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BMJ Innovations

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https://www.readbyqxmd.com/read/28250966/pph-butterfly-a-novel-device-to-treat-postpartum-haemorrhage-through-uterine-compression
#1
Caroline Cunningham, Peter Watt, Nasreen Aflaifel, Simon Collins, Dot Lambert, John Porter, Tina Lavender, Tony Fisher, Andrew Weeks
OBJECTIVE: Postpartum haemorrhage (PPH) is a significant cause of maternal morbidity and mortality. The most common cause is an inability of the uterus to contract adequately after childbirth. In bimanual compression (BMC), one hand is placed within the vagina and the other hand is on the abdominal wall to compress the uterus. It is effective, but very uncomfortable for the woman. We designed a device that could replicate BMC without inserting a hand vaginally, therefore being less invasive...
February 2017: BMJ Innovations
https://www.readbyqxmd.com/read/28250965/health-hackathons-theatre-or-substance-a-survey-assessment-of-outcomes-from-healthcare-focused-hackathons-in-three-countries
#2
Kristian R Olson, Madeline Walsh, Priya Garg, Alexis Steel, Sahil Mehta, Santorino Data, Rebecca Petersen, Anthony J Guarino, Elizabeth Bailey, David R Bangsberg
BACKGROUND: Healthcare-focused hackathons are 48-hour platforms intended to accelerate novel medical technology. However, debate exists about how much they contribute to medical technology innovation. The Consortium for Affordable Medical Technologies (CAMTech) has developed a three-pronged model to maximise their effectiveness. To gauge the success of this model, we examined follow-up outcomes. METHODS: Outcomes of 12 hackathons from 2012 to 2015 in India, Uganda and the USA were measured using emailed surveys...
February 2017: BMJ Innovations
https://www.readbyqxmd.com/read/28250964/open-source-mobile-digital-platform-for-clinical-trial-data-collection-in-low-resource-settings
#3
Joris van Dam, Kevin Omondi Onyango, Brian Midamba, Nele Groosman, Norman Hooper, Jonathan Spector, Goonaseelan Colin Pillai, Bernhards Ogutu
BACKGROUND: Governments, universities and pan-African research networks are building durable infrastructure and capabilities for biomedical research in Africa. This offers the opportunity to adopt from the outset innovative approaches and technologies that would be challenging to retrofit into fully established research infrastructures such as those regularly found in high-income countries. In this context we piloted the use of a novel mobile digital health platform, designed specifically for low-resource environments, to support high-quality data collection in a clinical research study...
February 2017: BMJ Innovations
https://www.readbyqxmd.com/read/28250963/-there-were-more-wires-than-him-the-potential-for-wireless-patient-monitoring-in-neonatal-intensive-care
#4
Oliver Bonner, Kathryn Beardsall, Nathan Crilly, Joan Lasenby
BACKGROUND: The neonatal intensive care unit (NICU) can be one of the most stressful hospital environments. Alongside providing intensive clinical care, it is important that parents have the opportunity for regular physical contact with their babies because the neonatal period is critical for parent-child bonding. At present, monitoring technology in the NICU requires multiple wired sensors to track each baby's vital signs. This study describes the experiences that parents and nurses have with the current monitoring methods, and reports on their responses to the concept of a wireless monitoring system...
February 2017: BMJ Innovations
https://www.readbyqxmd.com/read/28616253/necessary-but-not-sufficient-unique-author-identifiers
#5
Andrew Marc Harrison, Anthony Mark Harrison
No abstract text is available yet for this article.
October 2016: BMJ Innovations
https://www.readbyqxmd.com/read/27547447/how-does-venture-capital-operate-in-medical-innovation
#6
P Lehoux, F A Miller, G Daudelin
While health policy scholars wish to encourage the creation of technologies that bring more value to healthcare, they may not fully understand the mandate of venture capitalists and how they operate. This paper aims to clarify how venture capital operates and to illustrate its influence over the kinds of technologies that make their way into healthcare systems. The paper draws on the international innovation policy scholarship and the lessons our research team learned throughout a 5-year fieldwork conducted in Quebec (Canada)...
