Research Topics
Species | S QuagliniSummaryAffiliation: University of Pavia Country: Italy Publications
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Detail Information
Publications
Guideline compliance improves stroke outcome: a preliminary study in 4 districts in the Italian region of LombardiaGiuseppe Micieli
Cerebrovascular Unit, C Mondino Foundation, IRCCS C Mondino, Pavia, Italy
Stroke 33:1341-7. 2002..The aim of this study was to evaluate the impact of the American Heart Association guidelines for acute stroke and for transient ischemic attack on first-ever stroke patients...
Information models for data sharingS Quaglini
Dipartimento di Informatica e Sistemistica, University of Pavia, Italy
Neurol Sci 27:S281-3. 2006..In this paper two of them, which have already provided, or are close to providing, practical implementations will be described...
Compliance with clinical practice guidelinesSilvana Quaglini
Department of Computer and System Science, University of Pavia, Italy
Stud Health Technol Inform 139:160-79. 2008..Moreover, it gives examples of non-compliance detection and analysis in a specific real-world computerised guideline implementation, facing both methodological and practical issues...
Flexible guideline-based patient careflow systemsS Quaglini
Dipartimento di Informatica e Sistemistica, Universita di Pavia, Via Ferrata 1, I 27100, Pavia, Italy
Artif Intell Med 22:65-80. 2001..A terminology server is also exploited towards this end. This work illustrates a prototype of a Careflow Management System based on an international guideline for ischemic stroke treatment, developed by the American Heart Association...
An automated voice response system for anticoagulant therapy managementSilvana Quaglini
Department of Computer Engineering and Systems Science, University of Pavia, 27100 Pavia, Italy
Stud Health Technol Inform 150:453-7. 2009....
Simulation of a stroke unit careflowS Quaglini
Dipartimento di Informatica e Sistemistica, Universita di Pavia, 27100 Pavia, Italy
Stud Health Technol Inform 84:1190-1. 2001..For example, we show that simulation has been able to find some of the causes of the delay in the patients treatment, and accordingly, to suggest changes in the organisation...
Economic benefit from clinical practice guideline compliance in stroke patient managementSilvana Quaglini
Department of Computer Science and Systems, University of Pavia, Via Ferrata No 1, 27100 Pavia, Italy
Health Policy 69:305-15. 2004..In this analysis, we shall investigate the impact of such guidelines on healthcare costs during the acute/sub-acute hospitalisation phase...
Guideline-based careflow systemsS Quaglini
Dipartimento di Informatica e Sistemistica, Universita di Pavia, Italy
Artif Intell Med 20:5-22. 2000..For illustrating the proposed methodology, we consider a guideline for the management of patients with acute ischemic stroke...
Models for guideline representationS Quaglini
Department of Computer Science and Systems, University of Pavia, Italy
Neurol Sci 27:S240-4. 2006..This paper focuses on the issues that must be taken into account when modelling guidelines to ensure their effective implementation in real-world computerised environments...
Non-compliance with guidelines: motivations and consequences in a case studySilvana Quaglini
Dipartimento di Informatica e Sistemistica, Universita di Pavia, Italy
Stud Health Technol Inform 101:75-87. 2004..Patients treated according to guidelines showed a 13% increase in treatment effectiveness at discharge, and an average cost of 2929 Euros vs 3694 Euros for the others...
Supporting tools for guideline development and disseminationS Quaglini
Dipartimento di Informatica e Sistemistica, Universita di Pavia, Italy
Artif Intell Med 14:119-37. 1998..The designed framework allows guideline development, tailoring and implementation, real-time access to the guideline prescriptions and guideline validation...
Evidence-based careflow management systems: the case of post-stroke rehabilitationS Panzarasa
Laboratoria di Informatica Medica, Dipartimento di Informatica e Sistemistica, , Via Ferrata 1, 27100 Pavia, Italy
J Biomed Inform 35:123-39. 2002..After an intensive testing in a research laboratory, the system is now in the process of being transferred in a real working setting with the full support of its future users...
Towards cooperative patient management through organizational and medical ontologiesS Falasconi
Dept of Informatics and Systems Science, University of Pavia, Italy
Methods Inf Med 37:564-75. 1998..An ongoing application of the methodology to the main problem of Clinical Practice Guidelines (GLs) computer-based dissemination and enforcement is described...
