This document describes a study that evaluated using digital videos on personal digital assistants (PDAs) to enhance patient education in clinical settings. 51 patients with HIV/AIDS watched a 17-minute video on a PDA about their disease and medication regimen. Participants showed statistically significant improvements in knowledge and adherence based on pre- and post-video surveys conducted on the PDA. At follow-up 4-6 weeks later, participants continued to report better adherence. The study demonstrated that PDAs can effectively deliver health information to patients.
Imran Sarwar Bajwa, [2010], "Virtual Telemedicine Using Natural Language Processing", International Journal of Information Technology and Web Engineering IJITWE 5(1):43-55, January 2010
This document summarizes a study on the impact of daily mobile tablet use for residents on an otolaryngology inpatient service. The study found that tablet use:
1) Reduced the amount of paper used for patient care by over 50% and could save over 15,000 sheets of paper per year.
2) Shortened the duration of pre-rounding and formal rounds, allowing more time with patients.
3) Allowed residents to document more detail, transfer information faster and more detailed during sign-outs.
4) Resulted in residents reporting being more efficient and productive in their clinical duties.
Technological innovations such as internet-based therapy, interactive cell phone programs, and computerized cognitive behavioral therapy are increasing access to behavioral health services. Research on these innovations shows some promise, such as computerized CBT programs being as effective as standard counseling for drug treatment. However, the evidence is still limited and mixed. While technology increases access, it lacks the personal connection of direct therapist contact. More research is still needed, especially among criminal justice populations, to fully understand the impacts and cost-effectiveness of these innovations.
An electronic early warning score system was proposed to address the shortcomings of a manual paper-based system. The electronic system would calculate scores based on recorded vital sign observations and trigger alerts and escalation pathways for deteriorating patients. The system could be deployed on mobile devices at bedsides or fixed iPads to facilitate real-time data entry and alerts. It leverages an existing electronic medical record platform already in use in New Zealand to provide an integrated, feasible solution.
The RSNA Image Share Network: Initial 12 Month Results from the UCSF Pilot SiteTrimed Media Group
This study evaluated the implementation and preliminary results of a pilot program testing the RSNA Image Share Network, a cloud-based personal health record allowing patients to access and share medical images. After modifying recruitment methods to enroll patients during their imaging appointments, enrollment increased significantly. Patient and physician surveys found high satisfaction rates and a belief in the benefits of electronic personal health records. However, some patients reported issues with the online access process. Continued evaluation is needed to assess impacts on healthcare costs and utilization.
The document discusses a pilot randomized clinical trial of an intervention called "Recovering Together" that aimed to improve long-term psychological outcomes for intensive care unit (ICU) patients and their caregivers. The intervention involved six sessions with a clinical psychologist for patients and their main caregivers after being discharged from the ICU. While results were mixed, patients who received the intervention had stable PTSD scores over time compared to increased scores for controls. The intervention shows promise but would need to be tested in larger, more diverse populations and settings to determine effectiveness for reducing post-intensive care syndrome.
This document summarizes the introduction and evaluation of a telemedicine system for plastic surgery referrals in the UK. [1] A store-and-forward telemedicine system was implemented to allow referring hospitals to send digital images of injuries along with referrals. [2] An evaluation of over 900 referrals found the system was used for 42% of cases and helped overcome initial resistance from clinicians. [3] A prospective study of nearly 1000 patients found telemedicine referrals were 10% more likely to be directly booked for day surgery and there was a decrease in patients that could not be accepted due to lack of capacity.
The document discusses a conference on the role of telehealth in managing rural neuroemergencies. It provides context on the healthcare environment including reforms, technology advances, and challenges in access to care. Telehealth and health information technology are presented as part of the solution to close gaps in rural healthcare access through clinical consultations, education, and health information exchange. Examples of telehealth applications described include telestroke assessments, maternal-fetal medicine, teleradiology, and remote patient monitoring.
Imran Sarwar Bajwa, [2010], "Virtual Telemedicine Using Natural Language Processing", International Journal of Information Technology and Web Engineering IJITWE 5(1):43-55, January 2010
This document summarizes a study on the impact of daily mobile tablet use for residents on an otolaryngology inpatient service. The study found that tablet use:
1) Reduced the amount of paper used for patient care by over 50% and could save over 15,000 sheets of paper per year.
2) Shortened the duration of pre-rounding and formal rounds, allowing more time with patients.
3) Allowed residents to document more detail, transfer information faster and more detailed during sign-outs.
4) Resulted in residents reporting being more efficient and productive in their clinical duties.
Technological innovations such as internet-based therapy, interactive cell phone programs, and computerized cognitive behavioral therapy are increasing access to behavioral health services. Research on these innovations shows some promise, such as computerized CBT programs being as effective as standard counseling for drug treatment. However, the evidence is still limited and mixed. While technology increases access, it lacks the personal connection of direct therapist contact. More research is still needed, especially among criminal justice populations, to fully understand the impacts and cost-effectiveness of these innovations.
An electronic early warning score system was proposed to address the shortcomings of a manual paper-based system. The electronic system would calculate scores based on recorded vital sign observations and trigger alerts and escalation pathways for deteriorating patients. The system could be deployed on mobile devices at bedsides or fixed iPads to facilitate real-time data entry and alerts. It leverages an existing electronic medical record platform already in use in New Zealand to provide an integrated, feasible solution.
The RSNA Image Share Network: Initial 12 Month Results from the UCSF Pilot SiteTrimed Media Group
This study evaluated the implementation and preliminary results of a pilot program testing the RSNA Image Share Network, a cloud-based personal health record allowing patients to access and share medical images. After modifying recruitment methods to enroll patients during their imaging appointments, enrollment increased significantly. Patient and physician surveys found high satisfaction rates and a belief in the benefits of electronic personal health records. However, some patients reported issues with the online access process. Continued evaluation is needed to assess impacts on healthcare costs and utilization.
The document discusses a pilot randomized clinical trial of an intervention called "Recovering Together" that aimed to improve long-term psychological outcomes for intensive care unit (ICU) patients and their caregivers. The intervention involved six sessions with a clinical psychologist for patients and their main caregivers after being discharged from the ICU. While results were mixed, patients who received the intervention had stable PTSD scores over time compared to increased scores for controls. The intervention shows promise but would need to be tested in larger, more diverse populations and settings to determine effectiveness for reducing post-intensive care syndrome.
This document summarizes the introduction and evaluation of a telemedicine system for plastic surgery referrals in the UK. [1] A store-and-forward telemedicine system was implemented to allow referring hospitals to send digital images of injuries along with referrals. [2] An evaluation of over 900 referrals found the system was used for 42% of cases and helped overcome initial resistance from clinicians. [3] A prospective study of nearly 1000 patients found telemedicine referrals were 10% more likely to be directly booked for day surgery and there was a decrease in patients that could not be accepted due to lack of capacity.
The document discusses a conference on the role of telehealth in managing rural neuroemergencies. It provides context on the healthcare environment including reforms, technology advances, and challenges in access to care. Telehealth and health information technology are presented as part of the solution to close gaps in rural healthcare access through clinical consultations, education, and health information exchange. Examples of telehealth applications described include telestroke assessments, maternal-fetal medicine, teleradiology, and remote patient monitoring.
The Effect of Protocol of Nursing Intervention on Quality of Care in Minor In...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
Integrated diagnostics combines laboratory diagnostics, medical imaging, and IT solutions to provide physicians with interpreted and actionable diagnostic results throughout the patient care process. This approach promises earlier disease detection, more personalized treatment, and improved long-term patient outcomes. By integrating diagnostic data, healthcare providers can better manage disease prevention and screening, make more accurate initial diagnoses, tailor treatment plans to individual patients, and monitor ongoing care.
1) This randomized controlled trial compared care provided by nurse practitioners to care provided by general practitioners for 1,368 patients requesting same-day consultations across 10 general practices.
2) Results found that patients consulting with nurse practitioners reported higher satisfaction with their care, though for adults this difference was not observed in all practices. Consultations with nurse practitioners were also significantly longer.
3) In terms of clinical outcomes like resolution of symptoms, prescriptions issued, investigations ordered, and referrals, there was no significant difference between care provided by nurse practitioners versus general practitioners.
