Journal of the Thai Medical Informatics Association

Utilization of internet resources and standard textbooks in emergency medicine questions: A comparison study in correction among medical students

2023-05-19T15:50:27+07:00

Utilization of internet resources and standard textbooks in emergency medicine: A comparison study in correction among medical students
Introduction: The use of technology is increasing rapidly and growing technological influence can be seen in modern medicine. In emergencies, precise diagnosis and timing are keys to correct crises. The decision to make a quick and proper treatment based on the right information contributes to the effectiveness of the practice.
Objective: To compare the accuracy and the duration of the response to validated emergency medicine questions between the use of standard medical textbooks and the use of the Internet or medical applications among medical students.
Methods: A cross-over study was conducted in 40 volunteers. All emergency medicine questions were validated by the pilot study group and the difficulty index of 0.2 or less was accepted. The statistical relationship was tested by the Wilcoxon Signed Ranks Test with
the statistical significance at p value of 0.05 or less.
Results: The median of correct answers using standard medical textbooks and the internet resources was 4 equally (interquartile range 2.5-4.5 and 3.0-5.0, respectively) with p value of 0.116. The median of time spent answering the questions using standard medical
textbooks and the internet resources were 4.285 (interquartile range 3.0-6.0) and 3.333 minutes (interquartile range 3.0-4.017) respectively, with p value less than 0.001.
Conclusions: Utilization of internet and reliable medical applications in emergency medicine, which are up-to-date and referenced, is less time-consuming and able to provide correct answers equivalently to standard medical textbooks.

Development of web application for screening test notification in non-communicable disease compatible with JHCIS program

2023-05-21T13:58:55+07:00

Nowadays, the non-communicable disease is an important health problem. Healthcare workers have sacrificed more and more time and effort. So, we must adapt and adopt technology to aid health care system. The Strength of computer is reliability and accuracy by decreasing human error. Therefore, the developer reseachs a web application program to notify a primary care physician for screening test. One steps approach is using in this model to copy National Identification card (ID card) and paste in the web application program by a family physician. Thus, the doctor can check all the screening test that appropriate with a patient profile. The Result are satisfied by two family physicians in the Bangkung primary care unit. However, we need to improve the user interface in the future.

Result of benign prostatic hyperplasia treatment in rural hospital under Intra-provincial medicine fund with IT application based

2023-05-21T14:22:22+07:00

Source: Benign prostatic hyperplasia is one of the most common long-term, non-communicable diseases in the outpatient environment (BPH). A general practitioner, internist, or urologist can currently treat BPH. But nowadays mostly of BPH patients were referred to Urologist due to problem of drug management system. On the other hand, Urologists are only available in regional center hospitals. However, because there are numerous patients, the patients need to go to the provincial hospital with great distances and require a long waiting time. Consequently, a system of Intra-provincial medicine funds was established. We created an application to send patient data to the rural hospital for treatment by General practice, enabling patients to obtain standard care. Obtain complete patient data while lowering costs and travel time to the hospital. Result: There was no statistically significant difference (p-value < 0.05) in the quality of patient treatment using IPSS and treatment side effects. Nevertheless, the patients' cost and travel time to the rural hospital were significantly less than the Chiang Rai Prachanukroh hospital. In terms of program integrity, no lack of referral information incidence was reported. Furthermore, it can send complete disbursement information to withdraw from the government. Conclusion: The quality of treatment of patients with Benign prostatic hyperplasia treated with medication by a general practitioner at a rural hospital under the Intra-provincial medicine fund is similar to that of a urologist at Chiang Rai Prachanukroh hospital. Reduce costs and travel time for the provincial hospital and use an application to forward patient information for treatment and disbursement information. Able to forward complete information and no problem with disbursement.