Cost-effectiveness of interferon alfa in chronic myelogenous leukemiaN L Liberato
Laboratory of Medical Informatics, Istituto di Ricovero e Cura a Carattere Scientifico Policlinico S Matteo, Pavia, Italy
J Clin Oncol 15:2673-82. 1997..To evaluate the cost-effectiveness of interferon alfa (IFN alpha) treatment of patients with chronic myelogenous leukemia relative to conventional chemotherapy...
A computerized guideline for pressure ulcer preventionS Quaglini
Dipartimento di Informatica e Sistemistica, Universita di Pavia, Via Ferrata 1, I 27100 Pavia, Italy
Int J Med Inform 58:207-17. 2000..A preliminary evaluation of the system has been performed and the results are presented on the management of about 40 patients...
Cardiovascular risk calculators: understanding differences and realising economic implicationsSilvana Quaglini
Department of Computer Science and Systems, University of Pavia, Italy
Stud Health Technol Inform 95:617-22. 2003..By means of a simulation study, we showed that these tools, when applied to the same person, may lead to very different results. We estimated the economic impact of using one or another calculator...
Deciding when to intervene: a Markov decision process approachP Magni
Dipartimento di Informatica e Sistemistica, Universita degli Studi di Pavia, Via Ferrata 1, I 27100, Pavia, Italy
Int J Med Inform 60:237-53. 2000..The calculations are carried out with DT-Planner, a graphical decision aid specifically built for dealing with dynamic decision processes...
Architectures and tools for innovative Health Information Systems: the Guide ProjectPaolo Ciccarese
Laboratory for Medical Informatics, Dipartimento di Informatica e Sistemistica University of Pavia, Via Ferrata, 127100 Pavia, Italy
Int J Med Inform 74:553-62. 2005..Different organizations can get Clinical Practice Guidelines from the repository, adapt and introduce them in clinical practice...
Data mining techniques for analyzing stroke care processesSilvia Panzarasa
CBIM, Pavia, Italy
Stud Health Technol Inform 160:939-43. 2010..From our analyses both expected and unexpected results have been found: not always compliance to recommendations is related to a good patients' outcome...
Sensor evaluation for wearable strain gauges in neurological rehabilitationToni Giorgino
Laboratory for Biomedical Informatics, Dipartimento di Informatica e Sistemistica, University of Pavia, Pavia, Italy
IEEE Trans Neural Syst Rehabil Eng 17:409-15. 2009..Real-time feedback on exercise progress can also be provided by reconstructing the sequence of consecutive positions assumed by the limb...
Interacting agents through a web-based health serviceflow management systemGiorgio Leonardi
Dipartimento di Informatica e Sistemistica, Universita di Pavia, Italy
J Biomed Inform 40:486-99. 2007..On the basis of a general architecture we present an implementation in the area of Diabetes management...
Remote support for stroke rehabilitation: MyHeart's "neurological rehabilitation" conceptToni Giorgino
Laboratory for Biomedical Informatics, Dipartimento di Informatica e Sistemistica, Universita di Pavia, Italy
Stud Health Technol Inform 129:92-6. 2007..Information technology and garment-embedded sensors, combined, permit assisted training both at the clinic and at home, after discharge from the intensive care unit...
Posture classification via wearable strain sensors for neurological rehabilitationToni Giorgino
Consorzio di Bioingegneria e Informatica Medica, Italy
Conf Proc IEEE Eng Med Biol Soc 1:6273-6. 2006..Supervised learning techniques were employed to analyse the strain measures in order to reconstruct upper-limb posture and provide real-time feedback on exercise progress...
A multivariate time-warping based classifier for gesture recognition with wearable strain sensorsToni Giorgino
Laboratory for Biomedical Informatics, Dipartimento di Informatica e Sistemistica, Universita di Pavia, Italy
Conf Proc IEEE Eng Med Biol Soc 2007:4903-6. 2007..The algorithm's construction is explained, and its performances are evaluated in the context of motor rehabilitation exercises for both two-class and multi-class tasks...
Cardiovascular risk calculators: understanding differences and realising economic implicationsSilvana Quaglini
Department of Computer Science and Systems, University of Pavia, Via Ferrata 1, 27100 Pavia, Italy
Int J Med Inform 74:191-9. 2005..By means of a simulation study, we showed that these tools, when used for the same person, may lead to very different results. We estimated the economic impact of using one or another calculator...
Automated spoken dialogue system for hypertensive patient home managementToni Giorgino
Laboratory for Medical Informatics, Dipartimento di Informatica e Sistemistica, Universita di Pavia, Via Ferrata 1, I 27100 Pavia, Italy
Int J Med Inform 74:159-67. 2005..Controlled trials to assess the clinical efficacy are under way...
