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1.
Comput Intell Neurosci ; 2021: 9808449, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34630559

RESUMO

In the clustering routing protocol, prolonging the lifetime of the sensor network depends to a large extent on the rationality of the cluster head node selection. The selection of cluster heads for heterogeneous wireless sensor networks (HWSNs) does not consider the remaining energy of the current nodes and the distribution of nodes, which leads to an imbalance of network energy consumption. A strategy for selecting cluster heads of HWSNs based on the improved sparrow search algorithm- (ISSA-) optimized self-organizing maps (SOM) is proposed. In the stage of cluster head selection, the proposed algorithm establishes a competitive neural network model at the base station and takes the nodes of the competing cluster heads as the input vector. Each input vector includes three elements: the remaining energy of the node, the distance from the node to the base station, and the number of neighbor nodes of the node. The best cluster head is selected through the adaptive learning of the improved competitive neural network. When selecting the cluster head node, comprehensively consider the remaining energy, the distance, and the number of times the node becomes a cluster head and optimize the cluster head node selection strategy to extend the network life cycle. Simulation experiments show that the new algorithm can reduce the energy consumption of the network more effectively than the basic competitive neural network and other algorithms, balance the energy consumption of the network, and further prolong the lifetime of the sensor network.


Assuntos
Redes de Comunicação de Computadores , Tecnologia sem Fio , Análise por Conglomerados , Conservação de Recursos Energéticos , Coleta de Dados
3.
Zhonghua Wei Chang Wai Ke Za Zhi ; 24(3): 225-229, 2021 Mar 25.
Artigo em Chinês | MEDLINE | ID: mdl-34645166

RESUMO

Colorectal surgery has been developed rapidly in China because of the advance of minimally invasive surgical techniques, perioperative comprehensive treatment strategies and clinical research in recent years. Comparing the current diagnosis and treatment of colorectal cancer between China and western industrialized countries, it can be found that the specialized construction and standardized diagnosis and treatment of colorectal surgery in western industrialized countries are very mature, and the multidisciplinary diagnosis and treatment model of colorectal cancer has been standardized. Although there is almost no difference between high-level colorectal cancer centers in the eastern coastal areas of China and western countries, due to the vast size and uneven regional development of China, standardized surgery and standardized treatment concepts of colorectal surgery still need to be popularized. Combined with the current diagnosis and treatment of colorectal cancer in China, more high-quality clinical research should be carried out to seek new development and breakthroughs in the field of colorectal surgery. Combined with the experience of international and domestic clinical research that has been participated in or carried out, the author believes that quality control of clinical research should be carried out from the following two points: 1. structured training and quality control of research; 2. establishment and management of databases. In a word, we should not only focus on colon surgery itself, but also complete the transformation to research-oriented doctors and research-oriented disciplines, cultivate the concept of data collection and clinical research, enhance the scientific awareness of clinical research, and integrate high-quality data collection and clinical research into daily clinical practice. Only in this way can we fundamentally improve the comprehensive strength of China's colorectal surgery, effectively carry out surgical-related clinical research based on the current situation colorectal diseases in China, and obtain high-level evidence-based medical evidence based on the research results of the population of patients in China, and form a guide for the diagnosis and treatment of colorectal surgery in China, which will also guide the clinical practice of patients with colorectal diseases in China. This will certainly be a new direction for the development of Chinese colorectal surgery.


Assuntos
Cirurgia Colorretal , Procedimentos Cirúrgicos do Sistema Digestório , China , Coleta de Dados , Humanos , Procedimentos Cirúrgicos Minimamente Invasivos
4.
BMC Health Serv Res ; 21(1): 1116, 2021 Oct 18.
Artigo em Inglês | MEDLINE | ID: mdl-34663302

