AMIA is pleased to announce that the sixth annual Joint Summits on Translational Science will be held at the Parc 55 Hotel in San Francisco, with the Summit on Translational Bioinformatics (TBI) on March 23-25 followed by the Summit on Clinical Research Informatics (CRI) on March 25-27. See http://www.amia.org/jointsummits2015 for full information.
Submission Deadline: September 25, 2014, 11:59 p.m. EDT
The Joint Summits serve as the primary forum to connect with leaders in the field of informatics who are advancing translational science at the nexus of bioinformatics and clinical research. The theme of the 2015 Joint Summits is accelerating precision medicine and patient-centered outcomes research through discovery, development and delivery. This meeting will bring together translational scientists and informatics researchers and practitioners from academia, industry, government and non-profit sectors to share knowledge and best practices, and to forge collaborations across boundaries. Lewis J. Frey, PhD is Chair of the 2015 TBI Scientific Program Committee and Chunhua Weng, PhD, MS is Chair of the 2015 CRI Scientific Program Committee.
+++ ACI now has an IMPACT FACTOR of 0,386. Looking forward to your submissions! +++
The Table of Contents below is online at www.aci-journal.org.
Estimation of severe drug-drug interaction warnings by medical specialist groups for Austrian nationwide eMedication
Special Topic: eHealth2014
C. Rinner (1), S. K. Sauter (1), L. M. Neuhofer (1), D. Edlinger (1), W. Grossmann (2), M. Wolzt (3), G. Endel (4), W. Gall (1)
(1) Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna; (2) Research Group Scientific Computing, University of Vienna; (3) Department of Clinical Pharmacology, Medical University of Vienna; (4) Main Association of Austrian Social Security Organizations, Vienna, Austria
Appl Clin Inform 2014 5 3: 603-611 dx.doi.org/10.4338/ACI-2014-04-RA-0030
In advance of the implementation of a nationwide eMedication system in Australia, this study sought to estimate the number of severe drug-drug interactions by medical specialist groups. Their findings suggest that different medical specialist groups will require support that’s customized to their workflows and practice needs.
The impact of adherence on costs and effectiveness of telemedical patient management in heart failure – A systematic review
Special Topic: eHealth2014
A. S. Hameed (1, 2), S. Sauermann (3), G. Schreier (2)
(1) Faculty of Business and Economics, Mendel University, Brno, Czech Republic; (2) Assistive Healthcare Information Technology, AIT Austrian Institute of Technology GmbH, Graz, Austria; (3) Institute of Biomedical Engineering, University of Applied Sciences Technikum Vienna, Austria
Appl Clin Inform 2014 5 3: 612-620 dx.doi.org/10.4338/ACI-2014-04-RA-0037
The cost-saving promises of telehealth depend on the system working adequately at all levels, including among patients. In this systematic review, the authors attempted to understand the impacts of adherence to recommended treatment on the costs and effectiveness of telemedicine. However, their findings suggest that little research has been done in the area and more will be needed.
JADE: A tool for medical researchers to explore adverse drug events using health claims data
Special Topic: eHealth2014
D. Edlinger (1), S. K. Sauter (1), C. Rinner (1), L. M. Neuhofer (1), M. Wolzt (2), W. Grossmann (3), G. Endel (4), W. Gall (1)
(1) Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Austria; (2) Department of Clinical Pharmacology, Medical University of Vienna, Austria; (3) Research Group Scientific Computing, University of Vienna, Austria; (4) Main Association of Austrian Social Security Organizations, Vienna, Austria
Appl Clin Inform 2014 5 3: 621-629 dx.doi.org/10.4338/ACI-2014-04-RA-0036
Adverse drug events cause unnecessary harm to patients and costs to the medical system. In order to improve learning about adverse drug events, the authors designed a system to use medical claims data to identify and understand adverse drug events. They recommend their tool for researchers attempting to better capture adverse events.
Information needs for the OR and PACU electronic medical record
V. Herasevich (1, 2), M. A. Ellsworth (3), J. R. Hebl (1), M. J. Brown (1), B. W. Pickering (1, 2)
(1) Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN; (2) Multidisciplinary Epidemiology and Translation Research in Intensive Care (METRIC), Mayo Clinic College of Medicine, Rochester, MN; (3) Division of Neonatal Medicine, Mayo Clinic College of Medicine, Rochester, MN.
