Apiwat Thongprasert, A. Jiamsanguanwong, U. Tanlamai
Medical devices are migrating from hospital use to home use along with health professional users to lay users. New technologies, including Internet-Of-Things, lead home use medical devices to a new generation of easy to use, smart, portable, and communicable from anywhere. IOT technology enables the home use medical devices to seamlessly detect and connect home patient health status and health activities allowing the patients to remotely connect and share their health data to friends, family, and healthcare staff. Thus, home use medical devices with IOT connectivity play an essential role in assisting home patients to continue their medical care at home and monitor health activities, reducing the risk associated with non-communicable diseases (NCDs) in the first place. The devices empower the home patients to actively manage their health treatment and activities by themselves, either without or with minimum training experience and support. The targeted users of such devices are not limited to patients with chronic diseases but consumers who want to prevent them from serious illness and maintain good health. Accordingly, the success of the IOT home use medical devices also depends on the acceptance and adherence of the users to use the device as a part of their everyday lives. Developing medical devices concerning human factors to be safe and effective is crucial. Many studies contribute to providing design processes and methodologies in this regard. Furthermore, in the case of the IOT home use medical device development, engineers or designers must also understand the acceptance and adherence of the users toward the use of the devices in their daily life routine. Several studies coined the term as consumer medical devices bringing the consumer product development concept to use in this home use medical device development. Though several studies revealed factors influencing user acceptance of the devices such as convenience, ease-of-use, or usefulness, it still is difficult for engineers or designers who do not have expertise or experience in human factor research to integrate the knowledge with existing device development processes. This study proposes a T-A-C-V-I-U model linking relationships from IOT functions to device attributes, consequence, personal values, attitude toward using, and behavioral intention. The model aimed to analyze how device attributes would affect user acceptance. It was constructed from literature reviews on IOT functions, wearable and IOT device attributes, and factors influencing personal value and user acceptance based on Technology Acceptance Model (TAM), Health Belief Model (HBM), and Hierarchical Value Map (HVM). The model would assist non-user research or less-experienced human factor designers to consider which IOT functions should be embedded on a home use medical device to gain user acceptance. Vice versa, it would help assess how determined IOT functions would influence targeted users' acceptance. Finally, the
医疗设备正在从医院的使用转移到家庭使用，卫生专业用户也在转移到普通用户。包括物联网在内的新技术将家用医疗设备带入了易于使用、智能、便携和可从任何地方传输的新一代。物联网技术使家庭使用医疗设备能够无缝地检测和连接家庭患者的健康状况和健康活动，使患者能够远程连接并与朋友、家人和医疗保健人员共享他们的健康数据。因此，具有物联网连接的家用医疗设备在帮助家庭患者继续在家中接受医疗护理和监测健康活动方面发挥着至关重要的作用，首先降低了与非传染性疾病(NCDs)相关的风险。这些设备使家庭患者能够主动管理自己的健康治疗和活动，无需或只需最少的培训经验和支持。这类装置的目标用户不局限于慢性病患者，而是希望预防他们患重病、保持身体健康的消费者。因此，物联网家用医疗设备的成功还取决于用户是否接受并坚持将设备作为日常生活的一部分。开发安全有效的涉及人为因素的医疗器械至关重要。许多研究有助于提供这方面的设计过程和方法。此外，在物联网家用医疗设备开发的情况下，工程师或设计师还必须了解用户在日常生活中对设备使用的接受度和依从性。一些研究创造了消费医疗设备这一术语，将消费产品开发概念用于家庭使用医疗设备开发。虽然有几项研究揭示了影响用户接受设备的因素，如便利性、易用性或有用性，但对于没有人因研究方面的专业知识或经验的工程师或设计师来说，将这些知识与现有的设备开发过程结合起来仍然很困难。本研究提出了一个T-A-C-V-I-U模型，将物联网功能与设备属性、后果、个人价值观、使用态度和行为意图之间的关系联系起来。该模型旨在分析设备属性如何影响用户接受度。基于技术接受模型(TAM)、健康信念模型(HBM)和层次价值图(HVM)，通过对物联网功能、可穿戴设备和物联网设备属性、个人价值和用户接受度影响因素的文献综述，构建了该模型。该模型将帮助非用户研究或经验不足的人为因素设计人员考虑应在家用医疗设备中嵌入哪些物联网功能以获得用户接受。反之亦然，它将有助于评估确定的物联网功能将如何影响目标用户的接受程度。最后，提出了物联网家用医疗设备开发的设计流程design -for-user Acceptance of IOT Home -use medical device (DfAIH)。设计过程是按照design-for-x框架构建的。它提供了一个循序渐进的设计过程，使用T-A-C-V-I-U模型来传达产品开发和验证，以获得用户接受。
{"title":"Design-for-user Acceptance of IOT Home use medical device: A design process for IOT home use medical device","authors":"Apiwat Thongprasert, A. Jiamsanguanwong, U. Tanlamai","doi":"10.54941/ahfe1002115","DOIUrl":"https://doi.org/10.54941/ahfe1002115","url":null,"abstract":"Medical devices are migrating from hospital use to home use along with health professional users to lay users. New technologies, including Internet-Of-Things, lead home use medical devices to a new generation of easy to use, smart, portable, and communicable from anywhere. IOT technology enables the home use medical devices to seamlessly detect and connect home patient health status and health activities allowing the patients to remotely connect and share their health data to friends, family, and healthcare staff. Thus, home use medical devices with IOT connectivity play an essential role in assisting home patients to continue their medical care at home and monitor health activities, reducing the risk associated with non-communicable diseases (NCDs) in the first place. The devices empower the home patients to actively manage their health treatment and activities by themselves, either without or with minimum training experience and support. The targeted users of such devices are not limited to patients with chronic diseases but consumers who want to prevent them from serious illness and maintain good health. Accordingly, the success of the IOT home use medical devices also depends on the acceptance and adherence of the users to use the device as a part of their everyday lives. Developing medical devices concerning