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Studies in Health Technology and Informatics

A M Ardi Handojoseno, Ganesh R Naik, Moran Gilat, James M Shine, Tuan N Nguyen, Quynh T Ly, Simon J G Lewis, Hung T Nguyen
Freezing of gait (FOG) is an episodic gait disturbance affecting initiation and continuation of locomotion in many Parkinson's disease (PD) patients, causing falls and a poor quality of life. FOG can be experienced on turning and start hesitation, passing through doorways or crowded areas dual tasking, and in stressful situations. Electroencephalography (EEG) offers an innovative technique that may be able to effectively foresee an impending FOG. From data of 16 PD patients, using directed transfer function (DTF) and independent component analysis (ICA) as data pre-processing, and an optimal Bayesian neural network as a predictor of a transition of 5 seconds before the impending FOG occurs in 11 in-group PD patients, we achieved sensitivity and specificity of 85...
2018: Studies in Health Technology and Informatics
Matthew Iasiello, Jonathan Bartholomaeus, Aaron Jarden, Joseph van Agteren
Longevity is a valuable resource for society, as older people are increasingly looking for new ways to contribute after retirement. Their contribution is however dependent upon their physical health, mental health and wellbeing. The potential role that mental health and wellbeing, two separate but interrelated constructs, play often are both under-recognised and insufficiently targeted. Positive ageing is a positive and constructive view of ageing, where older people actively work on maintaining a positive attitude, work towards keeping fit and healthy, and strive to maximize their wellbeing...
2018: Studies in Health Technology and Informatics
Mohanraj Karunanithi, Qing Zhang
Australian population aged over 65 years is 14% (3.3 million) and this expected to increase to 21% by 2053 (8.3 million), of which 1.9% to 4.2% is attributed to Australians over 85 years. With increase in ageing, there is high prevalence in long-term health conditions and more likely multiple visits to the doctors or the hospitals, particularly when one's functional condition declines. This adds burden to the already stretched health system such as the overcrowding of emergency departments in hospitals. This is partly due to many ageing patients with high care needs occupying significant number of hospital beds because they are waiting for entry to the limited placements in residential care...
2018: Studies in Health Technology and Informatics
Alissa Knight, John Fouyaxis, Geoff Jarrad, Kinga Beski, Gerald Cho, Niranjan Bidargaddi
The rapid ageing of the population is a worldwide inexorable demographic transformation. At a time of immense social, political and economic change, the growing elderly population is at the forefront of global burden, placing an increasing strain on the federal, state, and local budgets. Many public policy responses to the impending ageing epidemic have begun, particularly with regards to dementia prevention and quality of life for older adults. However, to date, the fruition of such efforts remains to be discovered...
2018: Studies in Health Technology and Informatics
John Grundy, Kon Mouzakis, Rajesh Vasa, Andrew Cain, Maheswaree Curumsing, Mohamed Abdelrazek, Niroshine Fernando
By the 2050, it is estimated that the proportion of people over the age of 80 will have risen from 3.9% to 9.1% of population of Organisation for Economic Cooperation and Development countries. A large proportion of these people will need significant help to manage various chronic illnesses, including dementia, heart disease, diabetes, limited physical movement and many others. Current approaches typically focus on acute episodes of illness and are not well designed to provide adequately for daily living care support...
2018: Studies in Health Technology and Informatics
Marie Hutchinson, Neil Wendt, Stuart Trevor Smith
The 2011 Productivity Commission report, Caring for Older Australians, observed that as the number of older Australians rises and the demand for aged care services increases, there will be a commensurate increase in demand for a well-trained aged care workforce. One of the significant issues impacting upon the ability of the aged services sector to respond to a growing number of older adults is to attract and retain sufficient numbers of staff. A number of factors are acknowledged to contribute to a failure of the aged care sector to attract and retain workers including: poor sector reputation, poor working conditions, including high client-staff ratios, a lack of career paths and professional development opportunities and low rates of remuneration...
