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BMJ Innovations

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https://www.readbyqxmd.com/read/30319784/development-and-evaluation-of-a-novel-vital-signs-alert-device-for-use-in-pregnancy-in-low-resource-settings
#1
Hannah L Nathan, Nicola Vousden, Elodie Lawley, Annemarie de Greeff, Natasha L Hezelgrave, Nicola Sloan, Nina Tanna, Shivaprasad S Goudar, Muchabayiwa F Gidiri, Jane Sandall, Lucy C Chappell, Andrew H Shennan
Objectives: Haemorrhage, hypertension, sepsis and abortion complications (often from haemorrhage or sepsis) contribute to 60% of all maternal deaths. Each is associated with vital signs (blood pressure (BP) and pulse) abnormalities, and the majority of deaths are preventable through simple and timely intervention. This paper presents the development and evaluation of the CRADLE Vital Signs Alert (VSA), an accurate, low-cost and easy-to-use device measuring BP and pulse with an integrated traffic light early warning system...
October 2018: BMJ Innovations
https://www.readbyqxmd.com/read/30101033/digital-health-in-the-americas-advances-and-challenges-in-connected-health
#2
David Novillo-Ortiz, Elsy Maria Dumit, Marcelo D'Agostino, Francisco Becerra-Posada, Edward Talbott Kelley, Joan Torrent-Sellens, Ana Jiménez-Zarco, Francesc Saigí-Rubió
In 2005, all WHO Member States pledged to fight for universal health coverage (UHC). The availability of financial, human and technological resources seems to be necessary to develop efficient health policies and also to offer UHC. One of the main challenges facing the health sector comes from the need to innovate efficiently. The intense use of information and communication technologies (ICTs) in the health field evidences a notable improvement in results obtained by institutions, health professionals and patients, principally in developed countries...
July 2018: BMJ Innovations
https://www.readbyqxmd.com/read/29670760/comparative-evaluation-of-a-novel-solar-powered-low-cost-ophthalmoscope-arclight-by-eye-healthcare-workers-in-malawi
#3
Rebecca Blundell, David Roberts, Evridiki Fioratou, Carl Abraham, Joseph Msosa, Tamara Chirambo, Andrew Blaikie
This study compared a novel low-cost solar powered direct ophthalmoscope called the Arclight with a traditional direct ophthalmoscope (TDO). After appropriate training, 25 Malawian eye healthcare workers were asked to examine 12 retinal images placed in a teaching manikin head with both the Arclight ophthalmoscope and a traditional direct ophthalmoscope (Keeler Professional V.2.8). Participants were scored on their ability to identify clinical signs, to make a diagnosis and how long they took to make a diagnosis...
April 2018: BMJ Innovations
https://www.readbyqxmd.com/read/29670759/temporal-prediction-of-in-hospital-falls-using-tensor-factorisation
#4
Haolin Wang, Qingpeng Zhang, Hing-Yu So, Angela Kwok, Zoie Shui-Yee Wong
In-hospital fall incidence is a critical indicator of healthcare outcome. Predictive models for fall incidents could facilitate optimal resource planning and allocation for healthcare providers. In this paper, we proposed a tensor factorisation-based framework to capture the latent features for fall incidents prediction over time. Experiments with real-world data from local hospitals in Hong Kong demonstrated that the proposed method could predict the fall incidents reasonably well (with an area under the curve score around 0...
April 2018: BMJ Innovations
https://www.readbyqxmd.com/read/29670758/remote-biomonitoring-of-temperatures-in-mothers-and-newborns-design-development-and-testing-of-a-wearable-sensor-device-in-a-tertiary-care-hospital-in-southern-india
#5
Prem K Mony, Prashanth Thankachan, Swarnarekha Bhat, Suman Rao, Maryann Washington, Sumi Antony, Annamma Thomas, Sheela C Nagarajarao, Hiteshwar Rao, Bharadwaj Amrutur
Objective: Newer technologies such as wearables, sensors, mobile telephony and computing offer opportunities to monitor vital physiological parameters and tackle healthcare problems, thereby improving access and quality of care. We describe the design, development and testing of a wearable sensor device for remote biomonitoring of body temperatures in mothers and newborns in southern India. Methods: Based on client needs and technological requirements, a wearable sensor device was designed and developed using principles of 'social innovation' design...
April 2018: BMJ Innovations
https://www.readbyqxmd.com/read/29599999/innovation-for-the-future-of-irish-medtech-industry-retrospective-qualitative-review-of-impact-of-bioinnovate-ireland-s-clinical-fellows
#6
Elizabeth Kate McGloughlin, Paul Anglim, Ivan Keogh, Faisal Sharif
Clinicians have historically been integral in innovating and developing technology in medicine and surgery. In recent years, however, in an increasingly complex healthcare system, a doctor with innovative ideas is often left behind. Transition from idea to bedside now entails significant hurdles, which often go unrecognised at the outset, particularly for first-time innovators. The BioInnnovate Ireland process, based on the Stanford Biodesign Programme (Identify, Invent and Implement), aims to streamline the process of innovation within the MedTech sector...
January 2018: BMJ Innovations
https://www.readbyqxmd.com/read/29445517/autonomic-components-of-complex-regional-pain-syndrome-crps-are-favourably-affected-by-electrical-twitch-obtaining-intramuscular-stimulation-etoims-effects-on-blood-pressure-and-heart-rate
#7
Jennifer Chu, Frans Bruyninckx, Duncan V Neuhauser
Introduction: Favourable pain relief results on evoking autonomous twitches at myofascial trigger points with Electrical Twitch Obtaining Intramuscular Stimulation (ETOIMS). Aim: To document autonomic nervous system (ANS) dysfunction in Complex Regional Pain Syndrome (CRPS) from blood pressure (BP) and pulse/heart rate changes with ETOIMS. Methods and materials: A patient with persistent pain regularly received serial ETOIMS sessions of 60, 90, 120 or ≥150 min over 24 months...