Appl Clin Inform 2014 5 3: 630-641 dx.doi.org/10.4338/ACI-2014-02-RA-0015
Information overload can be a substantial barrier to appropriate utilization of electronic health records. In this study, the authors sought to understand the needs anesthesia providers through surveys. Their findings suggest areas where anesthesia providers have varying requirements that will need to be met adequately by EHRs.
A Case Report in Health Information Exchange for Inter-organizational Patient Transfers
Online Supplementary Material
J. E. Richardson (1), S. Malhotra (2), R. Kaushal (1), with the HITEC Investigators
(1) Department of Healthcare Policy and Research, Centerfor Healthcare Informatics and Policy, Weill Cornell Medical College, New York, USA Health Information Technology Evaluation Collaborative (HITEC), New York, USA; (2) Weill Cornell Physicians Organization, New York, NY
Appl Clin Inform 2014 5 3: 642-650 dx.doi.org/10.4338/ACI-2014-02-CR-0016
In this paper, the authors describe barriers and promoters to implementation of a health information exchange. Using interviews with key informants and providers, the authors identified barriers and promoters related to organizational, technical, and user-oriented issues. Their findings are instructive for others considering a similar process.
Actionable Recommendations in the Bright Futures Child Health Supervision Guidelines
Online Supplementary Material
S. M. E. Finnell (1, 2), J. L. Stanton (1), S. M. Downs (1, 2)
(1) Children’s Health Services Research, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana; (2) Regenstrief Institute Inc., Indianapolis, Indiana
Appl Clin Inform 2014 5 3: 651-659 dx.doi.org/10.4338/ACI-2014-02-RA-0012
Recently, there has been a push to include the Bright Futures Child Health guidelines in electronic health records. However, computer implementation requires that guidelines be actionable. Therefore, in this study, the authors reviewed the Bright Futures guidelines to determine which, if any, are applicable.
Ontology Content Patterns as Bridge for the Semantic Representation of Clinical Information
Special Topic: eHealth2014
C. Martínez-Costa (1), S. Schulz (1, 2)
(1) Institute for Medical Informatics, Statistics and Documentation, Medical University of Graz, Austria; (2) Institute of Medical Biometry and Medical Informatics, Freiburg University Medical Center, Germany
Appl Clin Inform 2014 5 3: 660-669
Interoperability of electronic health records depends on common semantics based on rigorous and precise modelling of clinical information. In this study, the authors apply ontology content patterns to and example of tobacco use. They show how ontology content patterns can be helpful, and also where open questions still remain on improving system interoperability.
Comprehensive electronic medical record implementation levels not associated with 30-day all-cause readmissions within Medicare beneficiaries with heart failure.
M. E. Patterson (1), P. Marken (1), Y. Zhong (2), S. D. Simon (3), W. Ketcherside (4)
(1) Division of Pharmacy Practice and Administration, University of Missouri-Kansas City School of Pharmacy, Kansas City, Missouri; (2) Department of Biostatistics, University of Kansas Medical Center, Kansas City, Kansas; (3) Department of Informatics Medicine and Personalized Health, University of Missouri-Kansas City, Kansas City, Missouri; (4) Ketcherside Group, L.L.C., Kansas City, Missouri
Appl Clin Inform 2014 5 3: 670-684
In this study, the authors examined whether a comprehensive EHR helped reduce 30-day hospital readmission among heart failure patients. Though the aim of an EHR is to improve care and hopefully reduce re-admissions, the authors found that there was virtually no difference in re-admission rates between hospitals with and without comprehensive EHRs. Their findings demonstrate the need to devise mechanisms other than EHRs to reduce re-admission rates.
Computerized Provider Order Entry Reduces Length of Stay in a Community Hospital
R. Schreiber (1), K. Peters (1, 2), S. H. Shaha (3, 4)
(1) Holy Spirit Hospital, Camp Hill, PA; (2) Vibra Healthcare, Mechanicsburg, PA; (3) Center for Public Policy & Admin, Salt Lake City, UT; (4) Allscripts, Chicago, IL
Appl Clin Inform 2014 5 3: 685-698
Seeking to expand knowledge on how computerized provider order entry (CPOE) affects hospital length of stay and cost, literature for which has focused largely on university hospitals, these authors examined the effects of a CPOE system in a community hospital. Their findings suggest that a CPOE system can result in length of stay reductions and cost reductions for care.
