Healthcare and Medical Devices最新文献

{"title":"Augmented Reality in Heat Stroke Emergency Medical Developing Design","authors":"Shuo-fang Liu, Chien Sheng Fei","doi":"10.54941/ahfe1003469","DOIUrl":"https://doi.org/10.54941/ahfe1003469","url":null,"abstract":"Global temperature extremes have increased both the incidence and fatality rate of heat stroke, and the majority of cases take place outside of hospitals, without the assistance of medical personnel. People who work in manual labour ignore vital physiological signals and are unaware that heat stroke is happening, losing the crucial 30 minutes for rescue and risking permanent physical harm or death.The general public is unaware of the proper treatment for heat stroke, even though medical specialists can frequently recognize labour-related heat stroke rapidly. With the development of technology, augmented reality (AR) technology has been incorporated into a variety of industries, providing the medical sector with cutting-edge applications in the area of emergency care. Medical practitioners can swiftly and repeatedly exercise their medical skills by using the advantages of visual medicine when augmented reality technology is used in conjunction with applications for clinical training and practice. Numerous studies have adapted augmented reality technology into applications to help first responders make crucial ambulance decisions in increasingly complicated situations with a visual aid interface, improving the effectiveness of emergency care. In conclusion, this study focuses on how augmented reality technology may be used to create an interface that enables members of the general public to obtain care for heat stroke victims most quickly and effectively possible. This project adopts a Quality function Deployment to develop a user interface for heatstroke first aid that will satisfy users' demands and design criteria. The user interface is meant to give them a quick and easy way to understand how to manage heat stroke victims before they seek medical attention.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"53 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":"127225715","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}

{"title":"Technological Innovations for ADHD treatment","authors":"María López, Mónica Acosta-Rodas, Mónica Bolaños-Pasquel, Jaime Moscoso, C. Ramos-Galarza","doi":"10.54941/ahfe1002108","DOIUrl":"https://doi.org/10.54941/ahfe1002108","url":null,"abstract":"The attention-deficit/ hyperactivity disorder (ADHD), is a neurobiological disorder and belongs to those called neurodevelopmental disorders, since it is commonly diagnosed in childhood, and persists into adulthood. The ADHD is divided by its central symptomatology in hyperactivity, and inattention, variable according to the case. It is one of the most diagnosed disorders in the child and education psychology fields, it has been considered that every child and adolescent must have an integral treatment plan, where technology advances can be part of it, and being available at home, becoming psycho-educative, and supportive in the treatment process. Thus, in this article, a revision of current applications about ADHD is presented.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"196 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":"124379498","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}

{"title":"Innovative Agonology – Definition, Detailed Theories, Laws, and General Rule of Struggle","authors":"Roman Maciej Kalina","doi":"10.54941/ahfe1003497","DOIUrl":"https://doi.org/10.54941/ahfe1003497","url":null,"abstract":"The idea of ‘innovative agonology’ came into being in 2016 in the Archives of Budo journal with the thematic section ‘Prophylactic and Therapeutic Agonology”. Innovative agonology (IA) is an applied science dedicated to promotion, prevention and therapy related to all dimensions of health and regarding the optimization of activities that increase the ability to survive (from micro to macro scales). The basic method of IA in the research and application sphere is a complementary approach in the broadest possible cognitive-behavioural perspective.At the essence of any particular science is the substantiation of its claims. Since any time one needs to either maintain health, survive, eliminate or slow down the effects of destructive factors, the key phenomenon is some form of combat, so the justification for these necessary actions is provided by the science of struggle. All five existing theories of struggle are published in Polish, with the terminology of Tadeusz Kotarbiński’s (1938) general theory of struggle (agonology) prevailing over the others. Kotarbiński placed military struggles on the ‘ground floor’, parliamentary and judicial disputes, commercial competition, sports fights, etc. on the ‘middle floor’, and he reserved the top floor’ for the general theory of action (praxeology), which includes agonology  but not vice versa. Since the usefulness of almost every scientific discovery is considered from a military perspective, it is not surprising that another theory (detailed one) by Józef Konieczny concerns destruction (1969). Paradoxically, Jarosław Rudniański published the theory of non-armed struggle during martial law in Poland under a camouflaged title (1983). In 1989, when Russian troops were still stationed (they left Poland on September 17, 1993), he re-issued the work (without camouflage) and supplemented it with the theory of compromise. At that time (1991) I published the theory of defensive struggle together with the theoretical basis for complementary prevention and therapy of somatic and mental health and increasing personal safety (survival). The law of the only possibility, as defined in my theory of combat sports (2000), is universal enough to be used in interpretations of even such remote phenomena as miraculous healings.Rudniański defined general rule of struggle as “an action in which a material or surrounding all the action’s time is in independent motion from an acting one, creating simultaneously strong and various resistance; act this way to be able at any moment possibly change both a plan of action and its manner”. Such a broad rule encompasses every case of human struggle with the need to overcome (fight) against factors that threaten one’s own or others’ health or life, as well as the defence of universally recognized values, nature, cultural products, technology, etc.Familiarity (by at least one member of the research or practical problem-solving team) with the languages and algorithms of detailed struggle theo","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":"129052332","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}

