Now showing items 15-34 of 34
| Abstract: | This thesis covers the design, implementation, and evaluation of a search engine which can give each user a customized index based on the documents they are authorized to view. A common solution available today for this situation is to filter the results of a query based on the list of documents a user has access to. In this scenario, it is possible for information to leak from the search engine because the filtering takes place after the results are ranked. Ranking algorithms are usually based on information which considers characteristics of the entire corpus when calculating the score a document will receive. This type of information in the index must be cleaned before it is used to judge the relevant documents for a user query, otherwise data leakage is possible. Cleaning this information at query time might have a dramatic effect on query performance which would discourage use. The work presented here takes this sensitive information and calculates it for every user authorized to view the documents at index time. At query time, the search engine uses a filtered global index for selecting relevant results, but ranks the results using the information stored for the individual user’s authorized view of the index. Different designs are compared, but the same concept is present in all implementations. An open source index, Apache’s Lucene, was used as a starting point for this work. All modifications were made to Lucene and then compared to an unmodified Lucene for performance evaluations. The findings are that it is feasible to include access control in a basic search engine without incurring dramatic loss in performance. |
| URI: | http://hdl.handle.net/10037/1827 |
| Abstract: | Telemedicine is not a new technology today, but it is a novel approach for many developing countries, and in fact, it may have more profound impact on these countries than developed nations due to unmet demands for health and unprecedented health related challenges. In the health context of Nepal, telemedicine is rising and currently being implemented, though on a pilot scale – most of them by private health institutions. The main purpose of this study is to explore the practicability of telemedicine application in Nepal, with particular reference to challenges and scope regarding its implementation and use. In this study, a qualitative research method was used. As such, interpretive research approach was employed in order to explain the phenomenon of interest. Multiple data collection tools were used to investigate and find possible explanations to the research questions considered. The empirical data gathered from the study were analyzed using the theories of Information Infrastructures (II) and Actor-Network Theory (ANT) from the information systems field. The notion of II is used to establish telemedicine as an infrastructural tool while ANT is used to describe the interaction and negotiation processes among diverse actors identified during the study. From the empirical findings, issues related to funding, sustainability, technical acquisition, low resources and underdeveloped infrastructures were found to be major challenges to ICT growth. Important findings related ICT infrastructure and its sustainable development are discuses and implications are given with particular reference to telemedicine. Finally, it is concluded that funding and sustainability are the core issues, including other sociological and political issues, for telemedicine development in the context of Nepal, and hence calls for more research in this area. Key words: Actor-Network Theory, Challenges, Developing Countries, ICT, Information Infrastructures, Nepal, Sustainability, Telemedicine |
| URI: | http://hdl.handle.net/10037/2577 |
| Abstract: | Information Technology (IT) has for several decades been seen to be a key enabler to achieve improved efficiency and quality in work processes, and so also within health care. Thus, even though many parts within the health care sector have high expectations, the desired benefits are not seen to large extent in practice, at least not until present. A lot of the work flows within health care are still paper based. Several authors claim that the mismatch between the goals and the real situations as today might be caused by the fact that social aspects are not included in design to large extent. Implementation processes has had a tendency to be far more technology oriented than social and communication oriented, thus indicating that technological processes rely on technological deterministic views. This thesis applies an implementation process of a new technology called Well Interactor, a system which is developed to let general practitioners choose laboratory services electronically and additionally enables interactive possibilities. The thesis is aimed to show to which extent existing work practices influence on the outcome of the technology. The findings documented are based upon an interpretive case study, including field observations and interviews. A study of 21 interviewed subjects has been carried out. The thesis concludes that existing work practices and existing infrastructures are quite complex. Such complexity makes it difficult to plan the outcome of the technology. It should therefore be seen implicit to map complex work practices before vision of drastic improvements caused by the use of Information Technology is created. The goals must be realistic based on the current situation. Then, both, social and technological aspects should play a role in how technology will and can be used. |
| URI: | http://hdl.handle.net/10037/1173 |