RESUMO

BACKGROUND: Dental claims data have been used for epidemiological studies without establishing the validity of the recorded diagnoses or procedures. The present study aimed to examine the accuracy of diagnoses, procedures, operation time, and the number of teeth recorded in dental claims data. METHODS: We reviewed the charts of 200 patients who visited and 100 patients who were hospitalized in the Department of General Dentistry, Orthodontics, and Oral and Maxillofacial Surgery in an academic hospital between August 2012 and December 2017. The sensitivity and specificity of the dental claims data for five diseases and 15 procedures were evaluated. We assessed the difference in the number of teeth and duration of general anesthesia between claims data and chart reviews. RESULTS: Sensitivity was more than 86% for six out of seven diagnoses except for pericoronitis (67%). Specificity ranged from 72% (periodontal disease) to 100% (oral cancer for inpatient). The sensitivity of procedures ranged from 10% (scaling for inpatient) to 100%, and the specificity ranged from 6% (food intake on the day of the surgery) to 100%. The mean (standard deviation [SD]) number of teeth in the chart review was 22.6 (6.8), and in the dental claims was 21.6 (8.6). The mean (SD) operation time was 171.2 (120.3) minutes, while the duration of general anesthesia was 270.9 (171.3) minutes. CONCLUSIONS: The present study is the first study to validate dental claims data, and indicates the extent of usefulness of each diagnosis and procedure for future dental research using administrative data.


Assuntos
Anestesia Geral , Registros , Coleta de Dados , Humanos , Japão/epidemiologia , Sensibilidade e Especificidade
5.
BMC Health Serv Res ; 21(1): 1044, 2021 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-34600507

RESUMO

BACKGROUND: Multidisciplinary cancer care to facilitate the provision of patient centred and evidence-based care is considered best practice internationally. In 2016 multidisciplinary care measures were developed for all local health districts across NSW. The aim of this study was to identify system-level changes and quality improvement activities across the NSW cancer system linked to reporting on these measures. METHODS: Focus group discussions were used to generate a synergy of ideas from key stakeholders. An exploratory descriptive approach was used within the ontological position of Framework Analysis, the analysis method chosen for this research study, sitting most closely within pragmatism. The use of Framework Analysis in the analytic strategy is because it is well-suited to addressing policy issues and maintaining specific focus within a wider dataset. RESULTS: Two focus groups were held with a total of 18 purposively selected participants. Four primary themes emerged: value of electronic documentation; role clarity; relationships; and future development of measures. Key findings included that the reporting of performance measures has expedited the development of electronic documentation and data extraction from the multidisciplinary team meeting (MDT), identified barriers and facilitators to MDT data collection and supported MDT improvement activities across NSW. CONCLUSIONS: The findings of this study have highlighted that MDTs and their meetings across NSW are harnessing technological advancements to support and further develop their MDTs, as well as the challenges of implementing new processes within the MDTM. This study adds a unique contribution to knowledge of how the reporting of measures can assist in understanding variation in the development and implementation of multidisciplinary teams, as well as highlighting future programs of work to decrease variation in multidisciplinary team meetings and quality improvement activities.


Assuntos
Neoplasias , Austrália , Coleta de Dados , Grupos Focais , Humanos , Neoplasias/terapia , New South Wales , Equipe de Assistência ao Paciente
6.
BMJ Open ; 11(9): e051904, 2021 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-34479939

RESUMO

INTRODUCTION: Person-centred outcome measures improve quality of care and patient outcomes but are used inconsistently in palliative care practice. To address this implementation gap, we developed the 'RESOLVE Implementation Strategy'. This protocol describes a process evaluation to explore mechanisms through which this strategy does, or does not, support the implementation of outcome measures in routine palliative care practice. METHODS AND ANALYSIS: Multistrand, mixed-methods process evaluation. Strand one will collect routine outcomes data (palliative Phase of Illness, Integrated Palliative care Outcomes Scale, Australia-modified Karnofsky Performance Status) to map the changes in use of outcome measures over 12 months (July 2021-July 2022). Strand two will collect survey data over the same 12-month period to explore how professionals' understandings of, skills in using and ability to build organisational practices around, outcome measures change over time. Strand three will collect interview data to understand the mechanisms underpinning/affecting our implementation strategy. Thematic framework analysis and descriptive statistics will be used to analyse qualitative and quantitative data, respectively. ETHICS AND DISSEMINATION: For strand one, ethical approval has been obtained (Cambridge REC, REF: 20/EE/0188). For strands two and three, ethical approval has been obtained from Hull York Medical School ethics committee (2105). Tailored feedback of study findings will be provided to participating sites. Abstracts and papers will be submitted to national/international conferences and peer-reviewed journals. Lay and policy briefings and newsletters will be shared through patient and public involvement and project networks, plus via the project website.


