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1.
Medwave ; 21(4): e8192, 2021 May 24.
Artigo em Espanhol, Inglês | MEDLINE | ID: mdl-34086668

RESUMO

Introduction: On March 19, 2020, a mandatory lockdown was imposed in Argentina due to the global pandemic caused by SARS-CoV-2. Objectives: To explore the elderlys healthcare experiences during the lockdown and the problems that may have arisen regarding accessibility to the healthcare system and emerging adaptations to medical care. Methods: We coded the data using Atlas.ti 8 software and then triangled the analysis among researchers from different backgrounds. Finally, concept maps were developed and themes arising from these were described. Results: Thirty-nine participants were interviewed from the metropolitan area in Buenos Aires from April to July of 2020. The main emerging themes were: 1) access to regularly scheduled consults, 2) access to chronic medication, 3) emergency consultations, and 4) the role of information and communication technologies. Accessibility to the healthcare system was compromised due to reduced outpatient consultations, affecting health checkups, diagnosis, and treatment. However, participants tried to keep their immunizations up to date. Information and communication technologies were used to fill digital prescriptions and online medical consultations. While this was a solution to many, others did not have access to these technologies or had trouble using them. Conclusions: The global pandemic caused a reduction in outpatient medical consultations. Emerging needs originated new ways of carrying out medical consultations, mainly through information and communication technologies, which was a solution for many but led to the exclusion of others because of the preexisting technology gap.


Assuntos
COVID-19/prevenção & controle , Acesso aos Serviços de Saúde , Serviços de Saúde para Idosos , Quarentena , Idoso , Assistência Ambulatorial , Agendamento de Consultas , Argentina/epidemiologia , COVID-19/epidemiologia , COVID-19/psicologia , Prescrição Eletrônica , Serviços Médicos de Emergência , Feminino , Humanos , Tecnologia da Informação , Masculino , Pessoa de Meia-Idade , Preparações Farmacêuticas/provisão & distribuição , Pesquisa Qualitativa , Telemedicina , Vacinação
2.
Sensors (Basel) ; 21(11)2021 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-34071115

RESUMO

Because of the ageing population, the demand for assisted living solutions that can help prolonging independent living of elderly at their homes with reduced interaction with caregivers is rapidly increasing. One of the most important indicators of the users' well-being is their motion and mobility inside their homes, used either on its own or as contextual information for other more complex activities such as cooking, housekeeping or maintaining personal hygiene. In monitoring users' mobility, radio frequency (RF) communication technologies have an advantage over optical motion detectors because of their penetrability through the obstacles, thus covering greater areas with fewer devices. However, as we show in this paper, RF links exhibit large variations depending on channel conditions in operating environment as well as the level and intensity of motion, limiting the performance of the fixed motion detection threshold determined on offline or batch measurement data. Thus, we propose a new algorithm with an online adaptive motion detection threshold that makes use of channel impulse response (CIR) information of the IEEE 802.15.4 ultra-wideband (UWB) radio, which comprises an easy-to-install robust motion detection system. The online adaptive motion detection (OAMD) algorithm uses a sliding window on the last 100 derivatives of power delay profile (PDP) differences and their statistics to set the threshold for motion detection. It takes into account the empirically confirmed observation that motion manifests itself in long-tail samples or outliers of PDP differences' probability density function. The algorithm determines the online threshold by calculating the statistics on the derivatives of the 100 most recent PDP differences in a sliding window and scales them up in the suitable range for PDP differences with multiplication factors defined by a data-driven process using measurements from representative operating environments. The OAMD algorithm demonstrates great adaptability to various environmental conditions and exceptional performance compared to the offline batch algorithm. A motion detection solution incorporating the proposed highly reliable algorithm can complement and enhance various assisted living technologies to assess user's well-being over long periods of time, detect critical events and issue warnings or alarms to caregivers.


