Implementación de Navegadores de Pacientes en distintos sectores del "Hospital Nacional Profesor Alejandro Posadas" / Implementation of patient browsers in different sectors of the "National Hospital Professor Alejandro Posadas"

En el año 2020 en el Hospital Nacional Profesor Alejandro Posadas, cuando comenzó la pandemia de Covid 2019, se comenzó a realizar seguimiento clínico de pacientes y a sus contactos, en forma telefónica, debido a la gran demanda de asistencia y para evitar el desborde del sistema sanitario. Conformándose así el equipo de Seguimiento Telefónico. Consecuencia de aquello comprobamos que era una herramienta valiosa que podría ser utilizada en otros procesos. En el año 2021 el equipo de Seguimiento Telefónico continuó en funcionamiento adaptándose a nuevas líneas de trabajo en donde el monitoreo de la trazabilidad del cuidado de los pacientes es imprescindible para garantizarles acceso al sistema y al mismo tiempo realizar evaluación y monitoreo de procesos asistenciales que involucran a personas con criterios de vulnerabilidad y/o salud que les confieran riesgo. Este artículo explora el papel que puede desempeñar la "Navegación del Paciente" en la mejora de los resultados de salud1 . Los navegadores pueden facilitar un mejor acceso y calidad de la atención médica para las poblaciones desatendidas. En el mes de febrero de 2023 se institucionalizó el dispositivo de Seguimiento Telefónico como sector de Revinculación Asistencial, un arma más para beneficiar a los pacientes, aumentando su Seguridad y mejorando día a día la Calidad de atención.

In 2020, when the Covid-19 pandemic began, the Professor Alejandro Posadas National Hospital implemented clinical monitoring of patients and their contacts by telephone to manage the overwhelming demand for assistance and avoid overcrowding. This led to the formation of a Telephone Monitoring team. The team's success prompted the hospital to explore other areas where the tool could be applied. In 2021, the hospital continued to use the Telephone Monitoring team, adapting it to new lines of work where patient care traceability was critical for ensuring access to the healthcare system. This article examines the role of patient navigation in improving healthcare outcomes, including better access and quality of care for underserved populations. The hospital institutionalized the Telephone Monitoring device in February 2023 as a sector of Assistance Relinking, adding another weapon to benefit patients by increasing their safety and improving the quality of care.

What does the Internet teach the obstetric patient about labor analgesia? / O que a internet ensina à paciente obstétrica sobre a analgesia de parto?

Abstract Background and objectives: It has been observed a general public increased search on the Internet for health information, including Anesthesiology. The objective of this study was to evaluate the information available to the lay person in Portuguese on the Internet about labor analgesia for the Brazilian population. Method: Using the term "labor anesthesia", the first 20 sites found on Google in November 2014 were evaluated by two resident physicians and classified as medical and non-medical. Legibility and Design - accessibility, reliability and navigability-were compared using Flesch Reading Ease Score (FRESH) and Minervation validation tool for healthcare websites (LIDA) tools. The websites' content was confronted with that of the medical literature. Results: Medical and non-medical websites were considered difficult to read according to FRESH. Regarding the design, there was no difference between groups regarding navigability, however, accessibility was considered superior in non-medical websites (p = 0.042); while reliability was higher in medical websites (p = 0.019). Conclusions: With the increased search for health information on the Internet and concern about improving the quality of childbirth care, it is fundamental that the content available to the layperson about labor analgesia is of quality and well understood. This study demonstrated that both medical and non-medical websites are difficult to read and that non-medical websites are more accessible while the medical ones are more accurate.

Resumo Justificativa e objetivos: Observa-se um crescimento da busca de informação no público geral sobre temas médicos na internet, inclusive em anestesiologia. O objetivo deste estudo foi avaliar a informação existente ao leigo na internet em língua portuguesa sobre analgesia de parto para a população brasileira. Método: Com o uso do termo "anestesia de parto", os 20 primeiros sites encontrados no Google em novembro de 2014 foram avaliados por dois médicos residentes e classificados como médicos e não médicos. Legibilidade e desenho - acessibilidade, confiabilidade e navegabilidade - foram comparados por meio das ferramentas Fresh (Flesch Reading Ease Score) e Lida (Minervation Validation Tool for Healthcare Websites). O conteúdo dos sites foi confrontado em relação à literatura médica. Resultados: Sites médicos e não médicos foram considerados de difícil leitura de acordo com o Fresh. Em relação ao desenho, não houve diferença entre os grupos quanto à navegabilidade. Entretanto, a acessibilidade foi considerada superior em sites não médicos (p= 0,042); enquanto que a confiabilidade foi maior em sites médicos (p= 0,019). Conclusões: Com aumento da busca de informações em saúde na internet e aumento da preocupação de melhorar a qualidade de assistência ao parto, é fundamental que o conteúdo disponível ao leigo sobre analgesia de parto seja de qualidade e compreendido. Este estudo demonstrou que tanto sites médicos como não médicos são de difícil leitura; e que os sites não médicos são mais acessíveis, enquanto os médicos são mais precisos.

