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Professional Involvement in Ophthalmology iPhone Application Development: An Update 专业参与眼科iPhone应用程序开发:更新
Pub Date : 2018-10-01 DOI: 10.7309/jmtm.7.2.1
Louis J. Stevenson
JOURNAL OF MOBILE TECHNOLOGY IN MEDICINE VOL. 7 ISSUE 2 SEPTEMBER 2018 1 Background: Smartphone technology and related applications are increasingly prevalent in the field of medicine and ophthalmology, offering a wide range of hand-held capabilities not previously available. While these technologies have enormous potential, many apps are developed without the involvement of qualified professionals leading to concerns about their quality and validity.
背景:智能手机技术和相关应用在医学和眼科领域越来越普遍,提供了以前无法获得的广泛的手持功能。虽然这些技术具有巨大的潜力,但许多应用程序的开发没有合格的专业人员参与,导致人们担心它们的质量和有效性。
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引用次数: 1
Developing a User-centered Mobile Application for Stroke Caregivers: A Pilot National Survey 为中风护理人员开发以用户为中心的移动应用程序:一项试点全国调查
Pub Date : 2018-10-01 DOI: 10.7309/jmtm.7.2.5
Jonathan Singer, S. Weingast, N. Gilles, M. Faysel, D. Stefanov, S. Girouard, Alyssa Conigliaro, M. White, A. Jensen, D. Burton, S. Levine
JOURNAL OF MOBILE TECHNOLOGY IN MEDICINE VOL. 7 ISSUE 2 SEPTEMBER 2018 35 Abstract: Inadequate support, along with the stroke patient’s level of disability, can have a negative impact on informal caregivers’ quality of life and well-being. Yet, there is a lack of research and interventions focused on improving the health and well-being of informal caregivers. To determine the most salient potential resources and features for stroke patient caregivers regarding the use of mobile apps to improve caregiver’s health. A nationwide survey of caregivers was mailed to stroke survivors through the National Stroke Association, which included questions on demographics, cell phone/smartphone ownership, and caregiver’s opinion about mobile app resources– specifically 1) scheduling multiple tasks, 2) finding resource information, 3) finding local resources, 4) tracking fitness and diet, and 5) communication with the stroke survivor. 396 stroke caregivers [(299 (76%) female, 96 (24%) African-American, 42 (11%) Hispanic/Latino, and 210 (53%) Caucasian], aged 20-99 years (mean 58.2 ± 11.30), returned surveys; 96% owned a cell phone and 60% owned a smartphone. Most caregivers reported aspects of the app to be useful, including, doctor/rehab appointments [80% (95% CI 76-84%)], links to reliable medical information [84% (95% CI 80-87%)], local stroke support groups [81% (95% CI 77-85%)], exercises [76% (95% CI 71-80%)], and touch screen with useful phrases [76% (95% CI 71-80%)]. Latino (88%-74%) and African-American (84%77%) caregivers reported the highest rate of usefulness. Implementation of a mobile app unique to stroke caregivers with multiple resources is desired by this diverse, national sample of informal caregivers. Such a mobile app holds potential to reduce the disparities gap for resource use.
