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1.
PLoS One ; 19(9): e0310516, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39302960

RESUMO

Open-source communities(OSCs) are gaining significant attention in the current business environment of information technology(IT). More and more IT companies and individuals are exploring how to achieve innovation through open-source collaboration, and value co-creation(VCC) in the OSCs has become a trend. Therefore, it is particularly important to examine the mechanism of OSCs under the background of VCC theory. This study proposes a conceptual framework of open-source value co-creation (OSVCC), which is characterized by openness, sharing, collaboration, and freedom, for understanding the internal mechanisms and contextual conditions in the relationship between OSCs participants. This study constructed a pairwise combined four-category classification model combining the perspectives of the commercialization level (low and high) and the maturity stage (developmental and mature) of the OSCs. Based on the model, this study selects and analyzes four presentive cases of OSCs using a multiple case study approach. Then, this study proposes a framework for OSVCC to identify the crucial factors that promote the successful implementation of innovation and value creation. The OSVCC framework encompasses three primary participants, effective VCC processes, and key open-source principles. This study offers valuable managerial implications for enterprises that plan to participate in OSCs.


Assuntos
Tecnologia da Informação , Humanos , Comportamento Cooperativo , Modelos Teóricos
2.
PLoS One ; 19(9): e0308143, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39348413

RESUMO

This study investigates the effects of Information and Communication Technology (ICT) goods exports and environmental technology innovation (ETI) on mineral rents using a panel dataset of 23 OECD countries from 2000 to 2020. Employing a fixed-effects regression and several robustness checks (FGLS, PCSE, and DKSE), we find that ICT goods exports are positively associated with mineral rents, while ETI exerts a negative impact. Notably, the positive effect of ICT goods exports was more pronounced in countries with higher levels of ICT goods exports. Our findings underscore the complex interplay among technological advancements, environmental sustainability, and economic outcomes in resource-dependent economies, emphasizing the need for tailored policy interventions to navigate these multifaceted dynamics.


Assuntos
Minerais , Organização para a Cooperação e Desenvolvimento Econômico , Invenções , Comércio , Tecnologia da Informação , Humanos , Tecnologia
3.
Acta Psychol (Amst) ; 249: 104478, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39217769

RESUMO

Academic engagement was recognized as a crucial predictor to measure the effectiveness of online teaching of international students. Therefore, this study established a mediating model to explore the mechanism underlying of interaction and information technology accessibility on academic engagement of international students, as well as the impact of learning interest on these mechanisms with the context of online teaching. Using a stratified random sampling method, 1895 international students from 32 Chinese universities were selected. These international students had completed the academic engagement scale, interaction scale, information technology accessibility scale, and learning interest scale. The study variables were analyzed in sequence for reliability and validity, common method biases test, correlation analysis, structural equation model testing, and bias-corrected percentile Bootstrap testing. The results revealed that online interaction positively affected the academic engagement of international students in Chinese universities (ß= 0.35, p < 0.001), and learning interest played a partial mediating role between online interaction and academic engagement (indirect effect = 0.10, 95 % Boot CI = [0.06, 0.13], p < 0.001). Information technology accessibility did not have a direct impact on academic engagement (ß= 0.06, p > 0.05); but learning interest played a complete mediating role between information technology accessibility and academic engagement (indirect effect = 0.09, 95 % Boot CI = [0.05, 0.11], p < 0.001). The results of Bootstrap showed that the mediating effects within the model were significant. The findings of this study explored the potential mechanism underlying the online academic engagement of international students in Chinese universities, and provided empirical evidence for universities and educators to implement differentiated learning support, assist international students in adapting to online learning styles, and stimulate the endogenous motivation of students' learning.