human factors to be safe and effective is crucial. Many studies contribute to providing design processes and methodologies in this regard. Furthermore, in the case of the IOT home use medical device development, engineers or designers must also understand the acceptance and adherence of the users toward the use of the devices in their daily life routine. Several studies coined the term as consumer medical devices bringing the consumer product development concept to use in this home use medical device development. Though several studies revealed factors influencing user acceptance of the devices such as convenience, ease-of-use, or usefulness, it still is difficult for engineers or designers who do not have expertise or experience in human factor research to integrate the knowledge with existing device development processes. This study proposes a T-A-C-V-I-U model linking relationships from IOT functions to device attributes, consequence, personal values, attitude toward using, and behavioral intention. The model aimed to analyze how device attributes would affect user acceptance. It was constructed from literature reviews on IOT functions, wearable and IOT device attributes, and factors influencing personal value and user acceptance based on Technology Acceptance Model (TAM), Health Belief Model (HBM), and Hierarchical Value Map (HVM). The model would assist non-user research or less-experienced human factor designers to consider which IOT functions should be embedded on a home use medical device to gain user acceptance. Vice versa, it would help assess how determined IOT functions would influence targeted users' acceptance. Finally, the","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125006699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helen J. A. Fuller, Timothy Arnold, Michael O Neil, D. Wilson
Health information systems are ubiquitous in modern medicine. They are sometimes involved in problems with the delivery of care, and this seems to be especially prevalent when transitioning to a new system. Resilience is the ability of systems to respond to unexpected demands or circumstances to allow resumption or continuation of normal operations. We propose that some methods and techniques commonly used in human factors and usability work may promote system resilience, which may be especially important during times of transition. Examples include contextual inquiry, task analysis, risk assessment, and trade-off studies. These activities help people understand and communicate context of use and gain a more comprehensive understanding of the difference between work-as-done (WAD) and work-as-imagined (WAI), as well as navigate risks and benefits when making decisions regarding system changes.
{"title":"Activities to Promote Resilience During Health Information System Transitions","authors":"Helen J. A. Fuller, Timothy Arnold, Michael O Neil, D. Wilson","doi":"10.54941/ahfe1003487","DOIUrl":"https://doi.org/10.54941/ahfe1003487","url":null,"abstract":"Health information systems are ubiquitous in modern medicine. They are sometimes involved in problems with the delivery of care, and this seems to be especially prevalent when transitioning to a new system. Resilience is the ability of systems to respond to unexpected demands or circumstances to allow resumption or continuation of normal operations. We propose that some methods and techniques commonly used in human factors and usability work may promote system resilience, which may be especially important during times of transition. Examples include contextual inquiry, task analysis, risk assessment, and trade-off studies. These activities help people understand and communicate context of use and gain a more comprehensive understanding of the difference between work-as-done (WAD) and work-as-imagined (WAI), as well as navigate risks and benefits when making decisions regarding system changes.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"195 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122514157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
With the popularity and spread of social media, more and more social software is helping to bring people closer to each other [1]. It is increasingly easy for adolescents to get other people's updates from social media, including celebrities, internet celebrities and peers [2]. Also adolescence is a time when the brain undergoes many structural and functional changes, so it is likely that the part of the social brain responsible for regulating imitation is still maturing throughout adolescence, which may lead to more pronounced imitative behaviour [3]. In addition, adolescents gain popularity, status and attractiveness through imitation of their idols or among their peers [4]. Therefore, making good use of the prevalent behaviours that social media has created in society has the potential to provide better behavioural interventions for the adolescent population [5], helping to shape better behavioural habits in adolescents, improving the current trend of younger disease and potentially reducing the likelihood of preventable health problems.The aim of this study was to analyse how popular behavioural mimicry among adolescents can be used to promote the activation of their health behaviours. We asked two questions: 1. the extent to which imitation behaviours activate adolescents' health behaviours; 2. measuring the impact of knowledge, skills and beliefs involved in the activation of behavioural imitation on adolescents' health maintenance and disease prevention.A questionnaire was used to enumerate the population groups that have the greatest influence on adolescents as the test sample in this study. 