Satisfacción de los alumnos de la maestría de Farmacoepidemiología con el uso del aula virtual / Satisfaction of the students of the Master Course in Pharmacoepidemiology with the use of the virtual classroom

Introducción: la maestría de Farmacoepidemiología de la Escuela Nacional de Salud Pública utiliza el aula virtual como apoyo a la docencia presencial; no se conoce la opinión que los maestrantes tienen sobre su utilidad, esto importante porque refleja la eficiencia de la estrategia docente. Objetivo: valorar la satisfacción de los alumnos de la maestría de Farmacoepidemiología con el uso del aula virtual. Métodos: se realizó un estudio exploratorio de corte transversal, en los meses de julio-agosto de 2015; el universo estuvo constituido por 49 alumnos, alumnos egresados de la segunda edición y de la edición en curso de la maestría; se midió la satisfacción con el aula virtual, expresada en alta o baja según respuestas a una encuesta aplicada. Resultados: se observó predominio de la respuesta "el acceso a la plataforma virtual es normal" (38,8 por ciento); 46,0 por ciento consideró útil la fase no presencial de los cursos; 77,6 por ciento calificó adecuado el tiempo dedicado a actividades en el aula virtual; 57,1 por ciento accede más desde su centro de trabajo al aula virtual y la mayoría (61,2 %) prefiere que los cursos se desarrollen con el apoyo del aula virtual; todo esto llevó a valorar la satisfacción de los alumnos con el aula virtual como alta en 51,0 por ciento. Conclusiones: a pesar que la mayoría de los alumnos de la Maestría de Farmacoepidemiología refirieron alta satisfacción con el aula virtual como apoyo a la docencia presencial, una buena parte de ellos no está satisfecho; es necesario profundizar en el tema en investigaciones futuras(AU)

Introduction: The Master Course in Pharmacoepidemiology of the National School of Public Health uses the virtual classroom in support of on-site teaching; the students' opinion about its usefulness is not known, which is important because it reflects the efficiency of the teaching strategy. Objective: To evaluate the satisfaction of the students of the Master Course in Pharmacoepidemiology with the use of the virtual classroom. Methods: An exploratory cross-sectional study was carried out in July-August 2015; the universe was made up by 49 students, who graduated in the second edition and the current edition of the Master Course; we measured satisfaction with the virtual classroom, expressed as high or low according to responses to an applied survey. Results: The predominance of the response was "access to the virtual platform is normal" (38.8 percent); 46.0 percent considered the distance phase of the courses useful; 77.6 percent qualified the time dedicated to activities in the virtual classroom; 57.1 percent access more from their work centers to the virtual classroom, and most of them (61.2 percent) prefer that the courses be developed with the support of the virtual classroom; all this led to assess the satisfaction of students with the virtual classroom as high, with 51.0 percent. Conclusions: Although most students of the Master Course in Pharmacoepidemiology reported high satisfaction with the virtual classroom as a support for on-site teaching, a fair number of them are not satisfied; it is necessary to go deeper into the subject in future research(AU)

Procedimiento para la gestión del conocimiento personal desde la Web, mediante Firefox y sus complementos / Procedure for personal knowledge management in the web, using Firefox and its add-ons

Introducción: la gestión del conocimiento en las organizaciones es limitada, si la gestión personal de este no es jerarquizada. Adoptar nuevas habilidades y hábitos en el manejo de las herramientas informáticas que facilitan la gestión del conocimiento en el ámbito personal es indispensable para la posterior socialización de ese conocimiento a toda la organización. Objetivos: crear e implementar un procedimiento, por medio de Firefox y sus complementos, que mejore la eficiencia del proceso de gestión personal del conocimiento al navegar por la Web. Métodos: se empleó el método descriptivo para analizar las dificultades que algunas personas presentan al navegar y gestionar conocimiento desde la Web y el método del análisis documental para investigar si existen soluciones a las dificultades encontradas. Resultados: se implementó un procedimiento, que mediante un conjunto seleccionado de complementos que se integran al navegador Firefox, mejora la rapidez y la eficiencia del proceso de gestión del conocimiento personal desde la Web. Conclusiones: la gestión del conocimiento personal es de vital interés para las organizaciones, ya que el intercambio y socialización de ese conocimiento adquirido, le permitirá a la institución apropiarse de esos conocimientos y apoyar los procesos docentes, investigativos y de innovación tecnológica. Ante la inmensa cantidad de conocimiento a adquirir y analizar, es necesario prever la adopción de nuevas habilidades y hábitos en el uso de herramientas informáticas que permitan ejecutar el proceso de gestión del conocimiento personal desde la Web, con rapidez y eficiencia(AU)