Assuntos
Algoritmos , Ondas de Rádio , Idoso , Humanos , Tecnologia da Informação , Movimento (Física)
3.
Stud Health Technol Inform ; 281: 18-22, 2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-34042697

RESUMO

Metadata management is an essential condition to follow the FAIR principles. Therefore, metadata management was one asset of an accompanying project within a funding scheme for registries in health services research. The metadata of the funded projects were acquired, combined in a database compatible with the metamodel of ISO/IEC 11179 "Information technology - Metadata registries" third edition (ISO/IEC 11179-3), and analyzed in order to support the development and the operation of the registries. In the second phase of the funding scheme, six registries delivered a complete update of their metadata. The mean number of data elements increased from 245.7 to 473.5 and the mean number of values from 569.5 to 1,306.0. The conceptual core of the database had to be extended by one third to cover the new elements. The reason for this increase remained unclear. Constraints from the grant might be causal, a deviation from an evidence-based development process as well. It is questionable, whether the revealed quality of the metadata is sufficient to fulfill the FAIR principles. The extension of the metamodel of ISO/IEC 11179-3 is in agreement with the literature. However, further research is needed to find workable solutions for metadata management.


Assuntos
Pesquisa sobre Serviços de Saúde , Metadados , Bases de Dados Factuais , Tecnologia da Informação , Sistema de Registros
4.
Stud Health Technol Inform ; 281: 931-935, 2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-34042810

RESUMO

Participating in social activities promotes healthy ageing, whereas loneliness and isolation are known to cause adverse effects on both physical and mental wellbeing. Technology that exists in society today can facilitate healthy ageing. However, a gap can be seen between seniors and technology in today's internet and communication technological device's user interfaces. Due to limited prior knowledge of interacting with touch screen devices, seniors sometimes have difficulties using them. This research aims to explore the user interfaces and their elements designed using a human-centered design methodology by involving seniors as activate participants in the design process. This work's outcome can improve current user interface design practices in touch screen devices, which might be seen as contributing step to understand the gap between seniors and technology.


Assuntos
Envelhecimento Saudável , Solidão , Humanos , Tecnologia da Informação , Comportamento Social , Tecnologia
5.
Stud Health Technol Inform ; 281: 957-962, 2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-34042815

RESUMO

The pandemic suffered in 2020 following the appearance of the SARS-CoV-2 virus has marked a radical change in the way in which the basic pillars of international, and more specifically Spanish, society are understood. The existing social and economic model has had to adapt abruptly and urgently to the reality of what has happened. The impact that these changes will have after the pandemic is still unclear, but it may be surmised that many of them are here to stay. The use of information and communication technologies has been critical in the pandemic scenario and also in the health environment, where factors like telemedicine have come to play a key role for society. This work presents an initial analysis of how degrees in Medicine train students for telematic work with patients and provides a series of reflections based on the pandemic which may serve as a point of departure for future studies.


Assuntos
COVID-19 , Telemedicina , Humanos , Tecnologia da Informação , Pandemias , SARS-CoV-2
6.
Rev Bras Enferm ; 74(suppl 5): e20200422, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34037171

RESUMO

OBJECTIVE: To identify and map the technological tools of information and communication to support the teaching learning process in Nursing teaching courses. METHODS: This is a scoping review whose search was carried out in seven databases and in grey literature. After an initial analysis of the selection, 88 texts were read integrally, and 29 made up the final sample. RESULTS: Virtual learning environment and object, simulation, hypermedia, and software or cellphone applications were the tools the nursing professors used the most. Studies highlight that the application of technology was important in the teaching-learning process, since it encouraged teaching based on safe care, motivating and developing abilities/competences, supported on significant, effective, flexible, and autonomous learning. CONCLUSION: The contribution of the technology for nursing formation stands out, but it should be highlighted that its employment must be critical, reflective, based on pedagogical theories and developed by trained professors.


Assuntos
Educação em Enfermagem/tendências , Tecnologia Educacional , Tecnologia da Informação , Aprendizagem , Ensino/tendências , Comunicação , Escolaridade , Humanos , Hipermídia
7.
Comput Intell Neurosci ; 2021: 9950332, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33995524

RESUMO

Major depressive disorder (MDD) is the most common mental disorder in the present day as all individuals' lives, irrespective of being employed or unemployed, is going through the depression phase at least once in their lifetime. In simple terms, it is a mood disturbance that can persist for an individual for more than a few weeks to months. In MDD, in most cases, the individuals do not consult a professional, and even if being consulted, the results are not significant as the individuals find it challenging to identify whether they are depressed or not. Depression, most of the time, cooccurs with anxiety and leads to suicide in few cases, among the employees, who are about to handle the pressure at work and home and mostly unnoticing such problems. This is why this work aims to analyze the IT employees who are mostly working with targets. The artificial neural network, which is modeled loosely like the brain, has proved in recent days that it can perform better than most of the classification algorithms. This study has implemented the multilayered neural perceptron and experimented with the backpropagation technique over the data samples collected from IT professionals. This study aims to develop a model that can classify depressed individuals from those who are not depressed effectively with the data collected from them manually and through sensors. The results show that deep-MLP with backpropagation outperforms other machine learning-based models for effective classification.