100 participants took part in the questionnaire, including 50 participants from mainland China and 50 participants from Hong Kong, whose mean age was 16 ± 3 years. After administering the questionnaire, 50 of these participants, who were randomly and equally divided into 10 groups of 5 participants each, were surveyed using the Activation Inventory (PAM) to measure the current level of knowledge, skills and beliefs involved in the activation of the adolescent population to maintain health and prevent disease, and then measured again using the PAM 30 and 60 days after the adolescents were exposed to the imitated subjects.The adolescent group itself was not highly aware of healthy behaviours and the effectiveness of positive health behaviour imitation in changing health behaviours and outcomes was somewhat proven when they were exposed to positive health behaviours of imitators for 30 days. However, 60 days after participants were exposed to imitations of healthy behaviours, although the imitations were still effective in maintaining healthy behaviours, the 60-day activation of healthy behaviours produced some decline compared to the first 30 days of outcomes. Therefore, in the future, more research should be conducted on the preferences and needs of adolescent groups to identify the social factors and groups that best trigger imitation among adolescent
{"title":"The impact of prevalent behavioural mimicry in adolescents on disease prevention and maintenance of healthy behavioural activation","authors":"Xiaotong Li, Ao Jiang","doi":"10.54941/ahfe1003476","DOIUrl":"https://doi.org/10.54941/ahfe1003476","url":null,"abstract":"With the popularity and spread of social media, more and more social software is helping to bring people closer to each other [1]. It is increasingly easy for adolescents to get other people's updates from social media, including celebrities, internet celebrities and peers [2]. Also adolescence is a time when the brain undergoes many structural and functional changes, so it is likely that the part of the social brain responsible for regulating imitation is still maturing throughout adolescence, which may lead to more pronounced imitative behaviour [3]. In addition, adolescents gain popularity, status and attractiveness through imitation of their idols or among their peers [4]. Therefore, making good use of the prevalent behaviours that social media has created in society has the potential to provide better behavioural interventions for the adolescent population [5], helping to shape better behavioural habits in adolescents, improving the current trend of younger disease and potentially reducing the likelihood of preventable health problems.The aim of this study was to analyse how popular behavioural mimicry among adolescents can be used to promote the activation of their health behaviours. We asked two questions: 1. the extent to which imitation behaviours activate adolescents' health behaviours; 2. measuring the impact of knowledge, skills and beliefs involved in the activation of behavioural imitation on adolescents' health maintenance and disease prevention.A questionnaire was used to enumerate the population groups that have the greatest influence on adolescents as the test sample in this study. 100 participants took part in the questionnaire, including 50 participants from mainland China and 50 participants from Hong Kong, whose mean age was 16 ± 3 years. After administering the questionnaire, 50 of these participants, who were randomly and equally divided into 10 groups of 5 participants each, were surveyed using the Activation Inventory (PAM) to measure the current level of knowledge, skills and beliefs involved in the activation of the adolescent population to maintain health and prevent disease, and then measured again using the PAM 30 and 60 days after the adolescents were exposed to the imitated subjects.The adolescent group itself was not highly aware of healthy behaviours and the effectiveness of positive health behaviour imitation in changing health behaviours and outcomes was somewhat proven when they were exposed to positive health behaviours of imitators for 30 days. However, 60 days after participants were exposed to imitations of healthy behaviours, although the imitations were still effective in maintaining healthy behaviours, the 60-day activation of healthy behaviours produced some decline compared to the first 30 days of outcomes. Therefore, in the future, more research should be conducted on the preferences and needs of adolescent groups to identify the social factors and groups that best trigger imitation among adolescent","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128372438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Based on the positive distraction concept in Roger S. Ulrich's supportive design theory, this research selected toys as positive distraction elements in children's venous blood sampling to find more game elements that can effectively divert children's attention and alleviate children's anxiety and fear emotions. The research designed the Children’s Venous Blood Sampling Anxiety Scale by referring to the modified version of the Yale Preoperative Anxiety Scale. The experiment took 3-5 years old children as the research object, and accessed the general distraction effects of toys on children in the process of venous blood sampling. As well as the differences of the distraction effect between normative toy and medical toy on children in blood sampling process, and the differences in long-term impact on children's emotional recovery after blood sampling were compared.