Assuntos
Aprendizagem , Estudantes , Humanos , Estudantes/psicologia , Masculino , China , Universidades , Feminino , Adulto Jovem , Aprendizagem/fisiologia , Tecnologia da Informação , Educação a Distância , Adulto , Adolescente
4.
Cad Saude Publica ; 40(8): e00160523, 2024.
Artigo em Português | MEDLINE | ID: mdl-39258684

RESUMO

In the municipality of Rio de Janeiro, Brazil, the incorporation of the concept of epidemic intelligence and technological resources has supported new perspectives for the use of data by health surveillance, since the COVID-19 pandemic. This article presents the Epidemiological Intelligence Center (CIE) and the tools and products developed in its coordination. The CIE was inaugurated in March 2022, with a multiprofessional team, supported by the premises of transparency and integration of various data sources for early detection of changes in the trends of events of importance in Public Health. The initial acquisition of a data lake favored changes in the consumption, management and security processes for the data processed. This data lake currently stores the Carioca Base - a retrospective cohort of individuals with a history of COVID-19 vaccination and/or events related to the disease. Descriptive and analytical dashboards have been developed and made available, respectively for public use and for health surveillance administrators. An alert panel, aimed at monitoring trends in care in the urgency and emergency network, was implemented and subsidizes rapid response actions in the city's territories. The CIE developed the concept of epidemiological intelligence in the Brazilian Unified National Health System and this paradigm shift was made possible by investments in physical/human resources, the integration of epidemiological, statistical and data science methods, as well as the incorporation of different data sources in data analysis.


No Município do Rio de Janeiro, Brasil, a incorporação do conceito de inteligência epidêmica e de recursos tecnológicos sustentou novas perspectivas para a utilização de dados pela vigilância em saúde, a partir da pandemia de COVID-19. Neste artigo apresenta-se o Centro de Inteligência Epidemiológica (CIE), ferramentas e produtos desenvolvidos na coordenação. O CIE foi inaugurado em março de 2022, com equipe multiprofissional, apoiado nas premissas de transparência e integração de diversas fontes de dados para detecção precoce de mudanças nas tendências de eventos de importância em Saúde Pública. A aquisição inicial de um data lake favoreceu mudanças nos processos de consumo, gerenciamento e segurança para os dados processados. Esse data lake armazena, atualmente, a Base Carioca - uma coorte retrospectiva composta de indivíduos com histórico vacinal para COVID-19 e/ou eventos relacionados à doença. Painéis descritivos e analíticos foram desenvolvidos e disponibilizados, respectivamente, para uso público e para os gestores da vigilância em saúde. Um painel de alertas, voltado ao monitoramento de tendências nos atendimentos da rede de urgência e emergência municipal, foi implantado e subsidiou ações de resposta rápida nos territórios da cidade. O CIE desenvolveu o conceito de inteligência epidemiológica no Sistema Único de Saúde, e essa mudança de paradigma tornou-se possível em função de investimentos em recursos físicos/humanos, integração de métodos epidemiológicos, estatísticos e das ciências de dados, além de incorporação de fontes de dados diferenciadas nas análises de dados.


En el municipio de Río de Janeiro, Brasil, la inclusión del concepto de inteligencia epidémica y de recursos tecnológicos favoreció nuevas perspectivas en el uso de datos por parte de la vigilancia sanitaria desde la pandemia del COVID-19. Este artículo presenta el Centro de Inteligencia Epidemiológica (CIE), las herramientas y los productos desarrollados en coordinación. El CIE se creó en marzo de 2022 con un equipo multidisciplinar bajo las premisas de transparencia e integración de diversas fuentes de datos para la detección temprana de cambios en las tendencias a grandes eventos en Salud Pública. La adquisición inicial de un data lake promovió cambios en los procesos de consumo, gestión y seguridad de los datos procesados. Este data lake almacena actualmente la Base Carioca, una cohorte retrospectiva compuesta por individuos con antecedentes de vacunación contra el COVID-19 y/o eventos relacionados con la enfermedad. Se desarrollaron paneles descriptivos y analíticos, y se los pusieron a disposición, respectivamente, para uso público y para los gerentes de la vigilancia sanitaria. Se implementó un panel de alerta, dirigido a monitorear las tendencias a la asistencia en la red de urgencia y emergencia del municipio, el cual subvenciona acciones de pronta respuesta en los territorios de la ciudad. El CIE desarrolló el concepto de inteligencia epidemiológica en el Sistema Único de Salud, y este cambio de paradigma se hizo posible gracias a las inversiones en recursos físicos/humanos, la integración de métodos epidemiológicos, estadísticos y de ciencia de datos, además de la inclusión de fuentes de datos diferenciadas en el análisis de datos.


