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1.
Behav Res Methods ; 56(3): 1433-1448, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37326771

RESUMO

Anonymous web-based experiments are increasingly used in many domains of behavioral research. However, online studies of auditory perception, especially of psychoacoustic phenomena pertaining to low-level sensory processing, are challenging because of limited available control of the acoustics, and the inability to perform audiometry to confirm normal-hearing status of participants. Here, we outline our approach to mitigate these challenges and validate our procedures by comparing web-based measurements to lab-based data on a range of classic psychoacoustic tasks. Individual tasks were created using jsPsych, an open-source JavaScript front-end library. Dynamic sequences of psychoacoustic tasks were implemented using Django, an open-source library for web applications, and combined with consent pages, questionnaires, and debriefing pages. Subjects were recruited via Prolific, a subject recruitment platform for web-based studies. Guided by a meta-analysis of lab-based data, we developed and validated a screening procedure to select participants for (putative) normal-hearing status based on their responses in a suprathreshold task and a survey. Headphone use was standardized by supplementing procedures from prior literature with a binaural hearing task. Individuals meeting all criteria were re-invited to complete a range of classic psychoacoustic tasks. For the re-invited participants, absolute thresholds were in excellent agreement with lab-based data for fundamental frequency discrimination, gap detection, and sensitivity to interaural time delay and level difference. Furthermore, word identification scores, consonant confusion patterns, and co-modulation masking release effect also matched lab-based studies. Our results suggest that web-based psychoacoustics is a viable complement to lab-based research. Source code for our infrastructure is provided.


Assuntos
Percepção Auditiva , Audição , Humanos , Psicoacústica , Audição/fisiologia , Percepção Auditiva/fisiologia , Audiometria , Internet , Limiar Auditivo/fisiologia , Estimulação Acústica
2.
Biomed Eng Online ; 22(1): 69, 2023 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-37430279

RESUMO

BACKGROUND: It has been hypothesized that low access to healthy and nutritious food increases health disparities. Low-accessibility areas, called food deserts, are particularly commonplace in lower-income neighborhoods. The metrics for measuring the food environment's health, called food desert indices, are primarily based on decadal census data, limiting their frequency and geographical resolution to that of the census. We aimed to create a food desert index with finer geographic resolution than census data and better responsiveness to environmental changes. MATERIALS AND METHODS: We augmented decadal census data with real-time data from platforms such as Yelp and Google Maps and crowd-sourced answers to questionnaires by the Amazon Mechanical Turks to create a real-time, context-aware, and geographically refined food desert index. Finally, we used this refined index in a concept application that suggests alternative routes with similar ETAs between a source and destination in the Atlanta metropolitan area as an intervention to expose a traveler to better food environments. RESULTS: We made 139,000 pull requests to Yelp, analyzing 15,000 unique food retailers in the metro Atlanta area. In addition, we performed 248,000 walking and driving route analyses on these retailers using Google Maps' API. As a result, we discovered that the metro Atlanta food environment creates a strong bias towards eating out rather than preparing a meal at home when access to vehicles is limited. Contrary to the food desert index that we started with, which changed values only at neighborhood boundaries, the food desert index that we built on top of it captured the changing exposure of a subject as they walked or drove through the city. This model was also sensitive to the changes in the environment that occurred after the census data was collected. CONCLUSIONS: Research on the environmental components of health disparities is flourishing. New machine learning models have the potential to augment various information sources and create fine-tuned models of the environment. This opens the way to better understanding the environment and its effects on health and suggesting better interventions.


