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Enumeration	Reference	Cover	Find
1.	Lorentzen, Lena, 1962-, et al. (author) Bringing human diversity into design processes through empathic modelling 2018 In: Transforming our World Through Design, Diversity and Education - Proceedings of Universal Design and Higher Education in Transformation Congress 2018. - Dublin : IOS Press. - 0926-9630 .- 1879-8365. - 9781614999225 - 9781614999232 ; 256, s. 128-136 Conference paper (peer-reviewed)abstract Most products are developed while adapting to requirements from industrial production and logistics. To break that trend and design for people, we suggest focusing on those who put the strongest demands on the final solution. They cannot compensate for bad design solutions and are thereby, like sniffing dogs, guiding designers to meet peoples’ needs. We always use a combination of empathic modelling and involvement of people with reduced functions to find new solutions to the problems a product is supposed to solve. We have used this method in the teaching of Universal design at different universities for more than ten years. The students find the exercises to be a very entertaining eye-opener leading to development of empathy for human diversity all while the level of innovation in their design work increase. To constantly make design students understand barriers that can occur due to bad design solutions we utilize a toolbox simulating different kinds of functional ability. It also includes a handbook that describes workshops, evaluation methods and design processes that can be performed using the tools. The goal is to guide efficient, innovative and inclusive design processes. By simulating diversity among people, the designer can interpret the needs of different users and use that as a starting point and for evaluating design solutions during the creative process.
2.	Magnusson, Charlotte, et al. (author) Stroke and universal design 2018 In: Transforming our World Through Design, Diversity and Education - Proceedings of Universal Design and Higher Education in Transformation Congress 2018. - 1879-8365 .- 0926-9630. - 9781614999225 ; 256, s. 854-861 Conference paper (peer-reviewed)abstract Universal Design (UD) is usually stated to be “for all ages and abilities”. Given that stroke is a major source of disability, it is important that UD recommendations take stroke-specific problems into account. Within the framework of EU project STARR, we have investigated user requirements of stroke survivors. In this project we have used a mix of interviews, focus groups, design workshops and technology tests to come up with a set of design recommendations, which we present as a first step towards universal design recommendations which are inclusive for stroke survivors. Our general recommendations are: make it fun, do not make people fail, empower and encourage. The technology needs to be highly adaptable to different sets of abilities. Safety, but also aesthetics and simplicity is important, but it is pointed out that designs should not be “childish” – this can be felt to be degrading. It is important to be able to see and follow your progress and win small victories often. Consider social applications and activities –being able to connect to others in the same situation can enable discussions and provide peer support. More stroke consequence specific recommendations are to design to allow one-sided use (hemiplegia), avoid sensory and activity overload (fatigue), complement speech with images (aphasia), limit demand on memory, support learning and avoid errors (memory problems), and include multiple modalities in your design (reduced vision or hearing).
3.	Afifi, S., et al. (author) A Novel Medical Device for Early Detection of Melanoma 2019 In: Studies in Health Technology and Informatics. - : NLM (Medline). - 0926-9630 .- 1879-8365. ; 261, s. 122-127 Journal article (peer-reviewed)abstract Melanoma is the deadliest form of skin cancer. Early detection of melanoma is vital, as it helps in decreasing the death rate as well as treatment costs. Dermatologists are using image-based diagnostic tools to assist them in decision-making and detecting melanoma at an early stage. We aim to develop a novel handheld medical scanning device dedicated to early detection of melanoma at the primary healthcare with low cost and high performance. However, developing this particular device is very challenging due to the complicated computations required by the embedded diagnosis system. In this paper, we propose a hardware-friendly design for implementing an embedded system by exploiting the recent hardware advances in reconfigurable computing. The developed embedded system achieved optimized implementation results for the hardware resource utilization, power consumption, detection speed and processing time with high classification accuracy rate using real data for melanoma detection. Consequently, the proposed embedded diagnosis system meets the critical embedded systems constraints, which is capable for integration towards a cost- and energy-efficient medical device for early detection of melanoma.
4.	Ahlin, Karin, 1963- (author) The Demonstration of a Tool for Self-Estimating Digital Competence 2023 In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 302, s. 494-495 Journal article (peer-reviewed)abstract This study presents the results from a demonstration of a tool for self-estimation of digital competence for nurses and assistant nurses. The data was gathered from twelve participants working as leaders of older care homes. The results show that digital competence is of importance in health and social care, that the dimension of motivation is of utmost importance and that the presentation of the survey results should be flexible.
5.	Ahmad, Awais, et al. (author) Designing for Human Well-Being : A Case Study with Informal Caregivers of Individuals with Cancer 2022 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 294, s. 214-218 Journal article (peer-reviewed)abstract Informal Caregivers such as a spouse, other close relatives or friends of cancer patients can play an essential role in home-based treatment and care. However, the informal caregivers might not be prepared for this responsibility, and they might have several unmet requirements for taking care of patients in the home environment. The informal caregivers’ physical, social and psychological health is also profoundly affected due to the health conditions of their relatives. We propose a User-centred Positive Design as a hybrid framework by merging the traditional User-cantered design and positive design frameworks to enhance the informal caregivers’ subjective well-being. Our ongoing project (Carer-eSupport) will be used as a case study, and its main objective is to co-create and evaluate a web-based support system for informal caregivers of people with cancer. The proposed framework can be used for the design and development of health information systems with a special focus on users’ wellbeing and positive emotions.
6.	Ali, Y, et al. (author) MedView-design and adoption of an interactive system for oral medicine. 2000 In: Studies in health technology and informatics. - 0926-9630 .- 1879-8365. ; 77, s. 3-7 Conference paper (peer-reviewed)abstract MedView is a joint project with participants from oral medicine and computer science. The aim of the project is to build a large database from patient examinations and produce computerized tools to extend, view, and analyze the contents of the database. The contents of the data base is based on a formalization of health-care processes and clinical knowledge in oral medicine harmonized within the network SOMNET. We give an overview of the current status of the MedView project and discuss background and future directions.
