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[PMID]:29351341
[Au] Autor:Bibault JE; Zapletal E; Rance B; Giraud P; Burgun A
[Ad] Endereço:Radiation Oncology Department, Georges Pompidou European Hospital, Assistance Publique - Hôpitaux de Paris (AP-HP), Paris Descartes University, Paris Sorbonne Cité, Paris, France.
[Ti] Título:Labeling for Big Data in radiation oncology: The Radiation Oncology Structures ontology.
[So] Source:PLoS One;13(1):e0191263, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Leveraging Electronic Health Records (EHR) and Oncology Information Systems (OIS) has great potential to generate hypotheses for cancer treatment, since they directly provide medical data on a large scale. In order to gather a significant amount of patients with a high level of clinical details, multicenter studies are necessary. A challenge in creating high quality Big Data studies involving several treatment centers is the lack of semantic interoperability between data sources. We present the ontology we developed to address this issue. METHODS: Radiation Oncology anatomical and target volumes were categorized in anatomical and treatment planning classes. International delineation guidelines specific to radiation oncology were used for lymph nodes areas and target volumes. Hierarchical classes were created to generate The Radiation Oncology Structures (ROS) Ontology. The ROS was then applied to the data from our institution. RESULTS: Four hundred and seventeen classes were created with a maximum of 14 children classes (average = 5). The ontology was then converted into a Web Ontology Language (.owl) format and made available online on Bioportal and GitHub under an Apache 2.0 License. We extracted all structures delineated in our department since the opening in 2001. 20,758 structures were exported from our "record-and-verify" system, demonstrating a significant heterogeneity within a single center. All structures were matched to the ROS ontology before integration into our clinical data warehouse (CDW). CONCLUSION: In this study we describe a new ontology, specific to radiation oncology, that reports all anatomical and treatment planning structures that can be delineated. This ontology will be used to integrate dosimetric data in the Assistance Publique-Hôpitaux de Paris CDW that stores data from 6.5 million patients (as of February 2017).
[Mh] Termos MeSH primário: Ontologias Biológicas/estatística & dados numéricos
Radioterapia (Especialidade)/estatística & dados numéricos
[Mh] Termos MeSH secundário: Registros Eletrônicos de Saúde
Seres Humanos
Armazenamento e Recuperação da Informação
Sistemas de Informação
Modelos Anatômicos
Neoplasias/radioterapia
Paris
Planejamento da Radioterapia Assistida por Computador/estatística & dados numéricos
Software
Integração de Sistemas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191263


  2 / 18463 MEDLINE  
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[PMID]:29240350
[Au] Autor:Snell K; Helén I
[Ti] Título:Data systems, genomic data and expertise of doctors.
[So] Source:Duodecim;133(8):801-7, 2017.
[Is] ISSN:0012-7183
[Cp] País de publicação:Finland
[La] Idioma:eng
[Ab] Resumo:Introduction of genomic data into health care requires willingness from physicians to adopt decision support systems as well as genomic information as part of their work. In the interview study, doctors' expectations about data systems and genomic data, as well as challenges for their utilization, are brought into light. Besides technical functionality, linking of data systems and the new knowledge mediated by them for clinicians also requires that doctors understand them as part of their professional expertise and thus useful.
[Mh] Termos MeSH primário: Competência Clínica
Predisposição Genética para Doença
Genômica
Sistemas de Informação
[Mh] Termos MeSH secundário: Tomada de Decisões
Testes Genéticos
Terapia Genética
Genoma Humano
Seres Humanos
Medicina de Precisão
Medição de Risco
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE


