ABSTRACT
BACKGROUND: None of the early M-Health applications are designed for case management care services. This study aims to describe the process of developing a M-health component for the case management model in breast cancer transitional care and to highlight methods for solving the common obstacles faced during the application of M-health nursing service. METHODS: We followed a four-step process: (a) Forming a cross-functional interdisciplinary development team containing two sub-teams, one for content development and the other for software development. (b) Applying self-management theory as the theoretical framework to develop the M-health application, using contextual analysis to gain a comprehensive understanding of the case management needs of oncology nursing specialists and the supportive care needs of out-of-hospital breast cancer patients. We validated the preliminary concepts of the framework and functionality of the M-health application through multiple interdisciplinary team discussions. (c) Adopting a multi-stage optimization strategy consisting of three progressive stages: screening, refining, and confirmation to develop and continually improve the WeChat mini-programs. (d) Following the user-centered principle throughout the development process and involving oncology nursing specialists and breast cancer patients at every stage. RESULTS: Through a continuous, iterative development process and rigorous testing, we have developed patient-end and nurse-end program for breast cancer case management. The patient-end program contains four functional modules: "Information", "Interaction", "Management", and "My", while the nurse-end program includes three functional modules: "Consultation", "Management", and "My". The patient-end program scored 78.75 on the System Usability Scale and showed a 100% task passing rate, indicating that the programs were easy to use. CONCLUSIONS: Based on the contextual analysis, multi-stage optimization strategy, and interdisciplinary team work, a WeChat mini-program has been developed tailored to the requirements of the nurses and patients. This approach leverages the expertise of professionals from multiple disciplines to create effective and evidence-based solutions that can improve patient outcomes and quality of care.
ABSTRACT
Systems with catalytic cathode in microbial fuel cell can achieve high treatment efficiency enhanced by the cathode. Such bio-electrochemical systems have potential applications in treating high-salinity nitrogenous mariculture wastewater. For sustainable development of the mariculture industry, enhancing inorganic nitrogen removal is of vital importance due to the low carbon to nitrogen (C/N) ratio of wastewater and strict discharge standard. Herein, simulated mariculture wastewater (high salinity, low COD/N ratio of 0.5-1.0) was successfully treated in an integrated self-biased bio-electrochemical system, with catalyst (TiO2/Co-WO3/SiC) on the cathode and natural-grown algae in the cathode chamber. Satisfactory nitrogen removal (94.05% NH4+-N and 77.35% inorganic nitrogen) and favorable 76.66% removal of organics (UV254) were both achieved, with visible light illumination. The NH4+-N in the effluent was below 2 mg L-1. The synergy of bacteria, algae and cathode, promoted pollutant removal, and made the system sustainable and efficient in treating mariculture wastewater.