Assuntos
Censos , Crowdsourcing , Humanos , Desertos Alimentares , Fonte de Informação , Aprendizado de Máquina
3.
J Fish Biol ; 101(5): 1312-1325, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36053967

RESUMO

One of the most fundamental yet challenging tasks for aquatic ecologists is to precisely delineate the range of species, particularly those that are broadly distributed, require specialized sampling methods, and may be simultaneously declining and increasing in different portions of their range. An exemplar is the Pacific lamprey Entosphenus tridentatus, a jawless anadromous fish of conservation concern that is actively managed in many coastal basins in western North America. To efficiently determine its distribution across the accessible 56,168 km of the upper Snake River basin in the north-western United States, we first delimited potential habitat by using predictions from a species distribution model based on conventionally collected historical data and from the distribution of a potential surrogate, Chinook salmon Oncorhynchus tshawytscha, which yielded a potential habitat network of 10,615 km. Within this area, we conducted a two-stage environmental DNA survey involving 394 new samples and 187 archived samples collected by professional biologists and citizen scientists using a single, standardized method from 2015 to 2021. We estimated that Pacific lamprey occupied 1875 km of lotic habitat in this basin, of which 1444 km may have been influenced by recent translocation efforts. Pacific lamprey DNA was consistently present throughout most river main stems, although detections became weaker or less frequent in the largest and warmest downstream channels and near their headwater extent. Pacific lamprey were detected in nearly all stocked tributaries, but there was no evidence of indigenous populations in such habitats. There was evidence of post-stocking movement because detections were 1.8-36.0 km upstream from release sites. By crafting a model-driven spatial sampling template and executing an eDNA-based sampling campaign led by professionals and volunteers, supplemented by previously collected samples, we established a benchmark for understanding the current range of Pacific lamprey across a large portion of its range in the interior Columbia River basin. This approach could be tailored to refine range estimates for other wide-ranging aquatic species of conservation concern.


Assuntos
DNA Ambiental , Estados Unidos , Animais , Rios , Lampreias/genética , Salmão/genética , Ecossistema
4.
Z Rheumatol ; 81(5): 413-422, 2022 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-35394194

RESUMO

The use of social media and social networks has increased significantly in recent years. They are becoming progressively more important as information channels in private and professional contexts. Also, in medicine, social media are already being used in a variety of ways. For example, professional societies and patient interest groups are being increasingly represented in social networks. The broad use and wide audience of these networks offer new opportunities for the field of rheumatology. This review article provides an overview of the characteristics of some major social media platforms and systematically analyses the existing publications in the context of rheumatology. Furthermore, advantages, but also potential risks that may arise due to social media use are being addressed.


Assuntos
Reumatologia , Mídias Sociais , Humanos
5.
Anim Cogn ; 24(5): 947-956, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33751273

RESUMO

Quantifying the intensity of animals' reaction to stimuli is notoriously difficult as classic unidimensional measures of responses such as latency or duration of looking can fail to capture the overall strength of behavioural responses. More holistic rating can be useful but have the inherent risks of subjective bias and lack of repeatability. Here, we explored whether crowdsourcing could be used to efficiently and reliably overcome these potential flaws. A total of 396 participants watched online videos of dogs reacting to auditory stimuli and provided 23,248 ratings of the strength of the dogs' responses from zero (default) to 100 using an online survey form. We found that raters achieved very high inter-rater reliability across multiple datasets (although their responses were affected by their sex, age, and attitude towards animals) and that as few as 10 raters could be used to achieve a reliable result. A linear mixed model applied to PCA components of behaviours discovered that the dogs' facial expressions and head orientation influenced the strength of behaviour ratings the most. Further linear mixed models showed that that strength of behaviour ratings was moderately correlated to the duration of dogs' reactions but not to dogs' reaction latency (from the stimulus onset). This suggests that observers' ratings captured consistent dimensions of animals' responses that are not fully represented by more classic unidimensional metrics. Finally, we report that overall participants strongly enjoyed the experience. Thus, we suggest that using crowdsourcing can offer a useful, repeatable tool to assess behavioural intensity in experimental or observational studies where unidimensional coding may miss nuance, or where coding multiple dimensions may be too time-consuming.


