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https://www.readbyqxmd.com/read/29046271/client-focused-security-assessment-of-mhealth-apps-and-recommended-practices-to-prevent-or-mitigate-transport-security-issues
#1
Jannis Müthing, Thomas Jäschke, Christoph M Friedrich
BACKGROUND: Mobile health (mHealth) apps show a growing importance for patients and health care professionals. Apps in this category are diverse. Some display important information (ie, drug interactions), whereas others help patients to keep track of their health. However, insufficient transport security can lead to confidentiality issues for patients and medical professionals, as well as safety issues regarding data integrity. mHealth apps should therefore deploy intensified vigilance to protect their data and integrity...
October 18, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29046266/guidelines-and-mhealth-to-improve-quality-of-hypertension-and-type-2-diabetes-care-for-vulnerable-populations-in-lebanon-longitudinal-cohort-study
#2
Shannon Doocy, Kenneth E Paik, Emily Lyles, Hok Hei Tam, Zeina Fahed, Eric Winkler, Kaisa Kontunen, Abdalla Mkanna, Gilbert Burnham
BACKGROUND: Given the protracted nature of the crisis in Syria, the large noncommunicable disease (NCD) caseload of Syrian refugees and host Lebanese, and the high costs of providing NCD care, the implications for Lebanon's health system are vast. OBJECTIVE: The aim of this study was to evaluate the effectiveness of treatment guidelines and a mobile health (mHealth) app on quality of care and health outcomes in primary care settings in Lebanon. METHODS: A longitudinal cohort study was implemented from January 2015 to August 2016 to evaluate the effectiveness of treatment guidelines and an mHealth app on quality of care and health outcomes for Syrian and Lebanese patients in Lebanese primary health care (PHC) facilities...
October 18, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29039368/connecting-parents-to-a-pediatric-emergency-department-designing-a-mobile-app-based-on-patient-centred-care-principles
#3
Frederic Ehrler, Johan N Siebert, Jessica Rochat, Franck Schneider, Annick Galetto, Alain Gervaix, Christian Lovis
INTRODUCTION: Patient centred care fosters a holistic approach of care switching the focus from a disease perspective to a patient's experience perspective. Patient centred care is of particular importance in the context of paediatric emergency medicine. Indeed, parents entering a paediatric emergency department (PED) are usually under stress caused by their children's illness, the unfamiliar setting of the PED and delays of care. All these factors can deteriorate their experience as well as the relationships between healthcare providers, the patients and their parents...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29035624/nurses-perceptions-and-problems-in-the-usability-of-a-medication-safety-app
#4
Kalyani Ankem, Sookyung Cho, Diana Simpson
INTRODUCTION: The majority of medication apps support medication adherence. Equally, if not more important, is medication safety. Few apps report on medication safety, and fewer studies have been conducted with these apps. OBJECTIVES: The usability of a medication safety app was tested with nurses to reveal their perceptions of the graphical user interface and to discover problems they encountered in using the app. METHODS: Usability testing of the app was conducted with RN-BSN students and informatics students (n = 18)...
October 16, 2017: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/29029055/prognostic-models-for-9-month-mortality-in-tuberculous-meningitis
#5
Le Thi Phuong Thao, A Dorothee Heemskerk, Ronald B Geskus, Nguyen Thi Hoang Mai, Dang Thi Minh Ha, Tran Thi Hong Chau, Nguyen Hoan Phu, Nguyen Van Vinh Chau, Maxine Caws, Nguyen Huu Lan, Do Dang Anh Thu, Nguyen Thuy Thuong Thuong, Jeremy Day, Jeremy J Farrar, M Estee Torok, Nguyen Duc Bang, Guy E Thwaites, Marcel Wolbers
Background: Tuberculous meningitis (TBM) is the most severe form of extra-pulmonary tuberculosis. We developed and validated prognostic models for 9-month mortality in HIV-uninfected and HIV-infected adults with TBM. Methods: We included 1699 subjects from four randomized clinical trials and one prospective observational study conducted at two major referral hospitals in Southern Vietnam from 2001-2015. Modelling was based on multivariable Cox proportional hazards regression...
September 26, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29026458/safe-opioid-prescription-a-smart-on-fhir-approach-to-clinical-decision-support
#6
Shyamashree Sinha, Mark Jensen, Sarah Mullin, Peter L Elkin
Background Prescription opioid pain medication overuse, misuse and abuse have been a significant contributing factor in the opioid epidemic. The rising death rates from opioid overdose have caused healthcare practitioners and researchers to work on optimizing pain therapy and limiting the prescriptions for pain medications. The state of New York has implemented a prescription drug monitoring program(PDMP), amended public health law to limit the prescription of opioids for acute pain and utilized the resources of the state and county health departments to help in curbing this epidemic...
2017: Online Journal of Public Health Informatics
https://www.readbyqxmd.com/read/29024956/lessons-learned-from-piloting-mhealth-informatics-practice-curriculum-into-a-medical-elective
#7
Juanita Fernando, Jennifer Lindley
Introduction: This case study reports the development and delivery of an mHealth elective piloted for first-year undergraduate medical students at Monash University (Australia) and the lessons learned by designers. Results: The students were not as adept at using mHealth devices as the literature had predicted. Expert speakers using mHealth for practice perceptibly engaged students. Force-field analysis was a useful basis for devising end-user evaluative research tools for practice...
