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1.
Plants (Basel) ; 13(8)2024 Apr 16.
Article in English | MEDLINE | ID: mdl-38674518

ABSTRACT

Endemic island species face heightened extinction risk from climate-driven shifts, yet standard models often underestimate threat levels for those like Quercus alnifolia, an iconic Cypriot oak with pre-adaptations to aridity. Through species distribution modelling, we investigated the potential shifts in its distribution under future climate and land-use change scenarios. Our approach uniquely combines dispersal constraints, detailed soil characteristics, hydrological factors, and anticipated soil erosion data, offering a comprehensive assessment of environmental suitability. We quantified the species' sensitivity, exposure, and vulnerability to projected changes, conducting a preliminary IUCN extinction risk assessment according to Criteria A and B. Our projections uniformly predict range reductions, with a median decrease of 67.8% by the 2070s under the most extreme scenarios. Additionally, our research indicates Quercus alnifolia's resilience to diverse erosion conditions and preference for relatively dry climates within a specific annual temperature range. The preliminary IUCN risk assessment designates Quercus alnifolia as Critically Endangered in the future, highlighting the need for focused conservation efforts. Climate and land-use changes are critical threats to the species' survival, emphasising the importance of comprehensive modelling techniques and the urgent requirement for dedicated conservation measures to safeguard this iconic species.

2.
Stud Health Technol Inform ; 305: 311-314, 2023 Jun 29.
Article in English | MEDLINE | ID: mdl-37387025

ABSTRACT

This paper presents MYeHealthAppCY, an mHealth solution designed to provide patients and healthcare providers in Cyprus with access to medical data. The application includes features such as an at-a-glance view of patient summary, comprehensive prescription management, teleconsultation, and the ability to store and access European Digital COVID Certificates (EUDCC). The application is an integral part of the eHealth4U platform targeting to implement a prototype EHR platform for national use. The application developed is based on FHIR and follows a strict adherence to widely used coding standards. The application was evaluated receiving satisfactory scores; however, significant work is still needed to deploy the application in production.


Subject(s)
COVID-19 , Mobile Applications , Telemedicine , Humans , Cyprus , COVID-19/epidemiology , Health Facilities
3.
Stud Health Technol Inform ; 305: 349-352, 2023 Jun 29.
Article in English | MEDLINE | ID: mdl-37387036

ABSTRACT

In this paper we present a demonstration of a prototype national Electronic Health Record platform for Cyprus. This prototype is developed using the HL7 FHIR interoperability standard in combination with terminologies widely adopted by the clinical community such as the SNOMED CT and the LOINC. The system is organized in such a way to be user-friendly for its users, being the doctors and the citizens. The health-related data of this EHR are separated into three main sections, being the "Medical History", the "Clinical Examination" and the "Laboratory results". Business requirements include the Patient Summary as defined by the guidelines of the eHealth network and the International Patient Summary which are used as the base for all the sections of our EHR, together with additional medical information and functionality such as the organization of medical teams or the history of medical visits and episodes of care. From the doctor's point of view, one can search for patients who have granted the doctor with a consent and read or add/edit their EHR data by initiating a new visit as defined in the Cyprus National Law for eHealth. At the same time, doctors can organize their medical teams by managing the locations of each team and the members that belong to each team.


Subject(s)
Commerce , Electronic Health Records , Humans , Cyprus , Laboratories , Logical Observation Identifiers Names and Codes
4.
Annu Int Conf IEEE Eng Med Biol Soc ; 2021: 2159-2162, 2021 11.
Article in English | MEDLINE | ID: mdl-34891716

ABSTRACT

The aim of this paper is to present Cyprus' initiative for the design and the implementation of the prototype of the integrated electronic health record at a national level that will establish the foundations of the country's broader eHealth ecosystem. The latter, requires an interdisciplinary approach and scientific collaboration among various fields, including medicine, information and communication technologies, management, and finance, among others. The objective, is to design the system architecture, specify the requirements in terms of clinical content as well as the hardware infrastructure, but also implement European and national legislation with respect to privacy and security that govern sensitive medical data manipulation. The present study summarizes the outcomes of the 1st phase of this initiative, which comprises of the healthcare as well as the administrative requirements, user stories, data-flows and associated functionality. Moreover, leveraging the HL7 Fast Healthcare Interoperability Resources (FHIR) standard we highlight the concluded interoperability framework that allows genuine cross-system communication and defines third-party systems connectivity.Clinical Relevance- This work is strongly correlated with medicine since it describes the system requirements and the architecture of a national integrated electronic health records system.


Subject(s)
Electronic Health Records , Telemedicine , Cyprus , Software
5.
IEEE Rev Biomed Eng ; 14: 270-289, 2021.
Article in English | MEDLINE | ID: mdl-31976904

ABSTRACT

Medical image analysis methods require the use of effective representations for differentiating between lesions, diseased regions, and normal structure. Amplitude Modulation-Frequency Modulation (AM-FM) models provide effective representations through physically meaningful descriptors of complex non-stationary structures that can differentiate between the different lesions and normal structure. Based on AM-FM models, medical images are decomposed into AM-FM components where the instantaneous frequency provides a descriptor of local texture, the instantaneous amplitude captures slowly-varying brightness variations, while the instantaneous phase provides for a powerful descriptor of location, generalizing the traditionally important role of phase in the Fourier Analysis of images. Over the years, AM-FM representations have been used in a wide variety of medical image analysis applications based on a vastly reduced number of features that can be easily learned by simple classifiers. The paper provides an overview of AM-FM models and methods, followed by applications in medical image analysis. We also provide a summary of emerging trends and future directions.


Subject(s)
Image Interpretation, Computer-Assisted/methods , Machine Learning , Signal Processing, Computer-Assisted , Algorithms , Diagnostic Imaging , Humans , Neural Networks, Computer
6.
Int J Electron Healthc ; 5(4): 340-54, 2010.
Article in English | MEDLINE | ID: mdl-21041174

ABSTRACT

Telecardiology is the use of telemedicine for remote cardiological monitoring and healing. The international shift from traditional healthcare to electronic healthcare and the various telecardiology solutions available worldwide motivated our efforts to design and develop the e-Herophilus platform implementing a strategy to improve the quality and reliability of telecardiology in Greece. Our primary goal was to develop a national standard to consider the needs of rural, urban and telehomecare cardiological services provision ranging from children to adults and the elderly. We describe herein the strategy adopted to achieve this goal. The design and implementation of the e-Herophilus telecardiology platform has taken into account the World Health Organization recommendations for e-health. Its innovation is the personalised, 24-hour monitoring of 12-lead ECG both in wired and wireless networks. Further, we discuss different personalised approaches in the e-Herophilus platform from its initial implementation to the final clinical practice. We conclude with recommendations regarding the use of the e-Herophilus platform.


Subject(s)
Electrocardiography, Ambulatory/instrumentation , Electrocardiography, Ambulatory/methods , Heart Diseases/diagnosis , Heart Diseases/therapy , Telemedicine/instrumentation , Telemedicine/methods , Adult , Aged , Child , Greece , Humans , Telemedicine/trends , User-Computer Interface
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