2018: Studies in Health Technology and Informatics
Ann Borda, Cecily Gilbert, Kathleen Gray, Deepa Prabhu
BACKGROUND: The present study was undertaken to build an evidence base focusing on an ageing population who are using or have used consumer wearables to collect and manage information about their personal health status. The primary objective was to understand the health self-management requirements, frailty and age related changes, and the health information support provided by consumer wearable devices, specifically in the context of older adults living independently. METHOD: The study aimed to recruit older adults to respond to an online questionnaire...
2018: Studies in Health Technology and Informatics
Lynne Parkinson, Annie Banbury, Anne Livingstone, Steven Gordon, Biplob Ray, Louise Byrne, Susan Nancarrow, Chris Doran, Margaret McAllister, Carrie Petersen, Sonja Pedell, Denise Wood
In rural Australia, knowledge and utilisation of support by informal carers is lacking. During the caregiving period, socioemotional support from family and friends plays an important role in sustaining caregiving activities. Post-care, these social networks facilitate adjustment to role change and dealing with grief. Developing and improving access to peer support to enable carers to effectively cope with the challenges of caring may positively influence their caring experience. The primary objective of this project is to examine the response of isolated rural carers for older people with dementia to a videoconference (VC) based peer support and information program...
2018: Studies in Health Technology and Informatics
Britt Klein, Lisa Clinnick, Jessica Chesler, Andrew Stranieri, Adam Bignold, Richard Dazeley, Suzanne McLaren, Sue Lauder, Venki Balasubramanian
BACKGROUND: This regional pilot site 'end-user attitudes' study explored nurses' experiences and impressions of using the Nurses' Behavioural Assistant (NBA) (a knowledge-based, interactive ehealth system) to assist them to better respond to behavioural and psychological symptoms of dementia (BPSD) and will be reported here. METHODS: Focus groups were conducted, followed by a four-week pilot site 'end-user attitudes' trial of the NBA at a regional aged care residential facility (ACRF)...
2018: Studies in Health Technology and Informatics
Robyn A Clark
BACKGROUND: In a series of studies over the past decade we have measured the effectiveness of telehealth for elderly heart failure patients (>70 years) on rehospitalisation, mortality, adherence, satisfaction, cost effectiveness, health related quality of life, age and types of technology. METHODS: Evidence has been derived from a Cochrane systematic review and meta-analysis (1 original and 2 updates: 2007-2016), two sub-analysis of this data and a large NHMRC funded multicentre randomised controlled trial (CHAT study 2010)...
2018: Studies in Health Technology and Informatics
Branko Celler, Marlien Varnfield, Rajiv Jayasena
The CSIRO National NBN Telehealth Trial investigated the effects of introducing at home telemonitoring of vital signs for the management of a heterogeneous group of chronically ill patients. Patients suffering from a wide range of chronic conditions who were frequently admitted to hospital, were selected from nominated hospital lists. The impact of telemonitoring was analysed using a wide range of health and wellbeing outcomes as well as numerous health economic metrics derived from Medicare Medical Benefits Scheme (MBS) and Pharmaceutical Benefits Scheme (PBS) data and Hospital Health Roundtable data...
2018: Studies in Health Technology and Informatics
QiYan Zhang, Hiroshi Takeda
A content analysis was performed to investigate core curriculum in master degree programs for patient safety. Twenty programs from six countries and 179 core curriculum/modules were extracted and reviewed. The curricula were compared to the topics recommended in WHO's Multi-professional Patient Safety Curriculum Guide and the core content relevant to patient safety issues in IMIA/AMIA recommendations for health informatics education. The differences between the identified curricula with those addressed in the aforementioned Guide/Recommendations were examined...
2017: Studies in Health Technology and Informatics
Yoshinori Yamashita, Tatoku Ogaito
The use of smart devices in medical information systems is progressing. In addition, correspondence of communication functions in medical equipment is advancing. For this reason, and in order to establish the ubiquitous environment in hospitals, we developed an environment in which multiple wireless communications can be used.