July 2016: BMJ Innovations
https://www.readbyqxmd.com/read/27547446/whatsapp-doc
#7
Georgina Gould, Ramin Nilforooshan
No abstract text is available yet for this article.
July 2016: BMJ Innovations
https://www.readbyqxmd.com/read/27158528/open-source-hardware-for-medical-devices
#8
Gerrit Niezen, Parisa Eslambolchilar, Harold Thimbleby
Open-source hardware is hardware whose design is made publicly available so anyone can study, modify, distribute, make and sell the design or the hardware based on that design. Some open-source hardware projects can potentially be used as active medical devices. The open-source approach offers a unique combination of advantages, including reducing costs and faster innovation. This article compares 10 of open-source healthcare projects in terms of how easy it is to obtain the required components and build the device...
April 2016: BMJ Innovations
https://www.readbyqxmd.com/read/27019745/conducting-a-fully-mobile-and-randomised-clinical-trial-for-depression-access-engagement-and-expense
#9
Joaquin A Anguera, Joshua T Jordan, Diego Castaneda, Adam Gazzaley, Patricia A Areán
IMPORTANCE: Advances in mobile technology have resulted in federal and industry-level initiatives to facilitate large-scale clinical research using smart devices. Although the benefits of technology to expand data collection are obvious, assumptions about the reach of mobile research methods (access), participant willingness to engage in mobile research protocols (engagement), and the cost of this research (cost) remain untested. OBJECTIVE: To assess the feasibility of a fully mobile randomised controlled trial using assessments and treatments delivered entirely through mobile devices to depressed individuals...
January 2016: BMJ Innovations
https://www.readbyqxmd.com/read/27019744/the-alcohol-tracker-application-an-initial-evaluation-of-user-preferences
#10
Melvyn W B Zhang, John Ward, John J B Ying, Fang Pan, Roger C M Ho
BACKGROUND: The prevalence of at-risk drinking and alcohol use disorders is increasing. Advances in technology have resulted in numerous smartphone applications for this disorder. However, there are still concerns about the evidence base of previously developed alcohol applications. OBJECTIVE: The following study aims to illustrate how the authors have made use of innovative methodologies to overcome the issues relating to the accuracy of tracking the amount of alcohol one has consumed; it also aims to determine user perceptions about the innovative tracker and various other features of an alcohol self-management application among a group of individuals from the general population of a developed country (Canada)...
January 2016: BMJ Innovations
https://www.readbyqxmd.com/read/26692351/harnessing-smartphone-technologies-for-stroke-care-rehabilitation-and-beyond
#11
Melvyn W Zhang, Leonard L Yeo, Roger C Ho
No abstract text is available yet for this article.
October 2015: BMJ Innovations
https://www.readbyqxmd.com/read/26692199/innovating-to-improve-primary-care-in-less-developed-countries-towards-a-global-model
#12
Lara Fairall, Eric Bateman, Ruth Cornick, Gill Faris, Venessa Timmerman, Naomi Folb, Max Bachmann, Merrick Zwarenstein, Richard Smith
One of the biggest problems in global health is the lack of well trained and supported health workers in less developed settings. In many rural areas there are no physicians, and it is important to find ways to support and empower nurses and other health workers. The Knowledge Translation Unit of the University of Cape Town Lung Institute has spent 14 years developing a series of innovative packages to support and empower nurses and other health workers. PACK (Practical Approach to Care Kit) Adult comprises policy-based and evidence-informed guidelines; onsite, team and case-based training; non-physician prescribing; and a cascade system of scaling up...
October 2015: BMJ Innovations
https://www.readbyqxmd.com/read/26688747/assistive-technologies-for-ageing-populations-in-six-low-income-and-middle-income-countries-a-systematic-review
#13
Keshini Madara Marasinghe, Jostacio Moreno Lapitan, Alex Ross
Despite the benefits derived from the use of assistive technologies (AT), some parts of the world have minimal or no access to AT. In many low-income and middle-income countries (LMIC), only 5-15% of people who require AT have access to them. Rapid demographic changes will exacerbate this situation as populations over 60 years of age, as well as functional limitations among older populations, in LMIC are expected to be higher than in high-income countries in the coming years. Given both these trends, AT are likely to be in high demand and provide many benefits to respond to challenges related to healthy and productive ageing...