| Abstract: | The main research problem in this thesis project was to develop a mobile phone application which can help people with diabetes to make right choices in selecting food items for better nutrition management. The major challenge was minimizing the information displayed and finding a way to persuade the users to change their food habits. Smart Carb, a simple application was developed to solve this problem and tested by 27 Type 2 diabetics in Norway and South Korea. The Norwegian participants who had experience with the 'Few Touch application' expressed their strong willing to use this application. However the Korean participant who did not have experience with kind of application and the smart phone itself, were more sceptical or afraid of using this application. Nevertheless most of the participants agreed that it is important to track the amount of carbohydrate intake, and expressed that it is difficult to estimate the amount of carbohydrate. Therefore they wanted to have a tool to help them to estimate carbohydrate amounts. The impact or effectiveness of this system was positive to the participant, specially the Norwegian participants who had experience with mobile diabetes self-help tool. |
| URI: | http://hdl.handle.net/10037/4233 |
| Abstract: | Mobile technology can profoundly enhance healthcare services even in some areas where medical services are least heard of, and where there are inequitable distributions of healthcare workers. The use of SMS application in mobile phones is one technology that could solve these problems especially in underdeveloped and developing countries the Philippines. It may eliminate the “gap” between individuals and institutions that can lead to easy and effective sharing of medical information and knowledge. Through the familiarity and popularity of SMS usage in the Philippines, the University of the Philippines Manila- National Telehealth Center has launched a telemedicine service program in 2007 and they involved the Department of Health “Doctor-to-the- Barrio” (DTTB) or Doctor to the rural area program. One of these telemedicine services is the Short Messaging Service (SMS) Telereferrals, which is the main topic of my study. Thru this service, the DTTB refers problematic cases to clinical expert in the University of the Philippines College of Medicine- Philippine General Hospital with the use of SMS application. The main aim of my study is to assess the DttB`s perspectives in utilizing SMS, as well as those of the other involved users (telehealth physicians, telehealth nurses and domain experts or DEs); their satisfaction and the challenges they encounter in using SMS Telereferrals in their everyday works. In this study, the qualitative research method was applied in the research design and interpretive research approach was employed so as to understand the social context of this phenomenon of interest. Multiple data collection tools were put to use to look into and obtain likely explanations to the research questions considered. The theories of Information Infrastructures and Actor Network guided the study, too. The findings of this study primarily revealed that most of the DttBs were satisfied with the SMS Telereferrals and found it useful in their clinical work, specifically if this was their last resort to help them in decision-making for their patients’ medical management. At the end of the study, however, despite the fact that SMS Telereferrals had proven its potential, still its limitations were found to be greater than the benefits. Based on the findings and conclusions, it was highly recommended that it should be used only in simple referrals with other healthcare providers (rural nurse, rural midwives), and not for the doctor-to-doctor exchange of relevant information and knowledge. |
| URI: | http://hdl.handle.net/10037/4697 |
| Abstract: | Objective: This thesis mainly focused on construction of an integrated infectious disease prediction service that predicts and visualizes prediction results in time and space. Methods: We have used weekly aggregated laboratory confirmed cases of various diseases collected from the Snow system, which is an infectious disease surveillance system that covers Troms and Finnmark counties of north Norway. Influenza A dataset is applied for modeling SIR(S) model and various diseases datasets applied to a Bayesian model. The infectious disease prediction service prototype was constructed following an iterative and incremental approach where the entire development process was composed of four activities. Results: The prediction service framework facilitates the process of integrating various models and allows their evaluation. Currently, the system contains two mathematical models that demonstrate the effectiveness of the architecture in integrating new models. Conclusion: The framework can significantly improve the status of disease prediction systems, investment and time of development. It also speeds up mathematical modeling through its integrated environment for testing and evaluating different mathematical models against other existing models. Thus, the project contributes to improve the overall disease prediction accuracy and increase the benefits from prediction. Keywords: Infectious disease, Influenza, Mathematical model, Prediction, Mathematical model evaluation, Spatiotemporal Epidemiological Modeler, Visualization, Integrated infectious disease prediction. |
| URI: | http://hdl.handle.net/10037/4402 |
| Abstract: | Interpretive research study was designed to answer the following research questions: 1) what are the different interests and expectations of managers and health staff and how they should be aligned in order to adopt an EMR system? 2) What are the challenges of the managers and problems faced by the end-users while transitioning their practice from paper to PC? 3) What are the strategies adopted by managers to overcome the problems faced by end-users? This study reveals that different actors seem to be interested in the EMR system for different reasons, which are related to their current work priorities. It also highlights 14 different essential issues which should be addressed during implementing EMR system. This study can be a starting point of reference for hospital managers, health staff and vendors helping them in increasing the level of awareness about the issues crucial for successful implementation of EMR system. For researchers it provides an overview of different issues for future research towards finding sustainable solutions for these challenges and problems. |