Introduction: Knowledge management in organizations is limited, if its personal management is not hierarchical. Adopting new skills and habits in the management of computer tools that facilitate the management of knowledge in the personal sphere is essential for the subsequent socialization of this knowledge throughout the organization. Objectives: To create and implement a procedure, by Firefox and its add-ons, that improves the efficiency of the personal knowledge management process when browsing the web. Methods: The descriptive method was used to analyze the difficulties that some people present when navigating and managing knowledge from the web; and the method of documentary analysis was used to investigate if there is any solution to the difficulties found. Results: A procedure was implemented, which, through a selected set of add-ons that integrate with the browser Firefox, improves the speed and efficiency of personal knowledge management process in the web. Conclusions: Personal knowledge management is of vital interest to organizations, since the exchange and socialization of this knowledge will enable the institution to appropriate this knowledge and support teaching, research and technological innovation processes. Given the great amount of knowledge to be acquired and analyzed, it is necessary to foresee the adoption of new skills and habits in the use of computer tools that allow the quick and efficient performance of the personal knowledge management process in the web(AU)

Galería de imágenes en el sitio web de Ciencias Médicas de Sancti Spíritus / Gallery of images in the web site of Medical Sciences University of Sancti Spíritus

Fundamento: La mayoría de los sitios web utilizan galerías de imágenes para mostrar sus productos y servicios, la página web del Centro Provincial de Información de Ciencias Médicas de Sancti Spíritus no tenía una galería de imágenes médicas donde los profesionales de la salud pudieran compartir, organizar y preservar el patrimonio fotográfico de las Ciencias Médicas del territorio. Objetivo: Proponer una Galería de imágenes en el sitio web del Centro Provincial de Información de Ciencias Médicas de la de Sancti Spíritus. Desarrollo: Para el diseño de esta Galería se utilizó el sistema de gestión de contenidos Drupal porque es totalmente gratuito, personalizable, muy potente y flexible, incorpora las funcionalidades más comunes, es prácticamente un estándar "de facto", facilita la internacionalización, facilita la escalabilidad, el sistema implementado constituye un medio idóneo para lograr el acceso abierto a las imágenes médicas. Conclusiones: La Galería de imágenes médicas del sitio web es una fuente de consulta para los profesionales de la salud, esta contribuye a la actividad docente, asistencial e investigadora de los profesionales.

Background: Most of the web sites use galleries of images to show their products and services, the web site of the Provincial Center of Information of the Medical Sciences University of Sancti Spíritus didn't have a gallery of medical images where the professionals of the health could share, organize and preserve the photographic patrimony of the Medical Sciences in the territor. Objective: To propose a Gallery of images in the web site of the Provincial Center of Information of Medical Sciences University of Sancti Spíritus. Development: For the design of this Gallery the system of administration of contained Drupal was used because it is completely free, customizable, very potent and flexible, it incorporates the most common functionalities, it is practically a standard "of facto", it facilitates the internationalization, it facilitates the scalability, the implemented system constitutes a suitable mean to achieve the open access to the medical images Conclusions: The Gallery of medical images of the web site is a consultation source for the professionals of the health, it contributes to educational, assistance activity and investigative of professionals.

Propuesta de arquitectura cliente de la aplicación de interfaz de usuario del sistema xavia ris 2. 0 / Proposal for client architecture for user interface application of systems ris xavia 2.0

El Sistema de Información Radiológica (RIS, por sus siglas en inglés) es el encargado de la gestión de la información del Departamento de Radiología en una Institución Sanitaria, así como la Gestión de los Informes médicos y la creación de listas de trabajo para equipos DICOM compatibles.1 Dicho sistema está concebido como un sistema web por las ventajas de accesibilidad que brinda la Web y el indetenible crecimiento y desarrollo de las tecnologías que la sustentan. La presente investigación tiene como objetivo proponer las tecnologías, herramientas, estructuras y finalmente la arquitectura cliente para la aplicación de Interfaz de Usuario del Sistema XAVIA RIS, acorde a las tendencias actuales del desarrollo Web(AU)

Radiological Information System is in charge of information management in the radiology department in a health institution, and the management of medical records and the creation of work lists for equipment DICOM compatible. This system is designed as a web system due to the benefits of accessibility offered by the Web and the unstoppable growth and development of technologies that support it. This research aims to propose technologies, tools, structures and ultimately the client architecture for User Interface Application of the XAVIA RIS System, according to current trends in Web development(AU)

Sitio web de inmunología para el sistema Cubano de salud / A website on immunology for the Cuban health system