  3 / 18463 MEDLINE  
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Souza, Wayner Vieira de
Mendes, Antônio da Cruz Gouveia
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:29211201
[Au] Autor:Maia LTS; Souza WV; Mendes ADCG; Silva AGSD
[Ad] Endereço:Universidade Federal de Pernambuco. Centro Acadêmico de Vitória. Núcleo de Saúde Coletiva. Recife, PE, Brasil.
[Ti] Título:Use of linkage to improve the completeness of the SIM and SINASC in the Brazilian capitals.
[So] Source:Rev Saude Publica;51:112, 2017 Dec 04.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:OBJECTIVE: To analyze the contribution of linkage between databases of live births and infant mortality to improve the completeness of the variables common to the Mortality Information System (SIM) and the Live Birth Information System (SINASC) in Brazilian capitals in 2012. METHODS: We studied 9,001 deaths of children under one year registered in the SIM in 2012 and 1,424,691 live births present in the SINASC in 2011 and 2012. The databases were related with linkage in two steps - deterministic and probabilistic. We calculated the percentage of incompleteness of the variables common to the SIM and SINASC before and after using the technique. RESULTS: We could relate 90.8% of the deaths to their respective declarations of live birth, most of them paired deterministically. We found a higher percentage of pairs in Porto Alegre, Curitiba, and Campo Grande. In the capitals of the North region, the average of pairs was 84.2%; in the South region, this result reached 97.9%. The 11 variables common to the SIM and SINASC had 11,278 incomplete fields cumulatively, and we could recover 91.4% of the data after linkage. Before linkage, five variables presented excellent completeness in the SINASC in all Brazilian capitals, but only one variable had the same status in the SIM. After applying this technique, all 11 variables of the SINASC became excellent, while this occurred in seven variables of the SIM. The city of birth was significantly associated with the death component in the quality of the information. CONCLUSIONS: Despite advances in the coverage and quality of the SIM and SINASC, problems in the completeness of the variables can still be identified, especially in the SIM. In this perspective, linkage can be used to qualify important information for the analysis of infant mortality.
[Mh] Termos MeSH primário: Declaração de Nascimento
Atestado de Óbito
Sistemas de Informação/estatística & dados numéricos
Nascimento Vivo
Registro Médico Coordenado
[Mh] Termos MeSH secundário: Brasil
Seres Humanos
Lactente
Recém-Nascido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


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[PMID]:29095809
[Au] Autor:Murthy N; Rodgers L; Pabst L; Fiebelkorn AP; Ng T
[Ti] Título:Progress in Childhood Vaccination Data in Immunization Information Systems - United States, 2013-2016.
[So] Source:MMWR Morb Mortal Wkly Rep;66(43):1178-1181, 2017 Nov 03.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In 2016, 55 jurisdictions in 49 states and six cities in the United States* used immunization information systems (IISs) to collect and manage immunization data and support vaccination providers and immunization programs. To monitor progress toward achieving IIS program goals, CDC surveys jurisdictions through an annual self-administered IIS Annual Report (IISAR). Data from the 2013-2016 IISARs were analyzed to assess progress made in four priority areas: 1) data completeness, 2) bidirectional exchange of data with electronic health record systems, 3) clinical decision support for immunizations, and 4) ability to generate childhood vaccination coverage estimates. IIS participation among children aged 4 months through 5 years increased from 90% in 2013 to 94% in 2016, and 33 jurisdictions reported ≥95% of children aged 4 months through 5 years participating in their IIS in 2016. Bidirectional messaging capacity in IISs increased from 25 jurisdictions in 2013 to 37 in 2016. In 2016, nearly all jurisdictions (52 of 55) could provide automated provider-level coverage reports, and 32 jurisdictions reported that their IISs could send vaccine forecasts to providers via Health Level 7 (HL7) messaging, up from 17 in 2013. Incremental progress was made in each area since 2013, but continued effort is needed to implement these critical functionalities among all IISs. Success in these priority areas, as defined by the IIS Functional Standards (1), bolsters clinicians' and public health practitioners' ability to attain high vaccination coverage in pediatric populations, and prepares IISs to develop more advanced functionalities to support state/local immunization services. Success in these priority areas also supports the achievement of federal immunization objectives, including the use of IISs as supplemental sampling frames for vaccination coverage surveys like the National Immunization Survey (NIS)-Child, reducing data collection costs, and supporting increased precision of state-level estimates.
[Mh] Termos MeSH primário: Programas de Imunização
Imunização/utilização
Sistemas de Informação/tendências
[Mh] Termos MeSH secundário: Pré-Escolar
Pesquisas sobre Serviços de Saúde
Seres Humanos
Lactente
Avaliação de Programas e Projetos de Saúde
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171108
[Lr] Data última revisão:
171108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171103
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6643a4


  5 / 18463 MEDLINE  
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[PMID]:28973258
[Au] Autor:Jarrett MP
[Ad] Endereço:Northwell Health, New Hyde Park, New York.
[Ti] Título:Cybersecurity-A Serious Patient Care Concern.
[So] Source:JAMA;318(14):1319-1320, 2017 Oct 10.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Segurança Computacional/normas
Confidencialidade
[Mh] Termos MeSH secundário: Seres Humanos
Sistemas de Informação/normas
Sistemas Computadorizados de Registros Médicos/normas
Assistência ao Paciente
Papel Profissional
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171004
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.11986


