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Introduction: Colorectal cancer (CRC) is the second leading cause of cancer-related deaths in the United States. Screening through stool testing or colonoscopy is the standard of care for all ages 50 to 75 years, but national rates of procedures remain sub-optimal. Digital applications i.e., frequent automated text-based reminders and assess through personal healthcare apps on smartphones, can be effective tools to overcome barriers to screening colonoscopy adherence thus improving the outcomes. Method(s): We performed a retrospective study on a prospectively maintained database on CRC screening adherence rates from July 2019 to March 2022 in outpatient settings of a metropolitan hospital. Only screening colonoscopies (SC) scheduled during the study time period were included. Demographics and health-care resources utilization were reviewed. Primary comparison was between SC performance rates, prior to and after implementation of: a digital navigation program (DNP) developed by a private company that consisted of generating automated messages containing bowel-prep instructions, appointment reminders, driving instructions, short informative procedure videos;and EPIC EMR generated personal health app called MyChart. All participants were offered access to DNP through a digital platform and MyChart app set up on their smartphones. Result(s): Total of 3584 SC were scheduled during the study period. Overall age was 6069.6 years and majority were males at 55%;Hispanics were 49% with Not Hispanics at 24%. Pre-intervention period (n51057), 48% of SC performed and 52% cancelled;and in post-intervention period (n52527), 85% SC performed with 15% cancelled (p< .001) with a percent change of 74% increase in procedures. In postintervention group< DNP enrolled 930 patients of which 87% presented for procedure. Patients who did not present, received additional reminders. Bowel prep between groups showed no significant difference in quality (Table). Conclusion(s): Our study highlights a significant increase in performance rates of scheduled screening colonoscopies with a 74% increase after implementation of a DNP and MyChart app utilization. Usefulness of digital applications in improving screening colonoscopy adherence and reducing no show rates, has been well studied in literature with promising results, but implementation on a larger scale is lacking. Especially after COVID-19 pandemic, use of technology to increase adherence to CRC screening and surveillance seems more warranted.
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Aim: In this study, we aimed to assess the COVID-19 clinical manifestations after recovery from illness among healthcare professionals. Material(s) and Method(s): After ethical approval, a structured questionnaire has been distributed among healthcare professionals who were willing to participate in the study. The questionnaire contained forty questions, which were divided into four sections. Result(s): A total of 126 participants completely filled the questionnaire, including 65 (51.6%) females and 61(48.4%) males. Fatigability is the most common (38.1%) post-COVID clinical manifestation in healthcare professionals. Other common post-COVID clinical manifestations are numbness in the face/ arms/ legs (34.2%), cough (23%), muscle pain (20.6%) and anxiety/depression (20.6%) in order of frequency. Discussion(s): The presence of fatigue, anxiety, cough and hair fall was observed in women healthcare workers up to 2 months even after recovery from mild to moderate disease.Copyright © 2022, Derman Medical Publishing. All rights reserved.
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Perceived Engagement is defined as the extensive use of learning management system services, features, and capabilities. In the wake of the Coronavirus disease 2019 (COVID-19), studies show that there is an increase in user engagement level towards learning management systems, especially among tertiary education. Perceived engagement extends the previous concept of information system usage by incorporating several dimensions: cognitive, affective, and behavioural perspectives. However, most of the research on user engagement are focusing on the level of the engagement, with the scarcity of research on its impacts. Thus, the aim of this study is twofold: first, to revisit and determine the level of user engagement with the learning management system. Second, to determine the relationship between perceived engagement and perceived performance. To find the answer for the purpose of the study, a quantitative research methodology was adopted using convenience sampling. The instrument was developed by adapting and adopting previous research instruments. The instrument was expert reviewed and a pilot test was performed before the actual data collection. Data collection took 2 weeks involving students in one of the public universities in Malaysia. A total of 206 valid responses were received. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 26 for descriptive analysis and SmartPLS version 3.3.3 for inferential analysis. Findings show that: (1) the current level of user engagement in using learning management system is moderate;(2) perceived engagement has a predictive power on perceived performance;(3) perceived engagement has a large effect size on perceived performance;and (4) there is a moderate level of perceived performance among respondents. IEEE
ABSTRACT
Aim: In this study, we aimed to assess the COVID-19 clinical manifestations after recovery from illness among healthcare professionals. Material and Methods: After ethical approval, a structured questionnaire has been distributed among healthcare professionals who were willing to participate in the study. The questionnaire contained forty questions, which were divided into four sections. Results: A total of 126 participants completely filled the questionnaire, including 65 (51.6%) females and 61(48.4%) males. Fatigability is the most common (38.1%) post-COVID clinical manifestation in healthcare professionals. Other common post- COVID clinical manifestations are numbness in the face/arms/legs (34.2%), cough (23%), muscle pain (20.6%) and anxiety/depression (20.6%) in order of frequency. Discussion: The presence of fatigue, anxiety, cough and hair fall was observed in women healthcare workers up to 2 months even after recovery from mild to moderate disease.