4) The study supports the role of nurse practitioners in providing care to patients requesting same-day consultations in primary care. Nurse
Telepsychiatry uses telecommunication technologies to provide psychiatric services remotely. It allows patients in underserved areas to access mental healthcare. A successful telepsychiatry program requires verifying patient identity and location, obtaining informed consent, ensuring private physical environments, coordinating with treatment teams, managing emergencies, using technical guidelines, and addressing challenges like remote locations and patient disabilities. Overall, telepsychiatry increases access to services for patients who otherwise may go without care.
Contemporary Memo, Merging technologies in the workforceWarren Sprecher
The document proposes using virtual reality technology for medical training at the University of Washington Medical School. It summarizes research showing virtual reality training results in faster procedures, fewer errors, and better outcomes for patients. The author urges adopting virtual reality to improve how students learn procedures and treat mental health conditions like PTSD. Virtual reality could help minimize the increase in patient deaths that occurs when new medical residents start each July. As virtual reality technology advances further, it will likely become an essential tool for medical education.
ICEGOV2009 - Tutorial 4 - E-Health Standards in Practice: Challenges and Oppo...ICEGOV
This document discusses challenges and opportunities related to e-health standards. It begins with an overview of why e-health is important and the complexity of healthcare. It then discusses the need for interoperable health information and progress that has been made, as well as challenges that remain. The document uses examples like the H1N1 outbreak and physician reimbursement to illustrate issues. It outlines major types of e-health standards and examples of standards in use. It concludes by discussing the ongoing challenge of implementing standards and the journey ahead to make e-health and standards easier to use.
This document summarizes results from two surveys regarding perspectives on electronic health information exchange (EHIE) among people affected by cancer and the general public. Key findings include:
- About half of respondents viewed EHIE as important for improving care coordination and health outcomes. Support was higher among cancer patients and survivors, ranging from 68-82%.
- Respondents expressed willingness to share anonymous health information for research purposes, with nearly a third strongly agreeing and over half of cancer patients/survivors agreeing.
- Cancer patients and survivors had strong preferences for electronic access to their own health information and EHIE between providers to improve care quality.
The document summarizes a student's summer research project studying patient perspectives on teamwork in the emergency department. The student administered exit surveys to emergency department patients to assess how perceptions of provider teamwork related to patient satisfaction, confidence in providers, and likelihood of following treatment recommendations. The student hypothesized that patients would be less likely to endorse clear team roles but more likely to perceive providers as enjoying their work and sharing treatment goals. The student also hypothesized that more positive perceptions of teamwork would correlate with higher patient ratings in the areas studied. Preliminary results did not support the first hypothesis but supported associations between teamwork perceptions and patient outcomes as outlined in the second hypothesis.
The document discusses a study that assessed anxiety levels in 18 healthy volunteers undergoing functional magnetic resonance imaging (fMRI). Volunteers completed the State-Trait Anxiety Inventory (STAI) before and after undergoing an fMRI examination involving six paradigms. A patient preparation phase including psychological support was provided prior to reduce anxiety. Results showed high trait and state anxiety levels pre-fMRI that significantly decreased post-fMRI. Correlations were found between pre-fMRI anxiety and brain activation in motor and language tasks. The results support incorporating patient preparation including psychological support to help reduce anxiety for fMRI examinations.
This document describes the development and validation of a questionnaire to assess the quality of end-of-life care in Ireland from the perspective of bereaved relatives. The questionnaire was developed in four phases, including expert review and cognitive testing. It was piloted with bereaved relatives recruited from hospitals and long-term care facilities. Results showed the questionnaire was feasible to complete and generated both qualitative and quantitative feedback. However, significant disagreement was found between staff and relative perspectives on quality of care. The questionnaire provides a validated tool for evaluating end-of-life care against national standards in Ireland.
1) The document discusses the Future Health department at KU Leuven which conducts research in health decision support for professionals, patients, and policymakers.
2) The department takes an interdisciplinary approach and focuses on using data mining, IT, and software design to extract appropriate information from clinical, biomedical, and other health data sources to provide decision support.
3) The goal is to enable better, more cost effective healthcare by providing personalized decision support that is evidence-based, user-centered, and looks ahead to future needs.
Teleaudiology: Are patients and Clinicians Ready for it? Phonak
This document summarizes research on attitudes towards teleaudiology among clinicians and patients. Studies found that clinicians were open to teleaudiology but had some concerns, especially around building relationships without in-person interaction. Patients were more open if teleaudiology improved access and flexibility, but preferred in-person exams. Clinicians specializing in pediatrics were less comfortable with teleaudiology for children due to lack of experience. Overall, teleaudiology was seen as a way to increase access if technological and relationship barriers could be addressed.
This document describes research to develop a set of proposed patient perspective domains or headings to capture patients' experiences of living with long-term health conditions. The researchers engaged patients, carers, and professionals through workshops and an online survey to understand which issues were important to patients. An initial set of 11 draft headings were developed based on the WHO International Classification of Functioning and refined through consultation. The final results identified key themes important to representing patient perspectives in care planning.
This document describes a study investigating the reliability and validity of using telehealth (Skype) to assess social communication abilities after traumatic brain injury (TBI) compared to in-person assessments. A pilot study was conducted comparing in-person and Skype administration of several communication assessment tools. Preliminary findings suggest Skype is adequate for assessment, participants became more positive about Skype after using it, and main concerns were technical rather than privacy issues. Next steps include a reliability study and potential randomized controlled trial of in-person versus Skype delivery of a communication skills treatment program for people with TBI.
This presentation shows that doctors are increasingly using mobile health for:
•Mobile, text and video-based consultations
•Patient monitoring
•Accessing patient data
•Explaining to patients their conditions and medical information
•Increased efficiency, for example saving time in receiving test results or consulting with colleagues or administration.
However for many m-Health is changing the doctor-patient relationship. The doctors’ traditional role is being disrupted while patients are becoming more independent and more active in managing their own healthcare.
This document summarizes evidence from a systematic review on effective interventions to improve antibiotic prescribing in primary care. The review found that interventions involving multiple components, including educational materials and meetings for physicians, were most effective at reducing total antibiotic prescribing. Delayed prescribing strategies that provide clear instructions on use were also effective. Communication skills training for physicians, with or without decision aids, reduced prescribing for respiratory tract infections. The use of near-patient tests also reduced prescribing when combined with clinical training.
Psychophysiology of positive and negative emotions, dataset of 1157 cases and...Maciej Behnke
Subjective experience and physiological activity are fundamental components of emotion. There is an increasing interest in the link between experiential and physiological processes across different disciplines, e.g., psychology, economics, or computer science. However, the findings largely rely on sample sizes that have been modest at best (limiting the statistical power) and capture only some concurrent biosignals. We present a novel publicly available dataset of psychophysiological responses to positive and negative emotions that offers some improvement over other databases. This database involves recordings of 1157 cases from healthy individuals (895 individuals participated in a single session and 122 individuals in several sessions), collected across seven studies, a continuous record of selfreported affect along with several biosignals (electrocardiogram, impedance cardiogram, electrodermal activity, hemodynamic measures, e.g., blood pressure, respiration trace, and skin temperature). We experimentally elicited a wide range of positive and negative emotions, including amusement, anger, disgust, excitement, fear, gratitude, sadness, tenderness, and threat. Psychophysiology of positive and negative emotions (POPANE) database is a large and comprehensive psychophysiological dataset on elicited emotions.
This document provides a summary of the qualifications and experience of Dr. Siddhartha Roy, including his educational background, work experience, skills, publications, and presentations. It lists his PhD in human genetics from NIMHANS in Bangalore, India, as well as over 7 years of postdoctoral experience in biomedical research, clinical diagnostics, and teaching. It also outlines his roles and responsibilities in various organizations, with a focus on quality management, genetic counseling, and business development in the healthcare industry.
Stephen Sutch: Risk stratification and model development: Potential of new da...Nuffield Trust
The document discusses using predictive modeling and risk stratification to better understand patient risk and needs. It explores using additional clinical data like prescriptions and lab results to improve risk models. The goal is to classify populations to identify those needing care management and direct resources appropriately. Predictive modeling shows potential for anticipating healthcare trends and finding high-risk individuals.
Introduction: The patient’s perception of quality of care is fundamental to utilization of health services. Health utilization would partly depend on clients’ perception of the quality of care.
