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ANNO 4 - N. 3-4 2004
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TELEMEDICINE
HOMECARE
RISK MANAGEMENT
KNOWLEDGE MANAGEMENT
SYSTEMS AND NETWORK
PRIVACY
DATA SHARING
IMAGING
GRID
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Editore Sirse Srl
via Corfù, 51 - Brescia
E-mail: info@sirse.com
Sirse srl
www.sirse.net
Rivista Trimestrale -
Iscrizione Tribunale di
Brescia n° 24/1997
ISSN 1593-1994





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An hypertension home-monitoring system adapted for cardiovascular risk management

There is evidence in scientific literature that blood pressure reduction in people with more than 140/90 mmHg results in a significant reduction of the patient?s risk for cerebral and cardiovascular accidents. Moreover, it is recognized that partnership and good communication between patients and healthcare providers are essential to improve blood pressure control. This communication is not easy, because the contacts with the institutions are limited to periodical control visits at the hypertension department (every 6-12 months). It is known that lack of compliance is the main cause of the failure of hypertension control.

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Risk Management in Haemodialysis Departments using a Decision Support System

Nowadays, health care organizations (HCOs) are developing into complex enterprises, where the ability of managing risks is a key factor of success for the efficiency (economic results) and the efficacy (outcome results) of the delivered care. In HCOs we can distinguish two different kinds of risk management: ?pure? risk management and clinical risk management. The former is the management of the generic risks of any company (such as fires, natural disasters, liability lawsuits, work injuries, and other types of accidents or legal actions), the latter is linked with the particular service supplied, which is the health good.

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Supporting Hospital Wards with Enhanced Habitual Artifacts

Aim of the SWIRLS1 project is to give support to practitioners working in hospital wards [1]. In particular the focus is on how practitioners can be supported by technology in coordinating their activities without disrupting their habitual practices. We chose to focus on hospital wards because they represent a paradigmatic case of work setting where actors are heterogeneous in role and experience, distributed in various locations and continuously moving from place to place. Supporting coordination work in hospital settings has always been one of the most challenging endeavors in the deployment of IT applications in real-life settings.

Image treatment and classification for genetic polymorphism analysis by DNA microarray

The Hla complex, that is the human system of histocompatibility, is composed by intrinsic proteins that are present on all the cells and that behave like antigens. When these proteins come to contact with the immune system of one different individual, they are recognized like strangers and provoke the immune answer. Its genes are situated on the short arm of chromosome 6, and they have been subdivided in two main classes: I, that comprises genes of type A, B and C and II, that comprises genes of type DP, DQ, DR.

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Segmentation and nodule detection in CT scans

The work presented in this paper is being carried on in the framework of the INFN MAGIC-5 (Medical Applications in a GRID Infrastructure Connection) project, whose goal is the development of software for medical applications as Computer Aided Detection (CAD) Systems and distributed databases to be implemented in a GRID Virtual Organization. In particular, here we describe the two initial steps of a CAD system for malignant nodule detection in lung Computed- Tomography (CT) images, namely the automated extraction of the pulmonary parenchyma and the following analysis of the pulmonary region for nodule detection.

Design if a web-based Home-Care system for the management of chronic pathologies

Modern organisation of the health care services tends to increase the quality of the assistance and to save costs. However, except some successful pilot studies, up to now, home care telemedicine has not had much effects on the medical practice, structure and organisation of healthcare. The aim of this research project is to develop an integrated telematic solution for a homecare assistance for chronic patients (cardiology and oncology pathologies); special emphasis will be dedicated to organisational problems. A close cooperation with the GP and specialised nurse is also planned.

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Introduction

The development of Information and Communication Technologies (ICT), even in healthcare, characterizes the Information Society with a great impact on many involved structures (hospitals, clinical centres, General Practitioners, etc.). These technologies improve the integration within hospitals, between hospitals, clinical and ambulatory centres; allow the exchange of clinical data and most of the information and medical knowledge, useful for diagnosis and care processes; permit the completeness of information on patients and the rationalization of health structures and their activities. Over the last few years, the development of telematics systems in health care and in bio-medicine has placed increasingly greater emphasis on the possibility of interconnecting hospitals and health services in and between countries in such a way as to eliminate distances and harmonise different systems of health organisation, treatment with the aim of contributing towards improving the quality of care, and homogenising diagnostic and therapeutical procedures.

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Pubblicità ed Abbonamenti: Sirse Srl via Corfù, 51 - Tel e Fax 030221522 Brescia E-mail: info@sirse.com
Editore Sirse Srl via Corfù, 51 - Tel e Fax 030221522 Brescia E-mail: info@sirse.com
Rivista Trimestrale - Iscrizione Tribunale di Brescia n° 24/1997 ISSN 1593-1994