Introducción: las páginas web, sitios web, blogs u otras formas de publicación digital permiten promover la construcción colectiva del conocimiento, la generación de oportunidades de aprendizaje y la toma de decisiones más acertadas. La actualización en inmunología, su relación con la fisiología humana y las enfermedades que la afectan, son de competencia para todas las especialidades médicas. Objetivo: crear un sitio web para reunir toda la variedad posible de recursos de información en esta disciplina. Métodos: el sitio web de inmunología fue creado con herramientas digitales destinadas por Infomed e Infomed 2.0 para tales fines: WordPress, AdminPor y la plataforma de blogs. Se mantiene actualizado por medio de la búsqueda activa y diseminación de información relevante y pertinente. Como novedad, los términos que describen las enfermedades, genes y cromosomas mencionados en las notas publicadas, son enlazados por medio de hipervínculos a bases de datos internacionales, de referencia para el conocimiento de los términos en cuestión: OMIM, Gene y Ensembl, respectivamente. Resultados: entre los recursos disponibles por medio de enlaces en el sitio están 11 guías de práctica clínica, 53 revistas científicas, 70 libros o capítulos, 20 sociedades científicas y un repositorio de artículos con 405 trabajos de revisión a texto completo. Se aportan elementos de la historia de la especialidad y se presentan instituciones que laboran en ese campo en Cuba. Conclusiones: se proporciona de este modo una amplia colección de recursos para elevar la competencia y el desempeño profesionales en esta especialidad(AU)

Introduction: Webpages, websites, blogs or other variants of digital publication allow to promote the collective construction of knowledge, the generation of new opportunities for learning and more appropriate decision making. Updating on immunology, its relation to human physiology and the diseases affecting human health, are a competence for all medical specialties. Objective: to create a website in order to collect the increasing variety of information resources of such discipline. Methods: The website on Immunology specialty was created with the digital tools available for such purposes from Infomed and Infomed 2.0: WordPress, AdminPor and the blogs platform. It is updated by an active search and dissemination of relevant and pertinent information. As a novelty, terms describing diseases, genes and chromosomes that are mentioned in the published posts, are linked to international databases of reference for the knowledge of the respective expressions: OMIM, Gene and Ensembl. Results: Among the available resources through hypertext in the website are 11 clinical practice guidelines, 53 scientific journals, 70 books or chapters, 20 scientific societies and a repository of articles containing 405 free full text review papers. Elements about the history of the speciality and the institutions working on the field in Cuba are also covered. Conclusions: A wide collection of resources is offered in order to increase the professional abilities and skills in this speciality(AU)

Aplicação de Checklists de Acessibilidade e Usabilidade para o Redesign de Site Acessível para Usuários Idosos / Checklists Application Accessibility and Usability for Redesign of Site Accessible for the Elderly users

Neste artigo relata-se a avaliação da acessibilidade e usabilidade de quatro sites disponibilizados na Web com informações e serviços para o usuário idoso. A partir dos resultados encontrados, o site que obteve a menor avaliação foi selecionado e passou por um processo de Redesign com o intuito de melhorar sua acessibilidade. Nesta pesquisa a metodologia adotada aplicou a abordagem ergonômica e a utilização do Design em fases. Para isso, adotou-se a pesquisa-ação, que se destaca pela sua característica de conhecer e atuar, para depois estudar os resultados. Participaram nessa pesquisa 21 usuários idosos, voluntariamente, que avaliaram os quatro sites selecionados, ajudaram em algumas etapas do desenvolvimento do protótipo e da sua avaliação sobre acessibilidade. Entre os resultados encontrados, após o processo de Redesign do protótipo e avaliação, evidenciou-se que houve um ganho na acessibilidade e usabilidade em relação à versão original do site. Fato constatado, por meio da aplicação de dois Checklists, específicos para avaliação de sites e pela avaliação sobre acessibilidade e usabilidade realizada com os idosos participantes do estudo.

This paper presents the evaluation of the accessibility and usability of four sites with information and services for the elderly user. With the results, the site with the lowest score was selected and underwent a process of Redesign in order to improve their accessibility. In this study the methodology used the ergonomic approach and the use of Design in phases. For this, adopted action research, which stands out for its characteristic of knowing and acting, and then study the results. Participated in this study 21 elderly users voluntarily reviewed the four selected sites, helped in some stages of prototype development and its assessment of accessibility. Among the results, after the Redesign process of prototype and evaluation, it became clear that there was a gain in accessibility and usability over the original version of the site. Fact verified through the application of two Checklists, specific to review sites and for its assessment of accessibility and usability held with the participants of the study elderly.