摘要:支持不足,以及中风患者的残疾水平,可能会对非正式护理人员的生活质量和福祉产生负面影响。然而,缺乏侧重于改善非正式照料者健康和福祉的研究和干预措施。确定卒中患者护理人员在使用移动应用程序改善护理人员健康方面最显著的潜在资源和特征。一项针对护理人员的全国性调查通过美国中风协会邮寄给中风幸存者,调查内容包括人口统计、手机/智能手机拥有情况、护理人员对移动应用程序资源的看法——具体来说是1)安排多项任务,2)查找资源信息,3)查找本地资源,4)跟踪健身和饮食,以及5)与中风幸存者的沟通。396名卒中护理人员[其中女性299名(76%),非裔美国人96名(24%),西班牙裔/拉丁裔42名(11%),白种人210名(53%)],年龄20-99岁(平均58.2±11.30);96%的人拥有手机,60%的人拥有智能手机。大多数护理人员报告该应用程序的某些方面是有用的,包括医生/康复预约[80% (95% CI 76-84%)],可靠医疗信息链接[84% (95% CI 80-87%)],当地中风支持小组[81% (95% CI 77-85%)],锻炼[76% (95% CI 71-80%)],以及带有有用短语的触摸屏[76% (95% CI 71-80%)]。拉丁裔(88%-74%)和非裔美国人(84% - 77%)的护理人员报告的有用性最高。实现一个移动应用程序独特的中风护理人员与多种资源是由这个多样化的,国家样本的非正规护理人员。这样的移动应用程序具有缩小资源使用差距的潜力。
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引用次数: 3
Recharging Smiles: Strategies for Using Mobile Phones in Dental Public Health 微笑充电:在口腔公共卫生中使用手机的策略
Pub Date : 2018-10-01 DOI: 10.7309/JMTM.7.2.9
Aditi Hegde, V. Gopikrishna, Smitha B Kulkarni, N. Bhaskar, Sourabha K Gangadharappa, Jeswin Jacob
JOURNAL OF MOBILE TECHNOLOGY IN MEDICINE VOL. 7 ISSUE 2 SEPTEMBER 2018 60 Abstract: Through the advent of smartphones, the previously elusive internet is now available to each person right in their hands, with lightning fast speeds available at rather nominal charges. Mobile phones offer numerous solutions to dentists and health workers alike and can be applied in a variety of ways in a public health setting. This paper discusses the application of mobile phones in primary, as well as secondary and tertiary levels of intervention from a dental public health perspective. Indeed, the described strategies can be employed by professionals, alone or combined with other interventions, to enhance the oral health of their patients.
《医学移动技术杂志》第7卷第2期2018年9月60摘要:随着智能手机的出现,以前难以捉摸的互联网现在可以在每个人的手中使用,以闪电般的速度以相当低廉的价格提供。手机为牙医和卫生工作者提供了许多解决方案,可以在公共卫生环境中以各种方式应用。本文从牙科公共卫生的角度讨论了手机在初级、二级和三级干预中的应用。事实上,所描述的策略可以由专业人员单独使用,也可以与其他干预措施相结合,以增强患者的口腔健康。
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引用次数: 0
Expanding The Use of Telemedicine in Neurology: A Pilot Study 扩大远程医疗在神经病学中的应用:一项初步研究
Pub Date : 2018-10-01 DOI: 10.7309/JMTM.7.2.6
Melissa Reider-Demer, D. Eliashiv
Methods: Forty neurologically stable adult patients were recruited. We excluded patients who were non-English speaking, had intellectual disability, lacked caregiver availability, or had unstable neurological conditions. After each telemedicine visit a patient standardized satisfaction survey was completed, comprising 11 questions assessing patient willingness to participate, technical issues, and satisfaction with the clinic experience and medical provider. A provider satisfaction survey was obtained at the end of the study.
方法:招募40名神经系统稳定的成年患者。我们排除了不会说英语、有智力残疾、缺乏护理人员或神经系统不稳定的患者。在每次远程医疗就诊后,完成了患者标准化满意度调查,包括11个问题,评估患者参与意愿、技术问题以及对临床体验和医疗提供者的满意度。研究结束时,获得了提供者满意度调查。
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引用次数: 6
Patients’ Attitudes Towards Text Messages about HIV and Hepatitis C Screening 患者对HIV和丙型肝炎筛查短信的态度
Pub Date : 2018-10-01 DOI: 10.7309/JMTM.7.2.7
Julika Kaplan, Haley Marek, Monisha Arya
JOURNAL OF MOBILE TECHNOLOGY IN MEDICINE VOL. 7 ISSUE 2 SEPTEMBER 2018 51 Background: Despite the prevalence of HIV and hepatitis C virus (HCV), many people in the United States have never been screened for these infections. Mobile phones could educate patients about screening recommendations and “nudge” them to request screening from their physicians. There is a need for studies to understand patients’ perspectives on this campaign strategy.