Assuntos
Transtorno Depressivo Maior/diagnóstico , Transtorno Depressivo Maior/epidemiologia , Tecnologia da Informação , Aprendizado de Máquina/normas , Pandemias , Trabalho/psicologia , Adulto , Aprendizado Profundo/normas , Humanos , Redes Neurais de Computação
8.
Oncology ; 99 Suppl 1: 3-7, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33853076

RESUMO

Real-world data are defined as data relating to any aspect of a patient's health status collected in the context of routine health surveillance and medical care delivery. Sources range from insurance billing claims through to electronic surveillance data (e.g., activity trackers). Real-world data derive from large populations in diverse clinical settings and thus can be extrapolated more readily than clinical trial data to patients in different clinical settings or with a variety of comorbidities. Real-world data are used to generate real-world evidence, which might be regarded as a "meta-analysis" of accumulated real-world data. Increasingly, regulatory authorities are recognizing the value of real-world data and real-world evidence, especially for rare diseases where it may be practically unfeasible to conduct randomized controlled trials. However, the quality of real-world evidence depends on the quality of the data collected which, in turn, depends on a correct pathological diagnosis and the homogeneous behaviour of a reliably defined and consistent disease entity. As each of the more than 80 varieties of soft tissue sarcoma (STS) types represents a distinct disease entity, the situation is exceedingly complicated. Discordant diagnoses, which affect data quality, present a major challenge for use of real-world data. As real-world data are difficult to collect, collaboration across sarcoma reference institutions and sophisticated information technology solutions are required before the potential of real-world evidence to inform decision-making in the management of STS can be fully exploited.


Assuntos
Tomada de Decisões , Sarcoma/terapia , Ensaios Clínicos como Assunto , Coleta de Dados , Humanos , Tecnologia da Informação
9.
Rev Cardiovasc Med ; 22(1): 115-125, 2021 03 30.
Artigo em Inglês | MEDLINE | ID: mdl-33792253

RESUMO

In this pandemic era there exist a relationship between a sedentary lifestyle during lockdown with periods of anxiety and stress among the population. Moreover, the population with chronic disease will be vulnerable to the ill effects of a physically inactive lifestyle. Besides, social media platforms and technological advances also appear to be another potential tool for promoting health and wellbeing, however, the capability of these interventions during the pandemic era is largely unknown. To explore the possible role of technological advances and social media platforms as an alternate tool in promoting a healthy living style during the COVID-19 era. The studies with the predefined criteria were used to synthesize information regarding the opportunities and challenges. Studies delivering lifestyle intervention using social media platforms, technologies for health promotion were considered for the review. The studies included to synthesize evidence were randomized controlled trials, systematic reviews and meta-analysis. Database like Medline, Scopus, and Science Direct were searched independently by two reviewers. A total of 17 studies were included in the review, Internet and lifestyle modification n = 2, mHealth and lifestyle modification n = 3, Social media and lifestyle modifications n = 3, technology adoption for lifestyle modification n = 4, and hazards = 5. Technology and social media-based interventions appear to be a promising technique for promoting health and wellbeing and it is the only effective method for delivering an intervention during a pandemic situation. However, there also appears a need for the development of guidelines for social media usage to prevent probable hazards.


Assuntos
COVID-19/epidemiologia , Controle de Doenças Transmissíveis/organização & administração , Estilo de Vida Saudável , Tecnologia da Informação , COVID-19/prevenção & controle , COVID-19/transmissão , Promoção da Saúde , Humanos , Mídias Sociais
10.
Wiad Lek ; 74(3 cz 1): 481-486, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33813454