Portal dos idosos: desenvolvimento e avaliação de um website com informações sobre a doença de Alzheimer e suas consequências para a comunicação / Portal of the elderly: development and evaluation of the website with informations about Alzheimer´s Disease and its consequences for communication

Esta pesquisa teve por objetivo desenvolver e avaliar um website com informações na área de Fonoaudiologia com enfoque na Doença de Alzheimer (DA). Foi elaborado um website contendo informações acerca da DA buscando-se uma linguagem simples e clara com conteúdo conciso. O conteúdo foi gerado por meio da coleta de informações em livros e artigos científicos indexados nas bases de dados. Utilizou-se o índice de Flesch para verificar a legibilidade do material, encontrando-se grande parte do conteúdo com percentil correspondente a fácil. A elaboração do website seguiu as etapas: análise e planejamento, modelagem, implementação e avaliação. Aspectos relacionados à acessibilidade compõem o website proporcionando maior abrangência e alcance. Foram convidados avaliadores que fizeram parte das categorias: idoso (I), cuidador de idoso (CI) e fonoaudiólogo (F). A amostra foi composta por 16 idosos (média etária de 74,13 anos), 12 cuidadores de idosos (média etária de 41,50 anos) e 28 fonoaudiólogos (média etária de 29,93 anos). A maioria dos indivíduos são (80,36%) do sexo feminino, que frequentemente acessavam a Internet (92,9%) e de diferentes níveis educacionais. A análise estatística foi realizada por meio do teste Kruskal-Wallis e Coeficiente de Correlação de Spearman. O conteúdo do website foi avaliado como excelente com maior classificação no submenu 6 (93,7%) e menor no submenu 2 (90%). Encontrou-se diferença significativa entre o escore geral da avaliação do conteúdo e as categorias I x F e I x CI (com melhores avaliações de F e CI, respectivamente). Ao analisar cada submenu, de acordo com as categorias, encontrou-se diferença estatística em submenu 2, 4 e 7 entre as categorias I x F (com melhor avaliação realizada pela categoria F). A avaliação da qualidade técnica do website apresentou-se como adequada, cuja subescala com maior classificação foi o Público (91,5%) e a menor foi Precisão (64%). Não houve diferença estatisticamente significativa entre...

This research aimed to develop and evaluate a website with information on Speech, Language and Hearing Sciences area focusing on Alzheimer's Disease (AD). The website was developed containing information about AD attempting to use a simple and clear language with concise content. The content was created by collecting information about AD in books and scientific articles indexed in databases. It was used the Flesch index to check the material intelligibility, resulting most of the content with the corresponding percentile "easy". The website development followed the steps: analysis and planning, modelling, implementation and evaluation. Accessibility-related aspects composed the website providing greater scope and range. Invited evaluators were part of the categories: elderly (E), caregiver of elderly (CE) and speech language and hearing therapists (SLHT). The sample consisted of 16 elderly (mean age of 74.12 years), 12 caregivers of elderly (mean age of 41.50 years) and 28 SLHT (mean age of 29.93 years). The majority (80.36%) were females, who often accessed the Internet (92.9%) and from different educational levels. Statistical analysis was performed using the Kruskal-Wallis and Spearmans Correlation Coefficient test. The website content was rated as "excellent" with the highest rating in submenu 6 (93.7%) and the lowest in submenu 2 (90%). A significant difference was verified between the overall score of the content evaluation and the categories E x SLHT and E x CE (with better evaluations scored by SLHT and CE, respectively). By analyzing each submenu, according to the categories, it was found statistically significant differences in submenus 2, 4 and 7 between categories E x SLHT (with better evaluations performed by SLHT). The website technical quality evaluation presented as adequate, with the highest rating performed by the subscale "public" (91.5%) and the lowest "accuracy" (64%). There was no statistically significant difference...

Portal dos idosos: desenvolvimento e avaliação de um website com informações sobre a doença de Alzheimer e suas consequências para a comunicação / Portal of the elderly: development and evaluation of the website with informations about Alzheimer´s Disease and its consequences for communication

