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VIRTUAL ENVIRONMENTS IN MODERN MEDICINE 现代医学中的虚拟环境
Pub Date : 2015-10-30 DOI: 10.7309/jmtm.4.3.1
R. Chakrabarti, C. Perera
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引用次数: 0
Mobile health at the forefront of translational research 移动医疗处于转化研究的前沿
Pub Date : 2015-07-16 DOI: 10.7309/jmtm.4.2.1
R. Chakrabarti
It is with great pleasure that we present the second issue of the Journal for the year. The current issue highlights excellent examples of the capacity for translational research in mobile health. Fundamentally, the concept of translational research refers to the evolution of ‘‘bench to bedside’’ care. In the past the concept has referred to the application of knowledge attained through basic science research to improving clinical outcomes for patients. In this context, mobile technologies such as smartphones and tablet devices with their increasing accessibility and user-friendly interfaces have a great potential to demonstrate clinical benefits.
我们非常高兴地向大家介绍本年度的第二期《华尔街日报》。当前这一期突出了流动卫生领域转化研究能力的优秀例子。从根本上说,转化研究的概念是指从“工作台到床边”护理的演变。在过去,这个概念是指通过基础科学研究获得的知识的应用,以改善患者的临床结果。在这种情况下,移动技术,如智能手机和平板设备,具有越来越多的可访问性和用户友好的界面,具有展示临床益处的巨大潜力。
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引用次数: 0
IOS APPLICATIONS (APPS) FOR ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD/ADD): A PRELIMINARY INVESTIGATION FROM AUSTRALIA 针对注意力缺陷多动障碍(adhd / add)的Ios应用程序(app):来自澳大利亚的初步调查
Pub Date : 2015-07-16 DOI: 10.7309/jmtm.4.2.5
Kavindu Kumaragama, P. Dasanayake
Background: Mobile health tools are currently available for both clinicians and patients. However, there were no published articles related to Attention Deficit Hyperactivity Disorder (ADHD) applications for smartphones or tablets. Aim: Provide information in relation to apps available from iTunes store for managing ADHD. Methods: A literature search was performed. The Australian iTunes App Store and Google were searched with the keyword ADHD. Only apps from the iTunes Store were downloaded and tested. Categorisation was done in order to elucidate their functionality. Results: 32 apps were found and compared in ratings, functionality and cost. There were no customer ratings or reviews on any of the ADHD applications. Applications were categorised according to functionality. The cost ranged from free to $10.49. Conclusion: Apps specific to ADHD are available for suitable electronic devices. These provide education assistance with diagnosis and monitoring of the condition. The basic costs range from free of charge to $10/-. Information is provided to assist in selecting applications based on the need of the user.
背景:目前临床医生和患者都可以使用移动医疗工具。然而,目前还没有关于智能手机或平板电脑上的注意力缺陷多动障碍(ADHD)应用程序的发表文章。目的:提供与iTunes商店中管理ADHD的应用程序相关的信息。方法:进行文献检索。在澳大利亚的iTunes应用商店和谷歌中搜索了关键词ADHD。只有来自iTunes Store的应用程序被下载和测试。分类是为了阐明它们的功能。结果:找到了32款应用,并对其评分、功能和成本进行了比较。没有客户对任何ADHD应用程序进行评级或评论。应用程序根据功能分类。费用从免费到10.49美元不等。结论:针对ADHD的应用程序可以在合适的电子设备上使用。这些提供了诊断和监测病情的教育援助。基本费用从免费到10美元不等。所提供的信息有助于根据用户的需要选择应用程序。
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引用次数: 4
mHealth Clinic Appointment PC Tablet: Implementation, Challenges and Solutions. 移动医疗诊所预约电脑平板:实施、挑战和解决方案。
Pub Date : 2015-07-16 DOI: 10.7309/JMTM.4.2.4
Carol E Smith, R. Spaulding, U. Piamjariyakul, M. Werkowitch, D. Yadrich, D. Hooper, Tyson Moore, R. Gilroy
