Retinal Blood Vessel Extraction From Fundus Images Using Improved Otsu Method
In the present time, the identification of blood vessels is a basic task for diagnosis of various eye abnormalities. So, this article offers an instinctive approach for identification of blood vessels in ophthalmoscope images. This approach includes three different phases: pre-processing, vessel extraction and post-processing for getting a final vessel segmentation outcome. In the presented method, formerly log transformation and contrast limited adaptive histogram equalization are used for the enhancement of retinal images. The enhanced image is then filtered using a morphological opening operation and subsequently the op...
Source: International Journal of E-Health and Medical Communications - February 27, 2019 Category: Information Technology Authors: Dash, Jyotiprava Bhoi, Nilamani Tags: Health Information Systems Medicine & Healthcare Source Type: research

Performance Analysis of Compression Techniques for Chronic Wound Image Transmission Under Smartphone-Enabled Tele-Wound Network
This article designs and discusses the implementation of smartphone-enabled compression technique under a tele-wound network (TWN) system. Nowadays, there is a huge demand for memory and bandwidth savings for clinical data processing. Wound images are captured using a smartphone through a metadata application page. Then, they are compressed and sent to the telemedical hub with a set partitioning in hierarchical tree (SPIHT) compression algorithm. The transmitted image can then be reduced, followed by an improvement in the segmentation accuracy and sensitivity. Better wound healing treatment depends on segmentation and clas...
Source: International Journal of E-Health and Medical Communications - February 27, 2019 Category: Information Technology Authors: Chakraborty, Chinmay Tags: Health Information Systems Medicine & Healthcare Source Type: research

Exploring Early Adopter Baby Boomers' Approach to Managing Their Health and Healthcare
The Patient 3.0 Profile is used to explore to the patient engagement strategies of early adopter baby boomers' in three domains: 1) patient relationships, 2) health information use and 3) consumer health technology (CHT) use. Findings from six focus groups with early adopter boomers challenge prior notions about older adults' passive approach to patient engagement. Baby boomers want to make final healthcare decisions with input from providers. While adept at finding and critically assessing online health information for self-education and self-management, boomers want providers to curate relevant and trustworthy informatio...
Source: International Journal of E-Health and Medical Communications - October 5, 2018 Category: Information Technology Authors: Seale, Deborah E. LeRouge, Cynthia M. Ohs, Jennifer E. Tao, Donghua Lach, Helen W. Jupka, Keri Wray, Ricardo Tags: Health Information Systems Medicine & Healthcare Source Type: research

Fast Health Interoperability Resources (FHIR)
This article provides an overview of HL7 FHIR, its concepts and literature review on its current status, usage, and adoption. Based on the thorough research and literatu re review, the authors strongly believe that FHIR can bridge interoperability gap between the growing number of disparate and variety of healthcare entities. (Source: International Journal of E-Health and Medical Communications)
Source: International Journal of E-Health and Medical Communications - October 5, 2018 Category: Information Technology Authors: Saripalle, Rishi Kanth Tags: Health Information Systems Medicine & Healthcare Source Type: research

A Migration Methodology from Legacy to New Electronic Health Record based OpenEHR
Nowadays, having an electronic health record properly adopted by medical bodies is no longer a challenge. In fact, the critical issue for health practitioners is related to the exchange of health data between different institutes. While some existing standards provide interoperability for e-health systems, they still not offer a coherent solution that can be integrated and used easily. In this author, the paper present OpenEHR, a consistent health standard based on the dual-level scheme, which separates the reference model from the archetypes, allowing a flexible modeling of clinical concepts. However, getting into OpenEHR...
Source: International Journal of E-Health and Medical Communications - October 5, 2018 Category: Information Technology Authors: Khennou, Fadoua Chaoui, Nour El Houda Khamlichi, Youness Idrissi Tags: Health Information Systems Medicine & Healthcare Source Type: research