August 23, 2017: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/29019416/communication-technology-adoption-among-older-adult-veterans-the-interplay-of-social-and-cognitive-factors
#8
Cristina Leone, Joan Soo Li Lim, Anita Stern, Jocelyn Charles, Sandra Black, Ronald Baecker
OBJECTIVES: InTouch is an electronic communication platform designed to be accessible by computer-naive seniors. The present study explored the process of adoption and use of the application by seniors with and without mild cognitive impairment (MCI) through the lens of Social Cognitive Theory (SCT). METHOD: We studied adoption and use of InTouch for social communication over a 12-week period in a 475-bed Veteran's care facility at Sunnybrook Health Sciences Centre in Toronto, Canada...
October 11, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/29017482/gender-differences-in-factors-associated-with-smartphone-addiction-a-cross-sectional-study-among-medical-college-students
#9
Baifeng Chen, Fei Liu, Shushu Ding, Xia Ying, Lele Wang, Yufeng Wen
BACKGROUND: Smartphones are becoming increasingly indispensable in everyday life for most undergraduates in China, and this has been associated with problematic use or addiction. The aim of the current study was to investigate the prevalence of smartphone addiction and the associated factors in male and female undergraduates. METHODS: This cross-sectional study was conducted in 2016 and included 1441 undergraduate students at Wannan Medical College, China. The Smartphone Addiction Scale short version (SAS-SV) was used to assess smartphone addiction among the students, using accepted cut-offs...
October 10, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28993388/medication-reminder-apps-to-improve-medication-adherence-in-coronary-heart-disease-medapp-chd-study-a-randomised-controlled-trial-protocol
#10
Karla Santo, Clara K Chow, Aravinda Thiagalingam, Kris Rogers, John Chalmers, Julie Redfern
INTRODUCTION: The growing number of smartphone health applications available in the app stores makes these apps a promising tool to help reduce the global problem of non-adherence to long-term medications. However, to date, there is limited evidence that available medication reminder apps are effective. This study aims to determine the impact of medication reminder apps on adherence to cardiovascular medication when compared with usual care for people with coronary heart disease (CHD) and to determine whether an advanced app compared with a basic app is associated with higher adherence...
October 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28986335/mobile-health-apps-in-ob-gyn-embedded-psychiatric-care-commentary
#11
Aydan Mehralizade, Shayna Schor, Chad M Coleman, Claire E Oppenheim, Christy A Denckla, Christina Pc Borba, David C Henderson, James Wolff, Sarah Crane, Pamela Nettles-Gomez, Avik Pal, Snezana Milanovic
This paper explores the potential benefits of the use of mobile health (mHealth) apps in obstetrician-gynecologist (OB-GYN)-embedded psychiatric clinics in the United States. First, we highlight the increasing trend of integrating mental health care within the OB-GYN context. Second, we provide examples of successful uses of mHealth in the global health context and highlight the dearth of available research in the United States. Finally, we provide a summary of the shortcomings of currently available apps and describe the upcoming trial of a novel app currently underway at the Mother-Child Wellness Clinical and Research Center at Boston Medical Center...
October 6, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28978495/using-mobile-phones-to-improve-vaccination-uptake-in-21-low-and-middle-income-countries-systematic-review
#12
Clare Oliver-Williams, Elizabeth Brown, Sara Devereux, Cassandra Fairhead, Isaac Holeman
BACKGROUND: The benefits of vaccination have been comprehensively proven; however, disparities in coverage persist because of poor health system management, limited resources, and parental knowledge and attitudes. Evidence suggests that health interventions that engage local parties in communication strategies improve vaccination uptake. As mobile technology is widely used to improve health communication, mobile health (mHealth) interventions might be used to increase coverage. OBJECTIVE: The aim of this study was to conduct a systematic review of the available literature on the use of mHealth to improve vaccination in low- and middle-income countries with large numbers of unvaccinated children...
October 4, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28976940/empowerment-of-patients-with-hypertension-through-bpm-iot-and-remote-sensing
#13
Daniel Ruiz-Fernández, Diego Marcos-Jorquera, Virgilio Gilart-Iglesias, Víctor Vives-Boix, Javier Ramírez-Navarro
Hypertension affects one in five adults worldwide. Healthcare processes require interdisciplinary cooperation and coordination between medical teams, clinical processes, and patients. The lack of patients' empowerment and adherence to treatment makes necessary to integrate patients, data collecting devices and clinical processes. For this reason, in this paper we propose a model based on Business Process Management paradigm, together with a group of technologies, techniques and IT principles which increase the benefits of the paradigm...