《医学移动技术杂志》第7卷第2期2018年9月51背景:尽管艾滋病毒和丙型肝炎病毒(HCV)流行,但美国许多人从未接受过这些感染的筛查。手机可以教育患者有关筛查建议,并“推动”他们向医生申请筛查。有必要进行研究,以了解患者对这一运动策略的看法。
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引用次数: 2
Computer Literacy in the Elderly: A Survey Examining Real World Usability of Medical Software 老年人的计算机素养:对现实世界医疗软件可用性的调查
Pub Date : 2018-10-01 DOI: 10.7309/jmtm.7.2.10
S. Rasiah, M. Whitchurch
There is widespread evidence of an association between reduced health literacy and an increased risk of poor medical outcome. Patients with poor medical education experience significantly higher emergency room costs and up to double the hospital admission rates compared to patients with sufficient medical education. Lack of medical literacy is particularly important in the ageing population, due to increased burden of chronic illness and the increasingly complex management of progressive chronic conditions. To address this, various smartphone and tablet medical applications have been developed to improve patient health literacy and monitor chronic illnesses. We propose the need to examine the technological literacy of elderly patients, who are most likely to benefit from these applications.
有广泛证据表明,卫生知识普及程度降低与医疗结果不佳的风险增加之间存在关联。与受过充分医学教育的患者相比,缺乏医学教育的患者急诊室费用明显更高,住院率高达两倍。由于慢性病负担增加和进行性慢性疾病的管理日益复杂,在老龄化人口中,缺乏医学知识尤为重要。为了解决这个问题,已经开发了各种智能手机和平板电脑医疗应用程序,以提高患者的健康素养和监测慢性疾病。我们建议有必要检查老年患者的技术素养,他们最有可能从这些应用中受益。
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引用次数: 0
Designing a WIC App to Improve Health Behaviors: A Latent Class Analysis 设计WIC应用程序以改善健康行为:潜在类分析
Pub Date : 2018-10-01 DOI: 10.7309/JMTM.7.2.2
S. Crixell, B. Markides, L. Biediger-Friedman, Amanda Reat, Nicholas J. Bishop
JOURNAL OF MOBILE TECHNOLOGY IN MEDICINE VOL. 7 ISSUE 2 SEPTEMBER 2018 7 Designing a WIC App to Improve Health Behaviors: A Latent Class Analysis Sylvia H. Crixell PhD, RD, Brittany Reese Markides MS, RD, Lesli Biediger-Friedman PhD, MPH, RD, Amanda Reat MS, RD, Nicholas Bishop PhD Nutrition and Foods Professor, School of Family and Consumer Sciences, Texas State University, San Marcos, Texas; Nutrition and Foods Lecturer, School of Family and Consumer Sciences, Texas State University, San Marcos, Texas; Nutrition and Foods Assistant Professor, School of Family and Consumer Sciences, Texas State University, San Marcos, Texas; Family and Child Development Assistant Professor, School of Family and Consumer Sciences, Texas State University, San Marcos, Texas Corresponding Author: scrixell@txstate.edu
医学移动技术杂志第7卷第2期2018年9月7设计一个WIC应用程序,以改善健康行为:一个潜在的类分析西尔维亚H.克里塞尔博士,RD,布列塔尼里斯马基德斯MS, RD,莱斯利比迪格-弗里德曼博士,MPH, RD,阿曼达Reat MS, RD,尼古拉斯主教博士营养和食品教授,家庭和消费者科学学院,德克萨斯州圣马科斯;德克萨斯州圣马科斯市德克萨斯州立大学家庭与消费者科学学院营养与食品讲师;德克萨斯州圣马科斯市德克萨斯州立大学家庭与消费者科学学院营养与食品助理教授;家庭与儿童发展助理教授,德克萨斯州圣马科斯德州州立大学家庭与消费者科学学院通讯作者:scrixell@txstate.edu
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引用次数: 0
The Role of Text Messages in Patient-Physician Communication about the Influenza Vaccine. 短信在流感疫苗医患沟通中的作用。
Pub Date : 2018-09-01 DOI: 10.7309/jmtm.7.2.8
Disha Kumar, Vagish Hemmige, Michael A Kallen, Richard L Street, Thomas P Giordano, Monisha Arya

Background: Racial and ethnic minorities face disparities in receiving the influenza vaccination. A text message intervention could deliver personalized and timely messages to counsel patients on asking their physician for the vaccination.

Aims: We assessed whether patients would be receptive to influenza vaccination text messages.

Methods: Participants were recruited from a sample of low-income, racial and ethnic minority primary care patients. Participants completed a self-administered survey. Descriptive statistics were used to analyze the data.