本研究基于Roger S. Ulrich的支持设计理论中的积极分心概念，选取玩具作为儿童静脉血采样中的积极分心元素，寻找更多能够有效转移儿童注意力，缓解儿童焦虑和恐惧情绪的游戏元素。本研究参照修改版的耶鲁术前焦虑量表设计了儿童静脉血采血焦虑量表。本实验以3-5岁儿童为研究对象，了解静脉血采样过程中玩具对儿童的一般分心效应。并比较规范性玩具与医用玩具在儿童采血过程中的分心效应差异，以及采血后对儿童情绪恢复的长期影响差异。
{"title":"The Positive Distraction Effect of Toys in Children's Venous Blood Sampling","authors":"Huifang Shang, Guo Xincheng, Chuanshun Wang","doi":"10.54941/ahfe1002096","DOIUrl":"https://doi.org/10.54941/ahfe1002096","url":null,"abstract":"Based on the positive distraction concept in Roger S. Ulrich's supportive design theory, this research selected toys as positive distraction elements in children's venous blood sampling to find more game elements that can effectively divert children's attention and alleviate children's anxiety and fear emotions. The research designed the Children’s Venous Blood Sampling Anxiety Scale by referring to the modified version of the Yale Preoperative Anxiety Scale. The experiment took 3-5 years old children as the research object, and accessed the general distraction effects of toys on children in the process of venous blood sampling. As well as the differences of the distraction effect between normative toy and medical toy on children in blood sampling process, and the differences in long-term impact on children's emotional recovery after blood sampling were compared.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129163751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As China's aging process accelerates, chronic diseases such as diabetes and high blood pressure gradually become hidden dangers that endanger the health of the elderly. Based on this, China has formulated a hierarchical medical system for chronic diseases and proposed a community-based chronic disease management plan. However, there are some problems, such as insufficient service resources and unreasonable satisfaction of patients' needs in the actual implementation process. Based on the Kano model, this study analyzes the demands of patients with chronic diseases in the Chinese community at this stage. It matches their existing service subjects according to the priority of demands and then constructs a community-based chronic disease management service model. This study aims to accurately identify the demands of patients with chronic diseases, redistribute and reuse existing facilities and resources, and balance the supply and demand relationship among service subjects and patients. It can provide more humane health management services for chronic disease patients in the community context.
{"title":"Re-establishing the balance: A New Community-based Chronic Disease Management Service Model in China","authors":"Renxuan Liu, Duan-wang Wu","doi":"10.54941/ahfe1003492","DOIUrl":"https://doi.org/10.54941/ahfe1003492","url":null,"abstract":"As China's aging process accelerates, chronic diseases such as diabetes and high blood pressure gradually become hidden dangers that endanger the health of the elderly. Based on this, China has formulated a hierarchical medical system for chronic diseases and proposed a community-based chronic disease management plan. However, there are some problems, such as insufficient service resources and unreasonable satisfaction of patients' needs in the actual implementation process. Based on the Kano model, this study analyzes the demands of patients with chronic diseases in the Chinese community at this stage. It matches their existing service subjects according to the priority of demands and then constructs a community-based chronic disease management service model. This study aims to accurately identify the demands of patients with chronic diseases, redistribute and reuse existing facilities and resources, and balance the supply and demand relationship among service subjects and patients. It can provide more humane health management services for chronic disease patients in the community context.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124239293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Characters in computing are symbols that stand for a single unit of data such as a number, alphabetical letter, or punctuation mark. In health information entry and exchange, correct encoding and decoding of characters in computing is essential for accurate documentation and interpretation of information. When something goes wrong and there are changes to or deletions of the intended characters, there is missing or inaccurate data in the health information system. Due to the very nature of health information systems, it is difficult to detect when information is missing. Another hidden attribute that is invisible to users is the way characters are interpreted by computing systems. Lost and invisible information can lead to patient safety issues.The Food and Drug Administration (FDA) Maude database and the Institute for Safe Medication Practice (ISMP) describe a few isolated issues with computing characters and health information. Though the loss of health information due to failure to correctly translate computing characters would seem to be a problem with potentially high severity, we were unable to locate a collection of reported issues or a discussion summarizing fail-safe and error-tolerant system designs addressing this topic area. The human factors and human-centered design communities are uniquely knowledgeable and skilled for addressing issues with visibility of system states and error-tolerant design and would be in an ideal position for considering solutions to this issue.In this paper, we review and group issue reports on characters in computing and information entry and exchange. We reflect on human factors and safety engineering principles for designing systems to prevent, detect, and mitigate latent issues in this problem space. Furthermore, we explore special characters that present with added challenges when used in computing systems.To facilitate fail-safe interoperability and health information exchange, systems will require designs that address latent issues brought on by hidden attributes of characters in computing. Using human factors and safety engineering principles, we can help prospectively design to detect and disarm the snares found within and across health information systems.