Assuntos
COVID-19 , Humanos , Brasil/epidemiologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , Tecnologia da Informação , Pandemias , SARS-CoV-2 , Vigilância da População/métodos
5.
Artigo em Russo | MEDLINE | ID: mdl-39158879

RESUMO

The implementation of information technologies into treatment practice of modern health care significantly increases efficiency of diagnosis and treatment of dorsopathies. The purpose of the study is to develop software module to evaluate post-urological status of patients with spine dorsopathy to optimize diagnostic process and treatment planning. The article describes application of original software module to assess the post-urological status of patients with spine dorsopathy. The proposed software module is designed for objective assessment of post-urological status of patients with spine dorsopathy based on photographic images of examined patient. The most important advantage of software module is built-in forecasting function that is implemented by calculation of severity of pain perceptions and movement disorders using generated regression equations. The possibility to record data obtained during measurements permits to store information in single system. The implementation of software module into clinical practice will contribute to qualitative improvement of diagnostic processes, simplify work of osteopath and reduce the time spent on examination.


Assuntos
Software , Humanos , Tecnologia da Informação , Medicina Osteopática/métodos , Doenças da Coluna Vertebral/diagnóstico , Doenças da Coluna Vertebral/terapia
6.
Sci Rep ; 14(1): 19786, 2024 08 26.
Artigo em Inglês | MEDLINE | ID: mdl-39187575

RESUMO

This study examines the relationship between the wealth index (WI) and Information and Communication Technology (ICT) skills among women aged 15-49 in Bangladesh. The research aims to establish a cause-and-effect relationship between WI and ICT skills, while also examining how education mediates this relationship. Using the data from the Bangladesh Multiple Indicator Cluster Survey (MICS) Program 2019, a two-stage stratified clustered sampling method yielded a sample of 64,378 women. The analysis employed inverse probability weighting (IPW) to assess the causal effect of WI on ICT skills while investigating the mediating role of education in this cause-and-effect relationship through causal mediation analysis. The findings demonstrate a significant relationship between higher economic status and increased ICT proficiency among women aged 15-49 in Bangladesh. Mediation analysis reveals education status as a significant mediator, indicating that educational attainment plays a vital role in linking wealth and ICT skills among women. Sensitivity analysis indicates the observed effect estimates are robust to unmeasured confounding. This research underscores the importance of economic empowerment and educational interventions in narrowing the digital divide and fostering ICT skills development among women, particularly in rural and economically disadvantaged communities.


Assuntos
Análise de Mediação , Humanos , Feminino , Adulto , Adolescente , Pessoa de Meia-Idade , Bangladesh/epidemiologia , Adulto Jovem , Escolaridade , Fatores Socioeconômicos , Tecnologia da Informação , Inquéritos e Questionários , População Rural
7.
Artigo em Inglês | MEDLINE | ID: mdl-39200579

RESUMO

The adoption of health technologies is occurring on an unprecedented scale, with enormous potential to improve the health of populations. In this context, information technology (IT) in nursing has emerged with a focus on quality and safety of care for the benefit of the patient. There is insufficient reliable evidence demonstrating how the integration of IT in nursing care influences methodologies for managing and organizing care in terms of structure and care practice, justifying a scoping review that synthesizes the knowledge produced so far. Online databases were used to identify papers published in 2012-2023, from which we selected nine publications that used information technology in the nursing care processes. The participants were hospital nurses and nurse managers. The results show that the integration of IT in healthcare organizations impacts the management and organization of nursing care, and changes in structure, process reorganization, management, training, and the development of nurses' skills. To minimize this impact, the organizational structure must be prepared for a cultural change, with well-defined and communicated policies and procedures, and strong leadership. Within the teams, the importance of process reorganization, continuous training, and skill development emerges, thus enhancing the integration of IT into practice environments in conjunction with care.