For further information on this peer-reviewed eJournal, go to www.aci-journal.org.
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Our colleague Prof. Simon de Lusignan, Editor-in-Chief of the journal Informatics in Primary Care, is pleased to announce that the journal is now available fully free-text and open access (a print version will also be available). For further information, see http://hijournal.bcs.org/index.php/jhi/article/view/60/76 This move is being made possible through the BCS, The Chartered Institute for IT, in the UK.
As noted in the May 2014 IMIA monthly newsletter (http://eepurl.com/Sj141), Simon seeks papers from anyone interested in publishing in the journal. In addition to being a journal of the Health Informatics Specialist Group of BCS, The Chartered Institute for IT, in the UK, it has for many years been recognised as an official journal of the IMIA Primary Health Care Informatics Working Group (http://www.imia-medinfo.org/new2/node/149). It publishes high-quality research papers, literature reviews and letters from both researchers and practitioners in the fields of health and clinical informatics and its focus is on informatics research from the front lines of health care. However, contributions need not be limited to these areas if they would be of interest; interested authors should contact the editorial team.
Further information and links to articles are available at http://hijournal.bcs.org/index.php/jhi/index
Simon is also chair of the IMIA Primary Health Care Informatics Working Group (http://www.imia-medinfo.org/new2/node/149), and the Academic Representative to IMIA of the Department of Health Care Management and Policy, University of Surrey, UK (http://www.imia-medinfo.org/new2/node/327), an IMIA Academic Member.
On behalf of the IMIA Yearbook editorial team, we are pleased to announce that the first papers of the IMIA Yearbook of Medical Informatics 2014 are now available – see http://www.schattauer.de/en/magazine/subject-areas/journals-a-z/imia-yearbook/imia-yearbook-first.html
All papers will be online, free to anyone, and open access. This change in the model for the IMIA Yearbook was approved by the IMIA General Assembly in 2013, and is being funded fully by IMIA. The first set of papers includes the keynote delivered by Prof. Reinhold Haux at MedInfo2013, on the occasion of the receipt of the IMIA Award of Excellence as well as commentary on the keynote, two history of informatics articles and other contribution. Selected links are as follows – see http://www.schattauer.de/en/magazine/subject-areas/journals-a-z/imia-yearbook/imia-yearbook-first.html for full contents and links
On Determining Factors for Good Research in Biomedical and Health Informatics. Some Lessons Learned
R. Haux (1)
(1) Peter L. Reichertz Institute for Medical Informatics, University of Braunschweig – Institute of Technology and Hannover Medical School, Germany
Yearb Med Inform 2014 9: – http://dx.doi.org/10.15265/IY-2014-0025 [Free PDF]
Reinhold concludes that “Medical Informatics is an inter- and multidisciplinary discipline “avant la lettre”. Compared to monodisciplinary research, inter- and multidisciplinary research does not only provide significant opportunities for solving major problems in science and in society. It also faces considerable additional challenges for medical informatics as a scientific field. The determining factors, presented here, are in my opinion crucial for conducting successful research and for developing a research career. Since medical informatics as a field has today become an important driving force for research progress, especially in biomedicine and health care, but also in fields like computer science, it may be helpful to consider such factors in relation with research and education in our discipline.”
Commentaries on the IMIA Award of Excellence Lecture by Reinhold Haux
A. Hasman (1), W. Hersh (2), N. M. Lorenzi (3), E. H. Shortliffe (4), J. H. van Bemmel (5)
(1) Department of Medical Informatics, Academic Medical Center – University of Amsterdam, Amsterdam, The Netherlands; (2) Department of Medical Informatics & Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA; (3) Vanderbilt University, School of Medicine, Nashville, Tennessee USA; (4) College of Health Solutions, Arizona State University, Phoenix, AZ; Department of Biomedical Informatics, Columbia University, New York, NY; Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY; (5) Erasmus University and Erasmus Medical Center, Rotterdam, The Netherlands
Yearb Med Inform 2014 9: – http://dx.doi.org/10.15265/IY-2014-0026 [Free PDF]
Five internationally renowned biomedical informaticians were invited to respond to Prof. Haux’s editorial. This paper summarizes their thoughts and responses.