BACKGROUNDPatients requiring daily intravenous (IV) home parenteral nutrition (HPN) would benefit from in-home professional observation to improve self-care, to assess, detect and prevent serious complications.AIMSThe study aims are to assess the viability and utility of conducting mobile healthcare (mHealth) videoconference assessments with patients managing lifelong daily 12-hour IV nutrition infusions in their homes. The challenges and solutions to implementing mobile personal computer (PC) tablet based clinic appointments are described.METHODSA wireless Apple iPad Mini™ mobile touch-screen tablet computer with 5 mega-pixel camera was loaned to patients. Each tablet had Polycom RealPresence software and a fourth generation (4G) mobile telecommunications data plan. These supported audio-visual mobile videoconferencing encrypted connections between health professionals in their offices and HPN patients and their family members in their homes. Patients' and professionals' evaluations of their mHealth clinic experiences are collected.RESULTSPatients (mean age = 41.9, SD = 2.8 years) had been prescribed 12-hour home parenteral nutrition (HPN) infusions daily due short bowel disorders. Patients had been on HPN from 1 to 10 years (M=4, SD=3.6). Evaluation of clinic appointments revealed that 100% of the patients (n=45) and the professionals (n=6) indicated that they can clearly hear and easily see one another. The mHealth audio-visual interactions were highly rated by patients and family members. Professionals highly rated their ability to obtain a medical history and visual inspection of patients. Several challenges were identified and recommendations for resolutions are described.DISCUSSIONAll patients and professionals highly rated the iPad mHealth clinic appointments for convenience and ease of communicating between homes and offices. An important challenge for all mHealth visits is the clinical professional's ability to make clinically accurate judgments about what they observed and heard from the patients. Following our solutions for obtaining clear visuals with the iPad can improve ability to make clinical assessments.
需要每日静脉(IV)家庭肠外营养(HPN)的患者将受益于家庭专业观察,以改善自我保健,评估,发现和预防严重并发症。目的本研究的目的是评估进行移动医疗(mHealth)视频会议评估的可行性和效用,评估患者终生每天在家中进行12小时静脉营养输注。挑战和解决方案,以实现移动个人电脑(PC)平板电脑为基础的诊所预约描述。方法向患者出借一台带有500万像素摄像头的无线Apple iPad Mini™移动触摸屏平板电脑。每台平板电脑都安装了宝利通RealPresence软件和第四代(4G)移动通信数据计划。这些支持视听移动视频会议,加密了办公室的卫生专业人员与HPN患者及其家庭成员之间的连接。收集患者和专业人员对其移动医疗诊所体验的评估。结果患者(平均年龄41.9岁,SD = 2.8岁)因短肠疾病每日给予12小时家庭肠外营养(HPN)输注。患者接受HPN治疗1 ~ 10年(M=4, SD=3.6)。门诊预约评估显示,100%的患者(n=45)和专业人员(n=6)表示他们可以清楚地听到和容易地看到对方。移动医疗的视听互动得到了患者和家属的高度评价。专业人员高度评价他们获得病史和患者视觉检查的能力。确定了若干挑战,并对决议提出了建议。所有患者和专业人士都高度评价iPad移动健康诊所预约的便利性和家庭和办公室之间的轻松沟通。所有移动医疗访问的一个重要挑战是临床专业人员对他们从患者那里观察和听到的情况做出临床准确判断的能力。遵循我们的解决方案,用iPad获得清晰的视觉效果,可以提高临床评估的能力。
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引用次数: 13
Development and evaluation of an iOS vancomycin clinical decision support software application iOS万古霉素临床决策支持软件应用的开发与评价
Pub Date : 2015-07-16 DOI: 10.7309/jmtm.4.2.2
William H. Spires, Amber R Wesner, R. Kidd
Background: Due to changes in treatment guidelines, traditional pharmacokinetic based dosing and existing vancomycin nomograms may not predict doses adequate for reaching the increased trough concentration goals. A novel nomogram was created to achieve the updated goals, and the nomogram was previously validated at our institution. For this study, the nomogram was converted into an iOS vancomycin clinical decision support software (CDSS) application.
