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Serological prevalence of SARS-CoV-2 infection among prison system workers in the state of Espírito Santo, Brazil, 2020. 2020 年巴西圣埃斯皮里图州监狱系统工作人员 SARS-CoV-2 感染的血清学流行率。
IF 2.5 Pub Date : 2022-02-28 eCollection Date: 2022-01-01 DOI: 10.1590/S1679-49742022000100008
Camila Leal Cravo Duque, Laylla Ribeiro Macedo, Ethel Leonor Noia Maciel, Ricardo Tristão-Sá, Erika do Nascimento Bianchi, Adriana Ilha da Silva, Pablo Medeiros Jabor, Cristiana Costa Gomes, Orlei Amaral Cardoso, Pablo Lira, Raphael Lubiana Zanotti, Silvânio José de Souza Magno Filho, Eliana Zandonade

Objective: To estimate the serological prevalence of SARS-CoV-2 infection among prison system workers in the state of Espírito Santo, Brazil, between August-September 2020.

Methods: This was a stratified sample survey, using interviews and serological tests for SARS-CoV-2.

Results: Among the 986 interviewers, the serological prevalence of SARS-CoV-2 infection was 11.9% (95%CI 8.1%;15.7%) in health professionals, and 22.1% (95%CI 18.8%;25.3%) in prison officers. Positivity was more frequent among health professionals in the north of the state (19.7%) and in male prison officers (24.0%). Among seropositive individuals, fatigue was the most frequent symptom in prison agents (13.4%) and myalgia in health professionals (10.8%); and the most prevalent comorbidities among the seropositive individuals were asthma or bronchitis (16.2%), in health professionals, and hypertension in prison officers (12.8%).

Conclusion: The serological prevalence of SARS-Cov-2 infection was higher in prison officers, a finding that can support disease control and prevention actions in this scenario.