C. U. Lehmann (1), B. Séroussi (2, 3), M.-C. Jaulent (3)
(1) Departments of Pediatrics and Biomedical Informatics, Vanderbilt University, Nashville, TN, USA; (2) Sorbonne Universités, UPMC Université Paris 06, UMR_S 1142, LIMICS, Paris, France; AP-HP, Hôpital Tenon, DSP, Paris, France; (3) INSERM, UMR_S1142, LIMICS, Paris, France
Yearb Med Inform 2014 9: – http://dx.doi.org/10.15265/IY-2014-0030 [Free PDF]
The IMIA Yearbook editors provide a brief overview of the 2014 special topic, Big Data – Smart Health Strategies, and an outline of the novel publishing model is provided in conjunction with a call for proposals to celebrate the 25th anniversary of the Yearbook. ‘Big Data’ has become the latest buzzword in informatics and promises new approaches and interventions that can improve health, well-being, and quality of life. This edition of the Yearbook acknowledges the fact that we just started to explore the opportunities that ‘Big Data’ will bring. It was our goal to provide a comprehensive view at the state of ‘Big Data’ today, explore its strengths and weaknesses, as well as its risks, discuss emerging trends, tools, and applications, and stimulate the development of the field through the aggregation of excellent survey papers and working group contributions to the topic.
Big Data and Biomedical Informatics: A Challenging Opportunity
R. Bellazzi (1)
Department of Electrical, Computer and Biomedical Engineering, University of Pavia, Italy
Yearb Med Inform 2014 9: – http://dx.doi.org/10.15265/IY-2014-0024 [Free PDF]
We encourage IMIA members and colleagues from the wider community to download and read the papers – and provide their feedback, which can be sent to imia[at]imia-services.org IMIA is grateful to our publishers, Schattauer, for their co-operation and support in developing this new direction for the IMIA Yearbook.
IMIA believes that making the Yearbook available to everyone will increase readership and will increase interest of potential authors to participate in the Yearbook. “IMIA has fundamentally changed the way the IMIA Yearbook can be accessed – by eliminating the fee-for-access model, IMIA members in resource poor countries now have for the first time unfettered access to the high quality surveys and synopsis as well as the working group contributions” said VP for services Dr. Christoph U. Lehmann. Brigitte Seroussi, one of the editors of the Yearbook, stated “Making the Yearbook open-access will greatly improve the dissemination of its scientific content to worldwide researchers making them able to build on the findings, connect together and become the actors of innovation and scientific discoveries.” Marie-Christine Jaulent, also an editor of the IMIA yearbook, notes that “Bringing the IMIA yearbook content to a wide audience, permitting any user to access the full texts freely, immediately will increase the visibility of its contributors, the availability of its high value content as well as its impact”.
Our colleagues from the Medinfo2015 Local Organising Committee and the Brazilian Health Informatics Association (SBIS – Sociedade Brasileira de Informática em Saúde) are pleased to announce the launch of the Medinfo2015 website – www.medinfo2015.org
MEDINFO 2015: eHealth enabled Health – The 15th World Congress on Medical Informatics will be held in São Paulo city, Brazil, from 19th to 23th August, 2015. It will be the first time that Latin America will host a Medinfo conference.
Please note the event dates and venue, and the important 2014 dates relating to submissions for Medinfo2015. The website will be updated with further information in the coming weeks and months.
The SPC co-chairs Fernando Martin Sanchez (Australia) and Kaija Saranto (Finland) look forward to receiving your submissions in due course.
The latest issue of Acta Informatica Medica: journal of the Society for Medical Informatics of Bosnia and Herzegovina and Academy of Medical Sciences in Bosnia and Herzegovina is now available – 2014, Volume 22, Issue 1.