{"title":"Describing and disarming health information system snares that capture and conceal characters.","authors":"Tim Arnold, Helen J. A. Fuller, Angela Laurio","doi":"10.54941/ahfe1002092","DOIUrl":"https://doi.org/10.54941/ahfe1002092","url":null,"abstract":"Characters in computing are symbols that stand for a single unit of data such as a number, alphabetical letter, or punctuation mark. In health information entry and exchange, correct encoding and decoding of characters in computing is essential for accurate documentation and interpretation of information. When something goes wrong and there are changes to or deletions of the intended characters, there is missing or inaccurate data in the health information system. Due to the very nature of health information systems, it is difficult to detect when information is missing. Another hidden attribute that is invisible to users is the way characters are interpreted by computing systems. Lost and invisible information can lead to patient safety issues.The Food and Drug Administration (FDA) Maude database and the Institute for Safe Medication Practice (ISMP) describe a few isolated issues with computing characters and health information. Though the loss of health information due to failure to correctly translate computing characters would seem to be a problem with potentially high severity, we were unable to locate a collection of reported issues or a discussion summarizing fail-safe and error-tolerant system designs addressing this topic area. The human factors and human-centered design communities are uniquely knowledgeable and skilled for addressing issues with visibility of system states and error-tolerant design and would be in an ideal position for considering solutions to this issue.In this paper, we review and group issue reports on characters in computing and information entry and exchange. We reflect on human factors and safety engineering principles for designing systems to prevent, detect, and mitigate latent issues in this problem space. Furthermore, we explore special characters that present with added challenges when used in computing systems.To facilitate fail-safe interoperability and health information exchange, systems will require designs that address latent issues brought on by hidden attributes of characters in computing. Using human factors and safety engineering principles, we can help prospectively design to detect and disarm the snares found within and across health information systems.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123611717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhongping Ye, J. Yip, J. Cheung, Ruixing Liang, Jun Zhang, Xiaolu Li, K. Tong
The progress of adolescent idiopathic scoliosis (AIS) affects the patient’s living quality by increasing the posture imbalance. In early scoliosis, postural correction may be provided to halt the progression of the deformity. Thus, bracing treatment will be introduced to the patients. Compared with the traditional hard brace, the soft brace is preferred due to its intrinsic compliance and light weight. However, in the soft brace, the ideal correction constraints and the contact pressure among the body points are hard to be identified. Therefore, in this study, a new pneumatic padding system is introduced to the posture correction girdle which could dynamically adjust the paddings’ contact pressure. With this calibration design, the therapist could immediately see the effects of the posture correction girdle on patients with different pneumatic pressure from a sitting balance sensing system. Hence, this padding system could provide precise adjustments in order to optimize the pressure level and corrective effect. We have conducted a wear trial with 3 mild scoliosis young subjects with cobb angle between 10-20 degrees. They were invited to undergo a 2-hour trial of the girdle with the optimized pressure parameter. The immediate effects of the posture correction girdle with intelligent pads were evaluated by comparing pre-wearing and post-trial X-ray and 3D scan images. The changes of Cobb and postural angles show that the girdle could reduce the scoliosis curvature and postural imbalance of the subjects. This study demonstrates that an intelligent and sophisticated padding system could be a new alterative intervention to provide optimized pressure with ergonomic designed garments that provide a better healthcare support for patients.
{"title":"Posture correction girdle with intelligent padding system to dynamically adjust the pressure distribution and correct the scoliotic spine","authors":"Zhongping Ye, J. Yip, J. Cheung, Ruixing Liang, Jun Zhang, Xiaolu Li, K. Tong","doi":"10.54941/ahfe1003468","DOIUrl":"https://doi.org/10.54941/ahfe1003468","url":null,"abstract":"The progress of adolescent idiopathic scoliosis (AIS) affects the patient’s living quality by increasing the posture imbalance. In early scoliosis, postural correction may be provided to halt the progression of the deformity. Thus, bracing treatment will be introduced to the patients. Compared with the traditional hard brace, the soft brace is preferred due to its intrinsic compliance and light weight. However, in the soft brace, the ideal correction constraints and the contact pressure among the body points are hard to be identified. Therefore, in this study, a new pneumatic padding system is introduced to the posture correction girdle which could dynamically adjust the paddings’ contact pressure. With this calibration design, the therapist could immediately see the effects of the posture correction girdle on patients with different pneumatic pressure from a sitting balance sensing system. Hence, this padding system could provide precise adjustments in order to optimize the pressure level and corrective effect. We have conducted a wear trial with 3 mild scoliosis young subjects with cobb angle between 10-20 degrees. They were invited to undergo a 2-hour trial of the girdle with the optimized pressure parameter. The immediate effects of the posture correction girdle with intelligent pads were evaluated by comparing pre-wearing and post-trial X-ray and 3D scan images. The changes of Cobb and postural angles show that the girdle could reduce the scoliosis curvature and postural imbalance of the subjects. This study demonstrates that an intelligent and sophisticated padding system could be a new alterative intervention to provide optimized pressure with ergonomic designed garments that provide a better healthcare support for patients.