October 4, 2017: Sensors
https://www.readbyqxmd.com/read/28975028/participatory-design-methods-for-the-development-of-a-clinical-telehealth-service-for-neonatal-homecare
#14
Kristina Garne Holm, Anne Brødsgaard, Gitte Zachariassen, Anthony C Smith, Jane Clemensen
OBJECTIVES: Neonatal homecare delivered during home visits by neonatal nurses is a common method for supporting families of preterm infants following discharge. Telehealth has been introduced for the provision of neonatal homecare, resulting in positive feedback from parents of preterm infants. While the benefits are beginning to be realised, widespread uptake of telehealth has been limited due to a range of logistical challenges. Understanding user requirements is important when planning and developing a clinical telehealth service...
2017: SAGE Open Medicine
https://www.readbyqxmd.com/read/28970451/experiential-education-builds-student-self-confidence-in-delivering-medication-therapy-management
#15
Wendy M Parker, Kirsten M Donato, Katie E Cardone, Jennifer Cerulli
To determine the impact of advanced pharmacy practice experiences (APPE) on student self-confidence related to medication therapy management (MTM), fourth-year pharmacy students were surveyed pre/post APPE to: identify exposure to MTM learning opportunities, assess knowledge of the MTM core components, and assess self-confidence performing MTM services. An anonymous electronic questionnaire administered pre/post APPE captured demographics, factors predicted to impact student self-confidence (Grade point average (GPA), work experience, exposure to MTM learning opportunities), MTM knowledge and self-confidence conducting MTM using a 5-point Likert scale (1 = Not at all Confident; 5 = Extremely Confident)...
July 11, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28970179/creation-and-efficacy-of-a-cadaver-based-prosection-anatomical-course-for-critical-care-advanced-practice-providers
#16
Melissa K Stewart, Stephen Gondek, Roslyn Green, Jason Young, Raeanna C Adams, Timothy Nunez
OBJECTIVE: Intensive care units (ICUs) increasingly rely on advanced practice providers (APPs) to care for critically ill patients. Our institutional APPs perceived functional anatomical knowledge deficits. To meet this need, a cadaver-based prosection course was developed. The purpose of our study was to describe and evaluate the learner-perceived course efficacy. DESIGN: A precourse survey collected participant demographics. Precourse and postcourse surveys assessed perceived confidence in 13 anatomical areas...
September 29, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28969704/a-health-app-developer-s-guide-to-law-and-policy-a-multi-sector-policy-analysis
#17
Lisa Parker, Tanya Karliychuk, Donna Gillies, Barbara Mintzes, Melissa Raven, Quinn Grundy
BACKGROUND: Apps targeted at health and wellbeing sit in a rapidly growing industry associated with widespread optimism about their potential to deliver accessible and cost-effective healthcare. App developers might not be aware of all the regulatory requirements and best practice principles are emergent. Health apps are regulated in order to minimise their potential for harm due to, for example, loss of personal health privacy, financial costs, and health harms from delayed or unnecessary diagnosis, monitoring and treatment...
October 2, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28966822/neuromind-past-present-and-future
#18
EDITORIAL
Pieter L Kubben
This narrative report describes the underlying rationale and technical developments of NeuroMind, a mobile clinical decision support system for neurosurgery. From the perspective of a neurosurgeon - (app) developer it explains how technical progress has shaped the world's "most rated and highest rated" neurosurgical mobile application, with particular attention for operating system diversity on mobile hardware, cookbook medicine, regulatory affairs (in particular regarding software as a medical device), and new developments in the field of clinical data science, machine learning, and predictive analytics...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28964769/aspects-on-the-ecology-of-phlebotomine-sand-flies-and-natural-infection-by-leishmania-hertigi-in-the-southeastern-amazon-basin-of-brazil
#19
Sirlei Franck Thies, Roberta Vieira de Morais Bronzoni, Érika Monteiro Michalsky, Emerson Soares Dos Santos, David José Ferreira da Silva, Edelberto Santos Dias, Amílcar Sabino Damazo
The medical and veterinary importance of sand flies (Diptera: Psychodidae) follow as a result of some species ability to transmit the zoonotic protozoa of the genus Leishmania. Of all municipalities in the state of Mato Grosso, Sinop ranks first in reported cases of American Cutaneous Leishmaniasis (ACL). Sinop urban zone encompasses three permanent forest preservation areas (APPs) that provide refuge for insects and other vertebrate hosts. We assessed ecological parameters and investigated the natural infection by Leishmania spp...
September 28, 2017: Acta Tropica
https://www.readbyqxmd.com/read/28952379/rethinking-the-endpoints-of-mhealth-intervention-research-in-diabetes-care
#20
Katherine L Modzelewski, Mary-Catherine Stockman, Devin W Steenkamp
Mobile health (mHealth) is an emerging branch of medicine that utilizes technology to impact health care. With increasing access to smartphones and mobile devices, there has been an increase in both the availability and use of mHealth resources, including the use of text messages, apps, and web portals. In diabetes, there is particular interest as technology has long been a mainstay of management through glucometers, insulin pumps and continuous glucose monitors, which are increasingly interconnected. Although there is high demand for mHealth interventions in diabetes, there is no clear consensus on the best way to monitor these interventions...
September 1, 2017: Journal of Diabetes Science and Technology
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