Assuntos
Tecnologia da Informação , Cuidados de Enfermagem , Humanos , Recursos Humanos de Enfermagem Hospitalar , Hospitais
8.
BMC Med Educ ; 24(1): 840, 2024 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-39107733

RESUMO

BACKGROUND: Competency in the use of information science and technology (IST) is essential for medical students. This study identified learning objectives and competencies that correspond with low self-assessment related to use of IST and factors that improve such self-assessment among medical students. METHODS: A questionnaire was administered to sixth-year medical students across 82 medical schools in Japan between November 2022 and February 2023. RESULTS: Three learning objectives were identified as difficult for the students to achieve: (1) provide an overview of the regulations, laws, and guidelines related to IST in medicine; (2) discuss ethical issues, such as social disparities caused by the digital divide that may arise in the use of IST in medicine; and (3) understand IST related to medical care. Further, problem-based learning, engaging with IST beyond class, and learning approach impacted the students' acquisition of competencies related to IST. Furthermore, it was recognized that the competencies required by medical students may change over the course of an updated medical school curriculum. CONCLUSIONS: It is important for medical students to recognize the significance of learning, establishing active learning methods, and gaining experience in practically applying these competencies.


Assuntos
Estudantes de Medicina , Humanos , Japão , Estudos Transversais , Currículo , Feminino , Masculino , Inquéritos e Questionários , Educação de Graduação em Medicina/normas , Competência Clínica , Tecnologia da Informação , População do Leste Asiático
9.
PLoS One ; 19(8): e0308325, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39121071

RESUMO

In the era of Internet information technology, the IT background of directors plays a significant role in corporate governance. However, existing research lacks sufficient discussion on the financing constraints faced by Internet startups. This paper examines Internet entrepreneurial enterprises listed on the New Third Board as the research sample. Using content analysis coding methods and Python software for text mining, the study empirically analyzes the impact of directors' IT backgrounds and media reports on the financing constraints of these enterprises. The results indicate the following: First, directors with IT backgrounds help reduce the financing constraints of Internet startups. The higher the directors' proficiency in information technology, the more favorable it is for obtaining financing. Second, directors with IT backgrounds have a significant positive impact on the tone of media reports. Third, the tone of media reports reflects the spirit and development of the enterprises, serving as a mediating factor between directors' IT backgrounds and the financing constraints of the enterprises. The findings of this study are valuable for guiding Internet startups to better leverage the IT expertise of their directors. Additionally, they provide useful insights for reducing the financing constraints faced by these startups.


Assuntos
Mineração de Dados , Tecnologia da Informação , Internet , China , Mineração de Dados/métodos , Humanos , Software , Empreendedorismo/economia
10.
Sci Rep ; 14(1): 18787, 2024 08 13.
Artigo em Inglês | MEDLINE | ID: mdl-39138214

RESUMO

This study examined the association of workplace social engagement (WSE) and information technology ability (ITA) with successful ageing and validated a brief scale measuring WSE. The interaction of WSE and ITA on successful ageing was also assessed. A cross-sectional design was adopted, and the participants were 1186 older adults living in Kenya (n = 350), Nigeria (n = 260), and Ghana (n = 576). Pearson's correlation and factor analyses of two datasets (i.e., waves 1 and 2) from the sample were utilised to validate the WSE scale. Hierarchical linear regression analysis with relevant sensitivity analyses were utilised to assess the associations with wave 2 data. The WSE scale produced satisfactory psychometric properties (i.e., reliability and validity) as a unidimensional measure. WSE and ITA were positively associated with successful ageing in Kenya and Ghana and in the consolidated data. The interaction between WSE and ITA was positively associated with successful ageing and its domains (i.e., illness avoidance, functioning, and engagement with life) in Kenya, Ghana, and consolidated data. At higher ITA or the use of information technologies, WSE is less strongly associated with successful ageing. WSE is more strongly associated with successful ageing only at moderate ITA.