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Organizing an event requires tedious and repetitive activities. In the aftermath of the Novel Coronavirus 2019 pandemic, the face-to-face event has been replaced by a digital event. One of the events that have been transformed into a digital platform is the innovation exhibition. Event organizer heavily relying on various integrated information system to manage and automate the various process such as registration, submission of the project, jurying, and awards ceremony. Among these activities, the jurying process is considered as the crucial activity that determines the reliability and accuracy of the decision-making process. Therefore, the purpose of this paper is to investigate the roles of information system towards the decision-making approach. A quantitative questionnaire was developed, pre-test, pilot test before actual data collection. The findings were analyzed based on descriptive and inferential analysis using Statistical Package for Social Sciences version 26.
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The pandemic of Novel Coronavirus 2020 has shifted and transformed several industries: including educational institutions. Universities and schools were forced to turn into online education to continue the learning process. Several information systems were adopted such as a learning management system, video conferencing, google classroom, etc. However, sudden changes from face-to-face education to online distance learning raise user engagement towards the usage of the online platform, vice versa its impact on individual performance. Therefore, the purpose of this study is twofold;first, to investigate the individual’s learning experience from the context of perceived engagement with the LMS and second, to investigate the impact of perceived engagement (user involvement and user participation) on perceived performance in the context of adopting a learning management system among the students from one of the local universities in Kelantan. A quantitative research instrument was developed, and data was collected. The study’s findings were described in terms of descriptive and inferential analysis using Statistical Package for Social Science (SPSS) version 26. The results indicated that user involvement and user participation have a positive and significant relationship with the perceived performance. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.
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The rise of novel coronavirus 2019 has shifted the roles of education industry. Face-to-face have become a distant memory;students and educators are now heavily relying on the digital communication. Application such as Google Meet, Webex, Webinar, Stream Yard, Zoom, and many more have become the new norm among educators and students. However, the sudden dependency on the digital technologies raises a question on the user intention to use this new digital technology. Therefore, the objective of this study is to determine the role of self-efficacy and domain knowledge towards user behavioral intention to use online distance learning. An instrument was developed by adopting to previous instruments and was analyze using Statistical Package for Social Science and SmartPLS for inferential analysis. Findings shows that the exogenous variables are capable to explained between 47.8% to 68.1% of the endogenous variables. © 2021. All Rights Reserved.
