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1.
PLoS One ; 16(5): e0251792, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34029336

RESUMO

Students often bring laptops to university classes, however, they do not limit their laptop use to class-related activity. Off-task laptop use occurs frequently in university classrooms and this use negatively impacts learning. The present study addresses whether potential benefits of class-related laptop use might mitigate the costs of off-task laptop activity. We used tracking software to monitor both class-related and off-task laptop use by undergraduate students enrolled in an introductory psychology course, and we observed how types of laptop use related to course performance. We found a positive correlation between class-related use and exam scores that was driven by viewing lecture slides during class. We also found a negative correlation between off-task laptop use and exam scores, but class-related activities did not predict an increase in off-task use. Thus, for students who constrain their laptop use to class-related activity, the benefits outweigh the costs. While a laptop may be beneficial for some, it is unclear which students are able to constrain themselves to class-related activities and whether the benefits of class-related laptop use obtained by slide viewing could be achieved by other means. Thus, students and educators should carefully consider the costs and benefits of laptop use in the classroom.


Assuntos
Desempenho Acadêmico/estatística & dados numéricos , Aprendizagem , Microcomputadores/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Adolescente , Adulto , Currículo , Feminino , Humanos , Masculino , Universidades/estatística & dados numéricos , Adulto Jovem
2.
Arch Environ Occup Health ; 76(5): 282-290, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33000706

RESUMO

Laptop use comes with potential reproductive health risks for men. This study assessed the knowledge of reproductive health hazards and factors associated with direct use of laptop on the lap among male undergraduates of the University of Ibadan, Nigeria. A cross-sectional study conducted among 444 male undergraduates using multi-stage sampling and data collected through a validated questionnaire. Mean age was 21.0 years ± 2.6. Knowledge and perception of reproductive health hazards associated with direct laptop use were fairly good but practice was high. The knowledge of reproductive health hazards associated with direct laptop use on the lap was not associated with use (p = 0.08) and factors influencing use include; influence by colleagues (67.6%), non-availability of laptop cooling pads (42.6%), high cost of cooling pads (39.9%), perception of convenience (41.7%). Interventions on laptop ergonomics awareness and provision of affordable laptop ergonomic products for university students are recommended.


Assuntos
Ergonomia , Microcomputadores/estatística & dados numéricos , Estudantes/estatística & dados numéricos , Adolescente , Adulto , Estudos Transversais , Humanos , Masculino , Microcomputadores/classificação , Nigéria , Universidades , Adulto Jovem
3.
Comput Inform Nurs ; 39(5): 257-264, 2021 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-33259348

RESUMO

Mobile devices are increasingly part of daily life, with the benefits of using the technology in nursing education widely recognized. This study explored the use of mobile devices among undergraduate nursing students for academic purposes in South Africa, using a quantitative survey. The majority of participants owned smartphones (87.6%), followed by laptops (76%) and tablets (47.1%). Mobile devices were used to perform academic tasks and communicate and collaborate with peers and teachers, as well as search and access electronic resources. Few of the first year nursing students owned laptops and tablets and used them less frequently than the students from other levels of the study. Equipping nursing students with mobile devices, such as laptops and tablets, particularly first year students, and ensuring that they have adequate skills to use them, is essential to training future nurses who are expected to work in a technology-mediated health environment.


Assuntos
Bacharelado em Enfermagem , Microcomputadores , Estudantes de Enfermagem , Bacharelado em Enfermagem/métodos , Humanos , Microcomputadores/estatística & dados numéricos , África do Sul , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários , Tecnologia/tendências
4.
J Clin Epidemiol ; 122: 70-77, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32151697