Methods: A cross-sectional study involving health clients (18 to 70 years) who accessed health services in the Bantama submetro
in the Kumasi metropolis was conducted. A total of 400 clients were recruited from ten health facilities for the study.
Data was collected through interviewing using semi-structured questionnaires using SPSS and analyzed into descriptive and
inferential statistics with STATA 11.
Results: Majority of subscribers assessed healthcare with their National Health Insurance (NHI) cards. Eight percent (8%) had
never accessed healthcare with their NHIS cards. Respondents’ reasons included not falling sick and low quality of healthcare
under the NHIS. Respondents 216 (54%) indicated delays in seeing a doctor, getting laboratories done, and accessing health care as a whole. Seventy-four percent (74%) of the entire population attributed both NHIS and cash and carry systems as the
payment methods associated with delays in health facilities. Clients who viewed the overall the quality of health provision as good or very good were more likely to access healthcare with NHIS card as compared to those who rated the overall health provision as poor or very poor (OR=2.1; p<0.01).
Conclusion: Clients’ perceptions and experiences with quality of health provision influence their utilization of healthcare under the NHIS scheme. Increased enrolment in the scheme should be supported with provision of quality services to enhance clients’ satisfaction.
Craig lipset, Director of Clinical Research
at Pfi zer, leads a panel discussion on the
current state of clinical trials and the use
of technology to capture the voice of the
patient. Th e panelists, coming from various
backgrounds, lend their diff ering viewpoints
on the current and future trends in
this space
MyIDEA is a patient-centered educational tablet app designed to improve medication adherence for patients who receive drug-eluting stents (DES) during percutaneous coronary interventions (PCI). A multidisciplinary team developed MyIDEA using Kolb's experiential learning theory and patient input. Patient advisers were involved throughout the design process and their feedback was used to modify the app's language, order, and visual design to accommodate low health literacy. The app was successfully deployed to elderly patients with low health literacy. Initial usage data found patients interacted with MyIDEA for an average of 17.6 minutes per session. Involving patients in app development helped ensure it was easy to use and implementation was successful.
The Effect of Protocol of Nursing Intervention on Quality of Care in Minor In...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
Integrated diagnostics combines laboratory diagnostics, medical imaging, and IT solutions to provide physicians with interpreted and actionable diagnostic results throughout the patient care process. This approach promises earlier disease detection, more personalized treatment, and improved long-term patient outcomes. By integrating diagnostic data, healthcare providers can better manage disease prevention and screening, make more accurate initial diagnoses, tailor treatment plans to individual patients, and monitor ongoing care.
1) This randomized controlled trial compared care provided by nurse practitioners to care provided by general practitioners for 1,368 patients requesting same-day consultations across 10 general practices.
2) Results found that patients consulting with nurse practitioners reported higher satisfaction with their care, though for adults this difference was not observed in all practices. Consultations with nurse practitioners were also significantly longer.
3) In terms of clinical outcomes like resolution of symptoms, prescriptions issued, investigations ordered, and referrals, there was no significant difference between care provided by nurse practitioners versus general practitioners.
4) The study supports the role of nurse practitioners in providing care to patients requesting same-day consultations in primary care. Nurse
Telepsychiatry uses telecommunication technologies to provide psychiatric services remotely. It allows patients in underserved areas to access mental healthcare. A successful telepsychiatry program requires verifying patient identity and location, obtaining informed consent, ensuring private physical environments, coordinating with treatment teams, managing emergencies, using technical guidelines, and addressing challenges like remote locations and patient disabilities. Overall, telepsychiatry increases access to services for patients who otherwise may go without care.
Contemporary Memo, Merging technologies in the workforceWarren Sprecher
The document proposes using virtual reality technology for medical training at the University of Washington Medical School. It summarizes research showing virtual reality training results in faster procedures, fewer errors, and better outcomes for patients. The author urges adopting virtual reality to improve how students learn procedures and treat mental health conditions like PTSD. Virtual reality could help minimize the increase in patient deaths that occurs when new medical residents start each July. As virtual reality technology advances further, it will likely become an essential tool for medical education.
ICEGOV2009 - Tutorial 4 - E-Health Standards in Practice: Challenges and Oppo...ICEGOV
This document discusses challenges and opportunities related to e-health standards. It begins with an overview of why e-health is important and the complexity of healthcare. It then discusses the need for interoperable health information and progress that has been made, as well as challenges that remain. The document uses examples like the H1N1 outbreak and physician reimbursement to illustrate issues. It outlines major types of e-health standards and examples of standards in use. It concludes by discussing the ongoing challenge of implementing standards and the journey ahead to make e-health and standards easier to use.
This document summarizes results from two surveys regarding perspectives on electronic health information exchange (EHIE) among people affected by cancer and the general public. Key findings include:
- About half of respondents viewed EHIE as important for improving care coordination and health outcomes. Support was higher among cancer patients and survivors, ranging from 68-82%.
- Respondents expressed willingness to share anonymous health information for research purposes, with nearly a third strongly agreeing and over half of cancer patients/survivors agreeing.
- Cancer patients and survivors had strong preferences for electronic access to their own health information and EHIE between providers to improve care quality.
The document summarizes a student's summer research project studying patient perspectives on teamwork in the emergency department. The student administered exit surveys to emergency department patients to assess how perceptions of provider teamwork related to patient satisfaction, confidence in providers, and likelihood of following treatment recommendations. The student hypothesized that patients would be less likely to endorse clear team roles but more likely to perceive providers as enjoying their work and sharing treatment goals. The student also hypothesized that more positive perceptions of teamwork would correlate with higher patient ratings in the areas studied. Preliminary results did not support the first hypothesis but supported associations between teamwork perceptions and patient outcomes as outlined in the second hypothesis.
The document discusses a study that assessed anxiety levels in 18 healthy volunteers undergoing functional magnetic resonance imaging (fMRI). Volunteers completed the State-Trait Anxiety Inventory (STAI) before and after undergoing an fMRI examination involving six paradigms. A patient preparation phase including psychological support was provided prior to reduce anxiety. Results showed high trait and state anxiety levels pre-fMRI that significantly decreased post-fMRI. Correlations were found between pre-fMRI anxiety and brain activation in motor and language tasks. The results support incorporating patient preparation including psychological support to help reduce anxiety for fMRI examinations.
This document describes the development and validation of a questionnaire to assess the quality of end-of-life care in Ireland from the perspective of bereaved relatives. The questionnaire was developed in four phases, including expert review and cognitive testing. It was piloted with bereaved relatives recruited from hospitals and long-term care facilities. Results showed the questionnaire was feasible to complete and generated both qualitative and quantitative feedback. However, significant disagreement was found between staff and relative perspectives on quality of care. The questionnaire provides a validated tool for evaluating end-of-life care against national standards in Ireland.
1) The document discusses the Future Health department at KU Leuven which conducts research in health decision support for professionals, patients, and policymakers.
2) The department takes an interdisciplinary approach and focuses on using data mining, IT, and software design to extract appropriate information from clinical, biomedical, and other health data sources to provide decision support.
3) The goal is to enable better, more cost effective healthcare by providing personalized decision support that is evidence-based, user-centered, and looks ahead to future needs.
Teleaudiology: Are patients and Clinicians Ready for it? Phonak
This document summarizes research on attitudes towards teleaudiology among clinicians and patients. Studies found that clinicians were open to teleaudiology but had some concerns, especially around building relationships without in-person interaction. Patients were more open if teleaudiology improved access and flexibility, but preferred in-person exams. Clinicians specializing in pediatrics were less comfortable with teleaudiology for children due to lack of experience. Overall, teleaudiology was seen as a way to increase access if technological and relationship barriers could be addressed.
This document describes research to develop a set of proposed patient perspective domains or headings to capture patients' experiences of living with long-term health conditions. The researchers engaged patients, carers, and professionals through workshops and an online survey to understand which issues were important to patients. An initial set of 11 draft headings were developed based on the WHO International Classification of Functioning and refined through consultation. The final results identified key themes important to representing patient perspectives in care planning.