{"title":"How self-report affects digital health-related behavior change","authors":"Yuan Yin, Yurong Yu","doi":"10.54941/ahfe1002093","DOIUrl":"https://doi.org/10.54941/ahfe1002093","url":null,"abstract":"This study aims to identify how self-report method affects digital health-related behavior change and further detect its potential broader application. Two groups of 10 participants engaged in a 28-day behavior change program with one group using self-report and the other group not. After the experiment, the group using self-report participated in a semi-structured interview to report their experiences. The initial experiment showed that self-report did not affect behavior; this indicated that self-report is an appropriate method to collect behavior change data. However, the semi-structured interviews suggested that self-reporting brought benefits and encouraged users to further improve their behavior. The paper, thus, summarized that perceived effects of self-report in behavior change are stronger than actual effects of self-report.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"454 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":"131412036","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}

{"title":"Direct Weighting Interactive Design of Patient Preferences for Shared Decision Making in Orthopaedic Practice","authors":"Ben Schooley, Akanksha Singh, S. Floyd, S. Pill, John Brooks","doi":"10.54941/ahfe1002105","DOIUrl":"https://doi.org/10.54941/ahfe1002105","url":null,"abstract":"Patients need the ability to accurately and efficiently communicate their preferences across outcome domains to their healthcare providers.1-7 No existing system provides an efficient and timely approach to collect and communicate patient preferences across outcome domains to support shared decision making (SDM) in orthopaedic practice.2-4,8-19 The overarching goal of this research is to design, build, and test an app that collects baseline patient preferences and health status across orthopaedic outcomes and reports this information to the provider for use in patient care. A core component of the app is a Direct-Weighting (DW) preference assessment approach, originated from our prior research, and applied in a touchscreen based interactive design. It is envisioned that patients will use the app after scheduling a first visit to a surgeon for a new orthopaedic condition. Direct weighting (DW) approaches calculate patient-specific preference weights across outcomes by asking patients to disperse portions of a hypothetical “whole” across outcomes in a manner that reflects a patient’s preferences.20 DW has low respondent burden but it requires respondents to make “implicit” comparisons which may be difficult to conceptualize.20 However, the DW approach has become generally accepted in the quality-of-life literature and it has been shown that patients dividing up pieces of a “pie” across quality-of-life domains yields valid representations of patient preferences across the domains.20-22 However, the DW approach has not been validated with specific clinical scenarios using a clinically focused set of outcomes or by using a mobile software app. Drawing on prior research, we iteratively design and develop the app with input from prior DW research, informaticians, and clinicians. We use a qualitative approach to pilot test the app with 20 first-time visit patients presenting with joint pain and/or function deficiency. Participants were interviewed about their outcome preferences for care, used the app to prioritize outcome preferences, answered interview questions about their experience using the app, and completed a mHealth App Usability Questionnaire (MAUQ). Interview questions focused on the utility and usability of the mobile app for communicating with their provider, and capability of the app to capture their outcome preferences. Results validated five core preference domains, with most users dividing their 100-point allocation across 1-3 domains. The tool received moderate to high usability scores. Patients with older age and lower literacy found the DW approach more difficult in terms of allocating 100 points across 5 domains. Suggestions for DW interface interaction improvement included instantiation of a token/points oriented DW preference scoring methodology rather than a 1-10 sliding scale approach for improved preference weighting cognition and SDM with a provider. As more patient reported outcome (PRO) apps hit the marketplace across a broad","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"64 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":"132709440","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}