RESUMO

OBJECTIVES: The objective of this study was to assess whether timing of short messaging service (SMS) reminders improved postal questionnaire return rates from participants in a randomized controlled trial (RCT). STUDY DESIGN AND SETTING: A Study Within A Trial (SWAT) embedded in a multicenter RCT evaluating three treatments for the frozen shoulder. Participants who provided a mobile telephone number were randomized to either prenotification SMS on the day of the questionnaire mail-out or postnotification SMS 4 days after questionnaire mail-out for the 3-month follow-up. The primary outcome was the proportion of participants who returned a valid questionnaire. A systematic review was undertaken to identify other embedded trials to perform a meta-analysis. RESULTS: Of the 269 participants, 122/135 (90.4%) returned a valid questionnaire in the prenotification arm and 119/134 (88.8%) in the postnotification arm (difference of -1.6%; 95% CI of difference: -8.9%, 5.7%). There was no difference in time to response (HR = 1.04; 95% CI: 0.80 to 1.34) or need for additional reminders (OR = 0.71; 95% CI: 0.43 to 1.17). Meta-analysis of two RCTs showed no difference in response rates between prenotification and postnotification reminders (OR = 0.78 95% CI: 0.42 to 1.45). CONCLUSION: Timing of SMS reminders did not improve response rates and time to response or affect the need for additional reminders.


Assuntos
Bursite/terapia , Telefone Celular/estatística & dados numéricos , Microcomputadores/estatística & dados numéricos , Sistemas de Alerta/estatística & dados numéricos , Projetos de Pesquisa/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Envio de Mensagens de Texto/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Tempo
5.
J Mot Behav ; 52(2): 196-203, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31007146

RESUMO

To evaluate whether frequent interactive tablet-use at preschool age is associated with improved fine motor skills and to describe tablet-use in young children. Cross-sectional study with 78 children, aged 24-42 months: group 1 with previous frequent tablet-use exposure (n = 26), group 2 without previous tablet-use exposure (n = 52). Fine motor skills were evaluated with the Bayley-III. Socioeconomic data and home environment quality were similar in both groups. Fine motor skills of group 1 were better than those of group 2 (p = 0.013). Most participating children carried out passive and active tablet activities, usually accompanied by parents, not exceeding time recommendations for young age. We observed a difference in fine motor skills in young children slightly favoring those with tablet-use experience.


Assuntos
Desenvolvimento Infantil/fisiologia , Microcomputadores/estatística & dados numéricos , Destreza Motora/fisiologia , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino
6.
Prev Vet Med ; 174: 104824, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31733427

RESUMO

Large amounts of animal health data are available to researchers, but are often stored in different formats and information silos. Analysis of this existing information can provide new insights into the health and welfare of animals and possibly reduce the need to collect additional data. The objective of this study was to develop a method of managing and analyzing large amounts of data on a personal computer that can be run within 24 h to limit the time and resources spent deploying models on larger servers. This paper describes an overall approach that makes use of existing methods for data acquisition and modeling, but adapts and combines them in a way that allows manipulation and analysis of large volumes of data on a PC. This included a total of five steps: removing errors; removing data points outside the scope of a specific hypothesis; creating descriptive statistics; developing explanatory and/or predictive models; and assessing the fit or accuracy of the models created. The approach was developed using electronic medical records for 19,416,753 feline patients from 3972 anonymized veterinary clinics in the United States and Canada, recorded between January 1981 and June 2016. Data regarding patient signalment (age, sex, breed, reproductive status) and body weight were extracted from the records and used to create linear regression models to describe body weight in cats of different ages, breeds, genders and reproductive status. Ordinary least squares linear regression and stochastic gradient descent linear regression were compared to determine their effectiveness and suitability for creating predictive models with large datasets, using 10 fold cross validation. This approach could be used to build workflows to create models to determine exploratory and predictive properties of health parameters for animals and people. The ability to work with large datasets on a PC or equivalent technology was demonstrated. Significant interactions were present among sex, reproductive status and age. A peak in weight occurred between 6 and 9 years depending on the sex, reproductive status and breed. The predictive ability of the two models was similar, with both producing a root mean square error of 1.45 and a mean absolute error of 1.09, and mean error that was approximately zero on the validation dataset.


Assuntos
Peso Corporal , Registros Eletrônicos de Saúde/estatística & dados numéricos , Microcomputadores/estatística & dados numéricos , Fatores Etários , Animais , Gatos , Feminino , Masculino , Análise Multivariada , Análise de Regressão , Fatores Sexuais
7.
Riv Psichiatr ; 54(1): 24-30, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30760934

RESUMO

Few studies have addressed the issue of psychopathology and personality of individuals with problematic use of internet. In this study we research psychopathological symptoms, personality traits and predictive variables associated with problematic internet use. The study was conducted on a total of 343 students from four Italian Universities using Pathological Internet Use Scale, Big Five Questionnaire, and Symptom Check List 90 Revised. According to this study 52.7% of the sample shows a problematic internet use while only 7.6% don't suffer from any symptom. More than half of subjects admits to have got into arguments with a significant other over being online, and to have missed social engagements because of online activities. Subjects with problematic internet use scored higher in psychopathological scales. Low levels of Friendliness and Emotional Stability could predict the problematic use of internet. Problematic internet use may be associated with higher psychopathology levels and personality traits.