7.	Amirahmadi, Ali, 1994-, et al. (author) A Masked Language Model for Multi-Source EHR Trajectories Contextual Representation Learning 2023 In: Caring is Sharing - Exploiting the Value in Data for Health and Innovation - Proceedings of MIE 2023. - Amsterdam : IOS Press. - 0926-9630 .- 1879-8365. - 9781643683881 ; 302, s. 609-610, s. 609-610 Conference paper (peer-reviewed)abstract Using electronic health records data and machine learning to guide future decisions needs to address challenges, including 1) long/short-term dependencies and 2) interactions between diseases and interventions. Bidirectional transformers have effectively addressed the first challenge. Here we tackled the latter challenge by masking one source (e.g., ICD10 codes) and training the transformer to predict it using other sources (e.g., ATC codes).
8.	Andersson, Gerhard (author) Guided internet treatment for anxiety disorders. As effective as face-to-face therapies? 2012 In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 181, s. 3-7 Journal article (peer-reviewed)abstract Introduction: Guided Internet-delivered treatments were developed in the late 1990s and have since been tested in numerous controlled trials. While promising, there are yet few direct comparisons between Internet treatments and traditional face-to-face treatments. The aim of the present study is to present an overview of the evidence in the field of anxiety disorders. Method: Studies were located, including unpublished trials from our research group in Sweden. Results: Results of direct comparative trials on panic disorder (n=3) and social anxiety disorder (n=3) show equivalent outcomes. One study on specific phobia did not show equivalent outcomes with an advantage for face-to-face treatment. However, a systematic review by Cuijpers et al. (2010) found equivalent outcomes across several self-help formats, suggesting that guided self-help overall can be as affective as face-to-face treatments. Conclusion: Overall, there are still few large-scale trials and statistical power is often limited. A preliminary conclusion is that guided Internet treatment can be as effective as face-to-face treatments, but there is a need to investigate moderators and mediators of the outcome.
9.	Ask, Per, et al. (author) NovaMedTech - A regional program for supporting new medical technologies in personalized health care 2012 In: Studies in Health Technology and Informatics. - 9781614990680 ; 177, s. 71-5 Conference paper (peer-reviewed)abstract NovaMedTech is an initiative funded from EU structural funds for supporting new medical technologies for personalized health care. It aims at bringing these technologies into clinical use and to the health care market. The program has participants from health care, industry and academia in East middle Sweden. The first three year period of the program was successful in terms of product concepts tried clinically, and number of products brought to a commercialization phase. Further, the program has led to a large number of scientific publications. Among projects supported, we can mention: Intelligent sensor networks; A digital pen to collect medical information about health status from patients; A web-based intelligent stethoscope; Methodologies to measure local blood flow and nutrition using optical techniques; Blood flow assessment from ankle pressure measurements; Technologies for pressure ulcer prevention; An IR thermometer for improved accuracy; A technique that identifies individuals prone to commit suicide among depressed patients; Detection of infectious disease using an electronic nose; Identification of the lactate threshold from breath; Obesity measurements using special software and MR camera; and An optical probe guided tumor resection. During the present three years period emphasis will be on entrepreneurial activities supporting the commercialization and bringing products to the market.
10.	Barua, Shaibal, et al. (author) Classifying drivers' cognitive load using EEG signals 2017 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. - 9781614997603 ; 237, s. 99-106 Journal article (peer-reviewed)abstract A growing traffic safety issue is the effect of cognitive loading activities on traffic safety and driving performance. To monitor drivers' mental state, understanding cognitive load is important since while driving, performing cognitively loading secondary tasks, for example talking on the phone, can affect the performance in the primary task, i.e. driving. Electroencephalography (EEG) is one of the reliable measures of cognitive load that can detect the changes in instantaneous load and effect of cognitively loading secondary task. In this driving simulator study, 1-back task is carried out while the driver performs three different simulated driving scenarios. This paper presents an EEG based approach to classify a drivers' level of cognitive load using Case-Based Reasoning (CBR). The results show that for each individual scenario as well as using data combined from the different scenarios, CBR based system achieved approximately over 70% of classification accuracy.
11.	Blusi, Madeleine, Ph.D., et al. (author) Feasibility and Acceptability of Smart Augmented Reality Assisting Patients with Medication Pillbox Self-Management 2019 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 264, s. 521-525 Journal article (peer-reviewed)abstract Complex prescribed medicine regimens require extensive self-management. Handling multiple pills can be confusing; using a pillbox organiser is a common strategy. A smart Medication Coach Intelligent Agent (MCIA) can support patients in handling medicine. The aim of this research was to evaluate the feasibility and acceptability of the MCIA. A prototype was tested with 15 participants, age 17-76, filled a pillbox according to prescription assisted by the MCIA implemented in a Microsoft HoloLens. A quantitative method using questionnaires was applied. Results showed that using the MCIA implemented in an AR-headset, to assist people with prescribed polypharmacy regimen in filling a pillbox, was feasible and acceptable. There was a difference related to age regarding people's willingness to use an AR-headset for medication self-management. People older than 65 felt less comfortable using the technology and were also more hesitant to use the technology than those under 65.
12.	Borgestig, Maria, 1968-, et al. (author) The Benefits of Gaze-Based Assistive Technology in Daily Activities for Children with Disabilities 2017 In: Studies in Health Technology and Informatics. - Amsterdam, Netherlands : IOS Press. - 0926-9630 .- 1879-8365. ; 242, s. 1082-1088, s. 1082-1088 Journal article (peer-reviewed)abstract This article reports research findings on how gaze-based assistive technology contributed to performance of daily activities for a group of children with severe physical impairments and without speech.