| URI: | http://hdl.handle.net/10037/1567 |
| Abstract: | Health care systems nowadays are affected by quality problems, most of which occur in developing countries due to the lack of adequate infrastructural, human, and financial resources. This has also caused the data quality generated in developing countries to be often poor. As a result, most governments in developing countries are in the process of improving quality in their health care systems through the introduction of Information Technology (IT) support systems. This thesis explored the challenges and opportunities involved in the path to improving the quality of laboratory documentation in a Cameroonian hospital. The study employed the qualitative research approach whereby interpretive research methods were used during data collection. These consisted of participant observations, interviews, and document analysis. A total of 24 respondents were interviewed comprising of 19 hospital staff and 5 patients. The data was collected at the medical laboratory department of the Regional Hospital Bamenda over a period of two months. The theories of Information Infrastructures and Actor Network guided the study, that is, they were used to discuss the laboratory documentation, and the implementation of the IT support system in the everyday work practice. The study findings primarily revealed certain quality-related lapses in the laboratory documentation. For example, illegible laboratory test orders, common errors in laboratory test ordering and result reporting, just to name a few. It further revealed that IT support systems have great potential to improve upon the quality of the laboratory documentation. Thus, it suggested that a tailored IT support system could be implemented to address this issue. However, the greatest challenge discovered was the lack of resources to make this happen. Based on these findings, it was suggested that if resources are made available to implement this system, the socio-technical approach should be employed in order to ensure success. This is because this approach has proven to be effective since it does not only take into consideration the new technology implemented, but also the interaction between the technology and its users. |
| URI: | http://hdl.handle.net/10037/3546 |
| Abstract: | This thesis investigates if XMPP with extensions for file transfer, can establish a reliable service for transfer of large files within a health dedicated network. We have established a test environment within a health network and have defined a set of measurements that has been answered in this thesis. Through our assessment of the results, we have compared the XMPP technology to other possible solutions providing the service of file transfer. Based on our discoveries we have also designed a telemedicine solution for file transfer based on XMPP. Our design utilizes the benefits that exists in the XMPP technology and especially its extensions for file transfer. |
| URI: | http://hdl.handle.net/10037/1755 |
| Abstract: | This is an evaluation of implementing LabCraft to the Bloodbank at UNN Tromsø, based on a qualitative method, interviewing different users. Most challenges were directly or in- directly caused by the struggle between the top-down and the socio-technical approach. The topdown management-controlled approach used at hospitals where standardizations, cost saving and efficiency is key factors, is challenged by the socio-technical approach, based on user participation, and room for local adjustments to systems. The user role in the process directly influences the outcome of the process as well as the communication between the actors. More user participation in hospital implementations is needed, especially in the pre implementation phase. Detecting errors in the pre implementation phase prevents challenges later in the process. When creating demands for the tender all needed specifications must be included, to fit the Bloodbanks needs. All parts of the system must be included in the tender, also those working well. The installed base and the information infrastructure must be considered as well. Too close attachment to the old system may prevent users from seeing the improvements in the new system. Routines for conducting hospital implementations should be established as well as defining areas of responsibility for different actors. |
| URI: | http://hdl.handle.net/10037/4698 |
| Abstract: | This paper provides an understanding on the role of the electronic nursing documentation, as an integrated part of the Electronic Patient Record (EPR) in a heterogeneous work practice hospital unit characterized by short-time stay. The aim is to find what role the electronic nursing documentation plays in the communication and collaboration between health care professionals and the different wards involved in the investigation process of cardiac patients. Further, the focus is on what long-term impacts the electronic nursing documentation has for nursing communication and handovers. This is a qualitative study conducted three years after the implementation of electronic nursing documentation at the Cardiology Department at the University Hospital of North Norway. The sources for this research material are participant observations of the work flow, semi-structured interviews, informal talking and literature review. The notion of Information Infrastructure is used as the theoretical framework for the analysis of the EPR and nursing documentation as an information system. The elements and the interplay of the work practice are interpreted and analyzed through application of Actor-Network Theory (ANT). For continuity of care in the process of cardiac catheterization, electronic nursing documentation presents performed interventions and delivers important information for the actors involved. A long-term impact from the implementation of electronic nursing documentation in the cross-disciplinary work related to cardiac catheterization is better access to relevant nursing care information for all parts of the treatment chain. Key words: Actor-Network Theory, Continuity of Care, DIPS, Electronic Patient Record, Electronic Nursing Documentation, Information Infrastructure. |
