Přehled článků
Updating the BIOINFOMED Study: Recent Outstanding Developments in Biomedical Informatics |
Fernando Martin-Sanchez1, I. Hermosilla1, F. J. Vicente1 | |
| 1. Instituto de Salud Carlos III, Majadahonda, Madrid, España
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24.11.2005
In December 2001, the European Commission promoted a Conference in which more than 400 experts analyzed the synergies arisen between Bioinformatics (BI), Medical Informatics (MI) and Neuroinformatics. In November 2002, and in order to contribute to the strategy of the European R&D policy for the following decade in such areas, the White Paper of the BIOINFOMED project was presented at the international congress BIOINFORSALUD 2002 (Valencia, Spain). In the strategic document entrusted by the Commission, the relations established between BI and MI were analyzed, resulting in a new definition of the discipline of Biomedical Informatics (BMI) that aims to facilitate the developments of Genomic Medicine.
To elaborate the White Paper, a committee of 30 international experts coordinated by the Institute of Health "Carlos III" (ISCIII) designed the agenda with 18 lines of research that corroborated the existing synergy. They pointed out those areas in which the efforts had to be prioritized. In this article, we update this study by highlighting recent outstanding developments in this field.
The projects presented respond to a careful selection carried out among the numerous initiatives that have arisen in the three years passed between the publication of the White Paper and this article. Some of the projects analyzed in this paper are: the IT infrastructure for biobanks under the Public Population Project in Genomics (P3G) Consortium, a Network of Excellence (INFOBIOMED) in Biomedical Informatics constituted within the European Union Sixth Framework Program for Research and Technological Development, the initiative headed by HL7 to include genetic information in the electronic health record, the proposal of a Human Phenome Project, a Spanish Cooperative Research Thematic Network (INBIOMED) in Biomedical Informatics, the new National Centers for Biomedical Computing (NCBCs), funded by NIH, under the BISTI initiative and the projects related with the simulation and modeling of Human Physiology.
Keywords: Biomedical Informatics, Bioinformatics, Medical Informatics, Neuroinformatics
 celý článek
 Español
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Distance Learning at the Medical Faculty of University of Sarajevo |
Izet Masic1, Ahmed Novo1, Zlatan Masic1 | |
| 1. Faculty of Medicine, University of Sarajevo, Bosnia and Herzegovina
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24.11.2005
Possibilities of introduction of distance learning in medical curriculum are the title of project which has been realizing at Department of Medical Informatics, Medical Faculty since year 2002. The Project is approved by Federal and Cantonal ministries of science and education. The purpose of this project is to support improvement educational process at biomedical faculties using contemporary methods, methodologies and information technologies in accordance with strategy and objectives given by Bologna declaration. The pilot project is realized during three years, the theoretical and practical parts of the subject Medical Informatics are adapted to modern concepts of education using world trends of distance learning. One group of students from the Medical Faculty was involved in this project, which was finalized by electronic registration of an exam and electronic testing on 20 June 2005, in public in the Physiological amphitheatre of the Medical faculty in Sarajevo. In this article we have given description of the project and phases of its realization, and basic adventages and disadvantages we have noticed so far.
Keywords: distance learning, biomedicine, medical curriculum
celý článek
 Na bosanskom
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A New Web, Multi-service Tool for Regional Management of Allergies, Asthma and Rhinitis |
Lamprini Kolovou1, C. Chassomeris1, G. Stalidis2, D. Lymperopoulos1 | |
| 1. Wire Communication Lab, University of Patras,
2. Pouliadis Associates Corporation, Thessaloniki, Greece
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24.11.2005
In this paper, a new web solution for administering allergies, asthma and rhinitis in a pan-European level is described. The proposed system was designed to provide: professionals with easy workload and access educational and informational material; sufferers with personalised management tools and educational sources; and citizens with rich informational material. The IREMMA system architecture embeds the existing information networks and data sources on allergy by offering high data integration and multi-modal access to its users, through a multi-service tool and high-distributed architecture. Hence, IREMMA sets the ground for establishing a wide integrated network for environmental monitoring and diffusion of health information. User feedback was collected through extensive pilot trials with real users and the results were used to improve the IREMMA services and the designing and the content specification.
Keywords: telematic services, allergies, environmental monitoring, web applications
celý článek
 Greek
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A Distributed Database System for Glaucoma Monitoring |
Mihai L. Mocanu1, Mihai Dorobanţu1,2, Carmen Mocanu3, Dumitru Burdescu1 | |
| 1. Faculty of Automatics, Computers and Electronics, Software Engineering Department, University of Craiova,
2. Health Information Systems Enterprise Architecture Division, Imaging Science and Information Systems, Georgetown University,
3. Dept. and Clinic of Ophthalmology, University of Medicine and Pharmacy Craiova
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24.11.2005
This paper describes, from a practitioner’s point of view, the concepts, methods and tools involved in the design of a practical and potentially low cost distributed information system, with web-based capabilities, for monitoring glaucoma.