Esta pesquisa teve por objetivo desenvolver e avaliar um website com informações na área de Fonoaudiologia com enfoque na Doença de Alzheimer (DA). Foi elaborado um website contendo informações acerca da DA buscando-se uma linguagem simples e clara com conteúdo conciso. O conteúdo foi gerado por meio da coleta de informações em livros e artigos científicos indexados nas bases de dados. Utilizou-se o índice de Flesch para verificar a legibilidade do material, encontrando-se grande parte do conteúdo com percentil correspondente a fácil. A elaboração do website seguiu as etapas: análise e planejamento, modelagem, implementação e avaliação. Aspectos relacionados à acessibilidade compõem o website proporcionando maior abrangência e alcance. Foram convidados avaliadores que fizeram parte das categorias: idoso (I), cuidador de idoso (CI) e fonoaudiólogo (F). A amostra foi composta por 16 idosos (média etária de 74,13 anos), 12 cuidadores de idosos (média etária de 41,50 anos) e 28 fonoaudiólogos (média etária de 29,93 anos). A maioria dos indivíduos são (80,36%) do sexo feminino, que frequentemente acessavam a Internet (92,9%) e de diferentes níveis educacionais. A análise estatística foi realizada por meio do teste Kruskal-Wallis e Coeficiente de Correlação de Spearman. O conteúdo do website foi avaliado como excelente com maior classificação no submenu 6 (93,7%) e menor no submenu 2 (90%). Encontrou-se diferença significativa entre o escore geral da avaliação do conteúdo e as categorias I x F e I x CI (com melhores avaliações de F e CI, respectivamente). Ao analisar cada submenu, de acordo com as categorias, encontrou-se diferença estatística em submenu 2, 4 e 7 entre as categorias I x F (com melhor avaliação realizada pela categoria F). A avaliação da qualidade técnica do website apresentou-se como adequada, cuja subescala com maior classificação foi o Público (91,5%) e a menor foi Precisão (64%). Não houve diferença estatisticamente significativa entre as...

This research aimed to develop and evaluate a website with information on Speech, Language and Hearing Sciences area focusing on Alzheimer's Disease (AD). The website was developed containing information about AD attempting to use a simple and clear language with concise content. The content was created by collecting information about AD in books and scientific articles indexed in databases. It was used the Flesch index to check the material intelligibility, resulting most of the content with the corresponding percentile "easy". The website development followed the steps: analysis and planning, modelling, implementation and evaluation. Accessibility-related aspects composed the website providing greater scope and range. Invited evaluators were part of the categories: elderly (E), caregiver of elderly (CE) and speech language and hearing therapists (SLHT). The sample consisted of 16 elderly (mean age of 74.12 years), 12 caregivers of elderly (mean age of 41.50 years) and 28 SLHT (mean age of 29.93 years). The majority (80.36%) were females, who often accessed the Internet (92.9%) and from different educational levels. Statistical analysis was performed using the Kruskal-Wallis and Spearmans Correlation Coefficient test. The website content was rated as "excellent" with the highest rating in submenu 6 (93.7%) and the lowest in submenu 2 (90%). A significant difference was verified between the overall score of the content evaluation and the categories E x SLHT and E x CE (with better evaluations scored by SLHT and CE, respectively). By analyzing each submenu, according to the categories, it was found statistically significant differences in submenus 2, 4 and 7 between categories E x SLHT (with better evaluations performed by SLHT). The website technical quality evaluation presented as adequate, with the highest rating performed by the subscale "public" (91.5%) and the lowest "accuracy" (64%). There was no statistically significant difference...

Cross-platform digital assessment forms for evaluating surgical skills / 보건의료교육평가

A variety of structured assessment tools for use in surgical training have been reported, but extant assessment tools often employ paper-based rating forms. Digital assessment forms for evaluating surgical skills could potentially offer advantages over paper-based forms, especially in complex assessment situations. In this paper, we report on the development of cross-platform digital assessment forms for use with multiple raters in order to facilitate the automatic processing of surgical skills assessments that include structured ratings. The FileMaker 13 platform was used to create a database containing the digital assessment forms, because this software has cross-platform functionality on both desktop computers and handheld devices. The database is hosted online, and the rating forms can therefore also be accessed through most modern web browsers. Cross-platform digital assessment forms were developed for the rating of surgical skills. The database platform used in this study was reasonably priced, intuitive for the user, and flexible. The forms have been provided online as free downloads that may serve as the basis for further development or as inspiration for future efforts. In conclusion, digital assessment forms can be used for the structured rating of surgical skills and have the potential to be especially useful in complex assessment situations with multiple raters, repeated assessments in various times and locations, and situations requiring substantial subsequent data processing or complex score calculations.

Information available on the internet about pain after orthognathic surgery: A careful review

OBJECTIVE: Investigate the quality of data available on the internet with respect to pain after orthognathic surgery. METHODS: A careful search was conducted on the Internet in December, 2012. The most accessed websites browsers were employed for research using the terms: "pain" and "orthognathic surgery" together. The first 30 results of each portal were examined, and after applying the exclusion criteria, 29 sites remained. All remaining websites went through an evaluation process with online tools that investigated the quality, level of reading, accessibility, usability and reliability. RESULTS: Assessment criteria outcomes were considered unfavorable. Texts were considered difficult to read with inappropriate language for the general public. The mean global validation for the 29 websites of the LIDA instrument was 65.10, thereby indicating a structure of medium quality. CONCLUSION: Information about post-orthognathic surgery pain available on the internet is poorly written and unreliable. Therefore, candidates for orthognathic surgery must seek information from specialists who, in turn, should indicate reliable sources. .