This document describes a study investigating the reliability and validity of using telehealth (Skype) to assess social communication abilities after traumatic brain injury (TBI) compared to in-person assessments. A pilot study was conducted comparing in-person and Skype administration of several communication assessment tools. Preliminary findings suggest Skype is adequate for assessment, participants became more positive about Skype after using it, and main concerns were technical rather than privacy issues. Next steps include a reliability study and potential randomized controlled trial of in-person versus Skype delivery of a communication skills treatment program for people with TBI.
This presentation shows that doctors are increasingly using mobile health for:
•Mobile, text and video-based consultations
•Patient monitoring
•Accessing patient data
•Explaining to patients their conditions and medical information
•Increased efficiency, for example saving time in receiving test results or consulting with colleagues or administration.
However for many m-Health is changing the doctor-patient relationship. The doctors’ traditional role is being disrupted while patients are becoming more independent and more active in managing their own healthcare.
This document summarizes evidence from a systematic review on effective interventions to improve antibiotic prescribing in primary care. The review found that interventions involving multiple components, including educational materials and meetings for physicians, were most effective at reducing total antibiotic prescribing. Delayed prescribing strategies that provide clear instructions on use were also effective. Communication skills training for physicians, with or without decision aids, reduced prescribing for respiratory tract infections. The use of near-patient tests also reduced prescribing when combined with clinical training.
Psychophysiology of positive and negative emotions, dataset of 1157 cases and...Maciej Behnke
Subjective experience and physiological activity are fundamental components of emotion. There is an increasing interest in the link between experiential and physiological processes across different disciplines, e.g., psychology, economics, or computer science. However, the findings largely rely on sample sizes that have been modest at best (limiting the statistical power) and capture only some concurrent biosignals. We present a novel publicly available dataset of psychophysiological responses to positive and negative emotions that offers some improvement over other databases. This database involves recordings of 1157 cases from healthy individuals (895 individuals participated in a single session and 122 individuals in several sessions), collected across seven studies, a continuous record of selfreported affect along with several biosignals (electrocardiogram, impedance cardiogram, electrodermal activity, hemodynamic measures, e.g., blood pressure, respiration trace, and skin temperature). We experimentally elicited a wide range of positive and negative emotions, including amusement, anger, disgust, excitement, fear, gratitude, sadness, tenderness, and threat. Psychophysiology of positive and negative emotions (POPANE) database is a large and comprehensive psychophysiological dataset on elicited emotions.
This document provides a summary of the qualifications and experience of Dr. Siddhartha Roy, including his educational background, work experience, skills, publications, and presentations. It lists his PhD in human genetics from NIMHANS in Bangalore, India, as well as over 7 years of postdoctoral experience in biomedical research, clinical diagnostics, and teaching. It also outlines his roles and responsibilities in various organizations, with a focus on quality management, genetic counseling, and business development in the healthcare industry.
Stephen Sutch: Risk stratification and model development: Potential of new da...Nuffield Trust
The document discusses using predictive modeling and risk stratification to better understand patient risk and needs. It explores using additional clinical data like prescriptions and lab results to improve risk models. The goal is to classify populations to identify those needing care management and direct resources appropriately. Predictive modeling shows potential for anticipating healthcare trends and finding high-risk individuals.
Introduction: The patient’s perception of quality of care is fundamental to utilization of health services. Health utilization would partly depend on clients’ perception of the quality of care.
Methods: A cross-sectional study involving health clients (18 to 70 years) who accessed health services in the Bantama submetro
in the Kumasi metropolis was conducted. A total of 400 clients were recruited from ten health facilities for the study.
Data was collected through interviewing using semi-structured questionnaires using SPSS and analyzed into descriptive and
inferential statistics with STATA 11.
Results: Majority of subscribers assessed healthcare with their National Health Insurance (NHI) cards. Eight percent (8%) had
never accessed healthcare with their NHIS cards. Respondents’ reasons included not falling sick and low quality of healthcare
under the NHIS. Respondents 216 (54%) indicated delays in seeing a doctor, getting laboratories done, and accessing health care as a whole. Seventy-four percent (74%) of the entire population attributed both NHIS and cash and carry systems as the
payment methods associated with delays in health facilities. Clients who viewed the overall the quality of health provision as good or very good were more likely to access healthcare with NHIS card as compared to those who rated the overall health provision as poor or very poor (OR=2.1; p<0.01).
Conclusion: Clients’ perceptions and experiences with quality of health provision influence their utilization of healthcare under the NHIS scheme. Increased enrolment in the scheme should be supported with provision of quality services to enhance clients’ satisfaction.
Craig lipset, Director of Clinical Research
at Pfi zer, leads a panel discussion on the
current state of clinical trials and the use
of technology to capture the voice of the
patient. Th e panelists, coming from various
backgrounds, lend their diff ering viewpoints
on the current and future trends in
this space
MyIDEA is a patient-centered educational tablet app designed to improve medication adherence for patients who receive drug-eluting stents (DES) during percutaneous coronary interventions (PCI). A multidisciplinary team developed MyIDEA using Kolb's experiential learning theory and patient input. Patient advisers were involved throughout the design process and their feedback was used to modify the app's language, order, and visual design to accommodate low health literacy. The app was successfully deployed to elderly patients with low health literacy. Initial usage data found patients interacted with MyIDEA for an average of 17.6 minutes per session. Involving patients in app development helped ensure it was easy to use and implementation was successful.
The document discusses the use of multimedia in patient education. It provides benefits such as easy explanation of scientific information, visualization of things that can't be seen, and representation of subjects in 3D. Studies show multimedia can increase patient knowledge and satisfaction, influence behaviors and norms, and be a cost-effective method of education. Videos have been shown to effectively teach proper use of inhalers and impact willingness to use assistive devices.
Designing Mobile Health Technology for Bipolar DisorderA Fi.docxcarolinef5
Designing Mobile Health Technology for Bipolar Disorder:
A Field Trial of the MONARCA System
Jakob E. Bardram, Mads Frost,
Károly Szántó
The Pervasive Interaction Technology Laboratory
IT University of Copenhagen, Denmark
{bardram,madsf,ksza}@itu.dk
Maria Faurholt-Jepsen, Maj Vinberg
and Lars Vedel Kessing
Psychiatric Center Copenhagen,
University Hospital of Copenhagen, Denmark
<firstname.lastname>@regionh.dk
ABSTRACT
An increasing number of pervasive healthcare systems are be-
ing designed, that allow people to monitor and get feedback
on their health and wellness. To address the challenges of
self-management of mental illnesses, we have developed the
MONARCA system – a personal monitoring system for bipo-
lar patients. We conducted a 14 week field trial in which
12 patients used the system, and we report findings focus-
ing on their experiences. The results were positive; compared
to using paper-based forms, the adherence to self-assessment
improved; the system was considered very easy to use; and
the perceived usefulness of the system was high. Based on
this study, the paper discusses three HCI questions related to
the design of personal health technologies; how to design for
disease awareness and self-treatment, how to ensure adher-
ence to personal health technologies, and the roles of different
types of technology platforms.
Author Keywords
Bipolar disorder; mental health; personal health systems;
mobile application
ACM Classification Keywords
H.5.m. Information Interfaces and Presentation (e.g. HCI):
Miscellaneous
INTRODUCTION
According to WHO, mental illness is one of the most pressing
healthcare concerns worldwide [34]. Bipolar disorder in par-
ticular, has a community lifetime prevalence of 4% [16] and
is associated with high morbidity and disability [25]. Per-
sonal health technologies hold promise for helping bipolar
patients to monitor their mood patterns and symptoms, rec-
ognize so-called ‘early warning signs’, and to handle medica-
tion. Health technologies can – based on subjective and ob-
jective sensor input – provide timely feedback to the patient
and thereby increase their awareness of the disease. Smart-
phones are a promising platform for such personal feedback
systems due to their ubiquitous availability and connectivity.
Permission to make digital or hard copies of all or part of this work for
personal or classroom use is granted without fee provided that copies are
not made or distributed for profit or commercial advantage and that copies
bear this notice and the full citation on the first page. To copy otherwise, or
republish, to post on servers or to redistribute to lists, requires prior specific
permission and/or a fee.
CHI 2013, April 27–May 2, 2013, Paris, France.
Copyright 2013 ACM 978-1-4503-1899-0/13/04...$15.00.
Consequently, a number of personal monitoring and feedback
systems have been suggested for the management of a wide
range of health-related conditions. In general, these types of
syste.