RESUMO

OBJECTIVE: The aim: Was to evaluate the effectiveness of the use of information technology of intelligent monitoring in solving the problems of assessing the morbidity of a patient with IBD during treatment. PATIENTS AND METHODS: Matherials and methods: 183 patients with IBD were observed. Among them 104(56.8%) patients suffered from Crohn's disease and 79(43.1%) patients had ulcerative colitis. For each patient and each disease, the formation of a list of signs, the extraction of information and knowledge will be carried out according to an individual method. At the lower level, tasks are performed: determination of the list of patient morbidity conditions, the formation of a list of indicators of the patient morbidity conditions, their identification as classes for machine learning models; formation of a list of signs, which identify the state of the patient's morbidity and whose characteristics obtained after results of medical tests. RESULTS: Results: The number of correctly classified points reached 92%. An analysis of the conditions of patients characterized by incorrectly classified points revealed the information content of this fact. In those cases when the classification results did not coincide with the expert assessment of the patient's condition, additional factors were found that influenced his condition and whose characteristics were not taken into account in the structure of classifier models. CONCLUSION: Conclusions: The results of the testing of classifier models indicate the effectiveness of the use of information technology of intelligent monitoring to assess the condition of patients with IBD.


Assuntos
Colite Ulcerativa , Doença de Crohn , Doenças Inflamatórias Intestinais , Colite Ulcerativa/diagnóstico , Humanos , Doenças Inflamatórias Intestinais/complicações , Doenças Inflamatórias Intestinais/diagnóstico , Tecnologia da Informação
11.
Nutrients ; 13(2)2021 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-33670196

RESUMO

Although the healthcare policy was implemented to incentivize the multidisciplinary services of hospital-based nutrition support team (NST) in South Korea, timely completion of the services has been challenging in the hospitals. We enhanced NST healthcare information technology (NST-HIT) to bridge the gap between policy implementation and seamless execution of the policy in the hospital system. A 48 month pre-test-post-test study was performed, including a 12 month pre-intervention period, a six month intervention period, and a 30 month post-intervention period. The enhanced NST-HIT provided sufficient patient data and streamlined communication processes among end-users. A Student's t-test showed that the timely completion rate of NST consultations, the reimbursement rate of NST consultations, average response times of NST physicians and nurses, and length of hospital stay significantly improved during the post-intervention period. A segmented regression analysis of interrupted time series showed that the average response times of NST physicians had sustained after the interventions. We believe that well-structured, multi-pronged initiatives with leadership support from the hospital improved service performance of hospital NST in response to national-level healthcare policy changes.


Assuntos
Política de Saúde , Hospitais , Tecnologia da Informação , Apoio Nutricional/métodos , Comunicação , Atenção à Saúde , Implementação de Plano de Saúde/métodos , Humanos , Reembolso de Seguro de Saúde , Tempo de Internação , Enfermeiras e Enfermeiros , Nutricionistas , Equipe de Assistência ao Paciente , Farmacêuticos , Médicos , Melhoria de Qualidade , Encaminhamento e Consulta/estatística & dados numéricos , República da Coreia , Fatores de Tempo , Resultado do Tratamento
12.
RECIIS (Online) ; 15(1): 6-11, jan.-mar. 2021.
Artigo em Inglês | LILACS | ID: biblio-1152250

RESUMO

This commentary discusses recent developments in 'knowledge graph' technology over the course of the Covid-19 pandemic. Recently experiencing a surge in popularity, knowledge graphs are technologies that assist with data integration through structured metadata modeling. Researchers tag and collate vast amounts of diverse data using knowledge graphs, yet problems related to semantic drift and more salient issues related to the political economy of information and communication technologies persist. Researchers should anticipate that the semantics of these Covid-19 knowledge graphs can change over time. Equally important, researchers should also consider all stakeholders involved, including those stakeholders that might be excluded.


Este comentário discute desenvolvimentos recentes na tecnologia de 'gráficos de conhecimento' durante o curso da pandemia de Covid-19. Gráficos de conhecimento, que vêm tendo um aumento de popularidade, são tecnologias que auxiliam com a integração de dados através de modelamento estruturado de metadados. Pesquisadores rotulam e agregam vastas quantidades de dados diversos usando gráficos de conhecimento, entretanto persistem problemas relacionados a variações semânticas e questões mais salientes relacionadas à economia política de tecnologias de informação e comunicação. Os pesquisadores devem prever que a semântica desses gráficos de conhecimento para Covid-19 pode variar com o tempo. Igualmente importante, os pesquisadores devem também considerar todas as partes interessadas envolvidas, incluindo as que poderiam ser excluídas.