Assuntos
Crowdsourcing , Animais , Comportamento Animal , Cães , Reprodutibilidade dos Testes
6.
Sensors (Basel) ; 21(12)2021 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-34208309

RESUMO

Increasing urbanisation and a better understanding of the negative health effects of air pollution have accelerated the use of Internet of Things (IoT)-based air quality sensors. Low-cost and low-power sensors are now readily available and commonly deployed by individuals and community groups. However, there are a wide range of such IoT devices in circulation that differently focus on problems of sensor validation, data reliability, or accessibility. In this paper, we present AirKit, which was developed as an integrated and open source "social IoT technology". AirKit enables a comprehensive approach to citizen-sensing air quality through several integrated components: (1) the Dustbox 2.0, a particulate matter sensor; (2) Airsift, a data analysis platform; (3) a reliable and automatic remote firmware update system; (4) a "Data Stories" method and tool for communicating citizen data; and (5) an AirKit logbook that provides a guide for designing and running air quality projects, along with instructions for building and using AirKit components. Developed as a social technology toolkit to foster open processes of research co-creation and environmental action, Airkit has the potential to generate expanded engagements with IoT and air quality by improving the accuracy, legibility and use of sensors, data analysis and data communication.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Monitoramento Ambiental , Humanos , Material Particulado/análise , Reprodutibilidade dos Testes
7.
Z Rheumatol ; 80(10): 909-913, 2021 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-34605980

RESUMO

Only the correct diagnosis enables an effective treatment of rheumatic diseases. Digitalization has already significantly accelerated and simplified our everyday life. An increasing number of digital options are available to patients and medical personnel in rheumatology to accelerate and improve the diagnosis. This work gives an overview of current developments and tools for patients and rheumatologists, regarding digital diagnostic support in rheumatology.


Assuntos
Doenças Reumáticas , Reumatologia , Humanos , Doenças Reumáticas/diagnóstico , Doenças Reumáticas/terapia , Reumatologistas
8.
Behav Res Methods ; 53(4): 1551-1562, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33300103

RESUMO

Online experimental platforms can be used as an alternative to, or complement, lab-based research. However, when conducting auditory experiments via online methods, the researcher has limited control over the participants' listening environment. We offer a new method to probe one aspect of that environment, headphone use. Headphones not only provide better control of sound presentation but can also "shield" the listener from background noise. Here we present a rapid (< 3 min) headphone screening test based on Huggins Pitch (HP), a perceptual phenomenon that can only be detected when stimuli are presented dichotically. We validate this test using a cohort of "Trusted" online participants who completed the test using both headphones and loudspeakers. The same participants were also used to test an existing headphone test (AP test; Woods et al., 2017, Attention Perception Psychophysics). We demonstrate that compared to the AP test, the HP test has a higher selectivity for headphone users, rendering it as a compelling alternative to existing methods. Overall, the new HP test correctly detects 80% of headphone users and has a false-positive rate of 20%. Moreover, we demonstrate that combining the HP test with an additional test-either the AP test or an alternative based on a beat test (BT)-can lower the false-positive rate to ~ 7%. This should be useful in situations where headphone use is particularly critical (e.g., dichotic or spatial manipulations). Code for implementing the new tests is publicly available in JavaScript and through Gorilla (gorilla.sc).


Assuntos
Percepção Auditiva , Ruído , Estimulação Acústica , Humanos , Psicofísica , Som
9.
Entropy (Basel) ; 23(7)2021 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-34202445

RESUMO

A critical question relevant to the increasing importance of crowd-sourced-based finance is how to optimize collective information processing and decision-making. Here, we investigate an often under-studied aspect of the performance of online traders: beyond focusing on just accuracy, what gives rise to the trade-off between risk and accuracy at the collective level? Answers to this question will lead to designing and deploying more effective crowd-sourced financial platforms and to minimizing issues stemming from risk such as implied volatility. To investigate this trade-off, we conducted a large online Wisdom of the Crowd study where 2037 participants predicted the prices of real financial assets (S&P 500, WTI Oil and Gold prices). Using the data collected, we modeled the belief update process of participants using models inspired by Bayesian models of cognition. We show that subsets of predictions chosen based on their belief update strategies lie on a Pareto frontier between accuracy and risk, mediated by social learning. We also observe that social learning led to superior accuracy during one of our rounds that occurred during the high market uncertainty of the Brexit vote.

