayatri Chalkapally

Electrical & Computer Engineering Theses & Dissertations

Automatic Speaker Recognition is the process of automatically recognizing who is speaking on the basis of individual information contained in speech signals. This technique of Automatic Speaker Recognition makes it possible to use the speaker's voice to verify their identity and control access to services such as voice dialing, banking by telephone, telephone shopping, database access services, information services, voice mail, security control for confidential information areas, and remote access to computers.

In this thesis, the techniques of Gaussian Mixture Models and Neural Networks for Automatic Speaker Identification are presented. Algorithms for Speaker Identification using Gaussian Mixture Models were developed, …

Mobile Healthcare Informatics, Keng Siau, Zixing Shen

Research Collection School Of Computing and Information Systems

Advances in wireless technology give pace to the rapid development of mobile applications. The coming mobile revolution will bring dramatic and fundamental changes to our daily life. It will influence the way we live, the way we do things, and the way we take care of our health. For the healthcare industry, mobile applications provide a new frontier in offering better care and services to patients, and a more flexible and mobile way of communicating with suppliers and patients. Mobile applications will provide important real time data for patients, physicians, insurers, and suppliers. In addition, it will revolutionalize the way …

Batch Mode Active Learning And Its Applications To Medical Image Classification, Steven C. H. Hoi, Rong Jin, Jianke Zhu, Michael R. Lyu

Research Collection School Of Computing and Information Systems

The goal of active learning is to select the most informative examples for manual labeling. Most of the previous studies in active learning have focused on selecting a single unlabeled example in each iteration. This could be inefficient since the classification model has to be retrained for every labeled example. In this paper, we present a framework for "batch mode active learning" that applies the Fisher information matrix to select a number of informative examples simultaneously. The key computational challenge is how to efficiently identify the subset of unlabeled examples that can result in the largest reduction in the Fisher …

Using A Digital Library Of Images For Communication: Comparison Of A Card-Based System To Pda Software, Trudi Miller '08, Gondy Leroy, John Huang '05, Serena Chuang '05

CGU Faculty Publications and Research

Autism spectrum disorder has become one of the most prevalent developmental disorders and one of the main impairments is difficulty with communication. One method of augmentative and alternative communication is the use of the Picture Exchange Communication System (PECS) to create messages using a series of images printed on cards and organized in binders. We are developing a digital alternative based on an image library that is displayed on a personal digital assistant (PDA). We conducted an initial user acceptance study that compared the effectiveness and usability of both systems. The study showed that the PDA system was able to …

Health Information Text Characteristics, Gondy Leroy, Evren Eryilmaz '11, Benjamin T. Laroya

CGU Faculty Publications and Research

Millions of people search online for medical text, but these texts are often too complicated to understand. Readability evaluations are mostly based on surface metrics such as character or words counts and sentence syntax, but content is ignored. We compared four types of documents, easy and difficult WebMD documents, patient blogs, and patient educational material, for surface and content-based metrics. The documents differed significantly in reading grade levels and vocabulary used. WebMD pages with high readability also used terminology that was more consumer-friendly. Moreover, difficult documents are harder to understand due to their grammar and word choice and because they …

Dynamic Generation Of A Table Of Contents With Consumer-Friendly Labels, Trudi Miller '08, Gondy Leroy, Elizabeth Wood

CGU Faculty Publications and Research

Consumers increasingly look to the Internet for health information, but available resources are too difficult for the majority to understand. Interactive tables of contents (TOC) can help consumers access health information by providing an easy to understand structure. Using natural language processing and the Unified Medical Language System (UMLS), we have automatically generated TOCs for consumer health information. The TOC are categorized according to consumer-friendly labels for the UMLS semantic types and semantic groups. Categorizing phrases by semantic types is significantly more correct and relevant. Greater correctness and relevance was achieved with documents that are difficult to read than with …

A Database And Tool, Im Browser, For Exploring And Integrating Emerging Gene And Protein Interaction Data For Drosophila, Svetlana Pacifico, Guozhen Liu, Stephen Guest, Jodi R. Parrish, Farshad Fotouhi, Russell L. Finley Jr

Wayne State University Associated BioMed Central Scholarship

Abstract

Background

Biological processes are mediated by networks of interacting genes and proteins. Efforts to map and understand these networks are resulting in the proliferation of interaction data derived from both experimental and computational techniques for a number of organisms. The volume of this data combined with the variety of specific forms it can take has created a need for comprehensive databases that include all of the available data sets, and for exploration tools to facilitate data integration and analysis. One powerful paradigm for the navigation and analysis of interaction data is an interaction graph or map that represents proteins …

K-Spmm: A Database Of Murine Spermatogenic Promoters Modules & Motifs, Yi Lu, Adrian E. Platts, G Charles Ostermeier, Stephen A. Krawetz

Wayne State University Associated BioMed Central Scholarship

Abstract

Background

Understanding the regulatory processes that coordinate the cascade of gene expression leading to male gamete development has proven challenging. Research has been hindered in part by an incomplete picture of the regulatory elements that are both characteristic of and distinctive to the broad population of spermatogenically expressed genes.