Assuntos
Comportamento Aditivo/psicologia , Internet , Transtornos Mentais/epidemiologia , Personalidade , Estudantes/psicologia , Adolescente , Adulto , Comportamento Aditivo/epidemiologia , Computadores de Mão/estatística & dados numéricos , Emoções , Feminino , Humanos , Relações Interpessoais , Itália/epidemiologia , Masculino , Transtornos Mentais/psicologia , Microcomputadores/estatística & dados numéricos , Determinação da Personalidade , Transtornos da Personalidade/epidemiologia , Transtornos da Personalidade/psicologia , Utilização de Procedimentos e Técnicas/estatística & dados numéricos , Smartphone/estatística & dados numéricos , Inquéritos e Questionários , Universidades , Adulto Jovem
8.
Sleep Med ; 60: 109-115, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30611715

RESUMO

OBJECTIVE: Bedtime electronic media use and caffeine consumption are risk factors for insufficient sleep and poor sleep quality during adolescence, which are in turn risk factors for mental wellbeing. Our study tested the effectiveness of a brief school-based psychoeducative intervention to primarily increase sleep duration, by decreasing bedtime electronic media use and caffeine consumption. Secondary outcomes included improving sleep quality and difficulties, daytime tiredness, and mental wellbeing. METHOD: A pilot cluster-randomised controlled study was conducted involving a 25-min psychoeducative school-based intervention combined with parent information. 352 adolescents from seven schools participated (Intervention Group/IG = 192 students vs. Control Group/CG = 160 students; age: Mean = 15.09 years; SD = 1.65 years; Females = 163). The intervention included information on the importance of sleep and good sleep hygiene habits, particularly emphasizing behavioural rules of avoiding electronic media use at night and evening-time caffeine consumption. A leaflet containing the rules was also sent to parents of IG participants. Baseline and post-intervention sessions were held approximately four weeks apart. RESULTS: Multilevel analyses revealed a significant but modest decrease in electronic media use for participants in the IG versus CG, but showed no effect on caffeine consumption or sleep duration. Moreover, the intervention did not impact any secondary outcome. CONCLUSIONS: Findings indicate the potential effectiveness of a short and easily administrable intervention to decrease electronic media use at night, which may be incorporated into school curricula and standardised for wider use in primary prevention. However, no further benefits of the intervention were found.


Assuntos
Cafeína/efeitos adversos , Telefone Celular/estatística & dados numéricos , Microcomputadores/estatística & dados numéricos , Higiene do Sono , Sono/fisiologia , Adolescente , Comportamento do Adolescente/psicologia , Depressão/psicologia , Feminino , Humanos , Masculino , Saúde Mental , Projetos Piloto , Inquéritos e Questionários , Fatores de Tempo
9.
J Sports Sci ; 37(8): 864-870, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30326782

RESUMO

The present study aimed to investigate pre-sleep behaviours (including evening electronic device use) and sleep quantity in well-trained athletes. Seventy well-trained athletes (44 females, 26 males) aged 21 ± 4 y from a range of team and individual sports were asked to complete an online sleep diary for 7 days. The sleep diary included questions about pre-sleep behaviours (e.g. napping, caffeine intake), electronic device use in the 2 h prior to bedtime (e.g. type of device and duration of use) and sleep (e.g. time in bed, sleep onset latency). On average, athletes spent 8:20 ± 1:21 h in bed each night. Associations between age, time in bed and sleepiness suggested that younger athletes spent more time in bed (B = -0.05, p = 0.001) but felt sleepier (r = -0.32, p < 0.01) than older athletes. On average, athletes mostly used electronic devices for 0-30 min prior to sleep. The use of multiple devices in the evening was associated with more perceived difficulty in falling asleep (B = 0.22, p = 0.03), but no associations existed with other sleep variables. In summary, younger athletes may require later start times or improved sleep quality to resolve excessive sleepiness.