Our experience with existing Hospital Information Systems (HISs) found them unsuitable in the very important monitoring process of patients with glaucoma. Actual Electronic Patient Record (EPR) schemes are more to do with management and appointment simple aspects than with clinical and decision-making processes. In a closer relationship to the specific of the affection, we found that demographic patient databases, usually known as Patient Administration Systems (PASs), have not been designed for being shared or concurrently exploited by different programs or even several replicas of the same program.
Many of the early deficiencies in the process of following-up glaucoma patients by dozens of different ophthalmologists in many independent offices from different clinics (with heterogeneous information recording, not very well managed by the existing office capabilities) could only be solved by specifying, designing and implementing a new EPR scheme in a mixed distributed environment, based on a distributed database as a demographic core (or PAS) of patients with glaucoma. A specialized health record management system, with core functionality in monitoring glaucoma, and core data organized as a distributed database system, has been designed in a bottom-up manner to meet the immediate needs. Its pilot implementation was intentionally kept flexible, taking in account developing standards, to accommodate any anticipated future requirements.
Among many other benefits, the new EPR allowed medical doctors (ophthalmologists) to view and modify patient information and records in a safe, flexible and efficient manner. Improvements in all the managerial and decisional aspects (regarding costs and time delays) could also be remarked rapidly.
Keywords: medical databases, Electronic Patient Record (EPR), glaucoma management
celý článek
 Român
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Electronic Health Record |
Jivka Vinarova1, N. Tzacheva1 | |
| 1. New Bulgarian University
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24.11.2005
The article is devoted to the real working ELECTRONIC HEALTH RECORD (EHR) for the purposes of Bulgarian Occupational Health Services.
This product was ordered by the Private Health - insurance Company, which maintains Occupational Health Services (OHSs) for insured persons.
The functions, described in this Ordinance, are used in the elaborated Medical Information System (MIS).
Below we introduce
- Main screen for work, structured by activity types : for patients - in the left and for experts, working in Occupational Health Services (OHSs) - in the right area;
- Passport – professional data screen – constant administrative-passport data and professional characteristics;
- “Health Condition” screen - current health and medical information;
- Information inquire and health indicators;
There is also a screen for Work of OHS specialists and their connection with GP.
Every entry is connected with the system date, administrative-passport data of an employee and the system identifier.
Information is a very expensive product, which serves for financial reports and analyses at the Health Insurance Fund . It’s used by many users in a dialog regime.
Keywords: Electronic Patient Record (EPR), Occupational Health Services, Medical Information System (MIS), OHS specialists
celý článek
 български
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Formalizace lékařských doporučení |
Jan Peleška1, Zdeněk Anger2, David Buchtela1, Karel Šebesta3, Marie Tomečková1, Arnošt Veselý1, Karel Zvára3, Jana Zvárová1 | |
| 1. Department of Medical Informatics, Institute of Computer Science AS CR, Prague, Czech Republic,
2. 2nd Dept.of Medicine, General University Hospital,
3. EuroMISE s.r.o.
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24.11.2005
Formalizace lékařských doporučení pomocí obecného grafického GLIF modelu je prezentována na formalizovaných Evropských doporučeních pro prevenci kardiovaskulárních chorob v klinické praxi z roku 2003 a Evropských (ESH/ESC) hypertenzních doporučeních z roku 2003 (HLD). Model vede uživatele rozhodovacími algoritmy pro diagnostiku několika chorob, stanovení celkového kardiovaskulárního rizika a výběr příslušné léčby. Navíc může ukázat jak základní informaci, tak příslušnou část kompletního textu lékařských doporučení (LD), která se týká vybraného elementu GLIF modelu. Formalizace LD lze použít jako zpětné vazby pro autory k odstranění nejasností a informačních nekonzistencí LD. Stanovení celkového kardiovaskulárního rizika a výběr lékové třídy je snažší ve srovnání s časově náročnou manipulací s tabulkami papírových LD. Lékářům nabízí systém pro podporu rozhodování a kontroluje jejich rozhodovací algoritmy ve srovnání s algoritmy LD. V budoucnosti by mohl sloužit jako nástroj pro audit práce lékařů jejich odbornou společností především jako automatický systém s přímou extrakcí dat ze strukturovaného zdravotního záznamu. Počítačová prezentace LD má potenciál pro snažší implementaci znalostí LD než klasická papírová forma LD, a může tak zlepšit primární péči u kardiovaskulárních chorob.
Klíčová slova: GLIF model, formalizace lékařských doporučení, prevence kardiovaskulárních chorob
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