Assuntos
Avaliação de Resultados em Cuidados de Saúde , Cuidados Paliativos , Austrália , Coleta de Dados , Humanos
7.
BMJ Open ; 11(9): e046071, 2021 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-34489270

RESUMO

INTRODUCTION: Fetal alcohol spectrum disorder (FASD) is one of the most common neurodevelopmental disorders in North America. It is a complex disability, associated with challenges in cognitive, behavioural and socialemotional functioning, as well as an increased risk of physical and mental health comorbidities, and difficulties in daily living across the lifespan. Previous attempts to characterise the profile of this population have been hampered by differences in data collected across studies, regional discrepancies in terminology and definitions, and a lack of tools to integrate comprehensive datasets. METHODS AND ANALYSIS: The goals of this study are to use the Canadian National FASD Database, a national repository of FASD assessment-related information, to better understand the functional profile, comorbidities, intervention needs and difficulties in daily living experienced by individuals assessed for FASD across the lifespan. We will also examine what factors may be the most sensitive predictors of receiving an FASD diagnosis. Data will be analysed from over 3500 records collected between 2010 and 2021 (ongoing) from 26 FASD diagnostic clinics in seven provinces and territories. Data collection is ongoing, and analysis will be performed on a biannual basis to continue to hone our understanding of the profiles, needs and outcomes of individuals assessed for FASD in Canada. This research is critical for refining FASD assessment and diagnostic practice, enabling accurate and early identification of individuals with FASD, and connecting individuals with FASD and their families to comprehensive and effective services and resources to support healthy developmental trajectories. ETHICS AND DISSEMINATION: Ethics approval for the National FASD Database Project was obtained from the Ottawa Health Science Network Research Ethics Board. As new knowledge is gained from this project, findings will be disseminated through publications, presentations and feedback to participating clinics, with the ultimate goal of informing FASD research, practice and policy.


Assuntos
Transtornos do Espectro Alcoólico Fetal , Canadá/epidemiologia , Coleta de Dados , Bases de Dados Factuais , Feminino , Transtornos do Espectro Alcoólico Fetal/diagnóstico , Transtornos do Espectro Alcoólico Fetal/epidemiologia , Humanos , Saúde Mental , Gravidez
8.
Cad Saude Publica ; 37(8): e00293320, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34495098

RESUMO

The article presents methodological aspects of anthropometric assessment of nutritional status in children under five years of age and their biological mothers. It discusses the strategies used for training and data collection in the Brazilian National Survey on Child Nutrition (ENANI-2019). ENANI-2019 is a population-based household survey conducted in 123 municipalities in Brazil's 26 states and the Federal District. The anthropometric measurements were body mass and length/stature. The equipment was purchased according to its measurement capacity and precision, portability, and cost-benefit ratio after an extensive market search. The study used internationally established procedures described in manuals, videos, and support material developed for the study by a group of experts. The interviewers were trained to perform the anthropometric measurements and were assessed according to technical measurement error, which was considered adequate (0.30cm) for the children's length/stature measurements. Measurement errors were identified, and the interviewers were retrained when necessary. Of the 14,558 children in the sample, body mass and length/stature measurements were taken in duplicate in 13,835 and 13,693 children, respectively. The standardized methodological aspects will be helpful in future population studies and were essential for obtaining greater reliability in the data for generating current evidence on the anthropometric assessment of the nutritional status of Brazilian children under five years of age, allowing new perspectives for public policy development.


