A proposed model based on information technology for parents' education to improve child safety

Introduction: In children under the age of 5 years, unintentional injuries are the main cause of death. Parents play an important role in preventing these injuries. In all around the world, various technology-based interventions have been applied for improving parents' knowledge and behavior regarding children safety. The aim of this study was to propose a technology-based model for promoting child safety

Method: This applied-descriptive study was conducted in two parts. In the first section, using a questionnaire, 20 physicians were asked to determine the most important information and educational elements.In the second part, the available technologies related to the prevention of unintentional injuries were investigated in terms of their impact on parents' knowledge and attitudes and finally, a technology was selected for the proposed model

Results: The findings in the first part included demographic data, clinical information, training needs including preventive behaviors, making environmental safety and first aid. In the second part, 10 technologies including kiosk, Internet/ web-based programs, computer software and mobile application were found. Mobile applications were the newest applied technologies in this area that had positive effect in change of behavior and knowledge. Therefore, using this technology, a model based on information technology was proposed

Conclusion: Use of information technology, through mobile applications, can provide an opportunity for improving parental knowledge and behavior toward child safety

Person centered prediction of survival in population based screening program by an intelligent clinical decision support system

Aim: To survey person centered survival rate in population based screening program by an intelligent clinical decision support system

Background: Colorectal cancer is the most common malignancy and major cause of morbidity and mortality throughout the world. Colorectal cancer is the sixth leading cause of cancer death in Iran. In this survey, we used cosine similarity as data mining technique and intelligent system for estimating survival of at risk groups in the screening plan

Methods: In the first step, we determined minimum data set [MDS]. MDS was approved by experts and reviewing literatures. In the second step, MDS were coded by python language and matched with cosine similarity formula. Finally, survival rate by percent was illustrated in the user interface of national intelligent system. The national intelligent system was designed in PyCharm environment

Results: Main data elements of intelligent system consist demographic information, age, referral type, risk group, recommendation and survival rate. Minimum data set related to survival comprise of clinical status, past medical history and socio-demographic information. Information of the covered population as a comprehensive database was connected to intelligent system and survival rate estimated for each patient. Mean range of survival of HNPCC patients and FAP patients were respectively 77.7% and 75.1%. Also, the mean range of the survival rate and other calculations have changed with the entry of new patients in the CRC registry by real-time

Conclusion: National intelligent system monitors the entire of risk group and reports survival rates by electronic guidelines and data mining technique and also operates according to the clinical process. This web base software has a critical role in the estimation survival rate in order to health care planning

multi agent based approach for prehospital emergency management

Objective: To demonstrate an architecture to automate the prehospital emergency process to categorize the specialized care according to the situation at the right time for reducing the patient mortality and morbidity

Methods: Prehospital emergency process were analyzed using existing prehospital management systems, frameworks and the extracted process were modeled using sequence diagram in Rational Rose software. System main agents were identified and modeled via component diagram, considering the main system actors and by logically dividing business functionalities, finally the conceptual architecture for prehospital emergency management was proposed. The proposed architecture was simulated using Anylogic simulation software. Anylogic Agent Model, State Chart and Process Model were used to model the system

Results: Multi agent systems [MAS] had a great success in distributed, complex and dynamic problem solving environments, and utilizing autonomous agents provides intelligent decision making capabilities. The proposed architecture presents prehospital management operations. The main identified agents are: EMS Center, Ambulance, Traffic Station, Healthcare Provider, Patient, Consultation Center, National Medical Record System and quality of service monitoring agent

Conclusion: In a critical condition like prehospital emergency we are coping with sophisticated processes like ambulance navigation health care provider and service assignment, consultation, recalling patients past medical history through a centralized EHR system and monitoring healthcare quality in a real-time manner. The main advantage of our work has been the multi agent system utilization. Our Future work will include proposed architecture implementation and evaluation of its impact on patient quality care improvement

Innovation Network Development Model in Telemedicine: A Change in Participation / 대한의료정보학회지