Assuntos
Atletas/psicologia , Hábitos , Microcomputadores/estatística & dados numéricos , Sono , Adulto , Fatores Etários , Utilização de Equipamentos e Suprimentos , Feminino , Humanos , Masculino , Fatores de Tempo , Adulto Jovem
11.
PLoS One ; 13(1): e0191566, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29360872

RESUMO

BACKGROUND AND PURPOSE: Stroke survivors are often left with deficits requiring rehabilitation to recover function and yet, many are unable to access rehabilitative therapies. Mobile tablet-based therapies (MTBTs) may be a resource-efficient means of improving access to timely rehabilitation. It is unclear what MTBTs have been attempted following stroke, how they were administered, and how patients experienced the therapies. The review summarizes studies of MTBTs following stroke in terms of administrative methods and patient experiences to inform treatment feasibility. METHODS: Articles were eligible if they reported the results of an MTBT attempted with stroke participants. Six research databases were searched along with grey literature sources, trial registries, and article references. Intervention administration details and patient experiences were summarized. RESULTS: The search returned 903 articles of which 23 were eligible for inclusion. Most studies were small, observational, and enrolled chronic stroke patients. Interventions commonly targeted communication, cognition, or fine-motor skills. Therapies tended to be personalized based on patient deficits using commercially available applications. The complexity of therapy instructions, fine-motor requirements, and unreliability of internet or cellular connections were identified as common barriers to tablet-based care. CONCLUSIONS: Stroke patients responded positively to MTBTs in both the inpatient and home settings. However, some support from therapists or caregivers may be required for patients to overcome barriers to care. Feasibility studies should continue to identify the administrative methods that minimize barriers to care and maximize patient adherence to prescribed therapy regiments.


Assuntos
Microcomputadores/estatística & dados numéricos , Reabilitação do Acidente Vascular Cerebral/métodos , Acidente Vascular Cerebral/psicologia , Humanos , Destreza Motora , Cooperação do Paciente , Acidente Vascular Cerebral/fisiopatologia
12.
Arch Pediatr ; 25(2): 84-88, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29246522

RESUMO

INTRODUCTION: Screens are increasingly prevalent within families. The excessive use of screens by children has negative consequences. To measure the use of screens, we undertook an investigation among children being followed by pediatricians. METHODS: An invitation to participate was sent electronically to 1460 private practice pediatricians. They were asked to complete the questionnaire on screen use by children under 12 years of age during a consultation, according to statements made by parents. RESULTS: One hundred and forty-four pediatricians submitted completed questionnaires involving 428 children. Among the 197 children under 3 years of age, 92 had played with an interactive screen for a median duration of 30min during the preceding week; 29% of the children were alone at the time. One hundred and thirty-nine children had watched television for a median weekly duration of 75min. Of the 231 children 3-11 years of age, 108 had played with an interactive screen for a median time of 30min the day before the consultation, and 50% of them were alone at the time. One hundred and seventy-two children watched television for a median daily duration of 45min. There was a correlation between these children's screen time and their mother's (r=0.36). The television was on during meals and continuously in 35% and 21% of the families, respectively. CONCLUSIONS: Children start looking at screens early, too often watching unsuitable programs, and too often without a parent's present. Regardless of the child's age, pediatricians must ask parents how much time their children are viewing screens, advise them accordingly, and warn them of the consequences of excessive use.


Assuntos
Microcomputadores/estatística & dados numéricos , Televisão/estatística & dados numéricos , Criança , Pré-Escolar , França , Inquéritos Epidemiológicos , Humanos , Lactente , Pais , Pediatria , Fatores de Tempo
13.
Ergonomics ; 61(5): 658-669, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29103354