10.
Trends Genet ; 33(2): 81-85, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27939750

RESUMO

The era of 'big data' is also the era of abundant data, creating new opportunities for student-scientist research partnerships. By coordinating undergraduate efforts, the Genomics Education Partnership produces high-quality annotated data sets and analyses that could not be generated otherwise, leading to scientific publications while providing many students with research experience.


Assuntos
Biologia Computacional/educação , Ciência/educação , Estatística como Assunto , Crowdsourcing , Educação de Graduação em Medicina , Humanos
11.
Sensors (Basel) ; 20(17)2020 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-32825013

RESUMO

This work examines the differences between a human and a machine in object recognition tasks. The machine is useful as much as the output classification labels are correct and match the dataset-provided labels. However, very often a discrepancy occurs because the dataset label is different than the one expected by a human. To correct this, the concept of the target user population is introduced. The paper presents a complete methodology for either adapting the output of a pre-trained, state-of-the-art object classification algorithm to the target population or inferring a proper, user-friendly categorization from the target population. The process is called 'user population re-targeting'. The methodology includes a set of specially designed population tests, which provide crucial data about the categorization that the target population prefers. The transformation between the dataset-bound categorization and the new, population-specific categorization is called the 'Cognitive Relevance Transform'. The results of the experiments on the well-known datasets have shown that the target population preferred such a transformed categorization by a large margin, that the performance of human observers is probably better than previously thought, and that the outcome of re-targeting may be difficult to predict without actual tests on the target population.


Assuntos
Algoritmos , Cognição , Percepção Visual , Humanos
12.
Sensors (Basel) ; 20(23)2020 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-33291633

RESUMO

With the rapid development of LBSs (location-based services) in recent years, researchers have increasingly taken an interest in trying to make travel routes more practicable and individualized. Despite the fact that many studies have been conducted on routes using LBS data, the specific routes are deficient in dynamic scalability and the correlations between environmental constraints and personal choices have not been investigated. This paper proposes an improved HMM-based (hidden Markov model) method for planning personalized routes with crowd sourcing spatiotemporal data. It tries to integrate the dynamic public preferences, the individual interests and the physical road network space in the same spatiotemporal framework, ensuring that reasonable routes will be generated. A novel dual-layer mapping structure has been proposed to bridge the gap from brief individual preferences to specific entries of POIs (points-of-interest) inside realistic road networks. A case study on Changsha city has proven that the proposed method can not only flexibly plan people's travel routes under different spatiotemporal backgrounds but also is close to people's natural selection by the perception of the group.

13.
Fungal Genet Biol ; 115: 90-93, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29355605

RESUMO

There is no comprehensive storage for generated mutants of Fusarium graminearum or data associated with these mutants. Instead, researchers relied on several independent and non-integrated databases. FgMutantDb was designed as a simple spreadsheet that is accessible globally on the web that will function as a centralized source of information on F. graminearum mutants. FgMutantDb aids in the maintenance and sharing of mutants within a research community. It will serve also as a platform for disseminating prepublication results as well as negative results that often go unreported. Additionally, the highly curated information on mutants in FgMutantDb will be shared with other databases (FungiDB, Ensembl, PhytoPath, and PHI-base) through updating reports. Here we describe the creation and potential usefulness of FgMutantDb to the F. graminearum research community, and provide a tutorial on its use. This type of database could be easily emulated for other fungal species.