Assuntos
Tecnologia da Informação , Local de Trabalho , Humanos , Masculino , Feminino , Gana , Idoso , Quênia , Estudos Transversais , Local de Trabalho/psicologia , Pessoa de Meia-Idade , Envelhecimento/psicologia , Nigéria , Psicometria/métodos , Inquéritos e Questionários , Reprodutibilidade dos Testes , Idoso de 80 Anos ou mais
11.
J Affect Disord ; 365: 578-586, 2024 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-39187198

RESUMO

The regional boom in digital economy has provided people with remote conversations and socialization while reducing the risk of depression. This study aims to elucidate whether regional digital economy can be a savior for individual depression. The multi-source dataset collects 11,845 individuals from the China Health and Retirement Longitudinal Study 2018 (CHARLS), with the combination of corresponding regional data from China City Statistical Yearbooks. A series of regressions with integrated mediation and moderation analyses are employed to bridge the link between the digital economy and depression. The results suggest that people living in areas with a higher level of digital economy are less likely to suffer from depression. The development of the digital economy helps people find solace or air grievances more easily, thereby reducing the risk of depression. Individual information and communications technology (ICT) engagement is found to mediate the relationship between the regional digital economy and individual depression. Residence type moderates the association between the three casual pairs of digital economy, ICT engagement, and depression. Improved digitization stimulates personal engagement with ICTs, which in turn expands social connections and support. Strengthened social interactions naturally keep depression away. Moreover, the urban-rural differences further confirm the underlying mechanism. Properly embracing the new digital world can therefore benefit from the transformative potential and mitigate depressive outcomes.


Assuntos
Depressão , Humanos , China/epidemiologia , Feminino , Masculino , Depressão/epidemiologia , Pessoa de Meia-Idade , Estudos Longitudinais , Idoso , População Rural/estatística & dados numéricos , População Urbana/estatística & dados numéricos , Tecnologia da Informação , Interação Social
12.
J Nutr Health Aging ; 28(8): 100318, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-39025018

RESUMO

BACKGROUND: As the global population ages and the number of older adults living alone increases, societies face the responsibility of building new support systems and providing novel forms of care to ensure the independence and happiness of sick or frail older individuals. This quasi-experimental study examined the association between information and communication technology-based smart care services and the physical and cognitive functions of older individuals living alone. METHODS: This study used a suite of smart technologies (artificial intelligence speaker, radar sensor, and personalized exercise App.) and interventions tailored to the initial physical functional scores of the participants. A total of 176 participants were recruited and assigned, with 88 participants in the intervention group and 88 in the control group. The short physical performance battery (SPPB), the digit span test (DST), and the Korean mini-mental state examination (K-MMSE) were used to assess participants before and after 12 weeks. RESULTS: No significant differences in gender, age, or educational levels were observed between the intervention and control groups. After adjusting for baseline performance, analysis of covariance revealed that the intervention group exhibited better outcomes in the SPPB five-time chair stand score (adjusted score difference: 0.329; P = 0.044) and the backward DST (adjusted score difference: 0.472; P = 0.007), but had lower score of K-MMSE (adjusted score difference: -0.935; P = 0.021), indicating enhanced lower limb muscle strength and cognitive function in working memory. CONCLUSION: ICT-based smart care services, combined with personalized exercise interventions, significantly support the physical and cognitive health of solitary older individuals. This approach highlights the potential of integrating smart technology and targeted physical activity to foster the well-being of the aging population living alone.


Assuntos
Cognição , Humanos , Idoso , Masculino , Feminino , Idoso de 80 Anos ou mais , Vida Independente , Avaliação Geriátrica/métodos , Exercício Físico , Inteligência Artificial , Desempenho Físico Funcional , Tecnologia da Informação
13.
Environ Sci Pollut Res Int ; 31(32): 44744-44758, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38955974

RESUMO

Globally, the carbon footprint (CF) is constantly increasing, contrasting with the decreasing trend observed for decades in the European Union (EU) countries, where EU guidelines are responsibly followed and outlined in its strategic documents. Information and communication technology (ICT) carbon emissions have historically increased in parallel with global emissions, contributing to continuous increases in ICT's CF over time, even when excluding full life cycle emissions. This study examines the impact of ICT on household electricity consumption, aiming to quantify the potential reduction of greenhouse gas (GHG) emissions through improved household energy efficiency. The methodology includes the data collection on ICT device usage in households within the city of Novi Sad (Republic of Serbia), employing the survey method that queries respondents on device quantities and their usage patterns. This study provides results for decision-makers to recognize concrete benefits from the transition to a circular economy (CE) and low-carbon emissions, which are reflected as benefits for the local community and socio-economic environment.