OBJECTIVES: This paper introduces a telemedicine innovation network and reports its implementation in Tehran University of Medical Sciences. The required conditions for the development of future projects in the field of telemedicine are also discussed; such projects should be based on the common needs and opportunities in the areas of healthcare, education, and technology. METHODS: The development of the telemedicine innovation network in Tehran University of Medical Sciences was carried out in two phases: identifying the beneficiaries of telemedicine, and codification of the innovation network memorandum; and brainstorming of three workgroup members, and completion and clustering ideas. The present study employed a qualitative survey by using brain storming method. Thus, the ideas of the innovation network members were gathered, and by using Freeplane software, all of them were clustered and innovation projects were defined. RESULTS: In the services workgroup, 87 and 25 ideas were confirmed in phase 1 and phase 2, respectively. In the education workgroup, 8 new programs in the areas of telemedicine, tele-education and teleconsultation were codified. In the technology workgroup, 101 and 11 ideas were registered in phase 1 and phase 2, respectively. CONCLUSIONS: Today, innovation is considered a major infrastructural element of any change or progress. Thus, the successful implementation of a telemedicine project not only needs funding, human resources, and full equipment. It also requires the use of innovation models to cover several different aspects of change and progress. The results of the study can provide a basis for the implementation of future telemedicine projects using new participatory, creative, and innovative models.

Chronic Heart Failure Follow-up Management Based on Agent Technology / 대한의료정보학회지

OBJECTIVES: Monitoring heart failure patients through continues assessment of sign and symptoms by information technology tools lead to large reduction in re-hospitalization. Agent technology is one of the strongest artificial intelligence areas; therefore, it can be expected to facilitate, accelerate, and improve health services especially in home care and telemedicine. The aim of this article is to provide an agent-based model for chronic heart failure (CHF) follow-up management. METHODS: This research was performed in 2013-2014 to determine appropriate scenarios and the data required to monitor and follow-up CHF patients, and then an agent-based model was designed. RESULTS: Agents in the proposed model perform the following tasks: medical data access, communication with other agents of the framework and intelligent data analysis, including medical data processing, reasoning, negotiation for decision-making, and learning capabilities. CONCLUSIONS: The proposed multi-agent system has ability to learn and thus improve itself. Implementation of this model with more and various interval times at a broader level could achieve better results. The proposed multi-agent system is no substitute for cardiologists, but it could assist them in decision-making.

Minimum data set for electronic health card of schizophrenia

Purpose: Having a clinical information system is a good solution for monitoring medical problems. This system is designed to improve the speed and accuracy of data management. The goal is to replace medical records with a clinical information system to support storing, processing and distributing data in all the sections of a healthcare center. The purpose of this research was to determine the minimum data that is needed in the schizophrenia electronic health card

Materials and Methods: A number of 40 psychiatrists were surveyed in 2014. The information was gathered by a questionnaire and interviews. All data were analyzed using descriptive statistics

Results: According to the results table and observed frequencies, from the 29 items had been questioned. All elements with the consent of more than 75% as key elements in electronic health card of schizophrenia were approved

Conclusions: An electronic health card for schizophrenic patients can help the treatment team in providing effective healthcare and better medical records for the hospital admission staff to better manage patient information. It also reduces the problems of a patient's family members and relative's and simplifies the treatment process for schizophrenics

Multi-Agent System as a New Approach to Effective Chronic Heart Failure Management: Key Considerations / 대한의료정보학회지