GIS Based Health Information Management through LETL, Multi Criteria Query, Analysis, Visualization
This article defines a generic conceptual process framework for effective HIM that provides cost-effective, portable, easy to use solution. The solution incorporates GIS, Mobile technology, information management concepts, ICD-10 codes, WHO and mHealth standards. The current research is implemented as an android application that facilitates: 1) Patient disease data collection, geospatial mapping of disease data and accumulate a centralized server 2) LETL that supports bulk disease data upload 3) Addresses syntactic and semantic heterogeneity in health data 4) A strong multi-criteria query engine, visualization and spatiote...
Source: International Journal of E-Health and Medical Communications - October 5, 2018 Category: Information Technology Authors: Abburu, Sunitha Tags: Health Information Systems Medicine & Healthcare Source Type: research

An Adaptive Algorithm for Detection of Exudates Based on Localized Properties of Fundus Images
This article presents an algorithm to detect exudates, which can be considered as one of the many abnormalities, to identify diabetic retinopathy from fundus images. The algorithm is invariant to illumination and works well on poor contrast images with high reflection noise. The artefacts are correctly rejected despite their colour, intensity and contrast being almost similar to that of exudates. Optic disc is localized and segmented using average filter of specially determined size which is an important step in the rejection of false positives. Exudates are located by generating candidate regions using variance and median...
Source: International Journal of E-Health and Medical Communications - October 5, 2018 Category: Information Technology Authors: Chanda, Katha Issac, Ashish Dutta, Malay Kishore Tags: Health Information Systems Medicine & Healthcare Source Type: research

DICOM Metadata Analysis for Population Studies
This article reports an experimental study to determine how to use the stored Digital Imaging and Communication in Medicine (DICOM) metadata to perform population studies. As a case study, it was considered three types of medical imaging studies (i.e. routine head computed tomography, thorax computed radiography and thorax digital radiography) stored in the picture archiving and communication systems (PACS) of three healthcare institutions. The final sample consisted of DICOM metadata belonging to 1370360 images, corresponding to 109160 medical imaging studies performed on 72716 patients. The study followed a methodologica...
Source: International Journal of E-Health and Medical Communications - October 5, 2018 Category: Information Technology Authors: Rodrigues dos Santos, Milton Silva, Luis Basti ão Silva, Augusto Rocha, Nelson Pacheco Tags: Health Information Systems Medicine & Healthcare Source Type: research

Influencing Factors on Health-Related Quality of Life in Middle-Aged Adults With Hypertension
This article aims to examine the influencing factors on health-related quality of life (HRQOL) in middle-aged adults with hypertension. HRQOL was assessed using EQ-5D from 263 middle-aged adults (40-60 years) with hypertension who participated in the 6th Korean National Health and Nutrition Examination Survey (2014). There were statistically significant differences in health-related quality of life according to income, education, subjective health status, experience of discomfort, activity limitation, stress, and aerobic physical activity. Factors influencing on health-related quality of life in middle-aged adults with hyp...
Source: International Journal of E-Health and Medical Communications - August 14, 2018 Category: Information Technology Authors: Lee, Eunjoo Tags: Health Information Systems Medicine & Healthcare Source Type: research

The Effects of Multicultural Adolescents' Trauma and Hopelessness on Problem Behaviors in South Korea
The purpose of this article was to examine the effects of multicultural adolescents' trauma and hopelessness on problem behaviors. The research subjects consisted of 108 adolescents (boys = 54, girls = 54 from multicultural families. They were adolescents aged between 12 and 20. The measures of the current study include scales for assessing adolescents' trauma, hopelessness, and problem behaviors. The data was analyzed using Pearson correlations, SPSS 21.0 program and AMOS 18.0 Structural Equation Modeling (SEM). Results demonstrated that multicultural adolescents' trauma, hopelessness, and problem behaviors were significa...
Source: International Journal of E-Health and Medical Communications - August 14, 2018 Category: Information Technology Authors: Kim, Kyungsook Kim, Min-Jung Kim, Minkyeong Ju, Sejin Song, Eun-Jee Tags: Health Information Systems Medicine & Healthcare Source Type: research