Assuntos
Bases de Dados Genéticas , Fusarium/genética , Genoma Fúngico/genética , Internet , Mutação , Doenças das Plantas/genética , Doenças das Plantas/microbiologia
14.
BMC Infect Dis ; 18(1): 403, 2018 08 15.
Artigo em Inglês | MEDLINE | ID: mdl-30111305

RESUMO

BACKGROUND: Influenza causes an estimated 3000 to 50,000 deaths per year in the United States of America (US). Timely and representative data can help local, state, and national public health officials monitor and respond to outbreaks of seasonal influenza. Data from cloud-based electronic health records (EHR) and crowd-sourced influenza surveillance systems have the potential to provide complementary, near real-time estimates of influenza activity. The objectives of this paper are to compare two novel influenza-tracking systems with three traditional healthcare-based influenza surveillance systems at four spatial resolutions: national, regional, state, and city, and to determine the minimum number of participants in these systems required to produce influenza activity estimates that resemble the historical trends recorded by traditional surveillance systems. METHODS: We compared influenza activity estimates from five influenza surveillance systems: 1) patient visits for influenza-like illness (ILI) from the US Outpatient ILI Surveillance Network (ILINet), 2) virologic data from World Health Organization (WHO) Collaborating and National Respiratory and Enteric Virus Surveillance System (NREVSS) Laboratories, 3) Emergency Department (ED) syndromic surveillance from Boston, Massachusetts, 4) patient visits for ILI from EHR, and 5) reports of ILI from the crowd-sourced system, Flu Near You (FNY), by calculating correlations between these systems across four influenza seasons, 2012-16, at four different spatial resolutions in the US. For the crowd-sourced system, we also used a bootstrapping statistical approach to estimate the minimum number of reports necessary to produce a meaningful signal at a given spatial resolution. RESULTS: In general, as the spatial resolution increased, correlation values between all influenza surveillance systems decreased. Influenza-like Illness rates in geographic areas with more than 250 crowd-sourced participants or with more than 20,000 visit counts for EHR tracked government-lead estimates of influenza activity. CONCLUSIONS: With a sufficient number of reports, data from novel influenza surveillance systems can complement traditional healthcare-based systems at multiple spatial resolutions.


Assuntos
Influenza Humana/epidemiologia , Crowdsourcing , Surtos de Doenças , Registros Eletrônicos de Saúde , Humanos , Massachusetts/epidemiologia , Vigilância da População , Estados Unidos
15.
Behav Res Methods ; 50(3): 1116-1124, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-28710716

RESUMO

Humor ratings are provided for 4,997 English words collected from 821 participants using an online crowd-sourcing platform. Each participant rated 211 words on a scale from 1 (humorless) to 5 (humorous). To provide for comparisons across norms, words were chosen from a set common to a number of previously collected norms (e.g., arousal, valence, dominance, concreteness, age of acquisition, and reaction time). The complete dataset provides researchers with a list of humor ratings and includes information on gender, age, and educational differences. Results of analyses show that the ratings have reliability on a par with previous ratings and are not well predicted by existing norms.


Assuntos
Cognição , Idioma , Senso de Humor e Humor como Assunto/psicologia , Adaptação Psicológica , Adulto , Nível de Alerta , Crowdsourcing , Feminino , Humanos , Masculino , Tempo de Reação , Reprodutibilidade dos Testes , Fatores Sexuais
16.
Emerg Infect Dis ; 23(3): 463-467, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28221107

RESUMO

Mapping the public health threat of tickborne pathogens requires quantification of not only the density of infected host-seeking ticks but also the rate of human exposure to these ticks. To efficiently sample a high number of persons in a short time, we used a mass-participation outdoor event. In June 2014, we sampled ≈500 persons competing in a 2-day mountain marathon run across predominantly tick-infested habitat in Scotland. From the number of tick bites recorded and prevalence of tick infection with Borrelia burgdoferi sensu lato and B. miyamotoi, we quantified the frequency of competitor exposure to the pathogens. Mass-participation outdoor events have the potential to serve as excellent windows for epidemiologic study of tickborne pathogens; their concerted use should improve spatial and temporal mapping of human exposure to infected ticks.