Development of COVID-19 screening services in the factory with modeling and the development of a COVID screening program in the factory with an AppSheet program

2023-05-21T14:26:48+07:00

From the third and fourth waves of the COVID-19 epidemic in 2021, there were cumulative numbers of infected people in the Sung Noen District area. Nakhon Ratchasima Province, up to 9,401 cases, starting with the outbreak in the construction worker camp in the Sung Noen Special Industrial Zone. The author of the article was assigned to lead the team to manage the outbreak in construction camps using the Department of Disease Control's Bubble and Seal approach. Ministry of Public Health which has learned the lessons of epidemic control in construction worker camps. There were problems with collecting false data and delays in screening to separate infected people from workers. The author of the article therefore conducted a model analysis of the COVID-19 screening service in the factory, which was able to reduce the process and know the resources required. There is a COVID screening program in the factory as an important part that reduces the process and increases the accuracy of the data.

A prototype development of dementia screening on smart phone

2023-05-21T14:30:54+07:00

The proportion of the elderly population in Thailand is increasing rapidly, which is causing Thailand to step into an aging society. The most common condition in the elderly is dementia. The most common is the Alzheimer's disease, which is caused by the process of degeneration of the brain according to age. This disease is still incurable. But it can slow down the severity of the disease if detected in the early stages of the disease. This incident will affect the elderly themselves, their families, society, and their daily lives. From the problems mentioned above the researcher indicate the importance of caring for dementia patients. Therefore, there is an idea to develop a screening for dementia by allowing the elderly to test on their own. The objectives are to develop a screening for dementia in the elderly on smartphones and evaluate user satisfaction with the developed prototypes. The development system prototype using the Thai version of the Dementia Preliminary Test (MMSE-Thai 2002) is divided into 2 parts as follows: 1) Web application: users are divided into 2 parts, administrator and doctor. The administration can add a list of doctors and can edit the information on the questions in the test. The doctor will be able to view the history or details of the test takers 2) Mobile applica-tion by allowing the elderly to complete 11 tests after completing the test, the system will show the results of the test and the risk of dementia and can see a chart showing the scores that have been tested each time. This research uses several techniques to match the test, such as text-to-speech, speech-to-text, audio recording, and pattern lock view to a good extent. The developed system is just a prototype to prove technical concepts only. If it is applied to practice, clinical trials are required to measure sensitivity and specificity including the appropriate cut-off point.

Traceability assessment model for checking traceability requirement compliance of a medical device software development process with ISO/IEC 62304

2023-05-21T14:41:01+07:00

Medical device software must take the safety of the user into serious consideration since the failure of the medical device software can lead to hazardous situations in the user's life. The software development process could ensure the user’s safety by the software system problem resolution's traceability. The traceability should start from the beginning of the medical device software development process to the maintenance lifecycle. This demonstrates that the safe software has been built using a defined process. This document describes the ISO/IEC62304 Medical device software standard, software development lifecycle, and traceability in the process of solving problems. This approach has focused on small and medium organizations.

The implementation of telemedicine to reduce doctor visits in the social medicine clinic at Hatyai hospital

2023-05-21T14:49:34+07:00

Background: The COVID-19 pandemic has led to widespread adoption of telemedicine as a means of reducing the risk of transmission of the virus. This paper examines the implementation of telemedicine in the social medicine clinic at Hatyai Hospital, which provides care for approximately 3,000 patients with chronic illnesses. Objective: The objective of this study is to evaluate the effectiveness of telemedicine in reducing the number of doctor visits among patients. Method: Data on doctor visits before and after the implementation of telemedicine were analyzed using process mining techniques. Frequency, mean, and percentage were calculated to assess the impact of telemedicine on doctor visits. Result: The study found a 9.96% reduction in doctor visits compared to the period before the implementation of telemedicine. The duration of the visits was also reduced by 5 minutes per person, without a significant difference in clinical outcomes for patients with hypertension and diabetes. Conclusion: The implementation of telemedicine in the social medicine clinic at Hatyai Hospital successfully reduced the number of doctor visits and the duration of each visit. This technology has the potential to improve access to care and reduce healthcare costs, especially during times of public health emergencies like the COVID-19 pandemic.