Assuntos
Dióxido de Carbono , Pegada de Carbono , Cidades , Dióxido de Carbono/análise , Sérvia , Humanos , Características da Família , Tecnologia da Informação , Gases de Efeito Estufa
14.
Sci Rep ; 14(1): 16196, 2024 07 13.
Artigo em Inglês | MEDLINE | ID: mdl-39003300

RESUMO

The context of education has changed due to revolutionary developments in the information communication technology (ICT) industry in the post-COVID era. Innovative learning methods were introduced in the education sector to promote quality education. The students find it more convenient to use ICT tools to integrate their knowledge-seeking. China has recently paid more attention to developing and adopting electronic infrastructure. The study assesses the effect of technology self-efficacy (TSE) on ICT acceptance and implementation in China's education sector. It also analyzed the role of perceived trust, perceived security, and electronic word of mouth (eWOM) in integrating digital information sharing and interaction tools. Data is collected from 382 business students at Chinese universities. The results revealed that perceived trust mediates the relationship between TSE and the actual use of ICT tools, intention to use ICT tools for information, and intention to use ICT tools for interaction. Further, perceived security and eWOM significantly moderate the relationship between TSE and perceived trust. The findings indicate that it is essential to offer assistance and instruction to students in the educational sector so they can use ICT technology more frequently. It is also crucial for organizations to establish a supportive culture and provide the necessary technological resources to facilitate the use of ICT.


Assuntos
Autoeficácia , Estudantes , Confiança , Humanos , Feminino , Masculino , Estudantes/psicologia , China , Adulto Jovem , Universidades , Adulto , COVID-19/psicologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , Segurança Computacional , Tecnologia da Informação , Inquéritos e Questionários
15.
Stud Health Technol Inform ; 315: 69-73, 2024 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-39049228

RESUMO

This study delves into the impact of Information Technology (IT) on nursing practice in Japan, focusing on patient safety within the 2021-2022 Japanese Medical Accident Report Data. The research aims to understand how IT factors contribute to nursing-related medical incidents in a healthcare landscape rapidly integrating IT. The study identifies IT-related incidents through a retrospective analysis of medical incident reports, primarily in nursing, by analyzing categorized data and free-text descriptions for IT-related keywords. The findings indicate significant IT-related issues, with 'Other EHR Related' problems (36%) and 'EHR Reporting' errors (25%) being the most prevalent. These incidents often involve challenges in patient identification and medication management. The study suggests improvements like enhanced verification processes and automated systems to mitigate these risks. Conclusively, it underscores the dual nature of IT in nursing: while it holds the potential to enhance patient care, it also introduces challenges that necessitate specialized informatics expertise to ensure its beneficial integration into nursing practices.


Assuntos
Registros Eletrônicos de Saúde , Erros Médicos , Informática em Enfermagem , Segurança do Paciente , Humanos , Tecnologia da Informação , Japão , Erros Médicos/estatística & dados numéricos , Erros Médicos/prevenção & controle , Estudos Retrospectivos , Gestão de Riscos
16.
Health Informatics J ; 30(2): 14604582241259323, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38886113

RESUMO

The communication of e-Health has been transformed with the advancement of information technologies, therefore it is feasible to carry out studies in the context of health professionals' interactions. Objective: This study aimed to design and validate a preliminary questionnaire to investigate the context of the communications of health professionals through information technologies considering three significant dimensions. Method: The stages provided by Hernández Sampieri guided the building, validation through Cronbach's alpha and factorial analysis. The questionnaire was applied to 43 participants who simulated health professionals. Results: We obtained an instrument that includes a demographic data section and 20 items distributed into three factors. Internal consistency reliability with Cronbach's alpha values generally of 0.848 and higher than 0.811 was obtained in each dimension. Kaiser-Meyer-Olkin's measure of sampling adequacy was regular, with 0.781, and Bartlett's test of sphericity was significant (p < 0.001). Conclusion: It is necessary to apply in real-world environments to reaffirm the results obtained.


