Articles catalogue 2008

Summary

The article focuses on object oriented technologies and the usage of these technologies, how to create an information system (IS) for applications in medicine, specifically in ophthalmology. The rapid evolution of medical data standards, concepts and technologies has created a problem – how to develop a system that would be flexible enough to work with evolving data. After the analysis of object-oriented technologies: Java 2 Platform, Enterprise Edition (J2EE) and Microsoft .NET and open source object-oriented data base management systems (OODBMS) we have proposed and created a system based on .NET and OODBMS db4o. Results include the developed system with proposed architecture and used techniques, also the advantages of object-oriented data bases (OODB), the systems’ possible interoperability with the National Electronic Health Record system. Developed IS should help medical specialists to reach important information from any computer in any hospital.

Keywords: object-oriented technology, object-oriented data base, information system, data storing standards

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 Lithuanian

Summary

This paper deals with design of an automatic detector for classification of selected cardiac arrhythmias. The proposed algorithms employ the continuous wavelet transform (CWT) combined with an analysis of its contour envelopes. The CWT was used in a detector of R-waves, to distinguish between normal and abnormal beats, and for detection of atrial premature contractions (APCs) and premature ventricular contractions (PVCs). The algorithm was validated by extensive testing on the MIT/BIH database. Searching for a local maximum in wavelet contour envelopes efficiently detects R-peaks. The overall accuracy of its detection tested on 48 half-hour signals is 99.5%. Two types of classifications were tested: 1. classification based on the contour envelope and the detection of significant points with overall accuracy 94.6%, 96.1% for the sinus rhythm (SR), 30.4% APCs, 71.2% PVCs and 2. the localization of maximum of square modulus of CWT coefficients in the area of QRS complex for the determination of PVCs between SR, right bundle branch block (RBBB), APC and other narrow complex arrhythmias with the accuracy 96.8%.

Keywords: arrhythmias, ECG signal, wavelet transform, contours

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 Česky

Summary

Background: The Czech Republic belongs to countries with high coronary heart disease (CHD) mortality. The aim was to analyze age, period and cohort specific CHD mortality in men from the Czech Republic.

Design and Methods: National data on mortality of men (30-74 yrs.) in the Czech Republic in 1980-2004 were explored. The Poisson regression model was applied to evaluate age, period and cohort effects on mortality.

Results: An adequate fit of CHD men's mortality provided the age-period-cohort model (p=0.121). The ratio of mortality of the age group 45-49 to 40-44 was by 17 % lower than that of the age group 40-44 to 35-39. The ratio of the relative risk of period 1995-1999 to 1990-1994 was by 19 % lower than that of the period 1990-1994 to 1985-1989. The ratios of the relative risks between adjoining birth cohort-groups were close to 1.

Conclusions: The fatal CHD risk in Czech men was significantly depended on age (the risk increasing with age), calendar period (the risk reduced in the recent years), and birth cohort (the risk decreasing with birth cohort). The crucial positive change in the CHD mortality trend was observed after the collapse of communism in 1989, and in men past age 40 years.

Keywords: coronary heart disease, cardiovascular, mortality, risk function

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 Česky

Summary

The guideline knowledge representation system (GLIKREM) is based on a GLIF model which was published in a GLIF3.5 specification. GLIKREM contains some changes and extensions of the definition and implementation of the original GLIF model. The aim of this article is to give a description of GLIKREM, its construction, its implementation in XML, a realization of the data interface and use of the result model.

Keywords: knowledge representation, GLIF model, guidelines

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 Česky