Este ejemplo analiza los desarrollos recientes en la tecnología de 'gráficos de conocimiento' durante la pandemia de Covid-19. Recientemente experimentando un aumento en popularidad, los gráficos de conocimiento son tecnologías que ayudan a la integración de datos a través del modelado de metadatos estructurados. Los investigadores etiquetan y recopilan grandes cantidades de datos diversos utilizando gráficos de conocimiento, pero persisten los problemas relacionados con la deriva semántica y cuestiones más importantes relacionadas con la economía política de las tecnologías de la información y la comunicación. Los investigadores deben prever que la semántica de estos gráficos de conocimiento de Covid-19 puede cambiar con el tiempo. También es importante que los investigadores consideren a todas las partes interesadas involucradas, incluso las que podrían quedar excluidas.


Assuntos
Humanos , Infecções por Coronavirus , Comunicação , Metadados , Betacoronavirus , Web Semântica , Gráficos por Computador , Informação , Tecnologia da Informação
14.
RECIIS (Online) ; 15(1): 136-154, jan.-mar. 2021. ilus
Artigo em Português | LILACS | ID: biblio-1177113

RESUMO

Com o avanço das tecnologias de informação, as redes sociais estão inseridas diretamente no cotidiano dos indivíduos e refletem o modo como grupos e indivíduos constroem suas relações sociais, afetivas e laborais. Considerando que a percepção sobre os corpos é influenciada pelos canais de comunicação, este trabalho procura discutir o crescimento do movimento Body Positive (BoPo) em perfis do Instagram, tendo em vista a estetização da saúde e o efeito de influência e controle que são exercidos sobre a relação dos indivíduos com seus corpos. Para tanto, toma-se como referência a análise dos mecanismos neoliberais de controle e modulação de subjetividades marcados pela exigência de desempenho máximo e pela permanente concorrência consigo mesmo e com os outros. Procura-se apresentar uma reflexão crítica sobre a capacidade de captura dos mecanismos de controle em redes sociais que, em associação ao mercado capitalista, produzem novas roupagens para antigos dispositivos de poder.


With the advancement of information technologies, social media are inserted straight in people's daily life and reflect the way groups and individuals build their social, affective, and work relations. Considering that body perception is influenced by media channels, this paper aims to discuss the Body Positive movement increase on Instagram profiles, given the aestheticization of health and the influence and control effect over the relation of individuals with their bodies. Therefore, it takes as reference the analysis of neoliberal's control and subjectivity modulation mechanisms marked by both the exigency of maximum performance and the permanent competition with itself and the others. It seeks to present a critical reflection on the capture capacity of the social media control mechanisms that, associated with a capitalist market, produces new clothes to old power dispositives.


Con el avance de las tecnologías de la información, las redes sociales se insertan directamente en la vida diaria de las personas y reflejan la forma en que los grupos y las personas construyen sus relaciones sociales, afectivas y laborales. Teniendo en cuenta que la percepción de los cuerpos está influenciada por los canales de comunicación, este documento busca discutir el crecimiento del movimiento Body Positive (BoPo) en los perfiles de Instagram, en vista de la estetización de la salud, la influencia y el efecto de control que se ejercen sobre la relación de individuos con sus cuerpos. Con este fin, se toma como referencia el análisis de los mecanismos neoliberales para controlar y modular las subjetividades marcadas por la demanda de máximo rendimiento y competencia permanente consigo mismo y con los demás. Busca presentar una reflexión crítica sobre la capacidad de capturar mecanismos de control en las redes sociales que, en asociación con el mercado capitalista, producen ropa nueva para viejos dispositivos de energía.


Assuntos
Humanos , Indústria da Beleza , Comunicação , Tecnologia da Informação , Rede Social , Mídias Sociais , Vestuário , Marketing Social , Estilo de Vida
15.
J Med Internet Res ; 23(3): e19473, 2021 03 10.
Artigo em Inglês | MEDLINE | ID: mdl-33600344