Assuntos
Pessoal de Saúde , Humanos , Inquéritos e Questionários , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Reprodutibilidade dos Testes , Feminino , Tecnologia da Informação/estatística & dados numéricos , Masculino , Adulto , Psicometria/instrumentação , Psicometria/métodos , Comunicação , Análise Fatorial
17.
Surg Today ; 54(8): 817-828, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38829562

RESUMO

Telesurgery is expected to improve medical access in areas with limited resources, facilitate the rapid dissemination of new surgical procedures, and advance surgical education. While previously hindered by communication delays and costs, recent advancements in information technology and the emergence of new surgical robots have created an environment conducive to societal implementation. In Japan, the legal framework established in 2019 allows for remote surgical support under the supervision of an actual surgeon. The Japan Surgical Society led a collaborative effort, involving various stakeholders, to conduct social verification experiments using telesurgery, resulting in the development of a Japanese version of the "Telesurgery Guidelines" in June 2022. These guidelines outline requirements for medical teams, communication environments, robotic systems, and security measures for communication lines, as well as responsibility allocation, cost burden, and the handling of adverse events during telesurgery. In addition, they address telementoring and full telesurgery. The guidelines are expected to be revised as needed, based on the utilization of telesurgery, advancements in surgical robots, and improvements in information technology.


Assuntos
Sociedades Médicas , Telemedicina , Japão , Humanos , Procedimentos Cirúrgicos Robóticos/normas , Equipe de Assistência ao Paciente , Tecnologia da Informação , Guias de Prática Clínica como Assunto , Cirurgia Geral/educação
18.
Health Informatics J ; 30(2): 14604582241259324, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38825745

RESUMO

Objectives: This systematic review and meta-analysis aimed to investigate the effect of fall prevention interventions using information and communication technology (ICT). Methods: A comprehensive search across four databases was performed. The inclusion criteria were fall prevention interventions including telehealth, computerized balance training, exergaming, mobile application education, virtual reality exercise, and cognitive-behavioral training for community-dwelling adults aged ≥60 years. Results: Thirty-four studies were selected. Telehealth, smart home systems, and exergames reduced the risk of falls (RR = 0.63, 95% CI [0.54, 0.75]). Telehealth and exergame improved balance (MD = 3.30, 95% CI [1.91, 4.68]; MD = 4.40, 95% CI [3.09, 5.71]). Telehealth improved physical function (SMD = 0.69, 95% CI [0.23, 1.16]). Overall, ICT fall interventions improved fall efficacy but not cognitive function. For quality of life (QOL), mixed results were found depending on the assessment tools. Conclusion: Future investigations on telehealth, smart home systems, or exergames are needed to motivate older adults to exercise and prevent falls.


Assuntos
Acidentes por Quedas , Telemedicina , Humanos , Acidentes por Quedas/prevenção & controle , Idoso , Vida Independente , Qualidade de Vida/psicologia , Tecnologia da Informação
19.
Cien Saude Colet ; 29(6): e07022023, 2024 Jun.
Artigo em Português, Inglês | MEDLINE | ID: mdl-38896673

RESUMO

Primary Health Care (PHC) proved to be an important part of the prevention, control and treatment measures against COVID-19, a situation in which it was challenged to keep up its provision of regular services as well. This article identifies the main arrangements made to provide PHC care in the context of the COVID-19 pandemic. An integrative literature review of articles found in PubMed, SciELO and LILACS databases was performed using the descriptors "Primary Health Care" and "COVID-19". Findings were analyzed considering three questions: Information and Communication Technologies (ICT), Organizations of Work Processes and Non-COVID Chronic Diseases. The use of different forms of ICT to provide PHC is highlighted regarding patients with respiratory symptoms and chronic patients. Changes in team composition, service flows, physical spaces and working hours were also introduced. Although strategies aimed at monitoring chronic patients and at remote care may have helped minimize deterioration of their health, the decrease in the number of visits performed during this period could have resulted in an increased demand for PHC in post-pandemic years.