RESUMO

This paper describes the contemporary use of information technology devices by children in a socio-educationally advantaged school. A sample of 924 children (50% girls) from grades 5 to 12 (ages 10-19 years) completed an online survey in class. Total daily technology use was high and similar for girls (mean 219 (SD 148) mins/day) and boys (207 (142), p=.186). Tablet computer was the dominant device used in grades 5-9, with laptop computer the dominant device in grades 10-12. Patterns of exposure were influenced by gender, device, grade and purpose of use interactions. For example, girls used mobile phones more than boys for social purposes for grades 10 and 11, but not grade 12. Whilst children's attitudes to technology use were positive, musculoskeletal and visual symptoms were commonly reported. Hours/day tablet and phone use was related to neck/shoulder discomfort (OR = 1.07; 1.13) and visual symptoms (OR = 1.10; 1.07). Practitioner Summary: Technology use by children appears to be quite different now to a decade ago. This paper describes contemporary school children's use of various devices for various purposes. The survey of >900 children found high technology use, dominated by new mobile technologies, and associations with musculoskeletal and visual symptoms.


Assuntos
Microcomputadores/estatística & dados numéricos , Doenças Musculoesqueléticas/etiologia , Transtornos da Visão/etiologia , Adolescente , Adulto , Atitude Frente aos Computadores , Telefone Celular , Criança , Computadores de Mão , Feminino , Humanos , Masculino , Doenças Musculoesqueléticas/epidemiologia , Análise de Regressão , Instituições Acadêmicas , Distribuição por Sexo , Estudantes , Inquéritos e Questionários , Televisão , Transtornos da Visão/epidemiologia , Austrália Ocidental/epidemiologia , Adulto Jovem
14.
J Gerontol A Biol Sci Med Sci ; 73(4): 552-559, 2018 03 14.
Artigo em Inglês | MEDLINE | ID: mdl-28605446

RESUMO

Background: U.S. seniors' digital health and everyday technology use when their health declines are unknown. Methods: Longitudinal cohort using the National Health and Aging Trends Study, a nationally representative, annually administered sample of community-dwelling Medicare beneficiaries (n = 4,037). We used difference-in-differences to assess the adjusted difference (AD) in technology use from 2011 to 2014 between those with and without health declines. Health decline measures included new-onset dementia; new-onset depression; decreases in activities of daily living (ADLs), short physical performance battery (SPPB), grip strength, and self-reported health; relocation to nursing facility; increased hospitalizations; and new-onset comorbidity. Digital health included use of the Internet to research health conditions, contact clinicians, fill prescriptions, and address insurance matters. Results: Between 2011 and 2014, seniors experiencing health decline used various digital health technologies at low absolute rates (range: 1%-20%). Between 2011 and 2014, use of everyday technology decreased significantly among seniors with new-onset dementia (from 73% to 51%; AD, -26%), decreased ADLs (from 76% to 67%; AD, -10%), decreased SPPB (from 88% to 86%; AD, -3%), and relocation to a nursing facility (from 49% to 22%; AD, -31%) compared to seniors without comparable decline (all p < .05). Use of digital health decreased significantly among seniors with new-onset probable dementia (from 9% to 4%; AD, -6%) and decreased SPPB (from 24% to 25%; AD, -4%; all p < .05). Conclusions: The type of health decline a senior experiences predicts technology use, which may allow better targeting of digital health to specific seniors. Seniors with new dementia, relocation to a nursing home, and declining physical performance seem especially poor candidates for technology interventions.


Assuntos
Atividades Cotidianas , Meios de Comunicação/estatística & dados numéricos , Microcomputadores/estatística & dados numéricos , Idoso , Telefone Celular , Feminino , Avaliação Geriátrica , Humanos , Vida Independente , Estudos Longitudinais , Masculino , Estados Unidos
15.
Prosthet Orthot Int ; 42(2): 228-235, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28691574