| URI: | http://hdl.handle.net/10037/2084 |
| Abstract: | The Scandinavian countries are all among the minority of the world's nations that have established a national health network infrastructure. These networks provide a secured communication environment for health professionals, mainly in hospitals and local health services/GPs. Despite serving similar requirements, these national infrastructures differ in several aspects: organizational extension, choice of carrier technology, IP addressing and NAT strategy, DNS implementation and QoS support. Initiatives to interconnect these national health networks in Scandinavia date several years back, and today the Danish health network has a number of cross-border connections, including VPN tunnels to the Swedish and Norwegian health networks. However, limitations in the connecting technology, and scalability issues related to technological architecture, pose limitations on the cross-border service provisioning. The thesis investigates the differences in technical infrastructure, discusses consequences of these differences, and suggests modifications to harmonize the technology among the national health networks involved. Some of these suggestions may even have merit within national borders, as they can be seen to address scaling issues in intranetworking in general. |
| URI: | http://hdl.handle.net/10037/1097 |
| Abstract: | Background: Maternal health is a public health concern worldwide, especially in the sub-Saharan African countries, where the burden of maternal death is the highest in the world. A woman dies of pregnancy or childbirth related complications about every 90 seconds every day, and more than 95 per cent of these deaths occur in the sub-Saharan Africa and South Asia. The rapidly growing presence of cell phones in sub-Saharan Africa may offer a paradigm shift and a unique opportunity to make a significant difference in maternal health services. Set against this backdrop was the Abiye pilot project in the Ifedore Local Government Area (LGA) of Ondo-State of Nigeria, aimed at improving maternal health through the use of cell phones. This research work was designed to explore the project. Method: A quantitative case-control method was used in this study with retrospective data from January 1, 2011 to December 31, 2011 collated from the hospitals’ records and patients’ casefiles. Semi-structured questionnaires were also used to generate supplemental data. 2 LGAs (i.e. one LGA where cell phones were distributed and one without such distribution) were compared to detect any differences in the facility utilization of pregnant women and the odds ratios of causes of maternal death were calculated in the two areas. Findings: The primary healthcare and the total (primary and secondary) healthcare facility utilization rates were significantly higher in the LGA where cell phones were in use. The primary healthcare facility utilization in Ifedore LGA was 54.4 per cent while that of Idanre was 30.5 per cent (p < 0.001). Total facility utilization in Ifedore LGA was 43.4 per cent and Idanre was 36.7 per cent (p = 0.0001). The odds ratio of the occurrence of the measured causes of maternal death in the 2 LGAs was 1 (i.e. no difference). Conclusion: The study showed statistical indications that cell phone use increased the facility utilization of the pregnant women. The utilization was found to have increased mainly because of the raise in the primary healthcare utilization in the LGA where cell phones were in use. This means that cell phone usage may be a strengthening factor in the primary healthcare system. The odds of causes of maternal death were still the same in the 2 LGAs. This may be due to the relatively recent implementation of the programme. It is possible that changes in maternal death rates will occur as the programme develops, and this should be examined in further studies. |
| URI: | http://hdl.handle.net/10037/4793 |
| Abstract: | Video conferencing is used as communication between smaller institutions and hospital to access emergency specialists.What are the reasons for using a video-congerence solution compared with traditional communication between institutions. Professional health workers are interviewed according their preferences after more than one year after the implementation at their institution. |
| URI: | http://hdl.handle.net/10037/2614 |
