Electronic Medical Records (EMRs) are a tool that could potentially improve the outcomes of patient care by providing physicians with access to up-to-date and accurate vital patient information. Despite this potential, EMR adoption in developing economies has been dilatory. This systematic review aims to synthesize the related literature on the adoption of EMRs in developing economies, with a focus on the perspective of physicians. With the aim to discern the key factors that impact EMR adoption as perceived by physicians and to offer guidance for future research on filling any gaps identified in the existing literature, this study utilized a systematic literature review by following the PRISMA guidelines. Out of 1160 initial articles, 21 were selected for analysis after eliminating duplicates and non-qualifying articles. Results show that common enablers of EMR adoption from physicians’ perspective were identified to be computer literacy, education, voluntariness, and the system functionality including its features and user interface, implying that the provision of proper interventions focusing on the aspects of the health information system has an impact in maximizing the utilization and capabilities of EMRs among healthcare providers. The most prevalent barriers include the lack of training and IT usage experience along with resistance to changes associated with respondents’ age and gender, the lack of time for learning complex EMR systems, and costs of the new technology. This indicates that a thorough planning and proper budget allocation is necessary prior to implementing and integrating EMR systems in healthcare institutions. From this synthesis of the common research conclusions, limitations, and recommendations from physicians’ perspective, the result of this systematic review is expected to shed light on the optimal technology adoption of EMRs and its contribution to the health care systems of developing economies.
Craniomaxillofacial (CMF) surgery is a challenging and very demanding field that involves the treatment of congenital and acquired conditions of the face and head. Due to the complexity of the head and facial region, various tools and techniques were developed and utilized to aid surgical procedures and optimize results. Virtual Surgical Planning (VSP) has revolutionized the way craniomaxillofacial surgeries are planned and executed. It uses 3D imaging computer software to visualize and simulate a surgical procedure. Numerous studies were published on the usage of VSP in craniomaxillofacial surgery. However, the researchers found inconsistency in the previous literature which prompted the development of this review. This paper aims to provide a comprehensive review of the findings of the studies by conducting an integrated approach to synthesize the literature related to the use of VSP in craniomaxillofacial surgery. Twenty-nine related articles were selected as a sample and synthesized thoroughly. These papers were grouped assigning to the four subdisciplines of craniomaxillofacial surgery: orthognathic surgery, reconstructive surgery, trauma surgery and implant surgery. The following variables - treatment time, the accuracy of VSP, clinical outcome, cost, and cost-effectiveness - were also examined. Results revealed that VSP offers advantages in craniomaxillofacial surgery over the traditional method in terms of duration, predictability and clinical outcomes. However, the cost aspect was not discussed in most papers. This structured literature review will thus provide current findings and trends and recommendations for future research on the usage of VSP in craniomaxillofacial surgery.
As companies increasingly undergo digital transformation, the value of their data assets also rises, making them even more attractive targets for hackers. The large volume of weblogs warrants the use of advanced classification methodologies in order for cybersecurity specialists to identify web traffic anomalies. This study aims to implement Isolation Forest, an unsupervised machine learning methodology in the identification of anomalous and non-anomalous web traffic. The publicly available weblogs dataset from an e-commerce website underwent data preparation through a systematic pipeline of processes involving data ingestion, data type conversion, data cleaning, and normalization. This led to the addition of derived columns in the training set and manually labeled testing set that was then used to compare the anomaly detection performance of the Isolation Forest model with that of cybersecurity experts. The developed Isolation Forest model was implemented using the Python Scikit-learn library, and exhibited a superior Accuracy of 93%, Precision of 95%, Recall of 90% and F1-Score of 92%. By appropriate data preparation, model development, model implementation, and model evaluation, this study shows that Isolation Forest can be a viable solution for close to accurate web traffic anomaly detection.
There are limited research articles that focus on smart city assessment (SCA) applications as it is a relatively new field of research and practice. However, numerous studies have been conducted and published to date, particularly in developing countries, with the broad objective of building theoretical frameworks that are centered on smart city assessments. This study aimed to systematically examine the available literature on SCA, particularly in the context of developing economies, and provide valuable insights for the various stakeholders involved in smart city projects. The specific objectives of the study were to synthesize the existing literature on smart city assessment in developing economies, analyze the frameworks employed for smart city assessment, and identify critical gaps in these frameworks while providing recommendations for future research. The methodology employed involved a scoping review procedure, and the data that were collected and analyzed were specific to developing economies. The findings revealed that SCA often incorporates other research methods, such as mixed and quantitative analyses, and embraces a multidisciplinary approach that encompasses various subject areas. While social science emerged as a prominent subject area, sustainability, renewable energy, and industrial development also play crucial roles in smart city assessments. This study highlighted that ISO 37122:2019 is the most widely adopted framework due to its structured methodology, ability to measure progress over time, and potential for benchmarking against other cities. However, it is important to consider that each framework has its own strengths and weaknesses, and cities may opt to utilize multiple frameworks or tailor them to their specific needs. Our paper concludes by emphasizing the significance of this research in providing comprehensive insights into smart city assessment in developing economies and the need for further studies to address the identified gaps and enhance future assessments.
Among types of 3D printing, fused deposition modeling (FDM) and digital light processing (DLP) are the most accessible, making them attractive, low-cost options for simulating surgical procedures. This study characterized and compared inexpensive, synthetic temporal bone models printed using Resin, PETG, and Simubone™. This study compared models made of polyethylene terephthalate glycol (PETG), Simubone™ produced from a FDM printer, and photopolymer resin from a DLP printer. These temporal bone models were processed by: (1) DICOM files from a patient's CT scan were segmented to define critical parts expected in a temporal bone surgery. (2) The model was appended with a base that articulates with a 3D-printed temporal bone holder. (3) The refined, patient-specific model was manufactured using FDM and DLP printing technologies. (4) The models were sent to evaluators, who assessed the models based on anatomic accuracy, dissection experience, and its applicability as a surgical simulation tool for temporal bone dissection. The photopolymer resin outperformed PETG and Simubone™ in terms of anatomical accuracy and dissection experience. Additionally, resin and PETG were evaluated to be appropriate for simple mastoidectomy and canal wall down mastoidectomy while Simubone™ was only suitable for simple mastoidectomy. All models were unsuitable for posterior tympanotomy and labyrinthectomy. Photopolymer resin and PETG have shown to be suitable materials for dissection models with 3D-printed resin models showing more accuracy in replicating anatomical structures and dissection experience. Hence, the use of 3D-printed temporal bones may be a suitable low-cost alternative to cadaveric dissection.
15 August 2023 in International Journal of Emerging Technologies in Learning (iJET)
Higher education institutions (HEIs) are increasingly relying on digital technologies for classroom and organizational management, but this puts them at higher risk for information and communication (ICT security attacks. Recent studies show that HEIs have experienced more security breaches in ICT security composed of both cybersecurity an information security. A literature review was conducted to identify common ICT security practices in HEIs over the last decade. 11 journal articles were profiled and analyzed, revealing threats to HEIs’ security and protective measures in terms of organizational security, technological security, physical security, and standards and frameworks. Security tools and techniques were grouped into categories with specific ways to protect ICT security. HEIs also implement general security standards and guidelines, such as the ISO 27000-series and Center for Internet Security (CIS) controls, in their framework. Through synthesis and analysis of ICT security tools and techniques among HEIs, this critical review hopes to provide research directions on IT governance that academic and technical administrators can further explore to secure their information resources.