13.	Broeren, Jurgen, et al. (author) Virtual rehabilitation after stroke. 2008 In: Studies in health technology and informatics. - 0926-9630 .- 1879-8365. ; 136, s. 77-82 Journal article (peer-reviewed)abstract The purpose of this project was to investigate the effects of Virtual Reality technology and haptics for stroke rehabilitation. Twenty-nine stroke subjects, 17 women, and 12 men aged 44-85 years, participated in three different studies. All participants responded favorable to the use of the VR activity station. A change of attitude took place after the subjects were exposed to playing computer games. The general experience with the VR application approach suggests that this treatment concept is promising in stroke rehabilitation, with a wide range of applicability.
14.	Bärkås, Annika, et al. (author) Analysis of Voluntary User Feedback of the Swedish National PAEHR Service 2019 In: MEDINFO 2019. - : IOS Press. - 9781643680033 - 9781643680026 ; 264, s. 1126-1130 Conference paper (peer-reviewed)abstract "Journalen" is a patient accessible electronic health record (PAEHR) and the national eHealth service for Sweden's citizens to gain access to their EHR. The Swedish national eHealth organization Inera, responsible for Journalen, created an inbox to receive voluntary user feedback about Journalen in order to improve the service from the user perspective. Based on voluntary user feedback via email. This study explored patients' experiences of using the national eHealth service and identified pros and cons. A mixed method content analysis was performed. In total, 1084 emails from 2016-2017 have been analyzed. 9 categories were identified, the most frequent ones related to questions about why some information was not accessible (due to regional differencies), feedback (including only positive or negative comments as well as constructive improvement suggestions), and emails about errors that user found in their record. These data can be successfully used to continuously improve an already implemented eHealth service.
15.	Bärkås, Annika, et al. (author) Patients' Access to Their Psychiatric Records : A Comparison of Four Countries 2022 In: Challenges of Trustable AI and Added-Value on Health. - Amsterdam; Berlin; Washington, DC : IOS Press. - 9781643682846 - 9781643682853 ; 294, s. 510-514 Conference paper (peer-reviewed)abstract Several Nordic and Baltic countries are forerunners in the digitalization of patient ehealth services and have since long implemented psychiatric records as parts of the ehealth services. There are country-specific differences in what clinical information is offered to patients concerning their online patient accessible psychiatric records. This study explores national differences in Sweden, Norway, Finland, and Estonia in patient access to their psychiatric records. Data was collected through a socio-technical data collection template developed during a workshop series and then analyzed in a cross-country comparison focusing on items related to psychiatry records online. The results show that psychiatric records online are offered to patients in all four countries, and provide the same functionality and similar psychiatry information. Overall, the conclusion is that experiences of various functionalities should be scrutinized to promote transparency of psychiatric records as part of the national eHealth services to increase equality of care and patient empowerment.
16.	Bärkås, Annika, et al. (author) Patients' Experiences of Demanded Access to Online Health Records 2024 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 310, s. 1424-1425 Journal article (peer-reviewed)abstract Patient-Accessible Electronic Health Records (PAEHR) is particularly controversial in mental healthcare. We aim to explore if there is any association between patients with mental health conditions and the experience of someone demanding access to their PAEHR. A chi-square test showed a significant association between group belonging and experiences of someone demanding access to the PAEHR.
17.	Bärkås, Annika, et al. (author) Patients' Experiences of Unwanted Access to Their Online Health Records 2023 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 302, s. 356-357, s. 356-357 Journal article (peer-reviewed)abstract Patient-Accessible Electronic Health Records (PAEHR) are particularly disputed in mental healthcare. We aim to explore if there is any association between patients having a mental health condition and someone unwanted seeing their PAEHR. A chi-square test showed a statistically significant association between group belonging and experiences of someone unwanted seeing their PAEHR.
18.	Chen, Rong, 1972-, et al. (author) The openEHR Java reference implementation project 2007 In: Studies in Health Technology and Informatics. - Amsterdam, Netherlands : IOS Press. - 0926-9630 .- 1879-8365. ; 129:Pt 1, s. 58-62, s. 58-62 Journal article (peer-reviewed)abstract The openEHR foundation has developed an innovative design for interoperable and future-proof Electronic Health Record (EHR) systems based on a dual model approach with a stable reference information model complemented by archetypes for specific clinical purposes.A team from Sweden has implemented all the stable specifications in the Java programming language and donated the source code to the openEHR foundation. It was adopted as the openEHR Java Reference Implementation in March 2005 and released under open source licenses. This encourages early EHR implementation projects around the world and a number of groups have already started to use this code. The early Java implementation experience has also led to the publication of the openEHR Java Implementation Technology Specification. A number of design changes to the specifications and important minor corrections have been directly initiated by the implementation project over the last two years. The Java Implementation has been important for the validation and improvement of the openEHR design specifications and provides building blocks for future EHR systems.
19.	Eftring, Håkan, et al. (author) 360-Degree Films for Cognitive Inclusion at Workplaces 2022 In: Transforming our World through Universal Design for Human Development - Proceedings of the 6th International Conference on Universal Design, UD 2022. - 0926-9630 .- 1879-8365. - 9781643683041 ; 297, s. 127-134 Conference paper (peer-reviewed)abstract Persons with stress-related disorders, mental disorders and neuropsychiatric disabilities are in particular vulnerable to cognitive challenges at the workplace. The barriers faced by persons with communicative, social and cognitive disabilities are most often invisible to persons in the environment. The objective of the study presented in this paper is to develop and test a tool that increases awareness by inviting persons without disabilities to experience how cognitive barriers can look like in the workplace. Three 360-degree films were developed iteratively in close collaboration with users. Each film has one part highlighting difficulties and one part highlighting solutions. The films were evaluated with employers, employment experts, special support persons, HR staff and students. The results show that the films were realistic and useful for both supporting employment and for general awareness and insight.