目的估计2020年8月至9月期间巴西圣埃斯皮里图州监狱系统工作人员感染SARS-CoV-2的血清学流行率:方法:这是一项分层抽样调查,采用访谈和 SARS-CoV-2 血清学检测:在 986 名受访者中,医务人员感染 SARS-CoV-2 的血清学流行率为 11.9%(95%CI 为 8.1%;15.7%),狱警为 22.1%(95%CI 为 18.8%;25.3%)。该州北部的医务人员(19.7%)和男性狱警(24.0%)的阳性率更高。在血清反应阳性者中,监狱工作人员最常见的症状是疲劳(13.4%),医务人员最常见的症状是肌痛(10.8%);血清反应阳性者最常见的合并症是哮喘或支气管炎(16.2%),医务人员最常见的合并症是哮喘或支气管炎,监狱工作人员最常见的合并症是高血压(12.8%):结论:监狱工作人员感染 SARS-Cov-2 的血清学流行率较高,这一发现有助于在这种情况下采取疾病控制和预防行动。
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引用次数: 0
An Affordable Smart Phone Communication System from Highway to Helipad: A Case Series 从高速公路到直升机停机坪的可负担智能电话通信系统:案例系列
Pub Date : 2019-06-26 DOI: 10.7309/JMTM.8.1.7
J. Koll, Douglas Martin, Gregory Hansen
Methods: Two patient scenarios were constructed to test the capabilities of the Wickr application for data transfer. Roles were distributed between three players: one represented the transport medical doctor, another played the air medical crew, and the final assumed all the other roles. As the two scenarios unfolded simultaneously, phone conversations, text messages, pictures, and imaging files were conducted between the players by smart phones via downloaded Wickr applications. Upon completion, players answered nine questions on a 5-point Likert scale that focused on the quality of the videos, texts and pictures shared, as well as indicators that we deemed essential to transport communication systems from our experience.
方法:构建两个患者场景,以测试Wicker应用程序的数据传输能力。角色分配在三名玩家之间:一名代表运输医生,另一名扮演空中医疗机组人员,最后一名扮演所有其他角色。当这两个场景同时展开时,智能手机通过下载的Wicker应用程序在玩家之间进行电话对话、短信、图片和图像文件。完成后,玩家以5分的Likert量表回答了9个问题,重点是分享的视频、文本和图片的质量,以及我们认为根据经验传输通信系统至关重要的指标。
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引用次数: 1
Evaluating Artificial Intelligence and Telemedicine-based Care Models in Dermatology 皮肤病学中基于人工智能和远程医疗的护理模式评估
Pub Date : 2019-06-26 DOI: 10.7309/JMTM.8.1.6
Rose F. Liu
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引用次数: 3
Myanmar is Ready to Engage mHealth Applications for Improved Postoperative Care 缅甸准备参与mHealth应用程序以改善术后护理
Pub Date : 2019-06-26 DOI: 10.7309/JMTM.8.1.4
S. Khormaee, Andrew Nguyen, Esther Bartlett, M. Lwin, Peter Chang, M. Ilcisin
JOURNAL OF MOBILE TECHNOLOGY IN MEDICINE VOL. 8 ISSUE 1 JUNE 2019 29 Background: There is incredible potential for telemedicine to advance postoperative care. Work in high-income nations shows the potential to use mobile phones to monitor postoperative recovery progress. However, there is little information about the attitudes of people in low resource countries, like Myanmar, toward the adoption of mHealth in postoperative care.
医学移动技术杂志第8卷2019年6月1日29背景:远程医疗在推进术后护理方面具有巨大潜力。在高收入国家的工作显示出使用手机监测术后恢复进展的潜力。然而,很少有信息表明缅甸等低资源国家的人们对在术后护理中采用mHealth的态度。
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引用次数: 0
Access and Preferences for Mobile Technology among Diverse Hepatitis C Patients: Implications for Expanding Treatment Care 不同丙型肝炎患者对移动技术的获取和偏好:对扩大治疗护理的影响
Pub Date : 2019-06-26 DOI: 10.7309/JMTM.8.1.2
Julie Beaulac, L. Balfour, K. Corace, Mark Kaluzienski, C. Cooper
Methods: Cross-sectional survey data were collected from HCV patients (N=115) at two sites, an academic hospital-based outpatient viral HCV program (n= 92) and a mostly low SES communitybased site (n = 23). Measures included demographics, HCV disease status and risk factors, and mobile technology access and preferences. Differences in mobile technology access, use, and preferences by treatment site, treatment experience, ethnicity, gender, education level, and income level were assessed by Mann-Whitney and chi-square tests.
方法:从两个地点的HCV患者(N=115)收集横断面调查数据,一个是以学术医院为基础的门诊病毒性HCV项目(N=92),另一个是主要以低SES社区为基础的地点(N=23)。测量包括人口统计、丙型肝炎病毒疾病状况和风险因素,以及移动技术的使用和偏好。通过Mann-Whitney和卡方检验评估了治疗地点、治疗经历、种族、性别、教育水平和收入水平在移动技术获取、使用和偏好方面的差异。
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引用次数: 2
A Mobile Electronic Record for Lifestyle Coaches in Gestational Diabetes Prevention 妊娠期糖尿病预防生活方式教练的移动电子记录
Pub Date : 2019-06-26 DOI: 10.7309/JMTM.8.1.5
D. Simmons, T. Daniels, D. Simmons, M. Poppel, J. Harreiter
Results: A mobile device based programme was associated with more technical issues than a webbased approach, particularly in relation to upgrades to improve usability and utility. Even after multiple upgrades, a paper approach was preferred by some coaches, and by most for aspects of the intervention that required greater coach-participant interaction (eg goal setting). Coaches generally preferred the mobile device approach for obtaining pre-existing data, structured data entry and for intervention prompts.
结果:与基于网络的方法相比,基于移动设备的程序涉及更多的技术问题,特别是在升级以提高可用性和实用性方面。即使在多次升级后,一些教练和大多数教练也更喜欢纸质方法,因为干预需要更多的教练和参与者互动(如目标设定)。教练们通常更喜欢移动设备方法来获取预先存在的数据、结构化数据输入和干预提示。
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引用次数: 1
mHealth can Activate Patients to Discuss Hepatitis C Screening with Physicians 移动医疗可以激活患者与医生讨论丙型肝炎筛查
Pub Date : 2019-06-26 DOI: 10.7309/JMTM.8.1.3
John B. Kellogg, Jessica D. Lee, D. Murphy, Monisha Arya
JOURNAL OF MOBILE TECHNOLOGY IN MEDICINE VOL. 8 ISSUE 1 JUNE 2019 20 Background: Despite the prevalence of hepatitis C virus (HCV) and the availability of effective treatments, HCV screening remains suboptimal, in part due to primary care physicians’ (PCPs) unawareness of and discomfort discussing HCV risk factors. Patient-facing text message campaigns may overcome these barriers by empowering patients to initiate screening discussions with their PCPs.
《医学移动技术杂志》第8卷2019年6月1日20背景:尽管丙型肝炎病毒(HCV)流行且有有效的治疗方法,但HCV筛查仍然不理想,部分原因是初级保健医生(PCP)对讨论HCV风险因素不了解和不适。面向患者的短信活动可以通过授权患者与他们的PCP发起筛查讨论来克服这些障碍。
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引用次数: 0
Teleophthalmology through handheld mobile devices: a pilot study in rural Nepal. 通过手持移动设备进行远程眼科:在尼泊尔农村进行的一项试点研究。
Pub Date : 2019-06-01 DOI: 10.7309/jmtm.8.1.1
Karen Hong, Sean Collon, David Chang, Sunil Thakalli, John Welling, Matthew Oliva, Esteban Peralta, Reeta Gurung, Sanduk Ruit, Geoffrey Tabin, David Myung, Suman Thapa

Background: To compare screening referral recommendations made by remotely located ophthalmic technicians with those of an ophthalmologist examining digital photos obtained by a portable ophthalmic camera system powered by an iOS handheld mobile device (iPod Touch).