A Atenção Primária à Saúde (APS) demonstrou ser parte importante das medidas de prevenção, controle e tratamento do COVID-19, ao mesmo tempo em que foi desafiada a manter a oferta dos serviços regulares. O objetivo deste artigo é identificar os principais arranjos desenvolvidos para ofertar cuidados na APS na pandemia do COVID-19. A revisão integrativa foi realizada nas bases de dados PubMed, SciELO e LILACS por meio dos descritores "Atenção Primária à Saúde" e "COVID-19". Os resultados foram analisados por meio de três questões: Tecnologias de Informação e Comunicação (TIC), Organizações dos Processos de Trabalho e Doenças Crônicas Não-COVID. Ganha grande destaque o uso das TIC no cuidado ofertado na APS, tanto para pacientes com sintomas respiratórios quanto para pacientes crônicos. Alterações na composição das equipes, fluxos de atendimento, espaços físicos e horários de atendimento também foram implantadas. Ainda que estratégias que visaram o monitoramento dos pacientes crônicos e o atendimento remoto podem ter contribuído para minimizar os agravos à saúde desses usuários, a diminuição dos atendimentos realizados neste período poderá resultar em uma grande demanda para a APS nos anos pós-pandemia.


Assuntos
COVID-19 , Atenção Primária à Saúde , Humanos , Atenção Primária à Saúde/organização & administração , COVID-19/epidemiologia , COVID-19/prevenção & controle , Doença Crônica/terapia , Telemedicina/organização & administração , Atenção à Saúde/organização & administração , Tecnologia da Informação
20.
Eur Geriatr Med ; 15(3): 621-627, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38722515

RESUMO

OBJECTIVES: Frailty is a significant cause of adverse health events including long-term care and hospitalization. Although information and communication technology (ICT) has become an integral part of modern life, it remains unclear whether ICT use is associated with frailty. DESIGN: A cross-sectional study (Integrated Longitudinal Studies on Aging in Japan, ILSA-J). SETTING AND PARTICIPANTS: Aged 75 and older data from the ILSA-J in 2017 (n = 2893). METHODS: ICT use was measured using the technology usage sub-items of the Japan Science and Technology Agency Index of Competence. Specifically, the use of mobile phones, ATMs, DVD players, and sending e-mails were rated as "yes" (able to do) or "no" (unable to do), with the first quintile (≤1 point) defined as ICT non-users. Frailty was assessed using the Japanese version of the Cardiovascular Health Study criteria based on the phenotype model (e.g., weight loss, slowness, weakness, exhaustion, and low activity). Further, multivariate logistic regression analysis analyzed its association with ICT use. Subgroup analyses were stratified according to gender, years of education, and living arrangements. RESULTS: Higher ICT use was not associated with frailty after adjusting for covariates (odds ratio [OR]: 0.53; 95%CI 0.39-0.73). Similar associations were found in the sub-groups of women (OR 0.45, 95%CI 0.30-0.66), <13 years of education (OR 0.48, 95%CI 0.34-0.67), living alone (OR 0.46, 95%CI 0.27-0.79), and living together (OR 0.57, 95%CI 0.38-0.85). No association existed between using ICT and frailty in the sub-groups of men and ≥13 years of education. CONCLUSIONS AND IMPLICATIONS: Higher ICT use is associated with the absence of frailty in individuals 75 years and older. Such benefits may be particularly pronounced in women, those with lower levels of education, and older adults living alone or with others.


Assuntos
Idoso Fragilizado , Fragilidade , Vida Independente , Humanos , Feminino , Masculino , Idoso , Estudos Transversais , Japão/epidemiologia , Idoso de 80 Anos ou mais , Fragilidade/epidemiologia , Idoso Fragilizado/estatística & dados numéricos , Estudos Longitudinais , Tecnologia da Informação , Avaliação Geriátrica/métodos
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