背景:由于治疗指南的变化,传统的基于药代动力学的剂量和现有的万古霉素形态图可能无法预测足以达到增加谷浓度目标的剂量。为了实现更新的目标,我们创建了一个新的nomogram,并且该nomogram之前在我们的机构进行了验证。在本研究中,将nomogram转化为iOS万古霉素临床决策支持软件(CDSS)应用程序。
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引用次数: 1
Yencode – its application in dentistry Yencode -它在牙科中的应用
Pub Date : 2015-07-16 DOI: 10.7309/jmtm.4.2.7
M. Shakil, Karteek Durbakula, Kulkarni Spoorti, M. Jose
Quick Response Codes are used in modern day lifestyle for various purposes. Yencode (QR Code) is an innovative approach in recording and maintenance of slide details. Having an access to slide information from any part of the world with mobile QR Code scanner software will enable in early diagnosis and effective treatment. Yencode is a boost to retrospective studies as it saves a lot of time and problems encountered in recollecting old details and minimizes manual efforts in retrieval of information.
快速反应代码在现代生活方式中用于各种目的。Yencode (QR Code)是一种记录和维护幻灯片细节的创新方法。使用移动二维码扫描软件访问来自世界任何地方的幻灯片信息将有助于早期诊断和有效治疗。Yencode促进了回顾性研究,因为它节省了回忆旧细节时遇到的大量时间和问题,并最大限度地减少了检索信息的人工工作。
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引用次数: 1
Medical Students’ Perceptions Regarding the Impact of Mobile Medical Applications on their Clinical Practice (RE: JMTM 2014, 3(1):46-53) 医学生对移动医疗应用对临床实践影响的认知(RE: JMTM, 2014, 3(1):46-53)
Pub Date : 2015-07-16 DOI: 10.7309/jmtm.4.2.8
A. Fayaz-Bakhsh, Sara Geravandi
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引用次数: 1
Perceptions of Using Smartphone Technology for Dietary Assessment among Low-Income African-American Mothers 使用智能手机技术对低收入非洲裔美国母亲饮食评估的看法
Pub Date : 2015-07-16 DOI: 10.7309/jmtm.4.2.3
Nuananong Seal, O. Olukotun
Background: Smartphone technology is the fastest growing in U.S. populations particularly in African -American community. Smartphone technology, therefore, may hold promise for improving health communication and accuracy of dietary intake assessment in this population. There is no information about maternal perceptions of using smartphone for dietary assessment. This paper reports the perceptions of low-income African -American mothers of children aged four to five years towards the use of smartphone for their children’s dietary intake assessment and as a means of receiving nutritional feedback.