| Abstract: | ‘A picture is worth more than a thousand words’ - (Mann & Colven, University of Washington Medical School), that simply can justify the necessity of teledermatology. In this paper, five information technology (IT) efforts in the field of teledermatology that based on skin image transmission procedure and their historical transformations in context of the notions of information infrastructures and actor-network theory have been discussed. The main purpose of these efforts was to decentralize specialist’s services to the GP, nurses or district levels. Among the five efforts, only in one effort namely DMS Nord Troms, added telemedicine tool of the UNN creates virtual hospital, decentralized regional healthcare services. This thesis paper tries to figure out the contents of dermatologic e-health services in North Norway from the mid 1980s onwards; the problems involved in previously non-sustainable and related some dermatological heath care services. Some of these services have been quite successful, such as Videoconferencing among UNN and Kirkenes, Hammerfest, Nordeisa etc. The paper applies some notions of theoretical approach whether they may be helpful to address the challenges in establishing sustainable telemedicine services in case of dermatology. Furthermore, the paper points out the actual strategy for establishing teledermatological services from the perspectives of different historical transformation. In this interpretive study based thesis, fifteen interviews have been conducted to illustrate the five teledermatological efforts. Five teledermatological efforts were started with high motivation to reach their final goals. But four of them had not been sustainable due to finishing of funding or lacking control for the integrated nature of technology. The thesis concludes that e-health services of teledermatology should be very much linked into practice. The efforts should be evaluated through the lens of practice oriented processes or approaches such as information infrastructure or actor-network theory. |
| URI: | http://hdl.handle.net/10037/1456 |
| Abstract: | The ambulatory consulting service is a corner stone in the services of a resource centre for rare disorders. Videoconferencing is considered an alternative way of meeting, to decrease costs and time spent on travelling and to increase the number of professionals from Frambu participating at the conference. Additionally, it can lead to a broader multidisciplinary scope. The Technology Acceptance Model (TAM) is used as theoretical framework. TAM is a theory useful to predict user acceptance of information technology, with its two determinants “perceived usefulness” and “perceived ease of use”. The aim of the study was to compare two modalities of conducting a clinical conference: face-to-face and videoconference. Clinical conferences from January 2008 until March 2010 were assessed, resulting in 375 informants. The participants received questionnaires to assess their satisfaction with the conference. The main result was that both clients and providers were satisfied with the service, whether it was delivered as a videoconference or as a face-to-face meeting. Clients and providers were equally satisfied. There were no significant differences in satisfaction depending on neither the age of the participants nor on former experience with videoconferencing. |
| URI: | http://hdl.handle.net/10037/2638 |
| Abstract: | This thesis is a part of an ongoing project at NST. This ongoing project has the intention to make a system for early detection of contagious diseases based on symptoms and diagnosis. The main goal of this project is to develop a system that will help detect outbreaks of contagious diseases. The system intends to create a logic model based on collected data from symptoms and diagnosis entered into the primary health care physicians electronic health record system. They will again exchange data with other medical offices and their electronic health record systems. From the information extracted from all electronic health records, the system will try to detect outbreaks of communicable diseases and send out warnings. The thesis I have perform: 1. Try to find out where the primary care physicians collect the information from and how the primary care physicians in future want to collect information related to contagious diseases. 2. Try to find out how the primary care physicians wants the information from the system, that send out messages about probability of contagious disease outbreaks, can be presented. In order to reach these objectives, I have interviewed five primary care physicians, where one of the physicians has responsibility for preventing contagious diseases in a municipality. From the information gathered during the interviews this thesis present some pre-requirements that are needed before a pilot phase. In additional this thesis thru a presentation of possible visualization, present how the visualization of information in a future system can be presented for the primary care physicians. The main conclusion the thesis present is that the physicians want a system that is closely integrated with their own electronic health record system, that present the messages in a easy way with short messages that do not interrupt during patient consultations. The new system also has to be configurable in a way that the physicians themselves can decide when the messages should appear. The project also wanted to recruit as many primary care physicians as possible, to continue to take part in developing the system. The result we have showed that the physicians use Internet and do not use the information on NIPH frequently. The most obvious source of information was colleagues in the medical office. The physicians do not use and hardly know of the official web pages for reporting of contagious disease outbreaks. This thesis also has showed that the primary care physicians have limited of time for doing research in a busy day in practise and they do not use Internet for searching for contagious disease outbreak, but rather use colleagues and other sources of information. We concluded that the classification system that is in use in primary health care among physicians are not able to be use alone as detection of diseases and symptoms registered in electronic health record system in the medical offices. There are two solutions to this problem, one is to alter the existing system of classification, the second solution is to use physician’s habit to make notes inside the system and extract these to the new system. And finally all physicians we interviewed are willing to contribute in pilot-phase in order to develop the system. |