Results: There were 274 patients who participated and answered the questions of interest, of whom 70% were racial and ethnic minorities and 85% owned a cell phone. Thirty-six percent reported they had never received an influenza vaccination recommendation from their physician. However, 84% would be comfortable asking their physician for the influenza vaccination. Of cell phone-owning participants who would be comfortable asking their physician about the influenza vaccination, 80% would also be comfortable receiving a text message reminder.

Conclusion: Text messages may be an acceptable channel to prompt patients to discuss the annual influenza vaccination with their physicians. Text messaging is a feasible tool to engage patients in their health and improve annual influenza vaccination rates among low-income, racial and ethnic minority patients.

背景:种族和少数民族在接种流感疫苗方面存在差异。短信干预可以向患者提供个性化和及时的信息,建议他们向医生申请疫苗接种。目的:我们评估了患者是否会接受流感疫苗短信。方法:参与者是从低收入、种族和少数民族的初级保健患者中招募的。参与者完成了一项自我管理的调查。采用描述性统计方法对数据进行分析。结果:共有274名患者参与并回答了感兴趣的问题,其中70%是少数民族,85%拥有手机。36%的人表示,他们从未收到医生的流感疫苗接种建议。然而,84%的人愿意向医生咨询流感疫苗接种情况。在拥有手机的参与者中,80%的人会很乐意向医生询问流感疫苗接种情况,他们也会很乐意收到短信提醒。结论:短信可能是一个可以接受的渠道,提示患者与医生讨论年度流感疫苗接种情况。短信是一种可行的工具,可以让患者参与他们的健康,并提高低收入、种族和少数民族患者的年度流感疫苗接种率。
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引用次数: 0
Remote monitoring via CareLink Express™ improves patient and physician satisfaction and reduces economic costs in acute care centers 通过CareLink Express™进行远程监控可以提高患者和医生的满意度,并降低急症护理中心的经济成本
Pub Date : 2018-03-31 DOI: 10.7309/jmtm.7.1.6
D. Hill, Ritesh S. Patel, David Bello
Results: Length of hospitalization was longer in the control group than in the CareLink group (4.04 vs. 2.21 days). Notably 91.3% of physicians preferred the use of CareLink Express over standard interrogation methods. Patients reported shorter wait time for device results with CareLink Express and “felt less anxious” compared to standard interrogation methods with corresponding p-values of 0.009 and 0.01. Control group arrival to interrogation time ranged from 91-3,022 minutes while the CareLink group ranged from 18-1,551 minutes. Significantly less time was required for interrogation in the CareLink group (422 min) than that of the Control group (1150 min, p < 0.001).
结果:对照组的住院时间比CareLink组长(4.04天对2.21天)。值得注意的是,91.3%的医生更喜欢使用CareLink Express而不是标准的询问方法。患者报告称,与相应p值为0.009和0.01的标准询问方法相比,CareLink Express设备结果的等待时间更短,“感觉不那么焦虑”。对照组到达询问时间为91-3022分钟,CareLink组为18-1551分钟。CareLink组询问所需时间(422分钟)明显少于对照组(1150分钟,p<0.001)。
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引用次数: 0
First report of a wearable fitness tracking device capturing a cardiac arrest 首个可穿戴健身追踪设备捕捉心脏骤停的报道
Pub Date : 2018-03-31 DOI: 10.7309/JMTM.7.1.7
Ruby Groome, P. Polgarova, J. Martin
A previously healthy 37 year old man, with no risk factors, sustained a cardiac arrest whilst running a half marathon. During the event, he was using a fitness tracking device (Fitbit Surge, Fitbit Inc. San Francisco). The time and location of the arrest was determined from the Fitbit data when the pace fell to zero, indicating a lack of movement (Figure 1). Interestingly, at the time of the arrest the heart rate decreased but did not fall to zero as expected. These heart rate inaccuracies may be related to cardiopulmonary resuscitation (CPR) interference.
一名先前健康的37岁男子,没有任何危险因素,在跑半程马拉松时心脏骤停。在活动期间,他使用了一款健身追踪设备(Fitbit Surge, Fitbit Inc.)。旧金山)。当心率降至零时,从Fitbit数据确定心跳骤停的时间和地点,表明缺乏运动(图1)。有趣的是,在心跳骤停时,心率下降,但没有像预期的那样降至零。这些心率不准确可能与心肺复苏(CPR)干扰有关。
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引用次数: 2
期刊
Journal of mobile technology in medicine
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