RESUMO

BACKGROUND: COVID-19, the disease caused by the novel coronavirus SARS-CoV-2, has become a global pandemic, affecting most countries worldwide. Digital health information technologies can be applied in three aspects, namely digital patients, digital devices, and digital clinics, and could be useful in fighting the COVID-19 pandemic. OBJECTIVE: Recent reviews have examined the role of digital health in controlling COVID-19 to identify the potential of digital health interventions to fight the disease. However, this study aims to review and analyze the digital technology that is being applied to control the COVID-19 pandemic in the 10 countries with the highest prevalence of the disease. METHODS: For this review, the Google Scholar, PubMed, Web of Science, and Scopus databases were searched in August 2020 to retrieve publications from December 2019 to March 15, 2020. Furthermore, the Google search engine was used to identify additional applications of digital health for COVID-19 pandemic control. RESULTS: We included 32 papers in this review that reported 37 digital health applications for COVID-19 control. The most common digital health projects to address COVID-19 were telemedicine visits (11/37, 30%). Digital learning packages for informing people about the disease, geographic information systems and quick response code applications for real-time case tracking, and cloud- or mobile-based systems for self-care and patient tracking were in the second rank of digital tool applications (all 7/37, 19%). The projects were deployed in various European countries and in the United States, Australia, and China. CONCLUSIONS: Considering the potential of available information technologies worldwide in the 21st century, particularly in developed countries, it appears that more digital health products with a higher level of intelligence capability remain to be applied for the management of pandemics and health-related crises.


Assuntos
COVID-19/epidemiologia , Atenção à Saúde/métodos , Controle de Infecções/métodos , Tecnologia da Informação/normas , Telemedicina/organização & administração , Humanos , Pandemias , Prevalência , SARS-CoV-2/isolamento & purificação
16.
Kardiol Pol ; 79(2): 227-241, 2021 02 24.
Artigo em Inglês | MEDLINE | ID: mdl-33635031

RESUMO

Telemedicine involves diagnostic, therapeutic and educational services being offered remotely by healthcare professionals to exchange crucial clinical information. It is a rapidly developing form of medical activity and part of medical industry, with advanced technologies already available in Poland. Cardiology is one of the fields in which telemedicine methods were pioneered and introduced into everyday practice. Some of these methods have already become standard procedures for diagnosis and treatment in some Polish centers, with other soon to follow. Clinical study results not only demonstrate reliability and usefulness of telemedicine technologies but also show that their use in clinical practice improves the patients' prognoses and quality of life. Moreover, study results in highly developed countries show a potential cost-effectiveness of telemedicine from the perspective of healthcare systems. There is an unquestionable need to establish clear rules for telemedicine use in Poland, which would ensure their high quality and adequate clinical application. This paper is a summary of the current status of telemedicine solutions used in cardiology, with a particular focus on the Polish healthcare system, and presents both the commonly available solutions and those that are expected to develop rapidly in the near future.


Assuntos
Cardiologia/tendências , Tecnologia da Informação , Guias de Prática Clínica como Assunto , Sociedades Médicas , Telemedicina , Prova Pericial , Humanos , Polônia , Qualidade de Vida , Reprodutibilidade dos Testes
18.
J Med Syst ; 45(4): 42, 2021 Feb 19.
Artigo em Inglês | MEDLINE | ID: mdl-33608811

RESUMO

In confronting the sudden epidemic of COVID-19, China and other countries have been under great deal of pressure to block virus transmission and reduce death cases. Fangcang shelter hospital, which is converted from large-scale public venue, is proposed and proven to be an effective way for administering medical care and social isolation. This paper presents the practice in information technology support for a Fangcang shelter hospital in Wuhan, China. The experiences include the deployment strategy of IT infrastructure, the redesign of function modules in the hospital information system (HIS), equipment maintenance and medical staff training. The deployment strategy and HIS modules have ensured smoothness and efficiency of clinical work. The team established a quick response mechanism and adhered to the principle of nosocomial infection control. Deployment of network and modification of HIS was finished in the 48 hours before patient admittance. A repair hotline and remote support for equipment and software were available whenever medical workers met with any questions. No engineer ever entered the contaminated areas and no one was infected by the coronavirus during the hospital operation. Up to now, Fangcang shelter hospital is adopted by many regions around the world facing the collapse of their medical systems. This valuable experience in informatization construction and service in Wuhan may help participators involving in Fangcang shelter hospital get better information technology support, and find more practical interventions to fight the epidemic.