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Background: COVID-19 pandemic or coronavirus is a systemic disease taken into consideration for vascular system-specific tropism where microcirculation alteration has a significant pathogenic role. The coronavirus affects the gastrointestinal tract, abdominal manifestation, and hepatobiliary system. Aim: the aim of the present study was to evaluate the association of gastrointestinal symptoms with unfavorable prognosis of coronavirus patients. Materials and Methods: This single-center cross-sectional study was carried out on 486 patients with or without gastrointestinal symptoms and was conducted for six months duration from January to June 2021 at Gastroenterology department, Isra University Hospital, Hyderabad. All these patients were categorized into two main groups;group-I patients exposed to coronavirus with gastrointestinal symptoms while group-II patients exposed to COVID-19 without gastrointestinal symptoms. Gastrointestinal symptoms were associated with acute respiratory distress syndrome (ARDS), continuous renal replacement therapy (CRRT), non-invasive ventilator treatment, tracheotomy, and tracheal intubation. Multivariable and unilateral regression models were utilized for data analysis. Results: Of the total 486 patients, 157 (32.3%) were with gastrointestinal symptom patients while 329 (67.7%) were without GI symptoms. Propensity scores were analyzed in both groups. Both groups were equally susceptible to higher mortality risks but COVID-19 patients with gastrointestinal symptoms were at high risk of acute respiratory distress syndrome. Of the 157 patients with GI symptoms, 44 (28.03%) were initially diagnosed and 113 (71.97%) were diagnosed in hospital. The prevalence of vomiting or nausea, diarrhea, abdominal distention, and abdominal pain were 30 (19.1%), 83 (52.9%), 18 (11.5%), and 26 (16.6%) respectively. Dyspnea, fatigue, fever, chest tightness, and cough were common COVID-19 symptomatic patients. The prevalence of GI symptoms patients had dyspnea 23 (14.6%), fatigue 45 (28.7%), fever 128 (81.5%), chest tightness 25 (15.9%), and cough 72 (45.9%) were statistically significant and higher compared to the no symptoms of gastrointestinal disease patients. Conclusion: Our study found the high prevalence of COVID-19 patients with gastrointestinal symptoms compared to without gastrointestinal symptoms in COVID-19 patients and associated with non-invasive mechanical ventilation and risks of acute respiratory distress syndrome. Hence, COVID-19 patients with gastrointestinal symptoms should be taken care of in healthcare protection.
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Background;The COVID-19 pandemic has steered the exceptional disorder among the health care system. Gastrointestinal disorder and mortality are considerably associated with the utilization of health care which is disrupted by coronavirus pandemic. Aim: The aim of the present study was to assess the prevalence, mechanism and implications of Gastrointestinal Symptoms in COVID-19. Materials and Methods: This retrospective study was carried out on consecutive patients of laboratory tested severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and received inpatients/ emergency care at Isra University Hospital, Hyderabad for duration of six months between November 2020 to April 2021. The SARS-CoV-2 tested patients of either symptomatic or asymptomatic were enrolled in this study. The prevalence, mechanism, and implications of gastrointestinal symptoms were evaluated with COVID-19 among patients. The basic parameters such as GI symptoms, health care utilization, clinical predictor, and medication used were assessed with three Functional gastrointestinal and motility disorders (familial dysautonomia (FD), gastroparesis, and Irritable bowel syndrome (IBS)). The nasopharyngeal swab was used for SARS-CoV-2 testing. The COVID-19 sensitivity and specificity were 95% and 98% respectively. STATA version 15.1 was used for data analysis. Results: Of the total SARS-CoV-2 tested patients in our hospital, 1540 FGIMD patients underwent testing for SARS-CoV-2 were enrolled. COVID-19 RNA positive test rate was found 15.3% (235/1540) during the same period. Of all the tested patients, SARS-CoV-2 positive rate was higher (p<0.05) in COVID-19 patients with risk factors such as obesity, hypertension, autoimmune disease, diabetes, and cardiovascular disease) at 57.5% (885/1540) compared to 42.5% (655/1540) without risk factors. The COVID-19 prevalence in FGIMD patients was 3.3% (51/1540), 4.8% in IBS (56/1174), gastroparesis3.12% (24/770), and FD 2.4% (30/1250) in our hospital. Increased diarrhea, vomiting/nausea, weight loss, abdominal pain, and constipation were observed in FGIMD patients along with increases in H2 blocker, proton pump inhibitor and opioid use. The outpatient's visits, diagnostic tests such as lower and upper endoscopies and hospitalization were higher during COVID-19 pandemic compared to the pandemic prior period. Conclusion: The prevalence of gastrointestinal symptoms was found higher in functional gastrointestinal and motility disorders patients during COVID-19 pandemic with increase healthcare utilization and medication usage.