Methods: Dilated screening eye exams were performed by ophthalmic technicians in four remote districts of Nepal. Anterior and posterior segment photographs captured with a Paxos Scope ophthalmic camera system attached to an iPod Touch 6th generation device were uploaded to a secure cloud database for review by an ophthalmologist in Kathmandu. The ophthalmic technicians' referral decisions based on slit-lamp exam were compared to the ophthalmologist's recommendation based on the transmitted images.

Results: Using the transmitted images, the ophthalmologist recommended referral for an additional 20% of the 346 total subjects screened who would not have been referred by the ophthalmic technician. Of those subjects, 34% were referred to the retina clinic. Conversely, among the 101 patients referred by the technician, the ophthalmologist concurred with the appropriateness of referral in more than 97% of cases but thought eight (2.8%) of those patients had variants of normal eye pathology.

Conclusion: An ophthalmologist who reviewed data and photos gathered with the mobile device teleophthalmology system identified a significant number of patients whose need for referral was not identified by the screening technician. Posterior segment pathology was most frequently found by the remote reader and not by the technician performing dilated slit lamp examinations. These results are promising for further clinical implementation of handheld mobile devices as tools for teleophthalmic screening in resource-limited settings.

背景:比较远程眼科技术人员提出的筛查推荐与眼科医生检查由iOS手持移动设备(iPod Touch)驱动的便携式眼科相机系统获得的数字照片的推荐。方法:由尼泊尔四个偏远地区的眼科技术人员进行扩张性筛检。与iPod Touch第6代设备相连的Paxos Scope眼科相机系统拍摄的前后段照片被上传到安全的云数据库,供加德满都的眼科医生审查。将眼科技术人员基于裂隙灯检查的转诊决定与眼科医生基于传输图像的推荐进行比较。结果:使用传输的图像,眼科医生推荐了346名筛查对象中另外20%的人转诊,这些人本来不会被眼科技术人员转诊。在这些受试者中,34%的人被转介到视网膜诊所。相反,在技术人员转诊的101名患者中,眼科医生同意97%以上的病例转诊的适当性,但认为其中8名(2.8%)患者有正常的眼部病理变异。结论:一位眼科医生在审查了移动设备远程眼科系统收集的数据和照片后,发现了大量筛查技术人员没有发现需要转诊的患者。后段病理最常被远程阅读器发现,而不是由技术人员进行扩张型裂隙灯检查。这些结果有望在资源有限的情况下进一步临床实施手持移动设备作为远视筛查工具。
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引用次数: 14
Evaluation of Free Android Healthcare Apps Listed in appsanitarie.it Database: Technical Analysis, Survey Results and Suggestions for Developers appsantarie.it数据库中免费安卓医疗保健应用程序的评估:技术分析、调查结果和对开发者的建议
Pub Date : 2018-10-01 DOI: 10.7309/jmtm.7.2.3
L. D. Matteo, C. Pierri, S. Pillon, G. Gasperini, Paolo Preite, Edoardo Limone, S. Rongoni
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引用次数: 1
Use of Personal Devices in Healthcare: Guidelines From A Roundtable Discussion 医疗保健中个人设备的使用:圆桌讨论指南
Pub Date : 2018-10-01 DOI: 10.7309/JMTM.7.2.4
Laura Vearrier, Kyle Rosenberger, Valerie Weber
JOURNAL OF MOBILE TECHNOLOGY IN MEDICINE VOL. 7 ISSUE 2 SEPTEMBER 2018 27 Background: In recent years, smartphone use in professional settings has been increasing, particularly with physicians. There are benefits and drawbacks that result from this increase. Despite this, there is relatively limited peer-reviewed medical literature on the subject. Thus, suitable guidelines for smartphone use in the health care setting is needed.
背景:近年来,智能手机在专业环境中的使用一直在增加,尤其是医生。这种增长有好处也有坏处。尽管如此,关于这一主题的同行评议医学文献相对有限。因此,需要在卫生保健环境中制定合适的智能手机使用指南。
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引用次数: 12
期刊
Journal of mobile technology in medicine
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