20.	Eftring, Håkan, et al. (author) Eliciting parents' individual requirements for an inclusive digital school system 2016 In: Universal Design 2016: Learning from the Past, Designing for the Future - Proceedings of the 3rd International Conference on Universal Design, UD 2016. - 1879-8365 .- 0926-9630. - 9781614996835 ; 229, s. 211-221 Conference paper (peer-reviewed)abstract Parents often have a busy time sorting out their life puzzles, including getting information about their children's activities in school. More and more communication between teachers and parents take place via digital school systems. It can be hard for parents to find the information they are looking for and the teacher decides when information is sent and what communication method to use. All parents, but especially parents with disabilities, might have individual preferences on how to receive information and how to adapt meetings at school. In this paper we present a project where we involved parents and teachers in focus groups, an idea workshop and iterative user trials of a digital prototype. The goal was to elicit parents' individual requirements for an inclusive digital school system, where they can store their individual preferences about how and when to receive information from school and what requirements they have on meetings at school. Preliminary results show that we managed to create open and focused discussions among parents and teachers. The parents reacted very positively on an onboarding page with the possibility to quickly and easily enter preferences after their first log in, but more work needs to be done on how preferences are categorized on the onboarding page. Finally, parents need to get clear feedback from teachers and school when they have entered or updated preferences, so they can trust that their preferences will be met.
21.	Eftring, Håkan, et al. (author) From Face-to-Face to Online UDeL Camps : Supporting Staff at Higher Education Institutions in Developing Universal Design for eLearning (UDeL) 2021 In: Universal Design 2021 : From Special to Mainstream Solutions - From Special to Mainstream Solutions. - 1879-8365 .- 0926-9630. - 9781643681900 ; 282, s. 144-160 Conference paper (peer-reviewed)abstract The TINEL Project is running a series of camps for staff at higher education institution to support them in developing inclusive eLearning. The first camp was conducted face-to-face, but the coronavirus pandemic meant that the second camp was conducted online. This created a case study in inclusive eLearning in itself and allowed us to experience and reflect on the challenges and opportunities of inclusive online teaching and learning. This paper presents the structure and content of the two camps, our reflections on moving from a face-to-face to an online situation and our elaboration how the UDL principles apply to eLearning to create Universal Design for eLearning (UDeL). We found that because we already had a syllabus for the camp prepared, transferring it to an online camp did not present a great number of challenges. Some aspects of the online situation were actually advantageous (e.g. presenting all materials digitally and making them fully accessible) while others were difficult to overcome (e.g. engaging all participants in online activities and discussions). We provide a set of recommendations of how to implement the three principles of UDL in eLearning situations.
22.	Eide, A. H., et al. (author) Barriers for Accessing Assistive Products in Low- and Middle-Income Countries (LMICs) 2023 In: Studies in Health Technology and Informatics. - : NLM (Medline). - 0926-9630 .- 1879-8365. ; 306, s. 297-302 Journal article (peer-reviewed)abstract WHO implemented the Rapid Assistive Technology Assessment in 2021. This is a household survey on self-reported use, need and barriers for accessing AT in 35 countries globally. In order to obtain comparable data, all surveys followed guidelines developed by WHO, including national two-stage random sampling of households. The 2021 rATA survey included 32 of a total of 140 LMICs globally. Around 40 % of the total respondents (all countries) estimated travel distance to be <5 km, varying from less than 10 % to almost 60 % among the countries. Around 15 % had to travel more than 50 km, varying from 1.3 % to 37.5 %. More individuals living in rural as compared to urban areas had to travel more than 25 km to get their main assistive product. Gender differences were marginal. By far the most prevalent barrier to access assistive products was "Cannot afford", amounting to 39.9% and varying from 6.7 % to 79.1 % among countries. This was followed by "No support" with 14.3 %, varying from 2.3 % to 36.9 %, and "Not available" with 8.1 %, varying from 1 % to 21.5 %. More barriers were reported in rural than urban areas and women report more barriers than men. Variation between countries in both travel time and barriers is substantial and country-specific service development is needed to guide service development.
23.	Eklund, Ann-Marie, 1971 (author) Mobility and health information searches - a Swedish perspective 2013 In: Proceedings of the 14th world congress on medical and health informatics, MEDINFO 2013. - 0926-9630 .- 1879-8365. - 9781614992882 ; 192 Conference paper (peer-reviewed)abstract Today the first point of contact between a patient and health care is often an internet health portal - not a human. There is also a trend towards increased use of mobile devices for internet searching. We present a study of the use of mobile vs non-mobile devices when accessing the main Swedish official health portal. Our findings indicate that there is a difference in not only when people search for health information, but also the type of information searched for using different devices. We conclude that further analysis is needed to understand these differences, and consequently that the same portal solution may not suit both mobile and non-mobile health information seekers.
24.	Eklund, Patrik, 1958-, et al. (author) Mobile guidelines for pharmacologic treatment of hypertension 2004 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 103, s. 58-60 Journal article (peer-reviewed)abstract Mobile health technologies provide case studies with potentially rather huge impacts. Examples are provided e.g. by guidelines involving pharmacologic treatment. Knowledge and reasoning need to interact with information management, and often involves utility of various devices. Well organised databases for pharmacological information are also necessary for successful engineering of mobile extensions in these case studies.
25.	Ekstedt, Mirjam, et al. (author) Reducing Errors through a Web-Based Self-management Support System 2014 In: East Meets West eSMART. - Amsterdam : IOS Press. - 9781614994145 - 9781614994152 ; 201, s. 328-334 Conference paper (peer-reviewed)abstract Web-based self-management support systems SMSS, can successfully assist a wide range of patients with information and self-management support. O or as a stand-alone service, are e-messages. This study describes how one component of a multi component SMSS, an e-message service, in which patients with breast cancer could direct questions to nurses, physicians or social workers at the hospital where they were being treated, had an influence on safety and continuity of care. Ninety-one dialogues consisting of 284 messages were analysed. The communications between patients and the healthcare team revealed that the e-messages service served as a means for quality assurance of information, for double-checking and for coordination of care. We give examples of how an e-mail service may improve patients' knowledge in a process of taking control over their own care – increasingly important in a time of growing complexity and specialization in healthcare. It remains to be tested whether an e-message service can improve continuity of care and prevent or mitigate medical mishaps.
