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Nawaraj Upadhaya, Mark J D Jordans, Jibril Abdulmalik, Shalini Ahuja, Atalay Alem, Charlotte Hanlon, Fred Kigozi, Dorothy Kizza, Crick Lund, Maya Semrau, Rahul Shidhaye, Graham Thornicroft, Ivan H Komproe, Oye Gureje
BACKGROUND: Research on information systems for mental health in low and middle income countries (LMICs) is scarce. As a result, there is a lack of reliable information on mental health service needs, treatment coverage and the quality of services provided. METHODS: With the aim of informing the development and implementation of a mental health information sub-system that includes reliable and measurable indicators on mental health within the Health Management Information Systems (HMIS), a cross-country situation analysis of HMIS was conducted in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda), participating in the 'Emerging mental health systems in low and middle income countries' (Emerald) research programme...
2016: International Journal of Mental Health Systems
Deepthi Wickremasinghe, Iram Ejaz Hashmi, Joanna Schellenberg, Bilal Iqbal Avan
Health management information systems (HMIS) produce large amounts of data about health service provision and population health, and provide opportunities for data-based decision-making in decentralized health systems. Yet the data are little-used locally. A well-defined approach to district-level decision-making using health data would help better meet the needs of the local population. In this second of four papers on district decision-making for health in low-income settings, our aim was to explore ways in which district administrators and health managers in low- and lower-middle-income countries use health data to make decisions, to describe the decision-making tools they used and identify challenges encountered when using these tools...
September 2016: Health Policy and Planning
Janmejaya Samal, Ranjit Kumar Dehury
INTRODUCTION: Health Management Information System (HMIS) is one of the important components of National Rural Health Mission (NRHM). The web portal of HMIS was launched by the Ministry of Health and Family Welfare (MOHFW), Govt. of India (GOI) in 21(st) Oct. 2008 to enable capturing of public health data from both public and private institutions in rural and urban areas across the country. AIM: The aim of the study was to assess the quality perspectives and challenges among HMIS officials in implementing HMIS at their respective levels, i...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
Barbara Nanteza, Moses Galukande, Jane Aceng, Joshua Musinguzi, Alex Opio, Anthony K Mbonye, Eddie Mukooyo, Prosper Behumize, Fredrick Makumbi
BACKGROUND: The successful scale-up of safe male circumcision (SMC) in Uganda has been hinged on client's safety and quality of services. However, after the recent three tetanus deaths after circumcision a review of all tetanus cases in one of the hospitals where the cases occurred was initiated. This was to ascertain the potential for an association between tetanus infection and circumcision. Routinely collected national data were also reviewed to determine the burden of tetanus in Uganda and contextualize these incidents...
2016: SpringerPlus
Zakir Hussain, Jameel Ahmed Ansari, Muhammad Salman, Ejaz Ahmed Khan, Jawad Asghar
BACKGROUND: Acute Respiratory Infections (ARIs) are leading cause of death among children and cause 2.1 million deaths worldwide. In Pakistan, around 11.74 million ARIs cases are reported annually. Gilgit Baltistan (G-B) has higher ARIs incidence and mortality among children under 5. Study aims to evaluate the strengths and weaknesses of ARI surveillance systems in GB. METHODOLOGY: Evaluation was conducted during April 2011 using CDC's updated guidelines on evaluating the public health surveillance system, 2001...
June 2016: JPMA. the Journal of the Pakistan Medical Association
Mohen Abedi, Farideh Dehghan Manshadi, Minoo Khalkhali Zavieh, Sajad Ashouri, Hadi Azimi, Mohamad Parnanpour
AIM: SHARIF-HMIS is a new inertial sensor designed for movement analysis. The aim of the present study was to assess the inter-tester and intra-tester reliability of some kinematic parameters in different lumbar motions making use of this sensor. MATERIALS AND METHODS: 24 healthy persons and 28 patients with low back pain participated in the current reliability study. The test was performed in five different lumbar motions consisting of lumbar flexion in 0, 15, and 30° in the right and left directions...
April 2016: Journal of Bodywork and Movement Therapies
Vicki Antrobus, Gary Burnett, Claudia Krehl
Human Factors concerns exist with vehicle navigation systems, particularly relating to the effects of current Human-Machine Interfaces (HMIs) on driver disengagement from the environment. A road study was conducted aiming to provide initial input for the development of intelligent HMIs for in-vehicle systems, using the traditional collaborative navigation relationship between the driver and passenger to inform future design. Sixteen drivers navigated a predefined route in the city of Coventry, UK with the assistance of an existing vehicle navigation system (SatNav), whereas a further 16 followed the navigational prompts of a passenger who had been trained along the same route...
