BT - Bioinformática e Telemedicina
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- BIO-SIMILARES EM ONCOLOGIAPublication . Barroso, S.; Coutinho, J.; Damasceno, M.; Dinis, J.; Lacerda, J.; Gervásio, H.; Costa, F.; Pereira, A.; Parreira, A.; Príncipe, F.; Rodrigues, H.; Sá, A.; Teixeira, A.
- Development and use of touch-screen computer-assisted self interviewing in Portuguese patients with chronic immune diseases: Evaluation of an electronic version of SF-36v2Publication . Ribeiro, C.; Moreira, L.; Silveira, A.; Silva, I.; Gestal, J.; Vasconcelos, C.Abstract Aim:The major purpose of this study was to evaluate alternative automated methods of collecting data on health related quality of life (HR-QoL). In order to achieve this, we developed a study with the following objectives: (1) to evaluated the feasibility of electronic version in patients with different chronic pathologies of the immune system using Short Form 36version2 (SF-36v2), (2) to evaluate the construct validity of SF-36v2 using the electronic data capture, and (3) to compare electronic version questionnaires with paper questionnaires in terms of patients ´ acceptance, data quality, and reliability. Methods:Out-patients with chronic immune diseases (HIV infection, lupus, scleroderma, rheumatoid arthritis, Behçet and Sjögren), were randomly selected to completed electronic and paper SF- 36v2 (n=50) before consultation in Clinical Immunology Unit, in Hospital Santo António-Centro Hospitalar do Porto (CI-HGSA). Results: There were very high correlations in SF- 36v2 responses (p< .001) between the paper and electronic forms. Internal reliability coefficients (Cronbach’s a) showed good internal consistency for all reported responses in either, computer and paper. There were no missing data in electronic version or paper. About 84% of the patients prefer to use the computer version in future. Conclusion: The electronic HR-QoL assessment is technically possible and it can provide reliable and valid clinically significant information which can either be used in routine care appointments.
- THE RED DOT SYSTEM: Emergency Diagnosis Impact and Digital Radiology Implementation - A reviewPublication . Coelho, J.; Rodrigues, P.Radiographer abnormality detection schemes (RADS) were introduced in the early 1980s to assist emergency departments. The development of PACS systems are affecting health professionals forcing them to evolve along, reviewing images on a computer monitor rather than on radiographic film. This article reviewed published articles that evaluated the impact of the use of a Red Dot System in patient outcome of emergency trauma patients and assessed the implementation of a Red Dot System in a Radiology Department with digital radiography and PACS. Few articles addressed the implementation issues and use of a Red Dot system in Computed Radiology. Radiographer skeletal red dot studies, had sensitivity and specificity of, respectively, 0.71 and 0.96 pre-training, and 0.81 and 0.95 post-training, compared with a reference standard. The use of radiographer abnormality detection schemes such as Red Dot and reporting has the potential to improve the diagnosis and outcome of emergency patients. The arrival of Information Technologies (IT) to healthcare and the introduction of Digital Radiography have limited the functionality of RADS due to incompatibility of new technology with the standard practice. New image technology solutions in Radiology should enhance the development and utilization of radiographer skills in RADS environments.
- A position paper of the EFLM Committee on Education and Training and Working Group on Distance Education Programmes/E-Learning: developing an e-learning platform for the education of stakeholders in laboratory medicinePublication . Gruson, D.; Faure, G.; Gouget, B.; Haliassos, A.; Kisikuchin, D.; REGUENGO, HENRIQUE; Topic, E.; Blaton, V.The progress of information and communication technologies has strongly influenced changes in healthcare and laboratory medicine. E-learning, the learning or teaching through electronic means, contributes to the effective knowledge translation in medicine and healthcare, which is an essential element of a modern healthcare system and for the improvement of patient care. E-learning also represents a great vector for the transfer knowledge into laboratory practice, stimulate multidisciplinary interactions, enhance continuing professional development and promote laboratory medicine. The European Federation of Laboratory Medicine (EFLM) has initiated a distance learning program and the development of a collaborative network for e-learning. The EFLM dedicated working group encourages the organization of distance education programs and e-learning courses as well as critically evaluate information from courses, lectures and documents including electronic learning tools. The objectives of the present paper are to provide some specifications for distance learning and be compatible with laboratory medicine practices.
- Sistemas de Informação de Enfermagem: exploração da informação partilhada com os médicosPublication . Mota, L.; Pereira, F.; Sousa, P.Enquadramento: Ao longo dos anos foram-se verificando alterações substanciais ao nível da documentação em enfermagem resultantes da utilização de tecnologias da informação na atividade diária dos profissionais de saúde. Os médicos são os maiores consumidores da informação recolhida, processada e documentada pelos enfermeiros, dada a relevância dessa informação no seu processo de tomada de decisão clínica. Objetivos: Identificar e descrever a informação recolhida, processada e documentada pelos enfermeiros que é mais relevante para atividade profissional dos médicos. Metodologia: Estudo qualitativo e exploratório com recurso à observação participante (98 horas) e entrevistas semi-estruturadas (3) com informantes-chave, realizado em contexto hospitalar. Foi realizada a análise indutiva de conteúdo das notas de campo e entrevistas. Resultados: A informação mais relevante para os médicos depende do contexto dos sujeitos, da ação e das profissões, e foi agregada em três categorias: «parâmetros de vigilância»; «medicação e atitudes terapêuticas»; e «dados intercorrentes». Conclusão: As estratégias de recolha de dados mostraram-se capazes de gerar dados válidos para a identificação das categorias de informação mais relevantes para os médicos («parâmetros de vigilância», «medicação e atitudes terapêuticas» e «dados intercorrentes»). A informação relevante para os médicos não é influenciada por quem toma a decisão de prescrição da colheita dos dados.