Automated spoken dialog system for home care and data acquisition from chronic patientsIvano Azzini
Laboratory of Medical Informatics, Dipartimento di Informatica e Sistemistica, , Italy
Stud Health Technol Inform 95:146-51. 2003..The system described here is a prototype of future configurable and component-based dialog systems, which may allow a new modality for users and physicians to access electronic health records...
Relating UMLS semantic types and task-based ontology to computer-interpretable clinical practice guidelinesAnand Kumar
Laboratory of Medical Informatics, Department of Computer Science, University of Pavia, Pavia, Italy
Stud Health Technol Inform 95:469-74. 2003..To conclude, we understood that the three STs could be used to represent the semantic network of the task-bases CIGMs. We identified some mapping operators which could be used for the mapping of other STs into these...
Modular representation of the guideline text: an approach for maintaining and updating the content of medical educationAnand Kumar
Laboratory of Medical Informatics, Department of Computer Science, University of Pavia, Pavia, PV2 7100, Italy
Med Inform Internet Med 28:99-115. 2003..Thus, after marking up using our system, the text components can be exchanged, modified or reconstructed, which, in turn, would help to maintain the updates in medical knowledge...
A guideline management systemPaolo Ciccarese
Dipartimento di Informatica e Sistemistica, Universita di Pavia, Via Ferrata 1, 27100 Pavia, Italy
Stud Health Technol Inform 107:28-32. 2004..The system functionality will be illustrated in three different contexts: homecare-based pressure ulcer prevention, acute ischemic stroke treatment and heart failure management by general practitioners...
Assessment of sensorized garments as a flexible support to self-administered post-stroke physical rehabilitationT Giorgino
Laboratory for Biomedical Informatics, Department of Computer Engineering and Systems Science University of Pavia, Pavia, Italy
Eur J Phys Rehabil Med 45:75-84. 2009..Wearable sensors are promising candidates to realize unobtrusive devices to support the rehabilitation process and its continuity after discharge from the Rehabilitation Unit...
Circulating interleukin-6 as a tumor marker for hepatocellular carcinomaC Porta
Internal Medicine and Medical Oncology, Istituto di Ricovero e Cura a Carattere Scientifico San Matteo University Hospital Foundation, Pavia, Italy
Ann Oncol 19:353-8. 2008..A large amount of evidence suggests a possible role of interleukin-6 (IL-6) in the pathogenesis of hepatocellular carcinoma (HCC)...
Improving compliance to guidelines through workflow technology: implementation and results in a stroke unitSilvia Panzarasa
Consorzio di Bioingegneria e Informatica Medica, Pavia, Italy
Stud Health Technol Inform 129:834-9. 2007..Results show that the system enhances the clinical practice without boring users. Moreover, non-compliance analysis gives rise to ideas for further improvement...
Wireless support to poststroke rehabilitation: MyHeart's neurological rehabilitation conceptToni Giorgino
Laboratory for Biomedical Informatics, Department of Computers and Systems Science, University of Pavia, 27100 Pavia, Italy
IEEE Trans Inf Technol Biomed 13:1012-8. 2009..Finally, we present the preliminary results of a pilot clinical study to test the system's acceptability and usability by post-stroke patients, and physicians in a clinical setting...
Reducing dropouts in outpatient care through an SMS-based systemAndrea Battistotti
Azienda Ospedaliera Pavia - Sistema Informatico Aziendale, Pavia, Italy
Stud Health Technol Inform 124:935-40. 2006..Our conclusion is that the cost of the system will be amortised in a very short time, leading to a significant cost saving and, hopefully, to shorter waiting lists...
Role of monitoring in management of acute ischemic stroke patientsAnna Cavallini
Cerebrovascular Department Stroke Unit, Mondino Foundation, Pavia, Italy
Stroke 34:2599-603. 2003..We sought to clarify the role of continuous monitoring of physiological parameters in acute ischemic stroke...
Summary of Product Characteristics content extraction for a safe drugs usageS Rubrichi
Laboratory for Biomedical Informatics, Mario Stefanelli, Department of Computers and Systems Science, University of Pavia, Pavia, Italy
J Biomed Inform 45:231-9. 2012..The results of our empirical analysis demonstrate that the two models perform well. They exhibit similar overall performance, with an overall accuracy of about 91%...
Meta-analysis of the effect of the use of computer-based systems on the metabolic control of patients with diabetes mellitusS Montani
Dipartimento di Informatica e Sistemistica, Universita di Pavia, Italy
Diabetes Technol Ther 3:347-56. 2001....