April 6, 2016: Ergonomics
Deepan C Kamaraj, Brad E Dicianno, Harshal P Mahajan, Alhaji M Buhari, Rory A Cooper
OBJECTIVE: To assess the stability of clinicians' and users' rating of electric-powered wheelchair (EPW) driving while using 4 different human-machine interfaces (HMIs) within the Virtual Reality-based SIMulator-version 2 (VRSIM-2) and in the real world (accounting for a total of 5 unique driving conditions). DESIGN: Within-subjects repeated-measures design. SETTING: Simulation-based assessment in a research laboratory. PARTICIPANTS: A convenience sample of EPW athletes (N=21) recruited at the 31st National Veterans Wheelchair Games...
July 2016: Archives of Physical Medicine and Rehabilitation
Atul Sharma, Saroj Kumar Rana, Shankar Prinja, Rajesh Kumar
BACKGROUND: Despite increasing importance being laid on use of routine data for decision making in India, it has frequently been reported to be riddled with problems. Evidence suggests lack of quality in the health management information system (HMIS), however there is no robust analysis to assess the extent of its inaccuracy. We aim to bridge this gap in evidence by assessing the extent of completeness and quality of HMIS in Haryana state of India. METHODS: Data on utilization of key maternal and child health (MCH) services were collected using a cross-sectional household survey from 4807 women in 209 Sub-Centre (SC) areas across all 21 districts of Haryana state...
2016: PloS One
Kathryn L Andersen, Indira Basnett, Dirgha Raj Shrestha, Meena Kumari Shrestha, Mukta Shah, Shilu Aryal
INTRODUCTION: The termination of unwanted pregnancies up to 12 weeks' gestation became legal in Nepal in 2002. Many interventions have taken place to expand access to comprehensive abortion care services. However, comprehensive abortion care services remain out of reach for women in rural and remote areas. This article describes a training and support strategy to train auxiliary nurse-midwives (ANMs), already certified as skilled birth attendants, as medical abortion providers and expand geographic access to safe abortion care to the community level in Nepal...
March 2016: Journal of Midwifery & Women's Health
Edward Antwi, Kerstin Klipstein-Grobusch, Gloria Quansah Asare, Kwadwo A Koram, Diederick Grobbee, Irene Akua Agyepong
OBJECTIVES: The objectives were to assess the quality of health management information system (HMIS) data needed for assessment of local area variation in pregnancy induced hypertension (PIH) incidence and to describe district and regional variations in PIH incidence. METHODS: A retrospective review of antenatal and delivery records of 2,682 pregnant women in ten district hospitals in the Greater Accra and Upper West regions of Ghana was conducted in 2013. Quality of HMIS data was assessed by completeness of reporting...
October 26, 2015: Tropical Medicine & International Health: TM & IH
Ayush Lohiya, Shashi Kant, Arti Kapil, Sanjeev Kumar Gupta, Puneet Misra, Sanjay K Rai
BACKGROUND: Despite world-wide evidence of increased antibiotic resistance, there is scarce data on antibiotic resistance in community settings. One of the reason being difficulty in collection of biological specimen (traditionally stool) in community from apparently healthy individuals. Hence, finding an alternative specimen that is easier to obtain in a community setting or in large scale surveys for the purpose, is crucial. We conducted this study to explore the feasibility of using urine samples for deriving community based estimates of antibiotic resistance and to estimate the magnitude of resistance among urinary isolates of Escherichia coli and Klebsiella pneumonia against multiple antibiotics in apparently healthy individuals residing in a rural community of Haryana, North India...
July 2015: Journal of Clinical and Diagnostic Research: JCDR
Camilla Pierella, Farnaz Abdollahi, Ali Farshchiansadegh, Jessica Pedersen, Elias B Thorp, Ferdinando A Mussa-Ivaldi, Maura Casadio
The concept of human motor redundancy attracted much attention since the early studies of motor control, as it highlights the ability of the motor system to generate a great variety of movements to achieve any well-defined goal. The abundance of degrees of freedom in the human body may be a fundamental resource in the learning and remapping problems that are encountered in human-machine interfaces (HMIs) developments. The HMI can act at different levels decoding brain signals or body signals to control an external device...