26.	Eriksson, Magnus, et al. (author) A 6 degrees-of-freedom haptic milling simulator for surgical training of vertebral operations 2012 In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 173, s. 126-128 Journal article (peer-reviewed)abstract In the research presented here, the aim has been to develop a haptic milling simulator for surgical training of vertebral operations. One central goal has been to create a simulator that gives the user a realistic impression of contacts with, and milling of, a virtually represented bone tissue model. A new 6 degrees-of-freedom haptic algorithm for milling is implemented together with new 6 degrees-of-freedom haptic device.
27.	Eriksson, Magnus G., et al. (author) A haptic VR milling surgery simulator - using high-resolution CT-data 2006 In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 119, s. 138-143 Journal article (peer-reviewed)abstract A haptic virtual reality milling simulator using high resolution volumetric data is presented in this paper. We discuss the graphical rendering performed from an iso-surface generated using marching cubes with a hierarchical storage method to optimize for fast dynamic changes to the data during the milling process. We also present a stable proxy-based haptic algorithm used to maintain a tip position on the surface avoiding haptic fall-through.
28.	Erlingsdottir, Gudbjörg, et al. (author) Lost in Translation? Care Coordination cross Contexts in Swedish Homecare Nursing 2019 In: Context Sensitive Health Informatics : Sustainability in Dynamic Ecosystems - Sustainability in Dynamic Ecosystems. - 0926-9630 .- 1879-8365. - 9781643680040 - 9781643680040 ; 265, s. 42-47 Book chapter (peer-reviewed)abstract The responsibilities for delivery of care in Sweden is divided between the regions and the municipalities. The regions run the hospitals and the primary care centres (PCCs) whereas the municipalities are responsible for homecare nursing and nursing homes. The homecare nurses and the doctors they need to seek advice from, thus belong to different organizations/contexts. As more patients with multi- and long-term illnesses are taken care of in their homes the workload of the homecare nurses has increased. A new healthcare agreement has thus been signed between a region in South Sweden and its municipalities. The healthcare agreement states that doctors from the PCCs are to form mobile teams together with the homecare nurses. This paper reports from a pre-study investigating how the agreement, in terms of translation sociology, is interpreted in four of the municipalities. The aim of the research project as a whole is to develop digital support systems for the mobile teams.
29.	Falkman, Göran, 1968-, et al. (author) Collaboration Patterns in an Online Community of Practice in Oral Medicine 2008 In: eHealth Beyond the Horizon – Get IT There. - Amsterdam : IOS Press. - 9781586038649 ; 136, s. 175-80 Conference paper (peer-reviewed)abstract SOMWeb is an online collaboration system based on Semantic Web technologies, which is used for knowledge sharing and dissemination within an oral medicine community in Sweden. Based on a previous study of the use of SOMWeb, general patterns of interaction and communicative activities involved in community collaboration have been identified. The patterns for one such activity, distance consultation, are described and modeled using techniques from the Pragmatic Web. It is also shown how patterns could inform system design
30.	Falkman, Göran, 1968-, et al. (author) SOMWeb - Towards an Infrastructure for Knowledge Sharing in Oral Medicine 2005 In: Connecting Medical Informatics and Bio-Informatics: Proceedings of MIE2005 - The XIXth International Congress of the European Federation for Medical Informatics. - Amsterdam : IOS Press. - 1586035495 ; 116, s. 527-32, s. 527-532 Conference paper (peer-reviewed)abstract In a net-based society, clinicians can come together for cooperative work and distance learning around a common medical material. This requires suitable techniques for cooperative knowledge management and user interfaces that are adapted to both the group as a whole and to individuals. To support distributed management and sharing of clinical knowledge, we propose the development of an intelligent web community for clinicians within oral medicine. This virtual meeting place will support the ongoing work on developing a digital knowledge base, providing a foundation for a more evidence-based oral medicine. The presented system is founded on the use and development of web services and standards for knowledge modelling and knowledge-based systems. The work is conducted within the frame of a well-established cooperation between oral medicine and computer science.
31.	Florin, Jan, et al. (author) Cross-mapping diagnostic nursing concepts between the ICNP and the ICF for expressing nursing in the health care record 2016 In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 225, s. 1016-1017, s. 1016-1017 Journal article (peer-reviewed)
32.	Florin, Jan, et al. (author) Partient participation in decision making in nursing. 2006 In: Studies in health technology and informatics. ; , s. 54-57:122, s. 54-57 Conference paper (peer-reviewed)abstract Patient participation in decision making concerning nursing needs is an important aspect of high quality care, of interest for both planning and implementing care. However, patients' perspective on participation in clinical decision making has not been studied extensively and the literature is inconclusive of what roles patients prefer to adopt. The aim was to investigate associations between patient demographics and preferences for participation in clinical decision making and to compare patients and RNs perceptions of the patients' preferences for participation. A cross sectional study including 80 nurse-patient dyads was adopted. The Control Preference scale was used to collect data. The findings showed that younger and more educated patients preferred to be more active in some aspects of decision making than older and less educated patients did. Further, in comparison with RNs inference of patient preferences for participation, patients preferred to be more passive in decision making in relation to nursing needs in general, as well as for physical and psychosocial needs. Differences in perceptions between patients and RNs concerning patient participation could hamper high quality care and need to be addressed.
33.	Forsslund, Jonas, et al. (author) The effect of haptic degrees of freedom on task performance in virtual surgical environments 2013 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 184, s. 129-135 Journal article (peer-reviewed)abstract Force and touch feedback, or haptics, can play a significant role in the realism of virtual reality surgical simulation. While it is accepted that simulators providing haptic feedback often outperform those that do not, little is known about the degree of haptic fidelity required to achieve simulation objectives. This article evaluates the effect that employing haptic rendering with different degrees of freedom (DOF) has on task performance in a virtual environment. Results show that 6-DOF haptic rendering significantly improves task performance over 3-DOF haptic rendering, even if computed torques are not displayed to the user. No significant difference could be observed between under-actuated (force only) and fully-actuated 6-DOF feedback in two surgically-motivated tasks.