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125742874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Research For children, the excessive use of antibiotics treatment will damage the liver and kidney functions of children, produce drug resistance, affect the health of children, and traditional Chinese medicine has the characteristics of safety, effective and green, among which children moxibustion application has been widely recognized, and the family traditional Chinese medicine health equipment for children is of great significance. Current studies believe that moxibustion plays the function of dredging meridians and regulating the whole body through three aspects: thermal action, near infrared action and biochemical action. But for children, the skin is delicate, and the nerve is weak. The traditional diagnosis and treatment method of moxibustion has some problems, such as heavy smoke smell, difficult time and temperature control, and complex operation. Besides, the quality of electronic moxibustion products on the market is uneven, and children have not been subdivided. The product design of moxibustion instrument that fully considers the physiological and psychological characteristics of users can have good physiotherapy effect and user experience.Research objective: Emotional design has three different dimensions, namely instinct, behavior and reflection, to study the cognitive response and psychological experience of users to products and apply it in design. This paper aims to explore children as the target user group, focus on the specific situation of home care, summarize and analyze the characteristics and needs of users, design a wearable children's home moxibustion instrument that acts on the body surface and acupoints, and create a good physiotherapy experience for users through visual information and interesting design.Research methods: Based on emotional design, this paper discusses the three-level theory method of products and applies it to the design of wearable children's home moxibustion instrument. This paper mainly from three parts: firstly, population analysis and demand exploration. In this study, the characteristics of children groups are summarized by means of observation and user interview, and the internal needs of related users in the home environment are analyzed. The physical and behavioral characteristics of children are fully considered, the psychological and emotional needs of children are studied, and the three-level theory of emotional design is combined to create an interesting physiotherapy experience. Secondly, summarize the application of pediatric moxibustion in daily health care. Summarize the main health needs of users through preliminary investigation, study the multiple diseases in the childhood stage, and sort out the corresponding treatment methods as the theoretical basis of health care. Thirdly, analyze the transmission mode of information and design visualization. In the design, the wearable sensor and communication equipment are investigated and analyzed, and the user's psychology and interaction
{"title":"Design of Children's Wearable Moxibustion Instrument Based on Emotional Design Theory","authors":"Yanyu Liu, Hong Chen","doi":"10.54941/ahfe1003474","DOIUrl":"https://doi.org/10.54941/ahfe1003474","url":null,"abstract":"Research For children, the excessive use of antibiotics treatment will damage the liver and kidney functions of children, produce drug resistance, affect the health of children, and traditional Chinese medicine has the characteristics of safety, effective and green, among which children moxibustion application has been widely recognized, and the family traditional Chinese medicine health equipment for children is of great significance. Current studies believe that moxibustion plays the function of dredging meridians and regulating the whole body through three aspects: thermal action, near infrared action and biochemical action. But for children, the skin is delicate, and the nerve is weak. The traditional diagnosis and treatment method of moxibustion has some problems, such as heavy smoke smell, difficult time and temperature control, and complex operation. Besides, the quality of electronic moxibustion products on the market is uneven, and children have not been subdivided. The product design of moxibustion instrument that fully considers the physiological and psychological characteristics of users can have good physiotherapy effect and user experience.Research objective: Emotional design has three different dimensions, namely instinct, behavior and reflection, to study the cognitive response and psychological experience of users to products and apply it in design. This paper aims to explore children as the target user group, focus on the specific situation of home care, summarize and analyze the characteristics and needs of users, design a wearable children's home moxibustion instrument that acts on the body surface and acupoints, and create a good physiotherapy experience for users through visual information and interesting design.Research methods: Based on emotional