December 2015: Neuropsychologia
Jing-Zhang Wang, Ling Li, Li-Lan Pan, Jian-Hua Chen
Hypnosis and music interventions (HMIs) have shown positive influence on cancers for nearly 200years, but the underlying mechanisms were rarely explored systematically. The hypothesis suggests a potential curative efficacy of HMIs on cancers by inhibiting hypoxia inducible factor-1 (HIF-1), which is a key mediator of cancer development, especially under hypoxic conditions. HMIs are sufficient to attenuate the pain and anxiety degree of individuals, improve multiple psychological and physiological parameters, and consequently, lead to increased oxygen saturation in vivo...
November 2015: Medical Hypotheses
Jose Gonzalez-Vargas, Strahinja Dosen, Sebastian Amsuess, Wenwei Yu, Dario Farina
Modern assistive devices are very sophisticated systems with multiple degrees of freedom. However, an effective and user-friendly control of these systems is still an open problem since conventional human-machine interfaces (HMI) cannot easily accommodate the system's complexity. In HMIs, the user is responsible for generating unique patterns of command signals directly triggering the device functions. This approach can be difficult to implement when there are many functions (necessitating many command patterns) and/or the user has a considerable impairment (limited number of available signal sources)...
2015: PloS One
Binyam Tilahun, Fleur Fritz
BACKGROUND: Electronic medical record (EMR) systems are increasingly being implemented in hospitals of developing countries to improve patient care and clinical service. However, only limited evaluation studies are available concerning the level of adoption and determinant factors of success in those settings. OBJECTIVE: The objective of this study was to assess the usage pattern, user satisfaction level, and determinants of health professional's satisfaction towards a comprehensive EMR system implemented in Ethiopia where parallel documentation using the EMR and the paper-based medical records is in practice...
2015: JMIR Medical Informatics
Elias Abou Zeid, Tom Chau
Current human-machine interfaces (HMIs) for users with severe disabilities often have difficulty distinguishing between intentional and inadvertent activations. Pre-movement neuro-cortical activity may aid in this elusive discrimination task but has not been exploited in HMIs. This work investigates the utility of the readiness potential (RP), a slow negative cortical potential preceding voluntary movement, for detecting the intention of self-initiated fine movements prior to their motoric realization. We recorded electroencephalography from the frontal, central, parietal and occipital lobes of 10 participants using a self-initiated switch activation protocol...
June 2015: International Journal of Neural Systems
Dereje Mamo, Elizabeth Hazel, Israel Lemma, Tanya Guenther, Abeba Bekele, Berhanu Demeke
BACKGROUND: Program managers require feasible, timely, reliable, and valid measures of iCCM implementation to identify problems and assess progress. The global iCCM Task Force developed benchmark indicators to guide implementers to develop or improve monitoring and evaluation (M&E) systems. OBJECTIVE: To assesses Ethiopia's iCCM M&E system by determining the availability and feasibility of the iCCM benchmark indicators. METHODS: We conducted a desk review of iCCM policy documents, monitoring tools, survey reports, and other rele- vant documents; and key informant interviews with government and implementing partners involved in iCCM scale-up and M&E...
October 2014: Ethiopian Medical Journal
Nengcheng Chen, Changjiang Xiao, Fangling Pu, Xiaolei Wang, Chao Wang, Zhili Wang, Jianya Gong
Realization of open online control of diverse in-situ sensors is a challenge. This paper proposes a Cyber-Physical Geographical Information Service-enabled method for control of diverse in-situ sensors, based on location-based instant sensing of sensors, which provides closed-loop feedbacks. The method adopts the concepts and technologies of newly developed cyber-physical systems (CPSs) to combine control with sensing, communication, and computation, takes advantage of geographical information service such as services provided by the Tianditu which is a basic geographic information service platform in China and Sensor Web services to establish geo-sensor applications, and builds well-designed human-machine interfaces (HMIs) to support online and open interactions between human beings and physical sensors through cyberspace...
2015: Sensors
Minseok Kim, Ji Won Lim, Hyun Ju Kim, Sung Kuk Lee, Sang Jun Lee, Taesung Kim
Reporter-gene-based microbial biosensors have high potential for detecting small molecules, including heavy metal ions (HMIs), in a sensitive and selective manner by involving low costs. However, the sensitivity and dynamic range of the sensing mechanism are largely limited by the conventional culture environment that relies on the batch-type addition of the small molecules in nutrients and the subsequent genetic induction of sensing microbes. Here, we describe a high-throughput, chemostat-like microfluidic platform that can continuously supply both nutrients and inducers (HMIs) using microfabricated ratchet structures and a mixing microchannel network...
March 15, 2015: Biosensors & Bioelectronics
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