RESUMO

BACKGROUND: Despite the evidence for improved safety and function of microprocessor stance and swing-controlled prosthetic knees, non-microprocessor-controlled prosthetic knees are still standard of care for persons with transfemoral amputations in most countries. Limited feature microprocessor-control enhancement of such knees could stand to significantly improve patient outcomes. OBJECTIVES: To evaluate gait speed, balance, and fall reduction benefits of the new 3E80 default stance hydraulic knee compared to standard non-microprocessor-controlled prosthetic knees. STUDY DESIGN: Comparative within-subject clinical study. METHODS: A total of 13 young, high-functioning community ambulators with a transfemoral amputation underwent assessment of performance-based (e.g. 2-min walk test, timed ramp/stair tests) and self-reported (e.g. falls, Activities-Specific Balance Confidence scale, Prosthesis Evaluation Questionnaire question #1, Satisfaction with the Prosthesis) outcome measures for their non-microprocessor-controlled prosthetic knees and again after 8 weeks of accommodation to the 3E80 microprocessor-enhanced knee. RESULTS: Self-reported falls significantly declined 77% ( p = .04), Activities-Specific Balance Confidence scores improved 12 points ( p = .005), 2-min walk test walking distance increased 20 m on level ( p = .01) and uneven ( p = .045) terrain, and patient satisfaction significantly improved ( p < .01) when using the 3E80 knee. Slope and stair ambulation performance did not differ between knee conditions. CONCLUSION: The 3E80 knee reduced self-reported fall incidents and improved balance confidence. Walking performance on both level and uneven terrains also improved compared to non-microprocessor-controlled prosthetic knees. Subjects' satisfaction was significantly higher than with their previous non-microprocessor-controlled prosthetic knees. The 3E80 may be considered a prosthetic option for improving gait performance, balance confidence, and safety in highly active amputees. Clinical relevance This study compared performance-based and self-reported outcome measures when using non-microprocessor and a new microprocessor-enhanced, default stance rotary hydraulic knee. The results inform rehabilitation professionals about the functional benefits of a limited-feature, microprocessor-enhanced hydraulic prosthetic knee over standard non-microprocessor-controlled prosthetic knees.


Assuntos
Acidentes por Quedas/prevenção & controle , Amputação Cirúrgica/reabilitação , Marcha/fisiologia , Microcomputadores/estatística & dados numéricos , Equilíbrio Postural/fisiologia , Desenho de Prótese , Adulto , Amputação Cirúrgica/métodos , Membros Artificiais , Estudos de Coortes , Feminino , Fêmur/cirurgia , Seguimentos , Humanos , Vida Independente , Articulação do Joelho , Masculino , Velocidade de Caminhada/fisiologia , Adulto Jovem
16.
J Sports Sci ; 36(2): 162-170, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28282750

RESUMO

The aim of the present study was to investigate the influence of different types of tasks performed with or without an electronic device (tablet) on pre-sleep alertness, subsequent sleep quality and next-day athletic performance. Eight highly trained netball players attended a sleep laboratory for pre-sleep testing, polysomnographic sleep monitoring and next-day physical performance testing on 5 separate occasions (1 familiarisation and 4 experimental sessions). For 2 h prior to bedtime, athletes completed cognitively stimulating tasks (puzzles) or passive tasks (reading) with or without a tablet. Sleepiness tended to be greater after reading compared to completing puzzles without a tablet (d = 0.80), but not with a tablet. Melatonin concentration increased more so after reading compared to completing puzzles on a tablet (P = 0.02). There were no significant differences in sleep quality or quantity or next-day athletic performance between any of the conditions. These data suggest that using a tablet for 2 h prior to sleep does not negatively affect subsequent sleep or next-day performance in athletes.


Assuntos
Desempenho Atlético , Atenção , Microcomputadores/estatística & dados numéricos , Sono , Adolescente , Temperatura Corporal , Orelha Média/fisiologia , Feminino , Humanos , Hidrocortisona/metabolismo , Melatonina/metabolismo , Salvia/metabolismo , Análise e Desempenho de Tarefas
17.
Acta Orthop Traumatol Turc ; 51(6): 466-469, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29126767

RESUMO

OBJECTIVE: The aim of this study was to analyze the patient demographics, etiology of limb loss as well as reporting SF-36 scores for microprocessor prosthesis users in Turkish population. METHODS: We reviewed 72 patients (61 male and 11 female; mean age: 37.7 ± 10.7) with uni-lateral, above knee amputation and a history of regular and microprocessor prosthesis use. All patients were called back for a last follow-up and they were asked to fill a self-administered general health status questionnaire (SF-36). RESULTS: According to the SF-36 results; physical component score (PCS) score was 46 ± 7.3 and mental components summary (MCS) score was 46.5 ± 9.1. These scores have statistical similarity with Turkish healthy controls, except SF (social functioning) sub-dimension. PCS score for women microprocessor users were significantly lower than men (43.3 vs. 48.7, p = 0.03), but MCS scores were similar in between genders (46 vs. 48.2, p = 0.13). Conventional prostheses usage time was positively correlated with physical function (PF) scores (r = 0.322, p = 0.010). Microprocessor prosthesis usage time was negatively correlated with role limitations due to emotional problem (RE) scores (r = -0,313, p = 0.009). CONCLUSION: The quality of life surveys were showed that the loss of an extremity have higher physical and psychological impact on women's physical scores. Overall, SF-36 results were similar in microprocessor using amputee's and Turkish normal controls. LEVEL OF EVIDENCE: Level IV, therapeutic study.


