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https://www.readbyqxmd.com/read/29217503/impact-of-an-electronic-health-record-integrated-personal-health-record-on-patient-participation-in-health-care-development-and-randomized-controlled-trial-of-myhealthkeeper
#1
Borim Ryu, Nari Kim, Eunyoung Heo, Sooyoung Yoo, Keehyuck Lee, Hee Hwang, Jeong-Whun Kim, Yoojung Kim, Joongseek Lee, Se Young Jung
BACKGROUND: Personal health record (PHR)-based health care management systems can improve patient engagement and data-driven medical diagnosis in a clinical setting. OBJECTIVE: The purpose of this study was (1) to demonstrate the development of an electronic health record (EHR)-tethered PHR app named MyHealthKeeper, which can retrieve data from a wearable device and deliver these data to a hospital EHR system, and (2) to study the effectiveness of a PHR data-driven clinical intervention with clinical trial results...
December 7, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29215657/-the-patient-and-the-crossing-between-primary-and-hospital-care-systematic-review-of-trials-for-the-implementation-of-tools-for-integration-in-spain
#2
REVIEW
L Corral Gudino, M Borao Cengotita-Bengoa, R J Jorge Sánchez, J García Aparicio
BACKGROUND: Health services are moving towards a complete integration to try and reduce fragmentation, increase efficiencies and improve health outcomes. Estimates the effectiveness in of different tools for integrated care in Spain. METHODS: We performed a systematic review of articles using MEDLINE (last search July31st, 2017). Randomized clinical trials reporting health outcomes of tools for integrated care used in Spain were included. Studies were appraised for quality using the Cochrane Risk of Bias assessment...
December 7, 2017: Anales del Sistema Sanitario de Navarra
https://www.readbyqxmd.com/read/29214641/an-app-to-enhance-resident-education-in-otolaryngology
#3
Wayne D Hsueh, John P Bent, Howard S Moskowitz
OBJECTIVE: Technological change is leading to an evolution in medical education. The objective of our study was to assess the impact of a medical knowledge app, called PulseQD, on resident education within our otolaryngology-head and neck surgery department at Montefiore Medical Center, Albert Einstein College of Medicine (Bronx, NY). METHODS: A prospective cohort study was conducted within the Department of Otolaryngology-Head and Neck Surgery from July 2016 to June 2017...
December 7, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29211513/facilitators-and-barriers-to-pre-exposure-prophylaxis-willingness-among-young-men-who-have-sex-with-men-who-use-geosocial-networking-applications-in-california
#4
Ian W Holloway, Diane Tan, Jennifer L Gildner, Sean C Beougher, Craig Pulsipher, Jorge A Montoya, Aaron Plant, Arleen Leibowitz
While correlates of pre-exposure prophylaxis (PrEP) uptake have been explored among older men who have sex with men (MSM), less is known about the facilitators and barriers that encourage uptake among younger MSM (YMSM). This study explores the association between willingness to take PrEP and demographic characteristics, sexual risk, and substance use, and attitudinal factors among YMSM in California who use geosocial networking applications (GSN apps). Based on survey data from YMSM recruited through GSN apps (n = 687), PrEP willingness was positively associated with Hispanic ethnicity [adjusted odds ratio (aOR): 1...
December 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29203460/treatment-of-low-back-pain-with-a-digital-multidisciplinary-pain-treatment-app-short-term-results
#5
Stephan Huber, Janosch A Priebe, Kaja-Maria Baumann, Anne Plidschun, Christine Schiessl, Thomas R Tölle
BACKGROUND: Even though modern concepts of disease management of unspecific low back pain (LBP) postulate active participation of patients, this strategy is difficult to adapt unless multidisciplinary pain therapy is applied. Recently, mobile health solutions have proven to be effective aides to foster self-management of many diseases. OBJECTIVE: The objective of this paper was to report on the retrospective short-term results of a digital multidisciplinary pain app for the treatment of LBP...