34.	Fu, Qiang, et al. (author) Using mobile information technology to build a database for anesthesia quality control and to provide clinical guidelines. 2003 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 95, s. 629-634 Journal article (peer-reviewed)abstract The paper describes a mobile information system to collect patient information for anaesthesia quality control. In this system we use handheld computers, to collect patient data at the bedside with a daily synchronization of the data of the anaesthesiologist's handheld with the anaesthesia database center, later used for quality control analysis. Further, we design mobile clinical guidelines to be used on the same handhelds.
35.	Georgsson, Mattias, 1969- (author) A Review of Usability Methods Used in the Evaluation of Mobile Health Applications for Diabetes. 2020 In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 273, s. 228-233 Journal article (peer-reviewed)abstract Mobile health applications for diabetes are developed like never before and many patients use them for their personalized health needs. With increased use, an increased number of usability evaluations are performed to assure that the applications function as intended. In this review the goal was to determine what usability methods are currently used in the evaluation of mobile health applications for diabetes and how these are used.METHODS: A literature review was conducted to identify applicable studies in the databases ACM Digital Library, Cinahl and Pubmed between the years 2015 and 2020. After the inclusion and exclusion criteria were applied, 32 articles remained that were included in the final review.RESULTS: Most of the studies included one established usability engineering method such as an expert-based and/or user-based method or a validated questionnaire/instrument. Some also included a combination of these. Others used methods of their own design; commonly questionnaires and interviews either on their own or in combination.CONCLUSION: To achieve an adequate level of evidence and quality in the evaluation, it is important that at least one is an established usability engineering method or a validated instrument. This to assure and continue to build the evidence base in this area.
36.	Ghareh Baghi, Arash, et al. (author) An Edge Computing Method for Extracting Pathological Information from Phonocardiogram 2019 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. - 9781614999867 ; 262, s. 364-367 Journal article (peer-reviewed)abstract This paper presents a structure of decision support system for pediatric cardiac disease, based on an Internet of Things (IoT) framework. The structure performs the intelligent decision making at its edge processing level, which classifies the heart sound signal, to three classes of cardiac conditions, normal, mild disease, and critical disease. Three types of the errors are introduced to evaluate the performance of the processing method, Type 1, 2 and 3, defined as the incorrect classification from the critical disease, mild, and normal, respectively. The method is validated using 140 real data patient records collected from the hospital referrals. The estimated negative errors for the Type 1, and 2, are calculated to be 0% and 4.8%, against the positive errors which are 6.3% and 13.3%, respectively. The Type 3, is calculated to be 16.7%, showing a high sensitivity of the method to be used in an IoT healthcare framework.
37.	Ghareh Baghi, Arash, et al. (author) Structural Risk Evaluation of a Deep Neural Network and a Markov Model in Extracting Medical Information from Phonocardiography 2018 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. - 9781614998792 - 9781614998808 ; 251, s. 157-160 Journal article (peer-reviewed)abstract This paper presents a method for exploring structural risk of any artificial intelligence-based method in bioinformatics, the A-Test method. This method provides a way to not only quantitate the structural risk associated with a classification method, but provides a graphical representation to compare the learning capacity of different classification methods. Two different methods, Deep Time Growing Neural Network (DTGNN) and Hidden Markov Model (HMM), are selected as two classification methods for comparison. Time series of heart sound signals are employed as the case study where the classifiers are trained to learn the disease-related changes. Results showed that the DTGNN offers a superior performance both in terms of the capacity and the structural risk. The A-Test method can be especially employed in comparing the learning methods with small data size.
38.	Gharehbaghi, Arash, et al. (author) A Decision Support System for Cardiac Disease Diagnosis Based on Machine Learning Methods 2017 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. - 9781614997528 ; 235, s. 43-47 Journal article (peer-reviewed)abstract This paper proposes a decision support system for screening pediatric cardiac disease in primary healthcare centres relying on the heart sound time series analysis. The proposed system employs our processing method which is based on the hidden Markov model for extracting appropriate information from the time series. The binary output resulting from the method is discriminative for the two classes of time series existing in our databank, corresponding to the children with heart disease and the healthy ones. A total 90 children referrals to a university hospital, constituting of 55 healthy and 35 children with congenital heart disease, were enrolled into the study after obtaining the informed consent. Accuracy and sensitivity of the method was estimated to be 86.4% and 85.6%, respectively, showing a superior performance than what a paediatric cardiologist could achieve performing auscultation. The method can be easily implemented using mobile and web technology to develop an easy-To-use tool for paediatric cardiac disease diagnosis. © 2017 European Federation for Medical Informatics (EFMI) and IOS Press.
39.	Gharehbaghi, Arash, 1972-, et al. (author) A-Test Method for Quantifying Structural Risk and Learning Capacity of Supervised Machine Learning Methods 2022 In: Studies in Health Technology and Informatics. - Amsterdam, The Netherlands : IOS Press. - 0926-9630 .- 1879-8365. ; 289, s. 132-135 Journal article (peer-reviewed)abstract This paper presents an original method for studying the performance of the supervised Machine Learning (ML) methods, the A-Test method. The method offers the possibility of investigating the structural risk as well as the learning capacity of ML methods in a quantitating manner. A-Test provides a powerful validation method for the learning methods with small or medium size of the learning data, where overfitting is regarded as a common problem of learning. Such a condition can occur in many applications of bioinformatics and biomedical engineering in which access to a large dataset is a challengeable task. Performance of the A-Test method is explored by validation of two ML methods, using real datasets of heart sound signals. The datasets comprise of children cases with a normal heart condition as well as 4 pathological cases: aortic stenosis, ventricular septal defect, mitral regurgitation, and pulmonary stenosis. It is observed that the A[1]Test method provides further comprehensive and more realistic information about the performance of the classification methods as compared to the existing alternatives, the K-fold validation and repeated random sub-sampling.