Cost-effectiveness of screening and extended anticoagulation for carriers of both factor V Leiden and prothrombin G20210AM Marchetti
Laboratory of Medical Informatics, IRCCS Policlinico S Matteo, and Department of Computer Science and Systems, University of Pavia, Pavia, Italy
QJM 94:365-72. 2001..Screening for factor V Leiden and prothrombin G20210A, with prolonged prophylaxis of double carriers, is cost-effective in most patients with VTE...
Matching incomplete time series with dynamic time warping: an algorithm and an application to post-stroke rehabilitationPaolo Tormene
Laboratory for Biomedical Informatics, Computer Engineering and Systems Science, Universita di Pavia, Via Ferrata 1, Pavia, Italy
Artif Intell Med 45:11-34. 2009..The algorithm was used to provide real-time feedback to neurological patients undergoing motor rehabilitation...
Using ICNP for nurse electronic charts and protocols in rehabilitation divisionsCarla Rognoni
University of Pavia, Dept. of Computer Science and Systems, Fondazione S. Maugeri IRCCS, Pavia, Italy
Stud Health Technol Inform 90:798-803. 2002..Finally, by testing the prototype using real-world documents (clinical charts and protocols), we carried out an evaluation of the terminology itself, about its completeness and usability...
Cost-effectiveness of neonatal ECG screening for the long QT syndromeSilvana Quaglini
Department of Computer Science and Systems, University of Pavia, Italy
Eur Heart J 27:1824-32. 2006..Appropriate therapy will prevent unnecessary deaths in infants, children, and young adults...
Process mining techniques: an application to stroke careRonny Mans
Eindhoven University of Technology, The Netherlands
Stud Health Technol Inform 136:573-8. 2008..In this paper, we apply process mining on two datasets for stroke patients and present the most interesting results. Above all, the paper demonstrates the applicability of process mining in the health-care domain...
Comparing computer-interpretable guideline models: a case-study approachMor Peleg
Stanford Medical Informatics, Stanford University School of Medicine, Stanford, California 94305 5479, USA
J Am Med Inform Assoc 10:52-68. 2003..We have studied similarities and differences between CIGs in order to identify issues that must be resolved before a consensus on a set of common components can be developed...
The long-term prognosis of renal transplantation in patients with lupus nephritisGabriella Moroni
Divisione di Nefrologia e Dialisi, Centro Trasfusionale e di Immunologia dei Trapianti IRCCS, Ospedale Maggiore Milano, Italy
Am J Kidney Dis 45:903-11. 2005..Few data are available about the long-term outcome of renal transplantation in patients with systemic lupus erythematosus (SLE)...
Pregnancy in lupus nephritisGabriella Moroni
Divisione di Nefrologia e Dialisi, IRCCS Ospedale Maggiore Policlinico, Milano; and the Dipartimento di Informatica e Sistemistica, , Italy
Am J Kidney Dis 40:713-20. 2002..CONCLUSION: Proteinuria, hypertension, and positivity of antiphospholipid antibodies are independent predictors of adverse fetal outcome. Quiescence of renal disease is the only predictor of favorable maternal outcome...
The long-term outcome of 93 patients with proliferative lupus nephritisGabriella Moroni
Unita Operativa di Nefrologia e Dialisi, Fondazione Ospedale Maggiore Policlinco, Mangiagalli, Regina Elena IRCCS, Via F Sforza, Milano, and Dipartimento di Informatica e Sistemistica, Universita degli Studi di Pavia, Italy
Nephrol Dial Transplant 22:2531-9. 2007..Few data are available about the very long-term outcome of patients with proliferative lupus nephritis...
Impaired blood pressure increase in acute cardioembolic strokeSimona Marcheselli
Cerebrovascular Unit, C. Mondino Foundation, IRCCS C. Mondino, Italy
J Hypertens 24:1849-56. 2006..CONCLUSION: CE stroke shows a lack of BP response during the acute phase of ischemic stroke. This phenomenon is associated with a poor long-term outcome and seems not be related with cardiac co-morbidity...
Antiphospholipid antibodies are associated with an increased risk for chronic renal insufficiency in patients with lupus nephritisGabriella Moroni
Division of Nephrology and Dialysis, IRCCS Ospedale Maggiore, Milan, Italy
Am J Kidney Dis 43:28-36. 2004..The aims of this study are to evaluate the prevalence of aPL antibodies in patients with lupus nephritis and assess their prognostic value for thrombosis and pregnancy morbidity and impact on long-term renal outcome...