Providing video or computer-based programs to patients undergoing radiation therapy can improve patient knowledge and satisfaction while potentially reducing anxiety. A literature review identified 9 studies that assessed these educational interventions. The majority found increased patient knowledge and satisfaction with the interventions. Some studies also saw decreased patient anxiety. However, the programs need to be accessible and provide body-site specific information to be most effective. Larger and more targeted studies are still needed.
With @Atreja at the NODE Health Conference - Digital Medicine http://digitalmedicineconference.com/ on the events and studies which moved the field forward
Recent discovered technologies have exposed many new theories and possibilities to improve our standard of living. Medical assistance has been a major research topic in the past, many efforts were put in to simplify the process of following treatment prescriptions. This paper summarizes the work done in developing LoRa driven medical adherence system in order to improve medicine adherence for elderlies. The designed system is composed of two sections; embedded hardware device for the use of patients at home and Web application to manage all patients along with their medicines and keep track of their medicine intake history. LoRa wireless communication technology is used for connecting all embedded devices with a central gateway that manages the network. Hardware and software tests have been conducted and showed great performance in terms of LoRa network range and latency. In short, the proposed system shows promising method of improving medicine adherence.
Purpose of the Webinar
1.Describe the process of developing an undergraduate MedRec IPE Event involving > 480 senior Medicine, Pharmacy and Nursing students;
2.Explain the logistics of conducting the event in multiple venues and urban/remote locations;
3.Discuss the successes and challenges of communicating MedRec patient safety concepts through this process; and
4.Describe future opportunities for enhancing undergraduate MedRec training in an interprofessional environment.
Watch the webinar recording: http://bit.ly/1fSqsqv
Many people rely on non-prescription drugs
therapy to treat common medical conditions. Health technology
can be a valid support to help people in selecting and choosing
an appropriate treatment.
Aim: This study examined how common people make their
decisions to select a non-prescription drug, evaluating
comprehensibility and satisfaction of a virtual tool that could
propose and sell different types of non-prescription drugs
therapy
Telemedicine uses videoconferencing technologies to enable remote medical treatment and consultations, helping to increase access to specialists and reduce costs. It allows hospitals to treat more patients using existing resources and facilities. While telemedicine faces challenges around reimbursement and changing medical practices, its implementation could improve healthcare by enhancing access to care and reducing travel burdens for patients.
The document is a presentation about polyclinic waiting time problems and solutions at Tawam Hospital in the UAE. It introduces the presenter and states that the presentation will be divided into four parts: an overview, study results, current and proposed processes, and recommendations/conclusions. It provides background on Tawam Hospital and defines waiting time. It discusses implementation of a Health Information System (HIS) and benefits, as well as research aims, methodology involving questionnaires, and results showing specialists are satisfied with HIS but it is not the main cause of delays. Results of patient questionnaires show waiting times at various stages with most waiting over 60 minutes for required service.
A Review on Clinical Decision Support SystemIRJET Journal
This document reviews clinical decision support systems (CDSS) and their use in patient diagnosis. It discusses how CDSS combine individual health information from electronic health records with clinical knowledge and protocols to assist healthcare workers in making diagnoses and treatment decisions. The document also examines how CDSS have been used to help community health workers diagnose symptoms and handle health problems in areas where full patient records are not available. It reviews several studies that found CDSS can help improve the quality of care provided by community health workers.
This document discusses patient generated data (PGD) and how mobile health (mHealth) technologies can be used to capture it. PGD includes data recorded by patients about their health symptoms, medication adherence, biometric data from wearables, and patient reported outcomes. The document outlines how PGD can help with clinical trials and care by providing more comprehensive real-world data. Challenges with PGD like data quality, privacy and regulatory issues are discussed. The document provides examples of how the Aparito platform captures different types of PGD through mobile apps and connected devices to improve disease understanding and drug development.
This study assessed the use of personal digital assistants (PDAs) in conjunction with electronic medical records (EMRs) by physician assistants (PAs) through a questionnaire sent to recent graduates. Of 122 respondents, 72 used PDAs but only 5 used PDAs with EMRs, suggesting barriers to adoption. Those using PDAs and EMRs perceived benefits like improved quality of care and efficiency. However, adoption of the combined technology lags behind individual adoption, and future research is needed to understand barriers and promote integration.
Web based database management to support telemedicine systemijait
The transfer of the medical care services to the patient, rather than the transport of the patient to the
medical services providers is aim of the project. This is achieved by using web-based applications including
Modern Medical Informatics Services which is easier, faster and less expensive. The required system
implements the suitable informatics and electronics solutions efficiently for the Tele-medicine care. We
proposed an approach to manage different multimedia medical databases in the telemedicine system. In
order to be efficiently and effectively manage, search, and display database information, we define an
information package for both of doctor and patient as a concise data set of their medical information from
each visit. The methodology for accessing various types of medical records will be provided, also we will
design two web-based interfaces, high-quality data and display for many medical service purposes.
Virtual clinical trials utilize emerging technologies like mobile apps, remote monitoring devices, and online platforms to conduct clinical trials remotely with participants in their homes. This allows trials to have more convenient participation, potentially improving enrollment, retention, and compliance. However, virtual trials also face challenges like developing patient trust in internet-based data collection and ensuring appropriate populations are selected. Early case studies provided lessons about balancing technology with human support. Overall, virtual trials may become a more important model as patients expect remote participation options and for certain study types and populations.
This document describes a pilot program at an urban community clinic to provide point-of-care patient education (POCPE) to asthma patients using social media and portable media devices. The program aimed to educate patients on proper use of metered dose inhalers. Videos were created and uploaded to a private YouTube channel to demonstrate inhaler use. Surveys found that using these innovative tools improved patient understanding compared to traditional methods. Lessons learned can help other clinics develop similar POCPE programs to better educate patients.
How to develop and evaluate a pro instrument - pubricaPubrica
This document discusses patient-reported outcomes (PROs) and how to develop a valid PRO instrument. It defines PROs as reports coming directly from patients about their health without interpretation. PROs are important for evaluating treatment outcomes from the patient's perspective. The document outlines the steps to develop a PRO instrument, including defining the concept, creating questions, testing validity and reliability. Validity ensures the instrument accurately measures the concept, while reliability confirms it produces consistent results. Adhering to standards helps PRO instruments gain regulatory approval.
This document summarizes a faculty information session on mobile teaching and learning. It outlines mobile devices, policies, apps, and how mobile technologies can be used as teaching tools. It discusses using social media and healthcare informatics. It provides examples of apps faculty are using, websites for course materials, and how mobile devices can enhance learning and patient care while maintaining privacy and professional standards.
The document summarizes a study that explored whether patient satisfaction is increased when a web application is used to inform patients about a surgical colon resection procedure compared to standard oral information provided by a nurse practitioner. 32 patients undergoing elective colon resection for colon cancer were randomly assigned to receive pre-operative information via either a web application (experimental group) or standard oral information (control group). Patient satisfaction was measured before and after surgery using validated questionnaires. The results indicated that patients who received information via the web application reported higher satisfaction scores than those who received standard oral information. The study suggests that using multimedia technologies like web applications to provide tailored, individualized information to patients can improve satisfaction with the healthcare experience.
Similar to Using digital videos displayed on personal digital assistants (pd_as) to enhance patient education in clinical settings (20)
The new Pandemic Preparedness Citizen's Guide, edited by Sarah Booth, Kelsey Hills-Evans & Scott Teesdale to incorporate information around the recent COVID-19 pandemic.
Disease Reporting Hotline Launches to Stop Outbreaks in Cambodia InSTEDD
To improve disease reporting in Cambodia, the iLab Southeast Asia, in partnership with the Cambodian CDC and Skoll Global Threats Fund, launched a free to the public disease hotline built with InSTEDD's interactive voice response tool, Verboice.
Cambodia is in a 'hot zone region', susceptible to deadly disease spread. Timely reports from Health Centers across the country are critical to stopping outbreaks.
At the Epihack Rio event, public health experts and technologists worked together to prototype new solutions to prevent disease spread. Over the course of the event, participants engaged in discussions to identify priority issues, formed cross-disciplinary teams, and worked intensely to develop mobile applications and data visualization tools to support health monitoring and reporting, especially around mass gatherings like the Olympics. The prototypes were presented at the end to seek feedback on their potential real-world applications.