Assuntos
Amputação Cirúrgica/psicologia , Amputados , Artroplastia do Joelho/psicologia , Fêmur/cirurgia , Prótese do Joelho , Microcomputadores/estatística & dados numéricos , Qualidade de Vida , Adulto , Amputação Cirúrgica/efeitos adversos , Amputação Cirúrgica/métodos , Amputados/psicologia , Amputados/estatística & dados numéricos , Artroplastia do Joelho/instrumentação , Artroplastia do Joelho/métodos , Feminino , Humanos , Prótese do Joelho/efeitos adversos , Prótese do Joelho/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Inquéritos e Questionários , Turquia
18.
Radiologe ; 57(9): 752-759, 2017 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-28707151

RESUMO

PURPOSE: Smartphones, tablet PCs, mobile applications (apps) and electronic book files (e-books) affect our lives in private and job-related settings. The aim of this study was to analyze the behavior of radiologists on smartphones, tablet PCs and e­books and to investigate its effect on their daily work. MATERIALS AND METHODS: An online survey containing of 23 questions was conducted using Survey Monkey© ( www.surveymonkey.com ). The invitation to the survey was done using the newsletter of the German Radiological Society (DRG). The acquired data was automatically stored by the software and then analyzed using descriptive statistics. RESULTS: In total, 104 radiologists (29% female) participated in the online survey. Of these, 93% and 96.5% owned a smartphone or a tablet PC, respectively, and 72% and 67% used medical apps and e­books, respectively. Through their use, 31% found moderate and 41% found enormous improvement in their daily work. A majority of participating radiologists would be willing to pay an increased user fee for optimized apps or e­books. CONCLUSION: With currently only moderate individual benefit of mobile medical apps and e­books, there is a widespread need for optimally configured apps and e­books with a correspondingly high market potential. KEY POINTS: (1) Radiologists use smartphones (93%) or tablet PCs (96.5%); (2) 72% of radiologists use a smartphone or tablet PC for medical material; (3) 53% of radiologists report significant assistance from or a high value of the mobile medical applications used; (4) There is a willingness to pay a license fee for optimized mobile applications or e­books.


Assuntos
Livros , Microcomputadores/estatística & dados numéricos , Aplicativos Móveis/estatística & dados numéricos , Radiologistas/psicologia , Smartphone/estatística & dados numéricos , Feminino , Alemanha , Humanos , Masculino , Radiologistas/estatística & dados numéricos , Inquéritos e Questionários
19.
Int J Radiat Oncol Biol Phys ; 98(2): 409-418, 2017 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-28463161

RESUMO

PURPOSE: To assess the feasibility of measuring symptomatic adverse events (AEs) in a multicenter clinical trial using the National Cancer Institute's Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE). METHODS AND MATERIALS: Patients enrolled in NRG Oncology's RTOG 1012 (Prophylactic Manuka Honey for Reduction of Chemoradiation Induced Esophagitis-Related Pain during Treatment of Lung Cancer) were asked to self-report 53 PRO-CTCAE items representing 30 symptomatic AEs at 6 time points (baseline; weekly ×4 during treatment; 12 weeks after treatment). Reporting was conducted via wireless tablet computers in clinic waiting areas. Compliance was defined as the proportion of visits when an expected PRO-CTCAE assessment was completed. RESULTS: Among 226 study sites participating in RTOG 1012, 100% completed 35-minute PRO-CTCAE training for clinical research associates (CRAs); 80 sites enrolled patients, of which 34 (43%) required tablet computers to be provided. All 152 patients in RTOG 1012 agreed to self-report using the PRO-CTCAE (median age 66 years; 47% female; 84% white). Median time for CRAs to learn the system was 60 minutes (range, 30-240 minutes), and median time for CRAs to teach a patient to self-report was 10 minutes (range, 2-60 minutes). Compliance was high, particularly during active treatment, when patients self-reported at 86% of expected time points, although compliance was lower after treatment (72%). Common reasons for noncompliance were institutional errors, such as forgetting to provide computers to participants; patients missing clinic visits; Internet connectivity; and patients feeling "too sick." CONCLUSIONS: Most patients enrolled in a multicenter chemoradiotherapy trial were willing and able to self-report symptomatic AEs at visits using tablet computers. Minimal effort was required by local site staff to support this system. The observed causes of missing data may be obviated by allowing patients to self-report electronically between visits, and by using central compliance monitoring. These approaches are being incorporated into ongoing studies.