40.	Gharehbaghi, Arash, et al. (author) Distinguishing Septal Heart Defects from the Valvular Regurgitation Using Intelligent Phonocardiography 2020 In: Digital Personalized Health and Medicine. - : IOS Press. - 9781643680828 - 9781643680835 ; 270, s. 178-182 Conference paper (peer-reviewed)abstract This paper presents an original machine learning method for extracting diagnostic medical information from heart sound recordings. The method is proposed to be integrated with an intelligent phonocardiography in order to enhance diagnostic value of this technology. The method is tailored to diagnose children with heart septal defects, the pathological condition which can bring irreversible and sometimes fatal consequences to the children. The study includes 115 children referrals to an university hospital, consisting of 6 groups of the individuals: atrial septal defects (10), healthy children with innocent murmur (25), healthy children without any murmur (25), mitral regurgitation (15), tricuspid regurgitation (15), and ventricular septal defect (25). The method is trained to detect the atrial or ventricular septal defects versus the rest of the groups. Accuracy/sensitivity and the structural risk of the method is estimated to be 91.6%/88.4% and 9.89%, using the repeated random sub sampling and the A-Test method, respectively.
41.	Gharehbaghi, Arash, et al. (author) Recurrent vs Non-Recurrent Convolutional Neural Networks for Heart Sound Classification 2023 In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. Journal article (peer-reviewed)abstract Convolutional Neural Network (CNN) has been widely proposed for different tasks of heart sound analysis. This paper presents the results of a novel study on the performance of a conventional CNN in comparison to the different architectures of recurrent neural networks combined with CNN for the classification task of abnormal-normal heart sounds. The study considers various combinations of parallel and cascaded integration of CNN with Gated Recurrent Network (GRN) as well as Long- Short Term Memory (LSTM) and explores the accuracy and sensitivity of each integration independently, using the Physionet dataset of heart sound recordings. The accuracy of the parallel architecture of LSTM-CNN reached 98.0% outperforming all the combined architectures, with a sensitivity of 87.2%. The conventional CNN offered sensitivity/accuracy of 95.9%/97.3% with far less complexity. Results show that a conventional CNN can appropriately perform and solely employed for the classification of heart sound signals.
42.	GholamHosseini, Hamid, et al. (author) Obesity Risk Assessment Model Using Wearable Technology with Personalized Activity, Calorie Expenditure and Health Profile 2019 In: Studies in Health Technology and Informatics. - : NLM (Medline). - 0926-9630 .- 1879-8365. ; 261, s. 91-96 Journal article (peer-reviewed)abstract There is a worldwide increase in the rate of obesity and its related long-term conditions, emphasizing an immediate need to address this modern-age global epidemic of healthy living. Moreover, healthcare spending on long-term or chronic care conditions such as obesity is increasing to the point that requires effective interventions and advancements to reduce the burden of the healthcare. This research focuses on the early risk assessment of overweight/obesity using wearable technology. We establish an individualised health profile that identifies the level of activity and current health status of an individual using real-time activity and vital signs. We developed an algorithm to assess the risk of obesity using the individual's current activity and calorie expenditure. The algorithm was deployed on a smartphone application to collect wearable device data, and user reported data. Based on the collected data, the proposed application assesses the risk of obesity/overweight, measures the current activity level and recommends an optimized calorie plan.
43.	Göransson, Katarina, 1974-, et al. (author) The use of qualitative data analysis software (QDAS) to manage and support the analysis of think aloud (TA) data 2006 In: Consumer-Centered Computer-Suppported Care for Healthy People. - Amsterdam, Netherlands : IOS Press. - 9781586036225 ; , s. 143-6, s. 143-6:122, s. 143-6 Conference paper (peer-reviewed)abstract This methodological paper describes how qualitative data analysis software (QDAS) is being used to manage and support a three-step protocol analysis (PA) of think aloud (TA) data in a study examining emergency nurses' reasoning during triage. The authors believe that QDAS program QRS NVivo will greatly facilitate the PA and will allow them to identify and describe the information that triage nurses concentrate on during triage, and how they structure this information to make a triage decision. These findings could assist in designing and creating decision support systems to guide nurses' triaging. Additionally, details about how to use QRS NVivo for PA of TA data may assist and guide future informatics research using similar methodology are presented here. This innovative use of QDAS holds great promise for future nursing informatics research.
44.	Hagblad, Jimmie, et al. (author) Long term monitoring of blood flow at multiple depths - observations of changes. 2012 In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 177, s. 107-112 Journal article (peer-reviewed)abstract Detecting reduced circulation, which is a major factor in the development of pressure ulcers, can be done using optical methods. PPG and LDF can be combined and used to evaluate blood flow at different depths. In this study the use of a probe combining PPG and LDF to monitor multiple tissue depths is evaluated. The effects on blood flow and temperature without additional provocation was examined. Measurements were performed during 60 min and the use of an active probe was compared with the use of a semi-active probe turned off a major part of the time. Changes in temperature and blood flow using these probe configurations (active and semi-active probe) are compared; four different 5 min segments during a 60 min measurement. A general increase in both temperature and blood flow is found but this increase could not be concluded to occur due to the light sources of the probe.
45.	Hagström, Josefin, et al. (author) Adolescents' and Young Adults' Experiences of Offense from Reading Their Health Records Online 2024 In: Studies in Health Technology and Informatics. - : IOS Press. - 0926-9630 .- 1879-8365. ; 310, s. 1422-1423 Journal article (peer-reviewed)abstract Patients feeling offended by reading records online is a concern among healthcare professionals, however previously published work has focused on adult patients. Here, a survey was used to explore and compare experiences of offense among adolescents (15-19 years old) and young adults (20-24 years old). Findings indicated that while the ratio of those offended did not differ between adolescents and young adults, reasons for feeling offended did.