背景:智能手机技术在美国人口中增长最快,尤其是在非洲裔美国人社区。因此,智能手机技术可能有望改善这一人群的健康交流和饮食摄入评估的准确性。没有关于母亲使用智能手机进行饮食评估的看法的信息。这篇论文报告了低收入的非洲裔美国母亲的看法,他们的孩子年龄在4到5岁之间,对于使用智能手机来评估他们的孩子的饮食摄入量,并作为一种接受营养反馈的手段。
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引用次数: 0
Test-Retest Reliability of the SWAY Balance Mobile Application SWAY Balance移动应用程序的重测可靠性
Pub Date : 2015-07-16 DOI: 10.7309/jmtm.4.2.6
R. Amick, A. Chaparro, J. Patterson, M. Jorgensen
Background: The SWAY Balance Mobile Application is an FDA-cleared balance testing system which uses the built-in tri-axial accelerometers of a mobile electronic device to objectively assess postural movement. The system was designed to provide a means of quantitative balance assessment in clinical and on-field environments. The purpose of this study was to determine the intrasession and intersession reliability, as well as the minimum difference to be considered real, of the SWAY Balance Mobile Application. Methods: 24 individuals (15 male, 9 female; aged 25.96 (95.78 years)) performed the SWAY Balance protocol twice per testing session over a period of three testing sessions. Each testing session was separated by a minimum of seven days. Interclass Correlation Coefficients were calculated as an indication of the test-retest reliability. The minimum difference to be considered real was calculated to determine the minimum score change necessary to indicate an actual change in balance performance. Results: Mean SWAY Balance scores ranged from 86.90 (914.37) to 89.90 (911.19). Repeated measures ANOVA revealed no significant mean differences between SWAY balance scores of the experimental trials (F(5,115) 0.673; p 0.65). Excellent reliability was found (ICC(3,1) 0.76; SEM 5.39) with a minimum difference to be considered real of approximately 15. Conclusions: Results indicate that SWAY provides excellent overall reliability. However, it may be appropriate to have subjects perform a familiarization trial at the beginning of each testing session. Additionally, SWAY may demonstrate a ceiling effect when assessing balance improvements in those who already demonstrate good balance.
背景:SWAY平衡移动应用程序是fda批准的平衡测试系统,它使用移动电子设备的内置三轴加速度计来客观评估姿势运动。该系统旨在为临床和现场环境提供定量平衡评估的手段。本研究的目的是确定会话内和会话间的可靠性,以及被认为真实的最小差异,SWAY平衡移动应用程序。方法:24只,其中男15只,女9只;年龄25.96岁(95.78岁)的参与者在三次测试期间,每次测试两次执行SWAY Balance协议。每次测试至少间隔7天。计算类间相关系数作为重测信度的指示。计算被认为是真实的最小差异,以确定表明平衡性能实际变化所需的最小分数变化。结果:SWAY平均平衡评分为86.90(914.37)~ 89.90(911.19)。重复测量方差分析显示,实验试验的SWAY平衡评分之间无显著差异(F(5,115) 0.673;p 0.65)。发现极好的信度(ICC(3,1) 0.76;SEM 5.39),最小差值约为15。结论:结果表明SWAY具有良好的总体信度。然而,在每次测试开始时让受试者进行熟悉性试验可能是合适的。此外,SWAY在评估那些已经表现出良好平衡的人的平衡改善时可能会显示出天花板效应。
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引用次数: 46
Accuracy of estimates of step frequency from a wearable gait monitor 可穿戴式步态监测仪估计步频的准确性
Pub Date : 2015-02-01 DOI: 10.7309/JMTM.4.1.2
H. Wittink, M. Punt, F. Bent, Roland van Dieën
The purpose of the study was to assess the accuracy of estimates of step frequency from trunk acceleration data analyzed with commonly used algorithms and time window lengths, at a wide range of gait speeds. Twenty healthy young subjects performed an incremental treadmill protocol from 1 km/h up to 6 km/h, with steps of 1 km/h. Each speed condition was maintained for two minutes. A waist worn accelerometer recorded trunk accelerations, while video analysis provided the correct number of steps taken during each gait speed condition. Accuracy of two commonly used signal analysis methods was examined with several different time windows.
该研究的目的是评估在大范围的步态速度下,用常用算法和时间窗长度分析的躯干加速度数据估计步频的准确性。20名健康的年轻受试者进行了从1 km/h到6 km/h的增量跑步机方案,步数为1 km/h。每个速度条件保持两分钟。腰部佩戴的加速度计记录了躯干加速度,而视频分析提供了在每种步态速度条件下所采取的正确步数。用不同的时间窗检验了两种常用信号分析方法的精度。
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引用次数: 4
期刊
Journal of mobile technology in medicine
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