This document discusses mHealth (mobile health) technologies and their implementation in Cambodia and other countries. It provides examples of mHealth projects that use SMS, voice calls, and smartphone apps to facilitate: (1) routine infectious disease reporting from health centers; (2) grassroots malaria case reporting and referral of patients; (3) inventory alerts of malaria drug stocks; (4) reproductive health services and education for families; and (5) health information and services for garment factory workers, new mothers, and diabetics. The document emphasizes using simple mobile technologies to enhance information sharing and improve health services for communities with limited Internet access or literacy.
This document proposes a new system to improve wildlife sickness reporting in three main ways:
1. It would provide rangers with an easier, faster mobile reporting method through a short online form or phone hotline to submit data like the species, number of sick/dead animals, location, and photos in real-time.
2. All reports would be collected in a unified, online database displayed on an interactive map for officials to quickly detect abnormal patterns or potential outbreaks and take immediate action.
3. The system would also include configurable SMS alerts to notify Ministry officials of unusual case counts in real-time for better monitoring of wildlife health trends connected to public health systems.
This document discusses the development of a participatory animal health surveillance system in Chiang Mai, Thailand. The system aims to improve surveillance by engaging more people, including farmers, villagers, and consumers. It plans to use smartphones and voice calls to collect reports of abnormal animal situations and product issues. The collected data will then be visualized on a map to help locate farms, markets, and slaughterhouses. The system also seeks to better register all animal farms and provide online education about animal health and food safety to the public. An initial demonstration of the solution's design was presented.
Mobile technologies landscape and opportunity for civil society organizations...InSTEDD
Channe talks about how mobile technologies can help Civil Society Organizations (CSOs) do more with less. Channe will tackle practical issues like how to get started and their process of design and implementation. Channe will walk you through several exciting projects, including mobile technologies in labor rights and health care and the use of mobile phone as a data collection tool.
When: 3:30 - 5:00pm. Friday 7th February 2014
Where: Himawari Hotel, Phnom Penh
Organized by: Development Innovations
https://www.eventbrite.com/e/mobile-technologies-landscape-and-opportunity-for-csos-in-cambodia-tickets-10444502789
Routine infectious disease reporting using SMS at Kean Svay operational distr...InSTEDD
This document discusses a project in Southeast Asia that developed technology tools to improve infectious disease reporting from health centers to operational districts. The tools aimed to enhance collaboration and information sharing. Previously, health centers reported diseases via radio, phone calls, or paper which caused delays. The new system allowed health centers to send weekly SMS reports on 12 diseases using standardized codes. This enabled earlier detection and response to outbreaks. The SMS system launched in 2010 and was later improved in 2011 with the addition of a reporting wheel to simplify coding. By 2012 an online application was created to aggregate reporting data.
Verboice - Voice based platform and impact to grassroots CambodiaInSTEDD
Verboice is a voice-based platform that uses open source technology to help partners improve information sharing and service delivery in their communities. It has been used successfully in projects in over 15 countries. Examples of projects using Verboice in Cambodia include a phone-based contraception support system for Marie Stopes clinics, a national election hotline providing basic election information, and an interactive phone quiz for garment factory workers on issues like salaries and health. The document discusses Verboice and its impact on empowering grassroots organizations in Cambodia through technology.
The iLab Southeast Asia presented at BarCamp Phnom Penh 2012 on how to use Google's Map Maker application. The iLab SEA team trained participants on how to add and edit locations, draw streets, rivers, and other important landmarks on the Google map.
"Technology with a Purpose" - Eduardo Jezierski speaks at Ignite Health Foo 2...InSTEDD
This document discusses various projects and initiatives by InSTEDD including developing tools for collecting birth complication data in Sierra Leone, running innovation labs in Cambodia and elsewhere, using mobile tools like GeoChat to help health workers in Thailand during floods, and detecting and containing a leptospirosis outbreak faster through discussion on such tools. It also references principles of collective action, data as an extractive industry, the use of mobile information systems in Haiti after the earthquake, and launching high-altitude balloons to inspire new perspectives on Earth. Overall the document touches on InSTEDD's work using technology to help address global health challenges and promote positive change.
Mobile health (mHealth) technologies show promise for improving HIV treatment and prevention by allowing healthcare providers to remotely monitor patients and disseminate medical information. The authors review several mHealth initiatives that have increased access to HIV testing and treatment through the use of text messages, video observations, and other mobile platforms. If designed and implemented properly, mHealth could help reduce costs and expand care for HIV-positive individuals around the world.
With a worldwide penetration rate of over 85%, the mobile phone has become one of the most transformative tools in human history. As mobile communication technologies become less expensive, faster, and more accessible, the ability of people, communities and institutions to share information and knowledge will continue to skyrocket. Specifically for Global Health, the use of mobile communication and network technologies for delivery of health care (mHealth) holds great promise for the future. In low resource settings, community health workers (CHWs) provide a backbone for the delivery of health care services. Often isolated and without significant formal education or training, CHWs can be seen as key connectors between their communities and the formal health care system. In the hands of CHWs, mHealth tools may facilitate effective task shifting; by expanding the pool of human resources, increasing the productivity of health systems, and lowering the cost of services. The reported experience with mHealth suggest a wide range of opportunities exist to improve ease, speed, completeness and accuracy of the work of CHWs. The outcomes associated with these sort of new capabilities can be expected to result in ongoing improvements in performance on key national health indicators. The presentation will examine the state of the art and science-- by describing a systematic review of the literature and citing examples in action -- and provide recommendations focused on the design and development of mHealth tools for use by CHWs to strengthen Global Health interventions.
Speaker Bio:
Dennis M. Israelski, M.D
www.instedd.org/team
InSTEDD focuses on four key areas: maternal/child health, infectious diseases, emergency management, and local innovation/leadership. It uses a social-technical approach and human-centered design process to develop technology tools and solutions for health challenges. Examples of tools include GeoChat for collaboration, Remindem for messaging, and Resource Map for tracking resources geographically.
Presentation by Channe Suy of the iLab Southeast Asia speaking at TEDxPhnom Penh. To see the video of this presentation, please go here: http://instedd.org/blog/from-the-ted-prize-to-tedxphnom-penh/
This document discusses InSTEDD, an organization that aims to improve global health, safety, and sustainable development through creating collaboration technologies, collaborating with end users, building local capacity, and ensuring usefulness and impact. It provides examples of projects in countries like Haiti, Argentina, and Kenya. InSTEDD supports humanitarian organizations through understanding contexts, creating appropriate technologies, and building local capabilities. Its technology tools are open source, customizable, work on basic phones without internet or literacy requirements, and are low-cost.
RIO 2.0 was a demo alley event focused on building technologies for social impact. Dennis M. Israelski, the President and CEO of InSTEDD and a Clinical Professor of Medicine at Stanford University School of Medicine, presented on February 2, 2011 about InSTEDD's work on real time malaria reporting.
InSTEDD is a non-profit founded in 2006 that designs open source technology tools to help communities collaborate and share information to improve health, safety, and development. It works with governments, organizations, and communities around the world. InSTEDD Innovation Labs (iLabs) act as hubs for technology transfer, collaboration, and entrepreneurial innovation serving the public good in different regions.
The InSTEDD Toolkit provides a collection of open source tools to help improve collaboration, innovation, and resiliency. The tools include messaging applications, opinion and status collection, information extraction, task management, disease monitoring, and more. All tools are available for anyone to use and build upon to increase social impact. InSTEDD is actively involved with users to evolve the tools and maximize positive outcomes.