OBJETIVOS: verificar a qualidade dos dados disponíveis na internet a respeito da dor após cirurgia ortognática. MÉTODOS: para a realização desse estudo, foi feita busca criteriosa na internet, no mês de dezembro de 2012. As páginas de busca mais populares foram utilizadas para pesquisa, utilizando os termos "dor" e "cirurgia ortognática" inseridos juntos. Foram averiguados os 30 primeiros resultados de cada portal e, após aplicar os critérios de exclusão, restaram 29 sites, que passaram pelo processo de avaliação em ferramentas online, para investigar sua qualidade, nível de leitura, acessibilidade, usabilidade e confiabilidade. RESULTADOS: os resultados foram desfavoráveis para os critérios avaliados. O nível de leitura dos textos foi considerado difícil de ser lido, apesar de as informações terem como alvo o público geral. Para as 29 páginas da web, a média global da validação pelo instrumento LIDA foi de 65,10, indicando uma estrutura avaliada como tendo qualidade média. CONCLUSÃO: as informações na internet sobre dor pós-cirurgia ortognática são mal escritas e não confiáveis. Por isso, candidatos à cirurgia ortognática devem buscar informações de especialistas, que, por sua vez, devem indicar fontes confiáveis. .

El sitio KidsHealth, la comprensión de textos y la formación vocacional hacia las Ciencias Médicas / KidsHealth site, the comprehension of texts and the vocational formation oriented to the medical sciences

Las tecnologías de la información y la comunicación, ofrecen un universo ilimitado de posibilidades como recurso para el aprendizaje y socialización del conocimiento; la educación no ha escapado a ello. La revolución informática demanda nuevos retos, uno de ellos lo constituye la enseñanza de la lectura en idioma inglés. El sitio web KidsHealth, tiene potencialidades para trabajar la comprensión de textos en inglés y consolidar la formación vocacional hacia las ciencias médicas. Las filiales médicas de salud, están estrechamente vinculadas, mediante el proceso de extensión universitaria, a la consolidación de la formación vocacional. El objetivo del presente trabajo es divulgar y promocionar las ventajas y potencialidades de este sitio Web para la comprensión de textos en inglés y la formación vocacional hacia las ciencias médicas...

The information and communication technologies offer unlimited possibilities as a resource of learning and knowledge socialization, and education is not exempted from this reality. The informational revolution demands new challenges; one of them is the teaching of English reading. Website known as KidsHealth has potentialities to develop the understanding of English texts and to consolidate the vocational formation of students for the medical sciences. The universitarian medical sites are closely related to the consolidation of the vocational process through the process of university extension program. The objective of the present paper was to disseminate and to promote the advantages and the potentialities of this Website for the comprehension of English texts and the vocational formation in medical sciences...

Network Computer Management System Development for Blood Transfusion in ABO-Incompatible Stem Cell Transplantation / 대한수혈학회지

BACKGROUND: The majority of patients undergoing stem cell transplantation (SCT) require a blood transfusion until the complete engraftment. Because blood transfusion rules for patients with ABO-incompatible SCT are complicated, we developed an ABO-incompatible transfusion management system (ABO-ITMS) for accurate blood transfusion and improved manageability. METHODS: A committee composed of medical doctors, technicians, and a programmer developed ABO-ITMS during the eight months from July 2013 to February 2014. The program has been linked with other databases, including clinical and laboratory databases and resulted in a new subsystem of the health information system. Server computer's operating system was Window Server 2008, and the database manager program was Oracle 11g. Programming language was ASP.Net (VBScript, C #), and the server and client computer were used to connect to the web server using a web browser. RESULTS: ABO-ITMS was designed to follow three main steps by hematologic oncology clinic, laboratory physician, and blood bank. In the first step, a hematologic-oncology clinic doctor inputs SCT recipients' data and appropriate ABO group for each phase of post-transplantation. Laboratory physician enters the isoagglutinin titer and ABO group at the second step. Finally, blood bank workers enter the results of type, screening, and antibody identification. The patient's SCT information and the previous immunohematologic test results are shown on the screen. CONCLUSION: ABO-ITMS can replace the existing complicated system and workflow. ABO-ITMS will contribute to reducing medical error and improving quality of SCT recipient care.