It is available directly at http://www.scopemed.org/journal.php?jid=6
Information on the journal is at http://www.amn.ba/2014/01/29/acta-informatica-medica/ The Editor-in-Chief is Prof. Izet Masic. An archive of Acta is also available on PubMed.
The latest issue has a Special Tribute on Morris F. Collen from Marion Ball, Donald Lindberg, Izet Masic, and a series of articles on the history of medical informatics in Europe.
The New Year sees the start of a new volume of the eJournal ACI – Applied Clinical Informatics – an official eJournal of IMIA and AMDIS – see www.aci-journal.org
Volume 5(1) has FIVE new articles. In addition, note that all papers from the first 13 issues of ACI (up to and including Vol 3, Issue 3, and so totaling almost 120 articles) are now free and openly available for download. They are available via the Journal Archive.
ACI makes active use of social media tools and can be found at: facebook.com/ACIJournal, twitter.com/ACI_Journal and facebook.com/Schattauer_Publisher_Scientific_Journals In addition, you can now export citations for ACI articles via the links at the end of each article.
Volume 5(1) – five new articles:
An Exploratory, Population-Based, Mixed-Methods Program Evaluation of User Satisfaction of Services Provided by a Regional Extension Center (REC)
Research Article – Supplementary Material
D. Tang (1), M. Rutala (2), C. Ihde (2), A. Bills (2), L. Mollon (1), T. Warholak (1) (1) The University of Arizona College of Pharmacy, Tucson, Arizona, United States; (2) Arizona Health-e Connection, Phoenix, Arizona, United States
Appl Clin Inform 2014 5 1: 1-24 dx.doi.org/10.4338/ACI-2013-06-RA-0037
Analysis Of Electronic Medication Orders With Large Overdoses
Opportunities For Mitigating Dosing Errors
E. S. Kirkendall (1, 2, 3, 4), M. Kouril (1), T. Minich (2, 5), S. A. Spooner (1, 2, 3)
(1) Division of Biomedical Informatics, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio; (2) Department of Information Services, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio; (3) Division of Hospital Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio; (4) James M. Anderson Center for Health Systems Excellence, Cincinnati Children’s Hospital MedicalCenter, Cincinnati, Ohio; (5) Division of Pharmacy, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio
Appl Clin Inform 2014 5 1: 25-45 dx.doi.org/10.4338/ACI-2013-08-RA-0057
Burden on university hospitals of handling Portable Data for Imaging (PDI) media
H. Hagiwara (1), A. Nemoto (2), T. Inoue (3)
(1) Department of Radiology, Yokohama City University Hospital, Yokohama, Japan; (2) Department of Medical Informatics, Yokohama City University Hospital, Yokohama, Japan; (3) Department of Radiology, Graduate School of Medicine, Yokohama City University, Yokohama, Japan
Appl Clin Inform 2014 5 1: 46-57 dx.doi.org/10.4338/ACI-2013-07-RA-0052
Towards Prevention of Acute Syndromes –
Electronic Identification of At-Risk Patients During Hospital Admission
A. Ahmed (1, 2, 3), C. Thongprayoon (1, 3), B. W. Pickering (1, 4), A. Akhoundi (1), G. Wilson (1, 4), D. Pieczkiewicz (2), V. Herasevich (1, 4)
(1) Multidisciplinary Epidemiology and Translational Research in Intensive Care (M.E.T.R.I.C.), Mayo Clinic, Rochester; (2) Institute for Health Informatics, University of Minnesota, Minneapolis; (3) Department of Medicine, Division of Critical Care Medicine, Mayo Clinic; (4) Department of Anesthesiology, Division of Critical Care Medicine, Mayo Clinic
Appl Clin Inform 2014 5 1: 58-72 dx.doi.org/10.4338/ACI-2013-07-RA-0045
Generating Sensor Data Summaries to Communicate Change in Elder’s Health Status
G. L. Alexander (1, 2), A. Wilbik (3, 4), J. M. Keller (1, 5), K. Musterman (1, 2)
(1) University of Missouri, USA; (2) Sinclair School of Nursing; (3) Systems Research Institute, Polish Academy of Sciences, Warsaw, Poland; (4) Eindhoven University of Technology, The Netherlands; (5) Electrical and Computer Engineering
Appl Clin Inform 2014 5 1: 73-84 dx.doi.org/10.4338/ACI-2013-07-RA-0050
For further information on this peer-reviewed eJournal, go to www.aci-journal.org
Further materials of interest from the same publishers are to be found in the journal Methods of Information on Medicine and in the IMIA Yearbook of Medical Informatics.