This document describes mHealth tools developed by InSTEDD to help prevent maternal-to-child transmission of HIV, including Remindem for sending reminders via text, Verboice for interactive voice messages, Resource Map for tracking health resources, and Pollit for conducting mobile surveys. The tools are designed to help improve adherence to treatment, identify available prevention and treatment resources, fight stigma, and engage communities.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
2. 830 i n t e r n a t i o n a l j o u r n a l o f m e d i c a l i n f o r m a t i c s 7 6 ( 2 0 0 7 ) 829–835
services [9]. Even when time is available, clinicians struggle to Visual CE® version 7.0) were used to maximize sound/viewing
find appropriate tools to deliver health messages [10], partic- quality and to create data collection instrumentation for the
ularly to patients with low literacy skills [11], multiple chronic handheld computing platform.
disorders [12], or diseases requiring complex regimens and The video message provided information to maximize self-
high levels of adherence such as HIV/AIDS [2]. efficacy, or the patient’s belief that he/she could take the
Computerized patient education systems can help to antiretroviral medications as required to improve the con-
address some of these challenges [13]; however, due to their dition of his/her disease [30]. The outline for this message
size and expense, their convenience for use in many set- was adapted from a study in which pharmacists provided live
tings is not ideal. Several recent reviews and reports of the instructions to patients [6] and the key themes have been
use of smaller (i.e., handheld) computers or personal digi- described previously [29]. A depiction of the device, the video
tal assistants (PDAs) suggest that these devices are not only message, and a portion of the survey instrument as viewed on
portable, inexpensive and easy to operate [14], but also that the device screen are shown in Fig. 1.
they are already being used widely by clinicians for access-
ing references, collecting information, and documenting ser- 2.4. Study design
vices [15–27]. In addition, preliminary evidence indicates that
patients feel comfortable with their physicians using PDAs Eligible patients were identified by the research screener in the
in practice [28,29]. Despite this potential, however, the use clinic and were briefed on the project by their primary health
of PDAs to augment the patient education process has not care provider. If the patient expressed interest, a researcher
been fully explored. The objectives of the study were to assess obtained their consent to participate. Following this, the sub-
the effects of using an audiovisual animation (i.e., digital ject was shown the PDA device, instructed briefly on its use,
video) displayed on a PDA for patient education in a clinical and asked to complete survey 1 (data collection point 1)
setting. directly on the PDA. In order to accommodate participants
with low literacy skills, an electronic button allowed the par-
ticipant to hear a narrator read the survey questions and
2. Methods responses. After the completion of survey 1, the investiga-
tor activated the 17-min video on the PDA. Following this,
2.1. Study design and phases the investigator activated survey 2 (data collection point 2) on
the PDA. After completing survey 2, the researcher adminis-
The project encompassed a prospective, interventional study tered the Rapid Estimate of Adult Literacy in Medicine (REALM)
conducted in three phases. Phase one included media devel- instrument [31]. At the end of the visit, the participant was
opment and review by clinicians and patients. Phase two given a card containing an identification number. At their
included testing the feasibility of using the PDA device and the next regularly scheduled clinic visit, a paper-based follow-up
video by clinic subjects. Results of these preliminary phases questionnaire (data collection point 3) was administered to
have been described in a previous publication [29] and were assess self-reported adherence and retention of key concepts
subsequently used to refine the intervention and instrumenta- from the video. The flow of participants through the study is
tion for Phase three, pre-/post- and follow-up testing in clinic depicted in Fig. 2.
subjects. The procedures for the entire project were reviewed
and approved by the University’s Committee on the Protection 2.5. Outcome measures
of the Rights of Human Subjects, and all subjects provided ver-
bal consent to participate. The main outcome measures were participant knowledge
of HIV disease, knowledge of HIV medications, and knowl-
2.2. Setting and participants edge of adherence behaviors. Secondary measures included
attitudes toward the video and device, self-reported adher-
The study was conducted in an outpatient infectious dis- ence to the medication regimen and practicality of the
eases clinic in a teaching hospital. Participants were recruited intervention.
through clinician referral and were eligible if they were
English-speaking, aged 18 years or older, had a confirmed diag- 2.6. Statistical considerations
nosis of HIV disease, were initiating or continuing on HIV
medications at the first visit, and were willing to give informed After data collection was completed, the responses to the
consent. three surveys and the literacy assessment were synchronized
and imported into a database. All data were verified prior to
2.3. Multimedia intervention (device and video) analysis with SPSS for Windows® (version 11.5). Distributions
of important variables were graphed and descriptive statis-
The PDA device selected to deliver the video was inexpen- tics calculated. Paired samples t-test was used to compare the
sive (i.e., less than $300 in FY 2003) with a color, 16-bit, before and after results within the different thematic areas.
touch-sensitive display and a vertical orientation of 3.5 inches. Reliability analyses were performed on certain groups of items
Microsoft® Pocket PC version 3 was pre-installed by the manu- to determine the internal consistency and feasibility for scal-
facturer on the two devices used for the study. Commercially- ing in subsequent analyses. A Cronbach’s alpha value of at
available software programs (i.e., Macromedia® Flash® version least 0.70 was set as the a priori level of consistency for com-
6.0 for Pocket PC, Real Player® using a Pocket TV viewer, and bining items.
3. i n t e r n a t i o n a l j o u r n a l o f m e d i c a l i n f o r m a t i c s 7 6 ( 2 0 0 7 ) 829–835 831
Fig. 1 – Screen shots from PDA video and surveys.
Fig. 2 – Flow of participants through the study.
4. 832 i n t e r n a t i o n a l j o u r n a l o f m e d i c a l i n f o r m a t i c s 7 6 ( 2 0 0 7 ) 829–835
Table 1 – Participant comments about the PDA video
•“This was a good video because it put the facts on the line. People need to know that if they don’t take the medicine, they are going to get sick
and they are going to die.”
•“I liked the part where patients were talking to you. I felt like they knew what it was like to have to take all these medicines but not want
anyone to know you are sick.”
•“This was a good video and it helped me a lot. Maybe it should be scarier, though. What I mean is, maybe you should show pictures of sick
patients. We’re vain. . . and we don’t want to look like sick people with AIDS. Seeing ugly people on the movie – all skinny, with no hair and
sores all over them – could scare some people into taking the medicines right.”
•“I wish someone had shown me this when I first got AIDS. No one told me all this stuff and now some of the medicines won’t work for me. I’ll
keep trying to find some, though.”
•“At first I was scared about using the little computer, but it was fun. I wish I could keep it!”
•“When I first got diagnosed I was so scared. I didn’t have any idea there were so many options. It was nice that my mother got to watch the
movie, too. She has a lot of questions but she’s going to help me stay on track.”
•“Nobody tells you that these drugs aren’t like other medicines. I like the video because it made it clear, you have to take them every day even
if you feel sick.”
•“I do good during the week but on the weekend it’s hard to keep the same schedule. I didn’t think it was that bad as long as I took it most of
the time. I guess I was wrong!”
•“I liked the woman on the video who talked about her kids. Sometimes it gets to be too much trying to keep up with them and keep my
medicines straight. I used to be scared to tell the doctor I was having trouble, but now I know he can’t help me if he doesn’t know what’s
wrong.”
•“It was nice to learn more about the disease and how you catch it. I still don’t know how I got it and that makes me scared, but I know I need
to take these medicines if I want to live!”
•“When you feel good, it doesn’t seem like you need the medicines, but I guess you really do.”
•“I am going to remember the people in the video. . . and the computer, too.”
•“I was scared about all the effects of the medicines. Some of them can make your looks change and then people know something is wrong.
But I need to talk about that with the doctor, not just stop taking them. Maybe other medicines won’t work for me!”
lar to the one used by study participants. All participants were
3. Results invited to provide additional comments not addressed in the
surveys. These responses were transcribed and are shown in
3.1. Demographics
Table 1.
Fifty-one subjects consented to participate in the study. Partic-
ipants were primarily male (51%), Black (77%), working for pay 3.3. Knowledge of disease, medications, and adherence
outside the home (53%), and did “not have enough money to behaviors
make ends meet” at the end of the month (65%). They ranged
in age from 25 to 70 years, with an average age of 42.1 years. Paired samples t-tests were conducted to evaluate the impact
This was consistent with results from previous studies in this of the PDA video on participants’ self-assessed knowledge of
clinic population. disease and treatment as depicted on two visual analogue
During the first clinic visit, approximately one quarter of scales. There was a statistically significant increase in knowl-
participants were beginning medication therapy for HIV; the edge of HIV (p < 0.005) and knowledge of HIV medications
remaining were switching therapy, restarting therapy after a (p < 0.005) following the video. Likewise, 84% of participants
drug holiday, or continuing therapy as prescribed. Approxi- strongly agreed or agreed that the video increased their knowl-
mately 60% of participants reported that they had finished edge of HIV disease and 90% of participants strongly agreed or
high school or the equivalent, but 55% still demonstrated a agreed that the video increased their knowledge of HIV med-
reading ability below eighth grade level (defined as low liter- ications.
acy) as evidenced by score on the REALM. A majority of all In almost every case, participants showed improvement
participants indicated that it is easier for them to learn from from baseline by responding correctly to all items concern-
videos than it is from books (94%) and that they had used some ing appropriate adherence behaviors on the second survey. In
type of computerized device before (96%). addition, after watching the video, all participants were able
to respond correctly to an item about the appropriate timing
3.2. Reviews of the video and PDA device of medications, which was the most commonly missed item
from the first survey.