design, this paper discusses the three-level theory method of products and applies it to the design of wearable children's home moxibustion instrument. This paper mainly from three parts: firstly, population analysis and demand exploration. In this study, the characteristics of children groups are summarized by means of observation and user interview, and the internal needs of related users in the home environment are analyzed. The physical and behavioral characteristics of children are fully considered, the psychological and emotional needs of children are studied, and the three-level theory of emotional design is combined to create an interesting physiotherapy experience. Secondly, summarize the application of pediatric moxibustion in daily health care. Summarize the main health needs of users through preliminary investigation, study the multiple diseases in the childhood stage, and sort out the corresponding treatment methods as the theoretical basis of health care. Thirdly, analyze the transmission mode of information and design visualization. In the design, the wearable sensor and communication equipment are investigated and analyzed, and the user's psychology and interaction","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134048492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Already Jarosław Rudniański, the originator of the theory of a non-armed struggle, underlined that a man uses most often the word ‘a struggle’ (and synonymic terms: combat, contest, grapple, fight, wrestle, etc.) when “a given action is distinguishable by a high level of difficulty and psychic suspense.” Therefore, in Rudniański’s opinion, ‘struggle’ could be, for instance, forming mutations by bacteria or viruses to adjust to vaccinations and antibiotics as extreme cases of counteraction. The fact that living organisms do not have human consciousness has no vital meaning for those who fight them. Therefore, it is not surprising that the titles of many scientific publications dedicated to the COVID-19 pandemic, in addition to the media coverage, include the word ‘struggle’ or its synonym.The main barrier to the dissemination of knowledge about the science of struggle identified with the general theory of struggle (agonology) and its four specific theories in the global scientific sphere (dominated by the English language) relates primarily to the language in which they were published: all of them (since 1938 till 2000) were published in Polish. Admittedly agonology was included by its creator Tadeusz Kotarbiński into praxeology and translated into English, Czech, German, Japanese, Russian and Serbo-Croatian. In the fundamental lecture of praxeology by T. Kotarbiński “A Treatise on Good Work,” (first edition in 1955), it is included in the chapter entitled “Technique of struggle”. The political factor was a fundamental obstacle to the dissemination of both praxeology and agonology when Poland was beyond the Iron Curtain. Jarosław Rudniański published the theory of a non-armed struggle in two steps. Admittedly, his “Elements of praxeological theory of struggle. From the issues of negative cooperation” (1983) was published during the martial law in Poland, but it was not available for official sale. Its best recommendation would be the fact that for many of Solidarity’s leaders, it was a kind of instruction manual for conducting the struggle against communist authorities in a nonviolent way and led to achievement of the ultimate result: the overthrow of those authorities. The second step: “A Compromise and a Struggle. The efficiency and ethics of positive and negative cooperation in a dense social environment” (1989) is at the same time the most complete development of agonology; unfortunately, available only to those familiar with the Polish language. Paradoxically, the pandemic and the aggression against Ukraine are factors that can spark interest in innovative agonology which includes the theory of a non-armed struggle and the theory of compromise.
非武装斗争理论的创始人Jarosław Rudniański已经强调，当“一个给定的行动被高难度和心理悬念区分开来”时，一个人最常使用“斗争”这个词(以及同义词:战斗、竞赛、格斗、搏斗、摔跤等)。因此，Rudniański认为，“斗争”可以是，例如，细菌或病毒形成突变，以适应疫苗接种和抗生素作为对抗的极端情况。活的有机体没有人类的意识，这一事实对那些与它们作战的人来说没有重要意义。因此，许多专门讨论COVID-19大流行的科学出版物的标题除了媒体报道外，还包括“斗争”一词或其同义词，这并不奇怪。在全球科学领域(以英语为主导)传播斗争科学知识的主要障碍，与一般斗争理论(斗争学)及其四个具体理论一致，主要与它们发表的语言有关:所有这些(从1938年到2000年)都是用波兰语发表的。无可否认，疼痛学被其创造者Tadeusz Kotarbiński纳入了行为学，并被翻译成英语、捷克语、德语、日语、俄语和塞尔维亚-克罗地亚语。在T. Kotarbiński的行为学基础讲座《善工论》(1955年第一版)中，它包含在题为“斗争技术”的章节中。当波兰在铁幕之外时，政治因素是行为学和疼痛学传播的根本障碍。Jarosław Rudniański发表了分两步进行非武装斗争的理论。不可否认，他的《行动主义斗争理论的要素》。《消极合作的问题》(From issues of negative cooperation, 1983)在波兰戒严期间出版，但没有正式出售。它最好的建议是，对于许多团结工会的领导人来说，它是一种指导手册，指导他们以非暴力的方式进行反对共产主义当局的斗争，并导致最终结果的实现:推翻这些当局。第二步:“妥协与斗争”。在密集的社会环境中积极与消极合作的效率与伦理”(1989)同时也是痛苦学最完整的发展;不幸的是，只有那些熟悉波兰语的人才能用。矛盾的是，这一流行病和对乌克兰的侵略是能够激发人们对包括非武装斗争理论和妥协理论在内的创新论的兴趣的因素。
{"title":"Struggle: the Most Frequently Used Word in the Public Sphere Since the Beginning of the COVID-19 Pandemic","authors":"K. Witkowski, Roman Maciej Kalina","doi":"10.54941/ahfe1003500","DOIUrl":"https://doi.org/10.54941/ahfe1003500","url":null,"abstract":"Already Jarosław Rudniański, the originator of the theory of a non-armed struggle, underlined that a man uses most often the word ‘a struggle’ (and synonymic terms: combat, contest, grapple, fight, wrestle, etc.) when “a given action is distinguishable by a high level of difficulty and psychic suspense.” Therefore, in Rudniański’s opinion, ‘struggle’ could be, for instance, forming mutations by bacteria or viruses to adjust to vaccinations and antibiotics as extreme cases of counteraction. The fact that living organisms do not have human consciousness has no vital meaning for those who fight them. Therefore, it is not surprising that the titles of many scientific publications dedicated to the COVID-19 pandemic, in addition to the media