December 4, 2017: JMIR rehabilitation and assistive technologies
https://www.readbyqxmd.com/read/29200402/can-a-smartphone-app-improve-medical-trainees-knowledge-of-antibiotics
#6
Michael Fralick, Reem Haj, Dhruvin Hirpara, Karen Wong, Matthew Muller, Larissa Matukas, John Bartlett, Elizabeth Leung, Linda Taggart
Objectives: To determine whether a smartphone app, containing local bacterial resistance patterns (antibiogram) and treatment guidelines, improved knowledge of prescribing antimicrobials among medical trainees. Methods: We conducted a prospective, controlled, pre-post study of medical trainees with access to a smartphone app (app group) containing our hospital's antibiogram and treatment guidelines compared to those without access (control group). Participants completed a survey which included a knowledge assessment test (score range, 0 [lowest possible score] to 12 [highest possible score]) at the start of the study and four weeks later...
November 30, 2017: International Journal of Medical Education
https://www.readbyqxmd.com/read/29196085/technology-interventions-for-nonadherence-new-approaches-to-an-old-problem
#7
Bruce G Bender
Nonadherence to asthma medications is well recognized. Interventions to improve adherence, however, have been only moderately successful and are not often adopted because of limited provider time, training, or institutional support. The potential for mobile communication technology to improve adherence has gathered sharply growing interest. Technology-based adherence tracking devices have been in existence for almost 3 decades, but have only recently reached a level of reliability and utility to be considered in allergy practice...
November 29, 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/29180163/a-needs-assessment-of-pharmacokinetic-skills-performed-on-advanced-pharmacy-practice-experiences-by-student-pharmacists
#8
Emily K Dornblaser
INTRODUCTION: Pharmacokinetic (PK) calculations are an important competency for pharmacy students, however, there is little to guide which medications should be included in pharmacy curricula. Additionally, many new medications require therapeutic drug monitoring (TDM)-but not PK calculations-to ensure safe use. The objectives of this study were to quantify which medications are most frequently encountered by pharmacy students during advanced pharmacy practice experiences (APPE's) and to what extent PK calculations or TDM were completed by students while on APPE's at the University of New England...
January 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29180153/adaptation-and-psychometric-validation-of-a-scale-to-assess-student-pharmacists-beliefs-in-simplifying-complicated-medication-regimens
#9
Sonal Ghura Mansukhani, Betty Chewning
OBJECTIVES: To validate a scale in order to identify the most relevant survey constructs to measure student pharmacists' beliefs of providing a novel cognitive service of simplifying complicated medication regimens of community dwelling patients using a pill card. METHODS: A pre-existing scale was used to construct an adapted questionnaire in the context of simplifying complicated drug regimens in patients taking >five Rx meds daily. The adapted 14-item questionnaire was administered to 126 student pharmacists immediately after they performed a mandatory community pharmacy advanced pharmacy practice experience (APPE) exercise to simplify complicated drug regimens of patients...
January 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29175005/physician-perceptions-of-integrating-advanced-practice-pharmacists-into-practice
#10
Charlene R Williams, Tasha Woodall, Courtenay Gilmore Wilson, Reid Griffin, Shelley L Galvin, Lisa A LaVallee, Courtney Roberts, Timothy J Ives
OBJECTIVES: Barriers have prevented full integration of advanced practice pharmacists (APPs) into collaborative practice in some areas despite evidence describing their value. APPs in North Carolina can be recognized as Clinical Pharmacist Practitioners (CPPs) under a collaborative practice agreement and provide comprehensive medication management under physician supervision. This study describes the perceptions of physicians regarding the barriers and benefits of integrating CPPs into interprofessional teams and compares physician and CPP perceptions...