  6 / 18463 MEDLINE  
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[PMID]:28933938
[Au] Autor:Marshall BDL; Yedinak JL; Goyer J; Green TC; Koziol JA; Alexander-Scott N
[Ad] Endereço:Brandon D. L. Marshall, Jesse L. Yedinak, and Traci C. Green are with the Department of Epidemiology, Brown University School of Public Health, Providence, RI. Jonathan Goyer is with the Anchor Recovery Community Center, Pawtucket, RI. Jennifer A. Koziol and Nicole Alexander-Scott are with the Rhode
[Ti] Título:Development of a Statewide, Publicly Accessible Drug Overdose Surveillance and Information System.
[So] Source:Am J Public Health;107(11):1760-1763, 2017 Nov.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In response to Rhode Island's overdose epidemic, we developed a collaborative, statewide online "dashboard" to provide the public with timely overdose surveillance data. The Web site- www.PreventOverdoseRI.org (PORI)-offers user-friendly data visualizations, plain language education, and interactive resource maps. Development of the site has improved overdose data sharing and transparency in Rhode Island. Preliminary results suggest a successful site launch. Future research will evaluate the effectiveness of PORI in terms of informing strategic initiatives to reduce overdoses in affected communities.
[Mh] Termos MeSH primário: Overdose de Drogas/epidemiologia
Sistemas de Informação
Vigilância da População/métodos
[Mh] Termos MeSH secundário: Acesso à Informação
Overdose de Drogas/mortalidade
Seres Humanos
Avaliação de Programas e Projetos de Saúde
Rhode Island/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171101
[Lr] Data última revisão:
171101
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170922
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.304007


  7 / 18463 MEDLINE  
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[PMID]:28873400
[Au] Autor:Maia-Elkhoury ANS; O B Valadas SY; Puppim-Buzanovsky L; Rocha F; Sanchez-Vazquez MJ
[Ad] Endereço:Communicable Diseases and Health Analysis (CHA), VT, Pan American Health Organization (PAHO), Duque de Caxias, Rio de Janeiro, Brazil.
[Ti] Título:SisLeish: A multi-country standardized information system to monitor the status of Leishmaniasis in the Americas.
[So] Source:PLoS Negl Trop Dis;11(9):e0005868, 2017 Sep.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In the Americas, leishmaniasis is endemic in 18 countries, and from 2001 through 2015, 17 countries reported 843,931 cases of cutaneous and mucocutaneous leishmaniasis, and 12 countries reported 52,176 cases of visceral leishmaniasis. A Regional Information System (SisLeish) was created in order to provide knowledge of the distribution and tendency of this disease to analyze and monitor the leishmaniasis status. This article analyses the performance and progress of SisLeish from 2012-2015. METHODOLOGY: The performance of SisLeish was evaluated by country adhesion, data completeness and delay in entering the data, and also by the SWOT technique. Furthermore, we outlined the structure and modus operandi of the system and indicators utilized. RESULTS: In 2012, only 18% of the countries entered the data in SisLeish before the deadline, where 66.7% and 50% of the countries with autochthonous CL/ML and VL reported their cases to the system, respectively. Whereas in 2015, 59% of the countries reached the deadline, where 94.4% and 58.3% of the countries reported their CL/ML and VL data, respectively. Regarding data completeness, there was great progress for different variables since its launch, such as gender, which had an approximately 100% improvement from 2012 to 2015. The SWOT analysis of SisLeish showed 12 strengths, 11 opportunities, seven weaknesses and six threats. CONCLUSIONS: From 2012-2015 there has been an improvement in the adhesion, quality and data completeness, showing the effort of the majority of the countries to enhance their national database. The SWOT analysis demonstrated that strengths and opportunities exceed weaknesses and threats; however, it highlighted the system frailties and challenges that need to be addressed. Furthermore, it has stimulated several National Programs to advance their surveillance system. Therefore, SisLeish has become an essential tool to prioritize areas, assist in decision-making processes, and to guide surveillance and control actions.
[Mh] Termos MeSH primário: Monitoramento Epidemiológico
Pesquisa sobre Serviços de Saúde
Sistemas de Informação/organização & administração
Sistemas de Informação/normas
Leishmaniose/epidemiologia
[Mh] Termos MeSH secundário: Américas/epidemiologia
Seres Humanos
Cooperação Internacional
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170906
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005868


  8 / 18463 MEDLINE  
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[PMID]:28826696
[Au] Autor:Brusadin G; Bour MS; Deutsch E; Kouchit N; Corbin S; Lefkopoulos D
[Ad] Endereço:Département de radiothérapie, Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France. Electronic address: gianfranco.brusadin@gustaveroussy.fr.
[Ti] Título:[Implementation of "never events" checklists in a radiotherapy information system].
[Ti] Título:Mise en Å“uvre de listes de contrôle « never events ¼ dans le système d'information en radiothérapie..
[So] Source:Cancer Radiother;21(6-7):665-669, 2017 Oct.
[Is] ISSN:1769-6658
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:In order to reduce the incidence of major accidents during external radiotherapy treatment, "never events" checklists have been incorporated into the "record and verify" system. This article details this process. Prospects for improvement are also proposed, including a peer-to-peer audit on the use of checklists and the availability of the radiotherapy information system manufacturer to collaborate in this process to secure the patients' journey.
[Mh] Termos MeSH primário: Lista de Checagem
Sistemas de Informação
Erros Médicos/prevenção & controle
Radioterapia
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170823
[St] Status:MEDLINE