Assuntos
Ixodes/microbiologia , Corrida , Esportes , Picadas de Carrapatos/epidemiologia , Animais , Borrelia/isolamento & purificação , Humanos , Escócia/epidemiologia
17.
Ecol Appl ; 27(3): 977-990, 2017 04.
Artigo em Inglês | MEDLINE | ID: mdl-28083949

RESUMO

Temperature profoundly affects ecology, a fact ever more evident as the ability to measure thermal environments increases and global changes alter these environments. The spatial structure of thermalscapes is especially relevant to the distribution and abundance of ectothermic organisms, but the ability to describe biothermal relationships at extents and grains relevant to conservation planning has been limited by small or sparse data sets. Here, we combine a large occurrence database of >23 000 aquatic species surveys with stream microclimate scenarios supported by an equally large temperature database for a 149 000-km mountain stream network to describe thermal relationships for 14 fish and amphibian species. Species occurrence probabilities peaked across a wide range of temperatures (7.0-18.8°C) but distinct warm- or cold-edge distribution boundaries were apparent for all species and represented environments where populations may be most sensitive to thermal changes. Warm-edge boundary temperatures for a native species of conservation concern were used with geospatial data sets and a habitat occupancy model to highlight subsets of the network where conservation measures could benefit local populations by maintaining cool temperatures. Linking that strategic approach to local estimates of habitat impairment remains a key challenge but is also an opportunity to build relationships and develop synergies between the research, management, and regulatory communities. As with any data mining or species distribution modeling exercise, care is required in analysis and interpretation of results, but the use of large biological data sets with accurate microclimate scenarios can provide valuable information about the thermal ecology of many ectotherms and a spatially explicit way of guiding conservation investments.


Assuntos
Anfíbios/fisiologia , Mudança Climática , Conservação dos Recursos Naturais/métodos , Peixes/fisiologia , Termotolerância , Animais , Ecossistema , Idaho , Meteorologia , Montana
18.
BMC Fam Pract ; 17: 131, 2016 09 09.
Artigo em Inglês | MEDLINE | ID: mdl-27613564

RESUMO

BACKGROUND: Delayed diagnosis in primary care is a common, harmful and costly patient safety incident. Its measurement and monitoring are underdeveloped and underutilised. We created and implemented a novel approach to identify problems leading to and solutions for delayed diagnosis in primary care. METHODS: We developed a novel priority-setting method for patient safety problems and solutions called PRIORITIZE. We invited more than 500 NW London clinicians via an open-ended questionnaire to identify three main problems and solutions relating to delayed diagnosis in primary care. 113 clinicians submitted their suggestions which were thematically grouped and synthesized into a composite list of 33 distinct problems and 27 solutions. A random group of 75 clinicians from the initial cohort scored these and an overall ranking was derived. The agreement between the clinicians' scores was presented using the Average Expert Agreement. RESULTS: The top ranked problems were poor communication between secondary and primary care and the inverse care law, i.e. a mismatch between patients' medical needs and healthcare supply. The highest ranked solutions included: a more rigorous system of communicating abnormal results of investigations to patients, direct hotlines to specialists for GPs to discuss patient problems and better training of primary care clinicians in relevant areas. A priority highlighted throughout the findings is a need to improve communication between clinicians as well as with patients. The highest ranked suggestions had the highest consensus between experts. CONCLUSIONS: The novel method we have developed is highly feasible, informative and scalable, and merits wider exploration with a view of becoming part of a routine pro-active and preventative system for patient safety assessment. Clinicians proposed a range of concrete suggestions with an emphasis on improving communication among clinicians and with patients and better GP training. In their view, delayed diagnosis can be largely prevented with interventions requiring relatively minor investment. Rankings of identified problems and solutions can serve as an aid to policy makers and commissioners of care in prioritization of scarce healthcare resources.