November 23, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29170970/smartphones-in-clinical-practice-doctors-experience-at-two-dublin-paediatric-teaching-hospitals
#11
Taha S El Hadidy, Abdulrahman E Alshafei, Alan E Mortell, Eva M Doherty
INTRODUCTION: We conducted a study at two main centres for paediatric surgery in the Republic of Ireland, Temple Street Children's University Hospital (TSCUH) and Our Lady's Children's Hospital Crumlin (OLCHC). AIM: The aim of the study was to assess doctors' opinions, frequency and methods of smartphone use in clinical practice. METHODS: Doctors (n = 265) at the two hospitals were invited to complete a 12-item survey. Descriptive statistics were calculated accordingly...
November 23, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29158662/medication-management-apps-usable-by-older-adults
#12
Rachel E Stuck, Amy W Chong, Tracy L Mitzner, Wendy A Rogers
For older adults, managing medications can be a burden and could lead to medication non-adherence. To decrease risks associated with medication non-adherence, healthcare providers may recommend medication reminder apps as an assistive tool. However, these apps are often not designed with consideration of older adults' needs, capabilities, and limitations. To identify whether available apps are suitable for older adults, we conducted an in-depth cognitive walkthrough and a heuristic evaluation of the most commonly downloaded medication reminder app...
September 2017: Proceedings of the Human Factors and Ergonomics Society ... Annual Meeting
https://www.readbyqxmd.com/read/29157465/dietos-a-dietary-recommender-system-for-chronic-diseases-monitoring-and-management
#13
Giuseppe Agapito, Mariadelina Simeoni, Barbara Calabrese, Ilaria Caré, Theodora Lamprinoudi, Pietro H Guzzi, Arturo Pujia, Giorgio Fuiano, Mario Cannataro
BACKGROUND AND OBJECTIVE: Use of mobile and web-based applications for diet and weight management is currently increasing. However, the impact of known apps on clinical outcomes is not well-characterized so far. Moreover, availability of food recommender systems providing high quality nutritional advices to both healthy and diet-related chronic diseases users is very limited. In addition, the potentiality of nutraceutical properties of typical regional foods for improving app utility has not been exerted to this end...
January 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29156896/proutine-a-feasibility-study-assessing-surveillance-of-electronic-patient-reported-outcomes-and-adherence-via-smartphone-app-in-advanced-cancer
#14
Gesine Benze, Friedemann Nauck, Bernd Alt-Epping, Giuseppe Gianni, Thomas Bauknecht, Johannes Ettl, Anna Munte, Luisa Kretzschmar, Jan Gaertner
BACKGROUND: In advanced cancer, quality of life (QoL) is a major treatment goal. In order to achieve this, the identification of suffering by screening for patient-reported-outcomes (PROs, i.e., symptoms) is of utmost importance. The use of paper-pencil questionnaires is associated with significant shortcomings due to missing data, recall bias and transcription errors. Other than that, the electronic recording of PROs by mobile Health (mHealth) offers a number of advantages. The aim of this study was to test whether the routine assessment of PROs via a newly developed smartphone application (MeQoL®) is feasible...
October 26, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29155376/smartphone-apps-meet-evidence-based-medicine-the-future-of-medicine-may-or-may-not-be-in-your-smartphone
#15
Kenneth R Foster, David J Callans
"The future of medicine is in your smartphone," proclaimed an eminent medical researcher in a 2015 Wall Street Journal essay. In a sense, that future has already arrived, judging from the proliferation of apps and medical devices now connected to smartphones. One 2015 industry study identified more than 165,000 health-related smartphone apps available from the Google Play Store and Apple iTunes. But to what extent does this technology lead to improved patient outcomes? That question is one for evidence-based medicine, to be answered by clinical trials and systematic reviews by medical experts...
November 2017: IEEE Pulse
https://www.readbyqxmd.com/read/29155036/effectiveness-of-app-based-self-acupressure-for-women-with-menstrual-pain-compared-to-usual-care-a-randomized-pragmatic-trial
#16
Susanne Blödt, Daniel Pach, Sanna von Eisenhart-Rothe, Fabian Lotz, Stephanie Roll, Katja Icke, Claudia M Witt
BACKGROUND: Primary dysmenorrhea is common among women of reproductive age. Non-steroidal anti-inflammatory drugs and oral contraceptives are effective treatments, although the failure rate is around 20-25%. Therefore additional evidence-based treatments are needed. In recent years, the use of smartphone applications (apps) has increased rapidly and may support individuals in self-management strategies. OBJECTIVE: We aimed to investigate the effectiveness of app-based self-acupressure in women with menstrual pain...