Technology Acceptance and Adoption of Innovative Smartphone Uses among Hospital Employees / 대한의료정보학회지

OBJECTIVES: The number of healthcare institutions adopting smartphones continues to increase, implying that their utilization is undoubtedly gaining attention. Understanding the needs of smartphone users will provide a greater opportunity for successful information technology acceptance by expanding the scope of its utilization. This study focuses on how smartphones are accepted and utilized in hospitals and analyzes the factors influencing users' attitude, social influence, and intention of use. METHODS: For the study model, the researcher has mainly adopted the Theory of Reasoned Action and further modified and used the models of Technology Acceptance and Information Systems Success. To test the model empirically, a survey was conducted with 122 professionals on information development teams in Korean tertiary hospitals. RESULTS: The common smartphone usage modes were Internet searching, e-mail, scheduling, and social networking in consecutive order. Phone calls consisted of 51.4% of work-related purposes, while other functions, such as text message, Web browser, and scheduling, were mostly used for personal purposes. Costs, contents quality, innovation, ease of use, and support were shown to have statistically significant effects on user attitude, and social influence, portability, security, content quality, and innovation were significant. User attitude and social influence were both statistically significant with respect to intention of use, with user attitude greater than social influence. CONCLUSIONS: The participating staff were analyzed as having strong personal faith and principles, independent from their external environment. Timely information exchanges among medical staff will facilitate appropriate communication and improved health services to patients in need.

The Interchange of Radiological Reports Using Clinical Document Architecture Standards / 대한의료정보학회지

OBJECTIVE: We developed a Clinical Document Architecture(CDA) Generator module based on CDA standard for the interchange of radiological reports. METHODS: This paper describes CDA standard, the template of radiological report, CDA Generator module, and the Web-form report using an Extensible Stylesheet Language(XSL) style-sheet. And the CDA Generator module is integrated into a existing Picture Archiving Communication System(PACS) Viewer. RESULTS: Radiological reports based on CDA standard are used to interchange between different health institutions, and also presented in an Extensible Markup Language (XML) compatible web browser. CONCLUSION: The proposed module and concept in this paper may be a utility in improving health care delivery and can also be used to integrate with other Digital Imaging and Communication in Medicine(DICOM) Structured Report (SR) compliant PACS systems.

A Simple Text Searching System for Radiology Reports Based on World Wide Web Technology

PURPOSE: The authors have developed a system that searches for radiologic reports, and we have evaluated the utility of this system for clinical application, research and medical education. MATERIALS AND METHODS: The system retrieves radiologic reports from the OCS (ordering communication system) server and stores them in a separate computer. A CGI (common gateway interface) program was written to search the database with variable keywords given by the user. The system satisfied the requirements of functionality, accessibility and security. RESULTS: Users could search for radiologic reports with variable keywords using the web browser, and the user could refine the results using combinations of these keywords. The system has been running successfully for 2 years, and radiologists have used this system for searching or collecting cases, keeping reports and gathering statistics. CONCLUSION: The simple text searching system has been developed in a short time period with only small costs and a bit of hard effort, and this system is practical for clinical use, research and medical education.

Development Brief of Embedded Computing Technology for Mobile Wi reless Biotelemetry / 대한의료정보학회지

Embedded computing and wireless communication technology were used to develop a mobile biotelemetry system, featuring the functions of mobile measurement, wireless transmission, database archival, and internet retrieval of biomedical signals. Two PPCs (Pocket PC) with WLAN (wireless LAN) PC cards were used to simulate the communicating situation of biomedical signals between wireless sensors and a personal monitor. A PPC client program simulated the wireless sensors and a PPC server program simulated the personal medical monitor. Medical PDA was implemented by SBC (single board computer), LCD display, touch screen and Bluetooth module. Windows CE.net was ported as its operating system and the application program was developed using embedded Visual C++ 4. The measured transmission speed of ECG data was 2150 samples per second in the WLAN environment. For wireless internet connection, a Web-based server program was developed, able to display the biomedical signals of remote patients and be remotely monitored by medical doctors in a distant hospital. PDA data, which was archived at the server's database table, was transformed to an XML message and could be displayed on a Web browser as a signal graph. This system would be very useful for patients with chronic illness, especially in an emergent environment, and for containing medical cost in the aged society.

A Web-Based Medical Information Exchange System Using HL7 Protocols / 대한의료정보학회지

The amount of medical information is rapidly increasing in accordance with the development of medical technology. Therefore, developing efficient ways of management, exchange and sharing of medical information is becoming an important issue. A variety of models and tools introduced in hospitals, departments and clinics became obstacles in the reproduction and utilization of information. A proficient means of exchanging this medical information, known as an Application Program Interface (API) has been designed in the present study. A discharge summary which contains major description of medical care has been chosen as the source for this exchange. The API translated the information on the discharge summary into Health Level Seven (HL7) messages, which is the standard protocol for exchanging information. Users could send and/or receive a discharge summary using a web browser using this API. For the security of a web-server, we used a freeware, Mr.Flux, to control access to the server. Time to input data was significantly different according to the traffic of network, which was 341+/-55 seconds and 131+/-15 seconds at 10 p.m at 10 a.m. In summary, HL7 based on an API for the exchange of information on nuclear medical care could be used in different computing environments such as an internet based system that is convenient to use for most users.