{"title":"Ergonomic problems in surgical smoke control during surgery","authors":"K. Shinohara","doi":"10.54941/ahfe1003495","DOIUrl":"https://doi.org/10.54941/ahfe1003495","url":null,"abstract":"Surgical smoke is the plume and air contaminants produced by energy devices such as electrocautery and laser scalpels during the surgery. Surgical smoke consists of fine particles containing pathogenic microorganisms and chemical substances from high-temperature carbonized tissues, and poses a health risk to medical personnel during the surgery. The COVID-19 pandemic has highlighted the importance of surgical smoke control. As a surgical smoke protection on the medical staff side, personal protective equipment such as N-95 high-performance masks are widely used. On the other hand, the surgical smoke exhaust system includes ventilation equipment for the entire operating room and a device that directly aspirates surgical smoke in the operative field. Wearing a mask for a long time poses problems such as fatigue, hypercapnia and loss of concentration. Increasing the smoke evacuation efficiency of a surgical instrument-mounted smoke evacuation device poses problems such as deterioration of operability and patient temperature maintenance. Surgical instruments equipped with smoke suction tubes suffer from deterioration in operability due to increased size and weight. Increased ventilation in the surgical environment may cause drying of organs and hypothermia. Surgical instruments with smoke exhaust devices require further reduction in weight, diameter, and ergonomic design.　 In addition, it is necessary to equip surgical instruments and the ventilation function of the operating room with an automatic maintenance function of body temperature and body cavity temperature and humidity.It is important to enlighten medical workers about the importance of measures against surgical smoke, and to improve the smoke exhaust system considering maintenance of physiological environment and solve ergonomic problems.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"8 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":"133805644","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}

{"title":"Brain-Tactile Interactive Device for Dementia Prevention of the Early Elderly","authors":"Tyan Yu Wu, Wen Yi Lin","doi":"10.54941/ahfe1003488","DOIUrl":"https://doi.org/10.54941/ahfe1003488","url":null,"abstract":"The increase in aging populations worldwide has led to an increase in dementia cases, a reality that may significantly raise social costs. Reducing the number of dementia cases is likely a good strategy to directly decrease social expenses while ensuring a better quality of life among the elderly. Previous research results have shown that deep depression or loneliness among the elderly is highly likely to accompany dementia syndrome. The elderly in particular may feel lonely or depressed when living independently or losing contact with their children and friends (Khosravi et al., 2016). The problem of dementia involves a variety of complex issues ranging from decreased social interaction to a lack of physical and mental activities. Experts have suggested that the best way to reduce dementia risk is to create a device that can satisfy several of the above-mentioned issues in one. For instance, a device that provides both entertainment and brain training at the same time. This study has developed such a device, called the Brain-Tactile Interactive Board (BTIB), that young elderly (ages 55 to 65 years old) populations can use as a possible preventative measure against dementia. The BTIB can enhance elderly brain stimulation and cognition through physical interaction and math calculation activities. These activities enable users to fulfill their social urges while reducing dementia risk and promoting happiness and well-being.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"51 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":"129351662","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}