Implications for Poor Public Healthcare System of South Korea Revealed in MERS Outbreak
This article aims to prevent the possible recurrence of the Middle East Respiratory Syndrome (MERS) by understanding the status of South Korea's public healthcare system through a literature review. In addition, it presents measures to reinforce the public health system by analyzing the roles and limitations of the health authority, which plays a key role in preventing the spread of this infectious disease, through their response to the recent MERS outbreak in the country. Based on the analysis, the results showed the following implications: (1) Community health centers need to expand and reinforce their functions. It is i...
Source: International Journal of E-Health and Medical Communications - August 14, 2018 Category: Information Technology Authors: Kim, MyungHee Tags: Health Information Systems Medicine & Healthcare Source Type: research

Nursing Students' Perception of Medical Information Protection in Hospitals
The purpose of this article is to investigate the perception of medical information protection. The subjects were 281 students from 2 nursing students from September 1, 2015 to October 20, 2015. A total of 28 self - administered questionnaires were used. As a result, the perception of medical information protection behavior was 3.39 ± 0.51. In the fourth grade, the 'privacy protection' category was low (p = .007) and the 'communication' category was high (p = .045). In case of having experience in practice, 'privacy protection' category (p = .010) and ‘medical information management' category (p = .041) were low and 'co...
Source: International Journal of E-Health and Medical Communications - August 14, 2018 Category: Information Technology Authors: Jeong, Hyeon-Cheol Tags: Health Information Systems Medicine & Healthcare Source Type: research

A Randomized Controlled Trial on Posture Improvement and Trunk Muscle Strength by Round Shoulder Posture Improvement Exercise
This study has found that strengthening exercise is more effective in RSP reduction. However, it is the opinion of the researchers that the 4 week exercise period was not long enough to achieve significant results for other measurements. Further comparative studies related to the effects of strength exercises on RSP reduction, lung capacity, and trunk muscle strength is necessary. (Source: International Journal of E-Health and Medical Communications)
Source: International Journal of E-Health and Medical Communications - August 14, 2018 Category: Information Technology Authors: Lee, Eunsang Choi, Won-je Jung, Dae-in Lee, Seungwon Tags: Health Information Systems Medicine & Healthcare Source Type: research

Sensor Based Smart Real Time Monitoring of Patients Conditions Using Wireless Protocol
This article describes how physiological signal monitoring plays an important role in identifying the health condition of heart. In recent years, online monitoring and processing of biomedical signals play a major role in accurate clinical diagnosis. Therefore, there is a requirement for the developing of online monitoring systems that will be helpful for physicians to avoid mistakes. This article focuses on the method for real time acquisition of an ECG and PPG signal and it's processing and monitoring for tele-health applications. This article also presents the real time peak detection of ECG and PPG for vital parameters...
Source: International Journal of E-Health and Medical Communications - April 16, 2018 Category: Information Technology Authors: Jegan R., Nimi W.S., Tags: Health Information Systems Medicine & Healthcare Source Type: research

Evaluation of Telemedicine Systems User Satisfaction in Developing Countries
This article describes how in developing countries, the work on regulatory aspects of telemedicine systems and applications is still in infancy. During our literature review and on-site research in Sub-Saharan Africa, we could not point out any work on measuring the quality of service (QoS) and quality of experience (QoE or QoX) provided by the telemedicine systems, thus making it impossible to measure the overall level of system user satisfaction in Sub-Saharan Africa. Therefore, we conducted a qualitative and quantitative study to measure network QoS performance and end-user QoE perception of telemedicine systems using p...
Source: International Journal of E-Health and Medical Communications - April 16, 2018 Category: Information Technology Authors: Edoh, Thierry Pawar, Pravin Amrut Kora, Ahmed Dooguy Tags: Health Information Systems Medicine & Healthcare Source Type: research