Assuntos
Fenômenos Fisiológicos da Nutrição Infantil , Estado Nutricional , Antropometria , Brasil , Criança , Pré-Escolar , Coleta de Dados , Humanos , Reprodutibilidade dos Testes
9.
PLoS One ; 16(9): e0254432, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34495962

RESUMO

INTRODUCTION: Community engagement (CE) is an effective public health strategy for improving health outcomes. There is limited published knowledge about effective approaches to CE in ensuring effective responses to COVID-19 throughout lockdowns, travel restrictions and social distancing. In this paper, we contribute to bridging this gap by highlighting experience of CE in Vietnam, specifically focusing on migrant workers in Vietnam. METHODS: A cross-sectional qualitative study design was used with qualitative data collection was carried out during August-October 2020. Two districts were purposefully selected from two large industrial zones. Data was collected using in-depth interviews (n = 36) with individuals and households, migrants and owners of dormitories, industrial zone factory representatives, community representatives and health authorities. Data was analyzed using thematic analysis approach. The study received ethics approval from the Hanoi University Institutional Review Board. RESULTS: The government's response to COVID-19 was spearheaded by the multi-sectoral National Steering Committee for the Prevention and Control of COVID-19, chaired by the Vice Prime Minister and comprised different members from 23 ministries. This structure was replicated throughout the province and local levels and all public and private organizations. Different activities were carried out by local communities, following four key principles of infection control: early detection, isolation, quarantine and hospitalization. We found three key determinants of engagement of migrant workers with COVID-19 prevention and control: availability of resources, appropriate capacity strengthening, transparent and continuous communication and a sense of trust in government legitimacy. DISCUSSION AND CONCLUSION: Our results support the current literature on CE in infection control which highlights the importance of context and suggests that future CE should consider five key components: multi-sectoral collaboration with a whole-of-community approach to strengthen governance structures with context-specific partnerships; mobilization of resources and decentralization of decision making to encourage self-reliance and building of local capacity; capacity building through training and supervision to local institutions; transparent and clear communication of health risks and sensitization of local communities to improve compliance and foster trust in the government measures; and understanding the urgent needs ensuring of social security and engaging all parts of the community, specifically the vulnerable groups.


Assuntos
COVID-19/prevenção & controle , Controle de Doenças Transmissíveis/legislação & jurisprudência , Participação da Comunidade/legislação & jurisprudência , Adulto , Fortalecimento Institucional/legislação & jurisprudência , Comunicação , Estudos Transversais , Coleta de Dados/legislação & jurisprudência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Pública/legislação & jurisprudência , Quarentena/legislação & jurisprudência , SARS-CoV-2/patogenicidade , Confiança , Vietnã , Adulto Jovem
10.
Cad Saude Publica ; 37(8): e00281120, 2021.
Artigo em Português | MEDLINE | ID: mdl-34550182

RESUMO

The study aimed to describe the profile of patients and the care provided by the Mobile Riverine Emergency Medical Service (SAMU) in river-dwelling communities of the Amazon and to identify factors related to patients' evolution during care by this service. This descriptive study was conducted in two stages: in the first, the data were obtained on care for individuals in the service from 2009 to 2015; in the second, the data collection was prospective during the first semester of 2016, and patients' evolution was assessed with the Rapid Emergency Medicine Score. In all the periods analyzed, some 90% of the care included medical evacuation, varying over the years as to the type of boat used most frequently in transporting the patients. The most frequent reasons for care were signs and symptoms of unknown etiology and external causes. Of the patients transported by the service in the first semester of 2016, 68.5% maintained their clinical status, 18% worsened, and 13.5% improved during care. For patients seen during this period, the mean response and total riverine care times were 84 and 172 minutes, respectively. There was an association between evolution and incidents involving venomous snakes, acute pain, age, initial severity, and destination of the patient. Causes of care were related to worsening clinical status during care, and patients who worsened were younger and in less serious condition and were more frequently evacuated to hospitals. The profile of patients and care in the riverine SAMU pointed to the need for a revision of this service's objectives and structuring.