Assuntos
COVID-19/terapia , Abrigo de Emergência/organização & administração , Hospitais Especializados/organização & administração , Unidades Móveis de Saúde/organização & administração , Isolamento de Pacientes/estatística & dados numéricos , COVID-19/epidemiologia , China , Emergências , Arquitetura de Instituições de Saúde , Hospitais de Isolamento , Humanos , Tecnologia da Informação , Fatores de Risco
19.
Environ Sci Pollut Res Int ; 28(20): 25187-25195, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33454863

RESUMO

Digital eye strain (DES) is a growing occupational and public health problem and one of the most frequent reasons for seeking medical care. The objectives of this study are to identify the prevalence and to study some associated personal, ergonomic, and environmental factors of DES among information technology (IT) professionals at Tanta University, Egypt. An interview questionnaire was used to collect data related to socio-demographic, job, ergonomic and environmental characteristics. Computer vision syndrome questionnaire (CVS-Q) was used for the assessment of DES. It was used to measure ocular and visual symptoms related to computer use. CVS-Q includes 16 symptoms that are scored using two rating scales, one for frequency and the other for intensity. A total of 108 IT professionals were included. Prevalence of DES was 82.41%. The most common symptoms were headache (81.5%), burning of the eye (75.9%), and blurred vision (70.4%). Significant predictors of DES were female gender (OR = 2.845), age ≥ 35 years (OR = 1.112), daily computer use more than 6 h (OR = 1.351), duration of work more than 10 years (OR = 1.793), wearing corrective glasses (OR = 5.009), distance from the monitor less than 20 in. (OR = 4.389), not using antiglare screen (OR = 0.214), no brightness adjustment of screen (OR = 0.015), not taking break time during computer work (OR = 0.007), exposure to air pollution (OR = 5.667), use of the air conditioner (OR = 23.021), and exposure to windy environments (OR = 3.588). Prevalence of DES was found to be high among IT professionals. Significant predictors of DES were female gender, older age, wearing eyeglasses, long duration of computer use, unadjusted ergonomic workstation, and dry environment. DES is a problem that can be prevented by increasing knowledge and awareness about DES by providing computer users with eye health education, periodic training on a proper ergonomic computer workstation, and adjustment of the suitable comfortable workplace environment.


Assuntos
Astenopia , Tecnologia da Informação , Adulto , Idoso , Astenopia/epidemiologia , Egito/epidemiologia , Ergonomia , Feminino , Humanos , Masculino , Prevalência , Inquéritos e Questionários
20.
BMC Med Inform Decis Mak ; 21(1): 24, 2021 01 21.
Artigo em Inglês | MEDLINE | ID: mdl-33478502

RESUMO

BACKGROUND: The use of information technologies could help to improve communications between patients and care providers, might improve overall patient management practice. However, the potential for implementing these patient management options in Ethiopia has not been well documented. This institution-based survey aimed to describe the attitude and willingness of care providers towards the use of information technologies for managing diabetes patients, and factors influencing their interest. METHODS: A cross-sectional quantitative survey was conducted on 423 study participants from February to March 2020 at two teaching hospitals in Northwest Ethiopia, where remote monitoring patients had not been implemented. A pretested self-administered questionnaire was used to collect the required data. Other than descriptive statistics, the binary logistic regression analysis method was used to identify factors associated with attitude. Also, the negative binomial regression method was used to identify factors associated with willingness to use information technologies. RESULT: A total of 406 participants (69.7%, n = 283 nurses and 30.3%, n = 123 physicians) were completed survey. Overall, 64% of respondents had a favorable attitude towards remote monitoring, and the majority of them were willing to use voice call (74.4%), text message (62.1%), video conference (61.3%), e-mail (60.6%), and social media (57.4%) as a source of communication to support patients. The result of regression analysis shows that having a computer (AOR = 2.3, 95% CI: [1.3, 3.8]), innovativeness (AOR = 2.8, 95% CI: [1.8, 4.3]), and practice of supporting patient by electronic technologies (AOR = 1.7, 95% CI: [1.1, 2.6]) were significantly associated with attitude to remote monitoring. Attitude towards remote monitoring (IRR = 2.3, 95% CI: 1.1-4.7), computer use (IRR = 1.3, 95% CI: 1.162-3.023), frequently searching health-related information (IRR = 1.7, 95% CI: 1.459-6.570), gender (IRR = 1.2, 95% CI: 1.0-5.1), awareness towards remote monitoring (IRR = 1.4, 95% CI: 1.1-2.7) were significantly associated with willingness to use information technologies. CONCLUSION: Improving the intention and skill of using computers should be a major point of attention for teaching hospitals who wish to improve their care providers' attitudes to remote monitoring and willingness in using information technologies. Besides, the awareness of professionals is crucial for improving willingness.


Assuntos
Diabetes Mellitus , Envio de Mensagens de Texto , Estudos Transversais , Diabetes Mellitus/terapia , Etiópia , Pessoal de Saúde , Humanos , Tecnologia da Informação , Inquéritos e Questionários
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