46.	Hagström, Josefin, et al. (author) Adolescents Identifying Errors and Omissions in Their Electronic Health Records : A National Survey 2023 In: Caring is Sharing. - : IOS Press. - 9781643683881 - 9781643683898 ; 302, s. 242-246 Conference paper (peer-reviewed)abstract Patient accessible electronic health records (PAEHRs) have been proposed as a means to improve patient safety and documentation quality, as patients become an additional source to detect mistakes in the records. In pediatric care, healthcare professionals (HCP) have noted a benefit of parent proxy users correcting errors in their child's records. However, the potential of adolescents has so far been overlooked, despite reports of reading records to ensure accuracy. The present study examines errors and omissions identified by adolescents, and whether patients reported following up with HCPs. Survey data was collected during three weeks in January and February 2022 via the Swedish national PAEHR. Of 218 adolescent respondents, 60 reported having found an error (27.5%) and 44 (20.2%) had found missing information. Most adolescents did not take any action upon identifying an error or an omission (64.0%). Omissions were more often perceived as serious than errors. These findings call for development of policy and PAEHR design that facilitates reports of errors and omissions for adolescents, which could both improve trust and support the individual's transition into an involved and engaged adult patient.
47.	Hagström, Josefin, et al. (author) Minor and Parental Access to Electronic Health Records : Differences Across Four Countries 2022 In: Challenges of Trustable AI and Added-Value on Health. - : IOS Press. - 9781643682846 - 9781643682853 ; 294, s. 495-499 Conference paper (peer-reviewed)abstract An increasing number of countries are implementing patient access to electronic health records (EHR). However, EHR access for parents, children and adolescents presents ethical challenges of data integrity, and regulations vary across providers, regions, and countries. In the present study, we compare EHR access policy for parents, children and adolescents in four countries. Documentation from three areas: upper age limit of minors for which parents have access; age at which minors obtain access; and possibilities of access restriction and extension was collected from Sweden, Norway, Finland, and Estonia. Results showed that while all systems provided parents with automatic proxy access, age limits for its expiry differed. Furthermore, a lower minimum age than 18 for adolescent access was present in two of four countries. Differences between countries and potential implications for adolescents are discussed. We conclude that experiences of various approaches should be explored to promote the development of EHR regulations for parents, children and adolescents that increases safety, quality, and equality of care.
48.	Hardy, Jenny, et al. (author) The current status of nursing informatics in undergraduate nursing programs : comparative case studies between Sweden and Australia 1997 In: Studies in Health Technology and Informatics. - 0926-9630 .- 1879-8365. ; 46, s. 132-136 Journal article (peer-reviewed)abstract During the last ten years, the inclusion of education in health information systems has assumed an important role in graduate programs for health professionals. More recently, attention has focused on undergraduate programs. Throughout the world schools of nursing, organisations and associations are addressing the issue of educational offerings in nursing informatics. This paper reports on the status of nursing informatics at undergraduate level. Nurse academics from Gavle and Lund in Sweden, and from Melbourne and Sydney in Australia, took part in a survey of the respective nursing courses. The purpose of the study was to identify and describe examples of types of nursing informatics courses in Australia and Sweden A convenient sample of academics were approached and interviewed The results of the survey illustrate, in the schools surveyed, the slow emergence of nursing informatics into nursing curricula.
49.	Hedvall, Per Olof, et al. (author) Co-Constructing Universal Design in Citizen Science Workshops 2018 In: ransforming our World Through Design, Diversity and Education. - 0926-9630. - 9781614999232 - 9781614999225 ; 256, s. 214-222 Conference paper (peer-reviewed)abstract This paper reports on a series of workshops that took place at two Swedish museums during 2017. The workshops were inspired by a citizen science approach, where the participants were not only on the receiving end but also active in producing new knowledge. The importance of turning to peoples' lived perspectives are often brought forward as crucial to understanding how inclusion and exclusion are played out in real life. The study aimed to introduce and discuss Universal Design (UD) of museum exhibitions, by engaging visitors and staff in bringing forward content for joint discussions. As there is an ongoing shift from traditional work on accessibility towards UD taking place in Sweden right now, the study was also part of raising the awareness of UD within the disability movement and at the museums. Museum visitors representing different disability organizations worked together with museum staff in photo exercises, supervised by two researchers. In total, 31 participants took part in six three-hour workshops. The workshop format encompassed three steps. First, one of the researchers introduced UD, after which the participants were divided into mixed groups with both visitors and staff. Their task was to take photos of museum features that were in line with, or in conflict with, UD. At the end of the workshop, all groups gathered to discuss what they had found. In this paper, we tell about the examples the participants brought forward and the ensuing joint discussions, and discuss the further implications for UD.
50.	Hedvall, Per-Olof, et al. (author) Towards 3rd Generation Universal Design: Exploring Nonclusive Design 2022 In: Transforming our World through Universal Design for Human Development, Proceedings of the Sixth International Conference on Universal Design, 7-9 September 2022, Brescia, Italy / Ilaria Garofolo, Giulia Bencini, Alberto Arenghi (eds.). - Amsterdam : IOS Press. - 0926-9630 .- 1879-8365. - 9781643683041 Conference paper (peer-reviewed)abstract In this paper, we identify and describe early signs of a shift towards 3rd generation UD, of which “nonclusive design” is an essential part. The paper explores the significance of such a shift using examples of the built and designed environment and of signage. Nonclusive design means design that resists categorisations of bodies/roles and that does not come with predefined or presupposed limits in terms of who it is meant for. We outline seven themes characterising the shift towards nonclusive design: 1) from included to undefined users, 2) from person to function, 3) from adaptism to variation, 4) from separation to convergence, 5) from reactive to proactive, 6) from unaware to aware, and 7) from explicit to tacit. Nonclusive design directs attention to context instead of the individual, focusing on possibilities, functions and facilities. It has a convergent character, highlighting variation and unity rather than separation. Nonclusive design presupposes awareness, knowledge and proactive development void of adaptism. It incorporates human variation without reiterating patterns of norm-deviation. We argue that the continued growth of UD demands, is part of, and contributes to a shift in culture, with nonclusive, intersectional thinking as a key future driver. In such a culture, 3rd generation UD can contribute as a common guiding mindset, as a source for innovation, as a way to listen for diversity in all its forms, and as a way to lead towards a sustainable society.

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