Assuntos
Serviços Médicos de Emergência , Serviço Hospitalar de Emergência , Brasil , Coleta de Dados , Humanos , Estudos Prospectivos
11.
BMJ Open ; 11(9): e047157, 2021 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-34493508

RESUMO

INTRODUCTION: Most research on loneliness comes from the health sciences, statistically seeking to measure the health-related effects of feeling alone or isolated. There is a need to expand on this understanding and explore loneliness as a more complex social phenomenon. In this article, we present a qualitative design for studying the intersection between loneliness, technology and culture. Conceptualising this as the cultural dialectic between loneliness and technology, we aim to unpack the reciprocal ways by which understandings of loneliness shape technology, while technologies also affect society's understandings of loneliness. In elucidating this dialectic, we aim to develop new knowledge and a novel theoretical framework for understanding loneliness and its technological solutions, which, in turn, can enable better solutions to contemporary problems of loneliness. METHODS AND ANALYSIS: We will adopt a qualitative approach that combines interviews, participant observation and textual analysis to explore loneliness and its technological solutions from the perspectives of policy-makers, producers, professionals and users in Norway and the UK. The data will be analysed through an analytical framework combining insights from discourse theory and philosophical debates on presence, which will allow us to capture and rethink fundamental assumptions about loneliness and technology. Outcomes will be revised understandings of loneliness, relevant to researchers, entrepreneurs, policy-makers, clinicians, educators and the broader public. ETHICS AND DISSEMINATION: The project has been evaluated and approved by the data protection officer at Oslo Metropolitan University and by the Norwegian Social Science Data Services. Additional ethical approval for data collection in the UK has been provided by the University of Oxford Interdivisional Research Ethics Committee. Informed consent will be obtained from all participants. Findings will be disseminated through peer-reviewed publications, international conference presentations and lay media.


Assuntos
Solidão , Tecnologia , Pessoal Administrativo , Coleta de Dados , Humanos , Pesquisa Qualitativa , Projetos de Pesquisa
12.
Cad Saude Publica ; 37(8): e00300020, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34495099

RESUMO

This article aims to present general methodological aspects of the Brazilian National Survey on Child Nutrition (ENANI-2019), from the conception of the study design to details of the data collection. This is a household-based population survey with a sample calculated at 15,000 households to identify children under five years of age, conducted in 123 municipalities in Brazil's 26 states and the Federal District. ENANI-2019 includes data on breastfeeding and dietary intake; anthropometric nutritional status of all children and their biological mothers; and nutritional status concerning the following micronutrients: iron (hemoglobin and ferritin), zinc, selenium, and vitamins A, B1, B6, B12, D, E, and folic acid of children from 6 to 59 months of age. A total of 193,212 households were visited, of which 19,951 were eligible, and 12,524 were included in the study. A total of 14,558 children were studied, of whom 13,990 (96.1%) and 13,921 (95.6%) had their body mass and length/stature measured, respectively, and 14,541 (99.9%) underwent 24-hour dietary recalls (24HR). Of the 12,598 children eligible for blood sample collection, 8,739 (69.3%) had at least one laboratory parameter measured. Data were collected from February 2019 to March 2020, when the survey was interrupted due to the COVID-19 pandemic. The evidence produced by the ENANI-2019 survey can back the formulation, follow-up, and/or reorientation of food and nutrition policies such as the promotion of breastfeeding and healthy eating and the prevention and control of different forms of malnutrition.


Assuntos
Inquéritos Nutricionais , Brasil , Pré-Escolar , Coleta de Dados , Dieta , Humanos , Lactente , Estado Nutricional
13.
Artigo em Inglês | MEDLINE | ID: mdl-34574625

RESUMO

INTRODUCTION: People with disabilities are disproportionately impacted by disasters, including health emergencies, and responses are not always inclusive or accessible. Disability-inclusive response and recovery efforts require rapid, contextually relevant data, but little was known about either the experience of people with disabilities in the first phase of the COVID-19 pandemic, or how rapid needs assessments were conducted. METHODS: We reviewed the available results from rapid assessments of impacts of COVID-19 on people with disabilities in low- and middle-income countries in Asia and the Pacific. Rapid assessment methods and questions were examined to describe the current approaches and synthesise results. RESULTS: Seventeen surveys met the inclusion criteria. The findings suggest that people with disabilities experienced less access to health, education, and social services and increased violence. The most rapid assessments were conducted by or with disabled person's organisations (DPOs). The rapid assessment methods were varied, resulting in heterogeneous data between contexts. Efforts to standardise data collection in disability surveys are not reflected in practice. CONCLUSIONS: Persons with disabilities were disproportionately impacted by the 'first wave' of the COVID-19 pandemic. Despite complex implementation challenges and methodological limitations, persons with disabilities have led efforts to provide evidence to inform disability-inclusive pandemic responses.