Assuntos
Quimiorradioterapia/efeitos adversos , Esofagite/complicações , Neoplasias Pulmonares/terapia , Microcomputadores/estatística & dados numéricos , Dor/prevenção & controle , Cooperação do Paciente/estatística & dados numéricos , Medidas de Resultados Relatados pelo Paciente , Autorrelato/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Apiterapia/métodos , Transtornos de Deglutição/etiologia , Transtornos de Deglutição/terapia , Estudos de Viabilidade , Feminino , Mel , Humanos , Internet , Masculino , Pessoa de Meia-Idade , National Cancer Institute (U.S.) , Avaliação de Sintomas/estatística & dados numéricos , Fatores de Tempo , Estados Unidos
20.
Int J Med Inform ; 98: 41-46, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-28034411

RESUMO

INTRODUCTION: High maternal and child mortality continues in low- and middle-income countries (LMIC). Measurement of maternal, newborn and child health (MNCH) coverage indicators often involves an expensive, complex, and lengthy household data collection process that is especially difficult in less-resourced settings. Computer-assisted personal interviewing (CAPI) has been proposed as a cost-effective and efficient alternative to traditional paper-and-pencil interviewing (PAPI). However, the literature on respondent-level acceptance of CAPI in LMIC has reported mixed outcomes. This is the first study to prospectively examine female respondent acceptance of CAPI and its influencing factors for MNCH data collection in rural Southwest Uganda. METHODS: Eighteen women aged 15-49 years were randomly selected from 3 rural villages to participate. Each respondent was administered a Women's Questionnaire with half of the survey questions asked using PAPI techniques and the other half using CAPI. Following this PAPI/CAPI exposure, semi-structured focus group discussions (FGDs) assessed respondent attitudes towards PAPI versus CAPI. FGD data analysis involved an immersion/crystallization method (thematic narrative analysis). RESULTS: The sixteen FGD respondents had a median age of 27 (interquartile range: 24.8, 32.3) years old. The majority (62.5%) had only primary level education. Most respondents (68.8%) owned or regularly used a mobile phone or computer. Few respondents (31.3%) had previously seen but not used a tablet computer. Overall, FGDs revealed CAPI acceptance and the factors influencing CAPI acceptability were 'familiarity', 'data confidentiality and security', 'data accuracy', and 'modernization and development'. DISCUSSION: Female survey respondents in our rural Southwest Ugandan setting found CAPI to be acceptable. Global health planners and implementers considering CAPI for health coverage survey data collection should accommodate influencing factors during survey planning in order to maximize and facilitate acceptance and support by local stakeholders and community participants. Further research is needed to generate best practices for CAPI implementation and LMIC; higher quality, timely, streamlined and budget-friendly collection of MNCH indicators could help direct and improve programming to save lives of mothers and children.


Assuntos
Saúde da Criança , Diagnóstico por Computador/métodos , Inquéritos Epidemiológicos , Entrevistas como Assunto , Microcomputadores/estatística & dados numéricos , População Rural/estatística & dados numéricos , Adolescente , Adulto , Atitude Frente a Saúde , Telefone Celular/estatística & dados numéricos , Criança , Confiabilidade dos Dados , Feminino , Grupos Focais , Humanos , Recém-Nascido , Pessoa de Meia-Idade , Uganda , Adulto Jovem
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