OBJECTIVES: Given the importance of the follow-up of chronic heart failure (CHF) patients to reduce common causes of re-admission and deterioration of their status that lead to imposing spiritual and physical costs on patients and society, modern technology tools should be used to the best advantage. The aim of this article is to explain key points which should be considered in designing an appropriate multi-agent system to improve CHF management. METHODS: In this literature review articles were searched with keywords like multi-agent system, heart failure, chronic disease management in Science Direct, Google Scholar and PubMed databases without regard to the year of publications. RESULTS: Agents are an innovation in the field of artificial intelligence. Because agents are capable of solving complex and dynamic health problems, to take full advantage of e-Health, the healthcare system must take steps to make use of this technology. Key factors in CHF management through a multi-agent system approach must be considered such as organization, confidentiality in general aspects and design and architecture points in specific aspects. CONCLUSIONS: Note that use of agent systems only with a technical view is associated with many problems. Hence, in delivering healthcare to CHF patients, considering social and human aspects is essential. It is obvious that identifying and resolving technical and non-technical challenges is vital in the successful implementation of this technology.

Achievements of nursing portal development in selected countries

Web-based technologies provide new opportunities for education, research and professional development of nursing. Nurses have few opportunities to use the Internet due to managers' obligations not to use the Internet in work hours, and their traditional attitudes to nursing practice. Establishment of a national nursing portal is a useful way to resolve some of these problems. The purpose of the present study was to investigate the experiences of development of nursing portals in some countries and provide helpful recommendations. This was a descriptive- comparative study. Using systematic review of the literature, the least features for nursing portal structures and contents were identified. Then, the identified features were assessed in selected countries through observation or communication with the portal board. Personalization, user's profile, search engine, platform-independent display, SSO capability, security mechanisms and collaborative capabilities, clinical guidelines, continuing education, electronic learning courses, and evidence-based nursing processes were common features in the nursing portals. Development of a specialized comprehensive portal that has all of the desirable features can be achieved through clear definitions of strategies on portal development, maintenance, and analysis of user's requirements. The main requirement to integrate services and contents provided by the portal include specific and integrated structure of all entities in nursing services systems

[ comparison of the cardiovascular diseases procedures of the classification systems, in selected countries with Iran]

Cardiovascular diseases are important factors at human death and factor destroys human resources. Health intervention is a service for developing of health and diagnoses or modifies of process diseases. It is necessary that every country regarding to its goals, laws national, interests and standards, considers establishing such a system. A comparison of cardiovascular disease classification systems in selected countries with that in Iran could assist health care policy makers in their efforts to battle cardiovascular diseases. This descriptive-comparative study conducted 2007-2008. The cardiovascular diseases of the classification systems in USA, Australia, England and Canada were reviewed in order to prepare an appropriate model for Iran. Data collecting was done through literature review, Internet and email. The cardiovascular disease classification systems of all the selected countries are national. The selected countries, with the exception of England, utilize a multiaxial classification model, especially designed to reflect the individual requirements of every single one of them. This model employs health care standards, e-learning, annual educational programs, and consultation with experts. Iran lacks such a national classification system for cardiovascular diseases. It seems essential that the cardiovascular disease classification system in health interventions in Iran be national if improvements are to be made in the fields of prevention and management of these diseases

[Comparative study of occupational disease information system in countries United States, Finland, France and Iran in 2009]

Occupational diseases are certain sorts of diseases that have been caused by special jobs and subject to special circumstances. There are several factors that can intensify these diseases. Studies of various countries have indicated that they have played an effective role in decreasing exposures and its economic costs and attracting optimal resources through establishment of a comprehensive information system for occupational diseases. In this study the occupational disease information system in selected countries are compared. This is a descriptive study which was conducted in 2008, during which information systems in USA, Finland, France and Iran have been studied based on their objectives, structure, most important data base characteristics and active organizations. Main instrument of this research were articles, books, magazines and valid internet sites in English language. All the three selected countries had an electronic information system and database in the field of occupational disease. In Finland, occupational diseases data as well as their damages are kept in separate databases; while USA lacks a comprehensive system. In France, supervision on laboratories is a priority. In Iran, there is no certain comprehensive system for registering diseases. Occupational diseases information system in Finland is more comprehensive. Iran lacks such a comprehensive system. So, it is recommended to use experiences of other countries and establish electronic comprehensive disease system