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[PMID]:28792186
[Au] Autor:Patel N; Brown RD; Sarkissian C; De S; Monga M
[Ad] Endereço:Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
[Ti] Título:Quality of life and urolithiasis: the patient - reported outcomes measurement information system (PROMIS).
[So] Source:Int Braz J Urol;43(5):880-886, 2017 Sep-Oct.
[Is] ISSN:1677-6119
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: With a high rate of recurrence, urolithiasis is a chronic disease that impacts quality of life. The Patient Reported Outcomes Measurement Information System is an NIH validated questionnaire to assess patient quality of life. We evaluated the impact of urolithiasis on quality of life using the NIH-sponsored PROMIS-43 questionnaire. MATERIALS AND METHODS: Patients reporting to the kidney stone clinic were interviewed to collect information on stone history and demographic information and were asked to complete the PROMIS-43 questionnaire. Quality of life scores were analyzed using gender and age matched groups for the general US population. Statistical comparisons were made based on demographic information and patient stone history. Statistical significance was P<0.05. RESULTS: 103 patients completed the survey. 36% of respondents were male, the average age of the group was 52 years old, with 58% primary income earners, and 35% primary caregivers. 7% had never passed a stone or had a procedure while 17% passed 10 or more stones in their lifetime. Overall, pain and physical function were worse in patients with urolithiasis. Primary income earners had better quality of life while primary caregivers and those with other chronic medical conditions were worse. Patients on dietary and medical therapy had better quality of life scores. CONCLUSIONS: Urolithiasis patients subjectively have worse pain and physical function than the general population. The impact of pain on quality of life was greatest in those patients who had more stone episodes, underscoring the importance of preventive measures. Stone prevention measures improve quality of life.
[Mh] Termos MeSH primário: Medidas de Resultados Relatados pelo Paciente
Qualidade de Vida/psicologia
Urolitíase/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos de Casos e Controles
Doença Crônica
Depressão/etiologia
Depressão/psicologia
Fadiga/etiologia
Fadiga/psicologia
Feminino
Seres Humanos
Sistemas de Informação
Masculino
Meia-Idade
Dor/etiologia
Dor/psicologia
Transtornos do Sono-Vigília/etiologia
Transtornos do Sono-Vigília/psicologia
Inquéritos e Questionários
Urolitíase/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171117
[Lr] Data última revisão:
171117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE
[do] DOI:10.1590/S1677-5538.IBJU.2016.0649


  10 / 18463 MEDLINE  
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[PMID]:28759615
[Au] Autor:Lee TF; Hsiao CH; Hwang SH; Lin TH
[Ad] Endereço:Department of Medical Informatics, Tzu Chi University, Hualien, Taiwan, ROC.
[Ti] Título:Enhanced smartcard-based password-authenticated key agreement using extended chaotic maps.
[So] Source:PLoS One;12(7):e0181744, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A smartcard based password-authenticated key agreement scheme enables a legal user to log in to a remote authentication server and access remote services through public networks using a weak password and a smart card. Lin recently presented an improved chaotic maps-based password-authenticated key agreement scheme that used smartcards to eliminate the weaknesses of the scheme of Guo and Chang, which does not provide strong user anonymity and violates session key security. However, the improved scheme of Lin does not exhibit the freshness property and the validity of messages so it still fails to withstand denial-of-service and privileged-insider attacks. Additionally, a single malicious participant can predetermine the session key such that the improved scheme does not exhibit the contributory property of key agreements. This investigation discusses these weaknesses and proposes an enhanced smartcard-based password-authenticated key agreement scheme that utilizes extended chaotic maps. The session security of this enhanced scheme is based on the extended chaotic map-based Diffie-Hellman problem, and is proven in the real-or-random and the sequence of games models. Moreover, the enhanced scheme ensures the freshness of communicating messages by appending timestamps, and thereby avoids the weaknesses in previous schemes.
[Mh] Termos MeSH primário: Segurança Computacional
Cartões Inteligentes de Saúde
Sistemas de Informação
[Mh] Termos MeSH secundário: Algoritmos
Sistemas de Computação
Confidencialidade
Dinâmica não Linear
Linguagens de Programação
Telemedicina
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0181744



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