Description

K-SPMM, a database of murine Spermatogenic Promoters Modules and Motifs, has been developed as a web-based resource for the comparative analysis of promoter regions and their constituent elements in developing male germ cells. The system contains data on 7,551 genes and 11,715 putative promoter regions …

Information Systems And Health Care Xiii: Examining The Critical Requirements, Design Approaches And Evaluation Methods For A Public Health Emergency Response System, Ann L. Fruhling

Information Systems and Quantitative Analysis Faculty Publications

Research pertaining to emergency response systems has accelerated over the past few years, particularly since 9/11 events, and more recently due to Hurricane Katrina and concern over a potential of an avian flu pandemic. This study examines the requirements that are the most demanding with respect to software and hardware, and the associated design strategies for a public health emergency response system (ERS) for electronic laboratory diagnostics consultation. In addition, this study illustrates ways to evaluate the design decisions.

An important goal of a public health ERS is to improve the communication and notification of life-threatening diseases and harmful agents. …

Effects Of Information And Machine Learning Algorithms On Word Sense Disambiguation With Small Datasets, Gondy Leroy, Thomas C. Rindflesch

CGU Faculty Publications and Research

Current approaches to word sense disambiguation use (and often combine) various machine learning techniques. Most refer to characteristics of the ambiguity and its surrounding words and are based on thousands of examples. Unfortunately, developing large training sets is burdensome, and in response to this challenge, we investigate the use of symbolic knowledge for small datasets. A naïve Bayes classifier was trained for 15 words with 100 examples for each. Unified Medical Language System (UMLS) semantic types assigned to concepts found in the sentence and relationships between these semantic types form the knowledge base. The most frequent sense of a word …

Method For Identifying Individuals, Manoj Thulasidas

Research Collection School Of Computing and Information Systems

A method and system for identifying a subject comprises obtaining a digitised recording of an electrocardiogram measurement of the subject to be identified, the digitised recording being a cyclic waveform having a peak amplitude. The digitised recording is normalised to reduce variations due to physiological effects, and the normalised recording is processed to determine a feature vector in the frequency domain. The distance between the determined feature vector and a predetermined feature vector is measured to identify the subject.

A Computer-Based Articulation Training Aid For Short Words (Cata), Mukund Devarajan

Electrical & Computer Engineering Theses & Dissertations

Several improvements in the vowel articulation training aid (VATA) are described, as well as the efforts to extend the visual feedback system to operate with short words in the form of consonant, vowel and consonant (CVC). The extended version of the visual feedback system is referred to as CATA (Computer-based Articulation Training Aid); the vowel version of the aid (VATA) only operates with ten American English monopthong vowels. Improvements in VATA include the use of a neural network (NN) recognizer method to prune a large database of vowel recordings to eliminate noisy and/or mispronounced tokens. The spectral jitter problem, previously …

Genescene: Biomedical Text And Data Mining, Gondy Leroy, Hsinchun Chen, Jesse D. Martinez, Shauna Eggers, Ryan R. Falsey, Kerri L. Kislin, Zan Huang, Jiexun Li, Jie Xu, Daniel M. Mcdonald, Gavin Ng

CGU Faculty Publications and Research

To access the content of digital texts efficiently, it is necessary to provide more sophisticated access than keyword based searching. GeneScene provides biomedical researchers with research findings and background relations automatically extracted from text and experimental data. These provide a more detailed overview of the information available. The extracted relations were evaluated by qualified researchers and are precise. A qualitative ongoing evaluation of the current online interface indicates that this method to search the literature is more useful and efficient than keyword based searching.

Health Care Informatics, Keng Siau

Research Collection School Of Computing and Information Systems

The health care industry is currently experiencing a fundamental change. Health care organizations are reorganizing their processes to reduce costs, be more competitive, and provide better and more personalized customer care. This new business strategy requires health care organizations to implement new technologies, such as Internet applications, enterprise systems, and mobile technologies in order to achieve their desired business changes. This article offers a conceptual model for implementing new information systems, integrating internal data, and linking suppliers and patients.