If you have any questions or feedback do not hesitate to contact Schattauer by sending an e-mail to claudia.boehm[at]schattauer.de
The submission deadline for the EFMI STC 2014 has been extended – the deadline for all submissions (full papers, posters and workshops) is now 06 January, 2014. See http://www.stc2014.org for information.
Information is continually being updated on the website as it becomes available, including details of the conference venue, accommodation, and other relevant dates in respect of the scientific submissions. The deadline for early bird registration will be 21 February.
The European Federation for Medical Informatics (EFMI) Special Topic Conference (STC) 2014 Conference has the subject: Cross-border challenges in informatics with a focus on disease surveillance and utilising big-data. The event will be held on 26-29 April, 2014 in Budapest, Hungary. See http://www.stc2014.org for more information as it becomes available. The IMIA Board and the EFMI Board and Council will both meet in Budapest in conjunction with the conference. We encourage all IMIA and EFMI colleagues to submit to and participate in this event.
For MIE2014, the deadline for submission of papers and posters is 31 January, 2014 – see http://www.mie2014.org/?page=Call_for_Submissions
MIE2014 – the 25th European Medical Informatics Conference – will be held on 31 August to 03 September, 2014 in Istanbul, Turkey – watch www.mie2014.org for more information as it becomes available . Also follow http://twitter.com/MIE2014 on Twitter (@MIE2014) and there is an MIE2014 group on LinkedIn (http://lnkd.in/EvxTt9) and a Facebook page (https://www.facebook.com/Mie2014).
The time of year has again come quickly round when the journal Methods of Information in Medicine invites applications from trainees who wish to be considered for the Student Editorial Board for the period 2014-15. The goal of the Student Editorial Board is to learn, understand, and participate in the peer review process of submitted manuscripts that are considered for publication. The Student Editorial Board will provide outstanding trainees with a mentored opportunity to learn and experience the various aspects of the peer review process. During the appointment period members of the Student Editorial Board will receive educational material, instruction, and feedback about peer review, and actively participate in the review of 3-5 manuscripts per year.
Applicants from all countries are eligible to apply if they are enrolled as a trainee in a graduate degree granting or post-doctoral training program. Full information is available in the PDF file available for download here (MIMSEB) or in a zip file via the Methods website >>> The closing date for applications is 18 December, 2013.
If you have any questions please direct them to Ms. Ina Hoffmann, email: ed[at]MethodsInfMed.org
Members of the Student Editorial Boards are expected to
- demonstrate critical thinking,
- have experience in a biomedical/health informatics-related field (in a broad sense),
- have experience in aspects of scientific writing and communication,
- understand research design and basic concepts of biostatistics, and
- have a good mastery of the written English language.
Current members of the Student Editorial Board are listed on the Methods website, and come from 10 countries in different parts of the world.
Methods of Information in Medicine is an official journal of IMIA.
Harvard School of Public Health offers Leadership Strategies for Information Technology in Health Care, a two week, executive education program designed to provide participants with the skills and strategies necessary to improve quality, safety, and efficiency through health IT. IMIA members or colleagues may be interested in this offering; please feel free to forward the information to others.
Leadership Strategies for Information Technology in Health Care
January 2-7,2014 and June 2-6, 2014 in Boston, MA, USA
Improve quality, safety, and efficiency through health information technology and gain the leadership skills you need to drive results. You will learn to design an effective health IT strategy and gain the tools to implement this strategy effectively. Topics explored during this program include IT strategy and governance, electronic health records, patient safety and quality of care, and clinical informatics. Leadership for Health IT is designed for mid- to senior-level health care leaders in clinical or administrative positions who have responsibilities for health information technology. Executives from EHR vendors, health plans, and consulting firms will also benefit.
All communications should be directed to the Harvard School of Public Health, not to IMIA – see https://ecpe.sph.harvard.edu/contact.cfm