Of the 50 participants who provided feedback on the PDA
video, 96% strongly agreed or agreed with a statement giving 3.4. Self-efficacy
the video an overall rating of “excellent.” In addition, 94% indi-
cated they liked using a handheld computer to watch the video After watching the video, 96% of participants responded that
and that listening to the video made the information easier they were at least very sure they would be able to take all or
to remember. When questioned about specific attributes con- most of their HIV medicines as directed, 89% were at least
tributing to the quality of the video (e.g., speed, pace, and very sure that the medicines would have a positive effect on
interest) responses were consistently positive. Fig. 3 depicts their health and 96% were at least very sure that if they did
the means, standard deviations, and ranges for each of the not take the medicines as instructed, the HIV in their bodies
component review elements on a visual analogue scale simi- would become resistant to HIV medicines.
5. i n t e r n a t i o n a l j o u r n a l o f m e d i c a l i n f o r m a t i c s 7 6 ( 2 0 0 7 ) 829–835 833
Fig. 3 – Participant reviews of the video (N = 50).
3.5. Adherence ticipants expressed hesitancy about the location where they
watched the video. In fact, most articulated appreciation at
Paired samples t-tests were conducted to evaluate the impact the opportunity to optimize the use of time typically spent in
of the video on participants’ self-reported adherence to HIV idle waiting.
medication regimens using a nine-item validated scale [32,33].
Among those participants taking medications at visit one and
also completing the follow-up survey, there was a statistically 4. Discussion
significant increase in self-reported adherence to their medi-
cation regimen (p < 0.005). 4.1. Principal findings
3.6. Practicality The results from this study indicate that PDA-based videos
are an acceptable approach for teaching patients about health
Raw data describing the time necessary to implement the care. This is supported by several findings. First, participants
intervention was trimmed for extremes, leaving a mean time liked the PDA-based video and felt that it was an appropriate
of 51.1 min (SD = 11.3 min). It is estimated that by using the medium for learning, regardless of their literacy skills. Second,
PDA strictly for educational (and not research) purposes, the knowledge of disease, knowledge of medications, and knowl-
total usage time would be approximately 25 min, although the edge of adherence behaviors were all improved after watching
clinician would not need to be present during the 17 min while the video. Third, self-efficacy to adhere to HIV medication reg-
the patient watches the video. imens was high following the video and at the follow-up visit,
The video process was designed to be compliant with US self-reported adherence to the HIV medication regimen was
requirements for privacy for patients, yet useful in a variety improved. And finally, the intervention could be implemented
of environments. Participants viewed the PDA-based video in efficiently with patients of a variety of ages, educational lev-
a variety of locations, including the infectious diseases clinic els, and backgrounds in a range of locations within the clinical
exam room (35%), the general clinical research unit (GCRC) environment.
clinic exam room (27%), the pharmacy waiting area (16%), the One important concept not addressed in this study is the
infectious diseases clinic waiting room (12%), and the labo- concern that using PDAs directly with patients will lead to
ratory waiting room (10%). Each participant was offered the device contamination, which could be particularly devastat-
opportunity to use a new set of headphones to assure pri- ing in the immunocompromised patient. A study by Braddy
vacy; although, some participants opted to allow a partner or [34], however, suggests that during tests at one institution,
family member to watch the video along with them. No par- multi-use PDAs were colonized with typical skin organisms
6. 834 i n t e r n a t i o n a l j o u r n a l o f m e d i c a l i n f o r m a t i c s 7 6 ( 2 0 0 7 ) 829–835
but pathogenic contamination was less common. Just as is
the case with other clinical tools, a good infection control Summary points
plan is important for preventing infections in individuals par-
ticipating in PDA-based patient education programs. In addi- What is already known on this subject:
tion, although there were no cases of theft or damage to the
PDAs used in this study, this remains a potential limitation • Efficient and effective tools are needed to help clini-
of portable devices as compared to larger appliances. Finally, cians educate patients with chronic diseases and com-
because the device was not tested specifically in patients with plex medication regimens; particularly those with lit-
impairments to sight and/or manual dexterity, the results eracy challenges.
should not be generalized to these audiences. • Clinicians are rapidly adopting PDAs into their daily
This is the first contemporary study to assess the use of practice for a variety of uses.
PDA-based digital videos for patient education, so direct com- • There have been few published investigations using
parisons to other research are not possible. What is known PDAs for educational interventions.
from previous study is that efficient educational tools are
needed to help clinicians educate patients at high risk of dis- What this study adds:
ease progression, particularly those patients with barriers to
traditional instructional methods (e.g., low literacy skills). We • Digital videos delivered on PDAs are a feasible and
also know that clinicians are rapidly adopting PDAs into their convenient complement to clinician-led educational
daily practices for a variety of uses, so the prospect of using sessions.
these devices for clinical education should not be overly bur- • Technologies that are already common for other uses
densome. In fact, a recent review suggests that patients will (e.g., clinical information repository, scheduling) show
continue to be the driving force behind the incorporation of promise for patient education applications.
consumer technology into health care and that innovative • As health care in both the US and UK transitions
clinicians will influence the use of these media to improve toward the adoption of electronic health records and
the quality of care provided [9]. computerized prescribing to improve the quality of
care, policy makers should investigate incorporating
4.2. Limitations electronic educational tools into national health infor-
mation technology portfolios.
When comparing this study to the evidence about the
strongest research methods, there are a few limitations
and cautions that should be explained. First, the quasi-
experiential study design relied upon clinician referrals for by patients and providers and the reduced costs possible by
recruitment. These referrals may have influenced the size and developing the tools for multiple platforms permits educa-
composition of the sample. Second, clinical indicators for HIV tional videos to be used in most settings in which care is
disease (e.g., viral load, CD4+ cell count) were not collected, delivered.
so severity of illness could be a confounder. Third, satisfac- Future studies in different practice settings with larger
tion, knowledge and self-efficacy are important, but not exclu- numbers of participants randomized to technology-enhanced
sive determinants of positive health outcomes. And finally, and standard care groups and followed over time are needed
because the period of observation was limited to two clinic to verify the results and better understand the effects of
visits, it is unknown whether the high levels of knowledge, PDA-based video education on health outcomes. Further-
self-efficacy and adherence were sustained. more, the development of educational tools that are linguis-
tically appropriate for diverse patient populations should be
explored.
5. Conclusions
Technology-assisted education using a digital video delivered Acknowledgements
via PDA is a convenient and potentially powerful complement
to clinician-led educational sessions. The intervention was Lynda Bell, Amanda Corbett, Ariel Shumaker-Hammond, and
implemented efficiently with participants of a variety of ages Rosa Yeh for assistance with recruitment of subjects. This
and educational levels, and in a range of locations within research was funded by the University of North Carolina
the clinical environment. Since multiple interventions over Program on Health Outcomes. In addition, support was pro-
time are the most effective way to positively influence health vided by the University of North Carolina at Chapel Hill Cen-
behaviors, the PDA-based video may actually be just a good ter for AIDS Research (CFAR), an NIH funded program #9P30
first step in the educational process. In addition, the grow- AI50410.
ing number of options for displaying digital videos through Disclosure: This paper does not represent the policy of either
common handheld devices (e.g., mobile telephones, MP3 play- the Agency for Healthcare Research and Quality (AHRQ) or the
ers) increases the opportunity for the ideal scenario, i.e., US Department of Health and Human Services (DHHS). The
the availability of a variety of cost-effective, multi-platform views expressed herein are those of the authors, and no offi-
tools for improving communication with patients. Indeed, cial endorsement by AHRQ or DHHS is intended or should be
the portability of new media players, the growing ownership inferred.
7. i n t e r n a t i o n a l j o u r n a l o f m e d i c a l i n f o r m a t i c s 7 6 ( 2 0 0 7 ) 829–835 835
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