Analyzing and Visualizing Knowledge Structures of Health Informatics from 1974 to 2018: A Bibliometric and Social Network Analysis / 대한의료정보학회지

OBJECTIVES: This paper aims to provide a theoretical clarification of the health informatics field by conducting a quantitative review analysis of the health informatics literature. And this paper aims to map scientific networks; to uncover the explicit and hidden patterns, knowledge structures, and sub-structures in scientific networks; to track the flow and burst of scientific topics; and to discover what effects they have on the scientific growth of health informatics. METHODS: This study was a quantitative literature review of the health informatics field, employing text mining and bibliometric research methods. This paper reviews 30,115 articles with health informatics as their topic, which are indexed in the Web of Science Core Collection Database from 1974 to 2018. This study analyzed and mapped four networks: author co-citation network, co-occurring author keywords and keywords plus, co-occurring subject categories, and country co-citation network. We used CiteSpace 5.3 and VOSviewer to analyze data, and we used Gephi 0.9.2 and VOSviewer to visualize the networks. RESULTS: This study found that the three major themes of the literature from 1974 to 2018 were the utilization of computer science in healthcare, the impact of health informatics on patient safety and the quality of healthcare, and decision support systems. The study found that, since 2016, health informatics has entered a new era to provide predictive, preventative, personalized, and participatory healthcare systems. CONCLUSIONS: This study found that the future strands of research may be patient-generated health data, deep learning algorithms, quantified self and self-tracking tools, and Internet of Things based decision support systems.

Premedication for coronary angiography: effects on anxiety and hemodynamic status.

AIM: This study was designed to compare the outcomes of two current methods of premedication, for coronary angiography with placebo, on the level of anxiety and hemodynamic status. METHODS AND RESULTS: In all, 151 patients referring for coronary angiography were randomized into three groups with equal populations. The first group (group M) received 0.02 mg/kg intravenous midazolam; the second (group DP7rpar; received intramuscular injection of 5mg diazepam + 25 mg promethazine; and the third (group P) received 2cc of intravenous normal saline solution. Vital signs, blood pressure, and peripheral O2 saturation were recorded in specifically-designed questionnaires. The level of anxiety before and after angiography was documented according to the Visual Analog Scale. Patients in the group M accidentally had higher pre-procedural anxiety level (p < 0.05). There was no significant difference in pulse rate, respiratory rate, and mean blood pressure (BP) between these groups prior to angiography. In the group M, diastolic BP decreased more significantly than the other 2 groups during angiography (p < 0.05). Although number of punctures, pain at catheterization site, dose of lidocaine, level of consciousness, and patient satisfaction did not show a significant difference between the three groups; midazolam induced higher level of amnesia than the other 2 groups and the physicians were more satisfied with it only compared with diazepam + promethazine (p < 0.05). CONCLUSION: Because of the importance of hemodynamic stability and comfort during angiography, non-pharmacologic approaches are preferred. In case of severity and persistence of autonomic system stimulation, the least effective dose of midazolam for a short period of time may be used.