November 15, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29151409/-curative-effect-of-paraquat-detoxification-recipe-combined-with-continuous-hemoperfusion-in-the-treatment-of-patients-with-app-and-clinical-value-of-presepsin
#17
Weizhan Wang, Jing Li, Baoyue Zhu, Xun Gao, Qingmian Xiao, Hongna Qi, Yanqiao Ye, Yongjian Liu, Yongyan Han, Gongying Ma, Pu Wang
OBJECTIVE: To investigate the clinical effect of paraquat (PQ) detoxification recipe combined with continuous hemoperfusion (HP) in the treatment of patients with acute paraquat poisoning (APP) and clinical significance of soluble CD14 subtype (sCD14-st, Presepsin). METHODS: A prospective randomized controlled trial was conducted. 152 patients with moderate APP admitted to Department of Emergency Medicine of Harrison International Peace Hospital Affiliated to Hebei Medical University from July 2013 to June 2017 were enrolled, and they were randomly divided into three groups...
November 2017: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/29139070/mobile-health-application-and-e-health-literacy-opportunities-and-concerns-for-cancer-patients-and-caregivers
#18
Hyunmin Kim, Joy V Goldsmith, Soham Sengupta, Asos Mahmood, M Paige Powell, Jay Bhatt, Cyril F Chang, Soumitra S Bhuyan
Health literacy is critical for cancer patients as they must understand complex procedures or treatment options. Caregivers' health literacy also plays a crucial role in caring for cancer patients. Low health literacy is associated with low adherence to medications, poor health status, and increased health care costs. There is a growing interest in the use of mobile health applications (apps) to improve health literacy. Mobile health apps can empower underserved cancer patients and their caregivers by providing features or functionalities to enhance interactive patient-provider communication and to understand medical information more readily...
November 14, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/29138632/the-e-generation-the-technological-usage-and-experiences-of-medical-students-from-a-developing-country
#19
Priyasdarshani Galappatthy, Wasundara S Wathurapatha, Priyanga Ranasinghe, Maheshi D M S Wijayabandara, Dinuka S Warapitiya, Krishantha Weerasuriya
Background: The medical community is increasingly using Portable Electronic Devices (PEDs). We evaluated usage of PEDs and medical apps among medical students from Sri Lanka. Methods: This descriptive cross-sectional study was conducted at Faculty of Medicine, University of Colombo. Medical students from 2nd to 5th year were invited for the study. A self-administered questionnaire was used to collect details of PEDs availability, accessibility, and usage, perceived advantages/barriers of PEDs, and availability, accessibility, and usage of medical apps...
2017: International Journal of Telemedicine and Applications
https://www.readbyqxmd.com/read/29138128/will-participatory-syndromic-surveillance-work-in-latin-america-piloting-a-mobile-approach-to-crowdsource-influenza-like-illness-data-in-guatemala
#20
José Tomás Prieto, Jorge H Jara, Juan Pablo Alvis, Luis R Furlan, Christian Travis Murray, Judith Garcia, Pierre-Jean Benghozi, Susan Cornelia Kaydos-Daniels
BACKGROUND: In many Latin American countries, official influenza reports are neither timely nor complete, and surveillance of influenza-like illness (ILI) remains thin in consistency and precision. Public participation with mobile technology may offer new ways of identifying nonmedically attended cases and reduce reporting delays, but no published studies to date have assessed the viability of ILI surveillance with mobile tools in Latin America. We implemented and assessed an ILI-tailored mobile health (mHealth) participatory reporting system...
November 14, 2017: JMIR Public Health and Surveillance
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