Assuntos
COVID-19 , Pessoas com Deficiência , Coleta de Dados , Humanos , Pandemias , SARS-CoV-2
14.
Biomed Res Int ; 2021: 2868953, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34471636

RESUMO

Drug use is one of the global public health issues, and its accompanying disorders have consequences on people's mental, physical, and environmental health. Nevertheless, the majority of people who use drugs have never been treated for drug dependence and other health conditions whilst others discontinue their treatment for drug use disorder. Using the health belief model, the study aimed at exploring facilitators and barriers to health-seeking among people who use drugs in the Sunyani Municipality of Ghana. A descriptive study design was used, employing a qualitative approach. In-depth interviews were conducted with a total of 22 participants, including two key informants (male and female). The first group of participants was recruited from the ghetto (an area in the municipality where people who use drugs are usually located). The other group of participants was recruited using hospital-based records. The interview data were transcribed, coded, and analysed for the generation of themes with the aid of Nvivo version 12 pro. The results showed that people who use drugs face health challenges such as drug dependence, malaria, lungs and breathing complications, cardiovascular complications, and skin complications. People who use drugs experienced poor perceived quality of life and low health status. Health-seeking behaviours of interviewees were influenced by the perceived benefit, perceived severity, cues to action, among others. Multiple sources of healthcare were used by the people who use drugs. Whereas ease of communication, perceived severity, benefit, among others were facilitators to their health-seeking behaviours, cost, dwindling social support, lack of knowledge of the condition, and fear of arrest by law enforcement agencies also served as barriers to seeking healthcare at the orthodox health facilities. This paper suggests a holistic approach to help improve the health and health-seeking behaviours of people who use drugs. The researchers wish to indicate that an earlier version of this manuscript has been presented at the University of Ghana as a thesis.


Assuntos
Usuários de Drogas/estatística & dados numéricos , Instalações de Saúde/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Qualidade de Vida/psicologia , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Adulto , Coleta de Dados/métodos , Feminino , Gana , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Pesquisa Qualitativa , Transtornos Relacionados ao Uso de Substâncias/psicologia
15.
Clin Immunol ; 231: 108845, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34478882

RESUMO

Little is known about the impact of coronavirus disease 2019 (COVID-19) pandemic to the care of patients with systemic lupus erythematosus (SLE) in the long-term. By crossing population data with the results of a web-based survey focused on the timeframes January-April and May-December 2020, we found that among 334/518 responders, 28 had COVID-19 in 2020. Seventeen cases occurred in May-December, in parallel with trends in the general population and loosening of containment policy strength. Age > 40 years (p = 0.026), prednisone escalation (p = 0.008) and infected relatives (p < 0.001) were most significantly associated with COVID-19. Weaker associations were found with asthma, lymphadenopathy and azathioprine or cyclosporine treatment. Only 31% of patients with infected relatives developed COVID-19. Healthcare service disruptions were not associated with rising hospitalisations. Vaccination prospects were generally welcomed. Our data suggest that COVID-19 has a moderate impact on patients with SLE, which might be significantly modulated by public health policies, including vaccination.


Assuntos
COVID-19/complicações , Lúpus Eritematoso Sistêmico/complicações , SARS-CoV-2 , Adolescente , Adulto , Envelhecimento , COVID-19/prevenção & controle , COVID-19/transmissão , Vacinas contra COVID-19/imunologia , Coleta de Dados , Feminino , Humanos , Imunossupressores/uso terapêutico , Incidência , Lúpus Eritematoso Sistêmico/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Recusa de Vacinação , Adulto Jovem
17.
Sensors (Basel) ; 21(18)2021 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-34577341