{"title":"Expanding Our Grasp: Artificial Intelligence as the Next Leap Forward in Healthcare Quality","authors":"J. Kalra, Patrick J Seitzinger","doi":"10.54941/ahfe1003467","DOIUrl":"https://doi.org/10.54941/ahfe1003467","url":null,"abstract":"Healthcare quality and improvement relies on recognizing and improving patters of practice. AI involves self-learning systems using machine learning and pattern recognition to emulate thought processes typically conducted by humans. The purpose of this project was to assess the current state and challenges of healthcare quality and to charter a path forward for innovative applications of Artificial Intelligence technology to strengthen healthcare strategies. Knowledge integration was conducted across medical disciplines to identify key challenges in healthcare delivery and assess how Artificial Intelligence can be leveraged to strengthen healthcare quality. Currently, approximately half of the global population spends less than 5 minutes with their physician during doctor visits. It takes on average of 23.1 seconds for a physician to interrupt patients while they are telling their story. Most patients around the world will experience one or more diagnostic errors in their lifetime. Systematic reviews and narrative reviews of the available evidence report varying global diagnostic error rates ranging from 5% to 23.5%. Currently the physician suicide rate that is 1.5 to 4.5 times higher than that of the general population. Between 30-50% of medical students and residents experience burnout. Burnout is nearly doubling the rate of medical errors, and physicians involved in major errors are experiencing a threefold increase in suicidal ideation. AI technology has the potential to have transformative effects on increasing diagnostic accuracy, mmitigating medical errors, screening and early diagnosis, ddetermining disease susceptibility and progression. Advantages of AI include efficiency, accuracy, prediction/modelling, standardization, immune to fatigue, self-correcting abilities, and accuracy. Drawbacks of AI include developmental costs, unclear legislation, integration issues, lack of explainability, insufficient digital literacy, limited data sharing, and fear of the known. Even with unprecedented innovations in healthcare, we must utilize tried and true methods of healthcare assurance and improvement including identifying vulnerabilities, mitigating biases, and ensuring health equity. AI presents a tool to address longstanding issues in healthcare delivery and achieve a caliber of healthcare quality that was previously beyond our grasp.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"50 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":"115881405","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}

{"title":"Usability Validation of Complex Medical Systems","authors":"Ana Cristina Barbosa Medeiros, Molly Smyth","doi":"10.54941/ahfe1003471","DOIUrl":"https://doi.org/10.54941/ahfe1003471","url":null,"abstract":"The end goal of the application of Human Factors to the development of a safety-critical medical device is to validate the device’s safety and effectiveness in the hands of intended users. Generally, the complexity of validation studies varies according to the device intricacy. In the case of complex medical systems, such as a robotic surgical system which can be used for prolonged periods by multiple user groups at the same time and may interact with other devices in the operating room, the planning and execution of such studies require much more thinking, organization, and resources. Bearing that in mind, we have grouped the effort involved in validating complex medical systems into four categories for an optimized, practical approach. This paper discusses these four categories and provides essential guidance, based on our experience.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"247 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":"116160319","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}

{"title":"Usability Evaluation of Intravascular Administration Set with Safety Lock Regulator to Prevent Medication Error","authors":"Yourim Kim, Wonseuk Jang","doi":"10.54941/ahfe1003494","DOIUrl":"https://doi.org/10.54941/ahfe1003494","url":null,"abstract":"The safety lock regulator is part of an intravascular administration set with a safety lock to control the infusion rate of fluid and prevent accidents in which fluid is excessively injected due to unexpected events. This study aims to evaluate the usability and satisfaction of intravascular administration set with a safety lock regulator through a usability test. In the usability test, consisting of 22 tasks and 5 scenarios, experienced nurses with an average experience of 6.6 years or more participated to perform tasks and evaluate satisfaction. we collected a number of observational data such as task completion, task completion with an issue and not completion as well as subjective data such as user satisfaction scores and comprehensive opinions. As a result of the evaluation, the success rate of the entire task was 96%, and there were almost no use errors at 4%. The root causes of the observed use errors were low risk due to the lack of understanding of the tasks. The user satisfaction with the 10 questionnaires evaluated on the 5-point Likert scale showed 4.7 scores for the user manual and 4.4 scores for the intravascular administration set. In addition, comprehensive opinions such as user improvement requirements for medical devices and specific reasons for satisfaction were collected. This study confirms that users can safely perform tasks of the use scenario without serious use errors and that safety was improved by preventing operations of the non-medical person by making it difficult to unlock the safety lock regulator. In future studies, it is expected that it will be possible to develop an intravascular administration set that further improves usability and safety by deriving user requirements from the collected comprehensive opinions.","PeriodicalId":389399,"journal":{"name":"Healthcare and Medical Devices","volume":"29 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":"125314906","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}