coverage, include the word ‘struggle’ or its synonym.The main barrier to the dissemination of knowledge about the science of struggle identified with the general theory of struggle (agonology) and its four specific theories in the global scientific sphere (dominated by the English language) relates primarily to the language in which they were published: all of them (since 1938 till 2000) were published in Polish. Admittedly agonology was included by its creator Tadeusz Kotarbiński into praxeology and translated into English, Czech, German, Japanese, Russian and Serbo-Croatian. In the fundamental lecture of praxeology by T. Kotarbiński “A Treatise on Good Work,” (first edition in 1955), it is included in the chapter entitled “Technique of struggle”. The political factor was a fundamental obstacle to the dissemination of both praxeology and agonology when Poland was beyond the Iron Curtain. Jarosław Rudniański published the theory of a non-armed struggle in two steps. Admittedly, his “Elements of praxeological theory of struggle. From the issues of negative cooperation” (1983) was published during the martial law in Poland, but it was not available for official sale. Its best recommendation would be the fact that for many of Solidarity’s leaders, it was a kind of instruction manual for conducting the struggle against communist authorities in a nonviolent way and led to achievement of the ultimate result: the overthrow of those authorities. The second step: “A Compromise and a Struggle. The efficiency and ethics of positive and negative cooperation in a dense social environment” (1989) is at the same time the most complete development of agonology; unfortunately, available only to those familiar with the Polish language. Paradoxically, the pandemic and the aggression against Ukraine are factors that can spark interest in innovative agonology which includes the theory of a non-armed struggle and the theory of compromise.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130921828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Explainability is among the most debated and pivotal discussions in the advancement of Artificial Intelligence (AI) technologies across the globe. The development of AI in medicine has reached a tipping point in medicine with implications across all sectors. How we proceed with the issue of explainability will shape the direction and manner in which healthcare evolves. We require new tools that brings us beyond our current levels of medical understanding and capabilities. However, we limit ourselves to tools that we can fully understand and explain. Implementing a tool that cannot be fully understandable by clinicians or patients violates medical ethics of informed consent. Yet, denying patients and the population attainable benefits of a new resource violates medical ethics of justice, health equity and autonomy. Fear of the unknown is not by itself a reason to halt the progression of medicine. Many of our current advancements were implemented prior to fully understanding its intricacies. To convey competence, some subfields of AI research have emphasized validity testing over explainability as a way to verify accuracy and build trust in AI systems. As a tool AI has shown immense potential in idea generation, data analysis, and pattern identification. AI will never be an independent system and will always require human oversight to ensure healthcare quality and ethical implementation. By using AI to augment, rather than replace clinical judgement, the caliber of patient care that we provide can be enhanced in a safe and sustainable manner. Addressing the explainability paradox in AI requires a multidisciplinary approach to address technical, legal, medical, and ethical aspects of this challenge.
{"title":"Artificial Intelligence in Healthcare: The Explainability Ethical Paradox","authors":"Patrick J Seitzinger, J. Kalra","doi":"10.54941/ahfe1003466","DOIUrl":"https://doi.org/10.54941/ahfe1003466","url":null,"abstract":"Explainability is among the most debated and pivotal discussions in the advancement of Artificial Intelligence (AI) technologies across the globe. The development of AI in medicine has reached a tipping point in medicine with implications across all sectors. How we proceed with the issue of explainability will shape the direction and manner in which healthcare evolves. We require new tools that brings us beyond our current levels of medical understanding and capabilities. However, we limit ourselves to tools that we can fully understand and explain. Implementing a tool that cannot be fully understandable by clinicians or patients violates medical ethics of informed consent. Yet, denying patients and the population attainable benefits of a new resource violates medical ethics of justice, health equity and autonomy. Fear of the unknown is not by itself a reason to halt the progression of medicine. Many of our current advancements were implemented prior to fully understanding its intricacies. To convey competence, some subfields of AI research have emphasized validity testing over explainability as a way to verify accuracy and build trust in AI systems. As a tool AI has shown immense potential in idea generation, data analysis, and pattern identification. AI will never be an independent system and will always require human oversight to ensure healthcare quality and ethical implementation. By using AI to augment, rather than replace clinical judgement, the caliber of patient care that we provide can be enhanced in a safe and sustainable manner. Addressing the explainability paradox in AI requires a multidisciplinary approach to address technical, legal, medical, and ethical aspects of this challenge.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115548182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：