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International Journal of Electronic Healthcare (6 papers in press)
The Transformative Influence of Social Media: An Exploratory Case Study of Empowerment in Repressive Society by Guruprasad Gadgil, Gayle Prybutok, Victor Prybutok Abstract: The literature and the theoretical foundation in this discipline shows that little
research has explored the complex decisions faced by transgender entrepreneurs in
India. Popular media in India report on the entrepreneurial success of stalwart
transgender female entrepreneurs there. Our work describes a case study that serves as
a first step in addressing this research gap and investigates the factors that influence
entrepreneurism among transgender individuals in this restrictive culture.
Based on existing research, we construct a model to explain the relationships
between factors that affect entrepreneurial behavior among trans genders, and then
modify the model based on interview data collected from our key informant. We
introduce new constructs to describe the relationships that influence entrepreneurial
behavior among transgender entrepreneurs in India.
A key finding points out the important role that social networking plays in
entrepreneurial success when the transgender entrepreneurs skill set is an integral part
of a small scale or family business endeavor. We also identified challenges that
influence autonomy, achievement, and perceived transgender behavioral control among
transgender entrepreneurs. This study uses a qualitative research methodology and
suggests future research directed at understanding the unique aspects of
entrepreneurism in the transgender community in India. This study informs academic
literature on entrepreneurism and public policy in India about this population of entrepreneurs. Public sectors in India can learn how to create the required infrastructure
for transgender entrepreneurs who seek to improve their standard of living, reclaim
their rightful place as responsible, productive citizens, and reduce the burden of
responsibility for the community to which they belong in India. Keywords: Transsexual Entrepreneurs; Challenges; Autonomy; Achievement; Social networking Site influence; Perceived behavioral control.
Specification of a Social network-based PHR by Mozhgan Tanhapour, Ali Asghar Safaei Abstract: Institute of Medicine (IOM) has introduced the patient-centered care as one of the six aims to improve healthcare quality. Personal Health Record (PHR) systems play a key role in employing patient-centered care. Also, there is an increasing tendency to use web 2.0 services in healthcare. Using a descriptive study, this paper specifies a social network-based PHR named HSN-PHR (Health Social Network- Personal Health Record). First, a hybrid PHR model is proposed which provides an integrated viewpoint of individuals health information. It contains reliable information both for patients and healthcare providers although it is fully controlled by its owners. The requirements of developing a hybrid PHR model in a health social network are elicited and specified in IEEE Std 830-1998 standard format. The requirements are elicited using observation, introspection, and questionnaire. Development of such a social networking-based PHR system can improve personal and public health level in the society. Keywords: patient-centered care; Personal Health Record systems; social networking; requirements specification.
EEG Power Spectrum as a Biomarker of Autism: A Pilot Study by Anita Igberaese, Gleb Tcheslavski Abstract: Childhood autism is one of the disorders in the Autism Spectrum Disorder (ASD) that includes among others Aspergers syndrome, Rett syndrome, and other pervasive developmental disorders. They are collectively called spectrum disorders, since diagnoses of any of these disorders have been found to be of varying degree similar to a spectrum showing certain amounts of symptoms.rnPresent study was aimed to assess whether Power Spectrum estimates of Electroencephalogram (EEG) can be used as a biomarker for autism. EEG collected from ASD and control participants performing a short-memory task was pre-processed to remove noise and artefacts. Next, Power Spectral Density (PSD) estimates were obtained by the modified covariance method and used as the study features. To assess whether EEG of autistic and control subjects are statistically different, the extracted features were tested by the Kruskal-Wallis analysis of differences.rnAfter verifying that the features (PSD estimates) were statistically different between the autistic and control subjects, such estimates were classified using the k nearest neighbour (knn) classification algorithm with the accuracy of 89.29%. This result indicates that EEG of autistic and control individuals may contain statistically different features. The later may make an EEG power spectrum a biomarker for autism. Keywords: Autism; ASD; Electroencephalography; EEG; Diagnostics.
Design and Evaluation of a Paediatric Neurology Data Management System in Hospitals of Iran by Fatemeh Esmaeilzadeh, Taha Samad-Soltani, Mohammad Barzegar, Peyman Rezaei-hachesu Abstract: Provision of high quality care for paediatric neurological diseases require timely and perfect collection, storage, and analysis of data pertaining to these patients. In this applied-developmental study, the features and minimum data set of the registration system were determined by reviewing the scientific literature and consulting with experts on the subject. The Unified Modelling Language was used to develop the conceptual model of the system. The conceptual diagram was evaluated with the Verification & Validation method. Results of the evaluation showed that about 75% of syntax rules, 62% of semantic rules, 80% of aesthetic rules are observed. Comparison of the system developed based on the designed conceptual model with 240 previous studies showed its excellent quality in terms of attractiveness, efficiency, dependability, and novelty and its good quality in terms of perspicuity and stimulation. The use of conceptual design and evaluation methods led to development of a more efficient system. Keywords: paediatric neurological disorders; registration system; conceptual diagram; minimum data set; Electronic Health Record; Iran; Medical Informatics; EHRs.
Anchoring and Adjustment as a Moderator on the Impact of Computerized Order Entry on Clinical Efficiency by Tamuchin McCreless Abstract: Studies on the effectiveness of clinical decision support systems on impacting clinical outcomes have shown varying results. A gap exists in understanding the factors that play a role in the relationship between the decision support systems, providers, and clinical outcomes. This study explores the role of adjustment level, or the difference between a clinician's initial evaluation of a treatment path for a patient, and the treatment path presented by a decision support system. The study suggests that where the adjustment level is high, decision support systems are not as effective in affecting outcomes than when adjustment levels are low. Keywords: Clinical Decision Support; Decision Support; Clinical Efficiency.
Improving the Efficiency of Healthcare Supply Chain in Thailand by Duangpun Kritchanchai Abstract: Electronic Data Interchange (EDI) has been very successfully implemented in the manufacturing sector but not in healthcare supply chain (HSC). In the case of the healthcare sector, the adoption of EDI to facilitate interoperability between HSC partners, in particular the pharmaceutical companies and hospitals, is rather slow. One of the reasons is the use of data standard in this EDI system. In this research, several conditions ranging from manual method to the use of an automated EDI system with standard data in a centralised datapool, to accomplish information exchange between a hospital and its suppliers were evaluated. The results indicated that the use of such an EDI system with the centralised datapool would reinforce collaboration between HSC partners and improve its supply chain efficiency. Keywords: Electronic data interchange (EDI); healthcare supply chain (HSC); Centralised datapool.