July 2017: BMJ Innovations
https://www.readbyqxmd.com/read/29445516/does-this-treatment-work-for-me-the-patient-s-role-in-assessing-medical-care
#8
Duncan V Neuhauser, Jennifer Chu
Randomised clinical trials are designed to determine whether a particular treatment is appropriate to make a significant difference to the health of a defined population and to aid its approval for use. For an accurate, cheap and simple assessment to see if a treatment benefits an individual person, all that is needed is a pen, paper, simple pocket calculator and daily recording of a few variables. It requires the ability to read and write and to understand addition and division. Factorial design of experiments is used to show the impact of several variables and their interaction on the person's health status...
July 2017: BMJ Innovations
https://www.readbyqxmd.com/read/29445515/telementoring-with-project-echo-a-pilot-study-in-europe
#9
Clíona Ní Cheallaigh, Aisling O'Leary, Shay Keating, Aileen Singleton, Sheila Heffernan, Eamon Keenan, Lisa Robson, Jess Sears, John Moloney, Sanjeev Arora, Colm Bergin, Suzanne Norris
The Extension of Community Healthcare Outcomes (ECHO) project is a novel educational intervention designed in New Mexico to transfer subspecialty knowledge about hepatitis C virus (HCV) to primary care providers, thereby increasing patient access to HCV care. The ECHO model has been shown to deliver educational benefits and to result in good treatment outcomes for HCV-infected individuals in the USA; however, this approach has not been assessed in a European setting. We sought to evaluate the feasibility, acceptability and implementation of the ECHO model in Ireland using a pilot study...
July 2017: BMJ Innovations
https://www.readbyqxmd.com/read/28890798/american-football-and-other-sports-injuries-may-cause-migraine-persistent-pain-decades-later-and-can-be-treated-successfully-with-electrical-twitch-obtaining-intramuscular-stimulation-etoims
#10
J Chu, S McNally, F Bruyninckx, D Neuhauser
INTRODUCTION: Autonomous twitch elicitation at myofascial trigger points from spondylotic radiculopathies-induced denervation supersensitivity can provide favourable pain relief using electrical twitch-obtaining intramuscular stimulation (ETOIMS). AIM: To provide objective evidence that ETOIMS is safe and efficacious in migraine and persistent pain management due to decades-old injuries to head and spine from paediatric American football. METHODS AND MATERIALS: An 83-year-old mildly hypertensive patient with 25-year history of refractory migraine and persistent pain self-selected to regularly receive fee-for-service ETOIMS 2/week over 20 months...
April 2017: BMJ Innovations
https://www.readbyqxmd.com/read/28890797/defining-patient-centricity-with-patients-for-patients-and-caregivers-a-collaborative-endeavour
#11
Guy Yeoman, Patricia Furlong, Michael Seres, Helena Binder, Helena Chung, Vincenzo Garzya, Rachel Rm Jones
BACKGROUND: Patient engagement is an essential aspect in the research/development of biopharmaceutical products and disease management. Improving the lives of patients requires a deep understanding of their medical conditions, experiences, needs and priorities. However, a consistent definition of patient centricity is lacking. A series of initiatives was conducted to define patient centricity and its important principles impacting the biopharmaceutical industry. METHODS: Interviews, questionnaires and literature reviews were conducted involving key stakeholders to initially identify issues of importance to patients, healthcare providers and payers...
April 2017: BMJ Innovations
https://www.readbyqxmd.com/read/28794895/-smartscopy-as-an-alternative-device-for-cervical-cancer-screening-a-pilot-study
#12
Yusuke Tanaka, Yutaka Ueda, Akiko Okazawa, Mamoru Kakuda, Shinya Matsuzaki, Eiji Kobayashi, Kiyoshi Yoshino, Tadashi Kimura
The use of smartphones, mobile networks and associated health applications (known as apps) is now almost universal. Countries with low medical resources need assistance in their delivery of healthcare. This is particularly true where there are limited numbers of specialised physicians or nurses with respect to cancer screening. As smartphones become more universal, real-time and near-real-time expert medical consultations and telediagnosis are becoming more common. This leads us to believe that there will soon be a demand for mobile cancer screening services, which will be particularly useful for women living in rural areas or doctor-less inner city communities...
April 2017: BMJ Innovations
https://www.readbyqxmd.com/read/28250966/pph-butterfly-a-novel-device-to-treat-postpartum-haemorrhage-through-uterine-compression
#13
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
#14
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
#15
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
#16
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/29576873/systematic-review-of-innovation-design-contests-for-health-spurring-innovation-and-mass-engagement
#17
Stephen W Pan, Gabriella Stein, Barry Bayus, Weiming Tang, Allison Mathews, Cheng Wang, Chongyi Wei, Joseph D Tucker
We undertook a systematic review evaluating the effectiveness and cost of health-focused innovation design contests. We followed Cochrane guidance and systematically searched eight databases. Articles were included if they reported an open contest focused on improving health, required participants submit finished design solutions and contained a prize structure. We searched 3579 citations, identifying 29 health-focused innovation design contests which collectively received 15494 contest submissions. Contests solicited submissions worldwide (7) and exclusively from North America (13), Asia (4), Africa (2), Australia (2) and Europe (1)...
2017: BMJ Innovations
https://www.readbyqxmd.com/read/28616253/necessary-but-not-sufficient-unique-author-identifiers
#18
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
#19
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
#20
Georgina Gould, Ramin Nilforooshan
No abstract text is available yet for this article.
July 2016: BMJ Innovations
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