RESUMO

Currently, seaports are actively searching for methods and ways to improve their operational efficiency. Digitalization is considered as one of the main directions of current ports' development. Ports' digitalization levels are varied and may depend on different factors, including port size, traditions, turnover and handled cargo type, etc. Ports often face decision-making challenges related to assessment of their digitization level and choice of development directions. The article aims to develop a methodology to evaluate ports' digitalization level. A marketing research tool was used to collect the data needed for the analysis. A mathematical model allowing simulations is proposed and a case study of 30 ports located in the Baltic, North and Mediterranean Seas regions is explored. Based on conducted calculations, a ranking of analysed ports considering their digitalization level was created. The ports were compared within groups of small, medium-sized and large ports. It was estimated that the digitalization level in small and medium-sized ports is about 30% lower than the level of large seaports. The research results may be of interest to seaports striving to assess their level of digitalization and choose the best digital improvement solutions.


Assuntos
Computadores , Eficiência Organizacional , Coleta de Dados , Oceanos e Mares , Navios
18.
Comput Methods Programs Biomed ; 210: 106364, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34500143

RESUMO

BACKGROUND AND OBJECTIVE: This study describes the integration of a spoken dialogue system and nursing records on an Android smartphone application intending to help nurses reduce documentation time and improve the overall experience of a healthcare setting. The application also incorporates with collecting personal sensor data and activity labels for activity recognition. METHODS: We developed a joint model based on a bidirectional long-short term memory and conditional random fields (Bi-LSTM-CRF) to identify user intention and extract record details from user utterances. Then, we transformed unstructured data into record inputs on the smartphone application. RESULTS: The joint model achieved the highest F1-score at 96.79%. Moreover, we conducted an experiment to demonstrate the proposed model's capability and feasibility in recording in realistic settings. Our preliminary evaluation results indicate that when using the dialogue-based, we could increase the percentage of documentation speed to 58.13% compared to the traditional keyboard-based. CONCLUSIONS: Based on our findings, we highlight critical and promising future research directions regarding the design of the efficient spoken dialogue system and nursing records.


Assuntos
Registros de Enfermagem , Smartphone , Coleta de Dados , Registros Eletrônicos de Saúde , Humanos
19.
BMC Health Serv Res ; 21(Suppl 1): 691, 2021 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-34511083

RESUMO

BACKGROUND: Recording and reporting health data in facilities is the backbone of routine health information systems which provide data collected by health facility workers during service provision. Data is firstly collected in a register, to record patient health data and care process, and tallied into nationally designed reporting forms. While there is anecdotal evidence of large numbers of registers and reporting forms for primary health care (PHC) facilities, there are few systematic studies to document this potential burden on health workers. This multi-country study aimed to document the numbers of registers and reporting forms use at the PHC level and to estimate the time it requires for health workers to meet data demands. METHODS: In Cambodia, Ghana, Mozambique, Nigeria and Tanzania, a desk review was conducted to document registers and reporting forms mandated at the PHC level. In each country, visits to 16 randomly selected public PHC facilities followed to assess the time spent on paper-based recording and reporting. Information was collected through self-reports of estimated time use by health workers, and observation of 1360 provider-patient interactions. Data was primarily collected in outpatient care (OPD), antenatal care (ANC), immunization (EPI), family planning (FP), HIV and Tuberculosis (TB) services. RESULT: Cross-countries, the average number of registers was 34 (ranging between 16 and 48). Of those, 77% were verified in use and each register line had at least 20 cells to be completed per patient. The mean time spent on recording was about one-third the total consultation time for OPD, FP, ANC and EPI services combined. Cross-countries, the average number of monthly reporting forms was 35 (ranging between 19 and 52) of which 78% were verified in use. The estimated time to complete monthly reporting forms was 9 h (ranging between 4 to 15 h) per month per health worker. CONCLUSIONS: PHC facilities are mandated to use many registers and reporting forms pausing a considerable burden to health workers. Service delivery systems are expected to vary, however an imperative need remains to invest in international standards of facility-based registers and reporting forms, to ensure regular, comparable, quality-driven facility data collection and use.


Assuntos
Países em Desenvolvimento , Pessoal de Saúde , Instituições de Assistência Ambulatorial , Coleta de Dados , Feminino , Instalações de Saúde , Humanos , Gravidez , Atenção Primária à Saúde
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