| URI: | http://hdl.handle.net/10037/1816 |
| Abstract: | The introduction of the standardized nursing languages NANDA and NIC to write electronic care plans is hard for nurses, as reported by several projects. Both the need to relate to a new software tool and to the totally unknown domains of the standardized languages contributes to this. With an existing tool for care plan writing as basis, we have used the unified process to develop an improved tool, in order to make the introduction smother. Care has been taken to make the interface and workflow as intuitive as possible, allowing novice computer users to use the tool. An automatic presentation of the information in the languages is implemented, to further meet the needs of unskilled users. To ease navigation in the classifications of the standardized languages, a three level harmonized classification for the two languages was chosen. The two uppermost levels of the classification are presented in one screen, resulting in an efficient browsing for NANDA diagnoses and NIC interventions. To make it possible for users unacquainted with the language to find NANDA diagnoses, a search facility was developed. An information retrieval method was implemented, making it possible to search for diagnoses on the basis of signs and symptoms. The query interface was deliberately made as simple as possible; one or more keywords are entered, and a list of diagnoses is returned ranked according to relevance to the keywords. The search facility also helps in the process of exploring and learning the classification hierarchy. Usability tests shows improvement both in ease of use and support for exploring the standardized languages for the new system compared with the original. |
| Description: | Inneholder programvare og video som zip-fil |
| URI: | http://hdl.handle.net/10037/1093 |
| Abstract: | The use of ICT in the medical field has given rise to a new dimension so called telemedicine. Telemedicine is not a new concept, but the level of use differs between the developed and the developing countries, because of the limited infrastructural development and high expenses of technology in the later case. Though it is certain that using ICT in healthcare will improve health status of the nation, answers to the questions like which technology to choose; and what strategy to follow in order to achieve maximum benefit from minimum investment is still under consideration for developing countries. This study was carried out at Dhulikhel Hospital to explore the infrastructural development of telemedicine, its usage, benefits and users’ perspectives on the stability and sustainability of the services in future with context to hospitals in Nepal. A qualitative method with interpretive research approach was chosen for the study using informal discussions, observation and semi-structured interviews with open-ended questionnaires as data collection tools. The empirical findings have been generalized via Information Infrastructure (II) and Actor Network Theory (ANT) as theoretical framework. The findings from the study indicate that telemedicine is not simply technology; rather it is teamwork which requires good relationship between the users and good understanding of the setup. Furthermore, the study concludes that even a simple technology if implemented with proper vision and strategy can save many lives, and sustainability with telemedicine for developing countries can be achieved through slow and steady progression. Key words: Telemedicine, Nepal, sustainability, strategy, slow and steady progression. |
| URI: | http://hdl.handle.net/10037/3543 |
| Abstract: | The aim of this thesis was to implement prototype which, provides relevant information to the user at right time. The personal information that is targeted here was health-related information. This may include various type of information, such as drug information, education information, health monitor data for instance glucoses meter, step counter, personal notes, health related images ,PDF files. To implement prototype, we use metadata of the information. Some of the metadata of the information describes the context of the information. We used time, date and location context of information to implement our goal successfully. By using these contexts of the information, the relevant information to user is provided. The four components were implemented to implement prototype: Metadata extractor, Information manger, controller and user interface. The metadata extractor allows user to download files and automatically store file in to the download folder and context of these files was extracted and stored in to the database. The second component was information manger; the main function of this component was to reads the context of downloaded files and make association of similar files by using context. The third component was controller, it was use to represent related files to the end users and the user interface allows user to interact with our system. The implemented prototype was tested for providing related information to the users. The information access was based on the context of the information, which eases to get results and to recognize useful information for the users. It was also tested whether the prototype stores updated files or not. The prototype makes association of new downloaded files to the database and it also avoids redundancy of files. Thus, it helps users to access the updated information and to reduce redundancy of data. The prototype provides user with the right set of information to the right time, by identifying the need of the users by matching with available information. |
| URI: | http://hdl.handle.net/10037/2624 |
Now showing items 15-34 of 34
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