October 2015: BMJ Innovations
https://www.readbyqxmd.com/read/26751379/development-and-evaluation-of-a-smartphone-enabled-caregiver-supported-educational-intervention-for-management-of-physical-disabilities-following-stroke-in-india-protocol-for-a-formative-research-study
#14
K Sureshkumar, G V S Murthy, Sanjay Kinra, Shifalika Goenka, Hannah Kuper
The incidence and prevalence of stroke in India has reached epidemic proportions. The growing magnitude of disability in patients with stroke in India poses a major public health challenge. Given the nature of the condition, affected individuals often become disabled with profound effects on their quality of life. The availability of rehabilitation services for people with disabilities is inadequate in India. Rehabilitation services are usually offered by private hospitals located in urban areas and many stroke survivors, especially those who are poor or live in rural areas, cannot afford to pay for, or do not have access to, such services...
July 2015: BMJ Innovations
https://www.readbyqxmd.com/read/26294962/training-for-teamwork-through-in-situ-simulations
#15
Asta Sorensen, Jon Poehlman, John Bollenbacher, Scott Riggan, Stan Davis, Kristi Miller, Thomas Ivester, Leila Kahwati
In situ simulations allow healthcare teams to practice teamwork and communication as well as clinical management skills in a team's usual work setting with typically available resources and equipment. The purpose of this video is to demonstrate how to plan and conduct in situ simulation training sessions, with particular emphasis on how such training can be used to improve communication and teamwork. The video features an in situ simulation conducted at a labour and delivery unit in response to postpartum hemorrhage...
July 2015: BMJ Innovations
https://www.readbyqxmd.com/read/26246902/-care-for-stroke-a-web-based-smartphone-enabled-educational-intervention-for-management-of-physical-disabilities-following-stroke-feasibility-in-the-indian-context
#16
K Sureshkumar, G V S Murthy, Suresh Munuswamy, Shifalika Goenka, Hannah Kuper
INTRODUCTION: Stroke rehabilitation is a process targeted towards restoration or maintenance of the physical, mental, intellectual and social abilities of an individual affected by stroke. Unlike high-income countries, the resources for stroke rehabilitation are very limited in many low-income and middle-income countries (LMICs). Provision of cost-effective, post-stroke multidisciplinary rehabilitation services for the stroke survivors therefore becomes crucial to address the unmet needs and growing magnitude of disability experienced by the stroke survivors in LMICs...
July 2015: BMJ Innovations
https://www.readbyqxmd.com/read/26246901/staar-improving-the-reliability-of-care-coordination-and-reducing-hospital-readmissions-in-an-academic-medical-centre
#17
Jocelyn Alexandria Carter, Laura S Carr, Jacqueline Collins, Joanne Doyle Petrongolo, Kathryn Hall, Jane Murray, Jessica Smith, Lee Ann Tata
SETTING: Massachusetts General Hospital embarked on a 4-year project to reduce readmissions in a high volume general medicine unit (November 2009 to September 2013). OBJECTIVE: To reduce 30-day readmissions to 10% through improved care coordination. DESIGN: As a before-after study, a total of 7586 patients admitted to the medicine unit during the intervention period included 2620 inpatients meeting high risk for readmission criteria. Of those, 2620 patients received nursing interventions and 539 patients received pharmacy interventions...
July 2015: BMJ Innovations
https://www.readbyqxmd.com/read/26191414/innovation-in-immediate-neonatal-care-development-of-the-bedside-assessment-stabilisation-and-initial-cardiorespiratory-support-basics-trolley
#18
A D Weeks, P Watt, C W Yoxall, A Gallagher, A Burleigh, S Bewley, A M Heuchan, L Duley
OBJECTIVE: Babies receive oxygen through their umbilical cord while in the uterus and for a few minutes after birth. Currently, if the baby is not breathing well at birth, the cord is cut so as to transfer the newborn to a resuscitation unit. We sought to develop a mobile resuscitation trolley on which newly born babies can be resuscitated while still receiving oxygenated blood and the 'placental transfusion' through the umbilical cord. This would also prevent separation of the mother and baby in the first minutes after birth...
April 2015: BMJ Innovations
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