Assuntos
Diagnóstico Tardio/prevenção & controle , Medicina Geral , Segurança do Paciente , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/normas , Melhoria de Qualidade , Barreiras de Comunicação , Crowdsourcing , Medicina Geral/educação , Humanos , Comunicação Interdisciplinar , Aceitação pelo Paciente de Cuidados de Saúde , Relações Médico-Paciente , Resolução de Problemas
19.
BMC Fam Pract ; 17(1): 160, 2016 11 16.
Artigo em Inglês | MEDLINE | ID: mdl-27852240

RESUMO

BACKGROUND: Medication error is a frequent, harmful and costly patient safety incident. Research to date has mostly focused on medication errors in hospitals. In this study, we aimed to identify the main causes of, and solutions to, medication error in primary care. METHODS: We used a novel priority-setting method for identifying and ranking patient safety problems and solutions called PRIORITIZE. We invited 500 North West London primary care clinicians to complete an open-ended questionnaire to identify three main problems and solutions relating to medication error in primary care. 113 clinicians submitted responses, which we thematically synthesized into a composite list of 48 distinct problems and 45 solutions. A group of 57 clinicians randomly selected from the initial cohort scored these and an overall ranking was derived. The agreement between the clinicians' scores was presented using the average expert agreement (AEA). The study was conducted between September 2013 and November 2014. RESULTS: The top three problems were incomplete reconciliation of medication during patient 'hand-overs', inadequate patient education about their medication use and poor discharge summaries. The highest ranked solutions included development of a standardized discharge summary template, reduction of unnecessary prescribing, and minimisation of polypharmacy. Overall, better communication between the healthcare provider and patient, quality assurance approaches during medication prescribing and monitoring, and patient education on how to use their medication were considered the top priorities. The highest ranked suggestions received the strongest agreement among the clinicians, i.e. the highest AEA score. CONCLUSIONS: Clinicians identified a range of suggestions for better medication management, quality assurance procedures and patient education. According to clinicians, medication errors can be largely prevented with feasible and affordable interventions. PRIORITIZE is a new, convenient, systematic, and replicable method, and merits further exploration with a view to becoming a part of a routine preventative patient safety monitoring mechanism.


Assuntos
Prescrição Inadequada/prevenção & controle , Reconciliação de Medicamentos , Sumários de Alta do Paciente Hospitalar/normas , Segurança do Paciente , Atenção Primária à Saúde/métodos , Comunicação , Prescrições de Medicamentos/normas , Pesquisas sobre Atenção à Saúde , Humanos , Londres , Educação de Pacientes como Assunto , Transferência da Responsabilidade pelo Paciente , Polimedicação
20.
Sensors (Basel) ; 16(3)2016 Mar 19.
Artigo em Inglês | MEDLINE | ID: mdl-27007379

RESUMO

Indoor positioning based on existing Wi-Fi fingerprints is becoming more and more common. Unfortunately, the Wi-Fi fingerprint is susceptible to multiple path interferences, signal attenuation, and environmental changes, which leads to low accuracy. Meanwhile, with the recent advances in charge-coupled device (CCD) technologies and the processing speed of smartphones, indoor positioning using the optical camera on a smartphone has become an attractive research topic; however, the major challenge is its high computational complexity; as a result, real-time positioning cannot be achieved. In this paper we introduce a crowd-sourcing indoor localization algorithm via an optical camera and orientation sensor on a smartphone to address these issues. First, we use Wi-Fi fingerprint based on the K Weighted Nearest Neighbor (KWNN) algorithm to make a coarse estimation. Second, we adopt a mean-weighted exponent algorithm to fuse optical image features and orientation sensor data as well as KWNN in the smartphone to refine the result. Furthermore, a crowd-sourcing approach is utilized to update and supplement the positioning database. We perform several experiments comparing our approach with other positioning algorithms on a common smartphone to evaluate the performance of the proposed sensor-calibrated algorithm, and the results demonstrate that the proposed algorithm could significantly improve accuracy, stability, and applicability of positioning.

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