2017: Studies in Health Technology and Informatics
Xue Wu, Changxu Wu
This study revealed the numeric error patterns related to dosage when doctors prescribed in computerized physician order entry system. Error categories showed that the '6','7', and '9' key produced a higher incidence of errors in Numpad typing, while the '2','3', and '0' key produced a higher incidence of errors in main keyboard digit line typing. Errors categorized as omission and substitution were higher in prevalence than transposition and intrusion.
2017: Studies in Health Technology and Informatics
Adam Wright, Trang T Hickman, Dustin McEvoy, Skye Aaron, Angela Ai, Joan S Ash, Jan Marie Andersen, Rachel Ramoni, Milos Hauskrecht, Peter Embi, Richard Schreiber, Dean F Sittig, David W Bates
Clinical decision support systems, when used effectively, can improve the quality of care. However, such systems can malfunction, and these malfunctions can be difficult to detect. In this poster, we describe four methods of detecting and resolving issues with clinical decision support: 1) statistical anomaly detection, 2) visual analytics and dashboards, 3) user feedback analysis, 4) taxonomization of failure modes/effects.
2017: Studies in Health Technology and Informatics
Vania Teixeira, Luciana Rubin, Romina Rebrij, Alvaro Tamborindeguy, Rodrigo Martinez, Juan Carlos Bacigalupo, Daniel Luna
The aim of this study is to describe the implementation and evaluation of an outsourced Clinical Decision Support Systems (CDSS) service of drug-drug interaction (DDI) alerts in an Uruguayan outpatient healthcare network. A cross-sectional study was developed. 1.5 alerts were triggered of every 1000 prescriptions. Clinicians accepted 44% of the total alerts. In conclusion, the implementation of CDSS was achievable.
2017: Studies in Health Technology and Informatics
Takumi Tanikawa, Hisateru Ohba, Ayako Yagahara, Katsuhiko Ogasawara
The purpose of this study was to estimate geographical patient flow to hospitals during winter seasons using simulation analysis. We used probe data collected from car navigation systems and performed a Geographical Information System (GIS)-based analysis to determine the relationship between travel time to hospitals and winter road conditions. Accessibility to hospitals based on travel time in summer and winter was overlayed on a map to demonstrate the increase in travel time during winter.
2017: Studies in Health Technology and Informatics
Martin Staemmler, Alexander Nischwitz, Markus Blätzinger, Johannes Sturm
This poster presents an assessment to which extent the data submission to one of the largest trauma registries worldwide can be structured compliant to the clincial document architecture (CDA) and semantically annotated. Overall, complete annotation was achieved for 75% of the items, for the remaining ones annotation failed due to missing codes or concepts for individual items or values of value sets.
2017: Studies in Health Technology and Informatics
Berglind Smaradottir, Jarle Håland, Santiago Martinez
A mobile device's touchscreen allows users to use a choreography of hand gestures to interact with the user interface. A screen reader on a mobile device is designed to support the interaction of visually disabled users while using gestures. This paper presents an evaluation of VoiceOver, a screen reader in Apple Inc. products. The evaluation was a part of the research project "Visually impaired users touching the screen - a user evaluation of assistive technology".
2017: Studies in Health Technology and Informatics
Priscyla Waleska Simões, Ronaldo Borges Vicente, Patrícia Duarte Simões Pires, Maria Marlene de Souza Pires, Eros Comunello, Felipe Borges Tomaz, Luciane Bisognin Ceretta, Deborah Ribeiro de Carvalho
The aim of this study was to evaluate the accuracy of decision support systems in the diagnosis of breast cancer by means of a systematic review and meta-analysis of studies of diagnostic accuracy. The first step of the research, which consisted of the initial research of abstracts and titles identified from the research strategy in the databases was performed by two researchers independently. In this stage, 622 references were retrieved in the databases and, through a consensus meeting, 183 articles were selected for full reading...
2017: Studies in Health Technology and Informatics
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